BackgroundPeople with upper extremity amputations report receiving insufficient information about treatment options. Furthermore, patients commonly report not knowing what questions to ask providers. A question prompt sheet, or list of questions, can support patient-centered care by empowering patients to ask questions important to them, promoting patient-provider communication, and increasing patient knowledge. This study assessed information needs among people with UE amputations about UE vascularized composite allotransplantation and developed a UE VCA-QPS.MethodsThis multi-site, cross-sectional, mixed-methods study involved in-depth and semi-structured interviews with (...) people with UE amputations to assess information needs and develop a UE VCA-QPS. Qualitative data were analyzed by thematic analysis; quantitative data were analyzed by descriptive statistics. The initial UE VCA-QPS included 130 items across 18 topics.ResultsEighty-nine people with UE amputations participated. Most were male, had a mean age of 46 years, and had a unilateral and below-elbow amputation. Participants desired information about UE VCA eligibility, evaluation process, surgery, risks, rehabilitation, and functional outcomes. After refinement, the final UE VCA-QPS included 35 items, across 9 topics. All items were written at a ≤ 6th grade reading level. Most semi-structured interview participants reported being ‘completely’ or ‘very’ likely to use a UE VCA-QPS.ConclusionPeople with UE amputations have extensive information needs about UE VCA. The UE VCA-QPS aims to address patients’ information needs and foster patient-centered care. Future research should assess whether the UE VCA-QPS facilitates patient-provider discussion and informed decision-making for UE VCA. (shrink)

Should the assessment of decision‐making capacity (DMC) be risk sensitive, that is, should the threshold for DMC vary with risk? The debate over this question is now nearly five decades old. To many, the idea that DMC assessments should be risk sensitive is intuitive and commonsense. To others, the idea is paternalistic or incoherent, or both; they argue that the riskiness of a given decision should increase the epistemic scrutiny in the evaluation of DMC, not increase the threshold for DMC. (...) We respond to the critics’ main concerns by providing a comprehensive account of how risk‐sensitive DMC is coherent, avoids paternalism, and best fulfills the epistemic goal of DMC evaluations. (shrink)

No semantic theory satisfying certain natural constraints can identify the semantic contents of sentences (the propositions they express), with sets of circumstances in which the sentences are true–no matter how fine-grained the circumstances are taken to be. An objection to the proof is shown to fail by virtue of conflating model-theoretic consequence between sentences with truth-conditional consequence between the semantic contents of sentences. The error underlines the impotence of distinguishing semantics, in the sense of a truth-based theory of logical consequence, (...) and semantics, in the sense of a theory of meaning. (shrink)

Subjects enrolled in studies testing high risk interventions for incurable or progressive brain diseases may be vulnerable to deficiencies in informed consent, such as the therapeutic misconception. However, the definition and measurement of the therapeutic misconception is a subject of continuing debate. Our qualitative pilot study of persons enrolled in a phase I trial of gene transfer for Parkinson disease suggests potential avenues for both measuring and preventing the therapeutic misconception. Building on earlier literature on the topic, we developed and (...) tested an interview guide that focuses on how the subjects decided to participate, emphasizing the integration of subjects’ various statements that are relevant to assessing the therapeutic misconception, rather than evaluating them as isolated statements. The results indicate that a subject’s understanding of the purpose of research is best explored in juxtaposition to the subject’s motivation for participating. (shrink)

François Jullien intervenes into the ontology debates to understand Chinese thought as an anti-ontology, but instead in terms of ‘life’, that is as a sort of vitalism. Chinese anti-ontology features the juxtaposition of the wu (there-is-not) with the you (there-is). This, I argue, maps onto theology’s counterposition of otherworldly and this-worldly. Here Daoism features an ascetic and unstratified wu in contraposition to Confucianism’s you of moderation and stratification. We contrast ontology’s causation with ‘efficacy’ in Jullien’s Chinese thought. We read Zhuangzi’s (...) ‘Equalization of Things’, where the inequalities of the you are equalized in the wu, as a sort of vitalist object energetics. We turn to Chinese ethics, and its driving virtue of yi. We understand the yi not as ‘righteousness’, which is a theological attribute of Christ, but instead as closer to political ‘right’, in China embedded in immanentist forms of life. Western Cartesian ontology is often contrasted with Chinese thought that works through a certain ‘analogism’. We read this, with Walter Benjamin’s Chinese ‘mimetic’ faculty, in terms of a vitalist energetics, a forcefield of the Ten Thousand Things. (shrink)

