After 40 years of attributing high rates of physician career dissatisfaction, attrition, alcoholism, divorce and suicide to ‘burnout’, there is growing recognition that these outcomes may instead be caused by moral injury. This has led to a debate about the relative diagnostic merits of these two terms, a recognition that interventions designed to treat burnout may be ineffective, and much perplexity about how—if at all—this changes anything. The current research seeks to develop the construct of moral injury outside military contexts, (...) generate more robust validity tests and more fully describe and measure the experiences of persons exposed to moral harms. Absent from the literature is a mechanism through which to move from the collective moral injury experience of physicians to a systematic change in the structure of medical practice. To address this, after providing a brief history, definitions and contrasts between burnout, moral distress and moral injury, we review the interplay of moral and ethical codes in the context of moral injury. We conclude by suggesting that professional associations can potentially prevent moral injury by providing protections for physicians within their codes of ethics. There are no data in this work. (shrink)

Part I. Reflections on the past : a mor et memoria / Ugo Perone -- Givenness, grace, and Marion's Augustinianism / Felix O Murchadha -- Way of being given / Pierre-Jean Renaudie -- On the threshold of distance / Ryan Coyne -- Part II. Present openings : reading textual dramatics / Stephen E. Lewis -- The moving icon / Jodie McNeilly -- Love without bodies / Cassandra Falke -- As an Orpheus of phenomenality -- Part III. Breaching future horizons : (...) discovering human insufficiency with Marion / Jennifer Rosato -- Marion's spirituality of adoration and its implications for a phenomenology of religion / Christina M. Gschwandtner -- From negative theology of hermeneutics / Claudio Tarditi -- An excess of happiness / Jeffrey L. Kosky -- Flight from the flesh / Brian Becker. (shrink)

The paper proposes a minimal definition of dreaming in terms of immersive spatiotemporal hallucination (ISTH) occurring in sleep or during sleep–wake transitions and under the assumption of reportability. I take these conditions to be both necessary and sufficient for dreaming to arise. While empirical research results may, in the future, allow for an extension of the concept of dreaming beyond sleep and possibly even independently of reportability, ISTH is part of any possible extension of this definition and thus is a (...) constitutive condition of dreaming. I also argue that the proposed ISTH model of dreaming, in conjunction with considerations on the epistemic relationship between dreaming and dream reports, raises important questions about the extent to which dreams typically involve a detailed body representation—an assumption that plays an important role in philosophical work on dreaming. As a commonly accepted definition of dreaming is lacking in current dream research, the ISTH model, which integrates conceptual analysis and epistemological considerations with results from empirical research, is an important contribution to this field. By linking dreaming to felt presence, full-body illusions, and autoscopic phenomena such as out-of-body experiences in wakefulness and in the hypnagogic state, the ISTH model of dreaming also helps integrate dream research, both theoretically and experimentally, with the study of other altered states of consciousness involving hallucinations. It makes straightforward and investigable predictions by claiming that all of these experiences have amodal spatiotemporal hallucinations as their common denominator. Finally, it is theoretically relevant for the philosophical discussion on minimal phenomenal selfhood. (shrink)

What is common knowledge? According to the dominant iterative model, a group of people commonly knows that p if and only if they each individually know that p, and they furthermore each know that they each know that p, and so on to infinity. According to the integrative model proposed in this paper, a group commonly knows that p when its members are united in a state of mind of the type whose contents must be true. Epistemic integration within a (...) group is enabled by symmetrical signalling processes such as eye contact. In conversational dyads, symmetrical processing operates on pairs of signals produced by the two sides in a familiar format: speakers generate content for joint attention in main channel communication, and addressees evaluate that content in backchannel communication. Processes of reinforcement learning shape our pairwise signalling, driving the accumulation of common knowledge, both in response to extrinsic reward for coordinated action, and in response to the intrinsic reward of curiosity. Where the iterative model caps the epistemic performance of the group at the level of its weakest member, the integrative model of common knowledge shows how groups working together can outperform their strongest member working alone. (shrink)

