Although hope is a pervasive concept in cancer treatment, we know little about how ambulatory patients with cancer define or experience hope. We explored hope through semistructured interviews with ten patients with advanced (some curable, some incurable) colon cancer at one Midwestern, university–based cancer center. We conducted a thematic analysis to identify key concepts related to patient perceptions of hope. Although we did ask specifically about hope, patients also often revealed their hopes in response to indirect questions or by telling (...) stories about their cancer experience. We identified four major themes related to hope: 1) hope is essential, 2) a change in perspective, 3) the content of hope, and 4) communicating about hope. The third theme, the content of hope, included three subthemes: a) the desire for normalcy, b) future plans, and c) hope for a cure. We conclude that hope is an essential concept for patients undergoing treatment for cancer as it pertains to their psychological well–being and quality of life, and hope for a cure is not and should not be the only consideration. In a clinical context, the exploration of patients’ hopes and aspirations in light of their cancer diagnosis is important because it provides a frame for understanding their goals for treatment. Exploration of the content of patients’ hope can not only help to illuminate misunderstandings but also clarify how potential treatments may or may not contribute to achieving patients’ goals. (shrink)

The primary objective was to review pediatric ethics consultations at a large academic health center over a nine year period, assessing demographics, ethical issues, and consultant intervention. The secondary objective was to describe the evolution of PECs at our institution. This was a retrospective review of Consultation Summary Sheets compiled for PECs at our Academic Health Center between January 2008 and April 2017. There were 165 PECs reviewed during the study period. Most consult requests came from the inpatient setting, with (...) the Pediatric and Neonatal Intensive Care Units being the highest utilizers. Consultation utilization increased over the study period. The most common patient age was less than one year. Physicians were most likely to request consultation. Patient Best Interest, Withholding/Withdrawing of Life Sustaining Therapy, and Provider Moral Distress were ethical issues most commonly identified by the consultants. Making recommendations was the most common consultant intervention. The ethics consultation process evolved over time from informal provider discussions, to a hospital infant care review committee, to a pediatric only consultation service, to a combined adult/pediatric consultation service, with variable levels of salary support for consultants. Ethics consultation requests are growing at our institution. Similarities in identified ethical issues exist between our findings and existing literature, however meaningful comparisons remains elusive secondary to variability in approaches to investigation and reporting. A combined paid/volunteer/trainee ethics consultation service model appears sustainable and real time ethics consultation is feasible using this approach. (shrink)

CYBATHLON is an international championship where people with severe physical disabilities compete with the aid of state-of-the-art assistive technology. In one of the disciplines, the BCI Race, tetraplegic pilots compete in a computer game race by controlling an avatar with a brain-computer interface. This competition offers a perfect opportunity for BCI researchers to study long-term training effects in potential end-users, and to evaluate BCI performance in a realistic environment. In this work, we describe the BCI system designed by the team (...) Mirage91 for participation in the CYBATHLON BCI Series 2019, as well as in the CYBATHLON 2020 Global Edition. Furthermore, we present the BCI’s interface with the game and the main methodological strategies, along with a detailed evaluation of its performance over the course of the training period, which lasted 14 months. The developed system was a 4-class BCI relying on task-specific modulations of brain rhythms. We implemented inter-session transfer learning to reduce calibration time, and to reinforce the stability of the brain patterns. Additionally, in order to compensate for potential intra-session shifts in the features’ distribution, normalization parameters were continuously adapted in an unsupervised fashion. Across the aforementioned 14 months, we recorded 26 game-based training sessions. Between the first eight sessions, and the final eight sessions leading up to the CYBATHLON 2020 Global Edition, the runtimes significantly improved from 255 ± 23 s to 225 ± 22 s, respectively. Moreover, we observed a significant increase in the classifier’s accuracy from 46 to 53%, driven by more distinguishable brain patterns. Compared to conventional single session, non-adaptive BCIs, the inter-session transfer learning and unsupervised intra-session adaptation techniques significantly improved the performance. This long-term study demonstrates that regular training helped the pilot to significantly increase the distance between task-specific patterns, which resulted in an improvement of performance, both with respect to class separability in the calibration data, and with respect to the game. Furthermore, it shows that our methodological approaches were beneficial in transferring the performance across sessions, and most importantly to the CYBATHLON competitions. (shrink)

