Background Decisions regarding Cardio-Pulmonary Resuscitation (CPR) and Do Not Attempt Resuscitation (DNAR) orders remain demanding, as does including patients in the process. Objectives To explore physicians’ justification for CPR/DNAR orders and decisions regarding patient inclusion, as well as their reports of how they initiated discussions with patients. Methods We administered a face-to-face survey to residents in charge of 206 patients including DNAR and CPR orders, with or without patient inclusion. Results Justifications were provided for 59% of DNAR orders and included (...) severe comorbidity, patients and families’ resuscitation preferences, patients’ age, or poor prognosis or quality of life. Reasons to include patients in CPR/DNAR decisions were provided in 96% and 84% of cases, and were based on respect for autonomy, clinical assessment of the situation as not too severe, and the view that such inclusion was required. Reasons for not including patients were offered in 84% of cases for CPR and in 70% for DNAR. They included absent decision-making capacity, a clinical situation viewed as good (CPR) or offering little hope of recovery (DNAR), barriers to communication, or concern that discussions could be emotionally difficult or superfluous. Decisions made earlier in the patient's management were infrequently viewed as requiring revision. Residents reported a variety of introductions to discussions with patients. Conclusions These results provide better understanding of reasons for CPR/DNAR decisions, reasons for patient inclusion or lack thereof, and ways in which such inclusion is initiated. They also point to potential side-effects of implementing CPR/DNAR recommendations without in-depth and practical training. This should be part of a regular audit and follow-up process for such recommendations. (shrink)

Objective: To evaluate the effect of an intervention on the understanding and use of DNR orders by physicians; to assess the impact of understanding the importance of involving competent patients in DNR decisions. Design: Prospective clinical interventional study. Setting: Internal medicine department (70 beds) of the hospital of La Chaux-de-Fonds, Switzerland. Participants: Nine junior physicians in postgraduate training. Intervention: Information on the ethics of DNR and implementation of new DNR orders. Measurements and main results: Accurate understanding, interpretation, and use of (...) DNR orders, especially with respect to the patients’ involvement in the decision were measured. Junior doctors writing DNR orders had an extremely poor understanding of what DNR orders mean. The correct understanding of the definition of a DNR order increased from 31 to 93% (p<0.01) after the intervention and the patients’ involvement went from 17% to 48% (p<0.01). Physicians estimated that 75% of their DNR patients were mentally competent at the time of the decision. Conclusion: An intervention aimed at explaining the ethical principles and the definition of DNR orders improves understanding of them, and their implementation, as well as patient participation. Specific efforts are needed to increase the involvement of mentally competent patients in the decision. (shrink)

Objective:To evaluate the effect of an intervention on the understanding and use of DNR orders by physicians; to assess the impact of understanding the importance of involving competent patients in DNR decisions.Design:Prospective clinical interventional study.Setting:Internal medicine department (70 beds) of the hospital of La Chaux-de-Fonds, Switzerland.Participants:Nine junior physicians in postgraduate training.Intervention:Information on the ethics of DNR and implementation of new DNR orders.Measurements and main results:Accurate understanding, interpretation, and use of DNR orders, especially with respect to the patients’ involvement in the (...) decision were measured. Junior doctors writing DNR orders had an extremely poor understanding of what DNR orders mean. The correct understanding of the definition of a DNR order increased from 31 to 93% (p<0.01) after the intervention and the patients’ involvement went from 17% to 48% (p<0.01). Physicians estimated that 75% of their DNR patients were mentally competent at the time of the decision.Conclusion:An intervention aimed at explaining the ethical principles and the definition of DNR orders improves understanding of them, and their implementation, as well as patient participation. Specific efforts are needed to increase the involvement of mentally competent patients in the decision. (shrink)

Do poststructuralist accounts of the self undermine the prospects for effective democratic politics? In addressing this question, Nolle McAfee brings together the theories of Jrgen Habermas and Julia Kristeva, two major figures whose work is seldom juxtaposed. She examines their respective notions of subjectivity and politics and their implicit definitions of citizenship: the extent to which someone is able to deliberate and act in community with others.. Habermas, Kristeva, and Citizenship begins by tracing the rise of modern and poststructural views (...) of subjectivity, and then critiques these views as they are represented in the writings of Habermas and Kristeva. McAfee argues that Habermas's theory of subjectivity is overly optimistic about the possibility for individuals to know their own interests and act autonomously. Kristeva's poststructuralism has its own problems: it seems to limit political agency, since it considers the subject to be split and at odds with itself. Nevertheless, this book shows how Kristevan conceptions of the self can contribute to Habermas's hope for a more democratic, deliberative politics. Combining an insight from poststructural theory--that identity is constituted by a web of relationships--with the theory of deliberative democracy, McAfee argues that we need not be the kinds of individuals supposed by the modern liberal tradition to be effective political agents. The more we recognize our indebtedness to and relationship with others in our midst, the more likely we are to be capable members of political communities. (shrink)

