In alignment with stated social, health, and environmental values, hundreds of hospitals in the United States are purchasing local, organic, and other alternative foods. Due to the logistical and economic constraints associated with feeding hundreds to thousands of people every day, new food procurement initiatives in hospitals grapple with integrating conventional supply chain norms of efficiency, standardization, and affordability while meeting the diverse values driving them such as mutual benefit between supply chain members, environmental stewardship, and social equity. This paper (...) provides empirical data and analysis on emerging values-based supply chains in hospitals that attempt to meet both the scale-based requirements and values-based goals of alternative food procurement initiatives. In particular, it examines tensions among industrial, economic, and alternative agrifood values in relation to a particular set of hospital supply chain players called Group Purchasing Organizations. Hospital membership in GPOs in the United States is ubiquitous, and 80–90 % of a hospital’s foodservice procurement comes through GPO channels in keeping with contract terms. GPO-governed supply chains are deeply rooted in industrial and commercial norms, in other words, price competition, economic efficiency, and forces of standardization through adherence to technical and quality standards. The bulk of alternative food procurement initiatives in the health care sector currently occur outside of the GPO–hospital relationship, however, over 90 % of hospital foodservice directors interviewed for this research expressed a desire to increase sustainable food procurement through their GPO. This study finds that, if alternative agrifood efforts in the health care sector are to integrate with GPO-governed supply chains without losing the robustness of the original values and goals that brought them into being, concerns related to supply chain structure, transparency and traceability of alternative food attributes, and alignment of definitions of local and sustainable food between all supply chain members will need to be addressed. This study also details points of flexibility in health care food supply chains and the potential for hospitals to create purchasing and informational alliances around common food goals in order to create new, values-based supply chain relationships both within and beyond GPO procurement channels. (shrink)

Computers are used to make decisions in an increasing number of domains. There is widespread agreement that some of these uses are ethically problematic. Far less clear is where ethical problems arise, and what might be done about them. This paper expands and defends the Ethical Gravity Thesis: ethical problems that arise at higher levels of analysis of an automated decision-making system are inherited by lower levels of analysis. Particular instantiations of systems can add new problems, but not ameliorate more (...) general ones. We defend this thesis by adapting Marr’s famous 1982 framework for understanding information-processing systems. We show how this framework allows one to situate ethical problems at the appropriate level of abstraction, which in turn can be used to target appropriate interventions. (shrink)

O propósito deste artigo é mostrar como podem ser desenvolvidas explicações robustas de justificação e de certeza no interior do infinitismo. Primeiro, eu explico como a concepção infinitista de justificação epistêmica difere das concepções fundacionista e coerentista. Em segundo lugar, explico como o infinitista pode oferecer uma solução ao problema do regresso epistêmico. Em terceiro lugar, explico como o infinitismo, per se, é compatível com as teorias daqueles que sustentam 1) que o conhecimento requer certeza e que uma tal forma (...) superior de conhecimento é possível, bem como com as daqueles que rejeitam algum ou ambos os conjuntos em 1). Em outras palavras, o infinitismo nem endossa, nem rejeita o ceticismo, tomando-se essa tese como sendo aquela segundo a qual nós não possuímos conhecimento naquelas situações que nos parecem cognoscíveis. PALAVRAS-CHAVE – Certeza. Coerentismo. Fundacionismo. Infinitismo. Pirronismo. Regresso epistêmico. ABSTRACT The purpose of the paper is to show how robust accounts of justification and certainty can be developed within infinitism. First, I explain how the infinitist conception of epistemic justification differs from both the foundationalist and coherentist conceptions. Second, I explain how the infinitist can provide a solution to the epistemic regress problem. Third, I explain how infinitism, per se, is compatible with both the views of those who hold 1) that knowledge requires certainty and that such high-grade knowledge is possible as well as those who deny either or both conjuncts in 1). In other words, infinitism neither endorses nor rejects skepticism, taking that view to mean that we do not have knowledge in those areas commonly thought to be within our ken. KEY WORDS – Certainty. Coherentism. Foundationalism. Infinitism. Pyrrhonism. Epistemic regress. (shrink)

