While various definitions of moral distress have been proposed, some agreement exists that it results from illegitimate constraints in clinical practice affecting healthcare professionals’ moral agency. If we are to reduce moral distress, instruments measuring it should provide relevant information about such illegitimate constraints. Unfortunately, existing instruments fail to do so. We discuss here several shortcomings of major instruments in use: their inability to determine whether reports of moral distress involve an accurate assessment of the requisite clinical and logistical facts (...) in play, whether the distress in question is aptly characterized as moral, and whether the moral distress reported is an appropriate target of elimination. Such failures seriously limit the ability of empirical work on moral distress to foster appropriate change. (shrink)

How Heidegger criticizes and "locates" science, and some problems with what he is trying to do.

The increasing use of opioid treatment agreements has prompted debate within the medical community about ethical challenges with respect to their implementation. The focus of debate is usually on the efficacy of OTAs at reducing opioid misuse, how OTAs may undermine trust between physicians and patients and the potential coercive nature of requiring patients to sign such agreements as a condition for receiving pain care. An important consideration missing from these conversations is the potential for racial bias in the current (...) way that OTAs are incorporated into clinical practice and in the amount of physician discretion that current opioid guidelines support. While the use of OTAs has become mandatory in some states for certain classes of patients, physicians are still afforded great leeway in how these OTAs are implemented in clinical practice and how their terms should be enforced. This paper uses the guidelines provided for OTA implementation by the states of Indiana and Pennsylvania as case studies in order to argue that giving physicians certain kinds of discretion may exacerbate racial health disparities. This problem cannot simply be addressed by minimising physician discretion in general, but rather by providing mechanisms to hold physicians accountable for how they treat patients on long-term opioid therapy to ensure that such treatment is equitable. There are no data in this work. (shrink)

The early modern period (roughly, 1600–1800 ce) in Europe brought tremendous changes in intellectual, political, and cultural life. It was a period in which philosophical debates were inevitably bound up with questions about the nature and sources of religious truth. A chronological examination of some of the period’s major thinkers highlights two issues that were central to the development of philosophy of religion in the period. The first concerns the relations between God, the soul, and the body; the other concerns (...) the relationship between human reason and divine revelation. (shrink)

A critique of Strawson's distinction between descriptive and revisionary metaphysics.

Lack of information is hardly our problem. Information comes at us in waves, sloshing out of the magazine rack, lapping at our computer monitors. It repeats and repeats on all-day news shows. It comes neatly packaged as sound bites, or little nuggets ready for trivia games. We have plenty of information, but it is not often the information we need. Even if it is, we need to learn how to deal with it. It is not just the amount, but the (...) speed. Too much happens everywhere that may be important anywhere. Too much comes for us to think it over. (shrink)

Scholarly hypertexts involve argument and explicit selfquestioning, and can be distinguished from both informational and literary hypertexts. After making these distinctions the essay presents general principles about attention, some suggestions for self-representational multi-level structures that would enhance scholarly inquiry, and a wish list of software capabilities to support such structures. The essay concludes with a discussion of possible conflicts between scholarly inquiry and hypertext.

Does American individualism really exist as it is popularly conceived? Arguments from Hegel and Dewey suggest not. Includes a comparison with equally stereotyped images of Japanese culture.

The year 1989 marked the one hundredth anniversary of the birth of Martin Heidegger. What has happened to his thought in America? This essay offers a perspective on what I take to be the main trends and some representative works in Heidegger studies on the American side of the Atlantic (with perforce some simplifications both within and among the trends I mention).

