Background: Complex and expensive treatment options have increased the frequency and emphasis of ethical decision-making in healthcare. In order to meet these challenges effectively, we need to identify how nurses contribute the resolution of these dilemmas. Aims: To identify the values, beliefs and contextual influences that inform decision-making. To identify the contribution made by nurses in achieving the resolution of ethical dilemmas in practice. Design: An interpretive exploratory study was undertaken, 11 registered acute care nurses working in a district general (...) hospital in England were interviewed, using semi-structured interviews. In-depth content analysis of the data was undertaken via NVivo coding and thematic identification. Participants and context: Participants were interviewed about their contribution to the resolution of ethical dilemmas within the context of working in an acute hospital ward. Participants were recruited from all settings working with patients of any age and any diagnosis. Ethical considerations: Ethical approval was obtained from the local National Research Ethics Committee. Findings: Four major themes emerged: ‘best for the patient’, ‘accountability’, ‘collaboration and conflict’ and ‘concern for others’. Moral distress was also evident in the literature and findings, with moral dissonance recognised and articulated by more experienced nurses. The relatively small, single-site sample may not account for the effects of organisational culture on the results; the findings suggested that professional relationships were key to resolving ethical dilemmas. Discussion: Nurses use their moral reasoning based on their beliefs and values when faced with ethical dilemmas. Subsequent actions are mediated though ethical decision-making frames of reference including deontology, consequentialism, the ethics of care and virtue ethics. Nurses use these in contributing to the resolution of these dilemmas. Nurses require the skills to develop and maintain professional relationships for addressing ethical dilemmas and to engage with political and organisational macro- and micro-decision-making. Conclusion: Nurses’ professional relationships are central to nurses’ contributions to the resolution of ethical dilemmas. (shrink)

Fractal patterns offer one way to represent the rough complexity of the natural world. Whilst they dominate many of our visual experiences in nature, little large-scale perceptual research has been done to explore how we respond aesthetically to these patterns. Previous research (Taylor et al., 2011) suggests that the fractal patterns with mid-range fractal dimensions have universal aesthetic appeal. Perceptual and aesthetic responses to visual complexity have been more varied with findings suggesting both linear (Forsythe et al., 2011) and curvilinear (...) (Berlyne, 1970) relationships. Individual differences have been found to account for many of the differences we see in aesthetic responses but some, such as culture, have received little attention within the fractal and complexity research fields. This 2-study paper aims to test preference responses to fractal dimension and visual complexity, using a large cohort (N=443) of participants from around the world to allow universality claims to be tested. It explores the extent to which age, culture and gender can predict our preferences for fractally complex patterns. Following exploratory analysis that found strong correlations between fractal dimension and visual complexity, a series of linear mixed-effect models were implemented to explore if each of the individual variables could predict preference. The first tested a linear complexity model (likelihood of selecting the more complex image from the pair of images) and the second a mid-range fractal dimension model (likelihood of selecting an image within mid-range). Results show that individual differences can reliably predict preferences for complexity across culture, gender and age. However, in fitting with current findings the mid-range models show greater consistency in preference not mediated by gender, age or culture. This paper supports the established theory that the mid-range fractal patterns appear to be a universal construct underlying preference but also highlights the fragility of universal claims by demonstrating individual differences in preference for the interrelated concept of visual complexity. This highlights a current stalemate in the field of empirical aesthetics. (shrink)

A general dearth of theoretical engagements with the embodied, historical, and especially the religious dimensions of disablement pervades the social sciences. Paradoxically, the religious heritage of the West is commonly identified as the implicit catalyst of many disabling attitudinal barriers impinging on impaired bodies. Addressing this inconsistency, this article extends dominant disability conceptualizations through combining embodiment theories and humanities perspectives. Ultimately the article seeks to demonstrate how interdisciplinary investigation can produce fresh insights into the relationships between attitudes towards physical impairment (...) and Christianized forms of Western sociality. First, the radicalization of the definition of disability in the field of disability studies is briefly discussed. Second, aspects of the sociology of the body are examined in order to illustrate how the concepts of ‘effervescent’ and ‘emergent’ embodiment, through highlighting the persistence of the sacred in ‘somatic society’, can assist in the formulation of an analytical framework, suitable for analysing the religio-cultural dimensions of impairment. Finally, the dynamism of Christian attitudes towards physical impairment is illustrated through a survey of historical and contemporaneous theological examples. The confluence of these fields, it is argued, enables the interconnected terrain between impairment, embodiment and the sacred to be mapped. (shrink)

Eleanor Byrne and Martin McQuillan _Deconstructing Disney_ London: Pluto Press, 1999 ISBN 0 7453 1456 2 (hbk) 209 pp.

