Issues of race have traditionally been addressed in medical school curricula in a didactic manner. However, medical school curricula often lack adequate opportunity for the application of learning material relating to race and culture. When confronted with acts of racism in clinical settings, students are left unprepared to respond appropriately and effectively. Forum Theatre offers a dynamic platform by which participants are empowered to actively engage with and become part of the performance. When used in an educational context, Forum Theatre (...) can be a powerful tool for students to interact with a wide variety of social issues. This paper describes the process by which one medical school designed a workshop in the Forum Theatre style to equip students to respond to racism observed in clinical settings. Based on real student experiences, the Responding to Racism in the Clinical Setting workshop was designed to give students an opportunity to combine cultural humility, communication theory and conflict resolution skills in order to prepare for interactions in clinical stages of medical education. As a result of workshop evaluations, surveys, and written reflections, the authors propose that Forum Theatre is a novel teaching modality for incorporating issues of race and culture into medical curriculum. (shrink)

Ever since David Hume, empiricists have barred powers and capacities from nature. In this book Cartwright argues that capacities are essential in our scientific world, and, contrary to empiricist orthodoxy, that they can meet sufficiently strict demands for testability. Econometrics is one discipline where probabilities are used to measure causal capacities, and the technology of modern physics provides several examples of testing capacities (such as lasers). Cartwright concludes by applying the lessons of the book about capacities and probabilities (...) to the explanation of the role of causality in quantum mechanics. (shrink)

For evidence-based practice and policy, randomised controlled trials (RCTs) are the current gold standard. But exactly why? We know that RCTs do not, without a series of strong assumptions, warrant predictions about what happens in practice. But just what are these assumptions? I maintain that, from a philosophical stance, answers to both questions are obscured because we don't attend to what causal claims say. Causal claims entering evidence-based medicine at different points say different things and, I would suggest, failure to (...) attend to these differences makes much current guidance about evidence for medical and social policy misleading. (shrink)

A good many models used in physics and economics offer descriptions of imaginary situations, using a combination of mathematics and natural language. The descriptions are both thin - not much about the situation is filled in - and unrealistic - what is filled in is not true of many real situations. Yet we want to use the results of these models to inform our conclusions about a range of actually occurring situations. I propose we interpret many of these models as (...) fables. The actual happenings in the model are only one concrete instantiation of a lesson that is more widely applicable ‘when expressed in more abstract language.' A fable generally comes with the abstract lesson attached; parables, by contrast, usually require an interpretation from outside. Models, then, tend to be more like parables than fables. The right abstract interpretation is not supplied by the model itself. The central problem, then, is where shall it come from? (shrink)

The volume brings together for the first time original essays by leading philosophers working on powers in relation to metaphysics, philosophy of natural and social science, philosophy of mind and action, epistemology, ethics and social and political philosophy. In each area, the concern is to show how a commitment to real causal powers affects discussion at the level in question. In metaphysics, for example, realism about powers is now recognized as providing an alternative to orthodox accounts of causation, modality, properties (...) and laws. Dispositional realist philosophers of science, meanwhile, argue that a powers ontology allows for a proper account of the nature of scientific explanation. In the philosophy of mind there is the suggestion that agency is best understood in terms of the distinctive powers of human beings. Those who take virtue theoretic approaches in epistemology and ethics have long been interested in the powers that allow for knowledge and/or moral excellence. In social and political philosophy, finally, powers theorists are interested in the powers of sociological phenomena such as collectivities, institutions, roles and/or social relations, but also in the conditions of possibility for the cultivation of the powers of individuals. The book will be of interest to philosophers working in any of these areas, as well as to historians of philosophy, political theorists and critical realists. (shrink)

Experimental observations are often taken in order to assist in making a choice between relevant hypotheses ∼ H and H. The power of observations in this decision is here metrically defined by information-theoretic concepts and Bayes' theorem. The exact (or maximum power) of a new observation to increase or decrease Pr(H) the prior probability that H is true; the power of that observation to modify the total amount of uncertainty involved in the choice between ∼ H and H: the power (...) of a new observation to reduce uncertainty toward the ideal amount, zero; all these powers are systematically shown to be exact metrical functions of Pr(H) and Pr(o/H)/Pr(o)-1 where the numerator is the likelihood of the new observation given H, and the denominator is the "expectedness" of the observation. (shrink)

Experimental observations are often taken in order to assist in making a choice between relevant hypotheses ~H and H. The power of observations in this decision is here metrically defined by information-theoretic concepts and Bayes' theorem. The exact of a new observation to increase or decrease Pr the prior probability that H is true; the power of that observation to modify the total amount of uncertainty involved in the choice between ~H and H: the power of a new observation to (...) reduce uncertainty toward the ideal amount, zero; all these powers are systematically shown to be exact metrical functions ofwhere the numerator is the likelihood of the new observation given H, and the denominator is the “expectedness” of the observation. (shrink)