Experiments in psychology and experimental philosophy suggest that judgments about actual causation are partially governed by norms: norm violations are more likely to be singled out as causes, while structurally analogous factors that obey the norms are unlikely to be singled out. The norm-sensitivity of causal judgment has, in turn, lent support to a normative analysis of causation itself. In this paper, I question whether the support stands. I articulate and examine two principal reasons support might be so derived. For (...) each, I argue that, in fact, a non-normative analysis is better supported. (shrink)

Advances in our understanding of appraisal processes and emotion regulation have been two of the most important contributions of research on cognition and emotion in recent decades. Interestingly, however, progress in these two areas has been less mutually informative than one might expect or desire. To help remedy this situation, we provide an integration of appraisal theory and the process model of emotion regulation by describing parallel, interacting and iterative systems for emotion generation and emotion regulation. Outputs of the emotion (...) generation system are perceived by the emotion regulation system, and emotion regulation strategies then modulate emotion by intervening at specific stages of the emotion generation system, ultimately changing appraisal dimensions. We hope that our unified perspective will encourage and guide future research at the interface of cognition and emotion. (shrink)

A promising development in the philosophy of causation analyzes actual causation using structural equation models, i.e., “causal models”. This paper carefully considers what it means for an interpreted model to be accurate of its target situation. These considerations show, first, that our existing understanding of accuracy is inadequate. Further, and more controversially, they show that any causal model analysis is committed to a kind of relativism – a view whereby causation is a three-part relation holding between a cause, an effect, (...) and something else. In particular, insofar as a causal model analysis construes causation mind-and-language independently, it must treat causation as relative to a specification of background possibilities – i.e., a ‘modal profile.’ Or, so I argue. (shrink)

Lawson and McCauley have argued that non-cultural regularities in how actions are conceptualized inform and constrain participants' understandings of religious rituals. This theory of ritual competence generates three predictions: 1) People with little or no knowledge of any given ritual system will have intuitions about the potential effectiveness of a ritual given minimal information about the structure of the ritual. 2) The representation of superhuman agency in the action structure will be considered the most important factor contributing to effectiveness. (...) 3) Having an appropriate intentional agent initiate the action will be considered relatively more important than any specific action to be performed. These three predictions were tested in two experiments with 128 North American Protestant college students who rated the probability of various fictitious rituals to be effective in bringing about a specified consequence. Results support Lawson and McCauley's predictions and suggest that expectations regarding ordinary social actions apply to religious rituals. (shrink)

There is growing interest in the processes by which entrepreneurial opportunities are cocreated between entrepreneurs and their stakeholders. The longitudinal case study of de novo firm Wakefield Seafoods seeks to understand the underlying dynamics of phenomena that play out over time as stakeholders emerge and their contributions become essential to the opportunity formation process. The king crab data show that under conditions of uncertainty, characterized by incomplete or missing knowledge, entrepreneurial processes of experimentation, failure, and learning were effective in forming (...) and exploiting an opportunity. Moreover, contrary to existing literature that either emphasizes heroic entrepreneurs or downplays their value, this article shows that both the vision of the entrepreneur and the stakeholder contributions are critical. This detailed examination of process data shows that the cumulative actions made by entrepreneurs in concert with their stakeholders formed an opportunity that coalesced into a new market. (shrink)

Recent work in experimental philosophy has indicated that intuitions may be subject to several forms of bias, thereby casting doubt on the viability of intuition as an evidential source in philosophy. A common reply to these findings is the ‘expertise defense’ – the claim that although biases may be found in the intuitions of non-philosophers, persons with expertise in philosophy will be resistant to these biases. Much debate over the expertise defense has centered over the question of the burden of (...) proof; must defenders of expertise provide empirical evidence of its existence, or should we grant the existence of philosophical expertise as a ‘default’ assumption? Defenders have frequently appealed to analogy with other fields; since expertise clearly exists in, e.g., the sciences, we are entitled to assume its existence in philosophy. Recently, however, experimentalists have begun to provide empirical evidence that biases in intuition extend even to philosophers. Though these findings don't yet suffice to defeat the default assumption of expertise the analogy argument motivates, they do force any proponent of the analogy argument to provide more specific and empirically informed proposals for the possible nature of philosophical expertise. (shrink)

