It is unknown to what extent medical researchers generalize study findings beyond their samples when their sample size, sample diversity, or knowledge of conditions that support external validity do not warrant it. It is also unknown to what extent medical researchers describe their results with precise quantifications or unquantified generalizations, i.e., generics, that can obscure variations between individuals. We therefore systematically reviewed all prospective studies (n = 533) published in the top four highest ranking medical journals, Lancet, New England Journal (...) of Medicine (NEJM), Journal of the American Medical Association (JAMA), and the British Medical Journal (BMJ), from January 2022 to May 2023. We additionally reviewed all NEJM Journal Watch clinical research summaries (n = 143) published during the same time. Of all research articles reporting prospective studies, 52.5% included generalizations beyond specific national study populations, with the numbers of articles with generics varying significantly between journals (JAMA = 12%; Lancet = 77%) (p < 0.001, V = 0.48). There was no evidence that articles containing broader generalizations or generics were correlated with larger or more nationally diverse samples. Moreover, only 10.2% of articles with generalizations beyond specific national populations reported external validity strengthening factors that could potentially support such extrapolations. There was no evidence that original research articles and NEJM Journal Watch summaries intended for practitioners differed in their use of broad generalizations, including generics. Finally, from the journal with the highest citation impact, articles containing broader conclusions were correlated with more citations. Since there was no evidence that studies with generalizations beyond specific national study populations or with generics were associated with larger, more nationally diverse samples, or with reports of population similarity that may permit extensions of conclusions, our findings suggest that the generalizations in many articles were insufficiently supported. Caution against overly broad generalizations in medical research is warranted. (shrink)

Monetary intelligence theory asserts that individuals apply their money attitude to frame critical concerns in the context and strategically select certain options to achieve financial goals and ultimate happiness. This study explores the dark side of monetary Intelligence and behavioral economics—dishonesty. Dishonesty, a risky prospect, involves cost–benefit analysis of self-interest. We frame good or bad barrels in the environmental context as a proxy of high or low probability of getting caught for dishonesty, respectively. We theorize: The magnitude and intensity of (...) the relationship between love of money and dishonest prospect may reveal how individuals frame dishonesty in the context of two levels of subjective norm—perceived corporate ethical values at the micro-level and Corruption Perceptions Index at the macro-level, collected from multiple sources. Based on 6382 managers in 31 geopolitical entities across six continents, our cross-level three-way interaction effect illustrates: As expected, managers in good barrels, mixed barrels, and bad barrels display low, medium, and high magnitude of dishonesty, respectively. With high CEV, the intensity is the same across cultures. With low CEV, the intensity of dishonesty is the highest in high CPI entities —the Enron Effect, but the lowest in low CPI entities. CPI has a strong impact on the magnitude of dishonesty, whereas CEV has a strong impact on the intensity of dishonesty. We demonstrate dishonesty in light of monetary values and two frames of social norm, revealing critical implications to the field of behavioral economics and business ethics. (shrink)

Monetary Intelligence theory asserts that individuals apply their money attitude to frame critical concerns in the context and strategically select certain options to achieve financial goals and ultimate happiness. This study explores the bright side of Monetary Intelligence and behavioral economics, frames money attitude in the context of pay and life satisfaction, and controls money at the macro-level and micro-level. We theorize: Managers with low love of money motive but high stewardship behavior will have high subjective well-being: pay satisfaction and (...) quality of life. Data collected from 6586 managers in 32 cultures across six continents support our theory. Interestingly, GDP per capita is related to life satisfaction, but not to pay satisfaction. Individual income is related to both life and pay satisfaction. Neither GDP nor income is related to Happiness. Our theoretical model across three GDP groups offers new discoveries: In high GDP entities, “high income” not only reduces aspirations—“Rich, Motivator, and Power,” but also promotes stewardship behavior—“Budget, Give/Donate, and Contribute” and appreciation of “Achievement.” After controlling income, we demonstrate the bright side of Monetary Intelligence: Low love of money motive but high stewardship behavior define Monetary Intelligence. “Good apples enjoy good quality of life in good barrels.” This notion adds another explanation to managers’ low magnitude of dishonesty in entities with high Corruption Perceptions Index. In low GDP entities, high income is related to poor Budgeting skills and escalated Happiness. These managers experience equal satisfaction with pay and life. We add a new vocabulary to the conversation of monetary intelligence, income, GDP, happiness, subjective well-being, good and bad apples and barrels, corruption, and behavioral ethics. (shrink)

