ABSTRACTThis paper examines Thomas Aquinas’ and John Duns Scotus’ respective views on the action-passion identity thesis. This thesis, which goes back to Aristotle, states that when an agent causes a change in a patient, then the agent’s causing of the change is identical to the patient’s undergoing of said change. Action and passion are, on this view, one and the same change in the patient, albeit under two distinct descriptions. The first part of the paper considers Aquinas’ defence of this (...) thesis. The second part discusses Scotus’ attack on this thesis. As this paper shows, Scotus argues, against Aquinas and other scholastics, that action and passion are discrete entities inhering in two distinct bearers: action in the agent and passion in the patient. (shrink)

This paper examines the accounts of limit decision advanced by Hervaeus Natalis and Durand of St. Pourçain in their respective discussions of the sanctification of the Blessed Virgin. Hervaeus and Durand argue, against Aristotle, that the temporal limits of certain changes, including Mary’s sanctification, should be assigned in discrete rather than continuous time. The paper first considers Hervaeus’ discussion of limit decision and argues that, for Hervaeus, a solution of temporal limits in terms of discrete time can coexist with an (...) Aristotelian continuous time solution because Hervaeus takes continuous and discrete time to be two non-intersecting, but correlated time-series. The paper next examines Durand’s account of limit decision and argues that Durand rejects Hervaeus’ correlation assumption as well as Aristotle’s continuous time solution. (shrink)

Name der Zeitschrift: Archiv für Geschichte der Philosophie Jahrgang: 99 Heft: 2 Seiten: 156-193.

This paper examines Aristotle’s account of the individuation of causal powers, which dominated much of scholastic thought about powers, and argues that John Buridan rejected it. It contends that Buridan criticizes Aristotle’s account on two counts. First, he attacks Aristotle’s view that we ought to individuate powers by appeal to their respective activities. Second, Buridan objects to Aristotle’s “single-track” account, which correlates one type of power with only one type of activity. Against this, it is argued, Buridan adopts a multi-track (...) approach, according to which a single power type may be correlated with many different types of activities. The paper claims that the basic idea of Buridan’s multi-track view is still defensible today, and can be viewed as a viable alternative to the contemporary single-track account of power individuation defended, for instance, by Jonathan Lowe. (shrink)

_ Source: _Volume 55, Issue 4, pp 239 - 272 According to Peter Auriol, OFM, efficient causation is a composite being consisting of items belonging to three distinct categories: a change, an action, and a passion. The change functions as the subject bearing action and passion. After presenting Aristotle’s account of action and passion, which constitutes the background to Auriol’s theory of causation, this paper considers Auriol’s interpretation of Aristotle’s account in contrast to an alternative interpretation defended by Hervaeus Natalis (...) and William of Ockham. Finally, it shows how Auriol, on the basis of his interpretation of Aristotle, develops his own account of efficient causation as a composite being. (shrink)

This paper examines Aquinas's theory of dualist mental causation, that is, his theory of how human beings can efficiently cause changes in their bodies in virtue of two non-physical mental states of theirs, specifically an act of the intellect and an act of the will. It is first shown that Aquinas's hylomorphism does not lie at the heart of this theory. Rather, a relation that he calls “contact of power” (tactus virtutis) does. The remainder of the paper then investigates the (...) nature of this relation. Since Aquinas discusses key marks of it by contrasting it with physical contact, the paper focuses on this contrast. It is argued that, for Aquinas, the human soul stands in a relation of contact of power to the body or, more precisely, a certain part of the body when it causes a change in it and is holenmerically co-located with it. (shrink)

abstract: Henry of Ghent contends that a causal power is a relation that a substance bears to an act. Scholars have taken this relational account to commit Henry to the Megaric view that a power exists only if it is actualized. We argue that this reading is mistaken because, for Henry, a power is not a “real relation” between a substance and an act. Rather, it is a “relation of reason.” We then consider the worry that if a power is (...) a relation of reason, it is a partially mind-dependent entity. We argue that this worry is unfounded because Henry’s claim that a power is a relation of reason is not so much a claim about what a power is, metaphysically speaking, but rather a claim about how we must conceptualize it. (shrink)

This article examines Bonaventure’s account of the soul and its powers, which seeks to strike a middle path between the better-known identity and distinction views of the thirteenth century. Bonaventure contends that the powers of the soul are neither fully distinct from the soul nor completely identical to it. The article argues that Bonaventure’s view comprises four key theses. Bonaventure maintains that the soul’s powers are necessary features of the soul; that they depend on the soul; that they are in (...) the same category as the soul; but that they belong to this category “by reduction”. The article also considers an objection to Bonaventure’s view raised by Peter John Olivi. (shrink)

