The COVID-19 pandemic has forced developmental researchers to rethink their traditional research practices. The growing need to study infant development at a distance has shifted our research paradigm to online and digital monitoring of infants and families, using electronic devices, such as smartphones. In this practical guide, we introduce the Experience Sampling Method – a research method to collect data, in the moment, on multiple occasions over time – for examining infant development at a distance. ESM is highly suited for (...) assessing dynamic processes of infant development and family dynamics, such as parent-infant interactions and parenting practices. It can also be used to track highly fluctuating family dynamics and routines. The aim of the current paper was to provide an overview by explaining what ESM is and for what types of research ESM is best suited. Next, we provide a brief step-by-step guide on how to start and run an ESM study, including preregistration, development of a questionnaire, using wearables and other hardware, planning and design considerations, and examples of possible analysis techniques. Finally, we discuss common pitfalls of ESM research and how to avoid them. (shrink)

The editors tell us this book is an outgrowth of their course in philosophical arguments. It contains both readings from traditional sources, and new material especially for this book. It is thus of interest as a potential text, as a source book, and for its original contributions. To consider it first as a text, it would be a challenging and valuable choice for sophisticated students. As a source-book, it is a good anthology of hard-core arguments on seven metaphysical topics. Authors (...) selected include Aristotle, Plato, Church Fathers, Rationalists, Locke and Hume, Bradley and Moore, Kant, Frege, Carnap, C. I. Lewis, Russell, and others. Selections run from a page or two to 16-page Hume excerpts. The last section, on The Nature of Metaphysics, contains essays newly written for this volume by A. J. Ayer, Brand Blanshard, John Passmore, and M. Lazerowitz. Other new material elsewhere in the book includes Alice Ambrose on Wittgenstein, and the introduction by W. E. Kennick. The latter suggests that in metaphysics there are arguments but no proofs, and that metaphysics has four curious characteristics: its disputes are never resolved; in these disputes the array of experts on each side is likely to be equally impressive; antinomies seem unavoidable; and metaphysics frequently conflicts with common sense. Ayer's article is called "Metaphysics and Common Sense." Using Carnap's distinction of "internal" and "external" questions, he finds metaphysical questions to be external. His explanation of what these are and why anyone would wish to raise them yields three legitimate ways in which metaphysics can add to our understanding of the world, and concludes that "it would be a mistake to forego the more imaginative kinds of conceptual exploration." In both tone and content this essay is a surprise for readers who know earlier work by Ayer. Passmore attempts to correct the popular tendency to confuse the philosopher with the sage. He places metaphysics, mathematics, and empirical science within "rational discussion": each is speculation, each has its characteristic control procedure. Blanshard's article attempts to defend metaphysics against criticisms such as those made by Dewey, Wittgenstein, and Freud. Lazerowitz treats the thesis that "metaphysics works by unseen paradoxes."--M. B. M. (shrink)

Grice tells us that the grounds of judgments of obligation are the fundamental principles of morals, and that it is on these that judgments of moral good depend. He offers a double theory of obligation: basic, grounded in social contract; and ultra, grounded in the character of the particular moral agent. The book presents this case attractively. Although character is thus given a central role, Grice has very little to say about it. He discusses several related problems in ethical theory, (...) as derived from Mill, Sidgwick, and G. E. Moore, and brings to bear considerable analytic technique; a strong example is the distinctions drawn between a motive and a reason for acting, and between a reason for acting and a reason for a judgment. Despite convincing use of examples, and competent reasoning, the upshot is yet another attempt to "ground" morals on a principle from which "moral scientists" can deduce the details. The opposition Grice presents to "the mistaken and almost universal assumption that the ground of moral 'ought' judgments must be some quite simple proposition to the effect that something is good," is his proposal that such grounds are the two simple propositions that some things are obligatory. His characterization of science as "a systematic body of knowledge" completes the nineteenth century flavor of the book. Missing are the concepts of interaction between the character of citizens and the goals of the society in which their contracts and obligations take place, and of the unique contribution of science to morals, that heuristic method which forces change of the body of knowledge, the techniques of investigation, and appropriately to Grice's case, of the character of its practitioners.—M. B. M. (shrink)

