Kevin Lynch's books are the classic underpinnings of modern urban planning and design, yet they are only a part of his rich legacy of ideas about human purposes and values in built form. City Sense and City Design brings together Lynch's remaining work, including professional design and planning projects that show how he translated many of his ideas and theories into practice. An invaluable sourcebook of design knowledge, City Sense and City Design completes the record of one of (...) the foremost environmental design theorists of our time and leads to a deeper understanding of his distinctively humanistic philosophy. The editors, both former students of Lynch, provide a cogent summary of his career and of the role he played in shaping and transforming the American urban design profession during the 1950s, the 1960s, and the 1970s. Each of the seven thematic groupings of writings and projects that follow begins with a short introduction explaining their content and their background. The essays in part I focus on the premises of Lynch's work: his novel reading of large-scale built environments and the notion that the design of an urban landscape should be as meaningful and intimate as the natural landscape. In part II, excerpts from Lynch's travel journals reveal his early ideas on how people perceive and interpret their surroundings—ideas that culminated in his seminal work, The Image of the City. This part of the book also presents Lynch's experiments with children and his assessment of environmental-perception research. The examples of both small-scale and large-scale analysis of visual form in part III are followed by three parts on city design. These include Lynch's more theoretical works on complex planning decisions involving both functional (spatial and structural organization) and normative (how the city works in human terms) approaches, articles discussing the principles that guided Lynch's teaching and practice of city design, and descriptions of Lynch's own projects in the Boston area and elsewhere. The book concludes with essays written late in Lynch's career, fantasy pieces describing utopias and offering new design freedoms and scenarios warning of horrifying "cacotopias.". (shrink)

The self-deception debate often appears polarized between those who think that self-deceivers intentionally deceive themselves (‘intentionalists’), and those who think that intentional actions are not significantly involved in the production of self-deceptive beliefs at all. In this paper I develop a middle position between these views, according to which self-deceivers do end up self-deceived as a result of their own intentional actions, but where the intention these actions are done with is not an intention to deceive oneself. This account thus (...) keeps agency at the heart of self-deception, while also avoiding the paradox associated with other agency-centered views. (shrink)

Willful ignorance is an important concept in criminal law and jurisprudence, though it has not received much discussion in philosophy. When it is mentioned, however, it is regularly assumed to be a kind of self-deception. In this article I will argue that self-deception and willful ignorance are distinct psychological kinds. First, some examples of willful ignorance are presented and discussed, and an analysis of the phenomenon is developed. Then it is shown that current theories of self-deception give no support to (...) the idea that willful ignorance is a kind of self-deception. Afterwards an independent argument is adduced for excluding willful ignorance from this category. The crucial differences between the two phenomena are explored, as are the reasons why they are so easily conflated. (shrink)

In this essay, I examine four different reasons for thinking that political dissent has epistemic value. The realization of this epistemic value hinges in part on what I’ll loosely call the epistemic environment, or the environment in which individuals come to believe, reason, inquire, and debate. In particular, to the degree that our social practices encourage and even embody an attitude of epistemic arrogance, the epistemic value of dissent will be difficult to realize. Ironically, it is precisely then that dissent (...) is most often needed. (shrink)

The notion of basic action has recently come under attack based on the idea that any putative basic action can always be divided into more basic sub-actions. In this paper it is argued that this criticism ignores a key aspect of the idea of basic action, namely, the ‘anything else’ part of the idea that basic actions are not done by doing anything else. This aspect is clarified, and it is argued that doing the sub-actions of which a putative basic (...) action consists does not amount to doing something different from doing that putative basic action. (shrink)

Stubborn belief, like self-deception, is a species of motivated irrationality. The nature of stubborn belief, however, has not been investigated by philosophers, and it is something that poses a challenge to some prominent accounts of self-deception. In this paper, I argue that the case of stubborn belief constitutes a counterexample to Alfred Mele’s proposed set of sufficient conditions for self-deception, and I attempt to distinguish between the two. The recognition of this phenomenon should force an amendment in this account, and (...) should also make a Mele-style deflationist think more carefully about the kinds of motivational factors operating in self-deception. (shrink)

Alfred Mele's deflationary account of self-deception has frequently been criticised for being unable to explain the “tension” inherent in self-deception. These critics maintain that rival theories can better account for this tension, such as theories which suppose self-deceivers to have contradictory beliefs. However, there are two ways in which the tension idea has been understood. In this article, it is argued that on one such understanding, Mele's deflationism can account for this tension better than its rivals, but only if we (...) reconceptualize the self-deceiver's attitude in terms of unwarranted degrees of conviction rather than unwarranted belief. This new way of viewing the self-deceiver's attitude will be informed by observations on experimental work done on the biasing influence of desire on belief, which suggests that self-deceivers don’t manage to fully convince themselves of what they want to be true. On another way in which this tension has been understood, this account would not manage so well, since on this understanding the self-deceiver is best interpreted as knowing, but wishing to avoid, the truth. However, it is argued that we are under no obligation to account for this since it is a characteristic of a different phenomenon than self-deception, namely, escapism. (shrink)

