Background: Clinical investigation is a growing field employing increasing numbers of nurses. This has created a new specialty practice defined by aspects unique to nursing in a clinical research context: the objectives (to implement research protocols and advance science), setting (research facilities), and nature of the nurse–participant relationship. The clinical research nurse role may give rise to feelings of ethical conflict between aspects of protocol implementation and the duty of patient advocacy, a primary nursing responsibility. Little is known about whether (...) research nurses experience unique ethical challenges distinct from those experienced by nurses in traditional patient-care settings. Research objectives: The purpose of the study was to describe the nature of ethical challenges experienced by clinical research nurses within the context of their practice. Research design: The study utilized a qualitative descriptive design with individual interviews. Participants and research context: Participating nurses (N = 12) self-identified as having experienced ethical challenges during screening. The majority were Caucasian (90%), female (83%), and worked in outpatient settings (67%). Approximately 50% had > 10 years of research experience. Ethical considerations: The human subjects review board approved the study. Written informed consent was obtained. Findings: Predominant themes were revealed: (1) the inability to provide a probable good, or/do no harm, and (2) dual obligations (identity as a nurse vs a research nurse). The following patterns and subthemes emerged: conflicted allegiances between protocol implementation, needs of the participant, desire to advance science, and tension between the nurse–patient therapeutic relationship versus the research relationship. Discussion: Participants described ethical challenges specific to the research role. The issues are central to the nurse–participant relationship, patient advocacy, the nurse’s role in implementing protocols, and/or advancing science. Conclusion: Ethical challenges related to the specialized role of clinical research nurses were identified. More research is warranted to fully understand their nature and frequency and to identify support systems for resolution. (shrink)

Certainly I am in no way opposed to philosophy, or metaphysics in the sense that Wm. James defined it as a particularly intense effort to think clearly. Indeed, Klein would like to say that what I am talking about is nothing but metaphysics. But the kind of philosophy/metaphysics that is needed here is of a particular kind: a kind that does not separate philosophy/metaphysics and physics into two disjoint realms. It is of the kind that seeks to construct useful testable (...) physical theories that are adequately connected to what we can know. (shrink)

Psychiatric patients may try (or express a desire) to injure themselves in hospital in order to cope with overwhelming emotional pain. Some health care practitioners and patients propose allowing a controlled amount of self-injury to occur in inpatient facilities, so as to prevent escalation of distress. Is this approach an example of professional assistance with harm? Or, is the approach more likely to minimise harm, by ensuring safer self-injury? In this article, I argue that health care practitioners who use harm-minimisation (...) can be considered to be helping physical injury to occur, although they do not encourage the act. I consider why there are compelling reasons to believe that a patient who self-injures is not maximally autonomous in relation to that choice. However, I then move onto argue that allowing a degree of self-injury may enable engagement with psychotherapy (enhancing autonomy) and behavioural change. In these circumstances, allowing injury (with precautions) may not be harm, all things considered. (shrink)

Managers seeking to respect local norms when operating in cross-cultural settings may encounter ethical dilemmas when faced with values that potentially conflict with their own. The question of whose ethics or values should be applied or whether a set of universal ethical norms should be developed often confronts managers in their international business dealings. This article explores the findings from a qualitative research study that examines critical ethical dilemmas confronting Australian managers in their international business operations and their responses to (...) those dilemmas. For Australians managers in this study, bribery emerged as the major ethical dilemma confronting them in their international operations. (shrink)

This paper aims to open up discussion on the relationship between fundamentality and naturalism, and in particular on the question of whether fundamentality may be denied on naturalistic grounds. A historico-inductive argument for an anti-fundamentalist conclusion, prominent within contemporary metaphysical literature, is examined; finding it wanting, an alternative ‘internal’ strategy is proposed. By means of an example from the history of modern physics - namely S-matrix theory - it is demonstrated that this strategy can generate similar anti-fundamentalist conclusions on more (...) defensible naturalistic grounds, and that fundamentality questions can be empirical questions. Some implications and limitations of the proposed approach are discussed. (shrink)

