Objectives The use of empathy during clinical practice is paramount to delivering quality patient care and is important for understanding patient concerns at both the cognitive and affective levels. This study sought to determine how and when physicians self-report the use of empathy when interacting with their patients. Methods A cross-sectional survey of 76 physicians working in a large urban hospital was conducted in August of 2017. Physicians were asked a series of questions with Likert scale responses as well as (...) asked to respond to open-ended questions. Results All physicians self-report that they always (69%) or usually (29.3%) use empathic statements when engaging with patients. 93.1% of physicians believe that their colleagues always (20.7%) or usually (69%) use empathic statements when communicating with patients. Nearly one-third of physicians (33%) indicated that using the words “I understand” denotes an empathic statement. Although 36% of physicians reported that they would like to receive more training or assistance about how and when to use empathy during clinical practice. Significance of Results Despite the self-reported prevalent use of empathic statements, one-third of physicians indicate a desire for more training in what empathy means and when it should be used in a clinical setting. Additionally, nearly one-third of physicians in this study reported using responses that patients may not perceive as being empathic, even when intended to be empathic. This suggests that many physicians feel uncertain about a clinical skill they believe should be used in most, if not all, encounters. (shrink)

Centralised, compliance-focused approaches to research ethics have been normalised in practice. In this paper, we argue that the dominance of such systems has been driven by neoliberal approaches to governance, where the focus on controlling and individualising risk has led to an overemphasis of decontextualised ethical principles and the conflation of ethical requirements with the documentation of ‘informed consent’. Using a UK-based case study, involving a point-of-care-genetic test as an illustration, we argue that rather than ensuring ethical practice such compliance-focused (...) approaches may obstruct valuable research. We call for an approach that encourages researchers and research communities—including regulators, ethics committees, funders and publishers of academic research—to acquire skills to make morally appropriate decisions, and not base decision-making solely on compliance with prescriptive regulations. We call this ‘ethical preparedness’ and outline how a research ethics system might make space for this approach. (shrink)

Probabilistic coherence is not an absolute requirement of rationality; nevertheless, it is an ideal of rationality with substantive normative import. An idealized rational agent who avoided making implicit logical errors in forming his preferences would be coherent. In response to the challenge, recently made by epistemologists such as Foley and Plantinga, that appeals to ideal rationality render probabilism either irrelevant or implausible, I argue that idealized requirements can be normatively relevant even when the ideals are unattainable, so long as they (...) define a structure that links imperfect and perfect rationality in a way that enables us to make sense of the notion of better approximations to the ideal. I then analyze the notion of approximation to the ideal of coherence by developing a generalized theory of belief functions that allows for incoherence, and showing how such belief functions can be ordered with regard to greater or lesser coherence. (shrink)

In this essay, I analyze and critique Richard Jeffrey's radical probabilism. The basic theses defining it are examined, particularly the idea that probabilistic coherence involves a kind of "consistency." The main challenges to Jeffrey's view are (1) that there is an inconsistency between regarding probabilities as subjective and some probabilistic judgments as better than others, and (2) that decision theory so conceived has no normative import. I argue that both of these challenges can be met.

Though the literature on the topic has been slim, several recent commentators have identified a close affinity between the philosophical project of Giorgio Agamben, as articulated in his Homo Sacer series, and René Girard's theory of mimetic rivalry with its resolution through sacrificial scapegoating.1 Both are theories of social unity made possible through highly ritualized forms of exclusion. Girard's work posits desire and its conflictual consequences as the ultimate ground for all social systems, while Agamben views the same systems with (...) an eye toward the maintenance of sovereign power. Agamben begins his study with an obscure figure of Roman law, the "sacred man," who is excluded from the laws of both the... (shrink)

