The primary objective was to review pediatric ethics consultations at a large academic health center over a nine year period, assessing demographics, ethical issues, and consultant intervention. The secondary objective was to describe the evolution of PECs at our institution. This was a retrospective review of Consultation Summary Sheets compiled for PECs at our Academic Health Center between January 2008 and April 2017. There were 165 PECs reviewed during the study period. Most consult requests came from the inpatient setting, (...) with the Pediatric and Neonatal Intensive Care Units being the highest utilizers. Consultation utilization increased over the study period. The most common patient age was less than one year. Physicians were most likely to request consultation. Patient Best Interest, Withholding/Withdrawing of Life Sustaining Therapy, and Provider Moral Distress were ethical issues most commonly identified by the consultants. Making recommendations was the most common consultant intervention. The ethics consultation process evolved over time from informal provider discussions, to a hospital infant care review committee, to a pediatric only consultation service, to a combined adult/pediatric consultation service, with variable levels of salary support for consultants. Ethics consultation requests are growing at our institution. Similarities in identified ethical issues exist between our findings and existing literature, however meaningful comparisons remains elusive secondary to variability in approaches to investigation and reporting. A combined paid/volunteer/trainee ethics consultation service model appears sustainable and real time ethics consultation is feasible using this approach. (shrink)

This paper presents hitherto unpublished writings of Kurt Gödel concerning logical, epistemological, theological, and physical antinomies, which he generally considered as “the most interesting facts in modern logic,” and which he used as a basis for his famous metamathematical results. After investigating different perspectives on the notion of the logical structure of the antinomies and presenting two “antinomies of the intensional,” a new kind of paradox closely related to Gödel’s ontological proof for the existence of God is introduced and (...) completed by a compilation of further theological antinomies. Finally, after a presentation of unpublished general philosophical remarks concerning the antinomies, Gödel’s type-theoretic variant of Leibniz’Monadology, discovered in his notes on the foundations of quantum mechanics, is examined. Most of the material presented here has been transcribed from the Gabelsberger shorthand system for the first time. (shrink)

Over a period of 22 years (1934-1955), the mathematician Kurt Gödel wrote down a series of philosophical reflections, the so-called Philosophical Remarks (Max Phil). They have been handed down in 15 notebooks written in Gabelsberg shorthand. The first notebook contains general philosophical reflections. Notebooks two and three consist of Gödel's individual ethics. The notebooks that follow clearly show that Gödel had designed a philosophy of science in which he placed his discussions of physics, psychology, biology, mathematics, language, theology, and (...) history within the context of a particular metaphysics. For the first time, the Kurt Gödel Research Center of the Berlin-Brandenburg Academy of Sciences is preparing a complete, historical-critical edition of Gödel's philosophical notebooks. A volume will published each year as a part of this edition. Volume 1, which Gödel entitled "Philosophy I Max 0," covers Gödel´s own philosophical reflections as well as those of other authors that were important to him. These were placed by Gödel at the beginning of his overall philosophical project. The introduction of the editor Eva-Maria Engelen provides an overview of this particular body of work. (shrink)

Many meta-ethicists have thought that rationality requires us to heed apparent normative reasons, not objective normative reasons. But what are apparent reasons? There are two kinds of standard answers. On de dicto views, R is an apparent reason for S to \ when it appears to S that R is an objective reason to \ . On de re views, R is an apparent reason for S to \ when R’s truth would constitute an objective reason for S to \ (...) , and it appears to S that R. De re views are currently more popular because they avoid overintellectualizing rationality. But they face problems owing to the way in which they do so. Some assume that we can escape these problems by requiring more information to be apparent or by appealing to defeat. But these strategies fail. So, I defend a new view: apparent reasons are apparent facts that agents are competently attracted to treat like objective reasons, where competence is indirectly defined in terms of objective reasons and a competence/performance distinction is honored. Since one can treat X like an F without having the concept of an F, the view does not overintellectualize rationality. But it is also strong enough to dodge the pitfalls of de re views. (shrink)