Using state-of-the-art observational datasets and results from a large archive of computer model simulations, a consortium of scientists from 12 different institutions has resolved a long-standing conundrum in climate science—the apparent discrepancy between simulated and observed temperature trends in the tropics. Research published by this group indicates that there is no fundamental discrepancy between modeled and observed tropical temperature trends when one accounts for: the uncertainties in observations; and the statistical uncertainties in estimating trends from observations. These results refute a (...) recent claim that model and observed tropical temperature trends “disagree to a statistically significant extent”. This claim was based on the application of a flawed statistical test and the use of older observational datasets. (shrink)

Mental disorders such as depression and anxiety are increasingly common. Yet there are too few specialists to offer help to everyone, and negative attitudes to psychological problems and their treatment discourage people from seeking it. As a result, many people never receive help for these problems. The Oxford Guide to Low Intensity CBT Interventions marks a turning point in the delivery of psychological treatments for people with depression and anxiety. Until recently, the only form of psychological intervention available for patients (...) with depression and anxiety was traditional one-to-one 60 minute session therapy - usually with private practitioners for those patients who could afford it. Now Low Intensity CBT Interventions are starting to revolutionize mental health care by providing cost effective psychological therapies which can reach the vast numbers of people with depression and anxiety who did not previously have access to effective psychological treatment. The Oxford Guide to Low Intensity CBT Interventions is the first book to provide a comprehensive guide to Low Intensity CBT interventions. It brings together researchers and clinicians from around the world who have led the way in developing evidence-based low intensity CBT treatments. It charts the plethora of new ways that evidence-based low intensity CBT can be delivered: for instance, guided self-help, groups, advice clinics, brief GP interventions, internet-based or book-based treatment and prevention programs, with supported provided by phone, email, internet, sms or face-to-face. These new treatments require new forms of service delivery, new ways of communicating, new forms of training and supervision, and the development of new workforces. They involve changing systems and routine practice, and adapting interventions to particular community contexts. The Oxford Guide to Low Intensity CBT Interventions is a state-of-the-art handbook, providing low intensity practitioners, supervisors, managers commissioners of services and politicians with a practical, easy-to-read guide - indispensible reading for those who wish to understand and anticipate future directions in health service provision and to broaden access to cost-effective evidence-based psychological therapies. (shrink)

In an attempt to accommodate natural language phenomena involving nominalization and self-application, various researchers in formal semantics have proposed abandoning the hierarchical type system which Montague inherited from Russell, in favour of more flexible type regimes. We briefly review the main extant proposals, and then develop a new approach, based semantically on Aczel's notion of Frege structure, which implements a version ofsubsumption polymorphism. Nominalization is achieved by virtue of the fact that the types of predicative and propositional complements are contained (...) in the type of individuals. Russell's paradox is avoided by placing a type-constraint on lambda-abstraction, rather than by restricting comprehension. (shrink)

Cet article présente le concept de transversalité comme une possible clé d’interprétation des phénomènes culturels et sociaux de la postmodernité.

This issue of Consciousness and Cognition presents four target articles and eight commentaries on the target articles. The present article presents comments on those commentaries, grouped into backward referral and volition categories. Regarding backward referral: I disagree with my fellow commentators and take the unpopular position of defending Libet's notion of backward referral. I join my fellow commentators in critiquing Libet's notion of a 500-ms delay. I examine several of the hypotheses suggested by other commentators for why cortical and lateral (...) meniscus stimulation give very different timing results. I suggest a simple experiment to help discriminate among the hypotheses. I comment on why temporal reordering is more likely to occur late rather than early in mental processing. Regarding Libet's volition experiments, I ask what is the root of the controversy, given the general agreement on the data. I agree with a commentator that Libet's chronotheology rather than his chronoscience is the cause of much of the controversy. Rather than joining others in criticizing Libet for his chronotheology I point out that he is making a respectable philosophical point regarding nondeterministic Free Will, but one that is easily misunderstood. I discuss two ways by which Libet's viewpoint can be brought into mainstream science. (shrink)

