In this thoughtful, rich, and extremely ambitious book, Norton Nelkin develops a "Scientific Cartesian" theory of sensation and perception, consciousness, conceptual content, and concept formation. The theory is Cartesian primarily because its account of mental states is realist, individualist, and internalist; Nelkin also holds, with Descartes, that perceptions are spontaneous judgments and that at least some of our concepts are innate. But, unlike Descartes, Nelkin rejects dualism and treats the mind as something that can be studied by the same methods (...) as other natural phenomena; indeed, Nelkin goes further than many contemporary theorists in attempting to make his views consistent with, and informed by, studies in the cognitive sciences. (shrink)

Based on a qualitative study of 48 teenage mothers living in the Denver metropolitan area, this research examines the loss of multiple attachments, including mothers, siblings, and other extended family members and friends, among African American and Latina girls who become young mothers. Through life history narratives, this article explores the isolating effects of teen motherhood on the relational world of young mothers and the transition to “forced autonomy” that emerges out of the relationship strains in the teen mothers’ lives. (...) Faced with ruptures in significant childhood attachments and strains in the mother–daughter bond, young mothers develop strategies of accommodation to cope with the disruptions to connectivity and the demands of forced autonomy that are the result of early motherhood. These findings are interpreted through the frame of self-in-relation theory as this theoretical perspective has been informed by the scholarship on race and ethnicity. In reengaging the discourse on race, class, and gender, our findings contribute to the field in a number of significant and related ways: first, through an investigation into relationship loss and repair among teen mothers; second, by addressing the conditions under which teen mothers gain acceptance in their families; and third, in applying self-in-relation theory to the experience of adolescent girls of color whose relational lives are disrupted by the stigma and adversity of teen motherhood. (shrink)

This paper introduces the controversy surrounding active voluntary euthanasia and describes the legal position on euthanasia and assisted suicide in the UK. Findings from studies of the nurses' attitudes to euthanasia from the national and international literature are reviewed. There are acknowledged difficulties in carrying out research into attitudes to euthanasia and hence the review of findings from the published studies is followed by a methodological review. This methodological review examines the research design and data collection methods used in the (...) published studies, problems with understanding definitions of euthanasia and the measurement of attitudes. The paper concludes with a discussion of how research in this area may influence nursing practice. (shrink)

This festschrift collects a number of insightful essays by a group of accomplished Christian scholars, all of who have either worked with or studied under Hendrik Hart during his 35-year tenure as Senior Member in Systematic Philosophy at the Institute for Christian Studies, Toronto, Canada.

Western stereotypes often characterize gender relations in Muslim-majority societies as uniformly traditional and patriarchal. Underlying this imagery is a unidimensional understanding of gender ideology as moving along a single traditional-to-egalitarian continuum. In this study, we interrogate these assumptions by exploring variability across and within Middle Eastern, North African, and South Asian (MENASA) societies in beliefs related to two regionally salient gender principles: women’s chastity and marital patriarchy. Data from a new online survey of Muslim Facebook users show substantial heterogeneity across (...) and within six MENASA societies in support for these principles. These data also reveal a multidimensional structure, in that societies show different configurations of chastity and marital patriarchy beliefs, and each of these gender principles is influenced by respondents’ religious beliefs and gender status in different ways. Although religious absolutism predicts agreement with both gender principles, piety is associated with support for chastity but not for marital patriarchy. Results also show a clear gender divide in attitudes toward hierarchy in marriage but not with respect to chastity. Findings complicate broad-brush depictions of patriarchy in the region and corroborate previous research on the multidimensionality of gender beliefs and the multifaceted attitudinal influences of gender and religious beliefs. (shrink)

The process of apprenticeship is one means of entering a new profession. Along with the technical skills entailed in learning a new job, apprentices need to acquire proficiency in appropriate ways of communicating in order to construct a convincing professional identity. Data collected on a New Zealand building site provides evidence of the extent of the situated learning in which building apprentices engage. Becoming an accepted member of the community of practice centrally involves learning to recognize and respond appropriately to (...) a wide range of differently encoded directives, for instance. But membership also entails developing an understanding of more subtle interactional norms, such as acceptable topics of small talk and appropriate forms and quantities of humour on the job. This article examines evidence that suggests these understandings develop gradually as apprentices move from peripheral to core status in their chosen professional community of practice. We also explore the implications of the analysis for a more nuanced understanding of the complexities of the community of practice framework. (shrink)

Within the literature that circulates in the discourses organizing nursing education, there are embedded assumptions that link student performance on maths examinations to safe medication practices. These assumptions are rooted historically. They fundamentally shape educational approaches assumed to support safe practice and protect patients from nursing error. Here, we apply an institutional ethnographic lens to the body of literature that both supports and critiques the emphasis on numeracy skills and medication safety. We use this form of inquiry to open an (...) alternate interrogation of these practices. Our main argument posits that numeracy skills serve as powerful distraction for both students and teachers. We suggest that they operate under specious claims of safety and objectivity. As nurse educators, we are captured by taken‐for‐granted understandings of practices intended to produce safety. We contend that some of these practices are not congruent with how competency actually unfolds in the everyday world of nursing practice. Ontologically grounded in the materiality of work processes, we suggest there is a serious disjuncture between educators' assessment and evaluation work where it links into broad nursing assumptions about medication work. These underlying assumptions and work processes produce contradictory tensions for students, teachers and nurses in direct practice. (shrink)

In Spoils of War, a diverse group of distinguished contributors suggest that acts of aggression resulting from the racism and sexism inherent in social institutions can be viewed as a sort of "war," experienced daily by women of color.

