Abstract:Therapeutic misconception (TM)—when clinical research participants fail to adequately grasp the difference between participating in a clinical trial and receiving ordinary clinical care—has long been recognized as a significant problem in consent to clinical trials. We suggest that TM does not primarily reflect inadequate disclosure or participants’ incompetence. Instead, TM arises from divergent primary cognitive frames. The researchers’ frame places the clinical trial in the context of scientific designs for assessing intervention efficacy. In contrast, most participants have a cognitive frame (...) that is personal and focused primarily on their medical problems. To illustrate this, we draw on interview material from both clinical researchers and participants in clinical trials. We suggest that reducing TM requires encouraging subjects to adjust their frame, not just add information to their existing frame. What is necessary is ascientific reframingof participation in a clinical trial. (shrink)

Journal of Social Philosophy, EarlyView.

Charles Mills makes visible in the world of mainstream philosophy some of the crucial issues of the black experience.

The new National Institutes of Health (NIH) Policy on the Use of a Single Institutional Review Board (sIRB) for Multi-Site Research was adopted primarily to simplify and speed the review of complex multisite clinical trials. However, speeding review requires overcoming a number of obstacles. Perhaps the most substantial obstacle is the time and effort needed to develop reliance agreements among the participating sites. We conducted 102 semistructured interviews with sIRB personnel, including directors, chairs, reviewers, and staff, from 20 IRBs that (...) acted as sIRBs for multisite research, including 6 commercial/independent sIRBs, and 10 university-based academic and 4 federal sIRBs. Almost without exception, the interviewees agreed that reliance agreements were complex, difficult to develop, and time-consuming. A major problem for relying sites was that different agreements specified different responsibilities for the relying sites. Attitudes differed about whether these problems will be resolved as IRB staff and managers become more experienced with sIRBs. However it is clear that the process of developing reliance agreements must be simplified. Federal assistance in standardizing at least some sections of reliance agreements might reduce the difficulties involved. (shrink)

Volume 3, Issue 1, March 2019, Page 60-70.

This paper sketches the history of unethical behavior of Homo sapiens to other forms of life on planet Earth. I ask, and sketch responses to, the question: How and why is it that we, the so-called “ethical animal,” have been the worst of all animals in relation to other life-forms on our planet? In response to the answers to this question, I claim that we know, and have known for a very long time, what it means to be morally good. (...) But in light of the natural bases of our behavior, I wonder if it will ever be possible for us, as a species, to become so. (shrink)

This is a new release of the original 1948 edition.

In few cases among modern religious ethicists are the contemporary issues concerning the problem of norms and of criteria more intriguingly brought to the fore than in the ethics of Martin Buber.

In lieu of an abstract, here is a brief excerpt of the content:Hamann and the Philosophy of David Hume CHARLES W. SWAIN There have been many and various interpretations of Hume's philosophy; no one, so far as I know, has ever viewed him as a romantic. On the other hand, Johann Georg Hamann, "the wizard of the North," has gained his modicum of notoriety mainly through his influence on German romanticism, plus the fact that Kierkegaard mentions him approvingly, and (...) even quotes him in the Philosophical Fragments. Hume has been regarded as a sceptic, an empiricist, a naturalist and a positivist; Hamann is usually regarded as an irrationalist and proto-existentialist. 1 These two thinkers were certainly very different; yet Hamann had a profound appreciation for the philsophy of Hume. I want to suggest in this paper that a study of the use to which Hamann put Hume's philosophy may raise some difficulties for the prevailing view of Hamann's thought, and may also open up a somewhat different perspective on Hume's thought. Hamann found himself in rebellion against the spirit of his age. He saw in Hume an ally in his struggle against the over-confident rationalism of the Enlightenment. As an apologist, Hamann set himself the task of "smoking out the stylish spirit of the century by means of doubt." e He set about this task in a series of strange apologetic works, written in a deliberately mystifying, sometimes shocking style. His anti-rationalism made him a hero to the later romantics, and a mystery to his friends and readersmamong them his fellow citizen, Immanuel Kant. Beginning as a university student, Hamann had become a disciple of the Enlightenment, seeking his place in the brave new world of the early eighteenth century. He tried a career as a tutor, along with many a young man seeking an independent and comfortable life. Eventually he accepted a vaguely defined position with the mercantile firm of Berens in Riga, operated by the family of his college friend Johann Cristoph Berens. Hamann undertook a "secret mission" for the Berens firm which brought him to London in 1758 where, lonely and disheartened, he underwent a personal crisis which changed the direction of his life and resulted in his career as a man of letters and an apologist for Christianity against the Enlightenment. Having been a devotee for over a decade, Hamann felt that he knew the spirit of the Enlightenment. His opposition, however, baffling it may have appeared to his contemporaries, was not intended as obscurantism. He had his 1Hamann has been much more in vogue on the continent than in the English-speaking world. According to Martin Sells, Theologische Aspekte zur gegenw~irtigen Hamann-deutung (GSttingen: Vandenhoek und Ruprecht, 1957),p. 105,der Magus has been claimed as a spiritual ancestor by virtually every European intellectual movement of the last 150 yearst Philologische Einf~illeund Zwei]el, Iqadler iii, 41. [343] 344 HISTORY OF PHILOSOPHY "reasons," and a study of his use of Hume's philosophy will help to clarify this aspect of his thought. Hamann's acquaintance with the philosophy of Hume dates from his university days, where he was probably introduced to the world of English letters by his fondly remembered teacher, Heinrich Rappolt. Rappolt was a Wolffian, but not at all interested in the attempt to reconcile Wolffianism with pietistic Christianity --in contrast to his more renowned colleague, Martin Knutzen, Kant's teacher. Rappolt had traveled and studied in England, and apparently delighted in opening these new intellectual vistas to his students, s Hamann thus became familiar with Hume's political and economic writings, as well as his philosophical works. Already in 1756, during his Holmeister period, he had worked through an edition of Hume's works which contained various economic and political essays as well as the First Enquiry. 4 Hume's works were among the books which he bought (but perhaps never read) during his stay in London. In 1759, when he published his first apologetic work, Socratische Denku~rdigkeiten, he was (in his own words) "full of Hume." 5 He cites Hume throughout his literary career, and acknowledges his intellectual debt to Hume both publicly and privately. One of his last undertakings was a translation... (shrink)

