The hospital's clinical ethics committee sought to gauge health-care professionals’ level of knowledge and usage of the Mental Capacity Act 2005 within the hospital trust. The hospital's personnel were asked to complete a 10 part questionnaire relating to the basic contents of the Act. Four hundred questionnaires were distributed and 249 (62%) were returned completed and valid for analysis. A ‘pass-mark’ of 70% (7/10) was assumed; the results showed that 48% of respondents scored ≤50% (≤5/10), 74% of respondents scored <70% (...) (<7/10) and only 24% of respondents scored ≥70% (≥7/10). It was concluded that the Mental Capacity Act 2005 was not being effectively implemented within the Trust. Measures to increase the awareness and usage of the Act have subsequently been instigated. We believe that these measures will improve the awareness and knowledge of the Mental Capacity Act 2005 within the hospital Trust lead to its better utilization. (shrink)

Christine Swanton presents a new target centred virtue ethics, which is opposed to orthodox virtue ethics in two major ways. She rejects the 'natural goodness' metaphysics of neo-Aristotelian virtue ethics in favour of a 'hermeneutic ontology' of ethics, and she offers a new target centred framework for assessing rightness of acts.

1. Being an Animal Human beings are animals: phylum: chordata, class: mammalia, order: primates, family: hominids, species: homo sapiens, subspecies: homo sapiens sapiens. According to current scientific opinion, we evolved approximately 200,000 years ago in Africa from ancestors whom we share with the other great apes. What does it mean that we are animals? Scientifically speaking, an animal is essentially a complex, multicellular organism that feeds on other life forms. But what we share with the other animals is not just (...) a definition: it is a history – that is, it is a story – and a resulting set of attributes and circumstances, and an ecosystem, and a planet. What is the story? Living things are homeostatic systems – they maintain themselves through a process of nutrition that enables them to work constantly at replacing the fragile materials of which they are composed. Living things also work at reproducing, or contributing to the reproduction, of other living things that maintain themselves in essentially the same way. To engage in those activities is essentially what it means to be alive. And in order to engage in those activities, a living thing must be, in some way, responsive to conditions in its environment. Plants, for instance, respond to dryness, by growing deeper roots, or to sunshine, by turning their leaves in its direction. Even a unicellular organism is drawn to some things and recoils from others. (shrink)

The use of the English word “reason” in all of these contexts, and the way we translate equivalent terms from other languages, suggests a connection, but what exactly is it? Aristotle and Kant’s conception of what practical reasons are, I believe, can help us to answer this question, by bringing out what is distinctive, and distinctively active, about acting for a reason. That, at least, is what I am going to argue.

After discussing de Sousa's view of emotion in akrasia, I suggest that emotions be viewed as nonconceptual perceptions of value (see Tappolet 2000). It follows that they can render intelligible actions which are contrary to one's better judgment. An emotion can make one's action intelligible even when that action is opposed by one's all-things-considered judgment. Moreover, an akratic action prompted by an emotion may be more rational than following one's better judgement, for it may be the judgement and not the (...) perception which is in error. By contrast, "cool" akrasia is genuinely puzzling; it is not clear whether it exists. (shrink)

Environmental ethics is apparently caught in a dilemma. We believe in human species partiality as a way of making sense of many of our practices. However as part of our commitment to impartialism in ethics, we arguably should extend the principle of impartiality to other species, in a version of biocentric egalitarianism of the kind advocated by Paul Taylor. According to this view, not only do all entities that possess a good have inherent worth, but they have equal inherent worth, (...) and in particular no species is superior to any other. In this paper, I elaborate a Heideggerian environmental virtue ethics that slips between the horns of the dilemma. Central to this ethics is the relation of “dwelling” and the many virtues of dwelling, according to which the world is seen as “holy” in a variety of ways. This ethics is importantly local in respect of time and place, but also has universalistic aspects. To understand such an ethics, it is necessary to grasp Heidegger’s notion of truth as “aleithia” or opening, which enables us to escape the metaphysical dilemmas besetting ethics in the analytic tradition, including standard virtue ethics. Elaborating this notion occupies a large part of the paper. (shrink)

Despite extinction-based processes demonstrating efficacy in the animal extinction and human anxiety literatures, extinction for substance use disorders has shown poor efficacy. Reasons for this lack of success include common threats to extinction, such as renewal and reinstatement. In recent decades, research on mindfulness for SUD has flourished, and a key aspect of these mindfulness-based interventions includes teaching individuals to stay present with whatever experience they have, even if unpleasant, without trying to change/escape/avoid it. Similarly, CET teaches individuals to not (...) escape/avoid conditioned responses by engaging in drug use behavior. This paper discusses how mindfulness-based research and practices could positively influence CET through future research, with the long-term goal of improving SUD treatment. (shrink)