With the addition of the words "Anglo-American" after "Contemporary," the title of this book could serve as its review. The emphasis of the collection is on analytic British and American ethical theory since 1950, although the editors do dip back into 1903 for G. E. Moore. There are five sections: Moral Reasoning and the Is-Ought Controversy; Rules, Principles, and Utilitarianism; Concepts of Morality; Why be Moral?; and Normative, Religious, and Metaethics. The editors have kept their explanatory material to a (...) minimum, three pages serving to introduce most sections. The eleven pages of bibliography list selections of the same genre, mainly from the 1950's and 60's. Comparing this book with Philipa [[sic]] Foot's 1967 Theories of Ethics, which has the same emphasis, almost the same contributors, and several of the same articles, Pahel and Schiller give us a longer, more substantial, hard-cover book, and in this larger compass are able to provide more examples of dialogue between authors, critics, and replies.--M. B. M. (shrink)

Olthuis makes a singular contribution in bringing the "Philosophy of the Law-Idea" to the attention of philosophers who lack other access to this development in contemporary Dutch thought. His presentation concentrates on applications to ethics. He begins with a thorough exposition of G. E. Moore's ethical theory, to which he applies "history's critique"--a resumé of Ayer and Stevenson, of Oxford meta-ethics, and of the "new wave" of naturalism set in motion by Anscombe and Foot in 1958. Olthuis finds that (...) neither Moore nor the subsequent philosophers could long stave off the irreconcilable extreme of absolute value or absolute relativism. "... the main source of difficulty in the constrictive nature of the... ontological schema," and, underlying that, in the claim that theoretical thought is neutral. In a valuable final chapter, he presents a "perspective for a way out" based on work by H. Dooyeweerd and D. H. Th. Vollenhoven. One key to their Philosophy of the Law-Idea lies in "norm-laws." Like "natural" laws, what is subject to them cannot withdraw. Unlike "natural" laws, they demand human acknowledgment to be fulfilled. He rejects both "ought" and "goodness" as adequate primitive concepts for ethics in favor of stress upon its irreducible "sphere-sovereignty." The cosmos stands under a structural law-order, made up of many modal laws determining the many modalities of reality. Within the normative, ethics is only one special modal science. Its job is to investigate the ethical norm-law, that which is subject to it, and the correlations between these two.--M. B. M. (shrink)

This study demonstrates the importance of social context to the study of networks vital to business success. Results from analyses of the personal and business characteristics associated with different types of networks, a topic that has been neglected in past research, show the importance of structural perspectives emphasizing that women and men in the same situations have similar networks. Yet there are some network differences even among these women and men who operate the same kinds of businesses. This suggests that (...) insights from gender construction perspectives should be integrated into network and other gender inequality studies. (shrink)

PurposeAsian Americans comprise 21% of matriculating medical students in the United States but little is known about their mental health. With the growing focus on addressing the mental health of medical students, this systematic, nationwide survey assesses the relationship between anxiety and depression symptoms and coping skills among Asian American medical students.Materials and methodsA survey tool comprised of Patient Health Questionnaire-9, General Anxiety Disorder-7, and questions related to coping were emailed to members of the Asian Pacific American Medical Students Association (...) enrolled in a United States medical school during the 2016–2017 academic year. We evaluated associations between anxiety and coping as well as depression and coping.ResultsA total of 511 Asian American medical students completed the survey. Anxiety symptoms were positively correlated with an increase in negative coping skills. Depressive symptoms were not correlated with an increase in negative coping skills.ConclusionProfessionals and medical schools that aim to improve the mental health of medical students should be aware of the needs of specific populations. Asian American students who experience anxiety were more likely to utilize avoidant or negative coping strategies. In addition, Asian American students who experience depressive symptoms were not more likely to utilize these negative coping strategies. Further research must be done to evaluate the factors that influence the use of negative coping strategies to better address anxiety within the Asian American medical student population. (shrink)

