In lieu of an abstract, here is a brief excerpt of the content:Pierre Jurieu's Contribution to Bayle's Dktionnaire KARL C. SANDBERG PIERRE BAYLE'S VIEWSon faith and reason1as they appear throughout his Dictionnaire historique et critique (1697) may be reduced to two basic points. First, the doctrines of Christian theology are vulnerable to a great number of rational objections which would seem to destroy them. Second, reason itself is not a reliable guide in areas of speculative knowledge and should be (...) made to bow to the authority of revelation. This position in its essence is neither irreligious nor antireligious. On the contrary, it is closely related to the general stream of seventeenth-century fideism,~ and is only the logical extension of views which Bayle had expressed as a Protestant controversialist in his early writings2 Moreover, recent studies of Bayle in his milieu have presented compelling evidence that Bayle himself lived, wrote, and died as some kind of believing member of the Reformed Church. 4 It is not less certain, however, that Bayle's Dictionnaire was one of the most powerful antireligious influences of the Enlightenment, s for the eighteenth-century rationalists found in it such a tone of polemics coupled with such an abundant display of the rational insufficiencies of Christianity, that they could not take Bayle's ostensible fideism seriously. This paradox leads one to wonder why Bayle as a believer should so insist upon the disparity he found between faith and reason if he did not intend to lead an attack upon religion in general. What would account for the presence of the penetrating rational critique of Christian doctrines except a desire to discredit them? A partial answer might be suggested by Bayle's method of exposition and disputa1By faith is meant the belief in the speculative doctrines of Calvinist Protestantism, such as the Trinity, the Incarnation, and Providence, and in the authority of revelation. By reason is meant essentially the Cartesian method, whose criterium of truth is incontrovertible evidence. See Richard Popkin, "Pierre Bayle's Place in 17th-century Scepticism," in Pierre Bayle, le philosophe de Rotterdam, ed. Paul Dibon (Amsterdam: 1959). 8During his participation in the Protestant-Catholic controversies of 1682-1687, Bayle became keenly aware that no Christian dogma was susceptible of rational proof. See his Commentaire Philosophique (1686)in his Oeuvres diverses (The Hague: 1737), II, 438. He had, however, previouslybeen convinced of the frailty of reason as a guide in speculative areas (but not in practical matters of morality). See his NouveUes de la Republique des Lettres, September, 1684, in Oeuvres diverses, I, 132-133. These works will hereafter be abbreviated CP, OD, and NRL, respectively. Other abbreviations to be used are DHC, Dictionnaire historique el critique; LFam, Lettres de M. Bayle ~ sa famille; SCP, Supplement du Commentaire philosophique (1687); PDC, Pens~es diverses sur la eomOte (1682); CC, La Cabale ehimdrique (1691). All of these works except the Dictionnaire are found in the Oeuvres diverses. The fourth edition of the Dictionnaire (1730) is the one cited here. 4See Paul Dibon, ed., Pierre Bayle, le philosophe de Rotterdam (Amsterdam: 1959), and Elizabeth Labrousse, Pierre Bayle, Vol. I, "Du Pays de Foix i~la cit~ d'Erasme" (La Haye: 1963). 6Paul Hazard, La Pens~e europ$enne au XVIII~me si~cle de Montesquieu (~ Lessing (Paris [1946], I, 44. [59] 60 HISTORY OF PHILOSOPHY tion, for in examining any question he felt intellectually obligated to set forth the strong and weak points of both sides. One can never boast of having proved a point, he said, without having stated and answered the strongest objections of one's opponent. ~ What subsequent readers found heterodox was possibly only Bayle's statement of his opponent's position. This answer is insufficient, however, because as Bayle had previously become aware of irreconcilable differences between faith and reason in the course of his early thought and writings, he had been extremely reluctant to voice the implications of his disquieting discoveries (1682-1687).7 Ten years later in the Dictionnaire, on the other hand, he seemed to go out of his way to state them with all possible clarity and vigor. It was this change in emphasis in the expression of his thought which was responsible for the great antireligious... (shrink)

As professionals, nurses are engaged in a moral endeavour, and thus confront many challenges in making the right decision and taking the right action. When nurses cannot do what they think is right, they experience moral distress that leaves a moral residue. This article proposes a theory of moral distress and a research agenda to develop a better understanding of moral distress, how to prevent it, and, when it cannot be prevented, how to manage it.

A selection of 15 papers on choice modeling are presented in this volume.

