This research project investigated the extent to which nurses engage in two important kinds of ethical behaviours: ethical activism (where they try to make hospitals more receptive to nurses’ participation in ethics deliberations) and ethical assertiveness (where they participate in ethics deliberations even when not formally invited). This research probed not only the extent to which nurses engage in these ethical behaviours but also whether this is influenced by professional, training and organizational factors. A random sample of 165 nurses from (...) three major hospitals in Los Angeles provided the data. Regression analyses indicate that both ethical activism and ethical assertiveness are strongly influenced by nurses’ perceptions of the receptivity of hospitals to their inclusion in ethics deliberations. In addition, nurses’ education in ethics is a significant predictor of ethical activism. The findings have important implications for the content of nurses’ ethics training as well as for expanding the boundaries of nurses’ participation in ethics deliberations. The authors define ethics deliberations as specific meetings of a number of people to discuss an ethical issue, such as one regarding the care of a patient. (shrink)

The classic Lewis-Stalnaker semantics for counterfactuals captures that Sobel sequences are consistent sequences, for example: a.If Sophie had gone to the parade, she would have seen Pedro dance. b.But if Sophie had gone to the parade and been stuck behind someone tall, she would not have seen Pedro dance. But reverse a sequence like this one and it no longer sounds so good, which is surprising on the classic semantics. This observation motivated Kai von Fintel and Thony Gillies to propose (...) dynamic semantic accounts of counterfactual conditionals. Subsequently, Sarah Moss defended the classic semantics against the charge that it need be abandoned in the face of these order effects, arguing that the infelicity of the reverse sequences is pragmatic. I argue that both accounts are ultimately untenable, but each account has strengths. Seeing what works and what doesn't in each account points the way to the right positive view. With this in mind, I defend a contextualist account of counterfactuals that takes conversational relevance to play a central role. (shrink)

I suspect the answer to the question in the title of this paper is no. But the scope of my paper will be considerably more limited: I will be concerned with whether certain types of considerations that are commonly cited in favor of dynamic semantics do in fact push us towards a dynamic semantics. Ultimately, I will argue that the evidence points to a dynamics of discourse that is best treated pragmatically, rather than as part of the semantics.

Both definite descriptions and pronouns are often anaphoric; that is, part of their interpretation in context depends on prior linguistic material in the discourse. For example: A student walked in. The student sat down. A student walked in. She sat down. One popular view of anaphoric pronouns, the d-type view, is that pronouns like ‘she’ go proxy for definite descriptions like ‘the student who walked in’, which are in turn treated in a classical Russellian or Fregean fashion. I argue for (...) a novel version of the d-type view in which anaphoric definites are restricted existential quantifiers that presuppose discourse uniqueness, which is uniqueness of discourse referent in the context, rather than uniqueness of object in the world. In other words, the anaphoric definites ‘the student’ and ‘she’ in and presuppose that there is a single object under discussion that is a student who walked in. I further argue that, by contrast, non-anaphoric definites are restricted existential quantifiers that presuppose worldly uniqueness, that is, that there is a unique object in the world that satisfies the descriptive information. The semantics for anaphoric and non-anaphoric definites accounts for the differences in truth conditions in discourses involving the two different types of definites, improving on existing accounts. It is further supported by crosslinguistic data. The semantics is formally implemented in a static system employing quantifier domain restriction in the style of Stanley and Szabo :219–261, 2000) and extended to account for bridging definites and donkey sentences. (shrink)

Context-sensitivity raises a metasemantic question: what determines the value of a context-sensitive expression in context? Taking gradable adjectives as a case study, this paper argues against various forms of intentionalist metasemantics, i.e. that speaker intentions determine values for context-sensitive expressions in context, including the coordination account recently defended by King :219–237, 2014a; in: Burgess, Sherman Metasemantics: New essays on the foundations of meaning, Oxford University Press, Oxford, pp 97–118, 2014b). The paper argues that all intentionalist accounts face the speaker authority (...) problem, that speaker intentions are just the wrong sorts of things to determine the standards for gradable adjectives in context. The problem comes to light when we look at cases in which speakers have idiosyncratic, false beliefs that cause their proper communicative intentions to come apart from the non-intentional features of context like the question under discussion, facts about the world, practical goals, and prior linguistic discourse. (shrink)

