The patient in this case does not have enough small bowel to be compatible with life. Given this prognosis the decisions to establish a DNR status and discontinue TPN are both appropriate. However, by not attempting an earlier extubation or withdrawing the hydration as well as the TPN, the attending physician set the stage for the ensuing disaster.

Formalised knowledge systems, including universities and research institutes, are important for contemporary societies. They are, however, also arguably failing humanity when their impact is measured against the level of progress being made in stimulating the societal changes needed to address challenges like climate change. In this research we used a novel futures-oriented and participatory approach that asked what future envisioned knowledge systems might need to look like and how we might get there. Findings suggest that envisioned future systems will need (...) to be much more collaborative, open, diverse, egalitarian, and able to work with values and systemic issues. They will also need to go beyond producing knowledge about our world to generating wisdom about how to act within it. To get to envisioned systems we will need to rapidly scale methodological innovations, connect innovators, and creatively accelerate learning about working with intractable challenges. We will also need to create new funding schemes, a global knowledge commons, and challenge deeply held assumptions. To genuinely be a creative force in supporting longevity of human and non-human life on our planet, the shift in knowledge systems will probably need to be at the scale of the enlightenment and speed of the scientific and technological revolution accompanying the second World War. This will require bold and strategic action from governments, scientists, civic society and sustained transformational intent. (shrink)

Rather than focusing on political and legal debates surrounding attempts to determine if and when genocidal rape has taken place in a particular setting, this essay turns instead to a crucial, yet neglected area of inquiry: the moral significance of genocidal rape, and more specifically, the nature of the harms that constitute the culpable wrongdoing that genocidal rape represents. In contrast to standard philosophical accounts, which tend to employ an individualistic framework, this essay offers a situated understanding of harm that (...) features the importance of interdependence and relationality and that conceptualizes harms as embodied and contextual. The paper ultimately reveals what is distinctive about this particular crime of sexual violence by exploring the logic of genocidal rape: genocidal rape involves the harm of forced self-betrayal unleashed relationally, causing victims as representatives of their group to participate inadvertently in the destruction of that group. (shrink)

An interdisciplinary reappraisal of Lynn White, Jr.’s “The Historical Roots of Our Ecologic Crisis” reopens several issues, including the suggestion by Peter Harrison that White’s thesis was historical and that it is a mistake to regard it as theological. It also facilitates a comparison between “Roots” and White’s earlier book Medieval Technology and Social Change. In “Roots,” White discarded or de-emphasized numerous qualifications and nuances present in his earlier work so as to heighten the effect of certain rhetorical aphorisms (...) and to generalize their scope and bearing well beyond what the evidence could bear. The meaning of Genesis and other biblical books proves to be just as important in White’s thesis as their historical reception. In “Roots,” White presents, alongside other contentions, the claims that Christian doctrines have all along been both anthropocentric and despotic, especially in the West, and that this is where the real roots of the problems are to be found. These claims, however, conflict with most of the relevant evidence. An adequate reappraisal of White’s work needs to recognize that there is a cultural determinism parallel to the technological determinisms alleged by R. H. Hilton and P. H. Sawyer, to endorse Elspeth Whitney’s “single-cause” critique of links between religion and technological change in the Middle Ages, and to treat sympathetically Whitney’s claim that White and some of his eco-theological critics (despite their disagreements) have in common both their valorizing of individual beliefs and values and their neglect of economic and institutional factors. Nevertheless, our ecological problems need to be understood through explanations turning on beliefs and values as well as on economics and institutions. (shrink)

In Minds, Brains, and Norms , Pardo and Patterson deny that the activities of persons (knowledge, rule-following, interpretation) can be understood exclusively in terms of the brain, and thus conclude that neuroscience is irrelevant to the law, and to the conceptual and philosophical questions that arise in legal contexts. On their view, such appeals to neuroscience are an exercise in nonsense. We agree that understanding persons requires more than understanding brains, but we deny their pessimistic conclusion. Whether neuroscience can (...) be used to address legal issues is an empirical question. Recent work on locked-in syndrome, memory, and lying suggests that neuroscience has potential relevance to the law, and is far from nonsensical. Through discussion of neuroscientific methods and these recent results we show how an understanding of the subpersonal mechanisms that underlie person-level abilities could serve as a valuable and illuminating source of evidence in legal and social contexts. In so doing, we sketch the way forward for a no-nonsense approach to the intersection of law and neuroscience. (shrink)