_341_ _Objectives: _In patients with multivessel disease both the detection of the culprit lesion and the exact allocation are important preconditions for sufficient treatment and improved outcome. In a vessel based approach the combination of quantitative coronary angiography and fractional flow reserve measured by a pressure wire should be advantageous compared to myocardial SPECT, as morphological and functional information is delivered simultaneously. Therefore our aim was to evaluate MS in the detection and allocation of hemodynamically significant stenoses obtained by the (...) combined gold standard QCA plus FFR in patients with multivessel disease. _Methods: _FFR and QCA of 95 vessels in 80 patients have been evaluated. Hemodynamically significant target lesions were defined as intermediate stenoses between 50 and 75% with an FFR. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:CRUCIFIXION: ACCIDENT OR DESIGN? Sebastian Moore, O.S.B. Downside Abbey Lastyear I was visited by an old friend from my Liverpool days. Mike and I had worked together with the young of the parish, and one summer the two of us took a couple of boys camping in France, a trial of patience which made us known to each other at some depth. He was in fact a passionately (...) convinced Catholic, and very pastoral with it. We had many and long theological discussions. On his recent visit to Downside, I was showing him and some friends round our church, when, à propos ofquite what I don't remember, he made a remark about the Catholic cult of suffering, and said, "and it's all because ofthe crucifixion, isn't it? Why don't we recognize that the crucifixion was an accident?" I didn't react, because I was dumbfounded at what seemed to be the denial ofthe mystery ofthe cross by a friend who I had no reason to believe had stopped being a Catholic. And I'm sure he hasn't. He would certainly have told me ifhe had. It has taken me over a year to figure out what is going on here, and this would not have been possible without intensive study of the work of René Girard. The only alternative to saying that the crucifixion was an accident is to say that it was "ordained by God." It is only as ordained by God that this horrible event could be presented to people as a divine affirmation that suffering is to be sought and espoused. Also, it is only as ordained by God that the crucifixion can be thought of as "appeasing God" in some way. Both the moral and the dogmatic implication ofthe crucifixion—that suffering is a good thing, and that God required a victim—are grounded in the notion that God required the crucifixion ofhis Son. And it is because this idea is quite unacceptable, unworthy of God and ofthe human mind made in God's image, that my friend concludes that the crucifixion was not required by God, not written into the eternal scheme ofthings, but an accident. 156Sebastian Moore Once the problem is clarified in these terms, more and more instances come to mind, of rejection, by Christians and others, of the whole divine ordination ofthe cross. Gore Vidal refers to Christianity as "that lugubrious religion." Mary Hunt, a prominent American Catholic feminist, introduced a workshop with the statement, "we are not about naked guys nailed to crosses, blood all over the place!" Where divine ordering is accepted the special painfulness and darkness ofthe idea is noted. Anselm refers to the doctrine as the Narnia Chronicles, to commend the notion, by referring to a dark law written into the nature ofthings beyond our comprehension. The children's suggestion that Asian should simply not comply with the Snow Queen's requirement is rejected by Asian with a mysterious impatience—the children justhaven't grown up, like the romantics who, according to Matthew Arnold, "did not know enough." Again, during a day on "the roots of violence" that I led here yesterday there was much questioning about the role ofGod die Father in the crucifixion. The problem is crystallized in the famous cry from the cross, "Why have you forsaken me?" To my confessedly lame suggestion that Jesus was "only quoting a psalm," someone remarked, "to quote that psalm at thatjuncture and not mean it, is somewhatmisleading!" Again it's the same problem. How can God be understood as ordaining the crucifixion, compatibly with the notion of God as all-loving which Christianity of course affirms? Hans Urs Von Balthasar, who is 90% pro-Girard, in the other 10% wants to hold on to something he calls "the wrath of God." Thus the seeming necessity of having God require and ordain the crucifixion is the main crisis of Christian belief. The six-year-old Willie, in Thomas Klise's amazing novel, The Last Western, puts the problem with childlike directness. He keeps interrupting catechism class with, "Why did God kill Jesus?" and is shushed by Sister. I recall that Illtyd Trethowan said to... (shrink)