This study examined the relationship between moral distress intensity, moral distress frequency and the ethical work environment, and explored the relationship of demographic characteristics to moral distress intensity and frequency. A group of 106 nurses from two large medical centers reported moderate levels of moral distress intensity, low levels of moral distress frequency, and a moderately positive ethical work environment. Moral distress intensity and ethical work environment were correlated with moral distress frequency. Age was negatively correlated with moral distress intensity, (...) whereas being African American was related to higher levels of moral distress intensity. The ethical work environment predicted moral distress intensity. These results reveal a difference between moral distress intensity and frequency and the importance of the environment to moral distress intensity. (shrink)

BackgroundThe increased risk of developing attention-deficit hyperactivity disorder (ADHD) in extremely preterm infants is well-documented. Better understanding of perinatal risk factors, particularly those that are modifiable, can inform prevention efforts.MethodsWe examined data from the Extremely Low Gestational Age Newborns (ELGAN) Study. Participants were screened for ADHD at age 10 with the Child Symptom Inventory-4 (N = 734) and assessed at age 15 with a structured diagnostic interview (MINI-KID) to evaluate for the diagnosis of ADHD (N = 575). We studied associations (...) of pre-pregnancy maternal body mass index (BMI), pregestational and/or gestational diabetes, maternal smoking during pregnancy (MSDP), and hypertensive disorders of pregnancy (HDP) with 10-year and 15-year ADHD outcomes. Relative risks were calculated using Poisson regression models with robust error variance, adjusted for maternal age, maternal educational status, use of food stamps, public insurance status, marital status at birth, and family history of ADHD. We defined ADHD as a positive screen on the CSI-4 at age 10 and/or meeting DSM-5 criteria at age 15 on the MINI-KID. We evaluated the robustness of the associations to broadening or restricting the definition of ADHD. We limited the analysis to individuals with IQ ≥ 70 to decrease confounding by cognitive functioning. We evaluated interactions between maternal BMI and diabetes status. We assessed for mediation of risk increase by alterations in inflammatory or neurotrophic protein levels in the first week of life.ResultsElevated maternal BMI and maternal diabetes were each associated with a 55–65% increase in risk of ADHD, with evidence of both additive and multiplicative interactions between the two exposures. MSDP and HDP were not associated with the risk of ADHD outcomes. There was some evidence for association of ADHD outcomes with high levels of inflammatory proteins or moderate levels of neurotrophic proteins, but there was no evidence that these mediated the risk associated with maternal BMI or diabetes.ConclusionContrary to previous population-based studies, MSDP and HDP did not predict ADHD outcomes in this extremely preterm cohort, but elevated maternal pre-pregnancy BMI, maternal diabetes, and perinatal inflammatory markers were associated with increased risk of ADHD at age 10 and/or 15, with positive interaction between pre-pregnancy BMI and maternal diabetes. (shrink)

IT IS SHOWN IN DETAIL THAT RECENT ACCOUNTS FAIL TO DISTINGUISH BETWEEN INTENTIONALITY AND MERELY CAUSALLY DISPOSITIONAL STATES OF INORGANIC PHYSICAL OBJECTS—A QUICK ROAD TO PANPSYCHISM. THE CLEAR NEED TO MAKE SUCH A DISTINCTION GIVES DIRECTION FOR FUTURE WORK. A BEGINNING IS MADE TOWARD PROVIDING SUCH AN ACCOUNT.

Over the past decades, great strides have been made to professionalize and increase access to transgender medicine. As the evidence base grows and conceptualizations regarding gender dysphoria/gender incongruence evolve, so too do ideas regarding what constitutes good treatment and decision-making in transgender healthcare. Against this background, differing care models arose, including the ‘Standards of Care’ and the so-called ‘Informed Consent Model’. In these care models, ethical notions and principles such as ‘decision-making’ and ‘autonomy’ are often referred to, but left unsubstantiated. (...) This not only transpires into the consultation room where stakeholders are confronted with many different ethical challenges in decision-making, but also hampers a more explicit discussion of what good decision-making in transgender medicine should be comprised of. The aim of this paper is to make explicit the conceptual and normative assumptions regarding decision-making and client autonomy underpinning the ‘Standards of Care’ and ‘Informed Consent Model’ currently used in transgender care. Furthermore, we illustrate how this elucidation aids in better understanding stakeholders’ ethical challenges related to decision-making. Our ethical analysis lays bare how distinct normative ambiguities in both care models influence decision-making in practice and how foregrounding one normative model for decision-making is no moral panacea. We suggest that the first steps towards good decision-making in gender-affirming medical care are the acknowledgement of its inherent normative and moral dimensions and a shared, dialogical approach towards the decision-making process. (shrink)

