BackgroundThe advent of learning healthcare systems (LHSs) raises an important implementation challenge concerning how to request and manage consent to support secondary use of data in learning cycles, particularly research activities. Current consent models in Quebec were not established with the context of LHSs in mind and do not support the agility and transparency required to obtain consent from all involved, especially the citizens. Therefore, a new approach to consent is needed. Previous work identified the meta-consent model as a promising (...) alternative to fulfill the requirements of LHSs, particularly large-scale deployments. We elicited the public’s attitude toward the meta-consent model to evaluate if the model could be understood by the citizens and would be deemed acceptable to prepare for its possible implementation in Quebec.MethodsEight focus groups, with a total of 63 members of the general public from various backgrounds were conducted in Quebec, Canada, in 2019. Explicit attention was given to literacy levels, language spoken at home and rural vs urban settings. We assessed attitudes, concerns and facilitators regarding key components of the meta-consent model: predefined categories to personalized consent requests, a dynamic web-based infrastructure to record meta-consent, and default settings. To analyse the discussions, a thematic content analysis was performed using a qualitative software.ResultsOur findings showed that participants were supportive of this new approach of consent as it promotes transparency and offers autonomy for the management of their health data. Key facilitators were identified to be considered in the implementation of a meta-consent model in the Quebec LHSs: information and transparency, awareness campaigns, development of educational tools, collaboration of front-line healthcare professionals, default settings deemed acceptable by the society as well as close partnerships with recognized and trusted institutions.ConclusionsThis qualitative study reveals the openness of a sample of the Quebec population regarding the meta-consent model for secondary use of health data for research. This first exploratory study conducted with the public is an important step in guiding decision-makers in the next phases of implementing the various strategies to support access and use of health data in Quebec. (shrink)

Although there are notable exceptions, examination of nursing's participation in colonizing processes and practices has not taken hold in nursing's consciousness or political agenda. Critical analyses, based on the examination of politics and power of the structural determinants of health, continue to be marginalized in the profession. The goals of this discussion article are to underscore the urgent need to further articulate postcolonial theory in nursing and to contribute to nursing knowledge about paths to work toward decolonizing the profession. The (...) authors begin with a description of unifying themes in postcolonial theory, with an emphasis on colonized subjectivities and imperialism; the application of a critical social science perspective, including postcolonial feminist theory; and the project of working toward decolonization. Processes involved in the colonization of nursing are described in detail, including colonization of nursing's intellectual development and the white privilege and racism that sustain colonizing thinking and action in nursing. The authors conclude with strategies to increase the counter‐narrative to continued colonization, with a focus on critical social justice, human rights and the structural determinants of health. (shrink)

This richly woven history ranges from the seventeenth century to the present as it masterfully traces the movement of American women out of the home and into the public sphere. Matthews examines the Revolutionary War period, when women exercised political strength through the boycott of household goods and Elizabeth Freeman successfully sued for freedom from enslavement in one of the two cases that ended slavery in Massachusetts. She follows the expansion of the country west, where a developing frontier attracted strong, (...) resourceful women, and into the growing cities, where women entered public life through employment in factories and offices. Matthews illuminates the contributions of such outstanding Civil War women as Mary Ann "Mother" Bickerdyke, who supervised a cattle drive down the banks of the Mississippi so that soldiers would have fresh milk; Clara Barton, whose humanitarian work on behalf of the International Red Cross led her to become the first American woman to serve as official representative of the federal government; and Sojourner Truth, the impassioned black orator who devoted herself to emancipation. And Matthews brings the narrative to the 1970s, detailing the growing presence of women in American politics--from the suffrage marches of the early twentieth century, to the courageous stands women took during the civil rights movement of the 1960s. A fascinating and perceptive look at women throughout our history, The Rise of Public Woman offers an important perspective on the changing public role of women in the United States. (shrink)

