Against the backdrop of cultural and political ideals, this article highlights both the significance of mental health nursing in meeting population needs and the regulatory barriers that may be impeding its ability to adequately do so. Specifically, we consider how ambiguous notions of ‘proficiency’ in nurse education—prescribed by the regulator—impact the development of future mental health nurses and their mental health nursing identity. A key tension in mental health practice is the ethical‐legal challenges posed by sanctioned powers to restrict patients' (...) freedom at the same time as the desire (and obligation) to promote patients' self‐determined recovery. The genericism of the UK's Future Nurse Standards do little to prepare mental health nurses to navigate the tensions that ensue. This has consequences for nurses and patients alike, as both risk experiencing the distress and dissonance that attends giving or receiving poor care. We argue that more needs to be done to enable mental health nurses to define and articulate the nuances of the profession as part of becoming critical, thoughtful and confident practitioners. Educators can contribute to this mission by aligning curriculum, pedagogy and assessment to create meaningful opportunities for mental health nursing students to engage with the complexities of mental health nursing practice. Without this, the credibility of the profession will continue to be questioned; its future uncertain. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Response to C. Victor Fung and Leonard Tan, “‘Love of All Wisdoms’: Toward A Multiphilosophical Approach To Music Education”Lauren Kapalka RichermeFung and Tan’s arguments regarding the limits of our profession’s longstanding narrow focus on Eurocentric and American philosophical traditions are crucially important, and I think the majority of PMER readers will agree about the need to engage with philosophies written by those from diverse geographic locations and with (...) other forms of contrasting lived experiences. Additionally, this essay contains many thoughtful clarifications, including the importance of local and individualized needs, accruing philosophical wisdoms over time, and ongoing reflexivity. I found the conceptualization of boundaries “as a connecting agent rather than a separation device” particularly intriguing. Moreover, I applaud Fung and Tan for their work outside of this paper; their efforts to translate and extend various Asian philosophical ideas have certainly enriched the graduate philosophy classes that I teach.1 For me, the joy of any philosophical inquiry is the questions and imaginings it incites, and these authors have certainly given me a lot to contemplate. I begin this response with a couple of wonderments and then provide a possible extension of this valuable work. [End Page 185]One of my wonderments regards the relationship between culturally sustaining pedagogy and the proposed multiphilosophical approach. Fung and Tan write, “Ontological and axiological questions regarding the meaning of music in education and in the broader life are still unaddressed” and specifically ask “To what extent should musics of the students’ cultural tradition be customized and incorporated in the curriculum?” Culturally Sustaining Pedagogy or CSP, which is a primary contemporary outgrowth of the multicultural education movement, provides a clear response. Django Paris and H. Sami Alim write that Culturally Responsive Pedagogy:seeks to perpetuate and foster—to sustain—linguistic, literate, and cultural pluralism as part of schooling for positive social transformation. CSP positions dynamic cultural dexterity as a necessary good, and sees the outcome of learning as additive rather than subtractive.... Culturally sustaining pedagogy exists wherever education sustains the lifeways of communities who have been and continue to be damaged and erased through schooling.2Given the similarities between this explanation and Fung and Tan’s description of a multiphilosophical approach, I wonder if they could say more about points of alignment and disagreement. Might their arguments serve as an extension of CSP?Another wonderment I have is: What does a multiphilosophical approach exclude? I’m intrigued by Fung and Tan’s rich metaphor of a Chinese medicine cabinet and find it applicable to an array of philosophies. Yet, equating students to “patients” and a music educator to a “doctor” who “writes a prescription for a patient” is incompatible with some philosophies. For example, such language implies a banking model of education that undermines Brazilian philosopher Paulo Freire’s core tenets.3 Given that no metaphor or philosophical approach can address everything, I wonder if in addition to inclusions, a multiphilosophical approach necessarily relies on certain exclusions. I spend the remainder of this response positing three potential ways that exclusions might extend Fung and Tan’s ideas.First, inclusive approaches such as Fung and Tan’s multiphilosophy necessarily exclude philosophies resistant to openness and varying viewpoints. Philosophies that forward single prescribed educational ends or limited ways of being musical cannot function within a multiphilosphical approach and therefore must be excluded. Moreover, Fung and Tan’s references to democracy and use of Dewey suggest that a main purpose of a multiphilosophical approach is to propagate liberal pluralism. Such thinking aligns with Meira Levinson’s ideas about liberal education. She writes: “liberal citizenship does require certain habits and virtues, and pluralism is rightly restricted to individuals holding conceptions of [End Page 186] the good which are compatible with liberal citizenship.”4 Specifically, Levinson argues that these habits and virtues include respecting the democratic process, paying attention to public issues, and public involvement through voting and other forms of engagement. While I agree with Fung and Tan that “contemporary diverse needs are localized and always evolving,” those needs exist within larger socio-political-economic structures that inevitably rely on certain exclusions. The nature of those exclusions informs how “diverse needs” are understood and addressed... (shrink)