This paper addresses the challenge of ethically integrating ChatGPT, a sophisticated AI language model, into K-14 economics education. Amidst the growing presence of AI in classrooms, it proposes the “Evaluate, Reflect, Assurance” model, a novel decision-making framework grounded in normative and virtue ethics, to guide educators. This approach is detailed through a theoretical decision tree, offering educators a heuristic tool to weigh the educational advantages and ethical dimensions of using ChatGPT. An educator can use the decision tree to reach a (...) conclusion on using ChatGPT within the classroom environment by using ethical considerations to promote personalized learning and upholding academic integrity. The paper stresses the importance of ongoing professional development for educators in ethical AI usage and calls for institutional support in this pursuit. It also identifies future research directions, including long-term impact studies of ChatGPT and comparative analyses of various AI tools in economics education, underscoring the paper’s relevance to current educational technology discourse. (shrink)

The Patient Preference Predictor (PPP) proposal places a high priority on the accuracy of predicting patients’ preferences and finds the performance of surrogates inadequate. However, the quest to develop a highly accurate, individualized statistical model has significant obstacles. First, it will be impossible to validate the PPP beyond the limit imposed by 60%–80% reliability of people’s preferences for future medical decisions—a figure no better than the known average accuracy of surrogates. Second, evidence supports the view that a sizable minority of (...) persons may not even have preferences to predict. Third, many, perhaps most, people express their autonomy just as much by entrusting their loved ones to exercise their judgment than by desiring to specifically control future decisions. Surrogate decision making faces none of these issues and, in fact, it may be more efficient, accurate, and authoritative than is commonly assumed. (shrink)

The dominant unspoken philosophical basis of medical care in the United States is a form of Cartesian reductionism that views the body as a machine and medical professionals as technicians whose job is to repair that machine. The purpose of this paper is to advocate for an alternative philosophy of medicine based on the concept of healing relationships between clinicians and patients. This is accomplished first by exploring the ethical and philosophical work of Pellegrino and Thomasma and then by connecting (...) Martin Buber's philosophical work on the nature of relationships to an empirically derived model of the medical healing relationship. The Healing Relationship Model was developed by the authors through qualitative analysis of interviews of physicians and patients. Clinician-patient healing relationships are a special form of what Buber calls I-Thou relationships, characterized by dialog and mutuality, but a mutuality limited by the inherent asymmetry of the clinician-patient relationship. The Healing Relationship Model identifies three processes necessary for such relationships to develop and be sustained: Valuing, Appreciating Power and Abiding. We explore in detail how these processes, as well as other components of the model resonate with Buber's concepts of I-Thou and I-It relationships. The resulting combined conceptual model illuminates the wholeness underlying the dual roles of clinicians as healers and providers of technical biomedicine. On the basis of our analysis, we argue that health care should be focused on healing, with I-Thou relationships at its core. (shrink)

Bhimrao Ambedkar is well-known as the architect of the Indian constitution, the document that created the world's largest democracy when it came into effect in 1950. Ambedkar is also famous, or infamous according to some religious partisans, in the Indian political context for his unflagging and often bombastic advocacy on behalf of India's so-called "untouchables." Being a Mahar, an untouchable caste in the Indian state of Maharashtra, Ambedkar knew of the struggles and the religiously underwritten violence that was foisted upon (...) these swaths of Indian society. His struggles in and against the caste system, and the Hindu religious-philosophical system that frequently enabled it, are well documented by... (shrink)

ABSTRACT:In 2010,Business Ethics Quarterlypublished ten articles that considered the potential contributions to business ethics research arising from recent scholarship in a variety of philosophical and social scientific fields (strategic management, political philosophy, restorative justice, international business, legal studies, ethical theory, ethical leadership studies, organization theory, marketing, and corporate governance and finance). Here we offer short responses to those articles by members ofBusiness Ethics Quarterly’s editorial board and editorial team.

Topology is integral to a shift in socio-cultural theory from a linguistic to a mathematical paradigm. This has enabled in Badiou and Žižek a critique of the symbolic register, understood in terms of pure conceptual abstraction. Drawing on topology, this article understands it instead in terms of the figure. The break with the symbolic and language necessitates a break with form, but topologically still preserves a logic of the figure. This becomes a process of figuration, indeed a process of `deformation'. (...) Badiou/Žižek will then presume a break with the symbolic for `the real'. But topology entails the centrality of not the real but the imaginary. With Castoriadis, this imaginary is understood as productive and social, and with Sloterdijk as spatial. In our times this is a self-organizing socio-technical imaginary. For Niklas Luhmann these socio-technical systems engage in coupling. They structurally couple with other social imaginaries. Their self-organization, going beyond pure functionality, operates through semantic excess: an excess that organizes the system and is their structure. Such structural coupling entails semantic exchange, consisting of not just information but also of images. (shrink)

