A referral was made to our Cardiac Transplant Program for a patient who was in the New Jersey Prison System. The Medical Director of the New Jersey Department of Corrections called regarding a 39-year-old inmate who was being treated in a New Jersey hospital that has a unit for prisoners from a nearby cor- rectional facility. The referring physician described the patient to our Medical Director of heart transplantation as a “murderer” who had been incarcerated since 1987 and sentenced to (...) prison for 30 years without eligibility for parole before completion of his 30-year sentence. The patient was being treated in the CCU of the facility and according to preliminary studies, was suffering from a possible dilated cardiomyopathy. There was evidence of a prior cerebrovascular accident (etiology unknown) with a dense hemiplegia of the left side. The patient was alert but unable to care for himself. There were a number of specific tests necessary to evaluate the patient's candidacy for heart transplantation before actually placing him-on a waiting list. However, the transplant director was uncertain about having the patient brought to our facility for further testing and called some members of the Transplant Selection Committee team to discuss the case. (shrink)

Ethical concepts are, or purport to be, normative. They make claims on us: they command, oblige, recommend, or guide. Or at least when we invoke them, we make claims on one another; but where does their authority over us - or ours over one another - come from? Christine Korsgaard identifies four accounts of the source of normativity that have been advocated by modern moral philosophers: voluntarism, realism, reflective endorsement, and the appeal to autonomy. She traces their history, showing (...) how each developed in response to the prior one and comparing their early versions with those on the contemporary philosophical scene. Kant's theory that normativity springs from our own autonomy emerges as a synthesis of the other three, and Korsgaard concludes with her own version of the Kantian account. Her discussion is followed by commentary from G. A. Cohen, Raymond Geuss, Thomas Nagel, and Bernard Williams, and a reply by Korsgaard. (shrink)

Beginning with liberalism's foundational idea of moral equality as the basis for treating people with equal concern and respect, Christine Koggel offers a modified account of what makes human beings equal and what is needed to achieve equality. Koggel utilizes insights from care ethics but switches the focus from care as a moral response within personal relationships to the broader network of relationships within which care is given or withheld. The result is an account of moral personhood and agency (...) that is richer than the view propounded by liberal theory and care ethics. This exciting and original work challenges theoretical resistance to the idea that relationships are relevant to an understanding of equality, and it provides an opening to a critical analysis of relationships and care that informs and transforms our understanding of what is needed to treat all people with equal concern and respect. (shrink)

In this paper, we consider the question of whether there exists an essential relation between emotions and wellbeing. We distinguish three ways in which emotions and wellbeing might be essentially related: constitutive, causal, and epistemic. We argue that, while there is some room for holding that emotions are constitutive ingredients of an individual’s wellbeing, all the attempts to characterise the causal and epistemic relations in an essentialist way are vulnerable to some important objections. We conclude that the causal and epistemic (...) relation between emotions and wellbeing is much less strong than is commonly thought. (shrink)

Despite rich theoretical development, empirical research on stakeholder management is scant, save its relationship with financial performance. Recent research shows significant intrafirm variability in stakeholder management across time. This study seeks to explain why firms would experience significant changes in stakeholder management. Adapting Wood’s framework to discuss three principles of stakeholder management, the authors identify antecedents of change at the institutional, organizational, and executive levels. Pressures for legitimacy at the institutional level suggest that firm age and size, along with industry (...) shifts in stakeholder management, will increase the likelihood of changes in stakeholder management for the focal firm. The authors posit that organizational risk and performance will also affect the likelihood of change, as will managerial discretion, ownership, and succession. The authors test their predictions using a longitudinal sample of stakeholder management data and discuss the implications of the findings for research and practice. (shrink)

Film studies has largely avoided the biocultural turn that has swept through other areas of the humanities. This resistance may be understood in terms of the field’s recent distaste for grand theory—and in terms of the loose, social-constructionist thinking that is one residue of that distaste. Fortunately, a biocultural approach to cinema can offer film studies a necessary and defensible set of assumptions. It can also offer interpretive tools and potential ways of conceptualizing perennial concerns like authorship and genre. This (...) essay demonstrates the last two points through an evolutionary reading of Howard Hawks’s musical Gentlemen Prefer Blondes (1953) and through proposals for new ways of approaching auteurism and pornography. (shrink)