Corruption involves greed, money, and risky decision-making. We explore the love of money, pay satisfaction, probability of risk, and dishonesty across cultures. Avaricious monetary aspiration breeds unethicality. Prospect theory frames decisions in the gains-losses domain and high-low probability. Pay dissatisfaction (in the losses domain) incites dishonesty in the name of justice at the individual level. The Corruption Perceptions Index, CPI, signals a high-low probability of getting caught for dishonesty at the country level. We theorize that decision-makers adopt avaricious love-of-money aspiration (...) as a lens and frame dishonesty in the gains-losses domain (pay satisfaction-dissatisfaction, Level 1) and high-low probability (CPI, Level 2) to maximize expected utility and ultimate serenity. We challenge the myth: Pay satisfaction mitigates dishonesty across nations consistently. Based on 6500 managers in 32 countries, our cross-level three-dimensional visualization offers the following discoveries. Under high aspiration conditions, pay dissatisfaction excites the highest- (third-highest) avaricious justice-seeking dishonesty in high (medium) CPI nations, supporting the certainty effect. However, pay satisfaction provokes the second-highest avaricious opportunity-seizing dishonesty in low CPI entities, sustaining the possibility effect—maximizing expected utility. Under low aspiration conditions, high pay satisfaction consistently leads to low dishonesty, demonstrating risk aversion—achieving ultimate serenity. We expand prospect theory from a micro and individual-level theory to a cross-level theory of monetary wisdom across 32 nations. We enhance the S-shaped Curve to three 3-D corruption surfaces across three levels of the global economic pyramid, providing novel insights into behavioral economics, business ethics, the environment, and responsibility. (shrink)

Rita Chin, The Crisis of Multiculturalism in Europe: A History, New Jersey, Princeton University Press, 2017. Péter Vataščin.

Background The use of lengthy, detailed, and complex informed consent forms is of paramount concern in biomedical research as it may not truly promote the rights and interests of research participants. The extent of information in ICFs has been the subject of debates for decades; however, no clear guidance is given. Thus, the objective of this study was to determine the perspectives of research participants about the type and extent of information they need when they are invited to participate in (...) biomedical research. Methods This multi-center, cross-sectional, descriptive survey was conducted at 54 study sites in seven Asia-Pacific countries. A modified Likert-scale questionnaire was used to determine the importance of each element in the ICF among research participants of a biomedical study, with an anchored rating scale from 1 to 5. Results Of the 2484 questionnaires distributed, 2113 were returned. The majority of respondents considered most elements required in the ICF to be ‘moderately important’ to ‘very important’ for their decision making. Major foreseeable risk, direct benefit, and common adverse effects of the intervention were considered to be of most concerned elements in the ICF. Conclusions Research participants would like to be informed of the ICF elements required by ethical guidelines and regulations; however, the importance of each element varied, e.g., risk and benefit associated with research participants were considered to be more important than the general nature or technical details of research. Using a participant-oriented approach by providing more details of the participant-interested elements while avoiding unnecessarily lengthy details of other less important elements would enhance the quality of the ICF. (shrink)

Can modern economics adequately embrace ethical issues or does its theoretical apparatus prohibit such a relationship? In December 1994, social scientists from the fields of economics, philosophy, political science and anthropology attended a workshop to discuss the current state of the economics-ethics nexus by way of examining both past and contemporary practice. The proceedings of this conference presented a wide variety of attitudes and includes an examination of economics and ethics from an economist and a philosopher's perspective, in order to (...) assess the contemporary implications of the relationship, and in the late nineteenth century against the background of a long utilitarian tradition. This is a set of stimulating reflections by practitioners - including Chin Liew Ten, Bob Coats and Geoffrey Brennan - on the tricky associations between economics and ethics. (shrink)

