We respond to a Letter to the Editor regarding "Principlism and contemporary ethical considerations for providers of transgender health care." We address criticisms by Castle & Klein (2024) of blatant fatphobia related to the ethical elements concerning BMI restrictions for gender-affirming surgery. Our response corrects several mischaracterizations of the article and clarifies our position. My co-authors and I remain focused on advocating for patient-centered, ethically sound, evidence-based, and equitable healthcare policies.

Background: Transgender health care is a subject of much debate among clinicians, political commentators, and policy-makers. While the World Professional Association of Transgender Health (WPATH) Standards of Care (SOC) establish clinical standards, these standards contain implied ethics but lack explicit focused discussion of ethical considerations in providing care. An ethics chapter in the SOC would enhance clinical guidelines. Aims: We aim to provide a valuable guide for healthcare professionals, and anyone interested in the ethical aspects of clinical support for gender (...) diverse and transgender people of all ages. Recognizing that the WPATH is a global association, we address broad challenges. We offer a reflection on general ethical principles, providing conceptual tools for healthcare providers, patients, and families to navigate the specific challenges they might encounter in transgender health care, in line with WPATH’s worldwide mission and scope. Method: This article employs a descriptive analysis, and our framework of reference is the four principles of biomedical ethics: respect for autonomy, beneficence, nonmaleficence, and justice. Results: The article presents a discussion on the four ethical principles as applied to transgender health care. We address issues such as respect for patient autonomy in decision-making, the role of beneficence and nonmaleficence in clinical interventions, and the importance of justice in equitable treatment and access to care. Some of the ethical concerns we address in this article pertain to the current sociopolitical climate, where there has been increasing legal interference, internationally, for transgender and nonbinary people, particularly youth, seeking medical care. Discussion: We highlight the interplay between ethical principles and clinical practice, underscoring the need for ethical guidance in addressing the diverse challenges faced by healthcare providers and patients in transgender health care. We advocate for continuous refinement of ethical thinking to ensure that transgender health care is not only medically effective but also ethically sound. (shrink)

This article establishes a dialogue between the philosopher Axel Honneth and the feminist scholars Silvia Federici and Nancy Fraser. The aim is to emphasize the limits of Honneth’s philosophical reflections on the normative dimension of the family developed in Freedom’s Right. First, I present his ideas on how a normative expectation of social freedom permeates familial relations. According to him, after women entered the labour market, a normative notion of symmetrical participation in the family was produced. I aim to (...) defend here that, whether normative or not, this idea of family is not only limited but also false, since it does not consider the dilemmas of social reproduction whose consequences contradict social freedom. Next, I develop Federici’s and Fraser’s analyses of how families have always faced conflicts concerning the requirements of social reproduction and have produced diverse forms of subjugation that go against the very idea of the family as an unquestioned sphere of freedom. It is necessary to analyse how families produce new forms of subjugation to transform familial relations into truly possible ways of being socially free – and this requires making visible some figures who structure the family, such as nannies, friends and grandparents. (shrink)

Humility, in a variety of forms, has been examined in educational contexts in recent years. However, its association with a particular pedagogical method remains an unexplored area of inquiry. Likewise, social justice and student voice are a concern in international education arenas, including in higher education, but are not usually connected to virtue acquisition or demonstration. The student voice for social justice (SVSJ) pedagogical method, based on the framework of Nancy Fraser, seeks to aid practitioners in higher education to (...) ensure that social justice and student voice, mediated by notions of humility, are at the forefront of higher education practices across disciplines. This is accomplished by creating spaces for students’ active participation and voice in course content development and classroom learning. In this paper, we expand philosophical explorations of intellectual humility (IH) and cultural humility (CH) as virtues that mediate teaching and learning practices and interactions in classrooms during SVSJ implementation. This ensures that each student is recognised as an important knowledge holder and that diverse ways of knowing, knowledge systems and cultural traditions are valued in higher education teaching and learning spaces. (shrink)