Language’s intentional nature has been highlighted as a crucial feature distinguishing it from other communication systems. Specifically, language is often thought to depend on highly structured intentional action and mutual mindreading by a communicator and recipient. Whilst similar abilities in animals can shed light on the evolution of intentionality, they remain challenging to detect unambiguously. We revisit animal intentional communication and suggest that progress in identifying analogous capacities has been complicated by (i) the assumption that intentional (that is, voluntary) production (...) of communicative acts requires mental-state attribution, and (ii) variation in approaches investigating communication across sensory modalities. To move forward, we argue that a framework fusing research across modalities and species is required. We structure intentional communication into a series of requirements, each of which can be operationalised, investigated empirically, and must be met for purposive, intentionally communicative acts to be demonstrated. Our unified approach helps elucidate the distribution of animal intentional communication and subsequently serves to clarify what is meant by attributions of intentional communication in animals and humans. (shrink)

Language's intentional nature has been highlighted as a crucial feature distinguishing it from other communication systems. Specifically, language is often thought to depend on highly structured intentional action and mutual mindreading by a communicator and recipient. Whilst similar abilities in animals can shed light on the evolution of intentionality, they remain challenging to detect unambiguously. We revisit animal intentional communication and suggest that progress in identifying analogous capacities has been complicated by (i) the assumption that intentional (that is, voluntary) production (...) of communicative acts requires mental-state attribution, and (ii) variation in approaches investigating communication across sensory modalities. To move forward, we argue that a framework fusing research across modalities and species is required. We structure intentional communication into a series of requirements, each of which can be operationalised, investigated empirically, and must be met for purposive, intentionally communicative acts to be demonstrated. Our unified approach helps elucidate the distribution of animal intentional communication and subsequently serves to clarify what is meant by attributions of intentional communication in animals and humans. (shrink)

I argue that, If one adopts a minimal naturalism (of a kind rejected by moore, Hare, "et al".), One would adopt a methodology which yields conclusions identical to that yielded by intuitionistic methodology (of a kind employed by ross, Prichard, "et al".). I dilate upon the advantages which thus accrue to each theory, And I defend my minimal naturalism against a variety of objections.

By "scepticism" Naess means an activity or characteristic attitude, anti-conceptual, non-assertive, and ad hoc. The real sceptic has not yet happened on an argument with no countervailing ones, but he is a "great champion of trust and confidence and of common sense in action." This sceptic is the Pyrrhonist as pictured by Sextus Empiricus; the sceptic of twentieth century epistemology, who asserts that we don't know what we think we do, would be called an Academician. After chapters on historical, psychological, (...) and psychiatric aspects of Pyrrhonism, the author illustrates the Academic-Sceptic distinction in a closely argued chapter on the Ayer-Chisholm analysis of "S knows that p." Naess holds that the applicability of a claim to know is a function of the definiteness of intention. Therefore, there are conditions under which the know-don't know distinction cannot be usefully applied. It is one thing, with Moore and Pap, to agree that one has got his right hand, and another to assert that "I know physical objects exist." Naess' sceptic does not commit himself when both assertion and denial involve doctrinally contaminated ways of expression.--M. B. M. (shrink)

The editor of this book has put together here a very manageable selection from the published articles of C. S. Peirce and has prefaced it with his own very fine 42-page introduction. Being published articles, these have the advantages of being those which Peirce himself thought to be complete. Moreover, they are also thus able to be arranged chronologically and topically. This Moore does by including articles which fall into four major groups: 1) On epistemology, from The Journal of (...) Speculative Philosophy, 1868; 2) On Peirce’s early pragmatism and on the nature of scientific inquiry, from Popular Science Monthly, 1873-1878; 3) On Peirce’s basic metaphysics, from The Monist, 1891-1893; and 4) On his later pragmatism, from The Monist, 1905-1906. In his introduction, the editor summarizes and interrelates some of the key questions in Peirce’s philosophy and in these writings—questions on the nature of potentiality, the validity of the process of scientific inquiry, and the problem of the definition of concepts. Much of this treatment revolves around Peirce’s grappling with the key problem of the nature of universals. In the medieval dispute between the extreme realists and the nominalists, Peirce takes a middle moderate realist position, "that the referent of a concept is to be found in the experience of a specific object". On either of the other views, scientific knowledge would be impossible. (shrink)