Machine generated contents note: Part I. Introduction: 1. Personal epistemology in the classroom: a welcome and guide for the reader Florian C. Feucht and Lisa D. Bendixen; Part II. Frameworks and Conceptual Issues: 2. Manifestations of an epistemological belief system in pre-k to 12 classrooms Marlene Schommer-Aikins, Mary Bird, and Linda Bakken; 3. Epistemic climates in elementary classrooms Florian C. Feucht; 4. The integrative model of personal epistemology development: theoretical underpinnings and implications for education Deanna C. Rule and Lisa D. (...) Bendixen; 5. An epistemic framework for scientific reasoning in informal contexts Fang-Ying Yang and Chin-Chung Tsai; Appendices; 6. Who knows what and who can we believe? Epistemological beliefs are beliefs about knowledge (mostly) to be attained from others Rainer Bromme, Dorothe Kienhues, and Torsten Porsch; Part III. Students' Personal Epistemology, its Development, and Relation to Learning: 7. Stalking young persons' changing beliefs about belief Michael J. Chandler and Travis Proulx; 8. Epistemological development in very young knowers Leah K. Wildenger, Barbara K. Hofer, and Jean E. Burr; 9. Beliefs about knowledge and revision of knowledge: on the importance of epistemic beliefs for intentional conceptual change in elementary and middle school students Lucia Mason; 10. The reflexive relation between students' mathematics-related beliefs and the mathematics classroom culture Erik De Corte, Peter Op 't Eynde, Fien Depaepe, and Lieven Verschaffel; 11. Examining the influence of epistemic beliefs and goal orientations on the academic performance of adolescent students enrolled in high-poverty, high-minority schools P. Karen Murphy, Michelle M. Buehl, Jill A. Zeruth, Maeghan N. Edwards, Joyce F. Long, and Shinichi Monoi; 12. Using cognitive interviewing to explore elementary and secondary school students' epistemic and ontological cognition Jeffrey A. Greene, Judith Torney-Purta, Roger Azevedo, and Jane Robertson; Part IV. Teachers' Personal Epistemology and its Impact on Classroom Teaching: 13. Epistemological resources and framing: a cognitive framework for helping teachers interpret and respond to their students' epistemologies Andrew Elby and David Hammer; 14. The effects of teachers' beliefs on elementary students' beliefs, motivation, and achievement in mathematics Krista R. Muis and Michael J. Foy; Appendices; 15. Teachers' articulation of beliefs about teaching knowledge: conceptualizing a belief framework Helenrose Fives and Michelle M. Buehl; Appendices; 16. Beyond epistemology: assessing teachers' epistemological and ontological world views Lori Olafson and Gregory Schraw; Part V. Conclusion: 17. Personal epistemology in the classroom: what does research and theory tell us and where do we need to go next? Lisa D. Bendixen and Florian C. Feucht. (shrink)

Digitalization and advanced technologies are replacing human jobs. Around the world, many people have lost their jobs due to increasing digitalization. Similarly, Chinese expatriates associated with the manufacturing sector in emerging countries such as Vietnam face similar challenges. Therefore, Chinese expatriates need to bring competitiveness in their competencies. This competitiveness brings sustainability to their career. The aim of this study is to investigate the impact of career competencies on career sustainability. Moreover, we test the mediating effect of lifelong learning in (...) the relationship between career competencies and career sustainability. A questionnaire survey approach was used in this study. The target population was the Chinese expatriate managers working at China-invested manufacturing multinational organizations in Vietnam. To estimate the proposed relationships, we use structural equation modeling. The results are confirmed that in the direct relationship career competence has a positive impact on career sustainability. The findings of this study also indicate that career competencies have a positive impact on lifelong learning. Furthermore, outcomes confirmed that lifelong learning has a positive impact on career sustainability. Similarly, results are also confirmed that lifelong learning is positively mediating between career competencies and career sustainability. Therefore, the empirical results of this article identify that lifelong learning has a critical impact on sustainable careers. Specifically, this study is useful for mid-level managers who are associated with multinational organizations. At the end of this article, we also explained the practical implications, limitations, and future research directions. (shrink)

This chapter argues that central banks find themselves between a rock and a hard place when it comes to green central banking. Either they endorse the project, exposing them to the charge that they lack the input legitimacy to do so, or they eschew taking into account climate concerns, thus undermining their output legitimacy. Our discourse analysis of central bankers’ speeches shows that disagreements among officials from the same institution regarding green central banking are grounded on issues outside their core (...) expertise. Furthermore, neither the conservative nor the progressive central bankers defend positions that have the potential to overcome the legitimacy dilemma we formulate. (shrink)