Time and Fantasy in Narratives of Jihad: The Case of the Islami Jamiat-I-Tuleba in Karachi This article proposes an analytical framework for thinking about violence in the Islami Jamiat-i-Tuleba (IJT), the student organization of Jamaat e Islami (JI), Pakistan's longstanding Islamist party. It prioritises the intersection of the psychic and the social, and the role of politics, history and biography in mediating the modalities, narration and praxis of violence in the city of Karachi. The dominant explanations tend to emphasise political (...) instrumentalism, and structural and ideological factors, and to "Islamicise" the violence, collapsing Islamic rhetoric into an extemporization of conditions, ignoring the deep affective appeal of violence to individuals, and leaving unelaborated the role of intersecting national, local and individual contexts and temporalities in structuring political subjectivity and violent action. (shrink)

We suggest that variation, error, and bias will be essential to include in a complete computational theory of groups – particularly given that formation of group representations must often rely on inferences of intentions. We draw on the case study of paranoia to illustrate that intentions that do not correspond to group-constitutive roles may often be perceived as such.

Baumard et al. propose a functional explanation for the evolution of a sense of fairness in humans: Fairness preferences are advantageous in an environment where individuals are in strong competition to be chosen for social interactions. Such conditions also exist in nonhuman animals. Therefore, it remains unclear why fairness (equated with morality) appears to be properly present only in humans.

The widespread effects of the coronavirus disease 2019 (COVID-19) pandemic have negatively impacted upon many athletes’ mental health and increased reports of depression as well as symptoms of anxiety. Disruptions to training and competition schedules can induce athletes’ emotional distress, while concomitant government-imposed restrictions (e.g., social isolation, quarantines) reduce the availability of athletes’ social and emotional support. Written Emotional Disclosure (WED) has been used extensively in a variety of settings with diverse populations as a means to promote emotional processing. The (...) expressive writing protocol has been used to a limited extent in the context of sport and predominantly in support of athletes’ emotional processing during injury rehabilitation. We propose that WED offers an evidence-based treatment that can promote athletes’ mental health and support their return to competition. Research exploring the efficacy of the expressive writing protocol highlights a number of theoretical models underpinning the positive effects of WED; we outline how each of these potential mechanisms can address the multidimensional complexity of the challenging circumstances arising from the COVID-19 pandemic (e.g., loss of earnings, returning to training and competition). Considerations and strategies for using WED to support athletes during the COVID-19 pandemic are presented. (shrink)

Throughout the development of an "ethic of care" different from an "ethic of justice," the relationship between the two has been problematic. Are they theories between which one must choose? Are they complementary? Are they domain-specific? In support of my view that neither is adequate by itself, I here examine the private domain of care of the dying by intimates, and find there important issues both of care and of justice.

Australia and Papua New Guinea share a number of important social, cultural, and historical features, making a sustained comparison between the two especially productive. This situates the ethnography of the two areas within a comparative framework and examines the relationship between indigenous systems of knowledge and place - an issue of growing concern to anthropologists. The essays demonstrate the manner in which regimes of restricted knowledge serve to protect and augment cultural property and the proprietorship over sites and territory; how (...) myths evolve to explain and culturally appropriate important events pertaining to contact between indigenous and Western societies; how graphic designs and other culturally important iconic and iconographic processes provide conduits of cross-cultural appropriation between indigenous and non-indigenous societies in today's multicultural nation states. (shrink)

Essays discuss the evolution of consciousness, self-knowledge, aesthetics, religious ecstasy, ghosts, and dreams.

