Genomic research projects that collect tissues from deceased organ and tissue donors must obtain the authorization of family decision makers under difficult circumstances that may affect the authorization process. Using a quasi-experimental design, the Ethical, Legal, and Social Issues (ELSI) substudy of the Genotype-Tissue Expression (GTEx) project compared the recall and understanding of the donation authorization process of two groups: family members who had authorized donation of tissues to the GTEx project (the comparison group) and family members who had authorized (...) organ and tissue donations in years previous, who subsequently participated in two different mock-authorization processes that mimicked the GTEx authorization process (the intervention groups). Participants in the comparison and intervention groups were matched on key demographic characteristics.We found that participants in the intervention groups who experienced a mock-authorization process demonstrated better recall of the tissue donation request than members of the comparison group. Our data indicate that the stress associated with the loss of a loved one limited the ability of family members to recall details about the GTEx project. However, we found a similar lack of knowledge in both the comparison and the intervention group participants, suggesting lack of knowledge may be due to the complexity and unfamiliarity of the information presented to them during the authorization process. We discuss these findings in the context of everyday clinical decision making in cognitively challenging conditions. (shrink)

Many preventive intervention studies with adolescents address high-risk behaviors such as drug and alcohol use, and unprotected sex. Randomized controlled trials (RCT) are the gold standard methodology used to test the effectiveness of these behavioral interventions. Interventions outside the rigidly described protocol are prohibited. However, there are ethical challenges to implementing inflexible intervention protocols, especially when the target population is young, experiences many stressful events, and lives in a resource-poor environment. Teens who are at high risk for substance use or (...) sexual risk behaviors tend to be at risk for other problems such as exposure to violence, sexual and physical abuse, depression, and homelessness. How should investigators deal with the psychological and social needs of teenagers in prevention programs in an ethically appropriate way and at the same time preserve the validity of RCT results? We have identified program characteristics, participant characteristics, interaction with parents, and problems with adolescents not in the study as sources of ethical dilemmas in RCT with at-risk adolescents. As a result of our experience, we recommend that every behavioral intervention study develop an ethics protocol, which should include rules for providing help to participants, has contact information for experts to provide guidance, and an emergency procedure for dealing with life threatening situations. In addition, studies should have a resource manual, train research staff in these ethical issues, and work with a data safety and monitoring board or ethics committee. (shrink)

I outline the debate in metaphysics between those who believe time is tensed and those who believe it is tenseless. I describe the terms in which this debate has been carried out, and the significance to it of ordinary tensed language and widespread common sense beliefs that time is tensed. I then outline a case for thinking that our intuitive beliefs about tense constitute an Adaptive Imaginary Representation (Wilson, in Biol Philos 5:37–62, 1990; Wilson, in Biol Philos 10:77–97, (...) 1995). I also outline a case for thinking that our ordinary tensed beliefs and tensed language owe their tensed nature to its being adaptive to adopt a temporally self-locating perspective on reality. If these conclusions are right, then common sense intuitions and temporal language will be utterly misleading guides to the nature of temporal reality. (shrink)

Book review of Virtue by Heather Battaly (2015).

Douglas proposes a new ideal in which values serve an essential function throughout scientific inquiry, but where the role values play is constrained at key points, protecting the integrity and objectivity of science.

Although epistemic values have become widely accepted as part of scientific reasoning, non-epistemic values have been largely relegated to the "external" parts of science (the selection of hypotheses, restrictions on methodologies, and the use of scientific technologies). I argue that because of inductive risk, or the risk of error, non-epistemic values are required in science wherever non-epistemic consequences of error should be considered. I use examples from dioxin studies to illustrate how non-epistemic consequences of error can and should be considered (...) in the internal stages of science: choice of methodology, characterization of data, and interpretation of results. (shrink)

