When anthropologists and other social scientists study health services in medical institutions, tensions sometimes arise as a result of the social scientists and health care professionals having different ideas about the ethics of research. In order to resolve this type of conflict and to facilitate mutual learning, we describe two general categories of research ethics framing: those of anthropology and those of medicine. The latter focuses on protection of the individual through the preservation of autonomy expressed through the requirement of (...) informed consent whereas the former focuses on broader political implications. After providing an example of a conflict, we outline four issues that characterize the occasional clashes between social scientists and medical staff: (1) a discrepancy in the way anthropologists perceive patients and medical staff; (2) ambiguity concerning the role of medical staff in anthropological research; (3) impediments to informed consent in qualitative research projects; and (4) property rights in data. Enhanced dialogue could serve to invigorate the ethical debate in both traditions. (shrink)

Markets allow for the processing of decentralized information through the price mechanism. But in addition, many markets rely on other mechanisms in markets, or non-market institutions, that provide and manage other forms of knowledge. Within national economies, these institutions form an ‘epistemic infrastructure’ for markets. In global markets, in contrast, this epistemic infrastructure is very patchy, undermining the preconditions for morally responsible agency. New technologies might help to improve the epistemic infrastructure of global markets, but they require conceptualizing knowledge not (...) only as a tradable good, but also as a precondition of morally responsible agency. (shrink)

This article contributes to carework scholarship by examining the nexus of gender, class, and race in long-term care facilities. We draw out a family ideology at work that promotes good care of residents and thus benefits nursing homes. We also found that careworkers value fictive kin relationships with residents, yet we uncover how the family model may be used to exploit these low-income careworkers. Reflecting a subordinate and racialized version of being “part of the family,” we call for an ethic (...) of reciprocity and for concrete change toward valuing equally the humanity of those who need and those who give care. (shrink)

Impaired hand proprioception can lead to difficulties in performing fine motor tasks, thereby affecting activities of daily living. The majority of children with unilateral cerebral palsy experience proprioceptive deficits, but accurately quantifying these deficits is challenging due to the lack of sensitive measurement methods. Robot-assisted assessments provide a promising alternative, however, there is a need for solutions that specifically target children and their needs. We propose two novel robotics-based assessments to sensitively evaluate active and passive position sense of the index (...) finger metacarpophalangeal joint in children. We then investigate test-retest reliability and discriminant validity of these assessments in uCP and typically developing children, and further use the robotic platform to gain first insights into fundamentals of hand proprioception. Both robotic assessments were performed in two sessions with 1-h break in between. In the passive position sense assessment, participant's finger is passively moved by the robot to a randomly selected position, and she/he needs to indicate the perceived finger position on a tablet screen located directly above the hand, so that the vision of the hand is blocked. Active position sense is assessed by asking participants to accurately move their finger to a target position shown on the tablet screen, without visual feedback of the finger position. Ten children with uCP and 10 age-matched TDC were recruited in this study. Test-retest reliability in both populations was good >0.79). Proprioceptive error was larger for children with uCP than TDC, indicating discriminant validity. The active position sense was more accurate than passive, and the scores were not correlated, underlining the need for targeted assessments to comprehensively evaluate proprioception. There was a significant effect of age on passive position sense in TDC but not uCP, possibly linked to disturbed development of proprioceptive acuity in uCP. Overall, the proposed robot-assisted assessments are reliable, valid and a promising alternative to commonly used clinical methods, which could help gain a better understanding of proprioceptive impairments in uCP, facilitating the design of novel therapies. (shrink)

