This letter responds to the article “Love Your Patient as Yourself: On Reviving the Broken Heart of American Medical Ethics,” by Tyler Tate and Joseph Clair, in the March‐April 2023 issue of the Hastings Center Report.

Among ancient writers Aristotle offers the most profound analysis of the ancient Greek household and its relationship to the state. The household was not the family in the modern sense of the term, but a much more powerful entity with significant economic, political, social, and educational resources. The success of the polis in all its forms lay in the reliability of households to provide it with the kinds of citizens it needed to ensure its functioning. In turn, the state offered (...) the members of its households a unique opportunity for humans to flourish. This 2006 book explains how Aristotle thought household and state interacted within the polis. (shrink)

Isocrates' Antidosis ("Defense against the Exchange") and Aristotle's Protrepticus ("Exhortation to Philosophy") were recovered from oblivion in the late nineteenth century. In this article we demonstrate that the two texts happen to be directly related. Aristotle's Protrepticus was a response, on behalf of the Academy, to Isocrates' criticism of the Academy and its theoretical preoccupations. -/- Contents: I. Introduction: Protrepticus, text and context II. Authentication of the Protrepticus of Aristotle III. Isocrates and philosophy in Athens in the 4th century IV. (...) The Protrepticus of Aristotle as a response to the Antidosis of Isocrates V. Conclusion: dueling conceptions of philosophy, still dueling. (shrink)

The author responds to a letter by D. Brendan Johnson in the July‐August 2023 issue of the Hastings Center Report concerning his and Joseph Clair's article “Love Your Patient as Yourself: On Reviving the Broken Heart of American Medical Ethics.”.

Research suggests that the reaching hand automatically deviates toward a target that changes location during the reach. In the current study, we investigated whether movement intention can influence the target jump’s impact on the hand. We compared the degree of trajectory deviation to a jumped target under three instruction conditions: GO, in which participants were told to go to the target if it jumped, STOP, in which participants were told to immediately stop their movement if the target jumped, and IGNORE, (...) in which participants were told to ignore the target if it jumped and to continue to its initial location. We observed a reduced response to the jump in the IGNORE condition relative to the other conditions, suggesting that the response to the jump is contingent on the jump being a task-relevant event. (shrink)

Though we see the potential for benefits from the development of process-oriented approaches, we argue that it falls prey to many of the same critiques raised about the existing construct level of analysis. The construct-level approach will likely dominate motivation research until we develop computational models that are not only accurate, but also broadly usable.

This is the latest draft of our translation of our reconstruction of Aristotle's lost work, the Protrepticus (Exhortation to Philosophy). The front matter indicates how to cite the work and the translation. We are currently in the process of preparing a critical Greek edition and commentary.

D. Barton Johnson traces the parallel lives and literary origins of two Russo-American writers: Ayn Rand and Vladimir Nabokov. Born in Saint Peterburg six years apart, they overlapped on the New York Times bestsellers list in the late fifties. While Nabokov's Russian cultural roots have been much explored, Rand's were little realized prior to Chris Matthew Sciabarra's investigation of her Russian philosophical context. Nabokov and Rand represent polar examples of their cultural heritage: for Nabokov, the aesthetically-oriented tradition of the (...) modernist Russian Symbolists; for Rand, the social-utilitarian tradition of Nikolai Chernyshevsky, and later, Maxim Gorky, founder of Socialist Realism. (shrink)

Latinos comprise the largest minority group in the U.S. and 63 percent are foreign-born. An educational gap exists between Latinos in the U.S. and other groups in the U.S. Lower educational attainment has ramifications for labor market and other socioeconomic outcomes. Factors involving family context have best explained the educational gap, along with English proficiency and migration history. This study, using the Census long-form data, explores the role of socio-economic background, ethnicity, and migration history on educational outcomes of Latinos in (...) the Midwest, an area that is experiencing recent growth in its Latino population. Results indicate that these factors do impinge negatively on academic achievement of Latino and Non-Hispanic black youth. In order to be more effective in alleviating the achievement gap, multicultural education must not only incorporate culture and inclusion, but also a true understanding of the factors and circumstances that impact youth achievement and how these impact achievement. (shrink)