Traditionally, cognitive values have been thought of as a collective pool of considerations in science that frequently trade against each other. I argue here that a finer-grained account of the value of cognitive values can help reduce such tensions. I separate the values into groups, minimal epistemic criteria, pragmatic considerations, and genuine epistemic assurance, based in part on the distinction between values that describe theories per se and values that describe theory-evidence relationships. This allows us to clarify why these values (...) are central to science and what role they should play, while reducing the tensions among them. (shrink)

The moral terrain of science, the full range of ethical considerations that are part of the scientific endeavor, has not been mapped. Without such a map, we cannot examine the responsibilities of scientists to see if the institutions of science are adequately constructed. This paper attempts such a map by describing four dimensions of the terrain: (1) the bases to which scientists are responsible (scientific reasoning, the scientific community, and the broader society); (2) the nature of the responsibility (general or (...) role); (3) the level of responsibility (minimum demand or ideal); and (4) who bears the responsibility (the individual or the community). Such a map will be used to elucidate the recent debate over the publication of studies concerning H5N1 flu virus. (shrink)

There is considerable disagreement about the epistemic value of novel predictive success, i.e. when a scientist predicts an unexpected phenomenon, experiments are conducted, and the prediction proves to be accurate. We survey the field on this question, noting both fully articulated views such as weak and strong predictivism, and more nascent views, such as pluralist reasons for the instrumental value of prediction. By examining the various reasons offered for the value of prediction across a range of inferential contexts , we (...) can see that neither weak nor strong predictivism captures all of the reasons for valuing prediction available. A third path is presented, Pluralist Instrumental Predictivism; PIP for short. (shrink)

After raising some minor philosophical points about Kevin Elliott’s A Tapestry of Values (2017), I argue that we should expand on the themes raised in the book and that philosophers of science need to pay as much attention to the loom of science (i.e., the institutional structures which guide the pursuit of science) as the tapestry of science. The loom of science includes such institutional aspects as patents, funding sources, and evaluation regimes that shape how science gets pursued, and that (...) attending to these aspects will enable us to provide more robust guidance on the values that infuse the tapestry of science. (shrink)

In this response to Robert Hudson’s article, “Should We Strive to Make Science Bias-Free? A Philosophical Assessment of the Reproducibility Crisis,” we identify three ways in which he misrepresents our work: he conflates value-ladenness with bias; he describes our view as one in which values are the same as evidential factors; and he creates a false dichotomy between two ways that values could be considered in science for policy. We share Hudson’s concerns about promoting scientific reproducibility and reducing bias in (...) science, but we reject his view that the value-free ideal provides helpful guidance for addressing these issues. (shrink)

This book offers a sustained critique of individualism in psychology, a view that has been the subject of debate between philosophers such as Jerry Fodor and Tyler Burge for many years. The author approaches individualism as an issue in the philosophy of science and by discussing issues such as computationalism and the mind's modularity he opens the subject up for non-philosophers in psychology and computer science. Professor Wilson carefully examines the most influential arguments for individualism and identifies the main (...) metaphysical assumptions underlying them. Since the topic is so central to the philosophy of mind, a discipline generating enormous research and debate, the book has implications for a very broad range of philosophical issues including the naturalisation of intentionality, psychophysical supervenience, the nature of mental causation, and the viability of folk psychology. (shrink)

Will stakeholder theory continue to transform how we think about business and society? On the occasion of this journal’s 60th anniversary, this review article examines the journal’s role in shaping stakeholder theory to date and suggests that it still has transformative potential. We conducted a bibliometric analysis of co-citations in the literature from 1984 to 2020. Reporting these results, we examine the field’s evolving structure. Contextualized theoretically as an accomplishment of institutional work—the creation of a meaningful and innovative field ideology—this (...) structure is remarkable for how it integrates ethical and behavioral arguments, invites engagement from adjacent domains, and arrives at important insights for business and society. We advance a research agenda consistent with this larger institutional project. (shrink)