Responding to claims to the contrary, this essay shows how liberal education, the education of critical exposure, indoctrinates students into a style of belief and belief formation. It argues that a common liberal view about what constitutes freedom from indoctrination is precisely the form of indoctrination feared by many conservative communitarians. While I support the style and procedures of liberal education, I argue that we cannot excise all indoctrinating components from it by semantic, logical or epistemic analyses of what indoctrination (...) or education means. (shrink)

In this article the author responds to the mini-symposium on his work provided by Kathryn Gines and Shannon Sullivan, both of whom focus on the issue of intersectionality. Gines's article looks at the treatment of race and gender in one of the chapters in Mills's book with Carole Pateman, Contract and Domination. Her major criticism centers on what she sees as Mills's failure to recognize nonwhite men's patriarchal domination of nonwhite women. However, the present article claims that this criticism is (...) simply a misreading of what Mills says in the chapter. Sullivan's article reviews the various stages in Mills's career path, with special attention to race and class. Her major criticism is that while nominally conceding intersectionality, Mills still holds on to the assumption that different variables can be discretely singled out. In reply, this article argues that a recognition of intersectionality need not commit one to rejecting claims about the possible differential causal and explanatory significance of the intersecting variables. (shrink)

For several decades, Dr. Morris has worked primarily with twoproblems: the development of a general theory of signs, and thedevelopment of a general theory of value. He approached both problemsin terms of George Mead's theory of action or behavior. This bookbrings together these two lines of development. For several decades, Dr. Morris has worked primarily with two problems: the development of a general theory of signs, and the development of a general theory of value. He approached both problems in terms (...) of George Mead's theory of action or behavior. This book brings together these two lines of development. In many languages there is a term like the English "meaning" which has two poles: that which something signifies and the value or significance of what is signified. The nature of signification and significance, as well as their relations within human behavior, is the subject matter of this book. This book is addressed to philosophers and to students of the behavioral sciences, but it will also appeal to anyone seriously interested in the study of human communication. (shrink)

This paper reports the results of a questionnaire administered to 1178 undergraduate students and discusses how they responded to ten situations which asked them to assess their personal evaluation of the ethical acceptability, how society would similarly assess the situation and how business persons would respond. Multiple versions of the instrument were developed to investigate if the sex of the person involved in the situation would influence the respondents' perception of the ethical action involved. No differences were identified. Further, the (...) image of business persons as less ethical than society in general seems to have evaporated. (shrink)

‘Racial justice’ is a term widely used in everyday discourse, but little explored in philosophy. In this essay, I look at racial justice as a concept, trying to bring out its complexities, and urging a greater engagement by mainstream political philosophers with the issues that it raises. After comparing it to other varieties of group justice and injustice, I periodize racial injustice, relate it to European expansionism and argue that a modified Rawlsianism relying on a different version of the thought (...) experiment could come up with suitable principles of corrective racial justice. (shrink)

This previously-unpublished essay by the late Charles W. Mills (1951–2021) seeks to demonstrate the racially-structured character of the universe created by J. R. R. Tolkien in The Hobbit and The Lord of the Rings. Written long before the popular film series, the essay critically examines Tolkien's novels and comments on the nature of fictional creation. Mills argues that Tolkien designs a racial hierarchy in the novels that recapitulates the central racist myth of European thought.

