This volume moves beyond ethics as problem-solving or ethics as etiquette to offer a look at ethics in primary care—as opposed to life-or-death—medical care. Professional Ethics and Primary Care Medicine deals with the ethics of routine, day-to-day encounters between doctors and patients. It probes beneath the hard decisions to look at the moral frameworks, habits of thought, and customs of practice that underlie choices. Harmon Smith and Larry Churchill argue that primary care, far from being merely a setting for the (...) rendering of care, provides a new understanding of both physician and patient, and thereby offers a fresh basis for medical ethics. (shrink)

ABSTRACTGiven its intimate relationship with the human body and its environment, biotechnology innovation, and more particularly stem cell research innovations as a part thereof, implicate diverse social and moral/ethical issues. This paper explores some of the most important and controversial moral concerns raised by human embryonic stem cell research , focusing on concerns relating to the wellbeing of the embryo and the wellbeing of society . It then considers how and whether these concerns are dealt with in regulatory instruments in (...) Argentina, a southern developing country, examining in particular whether the values underlying these concerns have been translated into practical and effective rules reflective of the primary moral positions advanced. It concludes that Argentina's current state of stem cell research governance fails to consistently reflect the moral positions that have formed and is inadequate given Argentina's activity in this field. (shrink)

Evolutionary psychology is a science in the making, working toward the goal of showing how psychological adaptation underlies much human behavior. The knee-jerk reaction that sociobiology is unscientific because it tells just-so stories has become a common charge against evolutionary psychology as well. My main positive thesis is that inference to the best explanation is a proper method for evolutionary analyses, and it supplies a new perspective on the issues raised in Schlinger's (1996) just-so story critique. My main negative thesis (...) is that, like many nonevolutionist critics, Schlinger's objections arise from misunderstandings of the evolutionary approach.Evolutionary psychology has progressed beyond telling just-so stories. It has found a host of ingenious special techniques to test hypotheses about the adaptive significance and proximate mechanisms of behavior. Naturalistic data using the comparative method combined with controlled tests using statistical analyses of data provide good evidence for a variety of hypotheses about behavioral control mechanisms — whether in nonhumans or in humans. For instance, the work of Gangestad and Thornhill on evolved mate preferences and fluctuating asymmetry of body type (FA) is a model of success. As the quantity and quality of evidence increase, we are entitled not just to regard such evolutionary hypotheses as preferable, but also as true. Such studies combine to show that the best explanation of the psychic unity of humankind — common patterns across societies, history, and cultures exposed by evolutionists — is the gendered, adapted, evolved species-typical design of the mind. (shrink)

The present research was designed to test whether the subjective experience of more effort related to more reward valuation as measured by a neural response. This prediction was derived from the theory of cognitive dissonance and its effort justification paradigm. Young adult participants (n = 82) engaged in multiple trails of a low or high effort task that resulted in a loss or reward on each trial. Neural responses to the reward (loss) cue were measured using EEG, so that the (...) event-related potential known as the Reward Positivity (RewP) could be assessed. Results revealed no significant differences between low and high effort conditions on the RewP. However, within the high effort condition, a more subjective experience of effort was associated with a larger RewP. This research extends past research on the effort justification paradigm of cognitive dissonance theory by suggesting that effort justification is associated with an implicit measure of reward valuation. It therefore challenges recent perspectives on dissonance processes that posit that these evaluative changes should only occur on explicit but not implicit measures. (shrink)

Evolutionary psychology is a science in the making, working toward the goal of showing how psychological adaptation underlies much human behavior. The knee-jerk reaction that sociobiology is unscientific because it tells “just-so stories” has become a common charge against evolutionary psychology as well. My main positive thesis is that inference to the best explanation is a proper method for evolutionary analyses, and it supplies a new perspective on the issues raised in Schlinger's (1996) just-so story critique. My main negative thesis (...) is that, like many nonevolutionist critics, Schlinger's objections arise from misunderstandings of the evolutionary approach.Evolutionary psychology has progressed beyond telling just-so stories. It has found a host of ingenious special techniques to test hypotheses about the adaptive significance and proximate mechanisms of behavior. Naturalistic data using the comparative method combined with controlled tests using statistical analyses of data provide good evidence for a variety of hypotheses about behavioral control mechanisms — whether in nonhumans or in humans. For instance, the work of Gangestad and Thornhill on evolved mate preferences and fluctuating asymmetry of body type (FA) is a model of success. As the quantity and quality of evidence increase, we are entitled not just to regard such evolutionary hypotheses as preferable, but also as true. Such studies combine to show that the best explanation of “the psychic unity of humankind” — common patterns across societies, history, and cultures exposed by evolutionists — is the gendered, adapted, evolved species-typical design of the mind. (shrink)

