SummaryThe incidence of family breakdown and stress has been examined in an unselected group of 92 South Wales families, each containing a patient suffering from Huntington's chorea, and related to the onset and duration of the disease, age of the patient, and behavioural symptoms shown. The frequency of actual and attempted suicide is analysed and the effects of the disorder on the primary care agent for the patient discussed. Some of the effects on children and the needs of the families (...) for support and practical help are outlined. It is concluded that family support is an essential factor in any programme aimed at the long-term alleviation and prevention of Huntington's chorea. (shrink)

Empathy is sometimes so hard to achieve that one may wonder if it is a virtue for caregivers at all. Perhaps a caregiver cannot always know how a patient feels, and perhaps that knowledge is sometimes too painful to possess. A nuanced understanding of what empathy entails and of the conditions for attaining it can help ground its possibility.

The naturephilosophical challenge can be posed not merely to postkantian philosophy as an episode in the history of philosophy, but to the postkantianism that remains foundational for contemporary...

"I hope that in this book you find inspiration and encouragement to follow any urges you have had to make photographs that capture the spirit of a child." — GINNY FELCH Learn to trust your instincts and your own unique vision Discover how ...

Many diseases and disease symptoms still lack effective treatment. At the same time, certain controversial Schedule I drugs, such as heroin and cannabis, have been reputed to have considerable therapeutic potential for addressing significant medical problems. Yet, there is a paucity of U.S. clinical studies on the therapeutic uses of controlled drugs. For example, people living with HIV/aids experience a variety of disease- and medication-related symptoms. Their chronic pain is intense, frequent, and difficult to treat. Nevertheless, clinical trials of compassionate (...) management for their chronic symptoms, which should be a research priority, are stymied. Stakeholders’ Views on Barriers to Research on Controlled Substances Evelyn Rhodes, Michael Andreae, Tyler Bourgiose, Debbie Indyk, Rosamond Rhodes, and Henry Sacks We employed qualitative methods to develop an understanding of the barriers to research on potential therapeutic uses of Schedule I drugs so that they might be addressed. We elicited the perspectives of key stakeholder groups that would be involved in such studies: people living with HIV/aids, clinicians, and members of institutional review boards. As we identified obstacles to research, we found that all of the stakeholder groups arrived at the same conclusion, that clinical research on the therapeutic potential of these drugs is ethically required. (shrink)

Fetal alcohol spectrum disorder is a multifaceted disability, characterized not only by brain- and body-based challenges, but also high rates of environmental adversity, lifelong difficulties with daily living, and distinct sociocultural considerations. FASD is one of the most common neurodevelopmental disabilities in the Western world and associated with significant social and economic costs. It is important to understand the complexities of FASD and the ways in which FASD requires unique consideration in research, practice, and policy. In this article, we discuss (...) our perspectives on factors that distinguish FASD from other disabilities in terms of complexity, co-occurrence, and magnitude. We provide an overview of select literature related to FASD as a socially rooted disability with intergenerational impacts and multiple layers of stigma. These social issues are intertwined with notable experiences of adversity across the lifespan and high rates of co-occurring health concerns for individuals with FASD, all of which present unique challenges for individuals, caregivers, families, service providers, and policy makers. Understanding these factors is the first step in developing and implementing specialized initiatives in support of positive outcomes for individuals with FASD and their families. Future directions are proposed for advancing research, practice, and policy, and responding to the unique complexities of FASD. (shrink)