In this commentary, we discuss Tom Cochrane’s theory of emotions. Cochrane offers an appealingly unified account of valent representations, ranging from simple responses to complex representations within a mechanistic framework. This offers some guidance as to how we might conceive of emotions as simple action-guiding responses in infants and animals, as well as context-sensitive evaluative states. While Cochrane argues for the centrality of bodily feelings, he does not consider his approach to be embodied in the narrower sense. We question his (...) reasons and suggest to think of emotions as embodied action-oriented representations. We, furthermore, suggest developing the approach with regard to the multiple roles that social norms play, and delve further into the nuanced relationship between bodily self-regulation and the formative influence of social norms on emotions. (shrink)

This is the text of The Lindley Lecture for 1999, given by Christine Korsgaard, an American philosopher.

Concussion is a form of traumatic brain injury that has been defined as a “trauma-induced alteration in mental status that may or may not involve loss of consciousness.” Terms such as getting a “ding” or getting your “bell rung” are sometimes used as colloquialisms for concussion, but inappropriately downplay the seriousness of the injury. It is estimated that between 1.6 and 3.8 million concussions occur annually in the United States as a result of participation in sports or recreational activities. To (...) date, there are no objective, biological markers for concussion; rather, the current diagnosis of concussion is dependent upon symptom reporting by the athlete. In the acute phase, concussions can result in a broad spectrum of symptoms that can be transient or last for days, weeks, or even months. Symptom prolongation is generally referred to as post-concussion syndrome. (shrink)

State concussion laws and sport-league policies are important tools for protecting public health, but also present implementation challenges. Both state laws and league policies often require athletes provide written acknowledgement of having received concussion-related information and/or of their responsibility to report concussion-related symptoms. This paper examines these requirements in two ways: an analysis of the variation in state laws and sport-league policies and a study of their effects in a cohort of collegiate football players.

Sound moves us. Nowhere is this more apparent than in our responses to genuine emotional vocalizations, be they heartfelt distress cries or raucous laughter. Here, we present perceptual ratings and a description of a freely available, large database of natural affective vocal sounds from human infants, adults and domestic animals, the Oxford Vocal (OxVoc) Sounds database. This database consists of 173 non-verbal sounds expressing a range of happy, sad, and neutral emotional states. Ratings are presented for the sounds on a (...) range of dimensions from a number of independent participant samples. Perceptions related to valence, including distress, vocalizer mood, and listener mood are presented in Study 1. Perceptions of the arousal of the sound, listener motivation to respond and valence (positive, negative) are presented in Study 2. Perceptions of the emotional content of the stimuli in both Study 1 and 2 were consistent with the predefined categories (e.g., laugh stimuli perceived as positive). While the adult vocalizations received more extreme valence ratings, rated motivation to respond to the sounds was highest for the infant sounds. The major advantages of this database are the inclusion of vocalizations from naturalistic situations, which represent genuine expressions of emotion, and the inclusion of vocalizations from animals and infants, providing comparison stimuli for use in cross-species and developmental studies. The associated website provides a detailed description of the physical properties of each sound stimulus along with cross-category descriptions. (shrink)

In this paper we shall introduce two types of contextual-hierarchical approaches to the strengthened liar problem. These approaches, which we call the ‘standard’ and the ‘alternative’ ch-reconstructions of the strengthened liar problem, differ in their philosophical view regarding the nature of truth and the relation between the truth predicates T r n and T r n+1 of different hierarchy-levels. The basic idea of the standard ch-reconstruction is that the T r n+1-schema should hold for all sentences of \. In contrast, (...) the alternative ch-reconstruction, for which we shall argue in section four, is motivated by the idea that T r n and T r n+1 are coherent in the sense that the same sentences of \ should be true according to T r n and T r n+1. We show that instances of the standard ch-reconstruction can be obtained by iterating Kripke’s strong Kleene jump operator. Furthermore, we will demonstrate how instances of the alternative ch-reconstruction can be obtained by a slight modification of the iterated axiom system KF and of the iterated strong Kleene jump operator. (shrink)