The present moment in human history is marked by the ever-accelerating movement across the world of materials, peoples and information, creating various problems and, of course, opportunities as well--especially, the movement of the people, which makes multiculturalism a major issue. Differences between the immigrants and the receiving society create conflict. One solution would be found in the legal provision for the equality of rights for all the members of society, including cultural minorities, but if the legal solution alone is considered (...) effective, there would be waste of resources accumulated in cultures as enabling agents of amenable human life. But multiple cultures in a single society easily become a source of conflict, as another culture encroaching upon one’s own culture is often felt as a threatening challenge to one’s identity, as identity is constructed in the subjective process of culture. It implies the master-and-slave struggle between two subjectivities. Cultural subjectivities, personal or collective, could be induced to constitute a complex system of federated subjectivities. Even such a system would not, however, completely eliminate tension and conflict. Intervention by an ethic universally conceived on the minimal basis would meet the urgent need to prevent escalation of conflict, but it would ultimately prepare a common ground for the development of a global culture incorporating multiple cultures as historically inherited resources for enrichment of human life. Ethical awareness is what reveals the otherness of the other and also the ontological ground of human life on earth ; as ethics and epistemology coincide, a human reason would emerge as the ground of a new global culture, and the world would hopefully become a single Lebensraum for entire humanity. (shrink)

Nikola Grahek's influential book Feeling Pain and Being in Pain introduced philosophers to the strange phenomenon of pain asymbolia. Subsequent philosophical debate around asymbolia has been partly taxonomic: the deep question is whether it is best understood as a specific neurological deficit or part of a broader syndrome. This paper looks to the history of asymbolia, positioning the origin of the term within broader historical trends. It shows that strange phenomena about pain and motivation have always presented interpretive challenges, and (...) suggests that the current debate mirrors a historical split between German and French traditions. This does not resolve the debate, but does help place it within broader scientific and philosophical contexts. (shrink)

ABSTRACT In this paper, I argue that the idea of a universal history is systematically legitimized in Kant’s transcendental system of philosophy by way of the concept of a need [Bedürfnis] for pure practical reason. In this sense, the idea of a universal history is a fundamental part of the moral image of the world that emerges from Kant’s whole philosophy, and it is crucial for understanding both the possibility of the system of pure reason, as well the full development (...) of Kant’s moral philosophy, especially for political philosophy. RESUMO Nesse artigo eu argumento que a ideia de uma história universal é sistematicamente legitimada no sistema da filosofia transcendental de Kant por meio do conceito de precisão [Bedürfnis] da razão pura prática. Nesse sentido, a ideia de uma história universal é uma parte fundamental da imagem moral do mundo que emerge da totalidade da filosofia de Kant e é crucial para o entendimento tanto da possibilidade de um sistema da razão pura, quanto para um desenvolvimento completo da filosofia moral, particularmente para a filosofia política. (shrink)

We study two logics of knowledge and belief stemming from the work of Stalnaker, omitting positive introspection for knowledge. The two systems are equivalent with positive introspection, but not without. We show that while the logic of beliefs remains unaffected by omitting introspection for knowledge in one system, it brings significant changes to the other. The resulting logic of belief is non-normal, and its complete axiomatization uses an infinite hierarchy of coherence constraints. We conclude by returning to the philosophical interpretation (...) underlying both models of belief, showing that neither is strong enough to support a probabilistic interpretation, nor an interpretation in terms of certainty or the “mental component” of knowledge. (shrink)

