Sound moves us. Nowhere is this more apparent than in our responses to genuine emotional vocalizations, be they heartfelt distress cries or raucous laughter. Here, we present perceptual ratings and a description of a freely available, large database of natural affective vocal sounds from human infants, adults and domestic animals, the Oxford Vocal (OxVoc) Sounds database. This database consists of 173 non-verbal sounds expressing a range of happy, sad, and neutral emotional states. Ratings are presented for the sounds on a (...) range of dimensions from a number of independent participant samples. Perceptions related to valence, including distress, vocalizer mood, and listener mood are presented in Study 1. Perceptions of the arousal of the sound, listener motivation to respond and valence (positive, negative) are presented in Study 2. Perceptions of the emotional content of the stimuli in both Study 1 and 2 were consistent with the predefined categories (e.g., laugh stimuli perceived as positive). While the adult vocalizations received more extreme valence ratings, rated motivation to respond to the sounds was highest for the infant sounds. The major advantages of this database are the inclusion of vocalizations from naturalistic situations, which represent genuine expressions of emotion, and the inclusion of vocalizations from animals and infants, providing comparison stimuli for use in cross-species and developmental studies. The associated website provides a detailed description of the physical properties of each sound stimulus along with cross-category descriptions. (shrink)

An eighteen‐year‐old with sickle cell disease was admitted to the pediatric hematology service at his local children's hospital for management of an acute pain crisis, one of many such admissions. He had a good relationship with his primary hematologist and primary nurse, but with other health care providers, there was evident friction. Sometimes, he was simply rude, rolling over and pretending to sleep in response to questions about his symptoms. When frustrated or convinced that his pain was not being addressed (...) appropriately, he was prone to yelling and cursing at his nurses. After members of the health care team complained, their supervisor decided to transfer the patient to an adult general medicine service. Reasons cited for the transition included the stressful work environment created by the patient's actions, his refusal to follow directives from staff (although he was generally adherent to treatment), and the hypothetical harm to other young patients who might witness his behavior. Was this a just outcome? Is it ever permissible to deny access to pediatric care to a patient whose best interests would be served by it? Can access be withheld for “bad” behavior, and can transfer of care be wielded as a punishment? (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Commentary on “Lumps and Bumps”Katherine Arens (bio)“Lumps and Bumps” offers a fresh look at nosological classifications in terms of their genesis in eighteenth-century philosophy by acknowledging the proximity of philosophy to the sciences of the mind in the eighteenth and nineteenth centuries, especially in Germany. Today, strict borders are drawn between these fields by mainstream practitioners, but work like Radden’s makes a strong case for acknowledging not only (...) multiculturalism, but also the historicity of science. As such, it is exemplary interdisciplinary work tracing a set of concepts (here, a taxonomy of mental illness) back to its sources. Yet Radden tacitly raises other questions significant for the interrelationships between psychology/psychiatry and philosophy in the nineteenth and twentieth centuries.First, Radden quite rightly points to the fact that taxonomies defining mental illness will differ across cultures (e.g., that Scottish and German “faculty psychologies” differed). Yet her question can be inverted to ask a historical question: how can taxonomies of mental illness be used to interrogate the very construct of “the European Enlightenment” itself (in a sense, offering a variant on Michel Foucault’s Birth of a Clinic). This question is significant, since the “Enlightenment” has an internationalist contour in the history of philosophy that it may well not have had in medicine.In what way, for example, can Hume and Locke be considered more direct references for Kant than his philosophical nemesis, Johann Gottfried Herder, or physiologists La Mettrie (French) and Albrecht von Haller (Swiss)? Today, these two questions seem to lie on opposite sides of acknowledged disciplinary boundaries, across discourses of the various sciences, and they are not generally asked by intellectual historians, since they lie in different cultural traditions. Yet the German Idealist tradition that came out of the Enlightenment in the generation between Wolf and Kant had different boundaries between philosophy and the natural sciences than did its English equivalent. In this sense, then, Radden has made an argument that could be used to indicate how far the British empiricists actually influenced Kant, as an index of how science crosses both disciplinary and national boundaries.Second, Radden’s work raises a methodological issue for interdisciplinary work on the emergence of psychology: how one can trace the rapid mutation of critical terminology within the evolution of a single discipline across time. Even if some differentiation between affect and cognition was in place from the time of Kant all the way through to the DSM, for instance, the historical and cultural behavioral phenomena to which that distinction refers need to be specified in each context in which they occur, in different [End Page 15] times and places. Psychology between Kant and Kraepelin exemplifies this “interdisciplinarity” of an evolving field. Was psychology to be institutionalized as part of philosophy departments, or of physiology, or of education? The research in these three fields was carried out in almost identical terms in the early nineteenth century, but what that research means needs to be further historicized.For example, “reason” and “passion” occur as reference concepts in Goethe’s Sorrows of Young Werther, just as they do in Rousseau’s Nouvelle Heloise and Confessions, and in Richardson’s Pamela. Yet the behaviors that are identified as “passionate” differ across cultures, and so need to be defined today in ways that acknowledge chains of influence as they existed at that time, not as reconstructed for other purposes.The third issue raised by Radden’s study and needing further study is the question of power politics in science. Each use of terms has its own strategic importance, and every act of classification is potentially political. When classification schema are exported, imported, rejected, or upheld, the practitioner/professional not only makes a scientific statement, but a social one as well, by adhering to a set of professional organizations, institutions, and other power configurations in which the schema appear. In the case of Kant’s taxonomy of mind, one might ask what the significance was when he added “will” to the reason/passion dichotomy that pervaded his sources. What has he gained or lost by using these terms in the context of faculty psychology?Similarly, what is the cultural significance of that third... (shrink)