Ethically challenging situations routinely arise in the course of illness and healthcare. However, very few studies have surveyed patients and family members about their experiences with ethically challenging situations. To address this gap in the literature, we surveyed patients and family members at three hospitals. We conducted a content analysis of their responses to open-ended questions about their most memorable experience with an ethical concern for them or their family member. Participants described 219 unique ethical experiences that spanned many of (...) the prevailing themes of bioethics, including the patient-physician relationship, end-of-life care, decision-making capacity, healthcare costs, and genetic testing. Participants focused on relational issues in the course of experiencing illness and receiving medical care and concerns regarding the patient-physician encounters. Many concerns arose outside of a healthcare setting. These data indicate areas for improvement for healthcare providers but some concerns may be better addressed outside of the traditional healthcare setting. (shrink)

Our aesthetic judgments are embedded in and shaped by unjust social orders. But can our aesthetic judgments themselves—“this is beautiful; that is not”—be unjust? This article argues that they can. Admitting that this is so does not require us to be unduly revisionary with respect to our concept of justice. Rather, the thought that aesthetic judgments are unjust flows naturally from familiar egalitarian constraints.

Hate speech and misinformation are rife. How to respond? Counterspeech proposals say: with more and better speech. This paper considers the treatment of counterspeech in Maxime Lepoutre’s Democratic Speech In Divided Times. Lepoutre provides a nuanced defence of counterspeech. Some counterspeech, he grants, is flawed. But, he says: counterspeech can be debugged. Once we understand why counterspeech fails – when fail it does – we can engineer more effective counterspeech strategies. Lepoutre argues that the failures of counterspeech can be theorised (...) using the ideology of salience. Negative counterspeech fails because it reinforces the salience of the very ideas or associations that it contests. His solution? Positive counterspeech – a form of counterspeech which avoids the salience trap. I argue that the salience paradigm is ill-suited to theorise the failures of counterspeech. I suggest some alternatives. Further, I show that these alternative paradigms make importantly different practical recommendations – recommendations concerning how we ought to engineer our counterspeech – from those issued by the salience paradigm. (shrink)

Further arguments are offered in defence of the position that the variant of quantum field theory (QFT) that should be subject to interpretation and foundational analysis is axiomatic quantum field theory. I argue that the successful application of renormalization group (RG) methods within alternative formulations of QFT illuminates the empirical content of QFT, but not the theoretical content. RG methods corroborate the point of view that QFT is a case of the underdetermination of theory by empirical evidence. I also urge (...) caution in extrapolating interpretive conclusions about QFT from the application of RG methods in other contexts (e.g., condensed matter physics). This paper replies to criticisms advanced by David Wallace, but aims to be self-contained. (shrink)

The perturbative approach to quantum field theory has long been viewed with suspicion by philosophers of science. This article offers a diagnosis of its conceptual problems. Drawing on Norton’s discussion of the notion of approximation I argue that perturbative QFT ought to be understood as producing approximations without specifying an underlying QFT model. This analysis leads to a reassessment of common worries about perturbative QFT. What ends up being the key issue with the approach on this picture is not mathematical (...) rigour, or the threat of inconsistency, but the need for a physical explanation of its empirical success. 1Three Worries about Perturbative Quantum Field Theory2The Perturbative Formalism 2.1Expanding the S-matrix2.2Perturbative renormalization3Approximations and Models4Perturbative Quantum Field Theory Produces Approximations5The Real Problem. (shrink)

Quantum field theory (QFT) presents a genuine example of the underdetermination of theory by empirical evidence. There are variants of QFT—for example, the standard textbook formulation and the rigorous axiomatic formulation—that are empirically indistinguishable yet support different interpretations. This case is of particular interest to philosophers of physics because, before the philosophical work of interpreting QFT can proceed, the question of which variant should be subject to interpretation must be settled. New arguments are offered for basing the interpretation of QFT (...) on a rigorous axiomatic variant of the theory. The pivotal considerations are the roles that consistency and idealization play in this case. *Received June 2009; revised August 2009. †To contact the author, please write to: Department of Philosophy, University of Waterloo, 200 University Avenue West, Waterloo, ON N2L 3G1, Canada; e‐mail: dlfraser@uwaterloo.ca. (shrink)

Recent debate in metaethics over evolutionary debunking arguments against morality has shown a tendency to abstract away from relevant empirical detail. Here, I engage the debate about Darwinian debunking of morality with relevant empirical issues. I present four conditions that must be met in order for it to be reasonable to expect an evolved cognitive faculty to be reliable: the environment, information, error, and tracking conditions. I then argue that these conditions are not met in the case of our evolved (...) faculty for moral judgement. (shrink)

Providing a precise statement of their position has long been a central challenge facing the scientific realist. This paper draws some morals about how realism ought to be formulated from the renormalization group framework in high energy physics.

