Background The first COVID-19 wave started in February 2020 in France. The influx of patients requiring emergency care and high-level technicity led healthcare professionals to fear saturation of available care. In that context, the multidisciplinary Ethics- Support Cell (EST) was created to help medical teams consider the decisions that could potentially be sources of ethical dilemmas. Objectives The primary objective was to prospectively collect information on requests for EST assistance from 23 March to 9 May 2020. The secondary aim was (...) to describe the Cell’s functions during that period. Research design This observational, real-time study of requests for Cell consultations concerned ethical dilemmas arising during a public health crisis. The EST created a grid to collect relevant information (clinical, patient’s/designated representative’s preferences and ethical principles strained by the situation), thereby assuring that each EST asked the same questions, in the same order. Participants and research context Only our university hospital’s clinicians could request EST intervention. Ethical considerations The hospital Research Ethics Committee approved this study (no. CER-2020-107). The patient, his/her family, or designated representative was informed of this ethics consultation and most met with EST members, which enabled them to express their preferences and/or opposition. Findings/results 33 requests (patients’ mean age: 80.8 years; 29 had COVID-19: 24 with dyspnea, 30 with comorbidities). 17 Emergency Department solicitations concerned ICU admission, without reference to resource constraints; others addressed therapeutic proportionality dilemmas. Discussion Intervention-request motives concerned limited resources and treatment intensity. Management revolved around three axes: the treatment option most appropriate for the patient, the feasibility of implementation, and dignified care for the patient. Conclusions COVID-19 crisis forced hospitals to envisage prioritization of ICU access. Established decision-making criteria and protocols do not enable healthcare professionals to escape ethical dilemmas. That acknowledgement highlights ethical risks, enhances the added-value of nursing and encourages all players to be vigilant to pursue collective deliberations to achieve clear and transparent decisions. (shrink)

Intuitively, there is a difference between knowledge and mere belief. Contemporary philosophical work on the nature of this difference has focused on scenarios known as “Gettier cases.” Designed as counterexamples to the classical theory that knowledge is justified true belief, these cases feature agents who arrive at true beliefs in ways which seem reasonable or justified, while nevertheless seeming to lack knowledge. Prior empirical investigation of these cases has raised questions about whether lay people generally share philosophers’ intuitions about these (...) cases, or whether lay intuitions vary depending on individual factors (e.g. ethnicity) or factors related to specific types of Gettier cases (e.g. cases that include apparent evidence). We report an experiment on lay attributions of knowledge and justification for a wide range of Gettier Cases and for a related class of controversial cases known as Skeptical Pressure cases, which are also thought by philosophers to elicit intuitive denials of knowledge. Although participants rated true beliefs in Gettier and Skeptical Pressure cases as being justified, they were significantly less likely to attribute knowledge for these cases than for matched true belief cases. This pattern of response was consistent across different variations of Gettier cases and did not vary by ethnicity or gender, although attributions of justification were found to be positively related to measures of empathy. These findings therefore suggest that across demographic groups, laypeople share similar epistemic concepts with philosophers, recognizing a difference between knowledge and justified true belief. (shrink)

In this article, we examine citizenship inequalities in paid reproductive labor. Through an analysis of elder care in Los Angeles, California, based on interviews with Filipina home care agency workers and owners, we delineate citizen divisions made up of two interlocking dimensions. The longstanding U.S. welfare state abdication of responsibility for elder care for its citizens generates a racialized, gendered citizenship division that facilitates another citizenship division between women of color. The outsourcing of elder care by the government to the (...) private sector including small business in the ethnic economy allows Filipina immigrants with legal citizenship to become middle-women minorities who hire undocumented Filipinas to provide care for white, middle-class, older adult women and their families. Through this new social organization of reproductive labor, responsibility is directed away from the state and generating tensions between women of color with different legal statuses. Our findings show how racialized, gendered inequalities are reinforced through this new social organization of reproductive labor but also demonstrate potential for undermining intersecting inequalities. (shrink)

