Research suggests that the reaching hand automatically deviates toward a target that changes location during the reach. In the current study, we investigated whether movement intention can influence the target jump’s impact on the hand. We compared the degree of trajectory deviation to a jumped target under three instruction conditions: GO, in which participants were told to go to the target if it jumped, STOP, in which participants were told to immediately stop their movement if the target jumped, and IGNORE, (...) in which participants were told to ignore the target if it jumped and to continue to its initial location. We observed a reduced response to the jump in the IGNORE condition relative to the other conditions, suggesting that the response to the jump is contingent on the jump being a task-relevant event. (shrink)

Research suggests that perceptual experience of our movements adapts together with movement control when we are the agents of our actions. Is this agency critical for perceptual and motor adaptation? We had participants view cursor feedback during elbow extension–flexion movements when they actively moved their arm, or had their arm passively moved. We probed adaptation of movement perception by having participants report the reversal point of their unseen movement. We probed adaptation of movement control by having them aim to a (...) target. Perception and control of active movement were influenced by both types of exposure, although adaptation was stronger following active exposure. Furthermore, both types of exposure led to a change in the perception of passive movements. Our findings support the notion that perception and control adapt together, and they suggest that some adaptation is due to recalibrated proprioception that arises independently of active engagement with the environment. (shrink)

Erving Goffman’s “Asylums” is a key text in the development of contemporary, community-orientated mental health practice. It has survived as a trenchant critique of the asylum as total institution, and its publication in 1961 in book form marked a further stage in the discrediting of the asylum model of mental health care. In this paper, some responses from a range of disciplines to this text, 50 years on, are presented. A consultant psychiatrist with a special interest in cultural psychiatry and (...) mental health legislation, two collaborating psychotherapists in adult and forensic mental health, a philosopher, and a recent medical graduate, present their varying responses to the text. The editors present these with the hope of encouraging further dialogue and debate from service users, carers, clinicians, and academics and researchers across a range of disciplines. (shrink)

A considerable literature exists regarding the moral obligation to keep one's promises. Several authors have focused on the exceptional circumstances which may or should excuse this moral duty. Less frequently discussed is the question of how this general moral obligation and its possible exceptions play out in the context of negotiable written promises to pay money, i.e., so-called "commercial paper." This paper focuses on the application of the legal rules governing commercial paper, and on the ethical implications involved in the (...) application of those rules. More specifically, it asks whether the assertion of the technical doctrine known as "holder in due course," and the denial of that status in some cases, promotes ethical behavior in the marketplace. By examining the circumstances of one case, involving a substantial investment and a large bank, I hope to shed some light on how the legal and ethical rules do in fact "intersect.". (shrink)

Systems thinking has emerged as a means of conceptualizing and addressing complex public health problems, thereby challenging more commonplace understanding of problems and corresponding solutions as straightforward explanations of cause and effect. Systems thinking tries to address the complexity of problems through qualitative and quantitative modeling based on a variety of systems theories, each with their own assumptions and, more importantly, implicit and unexamined values. To date, however, there has been little engagement between systems scientists and those working in bioethics (...) and public health ethics. The goal of this paper is to begin to consider what it might mean to combine systems thinking with public health ethics to solve public health challenges. We argue that there is a role for ethics in systems thinking in public health as a means of elucidating implicit assumptions and facilitating ethics debate and dialogue with key stakeholders. (shrink)

Recurrent complex visual hallucinations (RCVH) represent a form of psychosis. It may be useful to compare RCVH to another form of psychosis, catatonia. Both include a long list of medical illnesses and have been examined using several different hypotheses. Catatonia has a variety of hypotheses, including neurocircuitry, neurochemistry, and an integrated neuropsychiatric hypothesis. This hypothesis for catatonia supports Collerton et al.'s Perception and Attention Deficit model (PAD) for RCVH.

Marshall et al. (2024) raise questions regarding patient refusals of care. In this commentary we address refusals of care from the lens of patient autonomy and provide suggestions for patient cente...