As a modern academic Ulysses, the historical scientist is enticed by numerous plausible scientific theories that can explain the historical data in search of the truth. However, the predicament of her work is to inevitably crash onto the rocks and cliffs of uncertainty. The problem discussed in this paper is that several scientific models can be suitable to account for the same empirical observations. The risk of falling into speculation is looming, and exceedingly dangerous in science. This is also the (...) case in archaeological sciences, such as bioarchaeology. A bioarchaeologist frequently encounters traces of disease in ancient skeletons, and pertinent patterns may often result from equally probable different causes. This is a methodological issue commonly encountered in the interpretation of pathological patterns in human remains, and constitutes part of the problem known in bioarchaeology as the osteological paradox. During an informal trilogue, three characters discuss the osteological paradox, and attempt to define it in philosophical terms. The aim of this work is to present the problems of scientists with the philosophical approach to the debate between scientific realism and antirealism, focusing in particular on the so-called problem of underdetermination. Our original approach is to apply the distinction between ‘how-possibly’ models and ‘how-actually’ models by Alisa Bokulich to archaeological issues, integrating various fields of science with a multidisciplinary and omnivorous approach. The trilogue ends providing the historical scientist with reasons and means to believe in her ability to conceive of true and reliable scientific models to interpret the historical past. (shrink)

back in about 1984 or 1985, when I'd been in graduate school for a couple of years at Northwestern University in Evanston, Illinois, I started hanging around with three chemists who shared a house. They were colleagues of my roommate, a chemistry grad student. One of them, no kidding, was named Lloyd A. Bumm, who would always introduce himself by saying, "My name is the best joke I know." Lloyd was a quirky, curious guy who often explored unusual places around (...) the City, unlike the typical chemistry grad student. For instance, he frequently would head into Chicago on Sunday mornings to go to this crazy street market he knew about. He invited me to go with him one weekend; he was looking for a power supply, whatever... (shrink)

O tema da ética tem ganhado espaço em praticamente todos os campos e setores da nossa sociedade, sejam eles acadêmicos, educacionais, profissionais, empresariais, políticos e científicos. Contudo, as discussões em seu entorno têm se pulverizado numa variedade imensa de abordagens, pautadas em distintas e até mesmo contraditórias bases teóricas, perspectivas e interpretações. Diante disso, estes escritos objetivam distinguir, problematizar e relacionar as noções de moral, ética e deontologia no intuito de preservar tanto o sentido filosófico das proposições éticas quanto o (...) rigor argumentativo das discussões emergentes tanto de contextos teóricos não-filosóficos como e de situações vivenciais. (shrink)

Unlike his contemporaries Virginia Woolf and Henry James, Kipling always denied he was a critic. But his letters, speeches, and stories are full of comments on writing and writers. This collection, including many formerly unpublished private letters and papers, details Kipling's response to the commercialisation of literature and the emerging role of the writer as celebrity in the turbulent literary world of the 1890s and beyond. They reveal a mind intensely concerned with questions of literary value, with language and imagination, (...) with truth, realism, and romanticism. Kipling's fame made him a significant spokesperson for important segments of the reading public - the soldiers, engineers, and functionaries central to Britain's imperial expansion. He profoundly influenced English literary language and our perception of English national character. This book offers access to the private and public history of a writer whose continuing influence is still a matter of fierce controversy. (shrink)

This article looks at riots that consumed Paris and much of France for three consecutive weeks in November 2005. The author argues that the uprisings were not instigated by radical Muslims, children of African polygamists, or despairing youth suffering from high unemployment. First and foremost, they were provoked by a terrible incident of police brutality, a tragedy among a litany of similar tragedies. Black and Arab youth were already frustrated: decades of violent enforcement of France's categorical boundaries—both racial and geographic—had (...) filled many with rage. When Minister of Interior Nicholas Sarkozy responded to the violent death of three teenage boys on October 25, 2005, by condemning the boys rather than the police officers who had killed them, he merely reaffirmed what many young blacks and Arabs already believed: that their lives have no value in France. (shrink)

In response to calls for research to improve human-machine teaming, we present a “perspective” paper that explores techniques from computer science that can enhance machine agents for human-machine teams. As part of this paper, we summarize the state of the science on critical team competencies identified for effective HMT, discuss technological gaps preventing machines from fully realizing these competencies, and identify ways that emerging artificial intelligence capabilities may address these gaps and enhance performance in HMT. We extend beyond extant literature (...) by incorporating recent technologies and techniques and describing their potential for contributing to the advancement of HMT. (shrink)

