This chapter concerns the nature of our obligations as individuals when it comes to our emissions-producing activities and climate change. The first half of the chapter argues that the popular ‘expected utility’ approach to this question faces a problematic dilemma: either it gives skeptical verdicts, saying that there are no such obligations, or it yields implausibly strong verdicts. The second half of the chapter diagnoses the problem. It is argued that the dilemma arises from a very general feature of the (...) view, and thus is shared by other views as well. The chapter then discusses what an account of our individual obligations needs to look like if it is to avoid the dilemma. Finally, the discussion is extended beyond climate change to other collective impact contexts. (shrink)

As an approach to public engagement, deliberation has the potential to pursue a range of goals identified by public participation theorists including the opportunity to substantively inform policy processes, increase the public’s knowledge and understanding of public issues and create or restore loss of public trust and confidence in public institutions. Baum and colleagues (2009) offer several important take-home messages for policy makers and public health leaders about the value of engaging with the public about ethically challenging, value-laden and resource (...) intensive policy issues such as pandemic response planning. (shrink)

Long used as a tool for medical compliance and adhering to treatment plans, behavior contracts have made their way into the in-patient healthcare setting as a way to manage the “difficult” patient and family. The use of this tool is even being adopted by healthcare ethics consultants (HECs) in US hospitals as part of their work in navigating conflict at the bedside. Anecdotal evidence of their increasing popularity among clinical ethicists, for example, can be found at professional bioethics meetings and (...) conversations and idea-sharing among practitioners on HEC social media. While there are a handful of papers gesturing toward a bioethical critique of behavior contracts of various types, the use of behavior contracts in the context of interpersonal conflict has not been vetted by bioethicists to determine their ethical legitimacy or efficacy. In this paper, we highlight a set of ethical concerns that we believe must be addressed before continuing or widespread implementation of behavior contracts to manage the “difficult” patient or family. (shrink)

Boredom proneness has been linked to various forms of cognitive and affective dysregulation including poor self-control and mind-wandering, as well as depression and aggression. As such, understanding boredom and the associated cognitive and affective components of the experience, represents an important first step in combatting the consequences of boredom for psychological well-being. We surveyed 1928 undergraduate students on measures of boredom proneness, self-control, MW, depression and aggression to investigate how these constructs were related. Hierarchical regression analysis indicated that self-control operated (...) as a strong negative predictor of boredom proneness. Finally, when controlling for age and self-control, we observed large decreases in the magnitudes of the relationships between boredom proneness and our other measures of interest. Together, these results imply a strong relationship between boredom proneness and cognitive and affective dysregulation, and show that individual levels of self-control can account for the lion’s share of variance in the relationships between boredom, cognition, and affect. (shrink)

This memorial essay on the French historian of philosophy Pierre Hadot (1922–2010) explores his life and work. Starting out from an ecclesiastical background and education, Hadot's interest in mysticism led him to study the late Greek Neoplatonists Plotinus and Porphyry, as well as the Latin Church Fathers. Elected first to the École pratique des hautes études and then to the Collège de France, Hadot developed his most influential idea, that ancient philosophy was not the construction of an abstract system of (...) ideas, but a concrete, lived practice intended to transform the perception and being of the practitioner, and thereby to ensure his or her happiness. Later in his career, Hadot, influenced by German Romanticism and above all by Goethe, turned to study the history of the concept of nature from classical to modern times. The breadth of his interests and the novelty of his approach account for the wide interest in his works, extending to circles that extend far beyond the disciplines of classical studies and the history of philosophy. (shrink)

Background Nurses frequently face situations in their daily practice that are ethically difficult to handle and can lead to moral distress. Objective This study aimed to explore the phenomenon of moral distress and describe its work-related predictors and individual consequences for home-care nurses in Germany. Research design A cross-sectional design was employed. The moral distress scale and the COPSOQ III-questionnaire were used within the framework of an online survey conducted among home-care nurses in Germany. Frequency analyses, multiple linear and logistic (...) regressions, and Rasch analyses were performed. Participants and research context The invitation to participate was sent to every German home-care service ( n = 16,608). Ethical considerations The study was approved by the Data Protection Office and Ethics Committee of the German Federal Institute for Occupational Safety and Health. Results A total of 976 home-care nurses participated in this study. Job characteristics, such as high emotional demands, frequent work-life-conflicts, low influence at work, and low social support, were associated with higher disturbance caused by moral distress in home-care nurses. Organizational characteristics of home-care services, such as time margin with patients, predicted moral distress. High disturbance levels due to moral distress predicted higher burnout, worse state of health, and the intention to leave the job and the profession, but did not predict sickness absence. Conclusions To prevent home-care nurses from experiencing severe consequences of moral distress, adequate interventions should be developed. Home-care services ought to consider family friendly shifts, provide social support, such as opportunities for exchange within the team, and facilitate coping with emotional demands. Sufficient time for patient care must be scheduled and short-term takeover of unknown tours should be prevented. There is a need to develop and evaluate additional interventions aimed at reducing moral distress, specifically in the home-care nursing sector. (shrink)