This paper considers Thomas Aquinas’s claim that we can use certain habitus at will. Focusing on moral habitus, this claim is interpreted as a claim about the freedom human beings have with regard to their character traits: they can freely choose to act or not act according to their character traits. After giving a brief account of how, for Aquinas, character traits influence our actions via our emotions, the paper examines whether this freedom is of a libertarian or of a (...) compatibilist kind. A libertarian reading is defended on the basis of certain remarks of Aquinas’s about the act of contrition. (shrink)

The focus of the article is the self-predication principle, according to which the/a such-and-such is such-and-such. We consider contemporary approaches (Frege, Russell, Meinong) to the self-predication principle, as well as fourteenth-century approaches (Burley, Ockham, Buridan). In crucial ways, the Ockham-Buridan view prefigures Russell’s view, and Burley’s view shows a striking resemblance to Meinong’s view. In short the Russell-Ockham-Buridan view holds: no existence, no truth. The Burley-Meinong view holds, in short: intelligibility suffices for truth. Both views approach self-predication in a uniform (...) way. We were unable to find a medieval philosopher who, like Frege, approaches self-predication in a non-uniform way. We do not want to dispute that there are also considerable differences between the contemporary and the fourteenth-century approach to self-predication. Importantly, fourteenth-century accounts of self-predication rely strongly on the identity theory of predication, and this theory is not endorsed by contemporary philosophers of language. Nevertheless, some basic tenets seem to us to be clearly shared between fourteenth-century and contemporary thinkers. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Thomas Aquinas on the Metaphysics of the Human Act by Can Laurens LöweThomas M. Osborne Jr.Can Laurens Löwe. Thomas Aquinas on the Metaphysics of the Human Act. Cambridge: Cambridge University Press, 2021. Pp. 225. Hardback, $99.99.This book is about the way in which Thomas Aquinas understands the human act to be composed of form and matter. It provides a fresh reading of many central texts from (...) Thomas and addresses philosophical concerns that are relevant to the contemporary literature. Although Löwe is not clear about this point, Thomas does not use in this context the terms 'formal' and 'material' in the strictest sense, as when he describes the soul as the form of the body, but in different extended senses, as when he says that charity is the form of the other virtues because it gives them a new character (Summa Theologiae, II–II, q. 23, art. 8).Löwe focuses on choice, which he considers to be antecedent to the human act, and the commanded or exterior act, which he considers to be the entire human act. This focus simplifies his account, since in one and only one text—the Prima Secundae of the Summa Theologiae—does Thomas appear to give as many as twelve acts that are stages or phases of a complete human act. Thomas devotes special attention to three acts of the will concerning the end, namely simple willing, intention, and enjoyment; and three acts of the will concerning the means, namely consent, choice, and use; and two intellectual acts, namely deliberation and command. Four other possible phases or stages are mentioned in passing, such as the judgment of choice. According to the standard interpretation, a human [End Page 152] act such as almsgiving might consist of intending to help an indigent person, deliberating about whether to give food or money, making a judgment of choice about the best means of helping (such as giving money), choosing to give the money, and then commanding the will's use of certain other powers, such as the movement of the hands and feet. In his other writings, Thomas mentions only some of these stages, and he often mentions only simple willing, deliberation, and choice. Scholars disagree over the number and importance of the acts or parts of acts discussed in the Prima Secundae and how to integrate them with what Thomas says in other texts. Löwe argues that the human act is what Thomas describes as the act's execution; he claims that this act has the intellect's command for its extrinsic form, the will's use for its intrinsic form, and the commanded act for its matter.This book has three parts. Part 1 provides a general account of the author's view that choice explains the act's freedom even if it is not part of the resulting act. In part 2, Löwe gives a novel account of Thomas's claim that the judgment of the intellect gives form to the act of choice. He draws on the distinction that Thomists make (although Thomas is less clear) between the composition of terms, or the enunciative proposition, and the judgement, or judicative proposition. For instance, the statement 'carrots are orange' as an enunciative proposition might be entertained as doubtful or likely, or placed in a conditional statement. However, someone might assent to this same composition by judging that it is true. Löwe's account is confusing on this point, as he describes as "judgment" what his Thomists describe as the enunciative proposition, which is the composition of terms (38–41). Terminological difficulties aside, Löwe draws on what he sees as the related distinction between the content of a judgment and the attitude toward the judgment, using this distinction to describe the freedom of the judgment that precedes choice. The intellect composes different precepts and then assents to one of them. According to Löwe, Thomas thinks that the agent's ability to choose between different goods is reduced to the intellect's ability to assent to the content of one precept and not the content of another according to a kind of second-order... (shrink)