When I was first studying Hegel I encountered quite divergent readings of his views on religion. The teacher who first presented Hegel to me was a Jesuit, Quentin Lauer at Fordham University, who read Hegel as a Christian theologian providing a better metaphysical system for understanding the doctrines of the Trinity and Incarnation. When I studied at Yale, Kenley Dove read Hegel as the first thoroughly atheistic philosopher, who presented the conditions of thought without reference to any foundational absolute being. (...) Meanwhile, also at Yale, John Findlay read us a deeply Neo-Platonic Hegel who taught about absolute forms held in a cosmic mind. In giving my own reading I want to talk about the ways Hegel redefines both metaphysics and religion. I would like to approach these issues by way of the medieval controversy over double truth, which was a previous conflict between religion and science. (shrink)

What can it mean to criticize when you are inside the work itself? In a immersive electronic or digital environment critic is not distanced on a platform based on firm principles. Yet criticism self-awareness and commentary remain possible. This essay examines various techniques for dealing with immersive environments critically.

A discussion of the problem of creating unified places in a pluralistic multicultural society.

First part of a discussion about what kind of guidelines we can find in our group or cultural identity for our place making and architectural planning.

want to question this idea of a pure presuppositionless self-developing sequence of logical categories. This is part of a larger investigation of the inherence of Hegel's thought in historical language. Concerning the necessary self-development of thought, I have three objections to propose. The first concerns the difficulty of recognizing a uniquely correct sequence of categories, when the various versions all express positive insights. The second concerns the very idea of a unified sequence. The third concerns the goal of pure self-development.

A comparison of the ways in which Hegel and Heidegger critique modernity.

The old spiritual masters told us to be in the world but not of it. We moderns have given this a secular twist. We are in our world — we have values, ways of life, world pictures — but not of it — we are to be aware of our freedom, aware of the contingency of our world and its dependence on factors many of which are or will be under our control. We both inhabit our world and enjoy the (...) status of distanced controllers. Or, if our lack of control and our dependence on historical and social factors is being emphasized, we are to inhabit our world with a certain knowing irony, since we understand the process by which it came about, even if we cannot change it. We hnave found ways to institutionalize this split-level identity. -/- Such institutions posit a separation of form and content. In the free market, in procedural justice, in free speech we live out that separation. This parallels cognitive and volitional theories of Kantian and Utilitarian descent, which make the same separation. All these give us freedom by having us seek our identity in a formal process above all content, but at the cost of introducing distance and irony. -/- Martin Heidegger's response to modernity often sounds like a romantic flight from modern distances. He clearly wants to overcome our split-level existence, the uneasy balance of facticity and freedom, which for him is but another manifestation of the will to power which he fines lurking behind our tradition. But to what degree is his own overcoming of modernity also susceptible to split-level living and ironic distance? (shrink)

discussion of the extent to which architects can float about history and the inevitable finitude of architectural possibilities from any historical standpoint.

Hegel congratulated himself on noticing that the German verb aufheben embodied a speculative dialectic in the interrelation of its multiple meanings. Translators have been hard put to find an equivalent English word. I think I have found a similar word in English, which, if not exactly a translation, still shows a similar interaction among the contrasting motions of its different meanings.

Frederick Neuhouser's The Foundations of Hegel's Social Theory expertly answers many standard objections to Hegel's theory, and offers a careful reading of its basic principles. However, questions remain whether Neuhouser can successfully reconstruct Hegel's theory while avoiding its links to Hegel's logic. Hegel's normative conclusions depend on logical principles about the self that are not adequately translated into Neuhouser's normative and consequentialist arguments.

"The first of the particular arts . . . is architecture." (A 13.116/1.83)1 For Hegel, architecture stands at several beginnings. It is the art closest to raw nature. It is the beginning art in a progressive spiritualization that will culminate in poetry and music. The drive for art is spirit's drive to become fully itself by encountering itself; art makes spirit's essential reality present as an outer sensible work of its own powers.2 (A 13.453/1.351) If Hegel's narrative of the arts (...) creates a hierarchy, architecture stands lowest, yet it nonetheless plays a unique and necessary role in spirit's development. In this essay I first describe Hegel's views on the nature of architecture and its three stages (symbolic, classical, romantic). Then I indicate some problems with Hegel's narrative. Finally I raise the question whether Hegel's theories might be adapted to our present architectural situation. (shrink)

Studying Plato's "unwritten doctrines" in the light of his discussion of limit and unlimited in his dialogue Philebus. The essay raises also the question whether there is too much "atomism" in the usual presentation of Plato's Forms as individual absolute entities, rather than as themselves derived from a more fundamental limit/unlimited ontology.