Recent research has shown that mind wandering recruits executive resources away from the external task towards inner thoughts. No studies however have determined whether executive functions are drawn away in a unitary manner during mind wandering episodes, or whether there is variation in specific functions impacted. Accordingly, we examined whether mind wandering differentially modulates three core executive functions—response inhibition, updating of working memory, and mental set shifting. In three experiments, participants performed one of these three executive function tasks and reported (...) their attentional state as either on-task or mind wandering at random intervals. We found that mind wandering led to poorer performance in the response inhibition and working memory tasks, but not the set-shifting task. These findings suggest that mind wandering does not recruit executive functions in a monolithic manner. Rather, it appears to selectively engage certain executive functions, which may reflect the adaptive maintenance of ongoing task performance. (shrink)

This paper argues that a crucial skill needed to empathize with others cannot be trained by reading fiction: the skill of reading the evidence for the other person’s state of mind and, thus, empath...

This chapter focuses on sentimentalism – the view that morality is based on sentiment – in particular, the sentiment of sympathy. Sentimentalism was historically articulated in opposition to two positions: Hobbesian egoism, in which morality is based on self-interest; and Moral Rationalism, which held that morality is based on reason alone. The Sentimentalists challenged both views, arguing that there is more to what motivates human beings than simple self-interest and that reason alone is insufficient to motivate our actions, including our (...) moral actions. The philosophies of Anthony Ashley Cooper, the Third Earl of Shaftesbury, Francis Hutcheson, David Hume, and Adam Smith are considered. The discussion then turns to sympathy, moral realism, moral virtue, and psychological realism. (shrink)

This article investigates whether investors consider the reliability of companies’ sustainability information when determining the companies’ market value. Specifically, we examine market reactions (in terms of abnormal returns) to events that increase the reliability of companies’ sustainability information but do not provide markets with additional sustainability information. Controlling for competing effects, we regard companies’ additions to an internationally important sustainability index as such events and consider possible determinants for market reactions. Our results suggest that first, investors take into account the (...) reliability of sustainability information when determining the market value of a company and second, the benefits of increased reliability of sustainability information vary cross-sectionally. More specifically, companies that carry higher risks for investors (e.g., higher systematic investment risk, higher financial leverage, and higher levels of opportunistic management behavior) react more strongly to an increase in the reliability of sustainability information. Finally, we show that the benefits of an increase in the reliability of sustainability information are higher in times of economic uncertainty (e.g., during economic downturns and generally high stock price volatilities). (shrink)

The topic of cruelty features regularly in discussions concerning animals’ moral status. Further, condemnation of cruelty to animals is virtually unanimous. As Regan points out, ‘[i]t would be difficult to find anyone who is in favour of cruelty.’ What is to count as cruelty is therefore important. My aim here is to gain a clearer understanding of one aspect of our moral landscape: cruelty to animals. I will start by analyzing the concept of cruelty in section II. In section III (...) I will examine some implications of this analysis. I will present two arguments for why we should reassess whether modern farming practices are cruel. First, farming practices have changed and our understanding of the concept of cruelty needs to change with them. Second, our application of the concept of cruelty is inconsistent: we would consider many routine practices involving farm animals to be cruel if they involved pets. This inconsistency presents a dilemma: either extending farming practices to pets would not be cruel, or continuing our current farming practices is cruel. In section IV I consider some objections. (shrink)

This paper considers Davidson's (1963) arguments for construing reasons as causes and attempts to show that he has failed to provide positive reasons for introducing causation into his analysis of rationalizing explanation. I consider various ways of spelling out his intuition that something is missing from explanation if we consider only the justificatory relation between reasons and action, and I argue that to the extent that there is anything missing, it should not be provided by construing reasons as causes. What (...) is ostensibly missing, and what I think Davidson is after, is some kind of determinate relation between explanans and explanandum. I argue that this is too strong a requirement to place on rationalizing explanation. (shrink)

An analysis of the evolution of the overlapping histories of human rights and development, and an exploration of the alternatives, through the lens of indigenous and other southern theories and epistemologies.