The relevance of analytic metaphysics has come under criticism: Ladyman & Ross, for instance, have suggested do discontinue the field. French & McKenzie have argued in defense of analytic metaphysics that it develops tools that could turn out to be useful for philosophy of physics. In this article, we show first that this heuristic defense of metaphysics can be extended to the scientific field of applied ontology, which uses constructs from analytic metaphysics. Second, we elaborate on a parallel by French (...) & McKenzie between mathematics and metaphysics to show that the whole field of analytic metaphysics, being useful not only for philosophy but also for science, should continue to exist as a largely autonomous field. (shrink)

_Learning to Teach Religious Education in the Secondary School_ draws together insights from current educational theory and the best contemporary classroom teaching and learning, and suggests tasks, activities, and further reading designed to enhance the quality of initial school experience for the student teacher. It aims to support teachers in developing levels of religious and theological literacy, both of individual pupils and the society as a whole. Practising teachers and students will appreciate this comprehensive and accessible introduction to the craft (...) of teaching Religious Education in the secondary school. (shrink)

Laland and colleagues have sought to challenge the proximate–ultimate distinction claiming that it imposes a unidirectional model of causation, is limited in its capacity to account for complex biological phenomena, and hinders progress in biology. In this article the core of their argument is critically analyzed. It is claimed that contrary to their claims Laland et al. rely upon the proximate–ultimate distinction to make their points and that their alternative conception of reciprocal causation refers to phenomena that were already accounted (...) for by standard theory. (shrink)

Many philosophers find the prospect of working with researchers in the social and behavioral sciences exciting, in part because they hope that these researchers might be able to measure well-being as the philosopher conceives of it. In this chapter, I consider how the measurement of well- being, as it is conceived of by philosophers, might feasibly be facilitated. I propose that existing scales can be employed to measure well-being as philosophers conceive of it. I support this conclusion through an in-depth (...) discussion of an example. I explain how the scale of psychological well- being developed by Carol Ryff and validated in more than 750 empirical studies (Ryff, 2016, 2018) may be employed to measure the extent to which a person has realized an ostensible basic good. This discussion will be illustrative of the general method that may be employed to bring empirical researchers and philosophers into contact in a way that will facilitate the measurement of well-being as philosophers conceive of it. (shrink)

Public opinion in recent years has soured on multiculturalism, due in large part to fears of radical Islam. In Multiculturalism without Culture, Anne Phillips contends that critics misrepresent culture as the explanation of everything individuals from minority and non-Western groups do. She puts forward a defense of multiculturalism that dispenses with notions of culture, instead placing individuals themselves at its core. Multiculturalism has been blamed for encouraging the oppression of women--forced marriages, female genital cutting, school girls wearing the hijab. (...) Many critics opportunistically deploy gender equality to justify the retreat from multiculturalism, hijacking the equality agenda to perpetuate cultural stereotypes. Phillips informs her argument with the feminist insistence on recognizing women as agents, and defends her position using an unusually broad range of literature, including political theory, philosophy, feminist theory, law, and anthropology. She argues that critics and proponents alike exaggerate the unity, distinctness, and intractability of cultures, thereby encouraging a perception of men and women as dupes constrained by cultural dictates. Opponents of multiculturalism may think the argument against accommodating cultural difference is over and won, but they are wrong. Phillips believes multiculturalism still has an important role to play in achieving greater social equality. In this book, she offers a new way of addressing dilemmas of justice and equality in multiethnic, multicultural societies, intervening at this critical moment when so many Western countries are poised to abandon multiculturalism. (shrink)

A new emphasis on diversity and difference is displacing older myths of nation or community. A new attention to gender, race, language or religion is disrupting earlier preoccupations with class. But the welcome extended to heterogeneity can bring with it a disturbing fragmentation and closure. Can we develop a vision of democracy through difference: a politics that neither denies group identities nor capitulates to them? In this volume, Anne Phillips develops the feminist challenge to exclusionary versions of democracy, citizenship (...) and equality. Relating this to the crisis in socialist theory, the growing unease with the pretensions of Enlightenment rationality, and the recent recuperation of liberal democracy as the only viable politics, she builds on debates within feminism to address general questions of difference. When democracies try to wish away group difference and inequality, they fail to meet their egalitarian promise. When yearnings towards an undifferentiated unity become the basis for radical politics and change, too many groups drop out of the picture. Through her critical discussions of recent feminist and socialist theory Anne Phillips rejects this democracy of denial. She also warns, however, of the dangers on the other side. The simpler celebrations of diversity risk freezing group differences as they are, encouraging a patchwork of local identities from which people can speak only to themselves. Her arguments then combine in a powerful restatement of the case for a more active and participatory democracy. It is only through enhanced communication and discussion that people can respect and learn from their differences. (shrink)

