Metacognitions, which are beliefs about our own thinking processes, can modulate worry and rumination and thereby influence emotional distress. This study aimed to develop a self-report measure of unhelpful pain-related metacognitions which might serve as a clinical and research tool to better understand pain catastrophizing, a significant risk factor for adverse pain outcomes. Two phases of validation are presented. Phase 1 reports on how the Pain Metacognitions Questionnaire (PMQ) was empirically developed through a qualitative study of 20 people with chronic (...) back ( n = 15) or knee ( n = 5) pain in secondary or tertiary care and then validated in a large internet sample of people experiencing pain ( N = 864). Rasch analysis yielded a 21-item scale with two dimensions (positive and negative metacognition) assessing how useful and problematic people believe rumination about pain to be, respectively. In Phase 2, further validation using a new sample ( N = 510) replicated initial findings. Both PMQ subscales have good retest reliability ( r = 0.76, r = 0.72) and internal consistency (0.86, 0.87). They correlate negatively with mindfulness and positively with pain intensity, disability, anxiety, depression, catastrophizing, rumination, and metacognition. The PMQ also predicts unique variance in catastrophizing when other variables are controlled and predicts ‘patient’ status for pain catastrophizing. Sensitivity analysis yielded preliminary suggestions for clinically meaningful cut-offs. Unhelpful pain metacognitions can be validly and reliably measured using a self-report instrument. Future studies using the PMQ might shed new light on pain-related thinking processes to develop better interventions for people prone to worry and rumination about their pain. (shrink)

Helen Steward puts forward a radical critique of the foundations of contemporary philosophy of mind, arguing that it relies too heavily on insecure assumptions about the sorts of things there are in the mind--events, processes, and states. She offers a fresh investigation of these three categories, clarifying the distinctions between them, and argues that the category of state has been very widely and seriously misunderstood.

Much work performed under the banner of social epistemology still centers the problems of the individual cognitive agent. AU distinguishes multiple senses of "social," some of which are more social than others, and argues that different senses are at work in various contributions to social epistemology. Drawing on work in history and philosophy of science and addressing the literature on testimony and disagreement in particular, this paper argues for a more thoroughgoing approach in social epistemology.

_Talking Books_ sets out to show how some of the leading children's authors of the day respond to these and other similar questions. The authors featured are _ Neil Ardley, Ian Beck, Helen Cresswell, Gillian Cross, Terry Deary, Berlie Doherty, Alan Durant, Brian Moses, Philip Pullman, Celia Rees, Norman Silver, Jacqueline Wilson, and Benjamin Zephaniah_. They discuss with great enthusiasm: *their childhood reading habits *how they came to be published *how they write on a daily basis *how a (...) particular book came together *a type of writing that they are especially known for. Through in-depth interviews, they each reveal their approach to their craft. Much is know and spoken of the product that is the children's book, but it is rare that writers are given the opportunity to talk at length about the process of writing for children. _Talking Books_ redresses the balance by presenting a wide selection of authors reflecting upon the joys and challenges of the craft, creativity and process of writing for children. (shrink)

This article argues in defence of human–robot friendship. I begin by outlining the standard Aristotelian view of friendship, according to which there are certain necessary conditions which x must meet in order to ‘be a friend’. I explain how the current literature typically uses this Aristotelian view to object to human–robot friendships on theoretical and ethical grounds. Theoretically, a robot cannot be our friend because it cannot meet the requisite necessary conditions for friendship. Ethically, human–robot friendships are wrong because they (...) are deceptive, and could also make it more likely that we will favour ‘perfect’ robots, and disrespect, exploit, or exclude other human beings. To argue against the above position, I begin by outlining and assessing current attempts to reject the theoretical argument—that we cannot befriend robots. I argue that the current attempts are problematic, and do little to support the claim that we can be friends with robots now. I then use the standard Aristotelian view as a touchstone to develop a new degrees-of-friendship view. On my view, it is theoretically possible for humans to have some degree of friendship with social robots now. I explain how my view avoids ethical concerns about human–robot friendships being deceptive, and/or leading to the disrespect, exploitation, or exclusion of other human beings. (shrink)