Given available technologies, current consumption behaviour is incompatible with the goal of keeping global warming below 2 °C. Economists present carbon pricing as the most efficient tool to induce people to adjust their consumption behaviour. This Perspective critically analyses the ethics, economics and politics of one key form of carbon pricing: carbon taxes are levied to discourage fossil-fuel-intensive consumption. The core claim of this Perspective is that progressive individual carbon taxes (that is, taxes whose rate increases the more emissions an (...) individual generates) are not only more effective but also more just than the flat-rate carbon taxes prevalent today. (shrink)

Delegation to independent agencies can reap real benefits for policy-making. In the case of monetary policy, it shores up the credibility of the central bank. However, the discretion of IAs needs to be constrained to ensure their legitimacy. This letter focuses on one potential constraint, namely, the idea that IAs should not make choices on distributional trade-offs. Given that monetary policy today has significant distributive consequences, if this constraint were respected, the independence of central banks would have to be repealed. (...) This would be just as undesirable as a monetary policy whose distributive consequences remain unchecked. Instead, this letter encourages the search for alternative solutions and puts forward three possible institutional arrangements to manage the tension between the distributive consequences of monetary policy on the one hand and central bank legitimacy on the other. (shrink)

A central question in AI ethics concerns the moral status of robots. This article argues against the idea that they have moral status. It proceeds by defending the assumption that consciousness is necessary for welfare subjectivity. Since robots most likely lack consciousness, and welfare subjectivity is necessary for moral status, it follows that robots lack moral status. The assumption that consciousness is necessary for welfare subjectivity appears to be in tension with certain widely accepted theories of wellbeing, especially versions of (...) Desire Satisfaction Theory and Objective List Theory. However, instead of elevating non-conscious robots to welfare subjects, this tension should lead us to reject versions of these theories that have this implausible implication. (shrink)

The power to raise taxes is a sine qua non for the functioning of the modern state. Governments frequently defend the independence of their fiscal policy as a matter of sovereignty. This article challenges this defence by demonstrating that it relies on an antiquated conception of sovereignty. Instead of the Westphalian sovereignty centred on non-intervention that has long dominated relations between states, today's fiscal interdependence calls for a conception of sovereignty that assigns duties as well as rights to states. While (...) such a circumscribed conception of sovereignty has emerged in other areas of international law in recent years, it has yet to be extended to fiscal questions. Here, these duties arguably include obligations of transparency, of respect for the fiscal choices of other countries, and of distributive justice. The resulting conception of sovereignty is one that emphasises its instrumental as well as its conditional character. Neither state sovereignty nor self-determination is an end in itself, but a means to promoting individual well-being. It is conditional in the sense that if states do not live up to their fiscal obligations towards other states, their claims to autonomy are void. (shrink)

Governments increasingly use their fiscal policy to attract mobile capital from abroad. This tax competition puts a strain on the international fiscal system by undermining the capacity of states to make autonomous fiscal choices and by exacerbating inequalities. The existing regulatory framework is not able to address these challenges. Yet, what considerations should guide our efforts for reform? This chapter argues that a first necessary step consists in understanding the principles that justify the state as the principal locus of fiscal (...) control in the first place. Building on an account of the legitimacy of the state and its fiscal powers, the chapter shows how tax competition is in tension with the principal objectives this account assigns to the state. It then outlines a normative response to tax competition that relies on both reforming jurisdictional rules and redistribution between states. (shrink)

The semantic closure theory of consciousness attempts to explain the privacy of conscious representations. Such an explanation requires that representational content is more than just information carried by cognitive states but also arises in virtue of functional interrelations between such states. This paper shows that, given such a fine-grained view of representational content, the privacy or non-communicability of certain mental contents can be readily explained. Furthermore, the degree of semantic closure, i.e. the degree to which the states of a representational (...) system bear non-communicable content, can be quantified in information theoretic terms. A toy simulation of the evolution of semantic closure is presented. (shrink)