Colombia padece la imagen de que, desde sus inicios como colonia española hasta el presente, el país ha sido controlado por la oligarquía. Este ensayo examinará las evidencias que apuntan a esta alegación y confirmará que en sus inicios la Nación sí fue dominado por un grupo élite y reducido. Sin embargo, en años modernos, la oligarquía persiste pero que un grupo más extendido--una para-oligarquía o el Establecimiento--tiene mayor incidencia en las determinaciones en el progreso del país a través de (...) los factores psico-sociales de cooptación y transfuguismo. (shrink)

Medical issues affecting health care have become everyday media events. In response to mounting public concern, growing numbers of bioethicists are being appointed to medical school faculties and public policy panels. However the ideas voiced in these forums are seldom informed by feminist perspectives. In this important book, a distinguished group of feminist scholars and activists discuss crucial bioethics topics in a feminist light. Among the subjects explored are the care/justice debates, transforming bioethics, practice, and reproduction. The book also covers (...) less commonly discussed issues, such as culturally appropriate responses to reproductive health problems in developing countries. (shrink)

Hans Christian Andersen is a cultural icon, and his fairy tales are famous around the world. But despite the positive ring to this description, his status as a canonized author poses a challenge when he is passed on to new generations of readers. In this article, we show examples of how this challenge reveals itself in Danish primary school teaching where Andersen is an obligatory figure in the subject Danish where he is frequently framed as a national romantic author of (...) morally unambiguous texts. Taking the current use of “The Ugly Duckling” (1844) in primary school teaching materials as a point of departure, we aim to show Andersen’s potential to be presented as an element in primary school teaching that draws on dialogic inquiries rooted in Philosophy with Children. Philosophical inquiries are characterized by an open mindset that incite teachers as well as school children to engage with the rich ethical themes and literary qualities of Andersen’s fairy tales. We conclude the article with our own inquiry manual to “The Ugly Duckling” to illustrate a way to overcome the current hegemonic framing of Andersen and reopen his fairy tale for future discussions and interpretations. (shrink)

Centering Theory (CT) as articulated by Grosz et al. (1995) is a theory intended to model some of the factors that influence local coherence in a discourse. The idea is that at any one time there are a number of entities that are at the center of attention. Each utterance n that makes up a discourse potentially has two sorts of discourse ‘centers’, an ordered set of forward-looking centers, Cf(uttn), that provide potential links to upcoming utterances, and a single backward-looking (...) center, Cb(uttn), that links back to the previous utterance, in the sense that it is identical to one of the members of the set of forward-looking centers of the previous utterance. Roughly, one can think of Cb(uttn) as the current topic of the conversation. The members of the set Cf(uttn) on the other hand are the entities mentioned in the utterance and which are candidates to become the next topic of conversation. The members of Cf(uttn) are ranked in order of their salience. The most highly ranked member of Cf(uttn) is the preferred center, Cp(uttn), and ideally it will become the backward-looking center of the next utterance, Cb(uttn+1). When Cb(uttn) is the most highly ranked member of Cf(uttn), this indicates that it will continue to be the topic of conversation in the next utterance. If this does indeed happen, we have what is known in CT as a CONTINUE transition. When some entity other than Cb(uttn) is the most highly ranked member of Cf(uttn), an upcoming topic shift is signaled. This situation is known in CT as a RETAIN. A topic shift following a RETAIN will be a SMOOTH SHIFT. If the topic shifts to an entity that is neither the preferred center of the current nor of the previous utterance, then the shift will be a ROUGH.. (shrink)