Word learning depends critically on the use of linguistic context to constrain the likely meanings of words. However, the mechanisms by which children infer word meaning from linguistic context are still poorly understood. In this study, we asked whether adults (n = 58) and 2‐ to 6‐year‐old children (n = 180) use discourse coherence relations (i.e., the meaningful relationships between elements within a discourse) to constrain their interpretation of novel words. Specifically, we showed participants videos of novel animals exchanging objects. (...) These videos were accompanied by a linguistic description of the events in which we manipulated a single word within a sentence (and vs. because) in order to alter the causal and temporal relations between the events in the discourse (e.g., “One animal handed the baby to the other animal [and/because] the baby started crying in the talfa's arms”). We then asked participants which animal (the giver or the receiver) was the referent of the novel word. Across two experiments, we found evidence that young children used the causal and temporal relations in each discourse to constrain their interpretations of novel words. (shrink)

Calls for public engagement on emerging agricultural technologies, including genetic engineering of farm animals, have resulted in the development of information that people can interact and engage with online, including “Frequently Asked Questions” (FAQs) developed by organizations seeking to inform or influence the debate. We conducted a frame analysis of FAQs webpages about genetic engineering of farm animals developed by different organizations to describe how questions and answers are presented. We categorized FAQs as having a regulatory frame (emphasizing or challenging (...) the adequacy of regulations), an efficiency frame (emphasizing precision and benefits), a risks and uncertainty frame (emphasizing unknown outcomes), an animal welfare frame (emphasizing benefits for animals) or an animal dignity frame (considering the inherent value of animals). Animals were often featured as the object of regulations in FAQs, and questions about animals were linked to animal welfare regulations. The public were represented using a variety of terms (public, consumer) and pronouns (I, we). Some FAQs described differences between technology terms (gene editing, genetic modification) and categorized technologies as either well-established or novel. This framing of the technology may not respond to actual public concerns on the topic. Organizations seeking to use FAQs as a public engagement tool might consider including multiple viewpoints and actual questions people have about genetic engineering. (shrink)

It is well-established that toddlers can correctly select a novel referent from an ambiguous array in response to a novel label. There is also a growing consensus that robust word learning requires repeated label-object encounters. However, the effect of the context in which a novel object is encountered is less well-understood. We present two embodied neural network replications of recent empirical tasks, which demonstrated that the context in which a target object is encountered is fundamental to referent selection and word (...) learning. Our model offers an explicit account of the bottom-up associative and embodied mechanisms which could support children’s early word learning and emphasises the importance of viewing behaviour as the interaction of learning at multiple timescales. (shrink)

In this article I claim that service-learning experiences, wherein students work directly with individuals in need—individuals from whom studentscan learn what they cannot learn elsewhere—are invaluable, and perhaps necessary, for any curriculum with an aim toward the development of ethical understanding, personal moral character and commitment, and/or conscientious citizenship, both local and global. My argument rests on Emmanuel Levinas’s philosophical ethical theory that re-envisions the ethical relation as arising out of revelation from the unique and precious Other, rather than reason (...) and the rational determinations and conceptions of the ethical agent. (shrink)

Between 1906 and 1914, the Woman Suffrage Movement in London produced aseries of public spectacles designed to bring the suffrage cause to the attention of politicians and citizens. During this same period, daily newspapers designed for mass reading surpassed in sales the older, class-based newspapers. A survey of stories and photographs published in the mass pressreveals how the press and the movement collaborated in bringing to readersa new sense of urban life as restless, dynamic and forward moving. Catering to reader (...) and spectator curiosity – a disinterested and ambiguous form of post-Enlightenment attention – the press and themovement strengthened each other’s intent to capture the eyes and minds of a city fascinated by its own image. (shrink)

