Let’s start with compositional pluralism. Elsewhere I’ve defended compositional pluralism, which we can provisionally understand as the doctrine that there is more than one basic parthood relation. (You might wonder what I mean by “basic”. We’ll discuss this in a bit.) On the metaphysics I currently favor, there are regions of spacetime and material objects, each of which enjoy bear a distinct parthood relation to members of their own kind. Perhaps there are other kinds of objects that enjoy a kind (...) of parthood relation other than the ones enjoyed by material objects and regions of spacetime. Perhaps, for example, there are facts; I’ve been wavering over whether to embrace these entities for years now. However, I’m reasonably confident that if there are facts than the kind of parthood relation that facts bear to that which composes them is not the kind of parthood relation enjoyed by material objects or regions of spacetime. More on why I am reasonably confident later. (shrink)

I will discuss Stein’s first major philosophical work, On the Problem of Empathy. I’ll first present some of the background context to the composition of this work and then discuss some of the themes of the work that I find intriguing.

Hannah Arendt's rich and varied political thought is more influential today than ever before, due in part to the collapse of communism and the need for ideas that move beyond the old ideologies of the Cold War. As Dana Villa shows, however, Arendt's thought is often poorly understood, both because of its complexity and because her fame has made it easy for critics to write about what she is reputed to have said rather than what she actually wrote. Villa (...) sets out to change that here, explaining clearly, carefully, and forcefully Arendt's major contributions to our understanding of politics, modernity, and the nature of political evil in our century.Villa begins by focusing on some of the most controversial aspects of Arendt's political thought. He shows that Arendt's famous idea of the banality of evil--inspired by the trial of Adolf Eichmann--does not, as some have maintained, lessen the guilt of war criminals by suggesting that they are mere cogs in a bureaucratic machine. He examines what she meant when she wrote that terror was the essence of totalitarianism, explaining that she believed Nazi and Soviet terror served above all to reinforce the totalitarian idea that humans are expendable units, subordinate to the all-determining laws of Nature or History. Villa clarifies the personal and philosophical relationship between Arendt and Heidegger, showing how her work drew on his thought while providing a firm repudiation of Heidegger's political idiocy under the Nazis. Less controversially, but as importantly, Villa also engages with Arendt's ideas about the relationship between political thought and political action. He explores her views about the roles of theatricality, philosophical reflection, and public-spiritedness in political life. And he explores what relationship, if any, Arendt saw between totalitarianism and the "great tradition" of Western political thought. Throughout, Villa shows how Arendt's ideas illuminate contemporary debates about the nature of modernity and democracy and how they deepen our understanding of philosophers ranging from Socrates and Plato to Habermas and Leo Strauss.Direct, lucid, and powerfully argued, this is a much-needed analysis of the central ideas of one of the most influential political theorists of the twentieth century. (shrink)

Background: Current practice frequently fails to provide care consistent with the preferences of decisionally-incapacitated patients. It also imposes significant emotional burden on their surrogates. Algorithmic-based patient preference predictors (PPPs) have been proposed as a possible way to address these two concerns. While previous research found that patients strongly support the use of PPPs, the views of surrogates are unknown. The present study thus assessed the views of experienced surrogates regarding the possible use of PPPs as a means to help make (...) treatment decisions for decisionally-incapacitated patients. -/- Methods: This qualitative study used semi-structured interviews to determine the views of experienced surrogates [n=26] who were identified from two academic medical centers and two community hospitals. The primary outcomes were respondents’ overall level of support for the idea of using PPPs and the themes related to their views on how a PPP should be used, if at all, in practice. -/- Results: Overall, 21 participants supported the idea of using PPPs. The remaining five indicated that they would not use a PPP because they made decisions based on the patient’s best interests, not based on substituted judgment. Major themes which emerged were that surrogates, not the patient’s preferences, should determine how treatment decisions are made, and concern that PPPs might be used to deny expensive care or be biased against minority groups. -/- Conclusions: Surrogates, like patients, strongly support the idea of using PPPs to help make treatment decisions for decisionally-incapacitated patients. These findings provide support for developing a PPP and assessing it in practice. At the same time, patients and surrogates disagree over whose preferences should determine how treatment decisions are made, including whether to use a PPP. These findings reveal a fundamental disagreement regarding the guiding principles for surrogate decision-making. Future research is needed to assess this disagreement and consider ways to address it. (shrink)