With the introduction of artificial intelligence (AI) to healthcare, there is also a need for professional guidance to support its use. New (2022) reports from National Health Service AI Lab & Health Education England focus on healthcare workers’ understanding and confidence in AI clinical decision support systems (AI-CDDSs), and are concerned with developing trust in, and the trustworthiness of these systems. While they offer guidance to aid developers and purchasers of such systems, they offer little specific guidance for the clinical (...) users who will be required to use them in patient care. This paper argues that clinical, professional and reputational safety will be risked if this deficit of professional guidance for clinical users of AI-CDDSs is not redressed. We argue it is not enough to develop training for clinical users without first establishing professional guidance regarding the rights and expectations of clinical users. We conclude with a call to action for clinical regulators: to unite to draft guidance for users of AI-CDDS that helps manage clinical, professional and reputational risks. We further suggest that this exercise offers an opportunity to address fundamental issues in the use of AI-CDDSs; regarding, for example, the fair burden of responsibility for outcomes. (shrink)

Summarizes author’s contextual empiricism and uses it to analyze the difference between neuro-endocrinological accounts of presumed behavioral sex differences and neuro-selectionist accounts. Contextual empiricism is a philosophical approach that both shows how feminist critique works in the sciences and makes a contribution to general philosophy of science.

The subject of this essay is the dependence of evidential relations on background beliefs and assumptions. In Part I, two ways in which the relation between evidence and hypothesis is dependent on such assumptions are discussed and it is shown how in the context of appropriately differing background beliefs what is identifiable as the same state of affairs can be taken as evidence for conflicting hypotheses. The dependence of evidential relations on background beliefs is illustrated by discussions of the Michelson-Morley (...) experiment and the discovery of oxygen. In Part II, Hempel's analysis of confirmation and the contrasting model of theory acceptance provided by philosophers such as Kuhn and Feyerabend are discussed. It is argued that both are inadequate (on different grounds) and the problems addressed by each are shown to be more satisfactorily approached by means of the analysis developed in Part I. In Part III, it is argued that if there are objective criteria for deciding between competing theories, these cannot be simply that one theory has greater evidential support than another. Finally, some further methodological questions arising from the analysis are mentioned. (shrink)