Historically developed along gender lines and arguably the most sex segregated of institutions, U.S. prisons are organized around the assumption of a gender binary. In this context, the existence and increasing visibility of transgender prisoners raise questions about how gender is accomplished by transgender prisoners in prisons for men. This analysis draws on official data and original interview data from 315 transgender inmates in 27 California prisons for men to focus analytic attention on the pursuit of “the real deal”—a concept (...) we develop to reference a dynamic related to how gender is accomplished by transgender inmates. Specifically, among transgender inmates in prisons for men, there is competition for the attention and affection of “real men” in prisons: the demonstrable and well-articulated desire to secure standing as “the best girl” in sex segregated institutional environments. Our empirical examination sheds light on the gender order that underpins prison life, the lived experience of gender and sexuality for transgender inmates in prisons for men, and how that experience reveals new aspects of the workings of gender accountability. (shrink)

Recent work in cognitive neuroscience on the child's Theory of Mind (ToM) has pursued the idea that the ability to metarepresent mental states depends on a domain-specific cognitive subystem implemented in specific neural circuitry: a Theory of Mind Module. We argue that the interaction of several domain-general mechanisms and lower-level domain-specific mechanisms accounts for the flexibility and sophistication of behavior, which has been taken to be evidence for a domain-specific ToM module. This finding is of more general interest since it (...) suggests a parsimonious cognitive architecture can account for apparent domain specificity. We argue for such an architecture in two stages. First, on conceptual grounds, contrasting the case of language with ToM, and second, by showing that recent evidence in the form of fMRI and lesion studies supports the more parsimonious hypothesis. 1. Theory of Mind, Metarepresentation, and Modularity2. Developmental Components of ToM3. The Analogy with Modularity of Language4. Dissociations without Modules5. The Evidence from Neuroscience6. Conclusion. (shrink)

Organizations that believe they should "give something back" to the society have embraced the concept of corporate social responsibility (CSR). Although the theoretical underpinnings of CSR have been frequently debated, empirical studies often involve only limited aspects, implying that theory may not be congruent with actual practices and may impede understanding and further development of CSR. The authors investigate actual CSR practices related to five different stakeholder groups, develop an instrument to measure those CSR practices, and apply it to a (...) survey of 401 U.S. organizations. Four different clusters of organizations emerge, depending on the CSR practice focus. The distinctive features of each cluster relate to organizational demographics, perceived influence of stakeholders, managers' perceptions of the influence of CSR on performance, and organizational performance. (shrink)

In Sisyphus's Boulder, Eric Dietrich and Valerie Hardcastle argue that we will never get such a theory because consciousness has an essential property that..

Martin Heidegger is, perhaps, the most controversial philosopher of the twentieth-century. Little has been written on him or about his work and its significance for educational thought. This unique collection by a group of international scholars reexamines Heidegger's work and its legacy for educational thought.

This research investigates the interplay between leadership styles and institutional corporate social responsibility (CSR) practices. A large-scale field survey of managers reveals that firms with greater transformational leadership are more likely to engage in institutional CSR practices, whereas transactional leadership is not associated with such practices. Furthermore, stakeholder-oriented marketing reinforces the positive link between transformational leadership and institutional CSR practices. Finally, transactional leadership enhances, whereas transformational leadership diminishes, the positive relationship between institutional CSR practices and organizational outcomes. This research highlights (...) the differential roles that transformational and transactional leadership styles play for a firm’s institutional CSR practices and has significant implications for theory and practice. (shrink)

ABSTRACT:This paper examines the norms that should guide policies aimed at promoting happiness or, more broadly, well-being. In particular, we take up the question of which conception of well-being should govern well-being policy, assuming some such policies to be legitimate. In answer, we lay out a case for ‘pragmatic subjectivism’: given widely accepted principles of respect for persons, well-being policy may not assume any view of well-being, subjectivist or objectivist. Rather, it should promote what its intended beneficiaries see as good (...) for them: pleasure for hedonists, excellence for Aristotelians, etc. Specifically, well-being policy should promote citizens’ ‘personal welfare values’: those values—and not mere preferences—that individuals see as bearing on their well-being. Finally, we briefly consider how pragmatic subjectivism works in practice. While our discussion takes for granted the legitimacy of well-being policy, we suggest that pragmatic subjectivism strengthens the case for such policy. (shrink)