There are many kinds of beings – stones, persons, artifacts, numbers, propositions – but are there also many kinds of being? The world contains a variety of objects, each of which exists – but do some objects exist in different ways? The historically popular answer is yes. This answer is suggested by the Aristotelian slogan that “being is said in many ways”, and according to some interpretations is Aristotle’s view.1 Variants of this slogan were championed by medieval philosophers, such as (...) Aquinas, who worried that God cannot be said to exist in the same sense (or in the same way?) as created things.2 Descartes alluded to the medievals’ worry, but extensive discussion of the problem of being disappeared from the central stage by the time of the modern period.3 However, in the early 20th century, friends of ways of being included Alexius Meinong (1910: 49- 62), G.E. Moore (1903: 161-163), Russell (1912: 91-100), Husserl (1901: 249-250), and Heidegger (1927).4 In what follows, I develop a meta-ontological theory based on the work of Martin Heidegger circa Being and Time. I take Heidegger’s work as my inspiration because of the historical importance of Heidegger’s philosophy, and because Heidegger provides a particularly clear statement of the doctrine that there are many ways to be. I begin by carefully discussing and then formulating the relevant aspects of Heidegger’s metaontological theory. Heidegger claims both that the word “being” has many meanings and that there are different ways in which things exist. Section 2 explicates the former thesis, as well as elucidates the connection between senses of “being” and quantification. Most contemporary analytic metaphysicians believe that the idea that different kinds of beings can enjoy different ways of being is metaphysically bankrupt, and probably even meaningless.5 They are mistaken. In section 3, I discuss the doctrine that there are ways of being, and show how we can understand this doctrine in terms of the meta-ontological framework defended by Theodore Sider.. (shrink)

In The Second Sex, Simone de Beauvoir diagnoses “woman” as the “lost sex,” torn between her individual autonomy and her “feminine destiny.” Becoming a “real woman” in patriarchal societies demands that women lose their authentic, autonomous selves to become the “inessential Other” for Man. To better understand this diagnosis and how women might refind themselves, I rehabilitate the influence of Søren Kierkegaard and his concept of repetition as what must be lost to be found again in Beauvoir’s account of freedom (...) and, specifically, the liberation of women. Beauvoir offers a dual account of repetition, that of mundane repetition and sacrificial repetition, bringing them to bear both on her diagnosis of women’s oppression and her theorization of our liberation. Sacrificial repetition becomes a temporality for freedom—one must be able to repeat or retake their autonomy continuously toward an open future. For this to happen concretely, Beauvoir insists that we must sacrifice the (racist, classist) patriarchal ideals of the “real woman” and “real man” as we retake our autonomy and reconfigure the meaning of sex difference anew. (shrink)

Let NNG be the claim that necessitation is necessary for grounding, and let NSG be the claim that necessitation is sufficient for grounding. The consensus view is that grounding cannot be reduced to necessitation, and this is due to the (approximately) universally-accepted claim that NSG is false. Among deniers of NSG: grounding contingentists think NNG is also false, but they are in the minority compared to grounding necessitarians who uphold NNG. For one who would defend the claim that grounding is (...) reducible to necessitation, the task is formidable: she must defend NSG and NNG. I consider two prominent objections against NSG, and two more against NNG before developing a reductive account of grounding as minimal necessitation that avoids not only all four of the previously mentioned objections, but also an additional objection that targets minimal necessitation accounts in particular. If my arguments are compelling, then, insofar as we thereby have a strong prima facie case for thinking that grounding can be reduced to (minimal) necessitation, we have a strong prima facie case for thinking the consensus view is mistaken. (shrink)

Benardete paradoxes involve infinite collections of Grim Reapers, assassins, demons, deafening peals, or even sentences. These paradoxes have recently been used in arguments for finitist metaphysical theses such as temporal finitism, causal finitism, and discrete views of time. Here we develop a new finite Benardete-like paradox. We then use this paradox to defend a companions in guilt argument that challenges recent applications of patchwork principles on behalf of the aforementioned finitist arguments. Finally, we develop another problem for those applications by (...) examining the notion of exact duplication. (shrink)

When people are making certain medical decisions – especially potentially transformative ones – the specter of regret may color their choices. In this paper, I ask: can predicting that we will regret a decision in the future serve any justificatory role in our present decision-making? And if so, what role? While there are many pitfalls to such reasoning, I ultimately conclude that considering future retrospective emotions like regret in our decisionmaking can be both rational and authentic. Rather than indicating that (...) one is about to make a mistake or that there is some underlying value that one already cares about but is overlooking, the prediction that one will regret a decision in the future makes one confront how her present values and priorities may change as a result of her choice in ways she cannot presently anticipate. (shrink)

We often find ourselves in situations where it is up to us to make decisions on behalf of others. How can we determine whether such decisions are morally justified, especially if those decisions may change who it is these others end up becoming? In this paper, I will evaluate one plausible kind of justification that may tempt us: we may want to justify our decision by appealing to the likelihood that the other person will be glad we made that specific (...) choice down the line. Although it is tempting, I ultimately argue that we should reject this sort of appeal as a plausible justification for the moral permissibility of our vicarious decisions. This is because the decisions that we make on behalf of another may affect the interests and values that that person will hold in the future. As I will show, this complicates the justificatory relationship between present decisions and future attitudes, since the latter can depend on the former. This is not to say that the predicted future attitudes of others can play no significant role in justifying our decisions on others’ behalf. Rather, appealing to the future attitudes in our moral justifications may play an important role in our practical thinking but only when we consider the future attitudes of all relevant possible futures. (shrink)