This book provides extensive and critical engagement with some of the most recent and compelling arguments favoring abortion choice. It features original essays from leading and emerging philosophers, bioethicists and medical professionals that present philosophically sophisticated and novel arguments against abortion choice. The chapters in this book are divided into three thematic sections. The first set of essays focuses primarily on unborn human individuals--zygotes, embryos and fetuses. In these chapters it is argued, for example, that human organisms begin to exist (...) at conception and that zygotes, embryos and fetuses are persons. These chapters also explore questions about whether or not zygotes, embryos and fetuses are part of their mothers' bodies. The second set of essays focuses primarily on elective abortion and the debates surrounding it. These chapters consider whether or not opponents of abortion are commonly hypocritical, how opponents of abortion should think about adoption, how emerging technologies may affect the current debate and whether or not those participating in the debate should rely on analogies to support their case. Finally, the third set of essays shifts focus from the legal and moral status of elective abortion to its place in medical practice. In these chapters it is argued that elective abortion embodies a kind of ableism, and that elective abortion is medically unnecessary, harmful to women's mental health and that telemedicine abortion poses significant risks to women's health. Agency, Pregnancy and Persons offers an up-to-date examination of unborn human beings, the debates surrounding elective abortion and the place of elective abortion within medical practice. It will be of interest to medical professionals and those who work in philosophy, bioethics and medical ethics alike. (shrink)

Presumption is a remarkably versatile and pervasively useful resource. Firmly grounded in the law of evidence from its origins in classical antiquity, it made its way in the days of medieval scholasticism into the theory and practice of disputation and debate. Subsequently, it extended its reach to play an increasingly significant role in the philosophical theory of knowledge. It has thus come to represent a region where lawyers, debaters, and philosophers can all find some common around. In Presumption and the (...) Practices of Tentative Cognition, Nicholas Rescher endeavors to show that the process of presumption plays a role of virtually indispensable utility in matters of rational inquiry and communication. The origins of presumption may lie in law, but its importance is reinforced by its service to the theory of information management and philosophy. (shrink)

The rapid developments in technologies -- especially computing and the advent of many 'smart' devices, as well as rapid and perpetual communication via the Internet -- has led to a frequently voiced view which Nicholas Agar describes as 'radical optimism'. Radical optimists claim that accelerating technical progress will soon end poverty, disease, and ignorance, and improve our happiness and well-being. Agar disputes the claim that technological progress will automatically produce great improvements in subjective well-being. He argues that radical optimism 'assigns (...) to technological progress an undeserved pre-eminence among all the goals pursued by our civilization'. Instead, Agar uses the most recent psychological studies about human perceptions of well-being to create a realistic model of the impact technology will have. Although he accepts that technological advance does produce benefits, he insists that these are significantly less than those proposed by the radical optimists, and aspects of such progress can also pose a threat to values such as social justice and our relationship with nature, while problems such as poverty cannot be understood in technological terms. He concludes by arguing that a more realistic assessment of the benefits that technological advance can bring will allow us to better manage its risks in future. (shrink)

Nicholas Wolterstorff discusses the ethics of belief which Locke developed in Book IV of his Essay Concerning Human Understanding, where Locke finally argued his overarching aim: how we ought to govern our belief, especially on matters of religion and morality. Wolterstorff shows that this concern was instigated by the collapse, in Locke's day, of a once-unified moral and religious tradition in Europe into warring factions. His was thus a culturally and socially engaged epistemology. This view of Locke invites a new (...) interpretation of the origins of modern philosophy. He maintained that instead of following tradition we ought to let 'reason be our guide.' Accordingly, after discussing Hume's powerful attack on Locke's recommended practice, Wolterstorff argues for Locke's originality and emphasizes his contribution to the 'modernity' of post-sixteenth-century philosophy. (shrink)

Contending that only a normative theory of rationality can be adequate to the complexities of the subject, this book explains and defends the view that rationality consists of the intelligent pursuit of appropriate objectives. Rescher considers the mechanics, rationale, and rewards of reason, and argues that social scientists who want to present a theory of rationality while avoiding the vexing complexities of normative deliberations must amend their perspective of the rational enterprise.