Australia's Coalition Against Duck Shooting sees duck-shooting as a social problem and as an injustice with moral, legal and environmental consequences. The small animal liberationist group has succeeded in dramatically reducing the numbers of duck shooters in Victoria, which is the home of duck-shooting in Australia. The Coalition's framing work with the public via the electronic media involves three parts: a diagnosis , a prognosis and a motivational frame , all of which construct hunting as a cruel, antisocial blood sport (...) that ought to be banned. In this article, television news bulletins and feature stories from the 1993 and 1994 campaigns are analyzed to show how CADS makes and sustains its claims. In addition to 90 pages of transcripts of news commentaries and descriptive accounts of the visuals, the data include tape-recorded interviews with some of the duck liberationists involved in the campaign. (shrink)

The representation theorems of expected utility theory show that having certain types of preferences is both necessary and sufficient for being representable as having subjective probabilities. However, unless the expected utility framework is simply assumed, such preferences are also consistent with being representable as having degrees of belief that do not obey the laws of probability. This fact shows that being representable as having subjective probabilities is not necessarily the same as having subjective probabilities. Probabilism can be defended on the (...) basis of the representation theorems only if attributions of degrees of belief are understood either antirealistically or purely qualitatively, or if the representation theorems are supplemented by arguments based on other considerations (simplicity, consilience, and so on) that single out the representation of a person as having subjective probabilities as the only true representation of the mental state of any person whose preferences conform to the axioms of expected utility theory. (shrink)

Within the context of the study of the genetics of language, Chomskian laws of grammar, such as theStructure-dependence Condition and theA over A Condition, may be usefully regarded to have a status similar to that of Mendelian Laws in classical genetics. In both the case of Chomsky's Laws and Mendel's Laws, formal genetic principles are postulated which abstract away from the physical mechanisms involved and in both cases certain apparent counterexamples mirror a more complex underlying genetic organisation.

Offers an overview of work on the biology of language - what is sometimes called the "biolinguistic approach." This book focuses on the interplay between variation and the universal properties of language. It provides case studies from the areas of syntactic variation, genetic variation, neurological variation and historical variation.

Using the results of a survey of animal rights activists, advocates, and supporters, the paper reveals much more convergence than divergence of attitudes and actions by male and female animal protectionists. Analysis of the divergence suggests that the differences between men and women in the movement are contingent upon such things as early socialization, gendered work and leisure patterns, affinity with companion animals, ambivalence about science, and a history of opposition to nonhuman animal abuse by generations of female activists and (...) animal advocates. Aside from the feminist and women's movements and groups like Mothers Against Drunk Driving, it is rare to find a social movement in which the standing of women eclipses those of their male colleagues. The paper suggests that animal protection remains a bastion of female activism and advocacy because women care about blood, flesh, and pain and, unlike earlier generations of animal activists, no longer are seen as a liability to the success of the movement. (shrink)

This paper profiles the animal activism of the late American animal activist Henry Spira, whose campaign strategies and tactics suggest a number of links with the nineteenth century pioneers of animal protection as well as with approaches favored by contemporary animal activists. However, the article argues that Spira's style of animal advocacy differed from conventional approaches in the mainstream animal movement in that he preferred to work with, rather than against, animal user industries. To this end, he pioneered the use (...) of "reintegrative shaming" in animal protection, an accommodation strategy that relied on moralizing with opponents as opposed to the more common approach in animal advocacy of adversarial vilification, and hence, disintegrative shaming. The article describes the framing of some of Spira's best-known anti-cruelty campaigns and his use of reintegrative shaming to induce animal users to change their ways. (shrink)

The simulation hypothesis claims that the whole observable universe, including us, is a computer simulation implemented by technologically advanced beings for an unknown purpose. The simulation argument (as I reconstruct it) is an argument for this hypothesis with moderately plausible premises. I develop two lines of objection to the simulation argument. The first takes the form of a structurally similar argument for a conflicting conclusion, the claim that I am a so-called freak observer, formed spontaneously in a quantum or thermodynamic (...) fluctuation rather than through ordinary processes of evolution and growth. The second rejects the basic line of reasoning of both arguments: the sort of evidence they cite is not capable of supporting either the claim that I am a simulant or the claim that I am a freak observer. The evidence that simulants or freak observers exist is not a reason to think that I am one of them. (shrink)