Is there life after death? Can we prove the big bang theory? In his engrossing and accessible style, Dr Kerry Spackman uses everyday examples to answer these questions and other diverse issues. the Ant and the Ferrari is a magical tour-de-force that takes on the big questions in life and answers them in Dr Kerry Spackman's easily accessible writing style. this is one of those rare books that will change your beliefs - and in doing so will change (...) your life. tHE ANt AND tHE FERRARI offers readers a clear, navigable path through the big questions that confront us all today. What is the meaning of life? Can we be ethical beings in today's world? Can we know if there is life after death? Is there such a thing as Absolute truth? What caused the Big Bang and why should you care? (shrink)

Drawing on previously unexplored sources, Kerry H. Whiteside presents the political theory of Maurice Merleau-Ponty, one of France's best-known twentieth-century philosophers. Whiteside argues that Merleau-Ponty's objective in his political writings was to make existentialism into the foundation for a philosophically consistent mode of political thinking. This study discusses the inadequacies Merleau-Ponty found in the traditional philosophies of empiricism and idealism, and then examines the subject-object dualism that he believed deprived previous forms of existentialism of political significance. Whiteside shows how (...) Merleau-Ponty overcame these problems by grounding political reasoning in a theory of consciousness that emphasized both its individuality and its need for socially created meaning. After explaining Merleau-Ponty's modifications of the views of Sartre, Aron, and others, the book investigates how he applied his political theory in editorial exchanges with Communists and liberals. Throughout this study, Whiteside traces and criticizes the changes in the philosopher's concept of Marxism and points to his many ideas that bear on current controversies in political theory. Originally published in 1988. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905. (shrink)

Written by specialist practitioners with vast teaching experience, this is a unique, timely and accessible text that reinforces a contemporary focus on professionalism in medical practice.

The pull to coordinate with other individuals is fundamental, serving as the basis for our social connectedness to others. Discussed is a dynamical and ecological perspective to joint action, an approach that embeds the individual’s mind in a body and the body in a niche, a physical and social environment. Research on uninstructed coordination of simple incidental rhythmic movement, along with research on goal‐directed, embodied cooperation, is reviewed. Finally, recent research is discussed that extends the coordination and cooperation studies, examining (...) how synchronizing with another, and how emergent social units of perceiving and acting are reflected in people’s feelings of connection to others. (shrink)

The view that the fundamental kind properties are intrinsic properties enjoys reflexive endorsement by most metaphysicians of science. But ontic structural realists deny that there are any fundamental intrinsic properties at all. Given that structuralists distrust intuition as a guide to truth, and given that we currently lack a fundamental physical theory that we could consult instead to order settle the issue, it might seem as if there is simply nowhere for this debate to go at present. However, I will (...) argue that there exists an as-yet untapped resource for arguing for ontic structuralism – namely, the way that fundamentality is conceptualized in our most fundamental physical frameworks. By arguing that physical objects must be subject to the ‘Goldilock's principle’ if they are to count as fundamental at all, I argue that we can no longer view the majority of properties defining them as intrinsic. As such, ontic structural realism can be regarded as the most promising metaphysics for fundamental physics, and that this is so even though we do not yet claim to know precisely what that fundamental physics is. (shrink)

We claim that if a complete philosophy of evidence-based practice is intended, then attention to the nature of causation in health science is necessary. We identify how health science currently conceptualises causation by the way it prioritises some research methods over others. We then show how the current understanding of what causation is serves to constrain scientific progress. An alternative account of causation is offered. This is one of dispositionalism. We claim that by understanding causation from a dispositionalist stance, many (...) of the processes within an evidence-based practice framework are better accounted for. Further, some of the problems associated with the health research, e.g. external validity of causal findings, dissolve. (shrink)

This article contributes to the Deficit Discourse and Indigenous Education 1 project that aimed to investigate and shift the pervasive discourse that frames and represents Indigenous education in t...

