Advocacy has become an accepted and integral attribute of nursing practice. Despite this adoption of advocacy, confusion remains about the precise nature of the concept and how it should be enacted in practice. The aim of this study was to investigate general nurses’ perceptions of being patient advocates in Ireland and how they enact this role. These perceptions were compared with existing theory and research on advocacy in order to contribute to the knowledge base on the subject. An inductive, qualitative (...) approach was used for this study. Three focus group interviews with a total of 20 practising nurses were conducted with a sample representing different grades in a general hospital setting. Data analysis was carried out using elements of Strauss and Corbins’ approach to concept development. The findings indicate that the principal role of the nurse advocate is to act as an intermediary between the patient and the health care environment. The results highlight that advocacy did, however, result in nurses becoming involved in conflict and confrontation with others and that it could be detrimental to nurses both professionally and personally. It was also clear that when enacting advocacy, nurses distinguished between ‘clinical advocacy’ (acting directly for patients in the clinical environment) and organizational advocacy (acting on an organizational level for one or more patients). (shrink)

The life of the man whose pamphlet "Common Sense" became one of the basic tracts of the American Revolution.

In an era of digital revolution, artificial intelligence, big data and augmented reality, technology has shifted from being a tool of communication to a primary medium of experience and sociality. Some of the most basic human capacities are increasingly being outsourced to machines and we increasingly experience and interpret the world through digital interfaces, with machines becoming ever more ‘social’ beings. Social interaction and human perception are being reshaped in unprecedented ways. This book explores this technologisation of the social and (...) the attendant penetration of permanent liminality into those aspects of the lifeworld where individuals had previously sought some kind of stability and meaning. Through a historical and anthropological examination of this phenomenon, it problematises the underlying logic of limitless technological expansion and our increasing inability to imagine either ourselves or our world in other than technological terms. Drawing on a variety of concepts from political anthropology, including liminality, the trickster, imitation, schismogenesis, participation, and the void, it interrogates the contemporary technological revolution in a manner that will be of interest to sociologists, social and anthropological theorists and scholars of science and technology studies with interests in the digital transformation of social life. -/- Table of Contents -/- Introduction: The Technologisation of the Social: A 21st-Century Megamachine? Paul O’Connor -/- 1. Communication as Theatricalisation: Self-Presentation in the Digital Age Arpad Szakolczai -/- 2. Parasites of the Social: Digital Disruptions of the Labour Market Tom Boland -/- 3. Possessed by Technology: The Metastasis of Absence Agnes Horvath -/- 4. Technologisation of the Social: Symbiosis, Parasitism, or Predation? Daniel Gati -/- 5. J'accuse Zéro: The Technology of Zero and the Making of a Personal Void Ray Griffin -/- 6. Digital Affordances and the Liminal Stephen Turner -/- 7. The Smart Womb: Digital Technologies and the Maze of Trickster Politics Marius Ion Benta -/- 8. Brave New Industry? The Dark Side of Dematerialisation and Industry 4.0 Thomas S.J. Smith -/- 9. ‘What Have You Caught?’: Nannycams and Hidden Cameras as Normalised Surveillance of the Intimate Janos Mark Szakolczai -/- 10. Coercive Visibility: Discipline in the Digital Public Arena Paul O’Connor -/- Conclusion: Is There a Way Out of the Technologisation of the Social? Marius Ion Benta. (shrink)

This provocative book refurbishes the traditional account of freedom of will as reasons-guided "agent" causation, situating its account within a general metaphysics. O'Connor's discussion of the general concept of causation and of ontological reductionism v. emergence will specially interest metaphysicians and philosophers of mind.