A deeply personal reckoning with family, mental illness, and suicide, Dana Trusso captures the meaning of Nietzsche's armor fati--to love one's fate--through her surreal imagery and longing to heal intergenerational wounds. Lines are drawn from Lars von Trier's Melancholia, Sonic Youth's Experimental Jet Set, Trash and No Star, and lines she read from her aunt's journals as a child. -/- The photo is a sculpture of an earth goddess by Jean-Philippe Richard located in the botanical gardens of Èze, France. (...) Nearby is Le Chemin de Nietzsche, a steep hike from the seaside to mountainous ruins that is said to have inspired Thus Spoke Zarathustra. (shrink)

According to the presentist, it is always the case that the only existing objects are those that exist at the present time, and the only properties and relations that are instantiated are those that are instantiated at the present time. The truth-supervenes-on-being thesis (TSB) is that there can be no difference in what is true without a corresponding difference in what exists and in what properties and relations are instantiated. The truth-supervenes-on-being objection says that presentism cannot accommodate TSB. Lucretianism is (...) the thesis that the world instantiates irreducibly past-tensed properties. Though not popular, it is not entirely uncommon for presentists to endorse Lucretianism as a means to respond to the truth-supervenes-on-being objection. Defenses of Lucretianism itself are still less common. Appropriately up-to-date defenses are lacking altogether. I take up such a defense, arguing that the attacks on Lucretianism fail, and that there is, therefore, no compelling truth-supervenes-on-being objection to presentism. (shrink)

Many people view disabilities as misfortunes, call this the standard view. In this paper, I examine one criticism that has been launched against the Standard View. Rather than determine in advance whether having a disability is good or bad for a person, some critics argue that the Standard View is reflective of and brings about inappropriate emotional responses toward people with disabilities and their circumstances. For instance, philosophers have recently argued that in holding the standard view, we become prone to (...) a destructive kind of unwarranted pity or that the view leads us to hold certain untenable or inappropriate hopes for our children and for our society. I think this sort of challenge to the Standard View has a lot of appeal, but I worry that if it is not properly articulated, the approach is vulnerable to what has been known as “The Wrong Kind of Reason” problem. The paper highlights and addresses this worry. (shrink)

In this paper, I endorse the idea that age is a defensible criterion for eligibility to vote, where age is itself a proxy for having a broad set of cognitive and motivational capacities. Given the current (and defeasible) state of developmental research, I suggest that the age of 16 is a good proxy for such capacities. In defending this thesis, I consider alternative and narrower capacity conditions while drawing on insights from a parallel debate about capacities and age requirements in (...) the criminal law. I also argue that the expansive capacity condition I adopt satisfies a number of powerful and complementary rationales for voting eligibility, and conclude by addressing challenging arguments that, on the one hand, capacity should not underlie voting eligibility in the first place, and, on the other, that capacity should do so directly and not via any sort of proxy, including age. (shrink)

Monistic grounding says that there is one fundamental ground, while pluralistic grounding says that there are many such grounds. Grounding necessitarianism says that grounding entails, but is not reducible to, necessitation, while grounding contingentism says that there are at least some cases where grounding does not entail necessitation. Pluralistic grounding necessitarianism is a very popular position, but accidental generalizations, such as ‘all solid gold spheres are less than one mile in diameter’, pose well-known problems for this view: the many fundamental (...) grounds of such generalizations do not necessitate them. Though there is a straightforward response to this objection, I argue that it fails. Thus the objection from accidental generalizations stands, and proponents of pluralistic grounding necessitarianism face the following dilemma: either give up pluralistic grounding, or give up necessitarianism. (shrink)

The study aimed to ascertain the motivations behind code-switching among pre-service mathematics teachers, along with frequency of the languages utilized during class discussions. Employing a mixed-methods approach, the study utilized Focus Group Discussions to explore the rationales for code-switching while quantitatively analyzing the frequency of code-switching instances. Findings indicated that English predominated as the language of class discussions, with transitions typically occurring from English to Filipino. Interviews revealed that pre-service mathematics teachers employed code-switching to help students struggling with complex English, (...) facilitating better comprehension of mathematical concepts. Pre-service mathematics teachers build stronger relationships with their students by creating an engaging learning environment that captures their interest and attention. This also increases the effectiveness of teaching, leading to more meaningful experience. (shrink)

Heron Heart is a poem born out of reflecting on the nature of existence during long stretches of isolation, where the boundary of what is and is not a living being was challenged—the nonhuman more alive than the human. It evokes the absurdity of the banal out of the confusion and beauty of sensory experience, with hints of nostalgia for a mythological world that never existed but is ever-present.

