Adults who are incapacitated and alone, having no surrogates, may be known as “unbefriended.” Decision-making for these particularly vulnerable patients is a common and vexing concern for healthcare providers and hospital ethics committees. When all other avenues for resolving the need for surrogate decision-making fail, patients who are incapacitated and alone may be referred for “public guardianship” or guardianship of last resort. While an appropriate mechanism in theory, these programs are often under-staffed and under-funded, laying the consequences of inadequacies on (...) the healthcare system and the patient him or herself. We describe a qualitative study of professionals spanning clinical, court, and agency settings about the mechanisms for resolving surrogate consent for these patients and problems therein within the state of Massachusetts. Interviews found that all participants encountered adults who are incapacitated and without surrogates. Four approaches for addressing surrogate needs were: work to restore capacity; find previously unknown surrogates; work with agencies to obtain surrogates; and access the guardianship system. The use of guardianship was associated with procedural challenges and ethical concerns including delays in care, short term gains for long term costs, inabilities to meet a patient’s values and preferences, conflicts of interest, and ethical discomfort among interviewees. Findings are discussed in the context of resources to restore capacity, identify previously unknown surrogates, and establish improved surrogate mechanisms for this vulnerable population. (shrink)

When ethics committees are consulted about patients who have or need court-appointed guardians, they lack empirical evidence about several common issues, including the relationship between guardianship and prolonged, potentially medically unnecessary hospitalizations for patients. To provide information about this issue, we conducted quantitative and qualitative analyses using a retrospective cohort from Veterans Healthcare Administration. To examine the relationship between guardianship appointment and hospital length of stay, we first compared 116 persons hospitalized prior to guardianship appointment to a comparison group (n (...) = 348) 3:1 matched for age, diagnosis, date of admission, and comorbidity. We then compared 91 persons hospitalized in the year following guardianship appointment to a second matched comparison group (n = 273). Mean length of stay was 30.75 days (SD = 46.70) amongst those admitted prior to guardianship, which was higher than the comparison group (M = 7.74, SD = 9.71, F = 20.75, p. (shrink)

This is an interview with Edward S. Casey, conducted by Donald A. Landes.

Edward S. Casey provides a thorough description of the varieties of human memory, including recognizing and reminding, reminiscing and commemorating, body memory and place memory. The preface to the new edition extends the scope of the original text to include issues of collective memory, forgetting, and traumatic memory, and aligns this book with Casey's newest work on place and space. This ambitious study demonstrates that nothing in our lives is unaffected by remembering.

Martin Luther has given little explicit influence on philosophy, and in 1950 Jaroslav Pelikan called for further work into investigating a ‘Lutheran philosophy.’ The beginning of this work lies in Luther’s Heidelberg Disputations, in which he attacks the method of scholasticism and counters with the method of truly Christian theology, a theologia crucis. Such counter, this article argues, entails a shift in Christian philosophizing, a shift that sharply distinguishes between God and man and yet, through this distinction, as Luther asserts, (...) allows one to “call the thing what it actually is”—and thus leads to a truly Christian philosophy. (shrink)

In the heart of southeast Texas, an industrial powerhouse often referred to as the 'Golden Triangle', the oil refineries and petrochemical plants stand as stalwart testaments to the region's economic evolution. Interestingly, before the discovery of oil at Spindletop, the lumber and cattle industries powered this region's economy. A profound shift occurred when the Lucas Gusher, a fountain of oil spurting thousands of feet into the air, struck the lands of Spindletop Hill on January 10, 1901. This remarkable discovery of (...) the Spindletop oilfield on a slat dome formation south of Beaumont, Texas, marked the birth of the modern petroleum industry and fundamentally transformed the region's geopolitical, economic, and cultural landscapes. People from all over the country relocated to Gladys City and Beaumont in search of work and new opportunities, creating a boomtown as the town's population swelled from 10,000 to 50,000. The newfound urbanization brought by the oil industry transformed the town and the surrounding areas, creating a ripple effect across the region that would be felt for generations to come. The surge in oil-driven economic activity transmuted the region into a vibrant nexus of commerce, with the oil industry emerging as a critical architect of growth and advancement. This newfound affluence incited by the petroleum sector ushered in an era of economic diversification, laying the groundwork for industrialization’s further evolution. The Spindletop Oil Fields not only underscored the United States’ ascent as the foremost petroleum-producing nation but also signaled the nation’s initiation into the Petroleum Age. It was Spindletop that solidified its position as America’s first significant oil field, becoming an enduring symbol of its industrial might. By 1985, over 153,000,000 barrels of oil had been produced and extracted from the Spindletop oil fields, underscoring the magnitude of this extraordinary resource. (shrink)

In Known for Love, pastor Casey Hough provides a biblical and theological framework for thinking through the hard situations we encounter with family and friends. Drawing from a well of faithful biblical scholars, Hough provides insights for everyday Christians living in a sexually broken world. Known for Love gives us the wisdom and courage we need to live into these days with faithful and truly loving hearts.