As clinical trials end, little is understood about how participants exiting from clinical trials approach decisions related to the removal or post-trial use of investigational brain implants, such as deep brain stimulation (DBS) devices. This empirical bioethics study examines how research participants experience the process of exit from research at the end of clinical trials of implanted neural devices. Using a modified grounded theory study design, we conducted semi-structured, in-depth interviews with 16 former research participants from clinical trials of DBS (...) and responsive neurostimulation (RNS). Open-ended questions elicited motivations for joining the trial, understanding of study procedures at the time of initial informed consent, the process of exiting from research, and decisions about device removal or post-trial device use. Thematic analysis identified categories related to: limited preparedness for the end of research participation, straightforwardness of decisions to explant or keep the device, reconciling with the end of research participation, reconciling post-trial expectations, and achieving a sense of closure after exit from research. A preliminary theoretical model describes contextual factors influencing the process and experience of exit from research. Experiences of clinical trial participants should guide research practices to enhance the ethical design and conduct of clinical trials in DBS and other brain devices. (shrink)

In this paper, I identify a form of epistemic insensitivity that occurs when someone fails to make proper use of the epistemic tools at their disposal in order to bring their beliefs in line with epistemically relevant evidence that is available to them. I call this kind of insensitivity agential insensitivity because it stems from the epistemic behavior of an individual agent. Agential insensitivity can manifest as a failure to either attend to relevant and available evidence, or appropriately interpret evidence (...) that is attended to. The concept of agential insensitivity allows us to conceptualize the kind of not-knowing involved in forms of ignorance that are cultivated and maintained by individual agents, especially when this ignorance is enabled or encouraged by social structures. I use the skepticism about racial disparities in policing practices that is displayed by many white Americans as a lens for exploring this connection. Understanding agential insensitivity thus provides insight into both social and epistemic phenomena. (shrink)

This response pertains to the review of our book, God Guns Gold and Glory—American Character and its Discontents, reviewed in this journal by George Gonzalez. Our response contends that the “review” is not really a critical reflection on our book, but something more like a dismissal. In essence, Gonzalez says that this is not the book he would have written; he wants to present his own thoughts, not critique ours.

We argue that Koch’s postulates are best understood within an interventionist account of causation, in the sense described in Woodward. We show how this treatment helps to resolve interpretive puzzles associated with Koch’s work and how it clarifies the different roles the postulates play in providing useful, yet not universal criteria for disease causation. Our paper is an effort at rational reconstruction; we attempt to show how Koch’s postulates and reasoning make sense and are normatively justified within an interventionist framework (...) and more difficult to understand within alternative frameworks for thinking about causation. (shrink)

While there is now considerable anxiety about whether the psychological theory presupposed by virtue ethics is empirically sustainable, analogous issues have received little attention in the virtue epistemology literature. This paper argues that virtue epistemology encounters challenges reminiscent of those recently encountered by virtue ethics: just as seemingly trivial variation in context provokes unsettling variation in patterns of moral behavior, trivial variation in context elicits unsettling variation in patterns of cognitive functioning. Insofar as reliability is a condition on epistemic virtue, (...) we have reason to doubt that human beings possess the cognitive materials required for epistemic virtue, and thereby reason to think that virtue epistemology is threatened by skepticism. We conclude that while virtue epistemology has resources for addressing this challenge, exploiting these resources forces tradeoffs between empirical and normative adequacy. (shrink)