Since the 1970s, at least, and presumably under the influence of the later Wittgenstein, certain advocates of Aristotle’s ethics have insisted that a proper validation of the virtues of character must proceed only from within, or be internal to, the particular evaluative outlook provided by possession of the virtues themselves. The most influential advocate of this line of thinking is arguably John McDowell, although Rosalind Hursthouse and Daniel C. Russell have also more recently embraced it. Here I consider whether a (...) distinction between the ‘substantive virtues’ and the ‘virtues of will power’ ultimately threatens that way of thinking about Aristotle’s ethics. If so, it would encourage a different reading of Aristotle’s ethics, one that McDowell has described as a “historical monstrosity”. (shrink)

What is behind the upsurge of virulent nationalism and intransigent politics across the globe today? In Fear of Breakdown, Noëlle McAfee contends that politics needs something that only psychoanalysis has been able to offer: an understanding of how to work through anxieties, ambiguity, fragility, and loss.

A CHOICE Outstanding Academic Title 2022 | The Moral Psychology of Hate provides the first systematic introduction to the moral psychology of hate, compiling specially commissioned essays by an international team of scholars with a wide range of disciplinary orientations. In light of the recent revival of interest in emotions in academic philosophy and the current social and political interest in hate, this volume provides arguments for and against the value of hate through a combination of empirical and philosophical methods. (...) The authors examine hate not merely as a destructive feeling but as an emotion of great moral significance that illuminates how we understand each other and ourselves. The book will be of major interest to anyone concerned with the dynamics and the moral and political implications of this most powerful of human emotions. (shrink)

I examine experiences of married couples to better understand whether economic shifts that push couples into gender-atypical work/family arrangements influence gender inequality. I draw on in-depth interviews conducted in 2008 with stay-at-home husbands and their wives in 21 married-couple families with children. I find that the decision to have a father stay home is heavily influenced by economic conditions, suggesting that men’s increased job instability and shifts in the relative employment conditions of husbands and wives push some men into at-home (...) fatherhood. However, this shift in family arrangements can promote change toward greater gender equality even in couples that initially hold entrenched, gendered beliefs. The data indicate that at-home fathers come to value their increased involvement in children’s care in ways that reduce gender differences in parenting and that have the potential to translate into institutional change, particularly when they reenter the labor force. Furthermore, at-home father arrangements generally appear to provide increased support for women’s employment and promote changes in women’s work behavior that may reduce inequities that stem from traditionally gendered divisions in work/family responsibilities. (shrink)

Due to the impact of biomedical technologies on human wellbeing, biomedical engineering presents discipline-specific ethical issues that can have global, economic, environmental, and societal consequences. Because ethics instruction is a component of accredited undergraduate engineering programs in the US, we developed an ethics assignment that provided biomedical engineering students with a framework for ethical decision-making and challenged them to critically reflect on ethical issues related to contemporary medical devices. Thematic analysis performed on student reflections (n = 73) addressed two research (...) questions: (i) what considerations do biomedical engineering undergraduates describe when asked to critically reflect on ethical issues related to contemporary medical devices; and (ii) how do students describe their participation in bioethical discussions? Students described design, economic factors, and empathy most frequently as considerations. Further, students reported confidence in their ability to engage in ethical discussion upon assignment completion. Overall, our analysis builds understanding of student attitudes and engagement to help inform future ethics curriculum development. (shrink)