In his new book, Knowledge: The Philosophical Quest in History, Steve Fuller returns to core themes of his program of social epistemology that he first outlined in his 1988 book, Social Epistemology. He develops a new, unorthodox theology and philosophy building upon his testimony in Kitzmiller v. Dover Area School District in defense of intelligent design, leading to a call for maximal human experimentation. Beginning from the theological premise rooted in the Abrahamic religious tradition that we are created in the (...) image of God, Fuller argues that the spark of the divine within us distinguishes us from animals. I argue that Fuller’s recent work takes us away from key insights of his original work. In contrast, I advocate for a program of social epistemology rooted in evolutionary science rather than intelligent design, emphasize a precautionary and ecological approach rather than a proactionary approach that favors risky human experimentation, and attend to our material and sociological embeddedness rather than a transhumanist repudiation of the body. (shrink)

We address Steel’s Programme to identify a ‘preferred’ universe of set theory and the best axioms extending ZFC by using his multiverse axioms MV and the ‘core hypothesis’. In the first part, we examine the evidential framework for MV, in particular the use of large cardinals and of ‘worlds’ obtained through forcing to ‘represent’ alternative extensions of ZFC. In the second part, we address the existence and the possible features of the core of MV_T (where T is ZFC+Large Cardinals). In (...) the last part, we discuss the hypothesis that the core is Ultimate-L, and examine whether and how, based on this fact, the Core Universist can justify V=Ultimate-L as the best (and ultimate) extension of ZFC. To this end, we take into account several strategies, and assess their prospects in the light of MV’s evidential framework. (shrink)

Like William James before him, Huw Price has influentially argued that truth has a normative role to play in our thought and talk. I agree. But Price also thinks that we should regard truth-conceived of as property of our beliefs-as something like a metaphysical myth. Here I disagree. In this paper, I argue that reflection on truth's values pushes us in a slightly different direction, one that opens the door to certain metaphysical possibilities that even a Pricean pragmatist can love.

A prevalent assumption among philosophers who believe that people can intentionally deceive themselves (intentionalists) is that they accomplish this by controlling what evidence they attend to. This article is concerned primarily with the evaluation of this claim, which we may call ‘attentionalism’. According to attentionalism, when one justifiably believes/suspects that not-p but wishes to make oneself believe that p, one may do this by shifting attention away from the considerations supportive of the belief that not-p and onto considerations supportive of (...) the belief that p. The details of this theory are elaborated, its theoretical importance is pointed out, and it is argued that the strategy is supposed to work by leading to the repression of one’s knowledge of the unwelcome considerations. However, I then show that the assumption that this is possible is opposed by the balance of a relevant body of empirical research, namely, the thought-suppression literature, and so intentionalism about self-deception cannot find vindication in the attentional theory. (shrink)

Many philosophers take understanding to be a distinctive kind of knowledge that involves grasping dependency relations; moreover, they hold it to be particularly valuable. This paper aims to investigate and address two well-known puzzles that arise from this conception: (1) the nature of understanding itself—in particular, the nature of “grasping”; (2) the source of understanding’s distinctive value. In what follows, I’ll argue that we can shed light on both puzzles by recognizing first, the importance of the distinction between the act (...) of coming to understand and the state of understanding; and second, that coming to understand is a creative act. (shrink)

This article discusses a kind of knowledge classifiable as knowledge-wh but which seems to defy analysis in terms of the standard reductive theory of knowledge-wh ascriptions, according to which they are true if and only if one knows that p, where this proposition is an acceptable answer to the wh-question ‘embedded’ in the ascription. Specifically, it is argued that certain cases of knowing what an experience is like resist such treatment. I argue that in some of these cases, one can (...) know that p, where an acceptable answer to the question ‘What’s the experience like?’ is that p, but where one does not know what the experience is like. This could point to the distinctiveness of this sort of knowledge. (shrink)

