This collection gathers a set of central papers from the emerging area of ethics and climate change.

The evidence-based medicine movement advocates basing all medical decisions on certain types of quantitative research data and has stimulated protracted controversy and debate since its inception. Evidence-based medicine presupposes an inaccurate and deficient view of medical knowledge. Michael Polanyi’s theory of tacit knowledge both explains this deficiency and suggests remedies for it. Polanyi shows how all explicit human knowledge depends on a wealth of tacit knowledge which accrues from experience and is essential for problem solving. Edmund Pellegrino’s classic treatment of (...) clinical judgment is examined, and a Polanyian critique of this position demonstrates that tacit knowledge is necessary for understanding how clinical judgment and medical decisions involve persons. An adequate medical epistemology requires much more qualitative research relevant to the clinical encounter and medical decision making than is currently being done. This research is necessary for preventing an uncritical application of evidence-based medicine by health care managers that erodes good clinical practice. Polanyi’s epistemology shows the need for this work and provides the structural core for building an adequate and robust medical epistemology that moves beyond evidence-based medicine. (shrink)

Most clinicians take for granted a simple, reductionist understanding of medical knowledge that is at odds with how they actually practice medicine; routine medical decisions incorporate more complicated kinds of information than most standard accounts of medical reasoning suggest. A better understanding of the structure and function of knowledge in medicine can lead to practical improvements in clinical medicine. This understanding requires some familiarity with epistemology, the study of knowledge and its structure, in medicine. Michael Polanyi's theory of tacit knowing (...) is advanced as the basis for developing a more accurate understanding of medical knowledge. Tacit knowing, which explores the taken-for-granted background knowledge that underlies all human knowing, is explained in detail with a focus on its relevance for clinical medicine. The implications of recognizing tacit knowing in medicine and medical decisions are discussed. These include the ability to explain the importance of the clinical encounter in medical practice, mechanisms for analysing patient and doctor as persons, and the need for humility given the uncertainty that the tacit dimension injects into all medical decisions. This more robust medical epistemology allows clinicians to better articulate the nature and importance of patient-centred care, to avoid pitfalls inherent in reductionist approaches to medical knowledge, and to think more clearly about the relationships between medicine and health care at the individual and population levels. (shrink)

A collection of seminal articles in climate ethics and climate justice.

This paper starts with an apparently provocative question – can we call the 2019 Water Revolution in Hong Kong a lesson of emancipatory education which awakens students’ critical consciousn...

Harry Collins’ book Tacit and Explicit Knowledge seeks to clarify the concept of tacit knowledge made famous by Michael Polanyi. Collins’ tripartite taxonomy of tacit knowledge is explained using illustrative examples from clinical medicine. Collins focuses on distinguishing the kinds of tacit knowledge that can (in principle) be made wholly explicit from the kinds of tacit knowledge that are inescapably tacit. Polanyi’s writings, on the other hand, emphasize the process of tacit knowing. Collins’ investigation of tacit knowledge makes an important (...) scholarly contribution that is distinct from and complementary to investigations that focus on tacit knowing. (shrink)

In recent years, the opioid crisis in the United States has sparked significant discussion on doctor–patient interactions concerning chronic pain treatments, but little to no attention has been given to investigating the vocal aspects of patient talk. This exploratory sociolinguistic study intends to fill this knowledge gap by employing prosodic discourse analysis to examine context-specific linguistic features used by the interlocutors of two distinct medical interactions. We found that patients employed both low pitch and creak as linguistic resources when describing (...) chronic pain, narrating symptoms and requesting opioids. The situational use of both features informs us about the linguistic ways in which patients frame fraught issues like chronic pain in light of the current opioid crisis. This study expands the breadth of phonetic analysis within the domain of discourse analysis, serving to illuminate discussions surrounding the illocutionary role of the lower vocal tract in expressing emotions. (shrink)

This paper consists of commentaries about and the reprint of an autobiographical essay authored by Italian medium Eusapia Palladino and published in 1910. The details of the essay are discussed in terms of the writings of other individuals about the life and performances of the medium. The essay conveys a view of Palladino as a person who has suffered much in life and has a mission to help scientific research into mediumship. Typical of the positive emphasis in autobiographies in general, (...) the medium did not discuss negative aspects of her performances. Due to the fact that the essay appeared during Palladino's visit to New York City in which many authors branded her as a fraud, it may be speculated that the purpose of this autobiography was to elicit sympathy from the American public. While some of the statements that Palladino made about phenomena are consistent with the statements of other authors who have written about her, there are several statements that show alternate or incomplete versions of particular events in her life. The differences suggests that Palladino's essay and other discussions about the medium's life are not reliable when it comes to specific details and to biographical accuracy. (shrink)

This rich and varied collection of essays addresses some of the most fundamental human questions through the lenses of philosophy, literature, religion, politics, and theology. Peter Augustine Lawler and Dale McConkey have fashioned an interdisciplinary consideration of such perennial and enduring issues as the relationship between nature and history, nature and grace, reason and revelation, classical philosophy and Christianity, modernity and postmodernity, repentance and self-limitation, and philosophy and politics.