Kaplan and Craver claim that all explanations in neuroscience appeal to mechanisms. They extend this view to the use of mathematical models in neuroscience and propose a constraint such models must meet in order to be explanatory. I analyze a mathematical model used to provide explanations in dynamical systems neuroscience and indicate how this explanation cannot be accommodated by the mechanist framework. I argue that this explanation is well characterized by Batterman’s account of minimal model explanations and that it demonstrates (...) how relationships between explanatory models in neuroscience and the systems they represent is more complex than has been appreciated. (shrink)

This book draws on the hermeneutics of Hans-Georg Gadamer to inform a feminist perspective of social identities. Lauren Swayne Barthold moves beyond answers that either defend the objective nature of identities or dismiss their significance altogether. Building on the work of both hermeneutic and non-hermeneutic feminist theorists of identity, she asserts the relevance of concepts like horizon, coherence, dialogue, play, application, and festival for developing a theory of identity. This volume argues that as intersubjective interpretations, social identities are vital (...) ways of fostering meaning and connection with others. Barthold also demonstrates how a hermeneutic approach to social identities can provide critiques of and resistance to identity-based oppression. (shrink)

Research about the Olympic Games has primarily focused on preparing athletes for competition. Less attention has been paid to the post-Olympic-phase and athlete well-being during this time. This study explored Australian Olympic athletes’ experiences following the conclusion of the 2016 Rio Olympic Games, including the factors that may have contributed to or challenged their well-being during this time. Eighteen athletes participated in semi-structured interviews and thematic analysis revealed that when Olympic performance appraisal met prior expectations, when athletes planned for a (...) return to work or study, and when support from a variety of sources was readily available, this positively influenced athletes’ well-being during the POP. When these factors were not in place, more challenging post-Games experiences were present, and well-being was compromised. The findings contribute to the broader literature on elite athlete well-being and at an applied level, may be used to inform targeted programs that focus on supporting athletes after an Olympic campaign. (shrink)

In the last two decades few topics in philosophy of science have received as much attention as mechanistic explanation. A significant motivation for these accounts is that scientists frequently use the term “mechanism” in their explanations of biological phenomena. While scientists appeal to a variety of causal concepts in their explanations, many philosophers argue or assume that all of these concepts are well understood with the single notion of mechanism. This reveals a significant problem with mainstream mechanistic accounts– although philosophers (...) use the term “mechanism” interchangeably with other causal concepts, this is not something that scientists always do. This paper analyses two causal concepts in biology–the notions of “mechanism” and “pathway”–and how they figure in biological explanation. I argue that these concepts have unique features, that they are associated with distinct strategies of causal investigation, and that they figure in importantly different types of explanation. (shrink)

Recent philosophical work has explored the distinction between causal and non-causal forms of explanation. In this literature, topological explanation is viewed as a clear example of the non-causal variety–it is claimed that topology lacks temporal information, which is necessary for causal structure. This paper explores the distinction between topological and causal forms of explanation and argues that this distinction is not as clear cut as the literature suggests. One reason for this is that some explanations involve both topological and causal (...) information. In these “borderline” cases scientists explain some outcome by appealing to the causal topology of the system of interest. These cases help clarify a type of topological explanation that is genuinely causal, but that differs from standard topological and interventionist accounts of explanation. (shrink)

Ms. P. is in the ICU with respiratory failure and sepsis. She has been on a ventilator for almost a week, and now has impending kidney failure. Her children, who have been taking turns at the bedsi...

In this issue, we present two symposia on recent, influential books which have already sparked important research in philosophy and psychology. A common characteristic of these two very different b...

Unpaid care work, including child care, elder care, and housework, is unremunerated work essential to human survival and flourishing. Worldwide, women disproportionally carry out this work, impacting upon their ability to engage in other activities, such as education, employment, or leisure. Despite a growing number of businesses engaging in “gendered CSR,” in the form of women's empowerment projects, attention to unpaid care work remains little discussed in the literature, despite its importance to sustainable development. Applying Diane Elson's feminist economic framework (...) for alleviating unpaid care work inequality to a case study of gendered CSR in Ghana, I find that at present unpaid care work is (a) unrecognised in business’ CSR, (b) may be both reduced or exacerbated by CSR efforts, and (c) remains conceptualised as relevant only to the private sphere, therefore, missing a unique opportunity for business to contribute to gender equality and sustainable development. Connecting unpaid care work and business responsibility contributes to a more expansive understanding of what CSR may be. (shrink)