Interpreting Shakespeare’s seminal work ‘Hamlet’ through the lens of biocentrism offers an illuminating paradigm shift from traditional analyses. Biocentrism, a philosophical standpoint positing the intrinsic value of all living beings and the fundamental interconnectedness of life, contrasts sharply with the anthropocentric viewpoint that places humans at the centre of the universe’s hierarchy. This re-evaluation not only enriches our understanding of the play’s enduring themes, characters, and narrative arcs but also aligns Shakespeare’s work with contemporary environmental and ethical discussions. At the (...) heart of ‘Hamlet’ lie profound contemplations of existence, morality, and the human condition—themes that resonate deeply with biocentric philosophy. (shrink)

It is commonly thought that moral rules and principles, such as ‘Keep your promises,’ ‘Respect autonomy,’ and ‘Distribute goods according to need ,’ should play an essential role in our moral deliberation. Particularists have challenged this view by arguing that principled guidance leads us to engage in worse decision making because principled guidance is too rigid and it leads individuals to neglect or distort relevant details. However, when we examine empirical literature on the use of rules and principles in other (...) domains, we find that people can learn to use rules discriminately and that rule-based models tend to outperform even expert judgment. I argue that this evidence poses a problem for the moral particularist. If the particularist claims that we should not rely on decision-making rules when making practical decisions and it turns out that these rules help us make better decisions, then the particularists’ prescriptive account is deficient. However, if the particularist claims that we should rely on practical decision-making rules but not on moral rules, she needs to explain how practical rules are different from moral rules and why we should rely on the former but not the latter. (shrink)

My thanks to Anik Waldow and Charles Wolfe for their work in producing a volume celebrating our late dear friend Stephen Gaukroger (1950-2023): The Shaping of the Sciences: Essays in Honour of Stephen Gaukroger, edited by Charles Wolfe and Anik Waldow (Springer, 2024). This is my contribution, pp. 187-195 / ISBN: 978-3-031-76036-5 / eBook ISBN 978-3-031-76037-2.

This paper describes the unique values of, challenges within, and opportunities presented by embedded ELSI ethnography. Drawing from our six‐year embedded ELSI study of the WISDOM (Women Informed to Screen Depending on Measures of Risk) trial, we present three examples of the variable ways we engaged with the WISDOM trial's scientific team. WISDOM is a preference‐sensitive, pragmatic, randomized controlled trial of risk‐based breast cancer screening informed by genomics. Our embedded ELSI approach included multiple modes of engagement: (a) Trial investigators sought (...) bioethics expertise; for example, we were asked to consult on traditional bioethics topics such as consent as well as more complex questions about whether to implement a specific risk‐assessment approach on only one race‐defined group of trial participants. (b) As the ELSI investigators, we identified ethical concerns in issues that surfaced via ethnography and considered them in the Bioethics Working Group; for example, there were concerns about the implementation processes that the WISDOM team viewed as logistical challenges. (c) Our presence in WISDOM working group conversations and our expertise on classic social science topics, including race and gender, offered opportunities to engage on the spot with topics such as how to include transgender participants in a trial initially focused on “women's health”; through such engagement, the value of social science became clear to the trial investigators. The paper elaborates on the dynamic relationship between our ethnographic observations, the Bioethics Working Group discussions, and the contributions of each to our real‐time ELSI interventions in these examples. The methods and experiences we describe here suggest modes of engagement that, in combination, have the potential to expand the role of ELSI to offer real‐time intervention on issues related to equity, inclusion, and justice in genetic and genomic research. (shrink)

En el presente ensayo se analiza la crítica que hace Aristóteles a la teoría de las ideas de Platón; comenzaremos por saber cómo y por qué Aristóteles critica la teoría de las ideas, después nos enfocaremos en el libro de la Metafísica de Aristóteles, de donde obtendremos las críticas que hace a esta teoría y, para finalizar, veremos qué respuestas da Aristóteles a varios de los problemas que existen en la teoría de las ideas de Platón. Al final llegaremos a (...) unas conclusiones muy interesantes, porque notaremos que Aristóteles no estaba en contra de su maestro, sólo quería perfeccionar varias de sus ideas en su búsqueda de la verdad.¿Cómo y por qué Aristóteles. (shrink)