Through extensive training, experts acquire specialized knowledge and abilities. In this paper, I argue that experts also acquire specialized visual experiences. Specifically, I articulate and defend the account that experts enjoy visual experiences that represent gestalt properties through perceptual learning. I survey an array of empirical studies on face perception and perceptual expertise that support this account. I also look at studies on perceptual adaptation that some might argue present a problem for my account. I show how the data are (...) subject to an interpretation that is friendly to it. Last, I address two theoretical objections to the claim that visual experiences represent gestalt properties. (shrink)

Informed consent has become the most obvious instantiation of patient autonomy in contemporary medicine, though as a practice it does not encompass all spheres of medicine. While diagnostic radiological procedures carry some risk due to the use of radiation, there is no standardized practice of informed consent in the United States. The authors describe the ethical justification of informed consent, the legal background surrounding it, and a brief history of radiology and radiological protection. They ultimately argue that informed consent should (...) become a common practice in computed tomography given the risks involved due to radiation exposure, especially considering the overuse of this technology, since it respects patient autonomy. (shrink)

Sanford Goldberg argues for Content Externalism by drawing our attention to the extent to which an individual’s concepts depend on the concepts of others. More specifically, he focuses on cases that involve knowledge transmission between experts and non-experts to make his point. In this paper, I argue that the content internalist cannot only plausibly respond to his argument but that Content Internalism offers a more plausible account of intentional content with regard to knowledge transmission than does Content Externalism.

An interview with Ed Casey where we discuss the intersections of his philosophical work with current political issues, including the Israel-Palestine conflict.

Drawing on his own experiences of imagining, Edward S. Casey describes the essential forms that imagination assumes in everyday life. In a detailed analysis of the fundamental features of all imaginative experience, Casey shows imagining to be eidetically distinct from perceiving and defines it as a radically autonomous act, involving a characteristic freedom of mind. A new preface places Imagining within the context of current issues in philosophy and psychology.

A serious problem for adverbialism about intentionality is the many-property problem, one major aspect of which is the claim that natural inferences between thought contents are blocked if adverbia...

Some self-knowledge must be arrived at by the subject herself, rather than being transmitted by another’s testimony. Yet in many cases the subject interacts with an expert in part because she is likely to have the relevant knowledge of their mind. This raises a question: what is the expert’s knowledge like that there are barriers to simply transmitting it by testimony? I argue that the expert’s knowledge is, in some circumstances, proleptic, referring to attitudes the subject would hold were she (...) to reflect in certain ways. The expert’s knowledge cannot be transmitted by testimony because self-knowledge cannot be proleptic. (shrink)

Danto was not a fan of Dewey, the pragmatist who dominated Columbia's philosophy department for much of the twentieth century. A broad context for what might at first seem their total clash of philosophical temperaments is Danto's embrace of analytic philosophy in a period when classical pragmatism was evolving into the neopragmatism of Richard Rorty. A more specific context is Danto's preference for Cartesian‐inflected forms of atomistic explanation and representationalism, in contrast to Dewey's anti‐dualist and anti‐representationalist holism. In addition, Dewey's (...) vision of art as embodied in human experiences across the modern institutional spectrum contrasts starkly with Danto's more “compartmental” account of the Artworld. Yet despite these differences, both philosophers were also (in Dewey's case since the turn of the twentieth century, in Danto's case in late career) deeply, if differently, indebted to Hegel, who provided a fertile framework for understanding how human beings can at one and the same time be social, self‐interpreting spiritual beings and also natural beings. This fact provides a basis for thinking that while Danto never renounced his lifelong aversion to pragmatism, a subtler strand of Dewey's pervasive influence is present in his later writings. (shrink)