In defending Levinas’s ethical theory against Ricoeur’s objections in Oneself as Another, I make a two-fold argument in regard to heroic action and the ordinary ethical relation. First, I suggest a definition of the hero as she who does what is right—that is, what is ethically necessary or obligatory—even when it requires extreme sacrifice. Second, I argue that the development of virtuous character, out of which such heroic action comes, is dependent upon the asymmetrical relation between an alterior Other and (...) a self who is willing to sacrifice to do what is right. Re-orienting oneself toward the ethical relation is, itself, a sacrifice, requiring that one adopt a non-reciprocal, asymmetrical devotion to the Other. Thus, ethics, including both heroic and ordinary ethical behavior, ought not be founded on notions of friendship, symmetry, or mutuality, but rather on absolute difference, asymmetry, and self-sacrifice. (shrink)

The article argues for a Straussian interpretation of Tacitus’ Agricola by showing that Tacitus’ explicit praise of the life of Agricola and criticism of the Stoic martyrs are undermined by his implicit comparisons to other lives within the text and by his allusions to other works of Socratic political philosophy, especially Xenophon’s. The popular teaching of the Agricola is that Agricola’s policy of political quietism is the best way of life for an ambitious young Roman living under a tyrannical (...) emperor, while the Stoic’s political extremism is not beneficial for the common good. The philosophic teaching, by contrast, is that a ‘serious and wise man’ will pursue a kind of Xenophontic approach to politics because he recognizes that the philosophic life is the highest life, but that it is necessary for the philosopher to advise the tyrant if the conditions for a philosophic life are going to be possible. (shrink)

Working women in the Caribbean and Latin America are more active in the labor market than their counterparts in most other regions of the world. Yet, they remain much less economically mobile than working men. Using research from a long-term study in Martinique, this article offers a new view of the cross-class construction of women's economic immobility. Research results suggest that irrespective of a woman's socioeconomic status, household structure, education, skills, or freedom from domestic chores, the organization of her work (...) is patterned in ways that preclude economic growth. When women try to “get ahead,” they invest more of their own time; men, by contrast, put others to work. I argue that these and other gender-based patterns of work organization and network management express a hidden but enduring legacy of a patriarchal value system. (shrink)

A key dividing line in the literature on post-national citizenship concerns the role of collective identity. While some hold that a post-national form of identity is desirable in developing citizenship in contexts such as the European Union (EU), others question the defensibility of a collective identity at this supra-national level. The aim of this article is to intervene in this debate, drawing on qualitative research to consider the extent to which post-national citizenship should be accompanied by a form of post-national (...) identity. The article takes the UK as a case study, and explores tensions between the immigration policies and rhetoric of the Coalition Government since 2010 and the post-national citizenship rights of EU citizens migrating into British local communities. It draws on independently collected qualitative data from the county of Herefordshire, UK, to argue that the persistent reinforcement of national identity reproduces national lines of difference which further problematise the full realisation of European citizenship. At a theoretical level, this highlights the need for the development of post-national citizenship rights to be accompanied by a paradigmatic shift in the way that collective identity is constituted in post-national contexts. (shrink)

We have identified a sample of 53 societies outside of the classical Himalayan and Marquesean area that permit polyandrous unions. Our goal is to broadly describe the demographic, social, marital, and economic characteristics of these societies and to evaluate some hypotheses of the causes of polyandry. We demonstrate that although polyandry is rare it is not as rare as commonly believed, is found worldwide, and is most common in egalitarian societies. We also argue that polyandry likely existed during early human (...) history and should be examined from an evolutionary perspective. Our analysis reveals that it may be a predictable response to a high operational sex ratio favoring males and may also be a response to high rates of male mortality and, possibly, male absenteeism. Other factors may contribute, but our within-polyandry sample limits analysis. (shrink)

The editors of this collection set out with the intention of extending the debate in the ethics of belief beyond its traditional topics, such as whether it is ever permissible to form beliefs on insufficient evidence, and if pragmatic concerns should play a role in responsible belief formation. The result is that this collection covers an expansive range of material.Some of the topics that are covered are in keeping with the traditional bounds of the literature, such as whether direct doxastic (...) control is possible , and whether normativity in epistemology is properly thought of as epistemic or ethical .Somewhat less orthodox, but still in keeping with traditional subject matter, is Battaly’s chapter, in which she usefully clarifies various ways of thinking about virtue and vice in both ethics and epistemology. Battaly’s chapter is slightly outside of th .. (shrink)

Nelson et al. (2023) have deftly articulated a “paradox of experience” that applies to most if not all stakeholder engagement efforts in bioethics. Eliciting the perspectives of people with first-h...