Political philosopher Noelle McAfee proposes a powerful new political theory for our post-9/11 world, in which an old pathology-the repetition compulsion-has manifested itself in a seemingly endless war on terror. McAfee argues that the quintessentially human desire to participate in a world with others is the key to understanding the public sphere and to creating a more democratic society, a world that all members can have a hand in shaping. But when some are effectively denied this participation, whether through trauma (...) or terror, instead of democratic politics, there arises a political unconscious, an effect of desires unarticulated, failures to sublimate, voices kept silent, and repression reenacted. Not only is this condition undemocratic and unjust, it may lead to further trauma. Unless its troubles are worked through, a political community risks continual repetition and even self-destruction. McAfee deftly weaves together her experience as an observer of democratic life with an array of intellectual schemas, from poststructural psychoanalysis to Rawlsian and Habermasian democratic theories, as well as semiotics, civic republicanism, and American pragmatism. She begins with an analysis of the traumatic effects of silencing members of a political community. Then she explores the potential of deliberative dialogue and other "talking cures" and public testimonies, such as the South African Truth and Reconciliation Commission, to help societies work through, rather than continually act out, their conflicts. _Democracy and the Political Unconscious_ is rich in theoretical insights, but it is also grounded in the practical problems of those who are trying to process the traumas of oppression, terror, and brutality and create more decent and democratic societies. Drawing on a breathtaking range of theoretical frameworks and empirical observations, _Democracy and the Political Unconscious_ charts a course for democratic transformation in a world sorely lacking in democratic practice. (shrink)

Many philosophers working on virtue theory have resisted the idea that the virtues are practical skills, apparently following Aristotle’s resistance to that idea. Bucking the trend, Matt Stichter defends a strong version of this idea in The Skillfulness of Virtue by marshaling a wide range of conceptual and empirical arguments to argue that the moral virtues are robust skills involving the cognitive-conative unification of Aristotelian phronêsis (‘practical intelligence’). Here I argue that Aristotle overlooks a more delimited kind of practical intelligence, (...) strongly analogous to his own account of phronêsis, that unifies complex forms of expertise such as medicine or even high-level sports. Insofar as the skill model of virtue is compelling, it must draw on a robust conception of practical expertise (technê) like the one developed here rather than the ordinary, anemic conception of practical skills. (shrink)

The word 'rationalism,' as it appears in philosophical discussions of ethics and morality, signifies at least one of a cluster of theses, each of which connects some aspect of ethical experience to reason or rationality. The most provocative rationalist thesis arises in contemporary discussions in metaethics; and it is this thesis that remains the most likely referent, in contemporary discussions, of the phrase 'moral rationalism.' The thesis is more accurately referred to, however, as metaethical rationalism, since it concerns the provenance (...) and nature of moral obligations, rather than their substance. A strong version of metaethical rationalism maintains that if someone is morally obligated to perform a certain action, then performing that action is what she has the strongest reasons, all things considered, to do. A weaker version of metaethical rationalism claims that if someone is morally obligated to perform a certain action, then performing that action is something that she has a reason to do, even though the reason might not be decisive: another reason, for instance of prudence, might trump the reason she has to act morally. It is rationalism in this metaethical guise that will be the ultimate focus of this essay. (shrink)

Depuis la fin des années 70, l’érosion croissante des droits sociaux, résultat des restructurations successives des marchés du travail nationaux encouragées au niveau de l’Union européenne, ainsi que l’émergence consécutive d’une société de compétition, ont mené à l’anomie sociale tout en ouvrant la porte à un nouvel ordre normatif disciplinaire. Ce nouvel ordre forme et refaçonne l’identité individuelle et collective en enfermant les gens dans des modèles de relations favorisant la peur, l’indifférence, l’intolérance envers l’autrui, ou encore le sentiment de (...) honte et la perte de l’estime de soi. Dans les cas les plus extrêmes, cela mène à l’auto-annihilation. (shrink)

This article looks at how various political cultures and imaginaries occlude the public’s deeply democratic political role, especially the currently reigning anti-political culture of neo-liberalism. Even in an era when millions of people the world over take to the streets in protest, dominant political imaginaries position most of the world’s people as largely powerless. What is needed is a radical political imaginary along the lines that Cornelius Castoriadis suggests. This imaginary foregrounds the ways in which all social and political formations (...) are already constituted by human beings’ ability to create new formations in the absence of foundations. But ignorant of this power, people are trapped in imaginaries where it seems that power resides elsewhere, only in halls of state or corporate boardrooms. This article offers an account that identifies where power originates and how it can be reclaimed through a more radical democratic political imaginary. The article proceeds as follows: the first two sec... (shrink)