Der Beitrag spürt der Entdeckung dessen, was man heute »Eifersucht« nennt, im antiken Rom in der Zeit des Kaisers Augustus nach. Die Autorin erläutert zunächst einige linguistische, sozioökonomische und gesellschaftliche Voraussetzungen, um dann in einem close reading von Gedichten der Elegiker Properz und Ovid Bedingungen und Umstände der Eifersucht in der Metropole Rom zu diskutieren. Diese philologische Auseinandersetzung bereitet psychologischen Überlegungen den Boden.

This paper offers an account of the property Feuerbach and Marx called “species-being,” the human being’s distinctive tendency to identify herself as a member of her species, and to think of the species as a “we.” It links the notion to Kant’s theory of rights, arguing that every claim of right commits the maker of that claim to something like world government, and therefore to the conception of humanity as a collective agent. It also links species-being to the concept of (...) practical identity, arguing that the conceptions under which we find our lives and actions valuable are ones according to which we make a positive contribution to the life of the species. It then argues that the resulting conception of humanity, together with certain considerations about the nature of the good, provides grounds for challenging the familiar claim that death is generally worse for human beings than for animals. On the other hand, because of species-being, the extinction of our species is a much worse prospect for human beings than for the other animals. (shrink)

In this paper I examine Peirce's epistemological and ontological theories and indicate their relevance to educational practice. I argue that Peirces conception of Firsts, Seconds and Thirds entails a fundamental ontological realism. I further argue that Peirce does have a theory of truth, that it is a particular non‐traditional ‘correspondence’ theory, consistent with, and implicit in, an over‐arching position of pragmatic realism. Peirce's epistemological position is subject to misinterpretation when the ontological realism on which it rests is overlooked. Finally I (...) suggest that such a re‐consideration of Peirce's pragmatic ontology and epistemology in an educational context is needed. (shrink)

This article draws on data from various sources for 190 developed and developing nations and uses them to examine gender regimes, or forms of patriarchal structures, at the regional level. I argue for multiple, rather than single, measures of gender inequality and illustrate that using many inequality measures exposes a wider range of outcomes within the Global South than the North, also suggesting the inefficacy of this geographic dichotomy. Then I re-examine the outcomes with nations grouped into seven regions, showing (...) that each region has different variables that define their gender inequalities. Finally, I link gendered social institutions and implicitly gendered political-economic structures to gender-inequitable outcomes in six regions to reveal three different gender regimes across the regions. (shrink)

Cet article, adossé à un cas clinique, propose une réflexion sur la dimension traumatique à l’adolescence en analysant la problématique de l’intrus persécuteur et la problématique transgénérationnelle. L’adolescent manifeste une dynamique de survie psychique par des symptômes somatiques, des conduites phobosociales et une hypersensibilité narcissique. La différenciation et la séparation-individuation d’avec l’objet interne intruseur sont également apparues dans le travail psychique engagé dans les entretiens familiaux.

Advances in genetics and genomics have raised new questions in trout restoration and management, specifically about species identity and purity, which fish to value, and where these fish belong. This paper examines how this molecular turn in fisheries management is influencing wild and native trout policy in Colorado. Examples from two small Colorado watersheds, Bear Creek and Sand Creek, illustrate how framing trout as genetic bodies can guide managers to care for or kill trout populations in the interest of rectifying (...) decades of genetic disruption caused by human activity. While trout management has typically relied on human intervention, the turn to genetic science is prompting new classifications of lineage and taxa, altering long-standing conservation priorities, and reorienting the manipulation of biological processes such as reproduction and dispersal. As a result, other social and ecological factors may be pushed to the margins of management decisions. These changes warrant greater conversation about the consequences of molecular analyses and the values embedded in trout science and conservation more broadly. (shrink)