Prior research suggests that visual features of the classroom environment (e.g., charts and posters) are potential sources of distraction hindering children's ability to maintain attention to instructional activities and reducing learning gains in a laboratory classroom. However, prior research only examined short‐term exposure to elements of classroom décor, and it remains unknown whether children habituate to the visual environment with repeated exposure. In study 1, we explored experimentally the possibility that children may habituate to the visual environment if the visual (...) displays are static. We measured kindergarten children's patterns of attention allocation in a decorated classroom environment over a 2‐week period and compared the percentage of time children spent off‐task to a baseline condition in which the classroom environment was streamlined (i.e., charts, posters, and manipulatives were removed). The findings indicate that with more prolonged exposure to a static visual environment, partial habitation effects were observed: Attention to the environment declined at the end of the exposure period compared to the beginning of the study; however, the environment remained a significant source of off‐task behavior even after 2 weeks of exposure. In study 2, we extend this work by conducting a longitudinal observation of six primary classrooms in which we measured children's patterns of attention allocation in real classrooms for 15 weeks to investigate whether increasing familiarity with the classroom décor would influence attention toward the visual environment. No evidence of habituation was observed in genuine classrooms in study 2. Potential implications for classroom design and future directions are discussed. (shrink)

This chapter talks about the role that others play in who we are as people. Someone's identity who they are as an individual is formed of what philosopher Hilde Lindemann called a “connective tissue of narratives,” all woven together around important values, relationships, projects, and experiences. Lindemann's account of personhood is grounded in the idea that we are fundamentally social beings, always becoming who we are via relationships with others. The work of holding each other in their identities falls on (...) many people and social institutions. In the absence of this moral community, there can be a lot of luck in the process. When Iroh and Zuko reunite at the White Lotus encampment, Iroh tells his nephew that he was not angry, but rather afraid that Zuko had lost his way something that Zuko admits as well Iroh holding Zuko in his personhood is instructive and morally important. (shrink)

This paper explores a phenomenon that we will call “justified-but-misdirected anger”, in which one’s anger is grounded in or born from a genuine wrong or injustice, but is directed towards an inappropriate target. In particular, we argue that oppressive ideologies that maintain systems of gender, race, and class encourage such misdirection and are thereby self-perpetuating. We engage with two particular examples of such misdirection. The first includes poor white voters who embrace racist and xenophobic politics; they are justified in being (...) angry about their own economic exploitation, but that anger is misdirected in a way that maintains capitalism (which is the appropriate target of their anger). The second includes so-called “incels” who embrace misogyny; they are justified in being angry about unrealistic and unhealthy standards of contemporary masculinity, but that anger is misdirected in a way that maintains patriarchy. One goal of exploring this type of justified-but-misdirected anger is to contribute to an anti-carceral feminism that helps to thread the needle between holding wrongdoers to account while also clearly identifying the oppressive ideologies that influence their actions. (shrink)

Tyler Burge presents an original study of the most primitive ways in which individuals represent the physical world. By reflecting on the science of perception and related psychological and biological sciences, he gives an account of constitutive conditions for perceiving the physical world, and thus aims to locate origins of representational mind.