The neural crest is a transient population of multipotent progenitors arising at the lateral edge of the neural plate in vertebrate embryos. After delamination and migration from the neuroepithelium, these cells contribute to a diverse array of tissues including neurons, smooth muscle, craniofacial cartilage, bone cells, endocrine cells and pigment cells. Considerable progress in recent years has furthered our understanding at a molecular level of how this important group of cells is generated and how they are assigned to specific lineages. (...) Here we review a number of recent studies supporting a role for Wnt signaling in neural crest induction, differentiation, and apoptosis. We also summarize the timing of expression of a number of Wnt ligands and receptors with respect to neural crest induction. BioEssays 25:317–325, 2003. © 2003 Wiley Periodicals, Inc. (shrink)

Specifying exact selection pressures for identifying adaptations is unnecessary. Novel behaviors are not spandrels since they can only develop because of prior functions. An adaptationist approach has a high prior probability, whereas spandrel hypotheses attempt to prove a negative. The concept of maladaptive spandrel is criticized. The utility of dysfunctional states for identification of adaptations gone wrong is emphasized.

erative clustering. First, we show formally that the common heuristic agglomerative clustering algorithms – Ward’s method, single-link, complete-link, and a variant of group-average – are each equivalent to a hierarchical model-based method. This interpretation gives a theoretical explanation of the empirical behavior of these algorithms, as well as a principled approach to resolving practical issues, such as number of clusters or the choice of method. Second, we show how a model-based viewpoint can suggest variations on these basic agglomerative algorithms. We (...) introduce adjusted complete-link, Mahalanobis-link, and line-link as variants, and demonstrate their utility. (shrink)

At lunch one day a colleague and I had a friendly argument over occupational licensing. I attacked it for being anticompetitive, arguing that licensing boards raise occupational incomes by restricting entry, advertising, and commercialization. My colleague, while acknowledging anticompetitive aspects, affirmed the need for licensing on the grounds of protecting the consumer from frauds and quacks. In many areas of infrequent and specialized dealing, consumers are not able, ex ante or even ex post, to evaluate competence. I countered by suggesting (...) voluntary means by which reputational problems might be handled and by returning to the offensive. I said that in fact the impetus for licensing usually comes from the practitioners, not their customers, and that licensing boards seldom devote their time to ferreting out incompetence but rather simply to prosecuting unlicensed practitioners. I mentioned cross-sectional findings, such as those on state licensure, prices, and occupational incomes. Overall, I characterized the professional establishment as a group of dastardly operators, who set the standards, write the codes, and enforce behavior to enhance their own material wellbeing - in brief, as venal rent-seekers. (shrink)

Changing social norms has become the preferred approach in global efforts to prevent gender-based violence (GBV). In this article, we trace the rise of social norms within GBV-related policy and practice and their transformation from social processes that exist in the world to beliefs that exist in the minds of individuals. The analytic framework that underpins social norms approaches has been subject to ongoing critical revision but continues to have significant issues in its conceptualisation of power and its sidelining of (...) the political economy. These issues are particularly apparent in the use of individualised measures of social norms that cannot demonstrate causation, and conflation of social norms with culture. Recognising that the pressure to measure may be a key factor in reducing the complexity of the social norms approach, we call for the use of mixed methods in documenting the factors and processes that contribute to GBV and the effectiveness of interventions. As social norms approaches are increasingly prioritised over addressing the non-normative contributors to GBV (such as access to and control over productive resources), awareness of the limitations of social norms approaches is vital. (shrink)

This article takes up the current debate on populism and democracy and deals with the philosophical critique that the twentieth-century idea of pacifism represents an (apolitical) ideology, the misguided nature of which must be debunked. In this context, the term ideology is referred to with a post-Marxist understanding, which interprets ideology as a collective fantasy structuring our social reality by way of a practice of disguise. Hence, the question will be raised as to whether modern religions, such as neo-Buddhism or (...) Christianity, are well advised to appropriate the idea of pacifism in order to renew their imaginary register of peace and non-violence. In conclusion, it will be argued that the imagination and promise of a peaceful community is among the biblical motives that are the source of Christian faith. However, in order to prevent a political force from turning into an ideology, biblical motives have to be interpreted from the perspective of a negative Christology, which sees pacifism as an impossible project and thus liberates us from the pitfalls of human desire. (shrink)