The paper develops a eudaimonistic reading of the Zhuāngzǐ 莊子 on which the characteristic feature of a well-lived life is the exercise of dé 德 in a general mode of activity labeled yóu 遊 . I argue that the Zhuāngzǐ presents a second-order conception of agents’ flourishing in which the life of dé is not devoted to predetermined substantive ends or activities with a specific substantive content. Rather, it is marked by a distinctive manner of activity and certain characteristic attitudes. (...) Zhuangist eudaimonism differs from virtue ethics, I suggest, since dé is not moral virtue nor is it normatively basic. The paper discusses textual evidence that the Zhuāngzǐ presents eudaimonistic ideals, develops the Zhuangist conception of “wandering” in detail, and explores connections between wandering and the Zhuangist interest in skill. It surveys the justification for Zhuangist eudaimonism and sketches how the wandering ideal affects the substantive content of a good life. (shrink)

This paper will first introduce the development of professional ethics of counseling and psychotherapy in mainland China. Ethical awareness is often limited due to variations in training experiences. Aligning with ethics codes can also bring challenges due to nuances within Chinese culture. Furthermore, the authors discuss the ethical challenges regarding the principles of multiple relationships, informed consent, and confidentiality in the context of Chinese culture. These ethical issues are often discussed within an individualistic cultural frame and presentation from a collectivist (...) culture offers a unique perspective in the ethics literature. (shrink)

In this article I reply to four critics. Responding to Linda Alcoff, I contend that my original two-dimensional framework discloses the entwinement of economic and cultural strands of subordination, while also illuminating the dangers of identity politics. Responding to James Bohman, I maintain that, with the addition of the third dimension of representation, my approach illuminates the structural exclusion of the global poor, the relation between justice and democracy, and the status of comprehensive theorizing. Responding to Nikolas Kompridis, I defend (...) a view of recognition that prioritizes the critique of institutionalized injustice. Responding to Rainer Forst, I argue that such a critique is better formulated in participation-theoretic than justification-theoretic terms. (shrink)

What interferes with learning and performing skills well? The Zhuāngzǐ story of the ferryman who steers a sampan through treacherous deeps with preternatural skill highlights one crucial factor: anxiety. Managing or eliminating anxiety is a pivotal step in acquiring and performing skills and, the discursive context of the story suggests, in living a flourishing life. To fare well, in life as in boat-handling, we must learn to forget the deeps and row.

One of the most significant challenges in the application of brain-computer interfaces is the large performance variation, which often occurs over time or across users. Recent evidence suggests that the physiological states may explain this performance variation in BCI, however, the underlying neurophysiological mechanism is unclear. In this study, we conducted a seven-session motor-imagery experiment on 20 healthy subjects to investigate the neurophysiological mechanism on the performance variation. The classification accuracy was calculated offline by common spatial pattern and support vector (...) machine algorithms to measure the MI performance of each subject and session. Relative Power values from different rhythms and task stages were used to reflect the physiological states and their correlation with the BCI performance was investigated. Results showed that the alpha band RP from the supplementary motor area within a few seconds before MI was positively correlated with performance. Besides, the changes of RP between task and pre-task stage from theta, alpha, and gamma band were also found to be correlated with performance both across time and subjects. These findings reveal a neurophysiological manifestation of the performance variations, and would further provide a way to improve the BCI performance. (shrink)

The tradition of immanent critique promises a lot. It promises to be critical of the existing social order without appealing to ‘external’ normative standards. I argue that the prospects for immanent criticism are bleak: they must either commit to an implausible social ontology, a flawed meta-normative theory, or both.