Purpose: The purpose of this paper is to provide a description of an innovative web-based ethics module that was designed to integrate ethics education across four accounting courses over two years (second and third year courses) in a large Australian tertiary institution. Approach: The approach taken in designing the ethics web-based module was to base the foundations of the module on Rest’s (1976) ethical behavior model with the adoption of a longitudinal approach to thecoverage of financial reporting ethical issues. Practical (...) Implications: The key objectives of the module are to improve students’ awareness and sensitivity to accounting ethics, and to foster student learning in an interesting and stimulating manner, leading to in-depth understanding of accounting ethics. Originality/value of paper: This paper provides a description of an original web-based approach to delivering ethics education to accounting students across four university courses. Its value lies in not only the innovative and interactive ethics education approach but also in providing feedback from students and the profession. (shrink)

“Home office” has become a reality for many employees. What is normatively at stake in this shift in the geography of work, given the various forms of structural injustice in our societies? Drawing on the normative criteria of employee well-being and protection from harm, autonomy, non-discrimination, environmental impact, and the role of workplaces as spaces of social encounters, I defend two claims: First, decisions about where individuals work need to be proceduralized on a fair basis, giving employees a voice. Second, (...) giving up the workplace requires a broader discussion about alternatives spaces for social integration. (shrink)

Preparing the Next Generation of Oral Historians is an invaluable resource to educators seeking to bring history alive for students at all levels. Filled with insightful reflections on teaching oral history, it offers practical suggestions for educators seeking to create curricula, engage students, gather community support, and meet educational standards. By the close of the book, readers will be able to successfully incorporate oral history projects in their own classrooms.

Free and informed choice is an oft-acknowledged ethical basis for living kidney donation, including parental living kidney donation. The extent to which choice is present in parental living kidney donation has, however, been questioned. Since parents can be expected to have strong emotional bonds to their children, it has been asked whether these bonds make parents unable to say no to this donation. This article combines a narrative analysis of parents’ stories of living kidney donation with a philosophical discussion of (...) conditions for parental decision-making. Previous research has shown that parents often conclude that it is “natural” to donate. Our study shows that this naturalness needs to be understood as part of a story where parental living kidney donation is regarded as natural and as a matter of non-choice. Our study also highlights the presence of a parenthood moral imperative of always putting one’s child’s needs before one’s own. On the basis of these results, we discuss conditions for decision-making in the context of parental LKD. We argue that the presence of a parenthood moral imperative can matter with regard to the decision-making process when parents consider whether to volunteer as living kidney donors, but that it need not hamper choice. We emphasise the need for exploring relational and situational factors in order to understand parental decision-making in the context of parental LKD. (shrink)

About one-third of Australians use the services of complementary and alternative medicine (CAM); but debate about the role of CAM in public healthcare is vociferous. Despite this, the mechanisms driving CAM healthcare choices are not well understood, especially in rural Australia. From 2016 to 2018, 2,679 persons from the Goulburn Valley, northern Victoria, were surveyed, 28% (755) of whom reporting visiting CAM practitioners. A Generalized Linear Mixed Model was used to assess associations between various socio-demographic variables and the use of (...) CAM services. The strongest significant inverse (p < 0.05) association with CAM use overall was being unemployed, with markedly lower odds of using CAM than those employed full-time (OR 0.22 [0.12, 0.41]). The next strongest inverse relationship was being retired (OR 0.44 [0.30, 0.65]). The strongest positive associations were with English spoken at home (OR 2.38 [1.34, 4.24]), private health insurance (hospital cover) (1.57 [1.28, 1.91]), being Australian born (OR 1.61 [1.14, 2.28]), and female sex (1.25 [1.02, 1.52])). Females had significantly higher odds of using osteopathy than males (OR 1.98 [1.33, 2.96]) but there were no significant sex differences for chiropractic or massage. This is the first such study conducted solely for a rural Australian population. The drivers of CAM use differed from previous nation-wide studies and they varied across modalities. The factors identified here as being associated with CAM use could be used by CAM practitioners in developing person-centred services. Similarly, the findings are relevant to primary-care services in understanding what sectors of society might eschew conventional health care for CAM in rural regions, where health services are often limited. (shrink)