Criminologists have long acknowledged the link between a number of cognitive deficits, including low intelligence and impulsivity, and crime. A new wave of research has demonstrated that pharmacological intervention can restore or improve cognitive function, particularly executive function, and restore neural plasticity. Such restoration and improvement can allow for easier acquisition of new skills and as a result, presents significant possibilities for the criminal justice system. For example, studies have shown that supplements of Omega-3, a fatty acid commonly found in (...) food such as tuna, can decrease frequency of violent incidents in an incarcerated population. Research has also begun to explore the use of selective serotonin reuptake inhibitors to reduce impulsivity in some violent offenders. However, there are significant legal and ethical implications when moving from dietary supplements to prescription pharmaceuticals and medical devices for cognitive intervention. This paper will explore the legal and ethical issues surrounding the use of pharmacological intervention on prisoners as an effort to reduce crime and recidivism. (shrink)

Research Ethics, Volume 18, Issue 1, Page 64-83, January 2022. Automated, wearable cameras can benefit health-related research by capturing accurate and objective information about individuals’ daily experiences. However, wearable cameras present unique privacy- and confidentiality-related risks due to the possibility of the images capturing identifying or sensitive information from participants and third parties. Although best practice guidelines for ethical research with wearable cameras have been published, limited information exists on the risks of studies using wearable cameras. The aim of this (...) literature review was to survey risks related to using wearable cameras, and precautions taken to reduce those risks, as reported in empirical research. Forty-five publications, comprising 36 independent studies, were reviewed, and findings revealed that participants’ primary concerns with using wearable cameras included physical inconvenience and discomfort in certain situations. None of the studies reviewed reported any serious adverse events. Although it is possible that reported findings do not include all risks experienced by participants in research with wearable cameras, our findings suggest a low level of risk to participants. However, it is important that investigators adopt recommended precautions, which can promote autonomy and reduce risks, including participant discomfort. (shrink)

Opinion leaders within the community may lead debate on animal welfare issues and provide a path for information to their social networks. However, little is known about OLs’ attitudes, activities conducted to express their views about animal welfare and whether they are well informed, or not, about husbandry practices in the red meat industry. This study aimed to identify OLs in the general public and among producers and compare OLs and non-OLs’ attitudes, knowledge and actions to express their views about (...) the red meat industry. Two questionnaires, one for the Australian general public and one for Australian red meat producers, were developed to identify general attitudes. From these questionnaires, OLs were identified using a two-step cluster analysis. Subsequently, a sub-sample of 19 OLs participated in a follow-up phone interview. Results disclosed some clear OLs’ characteristics. Public OLs held more negative perceptions of the red meat industry and perceived they had more knowledge about husbandry procedures. However, their actual knowledge about animal husbandry was not different from non-OLs. Public OLs also used and trusted social and internet media more than did non-OLs. In the producer group, a large percentage of OLs were identified. Producer OLs had more actual knowledge about animal husbandry and engaged in more behaviours to express dissatisfaction with the industry than non-OLs. Unlike the public respondents, this group used conventional media more than social and internet media, and their levels of trust in all kinds of media were low. While there were clear differences, both groups believed that is important to increase communication and educate about farm practices. This may present an opportunity to develop an opinion leader intervention strategy where informed OLs could later disseminate accurate information to their social networks. Further studies should test if sustained and facilitated educational sessions between public and producer OLs can assist in increasing communication, knowledge and perhaps, may assist in achieving convergence of concerns and expectations between both groups. (shrink)

Avoiding severe impacts from anthropogenic climate change requires not only substantial reductions in greenhouse gas emissions but also further implementation of adaptation measures. In many regions with smallholder farming systems adaptation can help ensure food security despite significantly changing climatic conditions. However, the space for adaptation measures has limits. In this paper, we investigate hard and soft adaptation limits and discuss their relevance to food security in smallholder farming food systems. We argue that soft adaptation limits can be defined by (...) sufficiency levels of justice like basic needs, capabilities, human rights or levels of well-being. Depending on social, cultural, political and economic conditions different communities realize different sufficiency levels of justice. Furthermore, as normative claims of justice, these sufficiency levels not only allow the social, cultural and political and economic conditions of social systems to be described but also define entitlements. We show that for smallholder farming systems with low social and economic standards these entitlements might mean that soft adaptation limits can define entitlements to social and economic improvements despite transformational adaptation to changing climatic conditions. (shrink)

This book offers a novel account of Aquinas's theory of the human act. It argues that Aquinas takes a human act to be a composite of two power-exercises, where one relates to the other as form to matter. The formal component is an act of the will, and the material component is a power-exercise caused by the will, which Aquinas refers to as the 'commanded act.' The book also argues that Aquinas conceptualizes the act of free choice as a hylomorphic (...) composite: it is, materially, an act of the will, but it inherits a form from reason. As the book aims to show, the core idea of Aquinas's hylomorphic action theory is that the exercise of one power can structure the exercise of another power, and this provides a helpful way to think of the presence of cognition in conation and of intention in bodily movement. (shrink)