The article proposes an account of the prevailing classical Chinese conception of reasoning and argumentation that grounds it in a semantic theory and epistemology centered on drawing distinctions between the similar and dissimilar kinds of things that do or do not fall within the extension of ‘names’. The article presents two novel interpretive hypotheses. First, for pre-Hàn Chinese thinkers, the functional role associated with the logical copula is filled by a general notion of similarity or sameness. Second, these thinkers’ basic (...) explanation of reasoning is that it is a process of moving from a comparison of whether something is similar to a ‘model’ or ‘standard’ to a judgment about whether that thing is part of a certain kind. Classical texts treat judgment as the attitude of predicating a ‘name’ of something, or, equivalently, of distinguishing whether something is the kind of thing denoted by a certain term. Reasoning is treated as a process of considering how some acts of term predication, or drawing distinctions, normatively commit one to making further, analogous predications or drawing further, analogous distinctions. Inference is thus understood as the act of distinguishing something as a certain kind of thing as a result of having distinguished it as similar to a relevant ‘model’ or ‘standard’. The article concludes by summarizing the consequences of the proposed account of early Chinese semantic and logical theories for the interpretation of other areas of classical Chinese thought. (shrink)

This study aimed to analyze the mediating effect of tolerance of uncertainty and trait anxiety on future self-continuity and intention to use Internet wealth management systems. A questionnaire survey was distributed online and a total of 388 participants completed questionnaire, The questionnaire included the following scales: Chinese version of the FSC, Intention to Use the Internet Wealth Management, TU, and TA. Pearson correlation was used to investigate the correlation coefficient between variables while the sequential regression method was used to analyze (...) relationship between variables. To analyze the collected data, the SPSS 26.0 was used. A two-step procedure was applied to analyze the mediation effect. Confirmatory factor analysis was conducted to test the measurement model. Afterward, the Maximum Likelihood method was used for path analysis, and the Bias-corrected Bootstrap method was used to investigate determine the estimated value and confidence interval of the mediating effect. To analyze the mediation effect, the Mplus 7.0 was used. The results showed that FSC positively predicted individuals’ Internet wealth management systems. Furthermore, TU and TA played complete serial multiple mediating roles between FSC and IUIWM. The role of TA and TU have negative impact on intention to use. This study provides a theoretical basis in personality psychology that Internet financial product suppliers can use to improve the attractiveness of their products. Product managers can subdivide users according to these personality traits to provide customized products. (shrink)

This chapter explores how Guo Xiang’s views emerge from his approach to the metaphysics of dao 道 (way) and the place of human activity and agency in dao. Once we understand his views on these points, we can see that he holds a distinctive conception of the self and agency—and, accordingly, normatively appropriate action—on which self-fulfillment and easy, aimless freedom are consistent with his doctrine of non-mindedness, which in fact presents a precondition for attaining them. As I will show, GUO (...) Xiang uses key terms such as zi 自 (self), xin (heart-mind), zhi 知 (know), and xing (inherent character) in distinctive, specialized ways that diverge both from common uses of these words in Chinese and from familiar categories in contemporary philosophical psychology yet are coherent, intelligible, and defensible. The normative conception of agency and the well-lived life that emerges from his Zhuangzi commentary can at first sight seem puzzling and counterintuitive. But I will contend that it is plausible and presents a fascinating, profound, and potentially correct view of the nature of human agency and the sources of normativity. (shrink)

The Argument from Disagreement (AD) (Mackie, 1977) depends upon empirical evidence for ‘fundamental’ moral disagreement (FMD) (Doris and Stich, 2005; Doris and Plakias, 2008). Research on the Southern ‘culture of honour’ (Nisbett and Cohen, 1996) has been presented as evidence for FMD between Northerners and Southerners within the US. We raise some doubts about the usefulness of such data in settling AD. We offer an alternative based on recent work in moral psychology that targets the potential universality of morally significant (...) distinctions (e.g. means vs. side-effects, actions versus omissions). More specifically, we argue that a recent study showing that a rural Mayan population fails to perceive as morally significant the distinction between actions and omissions provides a plausible case of FMD between Mayans and Westerners. (shrink)

This essay argues that the third-century BC Ruist “masters” text Xúnzǐ presents a sophisticated approach to semantics and epistemology in which a concern with truth is at best secondary, not central. Xúnzǐ’s primary concern is with identifying and applying the apt dào (way), which for him is a more fundamental concept that underwrites and explains truth claims. Dào refers to a way or path of personal and social conduct, covering prudential, esthetic, ethical, and political concerns. Xúnzǐ is primarily concerned with (...) whether utterances, along with actions, policies, and social practices, are correct in conforming to dào—specifically, the dào of “good order” (zhì)—rather than whether they are correct in being true. Insofar as he is concerned with truth, he regards the status of assertions as true or not as derivative from their status as following dào or not. A consequence is that for Xúnzǐ questions of value and culture are more basic than questions of truth. (shrink)