Research involving recently deceased humans that are physiologically maintained following declaration of death by neurologic criteria—or ‘research involving the recently deceased’—can fill a translational research gap while reducing harm to animals and living human subjects. It also creates new challenges for honouring the donor’s legacy, respecting the rights of donor loved ones, resource allocation and public health. As this research model gains traction, new empirical ethics questions must be answered to preserve public trust in all forms of tissue donation and (...) in the practice of medicine while respecting the legacy of the deceased and the rights of donor loved ones. This article suggests several topics for immediate investigation to understand the attitudes and experiences of researchers, clinical collaborators, donor loved ones and the public to ensure research involving the recently deceased advances ethically. (shrink)

It is a familiar fact that dreams are hard to recall. Because of this, memory alone is not a reliable indication of what they are like. Consider the following examples. Some people claim that they never dream. The truth is, psychologists assure us, that they do not remember having dreamt. Researchers say that they can tell when someone is dreaming, by his rapid eye movements and a certain pattern of brain waves recorded on an electroencephalograph . When a sleeper's eyes (...) move rapidly, and he registers the appropriate pattern of brain-waves on the EEG, and then he is awakened, he almost always reports a dream. By this test, no one has yet been discovered who does not dream at all. In fact, psychologists have established that the average person has four to six periods of dreaming each night. Some people say that they always dream in black and white, never in colour. Again, however, they have apparently forgotten the colours that occur in dreams, as is shown by the fact that most often, if we wake a sleeper in the middle of a dream, when it is still fresh in his mind, he then can report colours. Another claim that some people make is that dreams never last more than a few seconds. This also seems to be a case of forgetting dreams, since periods of REM, together with EEG readings, indicate that dreams take longer than this; in fact they may last as long as thirty-five minutes. Finally, it is a piece of folk wisdom that eating rich foods just before sleep causes nightmares. According to scientists, however, all that eating such foods can do is to cause a person enough bodily discomfort to wake him often during the night. This leads him to remember more of his dreams—and therefore more of their vividness and strangeness—than he usually does. (shrink)

Cooperation towards public goods relies on credible threats of punishment to deter cheats. However, punishing is costly, so it remains unclear who incurred the costs of enforcement in our evolutionary past. Theoretical work suggests that human cooperation may be promoted if people believe in supernatural punishment for moral transgressions. This theory is supported by new work in cognitive psychology and by anecdotal ethnographic evidence, but formal quantitative tests remain to be done. Using data from 186 societies around the globe, I (...) test whether the likelihood of supernatural punishment—indexed by the importance of moralizing “high gods”—is associated with cooperation. (shrink)

Focusing on the faculty of intuition, my essay considers different ways that Aby Warburg and Erwin Panofsky interpret the late Renaissance cosmographer, Giordano Bruno. It argues that Warburg, in the last year of his life and with the help of Ernst Cassirer, appropriates the concept of synderesis from Bruno not only to rethink the Nachleben der Antike but also to inscribe himself in the history of word and image, a history that admits the irrational and the mystical as much as (...) the rational. By contrast, Panofsky's Bruno is ultimately a more dialectical, prudential figure. Over the course of several decades, Bruno for Panofsky becomes symbolic of the possibility of "synthesis," the aim of his iconological method. This, however, diminishes the dynamism of Bruno's imagery, even as it gives intuition a more systematic role. (shrink)

Recurrent complex visual hallucinations (RCVH) represent a form of psychosis. It may be useful to compare RCVH to another form of psychosis, catatonia. Both include a long list of medical illnesses and have been examined using several different hypotheses. Catatonia has a variety of hypotheses, including neurocircuitry, neurochemistry, and an integrated neuropsychiatric hypothesis. This hypothesis for catatonia supports Collerton et al.'s Perception and Attention Deficit model (PAD) for RCVH.

Authenticates approximately 500 lines of Aristotle's lost work the Protrepticus (Exhortation to Philosophy) contained in the circa third century AD work by Iamblichus of Chalcis entitled Protrepticus epi philosophian. Includes a complete English translation of the authenticated material.