Entosis, a form of cell cannibalism, is a newly discovered pathogenic mechanism leading to the development of small brains, termed microcephaly, in which P53 activation was found to play a major role. Microcephaly with entosis, found in Pals1 mutant mice, displays P53 activation that promotes entosis and apoptotic cell death. This previously unappreciated pathogenic mechanism represents a novel cellular dynamic in dividing cortical progenitors which is responsible for cell loss. To date, various recent models of microcephaly have bolstered the importance (...) of P53 activation in cell death leading to microcephaly. P53 activation caused by mitotic delay or DNA damage manifests apoptotic cell death which can be suppressed by P53 removal in these animal models. Such genetic studies attest P53 activation as quality control meant to eliminate genomically unfit cells with minimal involvement in the actual function of microcephaly associated genes. In this review, we summarize the known role of P53 activation in a variety of microcephaly models and introduce a novel mechanism wherein entotic cell cannibalism in neural progenitors is triggered by P53 activation. (shrink)

This interesting and provocative work develops a new theological approach to language in the light of contemporary critical theory.

"Teaching after all is about knowing children well" -- from A Letter to Teachers "Perrone has given us a gift, a book worth reading over many times, an important reflection on his many years of close observation of schools and school people, parents, teachers, children, and their communities." -- Deborah W. Meier, principal, Central Park East Secondary School Simple, elegant and full of common sense, these reflections on the art of teaching address the deepest concerns teachers have for their work (...) with children and young people. (shrink)

Dietrich Bonhoeffer was executed in Flossenbürg concentration camp in Germany in 1945 for being an “upstander” in Rivka Weinberg’s sense. He was an anti-Nazi conspirator, and he and some of his fellow Christians (he was a Lutheran pastor) were hanged in connection with a failed attempt to assassinate Adolph Hitler. Bonhoeffer’s resistance to racist hatred stands in sharp contrast to what he calls “Christian radicalism,” a total withdrawal from or an attempt to “improve” upon God’s creation, something Bonhoeffer characterizes as (...) “hatred” of the world. “When evil becomes powerful in the world,” he wrote, “it infects the Christian, too, with the poison of radicalism” (Bonhoeffer 1955, 87). He presumably had Christian collaboration with Nazi genocide in mind. Today different examples might occur to us. ... (shrink)

The debate surrounding the issue of collective moral responsibility is often steeped in metaphysical issues of agency and personhood. I suggest that we can approach the metaphysical problems surrounding the issue of collective responsibility in a roundabout manner. My approach is reminiscent of that taken by P.F. Strawson in "Freedom and Resentment" (1968). Strawson argues that the participant reactive attitudes - attitudes like resentment, gratitude, forgiveness and so on - provide the justification for holding individuals morally responsible. I argue that (...) the framework of the reactive attitudes extends to collectives and provides the justification for holding collectives morally responsible. (shrink)

The philosophical life can be a nomadic life, both in thought and practice. In the engaging and insightful work of the Mexican-Uruguayan philosopher Carlos Pereda, the more important of these is nomadic thought—a mode of thinking that moves and explores, that is not stationary or static, that is not stubbornly hidebound. This is a kind of nomadism that characterizes healthy or epistemically virtuous thinking in general, and that might indeed be indispensable to it. But a nomadism in practice—of migration, or (...) exile, or cross-border transplantation—is certainly also central to Pereda’s philosophical outlook. "Mexico Unveiled" brings together for an English-speaking audience some of Pereda’s most recent reflections on the philosophical significance of these two different types of nomadism, with a special emphasis on nomadic thinking. That idea is the through-line for Pereda’s thinking here. But the book also offers an idiosyncratic synthesis of 20th-century Mexican philosophy that considers the persistent influence of European colonialism on Mexican intellectual life, the politics of identity and inclusion, and the changing ideas of what it means to be Mexican. (shrink)

Caspar David Friedrich was the quintessential Romantic figure, portraying the Sublime in his landscape paintings. The Romantic period, particularly in Germany, England, and France, was characterized by the full development of aesthetics as a separate branch of philosophy. The terrible Sublime was contrasted with the more formal elements of Beauty. In this paper, Dr. dela Cruz similarly compares the inarticulable aesthetic sensibility and the more formal method of logical analysis, underscoring her own transition from philosophy to creative writing. She provides (...) a philosophical analysis of what picture theorists call the “visual metaphor” in Friedrich’s key works, in particular “The Wanderer Above a Sea of Fog” and “On the Sailingboat.” Her engagement with these works takes the form of a creative piece—an ekphrastic poem—integrated in a philosophical paper, which is also simultaneously about the aesthetics of that literary form. (shrink)