During natural speech perception, listeners rely on a wide range of cues to support comprehension, from semantic context to prosodic information. There is a general consensus that prosody plays a role in syntactic parsing, but most studies focusing on ambiguous relative clauses (RC) show that prosodic cues, alone, are insufficient to reverse the preferred interpretation of sentence. These findings suggest that universally preferred structures (e.g., Late Closure principle) matter far more than prosodic cues in such cases. This study explores an (...) alternative hypothesis: that the weak effect of prosody might be due to the influence of various syntactic, lexical-semantic, and acoustic confounding factors, and investigate the consequences of prosodic breaks while controlling these variables. We used Spanish RC sentences in three experimental conditions where the presence and position (following the first or second noun phrase) of prosodic breaks was manipulated. The results showed that the placement of a prosodic break determined sentence interpretation by changing the preferred attachment of the RC. Listeners’ natural preference for low attachment (in the absence of break) was reinforced when a prosodic break was placed after the first noun. In contrast, a prosodic break placed after the second noun reversed the preferred interpretation of the sentence, toward high attachment. We argue that, in addition to other factors, listeners indeed use prosodic breaks as robust cues to syntactic parsing during speech processing, as these cues may direct listeners toward one interpretation or another. (shrink)

This paper demonstrates how the problematic kinds of epistemic power that physicians have can diminish the epistemic privilege that pregnant women have over their bodies and can put them in a state of epistemic powerlessness. This result, I argue, constitutes an epistemic injustice for many pregnant women. A reconsideration of how we understand and care for pregnant women and of the physician–patient relationship can provide us with a valuable context and starting point for helping to alleviate the knowledge/power problems that (...) are symptomatic of the current system and structure of medicine. I suggest that we can begin to confront this kind of injustice if medicine adopts a more phenomenological understanding of bodies and if physicians and patients—in this case, pregnant women—become what I call “epistemic peers.”. (shrink)

(2013). Can Informed Consent Go Too Far? Balancing Consent and Public Benefit in Research. The American Journal of Bioethics: Vol. 13, No. 4, pp. 1-2. doi: 10.1080/15265161.2013.778645.

In the Mengzi there is a hypothetical situation relating how the ancient sage-king Shun 舜 would respond if his father had committed murder. This has recently become a source of debate among Chinese philosophers. Here we will apply arguments made by Johannes de silentio (Kierkegaard's pseudonym) about the “teleological suspension of the ethical” related to the action of the biblical Abraham, and link them up to alternative interpretations of the actions of Shun. This challenges the current and traditional interpretations of (...) his actions, suggesting how this new approach can overcome ethical quandaries related to the Mengzian account of Shun's behavior. (shrink)

In this article, we analyse the novel case of Phoenix, a non-binary adult requesting ongoing puberty suppression to permanently prevent the development of secondary sex characteristics, as a way of affirming their gender identity. We argue that the aim of OPS is consistent with the proper goals of medicine to promote well-being, and therefore could ethically be offered to non-binary adults in principle; there are additional equity-based reasons to offer OPS to non-binary adults as a group; and the ethical defensibility (...) of facilitating individual requests for OPS from non-binary adults also depends on other relevant considerations, including the balance of potential benefits over harms for that specific patient, and whether the patient’s request is substantially autonomous. Although the broadly principlist ethical approach we take can be used to analyse other cases of non-binary adults requesting OPS apart from the case we evaluate, we highlight that the outcome will necessarily depend on the individual’s context and values. However, such clinical provision of OPS should ideally be within the context of a properly designed research study with long-term follow-up and open publication of results. (shrink)

This book draws on the hermeneutics of Hans-Georg Gadamer to inform a feminist perspective of social identities. Lauren Swayne Barthold moves beyond answers that either defend the objective nature of identities or dismiss their significance altogether. Building on the work of both hermeneutic and non-hermeneutic feminist theorists of identity, she asserts the relevance of concepts like horizon, coherence, dialogue, play, application, and festival for developing a theory of identity. This volume argues that as intersubjective interpretations, social identities are vital ways (...) of fostering meaning and connection with others. Barthold also demonstrates how a hermeneutic approach to social identities can provide critiques of and resistance to identity-based oppression. (shrink)

Neoclassical economics has become the predominant school of economic thought, influencing scholarship on management, organizations, and business ethics. However, many feminist economists challenge the individualist and positivist foundations of neoclassical economic epistemology, arguing instead that purportedly gender-neutral and value-free methods routinely and systematically leave out and undervalue women. Extending this proposition, this article introduces the epistemic foundations of feminist economics and illustrates how they can produce novel insights relevant for business ethics. In particular, by examining economic phenomena from the point (...) of view of the people they affect, feminist economic epistemology is able to elucidate the ways in which power asymmetries and gender norms that constitute the social world can be reflected in business practices. I apply this methodological insight to three case studies of global supply chains to challenge the neoclassical assertion that including women in labor markets necessarily catalyzes gender equality. (shrink)