Recently, bioethicists and the UNCRPD have advocated for supported medical decision-making on behalf of patients with intellectual disabilities. But what does supported decision-making really entail? One compelling framework is Anita Silvers and Leslie Francis’ mental prosthesis account, which envisions supported decision-making as a process in which trustees act as mere appendages for the patient’s will; the trustee provides the cognitive tools the patient requires to realize her conception of her own good. We argue that supported decision-making would be better understood (...) as a collaborative process, giving patients with intellectual disabilities the opportunity to make decisions in a respectful relationship with trusted others. We offer an alternative account of supported decision-making where the primary constraint is to protect the patient from domination by the trustee. This is advantageous in its preservation of the prospects for genuine collaboration, for the mental prosthesis approach ultimately reinforces a problematic ideal of isolated patient self-determination. (shrink)

Democratizing the syllabus has been discussed in the fields of sociology and political science but rarely in philosophy. In this paper I will draw upon my experience of teaching Philosophy of Love in an online modality to examine the impact on motivation when students fill in the gaps presented in a democratic syllabus.

Let wF, wC+, and wC– be three distinct worlds, each of which contains only a single point-sized material particle, and in each of which spacetime is: uniformly flat, constantly positively curved, and constantly negatively curved, respectively. By the relationist’s lights, these worlds seem to be qualitatively identical. Nevertheless, for each world, there are propositions concerning possible arrangements of material points that are true in that world, but false in the other two. I argue that, surprisingly, the relationist can ground these (...) differences in the distinct non-modal and intrinsic relations that are instantiated in each of wF, wC+, and wC–. (shrink)

D. M. Armstrong rejects various ontologies that posit truths without truthmakers. But, lest proponents of such questionable ontologies postulate suspicious truthmakers in a bid to regain ontological respectability, Armstrong requires a plausible restriction on truthmaking that eliminates such ontologies. I discuss three different candidate restrictions: categorical, natural, and intrinsic difference-making. While the categorical and natural restrictions eliminate the questionable ontologies, they also eliminate Armstrong’s own ontology. The intrinsic difference-making restriction, on the other hand, fails to eliminate any of them. Thus (...) Armstrong lacks a principled reason for rejecting such ontologies. (shrink)

Abstract: Each affective state has distinct motor-expressions, sensory perceptions, autonomic, and cognitive patterns. Panksepp (1998) proposed seven neural affective systems of which the SEEKING system, a generalized approach-seeking system, motivates organisms to pursue resources needed for survival. When an organism is presented with a novel stimulus, the dopamine (DA) in the nucleus accumbens septi (NAS) is released. The DA circuit outlines the generalized mesolimbic dopamine-centered SEEKING system and is especially responsive when there is an element of unpredictability in forthcoming rewards. (...) We propose that when the outcome of this interaction is unexpected or unanticipated then Panksepp’s “cognitive or expectancy reset” mechanism involving the cognitive dissonance would yield the subjective emotion of surprise. In order to appropriately react to the environment’s stimuli one needs fundamental processes that would enable one to distinguish between what is novel and what has been already experienced, as well as the different degrees of novelty. Novel events are those whose essential features of the representation (visceral and perceptual) are altered and being discrepant provoke more sustained attention. Novelty arises from salient and arousing events and the organism experiences surprise, as coming out of a habitual state. In this framework, we shall look at established theories of emotions and propose a different approach to their taxonomy. (shrink)

This essay explores a conception of responsibility at work in moral and criminal responsibility. Our conception draws on work in the compatibilist tradition that focuses on the choices of agents who are reasons-responsive and work in criminal jurisprudence that understands responsibility in terms of the choices of agents who have capacities for practical reason and whose situation affords them the fair opportunity to avoid wrongdoing. Our conception brings together the dimensions of normative competence and situational control, and we factor normative (...) competence into cognitive and volitional capacities, which we treat as equally important to normative competence and responsibility. Normative competence and situational control can and should be understood as expressing a common concern that blame and punishment presuppose that the agent had a fair opportunity to avoid wrongdoing. This fair opportunity is the umbrella concept in our understanding of responsibility, one that explains it distinctive architecture. (shrink)

Starting from the notion of the Ideal Feminine, this paper discusses the representation of trauma and the portrayal of women as open wounds in the designs of Alexander McQueen and John Galliano. Particularly, I explore how the McQueen’s Deadly Woman and Galliano’s Doll question the boundaries between mortality, sexuality and decay. By examining the relationship between fear, desire and disgust in the aesthetic representation of the wounded fashioned body, I argue that in their works disgust functions as an empowering emotion, (...) contributing to the perception of the aversive fashioned body as a feministic act. (shrink)