The authors developed this textbook in response to an increasing interest in ethics, and a growing number of courses on this topic that are now being offered in educational leadership programs. It is designed to fill a gap in instructional materials for teaching the ethics component of the knowledge base that has been established for the profession. The text has several purposes: First, it demonstrates the application of different ethical paradigms (the ethics of justice, care, critique, and the profession) through (...) discussion and analysis of real-life moral dilemmas that educational leaders face in their schools and communities. Second, it addresses some of the practical, pedagogical, and curricular issues related to the teaching of ethics for educational leaders. Third, it emphasizes the importance of ethics instruction from a variety of theoretical approaches. Finally, it provides a process that instructors might follow to develop their own ethics unit or course. * Part I provides an overview of why ethics is so important, especially for today's educational leaders, and describes a multiparadigm approach essential to practitioners as they grapple with ethical dilemmas. * Part II deals with the dilemmas themselves. Ethical dilemmas written by the authors' graduate students bring readers face-to-face with the kinds of dilemmas faced by practicing administrators in urban, suburban, and rural settings in an era full of complexities and contradictions. * Part III focuses on pedagogy and provides teaching notes for the instructor. The authors discuss the importance of self-reflection on the part of both instructors and students, and model how they thought through their own personal and professional ethical codes as well as reflected upon the critical incidents in their lives that shaped their teaching and frequently determined what they privileged in class. (shrink)

A holobiont is a composite organism consisting of a host together with its microbiome, such as a coral with its zooxanthellae. To explain the often intimate integration between hosts and their microbiomes, some investigators contend that selection operates on holobionts as a unit and view the microbiome’s genes as extending the host’s nuclear genome to jointly comprise a hologenome. Because vertical transmission of microbiomes is uncommon, other investigators contend that holobiont selection cannot be effective because a holobiont’s microbiome is an (...) acquired condition rather than an inherited trait. This disagreement invites a simple mathematical model to see how holobiont selection might operate and to assess its plausibility as an evolutionary force. This paper presents two variants of such a model. In one variant, juvenile hosts obtain microbiomes from their parents (vertical transmission). In the other variant, microbiomes of juvenile hosts are assembled from source pools containing the combined microbiomes of all parents (horizontal transmission). According to both variants, holobiont selection indeed causes evolutionary change in holobiont traits. Therefore, holobiont selection is plausibly an effective evolutionary force with either mode of microbiome transmission. The modeling employs two distinct concepts of inheritance, depending on the mode of microbiome transmission: collective inheritance whereby juveniles inherit a sample of the collected genomes from all parents, as contrasted with lineal inheritance whereby juveniles inherit the genomes from only their own parents. A distinction between collective and lineal inheritance also features in theories of multilevel selection. (shrink)

Although Alston believed epistemically circular arguments were able to justify their conclusions, he was also disquieted by them. We will argue that Alston was right to be disquieted. We explain Alston’s view of epistemic circularity, the considerations that led him to accept it, and the purposes he thought epistemically circular arguments could serve. We then build on some of Alston’s remarks and introduce further limits to the usefulness of such arguments and introduce a new problem that stems from those limits. (...) The upshot is that adopting Alston’s view that epistemically circular arguments can be used to justify their conclusions is more costly than even he thought. (shrink)

According to the pragmatic hypothesis testing theory, how much evidence we require before we believe something varies depending on the expected costs of falsely believing and disbelieving it. This theory has been used in the self-deception debate to explain our tendencies towards self-deceptive belief formation. This article argues that the application of this theory in the self-deception debate has overlooked the distinction between belief and acceptance, and that the theory in all likelihood models acceptance rather than belief, in which case (...) it is probably not relevant to the explanation of self-deception. It is suggested, however, that doxastic error costs might be relevant to explaining some types of self-deception, though they feature in an evolutionary explanation of it rather than a psychological one. (shrink)

This paper investigates whether we can know how to do basic actions, from the perspective according to which knowing how to do something requires knowledge of a way to do it. A key argument from this perspective against basic know-how is examined and is found to be unsound, involving the false premise that there are no ways of doing basic actions. However, a new argument along similar lines is then developed, which contends that there are no ways of doing basic (...) actions in any sense that matters for acquiring knowledge-how. This requires coming to a deeper understanding of ways of doing things than has hitherto been sought, which should be useful for further theorizing in this area. It is concluded that analyses of knowing-how in terms of knowledge of ways are inconsistent with the common assumption that there is basic know-how. (shrink)

In this paper, we offer a brief, critical survey of contemporary work on truth. We begin by reflecting on the distinction between substantivist and deflationary truth theories. We then turn to three new kinds of truth theory—Kevin Scharp's replacement theory, John MacFarlane's relativism, and the alethic pluralism pioneered by Michael Lynch and Crispin Wright. We argue that despite their considerable differences, these theories exhibit a common "pluralizing tendency" with respect to truth. In the final section, we look at the (...) underinvestigated interface between metaphysical and formal truth theories, pointing to several promising questions that arise here. (shrink)