Here I describe a game that I use in my logic classes once we begin derivations. The game can help improve class dynamics, help struggling students recognizes they are not alone, open lines of communication between students, and help students of all levels prepare for exams. The game can provide struggling students with more practice with the fundamental rules of a logical system while also challenging students who excel at derivations. If students are struggling with particular rules or strategies in (...) the system, the game can be tailored to address them. I explain how the game has evolved since I started using it, highlighting the pedagogical benefits of the changes I have made, and I provide examples of the handouts I distribute and a “checklist” to use before, during, and after the game. (shrink)

Among ancient writers Aristotle offers the most profound analysis of the ancient Greek household and its relationship to the state. The household was not the family in the modern sense of the term, but a much more powerful entity with significant economic, political, social, and educational resources. The success of the polis in all its forms lay in the reliability of households to provide it with the kinds of citizens it needed to ensure its functioning. In turn, the state offered (...) the members of its households a unique opportunity for humans to flourish. This 2006 book explains how Aristotle thought household and state interacted within the polis. (shrink)

Research involving recently deceased humans that are physiologically maintained following declaration of death by neurologic criteria—or ‘research involving the recently deceased’—can fill a translational research gap while reducing harm to animals and living human subjects. It also creates new challenges for honouring the donor’s legacy, respecting the rights of donor loved ones, resource allocation and public health. As this research model gains traction, new empirical ethics questions must be answered to preserve public trust in all forms of tissue donation and (...) in the practice of medicine while respecting the legacy of the deceased and the rights of donor loved ones. This article suggests several topics for immediate investigation to understand the attitudes and experiences of researchers, clinical collaborators, donor loved ones and the public to ensure research involving the recently deceased advances ethically. (shrink)

This letter responds to the article “Love Your Patient as Yourself: On Reviving the Broken Heart of American Medical Ethics,” by Tyler Tate and Joseph Clair, in the March‐April 2023 issue of the Hastings Center Report.

Recent progress in artificial intelligence (AI) has drawn attention to the technology’s transformative potential, including what some see as its prospects for causing large-scale harm. We review two influential arguments purporting to show how AI could pose catastrophic risks. The first argument — the Problem of Power-Seeking — claims that, under certain assumptions, advanced AI systems are likely to engage in dangerous power-seeking behavior in pursuit of their goals. We review reasons for thinking that AI systems might seek power, that (...) they might obtain it, that this could lead to catastrophe, and that we might build and deploy such systems anyway. The second argument claims that the development of human-level AI will unlock rapid further progress, culminating in AI systems far more capable than any human — this is the Singularity Hypothesis. Power-seeking behavior on the part of such systems might be particularly dangerous. We discuss a variety of objections to both arguments and conclude by assessing the state of the debate. (shrink)

Here I describe an exercise that engages students and helps to introduce difficult concepts. The exercise can be used in a variety of courses, it can be tailored to help introduce future course concepts or readings, and it can be used in any level course; it engages both students with strong backgrounds in philosophy and students new to the discipline. The exercise can be used in courses covering ethics, social justice, philosophy of law, criminology, or epistemology. This paper explains the (...) exercise and highlights some ways the exercise can be modified. (shrink)

Orality, generally defined as the preference for the spoken over the written word, is an academic discipline that has only recently received attention from the missiological community. The reality of widespread oral preference, also known as “secondary orality,” is no less true in Europe. In this article, the author focuses on the Romanian context. Using qualitative research gleaned from interviews with nine university-educated Romanians, patterns are developed that display how “secondary oral learners” choose to learn and retain new information. Specific (...) attention is given to theologically-related material. Six implications for theological education are advanced in the areas of (1) hermeneutics, (2) preaching, (3) evangelism, (4) discipleship, (5) church planting, and (6) leadership development. Paths forward for ministry in oral preference cultures like Romania are developed. The author concludes that the implementation of such suggestions could lead to more holistic ministry and is potentially transferrable to similar contexts. (shrink)