Malapropisms and slips of tongue represent ways in which expression meaning can come apart from speaker meaning. Another way is when a speaker engages in some form of implicit communication, conveying a meaning other than the meaning of the words or sentences she utters. Such implicit meaning can be intended either in addition to or instead of the explicit meaning. Some regard utterance meaning as a species of speaker meaning; others regard it as a distinct level of meaning. According to (...) the speech-act centred conception of meaning, speaker meaning has priority over expression meaning. In contrast, the expression-centred conception regards semantic properties as intrinsic to expressions. This latter view is disputed by those who (like Grice) wish to reduce expression meaning to speaker meaning or who (like Searle) regard expression meaning as depending on a Background of human practices. (shrink)

Focusing on the Groundwork and the Critique of Practical Reason, historical and contemporary critics of Kant's rationalist ethical theory accuse him of holding an impoverished moral psychology and an inadequate account of character and virtue. Kant's sharp contrast between duty and inclination and his claim that only action from duty possesses moral worth appear to imply that pro-moral inclination is unnecessary for, if perhaps compatible with, a good will. On traditional accounts of virtue, however, having a good will and possessing (...) virtue require pro-moral emotions and inclinations. Thus, Kant's moral psychology seems at odds with the common view that emotions and appetites are constituent elements within virtue. Kant's defenders have argued that an adequate assessment of these charges must address his theory of virtue, as it is set out in The Doctrine of Virtue, Religion within the Limits of Reason Alone, and the Lectures on Ethics. Yet the prospect for reconstructing a plausible Kantian account of virtue from these tests may appear bleak when we see that Kant conceives of virtue as moral strength of will over recalcitrant inclinations, and characterizes virtue in terms of the autocracy of pure practical reason. For autocracy may seem to require the extirpation or suppression of feelings and inclinations. Indeed, it might seem difficult to distinguish the autocratic agent from the agent who, in Aristotle's terms, is merely continent, or who, in Schiller's terms, possesses dignity, but not grace. But these objections misunderstand autocracy. In the thesis, I argue that the self-mastery constitutive of Kantian virtue involves the cultivation of sensibility according to reason and that emotions and appetites modified and regulated by a proper conception of the moral law play a constructive role within Kantian virtue. (shrink)

Against a widely-held interpretation of Kant’s political philosophy, according to which Kant holds that all finite rational beings have an innate right to freedom as well as a duty to enter into a civil condition governed by a social contract in order to preserve that freedom, Robert Hanna contends that Kant is in fact an anarchist. Hanna’s argument for his novel thesis that Kant ultimately views the State as an unjustifiably coercive institution that should be eliminated depends heavily on the (...) claim there is an outright conflict between Kant’s political theory in The Doctrine of Right and Kant’s ethics. I argue that we should resist Hanna’s provocative claim that Kant’s ethics directly falsifies his official political theory. Further, I suggest that even morally autonomous Kantian angels need the State to guarantee the protection of their external freedom and to promote justice. (shrink)

An initial distinction is made between two ways of referring in thought to a particular object. One can think of an object in virtue of having a descriptive condition in mind which uniquely denotes that object. Alternatively, one can think about a particular in a more direct way. It is with the nature of this more direct sort of reference that the subsequent discussion is primarily concerned. ;It has been argued that the relation of direct reference is purely causal in (...) nature. A number of difficulties are raised for this causal view. A diagnosis of these difficulties suggests that the causal view ignores the cognitive aspects of direct reference. ;The idea that direct reference is a cognitive relation is not new. Bertrand Russell's notion of knowledge by acquaintance can be thought of as involving the idea of a relation of reference which is direct and cognitive. A good place to begin an exploration of the cognitive dimensions of direct reference is with Russell's notion of acquaintance. Thus this notion is analysed in some depth. ;An objection to the effect that acquaintance is a relation incapable in principle of playing a role in an account of reference is shown to be unfounded. This clears the way for an extended discussion of the nature of acquaintance. This discussion suggests that we should posit a special demonstrative way in which objects can be presented to us. This demonstrative way of being presented with an object is in turn explored by way of an extended metaphor, in which it is suggested that becoming acquainted with an object should be thought of as the opening of a mental file of a special sort for that object. ;Some indirect support for this account of demonstrative modes of presentation and the associated account of direct reference comes from the fact that these notions can help solve the problem of cognitive significance that has been thought to pose a serious threat to theories that somehow treat reference as direct. ;Finally, some potential counterexamples are examined and shown not to seriously threaten the acquaintance theory of direct reference. (shrink)