This study explores the pragmatist thought of the Indian politician and “untouchable” rights activity, Bhimrao Ambedkar. Ambedkar’s connection to the pragmatist tradition through John Dewey is discussed, as well as the various lines of influence that Dewey had upon his work once back in India. Beyond this general appraisal, this chapter exhaustively charts the echoes of Dewey’s words, phrases, and ideas in Ambedkar’s vital “Annihilation of Caste” text, showing that pragmatism influence his as both a source of ideas as well (...) as a method of rhetorical practice. Ambedkar’s pragmatist appropriations lead to his grafting of Deweyan ideas of democracy onto his battle against Indian caste oppression, as well as general reconstructive rhetorical method. (shrink)

Michael Polanyi was one of the great figures of European intellectual life in the 20th century. A highly acclaimed physical chemist in the first period of his career who became a celebrated philosopher after World War II, Polanyi taught in Germany, England, and the United States and associated with many of the leading intellects of his time. His biography has remained unwritten partly because his many and scattered interests in a wide variety of fields, including six subfields of physical chemistry, (...) epistemology, economics, patent law, social and political theory, aesthetics, and theology. This long-awaited volume will be the definitive resource on Polanyi and his work. (shrink)

The routine practice of clinical research involving patient-subjects without informed consent prior to 1966 unquestionably was unethical. Does it follow that all clinical research involving competent adult patient-subjects is unethical without informed consent?In his landmark 1966 paper, Henry Beecher noted that of the 50 example studies he had originally compiled in preparation for that paper, only two even mentioned consent, and he observed further that mention of consent is “meaningless unless one knows how fully the patient was informed”. Some of (...) the studies in Beecher’s paper, such as one comparing sulfadiazine with no treatment to assess the complications of streptococcal pharyngitis (when the... (shrink)

Scientistic conceptualisations hold to the positivistic positions that science is limitless in its potential representations of material phenomena and that it is the only sure path to knowledge. In recent popular scientific literature, these presuppositions have been reaffirmed to the detriment of both philosophy and theology. This article argues for the contrary position by a meta-analysis of empirical science from a Thomist perspective. Identifying empirical science as limited in its method and bound to the material sphere of being alone, we (...) posit that rather than standing as the sole path to the knowledge of being, empirical science is constrained at its frontiers. It is subsequently contended that far from empirical science having the explanatory ability to respond to all presenting scientific problems in principle, fundamentals without the grasp of the methodology of empirical science exist. To relate the article’s meta-analysis to scientific praxis, physical cosmology – as the most foundational empirical science – is exemplified in the discussion.Keywords: Philosophy; Religion; Science; Scientism; Thomism; Metaphysics; Epistemology. (shrink)

While it is widely agreed that decoherence will not solve the measurement problem, decoherence has been used to explain the “emergence of classicality” and to eliminate the need for a Copenhagen edict that some systems simply have to be treated as classical via a quantum-classical “cut”. I argue that decoherence still relies on such a cut. Decoherence accounts derive classicality only in virtue of their incompleteness, by omission of part of the entangled system of which the classical-appearing subsystem is a (...) part. I argue that this omission is only justified by implicit classical assumptions that objectify a subsystem and are employed via either a traditional Copenhagen cut or a functionally equivalent imposition of separability on a system in a non-separable state. I argue that decoherence cannot derive classicality without assuming it in some other form, and I provide an analysis of when it is appropriate to make these otherwise implicit classical assumptions by adopting a minimalistic Copenhagen-style approach to measurement. Finally, I argue that, ironically, the conditions for making these assumptions may be better satisfied in standard measurement situations than in cases of environmental monitoring. (shrink)

Kenneth Surin has argued that theoretical theodicies of the kind associated with Swinburne and Hick face two major moral criticisms: first that they tacitly sanction evils; second that they display moral blindness in the face of unconditional evils. The paper upholds Surin's criticisms in the light of recent defences of theodicy. It concludes by considering and criticizing Wetzel's arguments for saying that theodicy is unavoidable for those who believe in God.

This chapter contains sections titled: Heroes and Quasi‐Heroes Two‐Wheeled Heroes Illusions and Disposable Heroes Cycling's Identity Crisis Heroes in the Midst – Too Many Choices The Need for Heroes in this Postmodern Age of Reason When the Hero Faces Death All Too Human but Still Heroes? What's It All Mean, Anyway? Postscript Notes.

In this article I draw together what is a largely neglected account of the hermeneutic thrust of Mead’s late writings. In particular, I argue that Mead’s philosophy of the present also amounts to a theory of interpretation. In an open dialogue with a number of Hans-Georg Gadamer’s most fundamental concepts, I demonstrate how Mead’s notion of emergence in the present of both past and future neatly aligns with Gadamer’s philosophical hermeneutics. I will trace the foundation of this common ground by (...) highlighting the pivotal influence of Wilhelm Dilthey on both Gadamer and the young Mead. Then, I will draw out the consequences this mutual influence has on the critique of the methodological historicist tradition. Throughout I demonstrate several missed opportunities by Hans Joas at providing a philosophical hermeneutic account of Mead’s work. It is my intention to display how together the traditions of philosophical hermeneutics and pragmatism inform one another. (shrink)