Feminist scholars advocate the adoption of distinctive values in research. While this constitutes a coherent alternative to the more frequently cited cognitive or scientific values, they cannot be taken to supplant those more orthodox values. Instead, each set might better be understood as a local epistemology guiding research answerable to different cognitive goals. Feminist scholars advocate the adoption of distinctive values in research. While this constitutes a coherent alternative to the more frequently cited cognitive or scientific values, they cannot be (...) taken to supplant those more orthodox values. Instead, each set might better be understood as a local epistemology guiding research answerable to different cognitive goals. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Horizons of Grace:Marilynne Robinson and Simone WeilKaty RyanThe sorrow is that every soul is put out of house.Marilynne Robinson1All of us, even the youngest, are in a situation like Socrates' when he was awaiting death in prison and learning to play the lyre.Simone Weil2Marilynne Robinson's first novel Housekeeping (1980) is a meditative and lyrical reflection on old themes: abandonment, loss, grief, renewal, hope, memory—what the narrator Ruth Stone calls (...) the "sad and outcast state of revelation" (p. 184). The novel returns in its opening pages to the suicide of Ruth's mother, Helen, and concludes with a bridge crossing, misinterpreted by other characters as intentional death. Critical responses to the novel usefully explore its nineteenth-century American literary impulses (Emerson, Thoreau, Dickinson, Melville), its reworking of female subjectivity, its quiet insistence on the transience of all things and the unmaking of boundaries.3 Words on suicide are scarce. In this inattention, critics may be following the lead of the novel, which, among novels containing acts of self-destruction,is exceptional in its almost total reticence on the subject. Not one character asks why Helen kills herself, and little emerges from the narrative to shed light on the unasked question.Structurally, the function of the mother's suicide seems obvious. Helen's death creates two orphans—that preferred status in literature that frees characters up for adventure and self-discovery. It also appears to be the cause, or at least a leading cause, of Ruth's sadness. Ruth's aunt Sylvie assumes this to be true. After the deaths of their mother and [End Page 349] grandmother, Ruth and her sister Lucille are passed off by their overwhelmed great aunts to Sylvie, a woman who has been wandering the country, hopping trains, getting by. When the concerned women in the town of Fingerbone attempt to determine how best to keep Ruth from following in Sylvie's uncivil footsteps, to keep her "safely within doors" one of them remarks on how sad Ruth always looks.And Sylvie replied, "Well, she is sad." Silence. Sylvie said, "She should be sad." She laughed. "I don't mean she should be, but, you know, who wouldn't be?" Again, silence.(p. 185)The unsaid is met with repeated silence. Sylvie proposes that anyone who had survived what Ruth has survived, understood to be her mother's death, would be sad, should be sad. A long silence also greets Sylvie's discomforting observation that Ruth is "'like another sister to me. She's her mother all over again'" (p. 182).The generating absence of the mother sets the stage for Ruth's spiritual exile and eventual communion, the moment when a "word so true" comes home to her. Ruth does not, in fact, become "her mother all over again."Born of people falling to their deaths (Ruth's mother and grandfather), Housekeeping ends with a counter-image, an image of crossing over a bridge (horizontality) rather than falling from it (verticality). One way to think about the philosophical movement in the novel is provided by Simone Weil's writing, which relies of tropes of gravity. I am particularly interested in connections between Housekeeping and Simone Weil's Gravity and Grace (1952) and Waiting for God (1992). These texts explore the nature of suffering by focusing on the inevitability of waiting, the practice of attention, and the necessity of detachment.Although Weil wrote movingly and persuasively about industrial labor, war, and other forms of political oppression, here I emphasize her spiritual writings. In his introduction to First and Last Notebooks, Richard Rees writes of Weil, "One may say that two of her chief preoccupations were, first, how to organize a society so that suffering should be reduced to a minimum, and, second, how to ensure that the (large) irreducible minimum should not be valueless" (p. viii). Housekeeping dramatizes this second concern. The novel also provides a needed fictional example of decreation, Weil's difficult name for the [End Page 350] process by which something created can be transformed into something uncreated, or "the act of allowing moments empty of meaning to remain 'unfilled.'"4 The suicide... (shrink)

John Martin Fischer argues that a version of the Consequence Argument that invokes a principle he calls the ‘Principle of the Fixity of the Past and Laws’ is immune to the broadly Lewisian response that the compatibilist can make to the ‘conditional’ version of the argument. In his contribution to this volume, he argues—in part by appealing to backtracking counterfactuals—that denying PFPL leads to trouble, specifically, for the fixed-laws compatibilist. I argue on behalf of the fixed-laws compatibilist that his argument (...) fails: true backtrackers of the kind Fischer’s argument needs are harder to come by than Fischer supposes, and in any case their truth is not something that can be known, prior to decision, by the deliberating agent. (shrink)

The ectoplasmic specialization (ES) is a testis‐specific, actin‐based hybrid anchoring and tight junction. It is confined to the interface between Sertoli cells at the blood–testis barrier, known as the basal ES, as well as between Sertoli cells and developing spermatids designated the apical ES. The ES shares features of adherens junctions, tight junctions and focal contacts. By adopting the best features of each junction type, this hybrid nature of ES facilitates the extensive junction‐restructuring events in the seminiferous epithelium during spermatogenesis. (...) For instance, the α6β1‐integrin–laminin 333 complex, which is usually limited to the cell–matrix interface in other epithelia to facilitate cell movement, is a putative apical ES constituent. Furthermore, JAM‐C and CAR, two tight junction integral membrane proteins, are also components of apical ES involving in spermatid orientation. We discuss herein the mechanisms that maintain the cross‐talk between ES and blood–testis barrier to facilitate cell movement and orientation in the seminiferous epithelium. BioEssays 29: 36–48, 2007. © 2006 Wiley Periodicals, Inc. (shrink)

