BackgroundThe quality of ethics consults is notoriously difficult to measure. Survey-based assessments cannot capture nuances of consultations. To address this gap, we conducted interviews with health professionals who requested ethics consults during the initial phase of the COVID-19 pandemic.MethodHealthcare professionals requesting ethics consultation between March 2020 and May 2020 at a tertiary academic medical centre were eligible to participate. We asked participants to comment on the consults they called and thematically analysed responses to identify features associated with optimal quality consultations.ResultsOf (...) 14 healthcare providers, 8 (57%) were women and professions were as follows: 11 (79%) medical doctors, 1 (7%) social worker, 1 (7%) physician assistant and 1 (7%) nurse practitioner. Two aspects of quality emerged: satisfaction and value. Themes within the domain of satisfaction included: responsiveness of the ethics consultant, willingness to consult, institutional role of the ethics service and identifying areas for improvement. When describing value, respondents spoke of the intrapersonal and interpersonal worth of consultation.ConclusionParticipants were generally satisfied with ethics consultation services, similar to opinions of those found in pre-COVID-19 survey studies. Our qualitative approach allowed for a richer exploration of the value of ethics consultation during the pandemic and has implications for ethics consultation services more broadly. Ethics consultation—emphasising both the process and outcome—created valuable moral spaces, promoting thoughtful and ethical responses to dilemmas in patient care. Future assessments should incorporate patient and family/surrogate perspectives and explore the domain of education as an additional quality measure. (shrink)

IntroductionDespite the need for trained physician ethicists, fellowships in clinical ethics are limited and primarily offered to thosewho have completed a graduate degree. The standardization of credentialing for clinical ethics consultants (CECs) and the restructuring of undergraduate medical education allow innovative models to train CECs that can provide an expanded opportunity for formal ethics training at an earlier stage.MethodsAt the University of Michigan Medical School we developed, implemented, and evaluated a pre-doctoral clinical ethics fellowship program from 2017 to 2019 for (...) senior medical students, designed to meet established competencies for CECs. Consultation notes from the beginning and end of the fellowship program were randomly selected for each fellow and independently rated by two faculty ethicists who used the validated Ethics Consultation Quality Assessment Tool (ECQAT).1 Inter rater reliability and trends in scores over time were calculated.ResultsThree students successfully completed the fellowship at the University of Michigan Medical School, conducted at least 50 formal ethics consultations, and spent approximately 40 hours a week on service for a minimum of six months. All students finished the fellowship with teaching and policy development experience, first-authored peer-reviewed manuscripts, and national presentations. The fellows demonstrated improvement in their ECQAT overall holistic rating score; all ended their fellowship with a holistic score of adequate or above. There was 92 percent agreement between raters withrespect to the acceptability of the fellows’ ethics consult notes. Two fellows have taken and passed the Healthcare Ethics Consultant-Certification (HEC-C) exam offered by the American Society for Bioethics and Humanities (ASBH).ConclusionsIntegration of a pre-doctoral fellowship model that meets professional certification standards for clinical ethics consultation creates an opportunity for medical students to become trained CECs early in their career. (shrink)

Volume 20, Issue 7, July 2020, Page 77-80.

Institutional review board delays may hinder the successful completion of federally funded research in the U.S. military. When this happens, time-sensitive, mission-relevant questions go unanswered. Research participants face unnecessary burdens and risks if delays squeeze recruitment timelines, resulting in inadequate sample sizes for definitive analyses. More broadly, military members are exposed to untested or undertested interventions, implemented by well-intentioned leaders who bypass the research process altogether. To illustrate, we offer two case examples. We posit that IRB delays often appear in (...) the service of managing institutional risk, rather than protecting research participants. Regulators may see more risk associated with moving quickly than risk related to delay, choosing to err on the side of bureaucracy. The authors of this article, all of whom are military-funded researchers, government stakeholders, and/or human subject protection experts, offer feasible recommendations to improv... (shrink)

This book's thirty essays explore philosophically the nature and morality of sexual perversion, cybersex, masturbation, homosexuality, contraception, same-sex marriage, promiscuity, pedophilia, date rape, sexual objectification, teacher-student relationships, pornography, and prostitution. Authors include Martha Nussbaum, Thomas Nagel, Alan Goldman, John Finnis, Sallie Tisdale, Robin West, Alan Wertheimer, John Corvino, Cheshire Calhoun, Jerome Neu, and Alan Soble, among others. A valuable resource for sex researchers as well as undergraduate courses in the philosophy of sex.