Winner of the American Philosophical Association’s 2019 Essay Prize in Latin American Thought | Western imperialism has received many different types of moral-political justifications, but one of the most historically influential justifications appeals to an allegedly universal form of human nature. In the early modern period this traditional conception of human nature—based on a Western archetype, e.g. Spanish, Dutch, British, French, German—opens up a logical space for considering the inhabitants of previously unknown lands as having a ‘less-than-human’ nature. This appeal (...) to human nature originally found its inspiration in the philosophy of Aristotle, whose ethical thought pervaded the work of European philosophers at the outset of the early modern period and the modern age of empire. Indeed some Spanish writers—most famously, Juan Ginés de Sepúlveda (b. 1494)—explicitly appealed to Aristotle’s moral-political philosophy in order to justify the conquest of the Americas in the early sixteenth century, for instance to justify war against the Aztecs and other indigenous peoples. At the time of European arrival, the Aztec civilization was easily the greatest in Mesoamerica—and yet the Europeans generally considered the Aztec people to be ‘barbaric,’ i.e. less-than-fully-human. (shrink)

Currently, the number of individuals affected by Alzheimer’s disease is rapidly increasing, expected to reach 14 million in the United States within 30 years. In spite of this impending crisis, less than 50 percent of primary care physicians disclose the diagnosis of dementia to their patients. This failure negatively impacts not only patients but also caregivers, whom dementia patients require to help them meet their needs and who often serve as important decision makers, either as surrogates or as designated healthcare (...) agents for the patient. If caregivers are not informed about and prepared to deal with the challenges they face, their health, both emotional and physical, is put at risk. We will argue that both patient and caregiver have the right to be informed of the diagnosis, as their interests are intertwined, especially as the disease progresses and the caregiver becomes the primary advocate for the patient. The caregiver of an individual with dementia therefore becomes intimately connected to the patient’s autonomy in a way few caregivers of other diseases do. In this article, we will show that a timely and thorough disclosure of the diagnosis is morally obligated by the core principles of medical ethics. As the population ages, primary care physicians must see themselves in a triadic relationship with both the dementia patient and caregiver, recognizing that the interests of both are deeply interdependent. (shrink)

I address the question of whether certain poststructuralist theories of subjectivity can contribute to Habermas's project of deliberative democracy--whether effective political agency requires that we be the kinds of individuals supposed by the modern liberal tradition or whether effective citizenship is possible under a poststructuralist theory of the subject as an "open system." I find that poststructuralist subjectivities can be effective political agents. ;In part one, I introduce two sometimes warring theories of subjectivity. One is the theory of Jurgen Habermas. (...) I argue that Habermas's theory leads to a theory of subjectivity being transparent to itself, independently spontaneous, fixed, and individualistic. The other is the theory of Julia Kristeva, which holds that the subject is a tenuous effect of its relations with the others in its midst and its own internal otherness. In part two I show how their theories of subjectivity inform their views of citizenship and politics. As I argue, each orientation has its problems. Habermas mistakenly argues that the subject can act discretely and autonomously; conversely, Kristeva's view seems to foreclose the possibility of agency, since it considers the subject as fragmented, split, and at odds with itself. Where Habermas is overly optimistic about the possibility for individuals to know their own interests and act autonomously, Kristeva's view could be construed negatively: If subjectivity is dynamic and "in process," could anyone act as an agent in the public sphere? ;In part three I answer this question affirmatively by developing an alternative model of subjectivity and citizenship, namely that of subjectivities indebted to others and deeply interrelated, from the deepest ontological level up to the level of political community. Building on this, I develop a theory of political knowledge, choice and action that fits into current work in deliberative democracy. I conclude that the more we recognize our indebtedness and relationship with the others in our midst, the more likely we are to have effective political agency, practice, and communities. (shrink)

Distinguishing explicit from implicit knowledge on the basis of the active representation of certain propositional attitudes fails to provide an explanation for dissociations in learning performance under implicit and explicit conditions. This suggests an account of implicit and explicit knowledge grounded in the presence of multiple learning mechanisms, and multiple brain systems more generally. A rough outline of a connectionist account of this kind is provided.