ABSTRACT The most common answers to metasemantic questions regarding context-sensitive expressions appeal primarily to speakers' intentions. Having rejected intentionalism in Lewis [.” Erkenntnis 85: 1527–1555.], this paper takes a non-intentionalist perspective in answering the metasemantic question: how does a context determine the value of context-sensitive expressions? It focuses on the case of gradable adjectives, i.e. expressions like ‘tall’, ‘expensive’, and ‘rich’, which require a contextually determined standard in the unmarked positive form, as in ‘Pia is tall’. I argue that this (...) standard is determined by a salient comparison class, which, when embedded in the relevant facts, provides input into statistical reasoning which outputs a standard in accordance with conversational domain goals. (shrink)

This article focuses on foundational issues in dynamic and static semantics, specifically on what is conceptually at stake between the dynamic framework and the truth-conditional framework, and consequently what kinds of evidence support each framework. The article examines two questions. First, it explores the consequences of taking the proposition as central semantic notion as characteristic of static semantics, and argues that this is not as limiting in accounting for discourse dynamics as many think. Specifically, it explores what it means for (...) a static semantics to incorporate the notion of context change potential in a dynamic pragmatics and denies that this conception of static semantics requires that all updates to the context be eliminative and distributive. Second, it argues that the central difference between the two frameworks is whether semantics or pragmatics accounts for dynamics, and explores what this means for the oft-heard claim that dynamic semantics blurs the semantics/pragmatics distinction. (shrink)

The concept of phronesis is venerable and is experiencing a resurgence in contemporary discourses on professional life. Aristotle’s notion of phronesis involves reasoning and action based on ethical ideals oriented towards the human good. For Aristotle, humans possess the desire to do what is best for human flourishing, and to do so according to the application of virtues. Within health care, the pervasiveness of economic agendas, technological approaches and managerialism create conditions in which human relationships and moral reasoning are becoming (...) increasingly de‐valued. This creates a tension for nurses, and nursing leaders, as the desire to do what is morally right is often in conflict with contextual demands. In this paper, Aristotle’s writing on phronesis is examined with a focus on his classic conceptions of eudaimonia, the virtues, deliberation, judgement, and praxis. Building on Aristotle’s work, a number of contemporary views are explored with a focus on what various conceptualizations offer for the discipline of nursing. These expanded conceptions of phronesis include attention to: embodiment in practice; open‐mindedness including the capacity to stay curious and open to recognizing what we do not know; perceptiveness as a disposition towards insight and aesthetic understanding; and reflexivity as an ongoing process of interrogation and inquiry into ourselves and our actions. Drawing on these concepts, we discuss the affordances of phronesis as a morally informed guiding force to attend to modern‐day challenges in nursing practice and nursing leadership. (shrink)

This paper draws on research exploring how men narrate their long-term experiences of Weight Loss Surgery [WLS] and is specifically focused on findings relating to male embodiment. Whilst there is concern about increasing obesity and the possible role of bariatric [WLS] surgery in ameliorating this, there has been little research to date exploring men’s longer-term experiences of this. For the purposes of the present study, interviews were conducted with five men who had undergone bariatric surgery at least four years previously. (...) The transcribed interviews were subjected to narrative analysis with the additional incorporation of Watson’s “male body schema” into this process in order to facilitate focus on the embodied nature of the storied accounts obtained. The findings suggested two seemingly contrasting storylines: “ongoing struggles” and “success”. Struggles related mainly to control over eating habits and the visceral challenges of long-term side effects following surgery. Despite these struggles, the men ultimately presented an overriding storyline of embodied “success” in how the surgery had assisted them to live more normatively male lives. Importantly, narratives around struggles were presented as more private stories in contrast to the public emphasis on success. The silencing dynamic implicit in this suggests the likelihood that other men encountering similar experiences would be reticent to reveal their struggles, thereby perpetuating their suffering and leaving popular obesity and weight loss narratives unchallenged. (shrink)

In this research, we examine the effects that customer perceptions of employee deception have on the customers’ attitudes toward an organization. Based on interview, archival, and observational data within the international airline industry, we develop a model to explain the complex effects of perceived dishonesty on observer’s attitudes and intentions toward the airline. The data revealed three types of perceived deceit (about beliefs, intentions, and emotions) and three additional factors that influence customer intentions and attitudes: the players involved, the beneficiaries (...) of the deceit, and the harm done by the perceived lie. We develop a model with specific propositions to guide organizations with respect to apparently deceitful behavior of their employees. Implications and directions for future research are provided, focusing on the question of whether organizations should consistently encourage honesty or train their employees to be effective liars. (shrink)