Are the laws of nature consistent with contingency about what happens in the world? That depends on what the laws of nature actually are, but it also depends on what they are like. The latter is the concern of this chapter, which looks at three views that are widely endorsed: ‘Humean’ regularity accounts, laws as relations among universals, and disposition/powers accounts. Given an account of what laws are, what follows about how much contingency, and of what kinds, laws allow? In (...) all three cases, the authors argue, the root idea of what laws are does not settle the issue of whether they allow contingency. Advocates of the different accounts may argue for one view or another on the issue, but this will be an add-on rather than a consequence of the basic view about what laws are. -/- . (shrink)

Various political realists claim the superior ‘action-guiding’ qualities of their way of approaching normative political theory, as compared to ‘liberal moralism’. This paper subjects that claim to critique. I first clarify the general idea of action-guidance, and identify two types of guidance that a political theory might try to offer – ‘prescriptive action-guidance’ and ‘orienting action-guidance’ – together with the conditions that must be met before we can understand such guidance as having been successfully offered. I then go on to (...) argue that if we take realist understandings of political psychology seriously, then realist attempts to offer action-guidance appear to fail by realism’s own lights. I demonstrate this by means of engagement with a variety of different realist theorists. (shrink)

In this sequence of philosophical essays about natural science, the author argues that fundamental explanatory laws, the deepest and most admired successes of modern physics, do not in fact describe regularities that exist in nature. Cartwright draws from many real-life examples to propound a novel distinction: that theoretical entities, and the complex and localized laws that describe them, can be interpreted realistically, but the simple unifying laws of basic theory cannot.

() Baul sadhana: introduction The word 'baul, in popular interpretation, is generally equated with singing: with folk song of Bengal or, more concretely, ...

The real-life complexity of moral motivation can be examined and explained by reintegrating time and development into moral inquiry. This article is one of the possible integrative steps in this direction. A dynamic developmental conception of moral motivation can be a useful bridge toward such integration. A comprehensive view of moral motivation is presented. Moral motivation is reconceptualized as a developmental process of self-organization and self-regulation out of which moral judgment and action emerge through the interplay of dynamically intertwined cognitive (...) and emotional components. Moral identity is proposed to emerge from long-term self-organization of moral motivation. In turn, as a higher-order construct, moral identity has a top-down influence on real-time self-organization. The article includes an account of short-term changes in moral motivation, and an account that connects real-time moral functioning with long-term changes. Moral motivation is qualified as a dynamic developmental process on the basis of self-organization, multicausality, nonlinearity, interconnectedness of time scales and substantial intrapersonal variability through motivational pluralism. (shrink)

This book on the philosophy of science argues for an empiricism, opposed to the tradition of David Hume, in which singular rather than general causal claims are primary; causal laws express facts about singular causes whereas the general causal claims of science are ascriptions of capacities or causal powers, capacities to make things happen. Taking science as measurement, Cartwright argues that capacities are necessary for science and that these can be measured, provided suitable conditions are met. There are case (...) studies from both econometrics and quantum mechanics. (shrink)

Multiple moral emotions were examined from a dynamic motivational framework through two hypothetical dilemmas that originate from the cognitive-developmental research program in morality. A questionnaire based on recognition task measurement of moral motivation and emotions was administered to 546 college students. As part of the dynamic complexity of moral motivation, intrapersonal operation of multiple emotions were expected and found toward each emotion target in each judgment context. Compassion and distress were among the most important moral emotions. Relatively strong degrees of (...) anger and hate were reported toward the victimizers in ways that distinguished judgment choices. Participants distinguished a variety of positive emotions from anger and hate through differential associations with judgment choices. The study revealed orderly patterns of variability in the multiplicity of moral emotional experience based on relations with specific emotion targets, judgment choices, and developmental quality of moral motivation. The overall developmental quality of moral motivation was negatively associated with hate and positively associated with anger toward the victimizers. Emotional awareness was also found to be positively related to the developmental quality of moral motivation. Exploring the intrapersonal multiplicity of moral emotional experience has important implications for understanding the complexity of moral decision making and motivation. (shrink)

This paper advances further three of the matters dealt with in “Reasons and Selves: Two Accounts of Responsibility in Theory and Practice” (Cartwright 2006). It discusses the two theories of responsibility at the center of “Reasons and Selves” in the light of remarks made by the two commentators. It takes the sort of person who provided the practical example in “Reasons and Selves,” namely the delinquent with a disastrous background, and assembles a variety of possible ways of thinking about (...) the responsibility of such people. It begins by develop- ing further some brief remarks in “Reasons and Selves” about the conventional and variable nature of responsibility. (shrink)

The real-life complexity of moral motivation can be examined and explained by reintegrating time and development into moral inquiry. This article is one of the possible integrative steps in this direction. A dynamic developmental conception of moral motivation can be a useful bridge toward such integration. A comprehensive view of moral motivation is presented. Moral motivation is reconceptualized as a developmental process of self-organization and self-regulation out of which moral judgment and action emerge through the interplay of dynamically intertwined cognitive (...) and emotional components. Moral identity is proposed to emerge from long-term self-organization of moral motivation. In turn, as a higher-order construct, moral identity has a top-down influence on real-time self-organization. The article includes an account of short-term changes in moral motivation, and an account that connects real-time moral functioning with long-term changes. Moral motivation is qualified as a dynamic developmental process on the basis of self-organization, multicausality, nonlinearity, interconnectedness of time scales and substantial intrapersonal variability through motivational pluralism. (shrink)