The antirealist position on temporal passage is that time exists but does not pass. Antirealists either claim that experiences of passage represent something that does not exist or that these experiences do not represent passage. This paper reconstructs and defends an argument for the reality of passage by Milič Čapek that is based on the idea of mental passage, the passage of experience itself. The belief that mental passage exists is introspectively justified. This justification is not undermined by perceptual illusions (...) and is also compatible with antirealist explanations of why the belief arises. Both physicalism and psychophysical dualism justify the premise that mental passage implies physical passage. Arguments by Huw Price and Simon Prosser purport to show that experiences do not represent physical passage. However, these arguments rely on thought experiments that presuppose the non-existence of mental passage, and therefore miss the fact that mental passage enables the representation of physical passage. (shrink)

Cohen’s book is one of the founding publications of Analytical Marxism, aiming to reconstruct and in some cases reformulate some of Marx’s core claims using the rigorous tools of contemporary philosophy. The first part of the chapter analyzes Cohen’s defense of the controversial idea of historical materialism. Can the idea that history follows some underlying law of progress, which is central to Marx’s writing, stand up to scrutiny? This part of the chapter discusses, first, the radical challenges to historical materialism (...) formulated by rational choice Marxists such as Elster; second, a series of objections against functionalist explanation in the social sciences more generally; and, finally, some modifications Cohen made to his account of historical materialism in his later writings and in response to these critiques. The second part of the chapter analyzes Cohen’s conception of exploitation to illustrate the theoretical potential of Analytic Marxism more generally. (shrink)

In this witty and mischievous book, philosopher Peter Cave dissects the most controversial disputes today and uses philosophical argument to reveal that many issues are less straightforward than we'd like to believe. Leaving no sacred cow standing, Cave uses ingenious stories and examples to challenge our most strongly held assumptions. Is democracy inherently a good thing? What is the basis of so-called human rights? Is discrimination always bad? Are we morally obliged to accept refugees? In an age of identity (...) politics and so-called 'fake news', this book is an essential resource for reinvigorating genuine public debate - and an entertaining challenge to accepted wisdom. (shrink)

Monetary policy, and the response it elicits from financial markets, raises normative questions. This chapter, building on an introductory section on the objectives and instruments of monetary policy, analyzes two such questions. First, it assesses the impact of monetary policy on inequality and argues that the unconventional policies adopted in the wake of the financial crisis exacerbate inequalities in income and wealth. Depending on the theory of justice one holds, this impact is problematic. Should monetary policy be sensitive to inequalities (...) and, if so, how? Second, the chapter argues that the leverage that financial markets have today over the monetary policy agenda undermines democratic legitimacy. (shrink)

Dans cet article, nous présentons deux arguments en faveur d’une attention accrue des banques centrales à l’égard des implications distributives des politiques monétaires. En mobilisant la doctrine du double effet, nous montrons que la responsabilité des banquiers centraux quant aux effets distributifs de leurs politiques monétaires non conventionnelles est engagée. De plus, étant donné que le levier traditionnel de la fiscalité fait face à de sérieuses difficultés aujourd’hui, l’appui des banques centrales pourrait être décisif pour la réduction des inégalités économiques. (...) -/- Nous évaluons ensuite les arguments théoriques et empiriques soulevés par les banquiers centraux contre cette proposition. Nous concluons que ces objections ne minent pas l’attrait d’une responsabilité des banques centrales en matière de distribution. (shrink)

The idea that pushing for more equality comes at a cost in terms of economic efficiency is widely accepted. Underpinning this idea is the premise that some of the most productive members of society will work less if we lower their pay. If this is true, some argue, it justifies paying the most productive a premium to work, provided doing so benefits everyone. This chapter argues that the standard version of the incentives argument suffers from two important blind spots. First, (...) it assumes that the comparative advantage of the most productive members of society is rooted in their natural talents, that is, in a factor exogenous to the production process. Second, it adopts a static framework to analyze the bargaining process in which incentive payments are negotiated, where static means taking all informational inputs from the same moment in time. The chapter uses the debate between John Rawls (1999) and G.A. Cohen (2008) to illustrate the normative repercussions of making these two assumptions. The chapter qualifies as unjust incentive payments that reward individual productivity due to specialization rather than to natural talent. In addition, it argues that individuals would not be in a position to obtain such incentive payments if bargaining took place before rather than after the acquisition of specialized skills. Finally, the chapter discusses the objection that eliminating this type of incentive payments would be inefficient. (shrink)