Prediction‐based processes appear to play an important role in language. Few studies, however, have sought to test the relationship within individuals between prediction learning and natural language processing. This paper builds upon existing statistical learning work using a novel paradigm for studying the on‐line learning of predictive dependencies. Within this paradigm, a new “prediction task” is introduced that provides a sensitive index of individual differences for developing probabilistic sequential expectations. Across three interrelated experiments, the prediction task and results thereof are (...) used to bridge knowledge of the empirical relation between statistical learning and language within the context of nonadjacency processing. We first chart the trajectory for learning nonadjacencies, documenting individual differences in prediction learning. Subsequent simple recurrent network simulations then closely capture human performance patterns in the new paradigm. Finally, individual differences in prediction performances are shown to strongly correlate with participants’ sentence processing of complex, long‐distance dependencies in natural language. (shrink)

Journal of Political Philosophy, EarlyView.

In this paper, we address the different ways in which dream research can contribute to interdisciplinary consciousness research. As a second global state of consciousness aside from wakefulness, dreaming is an important contrast condition for theories of waking consciousness. However, programmatic suggestions for integrating dreaming into broader theories of consciousness, for instance by regarding dreams as a model system of standard or pathological wake states, have not yielded straightforward results. We review existing proposals for using dreaming as a model system, (...) taking into account concerns about the concept of modeling and the adequacy and practical feasibility of dreaming as a model system. We conclude that existing modeling approaches are premature and rely on controversial background assumptions. Instead, we suggest that contrastive analysis of dreaming and wakefulness presents a more promising strategy for integrating dreaming into a broader research context and solving many of the problems involved in the modeling approach. (shrink)

(1996). A model for the critical review mode in TSI. World Futures: Vol. 47, Unity and Diversity in Contemporary Systems Tinking: Systematic Pictures at an Exhibition, pp. 37-52.

The new field of experimental philosophy has emerged as the methods of psychological science have been brought to bear on traditional philosophical issues. Oxford Studies in Experimental Philosophy will be the place to go to see outstanding new work in the field. It will feature papers by philosophers, papers by psychologists, and papers co-authored by people in both disciplines. The series heralds the emergence of a truly interdisciplinary field in which people from different disciplines are working together to address a (...) shared set of questions. The inaugural volume is roughly structured into four sections. The first three papers focus on recent developments in moral psychology, a topic that has seen lively debate and a great deal of progress over the last decade. The second section highlights three contributions that bring new methods to moral psychology: formal modeling and special populations. The third section brings together four papers that adopt an experimental philosophy approach to novel topics, including intuitive dualism, generics, joint action, and happiness. And the last two papers provide critical and historical context to the development of experimental philosophy. (shrink)

Since 1997 there has been a significant increase in the number and percentage of Kansas farmers who are women. Using Reskin and Roos’ model of “job queues and gender queues” I analyze changes in the agricultural industry in Kansas that resulted in more women becoming “principal farm operators” in the state. I find there are three changes largely responsible for women increasing their representation in the occupation: an increase in the demand for niche products, a decrease in the average farm (...) size, and greater societal acceptance of women as farmers. This study adds to the growing literature on women principal farm operators in developed countries, and is among the first to explore why women are becoming a larger percentage of the occupation in the United States. (shrink)