At the invitation of the Editors, we wrote an article (entitled, “Minds, Brains, and Norms”) detailing our views on a variety of claims by those arguing for the explanatory power of neuroscience in matters of law and ethics. The Editors invited comments on our article from four distinguished academics (Walter Glannon, Carl Craver, Sarah Robins, and Thomas Nadelhoffer) and invited our reply to their critique of our views. In this reply to our commentators, we correct some potential misunderstandings of our (...) views and further clarify our positions with discussions of the conceptual-empirical distinction, rule-following, explanations at the personal and subpersonal levels, memory, and lie detection. Although we acknowledge many of the criticisms advanced by our distinguished colleagues, we conclude that, in several important respects, their criticisms confirm the points made in our original article. (shrink)

Though broadly philosophical reflections on nature and our place within it can be tracked to antiquity, the development of the field of environmental ethics as a distinct sub-discipline within contemporary academic philosophy has a far shorter history. Its landmark moments include the 1968 publication of Lynn White Jr’s influential critique of Christianity’s environmental record “The Historical Roots of Our Ecologic Crisis,” J. Baird Callicott’s teaching of the world’s first course in environmental ethics in 1971 at the University of Wisconsin-Stevens (...) Point, the pathfinding papers “Is There a Need for a New, an Environmental, Ethic?” and “The Shallow and the Deep, Long-Range Ecology Movement: A Summary” by the.. (shrink)

Department of Economics, George Mason University, MSN 1D3, Carow Hall, Fairfax VA 22030, USA E-mail: [email protected] (http://hanson.gmu.edu).

We have conducted a retrospective study of deaths on a paediatric medical intensive care unit over a two-year period and reviewed similar series from outside the UK. There were 89 deaths out of 651 admission (13.7% mortality). In almost two-thirds of the cases death occurred with a decision to limit medical treatment or withdraw mechanical ventilation, implying that additional or further therapy was considered futile. We highlight this as a crucially important issue in the practice of intensive care. More comprehensive (...) studies are needed to help clinicians derive consensus on what constitutes a futile intervention, and therefore when such an intervention should be withheld. This will help families and society better understand the limitations of intensive care. (shrink)

Niniejszy esej stanowi zbiór podstawowych poglądów brytyjskiego filozofa Robina George’a Collingwooda na cele i zadania nauk historycznych. Zawiera krytykę ujmowania historii jako dyscypliny dążącej do ustanowienia ogólnych, rządzących biegiem dziejów, praw oraz jako dyscypliny zmierzającej do odkrycia, realizowanego w dziejach, boskiego planu. Jest on próbą wykazania różnic między historią a filozofią historii, sztuką i nauką. Wyraża pogląd, że nie istnieje coś takiego jak czysty fakt historyczny, że nie jesteśmy w stanie, w sposób absolutny, poznać jakiegokolwiek faktu historycznego, mimo że wiedza (...) o nim zwiększa się, oraz że myślenie historyczne bazuje na percepcji.Konkluzją esejujest myśl, że każdy historyk patrzy na przeszłość z własnego punktu widzenia, a więc źródła, zjakich korzysta, i wnioski, do jakich dochodzi, będą się znacząco różniły od źródeł i wniosków innych historyków, oraz myśl, że każde wydarzenie historyczne jest niewy- czerpalne w tym sensie, że w rękach każdego nowego historyka przybiera inny kształt. (shrink)

This book explores the similar attitudes and methods behind modern society's treatment of animals and the way humans have often treated each other, most notably ...

My discussion suggests that one of Richard Peters’ main contributions to the philosophy of education was in expounding and stressing the need for a particular view of the subject, essentially conceptual analysis. The paper proceeds to defend this view and Peters’ specific account of education against the charges that his work relies simply on preferred definitions and that it is unwarrantably prescriptive. The practical value of this kind of philosophy is then further assessed, while in the final section attention is (...) drawn to Peters’ commitment to the idea of education being an integrally moral enterprise. (shrink)

You are in a grocery store, and thinking of buying some meat. You think you know what buying and eating this meat would mean for your taste buds, your nutrition, and your pocketbook, and let's assume that on those grounds it looks like a good deal. But now you want to think about the..