This article critically explores the tension between perceptions of weight loss surgery as a last resort and as a tool. This tension stems from patients’ doubt and insecurity whether expectations for a healthy life will come through. Thus, even after surgery, traditional weight loss methods, including diets and exercise, are considered paramount. Drawing on a series of interviews with Norwegian women, we argue that the commercialization of weight loss surgeries as well as the moral stigmas attached to such operations serve (...) to perpetuate this tension. More specifically, the women were advised to leave their old habits behind, and embrace a healthier and more active lifestyle. In such a climate, we argue that undergoing surgery without subsequently embodying dietary and exercise norms is hardly an option. On the contrary, these become a moral obligation that modern women need to relate to—and perhaps negotiate—in order to repudiate stigmas attached to weight loss surgeries as a quick fix for those incapable of losing weight in the “proper” manner. (shrink)

In contemporary reflection on Christianity and politics, the work of realist, witness, and feminist theologians has been done in isolation--that is, each school has largely pursued its projects without incorporating the insights of others. Christian Ethics at the Boundary offers the first approach to public and political theology developed at the boundaries that separate these approaches.

Negative prognostic communication is often delayed in intensive care units, which limits time for families to prepare for end‐of‐life. This descriptive study, informed by ethnographic methods, was focused on exploring critical care physician communication of negative prognoses to families and identifying timing influences. Prognostic communication of critical care physicians to nurses and family members was observed and physicians and family members were interviewed. Physician perception of prognostic certainty, based on an accumulation of empirical data, and the perceived need for decision‐making, (...) drove the timing of prognostic communication, rather than family needs. Although prognoses were initially identified using intuitive knowledge for patients in one of the six identified prognostic categories, utilizing decision‐making to drive prognostic communication resulted in delayed prognostic communication to families until end‐of‐life (EOL) decisions could be justified with empirical data. Providers will better meet the needs of families who desire earlier prognostic information by separating prognostic communication from decision‐making and communicating the possibility of a poor prognosis based on intuitive knowledge, while acknowledging the uncertainty inherent in prognostication. This sets the stage for later prognostic discussions focused on EOL decisions, including limiting or withdrawing treatment, which can be timed when empirical data substantiate intuitive prognoses. This allows additional time for families to anticipate and prepare for end‐of‐life decision‐making. (shrink)

SCHOLARS OFTEN VIEW MARTIN LUTHER KING JR.'S CONTRIBUTIONS TO political theology in the context of his philosophy of nonviolence. Drawing on feminist and womanist thought, I reconstruct King's theopolitical practice to construe nonviolence more broadly as including any "agapic activity" that forms and sustains community. In doing so, I uncover in King's thought a conception of agape that resonates with feminist emphasis on the relational and community-oriented nature of love, and I draw on womanist thought to highlight the role of (...) creativity, not solely love or justice, to King's ethical thinking. Both emphases suggest a vision of churches as communities of creativity with community-creating practices at the heart of their political roles. (shrink)

This paper explores the power of womanist ethics to illuminate the Confederate monuments debate. First, I draw on Emilie Townes’s analysis of the “cultural production of evil” to construe Confederate monuments as products of the “fantastic hegemonic imagination” that render visible for whites the invisibility of “whiteness.” Second, I argue that Angela Sims’s work on lynching provides a vivid example of how “countermemory” functions as an antidote to the fantastic hegemonic imagination. Finally, I argue that Delores Williams’s re-evaluation of the (...) cross as a sacred symbol enables a reading of Confederate monuments as realist symbols of violence that require displacement from the center to the periphery of national sacred space. I conclude that although the debate on Confederate monuments is important, womanist analysis warns against an overly-narrow focus on this issue, lest we neglect the already obscured gendered, classist, homophobic, and xenophobic dimensions of structural injustice that the monuments represent. (shrink)