Research suggests that perceptual experience of our movements adapts together with movement control when we are the agents of our actions. Is this agency critical for perceptual and motor adaptation? We had participants view cursor feedback during elbow extension–flexion movements when they actively moved their arm, or had their arm passively moved. We probed adaptation of movement perception by having participants report the reversal point of their unseen movement. We probed adaptation of movement control by having them aim to a (...) target. Perception and control of active movement were influenced by both types of exposure, although adaptation was stronger following active exposure. Furthermore, both types of exposure led to a change in the perception of passive movements. Our findings support the notion that perception and control adapt together, and they suggest that some adaptation is due to recalibrated proprioception that arises independently of active engagement with the environment. (shrink)

In How States Think, John Mearsheimer and Sebastian Rosato argue that the two dominant approaches to decision-making in international politics—rational choice theory and political psychology—are fundamentally flawed. Instead, they propose a model of rationality in which individuals use “credible theories” of how the world works to guide their assessments, and elites deliberate over these theories to determine foreign policy. I suggest that existing theory is too hastily rejected, and that these apparently opposing models can be reconciled by taking an evolutionary (...) perspective—the process by which humans and human brains were built and therefore a critical, yet missing, part of the puzzle. An evolutionary perspective suggests: (1) rational choice is not always the most effective or efficient solution to decision-making problems; (2) cognitive biases are not mistakes, but adaptive “strategic instincts,” which evolved because they helped us make good decisions, not bad ones; (3) these “non-rational” dispositions follow a systematic pattern, allowing predictions about how people are likely to react under given conditions; (4) a theory for the origins of preferences; (5) an explanation for why humans can sometimes seem rational and sometimes non-rational (because adaptive behavior depends on context); and finally (6) error management theory suggests that cognitive biases evolved precisely because of uncertainty, as a way of minimizing costs over time. Human decision-making and behavior does not match the definition of either “rationality” or “non-rationality,” and is much better described as “adaptive rationality,” honed over the millennia to compete strategically for survival and reproduction under conditions of uncertainty. (shrink)

Electronic communication and commerce facilitate the collection of information about individual use of the Internet. Focusing on the case of Comet Systems Inc. and its data gathering practices, this paper explores the technical details of gathering personal information in databases in general and the special character of the privacy issue raised by 'anonymous' information about individual behavior on the Internet. The case analysis suggests new insights for our understanding of privacy and frames a discussion of policy alternatives with respect to (...) the privacy of Internet communication. (shrink)

Attention Restoration Theory proposes that exposure to natural environments helps to restore attention. For sustained attention—the ongoing application of focus to a task, the effect appears to be modest, and the underlying mechanisms of attention restoration remain unclear. Exposure to nature may improve attention performance through many means: modulation of alertness and one’s connection to nature were investigated here, in two separate studies. In both studies, participants performed the Sustained Attention to Response Task before and immediately after viewing a meadow, (...) ocean, or urban image for 40 s, and then completed the Perceived Restorativeness Scale. In Study 1, an eye-tracker recorded the participants’ tonic pupil diameter during the SARTs, providing a measure of alertness. In Study 2, the effects of connectedness to nature on SART performance and perceived restoration were studied. In both studies, the image viewed was not associated with participants’ sustained attention performance; both nature images were perceived as equally restorative, and more restorative than the urban image. The image viewed was not associated with changes in alertness. Connectedness to nature was not associated with sustained attention performance, but it did moderate the relation between viewing the natural images and perceived restorativeness; participants reporting a higher connection to nature also reported feeling more restored after viewing the nature, but not the urban, images. Dissociation was found between the physiological and behavioral measures and the perceived restorativeness of the images. The results suggest that restoration associated with nature exposure is not associated with modulation of alertness but is associated with connectedness with nature. (shrink)