Habermas's criticizes Heidegger for insulating totalities of meaning from possible overturning by attempts to invalidate individual claims. I first state Habermas's criticism, then elaborate an example from Heideggerthat supports Habermas's attack. Then I defend Heidegger by distinguishing levels of meaning in Heidegger's "world" from Habermas's more propositional "lifeworld." I conclude by accepting Habermas's objection restated in terms of the contrast between transcendental and local conditions. If Heidegger is unwilling to pay the price of either Kantian generality or Hegelian unity, he (...) should give up the simple priority of his epochal understandings of being. (shrink)

What goes round at the end of history for the two Germans.

This essay argues against global plans and hierarchical systems, whether in urban planning or art and life.

Kolb discusses postmodern architectural styles and theories within the context of philosophical ideas about modernism and postmodernism. He focuses on what it means to dwell in a world and within a history and to act from or against a tradition.

Hegel, Heidegger, Postmodernity reconsidered after 20 years.

Introduction to a volume on Hegel, asking why his thought continues to be relevant today.

Argues that Sellars' theories can be seen as an elaborate argument for scientific realism as an almost-transcendental condition for the meaningfulness of language.

A discussion of whether Habermas as a representative modernist and Lyotard as a representative postmodern echo the ancient dispute between Plato and the Sophists. My conclusion is that they do not quite do so. Each is more complex and ancient dichotomy should be revised.

Plato is mistaken on both sides of his distinction between Socrates and the Sophists. He imagines the Sophists to have a formless power that cannot be resisted. This exaltation of the power of persuasion needs to be seen as motivating excessive fears in various modern debates. Pragmatic approaches can lessen our fear.

A study timeshowing that the relation of time and timeless in greek philosophers was more nuanced and complex than is commonly thought.

In the popular press and the halls of politics, controversies over evolution are increasingly strident these days. Hegel is relevant in this connection, even though he rejected the theories of evolution he knew about, because he wanted rational understanding but without claims to intelligent design. He is reported to have said that nature has no history, but a closer examination will show that his ideaqs are more nuanced and that there is more room for darwinian ideas than one might expect, (...) though not enough to allow the full Darwinian contingency of form. (shrink)

A discussion of "postmodern" architecture in the sense in which the term was used in the late 1980s, namely, the introduction of historical substantive content and reference into architecture, disrupting the supposedly ahistorical purity of modernist architecture. Argues that postmodern use of history is really another version of the modern distance from history.

In the introduction to his Philosophy of Nature, Hegel speaks of metaphysics as “the entire range of the universal determinations of thought, as it were the diamond net into which everything is brought and thereby first made intelligible. Every educated consciousness has its metaphysics, an instinctive way of thinking”. Both Wittgenstein and Hegel see our many languages and forms of life as constituted by different diamond nets of categories/grammars. I argue that both Wittgenstein and Hegel take a non-reductive attitude toward (...) this plurality of local ontologies, but that they disagree about what that plurality implies for history and philosophy. Their disagreements come in part from their differing choice of examples, influenced by atomism and holism. Even more, their disagreements stem from divergent notions about the structure and mode of being of those diamond nets. During the discussion, I distinguish three uses of the word “ontology”, and I ask each thinker about what might improve the other’s philosophical project. (shrink)

Discussions of place and whom need to take more account of the multiplicity of centers in the modern city/suburban environment.

The relation between nature and spirit in Hegel is not as simple as slogans such as "nature has no history" or a simple interior/exterior dichotonmy would suggest.

A discussion of how diggers stance with regard to contemporary analytic and Continental philosophy, with special emphasis on Heidegger's later works. The essay argues that Heidegger has now become attacks that people can interpret in many ways, and so is entered into dialogues which go against his own self-image of what he was about.