Entry for the Stanford Encylcopedia of Philosophy.

The multiverse hypothesis is the leading alternative to the competing fine-tuning hypothesis. The multiverse dispels many aspects of the fine-tuning argument by suggesting that there are different initial conditions in each universe, varying constants of physics, and the laws of nature lose their known arbitrary values; thus, making the previous single-universe argument from fine- tuning incredibly weak. The position that will be advocated will be that a form of multiverse could exist and that any level of Tegmark's multiverse does not (...) circumvent the fine-tuning argument for the existence of a fine-tuner. An argument will be presented suggesting that the multiverse could strengthen the fine-tuning argument by narrowing down the parameters of the data to a more fundamental description needed for the multiverse to function as it does since it may be the case that some physical descriptions are not the same in every universe. That is, the task of explaining how the multiverse mechanism functions cannot be accounted for by the multiverse itself. Fine-tuning by a mind serves as a sufficient and best explanation for the data. (shrink)

Washington University v. Catalona revolves around ownership of tissue samples provided by patients for research purposes, raising significant ethical and legal questions concerning patient rights, current human research practices, and the treatment of samples as capital resources by the research institution.

I suggest a pluralistic account of folk psychology according to which not all predictions or explanations rely on the attribution of mental states, and not all intentional actions are explained by mental states. This view of folk psychology is supported by research in developmental and social psychology. It is well known that people use personality traits to predict behavior. I argue that trait attribution is not shorthand for mental state attributions, since traits are not identical to beliefs or desires, and (...) an understanding of belief or desire is not necessary for using trait attributions. In addition, we sometimes predict and explain behavior through appeal to personality traits that the target wouldn't endorse, and so could not serve as the target's reasons. I conclude by suggesting that our folk psychology includes the notion that some behavior is explained by personality traits—who the person is—rather than by beliefs and desires—what the person thinks. Consequences of this view for the debate between simulation theory and theory theory, as well as the debate on chimpanzee theory of mind are discussed. (shrink)

Andrews Reath presents a selection of his best essays on various features of Kant's moral psychology and moral theory, with particular emphasis on his conception of rational agency and his conception of autonomy. Together the essays articulate Reath's original approach to Kant's views about human autonomy, which explains Kant's belief that objective moral requirements are based on principles we choose for ourselves. With two new papers, and revised versions of several others, the volume will be of great interest to (...) all students and scholars of Kant and of moral philosophy. (shrink)

The marker approach is taken as best practice for answering the distribution question: Which animals are conscious? However, the methodology can be used to increase confidence in animals many presume to be unconscious, including C. elegans, leading to a trilemma: accept the worms as conscious; reject the specific markers; or reject the marker methodology for answering the distribution question. I defend the third option and argue that answering the distribution question requires a secure theory of consciousness. Accepting the hypothesis all (...) animals are conscious will promote research leading to secure theory, which is needed to create reliable consciousness tests for animals and AIs. Rather than asking the distribution question, we should shift to the dimensions question: How are animals conscious? (shrink)

On 5 July 1996 a sheep named Dolly was born in Scotland, the result of the transfer of the nucleus of an adult mammary tissue cell to the enucleated egg cell of an unrelated sheep, and gestation in a third, surrogate mother sheep. Although for the past ten years scientists have routinely cloned sheep and cows from embryo cells, this was the first cloning experiment that apparently succeeded using the nucleus of an adult cell.

January 6th, 2013 at Kyoto University. Organizer: Hisashi Nakao.

This introduction to the topical collection, Folk Psychology: Pluralistic Approaches reviews the origins and basic theoretical tenets of the framework of pluralistic folk psychology. It places special emphasis on pluralism about the variety folk psychological strategies that underlie behavioral prediction and explanation beyond belief-desire attribution, and on the diverse range of social goals that folk psychological reasoning supports beyond prediction and explanation. Pluralism is not presented as a single theory or model of social cognition, but rather as a big-tent research (...) program encompassing both revisionary and more traditionally inspired approaches to folk psychology. After reviewing the origins of pluralistic folk psychology, the papers in the current issue are introduced. These papers fall into three thematic clusters: Folk-psychological strategies beyond propositional attitude attribution ; Enculturation and regulative folk psychology ; and Defenses of pluralism. (shrink)

We show that the theory of the partial order of computably enumerable equivalence relations (ceers) under computable reduction is 1-equivalent to true arithmetic. We show the same result for the structure comprised of the dark ceers and the structure comprised of the light ceers. We also show the same for the structure of L-degrees in the dark, light, or complete structure. In each case, we show that there is an interpretable copy of (N, +, \times) .