Chefs have been recognized as potentially important partners in efforts to promote local food systems. Drawing on the diffusion of innovation framework we (a) examine the characteristics of chefs and restaurants that have adopted local foods; (b) identified local food attributes valued by restaurants; (c) examine how restaurants function as opinion leaders promoting local foods; (d) explored network linkages between culinary and production organizations; and (e) finally, we consider some of the barriers to more widespread adoption of local foods in (...) the culinary community. Analyzing quantitative and qualitative data collected from interviews with individuals from 71 restaurants, we compare and contrast restaurants that utilize relatively large amounts of locally-produced ingredients with restaurants using few, if any, local products. Results reveal that chefs are most interested in intrinsic food qualities, such as taste and freshness, and less interested in production standards. As opinion leaders, chefs utilize signage, wait staff, and cooking classes to promote local foods; however, the diffusion process across restaurants, and between restaurants and producers, is limited by network associations. Structural barriers such as distribution problems and lack of convenience were identified as limiting more widespread use of locally-grown foods. We offer several implications of this research for further work that seeks to engage chefs as opinion leaders who are important to building greater support for local food systems. (shrink)

More than a decade after Philip P. Wiener and Frederick H. Young edited the first volume of Studies in the Philosophy of Charles Sanders Peirce, Moore and Robin have brought together a collection of essays which serves as a valuable supplement to that earlier publication. It is more than a supplement, however; it can stand on its own as a significant contribution to Peirce scholarship. Continuity with the first volume is achieved through new essays which analyze Peirce's theory of (...) belief, of habit, and of Scotistic realism—themes about which many of the earlier papers revolved. Novelty is achieved through increased emphasis on Peirce's logical and mathematical writings and on the influence of nineteenth century evolutionism upon Peirce's pragmaticism. The exploration of the latter motif in the three contributions of W. Donald Oliver, Rulon Wells, and Thomas A. Goudge is particularly noteworthy. In their Preface, Moore and Robin state that the most significant contribution of this new volume is the revelation of the extent to which Peirce was first a scientist and then a philosopher. This is a misleading characterization of the book. True, Victor F. Lenzen's "Charles S. Peirce As Astronomer" is an engaging piece. On the other hand, the bulk of the articles impress the reader with the originality and modernity of Peirce, the philosopher and Peirce, the logician. The most notable feature of this collection is the number of essays which draw parallels between dominant philosophical and logical themes found in Peirce's writings and major interests of mid-twentieth century philosophers. Impressive examples are: A. R. Turquette's "Peirce's Icons For Deductive Logic," Richard M. Martin's "On Acting On A Belief," Larry Holmes's "Prolegomena To Peirce's Philosophy Of Mind," and Richard J. Bernstein's "Peirce's Theory of Perception." In presenting the articles which constitute this volume the editors give evidence not only of the relevance of Peirce for the contemporary student of philosophy but also of the impetus which Peirce's thought has provided for creative philosophical analysis. An additional bonus for Peirce scholars are two bibliographies prepared by Max H. Fisch. One is a supplement to Arthur W. Burk's 1958 bibliography of works by C. S. Peirce. The other is a draft of a bibliography of works about C. S. Peirce.—B. G. R. (shrink)