In spite of his status as a highly original thinker whose views were, in many ways, ahead of his time and anticipate those of more famous successors, the work of Johann Gottfried von Herder has not received the attention it deserves in mainstream philosophical discourse. In Herder's Hermeneutics, Kristin Gjesdal successfully addresses this deficit by exploring the enlightenment origins of the hermeneutic tradition through a careful and compelling reconstruction of Herder's theory of interpretation. Breaking with the widespread view of Herder (...) as a contra-Enlightenment thinker, Gjesdal conceives of Herder's hermeneutics as contributing to the enlightenment of the Enlightenment project through an immanent critique of... (shrink)

This paper examines how people assess inequality of income distribution and how inequality could be measured. We start from the philosophical analysis of Temkin, who distinguishes nine plausible aspects of inequality. His approach is based on the concept of ‘complaints’ or distances between incomes. We examine the Temkin approach by means of the questionnaire-experimental method pioneered by Amiel and Cowell to find out whether the aspects of equality have any plausibility for student respondents and, if so, whether there are aspects (...) which are more appealing than others. Both the numerical and verbal responses show that a considerable majority of the respondents might be influenced by the intuitions included in the combination of the Weighted Additive Principle and the Average view of complaints. The questionnaire results also shed some empirical light on the acceptance of the Transfer Principle and the attitudes towards the Sequence. Footnotes I would like to thank Erik Schokkaert, Frank Cowell, and Liema Davidovitz for various suggestions which have led to improvements in this paper. I am very grateful for helpful comments from seminar participants and an anonymous referee. I remain responsible for any remaining error. This paper was written while the author enjoyed the hospitality of Sticerd, LSE, London and he acknowledges the financial support provided by the Training and Mobility of Researchers Program of the European Communities, grant #ERBFMRXCT980248. (shrink)

Expressed emotion is a measure of the family environment that has been demonstrated to be a reliable, cross-culturally valid psychosocial predictor of relapse in patients with schizophrenia, mood disorders, and other — also somatic — illnesses. Assessed during the Camberwell Family Interview CFI, relatives are classified as being high in EE if they make more than a specified threshold number of critical comments or show any signs of hostility or marked emotional overinvolvement. In schizophrenia, the median relapse rate for patients (...) returning after hospital discharge to a high EE environment is 48%, compared with 21% in a low EE-environment. In this article, the history of EE research will be outlined, and the evidence for the association between family EE and the course of schizophrenia and mood disorders will be presented. Conclusions about the treatment of major mental disorders are discussed as well as the directions of future studies. (shrink)

Kurt Gödel (1906-1978) did groundbreaking work that transformed logic and other important aspects of our understanding of mathematics, especially his proof of the incompleteness of formalized arithmetic. This book on different aspects of his work and on subjects in which his ideas have contemporary resonance includes papers from a May 2006 symposium celebrating Gödel's centennial as well as papers from a 2004 symposium. Proof theory, set theory, philosophy of mathematics, and the editing of Gödel's writings are among the topics (...) covered. Several chapters discuss his intellectual development and his relation to predecessors and contemporaries such as Hilbert, Carnap, and Herbrand. Others consider his views on justification in set theory in light of more recent work and contemporary echoes of his incompleteness theorems and the concept of constructible set"--Provided by publisher. (shrink)

Over a period of 22 years (1934-1955), the mathematician Kurt Gödel wrote down a series of philosophical reflections, the so-called Philosophical Remarks (Max Phil). They have been handed down in 15 notebooks written in Gabelsberg shorthand. The first notebook contains general philosophical reflections. Notebooks two and three consist of Gödel's individual ethics. The notebooks that follow clearly show that Gödel had designed a philosophy of science in which he placed his discussions of physics, psychology, biology, mathematics, language, theology, and (...) history within the context of a particular metaphysics. For the first time, the Kurt Gödel Research Center of the Berlin-Brandenburg Academy of Sciences is preparing a complete, historical-critical edition of Gödel's philosophical notebooks. A volume will published each year as a part of this edition. Volume 1, which Gödel entitled "Philosophy I Max 0," covers Gödel´s own philosophical reflections as well as those of other authors that were important to him. These were placed by Gödel at the beginning of his overall philosophical project. The introduction of the editor Eva-Maria Engelen provides an overview of this particular body of work. (shrink)

Index to the Dhammasangani. Compiled by Tetsuya Tabata, Satoshi Nonome and Shoko Bando. Pali Text Society, London 1987. vii, 128 pp. £8.75.