This article discusses the new reproductive technology of egg freezing in the context of existing literature on gender, medicalization, and infertility. What is unique about this technology is its use by women who are not currently infertile but who may anticipate a future diagnosis. This circumstance gives rise to a new ontological category of “anticipated infertility.” The author draws on participant observation and a qualitative analysis of scientific, mainstream, and marketing literature to identify and compare the representation of two different (...) candidates for egg freezing: women with cancer and healthy young women. Although both populations experience anticipated infertility, their dichotomous portrayals as appropriate candidates are demonstrative of gender norms linking women to motherhood. Egg freezing is a concise illustration of how the medicalization of women’s bodies and bodily processes masks a host of cultural anxieties about aging, illness, reproduction, and risk. (shrink)

A comparison between the Prolegomena of Chapter II of De iure praedae and the Prolegomena of De iure belli ac pacis leads to the conclusion that the ideas of Grotius on legal systematization have changed considerably between 1604 and 1625. Whereas Grotius starts in IPC with general principles with a rather unclear distinction between leges and regulae, in IBP he gives first the philosophical and theological basis of international law, intertwined by a concise set of general legal rules , mostly (...) derived from Roman law after its reception in Western Europe. The general outlines of legal systematization in the early-modern period are expounded. In the attempts of legal systematization the concept of subjective rights is essential. These subjective rights are not, as is sometimes assumed, a medieval renewal of legal technique, but can be found essentially already in classical Roman law of the first centuries AD. (shrink)

In several recent publications, Professor Adolf Grünbaum has inveighed against the conventionalism of writers like Einstein, Poincaré, Quine and especially Duhem. Specifically, Grünbaum has assailed the view that a single hypothesis can never be conclusively falsified. Grünbaum claims that the conventionalists’ insistence on the immunity of hypotheses from falsification is neither logically valid nor scientifically sound. Directing the weight of his argument against Duhem, Grünbaum launches a two-pronged attack. He insists, first, that conclusive falsifying experiments are possible, suggesting that Duhem's (...) denial of such experiments is a logical non-sequitur. He then proceeds to show that, more than being merely possible, crucial falsifying experiments have occurred in physics. I do not intend to make a logical point against Grünbaum's critique so much as an historical and exegetical one. Put briefly, I believe that he has misconstrued Duhem's views on falsifiability and that the logical blunder which he discusses should not be ascribed to Duhem, but rather to those who have made Duhem's conventionalism into the doctrine which Grünbaum attacks. Whether there are any writers who accept the view he imputes to Duhem, or whether he is exploiting “straw-men” to give weight to an otherwise trivial argument is an open question. For now, I simply want to suggest that his salvos are wrongly directed against Duhem. (shrink)

Finding things funny is a pervasive aspect of human mental and social life, but humor has been neglected in the philosophy of mind and cognitive science. Recently, however, there has been a swell of interest in the topic. This essay critically introduces and evaluates contemporary developments in the field, and generates an associated list of questions that a successful theory of humor should be able to answer.

This essay summarizes key insights across the essays in the Hastings Center Report's special report “Time to Rebuild: Essays on Trust in Health Care and Science.” These insights concern trust and trustworthiness as distinct concepts, competence as a necessary but not sufficient input to trust, trust as a reciprocal good, trust as an interpersonal as well as structural phenomena, the ethical impermissibility of seeking to win trust without being trustworthy, building and borrowing trust as distinct strategies, and challenges to trustworthiness (...) posed by the contingent nature of science. Together, these insights stand to advance an area of research that we believe has been historically stymied by conceptual confusion and a long‐standing insistence on treating trust as a purely instrumental good. (shrink)

According to grounded cognition, words whose semantics contain sensory-motor features activate sensory-motor simulations, which, in turn, interact with spatial responses to produce grounded congruency effects. Growing evidence shows these congruency effects do not always occur, suggesting instead that the grounded features in a word's meaning do not become active automatically across contexts. Researchers sometimes use this as evidence that concepts are not grounded, further concluding that grounded information is peripheral to the amodal cores of concepts. We first review broad evidence (...) that words do not have conceptual cores, and that even the most salient features in a word's meaning are not activated automatically. Then, in three experiments, we provide further evidence that grounded congruency effects rely dynamically on context, with the central grounded features in a concept becoming active only when the current context makes them salient. Even when grounded features are central to a word's meaning, their activation depends on task conditions. (shrink)