We discuss some research that has examined approach motivational urges and how this research clarifies the definition of approach motivation. Our research and that of others have raised doubts about the commonly accepted definition of approach motivation, which views it as a positive affective state triggered by positive stimuli. We review evidence that suggests: (a) that approach motivation is occasionally evoked by negative stimuli; (b) that approach motivation may be experienced as a negative state; and (c) that stimuli are unnecessary (...) to evoke approach motivation. (shrink)

The fundamental unit of assessment in the sociobiology debate is neither a field nor a theory, but a framework of group commitments. Recourse to the framework concept is motivated, in general, by post-Kuhnian philosophy of scientific change and, in particular, by the dispute between E. O. Wilson and R. C. Lewontin. The framework concept is explicated in terms of commitments about problems, domain, disciplinary relations, exemplars, and performance evaluations. One upshot is that debate over such charges as genetic determinism, reductionism, (...) adaptationism, and the biologization of human nature has been vexed. It has lost sight of human sociobiology's central problem, namely to help show that the modern synthesis is complete. (shrink)

An emerging trend in cognitive science is to explore central epistemological questions using psychological methods. Early work in this growing area of research has revealed that epistemologists’ theories of knowledge diverge in various ways from the ways in which ordinary people think of knowledge. Reflecting the practices of epistemology as a whole, the vast majority of these studies have focused on the concept of propositional knowledge, or knowledge-that. Many philosophers, however, have argued that knowing how to do something is importantly (...) different from knowing that something is the case. Hence, in this paper we turn our attention to people’s concept of knowledge-how. We present data from two experiments that employed a sentence recognition task as an implicit measure of conceptual activation. The data from this implicit measure suggest that, contrary to prominent intellectualist theories of know-how, according to which know-how is a species of propositional knowledge, people’s concept of know-how more closely aligns with anti-intellectualism, the view that knowing how to perform some task consists in having the appropriate skills or abilities. (shrink)

Over twenty years of research have examined the cognitive consequences of positive affect states, and suggested that positive affect leads to a broadening of cognition (see review by Fredrickson, 2001). However, this research has primarily examined positive affect that is low in approach motivational intensity (e.g., contentment). More recently, we have systematically examined positive affect that varies in approach motivational intensity, and found that positive affect high in approach motivation (e.g., desire) narrows cognition, whereas positive affect low in approach motivation (...) broadens cognition (e.g., Gable & Harmon-Jones, Citation2008a; Harmon-Jones & Gable, 2009). In this article we will review past models and present a motivational dimension model of affect that expands understanding of how affective states influence attentional and cognitive breadth. We then review research that has varied the motivational intensity of positive and negative affect and found that affect of low motivational intensity broadens cognitive processes, whereas affect of high motivational intensity narrows cognitive processes. (shrink)

The action-based model of cognitive dissonance proposes an adaptive function for rationalization that differs from the one offered by Cushman. The one proposed by Cushman is concerned more with the cold construction of cognitions, whereas the one proposed by the action-based model is a motivated protection of a strongly held cognition.

Public access cable channels, remnants of competitive cable franchise battles, are often in the center of heated controversy over allowance of utterances that are at sharp odds with community values. This article reiterates that broad public discussion is both a legal and a philosophical mandate in this country, concluding that more harm than good emerges from preventing groups from airing their opinions. The opportunity is always available for countering messages that have been aired.

"More and more applied work in biology, anthropology, linguistics, and allied fields is now undergirded by the assumption that we are approaching a threshold of irreversible loss..." asserts Harmon in his preface. He undertakes investigation of the "converging extinction crises," presenting far-reaching philosophical and scientific discussion with particular attention to the connections between biological and cultural diversity. Harmon is identified as a cofounder of Terralingua, a non-profit organization supporting linguistic, cultural, and biological diversity, and as director of the George Wright (...) Society (advancing parks and other protected areas); his scientific or other credentials are not stated. Annotation copyrighted by Book News, Inc., Portland, OR. (shrink)

The field of cognition and emotion has grown considerably over the past 30 years, with an increased emphasis on the relationships between emotional and motivational components and how they contribute to basic perceptual, cognitive, and neural processes. For instance, research has revealed that emotion often influences these processes via emotion’s relationship with motivational dimensions, as when positive emotions low versus high in approach motivational intensity have different influences on attentional and other cognitive processes. Research has also revealed that motivational direction (...) (approach vs. withdrawal) and affective valence (positive vs. negative) are not as closely related as once was theorised; that is, positive affect is not inevitably associated with approach motivation and negative affect is not inevitably associated with withdrawal motivation. These and other lines of research with anger have suggested that the field needs to move beyond a focus on affective valence and it needs to consider an integration of dimensional and discrete models of emotion. The article also includes some suggestions for improving methods of measuring and inducing emotions and some recommendations for future researchers. (shrink)