A. F. Norman has recently suggested that a hitherto overlooked passage in Suidas is a fragment from the history of Eunapius of Sardis. He is clearly correct in referring the passage to an incident at the siege of Maiozamalcha during the Persian campaign of the emperor Julian, but I am not so sure that he is right in ascribing it to Eunapius, or in the conclusions he draws from this ascription. I give in parallel columns the accounts of Ammianus Marcellinus, (...) Zosimus, and the passage from Suidas, together with a further version of the incident, unfortunately without names, from the pen of Libanius. (shrink)

Lawyers and the legal system have been much criticized in recent years. Despite popular perceptions, the legal system contains numerous mechanisms and rules designed to ensure fair results. This paper shows how the legal system tries to implement, in commercial transactions, the ethical principles of truthfulness and fairness. The Anglo-American development of Equity Courts is reviewed briefly. Several examples of the Law's enforcement of ethical principles are presented, in four different legal areas: Contracts, Securities, Goods, and Real Estate. The intent (...) here is to present an overview of the problem, with area-specific illustrations, rather than a comprehenisve examination of the cases in just one area. (shrink)

Imaginative resistance refers to cases in which one’s otherwise flexible imaginative capacity is constrained by an unwillingness or inability to imaginatively engage with a given claim. In three studies, we explored which specific imaginative demands engender resistance when imagining morally deviant worlds and whether individual differences in emotion predict the degree of this resistance. In Study 1 (N = 176), participants resisted the notion that harmful actions could be morally acceptable in the world of a narrative regardless of the author’s (...) claims about these actions but did not resist imagining that a perpetrator of harm could believe their actions to be morally acceptable. In Study 2 (N = 167) we replicated the findings of Study 1 and showed that imaginative resistance is greatest among participants who experience more negative affect in response to imagining harm and are lower in either trait anxiety or trait psychopathy. In Study 3 (N = 210) we show that this is the case even when the harms assessed include both low-severity (i.e., emotional harm) and high-severity (i.e., killing) cases. Thus, people’s moral beliefs constrain their ability to imagine hypothetical moral alternatives, although this ability systematically varies on the basis of stable individual differences in emotion. (shrink)

This paper is a critical reflection and response to the religious fideism of D. Z. Phillips, and especially to recent attempts to defend this fideism. Over the course of his career, Phillips argued for a number of interesting but quite dramatic theses about religious belief, including the claim that what is sometimes called the propositional nature of religious belief is frequently misunderstood by philosophers, and that this misunderstanding involves a distortion of what religious believers are doing when they say they (...) believe in God and engage in various religious practices. This paper explores these and other claims in the light of recent interesting attempts to defend them, especially in the work of Patrick Horn. I elaborate the distinction between the propositional and expressive dimensions of religious belief, and argue that Horn does not succeed in rescuing Phillips’s view from a number of serious philosophical objections, including the objection that theirs is a metaphorical interpretation of religion. I suggest also that Horn’s and Phillips’s fideistic versions of religious belief and religious phenomena may involve an element of self-deception, and would likely lead to people giving up their religious beliefs, or at least to their beliefs playing a decreasing role in their everyday lives. (shrink)

Sentences such as "The author started the book" are indeterminate because they do not make explicit what the subject (the author) started doing with the object (the book). In principle, indeterminate sentences allow for an infinite number of interpretations. One theory, however, assumes that these sentences are resolved by semantic coercion, a linguistic process that forces the noun "book" to be interpreted as an activity (e.g., writing the book) or by a process that interpolates this activity information in the resulting (...) enriched semantic composition. An alternative theory, pragmatic, assumes classical semantic composition, whereby meaning arises from the denotation of words and how they are combined syntactically, with enrichment obtained via pragmatic inferences beyond linguistic-semantic processes. Cognitive neuroscience studies investigating the neuroanatomical and functional correlates of indeterminate sentences have shown activations either at the ventromedial pre-frontal cortex or at the left inferior frontal gyrus. These studies have supported the semantic coercion theory assuming that one of these regions is where enriched semantic composition takes place. Employing fMRI, we found that indeterminate sentences activate bilaterally the superior temporal gyrus, the right inferior frontal gyrus, and the anterior cingulate cortex, more so than control sentences ("The author wrote the book"). Activation of indeterminate sentences exceeded that of anomalous sentences ("…drank the book") and engaged more left- and right-hemisphere areas than other sentence types. We suggest that the widespread activations for indeterminate sentences represent the deployment of pragmatic-inferential processes, which seek to enrich sentence content without necessarily resorting to semantic coercion. (shrink)