Disposition terms, such as 'cowardice,' 'fragility' and 'reactivity,' often appear in explanations. Sometimes we explain why a man ran away by saying that he was cowardly, or we explain why something broke by saying it was fragile. Scientific explanations of certain phenomena feature dispositional properties like instability, reactivity, and conductivity. And these look like causal explanations - they seem to provide information about the causal history of various events. Philosophers such as Ned Block, Jaegwon Kim, Elizabeth Prior, Robert Pargetter, and (...) Frank Jacksonl have suggested reasons for thinking that dispositions are causally inert. I call this the "Inert Dispositions View." According to this view, the glass's fragility was not responsible for its breaking; the man's cowardice was causally impotent as he fled. The Inert Dispositions View would call many of the explanations we give into question. By employing a disposition in an explanation, we might have thought we were giving a causal explanation of the event. Perhaps we took ourselves to be explaining an effect with some feature of its cause that was responsible for the effect. However, if dispositions are causally inert, we are explaining the event in some other way, or not really explaining it at all. The Inert Dispositions View suggests that something is amiss with many scientific explanations. If properties like conductivity and volatility are causally inert, it is not clear how appealing to them provides us with information about why certain phenomena occur. This is especially problematic if one thinks, as some do, that the fundamental properties that scientists attribute to the ultimate constituents of matter -- things like force, mass, charge, impenetrability -- are dispositional. If, as Simon Blackburn says, "science finds only dispositional properties all the way down,"2 and if dispositions are causally inert, it would seem that science does not provide us with real causal explanations. The Inert Dispositions View implies that there is something amiss with psychological explanations as well. At least some psychological states are dispositional -- being courageous or shy, being such that you would accept a drink if you were offered one. On some views, all mental states are like dispositions, since having a mental state is a matter of having some brain state or other that performs a certain causal role. If mental properties are relevantly similar to dispositions, and dispositions are inert, then mental properties make no difference to what a body does. However, it is natural to think that my believing and desiring certain things has much to do with my body moving in certain ways. It would take powerful arguments to cast these beliefs into serious doubt. In this paper, I defend the causal efficacy of dispositions against two types of arguments that l call "Analyticity Arguments" and "No Work Arguments." According to Analyticity Arguments, there is an analytic or necessary connection between a disposition and its manifestation, and this goes to show that there is no causal connection. I argue, on the contrary, that it shows no such thing. According to No Work arguments, manifestations of dispositions already have sufficient causes, and so there is "no work" for dispositions to do. I claim that these arguments rest on some questionable assumptions. (shrink)

In this commentary, I confront Ganeri’s theory of self with two case studies from cognitive neuroscience and interdisciplinary consciousness research: mind wandering and full-body illusions. Together, these case studies suggest new questions and constraints for Ganeri's theory of self. Recent research on spontaneous thought and mind wandering raises questions about the transition from unconscious monitoring to the phenomenology of ownership and the first-person stance. Full-body illusions are relevant for the attenuation problem of how we distinguish between self and others. Discussing (...) these examples can help refine key transitions in Ganeri’s theory of self and ensure its empirical plausibility. This discussion also identifies points of contact between Ganeri's self and cognitive neuroscience, raising new questions for future research, both philosophical and empirical. (shrink)

Phenomenologist Merleau-Ponty, early on, neglected music's theoretical value in favor of painting's. Later, however, he found that it is the transience of music that speaks to the phenomenological experience of Being. This transition from painting to music presents the possibility of an ontological understanding of music for psychoanalysis. For Freud, music and morality were both from a “beyond” that was an effect of neurosis. Drawing on psychoanalyst Bion's idea of container–contained, and his disciple Meltzer's application of this to art, as (...) well as Bion's later innovation of the unknowable O, I apply Merleau-Ponty's distinction between painting and music to the therapeutic nature of art in order to see what sort of psychoanalytically significant revelation is obtained through music. (shrink)

In this contribution, I focus on three key questions that arise when engaging with Ricœur’s lecture, “Suffering is Not Pain.” The first is the methodological issue concerning the philosopher’s role, particularly in taxonomizing. I will examine mental taxonomy, as well as taxonomy more broadly, before turning to pain and suffering more specifically. I then move to Ricœur’s characterization and contrast of suffering and pain throughout the lecture. Following this, I expand on Ricœur’s definition of suffering as a diminution of the (...) power to act by incorporating my own account of suffering as a significant disruption to agency. I explore how this expanded view can contribute to a deeper investigation of Ricœur’s agentive hypothesis of suffering within each of his three identified “moments” of suffering, thus enhancing our understanding of the specific agentive challenge that suffering represents. (shrink)