Though the psychoanalytic method of interpretation is seen by psychoanalysts as a reliable scientific tool for investigating the unconscious mind, its reputation has long been marred by what’s known as the consensus problem: where different analysts fail to reach agreement when they interpret the same phenomena. This has long been thought, by both practitioners and observers of psychoanalysis, to undermine its claim to scientific status. The causes of this problem, however, are dimly understood. In this paper I attempt to illuminate (...) one important cause of the consensus problem by investigating the role which reliance on ‘associative evidence’ has in generating consensus failures. Various options for overcoming the difficulties with this form of clinical evidence are then examined. It is argued that these problems can be mitigated by the notion of overall associative fit, though they are exacerbated by certain loose standards used for what counts as acceptable associative evidence. The possibility of using more rigorous standards is discussed. (shrink)

A distinction can be made between those who think that self-deception is frequently intentional and those who don’t. I argue that the idea that self-deception has to be intentional can be partly traced to a particular invalid method for analyzing reflexive expressions of the form ‘Ving oneself’ (where V stands for a verb). However, I take the question of whether intentional self-deception is possible to be intrinsically interesting, and investigate the prospects for such an alleged possibility. Various potential strategies of (...) intentional self-deception are examined in relation to Alfred Mele’s suggestion that doing something intentionally implies doing it knowingly. It is suggested that the best prospects for an intentionalist theory of self-deception lie with a strategy involving the control of attention. (shrink)

Drawing on Roberto Esposito’s conceptualization of ‘affirmative biopolitics’, this article examines the relationship between bedbugs and humans in the Glasgow neighbourhood of Govanhill. Through an analysis of ethnographic field notes and interviews with people who live in the area, this article traces their experiences from first encounters. The trajectory of this experience shows a shift from a desire to immunize their homes through total annihilation of the creatures to the more pragmatic position of learning how to live with them through (...) an orientation toward ‘shared vulnerability’. This case study raises interesting questions for biopolitical theory: how can we conceive of affirmative biopolitics when the limitations of species being are evident, and is it possible to conceive of a multi or even interspecies munus or obligation? (shrink)

Two important thought-experiments are associated with the work of Hilary Putnam, one designed to establish multiple realizability for mental kinds, the other designed to establish essentialism for natural kinds. Comparing the thought-experiments with each other reveals that the scenarios in both are structurally analogous to each other, though his intuitions in both are greatly at variance, intuitions that have been simultaneously well received. The intuition in the former implies a thesis that prioritizes pre-scientific over scientific indicators for identifying mental kinds (...) in certain circumstances, while his intuition in the latter implies a converse thesis, prioritizing scientific over pre-scientific indicators for identifying natural kinds in analogous circumstances. In this paper I question whether we can consistently endorse both of these intuitions. A consideration is presented to attempt to justify the common intuition found in the multiple realization thought-experiment. Then it is argued that this same consideration has application in the structurally analogous Twin-Earth thought-experiment. This recommends a kind of multiple realization thesis for natural kinds, in opposition to a scientific essentialist approach. The various respects in which mental kinds like pain and natural kinds like water are similar to each other, such that similar philosophical treatments are warranted for both, are enumerated. (shrink)

This study aimed to determine the health practices among the secondary school teachers during the Covid-19 pandemic in Ichon National High School. This considered the socio - demographic profile of the teachers in terms of age, sex, civil status and teaching load and the extent of practice employed by the teachers in the said health dimensions. A total of 53 teachers from Ichon National High School participated as respondents in the evaluative method of research that consists in three parts questionnaires. (...) The statistical treatment used in the computation and analysis of gathered data to determine the socio-demographic profile of the respondents are the descriptive statistics such as frequency and percentage. As to the significance of health practices during COVID-19 pandemic, Kruskal Wallis and Mann-Whitney U test was used to analyze the significant differences on the extent of practices among the different health dimensions. The very high extent of the implementation on the health practices during COVID-19 pandemic shows that the teachers are frequently practiced the health practices. The highest mean in mental aspect is conclusive that teacher during the pandemic exert effort to stay healthy on this and other areas as well. It is recommended to conduct further study regarding on the health practices among the secondary school teachers. (shrink)

What does truth have to do with freedom? That is, what is the relationship between our political and epistemic principles? In this paper, I grapple and reject Rorty's reasons for thinking that the former can't be based on the latter, but offer an alternative argument that supports his over-all conclusion that our epistemic and political values are ultimately intertwined.