Soren Kierkegaard (1813‐1855) is primarily known as a moral philosopher. This chapter looks at his contributions to ethics, and shows how Kierkegaard's writings can contribute to epistemology, metaphysics, and other areas of contemporary philosophy. In order to contextualize Kierkegaard's contributions to philosophy the chapter briefly surveys some of the ways Kierkegaard is connected to nineteenth‐century philosophers, as well as classical figures like Socrates. It considers Kierkegaard's contributions to moral philosophy in two ways. First, the chapter briefly recounts Kierkegaard's suspicion of (...) Hegelian social ethics as discussed in Fear and Trembling. While Works of Love contains much of Kierkegaard's mature ethical thought, the former text may still serve as an introduction to his approach. Second, the chapter discusses several specific ways Kierkegaard can contribute to contemporary ethics. It also considers future directions for Kierkegaard scholarship and identifies some other areas of philosophy to which Kierkegaard's writings might contribute. (shrink)

A 2016 article in the Journal of Consumer Research argues that busyness has become a status symbol. In earlier societies, such as the 19th century Thorstein Veblen describes in his Theory of the Leisure Class, the wealthy conspicuously avoided work. They saw idleness as an ideal. By contrast, contemporary Americans praise being overworked. They see busy individuals as possessing rare and desirable characteristics, such as competence and ambition. -/- To respond philosophically to our new overworked overlords and status icons, we (...) need only return to the 19th century Danish philosopher Søren Kierkegaard. Kierkegaard is known for his philosophical account of boredom, which is often associated with idleness. If busyness is the opposite of idleness, perhaps he can diagnose busyness also. (shrink)

The relation between body and mind is one of the oldest riddles that has puzzled mankind. That material and mental events may interact is accepted even by the law: our mental capacity to concentrate on the task can be seriously reduced by drugs. Physical and chemical processes may act upon the mind; and when we are writing a difficult letter, our mind acts upon our body and, through a chain of physical events, upon the mind of the recipient of the (...) letter. This is what the authors of this book call the 'interaction of mental and physical events'. We know very little about this interaction; and according to recent philosophical fashions this is explained by the alleged fact that we have brains but no thoughts. The authors of this book stress that they cannot solve the body mind problem; but they hope that they have been able to shed new light on it. Eccles especially with his theory that the brain is a detector and amplifier; a theory that has given rise to important new developments, including new and exciting experiments; and Popper with his highly controversial theory of 'World 3'. They show that certain fashionable solutions which have been offered fail to understand the seriousness of the problems of the emergence of life, or consciousness and of the creativity of our minds. In Part I, Popper discusses the philosophical issue between dualist or even pluralist interaction on the one side, and materialism and parallelism on the other. There is also a historical review of these issues. In Part II, Eccles examines the mind from the neurological standpoint: the structure of the brain and its functional performance under normal as well as abnormal circumstances. The result is a radical and intriguing hypothesis on the interaction between mental events and detailed neurological occurrences in the cerebral cortex. Part III, based on twelve recorded conversations, reflects the exciting exchange between the authors as they attempt to come to terms with their opinions. (shrink)

We explore the nature of forgetting in a corpus of 125,000 students learning Spanish using the Rosetta Stone® foreign-language instruction software across 48 lessons. Students are tested on a lesson after its initial study and are then retested after a variable time lag. We observe forgetting consistent with power function decay at a rate that varies across lessons but not across students. We find that lessons which are better learned initially are forgotten more slowly, a correlation which likely reflects a (...) latent cause such as the quality or difficulty of the lesson. We obtain improved predictive accuracy of the forgetting model by augmenting it with features that encode characteristics of a student's initial study of the lesson and the activities the student engaged in between the initial and delayed tests. The augmented model can predict 23.9% of the variance in an individual's score on the delayed test. We analyze which features best explain individual performance. (shrink)

The emergence of Big Data has added a new aspect to conceptualizing the use of digital technologies in the delivery of public services and for realizing digital governance. This article explores, via the ‘value-chain’ approach, the evolution of digital governance research, and aligns it with current developments associated with data analytics, often referred to as ‘Big Data’. In many ways, the current discourse around Big Data reiterates and repeats established commentaries within the eGovernment research community. This body of knowledge provides (...) an opportunity to reflect on the ‘promise’ of Big Data, both in relation to service delivery and policy formulation. This includes, issues associated with the quality and reliability of data, from mixing public and private sector data, issues associated with the ownership of raw and manipulated data, and ethical issues concerning surveillance and privacy. These insights and the issues raised help assess the value of Big Data in government and smart city environments. (shrink)