“But if I suppose that someone has a pain, then I am simply supposing that he has just the same as I have so often had.”—That gets us no further. It is as if I were to say: “You surely know what ‘It is 5 o'clock here” means; so you also know what “It's 5 o'clock on the sun’ means. It means simply that it is just the same time there as it is here when it is 5 o'clock.”—The explanation (...) by means of identity does not work here. For I know well enough that one can call 5 o'clock here and 5 o'clock there “the same time”, but what I do not know is in what cases one is to speak of its being the same time here and there. (shrink)

Chinese consumers value the so-called _tuji_ chicken (‘soil + chicken’) as a local, quality type of poultry. Because _tu_ references both local region and the rural countryside, the _tu_ chicken evokes a contrast with modern improved broilers and the globalized poultry industry, and exemplifies a broader ‘quality turn’ in China’s agri-food system. But what precisely makes a chicken _tu_ (‘local’ and ‘earthy’), and how to identify one that is, are more uncertain and contested questions. Building on literature in food studies, (...) anthropology and geography that unpacks the social construction of definitions of local and quality food, this paper argues that struggles over the _definition_ of the tu chicken are closely linked with consumer strategies for authenticating these definitions in practice. Interviews and fieldwork observations with consumers, poultry vendors and farmers in southwestern China show significant variation in how the _tu_ chicken is defined. But in a context where China’s food safety scandals have produced a climate of food distrust, consumers are as interested in techniques of qualifying or evaluating whether or not particular chickens are _tu_, as they are in contesting or constructing the abstract definition of _tu_ chickens. (shrink)

The growing interest in dual‐inheritance models of human evolution has focused attention on culture as a means by which ancestors transmitted acquired phenotypic characteristics to their descendants. The ability of cultural behaviors to be repeatedly transmitted from ancestors to descendants enables individuals to influence their descendant‐leaving success over many more generations than are usually coclusive fitness. This essay proposes that traditional stories, or myths, can be seen as a way in which ancestors influence their descendant‐leaving success by influencing the behavior (...) of many generations of their descendants. The myth of Oedipus is used as an example of a traditional story aimed at promoting proper behavior and cooperation among kin. This interpretation of the Oedipus myth is contrasted with Freudian and structuralist interpretations. (shrink)

The quality of doctoral-level biochemistry (N=139), botany (N=83), cellular/molecular biology (N=89), microbiology (N=134), physiology (N=101), and zoology (N=70) programs at United States universities was assessed, using 16 measures. These measures focused on variables related to: (1) program size; (2) characteristics of graduates; (3) reputational factors (scholarly quality of faculty, effectiveness of programs in educating research scholars/scientists, improvement in program quality during the last 5 years); (4) university library size; (5) research support; and (6) publication records. Chapter I discusses prior attempts (...) to assess quality in graduate education, development of the study plans, and the selection of disciplines and programs to be evaluated. Chapter II discusses the methodology used, focusing on each of the assessment measures. Chapters III to VIII present, respectively, findings from the analyses of the biochemistry, botany, cellular/molecular biology, microbiology, physiology, and zoology programs. Chapter IX includes a summary of results, correlations among measures, several additional analyses, and suggestions for future studies. Among the findings reported are those indicating that cellular/molecular biology programs had, on the average, the largest number of faculty and that students in cellular/molecular biology, biology, biochemistry, microbiology, and physiology received a relatively high fraction of financial support. (Survey instruments and supporting documentation are included in appendices.) (JN). (shrink)