_Challenging the central place that “practices” have recently held in Christian theology, Lauren Winner explores the damages these practices have inflicted over the centuries_ Sometimes, beloved and treasured Christian practices go horrifyingly wrong, extending violence rather than promoting its healing. In this bracing book, Lauren Winner provocatively challenges the assumption that the church possesses a set of immaculate practices that will definitionally train Christians in virtue and that can’t be answerable to their histories. Is there, for instance, an account of (...) prayer that has anything useful to say about a slave‑owning woman’s praying for her slaves’ obedience? Is there a robustly theological account of the Eucharist that connects the Eucharist’s goods to the sacrament’s central role in medieval Christian murder of Jews? Arguing that practices are deformed in ways that are characteristic of and intrinsic to the practices themselves, Winner proposes that the register in which Christians might best think about the Eucharist, prayer, and baptism is that of “damaged gift.” Christians go on with these practices because, though blighted by sin, they remain gifts from God. (shrink)

[We] perform the cultural work of fitting individuals into categories; yet the active labor that goes into making sex appear dichotomous is generally invisible to the broader society, or at least rarely remarked upon.Wording matters. It doesn’t just affect a person’s willingness to check the box and be counted—it also highlights the existence of those identities. Perhaps if we weren’t so regularly confronted with a simple choice—“Are you male or female?”—our thinking about gender wouldn’t be so binary.To be sure, there (...) are truths about bodies.Yet such truths can be expressed without the notion of sex.Contrary to what many people believe, the classificatory system by which sexes are neatly divided into the two... (shrink)

In the United States, the dominant model of decision‐making capacity (DMC) is the “four abilities model,” which judges DMC according to four criteria: understanding, appreciation, reasoning, and communicating a choice. Some critics argue that this model is “too cognitive” because it ignores the role of emotions and values in decision‐making. But so far there is no consensus about how to incorporate such factors into a model of DMC while still ensuring that patients with unusual or socially disapproved values still have (...) their autonomous decisions respected. In this paper, we aim to give an account of the role of values in decision‐making which can answer some of the lingering questions about capacity. In the current literature, defenders of the inclusion of values in DMC tend to propose solutions which focus on the distorted or incoherent attributes of the values themselves. We argue that shifting the focus onto valuing as an ability is a better solution and that a complete picture of capacity includes understanding, appreciation, reasoning, communicating a choice, and the ability to value. On the basis of a conceptual analysis of the necessary conditions for autonomous decision‐making, we derive a conception of the ability to value. On our account, the ability to value has four components: the possession of values, the ability to access those values, the ability to engage in practical reasoning with one's values, and the ability to act on the result of that reasoning. We describe the positive components of the ability to value, some indicators of impairment, and some implications of our account. (shrink)

Martin Heidegger's account of attunement [Befindlichkeit] through mood [Stimmung] is unprecedented in the history of philosophy and groundbreaking vis-à-vis contemporary accounts of emotion. On his view, moods are not mere mental states that result from, arise out of, or are caused by our situation or context. Rather, moods are fundamental modes of existence that are disclosive of the way one is or finds oneself [sich befinden] in the world. Mood is one of the basic modes through which we experience the (...) world and through which the world is made present to us. Moreover, moods are the lenses through which things, people, animals, events, and aspects in the world matter to us. In this paper, I make the case that Heidegger's insights with respect to mood can and ought to be extended beyond the narrow scope of his fundamental ontology in which they were developed. I argue that contemporary accounts of mood within psychology ought to take these Heideggerian insights seriously and use them when defining, studying, evaluating, and drawing conclusions about the nature of moods. There are three sections to my paper. In section 1, I delineate Heidegger's account of mood. In section 2, I turn to some key studies on mood in psychology, and I elaborate upon some of the main shortcomings in this literature. In section 3, I suggest how psychology might benefit from understanding and utilizing a Heideggerian-inspired phenomenology of mood. (shrink)

ABSTRACT:Corporate social responsibility has been hailed as a new means to address gender inequality, particularly by facilitating women’s empowerment. Women are frequently and forcefully positioned as saviours of economies or communities and proponents of sustainability. Using vignettes drawn from a CSR women’s empowerment programme in Ghana, this conceptual article explores unexpected programme outcomes enacted by women managers and farmers. It is argued that a feminist Foucauldian reading of power as relational and productive can help explain this since those involved are (...) engaged in ongoing processes of resistance and self-making. This raises questions about the assumptions made about women and what is it that such CSR programmes aim to empower them ‘from’ or ‘to.’ Empowerment, when viewed as an ethic of care for the self, is better understood as a self-directed process, rather than a corporate-led strategy. This has implications for how we can imagine the achievement of gender equality through CSR. (shrink)