BackgroundWith the emergence of Brain Computer Interfaces, clinicians have been facing a new group of patients with severe acquired brain injury who are unable to show any behavioral sign of consciousness but respond to active neuroimaging or electrophysiological paradigms. However, even though well documented, there is still no consensus regarding the nomenclature for this clinical entity.ObjectivesThis systematic review aims to 1) identify the terms used to indicate the presence of this entity through the years, and 2) promote an informed discussion (...) regarding the rationale for these names and the best candidates to name this fascinating disorder.MethodsThe Disorders of Consciousness Special Interest Group of the International Brain Injury Association launched a search on Pubmed and Google scholar following PRISMA guidelines to collect peer-reviewed articles and reviews on human adults published in English between 2006 and 2021.ResultsThe search launched in January 2021 identified 4,089 potentially relevant titles. After screening, 1,126 abstracts were found relevant. Finally, 161 manuscripts were included in our analyses. Only 58% of the manuscripts used a specific name to discuss this clinical entity, among which 32% used several names interchangeably throughout the text. We found 25 different names given to this entity. The five following names were the ones the most frequently used: covert awareness, cognitive motor dissociation, functional locked-in, non-behavioral MCS and higher-order cortex motor dissociation.ConclusionSince 2006, there has been no agreement regarding the taxonomy to use for unresponsive patients who are able to respond to active neuroimaging or electrophysiological paradigms. Developing a standard taxonomy is an important goal for future research studies and clinical translation. We recommend a Delphi study in order to build such a consensus. (shrink)

Assessing maturity is one of the main ethical challenges for bioethics. It is even more complex when it comes to adolescents, as they are still in their maturing process. Three difficulties emerge: a conceptual difficulty as maturity is related to autonomy, competence and capacity; a methodological difficulty regarding which indicators should be used to assess it; and a practical difficulty in how to properly deal with it, as it is not easy to respect a maturity that only for a little (...) while now is being recognized and promoted. This paper begins by answering the question of why it is important to assess and promote maturity. Then, a chronology will be offered of the evolution of maturity attribution to minors as well as of the main variables that have been defined to asses it. Finally, some concepts will be clarified in order to develop an agglutinating proposal on indicators, requirements and conditioning factors of mature decision-making processes. (shrink)

In standard times, approximately 20% of children and youth experience significant emotional, behavioral, or social challenges. During COVID-19, however, over half of parents have reported mental health symptoms in their children. Specifically, depressive symptoms, anxiety, contamination obsessions, family well-being challenges, and behavioral concerns have emerged globally for children during the pandemic. Without treatment or prevention, such concerns may hinder positive development, personal life trajectory, academic success, and inhibit children from meeting their potential. A school-based resiliency program for children for children (...) was developed, and the goal of this study was to collaborate with stakeholders to translate it into an online-live hybrid. Our team developed a methodology to do this based on Knowledge Translation-Integration, which incorporates stakeholder engagement throughout the entire research to action process. KTI aims to ensure that programs are acceptable, sustainable, feasible, and credible. Through collaboration with parents and school board members, qualitative themes of concerns, recommendations and validation were established, aiding in meaningful online-live translation. Even though the original program was developed for intellectually gifted children, who are at greater risk for mental health concerns, stakeholders suggested using the program for both gifted and non-gifted children, given the universal applicability of the tools, particularly during this pandemic time period when mental health promotion is most relevant. An online-live approach would allow students studying at home and those studying in the classroom to participate in the program. Broader implications of this study include critical recommendations for the development of both online-live school programs in general, as well as social-emotional literacy programs for children. (shrink)