From time to time philosophers and scientists have made sensational, provocative claims that certain things do not exist or never happen that, in everyday life, we unquestioningly take for granted as existing or happening. These claims have included denying the existence of matter, space, time, the self, free will, and other sturdy and basic elements of our common-sense or naïve world-view. Around the middle of the twentieth century an argument was developed that can be used to challenge many such skeptical (...) claims based on linguistic considerations, which came to be known as the Paradigm Case Argument ... (shrink)

A familiar puzzle about self-deception concerns how self-deception is possible in light of the paradoxes generated by a plausible way of defining it. A less familiar puzzle concerns how a certain type of self-deception—being self-deceived about one's own intentional mental state—is possible in light of a plausible way of understanding the nature of self-knowledge. According to this understanding, we ordinarily do not infer our mental states from evidence, but then it's puzzling how this sort of self-deception could occur given that (...) self-deception arises from the mistreatment of evidence. This article argues that to accommodate this kind of self-deception we should accept that sometimes ordinary self-knowledge is inferential, but that this idea needn’t be so unappealing. In particular, by showing that such inferential self-knowledge can be both ‘transparent’ and ‘direct’, the article argues that it need not imply having an abnormal, ‘alienated’ relation to the mental state. (shrink)

Causation has multiple distinct meanings in genetics. One reason for this is meaning slippage between two concepts of the gene: Mendelian and molecular. Another reason is that a variety of genetic methods address different kinds of causal relationships. Some genetic studies address causes of traits in individuals, which can only be assessed when single genes follow predictable inheritance patterns that reliably cause a trait. A second sense concerns the causes of trait differences within a population. Whereas some single genes can (...) be said to cause population-level differences, most often these claims concern the effects of many genes. Polygenic traits can be understood using heritability estimates, which estimate the relative influences of genetic and environmental differences to trait differences within a population. Attempts to understand the molecular mechanisms underlying polygenic traits have been developed, although causal inference based on these results remains controversial. Genetic variation has also recently been leveraged as a randomizing factor to identify environmental causes of trait differences. This technique—Mendelian randomization—offers some solutions to traditional epidemiological challenges, although it is limited to the study of environments with known genetic influences. (shrink)

Elective mathematics has been an extra mathematics subject for pilot students of Eduardo Barretto Sr. National High School for quite some time now. Through this, many alumni testified how this helped them understand senior high school and college math. However, the teachers have also been struggling with the resources for specific areas of mathematics, such as Business Math, Statistics, Analytic Geometry, Trigonometry, and Calculus. When the pandemic hit the Philippines, contextualized learning material aligned with the Most Essential Learning Competencies (MELC) (...) helped elective mathematics teachers. The contextualized learning material was developed from April to August 2020 and was first validated in February 2021 by the students who participated in the pilot testing. However, following the due process, it was suggested that I revalidate the IDEA-formatted Analytic Geometry and Trigonometry instructional material. It examines Eduardo Barretto Sr. National High School mathematics teachers and SDO Calamba City experts' evaluation of the content's topics, objectives, concepts, directions, and activities and the format's prints, illustrations, design, and layout. Participants' perceptions of learning material were assessed using a 4-point Likert Scale survey. Hence, descriptive quantitative design. Participants were surveyed using a 4-point Likert Scale to assess their learning content impression. The findings reveal that the participants found the format and content of the developed learning material to be very satisfactory. The indicators "localized" and "can be done independently" were viewed as Fair and Satisfactory, respectively. The learning material was enhanced by localizing the activities and giving directions that could facilitate self-learning. (shrink)

This essay develops an argumentative position which implies that historically Caribbean political philosophers have engaged in establishing a theoretical position that is trapped, and entrenched, within European hegemony. The essay traverse the works of some noted Caribbean thinkers and highlight limitations in logic, and or tactical approach, to the question of Caribbean decolonisation, and establishes the essay’s principal hypothesis. The article revealed three (3) Philosophers; namely C.L.R. James, Franz Fanon, and Walter Rodney as the principal thinkers whose philosophical approaches gave (...) intellectual keys that were adjacent to unlocking European dominance. The paper then suggest that the method in breaking the false decolonisation notion rest in making a cultural link with ancient cosmology of Kemet and dialectics of Pharaonic Egypt. A task all philosopher thought-out Caribbean history failed to established as a matter of principle. (shrink)

Dos filósofos dialogan sobre cómo definir en nuestros días la barbarie desde la filosofía política actual. Barajan para ello tres tipos de respuestas. La respuesta ilustrada es la que considera que la diversidad de concepciones del bien de nuestras sociedades es un hecho pernicioso para el desarrollo de la Humanidad, y que hay que imponer sobre ese batiburrillo de opiniones bárbaras la concepción sobre lo bueno más racional, la que en Occidente se propugna desde la Ilustración dieciochesca. La respuesta liberal, (...) por el contrario, acepta gustosa la pluralidad de concepciones morales y metafísicas de nuestras sociedades, y lo único que propone es evitar la barbarie haciendo que, en las cuestiones sobre cómo organizar nuestra sociedad, estas diferencias queden de lado y se intente encontrar un mínimo acuerdo entre todos. Por último, la respuesta postmetafísica sugiere aceptar que las cosmovisiones sobre el bien y el mundo no pueden quedar tan totalmente aparte de nuestros modos de organizar la sociedad como quiere el liberal; pero para evitar el conflicto bárbarico entre ellas, persigue hacer plausible sobre las demás una concepción concreta, que, a diferencia de la del ilustrado, aspiraría mucho más modestamente a sólo expandir un escepticismo para con el resto de nuestras propias creencias; autoironía que nos abriría al diálogo con las creencias de los demás y evitaría en ese juego de conversaciones la violencia de la imposición bárbara. (shrink)