This is a paper about model-building and overfitting in normative ethics. Overfitting is recognized as a methodological error in modeling in the philosophy of science and scientific practice, but this concern has not been brought to bear on the practice of normative ethics. I first argue that moral inquiry shares similarities with scientific inquiry in that both may productively rely on model-building, and, as such, overfitting worries should apply to both fields. I then offer a diagnosis of the problems of (...) overfitting in moral inquiry and explain how our current practice seems worryingly susceptible to such problems. I conclude by giving suggestions for how we might avoid overfitting when doing normative ethics. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:ST. AUGUSTINE'S NOVELISTIC CONVERSION Tyler Graham Syracuse University In his famous biography of St. Augustine, Peter Brown attempts to explainwhat set the Confessions "apart from the intellectual tradition to which Augustine belonged" (Augustine ofHippo 169). While he concedes that "the Confessions are a masterpiece ofstrictly intellectual autobiography" (167), he concludes that it is more important to realize that they "are, quite succinctly, the story of Augustine's 'heart,' or (...) of his 'feelings'—his affectus"(169). He continues to explain that "in the Confessions, however, the evocation of Augustine's feelings forms part of the wider study of the evolution ofhis will" (172). Thus, Brown suggests that Augustine's central anthropological concern is to determine the origin and/or causes ofhuman desire (i.e. the "evolution of will"). Augustine's "exhaustive analysis ofhis motives" (as Brown describes it) is linked to his lifetime struggle to explain the complex interaction between his free will and a divine will (grace) to transform his "sinful" desires and create a "new heart" within him. In Brown's view, the Confessions reflect Augustine's struggle to discover whether desire originates in God or man. We can agree with Brown that this theological agenda is important to Augustine, for it will resurface in all of his theological struggles stretching from his pre-Christian engagement with the Manichees to his final battle with Pelagius. Nevertheless, I will argue in this paper that the Confessions reflect another important dimension to Augustine's morphology ofdesire. Regardless 136Tyler Graham of its divine or human source, Augustine's desires often begin with the imitation of another person. In portraying examples of his life up to and including his famous conversion in the year 386 (Book VIII), Augustine consistently shows that his desires have been copies or imitations ofvarious models whom he has chosen to follow. Writers such as Brown have considered the importance ofdesire (or the will) in the Confessions, and critics like Geoffrey Harpham (whom we will address later) have examined Augustine's interest in mimesis during various scenes in the book. Yet, with the exception ofAvitol Wohlman, no one (to my knowledge) has adequately considered the combination of the two: mimetic desire. In the first book ofthe Confessions, Augustine recounts his childhood, and, by the eighth chapter, he has already introduced a theme which will haunt the entire work: the link between desire and language. My desires were internal; adults were external to me and had no means ofentering into my soul. So I threw my limbs about and uttered sounds, signs resembling my wishes. (1:8) Language is born as a result ofthe need to express desire. For Augustine, words, gestures, and all utterances connect the "internal" wants to the "external" object ofcommunication (in this case, adults). In fact, ifAugustine links desire with the soul (external adults could not "enter his soul"), then language becomes the bridge between souls: it communicates desire from soul to soul. When Augustine reaches boyhood, and he begins to learn the accepted modes of articulation, the link between language and desire remains: "By groans and various sounds and various movements of parts of my body I would endeavor to express the intentions ofmy heart to persuade people to bow to my will" (1:13). Language communicates desire, but it also seeks to transform and generate desire. Beyond simply explaining his wishes, Augustine's language is persuasive, seeking to get others to "bow to my will." Whereas some people would like to remember their childhood as a time of innocence, joy, and peace, Augustine depicts his early life as "sinful," unhappy, and fraught with tears and conflicting interests. For an infant ofthat age, could itbe reckoned good to use tears in trying to obtain what it would have been harmful to get?.. The feebleness of infant limbs is innocent, not the infant's mind. (1:11) St. Augustine 's Novelistic Conversion137 Although he does notrememberbis own infancy, Augustine extrapolates from his analysis ofother children. I have personally watched and studied a jealous baby. He could not yet speak and, pale with jealousy and bitterness, glared at his brother sharing his mother's milk. Who is unaware ofthis fact ofexperience? Envy among infants is universal... (shrink)

This Element provides an opinionated introduction to the metaphysics of laws of nature. The first section distinguishes between scientific and philosophical questions about laws and describes some criteria for a philosophical account of laws. Subsequent sections explore the leading philosophical theories in detail, reviewing the most influential arguments in the literature. The final few sections assess the state of the field and suggest avenues for future research.

Tyler Dalton McNabb and Michael DeVito develop a thoroughly original and Orthodox model for how Christian belief, and, even specifically Eastern Christian belief, can be warranted. They do this by creatively bringing recent work on religious experience, in the context of the Divine Liturgy, into conversation with Alvin Plantinga’s well-known explication of Reformed Epistemology. What emerges is a distinctly Eastern Christian approach to warranted Christian belief, that modifies and, arguably, improves upon Plantinga’s original model.