This paper is a discussion of the nature of inferring and focusses on the relation between reasons for belief and causes of belief. Two standard approaches to the analysis of inference, the epistemological and the psychological, are identified and discussed. While both approaches incorporate insights concerning, inference, counterexamples show that neither provides by itself an adequate account. A third account is developed and recommended on the grounds that it encompasses the essential insights of the rejected analyses while being immune to (...) their counterexamples. On this account coming to believe for a reason is taken to be central to our concept of inferring, but a causal relation holds between taking something to be a reason and belief. (shrink)

An agent A morally coerces another agent, B, when A manipulates non-epistemological facts in order that B’s moral commitments enjoin B to do what A wants B to do, and B is motivated by these commitments. It is widely argued that forced choices arising from moral coercion are morally distinct from forced choices arising from moral duress or happenstance. On these accounts, the fact of being coerced bears on what an agent may do, the voluntariness of her actions, and/or her (...) accountability for any harms that result from her actions. This paper does not provide an account of the wrongness of moral coercion. Rather, I argue that, whatever the correct account of its wrongness, the mere fact of being coerced has no bearing on what the agent may do, on the voluntariness of her action, or her accountability for any resultant harm, compared to otherwise identical cases arising from duress and happenstance. (shrink)

This paper explores one way in which the meta-problem may shed light on existing debates about the hard problem (though not directly on the hard problem itself). I'll argue that the possibility of a suitable agent without problem intuitions would undercut the dialectical force of arguments against physicalism. Standard antiphysicalist arguments begin from intuitions about what's ideally conceivable, and argue from there to the falsity of physicalism. For these arguments to be dialectically effective, there must be a shared conception of (...) what ideal conceivability consists in. Unfortunately, proposed accounts of ideal conceivability all make reference to an unexplained 'intuitive' notion of idealization. Consideration of the meta-problem reveals that, when it comes to the hard problem, intuitions about idealization are essentially theory-laden. There is no neutral basis for determining whether agents with or without problem intuitions are more rationally ideal. (shrink)

This article builds theory at the intersection of ecological sustainability and strategic management literature—specifically, in relation to dynamic capabilities literature. By combining industrial organization economics–based, resource-based, and dynamic capability–based views, it is possible to develop a better understanding of the strategies that businesses may follow, depending on their managers’ assumptions about ecological sustainability. To develop innovative strategies for ecological sustainability, the dynamic capabilities framework needs to be extended. In particular, the sensing–seizing–maintaining competitiveness framework should operate not only within the boundaries (...) of a business ecosystem but in relation to global biophysical ecosystems; in addition, two more dynamic capabilities should be added, namely, remapping and reaping. This framework can explicate core managerial beliefs about ecological sustainability. Finally, this approach offers opportunities for managers and academics to identify, categorize, and exploit business strategies for ecological sustainability. (shrink)

Imitation, the replication of observed behaviors, has been proposed as the crucial social learning mechanism for the generation of humanlike cultural complexity. To date, the single published experimental microsociety study that tested this hypothesis found no advantage for imitation. In contrast, the current paper reports data in support of the imitation hypothesis. Participants in “microsociety” groups built weight-bearing devices from reed and clay. Each group was assigned to one of four conditions: three social learning conditions and one asocial learning control (...) condition. Groups able to observe other participants building their devices, in contrast to groups that saw only completed devices, show evidence of successive improvement. These results are consistent with the hypothesis that imitation is required for cumulative cultural evolution. This study adds crucial data for understanding why imitation is needed for cultural accumulation, a central defining feature of our species. (shrink)