Socrates engages his audience in Phaedrus with speeches that include revised or newly composed myths that express his theory of philosophical eros. The aim of the speeches is to generate a love for truth that spills over into dialogue. Speeches are a starting point for dialogue, just like physical attraction is the beginning of love. In the case of Phaedrus, the beginning of philosophy is portrayed using playful and rhetorically rich speeches that serve as "love potions" awakening the novice's soul, (...) and ultimately leading Phaedrus to higher rungs on the ladder of love through the palinode, a medicinal speech. It is thinking about speeches, not the speeches themselves, which moves Socrates' student Phaedrus from the love of speeches to the love of Beauty itself. This is a stark contrast to the purpose of speechmaking for the sophist. The sophist seeks to enchant the soul, while the philosopher seeks to charm the soul into loving wisdom through stimulating discussions. Socrates also uses role reversals in the lover-beloved relationship to model the soul's ascent, contrasting the traditional roles with the way the lover and beloved are presented in Socrates' speeches. The novice must actively recollect Beauty itself in order to ascend, rather than passively listening to speeches that provide an image of beauty. Socrates' interlocutors must move themselves up the ladder of love from their own philosophical eros; wisdom is not attained by merely being pushed all the way up the ladder of love. (shrink)

This paper considers the responsibilities of the FDA with regard to disseminating information about the benefits and harms of e-cigarettes. Tobacco harm reduction advocates claim that the FDA has been overcautious and has violated ethical obligations by failing to clearly communicate to the public that e-cigarettes are far less harmful than cigarettes. We argue, by contrast, that the FDA’s obligations in this arena are more complex than they may appear at first blush. Though the FDA is accountable for informing the (...) public about the health risks and benefits of products it regulates, it also has other roles that inform when and how it should disseminate information. In addition to being a knowledge purveyor, it is also a knowledge producer, an advisor to the public, and a practical agent shaping the material conditions in which people make health-related choices. In our view, those other roles call for caution in the way the FDA interprets and communicates the available evidence. (shrink)

The aesthetics of body and dress are in a continuous flux. The body, being the locus where fashion challenges the traditional norms, escapes from the narrow boundaries of the conventionally beautiful; the disgusting soma, in the realm of Negative Aesthetics, takes its place. In this paper, I attempt to define what is disgusting fashion and how can contribute to the deliberation of the body from the restricting margins of the aesthetically beautiful. The distorted imagery of the feminine soma is the (...) center of the analysis of the non-beautiful as an aesthetically pleasing phenomenon. Different examples of repulsive clothing are analyzed from a philosophical point of view, in order to understand the relation between the negative emotional responses towards disgusting fashion and its aesthetic value. -/- . (shrink)

The hard problem of consciousness is a symptom of a fact of all scientific explanations. This article demonstrates through analogy with uncontroversial explanations that the hard problem of consciousness either shouldn't be considered a problem or that all scientific explanations are also lacking in the same way as an explanation of consciousness.

Teaching at a private, conservative religious institution poses unique challenges for equality, diversity, and inclusivity education (EDI). Given the realities of the student population in the Honors College of a private, religious institution, it is necessary to first introduce students to the contemporary realities of inequality and oppression and thus the need for EDI. This chapter proposes a conceptual framework and pedagogical suggestions for teaching basic concepts of social justice in a team-taught, interdisciplinary social science course. The course integrates four (...) different approaches to justice: theoretical, social scientific, narratological, and experiential. The discussion of the experiential dimension of the course references practical pedagogical strategies for making social justice and inequality real for our students. Understanding the realities of social inequality and its roots can foster a better understanding of the social forces and structures that perpetuate inequality. Furthermore, this approach can plant the intellectual and empathic seeds to challenge in-group bias and hopefully germinate into fruitful interaction with diverse others. Finally, this rich, interdisciplinary encounter with social inequality and justice can prepare students to work for just social structures that will lead to a more inclusive world. (shrink)

Abstract: This research paper presents a novel approach to predict audit risks using a neural network model. The dataset used for this study was obtained from Kaggle and comprises 774 samples with 18 features, including Sector_score, PARA_A, SCORE_A, PARA_B, SCORE_B, TOTAL, numbers, marks, Money_Value, District, Loss, Loss_SCORE, History, History_score, score, and Risk. The proposed neural network architecture consists of three layers, including one input layer, one hidden layer, and one output layer. The neural network model was trained and validated, achieving (...) an impressive accuracy of 100% and an average error of 0.000015, indicating its robust predictive capability. Moreover, we conducted feature importance analysis to identify the most influential features for predicting audit risk. The key features found to be critical for classifying fraudulent activities in audit risk prediction are Sector_score, PARA_A, SCORE_A, PARA_B, SCORE_B, TOTAL, numbers, marks, Money_Value, District, Loss, Loss_SCORE, History, and History_score. This research contributes to the field of audit risk prediction by demonstrating the effectiveness of a neural network-based approach and highlighting the importance of specific features in detecting fraudulent activities. The findings have significant implications for auditors and organizations seeking to enhance their audit risk assessment processes, ultimately leading to improved financial transparency and fraud detection. (shrink)