Pre-college philosophy has proliferated greatly over the last few decades, including in the form of ‘philosophy across the curriculum’. However, there has been very little sustained examination of the nature of philosophy as a subject relative to other standard pre-college subjects and the kinds of expertise an effective philosophy teacher at this level should possess. At face value, the minimal academic preparation expected for competence in secondary philosophy instruction, compared to the high standards for teaching other subjects, raises questions and (...) concerns. In this paper I make some provisional observations about the subject of philosophy and how it is taught from p4c through to the post-secondary level. I begin by examining the concept of ‘philosophy across the curriculum’ and offer a working analysis of the main features of philosophy's form and content that enable us to determine its relevance to, and difference from, other subjects. Next, I examine and critique what I term the ‘populist’ conception of philosophy, which correlates to lower expectations of teacher training, and use my own experience of teaching philosophy across the curriculum to shed doubt on the viability of this approach. In the third section I consider what I term the ‘autonomous’ conception of philosophy, which correlates to more stringent expectations of teacher capacity, and explain why it is preferable to the populist conception with some qualifications. I conclude by reflecting on how philosophy compares to other subjects that are advanced cross-curricularly and argue for more training of high school philosophy teachers. (shrink)

A major issue facing the health of both minors and young adults in the United States is the often unintentional lack of confidentiality maintained in the provision of sensitive health services. Studies have shown that access to confidential care is crucial for minors seeking preventive care and treatment for sensitive services. Evidence demonstrates that many minors will not seek health care if confidentiality cannot be ensured, which can have significant negative health implications; this finding can be extended to young adults (...) covered under their parents health plans. Young adults, not just minors, also often forgo important sensitive services when they face a breach of confidentiality, which most likely occurs when their parents have access to the adult child's health information.Currently, private insurance companies generally send the policyholder an explanation of benefits whenever a service is provided under a plan. EOBs generally include information identifying the patient, provider, type of care received, total charge for services, amount paid by the insurance company, and any financial obligation of the policyholder. (shrink)

In several recent publications, Professor Adolf Grünbaum has inveighed against the conventionalism of writers like Einstein, Poincaré, Quine and especially Duhem. Specifically, Grünbaum has assailed the view that a single hypothesis can never be conclusively falsified. Grünbaum claims that the conventionalists’ insistence on the immunity of hypotheses from falsification is neither logically valid nor scientifically sound. Directing the weight of his argument against Duhem, Grünbaum launches a two-pronged attack. He insists, first, that conclusive falsifying experiments are possible, suggesting that Duhem's (...) denial of such experiments is a logical non-sequitur. He then proceeds to show that, more than being merely possible, crucial falsifying experiments have occurred in physics. I do not intend to make a logical point against Grünbaum's critique so much as an historical and exegetical one. Put briefly, I believe that he has misconstrued Duhem's views on falsifiability and that the logical blunder which he discusses should not be ascribed to Duhem, but rather to those who have made Duhem's conventionalism into the doctrine which Grünbaum attacks. Whether there are any writers who accept the view he imputes to Duhem, or whether he is exploiting “straw-men” to give weight to an otherwise trivial argument is an open question. For now, I simply want to suggest that his salvos are wrongly directed against Duhem. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Response to CommentariesLauren Freeman (bio) and Heather Stewart (bio)We are grateful and humbled that this esteemed group of scholars and healthcare practitioners have dedicated the time to read and engage with our book. Their thoughtful, critical comments have given us new ways of reflecting on our own work, compelled us to develop and expand some of our claims, and have also nudged us to move in new directions that (...) we hope to explore in future research. In what follows, we reply to each of the commentaries, focusing on what we take to be the most central insights, critiques, and areas for further exploration from each contribution.Catherine Sherron (2024) offers an expansive commentary on chapter 4, "Epistemic Microaggressions," focusing on the nature of epistemic agency, situating epistemic agency within the bioethical context of the principle of autonomy, considering epistemic microaggressions and the phenomenon of silencing of patients, asking whose evidence counts when making claims within medical contexts, and questioning how we might develop a system of reward and admonishment to healthcare professionals who respectively mitigate and commit microaggressions. She presents far more content than we can adequately respond to here. We have chosen to focus on Sherron's specific point about why certain patients experience epistemic microaggressions and what they can do about it. Her line of reasoning echoes an argument found in popular articles about women's health and healthcare that, while seemingly reasonable at first glance, is fraught with problematic assumptions and implications that we would like to draw out and reflect on. Doing so helps pinpoint where the locus of our attention should be in our aim to diminish microaggressions in medical contexts, without placing that burden on the very people who experience and are harmed by them.Within the context of discussing possible contributing factors that perpetuate epistemic microaggressions for patients, Sherron mentions the reality that "patients often don't have good scientific or medical literacy, or education generally, so they might not be in a position to advocate for themselves as epistemic [End Page 169] agents" (150). We surmise that Sherron's more complete argument runs something like this. Many patients lack scientific or medical literacy, postsecondary and postgraduate education, and the language, concepts, and frameworks to be fully empowered epistemic agents and best communicate with healthcare professionals on their terms. As a consequence—and combined with other factors pertaining to their identities and the accompanying stereotypes and biases that healthcare professionals (and all of us) hold—patients who are members of marginalized groups are often not treated as epistemic equals or epistemic peers by healthcare professionals; they are also unable to best advocate for themselves or to speak up in the aftermath of experiencing microaggressions (or macroaggressions) in medical contexts. Thus, if patients were more literate, educated, and able to speak the language of healthcare professionals, they would be able to better advocate for themselves, and they would be better positioned to speak up and respond when epistemic microaggressions (and other injustices and harms) occur. As a result, their situation and relationships with healthcare professionals, their epistemic credibility, and consequently, their care (and maybe even their health outcomes) would improve. Thus, the line o argument implies that we ought to focus our attention on empowering patients: helping them learn how to better educate and advocate for themselves so that they can improve their epistemic situation and, consequently, receive better medical care.This line of argument is common in popular books and articles about women's health (see Dusenbery [2018], who criticizes the argument and Gainty [2023], Jacqueline [2024], Lichtman et al. [2015], Onque [2022], and Singh [2015] where the argument is promoted). The consensus seems to be that yes, there is a problem: women and members of marginalized groups are not getting adequate healthcare, and if only they took better control of and responsibility for their care, they could and would receive better care. We are highlighting this line of reasoning because it is commonplace, problematic, and dangerous.Such an argument is worrisome for at least two reasons. First, the suggested solution—that members of marginalized groups just need to become better advocates for themselves—is not only a form of (unintentional... (shrink)