"Why should we care about having true beliefs? And why do demonstrably false beliefs persist and spread despite consequences for the people who hold them? Philosophers of science Cailin O’Connor and James Weatherall argue that social factors, rather than individual psychology, are what’s essential to understanding the spread and persistence of false belief. It might seem that there’s an obvious reason that true beliefs matter: false beliefs will hurt you. But if that’s right, then why is it irrelevant to (...) many people whether they believe true things or not? In an age riven by "fake news," "alternative facts," and disputes over the validity of everything from climate change to the size of inauguration crowds, the authors argue that social factors, not individual psychology, are what’s essential to understanding the persistence of false belief and that we must know how those social forces work in order to fight misinformation effectively."–Publisher’s description. (shrink)

“Free Will” is a philosophical term of art for a particular sort of capacity of rational agents to choose a course of action from among various alternatives. Which sort is the free will sort is what all the fuss is about. (And what a fuss it has been: philosophers have debated this question for over two millenia, and just about every major philosopher has had something to say about it.) Most philosophers suppose that the concept of free will is very (...) closely connected to the concept of moral responsibility. Acting with free will, on such views, is just to satisfy the metaphysical requirement on being responsible for one's action. (Clearly, there will also be epistemic conditions on responsibility as well, such as being aware—or failing that, being culpably unaware—of relevant alternatives to one's action and of the alternatives' moral significance.) But the significance of free will is not exhausted by its connection to moral responsibility. Free will also appears to be a condition on desert for one's accomplishments (why sustained effort and creative work are praiseworthy); on the autonomy and dignity of persons; and on the value we accord to love and friendship. (See Kane 1996, 81ff. and Clarke 2003, Ch.1.). (shrink)

All organised bodies are composed of parts, similar to those composing inorganic nature, and which have even themselves existed in an inorganic state; but the phenomena of life, which result from the juxtaposition of those parts in a certain manner, bear no analogy to any of the effects which would be produced by the action of the component substances considered as mere physical agents. To whatever degree we might imagine our knowledge of the properties of the several ingredients of a (...) living body to be extended and perfected, it is certain that no mere summing up of the separate actions of those elements will ever amount to the action of the living body itself. (shrink)

The objective probability of every physical event is fixed by prior physical events and laws alone. (This thesis is sometimes expressed in terms of explanation: In tracing the causal history of any physical event, one need not advert to any non-physical events or laws. To the extent that there is any explanation available for a physical event, there is a complete explanation available couched entirely in physical vocabulary. We prefer the probability formulation, as it should be acceptable to any physicalist, (...) though some reject the explanation formulation.) (3) Causal Exclusion. (shrink)

In what follows, I shall presuppose the ecumenical core of the causal powers metaphysics. The argument of this paper concerns what may appear at first to be a wholly unrelated matter, the metaphysics of free will. However, an adequate account of freedom requires, in my judgment, a notion of a distinctive variety of causal power, one which tradition dubs ‘agent-causal power’. I will first develop this notion and clarify its relationship to other notions. I will then respond to a number (...) of objections either to the possibility of a power so explicated or to its sufficiency for grounding an adequate account of human freedom. (shrink)

We explain the thesis that human mental states are ontologically emergent aspects of a fundamentally biological organism. We then explore the consequences of this thesis for the identity of a human person over time. As these consequences are not obviously independent of one's general ontology of objects and their properties, we consider four such accounts: transcendent universals, kind-Aristotelianism, immanent universals, and tropes. We suggest there are reasons for emergentists to favor the latter two accounts. We then argue that within such (...) ontologies, emergentism about properties pushes one to the stronger claim that there are emergent individuals, though not individuals which are dual to person's bodies—substance emergentism, but not substance dualism. (shrink)

One familiar affirmative answer to this question holds that these facts suffice to entail that Descartes' picture of the human mind must be mistaken. On Descartes' view, our mind or soul (the only essential part of ourselves) has no spatial location. Yet it directly interacts with but one physical object, the brain of that body with which it is, 'as it were, intermingled,' so as to 'form one unit.' The radical disparity posited between a nonspatial mind, whose intentional and conscious (...) properties are had by no physical object, and a spatial body, all of whose properties are had by no mind, has prompted some to conclude that, pace Descartes, causal interaction between the two is impossible. Jaegwon Kim has recently given a new twist to this old line of thought.(1) In the present essay, I will use Kim's argument as a springboard for motivating my own favored picture of the metaphysics of mind and body and then discussing how an often vilified account of freedom of the will may be realized within it. (shrink)