In the United States there is an increasing tendency to view the only educational research worthy of federal funding as that which is designed as an experiment using randomised controls. One of the foundational assumptions underlying this research design is that the results of such research are meant to be generalisable beyond any particular research study. The purpose of this paper is to historicise the assumption of generalisability by explaining the ways in which it is a particularly modern research project. (...) By historicising generalisability, I show the ways in which the current research standards are products of culturally specific historical circumstances. In other words, generalisability is a local phenomenon and not generalisable to other times and places. (shrink)

ABSTRACT This essay questions the reading of Plato's Phaedrus according to which writing is understood as a mechanism of objectivity and critical distance. Plato's denomination of writing as a “pharmakon” indicates a deep ambiguity in his definition of writing—an ambiguity embodied in Phaedrus's written speech. The speech triggers both critical analysis and a simultaneous “rhetorical passivity,” whereby upon hearing the speech Socrates is consumed by a manic power. Although Socrates explicitly decries the detrimental consequences of writing in the Myth of (...) Theuth, he nevertheless is overcome by the power of the written speech and driven to a state of logomania. The Phaedrus demonstrates the potential for the written word to release one into a type of passivity, where the subject is no longer an autonomous master but a passive receiver. (shrink)

A challenging book examining issues such as biotechnology, AIDS and nuclear weapons and demonstrating that Christian ethics has something important and ...

Mental health courts, premised on the notion of therapeutic justice, have become an increasingly appealing way of dealing with what is widely, although not uniformly, seen as the inappropriate incarceration of people who engage in criminal behavior caused by mental illness. Nevertheless, mental health courts are not without their critics and a number of objections have been raised against the implementation of these courts. Among these criticisms is that mental health courts may inappropriately privilege criminal behavior by the provision of (...) expedited comprehensive services to persons with mental illness who commit criminal of enses and, in doing so, reduce or delay the provision of services to persons with mental illness who do not engage in criminal behavior. This article explores the mechanisms that may result in “queue-jumping” and analyzes whether a priority to of enders, when it does occur, is justii able. (shrink)

'How far can religious believers accept secular conclusions?...' - Publisher.

The Scottish independence referendum in 2014 saw the breakthrough of online political campaigning in the UK. Despite the outcome, research and media alike concluded that the main pro-independence campaign, Yes Scotland, outdid the main pro-union campaign, Better Together, in the online battle. This article addresses this discrepancy by exploring how YS and BT used social media affordances in order to legitimize their own and de-legitimize their opponents’ positions. The material consists of multimodal tweets published by YS and BT in the (...) run-up to the referendum. The article employs a model for multimodal legitimation that takes into consideration the construction of authority, moral evaluation and the construction and justifications of means and goals. The findings show that both campaigns made extensive use of de-legitimating strategies, although YS was more balanced. The article also shows that the campaigns’ communicative choices had implications for the construction and justification of goals and means, with YS running a more visionary campaign than BT. (shrink)

Through an analysis of two highly routinized interactive service jobs, fast food service and insurance sales, this article explores the interrelationship of work, gender, and identity. While notions of proper gender behavior are quite flexible, gender-segregated service jobs reinforce the conception of gender differences as natural. The illusion that gender-typed interaction is an expression of workers' inherent natures is sustained, even in situations in which workers' appearances, attitudes, and demeanors are closely controlled by their employers. Gender-typed work has different meanings (...) for women and men, however, because of differences in the cultural valuation of behavior considered appropriate to each gender. (shrink)

He who pays the piper calls the tune, but he can only succesfully call for a tune that he will recognize upon hearing. Previous models, of two candidates impressing a voter and of firm managers impressing stock speculators, found experts ignoring costly superior information in favor of client preconceptions. Similar result hold when we greatly generalize the agents, choices, information structures, and preferences. When experts must pay to acquire information, have no intrinsic interest in client topics, and can coordinate to (...) acquire the same information, no expert ever pays to know more than any client will know when rewarding those experts. (shrink)

It is said you can trap a monkey by putting a nut through a small hole in a gourd. The monkey reaches in and grabs the nut, but then his fist won’t fit back through the hole. Greedy monkeys will literally let themselves be caught rather than let go of the nut. So far, no commenter on my essay seems willing to let go of the nut of effective medicine, held in the gourd of the second half of medical spending.