Professor Kai Nielsen is one of the most forceful proponents of the view that theological assertions have no factual reference because they are compatible with any empirical state of affairs; no evidence, it is alleged, is allowed to count as falsification of such assertions, and therefore they spuriously purport to be what they are not. In this he follows the well-known essay by Professor Antony Flew in which the same argument was advanced, and Nielsen's own most recent contribution on the (...) subject in Religious Studies should be read against the background of his earlier controversy with Professors John Hick and George Mavrodes in The Canadian Journal of Theology. In this latest article he broadens the canvas to question the significance of applying language and concepts appropriate to the realm of empirical observation to anything that is held to transcend it; and this is the substance of Part II of his paper, in which he engages in debate with Professor Ian Crombie, treading well-worn ground that has been the subject of innumerable philosophical discussions. The rest of the paper, however, is a restatement of his earlier contention, and it is with this more limited issue that I shall be concerned in what follows. For I believe that Nielsen is wrong in two quite fundamental respects: he is mistaken in supposing that theological assertions are compatible with any empirical state of affairs: he bases his critique of theological assertions on a far too uncritical appraisal of the principles of verification and falsification in the case of ordinary factual statements. If I am right, the larger questions raised in Part II will still remain open, but it is high time that the ‘verification-falsification argument’ should be shown to be unfounded. (shrink)

There have been a number of attempts to apply mechanism-related concepts to the notion of extended cognition. Such accounts appeal to the idea that extended cognitive routines are realized by mechanisms that transcend some salient border or boundary. The present paper describes some of the challenges confronting the effort to develop a mechanistic account of extended cognition. In particular, it describes five problems that must be resolved if we are to make sense of the idea that extended cognition can be (...) understood via an appeal to extended mechanisms. These problems are intended to guide the philosophical effort to develop a mechanistic account of extended cognition. (shrink)

L. J. Savage and I. J. Good have each demonstrated that the expected utility of free information is never negative for a decision maker who updates her degrees of belief by conditionalization on propositions learned for certain. In this paper Good's argument is generalized to show the same result for a decision maker who updates her degrees of belief on the basis of uncertain information by Richard Jeffrey's probability kinematics. The Savage/Good result is shown to be a special case of (...) the more general result. (shrink)

__Augustine and the Cure of Souls __situates Augustine within the ancient philosophical tradition of using words to order emotions. Paul Kolbet uncovers a profound continuity in Augustine's thought, from his earliest pre-baptismal writings to his final acts as bishop, revealing a man deeply indebted to the Roman past and yet distinctly Christian. Rather than supplanting his classical learning, Augustine's Christianity reinvigorated precisely those elements of Roman wisdom that he believed were slipping into decadence. In particular, Kolbet addresses the manner (...) in which Augustine not only used classical rhetorical theory to express his theological vision, but also infused it with theological content. This book offers a fresh reading of Augustine's writings--particularly his numerous, though often neglected, sermons--and provides an accessible point of entry into the great North African bishop's life and thought. "For someone who does not know Augustine well this book will be an excellent introduction to his thought from an absolutely crucial viewpoint. Augustine's preaching, teaching, and attempts to reach the minds and hearts of his congregation have been largely overlooked. This book has the great virtue of demonstrating why these were important." --_Carol Harrison, Durham Universi_ty "In this insightful and lucid study Kolbet leads his readers across the boundaries of ancient philosophy, psychology, rhetoric, and theology. He examines the ancient practice of the 'cure of the soul' and charts its Christian appropriation by Augustine. The volume offers its own medicinal promise--the reordering of our contemporary understanding of early Christianity and its complex association with classical culture." --_John Peter Kenney, St. Michael's College_. (shrink)

Mandevillian intelligence is a specific form of collective intelligence in which individual cognitive vices are seen to play a positive functional role in yielding collective forms of cognitive success. The present paper introduces the concept of mandevillian intelligence and reviews a number of strands of empirical research that help to shed light on the phenomenon. The paper also attempts to highlight the value of the concept of mandevillian intelligence from a philosophical, scientific and engineering perspective. Inasmuch as we accept the (...) notion of mandevillian intelligence, then it seems that the cognitive and epistemic value of a specific social or technological intervention will vary according to whether our attention is focused at the individual or collective level of analysis. This has a number of important implications for how we think about the design and evaluation of collective cognitive systems. For example, the notion of mandevillian intelligence forces us to take seriously the idea that the exploitation of individual cognitive shortcomings could, in some situations, provide a productive route to collective forms of cognitive and epistemic success. (shrink)