Sensitivity to others’ emotional signals is an important factor for social interaction. While many studies of emotional reactivity focus on facial emotional expressions, signals such as pupil dilation which can indicate arousal, may also affect observers. For example, observers’ pupils dilate when viewing someone with dilated pupils, so-called pupillary contagion. Yet it is unclear how pupil size and emotional expression interact as signals. Further, examining individual differences in emotional reactivity to others can shed light on its mechanisms and potential outcomes. (...) In the current study, adults’ (N = 453) pupil size was assessed while they viewed images of the eye region of individuals varying in emotional expression (neutral, happy, sad, fearful, angry) and pupil size (large, medium, small). Participants showed pupillary contagion regardless of the emotional expression. Individual differences in demographics (gender, age, socioeconomic status) and psychosocial factors (anxiety, depression, sleep problems) were also examined, yet the only factor related to pupillary contagion was socioeconomic status, with higher socioeconomic status predicting less pupillary contagion for emotionally-neutral stimuli. The results suggest that while pupillary contagion is a robust phenomenon, it can vary meaningfully across individuals. (shrink)

: On the Aristotelian picture of virtue, moral virtue has at its core intellectual virtue. An interesting challenge for this orthodoxy is provided by the case of universal love and its associated virtues, such as the dispositions to exhibit grace, or to forgive, where appropriate. It is difficult to find a property in the object of such love, in virtue of which grace, for example, ought to be bestowed. Perhaps, then, love in general, including universal love, is not necessarily exhibited (...) for reasons. This is the view that, with the help of Heidegger's notion of a fundamental emotional attunement, I defend. The problem is to show how universal love, and its manifestation in the virtues of universal love, can then be seen as rational. Showing this is the task of the essay. (shrink)

Consideration of affective dimensions beyond arousal may be useful for a more precise understanding of the effects of emotional events on episodic memory. As highlighted by Kensinger (2009), the valence of an event may differentially impact the accuracy of its recall. Paralleling work on attention, we propose that the relevance of an event or stimulus for survival may also importantly modulate memory accuracy. However, few memory studies to date have accounted for motivational relevance, and the stimuli employed in most studies (...) are not matched on this dimension. (shrink)

In this paper I examine John Greco’s agent reliabilism, in particular, his requirement of subjective justification. I argue that his requirement is too weak as it stands to disqualify as knowledge claims some true beliefs arrived at by reliable processes and that it is vulnerable to the “value problem” objection. I develop a more robust account of subjective justification that both avoids the objection that agents require beliefs about their dispositions in order to be subjectively justified and explains why knowledge (...) is more valuable than true belief. (shrink)

This paper proposes a new method of measuring excess risk of child mortality in cross-sectional surveys, which is applied to DHS I data for Burundi, Uganda and Zimbabwe. The expected child mortality experience is estimated for each mother on the basis of child's age, mother's age at child's birth and her parity, and compared with her observed experience. Mothers who exceed their expected child mortality experience and also had more than one child die are considered to have excess child mortality. (...) Zimbabwe had the greatest concentration of child deaths as measured by a simple ratio of mothers to deaths, but when observed experience was compared with expected it had less than half as many excess deaths as Uganda and Burundi. In all three countries mother's education had a strong negative association with the risk of excess child mortality, and in Zimbabwe and Burundi there were significant regional differences. (shrink)

The problem of violence in the home is on the public agenda. Although many Christians are concerned to eliminate such abuse in their communities, the church has special problems when it tries to address the matter. Violence against family members is related to power and patriarchy, and solutions to the problem relate to the Christian understanding of the nature of the marriage bond, the confidentiality of the confessional and our understanding of the nature of God. In tackling this problem, the (...) church is as much part of the problem as an agent in the solution. (shrink)

Cet article analyse les formes de contrôle (ou de tentative de contrôle) du genre et de la sexualité des sportives mises en œuvre dans deux institutions sportives « masculines » en France, le football et la boxe. Dans le cas du football, au niveau national comme au niveau local, entraîneurs et dirigeants jouent les entrepreneurs de morale en tentant de « féminiser » les joueuses et d’encourager l’hétérosexualité. Cependant, le « gouvernement des corps » des footballeuses se heurte à la (...) sociabilité communautaire des équipes féminines, « monde diminué » qui fonctionne selon des normes sexuées et sexuelles inversées. En boxe, en revanche, le formatage institutionnel des sportives, placées sous le contrôle permanent des hommes, structure la pratique et favorise la mise en place de processus d’auto contrôle. Ainsi, le processus d’intégration de la pratique des femmes dans les disciplines « masculines » pose des problèmes génériques, mais il suscite également des réactions et produit des effets spécifiques en fonction de l’histoire des disciplines, des enjeux relatifs à leur féminisation et des modes de socialisation sportive proposés. (shrink)