The article analyzes the ongoing Russian–Ukrainian war in terms of a colonial seizure undertaken by a fading but aggressive Russian empire. This highly political adventure is translated into more abstract terms, that is, an irresolvable conflict between existence, which is always the experience of coexistence devoid of any essence whatsoever, and imperial expansion, which is an infinite conquest of space indifferent to all forms of life. The dualism in question is backed up by the writings of two important scholars, namely, (...) the French philosopher Jean-Luc Nancy and the Russian scientist and revolutionary Peter Kropotkin. Nancy’s philosophy of being-in-common is the development of Heidegger’s concept of Mitsein, where the meaning of Mit- (co-, with) is existential and not categorical. Nancy’s philosophy challenges all forms of communal essence, of which empire is one blatant example. For Kropotkin, existence is even more all-embracing, implying a continuity of different life forms. His doctrine of mutual aid is a law that governs both society and nature, as well as evolution itself. Even morality springs from “solidarity” and the joys of social life, while sympathy or love are too narrow a basis for human ethics. Viewed from this perspective, a colonial war would not only be the greatest waste of human lives and natural resources—it would contradict the very order of things. (shrink)

The arts provide openings for symbolic expression by engaging the sensory experience in the body they become a source of insight through embodied cognition and emotion, enabling meaning-making, and acting as a catalyst for change. This synthesis of sensation and enactive, embodied expression through movement and the arts is capitalized on in The BodyMind Approach®. It is integral to this biopsychosocial, innovative, unique intervention for people suffering medically unexplained symptoms applied in primary healthcare. The relevance of embodiment and arts practices (...) in TBMA are discussed in relation to the views of participants in the pursuit of self-management. If widely employed TBMA could have an enormous impact, reach, and significance for patients and global health services. This original pre-clinical trial of qualitative research reports on the perceptions of participant patients with generic MUS, a world-wide issue usually treated by either psychological therapy or physiotherapy. TBMA is not a therapy but a health education program founded upon the concept of an integration of psychological elements with physiological, bodily, and sensory experiences. Thematic analysis of qualitative data sets from open-ended questions in semi-structured interviews and a written questionnaire post intervention is presented. Five aspects which appear to be key to learning self-management were derived from analyzing the data: body with mind connections; importance of facilitation; potential benefits; preparedness for change; self-acceptance/compassion. This article advances the discourse on the nature of self-management for MUS through changing the mind-set and the relationship participants have with their bodily symptom/s through employing embodied methods and arts practices, challenging current, and solely verbal, psychological conceptual frameworks. Rigor lies in the method of data analysis using cross verification of credibility between reported findings and scrutiny by stakeholders. We conclude that facilitated TBMA groups employing embodied methods and arts practices can act as a method for developing the self-management of MUS and improving wellbeing. (shrink)

As there is a growing trend for people to work from home, precipitated by the COVID-19 pandemic, this research examines the impact of blurred work-life boundaries on lifestyle and subjective well-being. Our cross-sectional study in the Netherlands demonstrates that heightened levels of blurred work-life boundaries predict negative changes in happiness through enhanced emotional exhaustion. In addition, the findings point to a dual role of lifestyle in this process. On the one hand, we observed that healthy overall lifestyle patterns buffered employees (...) against the detrimental effects of blurred work-life boundaries and emotional exhaustion on happiness. On the other hand, employees who experienced increases in blurring of work-life boundaries reported a deterioration in healthy lifestyle behaviors, which in turn was related to reduced happiness. Paradoxically, it seems that those who would benefit the most from a healthy lifestyle are less able to sustain health-promoting behaviors. A case for shared responsibility between employers and employees is built as we discuss the practical implications of the current research. (shrink)

We reflect, using a vignette, on conceptual tensions and the value judgements that lie behind difficult decisions about whether or not the older person with dementia should return home or move into long-term care following hospital admission. The paper seeks, first, to expose some of the difficulties arising from the assessment of residence capacity, particularly around the nature of evaluative judgements and conceptual tensions inherent in the legal approach to capacity. Secondly, we consider the assessment of best interests around place (...) of residence, which demonstrates significant conceptual tensions. In addition, ‘best interests’ raise issues around the perception of risk and the perceptions of the family and crucially involve the notions of autonomy and trust. Finally, we not only gesture at some practical considerations based on insights from values-based medicine, but also make the suggestion that we require tighter functional assessments of residence capacity coupled with broader judgements about best interests. (shrink)