Theories of justice and intellectual property are vast topics in their own right. The contributions to this volume examine how they relate. How do our justifications for protecting intellectual property fare from an ethical perspective? Any attempt to tackle this question in a relatively short chapter like this one will have to be restricted in scope. My claims are limited in four ways. First, I concentrate on one kind of intellectual property protection, namely patents. Second, the claims of justice put (...) forward concentrate on one context of justice, namely the distribution of health goods. Third, the discussion of distributive issues concerning health is limited further in that I single out the distribution of drugs rather than, for instance, access to doctors or hospital services. Finally, I adopt a cosmopolitan perspective, emphasising inequalities in the access to drugs at the international rather than at the national level. (shrink)

Effective altruism implies that we should donate to an asteroid deflection program at the expense of saving a nearby child’s life. I argue that anyone who finds this result counterintuitive has prima facie reason to reject, or at least doubt that their own values commit them to, effective altruism.

La concurrence fiscale internationale est une composante essentielle du paysage fiscal contemporain. Cet essai analyse les responsabilités de l’État dans ce contexte d’interdépendance des systèmes fiscaux. Il soutient que l’État a le devoir 1) de mettre en œuvre le projet collectif défini par sa population, 2) de respecter l’autonomie des autres États et 3) d’assister les pays démunis. Cette conceptualisation des responsabilités étatiques a des conséquences théoriques et pratiques. Du côté théorique, la conjonction des deux premières responsabilités pousse à abandonner (...) la notion traditionnelle de souveraineté́ comme non-ingérence. Aujourd’hui, une notion adéquate de la souveraineté́ doit être sensible aux externalités internationales produites par l’action d’un État. De plus, la conception de la souveraineté́ esquissée ici est compatible avec un impératif d’assistance envers les pays en voie de développement. Du côté pratique, le respect de ces responsabilités étatiques requiert un nouveau régime de coopération fiscale entre les pays. (shrink)

In recent decades, and in particular since the shift towards independent central banks, there has been no explicit coordination of fiscal and monetary policy. In the Eurozone, this lack of coordination represents an important flaw, especially since the Eurozone is not an optimal currency area. Complementing monetary union with a transfer union represents one possible solution. This paper argues that the negative impact of post-2008 and post-Covid-19 unconventional monetary policy on income inequalities provides a second reason to coordinate fiscal and (...) monetary policy. Among various institutional arrangements to implement such coordination, the paper defends the idea that the European Central Bank should be sensitive to distributive considerations when formulating its monetary policy. Such an arrangement would help both to contain the distributive side-effects of monetary policy and to at least partially remedy the flaw at the heart of the Eurozone as long as an outright transfer union remains unfeasible. (shrink)

The most comprehensive compilation of the works of Abelard and Heloise ever presented in a single volume in English, _The Letters and Other Writings_ features an accurate and stylistically faithful new translation of both _The Calamities of Peter Abelard_ and the remarkable letters it sparked between the ill-fated twelfth-century philosopher and his brilliant former student and lover—an exchange whose intellectual passion, formal virtuosity, and psychological drama distinguish it as one of the most extraordinary correspondences in European history. Thanks to (...) this edition, Latin-less readers will be better placed than ever to see why this undisputed milestone in the intellectual life of medieval France is also a masterpiece of Western literature. In addition to the _The Calamities_ and the letters--the first complete English translation of all seven in more than eighty years--this volume includes an Introduction, a map, and a chronology, Abelard's _Confession of Faith_, letters between Heloise and Peter the Venerable, the Introduction to _The Questions of Heloise_, and selected songs and poems by Abelard, among them a previously untranslated shaped poem, Open Wide Your Eyes. Extracts of lost letters sometimes ascribed to Abelard and Heloise are given in appendixes. (shrink)

Due to the COVID-19 pandemic, most employees face increasing career-related stress, particularly those who work in multinational corporations, because the international travel constraints prevent them from going back to their families. Hence, it is imperative to investigate the critical impact of employees’ occupational burnout on career-related outcomes. In response, this research explores the moderating effect of OB on the relationships between career competencies and career sustainability. To achieve a more comprehensive understanding of relevant issues, we adopted a mixed-method research design (...) that includes both qualitative and quantitative analyses. Findings indicate that all the three dimensions of CCs were positively related to CS; moreover, OB negatively moderated the individual relationships of CC and BC with CS. The main contribution of this study is to enrich the existing career literature by addressing the critical moderating role of OB in the links of CC and BC individually with CS. Practical implications are also discussed in this study. (shrink)