This article aims to offer a general view of the work and the progress the Partnership and promotions team, placed at the core of the Globethics.net Foundation activities, has reached so far. Starting with a general view on its tasks and duties, Christine Housel opens the floor for the regional officers of the department to offer a personalized view and opinion on the relevant and pressing matters Globethics.net has to focus, or has focused on, locally. During this exposition, we (...) will hear about the Partnership and promotion team’s commitment with students at all levels, its work to foster and nurture ethics in higher education on institutions worldwide, and the diversity and plurality held in itself, a clear embodiment of the pluralistic vocation of Globethics.net. (shrink)

This paper consists in a critical review of Peter Goldie's book, The Emotion. A Philosophical Exploration (Oxford: Oxford University Press, 2000). Goldie is right to distinguish between long-term emotions and emotional experiences. And he is also right to reject the view that emotions are reducible to 'feelingless' states plus some extra feelings. However, Goldie's own account in terms of "feeling towards" is problematic. Goldie would have been better advised to claim that emotional experiences are necessarily emotional representations of something as (...) being F (disgusting, attractive, admirable, etc.), that is, that emotional experiences are apprehensions or representations of evaluative features. (shrink)

Human ethical practices and attitudes with respect to the other animals exhibit a curious instability. On the one hand, most people believe that it is wrong to inflict torment or death on a non-human animal for a trivial reason. Skinning a cat or setting it on fire by way of a juvenile prank is one of the standard examples of obvious wrongdoing in the philosophical literature. Like torturing infants, it is the kind of example that philosophers use when we are (...) looking for something ethically uncontroversial, so that disputes about the example won’t get in the way of the point we are trying to make.2 On the other hand, human beings have traditionally counted nearly any reason we might have for hurting or killing animals, short of malicious enjoyment, as non-trivial and sufficient. We kill non-human animals, and sometimes inflict pain on them, because we want to eat them, because we can make useful products out of them, because we can learn from experimenting on them, and.. (shrink)

What is cognition? Despite the existence of a science of cognition there is no clear agreement on what makes certain phenomena cognitive, and others not. Within cognitivism the issue was neglected. Human intelligence was used as a standard, and any process—natural or artificial—that fitted this standard sufficiently could be considered ‘cognitive’. For post-cognitivist psychology the situation is different. It cannot rely on the ‘human standard’ in the same way. One might even say that the need for a post-cognitivist psychology arose (...) because cognitivism began with this most complex of all cognitive systems without a good understanding and appreciation of more basic, biological cases. Embodied cognition approaches remedy this anthropocentric bias by addressing a more varied set of processes that are not strictly limited to humans. Under these circumstances the question what we take cognition to be is more urgent. Are phenomena like insect walking (Brooks) and goal-seeking missiles (O’Regan and Noë) examples of cognition or not? What criteria do we use to answer such questions? Given this problem, the notion of perception-action coupling (or sensorimotor contingencies) becomes an important and fairly obvious option to provide a foundation for the notion of cognition. However, and intriguingly, the same problem occurs again: What are perception-action couplings? What would make something an example of perception-action coupling? Where are we to draw a line, if anywhere? It is self-evident that O’Regan and Noë’s (2001) example of a goal-seeking missile is controversial, but why exactly? What is missing? Can we ever do more than making intuitive judgments here? A way out of this dilemma may be found by developing the claim that perception-action coupling must be grounded in a biological context (Keijzer, 2001), and following what Lyon (2005) calls a biogenic approach. This option raises a whole new field of issues and topics that is of central concern for a postcognitivist psychology. (shrink)

The interlocutors of Plato’s Cratylus agree that “it is far better to learn and to inquire from the things themselves than from their names”. Although surprisingly little attention has been paid to these remarks, at least some commentators view Plato as articulating a preference for direct, nonlinguistic cognitive access to the objects of inquiry. Another commentator takes Plato simply to recommend first-hand, yet linguistic, experience in addition to instruction from experts. This paper defends, in contrast to both interpretations, the view (...) that inquiry without names is dialectical, linguistic inquiry into metaphysical first principles. As such, inquiry without names is prior to inquiry from or through names. Inquiry without names is a form of transcendental metaphysics. (shrink)

: Public toilets are a key part of the urban environment. This paper examines and evaluates the pervasive sex segregation, throughout North America, of public toilets. The issue is situated within a larger context—the design and management of the urban environment; larger assumptions about sexuality, reproduction, and privacy that govern that environment; and continuing compulsory sex identification and segregation which still define key areas of "public" space. I examine seven groups of arguments in favor of sex segregation, arguing that all (...) of them are inadequate. I then present reasons showing why ending the sex segregation of public toilets is justified. (shrink)

This paper reviews the main pricing policies in Latin American countries, discussing their shortcomings. It also gives an overview of the most common pricing and reimbursement policies in Europe and describes in detail three well-established approaches — international price referencing, value-based pricing, including setting up of health technology assessment, and generic and biosimilar policies — building on country examples.