We take up the challenge of developing an international network with capacity to survey the world's scientists on an ongoing basis, providing rich datasets regarding the opinions of scientists and scientific sub-communities, both at a time and also over time. The novel methodology employed sees local coordinators, at each institution in the network, sending survey invitation emails internally to scientists at their home institution. The emails link to a ‘10 second survey’, where the participant is presented with a single statement (...) to consider, and a standard five point Likert scale. In June 2023, a group of 30 philosophers and social scientists invited 20,085 scientists across 30 institutions in 12 countries to participate, gathering 6,807 responses to the statement 'Science has put it beyond reasonable doubt that COVID-19 is caused by a virus'. The study demonstrates that it is possible to establish a global network to quickly ascertain scientific opinion on a large international scale, with high response rate, low opt-out rate, and in a way that allows for significant (perhaps indefinite) repeatability. Measuring scientific opinion in this new way would be a valuable complement to currently available approaches, potentially informing policy decisions and public understanding across diverse fields. (shrink)

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)

Question: Do clinicians providing abortion practicing in states that restrict abortion experience more moral distress than those practicing in states that protect abortion? -/- Findings: In this national, purposive survey study of 310 clinicians providing abortion, moral distress was elevated among all clinicians, with those practicing in restrictive states reporting higher levels of moral distress compared with those practicing in protective states. -/- Meaning: The findings suggest that structural changes addressing bans on necessary health care, such as federal protection for (...) abortion, are needed at institutional, state, and federal policy levels to address clinician moral distress. (shrink)

To the memory of Prof. Grigori Mints, Stanford UniversityBorn: June 7, 1939, St. Petersburg, RussiaDied: May 29, 2014, Palo Alto, California.

BACKGROUND Patients with chronic pain face significant barriers in finding clinicians to manage long-term opioid therapy (LTOT). For patients on LTOT, it is increasingly common to have them sign opioid treatment agreements (OTAs). OTAs enumerate the risks of opioids, as informed consent documents would, but also the requirements that patients must meet to receive LTOT. While there has been an ongoing scholarly discussion about the practical and ethical implications of OTA use in the abstract, little is known about how clinicians (...) use them and if OTAs themselves modify clinician prescribing practices. OBJECTIVE To determine how clinicians use OTAs and the potential impacts of OTAs on opioid prescribing. DESIGN We conducted qualitative analysis of four focus groups of clinicians from a large Midwestern academic medical center. Groups were organized according to self-identified prescribing patterns: two groups for clinicians who identified as prescribers of LTOT, and two who did not. PARTICIPANTS 17 clinicians from General Internal Medicine, Family Medicine, and Palliative Care were recruited using purposive, convenience sampling. APPROACH Discussions were recorded, transcribed, and analyzed for themes using reflexive thematic analysis by a multidisciplinary team. KEY RESULTS Our analysis identified three main themes: (1) OTAs did not influence clinicians’ decisions whether to use LTOT generally but did shape clinical decision-making for individual patients; (2) clinicians feel OTAs intensify the power they have over patients, though this was not uniformly judged as harmful; (3) there is a potential misalignment between the intended purposes of OTAs and their implementation. CONCLUSION This study reveals a complicated relationship between OTAs and access to pain management. While OTAs seem not to impact the clinicians’ decisions about whether to use LTOT generally, they do sometimes influence prescribing decisions for individual patients. Clinicians shared complex views about OTAs’ purposes, which shows the need for more clarity about how OTAs could be used to promote shared decision-making, joint accountability, informed consent, and patient education. (shrink)

I would like to thank Kris McDaniel for his reply. In my original response to McDaniel I say that, given his interpretation of the distinction between conventional and ultimate truth, we would no longer be able to employ certain powerful arguments in favor of the thesis that persons are merely conventionally existent, and it would turn out that the thesis that persons are merely conventionally existent doesn't have some of the important implications that proponents of that thesis generally (...) take it to have. McDaniel offers a reply to both of these concerns. In the remainder of this rejoinder I will say a bit about his reply.In my original response to McDaniel I claim that a proponent of... (shrink)

This paper discusses the concept of Dána or charity as the foundation of Indian Social life. Dána has been in vogue in India since the Vedic times, but it was codified by the smritis which prescribe do’s and don’ts of the life of the individual. Limiting its scope to Yagnavalkya smriti the paper analyses the significance of Dána as a regulative principle of accumulation of wealth.

I raised the following question in a recent paper: What are the necessary and jointly sufficient conditions for an object's being a simple? And I proposed and defended this answer (which I called 'MaxCon'): Necessarily, x is a simple iff x is a maximally continuous object. In a more recent paper, Kris McDaniel raises several objections to MaxCon, including, in particular, two objections based on a principle about the supervenience of constitution that he calls 'SoC'. The purpose of the (...) present paper is to address the main objections raised by McDaniel, and to show that none of them poses a serious threat to MaxCon. (shrink)