Indexes to the Dhammapada. Compiled by Moriichi Yamazaki, Yumi Ousaka and Masahiro Miyao. Pali Text Society, Oxford 1995. vii, 139 pp. £12. ISBN 0-86013-337-0.

Descartes' Meditations on First Philosophy is often a starting point for students of philosophy. It forms the basis for much of Continental thought, metaphysics, and philosophy of religion. Descartes’ text invites readers on a philosophical journey and this brief overview by Kurt Brandhorst is designed to prepare and accompany them. Brandhorst guides first-time readers through Descartes' language and offers pathways to a clear understanding of his method, ideas, and conclusions, while at the same time stimulating serious meditation on this (...) deeply influential philosophical text. (shrink)

Diverse lines of evidence point to a basic human aversion to physically harming others. First, we demonstrate that unwillingness to endorse harm in a moral dilemma is predicted by individual differences in aversive reactivity, as indexed by peripheral vasoconstriction. Next, we tested the specific factors that elicit the aversive response to harm. Participants performed actions such as discharging a fake gun into the face of the experimenter, fully informed that the actions were pretend and harmless. These simulated harmful actions increased (...) peripheral vasoconstriction significantly more than did witnessing pretend harmful actions or to performing metabolically-matched non-harmful actions. This suggests that the aversion to harmful actions extends beyond empathic concern for victim harm. Together, these studies demonstrate a link between the body and moral decision making processes. (shrink)

In spite of his status as a highly original thinker whose views were, in many ways, ahead of his time and anticipate those of more famous successors, the work of Johann Gottfried von Herder has not received the attention it deserves in mainstream philosophical discourse. In Herder's Hermeneutics, Kristin Gjesdal successfully addresses this deficit by exploring the enlightenment origins of the hermeneutic tradition through a careful and compelling reconstruction of Herder's theory of interpretation. Breaking with the widespread view of Herder (...) as a contra-Enlightenment thinker, Gjesdal conceives of Herder's hermeneutics as contributing to the enlightenment of the Enlightenment project through an immanent critique of... (shrink)

It is widely recognised that mainstream economics has failed to translate micro consistently into macro economics and to provide endogenous explanations for the continual changes in the economic system. Since the early 1980s, a growing number of economists have been trying to provide answers to these two key questions by applying an evolutionary approach. This new departure has yielded a rich literature with enormous variety, but the unifying principles connecting the various ideas and views presented are, as yet, not apparent. (...) This 2005 volume brings together fifteen original articles from scholars - each of whom has made a significant contribution to the field - in their common effort to reconstruct economics as an evolutionary science. Using meso economics as an analytical entity to bridge micro and macro economics as well as static and dynamic realms, a unified economic theory emerges. (shrink)

'The Rational and the Moral Order' is a significant book providing a comprehensive theory of morality. The opening chapter is simply marvellous. Baier provides a cogent response to Hume's conundrums on practical reasoning: logical entailment, he argues, is not the correct model of the relation between reasons and that for which they are reasons. Indeed, the giving of reasons is, in part, a social enterprise, and there is no necessary connection between rationality and self-interest. Just as the giving of reasons (...) is a social enterprise taught to succeeding generations, so too is the moral enterprise, for a moral order is a social order of some sort. It is a social order that encourages a critical stance toward, and permits the correction of, its mores. Moral precepts can be sound or unsound, and yet can be relative to a moral order. In the concluding chapter Baier shows how his theoretical framework can be used to confront some of the moral problems people face, problems which have also exercised contemporary philosophers. Though there are many philosophers who believe that killing is worse than letting anyone die, there are few that defend the view other than by raw intuition. Baier deploys the resources of his theory of morality in support of this widely shared but poorly defended viewpoints. "Along the way, Baier deals with virtually all the problems that have taxed moral philosophers for a very long time -- rationality, responsibility, morality's relation to law, the good life, prisoner's dilemma, moral motivation, and others. The Rational and the Moral Order is careful, insightful, and convincing." --Theodore M. Benditt, University of Alabama. (shrink)