This paper argues that while the classical, essentialist conception of identity is appealing due to its simplicity, it does not adequately capture the complexity of professional or individual identity. The appeal to essentialism in librarianship contributes to some serious problems for the profession, such as exclusion and homogeneity in the workplace, high attrition rates of minority librarians, exploitation and alienation of an underrepresented workforce, as well as stereotyping. This paper examines the theoretical landscape with regard to the identity question and (...) proposes a more fitting alternative to essentialism, namely the relational conception of identity, and engages in a philosophical argument for the adoption of the relational account as a theoretical grounding for an understanding of the complex, fluid, and emergent nature of librarian identity within our dynamic profession. (shrink)

This paper defends a constructive interpretation of the Critique of Pure Reason, which is built in analogy with an experimental construction that Kant believes to characteristic of chemistry. I also argue for a way to reconcile the methodological perspective of the constructivist method with that of transcendental reflection. I therefore provide a constructive explanation for what Kant describes as being pure reason and the argument of the transcendental deduction. I propose to frame the different perspectives in such a way that (...) the experimental construction is the ratio cognoscendi of pure reason, while pure reason is the ratio essendi of the experimental construction. O’Neill (1989, 2015) is one of the most important scholars that have argued for a constructivist reading of the Critique of pure reason (CPR). In this paper I develop and explore new aspects of this line of interpretation. One of the main criticisms raised against constructivist readings of Kant’s philosophy is an alleged commitment to subjectivism or voluntarism (cf. Kleingeld & Willaschek 2019). This concern led some scholars to rename their position as constitutivist instead (Korsgaard 2009; Sensen 2013, 2017; Formosa 2011). Constitutivism, is intended to be a sort of constructivism capable of avoiding voluntarism. However, it becomes difficult, sometimes, to differentiate between the constitutivist and foundationalist positions, which are based on transcendental reflection and imply a sort of realist perspective on reason. The same preoccupation applies to the constructivist interpretation of the CPR. In order to deal with this issue, the following questions must be addressed: how can constructivism justify the necessity and universality of transcendental principles of pure reason without compromising the normative and procedural aspects of the construction? How to reconcile arguments based on the analysis of representations and faculties with a constructivist procedure? Or even, how may transcendental reflection, as a view of the possibility of a priori cognition, be rendered compatible with a constructive procedure? This paper is divided into three sections, followed by brief final remarks. The first section outlines the main characteristics of constructivism and relates them to Kant’s positions about the nature of philosophy and its method. The second part argues for a type of experimental constructivism that might serve as a guiding analogy to understand the method underlying the CPR. Thirdly, I will show how the transcendental subject and pure reason are derived from this experimental construction. The conclusion briefly points out some advantages of this position. (shrink)

This essay shows how Kantian philosophy provides relevant grounds for reflections regarding the current debate on democracy. Firstly, I argue that representative democracy has a particular moral value that stands out the other forms of government. Secondly, I make some considerations about the elements that must be institutionally embodied in order to ensure a proper functioning democracy, such as the separation of powers, the guarantee of a public sphere which is appropriate to the freedom of public use of reason, the (...) moral requirement of veracity in the performance of public agents; the participationism, the reformism and, finally, the cosmopolitanism. (shrink)

L'incommensurable fait apparaître qu'il est des fêlures irréductibles dans notre expérience révélant de l'infini du sein même de cette expérience: entre le plaisir et la jouissance ou bien le rapport social et l'intime. L'inouï dit, non pas l'extraordinaire ou l'insolite, mais ce qui peut être au contraire le plus commun de notre expérience--mais que nous n'entendons pas parce que nous ne savons pas déborder les cadres figés de cette expérience. La vraie vie fait signe vers ce que, tout en étant (...) en vie, nous risquons de n'être toujours que dans une apparence de vie, ou pseudo-vie, sans accéder à vraiment vivre. Trois concepts proposés par François Jullien pour ne pas laisser rabattre notre vie, mais la porter à son déploiement. Contre les facilités du prêche et du marché du Bonheur, il faut penser ces concepts comme outils pour 'changer la vie.'"--Page 4 of cover. (shrink)