Jacques Derrida begins the first chapter of his book The Politics of Friendship1 with a statement attributed to Aristotle by both Diogenes Laertes and the 16th Century French philosopher Michel de Montaigne. The statement is this: “O my friends, there is no friend.” Derrida points out the paradox and apparent contradication in such an impossible declaration. Who is Aristotle talking to, given that he is addressing friends to inform them that there are none? How can the statement be taken seriously? (...) We might say that the paradox is a result of a bit of philosophical licence on Aristotle’s part. Aristotle defines the friend as “another self”2 and since it is logically impossible that the friend could actually be another self, then this is simply a bit of philosophical hyperbole that Aristotle engages in, but about which he is not serious. Yet the fact that Derrida has written three hundred pages of text on this subject suggests that this interpretation would be hard to sustain. As the title of his text suggests, Derrida approaches the question of friendship via an analogy with politics, specifically with republican democracy. This paper focuses on three aspects of that analogy. (shrink)

Comentaba en el Prólogo a la 1ª edición que nos cuesta distinguir las técnicas de los métodos y aceptar que la buena investigación clínica es la que se realiza con método riguroso. Este método reposa en cuatro pilares: que la pregunta o cuestión formulada sea relevante, que esté enunciada de manera precisa y operativa, que sea abordada o respondida con el mejor medio disponible en cada circunstancia, y que evite redundancias o repeticiones de cuestiones que ya han sido examinadas por (...) otros investigadores. Añadía que es imprescindible una dosis de curiosidad y de entusiasmo por lo que se examina. Como se ha dicho con frecuencia, el ensayo clínico es, entre los métodos de investigación clínica, el "patrón oro", el que, gracias a su característica inherente (la distribución aleatoria), está sujeto a menores posibilidades de sesgos. Esta consideración no ha cambiado. Sin embargo, mayor validez interna del método no implica mayor relevancia de los resultados obtenidos. Actualmente es común examinar protocolos de ensayos clínicos bien diseñados, cuyo "único" problema es que pretenden evaluar aspectos de escaso interés farmacológico, terapéutico, epidemiológico o sanitario. ¿Qué interés tiene la evaluación del quinto fármaco de una serie en una indicación para la que ya hay cuatro análogos que le han precedido en su desarrollo? ¿Qué interés tiene la evaluación de un nuevo hipocolesterolemiante o de un nuevo fármaco para la osteoporosis si no se conocen, respectivamente, el impacto de la hipercolesterolemia como factor de riesgo de cardiopatía isquémica o la epidemiología de las fracturas en mujeres postmenopáusicas en nuestro medio? En relación con estos ejemplos, tendría mucho más interés conocer los determinantes epidemiológicos y la historia natural de la cardiopatía isquémica en nuestro medio y conocer la epidemiología de las fracturas "espontáneas" y su impacto sobre la demanda asistencial; para ello serían de mucha utilidad métodos de investigación cuya validez intrínseca podría ser considerada "subóptima" en comparación con el ensayo clínico. En los últimos años ha irrumpido con fuerza en numerosísimas publicaciones el concepto de la "medicina basada en pruebas". Esta moda refleja en parte la importancia que de manera creciente reguladores e industria farmacéutica han concedido a los ensayos clínicos: se ha alcanzado un consenso global sobre la necesidad de demostrar la "eficacia" de los nuevos medicamentos por medio de ensayos clínicos controlados. De este modo, los organismos reguladores y autoridades sanitarias exigen ensayos clínicos como uno de los elementos necesarios para obtener el registro de un nuevo medicamento. Como consecuencia, se realizan y publican muchos más ensayos clínicos que antaño, y actualmente se pueden encontrar ensayos que sustentan la eficacia de la mayoría de los medicamentos disponibles en indicaciones específicas. Si hace unos años bastaba con examinar si había ensayos clínicos que demostraran la eficacia de un determinado medicamento antes de adoptarlo como uno de los de uso común (o de incluirlo en el formulario de un hospital), en la actualidad estas decisiones son más complejas, y se basan sobre todo en una consideración atenta de los objetivos, los métodos y los resultados de cada ensayo o de otros estudios destinados a evaluar eficacia, seguridad, conveniencia o comodidad y coste. Un buen clínico debe saber a la vez leer críticamente las publicaciones científicas y producir información relevante. Leer críticamente significa evaluar la pertinencia de los problemas investigados, los métodos aplicados y la interpretación de los resultados obtenidos. Producir información relevante implica saber identificar los problemas que