Australia is committed to looking at ways to modernize its healthcare delivery further by integrating digital health. Advance Care Planning (ACP) is an area of healthcare that would likely benefit from further digitalization. However, while greater integration of technology in the delivery of ACP could help improve practices and lead to increased uptake, the extent to which this is achievable will be influenced, in part, by current approaches to ACP regulation. This article canvasses recent developments and trends in Australian law (...) relevant to ACP and reflects on how these developments may impact the further digitalization of ACP. (shrink)

This is a thesis in three parts. It concerns the normative capacity of attributive goodness. Specifically, it critically evaluates Attributivism, the theory that attributive goodness is fundamentally normative, or that the distribution of that property determines when, whether, and in what way agents ought to act. The first third develops, refines and defends Attributivism. Doing so is, in part, a ground-clearing exercise. I distil that theory from the arguments of many other philosophers. In doing so I isolate and precisify its (...) core commitments. I defend it from a number of objections. The second third analyses fundamental normativity. I stipulate that a standard or property is fundamentally normative if its distribution alone can ground normativity. I argue that for anything to be so fundamentally normative, it must minimally meet two criteria. It must be both authoritative and regulatory. The final third evaluates whether or not attributive goodness satisfies the established criteria, and so whether or not Attributivism is correct. I argue that in its canonical form it isn’t. I then develop a revised view of Attributivism that can satisfy the criteria. I argue, however, that the revised view is unsatisfying in almost every respect. Attributivism, revised or otherwise, should be rejected. (shrink)

In the wake of the controversial Snowden leaks, Alan Rusbridger observes that the National Security Administration [NSA] and Government Communications Headquarters [GCHQ] maintain that their mass spying is justified because it prevents the world from “going dark.” This paper will explore the meaning and philosophical significance of “going dark” and argue that the NSA and GCHQ’s claim appeals—wittingly or unwittingly—to J.S. Mill’s ethical principle of utility. This paper will therefore critique this argument within Mill’s utilitarian framework to demonstrate that its (...) appeal to utility is illegitimate. Finally, this paper will argue that utility dictates that this mass surveillance is unjustifiable and should be terminated. (shrink)

In this paper, I argue that gossip is both an epistemic evil—it can restrict access to information—and an epistemic good—it can be a key resource for knowers. These two faces of gossip can be illustrated when we consider the effects of participating in and being excluded from gossiping groups. Social psychology has begun to study these effects and their results are useful here. Because of these two aspects, I argue, gossip holds a peculiar place in our epistemic economy. It is (...) vicious, and employed to restrict agents in their capacities as knowers, and it is also a valuable epistemic commodity, employed to enable agents in their epistemic capacities. To see these sides clearly, I employ some machinery from Miranda Fricker’s work on epistemic injustice. The tools from Fricker will help demonstrate that gossip can be both the means of unjustly restricting an epistemic agent, and the epistemically valuable ends from which she is restricted. Finally, I draw some conclusions for epistemology more generally. (shrink)

Kriegel has recently developed an adverbial account of intentionality, in part to solve the problem of how we can think of non-existents. The view has real virtues: it endorses a non-relational conception of intentionality and is ontologically conservative. Alas, the view ultimately cannot replace the act-object model of intentionality that it seeks to, because it depends on the act-object model for its intelligibility at key points. It thus fails as a revisionistic theory. I argue that the virtues of adverbialism can (...) be had from within the act-object framework, provided we understand intentional objects correctly. I use Crane as a guide here, and build on his work on intentional objects. In the end, we can provide a suitable solution to the problem of thinking of non-existents within the act-object framework without adopting implausible ontological or metaphysical views. So, adverbialism is neither a possible stand-alone revisionary option nor a needed modif... (shrink)

Abstract:Qu Yuan (c. 340–278 BC) is often called “the first Chinese poet,” because the primary work attributed to him, Li sao (“Sublimating Sorrow”), is the first in the tradition to evoke a distinctive persona engaged in self-reflection and personal narrative. To explain why this story of frustrated political ambition became arguably the first instance of Chinese autobiography or life writing, this paper uses the notion of “biological handicap,” proposed by Amotz Zahavi. As a peacock’s cumbersome tail feathers reduce its individual (...) chances of survival but communicate valuable information to potential mates, the Li Sao’s poetic persona uses images its audience understood as external marks of invisible, spiritual potency, like long eyebrows and fragrant adornments, to evoke unfulfilled political potential, resulting in an early model of literary interiority. (shrink)

. I give a systematic presentation of a fairly large family of multiple-conclusion modal logics that are paraconsistent and/or paracomplete. After providing motivation for studying such systems, I present semantics and tableau-style proof theories for them. The proof theories are shown to be sound and complete with respect to the semantics. I then show how the “standard” systems of classical, single-conclusion modal logics fit into the framework constructed.