The untranslatable and intriguing notion of ethos (mores, goodness, character, etc.) contrasts in Ancient rhetoric with pathos and logos, the other two pisteis or means of persuasion. Rhetorical ethos is characterized by ambivalence; is it essentially extra- or intra-discursive? an effect of the soul or an effective simulacrum? stable or circumstantial? As a discursive image, an artefact of speech, ethos remains problematic in its legitimacy. As shown in this volume, Montaigne's readings of Ancient theories of ethos resonate in the Essais. (...) The rhetorical effectiveness of Plutarch and Socrates versus Brutus and Seneca, for instance, is assessed in terms of ethos and a revealing style. Montaigne weighs rhetorical and ethical theories as he judges the writings of others, stages diverse types or characters, and develops in his book his own notion of ethos, paradoxical and dynamic, changing as is our soul. A variety of ethe narrated or enacted are also examined: Stoic figures and philosophers, generals, courtiers and honnetes hommes, Indians, tragic heroes and heroines, among others. This collection of essays, beyond Montaigne studies, contributes to intellectual history, and to rhetorical, ethical, and political inquiry, for the early modern period and beyond. Montaigne's quest for more human and humane modes of expression and action can be better understood in light of the notion of ethos, which raises issues of representation, subjectivity, social interaction, moral philosophy, politics, pragmatics, anthropology and identity. The contributors to this volume offer fresh new voices in the art of conversation about the Essais as they explore the many ramifications of Montaigne's ethos and the manifold ethe he brings forth. (shrink)

Do laypeople and philosophers differ in their attributions of knowledge? Starmans and Friedman maintain that laypeople differ from philosophers in taking ‘authentic evidence’ Gettier cases to be cases of knowledge. Their reply helpfully clarifies the distinction between ‘authentic evidence’ and ‘apparent evidence’. Using their sharpened presentation of this distinction, we contend that the argument of our original paper still stands.

Evolutionary psychologists claim that the mind contains “hundreds or thousands” of “genetically specified” modules, which are evolutionary adaptations for their cognitive functions. We argue that, while the adult human mind/brain typically contains a degree of modularization, its “modules” are neither genetically specified nor evolutionary adaptations. Rather, they result from the brain’s developmental plasticity, which allows environmental task demands a large role in shaping the brain’s information-processing structures. The brain’s developmental plasticity is our fundamental psychological adaptation, and the “modules” that result (...) from it are adaptive responses to local conditions, not past evolutionary environments. If different individuals share common environ- ments, however, they may develop similar “modules,” and this process can mimic the development of genetically specified modules in the evolutionary psychologist’s sense. (shrink)

This commentary centres around the system of human visual attention. Although generally supportive of the position advocated in the target article, we suggest that the detailed account overestimates the capacities of active human vision. Limitations of peripheral search and saccadic accuracy are discussed in relation to the division of labour between covert and overt attentional processes.

This research empirically investigated the CSR practices of 84 Botswana and Malawi organizations. The findings revealed that the extent and type of CSR practices in these countries did not significantly differ from that proposed by a U. S. model of CSR, nor did they significantly differ between Botswana and Malawi. There were, however, differences between the sampled organizations that clustered into a stakeholder perspective and traditional capitalist model groups. In the latter group, the board of directors, owners, and shareholders were (...) important stakeholders that appeared to be restricting extended stakeholder CSR activities in the Malawi and Botswana organizations. The sampled managers recognized the economic benefits of CSR practices and were not at odds with social objectives. (shrink)

In the past 20, years the impact of progressive educational theories have become influential in nurse education particularly in relation to partnership and empowerment between lecturers and students and the development of student autonomy. The introduction of these progressive theories was in response to the criticisms that nurse education was characterized by hierarchical and asymmetrical power relationships between lecturers and students that encouraged rote learning and stifled student autonomy. This article explores how the work of Michel Foucault can be mobilized (...) to think about autonomy in three different yet overlapping ways: as a historical event; as a discursive practice; and as part of an overall strategy to produce a specific student subject position. The implications for educational practice are that, rather than a site where students are empowered, nurse education is both a factory and a laboratory where new subjectivities are continually being constructed. This suggests that empowering practices and disciplinary practices uneasily co‐exist. Critical reflection needs to be directed not only at structural dimensions of power but also on ourselves as students and lecturers by asking a Foucauldian question: How are you interested in autonomy? (shrink)