There are two extant versions of the new tenseless theory of time: the date versionand the token-reflexive version. I ask whether they are equivalent, and if not, whichof them is to be preferred. I argue that they are not equivalent, that the date version isunsatisfactory, and that the token-reflexive version is correct. I defend the token-reflexive version against a string of objections from Quentin Smith. My defence involves a discussion of the ontological and semantic significance of truth conditions, and of (...) the connection between truth and reality on the one hand, and that between truth and meaning on the other. I argue that Smith's objections to the token-reflexive theory stem from his confusing these two aspects of the notion of truth. (shrink)

COVID-19 continues to dominate 2020 and is likely to be a feature of our lives for some time to come. Given this, how should health systems respond ethically to the persistent challenges of responding to the ongoing impact of the pandemic? Relatedly, what ethical values should underpin the resetting of health services after the initial wave, knowing that local spikes and further waves now seem inevitable? In this editorial, we outline some of the ethical challenges confronting those running health services (...) as they try to resume non-COVID-related services, and the downstream ethical implications these have for healthcare professionals’ day-to-day decision making. This is a phase of recovery, resumption and renewal; a form of reset for health services.1 This reset phase will define the ‘new normal' for healthcare delivery, and it offers an opportunity to reimagine and change services for the better. There are difficulties, however, healthcare systems are already weakened by austerity and the first wave of COVID-19 and remain under stress as the pandemic continues. The reset period is operating alongside, rather than at the end, of the pandemic and this creates difficult ethical choices. ### Balancing the greater good with individual care Pandemics—and public health emergencies more generally—reinforce approaches to ethics that emphasise or derive from the interests of communities, rather than those grounded in the claims of the autonomous individual. The response has been to draw on more public health focused ethics, ‘if demand outstrips the ability to deliver to existing standards, more strictly utilitarian considerations will have to be applied, and decisions about how to meet the individual's need will give way to decisions about how to maximise overall benefit’.2 Alongside this, effective …. (shrink)

If, as the new B-theory of time maintains, tensed sentences have tenseless truth conditions, it follows that it is possible for two sentence-tokens to have the sametruth conditions but different meanings. This conclusion forces a rethink of the traditional identification of truth conditions with meaning. There is an aspect of the meanings of tensed sentences that is not captured by their truth conditions, and that has so far eluded explanation. In this paper I intend to locate, examine, and explain this (...) feature of tensed meaning. (shrink)

Meta-learning offers a promising framework to make sense of some parts of decision-making that have eluded satisfactory explanation. Here, we connect this research to work in animal behaviour and cognition in order to shed light on how and whether meta-learning could help us to understand the evolution of cognition.

Most philosophers of science hold that the laws of nature play an important role in determining which counterfactuals are true. Marc Lange reverses this dependence, arguing that it is the truth of certain counterfactuals that determines which statements are laws. I argue that the context sensitivity of counterfactual sentences makes it impossible for them to determine the laws. Next, I argue that Lange’s view cannot avoid additional counterexamples concerning nested counterfactuals. Finally, I argue that Lange’s counterfacts, posited as the ultimate (...) ontological ground for the laws of nature, are unsuited to the role he demands of them. (shrink)

In response to a recent challenge that the New B-theory of Time argues invalidly from the claim that tensed sentences have tenseless truth conditions to the conclusion that temporal reality is tenseless, I argue that while early B-theorists may have relied on some such inference, New B-theorists do not. Giving tenseless truth conditions for tensed sentences is not intended to prove that temporal reality is tenseless. Rather, it is intended to undermine the A-theorist’s move from claims about the irreducibility of (...) tensed language to the conclusion that temporal reality must be tensed. I then examine how A-theorists have used facts about language in attempting to establish their conclusions about the nature of temporal reality. I take the recent work of William Lane Craig and argue that he implicitly and illicitly moves from facts about temporal language to his conclusion that temporal reality is tensed. (shrink)