We argue that mereological essentialism for events is independent of mereological essentialism for objects, and that the philosophical fallout of embracing mereological essentialism for events is minimal. We first outline what we should consider to be the parts of events, and then highlight why one would naturally be inclined to think that the object-question and the event-question are linked. Then, we argue that they are not. We also diagnose why this is the case and emphasize the upshot. In particular, we (...) argue that the way we evaluate modal claims which concern events differs from the way we evaluate modal claims which concern objects. Ultimately, then, to our title question we say: the answer does not matter as much as you might think. (shrink)

This paper argues that questions concerning the nature of concepts that are central in cognitive psychology are also important to epistemology and that there is more to conceptual change than mere belief revision. Understanding of epistemic change requires appreciation of the complex ways in which concepts are structured and organized and of how this organization can affect belief revision. Following a brief summary of the psychological functions of concepts and a discussion of some recent accounts of what concepts are, I (...) propose a view of concepts as complex computational structures. This account suggests that conceptual change can come in varying degrees, with the most extreme consisting of fundamental conceptual reorganizations. These degrees of conceptual change are illustrated by the development of the concept of an acid. (shrink)

This chapter reviews the aspects of Mencius that did and did not interest Han-dynasty writers. With the help of digital concordances, it is easy to discover that many of the passages considered crucial today were rarely, if ever, cited in the Han. These include the parable of the infant about to fall into a well (2A.6), the debate with a Mohist named Yi Zhi 夷之 (3A.5), and the concept of liangzhi 良知 (7A.15), which, since Wang Yangming 王陽明 (1472–1528), has been (...) considered a cornerstone of Mencian ethics. The chapter discusses other key passages that are never mentioned in Han sources. Absence of evidence is not evidence of absence, and thus one cannot simply infer that these passages were unknown in the Han dynasty, but it remains significant that they were not regarded as essential to understanding Mencius’s philosophy. The conclusion will explore the differences between Mencius’s reception in the Han dynasty and his Neo-Confucianized reception today. (shrink)

In The Langoliers, passengers on an airline flight wake to find that they’ve mysteriously travelled a few minutes back in time… a few minutes behind everyone else. They find that the world still exists, after ‘the present’ has moved on, but only for a short duration before the Langoliers—the timekeepers of eternity—arrive to remove it permanently from existence. This story prompts two interesting questions: How should we understand the nature of time in The Langoliers? Could the nature of time in (...) our world be the same as in The Langoliers? And, are the characters in The Langoliers really time travellers? In answering these questions, we can gain a greater understanding of the world depicted in The Langoliers, as well as of our own world. (shrink)

Endurantism is commonly characterized as a sweeping thesis, according to which enduring objects persist by sweeping or moving through time. I argue that the endurantist should resist this characterization as it makes her view incompatible with eternalism, the moving spotlight theory, and the growing block theory. Moreover, even the presentist endurantist should resist this characterization as it undermines the modal analogy. As a result, those who argue against endurantism should avoid characterizing endurantism in this way. Through this discussion we can (...) better understand the endurantist picture and appreciate why caution is needed when characterizing the nature of enduring objects. (shrink)

"Evidence of a flight from reason is as old as human record-keeping: the fact of it certainly goes back an even longer way. Flight from science specifically, among the forms of rational inquiry, goes back as far as science itself... But rejection of reason is now a pattern to be found in most branches of scholarship and in all the learned professions."--from the introduction In the widely acclaimed Higher Superstition: The Academic Left and Its Quarrels with Science, Paul R. (...) Gross and Norman Levitt offered a spirited response to the "science bashers," raising serious questions about the growing criticism of scientific practice from humanists and social scientists on the academic left. Now, in The Flight from Science and Reason, Gross and Levitt are joined by Martin W. Lewis to bring together a diverse and distinguished group of scholars, scientists, and experts to engage these questions from a wide variety of perspectives. The authors take on critics of science whose views range from moderate to extreme, from social constructivists to deconstructionists, from creationists and feminists to Afro-centrists. They discuss the rise of "alternative medicine" and radical environmentalism (here skewered as "ecosentimentalism"). They explain why the "uncertainty principle" does not work as a metaphor for ambiguity, and why "chaos theory" cannot be invoked without an understanding of mathematics. Throughout, they grapple with the paradox inherent in arguing with opponents who contend that reason itself, and thus logic, is suspect. Distributed for the New York Academy of Sciences. (shrink)