Preference utilitarians are concerned to maximize the autonomous choices of individuals; for this reason, they argue that nurses ought to advocate for those patients who desire assistance with ending their lives. This approach prompts us to consider, then, the moral validity of nursing involvement in measures intended to end the lives of patients. In this article, the terms of preference utilitarianism are set out and considered in order to determine whether this approach offers sufficient philosophical support for sanctioning a role (...) for nursing in euthanasia. Ultimately, it is found that preference utilitarianism is lacking in this respect, as well as in its fitness for guiding nursing activity in general. In particular, it is found that nurses are required to exchange a handmaiden relationship with the medical profession for an equally undignified relationship with patients. If nursing involvement in measures intended to end the lives of patients is to find sufficient philosophical support, then we need to look elsewhere. (shrink)

We raise the new possibility that people diagnosed with developmental dyslexia (DD) are specialized in explorative cognitive search, and rather than having a neurocognitive disorder, play an essential role in human adaptation. Most DD research has studied educational difficulties, with theories framing differences in neurocognitive processes as deficits. However, people with DD are also often proposed to have certain strengths – particularly in realms like discovery, invention, and creativity – that deficit-centered theories cannot explain. We investigate whether these strengths reflect (...) an underlying explorative specialization. We re-examine experimental studies in psychology and neuroscience using the framework ofcognitive search, whereby many psychological processes involve a trade-off between exploration and exploitation. We report evidence of an explorative bias in DD-associated cognitive strategies. High DD prevalence and an attendant explorative bias across multiple areas of cognition suggest the existence of explorative specialization. An evolutionary perspective explains the combination of findings and challenges the view that individuals with DD have a disorder. In cooperating groups, individual specialization is favored when features that confer fitness benefits are functionally incompatible. Evidence for search specialization suggests that, as with some other social organisms, humans mediate the exploration–exploitation trade-off by specializing in complementary strategies. The existence of a system of collective cognitive search that emerges through collaboration would help to explain our species’ exceptional adaptiveness. It also aligns with evidence for substantial variability during our evolutionary history and the notion that humans are adapted not to a particular habitat but to variability itself. Specialization creates interdependence and necessitates balancing complementary strategies. Reframing DD therefore underscores the urgency of changing certain cultural practices to ensure we do not inhibit adaptation. Key improvements would remove cultural barriers to exploration and nurture explorative learning in education, academia, and the workplace, as well as emphasize collaboration over competition. Specialization in complementary search abilities represents a meta-adaptation; through collaboration, this likely enables human groups (as a species and as cultural systems) to successfully adapt. Cultural change to support this system of collaborative search may therefore be essential in confronting the challenges humanity now faces. (shrink)

Non-invasive neuroimaging in humans permits direct investigation of the potential role for mesodiencephalic structures in consciousness. Activity in the superior colliculus can be correlated with the contents of consciousness, but it can be also identified for stimuli of which the subject is unaware; and consciousness of some types of visual stimuli may not require the superior colliculus. (Published Online May 1 2007).

Background Informed consent prior to nursing care procedures is an established principle which acknowledges the right of the patient to authorise what is done to him or her; consent prior to nursing care should not be assumed. Nursing care procedures have the potential to be unwanted by the patient and hence require an appropriate form of authorisation that takes into consideration the relationship between the nurse and patient and the ongoing nature of care delivery. Research question How do nurses obtain (...) consent from patients prior to nursing care?. Design Critical incident technique and the collection of critical happenings. Participants 17 participants who were all qualified nurses took part in in-depth interviews Ethical considerations Ethical approval was obtained from the university ethics committee. Findings Information giving is a key component prior to nursing care procedures. Nurses provide information to patients as a routine aspect of care delivery, and do so even when the patient is unable to communicate themselves. Whilst some participants described how information giving might be rushed or overlooked at times, it is clearly an established part of nursing care and is provided to ensure the patient knows what to expect when care is delivered. What is less clear is the extent to which information is given in order to seek the consent – rather than merely inform the patient – about nursing care. Conclusion Implied consent is often an appropriate way in which consent is obtained prior to nursing care procedures. It takes into account the ongoing care provision and the relationship that exists between the nurse and patient. However implied consent should not be assumed. Nurses need to ensure that information is given not only to inform the patient about a procedure but to enable the patient to give his or her consent and to find an alternative way forward if the patient withholds their consent. (shrink)