Bruner shows that in cultural interactions, members of minority groups will learn to interact with members of majority groups more quickly—minorities tend to meet majorities more often as a brute fact of their respective numbers—and, as a result, may come to be disadvantaged in situations where they divide resources. In this paper, we discuss the implications of this effect for epistemic communities. We use evolutionary game theoretic methods to show that minority groups can end up disadvantaged in academic interactions like (...) bargaining and collaboration as a result of this effect. These outcomes are more likely, in our models, the smaller the minority group. They occur despite assumptions that majority and minority groups do not differ with respect to skill level, personality, preference, or competence of any sort. Furthermore, as we will argue, these disadvantaged outcomes for minority groups may negatively impact the progress of epistemic communities. (shrink)

Contemporary societies are often “polarized”, in the sense that sub-groups within these societies hold stably opposing beliefs, even when there is a fact of the matter. Extant models of polarization do not capture the idea that some beliefs are true and others false. Here we present a model, based on the network epistemology framework of Bala and Goyal, 784–811 1998), in which polarization emerges even though agents gather evidence about their beliefs, and true belief yields a pay-off advantage. As we (...) discuss, these results are especially relevant to polarization in scientific communities, for these reasons. The key mechanism that generates polarization involves treating evidence generated by other agents as uncertain when their beliefs are relatively different from one’s own. (shrink)

As good a definition as any of a _philosophical_ conundrum is a problem all of whose possible solutions are unsatisfactory. The problem of understanding the springs of action for morally responsible agents is commonly recognized to be such a problem. The origin, nature, and explanation of freely-willed actions puzzle us today as they did the ancients Greeks, and for much the same reasons. However, one can carry this ‘perennial-puzzle’ sentiment too far. The unsatisfactory nature of philosophical theories is a more (...) or less matter, and some of them have admitted of improvement over time. This, at any rate, is what we self-selecting metaphysicians tend to suppose, and I will pursue that high calling by suggesting a few improvements to a theory of metaphysical freedom, or freedom of the will. (shrink)

This essay will canvass recent philosophical accounts of human agency that deploy a notion of “self” (or “agent”) causation. Some of these accounts try to explicate this notion, whereas others only hint at its nature in contrast with the causality exhibited by impersonal physical systems. In these latter theories, the authors’ main argumentative burden is that the apparent fundamental differences between persona and impersonal causal activity strongly suggest mind-body dualism. I begin by noting two distinct, yet not commonly distinguished, philosophical (...) motivations for pursuing an agent-causal account of human agency. In the course of discussing the account developed by some philosophers in response to these consideration, I reconsider both the linkage of agent causation with mind-body dualism and its sharp cleavage from impersonal (or “event”) causation. (shrink)

This work aims to clarify the nature of the philosophy of education, intending to indicate both the limits and the uses of philosophical criticism of educational aims and concepts. It is based upon the fact that education is a subject full of unexamined presumptions.

Across the world, artificial intelligence (AI) technologies are being more widely employed in public sector decision-making and processes as a supposedly neutral and an efficient method for optimizing delivery of services. However, the deployment of these technologies has also prompted investigation into the potentially unanticipated consequences of their introduction, to both positive and negative ends. This paper chooses to focus specifically on the relationship between gender bias and AI, exploring claims of the neutrality of such technologies and how its understanding (...) of bias could influence policy and outcomes. Building on a rich seam of literature from both technological and sociological fields, this article constructs an original framework through which to analyse both the perpetuation and mitigation of gender biases, choosing to categorize AI technologies based on whether their input is text or images. Through the close analysis and pairing of four case studies, the paper thus unites two often disparate approaches to the investigation of bias in technology, revealing the large and varied potential for AI to echo and even amplify existing human bias, while acknowledging the important role AI itself can play in reducing or reversing these effects. The conclusion calls for further collaboration between scholars from the worlds of technology, gender studies and public policy in fully exploring algorithmic accountability as well as in accurately and transparently exploring the potential consequences of the introduction of AI technologies. (shrink)