Scholars celebrate Dietrich Bonhoeffer as a "prophet of justice for the oppressed" who identified the need "to see the great events of world history from below." But few address the thorniest aspect of Bonhoeffer's ethics for the marginalized: the mandates or divine commissions in church, marriage, work, and government made concrete within certain orders of relationship and authority. Bonhoeffer's marriage mandate poses particular problems as it reinforces unjust social structures. Fortunately, striking similarities between Bonhoeffer's ethics and feminist thought—attention to concrete (...) contexts, the role of emotion in moral reasoning, opposition to harmful dualisms, and emphasis on relationality—suggest that feminists are well-placed to critique and reconstruct Bonhoeffer's account. Construing the mandates as contexts for "genuine communities of argument" repurposes them to combat rather than condone injustice. (shrink)

I whole-heartedly endorse Ismaili M'hmandi’s efforts to move away from the narrowest of liberal justificatory grounds for public health policy. I worry, however, that the liberal perfectioni...

This study investigated the effect of gender stereotypes on evaluator judgments of unethical behavior. Subjects were working adults who completed a mailed survey in which they evaluated unethical behavior depicted in written scenarios. Sex of the transgressor in the scenarios was manipulated. Both quantitative and qualitative analyses indicated that there are no stable differences in evaluations of men and women across scenarios. These results suggest that evaluators do not hold different standards of ethical behavior for men and women, they do (...) not make different causal attributions for the behavior of men and women, nor do evaluators treat men and women differently when an ethical transgression has been committed. (shrink)

Conventional wisdom suggests that dishonesty on the part of an organization's employees has a negative effect on the organization's reputation. However, many organizations condone (or even require) dishonesty under certain circumstances. In this research of 128 airline passengers, we examine situations in which employees are perceived to be dishonest within one such industry, the international airlines, and examine the impact of this dishonesty on organizational reputation and customer satisfaction. We found that the reputation of the firm was most damaged when (...) the lie benefited the company or the employee, rather than the passenger. In addition, the view of the airline significantly decreased when the lie caused a high amount of harm (compared with a low amount) to the passenger. (shrink)

The risk of tort liability for health maintenance organizations and other managed care plans has dramatically increased in recent years. This is due in part to the growing percentage of health care rendered through managed care plans. The cost-containment mechanisms commonly used by managed care plans, such as limiting access to services and/or choice of providers, creates a climate ripe for disputes that may end up in court. As dissatisfied patients and providers seek recourse in the courts, tort doctrines are (...) extended and new legal theories emerge as needed. For example, the concepts of direct and vicarious tort liability developed in the hospital context have been extended by courts to encompass HMOs. vicarious liability claims, based on ostensible agency or respondeat superior doctrines, have been brought against HMOs and managed care plans for negligent treatment by physicians selected to provide care to members. (shrink)

This book examines the lived experiences and work of African American women educators during the 1880s to the 1960s.

Die Philosophie Wilhelm Schapps findet aufgrund seines originären Ansatzes der Geschichtenphilosophie im transdisziplinären Austausch über ein narratives Lebensweltverständnis zunehmend Beachtung. Der vorliegende Band versammelt interdisziplinäre Beiträge, die sich zum ersten Mal nicht nur mit den von Wilhelm Schapp zu seinen Lebzeiten veröffentlichten Schriften, sondern auch mit seinen seit 2016 im Verlag Karl Alber veröffentlichten Nachlassschriften auseinandersetzen.

Der Begriff "Narrativität" tritt heute als ein Modewort in Erscheinung, das sogar Einzug ins Feuilleton gehalten hat. Im Kontext der Philosophie des 20. und 21. Jahrhunderts kann der Mensch als narratives Wesen bestimmt werden. Erzählung dient hier nicht allein als Inbegriff einer Gesamtheit von Sinnbildungen, sondern vor allem zur Kennzeichnung des wirklich Menschlichen. Das narrative Selbst gibt nicht nur auf die Frage nach dem Menschen eine Antwort, sondern ist auch grundlegend für die Beantwortung der Frage nach dem Tunsollen des Menschen. (...) Und es wird sichtbar, dass die "Form der Erzählung" die Art und Weise des Verstehens der eigenen Handlungen und die der anderen sein kann. Die Klärung der Bedeutung von Narrativität im Spannungsfeld von Ethik und deren lebenspraktischem Bezug steht in systematischer Hinsicht allerdings noch aus. Der vorliegende Band leistet einen wichtigen Beitrag zur Klärung dieses Defizits, indem er Grundlagen, Grundpositionen und Anwendungen einer narrativen Ethik vorstellt. (shrink)