A discussion of the logical role of particular concepts in Robert Pippin's reading Hegel as a theorist of modernity, with special reference to the question whether modernity can be surpassed or left behind.

A critical examination of the different kinds of irony relevant to architecture, especially romantic and postmodern irony, and a suggestion for a less self-sure haughty kind of irony.

From Hegel's philosophy of nature, this essay develops a critique of economic models and market society, based on Hegel's notion of what it takes for a formally described system to be embodied and real.

Our task is the preservation of historic towns. In America as in Europe historic town centers are surrounded by recent additions and suburban sprawl. It is tempting to imagine the task of preservation as protecting our historical heritage from a featureless wave of mediocrity, as the worldwide commercial civilization overwhelms local cultures. This story is familiar from the writings of Kenneth Frampton and others: sprawl, homogenization, loss of distinctive local and regional form. I want to disagree with this story. From (...) what force are we trying to save the historic towns? Might not that force have its own new kinds of order? Might that new order be already at work inside the historic towns? Are its effects only negative? I want to question a presupposition common in many discussion of historic preservation. This is the presupposition that a spatially distinct historic center belongs to a single community that possesses a unified self-consciousness and a unified aesthetic self-image. Local communities less and less correspond to bounded spatial areas, and spatial areas contain less and less homogeneous communities. There is growing a new kind of discontinuous unity, which is the theme of this essay. (shrink)

I am a philosopher with Parkinson’s Disease. Over the past several years I’ve been trying to write about my situation. I wrote about how I was forced to face the disease. I described how the disease twists and distorts my world. Then I asked myself, as a philosophy writer and teacher, whether I could say anything that might help myself or others facing life with Parkinson’s? I found ideas in the ancient Stoics and expanded them with ideas about time, coming (...) up with suggestions for living as excellently as possible despite the disease. Looking at those suggestions, I realized how the special awareness, resolve, and attention I was suggesting would be eaten away by dementia, and I know that a majority of Parkinson’s patients face dementia if they survive long enough. What can philosophy say to me or any person whose self and philosophy are being erased? Writing about such issues has helped me deal with my situation, and maybe my essay might be useful for others dealing with decline. (shrink)

Arakawa and Gins have been fomenting revolution for a long time. In the last twenty years their attention has turned more and more towards architecture and urban planning as a way of reforming our bodily existence. Their proposals enter daily life rather than staying in the isolated sphere of the museum or gallery. These constructions are to be lived in, not contemplated. Will daily life then blunt or sharpen Arakawa and Gins's power to educate and revise our "architectural bodies"?

If we have no transparent access to our self, what kind of self-criticism is possible? Neither modernists nor postmodernists yet this pragmatic issue correct.

Eugene Gendlin claims that he wants "to think with more than conceptual structures, forms, distinctions, with more than cut and presented things" (WCS 29).1 He wants situations in their concreteness to be something we can think with, not just analyze conceptually. He wants to show that "conceptual patterns are doubtful and always exceeded, but the excess seems unable to think itself. It seems to become patterns when we try to think it. This has been the problem of twentieth century philosophy" (...) (WCS 29). As a result he has "long been concerned with what is not formed although always in some form" (TAD 1). In this essay I would like to explore some of the issues surrounding the relation of the unformed and the formed. Gendlin says that "we get beyond the forms by thinking precisely in them" (TAD 1). The two emphasized words have to be considered separately as well as together. In many essays Gendlin's main concern is with the "precisely": can something that is not fully formed and definite still direct us as we carry forward language and action? My discussion begins with that issue; I suggest ways that Gendlin's proposal connects with and differs from some current ideas in epistemology and the philosophy of language. Then my discussion moves to the "in": what sense can we make of the formed being unformed? Finally I suggest that Gendlin's program runs into some difficulties in this connection. (shrink)

A discussion of how Hegel manages his classification and ordering of specific religions, and a critique of his method.

A discussion of the role of metaphor and reinterpretation in extending architectural vocabularies.