The world is suffering from a dearth of health care workers, and sub-Saharan Africa, an area of great need, is experiencing the worst shortage. Developed countries are making the problem worse by luring health care workers away from the countries that need them most, while developing countries do not have the resources to stem the flow or even replace those lost. Postmodern philosopher Emmanuel Levinas offers a unique ethical framework that is helpful in assessing both the irresponsibility inherent in the (...) current global health care situation and the responsibility and obligation held by the stakeholders involved in this global crisis. Drawing on Levinas’ exploration of individual freedom and self-pursuit, infinite responsibility for the Other, and the potential emergence of a just community, we demonstrate its effectiveness in explaining the health care worker crisis, and we argue in favor of a variety of policy and development assistance measures that are grounded in an orientation of non-indifference toward Others. (shrink)

We welcome Ballantyne & Schaefer’s discussion of the issues concerning consent and use of health data for research. In response to their acknowledgement of the need for public debate and discussion, we provide evidence from our own public consultation on this topic.

Because of the increasing number of “man-made” hazards in contemporary life, as well as the growing number of disastrous industrial accidents, interest in risk communication has burgeoned. Consequently, scholars and practitioners need to understand two of the more common responses to risk situations, the technical and democratic. This paper describes these two responses, identifies types of individuals likely to prefer each, and explains why, historically and sociologically, they are so intuitively compelling for many people. Arguing that both responses to risk (...) situations are ultimately unconducive to rational discourse, the paper identifies problematic assumptions about communication that underlie both. The paper then sketches an alternative model of risk communication that recognizes the distinct features of communication in risk-ridden situations, describes ways in which communicators can identify characteristic tensions and goals in these situations, and specifies how to use research-supported heuristics for diagnosing the principal obstacles to their communicative goals and selecting the best strategies to address these obstacles. (shrink)

Background Since the UK Abortion Act (1967), women have travelled from Ireland to the UK for legal abortion. In 2011 >4000 women did so. Knowledge and attitudes of medical students towards abortion have been published, however, this is the first such report from Ireland. Objective To investigate medical students’ attitudes towards abortion in Ireland. Methods All medical students at the University of Limerick, and physicians who graduated from the university within the previous 12 months, were invited via email to complete (...) an anonymous online survey. The questionnaire comprised 17 questions. Quantitative and qualitative analyses were performed. Results Response rate was 45% (n=169; 55% women; 88.2% <30 years of age; 66.7% Irish; 29.2% North American). Outcomes were: abortion should not be legally available (7.1%), abortion should be allowed in limited circumstances only (35.5%), abortion should be legally available upon request (55%). 72.8% of respondents were moderately/strongly prochoice (74% of women/71% of men/72% and 76% of Irish and North American respondents, respectively). Students aged >30 years were less likely to be prochoice (55%). While 95.2% believed that education on abortion should be offered within medical school curricula, 28.8% stated that they would decline to terminate pregnancies even if legally permitted. While 58.8% indicated that they might perform legal abortions once qualified, 25.7% would do so under limited circumstances only. Conclusions The majority of participants wanted education regarding abortion. Despite being predominantly prochoice, considerably fewer students, irrespective of nationality, indicated that they would perform abortions. (shrink)

Transgender and gender expansive (TGE) youth often seek a variety of gender-affirming healthcare services, including pubertal suppression and hormone therapy requiring that TGE youth and their parents participate in informed consent and decision making. While youth must demonstrate the ability to understand and appreciate treatment options, risks, benefits, and alternatives as well as make and express a treatment choice, standardized approaches to assess the capacity of TGE youth to consent or assent in clinical practice are not routinely used. This scoping (...) review identified the currently available data regarding adolescent capacity to consent to gender-affirming medical treatments. Articles relevant to assessing adolescent capacity for clinical decision-making were identified using OVID Medline, Web of Science, and PubMed. Articles were reviewed and thematically analyzed. Eight relevant articles were identified using three tools for measuring adolescent clinical decision-making capacity: Measure of Understanding, Measure of Competence, and MacArthur Competence Assessment Tool (MacCAT). These studies explored hypothetical treatment decisions, mental health treatment decisions, HIV treatment decisions, genetic testing decisions, and gender-affirming medical decisions. Only one study specifically examines the capacity of TGE youth to consent to medical treatments. Age was correlated with capacity in most, but not all studies. Other studies found cognitive measures (IQ, literacy, numeracy) may impact important aspects of capacity (understanding and reasoning). For clinicians caring for TGE youth, tools such as the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) may prove useful, in conjunction with consideration of youth developmental abilities and utilization of shared decision-making practices. A standardized, collaborative approach to assessing TGE youth capacity would benefit TGE youth and their parents, and allow clinicians to more easily resolve ethical concerns. (shrink)