The author has succeeded in producing a volume which will be valuable to anyone who wishes to acquire a more catholic view of British analytic philosophy than the one offered in the works of Urmson, Warnock, and Ayer. The bibliography contains 698 items, and each of the ten chapters is amply footnoted with suggestions for further investigations. In the first chapter, Riverso meets the charge of antihistoricism by arguing convincingly that twentieth century analysis is the culmination of a movement which (...) began with Descartes' Regulae ad directionem ingenii. In the following three chapters he considers the entire Cambridge movement from its origin in B. Russell's and G. E. Moore's refutation of idealism to the disintegration of logical atomism in the second Wittgenstein. Italian readers will find especially useful Riverso's clear discussion of the impact of Wittgenstein's Tractatus on the Vienna circle, of his analysis of Ayer's radical refutation of metaphysics, as well as of the polemics of Lazerowitz and Malcolm against the principle of verifiability. In the final four chapters, Riverso takes on the arduous task of telling the story of the whole Oxonian movement. He clarifies beautifully the reasons for the transformation from normal analysis to ordinary language, and finally to the various types of grammatical elucidations of Ryle, Austin, and Strawson. Riverso dedicates a chapter each to the language of perception, the concept of person, religious language, and metaethics. In the concluding pages, he launches into passionate defense of analysis as the best therapy for our social ills and as the only alternative to Marxist ideology.--L. M. P. (shrink)

As we navigate post-pandemic educational recovery and future-oriented design, the Handbook of Research in Online Learning: Insights and Advances emerges as a scholarly authority to illuminate existing questions and catalyze conversations on imperative transformations in education. Tailored for researchers, designers, educators, administrators, and stakeholders, this handbook delves into the nuanced landscape of online learning. Curated by leading experts, each chapter provides a deep exploration of critical online teaching and learning dimensions. Whether you're navigating the complexities of instructional design, exploring the (...) impact of digital learning on diverse student populations, or delving into the transformative potential of AI, each chapter illuminates critical aspects of online education. It merges current significant works with unpublished manuscripts, embodying the interdisciplinary essence of online learning research. Grounded in diverse theoretical frameworks and research methods, it offers theoretical insights and actionable guidance for cutting-edge educational methodologies. This handbook is not just a compendium; it's an indispensable guide for shaping the future of education. Contributors are: Michael Ahlf, Stephen Allen, Tonya Amankwatia, Fatih Ari, Ismahan Arslan-Ari, Michael K. Barbour, Gail Alleyne Bayne, Karen Bellnier, M. Aaron Bond, Victoria Brown, George Bradford, William Cain, Sumie Chan, Lauren Cifuentes, Laura DaVinci, Gina Deckard, Shernette Dunn, Anne Fensie, Holly Fiock, Sara Flowers, Carla Karen Fortune, Theodore Frick, Michael M. Grant, Alexis Guethler, Dan He, Atsusi "2c" Hirumi, Charles B. Hodges, Stephanie Hostetter, Michael Houdyshell, Fethi A. Inan, Frank Jamison, Amir Kalan, Meryl Krieger, Jessica Lantz, Mary Lefaiver, Juhong Christie Liu, Noble Lo, Barbara Lockee, Fatemeh Marzban, Trey Martindale, Sara McNeil, Laura McNeill, Stephanie Moore, Martha Lorena Obermeier, Larisa Olesova, Jennifer Jihae Park, Sanghoon Park, Yujin Park, AnthTony Pina, Drew Polly, Yingxiao Qian, Thomas Reeves, Christiane Reilly, Jennifer Richardson, Aubrey Rogowski, Leanne Rutherford, Kay Seo, Sanga Song, Edwin Teye Sosi, Stefan Stenbom, Sharon Stidham, David Tai, Hengtao Tang, Torrey Trust, Shannon Tucker, Denis Unal, Lucas Vasconcelos, Charles Xiaoxue Wang, Florence Williams, Ying Xie and Fan Xu. (shrink)