BackgroundFew studies have examined factors associated with willingness of people living with HIV to participate in HIV treatment clinical trials in Sub-Saharan Africa. We assessed the factors associated with participation of PLHIV in HIV treatment clinical trials research at a large urban clinical and research facility in Uganda.MethodsA mixed methods study was conducted at the Infectious Diseases Institute, adult HIV clinic between July 2016 and January 2017. Data were collected using structured questionnaires, focused group discussions with respondents categorised as either (...) participated or never participated in clinical trials and key informant interviews with IDI staff. A generalized linear model with a logit link function was used for multivariate analyses while the qualitative data were summarized using a thematic approach.ResultsWe enrolled a total of 202 and analysed 151 participants, 77 of whom were male with mean age of 41 years. The majority 127 expressed willingness to participate in treatment clinical trials if given an opportunity. At bivariate analysis, willingness to participate was significantly associated with respondents’ perception of a satisfactory compensation package, special status accorded and belief that their health status would improve while on the clinical trial. At multivariate analysis, a satisfactory compensation package and special status accorded in clinical trials remained significant. The qualitative data analysis confirmed these findings as participants valued the privilege of jumping the clinic waiting queues and spending less time in clinic, the wide range of free tests offered to trial participants, unrestricted access to senior physicians and regular communication from study team. Additionally, free meals offered during clinic visits meant that participants were not in a hurry to go back home. Barriers to participation included the perception that new drugs were being tested on them, fear of side effects like treatment failure and the uncertainty about privacy of their data.ConclusionWe found overwhelming willingness to participate in HIV treatment clinical trials. This was largely extrinsically influenced by the perceived material and health-related benefits. Investigators should pay attention to participants’ concerns for benefits which may override the need to understand study procedures and risks. (shrink)

A major contribution to Descartes studies, this book provides a panorama of cutting-edge scholarship ranging widely over Descartes's own primary concerns: metaphysics, physics, and its applications. It is at once a tool for scholars and--steering clear of technical Cartesian science--an accessible resource that will delight nonspecialists. The contributors include Edwin Curley, Willis Doney, Alan Gabbey, Daniel Garber, Marjorie Grene, Gary Hatfield, Marleen Rozemond, John Schuster, Dennis Sepper, Stephen Voss, Stephen Wagner, Margaret Welson, Jean Marie Beyssade, Michelle Beyssade, Michel (...) Henry, Evert van Leeuwen, Jean-Luc Marion, Genevieve Rodis-Lewis, and Jean-Pierre Seris. Combining new textual sensitivity with attentiveness to history, they represent the best established scholars and most exciting new voices, including both English speaking and newly-translated writers. Part I examines the foundations of Descartes's philosophy: Cartesian certainty; the phenomenology of the cogito and its modulations in the passions; and the defensibility and comprehensibility of the Cartesian God. The second part examines Descartes's groundbreaking metaphysics: mind's distinctness from and interaction with body; imagination; perception; and language. Part III examines Cartesian science: the revolutionary rhetoric of the Rules and the Discourse; the metaphysical foundations of physics; the interplay of rationalism and empiricism; the mechanics and human biology that flow from Descartes's physics. (shrink)

Epistemology and Inference was first published in 1983. 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. Henry Kyburg has developed an original and important perspective on probabilistic and statistical inference. Unlike much contemporary writing by philosophers on these topics, Kyburg's work is informed by issues that have arisen in statistical theory and practice as well as issues familiar to professional philosophers. In two (...) major books and many articles, Kyberg has elaborated his technical proposals and explained their ramifications for epistemology, decision-making, and scientific inquiry. In this collection of published and unpublished essays, Kyburg presents his novel ideas and their applications in a manner that makes them accessible to philosophers and provides specialists in probability and induction with a concise exposition of his system. (shrink)