Le syntagme « philosophie de la danse » fait surgir une tension aporétique : soit le philosophe esthéticien évince le _danser_ pour réduire la danse à la réception de son spectacle, soit il assimile la danse à une pensée ou un langage – ce qui est bien mal connaître l’absentement du concept en danse, supplanté par autant d’intuitions locomotrices. À titre alternatif, je soutiendrai que la pratique de la danse est révélatrice des dimensions non conceptuelles de la vérité, qualifiables d’ (...) « intuitions claires et évidentes » et posées comme condition même de toute connaissance par Descartes ; ou « vérités du cœur » de même valeur que les connaissances rationnelles selon Pascal. (shrink)

ABSTRACT The problem of the captivated gaze has been taken up repeatedly in philosophy. Plato's Allegory of the Cave stands paradigmatically for this. Here, the gaze at the shadowy images prevents people from taking the path to the sun. Denis Diderot's critical reinterpretation of Plato's Allegory of the Cave is less well known. In Diderot, the view of the artificial light images is just as captivating as Plato's shadow images. Unlike there, however, Diderot does not distinguish between perception and cognition (...) but instead focuses on the significance of the seemingly unimportant shift of the gaze within the cave. Diderot determines the starting point of the realisation of freedom in the liberation of one's own gaze from the captivation intended by third parties. Prerequisites for the liberation of the gaze are the realisation of an interruption. It is shifts in the alignment of the eyeballs that become visible here as lucid intervals and which, in Diderot, become the starting point of power analysis and the site of revolt and freedom practice. In this article, I will show how Diderot's demand for enabling the individual realisation of lucid intervals is not first and foremost an aesthetic, but a highly political one. The criteria of art, which are defined by Diderot and have not lost their relevance until today, are based on his explosive insight that the incessant captivation of the gaze stands in the way of democratisation. (shrink)

After the cultural turn, it has become necessary to reconsider society’s relations to nature. This article provides a theoretically sound basis for feminist interventions in global environmental policies drawing on feminist economics and queer ecologies to theorize material perspectives on gender and nature. This is the starting point for rethinking social and gender relations to nature from the resource politics approach. Beyond the feminization of environmental responsibility this approach aims at an understanding of human life embedded in material and discursive (...) processes – without putting the potential productivity of the female body on the ideological pedestal of heterosexual maternity. (shrink)

BackgroundFrontal brain dysfunction is a major challenge in neurorehabilitation. Neurofeedback (NF), as an EEG-based brain training method, is currently applied in a wide spectrum of mental health conditions, including traumatic brain injury.ObjectiveThis study aimed to explore the capacity of Infra-Low Frequency Neurofeedback (ILF-NF) to promote the recovery of brain function in patients with frontal brain injury.Materials and methodsTwenty patients hospitalized at a neurorehabilitation clinic in Switzerland with recently acquired, frontal and optionally other brain lesions were randomized to either receive NF (...) or sham-NF. Cognitive improvement was assessed using the Frontal Assessment Battery (FAB) and the Test of Attentional Performance (TAP) tasks regarding intrinsic alertness, phasic alertness and impulse control.ResultsWith respect to cognitive improvements, there was no significant difference between the two groups after 20 sessions of either NF or sham-NF. However, in a subgroup of patients with predominantly frontal brain lesions, the improvements measured by the FAB and intrinsic alertness were significantly higher in the NF-group.ConclusionThis is the first double-blind controlled study using NF in recovery from brain injury, and thus also the first such study of ILF NF. Although the result of the subgroup has limited significance because of the small number of participants, it accentuates the trend seen in the whole group regarding the FAB and intrinsic alertness (p = 0.068, p = 0.079, respectively). We therefore conclude that NF could be a promising candidate promoting the recoveryfrom frontal brain lesions. Further studies with larger numbers of patients and less lesion heterogeneity are needed to verify the usefulness of NF in the neurorehabilitation of patients with frontal brain injury (NCT02957695 ClinicalTrials.gov). (shrink)