deben y pueden ser objeto de investigación, formularlos, y ser protagonista (generalmente como parte de un equipo) de la elaboración del plan de investigación. En los últimos años se han publicado varios textos similares al que tiene en sus manos, todos ellos de gran calidad. El presente no pretende ser el más exhaustivo, sino sobre todo interesar a los profesionales sanitarios en el apasionante campo de la investigación clínica, en su sentido más amplio, estimulando la autonomía del lector para investigar un problema o una situación, y para aprender a leer las publicaciones científicas clínicas. Su lectura debe contribuir a que términos como "doble ciego", "p<0,05", "casos y controles", etc. dejen de ser fetiches-misterios, para convertirse en herramientas conceptualmente sencillas, útiles para la evaluación de la actividad asistencial. Esta nueva edición está muy ampliada respecto a la anterior. Se han reorganizado las generalidades sobre los objetivos y métodos de la investigación clínica, se han ampliado algunos aspectos del ensayo clínico, como el análisis de subgrupos, los aspectos estadísticos y éticos y las publicaciones sobre ensayos clínicos, se han añadido cuatro nuevos capítulos, sobre efectividad y eficacia, metaanálisis, ensayos en un solo paciente y farmacoeconomía, y el Glosario ha sido revisado y ampliado (sobre todo con términos de farmacocinética, desarrollo preclínico de fármacos, estadística y biotecnología genética), e incluye casi 750 términos. Para su elaboración me he basado en numerosos textos y diccionarios,a aunque he reformulado la mayoría de las definiciones y he optado por añadir en ocasiones algún comentario personal a muchas de ellas. Carles Vallvé ha escrito el capítulo sobre Normas de Buena Práctica Clínica. Agradezco asimismo las precisones y comentarios de Eulalia Dalmau, Javier Jiménez, Josep Maria Castel y Xavier Vidal, así como los comentarios a versiones anteriores de Fernando Antezana y Jorleny Rojas. Eduard Diogène me sugirió la idea de la portada, El sueño de la razón produce monstruos, que Goya comentaba así: " La fantasía abandonada de la razón produce monstruos imposibles: unida con ella es madre de las artes y origen de sus marabillas" La 1ª edición de este libro, que fue promovida por Zeneca, tuvo una amplia difusión, en España y en América Latina. AstraZeneca me propuso preparar esta 2ª edición del mismo modo abierto que en ocasión de la primera; su actual Director Médico Ramón Estiarte me ha ayudado en la selección de términos para el Glosario. A él y al anterior Director Médico de Zeneca, Manuel Martín, agradezco su idea inicial, su estímulo y ayuda, y las facilidades que han dado para la difusión de este libro. Joan-Ramon Laporte. (shrink)

Although the map of technology ethics is expanding, the growing subdomains within it may raise misgivings. In a recent and very interesting article, Sætra and Danaher have argued that the current dynamic of sub-specialization is harmful to the ethics of technology. In this commentary, we offer three reasons to diminish their concern about ethical proliferation. We argue first that the problem of demarcation is weakened if we attend to other sub-disciplines of technology ethics not mentioned by these authors. We claim (...) secondly that the logic of sub-specializations is less problematic if one does adopt mixed models (combining internalist and externalist approaches) in applied ethics. We finally reject that clarity and distinction are necessary conditions for defining sub-fields within ethics of technology, defending the porosity and constructive nature of ethical disciplines. (shrink)

This study aims to find out the factors that hinder students in learning Integrated Art Education. A descriptive research design was utilized in the conduct of the study. The researcher prepared a questionnaire with 15 closed-ended- questions that could be answered objectively. The study discovered that the students would learn more when they feel that they belong to a certain group. Interests in a subject also matter, the more you are interested in a particular subject, the more you will learn (...) the material. Parent support marks an impact on the student's interest in learning Arts. Therefore, personal interest in a subject must be given attention and managed properly. Parent's support also plays a vital role in reinforcing the students on what to pursue in order to maintain their motivation. (shrink)

We argue that the universal recommendations against “off-label” pediatric use of approved COVID-19 issued by the FDA, CDC, and AAP are overbroad. Especially for higher-risk children, vaccination can be ethically justified even before FDA authorization or approval – and similar reasoning is relevant for even younger patients. Legal risks can also be managed, although the FDA, CDC, and Department of Health and Human Services (HHS) should move quickly to provide clarity.