In a letter to an imagined future reader a century from now – at the 2121 bicentennial of the birth of Paulo Freire, I argue for the potential of a framework of timescapes and a feminist, Freirean praxis of letter-writing to enrich Freirean studies. In the context of analysis of Freire’s other letter-writing praxes across his life, I reflect on my recent interviews with two of Freire’s family correspondents, both women, whose letters with him have been published: the first to (...) be granted by his niece Cristina Bruno Freire and the first interview for an English-language publication (this journal) with his cousin Nathercia Lacerda. I aim to center their voices on the occasion of this current centennial and highlight the continuing need for critical translation and archiving of this work within Freirean studies, as well as for these creative forms of resistance and modes and areas of inquiry. (shrink)

This paper examines tracer techniques in neuroscience, which are used to identify neural connections in the brain and nervous system. These connections capture a type of “structural connectivity” that is expected to inform our understanding of the functional nature of these tissues. This is due to the fact that neural connectivity constrains the flow of signal propagation, which is a type of causal process in neurons. This work explores how tracers are used to identify causal information, what standards they are (...) expected to meet, the forms of causal information they provide, and how an analysis of these techniques contributes to the philosophical literature, in particular, the literature on mark transmission and mechanistic accounts of causation. (shrink)

Two decades ago, in 1994, in the context of the 4th EU Framework Programme, ELSA was introduced as a label for developing and funding research into the ethical, legal and social aspects of emerging sciences and technologies. Currently, particularly in the context of EU funding initiatives such as Horizon2020, a new label has been forged, namely Responsible Research and Innovation. What is implied in this metonymy, this semantic shift? What is so new about RRI in comparison to ELSA? First of (...) all, for both labels, the signifier was introduced in a top-down manner, well before the concept that was signified by it had acquired a clear and stable profile. In other words, the signifier preceded the research strategies actually covered by these labels. Moreover, the newness of RRI does not reside in its interactive and anticipatory orientation, as is suggested by authors who introduced the term, but rather in its emphases on social-economic impacts. (shrink)

Despite sustained philosophical attention, no theory of humor claims general acceptance. Drawing on the resources provided by intentional systems theory, this article first outlines an approach to investigating humor based on the idea of a comic stance, then sketches the Dismissal Theory of Humor that has resulted from pursuing that approach. According to the DTH, humor manifests in cases where the future-directed significance of anticipatory failures is dismissed. Mirth, on this view, is the reward people get for declining to update (...) predictive representational schemata in ways that maximize their future-oriented value. The theory aims to provide a plausible account of the role of humor in human mental and social life, but it also aims to be empirically vulnerable, and to generate testable predictions about how the comic stance may actually be undergirded by cognitive architectures. (shrink)

At the core of the sense of agency for self-produced action is the sense that I, and not some other agent, am producing and directing those actions. While there is an ever-expanding body of empirical research investigating the sense of agency for bodily action, there has, to date, been little empirical investigation of the sense of agency for thought. The present study uses the novel Mind-to-Mind paradigm, in which the agentive source of a target thought is ambiguous, to measure misattributions (...) of agency. Seventy-two percent of participants made at least one misattribution of agency during a 5-min trial. Misattributions were significantly more frequent when the target thought was an arousing negative thought as compared to a neutral control. The findings establish a novel protocol for measuring the sense of agency for thought, and suggest that both contextual factors and emotional experience play a role in its generation. (shrink)

My aim is to respond to the charge that Gadamer has not been specific enough about a positive account of Truth in Truth in Method. Rather than denying this charge, however, I turn to his writings on Plato in order to develop a more detailed and viable conception of Truth. At the same time, I also seek to show how Gadamer's Truth project relies on, but is not reducible to, Heidegger's notion of aletheia. Assessing Gadamer's Truth project in terms of (...) both Plato and Heidegger results in the claim that Gadamer replaces Heidegger's onto-hermeneutic view of Truth with an ethico-hermeneutic one. What is distinctive about Gadamer's ethico-hermeneutic notion of Truth is that it is characterized by a two-step movement of self away from self and toward another, followed by a Heimkehr. In other words, if we are going to speak about the radicality of Gadamer's Truth project, we must read it as validating the generalization of hermeneutics that is witnessed in its fundamental concern with the Truth of understanding beings, rather than true interpretations of texts as such. The paragon movement of Truth, for Gadamer, is the understanding that occurs with another in light of the Good. (shrink)