The use of Genetic Modification in food is the subject of deep political disagreement. Much of the disagreement involves different perceptions of the kinds of risks posed by pursuing GM food, and how these are to be tolerated and regulated. As a result, a primary institutional site of GM food politics is regulatory agencies tasked with risk assessment and regulation. Locating GM food politics in administrative areas of governance regimes produces unique challenges of democratic legitimacy, conventionally secured through legislative channels. (...) In particular, debate over the ends of a society’s policy on GM food inevitably continues in these institutional locations, despite conventional instrumental understandings of administrative legitimacy resting on effective application of ‘ends-means’ norms. This paper assesses the two major regulatory frameworks currently applied to GM food—the ‘precautious’ and ‘proof of harm’ approaches—and presents their respective limits in securing the procedural and substantive dimensions of the legitimacy of administrative deference in democratic societies. On the basis of these criticisms, a synthesized and emergent approach—‘experiential precaution’—is presented as having the resources to deepen the legitimacy of risk governance institutions in the case of GM food. It is characterized by deepened participatory practices of negotiated rulemaking and inclusion of further substantive requirements in approval criteria. (shrink)

The ability to judge accurately whether or not an action can be accomplished successfully is critical for selecting appropriate response options that enable adaptive behaviors. Such affordance judgments are thought to rely on the perceived fit between environmental properties and knowledge of one's current physical capabilities. Little, however, is currently known about the ability of individuals to judge their own affordances following a stroke, or about the underlying neural mechanisms involved. To address these issues, we employed a signal detection approach (...) to investigate the impact of left or right hemisphere injuries on judgments of whether a visual object was located within reach while remaining still. Regarding perceptual sensitivity and accuracy in judging reachability, there were no significant group differences between healthy controls, right brain damaged and left brain damaged stroke patients. However, while healthy controls and RBD patients demonstrated a negative response criterion and thus overestimated their reach capability, LBD patients' average response criterion converged to zero, indicating no judgment tendency. Critically, the LBD group's judgment tendency pattern is consistent with previous findings in this same sample on an affordance judgment task that required estimating whether the hand can fit through apertures. Lesion analysis suggests that this loss of judgment tendency may be associated with damage to the left insula, the left parietal and middle temporal lobe. Based on these results, we propose that damage to the left ventro-dorsal stream disrupts the retrieval and processing of a stable criterion, leading to stronger reliance on intact on-line body-perceptive processes computed within the preserved bilateral dorsal network. (shrink)

While the Internet has emerged as a significant resource for women negotiating the questions and circumstances that arise during conception, pregnancy and childbirth, it remains unclear what role the Internet plays in challenging the current biomedical paradigm and empowering women to make meaningful choices. This article explores how women use the Internet to manage their pregnancies and mediate their doctor–patient relationships, particularly examining the role of social class and personal health history in shaping such Internet use. Drawing from in-depth interviews (...) with white middle-class mothers, the findings show that rather than using technology to resist the dominant biomedical paradigm, most women turned to online resources that affirmed mainstream medical authority and continued to rely on their doctors. By providing the means to confirm normalcy and take control in their reproductive experiences, the Internet enables socially privileged women to more fully perform the informed patient role in order to demonstrate their competence as mothers. (shrink)

Journal of Political Philosophy, EarlyView.