Foreword by Oliver Sacks Kurt Goldstein (1878-1965) was already an established neuropsychologist when he emigrated from Germany to the United States in the 1930s. This book, his magnum opus and widely regarded as a modern classic in psychology and biology, grew out of his dissatisfaction with traditional natural science techniques for analyzing living beings. It offers a broad introduction to the sources and ranges of application of the "holistic" or "organismic" research program that has since become a standard part (...) of biological thought. Goldstein was especially concerned with the breakdown of organization and the failure of central controls that take place in catastrophic responses to situations such as physical or mental illness. But he was equally attuned to the amazing powers of the organism to readjust to such catastrophic losses, if only by withdrawal to a more limited range that it could manage by a redistribution of its reduced energies, thus reclaiming as much wholeness as new circumstances allowed. Goldstein's theses in The Organism have had an important impact on philosophical and psychological thought throughout the twentieth century, as evidenced in the work of Maurice Merleau-Ponty, Georges Canguilhem, Ernst Cassirer, and Ludwig Binswanger. (shrink)

Leaders, particularly new leaders, seek to establish high levels of trust, as it has been associated with higher levels of effectiveness and group outcomes. This study is designed to understand how trust changes and develops for leaders in a new role and the implications of that change. Although calls for research on trust over time have been made for the past 2 decades, our knowledge of this phenomenon is still quite limited. The findings indicate that leader and unit performance is (...) a function not only of absolute trust level, but is also affected by the direction and magnitude of change in trust across time periods, with the highest levels of effectiveness being associated with leaders who exhibited an increase in trust from the group over time. The data also suggest that the direction and rate at which trust grew was determined by initial expectations and transformational leadership behaviors. (shrink)

This research examines the relationships between education in business ethics, Reynolds’s (J Appl Psychol 93:1027–1041, 2008) “moral attentiveness” construct, or the extent to which individuals chronically perceive and reflect on morality and moral elements in their experiences, and Singhapakdi et al.’s (J Bus Ethics 15:1131–1140, 1996) measure of perceptions of the role of ethics and social responsibility (PRESOR). Education in business ethics was found to be positively associated with the two identified factors of moral attentiveness, “reflective” and “perceptual” moral attentiveness, (...) and with the PRESOR “stakeholder view” factor. Also, reflective moral attentiveness was found to act as a mediator in the relationship between education in business ethics and the PRESOR stakeholder view factor. Evidence of gender and social desirability bias effects was also found. The implications of these relationships and social cognitive theory for improved understanding of the mechanisms by which a variety of variables have their effects on PRESOR in business are discussed. (shrink)

We consider Choiceless Polynomial Time , a language introduced by Blass, Gurevich and Shelah, and show that it can express a query originally constructed by Cai, Fürer and Immerman to separate fixed-point logic with counting from image. This settles a question posed by Blass et al. The program we present uses sets of unbounded finite rank: we demonstrate that this is necessary by showing that the query cannot be computed by any program that has a constant bound on the rank (...) of sets used, even in image, an extension of image with counting. (shrink)

The global array may be a useful concept in studying behavior in a complex environment, especially in the context of dynamical systems theory. However, Stoffregen & Bardy's arguments are weakened by the conflation of sensation and perception, and by the lack of evidence for synergy between stimulus energy arrays; strong evidence places the convergence of sensory stimuli inside the head.

Buddhist Scriptures: A Bibliography. Compiled by Edward Conze, edited and revised by Lewis Lancaster. Garland Publishing, Inc., New York 1982. xvi + 161pp. $25.00.

Review Essay on: Simeon Wade, Foucault in California [A True Story – Wherein the Great French Philosopher Drops Acid in the Valley of Death], foreword by Heather Dundas.. 144 pp, ISBN 9781597144636.