Nelson, L. The impossibility of the "Theory of knowledge."--Moore, G. E. Four forms of skepticism.--Lehrer, K. Skepticism & conceptual change.--Quine, W. V. Epistemology naturalized.--Rozeboom, W. W. Why I know so much more than you do.--Price, H. H. Belief and evidence.--Lewis, C. I. The bases of empirical knowledge.--Malcolm, N. The verification argument.--Firth, R. The anatomy of certainty.--Chisholm, R. M. On the nature of empirical evidence.--Meinong, A. Toward an epistemological assessment of memory.--Brandt, R. The epistemological status of memory beliefs.--Malcolm, N. A (...) definition of factual memory.--Martin, C. B. and Deutscher, M. Remembering.--Ayer, A. J. Basic propositions.--Reichenbach, H. Are phenomenal reports absolutely certain?--Goodman, N. Sense and certainty.--Lewis, C. I. The given element in empirical knowledge.--Alston, W. Varieties of privileged access.--Schlick, M. The foundation of knowledge.--Russell, B. Epistemological premisses, basic propositions, and factual premisses.--Firth, R. Coherence, certainty, and epistemic priority.--Sellars, W. Empiricism and the philosophy of mind.--Quinton, A. The foundations of knowledge. (shrink)

Conflicts of interest can lead experts to give biased and corrupt advice. Although disclosure is often proposed as a potential solution to these problems, we show that it can have perverse effects. First, people generally do not discount advice from biased advisors as much as they should, even when advisors’ conflicts of interest are disclosed. Second, disclosure can increase the bias in advice because it leads advisors to feel morally licensed and strategically encouraged to exaggerate their advice even further. As (...) a result, disclosure may fail to solve the problems created by conflicts of interest and may sometimes even make matters worse. (shrink)

Ecological psychology (EP) and the enactive approach (EA) may benefit from a more focused view of lived temporality and the underlying temporal multiscalar nature of human living. We propose multiscalar temporality (MT) as a framework that complements EP and EA, and moves beyond their current conceptualisation of timescales and inter-scale relationships in organism-environment dynamical systems. MT brings into focus the wide ranging and meshwork-like interdependencies at play in human living and the questions concerning how agents are intimately entangled in such (...) meshworks, utilising them as resources for skilful living. We develop a conceptual toolkit that highlights temporality: Firstly, we address lived temporality. We use a case study from psychotherapy to show how a person’s skilful engagement with the world is best described as adaptive harnessing of interdependencies of constraints residing across a wide range of timescales. We call this skill time-ranging. Secondly, the case study provides a proof of concept of the integration of an idiographic approach to human conversing and a more general theory of emergent organisation rooted in theoretical biology. We introduce the existing concept of constraint closure from theoretical biology and scale it up to human interactivity. The detailed conceptualisation of constraint interdependencies constitutes the backbone of the proposal. Thirdly, we present a heuristic mapping of what we call organising frames. The mapping guides the conceptualisation of the emergence of inter-scale relationships and serves as an epistemic tool that brings together nomothetic and idiographic approaches. Finally, we combine new ideas with re-interpretations of existing EP and EA concepts and elaborate on the need of a fresh new look at the implicit and sometimes missing conceptualisations of temporality in the EP and EA literature. (shrink)

Pediatric critical careCritical care refers to the health care of children with life-threatening illness or following major surgery or severe injury. This care is offered in different contexts across the globe. In well-resourced environments, critical careCritical care may be provided in pediatric intensive care units, which provide highly complex medical care with advanced, potentially expensive technological devices aimed primarily at sustaining life; whereas in poorly resourced regions, only primary care may be available for critically ill or injured childrenInjured children. Even (...) where PICU facilities are available, they are a scarce and expensive resource. The knowledge and ability to sustain a critically ill or injured child’sInjured children life, potentially with effects on the child and family’s quality of lifeQuality of life and at the expense of other children’s health care, leads to frequent ethical challenges. Ethical issues related to how best to ensure optimal quality of lifeQuality of life and the fair distribution of scarce resources are common. In-depth knowledge and understanding of the individual patient’s medical, scientific and psychosocial context, through interdisciplinary discussion and collaboration; as well as familiarity with the overriding, relevant ethico-legal policiesPolicy and principles is essential for appropriate decision-makingDecision-making. Truthful communicationCommunication with the family is essential, using a shared decision-makingDecision-making process, and the child’s best interestBest interest must be central to every decision. This chapter presents an overview of the recommended approach to, and important considerations for, ethical decision-makingDecision-making in the PICU, using a hypothetical case example. (shrink)