In this article, I address concerns that the ontological priority claims definitive of ontic structural realism are as they stand unclear, and I do so by placing these claims on a more rigorous formal footing than they typically have been hitherto. I first of all argue that Kit Fine’s analysis of ontological dependence furnishes us with an ontological priority relation that is particularly apt for structuralism. With that in place, and with reference to two case studies prominent within the structuralist (...) literature, I consider whether any of structuralism’s distinctive priority claims may be regarded as warranted. The discussion as a whole has largely negative implications for the radical structuralism of French and Ladyman (including their ‘eliminativist’ interpretation of it), largely positive implications for the moderate structuralism primarily advocated by Esfeld and Lam, and some broad lessons for contemporary fundamentalist metaphysics as a whole. 1 Introduction2 The Right Priority Relation for Structuralism: Supervenience or Dependence?3 Introducing Ontological Dependence4 Fine’s System5 The Priority of Structure 1: Entangled Quantum Particles6 The Priority of Structure 2: The Group-Theoretic Conception of Elementary Particles7 Concluding Remarks. (shrink)

Anthropology of Consciousness, EarlyView.

This research compares and analyzes the verbal commentary of televised coverage of two women's and men's athletic events: the “final four” of the women's and men's 1989 National Collegiate Athletic Association basketball tournaments and the women's and men's singles, women's and men's doubles, and the mixed-doubles matches of the 1989 U.S. Open tennis tournament. Although we found less overtly sexist commentary than has been observed in past research, we did find two categories of difference: gender marking and a “hierarchy of (...) naming” by gender and, to a certain extent, by race. These differences are described and analyzed in light of feminist analyses of gendered language. It is concluded that televised sports commentary contributes to the construction of gender and racial hierarchies by marking women's sports and women athletes as “other,” by infantilizing women athletes, and by framing the accomplishments of women athletes ambivalently. (shrink)

Ontic structural realism is a thesis of fundamentality metaphysics: the thesis that structure, not objects, has fundamental status. Claimed as the metaphysic most befitting of modern physics, OSR first emerged as an entreaty to eliminate objects from the metaphysics of fundamental physics. Such elimination was urged by Steven French and James Ladyman on the grounds that only it could resolve the ‘underdetermination of metaphysics by physics’ that they claimed reduced any putative objectual commitment to a merely ‘ersatz’ form of realism. (...) Few, however, have joined French and Ladyman either in acknowledging that such underdetermination exists or in attributing to it such drastic consequences. However, an alternative view that physics does sanction objects, albeit merely as ontologically secondary entities, represents a different and seemingly less extreme route to the same conclusion regarding the fundamentality of structure. But since what it means to be ‘ontologically prior’ is itself a vexed philosophical question, a stance must be taken as to how we are to understand priority before its prospects may be evaluated. In an earlier paper, I outlined how Fine’s notion of ontological dependence might be utilized to defend the priority-based approach to structuralism. Since then, however, I have become convinced that that ontological dependence is not a relation of priority after all. As a result, the arguments outlined in that paper stand in need of reassessment. In this work, I consider the prospects for priority-based structuralism when expressed in the idiom of determination. My conclusion will be that it has yet to be vindicated by our best physical theories, owing to the failure of symmetry structures to determine the world’s inventory of fundamental kinds. Nevertheless, the same symmetry considerations point towards there being renewed prospects for eliminativism—an eliminativism, moreover, of more naturalistic appeal than that hitherto associated with OSR. 1Introduction 2Structuralist Strategies 3Defining Ontological Priority: Dependence or Determination? 4Structuralism in the Idiom of Determination 4.1Determining plurality 4.2Determining kind properties 5A Reinvigorated Eliminativism. (shrink)