BackgroundHealth research often uses health information, a subcategory of personal information, collected during clinical encounters. Conditions under which such health information can be used for the secondary purpose of research are set out in state, national and international law. In Australia, consent is required or the relevant conditions for a waiver of consent must be met and approved by a human research ethics committee (HREC). Consent for use of health information for research is rarely sought at an emergency department (ED) (...) presentation. Research often occurs after the index visit and gaining consent can be difficult. Waiver of consent provisions are frequently used, but acceptability of this approach to patients is unclear.ObjectiveTo identify ED patients’ knowledge and attitudes towards the use of health information for research, consent preferences and acceptability of waiver of consent.MethodsAn online, anonymous survey of adult patients attending two large EDs in Melbourne, Australia.Results103 patients completed the survey. We found that 52% were unaware that health information might be used for research. A majority (77%) felt that HREC approval for use of health information without consent was acceptable. However, 36% would prefer to be contacted regarding consent.ConclusionThese findings suggest a lack of awareness that health information can be used for research and that waiver of consent is acceptable, but not necessarily preferred, in most of the ED patient population. Efforts to increase awareness and provide opportunities to express preferences about health information use for research are needed. (shrink)

Preview: 2020, the year the coronavirus pandemic spread globally, marked the twenty-fifth year since the publication of Pierre Hadot’s work Philosophy as a Way of Life. In that time, what began as the research specialization of just a few scholars has become a growing area of philosophical and metaphilosophical inquiry, bringing together researchers from around the globe. Hadot’s key ideas of spiritual exercises, and the very idea of PWL, have been applied to a host of individual thinkers from across the (...) history of philosophy: from the Hellenistic and Roman-era philosophers of direct concern to Hadot, through renaissance thinkers like Petrarch, Lipsius, Montaigne, Descartes, or Bacon, into nineteenth-century thinkers led by Schopenhauer, Kierkegaard, and Nietzsche.In more recent years, more global reflections on the “very idea” of PWL have begun to emerge, as well as dedicated journal editions. In these more recent PWL studies, some of the manifold research questions have begun to be explored, which were opened up by the studies of Pierre and Ilsetraut Hadot, as well as its reception in Michel Foucault’s later work. What implications, after all, does understanding the history of PWL, and the predominance of this metaphilosophical conception in the history of Western thought, have for how we understand the practice of philosophy today? Does recovering the alternative understandings of philosophy as a practice in history necessarily lead to a criticism of contemporary, solely academic or theoretical modes of philosophizing, or is the idea of PWL one which has only historiographical force? (shrink)

Every winter in the classical period, on a specifically chosen day, Athenians gathered together to mourn the men who had died in war. According to Thucydides, the bones of the dead killed in that year lay in state for two days before being carried in ten coffins organized by tribe to thedêmosion sêmawhere they were buried and then a speech was made in honour of the dead men by a man chosen by the city. As his description makes clear, this (...) ceremony was a public event attended not only by citizens and foreigners, but also by the female relatives of the dead men. Other sources report that thepolemarchosput on theagônfor those who died in the war and these contests included musical, athletic and hippic competitions. The war-dead also received sacrifices. The occasion combined burial with cult and games usually afforded to the divine, although how exactly this combination worked in practice is not clear because Thucydides, our single best source for the Epitaphia, focusses on the burial and the oration given by Pericles in the winter at the end of the first year of the Peloponnesian War. (shrink)

As the number of medical and health humanities degree programs in the United States rapidly increases, it is especially timely to consider the range of specific disciplinary perspectives that might benefit students enrolled in these programs. This paper discusses the inclusion of one such perspective from the field of Science and Technology Studies The author asserts that STS benefits students in the medical and health humanities in four particular ways, by: challenging the “progress narrative” around the advancement of biomedicine as (...) scientific practice, evaluating the meaning of technology, especially in how technology orients us towards sickness and how health technology is in turn shaped by social and cultural values, assessing the plurality of biomedical epistemologies, rather than assuming biomedicine is one, cohesive body of knowledge that does not differ across contexts, and critiquing bias in biomedical practice and science, especially in the marginalization of women’s voices and in the racial and postcolonial trajectories of contemporary biomedicine. The paper discusses the theoretical importance of these four trajectories to the medical and health humanities, as well as the venues for inclusion of STS within coursework and programming at Case Western Reserve University. The paper also comments on how programming at other institutions might be adapted to incorporate STS scholarship. By drawing on numerous examples of research in the anthropology, sociology, history, and the philosophy of science, this article seeks to open a conversation about the value of science and technology studies to health humanities pedagogy. (shrink)