It is a commonplace of philosophy that the notion of free will is a hard nut to crack. A simple, compelling argument can be made to show that behavior for which an agent is morally responsible cannot be the outcome of prior determining causal factors.1 Yet the smug satisfaction with which we incompatibilists are prone to trot out this argument has a tendency to turn to embarrassment when we're asked to explain just how it is that morally responsible action might (...) obtain under the assumption of indeterminism. Despair over the prospect of giving a satisfactory answer to this question has led some contemporary philosophers to a position rarely, if ever, held in the history of philosophy: free, responsible action is an incoherent concept.2. (shrink)

Vague predicates, those that exhibit borderline cases, pose a persistent problem for philosophers and logicians. Although they are ubiquitous in natural language, when used in a logical context, vague predicates lead to contradiction. This paper will address a question that is intimately related to this problem. Given their inherent imprecision, why do vague predicates arise in the first place? I discuss a variation of the signaling game where the state space is treated as contiguous, i.e., endowed with a metric that (...) captures a similarity relation over states. This added structure is manifested in payoffs that reward approximate coordination between sender and receiver as well as perfect coordination. I evolve these games using a variation of Herrnstein reinforcement learning that better reflects the generalizing learning strategies real-world actors use in situations where states of the world are similar. In these simulations, signaling can develop very quickly, and the signals are vague in much the way ordinary language predicates are vague—they each exclusively apply to certain items, but for some transition period both signals apply to varying degrees. Moreover, I show that under certain parameter values, in particular when state spaces are large and time is limited, learning generalization of this sort yields strategies with higher payoffs than standard Herrnstein reinforcement learning. These models may then help explain why the phenomenon of vagueness arises in natural language: the learning strategies that allow actors to quickly and effectively develop signaling conventions in contiguous state spaces make it unavoidable. (shrink)

I Introduction The question of this paper is, what would it be to act with freedom of the will? What kind of control is inchoately in view when we speak, pretheoretically, of being ‘self- determining’ beings, of ‘freely making choices in view of consciously considered reasons’ (pro and con) - of its being ‘up to us’ how we shall act? My question here is not whether we have (or have any reason to think we have) such freedom, or what is (...) the most robust account of our freedom compatible with late twentieth-century science. Many contemporary philosophers are all too ready to settle for a deflationary account of freedom and declare victory, with some brief remarks reminding us that we were created a little lower than the angels. I am not so sanguine about the ability of such accounts to leave reasonably intact our judgments about human autonomy, dignity, and responsibility. But, as I’ve said, that’s not my concern here. Instead, I want to revisit the question of what exactly ‘self-determination’, on our ordinary conception, comes to. (shrink)

In almost every human society some people get more and others get less. Why is inequity the rule in human societies? Philosopher Cailin O'Connor reveals how cultural evolution works on social categories such as race and gender to generate unfairness.

A good deal of attention has been given in recent philosophy of religion to the question of whether we can sensibly attribute to God a form of knowledge which the 16th-century Jesuit theologian Luis de Molina termed "middle knowledge". Interest in the doctrine has been spurred by a recognition of its intimate connection to certain conceptions of providence, prophecy, and response to petitionary prayer. According to defenders of the doctrine, which I will call "Molinism", the objects of middle knowledge are (...) all the true counterfactuals of the form, 'If C were to occur, then S would freely do A', where C specifies a particular set of circumstances. (Such propositions are usually referred to as "counterfactuals of freedom" - hereafter "CFs".)' I will try to assess the current status of two distinct questions: (1) Are there true CFs? and (2) Could God know true CFs if there are any? Obviously, Molinism must answer both questions affirmatively. Most of the discussion has focused on the first question. I hope to show that this approach has been a dialectical mistake on the part of critics of Molinism, for the difficulties of giving an affirmative answer to question (2) are, I believe, far easier to state clearly and convincingly. (shrink)

An analysis of how Adorno's "pure" philosophy can be seen to provide a justification of the rationality required by critical theory.