When restricted to proving $\Sigma _{i}^{q}$ formulas, the quantified propositional proof system $G_{i}^{\ast}$ is closely related to the $\Sigma _{i}^{b}$ theorems of Buss's theory $S_{2}^{i}$ . Namely, $G_{i}^{\ast}$ has polynomial-size proofs of the translations of theorems of $S_{2}^{i}$ , and $S_{2}^{i}$ proves that $G_{i}^{\ast}$ is sound. However, little is known about $G_{i}^{\ast}$ when proving more complex formulas. In this paper, we prove a witnessing theorem for $G_{i}^{\ast}$ similar in style to the KPT witnessing theorem for $T_{2}^{i}$ . This witnessing theorem (...) is then used to show that $S_{2}^{i}$ proves $G_{i}^{\ast}$ is sound with respect to $\Sigma _{i+1}^{q}$ formulas. Note that unless the polynomial-time hierarchy collapses $S_{2}^{i}$ is the weakest theory in the s₂ hierarchy for which this is true. The witnessing theorem is also used to show that $G_{i}^{\ast}$ is p-equivalent to a quantified version of extended-Frege for prenex formulas. This is followed by a proof that Gi p-simulates $G_{i+1}^{\ast}$ with respect to all quantified propositional formulas. We finish by proving that S₂ can be axiomatized by $S_{2}^{1}$ plus axioms stating that the cut-free version of $G_{0}^{\ast}$ is sound. All together this shows that connection between $G_{i}^{\ast}$ and $S_{2}^{i}$ does not extend to more complex formulas. (shrink)

Ils sont suisse, canadien, belge, roumain ou encore français et se sont réunis à Montréal pour se pencher sur la notion de «limite» dans les travaux de Jean Ladrière. On le sait, l'oeuvre de Jean Ladrière se déploie, avec génie et originalité, dans bien des domaines: la physique, les mathématiques, la logique, les sciences du langage, la philosophie et la théologie. Les textes réunis dans ce volume tentent de penser les «articulations du sens» de cette notion de «limite», en prenant (...) la mesure des questionnements les plus contemporains, que ceux-ci émanent de perspectives scientiques, politiques, éthiques ou encore pratiques. (shrink)

In “Group Testimony” (2007) I argued that the testimony of a group cannot be understood (or at least cannot always be understood) in a summative fashion; as the testimony of some or all of the group members. In some cases, it is the group itself that testifies. I also argued that one could extend standard reductionist accounts of the justification of testimonial belief to the case of testimonial belief formed on the basis of group testimony. In this paper, I explore (...) the issue of group testimony in greater detail by focusing on one putative source of testimony, that of Wikipedia. My aim is to the answer the following questions: Is Wikipedia a source of testimony? And if so, what is the nature of that source? Are we to understand Wikipedia entries as a collection of testimonial statements made by individuals, some subset of individuals, or is Wikipedia itself (the organization or the Wikipedia community) the entity that testifies? If Wikipedia itself is a source of testimony, what resources do we have for assessing the trustworthiness of such an unusual epistemic source? In answering these questions I hope to further elucidate the nature of collective epistemic agency (Tollefsen 2006), of which group testimony is a paradigm example. When a mans Discourse begineth…at some saying of another, of whose ability to know the truth, and of whose honesty in not deceiving, he doubteth not; and then the Discourse is not so much concerning the Thing, as the Person; and the Resolution is called Beleefe, and Faith: Faith in the man. (1651/1991, Ch. 7; p. 48). (shrink)

This chapter defends an Aristotelian account of patriotism that differs from, and improves upon, the ‘extreme’ account of Aristotelian patriotism defended by Alasdair MacIntyre in a famous lecture. The virtue of patriotism is modeled on Aristotle’s account of the virtue of friendship; and the resulting account of patriotism falls between MacIntyre’s extreme patriotism and Marcia Baron’s moderate patriotism. The chapter illustrates how this plausible Aristotelian account of patriotism can avoid the dilemma that Baron has pressed against MacIntyre’s extreme account. It (...) also illustrates why the virtue of patriotism cannot coexist with willful forms of ignorance. In its discussion of patriotism and ignorance the chapter draws on a recent study (2018) of the especially strong connection in the United States between patriotism and poverty. (shrink)