In colonial states and settings, constitutional arrangements are often forged within contexts that serve to maintain structural racism against Indigenous people. In 2013 the New Zealand government initiated national conversations about the constitutional arrangements in Aotearoa. Māori leadership preceded this, initiating a comprehensive engagement process among Māori in 2010, which resulted in a report by Matike Mai Aotearoa which articulated a collective Māori vision of a written constitution congruent with te Tiriti o Waitangi by 2040.This conceptual article explores the Matike (...) Mai Aotearoa report on constitutional transformation as a novel means to address structural racism within the health system as a key domain within the constitutional sphere. Matike Mai suggests alternative conceptual structural formations through its focus on the kāwanatanga, the relational and the tino rangatiratanga sphere. This framework is informed by a range of Indigenous ethical values such as tikanga, belonging, and balance that can usefully inform the redesign of the health sector.We assert that constitutional transformation and decolonization are potentially powerful ethical sources of disruption to whiteness and structural racism. We argue that, to eliminate entrenched health disparities, change processes need to be informed by the Indigenous inspirations expressed in the Matike Mai report. (shrink)

This paper addresses the nurse manager's role regarding chemically-dependent nurses in the workplace. The manager may intervene by: terminating the contract of the impaired colleague; notifying a disciplinary committee; consulting with a counselling committee; or referring the impaired nurse to an employee assistance programme. A dilemma may arise about which of these interventions is ethically the best. The ethical theories relevant to nursing involve ethical relativism, utilitarianism, Kantian ethics, Kohlberg's justice, and Gilligan's ethic of care. Nurse managers first need to (...) understand these theories in order to clarify their own perceptions and attitudes towards chemical dependency, and then satisfactorily resolve this ethical dilemma. Education and social learning are routes to a better understanding of chemical dependency and to broadening the ethical dimensions of nurse managers. (shrink)

In “Taking Taniwha seriously,” Justine Kingsbury proposes a way for taniwha pūrākau—traditional narratives about taniwha—to be taken seriously by non-Māori, which is one step towards respecting te ao Māori—the Māori world view. Taniwha are powerful water creatures who act deliberately to protect and sometimes punish humans. So characterised, there is an obvious obstacle to those who wish to respect te ao Māori but who are sceptical about the existence of supernatural entities. Kingsbury proposes a way to take taniwha discourse seriously, (...) but not literally. I agree that her view is realist, and that it overcomes the obstacle noted above. I argue in this paper that her approach ought to be considered an instance of what I call neutral realism, and that when we characterise it this way, we can see precisely how it enables the sort of intercultural respect that she seeks. (shrink)

Brendan Wilson leads the reader through Wittgenstein's Philosophical Investigations, revealing a new clarity, singleness of purpose and contemporary relevance in this acknowledged masterpiece.

According to a thesis I call thelinguistic assumption, the structure of language is a guide to the fundamental nature of reality. It is deployed in the metaphysical debate over the nature of time. In that debate, it is more radical than the Sapir–Whorf hypothesis, and should be rejected. A weak interpretation of the Sapir–Whorf hypothesis makes the empirical claim that speakers of different languages experience, perceive, or think about aspects of the world differently. I survey recent experimental evidence that supports (...) this hypothesis which, I argue, gives us further reason to reject the linguistic assumption. (shrink)

Philosophical thinking about time is characterised by tensions between competing conceptions. Different sources of evidence yield different conclusions about it. Common sense suggests there is an objective present, and that time is dynamic. Science recognises neither feature. This Element examines McTaggart's argument for the unreality of time, which epitomises this tension, showing how it gave rise to the A-theory/B-theory debate. Each theory is in tension with either ordinary or scientific thinking, so must accommodate the competing conception. Reconciling the A-theory with (...) science does not look promising. Prospects look better for the B-theory's attempt to accommodate ordinary thinking about time. (shrink)