The first, Ali Elovic, fought on several fronts in World War II and was forced to endure the horrors of Nazi and Communist prisons, but still maintained his thirst for life, emerging as a successful businessman. The second, Nobel Prize-winning virologist Carleton Gajdusek, used his extraordinary scientific talent to escape conventional life and to provide a home and education to more than thirty youths from "primitive" cultures in New Zealand, Australia, and other places.

L’outil de la norme s’est imposé à travers la tradition française de philosophie des sciences comme une grille de lecture de la notion de santé. A partir d’un historique des différents aspects de la santé que mettent à jour les différentes formes de la norme, nous tenterons d’analyser l’actualité des problématiques de santé. Il s’agira de comprendre les enjeux de la santé contemporaine comme nouvelle norme du soin.

This comprehensive volume offers a wide-ranging perspective on the stories that art music has told since the start of the 20th century. Contributors challenge the broadly held opinion that the loss of tonality in some music after 1900 also meant the loss of narrative in that music. To the contrary, the editors and essayists in this book demonstrate how experiments in approaching narrative in other media, such as fiction and cinema, suggested fresh possibilities for musical narrative, which composers were quick (...) to exploit. The new conceptions of time, narrative voice, plot, and character that accompanied these experiments also had a significant impact on contemporary music. The repertoire explored in the collection ranges across a wide variety of genres and includes composers from Charles Ives and the Pet Shop Boys to Thomas Adès and Dmitri Shostakovich. (shrink)

This article discusses the impact of Descartes’s substance-dualism on his account of discursive reason. Taking the presentation of deduction in the Rules as a paradigmatic case of thought’s extension and movement in time, I analyze the relation between intuitive and discursive understanding and that between intellect and imagination. I focus specifically on the mediation of corporeal impressions and of intellectual ideas by ingenium. As intellectual, ingenium is a faculty of understanding; as joining with phantasia, ingenium has access to corporeal affections, (...) images, and memory. Deduction involves both of these aspects of ingenium, and Descartes’s dualism complicates efforts to clarify the operations and nature of ingenium. Thus the dynamics of dualistic psychology account for some of the limitations of deduction in particular and discursive rationality in general. (shrink)

To rationalize the selection of a research methodology, one must understand its philosophical origins and unique characteristics. This process can be challenging in the landscape of evolving qualitative methodologies. Grounded theory is a research methodology with a distinct history that has resulted in numerous approaches. Although the approaches have key similarities, they also have differing philosophical assumptions that influence the ways in which their methods are understood and implemented. The purpose of this discussion paper is to compare and contrast three (...) widely used grounded theory approaches with key distinguishing characteristics, enabling a more thoughtful selection of approach. This work contributes to the existing literature through contrasting classic Glaserian grounded theory, Straussian grounded theory, and constructivist grounded theory in a systematic manner with prominent distinguishing characteristics developed from a review of the literature. These characteristics included historical development, philosophical perspective, role of the researcher, data analysis procedures, perspective of the grounded theory, and strengths/critique. Based on this analysis, three considerations are proposed to direct the methodological choice for a study: purpose, philosophy, and pragmatics. Understanding the similarities and differences in the grounded theory approaches can facilitate methodological transparency and determine the best fit for one's study and worldview as a researcher. (shrink)

Machine generated contents note: Introduction; 1. Inclusion and identity; 2. Contesting competence: the ideal of self-determination; 3. Expertise and authority in the early church; 4. Defining the circle of sophists: Philostratus and the construction of the Second Sophistic; 5. Becoming orthodox: heresiology as self-fashioning; 6. Successions and self-definition; 7. 'From such mothers and fathers': succession narratives in early Christian discourse.