The complexity of chromium chemistry makes it an ideal example of how the Principle of Expediency, first articulated by sanitary pioneer Earle Phelps, can be used in a standard setting. Expediency, defined by Phelps as “the attempt to reduce the numerical measure of probable harm, or the logical measure of existing hazard, to the lowest level that is practicable and feasible within the limitations of financial resources and engineering skill”, can take on negative connotations unless subject to ethical guidance. In (...) this paper we argue that without ethical principles as a rubric for negotiating environmental regulations, communities run the risk of slipping from the Principle of Expediency as defined by Phelps to the alternative usage of expediency meaning that which does not reflect ethical consideration or concern beyond self-serving interest. Three ethical ideals—justice, mercy and humility—are suggested as values to be considered while resolving regulatory issues related to environmental protection. The Principle of Expediency serves as a working principle, but not as a rigid algorithm, for setting regulatory limits for environmental concentrations of waste products like chromium. (shrink)

Great promise for the evolutionary analysis of animal behavior lies in the distinction between generative novelties and the evolutionary innovations to which they can give rise. Ramsey et al. succeed in emphasizing the contribution of individual learning and intelligence to behavioral innovations, but do not correct the tendency to confound individual invention with socio-ecological or group-level innovation.

Here, we add to the debate as to whether false recognition of emotional stimuli is more memory-based or more bias-based. Emotional false memory findings using the DRM paradigm have been marked by higher false alarms to negatively arousing compared to neutral critical lure items. Explanation for these findings has mainly focused on false memory-based accounts. However, here we address the question of whether a response bias for emotional stimuli can, at least in part, explain this phenomenon. In Experiment 1, we (...) used a criterion warning, previously shown to increase more conservative responding and reduce false recognition. Experiment 2, we employed a two-alternative-forced choice test, which minimises the role of criterion setting. In both experiments, we compared false alarms to negative and neutral critical lures. We observed a significant decrease in false recognition rates for both negative and neutral critical lures under the conditions of forced choice restriction and criterion warning. However, despite these conditions, negative items, compared to their neutral counterparts, still consistently provoked a higher degree of false recognition. The discussion that follows presents an exploration of both memory-based accounts and criterion-setting explanations for the enhanced emotional false memory finding. (shrink)

By applying classical and contemporary insights of the phenomenological tradition to key findings within the literature on stereotype threat, this paper considers the embodied effects of everyday exposure to racism and makes a contribution to the growing field of applied phenomenology. In what follows, the paper asks how a phenomenological perspective can both contribute to and enrich discussions of ST in psychology. In answering these questions, the paper uses evidence from social psychology as well as first personal testimonies from members (...) of marginalized groups to argue that subjectively experienced racial oppression is embodied and thus has effects on selfhood that are harmful. More specifically, it makes the case that what are most often considered to be temporary or context-based consequences of ST are in fact more wide reaching and harmful than assumed in that the harms that result from suffering ST become a part of one’s identity, and thus a background lens through which one experiences the world. (shrink)