This paper brings needed clarity to the influential view that species are cohesive entities held together by gene flow, and then develops an empirical argument against that view: Neglected data suggest gene flow is neither necessary nor sufficient for species cohesion. Implications are discussed. ‡I'm grateful to Rob Wilson, Alex Rueger and Lindley Darden for important comments on earlier drafts, and to Joseph Nagel, Heather Proctor, Ken Bond, members of the DC History and Philosophy of Biology reading group, (...) and audience members at the November 2006 meeting of the PSA, for helpful comments or discussion. Social Sciences and Humanities Research Council of Canada fellowship 752-2005-1208 supported research. †To contact the author, please write to: Philosophy Department, University of Wisconsin–Madison, 5185 Helen C. White Hall, 600 North Park Street, Madison, WI 53706; e-mail: [email protected]. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Précis of Microaggressions in MedicineLauren Freeman (bio) and Heather Stewart (bio)Microaggressions in Medicine demonstrates that the harms of microaggressions are anything but micro. Guided by diverse patient testimonies and case studies, the book focuses on harms experienced by patients who are marginalized on the basis of race, gender, sexual orientation, body size, and disability. It amplifies their voices, stories, and experiences, which have too often been excluded from (...) mainstream bioethical, medical, and popular discussions. The novel account advanced in Microaggressions in Medicine illustrates that microaggressions in medicine are not rare, but frequent in the healthcare experiences of marginalized patients. Our hope is that the book helps patients better understand and make sense of their experiences. We also hope that it helps current and future healthcare professionals recognize the serious and enduring consequences that microaggressions can have on their patients. Finally, it introduces actionable strategies for healthcare professionals to reduce microaggressions in their practices and institutions.Microaggressions in Medicine argues that healthcare professionals have a moral obligation to prevent microaggressions as much as possible. It aims to make a positive difference in the lives of marginalized patients as they interact with medical practitioners and institutions. It also aims to support healthcare professionals in modifying their practices to ensure that they are always providing high-quality, patient-centered care to all patients. Its ultimate goal is to help increase health equity.More specifically, the book has two broad goals: one theoretical, one practical. The theoretical goal is to reconceptualize how microaggressions have been understood in the literature and to develop this new account within medical contexts. The practical goal is to provide healthcare professionals with a greater understanding of the serious and enduring consequences that microaggressions can have on members of marginalized patient groups and to introduce strategies and tools to help healthcare professionals reduce microaggressions experienced [End Page 142] by patients, thereby diminishing harm caused to patients. To set the context for the critical responses to follow, we briefly summarize each chapter of the book, highlighting the main arguments and novel contributions.Microaggressions can be defined as actions, gestures, or even material environments that subtly and often unintentionally harm members of marginalized groups. They are prevalent in medicine yet often go unnoticed by those who commit them. The introduction outlines the main problem with which the book engages: that there are subtle things that healthcare professionals commonly say and do to patients that do not register as serious to them yet that often cause major harms to patients in the short and long term. To set the stage to unpack this problem, we define what microaggressions are, provide examples of microaggressions in medical contexts, outline the aims and goals of the book, and explain key concepts (e.g., intersectionality, harm, structural oppression) that are necessary for understanding and engaging with the book's arguments. The introduction makes clear how and why a discussion of microaggressions in medicine is valuable to marginalized patients who want to better understand their own experiences interacting with healthcare professionals and institutions. It also underscores the book's value for healthcare professionals who want to improve their clinical interactions with marginalized patients and strategize about how to make their practices more inclusive, welcoming, and just.Chapter 1, "Microaggressions: A Brief History," provides a history of microaggressions. The term was coined in 1970 by a Black Harvard psychologist, Chester Pierce, to describe the "subtle blows" experienced by Black people that are not major or explicit yet that cause real harm. Although little was written about microaggressions for almost four decades, microaggressions gained traction in 2007 through the work of psychologist Derald Sue and his colleagues. We discuss Sue et al.'s work on microaggressions, tracing key revisions and developments the concept has undergone in the last fifteen years. The chapter also summarizes some of the main criticisms that have been launched against microaggressions and considers responses that have been offered. This chapter provides the groundwork for chapter 2, which lays out our novel critique of the dominant understanding of microaggressions. It also motivates our reconceptualization of microaggressions that unfolds over the remainder of the book.Chapter 2, "Microaggressions Reconsidered: A Critique of the Act-Based... (shrink)