Beginning with relativity and quantum theory, the deterministic view that has dominated and shaped Western culture for more than 2,500 years has begun to unravel, leading to the emergence of a new paradigm. This new paradigm effectively reformulates the project of science, conceiving of existence as an interpenetrating web of coevolving, cocreative relationships. By exploring Kabbalah and the new scientific paradigm within the context of shared evolutionary principles, I seek to demonstrate a viable alternative to the prevailing deterministic worldview. By (...) going beyond the limits of determinism and re–visioning existence as an evolutionary, emergent phenomenon, we can establish a new basis for an authentic dialogue between science and religion. (shrink)

The group politics approach to controversy analysis describes the closure of public controversies involving scientific or technological issues as an interest group's triumph over competing groups in the political arena. In contrast, the social construction of technology model of closure maintains that closure occurs through the negotiation of a consensus regarding the form of an object and the corresponding elimination of its interpretative flexibility. Drawing upon the "Alar scare" of 1989, this article extends the SCOT model beyond the life of (...) an object. This article argues that together, the group politics and SCOT views of closure permit interest groups to continue to attach divergent meanings to a controversial object even after it has been eliminated The analysis suggests that such an object may provide interest groups with a powerful symbol and an invaluable political resource. (shrink)

Darwin's “mystery of mysteries,” the origin of species, is caused by the evolution of speciation phenotypes, i.e. phenotypic differences that depress gene flow between daughter species during speciation. Postmating, prezygotic (PMPZ) differentiation characterizes many closely related species causing conspecific sperm precedence (CSP), wherein a female preferentially utilizes conspecific over heterospecific sperm in fertilization. Until recently, the components of CSP have been difficult to observe and study in internally fertilizing organisms. Research into the mechanisms of CSP is now progressing rapidly with (...) the help of new innovative research tools. With the recent development of a sperm labeling system enabling distinct labels for different males, direct observations of competing male sperm within the female reproductive tract are possible, revealing multiple PMPZ phenotypes that combine to cause CSP. The discovery of mechanisms underlying CSP predicts an exciting future for studies of PMPZ speciation phenotypes and possible general principles underlying the origin of species. (shrink)

A priori metaphysics has come under repeated attack by naturalistic metaphysicians, who take their closer connection to the sciences to confer greater epistemic credentials on their theories. But it is hard to see how this can be so unless the problem of theory change that has for so long vexed philosophers of science can be addressed in the context of scientific metaphysics. This paper argues that canonical metaphysical claims, unlike their scientific counterparts, cannot meaningfully be regarded as ‘approximately true,’ and (...) that this means that the epistemic progress that science arguably enjoys through episodes of theory change cannot be expected to transfer to its metaphysics. What the value of engaging in metaphysics of science before the emergence of a final theory becomes correspondingly unclear. (shrink)

In “Against Infinite Nothingness: Arguments for Foundationalism in Indian Philosophy” Jessica Frazier brings Vedantic arguments to bear against contemporary objections to foundationalism: the view that there must exist a single self-subsistent ground upon which the existence of all else stands. She argues in particular that these arguments permit us to infer the existence of a “modal anchor” operative in nature that deserves to be regarded as fundamental, even in the absence of a “fundamental level” to nature. This paper argues that (...) Frazier has not sufficiently justified the assertion that such modal anchors have a right to be regarded as metaphysically fundamental, even in the less demanding sense that she seemingly associates with that term. This does not mean that there is any incoherence in what Frazier is trying to argue, however. The argument given here should thus be seen as an invitation to more fully spell out the notion of fundamentality that Frazier regards as most appropriate to these ancient Vedantic texts. (shrink)

A suite of questions concerning fundamentality lies at the heart of contemporary metaphysics. The relation of grounding, thought to connect the more to the less fundamental, sits at the heart of those debates in turn. Since most contemporary metaphysicians embrace the doctrine of physicalism and thus hold that reality is fundamentally physical, a natural question is how physics can inform the current debates over fundamentality and grounding. This Element introduces the reader to the concept of grounding and some of the (...) key issues that animate contemporary debates around it, such as the question of whether grounding is 'unified' or 'plural' and whether there exists a fundamental level of reality. It moves on to show how resources from physics can help point the way towards their answers - thus furthering the case for a naturalistic approach to even the most fundamental of questions in metaphysics. (shrink)