This book provides a fresh look at one of the most enduring, absorbing, and universal questions human beings face: What happens to us after we die? In secular thought, the standard answer is simple: we disappear into oblivion. David Harmon takes us in a different direction, by making the case that a nonconscious portion of our personality survives death-literally, not figuratively-and explains how this kind of naturalistic afterlife can be emotionally relevant to us while we are still living. Combining insights (...) from the arts, history, philosophy, and science, a compelling argument takes shape for an afterlife without God.. (shrink)

Medthics is an online graphic novel series comprising of six issues . What is often viewed as pop culture escapism, this "comic book" series tackles the complex world of medicine and its moral/ethical intricacies. From topics about physician identity formation to humane patient care, Medthics brings to the forefront subject matter essential to clinical practice. The art of medicine is depicted through stylized characters as they live their lives through a fictional world inspired by true events.

Mealey's work has several interesting implications: It refutes the charge that sociobiology paints a cynical portrait of human nature and adopts a one-sided reductionism; it exemplifies a general theoretical scheme for constructing evolutionary biopsychosocial models of human behavior; and it has the practical effect of promoting and informing early intervention in children at risk for psychopathic disorder.

Vaccines are not the only public health tool, but they are critical in routine and emergency settings. Achieving optimal vaccination rates requires timely access to vaccines. However, we have persistently failed to secure, distribute, and administer vaccines in a timely, effective, and equitable manner despite an enduring rhetoric of global health equity.

How does Christ's mediation affect the individual human being? And how does that effect on the individual human being's soul relate to the way of salvation that incorporates, in principle, all human beings? Harmon answers both questions by examining Augustine's narration of his own life, and his treatment of the universal way of salvation as it flows among men in society and as it flows through the individual both involve the reconciliation of elements divided by the effects of sin. The (...) healing of divisions among human beings and within human beings, in the thought of Augustine, is effected by the same agency: the redemptive action of the Incarnate Word. (shrink)

AUTHORITY AND INEQUALITY UNDER CAPITALISM AND SOCIALISM: USA, USSR, AND CHINA by Barrington Moore, Jr. Oxford: Clarendon Press, 1987. 142 pp., $29.95.

Many philosophers of science follow Hempel in embracing both substantive and methodological anti-psychologism regarding the study of explanation. The former thesis denies that explanations are constituted by psychological events, and the latter denies that psychological research can contribute much to the philosophical investigation of the nature of explanation. Substantive anti-psychologism is commonly defended by citing cases, such as hyper-complex descriptions or vast computer simulations, which are reputedly generally agreed to constitute explanations but which defy human comprehension and, as a result, (...) fail to engender any relevant psychological events. It is commonly held that the truth of the substantive thesis would lend support to the methodological thesis. However, the standard argument for the substantive thesis presumes that philosophers’ own judgments about the aforementioned cases issues from mastery of the lay or scientific norms regarding the use of ‘explanation.’ Here we challenge this presumption with a series of experiments indicating that both lay and scientific populations require of explanations that they actually render their targets intelligible. This research not only undermines a standard line of argument for substantive anti-psychologism, it demonstrates the utility of psychological research methods for answering meta-questions about the norms regarding the use of ‘explanation.’. (shrink)

This paper is a critique of pornography from within the framework of Heideggerian phenomenology. I contend that pornography is a pernicious form of technological discourse in which women are reduced to spectral and anonymous figures fulfilling a universal role, namely that of sexual subordination. Further, the danger of pornography is covered over in the public sphere as a result of the pervasive appeal to its status as mere fantasy. I argue that relegating the problem to the domain of fantasy is (...) superficial and specious at best, inasmuch as fantasy itself is ultimately grounded in everyday reality. When not concealed as innocuous “fantasy,” pornography has been defended under the rubric of “free speech.” One of my aims is to repudiate this approach by revealing it as grounded in a highly suspect and self-contradictory phallocentric view of language. Rae Langton’s (2009) recently published collection of essays on pornography attacks the problem largely in terms of “objectification” and the Austinian notion of “illocutionary disablement” from a position of authority. In this paper, I too confront the issues of language, objectification, and authority, but as articulated by means of Heidegger’s critique of technology. (shrink)

Genomic research is an expanding and subversive field, leaking into various others, from environmental protection to food production to healthcare delivery, and in doing so, it is reshaping our relationship with them. The international community has issued various declaratory instruments aimed at the human genome and genomic research. These soft law instruments stress the special nature of genomics and our genetic heritage, and attempt to set limits on our activities with respect to same, as informed by the human rights paradigm. (...) This paper examines the primary thrust and, more importantly, the joint value position of the Universal Declaration on the Human Genome and Human Rights and the Universal Declaration on Bioethics and Human Rights, concluding that, though important legal instruments from the human rights paradigm, these instruments, or rather the values contained therein, must find a more influential hard law voice and a broader policy environment. (shrink)