The orthodox characterization of spontaneous symmetry breaking in statistical mechanics appeals to novel properties of systems with infinite degrees of freedom, namely, the existence of multiple equilibrium states. This raises the same puzzles about the status of the thermodynamic limit fueling recent debates about phase transitions. I argue that there are prospects of explaining the success of the standard approach to SSB in terms of the properties of large finite systems. Consequently, despite initial appearances, the need to account for SSB (...) phenomena does not offer decisive support to claims about the explanatory and representational indispensability of the thermodynamic limit. (shrink)

This essay examines the theory of ritual propriety presented in the Xúnzǐ and criticisms of Xunzi-like views found in the classical Daoist anthology Zhuāngzǐ. To highlight the respects in which the Zhuāngzǐ can be read as posing a critical response to a Xunzian view of ritual propriety, the essay juxtaposes the two texts' views of language, since Xunzi's theory of ritual propriety is intertwined with his theory of language. I argue that a Zhuangist critique of the presuppositions of Xunzi's stance (...) on language also undermines his stance on ritual propriety. Xunzi contends that state promulgation of anelaborate code of ritual propriety is a key to good social order (zhi) and that state regulation of language is a key to smooth communication and thus also good order. The Zhuāngzǐ provides grounds for doubting both contentions. Claiming that ritual propriety causally produces social order is analogous to claiming that grammar causally produces smooth linguistic communication, when in fact it is more likely our ability to communicate that allows us to develop shared rules of grammar. Humans have fundamental social and communicative capacities that undergird our abilities to speak a language or engage in shared ritual performances. It is these more fundamental capacities, not their manifestation in a particular system of grammar or ritual norms, that provide the root explanation of our ability to communicate or to live together harmoniously. The Xunzi-Zhuangzi dialectic suggests that ritual is indispensable, but normatively justified rituals will be less rigid, less comprehensive, less fastidious, and more spontaneous than a Xunzian theorist would allow. (shrink)

Background: The prevalence of sedentary behavior in adolescents has aroused social attention. The association between sedentary behavior and cognitive flexibility remains unclear, and it may vary depending on the type of sedentary behavior. This study aimed to investigate the associations between specific-type sedentary behaviors and cognitive flexibility in adolescents.Method: A total of 700 Chinese adolescents aged 10–15 years were recruited. The self-report questionnaire was used to assess total sedentary time, recreational screen-based sedentary time, and educational sedentary time. The More-odd shifting (...) task was used to assess cognitive flexibility.Results: The correlation analysis showed that recreational screen-based sedentary time was negatively correlated with cognitive flexibility, whereas educational sedentary time was positively correlated with cognitive flexibility. The regression analysis also further revealed that a significantly negative association between recreational screen-based sedentary time and cognitive flexibility, while a significantly positive association existed between educational sedentary time and cognitive flexibility.Conclusion: The findings shown that the association between recreational screen-based sedentary behavior and cognitive flexibility differs from educational sedentary behavior in adolescents, providing new ideas for a more comprehensive understanding of the association between sedentary behavior and cognitive flexibility in adolescents. (shrink)

The Zhuangzi rejects the use of invariant general norms to guide action, instead stressing the importance of contextual factors in determining the apt course to take in particular situations. This stance might seem to present a variety of moral particularism, the view that general norms play no fundamental role in moral thought and judgment. I argue against interpreting the Zhuangzi as committed to particularism and thus denying that dao rests on, is shaped by, or comprises general patterns or norms. Instead, (...) I contend, the text presents a combination of contextualism about the factors that determine appropriate responses to particular situations and pluralism about defeasible general norms or standards. The target of criticism is not generalism, the view that general patterns and relations play a role in determining and explaining appropriate courses of action. It is the monolithic application of fixed norms without regard for context. (shrink)

This study via the sensemaking perspective examines whether spiritual leadership can influence employee workplace spirituality and employee corporate social responsibility (CSR) participation. We also examine the joint effects of spiritual leadership and employee Machiavellianism on employee workplace spirituality. Using a sample of 556 employees from four commercial banks in China, analyses demonstrate that employee workplace spirituality mediates the relationship between spiritual leadership and employee CSR participation and that the indirect effect of spiritual leadership on employee CSR participation is dependent on (...) the level of employee Machiavellianism. These results shed light on how and why spiritual leadership and employee Machiavellianism influence employee workplace spirituality and employee CSR participation. The theoretical and practical implications of these finding are discussed along with directions for future research. (shrink)