Naturalism is often defined by reference to what it is not. The non-naturalisms to which naturalism is contrasted are a heterogeneous bunch. And what it is important not to be is a function of the particular concerns of a philosophical culture at a particular time. Most recently naturalism was taken to be science-based analysis. A survey of the sciences relevant to epistemology supports the pessimistic conclusion that none of them is ready to replace or even play a major role in (...) informing philosophical epistemology. The lecture proposes that naturalism in epistemology takes empirical subjects as model cognitive agents, and that epistemic norms are best thought of as sedimented conventions rather than as transcendent rules. (shrink)

In an earlier article, it was found that the terms of preference utilitarianism are insufficiently sound for guiding nursing activity in general, including in relation to nursing involvement in euthanasia. In this article, I shall examine the terms of a more traditional philosophical approach in order to determine the moral legitimacy, or otherwise, of nursing engagement in measures intended to end the lives of patients. In attempting this task, nursing practice is considered in light of what I shall call a (...) ‘nursing‐as‐healing‐praxis’ approach which includes an account of the moral purpose of nursing and the virtues necessary for realizing that purpose. Ultimately, it is concluded that the terms of this approach rule out the involvement of nurses in euthanasia such that if euthanasia can be justified at all, those outside the nursing profession must provide for its administration. (shrink)

This article defends two claims. First, humans could be in relationships characterised by hate with some robots. Second, it matters that humans could hate robots, as this hate could wrong the robots (by leaving them at risk of mistreatment, exploitation, etc.). In defending this second claim, I will thus be accepting that morally considerable robots either currently exist, or will exist in the near future, and so it can matter (morally speaking) how we treat these robots. The arguments presented in (...) this article make an important original contribution to the robo-philosophy literature, and particularly the literature on human–robot relationships (which typically only consider positive relationship types, e.g., love, friendship, etc.). Additionally, as explained at the end of the article, my discussions of robot hate could also have notable consequences for the emerging robot rights movement. Specifically, I argue that understanding human–robot relationships characterised by hate could actually help theorists argue for the rights of robots. (shrink)

In this article we examine the nature of intimacy and knowing in the nurse-patient relationship in the context of advanced nursing roles in fertility care. We suggest that psychoanalytical approaches to emotions may contribute to an increased understanding of how emotions are managed in advanced nursing roles. These roles include nurses undertaking tasks that were formerly performed by doctors. Rather than limiting the potential for intimacy between nurses and fertility patients, we argue that such roles allow nurses to provide increased (...) continuity of care. This facilitates the management of emotions where a feeling of closeness is created while at the same time maintaining a distance or safe boundary with which both nurses and patients are comfortable. We argue that this distanced or ‘bounded’ relationship can be understood as a defence against the anxiety of emotions raised in the nurse-fertility patient relationship. (shrink)

Infants are unable to make their own decisions or express their own wishes about medical procedures and treatments. They rely on surrogates to make decisions for them. Who should be the decision-maker when an infant’s biological parents are also minors? In this paper, we analyse a case in which the biological mother is a child. The central questions raised by the case are whether minor parents should make medical decisions on behalf of an infant, and if so, what are the (...) limits to this decision-making authority? In particular, can they refuse treatment that might be considered best for the infant? We examine different ethical arguments to underpin parental decision-making authority; we argue that provided that minor parents are capable of fulfilling their parental duties, they should have a right to make medical decisions for their infant. We then examine the ethical limits to minor parents’ decision-making authority for their children. We argue that the restricted authority that teenagers are granted to make medical decisions for themselves looks very similar to the restricted autonomy of all parents. That is, they are permitted to make choices, but not harmful choices. Like all parents, minor parents must not abuse or neglect their children and must also promote their welfare. They have a moral right to make medical decisions for their infants within the same ‘zone of parental discretion’ that applies to adult parents. We conclude that adult and minor parents should have comparable decision-making authority for their infants. (shrink)