Out of all the possible categories of protected areas, the most widely used around the world has been the national park. The reasons behind this predominance have colored the entire international conservation movement. I look at the ethical implications of the national park ideal ’s phenomenal global success. Working from two assumptions-that human cultural diversity is good and desirable, and that there is a definite relation between such diversity and protected area conservation-I suggest that what is needed most right now (...) is a clarification and refocusing of the debate on this issue. (shrink)

Introduction: Schools have become a primary setting for providing mental health care to youths in the U.S. School-based interventions have proliferated, but their effects on mental health and academic outcomes remain understudied. In this study we will implement and evaluate the effects of a flexible multidiagnostic treatment called Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems on students' mental health and academic outcomes.Methods and Analysis: This is an assessor-blind randomized controlled effectiveness trial conducted across five (...) school districts. School clinicians are randomized to either MATCH or usual care treatment conditions. The target sample includes 168 youths referred for mental health services and presenting with elevated symptoms of anxiety, depression, trauma, and/or conduct problems. Clinicians randomly assigned to MATCH or UC treat the youths who are assigned to them through normal school referral procedures. The project will evaluate the effectiveness of MATCH compared to UC on youths' mental health and school related outcomes and assess whether changes in school outcomes are mediated by changes in youth mental health.Ethics and Dissemination: This study was approved by the Harvard University Institutional Review Board. We plan to publish the findings in peer-reviewed journals and present them at academic conferences.Clinical Trial Registration:ClinicalTrials.gov ID: NCT02877875. Registered on August 24, 2016. (shrink)

Complex social and ethical problems are often most effectively solved by engaging them at the messy and uncomfortable intersections of disciplines and practices, a notion that grounds the InVisible Difference project, which seeks to extend thinking and alter practice around the making, status, ownership, and value of work by contemporary dance choreographers by examining choreographic work through the lenses of law, bioethics, dance scholarship, and the practice of dance by differently-abled dancers. This article offers a critical thesis on how bioethics (...) has come to occupy a marginal and marginalizing role in questions about the differently-abled body. In doing so, it has rendered the disabled community largely invisible to and in bioethics. It then defends the claim that bioethics – as a social undertaking pursued collaboratively by individuals from different disciplines – must take much better notice of the body and the embodied individual if it is to better achieve its ends, which include constructing a moral and just society. Finally, this article considers how the arts, and specifically dance, provides us with rich evidence about the body and our ability to respond positively to normally ‘othered’ bodies. It concludes that greater attention to empirical evidence like that being generated in InVisible Difference will help to expand the reach and significance of bioethics, and thereby its relevance to important questions about the status of bodies and bodily differences, which must be considered as central to its ambitions. (shrink)

For an object to be multilocated is for it to wholly occupy disjoint spatial regions simultaneously. If multilocation is possible, it is possible that a multilocated particle is wholly located at 1080 distinct locations, such that it constitutes a particle-for-particle duplicate of the actual universe. Such a universe would presumably be perceptually identical to the actual universe. If we take multilocation as possible, we are thus presented with two accounts between which our perceptual evidence cannot adjudicate: one wherein the universe (...) is constituted by many particles and another wherein it is constituted by one radically multilocated particle. Parsimony concerns dictate that the latter is the more rational to accept. Since this is absurd, we should reject that multilocation is possible. Mooney responds to the problem by arguing that distinct location is evidence of non-identity, even if acceptance of the possibility of multilocation entails that this evidence is not decisive. If this is right, then the evidence favors a theory featuring many particles. In this paper, I contend that our commitment to taking distinct location as evidence of nonidentity is motivated by a more fundamental intuition that does not apply in the relevant context. (shrink)

Western aesthetics has privileged contemplation as a necessary condition for authentic aesthetic experience. In contrast, I argue that the adequacy of aesthetic comportment must be measured by the self-presentation of the object in question, shaped by the place from which such presentations issue. Thus, the specific character of many forms of art, particularly in urban contexts, solicits a kind of “distracted” engagement rather than contemplative attention. Distraction is a positive mode of aesthetic engagement. I begin with a critical account of (...) the formalist theories of Kant and Bell as examples of this privileging of contemplative hermeneutics. I then consider Walter Benjamin’s theory of mimesis as a basis for a more fruitful account of aesthetic form, of which certain “distractive” artworks serve as examples. Distraction is an appropriate response to certain presentations, in the face of which absorption would be a kind of aesthetic failure. (shrink)