Postmodernism and poststructuralism challenge fundamental positions in social theory. This book sets out some of the components of a postmodern social theory of health and healing, deriving from theorists including Derrida, Deleuze and Guattari, Foucault, Cixous and Kristeva. Nicholas J. Fox observes that the knowledge of the medical profession about the body, illness and health supplies the basis for medical dominance. The body of the patient is inscribed by discourses of professional `care,' an interaction which subjectifies the patient. Fox explores (...) the character of this power - and how it may be, and is, resisted. The book illustrates with detailed examples how the organization of health care and the caring relationship itself are sites for this contestation of power. Elements of feminist theory, and Derridean concepts of diffrance and intertextuality, supply the framework for the politics and ethics of the postmodern position on health. Deleuze and Guattari's radical challenge to psychoanalysis and familial repetitions within the healer/patient contact allows a re-reading of central ideas in medical sociology. While focusing upon the possibilities of postmodern social theory, the book demands a reappraisal of issues of structure, identity and knowledge in modernist medical sociology. Modernist sociology, Fox suggests, has been complicit in the creation of `the patient,' and of 'health' and 'illness.' Written with an emphasis on accessibility, this book explores the practical consequences of postmodern theory as well as familiarizing the reader with the concepts of postmodernism. (shrink)

In the first in-depth philosophical study of the subject, Nicholas Gier examines the published and unpublished writings of Ludwig Wittgenstein, to show the striking parallels between Wittgenstein and phenomenology. Between 1929 and 1933, the philosopher proposed programs that bore a detailed resemblance to dominant themes in the phenomenology of Husserl and some “life-world” phenomenologists. This sound, thoroughly readable study examines how and why he eventually moved away from it. Gier demonstrates, however, that Wittgenstein’s phenomenology continues as his “grammar” of the (...) post-1933 works, which continue to present instructive parallels with Heidegger and Merleau-Ponty. (shrink)

Nicholas Jolley shows that the mind-body problem and the nature of personal immortality are more central to Locke's philosophy than has been realized. He argues that Locke takes up unorthodox positions in both cases, and holds that Locke's criticisms of Descartes were controversial responses to challenging metaphysical and theological issues.

The mind-body problem is widely seen as the great remaining challenge to science and philosophy. Why and how did matter evolve to take on the quality of mind? The author takes the reader to the edges of current knowledge and back to the beginning of time, before mind existed, and in doing so constructs a history of consciousness.

What is the meaning of life? Does anything really matter? In the past few decades these questions, perennially associated with philosophy in the popular consciousness, have rightly retaken their place as central topics in the academy. In this major contribution, Nicholas Waghorn provides a sustained and rigorous elucidation of what it would take for lives to have significance. Bracketing issues about ways our lives could have more or less meaning, the focus is rather on the idea of ultimate meaning, the (...) issue of whether a life can attain meaning that cannot be called into question. Waghorn sheds light on this most fundamental of existential problems through a detailed yet comprehensive examination of the notion of nothing, embracing classic and cutting-edge literature from both the analytic and Continental traditions. Central figures such as Heidegger, Carnap, Wittgenstein, Nozick and Nagel are drawn upon to anchor the discussion in some of the most influential discussion of recent philosophical history. In the process of relating our ideas concerning nothing to the problem of life's meaning, Waghorn's book touches upon a number of fundamental themes, including reflexivity and its relation to our conceptual limits, whether religion has any role to play in the question of life's meaning, and the nature and constraints of philosophical methodology. A number of major philosophical traditions are addressed, including phenomenology, poststructuralism, and classical and paraconsistent logics. In addition to providing the most thorough current discussion of ultimate meaning, it will serve to introduce readers to philosophical debates concerning the notion of nothing, and the appendix engaging religion will be of value to both philosophers and theologians. (shrink)

Is it possible to prove or disprove God's existence? Arguments for the existence of God have taken many different forms over the centuries: in The Non-Existence of God, Nicholas Everitt considers all of the arguments and examines the role that reason and knowledge play in the debate over God's existence. He draws on recent scientific disputes over neo-Darwinism, the implication of 'big bang' cosmology, and the temporal and spatial size of the universe; and discusses some of the most recent work (...) on the subject, leading to a controversial conclusion. (shrink)