Positive psychology is an approach to psychology that focuses on the utilization of strengths, positive emotions, well-being, and personal growth to help individuals thrive, flourish, and achieve optimal functioning. The following case study highlights how positive psychology theories and techniques, specifically strengths-development and gratitude interventions, were implemented into a sport psychology intervention by a trainee sport and exercise psychologist. It is hoped that other practitioners may find the case study a useful insight into how they may be able to incorporate (...) positive psychology into their practice. (shrink)

In this paper I develop a theological account of intrinsic value drawn from some passages in Robert Merrihew Adams’ book Finite and Infinite Goods. First I explain why Adams’ work on this topic is interesting, situate his theory within the broader literature on intrinsic value, and draw attention to some of its revisionist features. Next I state the theory, raise some problems for it, and refine it in light of those problems. Then I illustrate how the refined theory works by (...) showing that it has the resources to deal with some seemingly formidable objections. (shrink)

Freedom of speech long has been regarded as one of the “preferred freedoms” in the United States: one of the freedoms the U.S. Supreme Court deems “implicit in the concept of ordered liberty.” However, what freedom of speech does—and should—mean is a highly charged question in American constitutional law. I will explore this question by examining how several prominent constitutional theorists have proposed particular approaches to free speech law in order to further their political objectives. I will examine the free (...) speech theories of the nation's leading feminist legal theorist , critical race theorists , libertarian , and legal republican . I also will discuss the principal criticisms of each of these theories, whether the courts have been influenced by any of them, and, in conclusion, whether it is possible to advance a nonpolitical theory of free speech. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Ideas 62.3 (2001) 401-423 [Access article in PDF] Petrarch and the Genealogy of Asceticism W. Scott Blanchard The morality of thought lies in a procedure that is neither entrenched nor detached. --Theodor Adorno Perhaps no author within or outside of the canon of Western literature wrote as extensively on the topic of solitude as did Francesco Petrarch. While many of our modern associations (...) with the term may find some of their origins traceable as far back as Petrarch's career, the term "solitude" carried with it much different associations in his century than it does for us today, influenced as we are by the Romantic tradition and especially by Wordsworth's absorption with the idea of solitude as an ideal state for self-conscious reflection on the individual's personal history and its meaning. No less than three of Petrarch's major prose works--the De otio religioso, the De vita solitaria, and the Secretum--confront the topic of solitude directly, and we can also point to many letters, poems, and portions of his treatises that either directly or indirectly reflect Petrarch's virtual obsession with solitude. In Petrarch we are confronted with an author who was at once the most politically connected intellectual of his century--we are even tempted to call him a "public intellectual"--and yet who constantly invoked his desire for solitude, for an escape from the many distractions and seductions that the cities and courts of his society offered. For Petrarch these were invariably places where desire lurked and power held sway, so that the life of solitude was often invoked as an alternative--a counter-cultural locus, perhaps--where freedom from temptation and subjection was imagined as an escape from the negotium of worldly life. There is much in Petrarch's writings on the solitary life that is wishful and that we might characterize as merely compensatory in a life that was otherwise quite active and engaged, but there is also a [End Page 401] strain of thought in these works that indicates a certain intransigence beneath Petrarch's overdetermined attachment to the idea, if not the practice, of withdrawal and detachment. An inquiry into Petrarch's idealization of the solitary life may even yield a somewhat reactionary aspect of his complex mind, a conservative strain in an author who was in almost every other way the literary herald of a humanism that was at the center of the cultural avant-garde of the Trecento. Is the Petrarch that in so many accounts of his character is construed as the "first modern man" actually something else, a reluctant ascetic holdover from the Middle Ages? How did Petrarch use his unique understanding of the life of solitude, of ascesis, as a pose from which to construct his sense of himself as an author and intellectual? Or are we simply confronted in the figure of a worldly and an ascetic Petrarch with yet another set of contradictions so appropriate to the "immensely complex" author whose poetic signature was the oxymoron? 1"Asceticism" and "solitude" are of course not synonymous terms, but any examination of a number of Petrarch's works as they fall within what might be called a genealogy of asceticism must recognize from the start that Petrarch's brand of asceticism was somewhat unique, especially insofar as it was deeply influenced by ancient Stoicism as well as by his reading in authors from the early Christian era. The most useful expression for our purposes may be the medieval concept of the "contemplative life," since much of the analysis in what follows will focus on how Petrarch often used his self-proclaimed pose of detachment and withdrawal as a technique for carrying on what were otherwise quite engaged dialogues with those worldly formations of power and authority that are normally conceived of as belonging to the "active" sphere of human existence. 2 For despite Petrarch's participation in or association with a number of political and civic ventures during his long and productive career, he likely never would have freely chosen... (shrink)