Birds are not commonly admired for emotional expression, and when they are, the focus is typically on negative states; yet vocal behavior is considered a direct reflection of an individual’s emotional state. Given that over 4000 species of songbird produce learned, complex, context-specific vocalizations, we make the case that songbirds are conspicuously broadcasting distinct positive emotional states and that hearing songs can also induce positive states in other birds. Studies are reviewed that demonstrate that that the production of sexually motivated (...) song reflects an emotional state of anticipatory reward-seeking (i.e., mate-seeking), while outside the mating context song in gregarious flocks reflects a state of intrinsic reward. Studies are also reviewed that demonstrate that hearing song induces states of positive anticipation and reward. This review brings together numerous studies that highlight a potentially important role for the songbird nucleus accumbens, a region nearly synonymous with reward in mammals, in positive emotional states that underlie singing behavior and responses to song. It is proposed that the nucleus accumbens is part of an evolutionarily conserved circuitry that contributes context-dependently to positive emotional states that motivate and reward singing behavior and responses to song. Neural mechanisms that underlie basic emotions appear to be conserved and similar across vertebrates. Thus, these findings in songbirds have the potential to provide insights into interventions that can restore positive social interactions disrupted by mental health disorders in humans. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:I Didn’t Like It, but I Recommend It: An Undergraduate Reflects on Contemplation in the ClassroomLauren RodgersWhile taking Introduction to World Religions as a first-year college student, I became acutely aware that my preconceived notions about religions were often wrong, and I had been oblivious to the diversity and complexity of the traditions I began to study. During subsequent semesters, I studied Judaism, Islam, and Hinduism, and during the (...) spring semester of my junior year I was happy to add Buddhism to my schedule. In that class, I not only examined manifold Buddhist teachings and histories, but engaged in a form of Buddhist practice, too. Four days a week, my fellow students and I arranged our zafus in a straight line, bowed, and adjusted our postures to commence fifteen to twenty minutes of zazen. By the end of the semester, I concluded that although I am very ambivalent about this meditation practice, I nonetheless believe that contemplative practices can be valuable tools in the academic setting.Because we were partaking in a religious practice in an academic setting, there were possibilities for ethical conflicts. My professor raised these and we discussed them several times during the first half of the semester, before we collectively agreed to give zazen a try. The only Buddhist in the room was my professor, so I agree that it was essential for her to stress that zazen was optional, and that if anyone felt uncomfortable in any way, it was okay to opt out. My professor reiterated this several times. I am not a follower of any religious tradition, so I did not have any conflicting feelings. Several of my classmates were Christian, but, like me, most were excited to give it a try. I think there was no sense of conflict because Buddhism involves a lot of practices geared toward developing insight on the basis of experience, and zazen does not require belief in a higher power. Buddhism does acknowledge the existence of gods, but they are irrelevant to the spiritual path. Also, my professor is an ordained Zen priest, and therefore very familiar with zazen. I did not have any doubts that we were taught an authentic practice by someone qualified to teach it.Just as there was no pressure to participate, I did not feel that I was forced to like zazen or hold back any feelings of opposition; I was free to express how I felt and why. At first I did not like it because it hurt my back, and instead of sitting there in pain [End Page 119] every day, I let my professor know and she helped me make some adjustments to my posture. But I disliked meditation for other reasons, as well. I rarely, if ever, was able to stop my mind from being like a monkey on a jungle gym. As we sat, we repeatedly counted to ten and fixed our gaze on a spot in front of us. I was told that it is natural for my mind to bounce around and wander off while counting, but I did not expect it would happen before I got to four. Adding to my frustration was the fact that 70 percent of the time, my thoughts were focused on all of the work that I needed to get done before the end of the day. Even though I only sat for fifteen minutes, I got antsy and staying still was not helpful. It makes me wonder, though, whether or how my feelings would change if I did zazen in the summer when my stress levels are way down. Or what if I meditated for more than fifteen minutes? How long would it take before my mind settled down? Would it get worse?Although my restlessness was not the most pleasant experience, I did have days where I found meditation helpful personally. In addition to zazen, we also tried walking meditation, and on nice days we meditated outside near a waterfall on campus. The sound of the water was really soothing, and I noticed that my mind wandered much less. Sometimes it was a relaxing break during the day, and even if I... (shrink)