Although the authors' ingenuity in identifying criteria for innovation for field studies is appealing, most field studies will lack adequate data. Additionally, their definition does not clearly distinguish innovation from individual learning and is vague about cognitive mechanisms involved. We suggest that developmental data are essential to identifying the causes and consequences of learning new behaviors.

Cowdin and Tuohey argue for a rethinking of Catholic bioethical principles and the Church's moral authority. Citing the Second Vatican council for support, they argue that if the Church were to respect the proper autonomy of medicine, it would allow sterilizations. In this essay I argue against Cowdin and Tuohey's understanding that the Church has derived its moral laws independent of consultation with medicine and that it treats medicine simply as a source of technical expertise. I also argue that they (...) misunderstand the nature of autonomy as well as the Church's position regarding the type of autonomy they request for medicine. I will especially argue against their understanding of the principles of totality and double effect as “dispensations” from the moral order. I conclude that they have provided no grounds to cause the Church to reconsider its condemnation of all sterilizations. (shrink)

Many well-known arguments against physicalism—e.g., Chalmers’s Zombie Argument and Kripke’s Modal Argument—contend that it is conceivable for there to be physical duplicates of ourselves that have no conscious experiences (or, conversely, for there to be disembodied minds) and also that what is conceivable is possible—and therefore, if phenomenal-physical identity statements are supposed to be necessary, then physicalism can’t be true. Physicalists typically respond to these arguments either by questioning whether such creatures can truly be conceived, or denying that the conceivability (...) of such creatures provides good evidencefor their ‘metaphysical’ possibility. An increasing number of physicalists, however, contest these arguments in a different way, namely, by suggesting that the conceivability premises in these arguments beg the question: one’s ability to conceive of the existence of zombies (or disembodied minds) depends exclusively on what one antecedently believes to be the nature of conscious experience (or the theories of consciousness one tacitly accepts)—and therefore cannot legitimately be used to draw conclusions about whether conscious experiences could be physical states or processes. My aim in this paper is to consider, and raise questions about, (various versions of) this response to the antiphysicalist arguments—and argue that physicalists have more promising ways to disarm them. (shrink)

This response challenges Jensen's analysis in no substantial way. Rather, it explains more fully some of the moral character categories that Aristotle provides. It argues that Aristotle understood there to be two forms of continence: the continence that enables us to control natural appetites and “some form” of continence directed towards unnatural appetites, generally engendered by some pathology or abuse.

Evolving Clinical Ethics: A Working UnConference, held 5 through 7 February 2020 in Houston, Texas, brought together 91 participants from a variety of institutions, many of whom are engaged in clinical ethics work. The event followed the success of the first Clinical Ethics UnConference hosted by the Cleveland Clinic Center for Bioethics in 2018, and offered an opportunity for ethicists to share both their challenges and their solutions to clinical ethics issues. In this article we explore the emerging themes of (...) the second UnConference and identify the top 10 questions currently faced by the field. We address both unresolved issues and areas of agreement and highlight new collaborations that have been developed to work toward greater standardization in our field. (shrink)

Philosophers have traditionally held that claims about necessities and possibilities are to be evaluated by consulting our philosophical intuitions; that is, those peculiarly compelling deliverances about possibilities that arise from a serious and reflective attempt to conceive of counterexamples to these claims. But many contemporary philosophers, particularly naturalists, argue that intuitions of this sort are unreliable, citing examples of once-intuitive, but now abandoned, philosophical theses, as well as recent psychological studies that seem to establish the general fallibility of intuition.In the (...) first two sections of this paper, I evaluate these arguments, and also the counter-arguments of contemporary defenders of tradition. In the next two sections, I sketch an alternative account of the role of philosophical intuitions that incorporates elements of traditionalism and naturalism - and defend it against other such views. In the final section, however, I discuss intuitions about conscious experience, and acknowledge that my view may not extend comfortably to this case. This may seem unfortunate, since so much contemporary discussion of the epistemology of modality seems motivated by worries about the mind-body problem, and informed by the position one wishes to endorse. But, as I argue, if conscious experience is indeed an exception to the view I suggest in this paper, it is an exception that proves - and can illuminate - the rule. (shrink)