Traditional theistic proofs are often understood as evidence intended to compel belief in a divinity. John Clayton explores the surprisingly varied applications of such proofs in the work of philosophers and theologians from several periods and traditions, thinkers as varied as Ramanuja, al-Ghazali, Anselm, and Jefferson. He shows how the gradual disembedding of theistic proofs from their diverse and local religious contexts is concurrent with the development of natural theologies and atheism as social and intellectual options in early modern Europe (...) and America. Clayton offers a fresh reading of the early modern history of philosophy and theology, arguing that awareness of such history, and the local uses of theistic argument, offer important ways of managing religious and cultural difference in the public sphere. He argues for the importance of historically grounded philosophy of religion to the field of religious studies and public debate on religious pluralism and cultural diversity. (shrink)

Den 27. november 1985 døde den franske historiker, Fernand Braudel, som af mange verden over regnes for en af de betydeligste historikere nogen sinde. Han var Annales-skolens førende skikkelse.

Let's suppose you think that there are no uncountable sets. Have you adopted a restrictive position? It is certainly tempting to say yes---you've prohibited the existence of certain kinds of large set. This paper argues that this intuition can be challenged. Instead, I argue that there are some considerations based on a formal notion of restrictiveness which suggest that it is restrictive to hold that there are uncountable sets.

Introduction: "I chose therefore my party & am a whigg": the First and Third Earls of Shaftesbury as political icons / Patrick Muller, Dresden -- Part I. The First Earl of Shaftesbury -- Whig wit: Andrew Marvell and the Earls of Shaftesbury / Nigel Smith, Princeton University -- Trade for peace: a complete account of the First Earl of Shaftesbury: interest in Carolina's Indian trade / Andrew Agha, University of South Carolina, Columbia -- John Locke and the reputation of the (...) First Earl of Shaftesbury / Mark Goldie, University of Cambridge -- Part II. The Third Earl of Shaftesbury in his time -- Shaftesbury, an early voice of the radical enlightenment / Jonathan Israel, Institute for Advanced Study, Princeton University -- Shaftesbury and Locke: a tale of three letters / Daniel Carey, National University of Ireland, Galway -- "An equal commonwealth": Lord Ashley and the republican project of the late 1690s / Patrick Muller, Dresden -- Party politics in characteristicks / Jacob Sider Jost, Dickinson College, Carlisle -- Psychological and political balances: the Third Earl of Shaftesbury's reading of James Harrington / Laurent Jaffro -- (Re)defining the commonwealth: Shaftesbury's concept of political freedom / Angela Taraborrelli, St. John's University of Rome -- Shaftesbury's non-secular cosmopolitanism / David Alvarez, DePauw University, Greencastle -- Taste, the people and the public according to the Third Earl of Shaftesbury / Lawrence E. Klein, University of Cambridge -- Part III. The Third Earl of Shaftesbury: afterlife -- Art, morality and choice: the Third Earl of Shaftesbury and John Molesworth / William Molesworth, Dublin -- "Moral painting, by way of dialogue": Shaftesbury in the cry / Rebecca Anne Barr, National University of Ireland, Galway -- "Virtue pointing to her rugged mountain": Shaftesbury in America / James Pratt, University of Toronto -- Radicalizing sympathy: William Godwin's reading of Shaftesbury / Roman A. Barton, Humboldt-Universitat, Berlin. (shrink)

Book review for 50 Concepts for a Critical Phenomenology, edited by Gail Weiss, Anne V. Murphy, and Gayle Salamon (2020).