Correia and Rosenkranz (C&R) defend their Growing Block theory of time by appealing to the importance of the notion of taking tense seriously. I argue that this phrase is ambiguous, having both a linguistic and a metaphysical interpretation, but neither interpretation will give C&R what they need. On its linguistic interpretation it fails to have the metaphysical significance required to establish the truth of their theory. On its metaphysical interpretation it consists of nothing more than an assertion of their view, (...) or at best, an acknowledgement of its merely possible truth. Finally, I consider C&R’s response to the epistemic objection to their view, according to which, if the Growing Block theory is true, we cannot know that we are located at the objective present moment. The epistemic objection thus undermines the motivation for holding the Growing Block view in the first place. C&R argue that the objection founders because it fails to take tense seriously enough. I argue that taking tense seriously cannot save their view from the epistemic objection. (shrink)

Ecological weed management (EWM) is a scientifically established management approach that uses ecological patterns to reduce weed seedbanks. Such an approach can save organic farmers time and labor costs and reduce the need for repeated cultivation practices that may pose risks to soil and water quality. However, adoption of effective EWM in the organic farm community is perceived to be poor. In addition, communication and collaboration between the scientific community, extension services, and the organic farming community in the US is (...) historically weak. In order to uncover the most persistent obstacles to promoting effective weed management in organic agroecosystems, we use the mental models approach to generate an expert model based on interviews with experts (e.g., weed scientists, weed ecologists, and extension personnel) and theories from the behavioral sciences. The expert model provides two main insights: (1) EWM is a complex strategy that may cause farmers to use heuristics in management decisions and (2) the long-term benefits of EWM, rather than the risks, need to be emphasized in communication with and outreach to organic farmers. The basis for new research topics and outreach material that incorporates these insights from the expert model are discussed. We briefly explain how the expert model is an incomplete picture of on-farm practices, but provides the basis for the second step of our mental models research, the farmer interviews and farmer decision model development. (shrink)

Elijah Millgram’s book The Great Endarkenment takes philosophy to task for failing to note the kinds of creatures we are (serial hyperspecializers) and what that means for philosophy. In this commentary, I will complicate the picture he draws, while suggesting a more hopeful path forward. First, I argue that we are not actually serial hyperspecializers. Nevertheless, we are hyperspecializers, and this is the main source of the looming endarkenment. I will suggest that a proper understanding of expertise, particularly the requirement (...) that experts (at least experts whose success is not readily assessable) be required to explicate their judgments helps to mitigate the threat of siloed expertise and endarkenment. Further, I argue that grappling directly with the institutional structures that encourage narrow and isolated hyperspecialists in academia can be a way to avoid endarkenment problems. The current landscape of academia, with its valorization of narrow disciplinary expertise, is neither necessary nor sustainable. In order to change this landscape, we need to understand how current incentives construct epistemic niches, and what we might change in order to reshape the ecology of academia. (shrink)

There is a common approach to metaphysical disputes, which takes language as its starting point, and leads to a view about the range of acceptable metaphysical positions in any such dispute. I argue that this approach rests on accepting what I call the Strong Linguistic Thesis (SLT). In the metaphysical debate about time I argue that the new B-theory has rejected SLT, and for good reasons. The metaphysical debate about modality parallels the early metaphysical debate about time. I argue that (...) a position analogous to the new B-theory of time is available in the modal debate, and has some advantages over its rivals. (shrink)