What counts as health or ill health? How do we deal with the fallibility of our own bodies? Should illness and disease be considered simply in biological terms, or should considerations of its emotional impact dictate our treatment of it? Our understanding of health and illness had become increasingly more complex in the modern world, as we are able to use medicine not only to fight disease but to control other aspects of our bodies, whether mood, blood pressure, or cholesterol. (...) This collection of essays foregrounds the concepts of health and illness and patient experience within the philosophy of medicine, reflecting on the relationship between the ill person and society. Mental illness is considered alongside physical disease, and the important ramifications of society's differentiation between the two are brought to light. Health, Illness and Disease is a significant contribution to shaping the parameters of the evolving field of philosophy of medicine and will be of interest to medical practitioners and policy-makers as well as philosophers of science and ethicists. (shrink)

This comparative study explores 499 corporate social responsibility initiatives implemented by 178 corporations in five distinct, institutionally consistent European clusters. This study provides an empirically grounded response to calls to develop comprehensive, nuanced pictures of CSR in the composite European business environment. In so doing, the article stresses three distinct, non-exclusive approaches that characterize the embedding of CSR considerations in corporations’ strategies across Europe and the CSR challenges for corporations operating in different socio-political contexts. Furthermore, the study reaffirms the CSR (...) notion as a contextualized concept, shaped by socio-political drivers, and contributes by bridging macro-level, socio-political facets of CSR with its meso-level, organizational implications. (shrink)

Gay and lesbian-sponsored antiviolence projects have used activist strategies and “collective action frames” similar to the contemporary women's movement's antiviolence against women campaigns and have defined violence against gays and lesbians as a social problem resulting from criminal sexual assault that stems from institutionalized sexual terrorism. Unlike the contemporary feminist movement, which has been anchored in an all-encompassing critique of patriarchy, activism around antigay and lesbian violence has ignored patriarchy and the gender relations that sustain and reflect it; instead, gay (...) and lesbian activism has been preoccupied with homophobia and only implicitly concerned with institutionalized heterosexism. As a result, the fact that gays and lesbians embody gender and are firmly situated in gender relations is rendered invisible. This analysis examines how the collective action frame of one social movement can be appropriated, employed, and transformed by a subsequent movement. (shrink)

Good sleep is essential for health but there is no consensus on how to define and measure people’s understanding of good sleep. To date, people’s perceptions of a good night’s sleep have been, almost exclusively, conceptualized under the lens of sleep quality, which refers to objective characteristics of good sleep, such as such as ease and time needed to fall asleep, hours of sleep, and physical symptoms during sleep and upon awakening. A related, yet different construct, sleep satisfaction, refers to (...) perceived positive affect about one’s sleep experience and has, to date, received little attention. This research focuses on sleep satisfaction, rather than sleep quality, and aims to develop a self-report measure to assess sleep satisfaction in an English adult population. As the measure will be developed in Suffolk, England, and its primary intended users are Suffolk community members, it is labelled the Suffolk Sleep Index. The SuSI will draw from principles of community-based participatory research, following a seven-phase developmental process comprising literature review, interviews with Suffolk community members, synthesis of literature review and interview findings, pre-testing, pilot-testing, scale evaluation, and refinement. The present research will also investigate indices related to sleep satisfaction, including the community’s general health status, lifestyle factors and socio-economic status. The research will add to the limited, yet emerging body of research on perceived sleep satisfaction and its measurement. To our knowledge, a valid and reliable sleep satisfaction self-report measure has not been developed in the United Kingdom previously. (shrink)

Abstract. This paper both clarifies and broadens the notion of control and its relation to the self. By discussing instances of skillful absorption from different cultural backgrounds, I argue that the notion of control is not as closely related to self-consciousness as is often suggested. Experiences of flow and wu-wei exemplify a nonself-conscious though personal type of control. The intercultural occurrence of this type of behavioral control demonstrates its robustness, and questions two long-held intuitions about the relation between self-consciousness and (...) the experience of control. The first intuition holds that the conscious self initiates and controls actions, thoughts, and feelings. The second is the view that losing this self-conscious type of control is a negative and upsetting experience. By focusing on “the paradox of control” in these experiences of skillful absorption, I argue that a feeling of control can occur without a self that narratively claims control. Furthermore, this type of control can be a very positive and pleasurable experience. Therefore, the common views of the notion of control are in need of broader conceptualization and further refinement. (shrink)