BackgroundThe spread of COVID-19 has disrupted the lifestyles of the world’s population. In the workplace, the pandemic has affected all sectors and has changed the way work is organized and carried out. The health sector has been severely impacted by the pandemic and has faced enormous challenges in maintaining healthcare services while providing care to those infected by the virus. At the heart of this battle, healthcare managers were key players in ensuring the orchestration of operations and the physical and (...) mental availability of employees during the crisis. Although few studies have been conducted to identify organizational practices or leadership skills to be adopted in a crisis context, the concrete behaviors of managers have not been documented yet. Therefore, this study aims at filling this gap by studying middle managers’ behaviors facing COVID-19 crisis in the healthcare sector.MethodsUsing a qualitative approach, eight focus groups were conducted online during the pandemic with 37 middle managers from the healthcare community of a Quebec health establishment from April to June 2020. Thematic analyses were conducted, and a mixed-methods approach was used to analyse the data based on Viitala’s hierarchical model of management skills.ResultsBased on the six managerial skills proposed in the model of Viitala, 21 specific management behaviors were identified as having been deployed by middle managers at the beginning of the pandemic. Considering that the health sector has been profoundly shaken by this health crisis, in addition to being an environment likely to experience other crises, managers need to develop practical skills in various crisis management situations. Thus, the results guide practitioners by highlighting the importance of team-oriented management behaviors, especially in a crisis context. (shrink)

"Élève-toi, mon éloquence, j'aperçois Platon qui s'élève au-dessus de l'homme! C'est sur sa bouche que les abeilles ont fait leur miel, que les rossignols ont chanté, que la déesse de la persuasion a élu son siège..." Le jésuite Nicolas Caussin témoigne ici pour nous de la mémoire du platonisme qui est celle du XVIIe siècle: un portrait de Platon en philosophe orateur s'y affirme, où la figure du Sage s'allie au prestige de l'écrivain pour consacrer comme modèle rhétorique celui que (...) Longin nomme l'Homère des philosophes. Après avoir chassé les poètes et fustigé les orateurs, le Platon des classiques redevient le théoricien du Phèdre, de l'Ion et des Lois, l'instigateur d'une philosophie éloquente et d'un lyrisme vertueux. Modèle de pensée et d'écriture pour une rhétorique du philosophique d'abord socratique, puis avec les intuitions d'un Claude Fleury, bientôt poétique, le divin philosophe nous invite alors à réfléchir sur le difficile croisement que l'humanisme classique tente d'opérer entre morale et éloquence relevée. Car ce retour d'un platonisme dans la philosophie de la rhétorique s'est effectué au sein de milieux humanistes mondains puis dévots, et a donné lieu à l'élaboration de formes extrêmement raffinées dans l'écriture de la morale. À travers la leçon de Platon, l'éloquence du Sage s'avère désormais séminale pour intégrer dans les belles-lettres une exigence de spirituel et leur accorder ainsi un nouveau prestige. C'est donc un tableau de la littérature morale à la manière de Platon qui, de La Fontaine à La Bruyère et au Fénelon du Télémaque, se trouve ici esquissé. (shrink)

Previous research suggests that implicit sequence learning is superior for believers in the paranormal and individuals with increased cerebral dopamine. Thirty-five healthy participants performed feedback-guided anticipations of four arrow directions. A 100-trial random sequence preceded two 100-trial biased sequences in which visual targets on trial t tended to be displaced 90° clockwise or counter-clockwise from those on t − 1. ISL was defined as a positive change during the course of the biased run in the difference between pro-bias and counter-bias (...) responses. It was hypothesized that this difference would be greater for believers in the paranormal than for skeptics, for those who received dopamine than for those who received placebo, and for believers who received dopamine than for the other groups. None of the hypotheses were supported by the data. It is suggested that a simple binary guessing task with a focus on prediction accuracy during early trials should be considered for future explorations. (shrink)