Mayer, Caruso, and Salovey (2016) provide useful updates to the EI ability model and related concepts. However, they do not acknowledge conceptual limitations with the MSCEIT proportion scoring algorithm. In our view, failure to recognize these limitations has impeded refinements to the EI ability model and delayed support for positioning EI within the Cattell-Horn-Carroll (CHC) three-stratum theory of intelligence (Carroll, 1993). Fully appreciating algorithm-related issues justifies the reanalysis of MSCEIT data and may expand the range of metrics that are available (...) to refine EI theory. (shrink)

Ethics seeks answers to questions about the moral status of human actions and human lives. What should I do, and what should I not do? What sort of life should I lead? Actions and lives are temporal things. Actions are performed at certain times, are informed by past events and have consequences for the future. Lives have temporal extension, and are experienced from a sequence of temporal perspectives. Thus, one would think that answers to ethical questions should take account some (...) of their temporal features. Yet there has never been a systematic study of the relations between time and ethics. In 2001 a conference was held at the University of Otago in New Zealand on the theme of Time and Ethics to explore issues that emerge at the intersection between these two fields of study. This volume contains revised versions of some of the papers presented at that conference. The essays are collected into three parts, each with its own unifying theme. Part I focuses on parallels between reasoning about time and reasoning about ethics, and shows various ways in which thinking about each of these fields can inform what we should say about the other. Part II looks at the ethical significance of temporal location. Actions, reasons, preferences, consequences, events, pains, persons and (arguably) the possession of a truth-value by a truth bearer, all have temporal location, and this fact turns out to have considerable ethical significance - or so the essays in this section argue. The essays in part III examine issues that arise out of the consideration that persons are both temporal and ethical beings. For instance, given that we typically continue to hold people responsible for their actions at times other than the times at which those actions are performed, we need an account of personal identity over time that can support this moral practice. (shrink)

In this essay, we argue that the acceptance of gifts by health professionals from the pharmaceutical industry is morally problematic. We conclude that whether physicians view the receipt of items from drug detailers as entitlements or gifts, this practice is unacceptable, as it constitutes a conflict of interest. In addition, we argue that these gifts are particularly problematic in academic hospitals. Physicians-in-training are inculcated with the belief that receiving gifts is morally acceptable. The cumulative effect of these worries should be (...) sufficient to warrant the serious attention of medical associations worldwide. (shrink)

The Republic of Macedonia has been a part of the Bologna process since 2003. The Ministry of Education, law and policy makers and higher education institutions have actively engaged with its main concepts. In parallel with this, since the adoption of the law on higher education in 2008 and the reform of the Accreditation and Evaluation Board, there have been numerous changes and amendments culminating in the fast-tracked adoption of a new law at the beginning of 2015. Some of its (...) solutions created a huge debate among the academic community, other intellectuals and students themselves, resulting in the postponement of that law and a kind of legal vacuum. In such turbulent circumstances, individual higher education institutions had to consider how and to what extent to adopt and develop relevant standards and guidelines, comply with the legal framework and promote good practice. The aim of this paper is to present how these three aspects, Bologna standards and guidelines for Quality Assurance, a national legal framework and an institutional approach are being reflected, merged and implemented at a relatively young higher education institution. It questions the impact of these three elements on each other and how one institution’s drive for improvement is affected. This is done through a qualitative analysis of the three-fold perspectives. The conclusions and recommendations are expected to be of use to policy makers in the country and region as they evaluate how international trends and good practice fit into the socio-economic and political conditions of RM and similar countries. At the same time, it can demonstrate how far institutional quality assurance and progress can be implemented and recognized in the country itself and by some international stakeholders. It can also prove that the South East European University is a national leader in this field as RM has no functioning QA evaluation system, while SEEU has managed to create a well structured and operating one, based on international and institutional experiences. (shrink)