Heng Xian is a previously unknown text reconstructed by Chinese scholars out of a group of more than 1,200 inscribed bamboo strips purchased by the Shanghai Museum on the Hong Kong antiquities market in 1994. The strips have all been assigned an approximate date of 300 B.C.E., and Heng Xian allegedly consists of thirteen of them, but each proposed arrangement of the strips is marred by unlikely textual transitions. The most plausible hypothesis is one that Chinese scholars do not appear (...) to take seriously: that we are missing one or more strips. The paper concludes with a discussion of the hazards of studying unprovenanced artifacts that have appeared during China’s recent looting spree. I believe the time has come for scholars to ask themselves whether their work indirectly abets this destruction of knowledge. (shrink)

Shangjun shu, a text that is especially rich in nuanced keywords, coordinates different types of power in significant sequences. Comprehending the philosophy of the text therefore requires comprehending the semantics and etymologies of these keywords. The present article is not a comprehensive discussion of power in Shangjun shu but affords a glimpse of the value of historical linguistics for a deeper understanding of philosophy and conceptual history.

Der Autor zeigt auf, dass die Idee der Freiheit fur Karl Jaspers die Grundlage seines politischen Denkens und seiner politischen Ethik darstellt. Jaspers beschreibt, dass der Mensch aus Freiheit und Verantwortung heraus handeln soll, wobei die Motivatoren dafur Vernunft und Liebe seien. So kann der unbedingten Forderung entsprochen werden. Auch in der Politik soll diese Maxime umgesetzt werden. Dementsprechend ist Ethik in Freiheit die Grundlegung von Jaspers' politischem Denken. -Der Autor hat uns mit diesem Buch Karl Jaspers und seine Idee (...) der Freiheit neu nahe gebracht. Moge es viele Fruchte der Freiheit tragen und verbreiten!- "O. Univ.-Prof. Dr. Dr. h.c. Manfried Welan (Universitat fur Bodenkultur Wien)" -Der Aufgabe, eine politische Ethik bei Jaspers zu rekonstruieren, hat sich Paul R. Tarmann in vorbildlicher Weise unterzogen.- "O. Univ.-Prof. Dr. Norbert Leser + (Universitat Wien)"". (shrink)

H. L. A. Hart famously claimed that part of the appeal of natural law “doctrine” is the “independence” of natural law from divine and human authority. God, according to Hart, is not necessary to natural law. By way of contrast, J. Budziszewski argues that natural law really is law and that law qua law requires an enactor. Moreover, the only plausible candidate for the enactor of natural law as law is the author of nature—that is, God. In this essay I (...) argue that Budziszewski is right and Hart wrong. Law imposes obligations upon those under it, and obligations qua obligation are categorical rather than hypothetical imperatives. Categorical imperatives, in turn, require prescription. Consequently, prescription is necessary to any intelligible account of moral obligation. And prescription, finally, requires an authoritative prescriber. (shrink)

Conceptual combinations range from the utterly mundane to the sublimely creative. Mundane combinations include a myriad of adjective-noun and noun-noun juxtapositions that crop up in everyday speaking and writing, such as blue car, cooked carrots, and radio phone. Creative combinations include some of the most important theoretical constructions in science, such as sound wave, bacterial infection, and natural selection. Both mundane and creative conceptual combinations are essential to our attempts to make sense of the world and people's utterances about it. (...) This paper will show how the various aspects of conceptual combination discussed by Hampton (this volume), Shoben and Gagn. (shrink)

