Providing nursing care for people with dementia residing in long-term care facilities poses specific challenges regarding pain practices. With underlying communication barriers unique to dementia pathologies, this population is often unable to communicate verbal sentiments and descriptions of pain. In turn, nurses caring for older persons with dementia have difficulty assessing, managing and treating pain. Objectivity is an imperative factor in healthcare pain practices; however, it is difficult to objectively evaluate someone who cannot accurately communicate their experience of pain. Therefore, (...) the authors believe that subjectivity is also an essential part of evaluating the person with dementia's experience of pain. In this critical reflection, the authors explore objectivity and subjectivity in relation to pain practices for dementia in long-term care. A historical summary of pain is provided outlining the evolution of objectivity and subjectivity related to pain practices. The authors discuss the complexities of assessing and managing pain and offer a new perspective about the role of objectivity (and co-existence of subjectivity) for nurses treating pain in the older adults with dementia. (shrink)

Quantum physics is believed to be the fundamental theory underlying our understanding of the physical universe. However, it is based on concepts and principles that have always been difficult to understand and controversial in their interpretation. This book aims to explain these issues using a minimum of technical language and mathematics. After a brief introduction to the ideas of quantum physics, the problems of interpretation are identified and explained. The rest of the book surveys, describes and criticises a range of (...) suggestions that have been made with the aim of resolving these problems; these include the traditional, or 'Copenhagen' interpretation, the possible role of the conscious mind in measurement, and the postulate of parallel universes. This new edition has been revised throughout to take into account developments in this field over the past fifteen years, including the idea of 'consistent histories' to which a completely new chapter is devoted. (shrink)

The version of the invisible hand argument in Adam Smith's Theory of Moral Sentiments differs in important respects from the version in The Wealth of Nations. Both are different, in turn, from the version invoked by Milton Friedman in Free to Choose. However, all three have a common structure. Attention to this structure can help sharpen our sense of their essential thrust by highlighting the questions (about the nature of economic motivation, the structure of markets, and conceptions of the public (...) interest) to which answers of certain kinds would have to be available for any of the versions to succeed. (shrink)

Some say that public policy can be made without the benefit of theory--that it emerges, instead, through trial-and-error. Others see genuine philosophical issues in public affairs but try to resolve them through fanciful examples. Both, argues Robert E. Goodin, are wrong. Goodin--a political scientist who is also an associate editor of Ethics--shows that empirical and ethical theory can and should guide policy. To be useful, however, these philosophical discussions of public affairs must draw upon actual policy experiences rather than contrived (...) cases. Further, they must reflect the broader social consequences of policies rather than just the dilemmas of personal conscience. Effectively integrating the literatures of social science, policy science, and philosophy, Goodin provides a theoretically sophisticated yet empirically well-grounded analysis of public policies, the principles underlying them, the institutions shaping them, and the excuses offered for their failures. This analysis is enhanced by the author's discussion of such specific cases as the disposal of nuclear wastes and the priority accorded national defense--cases that illustrate Goodin's theoretical and methodological framework for approaching policy issues. (shrink)

Under the first-past-the-post electoral system that is still deeply entrenched in such democracies as Canada and the United States, it is not at all uncommon in a provincial, state, or federal election for there to be a striking lack of correspondence between the share of the seats a political party is able to win and its share of the popular vote. From the standpoint of the democratic ideal what is morally unacceptable about this system is that the right to vote (...) it confers on members of the electorate is not a defensible instantiation of the fundamental right citizens have to participate on terms of equality in the collective decision-making processes that help to determine their options in life. Three common attempts by defenders of the system to shield it from this objection are considered and rejected. (shrink)

In section I, I identify several mini-theses embedded in Amartya Sen’s theory of human rights – such theses as (1) that human rights are moral, not legal, rights, (2) that nevertheless they are not rights that are awaiting transformation into legal rights, (3) that an expansive doctrine of human rights can incorporate a broad swath of rights (civil, political, economic, social and cultural) without merely mimicking the catalogues in post-Second World War declarations and covenants, and (4) that not all the (...) obligations generated by human rights are (in Kant’s language) ‘perfect’ obligations. In section II, I argue that, both because ‘freedom’ has many interpretations and because not all human freedoms, even when they are life-enhancing, are to be protected as human rights, the distinctive features of Sen’s version of a freedom-emphasizing doctrine would be clearer if the preferred interpretation of ‘freedom’ and the particular human freedoms to be protected were more explicitly identified. While Sen’s doctrine of human rights is a freedom-emphasizing doctrine, its distinctive features – vis-à-vis competing freedom-focused accounts – would be more clearly etched if it were made clearer what the sense is in which it stresses protection of important human freedoms, especially since he concedes that not all freedoms, even when they are life-enhancing for human beings, should be protected as human rights. (shrink)

In opposition to the instrumental doctrine of rationality, I argue that the rationality of the end served by a strategy is a necessary condition of the rationality of the strategy itself: means to ends cannot be rational unless the ends are rational. First, I explore cases-involving ‘proximate’ ends — where even instrumentalists must concede that the rationality of a strategy presupposes the rationality of the end it serves. Second, I draw attention to the counter-intuitive consequences — in cases involving ‘non-proximate’ (...) ends — of substituting questions about de facto ends for questions about the rationality of ends. Third, I argue-against Nozick — that it is a mistake to suppose that the only question dividing instrumentalists from non-instrumentalists is whether the instrumental doctrine needs supplementation. Finally, I try to show that questions about the rationality of ends need not be viewed as impossibly daunting. (shrink)