Forty years of experimentation on class inclusion and its probabilistic relatives have led to inconsistent results and conclusions about human reasoning. Recent research on the conjunction "fallacy" recapitulates this history. In contrast to previous results, we found that a majority of participants adhere to class inclusion in the classic Linda problem. We outline a theoretical framework that attributes the contradictory results to differences in statistical sophistication and to differences in response mode-whether participants are asked for probability estimates or ranks-and propose (...) two precise cognitive algorithms for ranking probabilities. Our framework allows us to make novel predictions about when and why people adhere to class inclusion. Evidence obtained in several studies supports these predictions and demonstrates that the proposed ranking algorithms can account for about three-quarters of participants' inferences in the Linda problem. (shrink)

Sciences able to identify appropriate analytical units for their domain, their natural kinds, have tended to be more progressive. In the biological sciences, evolutionary natural kinds are adaptations that can be identified by their common history of selection for some function. Human brains are the product of an evolutionary history of selection for component systems which produced behaviours that gave adaptive advantage to their hosts. These structures, behaviour production systems, are the natural kinds that psychology seeks. We argue these can (...) be identified deductively by classing behaviour first according to its level of behavioural control. Early animals in our lineage used only reactive production, Vertebrates evolved motivation, and later Primates developed executive control. Behaviour can also be classified by the type of evolutionary benefit it bestows: it can deliver either immediate benefits (food, gametes), improvements in the individual’s position with respect to the world (resource access, social status), or improvements in the ability to secure future benefits (knowledge, skill). Combining history and function implies the existence of seven types of behaviour production systems in human brains responsible for reflexive, instinctual, exploratory, driven, emotional, playful and planned behaviour. Discovering scientifically valid categories of behaviour can provide a fundamental taxonomy and common language for understanding, predicting and changing behaviour, and a way of discovering the organs in the brain––its natural kinds––that are responsible for behaviour. (shrink)

Practical wisdom (hereafter simply ‘wisdom’), which is the understanding required to make reliably good decisions about how we ought to live, is something we all have reason to care about. The importance of wisdom gives rise to questions about its nature: what kind of state is wisdom, how can we develop it, and what is a wise person like? These questions about the nature of wisdom give rise to further questions about proper methods for studying wisdom. Is the study of (...) wisdom the proper subject of philosophy or psychology? How, exactly, can we determine what wisdom is and how we can get it? In this chapter, we give an overview of some prominent philosophical answers to these questions. We begin by distinguishing practical wisdom from theoretical wisdom and wisdom as epistemic humility. Once we have a clearer sense of the target, we address questions of method and argue that producing a plausible and complete account of wisdom will require the tools of both philosophy and empirical psychology. We also discuss the implications this has for prominent wisdom research methods in empirical psychology. We then survey prominent philosophical accounts of the nature of wisdom and end with reflections on the prospects for further interdisciplinary research. (shrink)

Valérie Chevassus-Marchionni | : Après une étude de la notion de symptôme en psychanalyse chez Freud et chez Lacan, la paresse est envisagée précisément comme un symptôme. Mais quel peut être le sens de ce symptôme? Quelle est la nature du désir inconscient qui préside à son apparition? Après avoir considéré plusieurs causalités et élaboré quelques interprétations possibles, nous nous intéressons au cas particulier du personnage d’Oblomov dans le roman éponyme d’Ivan Gontcharov. Si la paresse d’Oblomov a un sens (...) qu’il est possible de déterminer à l’aide des outils de la psychanalyse, il est intéressant aussi de ne pas en chercher à tout prix la signification et de l’envisager davantage comme un sinthome au sens lacanien du terme : Oblomov ferait usage de sa paresse comme d’une véritable création visant à contourner son mal-être et à lui permettre de s’accommoder à sa manière des souffrances générées par son existence et sa sensibilité. En conclusion est présenté succinctement le cas de Svevo qui donne de la paresse une illustration bien différente. | : A study of the notion of symptom in psychoanalysis in Freud’s and Lacan’s work shows that laziness can be regarded exactly as a symptom. But what can be the significance of this symptom? What is the nature of the unconscious desire which presides over its appearance? Having considered several causalities and developed some possible interpretations, we’re concerned with the particular case of the character of Oblomov in Ivan Gontcharov’s eponym novel. If Oblomov’s laziness has a significance which it is possible to determine by means of the tools of psychoanalysis, it is also interesting not to look at all costs for the meaning and to envisage it more as a sinthome in the Lacanian sense of the term : Oblomov would make use of his laziness as a real creation to bypass his ill-being and to adapt, in his own way, to the sufferings generated by his existence and sensitivity. In conclusion is briefly presented the case of Svevo which gives of the laziness a very different illustration. (shrink)