According to the presentist, only the present moment exists and, as time passes, what’s present changes. However some argue that, if only one moment exists, the presentist cannot explain the passage of time. While the presentist historically appeals to surrogates—proxies which exist in the present but play the role of non-existent past times—to evade this sort of worry, the appeal to surrogates has come under renewed attack from Lisa Leininger. But hope is not lost for the presentist. I argue that (...) presentists do have the resources available to address the underlying issue Leininger articulates. Moreover, there’s disagreement amongst presentists about which version of presentism is best. For instance, David Ingram has recently argued that thisness presentism is preferable to other versions of presentism because it’s able to handle certain problems other versions of presentism cannot. However, I argue that this assessment is premature. More specifically, I argue that Ingram’s response to an objection from Lisa Leininger fails to address the core issue she raises. Consequently, I argue that presentists shouldn’t embrace thisness presentism just yet. In this way, my aims here are to: sharpen Leininger’s objection, highlight tenable presentist replies to it, and advance the discussion about which version of presentism should be favoured. (shrink)

This peer reviewed reference article is an annotated online bibliography on mereology with 80+ entries. It's aim is to provide a selective and balanced guide to the subject. It contains thematic headings with commentaries. The reader should come away cognizant of what the most influential work in mereology are. Topics highlighted herein include, but are not limited to: the history of mereology, classical extensional mereology and its challenges, parthood, connections with location relations, mereological simples and gunk, composition as identity, as (...) well as mereological essentialism, nihilism, and universalism. (shrink)

Defective newborn children are to be considered human persons. Thus, primary duty in proxy consent is to act with the infant's best interest in mind. This duty may at times override the otherwise prima facie right to life, but only under restricted circumstances. Refinements of McCormick's “relational potential” criteria and of ordinary-extraordinary means analysis prove useful in such decisions. Utilitarian considerations of social consequences have impact but can be kept subsidiary. The importance for decision making of available child support services (...) is considered. Spina bifida is used throughout as an example of issues discussed. (shrink)

Philosophical Investigations, Volume 45, Issue 2, Page 146-160, April 2022.

With the benefit of the complete publication of Foucault’s lectures at the Collège de France, the reception of his work by political philosophers in the English-speaking world during the late 1970s and early 1980s appears extremely confused. This reception was based on the English translations of work published in the mid-1970s, chiefly Discipline and Punish and The History of Sexuality Volume One, along with collections of interviews from the same period. The misunderstandings of those works were compounded by ignorance of (...) developments in his approach to politics and his understanding of power worked out in lectures from 1976 to 1979. The aim of this paper is not simply to defend Foucault against critics from that period, but to show how a more complete understanding of the evolution of his political thought might enable a better understanding of the similarities and differences between his genealogical approach to power and government and the concerns of normative political philosophy. (shrink)

Philosophers of action have rarely systematically thought about acts of communication as special sorts of actions, nor have speech act theorists looked on the bearings of the general theory to action on linguistic acts. This dissertation represents an attempt to work seriously within precisely that intersection of action theory and speech act theory. Some problematic issues in both areas can, from this combined perspective, be reformulated more clearly than they have been previously articulated. ;The first part of the thesis examines (...) linguistic communication as a subspecies of action, formulating a unifying theoretical description of speech and action. The distinction between constitutive rules and regulative rules turns out to parallel a distinction between basic actions and nonbasic actions; I explore the usefulness of the concept of level-generation and basic actions in the context of the theory of linguistic communication, arguing for a conception of basic speech acts. ;The second part of the thesis provides a theory of demonstrative utterances. A demonstrative utterance is simply an utterance accompanied by a demonstrative gesture. The account offered supplies a speech act-like analysis of demonstrative as well as an action-theoretical analysis of the gestures which accompany demonstrative utterances. This theory addresses and answers many of the questions raised by Kaplan and passes beyond them to offer insight into the communicative aspects of demonstrative uses of expressions. I extend this analysis to cover the wider class of all utterances accompanied by relevant gestures as a prologue to the more comprehensive study of nonverbal communicative behavior. ;In the third part I show how the concepts of the unified theory developed in parts I and II, form the building blocks of a general theory of nonverbal communicative behavior. I examine the structure of statements about meaningful action and nonverbal behavior as well as the properties of the behavior itself. I argue that only accounts which include elements of both action theory and the theory of communication can successfully explain the nature of nonverbal communicative behavior as the sort of action that is properly said to be meaningful. (shrink)