Much has been published about the ethical issues encountered by clinicians in genetics/genomics, but those experienced by clinical laboratory scientists are less well described. Clinical laboratory scientists now frequently face navigating ethical problems in their work, but how they should be best supported to do this is underexplored. This lack of attention is also reflected in the ethics tools available to clinical laboratory scientists such as guidance and deliberative ethics forums, developed primarily to manage issues arising within the clinic.We explore (...) what ethical issues are being experienced by clinical scientists, how they think such issues could be best analysed and managed, and whether their practice might be enhanced by more situated approaches to ethics deliberation and practice such as ethical preparedness. From thematic analysis of cases presented by clinical scientists at a specially convened meeting of the UK Genethics Forum, we derived three main ethical themes: (1) the redistribution of labour and responsibilities resulting from the practice of genomic medicine; (2) the interpretation and certainty of results and (3) the proposal that better standardisation and consistency of ethical approaches (for example, more guidelines and policy) could resolve some of the challenges arising.We argue that although standardisation is important for promoting shared understandings of good (including ethical) practice, supplementary approaches to enhance and sustain ethical preparedness will be important to help clinical scientists and others in the recently expanded genetic/genomic medicine environment foster quality ethical thinking. (shrink)

The application of evolutionary theory to human behavior has elicited a variety of critiques, some of which charge that this approach expresses or encourages conservative or reactionary political agendas. In a survey of graduate students in psychology, Tybur, Miller, and Gangestad (Human Nature, 18, 313–328, 2007) found that the political attitudes of those who use an evolutionary approach did not differ from those of other psychology grad students. Here, we present results from a directed online survey of a broad sample (...) of graduate students in anthropology that assays political views. We found that evolutionary anthropology graduate students were very liberal in their political beliefs, overwhelmingly voted for a liberal U.S. presidential candidate in the 2008 election, and identified with liberal political parties; in this, they were almost indistinguishable from non-evolutionary anthropology students. Our results contradict the view that evolutionary anthropologists hold conservative or reactionary political views. We discuss some possible reasons for the persistence of this view in terms of the sociology of science. (shrink)

This article addresses a countermovement to the animal liberation movement and its campaigns against vivisection, factory farming, and recreational hunting in the United States, the United Kingdom, and Australia. As moderate welfarists, pragmatic animal liberationists , and radical abolitionists who advocate animal rights, animal protectionists campaign for animals. The countermovement defends acts that animal protectionists decry. Meanwhile, sociologists accord little study to interplay between the movements . In Buechler's and Cylke's collection of 34 papers on social movements , only one (...) paper focused on countermovements, describing the connection between social movement and countermovement as "a continuous dialect of social change" . Although extensive writings exist on the main campaigns of the animal liberation movement, little scholarly material exists on the defenses mounted by the countermovement. This article examines key elements of a values war, a struggle over moral capital waged by animal protectionists and their countermovement opponents. (shrink)

The history of the vivisection debate is a case study in the use of vilification not unlike its rhetorical use by adversaries in the pro-life/pro-choice controversy. According to Vanderford, vilification in that debate serves a number of functions: to identify adversaries as ; to cast opponents in an exclusively negative light; to attribute diabolical motives to one's adversaries; and to magnify the opposition's power as an enemy capable of doing great evil. In the vivisection debate, both sides have attempted to (...) delegitimize each other by one or more of these means. On the antivivisection side, Samuel Johnson in 1758 produced the fiercest attack up to that time on and When the antivivisectionist movement peaked in England in the 1870s, the animal experimentalists began to organize in earnest to fend off the charge that vivisection was both cruel and useless. By the turn of the century an American neurologist, Charles Loomis Dana, identified a way to discredit the mainly female antiscience in the antivivisection movement by inventing the disease to describe one of the diseases affecting mainly women who, having no children or a useful occupation, joined animal protection societies and campaigned against vivisection. Zoophil-psychosis, it was claimed, was a form of mental illness, an incurable insanity that afflicted the hysterical opponents of vivisection. (shrink)