The effectiveness of case-based learning in ethics education varies widely regarding how cases are presented. Case process instruction may impact case-based ethics education to promote sensemaking processes, ethical sensemaking strategy use, and ethical decision making (EDM) quality. This study examined two teaching techniques, notes and review, and participants completed note-taking and review activities examining a case-based scenario during an ethics education course. Results suggest that providing case notes in outline form improves sensemaking processes, strategy use, and EDM quality. In addition, (...) combining processes of provided notes and passive review results in incremental, additive performance via certain ethical sensemaking strategies and EDM quality. (shrink)

Context: Few professional philosophers have addressed in any detail radical constructivism, but have focused instead on the related assumptions and limitations of postmodern epistemology, various anti-realisms, and subjective relativism. Problem: In an attempt to supply a philosophical answer to the guest editors’ question, “Why isn’t everyone a radical constructivist?” I address the realist (hence non-radical) implications of the theory’s invocation of “others” as an invariable, observer-independent, “external” constraint. Results: I argue that constructivists cannot consistently defend a radically subjectivist theory of (...) knowing while remaining entirely agnostic about the nature and existence of the larger world (including independent others). That is, any non-solipsistic account of human experience must explicitly acknowledge its extra-subjective, ontological dimension. Implications: It follows that no pedagogical, social, philosophical, or commonsensical insight associated with so-called “trivial” or “social” constructivism survives or receives any support from the move to radical constructivism. (shrink)

Humans have long been characterized as poor probabilistic reasoners when presented with explicit numerical information. Bayesian word problems provide a well-known example of this, where even highly educated and cognitively skilled individuals fail to adhere to mathematical norms. It is widely agreed that natural frequencies can facilitate Bayesian reasoning relative to normalized formats (e.g. probabilities, percentages), both by clarifying logical set-subset relations and by simplifying numerical calculations. Nevertheless, between-study performance on “transparent” Bayesian problems varies widely, and generally remains rather unimpressive. (...) We suggest there has been an over-focus on this representational facilitator (i.e. transparent problem structures) at the expense of the specific logical and numerical processing requirements and the corresponding individual abilities and skills necessary for providing Bayesian-like output given specific verbal and numerical input. We further suggest that understanding this task-individual pair could benefit from considerations from the literature on mathematical cognition, which emphasizes text comprehension and problem solving, along with contributions of online executive working memory, metacognitive regulation, and relevant stored knowledge and skills. We conclude by offering avenues for future research aimed at identifying the stages in problem solving at which correct versus incorrect reasoners depart, and how individual difference might influence this time point. (shrink)

Advancements in early diagnosis and novel treatments for children with complex and chronic needs have improved their chances of survival. But many survive with complex medical needs and ongoing medical management in the setting of prognostic uncertainty. Their medical care relies more and more on preference-sensitive decisions, requiring medical team and family engagement in ethically challenging situations. Many families are unprepared as they face these ethical challenges and struggle to access relevant ethical resources. In this paper, Timmy’s narrative, situated in (...) the context of what is known about ethical challenges in the care of children with chronic critical illness (CCI), serves as a case study of the gap in available ethical resources to guide families in their approach to difficult decision making for children with significant medical complexity and CCI. Our author group, inclusive of parents of children with complex medical needs and medical professionals, identifies domains of ethical challenges facing families of children with CCI and we highlight the development of family/caregiver-oriented ethics resources as an essential expansion of pediatric bioethics. (shrink)

ObjectivesThe present study explores the effect of visual art training on people with dementia, utilizing a randomized control trial design, in order to investigate the effects of an 8-week visual art training program on cognition. In particular, the study examines overall cognition, delayed recall, and working memory, which show deficits in people with dementia.MethodFifty-three individuals with dementia were randomly assigned into either an art training or usual-activity waitlist control group. Overall cognition and delayed recall were assessed with the Montreal Cognitive (...) Assessment, and working memory was assessed with the Backward Digit Span task.ResultsThere were no group differences in overall cognition, or working memory, while a difference in delayed recall was undetermined, based on post-test—pre-test difference scores. Groups were comparable at baseline on all measures.ConclusionThe measures of cognition, delayed recall, and working memory used in this study were not affected by an 8-week visual art training program.Clinical Trial Registrationwww.ClinicalTrials.gov, identifier NCT03175822. (shrink)