Frans de Waal (1948-2024) transformed our understanding of primate cognition and social behavior, shaping the perspectives of scientists, philosophers, and the general public through his groundbreaking research and engaging popular books.

While more species are being identified as cultural on a regular basis, stark differences between human and animal cultures remain. Humans are more richly cultural, with group-specific practices and social norms guiding almost every element of our lives. Furthermore, human culture is seen as cumulative, cooperative, and normative, in contrast to animal cultures. One hypothesis to explain these differences is grounded in the observation that human children across cultures appear to spontaneously over-imitate silly or causally irrelevant behaviors that they observe. (...) The few studies on over-imitation in other species are largely taken as evidence that spontaneous over-imitation is not present in other species. This leads to the over-imitation hypothesis – that the differences between human culture and animal cultures can be traced to the human unique tendency to over-imitate. In this paper, we analyze the current state of the literature on animal over-imitation and challenge the adequacy of the over-imitation hypothesis for the differences between humans and animal cultures. To make this argument, we first argue that the function of human over-imitation is norm-learning and that over-imitation, like skill-learning, should be subject to selective social learning effects. Then we review the empirical evidence against animal over-imitation and argue that these studies do not take into account the relevant variables given the normative and selective nature of over-imitation. We then analyze positive empirical evidence of over-imitation in great apes and canids from the experimental literature and conclude that the current body of evidence suggests that some canids and primates may have the capacity for over-imitation. This paper offers a methodological suggestion for how to study animal over-imitation, and a theoretical suggestion that over-imitation might be much more widely found among species. The larger implication for claims about human uniqueness suggests that if we do find widespread evidence of over-imitation across species, many of the current theories of human uniqueness that focus on human hyper-cooperation or social norms may have only identified a difference of degree, not of kind, between humans and other animals. (shrink)

Andrews argues for a pluralistic folk psychology that employs different kinds of practices and different kinds of cognitive tools (including personality trait attribution, stereotype activation, inductive reasoning about past behavior, and ...

It is known that every non-universal self-full degree in the structure of the degrees of computably enumerable equivalence relations (ceers) under computable reducibility has exactly one strong minimal cover. This leaves little room for embedding wide partial orders as initial segments using self-full degrees. We show that considerably more can be done by staying entirely inside the collection of non-self-full degrees. We show that the poset can be embedded as an initial segment of the degrees of ceers with infinitely many (...) classes. A further refinement of the proof shows that one can also embed the free distributive lattice generated by the lower semilattice as an initial segment of the degrees of ceers with infinitely many classes. (shrink)

Much has been written about the free energy principle (FEP), and much misunderstood. The principle has traditionally been put forth as a theory of brain function or biological self-organisation. Critiques of the framework have focused on its lack of empirical support and a failure to generate concrete, falsifiable predictions. I take both positive and negative evaluations of the FEP thus far to have been largely in error, and appeal to a robust literature on scientific modelling to rectify the situation. A (...) prominent account of scientific modelling distinguishes between model structure and model construal. I propose that the FEP be reserved to designate a model structure, to which philosophers and scientists add various construals, leading to a plethora of models based on the formal structure of the FEP. An entailment of this position is that demands placed on the FEP that it be falsifiable or that it conform to some degree of biological realism rest on a category error. To this end, I deliver first an account of the phenomenon of model transfer and the breakdown between model structure and model construal. In the second section, I offer an overview of the formal elements of the framework, tracing their history of model transfer and illustrating how the formalism comes apart from any interpretation thereof. Next, I evaluate existing comprehensive critical assessments of the FEP, and hypothesise as to potential sources of existing confusions in the literature. In the final section, I distinguish between what I hold to be the FEP—taken to be a modelling language or modelling framework—and what I term “FEP models.”. (shrink)

Perhaps because both explanation and prediction are key components to understanding, philosophers and psychologists often portray these two abilities as though they arise from the same competence, and sometimes they are taken to be the same competence. When explanation and prediction are associated in this way, they are taken to be two expressions of a single cognitive capacity that differ from one another only pragmatically. If the difference between prediction and explanation of human behavior is merely pragmatic, then anytime I (...) predict someone’s future behavior, I would at that moment also have an explanation of the behavior. I argue that advocates of both the theory theory and the simulation theory accept the symmetry of psychological prediction and explanation. However, there is very good reason to believe that this hypothesis is false. Just as we can predict the occurrence of some physical phenomena that we have no explanation for, we are also able to make accurate predictions of intentional behavior without having an explanation. Rather than requiring mental state attribution, I argue that the prediction of human behavior is most often accomplished by statistical induction rather than through an appeal to mental states. However, explanations are not given in these terms. (shrink)