In his recent book Rescuing Justice and Equality (Harvard University Press, 2008), G. A. Cohen returns to the defense of his critique of the Rawlsian doctrine of the “basic structure as subject.” This doctrine provides the centerpiece of what Rawls has to say about the domain of distributive justice—that is, about the sorts of things judgments of distributive justice are about and about the ways in which these judgments are interconnected. From the extensiveness of Cohen’s critique of this doctrine, it (...) seems clear that he wants to take a very different view of the boundaries and contours of this domain. However, despite the characteristic clarity and precision with which he describes the Rawlsian doctrine and despite the trenchancy of his criticisms, it is still a matter of some difficulty determining the respects in which he and Rawls are actually in disagreement. (shrink)

This important new study presents a systematic and definitive critique of Ronald Dworkin's highly influential theory of liberal equality. Focusing on the connection Dworkin attempts to establish between economic markets and liberal egalitarian political morality, the study examines his contention that markets have an indispensable role to play in the articulation of liberal ideals of distributive justice, individual liberty, and state neutrality. Subjecting the central tenents of this theory to sustained critical analysis, the author argues that Dworkin's attempt to establish (...) deep affinities between the market and equality is unsuccessful and his proposed solutions to some central controversies in political theory are seriously flawed. This powerful examination of the work of America's leading public philosopher reveals some timely lessons about the hazards and limitations of the market as a device for the articulation and realization of egalitarian justice. (shrink)

Cet article propose une réponse critique à quelques thèmes du livre de Kyle Johannsen,A Conceptual Investigation of Justice. La discussion se penche sur l’analyse du pluralisme fondamental de la valeur proposée par Johannsen et met en cause cette même analyse. Je soutiens que l’analyse proposée par Johannsen ne parvient pas à expliquer comment des conflits entre des valeurs fondamentales peuvent être résolus et qu’il y a davantage de convergence entre des valeurs fondamentales que ne le reconnaît Johannsen.

This article offers an account of at least some of the non-preparatory dimensions of education and their significance for a theory of educational justice. I argue that just schools should play a role in facilitating goods of childhood. I also defend an egalitarian view about the access children should have in school to the resources and opportunities associated with the non-preparatory dimensions of education.

Journal of Social Philosophy, EarlyView.

This paper provides a critical commentary on the claim advanced by Harry Brighouse and Adam Swift in their book Family Values: The Ethics of Parent–Child Relationships that there is an ineliminable conflict between relationship goods and fair equality of opportunity. I argue there need be no conflict between family values and equality of opportunity in a suitably non-hierarchical society. I also argue that the idea that equality of opportunity might be served by abolishing the family is mistaken. Egalitarian justice does (...) not provide an obstacle to the realization of family values. (shrink)

This chapter begins with an overview of John Rawls's four‐stage sequence account of how to apply justice as fairness to institutions. It focuses on the facets of institutional design: (i) How should basic democratic institutions and processes be structured so as to realize the fair value of the basic political liberties? (ii) What kinds of educational and health institutions are needed to secure fair equality of opportunity? (iii) How do principles of justice apply to the family? (iv) What implications does (...) the difference principle have for the structure of a market economy? Rawls's extension of the original position via the four‐stage sequence proceeds against the background of three kinds of pluralism. According to Rawls, occupational choice means that there is a diversity of positions open to all citizens, and no one is forced to hold or pursue specific kinds of employment. (shrink)

Direct comparison of the ostensibly competing principles embedded in rival theories of Justice is often complicated by differences of view as to the nature and scope of the concrete Judgments a theory of Justice must attempt to illumine. Aristotle's official view, for example, is that Justice is a disposition or character trait. This commits him to scrutiny of Judgments about the Justice of particular actions since it is actions which serve to reveal, and to help form, the disposition in question. (...) But it also stands in the way of any proper recognition of the fact that the competing principles of Justice he examines apply in the first instance neither to actions nor to dispositions but to states of affairs or situations: actions are Just for Aristotle when they help to bring about a Just distribution. (shrink)

First published in 1973, this is the first book on Paul Tillich in which a sustained attempt is made to sort out and evaluate the questions to which Tillich addresses himself in the crucial philosophical parts of his theological system. It is argued that despite the apparent simplicity in his interest in _the _‘question of being’, Tillich in fact conceives of the ontological enterprise in a number of radically different ways in different contexts. Much of Professor Macleod’s work is (...) devoted to the careful separation of these strands in his philosophical thought and to an exploration and assessment of the assumptions associated with them. This book will be of interest to readers of Tillich and philosophers who specialise in ontology and linguistics. (shrink)

We investigated the impact of attention during encoding on later retrieval. During study, participants read some words aloud and named the print color of other words aloud . Then one of two memory tests was administered. The explicit test—recognition—required conscious recollection of whether a word was studied. Previously read words were recognized more accurately than were previously color named words. This contrasted sharply with performance on the implicit test—repetition priming in lexical decision. Here, words that were color named during study (...) showed priming equivalent to words that were read during study; both were responded to faster than unstudied words. Thus, an attentional manipulation during study had a strong effect on an explicit test of memory, but almost no effect on an implicit test. Focal attention during study is crucial for remembering consciously but not necessarily for remembering without awareness. (shrink)

have recently provided a compelling demonstration of enhanced attentional control under post-hypnotic suggestion. Using the classic color-word interference paradigm, in which the task is to ignore a word and to name the color in which it is printed (e.g., RED in green, say ''green''), they gave a post-hypnotic instruction to participants that they would be unable to read. This eliminated Stroop interference in high suggestibility participants but did not alter interference in low suggestibility participants. replicated this pattern and further demonstrated (...) that it is not due to a visual strategy (such as blurring or looking at a different location). As a historical footnote, we describe a ''case study'' from 18 years ago in which we observed the same result using a hypnotic instruction to a single highly suggestible individual that he could not read. The elimination of Stroop interference has important implications for both the study of attention and the study of hypnosis. (shrink)