In recent years, aging coal power plants, lack of maintenance, and issues of poor governance have resulted in a high frequency of rolling scheduled blackouts, throughout South Africa. This has led to greater urgency being placed on switching to renewable energy sources, which South Africa has great potential for. Despite this, and the current reality of the global climate crisis, South Africa continues to rely heavily on coal, not only as an energy source at home, but also as a key (...) part of the country’s export economy. This paper utilises a corpus-assisted, ecolinguistically-informed critical discourse analysis framework to investigate the ways in which members of the South African national government construct the use of coal and other fossil fuels in light of a global climate crisis. The data for this paper consists of a variety of public-facing texts from the South African national government on the topic of climate change. Our analysis revealed that despite a stated commitment to prioritising renewable energy by the government, its implicit messaging normalises the continued use of fossil fuels and minimises their serious negative impacts. (shrink)

This commentary on Elinor Mason’s _Ways to be Blameworthy_ considers Mason’s proposed reflexivity constraint on ordinary blame- and praiseworthy action. I argue that the reflexivity constraint leaves too many intuitively apt targets of praise and blame out of the reach of those attitudes, and the availability of their detached counterparts does not make up for this. I also suggest that Mason’s case for the constraint is open to question. This gives us reasons to prefer a moral concern account of ordinary (...) or communicative praise- and blameworthiness, an account that does not include a reflexivity constraint. Finally, I argue that the moral concern view has more resources to explain some of the nuances and complexities of our practice of moral judgment than Mason allows—nuances Mason turned to pluralism to capture. (shrink)

This essay has as a keystone the words in which Husserl identifies life with the flux of lived experiences. It attempts a phenomenological approach to primary consciousness. Starting from the reduction to the sphere of “my ownness”, it then makes reference to the issue of the “living present” ; afterwards, it goes to the notion of reason in Husserl in its relationship with life and the lived experiences of the feeling of being alive, such as “connatus” as originary intuition, and (...) the concept, stemming from Ortega y Gasset, of “living reason”. As a last issue, a description is made of those features of life expounded by Husserl that can be interpreted in reference to “the green of the golden tree”.Este estudio tiene como clave de bóveda la frase en que Husserl identifica la vida con el fluir de las vivencias. Intenta una aproximación fenomenológica a la conciencia primaria. Parte de la reducción al ámbito de ”lo mío propio”. A continuación se hace referencia al tema del “presente viviente” ; luego se pasa a la concepción de la razón en Husserl en relación con la vida y las vivencias del sen-timiento de vivir, tales como “conatus” como intuición originaria, y al concepto orteguiano de razón vital. Como última cuestión, se estudian los rasgos de la vida expuestos por Husserl que puedan ser interpretados con referencia a “el verde del árbol dorado”. (shrink)

The presence of an aesthetic judgment in an anthropological, scientific study may seem incongruous. One would think that the human body should be approached only in terms of ‘objective’ criteria of functionality and measurable proportions. However, to our surprise, two adjectives keep coming up in Buffon’s description of the human body in his Histoire naturelle de l’Homme: ‘beautiful’ and ‘ugly’. To be sure, it is possible to determine that a person is beautiful through measurements and observations of bodily and facial (...) symmetry, but most often, these proportions are not enough to explain why we find a person beautiful. How does Buffon think about beauty when he writes the Natural History of Man? Does he understand it as a classificatory tool based on an objective system of measurement, or does he use his personal preference? On what criteria does he judge the physical aspect of the varieties in the human species? (shrink)

According to Levinas, answering the question concerning the relation between recognition and intersubjectivity implies a critique of ontology. Indeed, from an ontological perspective, recognition reduces alterity to the self. The whole philosophical research undertaken by Levinas consists in investigating what ontology presupposes, that is to say an inquiry on what transcends ontology as well as constitutes its condition of possibility. This paper seeks to show how Levinas, through the critic of ontology, tries to solve the contradiction between the recognition of (...) the other as singularity and the other as identity, and how this attempt implies a reflection on the concept of forgiveness. (shrink)

Some may doubt whether the question of equality of opportunity applies to women anymore. In most Western countries every career is now, in theory, open to women. Firstly, while this may be true in Western countries, it is not true in others; there are still many careers barred to women outside the West. However, affirmative action is not a remedy where women are barred from given careers, for in such cases the principle of equality of opportunity has been rejected. Rather, (...) affirmative action is a measure for achieving equality of opportunity. (shrink)