In De Anima III.3 Aristotle presents his official discussion of phantasia (“imagination” in most translations). At the very outset of the discussion Aristotle offers as an endoxon that “phantasia is that in virtue of which we say that a phantasma occurs to us” (428a1-2). Now a natural reading of this claim, taken up by many commentators, can pose a problem for Aristotle’s overall account of perception. Here I argue that, although it would be silly to deny that Aristotle considers phantasia (...) to be that in virtue of which a phantasma occurs to someone, it is not silly to deny that phantasmata are present in every case in which phantasia is operative. This suggestion bolsters the idea that, according to Aristotle’s account of veridical perception, we can understand the world as making itself perceptually manifest to the perceiver. (shrink)

PERRON A and HOLMES D. Nursing Inquiry 2011; 18: 191–204Constructing mentally ill inmates: nurses’ discursive practices in correctionsThe concepts of discourse, subjectivity and power allow for innovative explorations in nursing research. Discourse take many different forms and may be maintained, transmitted, even imposed, in various ways. Nursing practice makes possible many discursive spaces where discourses intersect. Using a Foucauldian perspective, were explored the ways in which forensic psychiatric nurses construct the subjectivity of mentally ill inmates. Progress notes and individual (...) interviews constitute discursive spaces within which nurses construct patients’ subjectivities. Progress notes provide a written (and permanent) form of discourse, while interviews set the space for a more fluid and contextual form of discourse. We identified five types of subjectivities – the (in)visible patient, the patient as risk, the deviant patient, the disturbed patient and the disciplined patient. These subjectivities were rooted in various types of discourses circulating in the selected setting. Despite the multiple discursive dimensions of forensic psychiatric nursing, progress notes remain the main formal source of information regarding nursing care even though it is not representative of the care provided nor is it representative of nurses’ complex discursive practices in corrections. (shrink)

The most long-standing criticism of virtue ethics in its traditional, eudaimonistic variety centers on its apparently foundational appeal to nature in order to provide a source of normativity. This paper argues that a failure to appreciate both the giving and taking of reasons in sustaining an ethical outlook can distort a proper understanding of the available options for this traditional version of virtue ethics. To insist only on giving reasons, without also taking (maybe even considering) the reasons provided by others, (...) displays a sadly illiberal form of prejudice. The paper finds and criticizes such a distortion in Jesse Prinz’s recent discussion of the ‘Normativity Challenge’ to Aristotelian virtue ethics, thus highlighting a common tendency that we can helpfully move beyond. (shrink)

In everyday discourse and in the context of social scientific research we often attribute intentional states to groups. Contemporary approaches to group intentionality have either dismissed these attributions as metaphorical or provided an analysis of our attributions in terms of the intentional states of individuals in the group.Insection1, the author argues that these approaches are problematic. In sections 2 and 3, the author defends the view that certain groups are literally intentional agents. In section 4, the author argues that there (...) are significant reasons for social scientists and philosophers of social science to acknowledge the adequacy of macro-level explanations that involve the attribution of intentional states to groups. In section 5, the author considers and responds to some criticisms of the thesis she defends. (shrink)

One of the most original thinkers of the twentieth century, Julia Kristeva has been driving forward the fields of literary and cultural studies since the 1960s. This volume is an accessible, introductory guide to the main themes of Kristeva's work, including her ideas on: *semiotics and symbolism *abjection *melancholia *feminism *revolt. McAfee provides clear explanations of the more difficult aspects of Kristeva's theories, helpfully placing her ideas in the relevant theoretical context, be it literary theory, psychoanalysis, linguistics, gender studies or (...) philosophy, and demonstrates the impact of her critical interventions in these areas. Julia Kristeva is the essential guide for readers who are approaching the work of this challenging thinker for the first time, and provides the ideal opportunity for those with more knowledge to re-familiarise themselves with Kristeva's key terms. (shrink)

This paper argues that the public can do more than legitimate government; it can provide public knowledge for sound public policy. Critics of democracy worry that the public has too little objectivity and impartiality to know what is best. These critics have a point: taken one by one, people have little knowledge of the whole. For this reason, citizens need to escape the cloisters of kith and kin and enter a world of unlike others. They need to be open to (...) other perspectives and concerns. They need to deliberate with others in public. In other words, an inchoate plurality of people needs to become public in order to develop a more comprehensive picture of the whole and to define ‘where the shoe pinches’. Democracy requires that the multitude deliberate publicly in order to create public knowledge by which sound public policy can be formed. Key Words: deliberation • democracy • John Dewey • Jürgen Habermas • legitimacy • particularity • perspectives • rational deliberative • proceduralism. (shrink)