Ontic structural realism is at its core the view that “structure is ontologically fundamental.” Informed from its inception by the scientific revolutions that punctuated the 20th century, its advocates often present the position as the perspective on ontology best befitting of modern physics. But the idea that structure is fundamental has proved difficult to articulate adequately, and what OSR's claimed naturalistic credentials consist in is hard to precisify as well. Nor is it clear that the position is actually supported by (...) our most fundamental physical theories. What is clear, however, is that structuralists have revealed a seam of material at the core of modern physics that is replete with implications for metaphysics. This article will survey some positions subsumed under the rubric of OSR, considering both their warrant and the interconnections that exist between them. It will be argued that the fundamental kind properties pose a challenge to ontic structuralism, because it seems that these properties do not supervene upon the relevant structures. But it will also be argued that the development of structuralist metaphysics will require both an engagement with the details of modern physical theories and the deployment of tools more typically developed in a priori metaphysics. As such, it seems armchair metaphysicians have not just a stake in whether OSR's claims may ultimately be shown to stand up, but a crucial role to play in getting them to the point where they can be subjected to scrutiny in the first place. (shrink)

In 2008 UK legislation was amended to enable the use of deferred consent for paediatric emergency care (EC) trials in recognition of the practical and ethical difficulties of obtaining prospective consent in an emergency situation. However, ambiguity about how to make deferred consent acceptable to parents, children and practitioners remains. In particular, little is known about practitioners’ views and experiences of seeking deferred consent in this setting.

I argue that Arendt’s understanding of “society” deepens Green critiques of productivism. By avoiding subjectivist or objectivist modes of thought, Arendt uncovers hidden links between life-sustaining labor and a world-destroying drive to consume. Checking environmentally destructive desires to produce and consume requires structuring communities around an optimal configuration of public deliberation, work and labor. I conclude that an Arendt-inspired ecological politics stresses the interdependence of human values and an all-encompassing natural order.

The most striking region of structural differentiation of a eukaryotic chromosome is the kinetochore. This chromosomal domain plays an integral role in the stability and propagation of genetic material to the progeny cells during cell division. The DNA component of this structure, which we refer to as the centromere, has been localized to a small region of 220–250 base pairs within the chromosomes from the yeast Saccharomyces cerevisiae. The centromere DNA (CEN) is organized in a unique structure in the cell (...) nucleus and is required for chromosome stability during both mitotic and meiotic cell cycles. The centromeres from one chromosome can stabilize small circular minichromosomes or other yeast chromosomes. The centromeres may therefore interact with the same components of the segregation apparatus regardless of the chromosome in which they reside. The CEN DNA does not encode any regulatory RNAs or proteins, but rather is a cis‐acting element that provides genetic stability to adjacent DNA sequences. (shrink)

There is an inextricable link between cultural and clinical safety. In Australia high‐profile Aboriginal deaths in custody, publicised institutional racism in health services and the international Black Lives Matter movement have cemented momentum to ensure culturally safe care. However, racism within health professionals and health professional students remains a barrier to increasing the number of Aboriginal and Torres Strait Islander Health professionals. The Australian Health Practitioner Regulation Agency's Aboriginal and Torres Strait Islander Health Strategy's objective to ‘eliminate racism from the (...) health system’, and the recent adoption of the Aboriginal and Torres Strait Islander peoples led cultural safety definition, has instigated systems level reflections on decolonising practice. This article explores cultural safety as the conceptual antithesis to racism, examining its origins, and contemporary evolution led by Aboriginal and Torres Strait Islander peoples in Australia, including its development in curriculum innovation. The application of cultural safety is explored using in‐depth reflection, and the crucial development of integrating critical consciousness theory, as a precursor to culturally safe practice, is discussed. Novel approaches to university curriculum development are needed to facilitate culturally safe and decolonised learning and working environments, including the key considerations of non‐Indigenous allyship and collaborative curriculum innovations and initiatives. (shrink)