It is often assumed that believing that p for a normative reason consists in nothing more than (i) believing that p for a reason and (ii) that reason’s corresponding to a normative reason to believe that p, where (i) and (ii) are independent factors. This is the Composite View. In this paper, we argue against the Composite View on extensional and theoretical grounds. We advocate an alternative that we call the Prime View. On this view, believing for a normative reason (...) is a distinctive achievement that isn’t exhausted by the mere conjunction of (i) and (ii). Its being an achievement entails that (i) and (ii) are not independent when one believes for a normative reason: minimally, (i) must hold because (ii) holds. Apart from its intrinsic interest, our discussion has important upshots for central issues in epistemology, including the analysis of doxastic justification, the epistemology of perception, and the place of competence in epistemology. (shrink)

Volume 2 contains both notebooks of "Time Management (Max) I and II" and thereby Gödel’s applied individual ethics, which he received among others through his teacher Heinrich Gomperz. Gödel thus incorporates the ethical ideal of self-perfection into his opus. The volume is prefaced by an introduction to relevant considerations from the ethics of the Stoics as well as ancient dietetics, which provide the philosophical background to understand Gödel’s approach. In addition, editor Eva-Maria Engelen presents how this fits into the context (...) of Gödel’s Philosophical Notebooks. (shrink)

This paper argues that the historical conception of knowing as a presentational factive mental state (‘presentationalism’) is not best understood as an alternative to belief-based and knowledge-first epistemology, but rather as an account of epistemic architecture that is compatible with these paradigms. To defend this claim, the paper focuses on a challenge to presentationalism raised by inferential knowledge and argues that the problem can be solved only if presentationalism is understood as I suggest. The paper is structured as follows. §1 (...) explains presentationalism and its recent revival. §2 considers a flat-footed argument that presentationalism cannot get any cases of inferential knowledge right. §3 suggests that this problem can and should be solved by drawing a distinction between two kinds of epistemic priority, and by holding that inferential knowledge can be immediate in an epistemologically significant sense. But §4 argues that this only goes so far, since not all inferential knowledge is alike. This further problem can also be solved, but only if presentationalism is reframed as a proposal about epistemic architecture that does not compete with belief-based and knowledge-first accounts, §5 concludes. (shrink)

When is it morally permissible for performers to portray characters from marginalized groups of which they are not a member? Although this question is philosophically underexplored, it has been commanding increasing attention in the public sphere, especially with respect to straight performers portraying queer characters. While the demand for increasing self-representation from marginalized communities is laudable, we argue that demanding performers to disclose their social identity is, in general, morally counterproductive. We make our case by focusing on recent instances where (...) fans demanded that a performer disclose their sexual orientation, putting vulnerable performers in a harmful trilemma. In short, it will force many to either out themselves against their will, subject themselves to intense public backlash by taking the role without outing themselves, or forgo taking a role they want and at which they would excel. Instead, we propose that performers have a general (epistemic) obligation to learn about what their characters’ corresponding real-world experiences would plausibly be like, representing what they learned in their performances. We will argue that meeting this obligation typically entails learning about the values, broadly construed, of the community in question. If we are right, there is not even a general obligation that performers only take roles that correspond to their own social identity. Just as importantly, there is a strong moral reason not to demand that performers disclose aspects of their social identity in order to take on a role. (shrink)

Internalism holds that epistemic justification is determined by what is internal to the mind, not by facts about the mind-independent world. This paper introduces and defends a new kind of internalism that is rooted in rationalist ideas that have been neglected in recent epistemology, despite inspiring internalist projects in cognitive science. Ignoring rationalist insights has, I argue, damaged the prospects for internalism, by needlessly saddling internalists with empiricist burdens. Internalists can refuse these burdens by accepting a better philosophy of mind. (...) Rather than looking to 17th century rationalists, I look to Kant, and especially his idea that normativity is grounded in the constitution of agency and mind. A Kantian approach can avoid stock objections to internalism, I argue, and can also capture all the alleged benefits of externalism. The paper is structured as follows. In §2, I get back to basics and consider more ways to satisfy the core internalist template than have become standard. I draw attention to rationalist insights about how normativity could be grounded in the constitution of mind, and hypothesize that if internalism respects these insights, some problems disappear. I develop this hypothesis in §3 with a Kantian view. I further defend this view in §4. I conclude in §5 by explaining why Kantian internalism answers the latest challenges to internalism. (shrink)