Kris McDaniel has recently proposed an interpretation of the distinction between conventional truth and ultimate truth, as that distinction is made within Abhidharma metaphysics. According to McDaniel's proposal, the distinction between conventional truth and ultimate truth is closely connected with a similar distinction between conventional existence and ultimate existence. What is more, the distinction between conventional existence and ultimate existence should be interpreted along ontological pluralist lines: the difference between things that ultimately exist and things that merely conventionally (...) exist amounts to a difference in the modes of being enjoyed by the things in question.One... (shrink)

Layunin ng pag-aaral na mailahad at matukoy ang kahalagahan ng sikolohiya, implikasyon, at mga danas at lakbayin ng “Sunod” sa pangkat ng Biga at mga karatig tribo nito sa Tabuk City, Kalinga. Ang nasabing pananaliksik ay sumailalim sa Kuwalitatibo at Deskriptibong pag-aaral na nilapatan ng Sikolohiyang pagdulog, Sosyolohiya, at Etnograpiya, tinalakay ang mga kulturang kinagisnan ng isang pangkat. Mga piling “Pangat” o pinuno at matatanda sa pangkat Biga ang mga kalahok sa pananaliksik na nagbigay ng kani-kanilang mga karunungan, karanasan at (...) lakbayin sa pagdalumat ng “Sunod” sa buhay. Ang resulta ng pag-aaral sa mga Ibiga at mga karatig tribo ay may maayos na ugnayan at mapayapang pamumuhay. Malakas ang tungkulin ng pamilya sa pagbibigay ng disiplina at pagtutulungan sa bawat miyebro. Lumitaw rin na hindi kailangang magkadugo ang maituturing na “sunod” kundi lahat ng katribo at mga karatig tribo. Dahil dito ay naiiwasan ang mga di-kanais- nais na kaganapan o mga kaguluhan sa pagitan ng bawat isa. Matatag na kanilang sinusunod ang kahalagahan ng relasyong “sunod” sa bawat araw ng kanilang pakikibaka sa buhay. Napatunayan din na malakas ang kapangyarihan ng mg “Pangat” o “Tribal elders” at ibang matatanda sa pagpapanatili ng kaayusan. (shrink)

In prayers lie the experiences, dreams, and identity of the individual. These strengthen faith while fortifying one’s character. This research examines the Dororo of the Ayta Ambala, a native prayer considered a convergence of the community’s experiences, aspirations, and faith. Using a Filipino-centric research approach (Maka-Pilipinong Pananaliksik), nine Dororo were gathered from Sitio Mampuweng, Olongapo City, Zambales, and classified into three types: Dororong Ritwal, a collective prayer for the community; Dororong Panganganito, a healing ritual; and Pansariling Dororo, personal prayers for (...) daily needs. Four themes emerged within the prayers: gratitude, protection, abundant harvest, and remembrance of the deceased. The Dororo reflects Ayta Ambala’s connection to nature, community, and spirituality. This research emphasizes the importance of documentation and knowledge transmission to preserve cultural heritage. The Dororo demonstrates the resilience of the Ayta Ambala amidst modernization and external religious influences while safeguarding their traditional identity. (shrink)

D’après Heidegger, chaque époque/épochè est caractérisé par un certain mode de révélation des étants, qui est à la fois une dissimulation d’une façon de l’Être. Ce mode particulier paraît ne venir de nulle part en ce qu’il se base sur un certain oubli. Dana S. Belu le met en scène pour son livre en faisant valoir la tendance de Heidegger « to treat the history of being (Seinsgeschichte) as a noncausal succession of universal principles of intelligibility that presupposes the (...) forgetting (Seinsvergessenheit) of the clearing (die Lichtung) as their source » (p. 15). L’oubli de notre époque est marqué par une divulgation technologique dans le mode de l’arraisonnement (Gestell) où les étants se révèlent comme partie du fonds (Bestand) d’être calculés, manipulés, exploités, et mis en réserve pour un usage ultérieur. La phénoménologie féministe de l’A. essaie de faire sens à la gestation, la maternité et la procréation médicalement assistée (PMA) qui font aux femmes faire partie de ce fonds et ouvre, parmi les paramètres du Gestell, la porte à une ère « sans mère ». (shrink)