All healthcare professionals (HCPs) have responsibilities to provide information to patients according to the duties found within UK decision-making guidance and with regards to theory about the doctor-patient relationship. While routinisation can be understood in a number of different ways, this paper is concerned with how routines might negatively affect patients in the decision-making process. Therefore, in this manuscript, medical decision making is understood as problematically routine when a medical test or procedure is framed as a standard one and—given the (...) way options are presented—it is implied that someone can decide to use that test or treatment without being given sufficient opportunities to think through their choices. Routinisation, when understood in this way, can affect the quality and amount of information provided to patients and the ways in which patients reflect upon their choices when making decisions. With the introduction of non-invasive prenatal testing (NIPT) into the UK healthcare system, bioethicists have questioned whether this new technology will be routinised and what the implications of routinisation on the decision-making process might be. While there have been numerous studies investigating the views and attitudes of pregnant women who use NIPT, there are fewer studies that look at the views and attitudes of healthcare professionals (HCPs). This study interviewed 20 UK-based HCPs who either offer NIPT or counselled pregnant women on the use of NIPT. One important finding was that many HCPs held the attitude that the NIPT decision-making process had become routine, however there was disagreement about whether routine NIPT was problematic or not. This study provides insights about the context that surrounds decision making for NIPT, and it raises important questions about how NIPT routinisation might be evaluated. (shrink)

Relational moral theories hold that at least some moral demands are grounded in a relation between individuals. But how should this relation be understood? Most contemporary relational theories have an individuals-first structure: they presuppose that the moral relations that ground moral demands can be explained in terms of relational moral properties of the individuals involved. Radical relationalism, by contrast, has a relations-first structure: it holds that the moral relations that ground relational moral demands are normatively prior to relational moral properties (...) of individuals. My aim in this paper is to argue that some moral demands are radically relational. (shrink)

Much of the focus on pain in the literature is the nature of pain’s badness. This paper addresses the relatively overlooked problem of intensity. I construe intensity as the degree to which pains demand involuntary attention, the degree to which a pain can’t be ignored. I use a global workspace framework to explain intensity, a view that is uniquely situated to explain the relevant empirical evidence. I construe intensity theoretically via a pain’s mode of representation, how pain is represented rather (...) than what is represented. This has the advantage of integrating the major views on pain’s badness. Novel explanations result from intensity as attentional demand and each view’s perspective on badness. (shrink)

Quassim Cassam argues that contemporary philosophers largely neglect the kind of “substantial” self-knowledge most people care about – knowledge of my character, beliefs, and desires – in favor of “trivial” forms of it that are nevertheless philosophically illuminating. This article takes up Cassam's challenge to turn toward accounts of substantial self-knowledge, and, building on the work of Gadamer, makes the case that any such account has to address the question of the historical formation of the knowing subject. That historical formation (...) – our ‘historicity’ – both erects barriers to self-knowledge and serves as a source of it, and raises the question of how much self-knowledge is even possible for historically situated knowers. To answer that, I take up Collingwood's claim that the aim of historical research is self-knowledge, and his view that, since its scientific turn in the nineteenth century, history has enabled self-knowledge of an especially significant sort. Developing these and other ideas in Collingwood, I draw a distinction between what I call “historico-philosophical” self-knowledge, which includes knowledge of our historicity, and “garden-variety historical” self-knowledge, which is focused on the particular historical formations in which we find ourselves. I argue that both count as substantial self-knowledge and round out an understanding of myself that includes any grasp I might have of my character, beliefs, and desires. (shrink)

I examine two arguments for the conclusion that thinking is not a physical process. James F. Ross argues that thinking is determinate in a manner that nopurely physical process can be. Peter Geach argues that thinking is a basic activity that, unlike basic physical processes, cannot be assigned a precise position in time. I present two objections to Ross’s argument. I then show that even if Geach’s argument avoids these objections, it is vulnerable to two other objections. I conclude (...) that neither argument establishes the immateriality of thinking. (shrink)