The logical fatalist holds that the past truth of future tense propositions is incompatible with libertarian freedom. The theological fatalist holds that the combination of God’s past beliefs with His essential omniscience is incompatible with libertarian freedom. There is an ongoing dispute over the relation between these two kinds of fatalism: some philosophers believe that the problems are equivalent while others believe that the theological problem is more difficult. We offer a diagnosis of this dispute showing that one’s view of (...) the modal status of God’s existence and God’s rdation to free creatures should determine one’s position on the relation between the two fatalisms. (shrink)

The emergence of the field of health care at a distance, or “telehealth,” has been embedded within discourses of high ambition about health improvement, seamless services, empowerment, and independence for patients. In this article, the authors examine how telehealthcare technologies assume certain forms of patients—or “telepatients”—who can be mobilized and combined with images and artifacts that speak for them in the clinical encounter. Second, a tentative intervention is made in these emerging identities in the form of facilitating some alternative discourses (...) about telehealthcare. The aim is to stimulate debate by presenting and contrasting these different approaches to technology development. Such differences take material and discursive shape in the making and unmaking of telepatients, showing important interferences in the shaping of identity and possibilities for governance and participation. (shrink)

The volume brings together for the first time original essays by leading philosophers working on powers in relation to metaphysics, philosophy of natural and social science, philosophy of mind and action, epistemology, ethics and social and political philosophy. In each area, the concern is to show how a commitment to real causal powers affects discussion at the level in question. In metaphysics, for example, realism about powers is now recognized as providing an alternative to orthodox accounts of causation, modality, properties (...) and laws. Dispositional realist philosophers of science, meanwhile, argue that a powers ontology allows for a proper account of the nature of scientific explanation. In the philosophy of mind there is the suggestion that agency is best understood in terms of the distinctive powers of human beings. Those who take virtue theoretic approaches in epistemology and ethics have long been interested in the powers that allow for knowledge and/or moral excellence. In social and political philosophy, finally, powers theorists are interested in the powers of sociological phenomena such as collectivities, institutions, roles and/or social relations, but also in the conditions of possibility for the cultivation of the powers of individuals. The book will be of interest to philosophers working in any of these areas, as well as to historians of philosophy, political theorists and critical realists. (shrink)

Understanding each patient's situation or lived experience evolves from a nurse's sincere communication with the patient. Through rhetoric, the nurse's use of competent language and expressions is more likely to engage the patient in a dialogical discussion that brings forth an open, honest display of feelings and emotions. Through hermeneutics, the nurse gains an accurate understanding and interpretation of a patient's beliefs, values, and situations that supports explanations of meaning. Thus, with rhetoric being the words or expressions that give rise (...) to hermeneutics or the interpretation, the blending of the two creates a rhetorical–hermeneutical relationship that provides accurate understanding of a patient's true lived experience. Consequently, knowing the patient depends upon the nurse's rhetorical competence and accurate assessment of each patient's authentic self. Nurses should seek to interpret and understand the lived experiences of patients in order to limit or prevent misunderstandings and inaccuracies in communication. The truth that emerges from the expressed rhetorical–hermeneutical interrelationship will enhance nurses’ sensitivity to patient matters, produce relationship outcomes that emerge from a consistent and effectively applied set of interpersonal principles, and more importantly, successfully influence nurses’ lives and those of their patients with meaning that ultimately improves the human condition. Thus, nurses’ communication and perceptive understanding of each patient's world or lived experience becomes an integral and necessary component to effectively carrying out the practice role of caregiving. (shrink)

How a social science of big data would look like? In this article, we exemplify such a social science through a number of cases. We start our discussion with the epistemic qualities of big data. We point out to the fact that contrary to the big data champions, big data is neither new nor a miracle without any error nor reliable and rigorous as assumed by its cheer leaders. Secondly, we identify three types of big data: natural big data, artificial (...) big data and human big data. We present and discuss in what ways they are similar and in what other ways they differ. The assumption of a homogenous big data in fact misleads the relevant discussions. Thirdly, we extended 3 Vs of the big data and add veracity with reference to other researchers and violability which is the current author’s proposal. We explain why the trinity of Vs is insufficient to characterize big data. Instead, a quintinity is proposed. Fourthly, we develop an economic analogy to discuss the notions of data production, data consumption, data colonialism, data activism, data revolution, etc. In this context, undertaking a Marxist approach, we explain what we mean by data fetishism. Fifthly, we reflect on the implications of growing up with big data, offering a new research area which is called as developmental psychology of big data. Finally, we sketch data resistance and the newly proposed notion of omniresistance, i.e. resisting anywhere at any occasion against the big brother watching us anywhere and everywhere. (shrink)