Amidst the challenges that teachers are facing nowadays, teachers resiliency in this new tough learning environment seemed to be an unexplored area. Thus, it is crucial to conduct studies that would explore factors that increase teachers resiliency particularly amidst teachers work-related stress and emotional exhaustion. This study explores the moderating effect of social support to self- efficacy and stress management strategies toward teachers resiliency employing descriptive-correlational with moderation design. teachers resiliency. The respondents were one hundred one (101) public elementary school (...) teachers who are currently associated with the four (4) public elementary schools in San Francisco District for the school year 2022-2023 using online survey questionnaire as the main instrument in gathering the data. The findings revealed that both teachers self-efficacy and stress management strategies have a significant relationship in teachers resiliency. This suggests that teachers must also be persistent in strengthening their self-efficacy and developing their stress management strategies to sustain their resiliency. Results also showed that social support effectively moderates the relationship between self-efficacy and teachers resilience. At the same time, it indicated that the higher self-efficacy of teachers was associated with a lower level of social support. Likewise, social support effectively moderates the relationship between stress management strategies and teachers resilience. Results also indicated that the higher level of stress management strategies was associated with lower level of social support. Individuals in the workplace especially supervisors and co-workers must consider providing their colleagues especially those with lower level of self- efficacy and stress management strategies with the necessary social support that they need to be resilient. (shrink)

Gadamer's Truth and Method: A Polyphonic Commentary offers a fresh look at Gadamer's magnum opus, Truth and Method, which was first published in German in 1960, translated into English in 1975, and is widely recognized as a ground-breaking text of philosophical hermeneutics. The volume features essays from fourteen scholars--both established and rising stars--each of which cover a portion of Truth and Method following the order of the text itself. The result is a robust, historically and thematically rich polyphonic reading of (...) the text as a whole, valuable both for scholarship and teaching. (shrink)

This paper reconstructs Peter Carruthers’s arguments for criticizing the test focused on the metacognitive capacities of non-humans animals. It is possible to discuss metacognition or there are other mechanisms that being is used by animals in the metacognitive test? This paper offers an overview about the dispute about the metacognitive capacities(metaperception and metamemory) of the animals. The structure of this paper is the following: the first part presents the most relevant arguments that Carruthers offers to discuss and criticize the experiments (...) focused on animal metacognition. The second part it reconstructs the arguments against the Carruthers’s interpretation for explaining the metacognitive test. The third part it makes a balance between the Carruthers’s approach and his critic. Finally, the fourth part, in concluding that despite to the critics, the Carrtuhers’s arguments surpass these difficulties. (shrink)

In pornography, standard modelling contracts often require a performer to surrender rights over their public image and sexual media in perpetuity and across mediums. Under these contracts, performers are unable to determine who accesses, for what duration, and under what conditions, their sexual media. As a result, pornography has been described by some performers as a “life sentence” - a phrase which, if true, violates some strong intuitions we share about the importance of autonomy in sexual activity. Using the framework (...) of “affirmative consent,” I argue that these contracts violate performers' rights to sexual autonomy, and ought therefore to be considered objectionable. Overall, I argue that the legal regimes we create have a strong impact on people’s lives, and more important than legislating individual outcomes, the type of infrastructure we build around people’s decisions has the potential to radically empower - or disempower - those engaged in sex work. (shrink)

El ambiente artificial en el que se despliega la vida en el planeta potencia un conjunto de interrogantes –algunos ya clásicos, otros novedosos– sobre los modos de existencia de los artefactos, sistemas y objetos técnicos que permean cada una de nuestras acciones. Parte importante de estos interrogantes se ocupa de las transformaciones que este ambiente artificial genera en la experiencia moral, política y cognitiva de los individuos, instituciones y sociedades. El Glosario de filosofía de la técnica elabora un mapa amplio, (...) ecléctico y heterogéneo, pero a la vez riguroso, a partir de las discusiones actuales en torno a la técnica en Latinoamérica y el ámbito hispanoparlante; abarca las discusiones canónicas dentro del campo de la filosofía de la técnica, pero también brinda un importante espacio a cuestiones emergentes, más recientes, con menos recorrido histórico, así como a conceptos que se desprenden de las agendas de indagación del ámbito local, muchas veces ausentes en las compilaciones impulsadas por el norte global y las modas académicas y editoriales. El panorama que presenta este volumen excede lo estrictamente filosófico (y sus distintas disciplinas) para incluir teoría de los medios, sociología, antropología, investigación en artes, letras y ciencias de la educación, entre otros abordajes posibles de la complejidad de la técnica como problema central de nuestros días. (shrink)