In exploring the nature of excess relative to a phenomenology of the limit, _Testing the Limit _ claims that phenomenology itself is an exploration of excess. What does it mean that "the self" is "given"? Should we see it as originary; or rather, in what way is the self engendered from textual practices that transgress—or hover around and therefore within—the threshold of phenomenologial discourse? This is the first book to include Michel Henry in a triangulation with Derrida and Levinas (...) and the first to critique Levinas on the basis of his interpolation of philosophy and religion. Sebbah claims that the textual origins of phenomenology determine, in their temporal rhythms, the nature of the subjectivation on which they focus. He situates these considerations within the broader picture of the state of contemporary French phenomenology, in order to show that these three thinkers share a certain "family resemblance," the identification of which reveals something about the traces of other phenomenological families. It is by testing the limit within the context of traditional phenomenological concerns about the appearance of subjectivity and ipseity that Derrida, Henry, and Levinas radically reconsider phenomenology and that French phenomenology assumes its present form. (shrink)

The A to Z of Existentialism explains the central claims of existentialist philosophy and the contexts in which it developed into one of the most influential intellectual trends of the 20th century. This is done through a chronology, an introductory essay, a bibliography, and more than 300 cross-referenced dictionary entries offering clear, accessible accounts of the life and thought of major existentialists like Jean-Paul Sartre, Martin Heidegger, Martin Buber, Karl Jaspers, Gabriel Marcel, Simone de Beauvoir, Albert Camus, and Maurice Merleau-Ponty, (...) as well as thinkers influential to its development such as Wilhelm Dilthey, Henri Bergson, Edmund Husserl, and Max Scheler. (shrink)

hen the Right Honorable and Reverend Francis Henry, earl of Bridgewater, died in February, 1829, he left £8,000 to support a series of books "on the power, wisdom and goodness of God, as manifested in the creation." William Buckland, England's first official academic geologist and later dean of Westminster, was invited to compose one of the nine Bridgewater Treatises. In it he discussed the most pressing problem of natural theology: if God is benevolent and the creation displays his "power, (...) wisdom and goodness," then why are we surrounded with pain, suffering, and apparently senseless cruelty in the animal world? (shrink)

Can Newman be classified as an “historian”? On the one hand, Newman did not adhere to, indeed cared very little for, modern scientific methods of empirical research; he detested the cold, clinical nature of German intellectualism of the mid-ninetheenth century. On the other hand, Newman’s historical investigation relied upon conservative methods of historical research: the use of original sources and the rules of historical criticism; his techniques were self-taught, but they were adequate to meet the historical standards of his times. (...) Most importantly, Newman never conceived of himself purely and simply as an historian: he studied history in the service of religion and, for example, examined the fourth century in order to provide answers to the theological questions of the nineteenth. (shrink)

Selection bias? Content Type Journal Article DOI 10.1007/s11016-010-9490-4 Authors Henry M. Cowles, Program in History of Science, Princeton University, Princeton, NJ 08544, USA Journal Metascience Online ISSN 1467-9981 Print ISSN 0815-0796.

This study traces the history of Newman’s personal papers that are archived at the Birmingham Oratory. Newman was the “master archivist” who spent considerable time during the last two decades of his life in assembling his papers. Subsequently, three major catalogues of Newman’s papers were prepared: the first began in 1920, under the supervision of Richard Garnett Bellasis and Henry Lewis Bellasis; a second catalogue was compiled in the mid-1950s by Yale University Library for microfilming Newman’s papers; the third (...) catalogue was compiled by Gerard Tracey in 1980. (shrink)

The Historical Dictionary of Existentialism explains the central claims of existentialist philosophy and the contexts in which it developed into one of the most influential intellectual trends of the 20th century. This is done through a chronology, an introductory essay, a bibliography, and more than 300 cross-referenced dictionary entries offering clear, accessible accounts of the life and thought of major existentialists like Jean-Paul Sartre, Martin Heidegger, Martin Buber, Karl Jaspers, Gabriel Marcel, Simone de Beauvoir, Albert Camus, and Maurice Merleau-Ponty, as (...) well as thinkers influential to its development such as Wilhelm Dilthey, Henri Bergson, Edmund Husserl, and Max Scheler. Historical Dictionary of Existentialism affords readers an integrated, critical, and historically-sensitive understanding of this important philosophical movement. (shrink)

Thomas Henry Huxley designated three men as the finest intellects of 19th century natural history: his dear friend Charles Darwin; his most worthy opponent Georges Cuvier; and Karl Ernst von Baer, who discovered the mammalian egg cell in 1827 and wrote the founding treatise of modern embryology in 1828. Of these three, posterity has largely forgotten von Baer, who suffered a severe mental breakdown in the 1830's, but then recovered and moved to Russia (not uncommon for a German-speaking Estonian (...) national), where he enjoyed a distinguished second university career, largely in anthropology and lasting well into the 1870's. (shrink)