El concepto moderno de solidaridad destaca por su carácter dinámico que se asienta sobre una tensión dialéctica entre la individualización de una sociedad pluralista por un lado y la funcionalidad integradora de una comunidad delimitada por otro. Pero la inmersión de los sujetos en instituciones que remedian los intereses individuales a través de una “confiabilidad abstracta” nos exige revisar la relación entre Estado moderno e identidad nacional desde una perspectiva crítica inspirada en la teoría de Nicos Poulantzas. Esto nos lleva (...) a un nuevo concepto de solidaridad que sustituye la homogeneización nacional por otra forma de igualdad razonada sobre individuos autónomos e independientes. Un modelo de solidaridad así reconstruido resuelve las deficiencias de la teoría sociológica acerca del fundamento normativo del Estado de bienestar. (shrink)

While histories of literature and philosophy have till now presented Calcidius as if he were no more than a secondhand mediator of Platonic thought, Peter Dronke, in The Spell of Calcidius, shows that this judgement must be radically revised. Calcidius' commentary (probably of the early fourth century) on Plato's Timaeus is a deeply individual work, which was able to inspire a fresh way of looking for truth, of searching for a world-picture that was not ready-made, among exceptional thinkers across (...) eight centuries. The spell Calcidius cast was intellectual freedom, a Christian's refusal to make Christian propaganda, a spirit of open enquiry. After the discussion of some key cosmological motifs in Calcidius himself and in Boethius, there follow chapters on the brilliant transformations of Calcidian thought in the ninth century by Eriugena and others; on the odi et amo towards Calcidius of Manegold of Lautenbach in the eleventh century; and on the ardent assimilation of his thought in the early twelfth by “us who love Plato”, as William of Conches proclaimed. The final chapter shows how in Bernardus Silvestris' epic, the Cosmographia (1147/8), the daring uses of language and speculation begun by Calcidius find their culminating creative renewal. (shrink)

Kreeft takes the reader through the world of existentialist philosophy, posing questions that challenge the concepts that Sartre proposed. Based on an imagination dialogue between Socrates and Sartre that takes place in the afterlife, this profound and witty book makes an entertaining and informative exploration of modern philosophy "Peter Kreeft's work is (1) unfailingly brilliant, (2) intellectually agile, (3) astonishingly perspicacious, (4) gloriously orthodox, (5) Chestertonian aphoristic." - Thomas Howard, author of On Being Catholic.

What is art? Why do we value it? How is meaning discerned and discovered? Can art compete with science and philosophy in the search for truth? This succinct and engaging introduction tackles some of the fundamental philosophical questions of why art, in its wide variety of forms, should matter to us. In a clear and accessible style, Peter Lamarque addresses key topics such as: the definition of art representation and resemblance meaning and significance art and emotion artistic form and (...) function the pleasures of art conceptions of truth universal and cultural values the challenge of popular arts In nine well-structured chapters, _What is this Thing called Art?_ delivers critical insights into specific issues and controversies that arise from the main theoretical approaches to art. Each chapter features concise summaries of key ideas, as well as authentic examples and annotated suggestions for further reading. This is an essential introduction for undergraduates studying the philosophy of art for the first time. (shrink)

In this account of his mature thinking, Peter Marshall develops a dynamic and organic philosophy for the coming millennium which he calls liberation ecology. Liberation ecology is holistic in viewing the world as a harmonious whole and all beings and things as interwoven threads in nature's web. It is intuitive in recognizing intuition as the main source of knowledge and the imagination as the great organ of morality. It is ecological in seeing human beings as fellow voyagers with other (...) species in the magnificent odyssey of evolution. Above all, it is libertarian in seeking to release humanity, society and nature from their existing burdens so that they can unfurl and realize together their full potential. Exploring our strengths and possibilities, this book presents the ideas and values needed to ride the winds of change at this crucial stage in our development and in the history of the world. It provides a new philosophy for a new era, an uplifting and inspired vision which combines ancient wisdom and modern insights, reason and feeling, science and poetry, myth and the marvellous. It offers a guide for the future on how to rive in the most fulfilling way and how to create a genuinely free and sustainable society in harmony with nature. (shrink)