This chapter contains sections titled: AIDS as a Gay Disease? Features of the Bareback Video Cultural Responses to the Bareback Video The Language of the Bareback Experience Plenitude and the Death Drive in Bareback Porn Notes.

In the developing world, the dramatic male bias in tobacco use is usually ascribed to pronounced gender disparities in social, political, or economic power. This bias might also reflect under-reporting by woman and/or over-reporting by men. To test the role of gender inequality on gender differences in tobacco use we investigated tobacco use among the Aka, a Congo Basin foraging population noted for its exceptionally high degree of gender equality. We also tested a sexual selection hypothesis—that Aka men’s tobacco use (...) is related to risk taking. Tobacco use, income, tobacco purchases, tobacco sharing, reasons for using tobacco, risk taking, and other variables were measured using structured surveys and peer reports. Tobacco use was verified by testing for salivary cotinine, a nicotine metabolite. Contrary to expectations, we found a very large male bias in tobacco use. Low levels of use among females appeared to be explained by aversions to tobacco, concerns over its negative effects on fetal health, and a desire to attract husbands, who prefer nonsmoking wives. High male use appeared to be related to a desire to enhance hunting abilities and attract and/or retain wives, who prefer husbands that smoke. We conclude that low levels of smoking by Aka women are better explained by the hypothesis that women evolved to avoid plant toxins to protect their fetuses and nursing infants. High male use might be better explained by sexual selection. We also highlight the important role that recreational drugs appear to play in hunter-gatherer sharing relationships. (shrink)

In this essay, I seek to determine what it is for a belief to be justified. Along the way, I examine various recent theories of justifiedness, attending especially to those of Alvin Goldman and Hilary Kornblith. With Goldman and Kornblith, I argue that a belief's justifiedness derives from its etiology--that for a belief to be justified is for there to be something good about certain of the conditions to which it owes its existence. My disagreement with these theorists is over (...) what is good about a justified belief's etiology. Specifically, I argue that the justifiedness or unjustifiedness of one's beliefs is determined by the virtuousness or viciousness of his epistemic character--and that epistemic virtues and vices are so called because they are the epistemic offshoots of underlying character-traits that are prized, or despised, irrespective of any specifically cognitive interests. I thus reject the traditional assumption that it is from the point of view of such interests that beliefs are approved as justified or disapproved as unjustified: Contrary to such truth-centered theories as Goldman's and Kornblith's, I argue in the end that truth has no place in a faithful account of justified belief. (shrink)

Drawing on an ethnographic study of Roman Catholic sisters in the Democratic Republic of Congo, I show how women in the Global South draw on religious imagery to redefine cultural ideals of womanhood and family responsibility. By taking the religious vows of chastity, poverty, and obedience, the Congolese sisters I interviewed seemingly betray local expectations regarding women’s responsibility to reproduce and repair the clan. Although sisters’ vows subject them to social ridicule for violating cultural expectations to bear children and support (...) kin, they devise new strategies to negotiate the connection between womanhood and the maternal role of caregiver and nurturer outside of marriage and fertility. In social ministries that affirm their communal, moral, and spiritual ties to others, the sisters realize these cultural ideals through a “spiritual motherhood” that transforms their traditional heteronormative obligations. Framing their decision to live outside accepted kinship structures in religious terms mutes the radicalness of this lifestyle and provides religious legitimation for what would otherwise be considered a selfish choice for a woman acting independent of family well-being. In this context, I demonstrate how doing religion is inseparable from doing gender as Catholic sisters embody alternative ways of being a woman in post-colonial Congolese society through their religious practices. (shrink)

Thought: A Journal of Philosophy, EarlyView.

This essay examines the role of place in painting. This role is multiple – at once attracting our look but also locatory of whatever is displayed in the painting itself and attracting our attention to it as a place distinct from the place where we are painting it or viewing it. Examined here is also the role of the lived body in the apprehension of place in painting: a corporeal animating force that animates a genuinely lived place as it is (...) set forth or intimated in paintings of seen, remembered, or imagined places. Such placially specific paintings are at once a commentary and a continuation on how we experience places in the context of the lived world. Included are analyses of three placially oriented paintings of my own as well as one by de Kooning – all in an effort to show the multivalence of place in painting. (shrink)