The word apory stems from the Greek aporia, meaning impasse or perplexing difficulty. In _Aporetics,_ Nicholas Rescher defines an apory as a group of individually plausible but collectively incompatible theses. Rescher examines historic, formulaic, and systematic apories and couples these with aporetic theory from other authors to form this original and comprehensive survey. Citing thinkers from the pre-Socratics through Spinoza, Hegel, and Nicolai Hartmann, he builds a framework for coping with the complexities of divergent theses, and shows in detail how (...) aporetic analysis can be applied to a variety of fields including philosophy, mathematics, linguistics, logic, and intellectual history. Rescher's in-depth examination reveals how aporetic inconsistency can be managed through a plausibility analysis that breaks the chain of inconsistency at its weakest link by deploying right-of-way precedence based on considerations of cognitive centrality. Thus while involvement with cognitive conflicts and inconsistencies are pervasive in human thought, aporetic analysis can provide an effective means of damage control. (shrink)

Nicholas Capaldi's biography of John Stuart Mill traces the ways in which Mill's many endeavours are related and explores the significance of Mill's contribution to metaphysics, epistemology, ethics, social and political philosophy, the philosophy of religion, and the philosophy of education. He shows how Mill was groomed for his life by both his father James Mill, and Jeremy Bentham, the two most prominent philosophical radicals of the early nineteenth century. Yet Mill revolted against this education and developed friendships with both (...) Thomas Carlyle and Samuel Taylor Coleridge, who introduced him to Romanticism and political conservatism. A special feature of this biography is the attention devoted to his relationship with Harriet Taylor. No one exerted a greater influence than the woman he was eventually to marry. Nicholas Capaldi reveals just how deep her impact was on Mill's thinking about the emancipation of women. (shrink)

The uncanny is the weird, the strange, the mysterious, a mingling of the familiar and the unfamiliar. Even Freud, patron of the uncanny, had trouble defining it. Yet the uncanny is everywhere in contemporary culture. In this elegant book, Nicholas Royle takes the reader across literature, film, philosophy, and psychoanalysis as he marks the trace of the uncanny in the modern world. Not an introduction in the usual sense, Nicholas Royle's book is a geography of the uncanny as it manifests (...) itself - and disturbs our thinking - in a range of disciplines. (shrink)

Nicholas Jardine offers here an edition and the first translation into English of Johannes Kepler's A Defence of Tycho against Ursus. He accompanies this with essays on the provenance of the treatise - the circumstances which provoked Kepler to write it, an analysis of its strategy, style and historical sources and of the contents of Ursus' Treatise on Astronomical Hypotheses to which Kepler was replying. Dr Jardine also provides three extended interpretive essays on the intrinsic interest and historical significance of (...) the work. (shrink)

P. F. Strawson famously gives pride of place to the reactive attitudes in his account of moral responsibility, though he says little about guilt or any other self-reactive attitudes. This inattention is curious, given that on his view lacking capacity for self-reactive attitudes is grounds for exemption from the moral community. Perhaps because of Strawson’s limited remarks regarding them, the self-reactive attitudes have not received much attention in commentaries on his view. In this paper, I will attempt to fill this (...) lacuna by examining the role of the self-reactive attitudes within his approach to moral responsibility. I will focus in particular on reactive guilt to show that it plays a number of roles in our interpersonal lives, from reinforcing our important personal relationships to holding ourselves accountable with respect to our own personal ideals. A better understanding of these roles, I will argue, helps to clarify Strawson’s notion of reactive attitude and to strengthen his overall argument, in addition to revealing some interesting aspects of the way various self-reactive attitudes operate within our lives. (shrink)

Plato’s Pragmatism offers the first comprehensive defense of a pragmatist reading of Plato. According to Plato, the ultimate rational goal is not to accumulate knowledge and avoid falsehood but rather to live an excellent human life. The book contends that a pragmatic outlook is present throughout the Platonic corpus. The authors argue that the successful pursuit of a good life requires cultivating certain ethical commitments, and that maintaining these commitments often requires violating epistemic norms. In the course of defending the (...) pragmatist interpretation, the authors present a forceful Platonic argument for the conclusion that the value of truth has its limits, and that what matters most are one’s ethical commitments and the courage to live up to them. Their interpretation has far-reaching consequences in that it reshapes how we understand the relationship between Plato’s ethics and epistemology. Plato’s Pragmatism will appeal to scholars and advanced students of Plato and ancient philosophy. It will also be of interest to those working on current controversies in ethics and epistemology. (shrink)