Adaptationist accounts of morality attempt to explain the evolution of morality in terms of the selective advantage that judging in moral terms secured for our ancestors (e.g. Ruse 1998; Joyce 2006; Street 2006). So-called by-product explanations of morality have been presented as an alternative to adaptationist accounts (e.g. Prinz 2009; Ayala 2010; cf. Darwin 2004/1871). In assessing the relationship between adaptationist and by-product accounts, care must be taken to distinguish several related but importantly different notions: innateness, adaptation, exaptation, spandrel, and (...) by-product. (shrink)

In ‘Equity and Marxist Buddhism,’ Tzu-wei Hung engages with the Marxist Buddhism developed by Taiwanese philosopher Lin Qiu-wu in the 1920s, brings this underexplored theory to the table and discusses a few merits and insights of the theory. Building on Hung’s analysis, this paper paper elaborates on the lessons and insights that Taiwanese Marxist Buddhism provides for modern times. The first three lessons are distinctive points that Taiwanese Marxist Buddhism brings to the discussion on combining Marxism and Buddhism: the connections (...) between the ethical and political, the responsibility for pursuing social justice and the nonviolence means towards social justice. The last lesson comes at the meta-philosophical level, focusing on how Hung’s engagement with Taiwanese Marxist Buddhism sheds light on the issue of diversifying the discipline philosophy. Overall, I argue that Taiwanese Marxist Buddhism not only makes contributions to theoretical frameworks while providing a practical means for pursuing equity and social justice, but it also manifests the epistemic and moral values for engaging with under-represented philosophical traditions. (shrink)

The literature on leadership is increasingly supporting the power of digital leadership in promoting corporate innovation. In spite of this, digital leadership is a noticeable omission from the literature. As such, in this study, we developed a model based on a resource-based view and social information processing theory to examine the roles of digital entrepreneurial orientation and digital organizational culture in the relationship between digital leadership and exploratory innovation. We examined the moderating role of big data analytics capabilities according to (...) a resource-based view and dynamic capability theory. Using a time-lagged survey data of 401 followers and 88 leaders, the results show that digital leadership has a positive impact on exploratory innovation; digital entrepreneurial orientation and digital organizational culture mediate the positive relationship between digital leadership and exploratory innovation; and and mediating effect is positive moderated by big data analytics capabilities. Thus, in this study we are not only responding to the call to strengthen digitalization research in organizations but also further deepening our understanding of the path from digital leadership to exploratory innovation. These findings have theoretical implications for the literature on leadership and managerial implications for practitioners. (shrink)

In this lecture, I present a sketch of how action and agency are conceived of in pre-Qín 先秦, or classical, Chinese thought, along the way drawing some contrasts with familiar Western conceptions of action. I will also comment briefly on how the ideas I present might affect our interpretation of early Chinese texts and how they might help us to relate early Chinese thought to contemporary action theory and ethics.