Matteo Ricci (1552-1610) was an Italian Jesuit and one of the first Christian missionaries to China in the modern era. He was a genuine polymath—a translator, cartographer, mathematician, astronomer, and musician. Above all, Ricci was a missionary for the gospel. As we briefly examine his 1603 seminal work, The True Meaning of the Lord of Heaven, our hope is that we, as evangelical educators, will perceive some of the deeper principles necessary for our own missionary work among unreached people.

Super-Humeans argue that the most parsimonious ontology of the natural world compatible with our best physical theories consists exclusively of particles and the distance relations between them. This paper argues by contrast that Super-Humean reduction goes insufficiently far, by showing there to be a more parsimonious ontology compatible with physics: Ultimate-Humeanism. This novel view posits an ontology consisting solely of the particles and distance relations required for the existence of a single brain. Super-Humeans impose conditions on what counts as an (...) ontology of the natural world to avoid their view slipping into this kind of ontology, but these conditions are arbitrarily imposed and once this is exposed, Super-Humeans face a dilemma. Either they can embrace Ultimate-Humeanism as the minimal ontology of the natural world compatible with physics, or (more likely) they can rethink the methodology that got them there. Overall, this paper argues that Super-Humeanism currently lacks principled motivation, outlines a framework for naturalistic ontological reductions, and exposes the consequences of unchecked adherence to a simplicity-driven methodology. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Ideas 63.4 (2002) 697-716 [Access article in PDF] "La Mère Humanité":Femininity in the Romantic Socialism of Pierre Leroux and the Abbé A.-L. Constant Naomi J. Andrews Humanity, my mother, since you have led me, by so many paths, to conceive this design, support me, inspire me, affirm me. —Pierre Leroux, "Invocation to my Muse." 1It was during the July Monarchy in France, in (...) the era immediately preceding the Revolution of 1848, that the ideology we call socialism became more than an abstraction held by isolated intellectuals and conspirators. 2 A series of individuals, loose-knit associations, and more formal écoles were active during the 1830s and 1840s, developing a varied agenda of social reform, economic cooperation, or association, mystical Christianity, and women's liberation. Roughly lumped under the pejorative rubric of utopian socialism, and perhaps more accurately called romantic socialism, this movement was ultimately unsuccessful in achieving its diverse goals, but contributed significantly to the political discourse of the nineteenth and twentieth centuries. 3Socialism at this stage of its development overlapped in many ways with republicanism, both being, to quote one historian of the latter, "an amalgam of responses to the Enlightenment, the 1789 Revoluation and above all economic [End Page 697] change." 4 Many early socialists were also republicans, and socialist ideas influenced the ideology articulated by republicans such as Alexandre Ledru-Rollin and Auguste Blanqui. Louis Blanc, perhaps the best-known socialist of the decade surrounding the 1848 revolution, was and is known as a Jacobin socialist. 5From a certain perspective republicanism and socialism shared common origins and assumptions during the July Monarchy. Most socialists had come out of the political milieu of republicanism, whether through the carbonarist movement, opposition political clubs such as Droits de l'Homme and Les Amis du Peuple, or through the influential journalism trade of the Bourbon Restoration and early July Monarchy. Pierre Leroux, for one, had been a co-founder of the widely read journal le Globe, a bastion of liberalism, which he later turned over to the Saint-Simonians upon his conversion to their "church." 6 Although diverse in many ways, the left of this era did share certain core tenets, chief among them opposition to the Orleanist monarchy and, to varying degrees the belief in more democratic rule of the French nation.To say this, however, might erroneously imply a unity that was certainly not a feature of socialism during this period. In fact socialism, despite its near mystical devotion to ideas of unity, was anything but singular during its pre-Marxian phase. The spectrum of socialist thinkers and groups ranged widely. Standing closest to the republicans in their beliefs about politics and the revolutionary tradition were Jacobin socialists, most usually associated with Louis Blanc. Blanc and others articulated a social philosophy that sought "to unite two distinct ideologies: Jacobin democracy and co-operative socialism." 7 Thus Jacobin socialism combined republican political priorities and commitment to national political processes in general and to a centralized state in particular with attention to economic change, to reforming the distribution process along more equitable lines and to putting the situation of working people at the center of political change. In this goal Jacobin socialism reflected, as did other strains of socialism, the economic instability of the era and the emergence of an organized working class movement which followed the aborted revolution of 1830. 8At the other end of the spectrum one might put the Saint-Simonians and the Fourierist École Sociétaire. 9 Vehemently anti-republican, these groups shared [End Page 698] very little with the Jacobin socialists, other than a certain concern with the emerging working class, one of the few consistent features of early socialism. Unlike Jacobin socialists, these groups focused their theories of community at a very low level, having a strongly utopian component to their thinking. As a result, they tended to see national politics as irrelevant to the situation of ordinary people and even as a... (shrink)