In Perception: First Form of Mind, Tyler Burge develops an understanding of the most primitive type of representational mind: perception. Focusing on its form, function, and underlying capacities, as indicated in the sciences of perception, Burge provides an account of the representational content and formal representational structure of perceptual states, and develops a formal semantics for them. The account is elaborated by an explanation of how the representational form is embedded in an iconic format. These structures are then situated (...) in current theoretical accounts of the processing of perceptual representations, with an emphasis on the formation of perceptual categorizations. An exploration of the relationship between perception and other primitive capacities-conation, attention, memory, anticipation, affect, learning, and imagining-clarifies the distinction between perceiving, with its associated capacities, and thinking, with its associated capacities. Drawing on a broad range of historical and contemporary research, rather than relying on introspection or ordinary talk about perception, Perception: First Form of Mind is a scientifically rigorous and agenda-setting work in the philosophy of perception and the philosophy of science. (shrink)

The author responds to a letter by D. Brendan Johnson in the July‐August 2023 issue of the Hastings Center Report concerning his and Joseph Clair's article “Love Your Patient as Yourself: On Reviving the Broken Heart of American Medical Ethics.”.

SummaryAmerican industrial society in the nineteenth century required special diagnostic techniques to assist in hiring physically qualified and dependable workers. The physician responded by employing diagnostic instruments to improve his diagnostic skills and meet the specific demands of business and industry, and as a consequence, the physician achieved a position as a salaried examiner and an effective medical practitioner. This was especially important in an age when the ‘regular’ physician competed for patients with a variety of other healers. The instrument (...) manufacturer aided the industrialization of medicine by producing devices which enabled the physician to treat patients with a greater variety of implements. In using more hardware to diagnose and heal, the reputation of American medicine changed to one of a progressive and effective profession. ‘Mainstream’ American medicine became another form of technology in a society which revered technology and subsequently attracted international esteem.However, this scenario is not novel. Investigation of the social and economic forces that had an equal, if not greater, impact on the mechanization of medicine has largely been ignored. This paper introduces some of the social and economic issues that led to the adoption and reliance on medical technology by the American medical community. (shrink)

Since the late 1980s, in defiance of Sri Lanka’s major monastic fraternities and the government, Buddhist women and men have begun to organize across distinctions of national boundary and Buddhist tradition to reinstate a defunct bhikkhun? ordination lineage for renunciant women. Drawing on fieldwork from the winter of 2015–16, this article considers some of the strategies by which Sri Lanka’s bhikkhun?s and their supporters constitute the burgeoning lineage as both legitimate and necessary for the continued health and vitality of an (...) otherwise ailing Buddhist s?sana. I argue that Sri Lanka’s bhikkhun?s engage in highly-visible forms of adherence to vinaya rules and social expectations for ideal monastic behavior set against a popular discourse about the laxity of male renunciants. Such engagement is both political and soteriological; while it is aimed at fulfilling legitimizing gendered expectations of women’s piety, it is expressed primarily in terms of the eradication of personal and societal suffering through forms of practice that accord with the ideal of a pious monastic. Thus, in contrast to discourses which locate bhikkhun?s as subjects whose presence weakens the s?sana’s duration and strength, in this new discourse Sri Lanka’s bhikkhun?s become virtuous agents of social service and moral restoration. The article concludes by identifying emerging connections between this discourse and an alreadygendered xenophobic Buddhist nationalism. (shrink)

This book is a practical guide for K-12 educators as well as parents of students who are identified as being in the top academic percentiles of the population.