We thank the commentators for their thoughtful responses to our article.1 Due to space constraints, we will confine our discussion to just three key issues. The first issue relates to the central ethical conundrum for clinicians working with young people like Phoenix: namely, how to respect, value and defer to a person’s own account of their identity and what is needed for their well-being, while staying open to the possibility that such an account may reflect a work in progress. This (...) conundrum thus relates both to what will be beneficial for that person and what constitutes respecting their autonomy, and clinicians must dwell on these questions when deciding what forms of medical intervention to offer. D’Angelo,2 Lemma3 and Wren4 highlight the importance of considering Phoenix (or, indeed, any person pursuing gender-affirming interventions) as a ‘whole person in context’ (p5)2 prior to initiating treatment or care. In this way, they advocate for a process of ‘therapeutic exploration’ (p1),4 which includes taking sufficient time to explore Phoenix’s personhood with them so as to support them in achieving an ‘authentic self-discovery’ (p5).2 We agree with these authors that identity (including gender identity) development is a complex, life-long process that is influenced by biological, psychosocial and relational aspects, all of which may contribute to an individual’s desire to pursue gender-affirming interventions. To explore the various factors—both conscious and unconscious—that might be motivating Phoenix’s decision to pursue ongoing puberty suppression (OPS), D’Angelo,2 Lemma3 and Wren4 describe a comprehensive psychological approach to working with transgender (trans) and gender diverse (TGD) individuals and propose questions to guide such discussions. Consistent with this approach, we stipulated that Phoenix had undergone regular psychological counselling and that the psychologist had judged that ‘Phoenix’s distress is significant and enduring…not a symptom …. (shrink)

Individuals engage in moral cleansing, a compensatory process to reaffirm one's moral identity, when one's moral self-concept is threatened. However, too much moral cleansing can license individuals to engage in future unethical acts. This study examined the effects of incentives and consequences of one's actions on cheating behavior and moral cleansing. Results found that incentives and consequences interacted such that unethical thoughts were especially threatening, resulting in more moral cleansing, when large incentives to cheat were present and cheating explicitly harmed (...) others. Implications are discussed in terms of ethics training, using incentives as motivators, and the depersonalized norms of science. (shrink)

Causal selection has to do with the distinction we make between background conditions and “the” true cause or causes of some outcome of interest. A longstanding consensus in philosophy views causal selection as lacking any objective rationale and as guided, instead, by arbitrary, pragmatic, and non-scientific considerations. I argue against this position in the context of causal selection for disease traits. In this domain, causes are selected on the basis of the type of causal control they exhibit over a disease (...) of interest. My analysis clarifies the principled rationale that guides this selection and how it involves both pragmatic and objective considerations, which have been overlooked in the extant literature. (shrink)

Surveys are used extensively in social research and, despite a lack of conclusive evidence of their ‘representativeness,’ probability internet panel surveys are being increasingly used to make inferences about knowledge, attitude and behavior in the general population regarding a range of socially relevant issues. A large-scale survey of Australian public attitudes and behavior toward the red meat industry was undertaken. Samples were obtained using a random digit dialing telephone survey and a PIP survey to examine differences between the two samples (...) regarding attitudes and behavior relating to livestock use and welfare. There was little difference in demographics between the CATI and the PANEL surveys apart from highest level of education. However, there were differences between the two samples in both attitudes and behavior toward the red meat industry after controlling for education levels. The PANEL respondents gave generally more conservative responses than did the CATI respondents in the sense that they were more positive toward the livestock industries and animal welfare within these industries. Differences were also found between the respondents of the two samples regarding behavior that relates to the red meat industry, both community and consumer behavior. PANEL respondents were less engaged in community behaviors performed in opposition of the red meat industry when compared with the CATI sample. The majority of CATI and PANEL respondents were red meat eaters and there was no difference between respondents of the two samples in relation to red meat consumption, however, there were fewer vegetarians and vegans in the PANEL survey. Possible reasons for the observed differences are discussed, however, a definitive answer will depend on further research to identify the specific psychological factors that differ between samples derived from different survey methodologies. (shrink)