One hypothesis concerning the human dorsal anterior cingulate cortex (ACC) is that it functions, in part, to signal the occurrence of conflicts in information processing, thereby triggering compensatory adjustments in cognitive control. Since this idea was first proposed, a great deal of relevant empirical evidence has accrued. This evidence has largely corroborated the conflict-monitoring hypothesis, and some very recent work has provided striking new support for the theory. At the same time, other findings have posed specific challenges, especially concerning the (...) way the theory addresses the processing of errors. Recent research has also begun to shed light on the larger function of the ACC, suggesting some new possibilities concerning how conflict monitoring might fit into the cingulate's overall role in cognition and action. (shrink)

A global target of stabilizing greenhouse-gas concentrations at between 450 and 550 parts per million carbon-dioxide equivalent has proven robust to recent developments in the science and economics of climate change. Retrospective analysis of the Stern Review suggests that the risks were underestimated, indicating a stabilization target closer to 450 ppm CO2e. Climate policy at the international level is now moving rapidly towards agreeing an emissions pathway, and distributing responsibilities between countries. A feasible framework can be constructed in which each (...) country takes on its own responsibilities and targets, based on a shared understanding of the risks and the need for action and collaboration on climate change. The global deal should contain six key features: a pathway to achieve the world target of 50 per cent reductions by 2050, where rich countries contribute at least 75 per cent of the reductions; global emissions trading to reduce costs; reform of the clean development mechanism to scale up emission reductions on a sectoral or benchmark level; scaling up of R&D funding for low-carbon energy; an agreement on deforestation; and adaptation finance. (shrink)

This article re‑examines two questions linked to the history of the State of Epirus and the Empire of Thessalonica in the 13th century: that of the title of Manuel I Komnenos during his reign over Thessalonica from 1230 to 1237 and the date from which his nephew, Michael II, who ruled over Epirus from the 1230s until 1267/68, bore the title of despot. This article examines both of these questions by reviewing available sources and the full bibliography before proposing a (...) re‑examination of the whole issue. Regarding the first question, it concludes that Manuel first ruled under the title of despot, which enabled him to govern in the name of his brother Emperor Theodore, who was imprisoned in Bulgaria at the time, before taking over the title of Emperor, likely in early 1235. Rather than simply acquiring a prestigious title, his main concern was to proclaim the fall of Theodore in order to be able to govern in his own name. In the second case, the article concludes that Michael II most probably received the title of despot from John, Emperor of Thessalonica upon Manuel’s death in 1238/39 and was later confirmed as such by Emperor John III of Nicaea between 1243 and 1246. In both cases, the complexity of the case reveals the institutional crisis of the Empire of Thessalonica from 1230 onwards, and the time needed to install the despotate, a then original form of government. (shrink)

The COVID-19 pandemic has been devastating for people living with dementia (PLWD) and their caregivers. While prior research has documented these effects, it has not delved into their specific causes or how they are modified by contextual variation in caregiving circumstances.

Abstract:Facial transplantation is emerging as a therapeutic option for self-inflicted gunshot wounds. The self-inflicted nature of this injury raises questions about the appropriate role of self-harm in determining patient eligibility. Potential candidates for facial transplantation undergo extensive psychosocial screening. The presence of a self-inflicted gunshot wound warrants special attention to ensure that a patient is prepared to undergo a demanding procedure that poses significant risk, as well as stringent lifelong management. Herein, we explore the ethics of considering mechanism of injury (...) in the patient selection process, referring to the precedent set forth in solid organ transplantation. We also consider the available evidence regarding outcomes of individuals transplanted for self-inflicted mechanisms of injury in both solid organ and facial transplantation. We conclude that while the presence of a self-inflicted gunshot wound is significant in the overall evaluation of the candidate, it does not on its own warrant exclusion from consideration for a facial transplantation. (shrink)