Erratum to: Int J Semiot Law DOI 10.1007/s11196-014-9376-7Dans la publication originale de cet article, l’auteur n’a pas cité le titre correct de la thèse de philosophie de Stefan Goltzberg.A la dernière phrase du premier paragraphe, il ne faut pas lire «il a écrit une thèse de philosophie intitulé Théorie et histoire de la philosophie du droit, philosophie du droit de Chaïm Perelman, de Theodor Viehweg, de Roscoe Pound» mais bien «il a écrit une thèse de philosophie intitulée Théorie bidimensionnelle de (...) l’argumentation. Définition, Présomption, Argument A fortiori». (shrink)

According to the Fittingness Defense, even if the consequences of anger are overall bad, it does not follow that we should aim to avoid it. This is because fitting anger involves an accurate appraisal of wrongdoing and is essential for appreciating injustice and signaling our disapproval (Srinivasan 2018 ; Shoemaker 2018 ). My aim in this paper is to show that the Fittingness Defense fails. While accurate appraisals are prima facie rational and justified on epistemic grounds, I argue that this (...) type of fittingness does not vindicate anger because there are alternative modes of recognizing and appreciating wrongdoing that can generate the benefits of anger without the harmful effects. Moreover, anger involves more than its appraisal of wrongdoing—it also consists of attitudes and motivations that are arguably of intrinsic disvalue. (shrink)

This contribution aims at proposing a framework for articulating different kinds of “normativities” that are and can be attributed to “algorithmic systems.” The technical normativity manifests itself through the lineage of technical objects. The norm expresses a technical scheme’s becoming as it mutates through, but also resists, inventions. The genealogy of neural networks shall provide a powerful illustration of this dynamic by engaging with their concrete functioning as well as their unsuspected potentialities. The socio-technical normativity accounts for the manners in (...) which engineers, as actors folded into socio-technical networks, willingly or unwittingly, infuse technical objects with values materialized in the system. Surveillance systems’ design will serve here to instantiate the ongoing mediation through which algorithmic systems are endowed with specific capacities. The behavioral normativity is the normative activity, in which both organic and mechanical behaviors are actively participating, undoing the identification of machines with “norm following,” and organisms with “norminstitution”. This proposition productively accounts for the singularity of machine learning algorithms, explored here through the case of recommender systems. The paper will provide substantial discussions of the notions of “normative” by cutting across history and philosophy of science, legal, and critical theory, as well as “algorithmics,” and by confronting our studies led in engineering laboratories with critical algorithm studies. (shrink)

An ad hominem fallacy is committed when an individual employs an irrelevant personal attack against an opponent instead of addressing that opponent’s argument. Many discussions of such fallacies discuss judgments of relevance about such personal attacks, and consider how we might distinguish those that are relevant from those that are not. This paper will argue that the literature on bias and testimony can helpfully contribute to that analysis. This will highlight ways in which biases, particularly unconscious biases, can make ad (...) hominem fallacies seem effective, even when the irrelevance is recognized. (shrink)

Despite significant promotion of diversity in companies, as well as legislation for equal opportunities for women and men, it must be noted that women still remain largely in the minority in decision-making positions. This observation reflects the phenomenon of the glass ceiling that constitutes vertical discrimination within companies against women. Although the glass ceiling has generated research interest, some authors have pointed out that theoretical models have made little attempt to develop an understanding of this phenomenon and its implications. Therefore, (...) our study aims to fill this gap and to better understand the phenomenon of the glass ceiling by considering both its antecedents and its possible consequences. More precisely, we extend the model developed by Elacqua et al., proposing a more comprehensive model including organizational gender culture as a third factor in the emergence of the glass ceiling through the perception of differential treatment. We also investigated the glass ceiling’s consequences for organizational attitudes and well-being at work by considering work-to-family conflict as a possible mediator. We surveyed 320 women in managerial positions in a Belgian organization. Our study highlights the importance of all three factors in the emergence of the perception of differential treatment and, ultimately, the perception that a glass ceiling exists. Moreover, our results show that WFC fully mediates the effects of the glass ceiling on job strain and job engagement, and partially mediates the effects of the glass ceiling on job satisfaction and intention to quit. (shrink)

I argue that, in light of his critique of rival theories of efficient causation, there is a puzzle latent in Aristotle’s own account. To show this, I consider one of his preferred examples of such causation, the activity of experts. Solving the puzzle yields a novel reading of Aristotle, one according to which experts, but not their characteristic arts or skills, are efficient causes.