Motivated by a conviction that mass incarceration and state execution are among the most important ethical and political problems of our time, the contributors to this volume come together from a diverse range of backgrounds to analyze, critique, and envision alternatives to the injustices of the U.S. prison system, with recourse to deconstruction, phenomenology, critical race theory, feminism, queer theory, and disability studies. They engage with the hyper-incarceration of people of color, the incomplete abolition of slavery, the exploitation of prisoners (...) as workers and as “raw material” for the prison industrial complex, the intensive confinement of prisoners in supermax units, and the complexities of capital punishment in an age of abolition. (shrink)

Philosophers and physicians alike tend to discuss the physician-patient relationship in terms of physician privilege and patient autonomy, stressing the duty of the physician to respect the autonomy and the variously elaborated rights of the patient. The authors of this article argue that such emphasis on rights was initially productive, in a first generation of debate on medical ethical issues, but that it is now time for a second generation effort that will stress the importance of the unique experiential aspects (...) of the physician-patient relationship — mutual trust, suffering and healing. We attempt here to initiate this second-generation discussion, presenting the first generation's philosophical background, criticizing it from the perspective of clinical experience, and seeking a synthesis in the relational qualities of patient and physician interacting in a medical context. (shrink)

Nach einer allgemeinen Hinführung zu den Themen „Markt“ und „Wettbewerb“ und deren normativen Dimension wird eine Reihe von wirtschaftsethischen Fragestellungen diskutiert: die deutschsprachige Debatte über den „Ort“ der Moral im Markt sowie verschiedene angelsächsische Debatten, die eine differenzierte Sicht auf die Problematik von Moral unter Bedingungen des Wettbewerbs erlauben. Abschließend wird argumentiert, dass sich in Situationen, in denen Wettbewerb die Erfüllung moralischer Pflichten erschwert, die Pflichten der Marktteilnehmer*innen hin zu kollektiven Pflichten verschieben, diese Umstände gemeinsam zu ändern.

This article addresses the problem of intentionality in Analytic philosophy. It begins with an assessment of post-Sellarsian scholarship, with primary attention to the work of Richard Rorty, Donald Davidson, Robert Brandom, and John McDowell. I argue that contemporary Analytic discourse on intentionality not only needs, but internally warrants, a pragmatist metaphysics in order to adequately and accurately communicate its public relevance—particularly in ethics. I suggest the metaphysics of Alfred North Whitehead as consonant with the sort of metaphysics needed in order (...) to correct tacit presuppositions currently limiting Analytic treatments of intentionality and, in turn, the possibility of ethical critique without ethnocentrism. The resultant proposal is for a “modest” metaphysics, not unlike that for which Jeffrey Stout has called. (shrink)

Whitehead’s metaphysics provides resources for understanding a world in value-realist terms. Central to this value realism is an aesthetic conception of rationality that sees a hope implicit in our practices—the hope that our linguistic tools are suited to the task of getting things right in our fields of inquiry. This pragmatic hope entails an understanding of individual freedom and responsibility to participate in a patient restructuring of the world toward the highest retention of value. It also enables an understanding of (...) individual freedom as obstructive to this restructuring. One task of this article is to show that attunement in theory to the hope implicit in practice can ameliorate this obstructiveness. A subsequent task is to show that, insofar as this preliminary hope is not a metaphysical premise, but a regulative ideal seeking satisfaction, it can serve as a warrant for an implicit theology in linguistic pragmatism. In this way, I argue that we can come to see pragmatism as a method lending itself to a philosophical theology of the Whiteheadian variety. We can do this precisely insofar as rationalism is seen as predicated on an aesthetic ideal of harmony—a harmony between what is and what ought to be our matters of concern. We can come to see the structure of rationality in terms of an aestheticism corrective of analytic conceptions of meaning and truth. (shrink)

The ability to recognize failures presupposes the ability to recognize achievements. By the same logic, ethical failures are identifiable only to the extent to which ethical achievements are identifiable. This article examines the possibility of cultural criticism in Whitehead’s metaphysics. The first part of this article challenges Isabelle Stenger’s nonnormative reading of Whitehead, while the second part employs my alternative reading in order to critique two different accounts of the nature of ideals. The main focus of this critique is Derrida’s (...) account of the autoimmunity of democracy and the aporetic structure of justice. (shrink)

This book investigates Alfred North Whitehead's critiques of analytic philosophy in early nineteenth-century Cambridge and examines the ways in which those critiques both anticipate the problem of intentionality and inform contemporary efforts to resolve it—specifically those of the Pittsburgh School.