Soren Kierkegaard (1813‐1855) is primarily known as a moral philosopher. This chapter looks at his contributions to ethics, and shows how Kierkegaard's writings can contribute to epistemology, metaphysics, and other areas of contemporary philosophy. In order to contextualize Kierkegaard's contributions to philosophy the chapter briefly surveys some of the ways Kierkegaard is connected to nineteenth‐century philosophers, as well as classical figures like Socrates. It considers Kierkegaard's contributions to moral philosophy in two ways. First, the chapter briefly recounts Kierkegaard's suspicion of (...) Hegelian social ethics as discussed in Fear and Trembling. While Works of Love contains much of Kierkegaard's mature ethical thought, the former text may still serve as an introduction to his approach. Second, the chapter discusses several specific ways Kierkegaard can contribute to contemporary ethics. It also considers future directions for Kierkegaard scholarship and identifies some other areas of philosophy to which Kierkegaard's writings might contribute. (shrink)

This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be (...) preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

The neural correlates of rapid eye movements (REMs) in sleep are extraordinarily robust; including REM-locked activation in the retrosplenial cortex, the supplementary eye field and areas overlapping cholinergic basal nucleus. The phenomenology of REMs speaks to the notion that perceptual experience in both sleep and wakefulness is a constructive process – in which we generate predictions of sensory inputs and then test those predictions through actively sampling the sensorium with eye movements. On this view, REMs during sleep may index an (...) internalized active sampling or ‘scanning’ of self-generated visual constructs that are not constrained by visual input. If this view is correct, it renders REMs an ideal probe to study consciousness as “an exclusively internal affair” (Metzinger 2009). In other words, REMs offer a probe of active inference – in the sense of predictive coding – when the brain is isolated from the sensorium in virtue of the natural blockade of sensory input during REM sleep. REMs are temporally precise events that enable powerful inferences based on timeseries analyses. As a natural, task-free probe, [REMs] could be used in non-compliant subjects, including infants and animals. In short, REM constitutes a promising probe to study the ontogenetic and phylogenetic development of consciousness and perhaps its abnormal development in schizophrenia and autism, which have been considered in terms of aberrant predictive coding. (shrink)

BackgroundIn gender-affirming medical care (GAMC), ethical challenges in decision-making are ubiquitous. These challenges are becoming more pressing due to exponentially increasing referrals, politico-legal contestation, and divergent normative views regarding decisional roles and models. Little is known, however, about what ethical challenges related to decision-making healthcare professionals (HCPs) themselves face in their daily work in GAMC and how these relate to, for example, the subjective nature of Gender Incongruence (GI), the multidisciplinary character of GAMC and the role HCPs play in assessing (...) GI and eligibility for interventions. Given the relevance and urgency of these questions, we conducted a qualitative study among HCPs providing GAMC to transgender adults in the Netherlands.MethodsIn this qualitative research, we conducted 11 semi-structured interviews between May 2020 and February 2021 with HCPs (six mental health professionals, two HCPs in endocrinology, two in plastic surgery, and one in nursing) working in two distinct GAMC settings. We purposively sampled for professional background and years of experience in GAMC. We analyzed our interview data using thematic analysis. As some respondents were more inclined to speak about what should or ought to be done to arrive at good or right decision-making, we identified both ethical challenges and norms. Furthermore, in our analysis, we differentiated between respondents’ explicit and implicit ethical challenges and norms and ascertained the specific context in which these challenges emerged.ResultsRespondents’ ethical challenges and norms centered on (1) dividing and defining decisional roles and bounds, (2) negotiating decision-making in a (multidisciplinary) team, and (3) navigating various decision-making temporalities. These themes arose in the context of uncertainties regarding (1) GAMC’s guidelines, evidence, and outcomes, as well as (2) the boundaries and assessment of GI.ConclusionsThis interview study provides detailed empirical insight into both the explicit and implicit ethical challenges that HCPs experience and their ethical norms regarding decision-making. It also describes how uncertainties and (implicit) normativities concerning GAMC and GI pre-structure the moral environment in which these challenges and norms manifest. We provide normative reflections and recommendations on handling these ethical challenges in a way that is sensitive to the context in which they arise. (shrink)