In lieu of an abstract, here is a brief excerpt of the content:On Wu-wei as a Unifying MetaphorChris FraserEffortless Action: Wu-wei as Conceptual Metaphor and Spiritual Ideal in Early China. By Edward Slingerland. New York: Oxford University Press, 2003. Pp. xii + 352. $60.00.This provocative work is the most ambitious general study of pre-Qin thought to appear in more than a decade. It deals with what is increasingly recognized as one of the period's key themes, the ethical ideal of perfected (...) action and the processes of cultivation, or uncultivation, by which it might be achieved. The book has two specific aims, one substantive, one methodological (p. vii). The substantive aim is to show that the notion of wu-wei, which Slingerland renders as "effortless action," functioned as a shared ideal and problematic for both Daoists and Confucians and that internal tensions in this ideal motivated much of the development of Warring States thought (p. 5). The methodological aim is to illustrate the fruitfulness of conceptual-metaphor theory, familiar from the work of Lakoff and Johnson, by employing it to articulate and support the book's substantive theses (p. vii).For Slingerland, wu-wei is "a state of personal harmony in which actions flow freely and instantly from one's spontaneous inclinations... and yet nonetheless accord perfectly with the dictates of the situation at hand, display an almost supernatural efficacy, and (in the Confucian context at least) harmonize with the demands of conventional morality" (p. 7). Slingerland expands on this characterization in various ways, without making it entirely clear how all the features he identifies fit together. On the one hand, he explains that wu-wei is a phenomenological feature of the agent's subjective mental state: "wu-wei properly refers not to what is actually happening (or not happening) in the realm of observable action but rather to... the phenomenological state of the doer" (p. 7), primarily one of effortlessness and unselfconsciousness (pp. 29-33). But wu-wei is also "action that... accords in every particular with the normative order of the cosmos" (p. 5), so beyond its phenomenological features, it must include an objective normative component as well. Another remark suggests that wu-wei fundamentally is not a phenomenological state after all, since "it represents not a transitory state but rather a set of dispositions" (p. 7). Probably these various statements are meant to emphasize that the crux of wu-wei is to achieve and sustain a certain sort of psychological state, which then reliably generates effortless, normatively appropriate, efficacious action.The phrase 'wu-wei' plays essentially no role in Confucian texts and is absent from large chunks of the Zhuangzi. So Slingerland's thesis that wu-wei is the joint [End Page 97] ideal of both Daoist and Confucian thought faces a daunting justificatory challenge, which he proposes to meet by applying conceptual metaphor theory (p. 10). On his interpretation, wu-wei is not to be understood literally, as "non-doing," since in the state denoted by wu-wei, the agent is not actually inactive, doing nothing at all (p. 11). This gap between literal meaning and actual reference indicates that the term 'wu-wei' functions metaphorically, referring to "a metaphorically conceived situation" in which an action occurs even though the agent exerts no effort (p. 11). Slingerland hypothesizes that wu-wei became a technical term for effortless action because it is the most general of a network of conceptual metaphors for effortlessness and unselfconsciousness, including families of metaphors for "following" (p. 29), "ease" (p. 30), and "forgetting" (p. 33). This network expresses a unified, "deeper conceptual structure," appeal to which justifies the claim that "apparently diverse ideals of perfected action" are in fact articulations and developments of a single metaphorically conceived ideal, though the term denoting it—'wu-wei'—may not appear in a particular text (p. 11).Once we have a grip on the conceptual structure of wu-wei through the families of metaphors that constitute it, we can identify wu-wei as a central problematic of pre-Qin thought and trace its development by examining the use of these metaphors in texts from the Book of Odes and the Book of History (chapter 1) through the Xunzi (chapter 7). Each... (shrink)

What is the ontological status of virtual worlds? The two prominent positions in the recent debate are David Chalmers’s virtual digitalism and Neil McDonnell and Nathan Wildman’s virtual fictionalism. In this paper, I argue that there are good reasons to be dissatisfied with both. To overcome their limitations, I propose a novel position, virtual socialism. Drawing on the ‘two-dimensional’ approach to social ontology articulated by Brian Epstein, I suggest that virtual objects are social objects grounded in the states of a (...) computer, but ‘anchored’ by a variety of social and non-social factors. Virtual socialism, I suggest, makes the best sense of the messy relationship virtual reality bears to digital reality, as well as the fact that virtual reality can sometimes be inconsistent. (shrink)

BackgroundResearchers worry that patients in early-phase research experience unrealistic optimism about benefits and risks of participation. The standard measure of unrealistic optimism is the Comparative Risk/Benefit Assessment questionnaire, which asks people to estimate their chances of an outcome relative to others in similar situations. Such a comparative framework may not be a natural way for research participants to think about their chances.ObjectiveTo examine how people interpret questions measuring unrealistic optimism and how their interpretations are associated with their responses.MethodsUsing an early-phase (...) cancer trial vignette, we administered the CRBA to 297 adults from the general public. They estimated their comparative chances of risk and benefit, then provided rationales for their estimates.ResultsFor both CRBA benefit and risk questions, about 50% of respondents chose 0, and 50% chose a non-0 response. Respondents’ rationales for their estimates showed that overall only about 40%–44% gave comparative rationales, indicating that they interpreted the CRBA as intended. 68.7% of respondents who gave the ‘correct’ 0 rating gave comparative rationales, whereas only 11.6% of respondents who gave non-0 ratings did so. A similar trend was seen for chances of risk.ConclusionResearch participants may not understand comparative benefit and risk questions as intended; attributions of unrealistic optimism may require additional evidence that the respondents’ estimates are intended to be comparative. (shrink)