Valérie Chevassus-Marchionni, Raymond Lemieux et François Nault.

In this article we revisit two different temporal phases related to the main publication of Serge Moscovici's book La Psychanalyse, son image et son public together with two key promissing notions of the theory, cognitive polyphasia and anchoring. The first phase, initiated by the durkheimian cercle, will give us the occasion to retrieve the traces of the fascinating intellectual debate about collective psychology that was involved in producing ¨frontier¨ propositions and renewing their perspectives in today's light, namely throught cognitive polyphasia. (...) The second phase, more recent, inspired by classical and modern research into the social representation's field, will serve us as a basis for a new hypothesis about anchoring. We will attempt to suggest that traditional familiarization allocated to anchoring can also work in the opposite sense, transmitting and guaranteeing the non-familiar, establishing strangeness. Finally, we are arguing that social representations are more than a simple theory, just as the symbol is always more than what it symbolizes. (shrink)

If our knowledge of human cognition were based solely on research with participants younger than the age of 2 years, there would be no basis for the relational reinterpretation hypothesis, and Darwin's continuity theory would be safe as houses. Because many of the shortcomings cited apply to human infants, we propose how a consideration of cognitive development would inform the relational reinterpretation hypothesis.

Cet article aborde l'innovation sociale en insistant sur son processus délibératif, participatif et persuasif de mise en oeuvre. Plus spécifiquement, il tente de montrer le processus de formation et le rôle des réseaux d'acteurs lorsque vient le temps de diffuser un modèle innovateur et de le transférer vers d'autres milieux utilisateurs. Ce phénomène est illustré à travers des exemples d'innovations sociales québécoises qui permettent de mieux comprendre l'importance des liens pour créer de nouveaux arrangements sociaux efficaces.This article discusses social innovation (...) by emphasizing its deliberative process, persuasive and participatory implementation. More specifically, it attempts to show the process of formation and the role of networks of actors when it comes to disseminating an innovative model and transfer to other user communities. This is illustrated through examples of social innovations Quebec to better understand the importance of relationships to create new social arrangements effective. (shrink)

BackgroundStigma refers to a distinguishing personal trait that is perceived as or actually is physically, socially, or psychologically disadvantageous. Little is known about the opinion of those who have more or less stigmatizing health conditions regarding the need for consent for use of their personal information for health research.MethodsWe surveyed the opinions of people 18 years and older with seven health conditions. Participants were drawn from: physicians' offices and clinics in southern Ontario; and from a cross-Canada marketing panel of individuals (...) with the target health conditions. For each of five research scenarios presented, respondents chose one of five consent choices: (1) no need for me to know; (2) notice with opt-out; (3) broad opt-in; (4) project-specific permission; and (5) this information should not be used. Consent choices were regressed onto: demographics; health condition; and attitude measures of privacy, disclosure concern, and the benefits of health research. We conducted focus groups to discuss possible reasons for observed consent choices.ResultsWe observed substantial variation in the control that people wish to have over use of their personal information for research. However, consent choice profiles were similar across health conditions, possibly due to sampling bias. Research involving profit or requiring linkage of health information with income, education, or occupation were associated with more restrictive consent choices. People were more willing to link their health information with biological samples than with information about their income, occupation, or education.ConclusionsThe heterogeneity in consent choices suggests individuals should be offered some choice in use of their information for different types of health research, even if limited to selectively opting-out. Some of the implementation challenges could be designed into the interoperable electronic health record. However, many questions remain, including how best to capture the opinions of those who are more privacy sensitive. (shrink)