Si l’œuvre de Nietzsche présente une familiarité étonnante avec la pensée de Dostoïevski, le rapport du philosophe allemand au romancier russe est plus complexe qu’il n’y paraît. En effet, Nietzsche découvre par un heureux hasard, vers la fin de sa vie, les écrits de Dostoïevski. En quelques mois, il passe d’un enthousiasme absolu à l’aveu d’une déception à l’égard de celui qu’il considère comme un simple décadent chrétien. Comment interpréter ce retournement de Nietzsche vis-à-vis de Dostoïevski? Est-ce simplement un nouvel (...) exemple de la versatilité du philosophe allemand? Ou peut-on y déceler quelque chose de plus profond? Cet article tente de reconstituer la chronologie du rapport de Nietzsche à Dostoïevski et les indices permettant d’éclairer l’apport réel du romancier russe à la philosophie nietzschéenne. (shrink)

At a time when neoliberalism and financial austerity are together encouraging academic scientists to seek market alternatives to state funding, this essay investigates why, a century ago, their predecessors explicitly rejected private enterprise and the private ownership of ideas and inventions available to them through the patent system. The early twentieth century witnessed the success of a long campaign by British scientists to persuade the state to assume responsibility for the funding of basic research : their findings would enter the (...) intellectual commons; their rewards would be primarily reputational . The essay summarizes recent research in three separate fields of British technoscience—electricity, aviation, and agricultural botany—all of which were laying claim, at this time, to a heightened commercial or military importance that raised new questions about the ownership of scientific ideas. It suggests that each of the three established an idiosyncratic relationship with the patent system or with other forms of “intellectual property,” which would both influence their emergent disciplines and affect the extent to which commercial enterprise could remain a viable funding strategy. (shrink)

A unique authoritative analysis of the individual an social concerns informing the politics of contemporary psychoanalysis.

The issue at stake in this volume is the role of science as a way to fulfil a quest for knowledge, a tool in the exploration of foreign lands, a central paradigm in the discourse on and representations of Otherness. The interweaving of scientific and ideological discourses is not limited to the geopolitical frame of the British empire in the nineteenth and early twentieth centuries but extends to the rise of the American empire as well. The fields of research tackled (...) are human and social sciences (anthropology, ethnography, cartography, phrenology), which thrived during the period of imperial expansion, racial theories couched in pseudo-scientific discourse, natural sciences, as they are presented in specialised or popularised works, in the press, in travel narratives at the crossroads of science and literature in essays, but also in literary texts. Contributors examine such issues as the plurality of scientific discourses, their historicity, the alienating dangers of reduction, fragmentation and reification of the Other, the interaction between scientific discourse and literary discourse, the way certain texts use scientific discourse to serve their imperialist views or, conversely, deconstruct and question them. Such approaches allow for the analysis of the link between knowledge and power as well as of the paradox of a scientific discourse which claims to seek the truth while at the same time both masking and revealing the political and economic stakes of Anglo-saxon imperialism. The analysis of various types of discourse and/or representation highlights the tension between science and ideology, between scientific "objectivity" and propaganda, and stresses the limits of an imperialist epistemology which has sometimes been questioned in more ambiguous or subversive texts. (shrink)

This essay examines the reconfiguration of the racial and sexual contracts underpinning democratic theory and practice in the transition to independence in India. Drawing upon the work of Carole Pateman and Charles Mills, Keating argues that the racialized fraternal democratic order that they describe was importantly challenged by nationalist and feminist struggles against colonialism in India, but was reshaped into what she calls a postcolonial sexual contract by the framers of the Indian Constitution.

Die Beiträge aus den unterschiedlichsten Wissenschaftsdisziplinen zeigen, dass Ideologien von jeher Wahrheitsansprüche formulierten, die im Verlauf ihrer Wirkungsgeschichte entweder als Irrtümer buchstäblich "Lügen gestraft" wurden oder von zeitgenössischen ideologischen Gegenentwürfen als solche bezeichnet wurden.

Dans une société où l’enfant peut être pris dans la confusion identitaire comme support d’affirmation des adultes, qu’il s’agisse de la mère ou du père, un meilleur accompagnement de la prise de place de l’homme dans l’univers de la petite enfance constitue une garantie pour l’avenir. Le fait que le père prenne sa place aux côtés du tout-petit permettra au garçon devenu adulte de ne pas chercher éternellement la mère derrière la femme et à la petite fille de ne pas (...) chercher systématiquement le père derrière l’homme. Les éternels clivages issus de la domination entre les sexes pourront alors aussi commencer à se fissurer. (shrink)