A fundamental goal of research in neuroscience is to uncover the causal structure of the brain. This focus on causation makes sense, because causal information can provide explanations of brain function and identify reliable targets with which to understand cognitive function and prevent or change neurological conditions and psychiatric disorders. In this research, one of the most frequently used causal concepts is ‘mechanism’ — this is seen in the literature and language of the field, in grant and funding inquiries that (...) specify what research is supported, and in journal guidelines on which contributions are considered for publication. In these contexts, mechanisms are commonly tied to expressions of the main aims of the field and cited as the ‘fundamental’, ‘foundational’ and/or ‘basic’ unit for understanding the brain. Despite its common usage and perceived importance, mechanism is used in different ways that are rarely distinguished. Given that this concept is defined in different ways throughout the field — and that there is often no clarification of which definition is intended — there remains a marked ambiguity about the fundamental goals, orientation and principles of the field. Here we provide an overview of causation and mechanism from the perspectives of neuroscience and philosophy of science, in order to address these challenges. (shrink)

Human capital, the knowledge, skills, and abilities of employees, can be a powerful driver of firm performance, yet the mobility of human capital raises questions over how to protect it. Employee non-compete agreements, which limit an employee’s ability to start or join a rival firm, have received recent attention. While past research considers whether non-competes are effective tools at limiting employee mobility, few have considered if non-competes should be used. Filling this gap, I propose a normative schema for when employee (...) non-competes can be considered ethical. A review of the limited existing literature on the ethics of employee non-competes finds that prior research has mostly focused on questions of property rights, which I propose as being nested within other ethical constructs. Analysis of two real-world illustrative examples of employee non-competes leads to a three-prong approach to evaluating non-competes based on ethical dimensions of power, autonomy, and fairness. I end by proposing—although further research is warranted—a measure of employee-level absorptive capacity, which is closely coupled with an employee’s pre-employment human capital, as an employee-level attribute independent of, although likely coincidental with, the tripartite requirements of power/autonomy/fairness for ethical employee non-compete agreements. (shrink)

Existing scholarship grapples with how impact investors measure positive impacts, but little attention has been paid to negative impact or limitations to positive impact, indicating a need to study “impact risk.” Impact risk refers to the likelihood that impact will be different than expected. In this paper, we study how impact risk is considered in practice. First, through a yearlong data collection effort including interviews with 124 impact investors, we are the first, to our knowledge, to document the consideration of (...) impact risk by practitioners. From this qualitative study, we develop two hypotheses about cognitive mechanisms related to impact risk. Second, we test these hypotheses through a vignette-based experiment with an online sample (N = 435). We find that win–win views of business, exemplified by the impact investing industry, can lead to inadequate consideration of impact risk. Inadequate consideration of impact risk matters for ethical reasons: with beneficiaries—people and planet—in urgent need of real solutions, investors and academics should take impact risk seriously. (shrink)

In this paper, I identify a form of epistemic insensitivity that occurs when someone fails to make proper use of the epistemic tools at their disposal in order to bring their beliefs in line with epistemically relevant evidence that is available to them. I call this kind of insensitivity agential insensitivity because it stems from the epistemic behavior of an individual agent. Agential insensitivity can manifest as a failure to either attend to relevant and available evidence, or appropriately interpret evidence (...) that is attended to. The concept of agential insensitivity allows us to conceptualize the kind of not-knowing involved in forms of ignorance that are cultivated and maintained by individual agents, especially when this ignorance is enabled or encouraged by social structures. I use the skepticism about racial disparities in policing practices that is displayed by many white Americans as a lens for exploring this connection. Understanding agential insensitivity thus provides insight into both social and epistemic phenomena. (shrink)

Ugandan smallholder farmers need to feed a growing population, but their efforts are hampered by declining soil fertility rates. Agricultural extension can facilitate farmers’ access to new practices and technologies, yet farmers are understandably often hesitant to adopt new behaviors. New knowledge assimilation is an important component of behavior change that is often overlooked or poorly addressed by current extension efforts. We implemented a Fertility Management Education Program in central Uganda to investigate smallholder farmers’ existing soil knowledge and their assimilation (...) of new scientific concepts into their knowledge framework. Qualitative data were collected through participant observation, farmer interviews, and focus groups, and coded for using a priori and emergent themes. Our exploration revealed some notable similarities between farmers’ soil knowledge and scientific concepts, particularly in regards to soil health concepts, a discovery that could facilitate communication between extension agents and farmers. However, certain scientific concepts are either unknown to farmers or discordant with existing soil knowledge; these concepts are unlikely to be assimilated by farmers without convincing and concerted extension efforts. Importantly, we found that the combination of new scientific knowledge and hands-on experimentation with novel practices gave farmers far greater confidence in implementing improved soil management practices. Our study provides evidence that extension programs should engage directly with farmers’ existing soil knowledge to develop their understanding of key biological concepts and confidence in implementing improved practices. (shrink)