Uncivil obedience, also sometimes called malicious compliance, has the potential to be a galvanizing force for political change. Historically, it played a key role in many 20th century labor movements, and is still used today by both individuals and more organized activist groups. Despite this, uncivil obedience is less often a topic of philosophical discussion than its more well-known cousin, civil disobedience. In particular, uncivil obedience’s relationship to violence is almost entirely unexplored. In this paper, I outline the necessary conditions (...) for some act to count as uncivil obedience, discuss its relationship to violence, and then present the conditions that must be met for uncivil obedience to be justified. Like other forms of protest and resistance, uncivil obedience has normative limits; there are things we ought not do with it, even in the name of fighting for a better world. (shrink)

The Character Gap by Christian Miller is an excellent discussion of how the empirical research conducted on virtue bears upon the larger question of whether or not people are virtuous, especially when we consider the question through the lens of a philosophically rigorous account of virtue. His conclusion is that overall people are not virtuous—but then, neither are they vicious. In this commentary, I challenge the latter. I explore two alternative ways of conceiving of vice and utilize a range of (...) empirical findings—on topics ranging from bullying, to sexual assault, to factory farming—to argue that perhaps vice is much more prevalent than Miller believes, a worry that deserves our attention and concern. (shrink)

Erdelyi identifies cognitive and emotional motives for repression, but largely neglects social motivations. Yet social pressure to not know, and implicit needs to isolate awareness in order to protect relationships, are common motives. Social motives may even trump emotional motives; the most painful events are sometimes the most difficult to repress. Cognitive repression may be impacted by social information sharing.

Background: Ethics consultants (ECs) are increasingly expected to possess core knowledge and skills. Few data address whether ECs actually possess recommended core knowledge. We aimed to measure pediatric ECs’ understanding of ethical principles, identify knowledge gaps, and explore associations between experience/training and knowledge in pediatric ethics consultations. Methods: We identified the 2 ECs most knowledgeable in pediatric ethics from each of 45 freestanding children's hospitals and an equal number of general teaching hospitals in the United States. This yielded a sample (...) of 159 eligible pediatric ECs. Pediatric ECs were sent a survey measuring ethics training, characteristics of the ethics consultation service, and EC knowledge, as assessed by a previously validated scale entitled the Test of Residents’ Ethics Knowledge for Pediatrics (TREK-P). Of 102 completed surveys received, 99 were used in the analysis. Results: Seventy-three percent of ECs had completed ≥1 formal training modality, most commonly bioethics mini-courses, master's degrees, or certificate programs (20–30% each). Respondents infrequently received salary support (32%) or had a budget (28%) to support ethics work. The median TREK-P score was 19 (interquartile range [IQR] 17–21). Forty percent of subjects scored ≥20, surpassing the threshold of adequate performance proposed in previous work. Median scores were significantly higher among ECs with formal training in ethics but did not differ significantly by other variables. In secondary analyses, high scores (≥20) were significantly more common among ECs receiving salary support (55% vs. 33%, p = 0.04) and who had formal ethics training (47% vs. 22%, p = 0.02). Items pertaining to privacy, genetic testing, and assent, were answered incorrectly by >33% of ECs. Conclusions: High scores on a validated ethics knowledge scale were more common among ECs with salary support or formal ethics training. The study highlights knowledge gaps that warrant consideration as EC becomes a professionalized endeavor. (shrink)

In this collection of original essays, international scholars put Asian traditions, such as Hinduism, Buddhism, Daoism, and Confucianism, into conversation with one or more contemporary feminist philosophies, founding a new mode of inquiry that attends to diverse voices and the complex global relationships that define our world. -/- These cross-cultural meditations focus on the liberation of persons from suffering, oppression, illusion, harmful conventions and desires, and other impediments to full personhood by deploying a methodology that traverses multiple philosophical styles, historical (...) texts, and frames of reference. Hailing from the discipline of philosophy in addition to Asian, gender, and religious studies, the contributors offer a fresh take on the classic concerns of free will, consciousness, knowledge, objectivity, sexual difference, embodiment, selfhood, the state, morality, and hermeneutics. One of the first anthologies to embody the practice of feminist comparative philosophy, this collection creatively and effectively engages with global, cultural, and gender differences within the realms of scholarly inquiry and theory construction. -/- http://cup.columbia.edu/book/978-0-231-16624-9/asian-and-feminist-philosophies-in-dialogue. (shrink)