This article tries to provide a genealogy for, and a characterization of, “critical philosophy of race,” which has only recently begun to gain formal recognition as a subject within the discipline. After discussing the contested periodization of race and racism, the author turns to the related question of whether they have affected the history of Western philosophy from the classical epoch to modernity. Then he reviews contemporary scholarship in critical philosophy of race, looking at standard divisions of the field: metaphysics (...) ; epistemology ; aesthetics ; ethics ; social and political philosophy ; and existentialism, phenomenology, and pragmatism. (shrink)

The study of the relationship between culture and mind is cognitive anthropology. Its primary objects of study are knowledge and thinking, mostly as these appear in naturally occurring settings. Cognitive anthropology's main contribution has been to show that there are important cultural differences in perception, memory, and inference. Recently, the field has begun to consider emotions and their power to motivate cognition, historically among the most neglected subjects in cognitive science. This is leading to an interesting rapprochement with psychoanalysis and (...) to the partial eclipse of information processing models and their computer analogs. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Place and the "Spatial Turn" in Geography and in HistoryCharles W. J. WithersI. IntroductionA few years ago, British Telecom ran a newspaper advertisement in the British press about the benefits—and consequences—of advances in communications technology. Featuring a remote settlement in the north-west Highlands of Scotland, and with the clear implication that such "out-of-the-way places" were now connected to the wider world (as if they had not been before), the (...) advert proclaimed "Geography is History." What the advert signalled to as the "end" of geography in the sense of the social gradients associated with space and distance is what is known, variously, as "time-space convergence" and "time-space distanciation."1 The terms embrace not just the "collapse" of geographical space given technical advances (in travel time and in communications—consequences of what Castells calls "the information age" and "the network society"2), but also the idea that the modern world has become [End Page 637] more homogenized. One place is now much the same as another. Further, given the likelihood of such technical and cultural changes continuing into the future, geographical distinctiveness, evident in the particularity of place, would be a thing of the past: geography would indeed be history. There is, of course, much evidence to the contrary: that, in the face of "globalisation," questions of locality, sense of place and of identity in place matter now more than ever. Even, then, as Francis Fukuyama cautioned against the "death" of liberal democratic politics as The End of History,3 geography—that is, geography understood as questions to do with place, and questions to do with where you are in the world as part of questions about how you are and who you are in the world—has had considerably heightened significance and for some places and people more than others.4These notions of place—as a particular location, and the character or sense of place—are only part of the meanings associated with place in geographical and in historical work. Like space, its regular epistemic dancing partner in geographical ubiquity and metaphysical imprecision, place is a widespread yet complex term. What follows is historiographical in focus and, of necessity, partial in range. I offer a historiographical survey of the term place, principally but not alone within recent work in geography. In more detail, and with reference to one of the strong senses in which place is used, namely that of locale, "the local," or localness, I trace here the connections between place, space, and the idea of the local as evident in recent work in history and in geography, especially within the history and the geography of science. Particular attention is paid in this context to the distinctive features of what we may think of as the "spatial turn" in the history of science by looking at the idea of place and space in recent work in Enlightenment studies. My argument is three-fold. Notions of place and space, much debated by geographers, have been as central a concern for intellectual historians and historians of science as for philosophers and others, but they have been differently expressed. There is, I shall argue, value in looking at these different views in order to understand that whilst place is a commonplace term it is not agreed upon: working with imprecision has been both opportunity and restriction. In relation to work within the history of science and in Enlightenment studies, consideration of the so-called "spatial turn," of place [End Page 638] as social practice and of placing as a process in accounting for the uneven movement of ideas over space and time may help provide some precision and strengthen connections between geography and history.II. Place (In Geography): A Partial HistoriographyPlace is one of the most fundamental concepts in human geography. It is also one of the most problematic.5 Place, or small-scale regional space, features as a subdivision within the Classical tripartite division of cosmography (the earth in relation to other planetary bodies), geography (the earth as a whole) and chorography (parts of the earth or regional geography). So, too, does the distinction between chorography and chronology as... (shrink)

This essay tries to develop a “black radical Kantianism”—that is, a Kantianism informed by the black experience in modernity. After looking briefly at socialist and feminist appropriations of Kant, I argue that an analogous black radical appropriation should draw on the distinctive social ontology and view of the state associated with the black radical tradition. In ethics, this would mean working with a (color-conscious rather than colorblind) social ontology of white persons and black sub-persons and then asking what respect for (...) oneself and others would require under those circumstances. In political philosophy, it would mean framing the state as a Rassenstaat (a racial state) and then asking what measures of corrective justice would be necessary to bring about the ideal Rechtsstaat. (shrink)