Layunin ng komemoratibong pag-aaral na ito, gamit ang isang naratibong pagsusuri, ang pagturol sa danas at alaala ng mga Marikeño sa panahon ng pananalasa at/o pagbahang idinulot ng Ondoy (Ketsana) noong 2009 at sa mga panahong pagkatapos nito. Habang sentro ng pag-aaral na ito ang apat na barangay ng lungsod o ang mga tinatawag na “tabing-ilog”—Nangka, Tumana, Malanday, at Concepcion Uno—gumamit ang pananaliksik ng dalawang pangunahing método, pakikipagpanayam at pakikipagkuwentuhan. Sa kinasapitan, nakapagluwal ang pananaliksik na ito ng dalawang pangunahing bahagi: (...) una, mga naratibo ng danas at alaala sa panahon ng pananalasa ng Ondoy at ikalawa, pagsisiyasat sa mga sumunod na panahon. Sa kabuoan, nakapaglatag ang pag-aaral na ito ng pitong dalumat ukol sa kahulugan, kabuluhan, at konteksto ng Ondoy sa pananaw ng mga Marikeño: (1) delubyo, (2) kaparusahan, (3) kaligtasan, (4) pagtulong, (5) palatandaan, (6) takot, at (7) kasanayan. Hatid ng pag-aaral na ito ang isang implikasyong magpapahalaga sa dalawang bagay—(1) Araling at Kasaysayang Pangkapaligiran o isang subdisiplinang kakanlong sa pag-aaral ng kasaklawan ng kalikasan at kapaligirang Pilipino at (2) Kasaysayang Pampook o pagsasalaysay ng kasaysayan ukol sa isang partikular na pook. Samakatwid, ang kabuoang implikasyon ay magbibigay-linaw at ambag sa saysay ng Ondoy bílang bahagi ng kalikasan at kapaligirang Marikeño sa unang banda at ang saysay ng Marikina bílang pook sa kabilang banda. (shrink)

This thesis articulates a novel interpretation of Heidegger’s explication of the being (Seins) of gear (Zeugs) in §15 of his masterwork Being and Time (1927/2006) and develops and applies the position attributed to Heidegger to explain three phenomena of unreflective action discussed in recent literature and articulate a partial Heideggerian ecological metaphysics. Since §15 of BT explicates the being of gear, Part 1 expounds Heidegger’s concept of the ‘being’ (Seins) of beings (Seienden) and two issues raised in the ‘preliminary methodological (...) remark’ in §15 of BT regarding explicating being. §1.1 interprets the being (Sein) or synonymously constitution of being (Seinsverfassung) of a being (Seienden) as a regional essence: a property unifying a region (Region), district (Bezirk), or subject-area (Sachgebiet) – a highly general (‘regional’) class of entities. Although Heidegger posits two components of the being of a being, viz. material-content (Sachhaltigkeit, Sachgehalt) and mode-of-being (Seinsart) or way-of-being (Seinsweise, Weise des Seins, Weise zu sein) (1927/1975, 321), the unclarity of this distinction means that it does not figure prominently herein. §1.2 addresses Heidegger’s distinction between ontological and ontic investigations and his notion of ‘modes of access’ (Zugangsarten, Zugangsweisen). Part 2 expounds §15 of BT’s explication of the being of gear. §2.1 analyses Heidegger’s two necessary and sufficient conditions for being gear and three core basic concepts (Grundbegriffe) enabling comprehension of these conditions and therewith a foundational comprehension of gear. Heidegger explicates the being of gear through content of unreflectively purposeful, non-intersubjective intentional states. I term such states ‘mundane concern’, which is almost synonymous with Hubert Dreyfus’s term ‘absorbed coping’ (1991, 69). Heidegger’s explication highlights around-for references (Um-zu-Verweisungen) as the peculiar species of property figuring in mundanely concernful intentional content. §2.2 clarifies Heidegger’s position on the relationship between to-hand-ness (Zuhandenheit) and extantness (Vorhandenheit) in the narrow sense: two of Heidegger’s most widely discussed concepts. I reject Kris McDaniel’s recent reading of Heidegger as affirming that nothing could be both to-hand and extant simultaneously (McDaniel 2012). Part 3 develops and applies Heidegger’s phenomenology of mundane concern. §3.1 explains the phenomena of situational holism, situated normativity, and mundanely concernful prospective control. §3.2 undertakes the metaphysical accommodation of around-for references, which §3.1 posited as featuring prominently within mundanely concernful intentional content. This thesis thus contributes not only to Heidegger scholarship, but also to contemporary debates within the philosophy of action and cognitive science. (shrink)

Gratitude plays a critical role in our social lives. It helps to build and strengthen relationships, and it enhances wellbeing. Gratitude is typically thought of as involving oneself having a positive feeling towards another self. But this kind of self-to-self gratitude seems to be at odds with the central Buddhist view that there is no self. Feeling gratitude to someone for some past generosity seems misplaced since there is no continuing self who both performed the generous action and is now (...) the recipient of gratitude. In this paper, we explore how the Buddhist might respond to this problem. In response, Buddhists characterize a kind of gratitude (anumodanā) that is not fully propositional, but nor is it a notion that critically implicates the problematic concept of self. Anumodanā (literally rejoicing in good deeds of another) is best thought of as an expression of sympathetic joy (mudita) which is classified among the “sublime abidings” or “perfections” in Buddhism. In this paper we explain the notion of anumodanā and its functioning in the context of dāna (gift-giving or almsgiving in the Buddhist monastic context) to explain how it recovers some of the benefits of our ordinary reactive attitude of gratitude without implicating the self. (shrink)

Reply to Stephanie Leary’s, Kris McDaniel’s, Tristram McPherson’s and David Plunkett’s articles on Choosing Normative Concepts (OUP, 2017) in book symposium in Inquiry.