ABSTRACTTranslated into English in 2004, Vladimir Jankelevitch’s book Music and the Ineffable has made a significant impact in anglophone musicology. I argue that the figure of the feminine is central to his understanding of music and musical ineffability, and use feminist philosophers’ interpretations and critiques of the figure of the feminine in his close friend and colleague Emmanuel Levinas’s work to unpack the gender politics of Jankelevitch’s book and the secondary literature on it. I focus on the figure of the (...) feminine in Time and the Other and Totality and Infinity, which are works we have evidence Jankelevitch read. There, Levinas describes the feminine as a “form of being” that is “inexhaustible, infinite” and thus “refuses thematization positively”. This is nearly identical to Jankelevitch’s definition of musical ineffability as “fertile inexplicability”. Not only is Jankelevitch’s concept of musical ineffability identical to Levinas’s concept of the feminine, it is also couched in gendered terms throughout Music and the Ineffable. “Musical ineffability” in Jankelevitch’s sense is thus a parallel to Levinas’s concept of the feminine. I then read Jankelevitch and his interpreters in musicology through feminist scholarship on Levinas to show how the former two succumb to the same ultimately patriarchal flaws as the latter. For example, just as Levinas prioritizes paternity and the reproduction of patriarchy, muiscologist Carolyn Abbate uses Jankelevitch as the white masculine other in which musicology recognizes itself as both different and the same. (shrink)

In this paper there is some old news, but not, I hope, stale news. I shall reiterate the view that the dominant aim of education is to contribute to the good life for individuals, an aim expressed by J. S. and Harriet Mill in their famous essay On Liberty . But the paper is not stale news because it is no longer commonplace to defend individualism. The Mills' essay now appears to be a subversive document. Secondly, characterizing the good life (...) at least partly in terms of ‘self-cultivation’ and ‘self-perfection’ seems anachronistic. Conceptions of the good life have changed. Thirdly, On Liberty was subject to sustained criticism by James Fitzjames Stephen, and some of that criticism requires modification of some of the views expressed by the Mills. (shrink)

During the course of this article we examine data gathered from two research meetings in which coding issues and data organization are being discussed in relation to the use of the software package Atlas.ti. The meetings were concerned with the organization and coding of semi-structured interviews carried out by three different groups as part of a wider collaborative research project. A number of papers have considered aspects of coding practice in teams or small groups; however, little work exists on the (...) analysis of first order collaborative CAQDAS coding interaction. In doing so, this article re-specifies formal coding and collaboration models through the examination of practical methods of situated interaction and data sense-making in the course of producing social scientific facts and explanation. In this sense, the analysis reveals the way in which the professional argot of social science codes can be understood to rely on everyday methods of sense-making within team based contexts. These methods can be understood to be realized through the fine-detailed ‘granular’ categorical and sequential specifics of talk-in-meetings where matters relating to social scientific reasoning, accountability, stakeholders’ interests, defeasible and defensible reasoning protocols, disciplinary rights and the ‘search for underlying patterns’ are salient features and recognizable and accountable concerns for team members as a routine aspect of doing qualitative social science. (shrink)

Scotland is usually portrayed as being a country that had weak and terrible queens, like Margaret Tudor and Mary Queen of Scots. Saint Margaret is the only queen who is constantly portrayed positively. However, that is not because of her actions as queen consort, but because she was a devote Christian. Scotland is also portrayed for not producing well known or strong female rulers. This essay will examine two contemporary female rulers from the mid-fifteenth century, one from Scotland, Eleanor of (...) Scotland, and one imported to Scotland, Mary of Gueldres. Using these case studies it will be demonstrated that Scotland did produce strong female rulers along with acquiring them. (shrink)

This paper addresses two main questions: (1) What has theory been doing? and (2) What might theory be doing? The first question is addressed historically, and the second question is addressed imaginatively. In between those two topics, I have inserted a brief interval to raise some sticking points pertaining to the question, “What is properly educational about educational theory?”.