Dasgupta poses a serious challenge to realism about natural properties. He argues that there is no acceptable explanation of why natural properties deserve the value realists assign to them and are consequently absent of value. In response, this paper defines and defends an alternative non-explanatory account of normativity compatible with realism. Unlike Lewis and Sider, who believe it is sufficient to defend realism solely on realist terms, I engage with the challenge on unfriendly grounds by revealing a tu quoque. Dasgupta (...) and anti-realists face a similar challenge to that directed against realism: one that not only undermines the objection to realism by legitimising non-explanatory normativity but leaves them facing a significant dilemma. (shrink)

Responsibility is important for readers to understand early in childhood. This title explains the concept with clear descriptions and simple, everyday examples of responsibility in action. QR Codes in the books give readers access to book-specific resources to further their learning. Aligned to Common Core Standards and correlated to state standards.

The admiration of the Soviet Union amongst Britain's interwar scientific left is well known. This article reveals a parallel story. Focusing on the biologists Julian Huxley and Lancelot Hogben and the scientific journalist J.G. Crowther, I show that a number of scientific thinkers began to look west, to the US. In the mid- to late 1930s and into the 1940s, Huxley, Crowther and Hogben all visited the US and commented favourably on Roosevelt's New Deal, in particular its experimental approach to (...) politics (in the form of planning). Huxley was first to appreciate the significance of the experiment; he looked to the Tennessee Valley Authority as a model of democratic planning by persuasion that could also be applied in Britain. Crowther, meanwhile, examined the US through the lens of history of science. InFamous American Men of Science(1937) and in lectures at Harvard University, he aimed to shed light on the flaws in the Constitution which were frustrating the New Deal. Finally, Hogben's interest in the US was related to his long-standing opposition to dialectical materialism, and when he finally saw the US at first hand, he regarded it as a model for how to bring about a planned socialist society through peaceful persuasion. (shrink)

This paper surveys some themes of Allison's Kant's Theory of Freedom, and then raises a problem for his presentation of Kant's Reciprocity Thesis. Allison argues that a transcendentally free agent is bound to the moral law as follows. Rational agents fall under a justification requirement, and when transcendental freedom is added to the concept of rational agency, the justification requirement extends to the choice of fundamental maxims. Since facts about one's nature cannot justify the adoption of fundamental maxims, all that (...) remains are considerations that anyone can recognize as valid. Thus a transcendentally free agent must conform to unconditional laws. The problem is that it is unclear how a transcendentally free agent can make a reasoned choice of fundamental principles; but if it can, why can't it choose the Principle of Happiness? I suggest that a stronger version of this argument results from adopting a richer notion of a transcendentally free agent as an autonomous sovereign will with an interest in expressing its sovereignty. (shrink)

This paper develops an interpretation of what is essential to kant's doctrine of the highest good, Which defends it while also explaining why it is often rejected. While it is commonly viewed as a theological ideal in which happiness is proportioned to virtue, The paper gives an account in which neither feature appears. The highest good is best understood as a state of affairs to be achieved through human agency, Containing the moral perfection of all individuals and the satisfaction of (...) their permissible ends-I.E., One in which all act from the moral law and in doing so achieve their intended ends. The paper shows that the texts contain two distinct conceptions not distinguished by kant-Both a theological and a secular (political) notion. The standard objections apply to the theological, But the secular conception is consistent with kant's conception of moral conduct. Moreover, That the highest good is introduced as an end to be constructed out of the moral law indicates that the secular version is the essential notion. (shrink)

New Jersey's Baby M case has thrust the issue of surrogate motherhood on state legislatures throughout the country. Like artificial insemination in the 1950s and 1960s, this new reproductive technology is evoking legislative responses ranging from horrified prohibition to cautious facilitation.