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Nurses are responsible for the well-being and quality of life of many people, and therefore must meet high standards of technical and ethical competence. The most common form of ethical guidance is a code of ethics/professional practice; however, little research on how codes are viewed or used in practice has been undertaken. This study, carried out in six European countries, explored nurses’ opinions of the content and function of codes and their use in nursing practice. A total of 49 focus (...) groups involving 311 nurses were held. Purposive sampling ensured a mix of participants from a range of specialisms. Qualitative analysis enabled emerging themes to be identified on both national and comparative bases. Most participants had a poor understanding of their codes. They were unfamiliar with the content and believed they have little practical value because of extensive barriers to their effective use. In many countries nursing codes appear to be ‘paper tigers’ with little or no impact; changes are needed in the way they are developed and written, introduced in nurse education, and reinforced/implemented in clinical practice. (shrink)

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What is it to be morally responsible for something? Recent philosophical work reveals considerable disagreement on the question. Indeed, some theorists claim to distinguish several varieties of moral responsibility, with different conditions that must be satisfied if one is to bear responsibility of one or another of these kinds. -/- Debate on this point turns partly on disagreement about the kinds of responses made appropriate when one is blameworthy or praiseworthy. It is generally agreed that these include "reactive attitudes" such (...) as resentment and gratitude, but theorists disagree about the nature of these attitudes. They dispute the connections between moral responsibility, desert, and the justification of punishment as well. -/- Many theorists take it that, whatever the appropriate responses are, they are responses to an agent's "quality of will," but there is no consensus on what this comes to. Are the agent's beliefs about the moral status of her behavior what matter, or is it what she cares about, or what she judges important? -/- This volume presents twelve original essays from participants in these debates. The contributors include prominent established figures as well as influential younger philosophers. A substantive introduction by the editors surveys recent debates and situates the contributions within it. (shrink)

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This book offers both the theoretical background behind the minority effect, teachers' personal experiences as they experienced being a minority, and their analyses and insights for teaching diverse learners. This book uses real-life experiences of diverse people to illustrate that, if not understood and addressed, situational minorities at school or work are unlikely to perform at their highest potentials.

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This paper reports a literature review on the topic of ethical issues in in-depth interviews. The review returned three types of article: general discussion, issues in particular studies, and studies of interview-based research ethics. Whilst many of the issues discussed in these articles are generic to research ethics, such as confidentiality, they often had particular manifestations in this type of research. For example, privacy was a significant problem as interviews sometimes probe unexpected areas. For similar reasons, it is difficult to (...) give full information of the nature of a particular interview at the outset, hence informed consent is problematic. Where a pair is interviewed (such as carer and cared-for) there are major difficulties in maintaining confidentiality and protecting privacy. The potential for interviews to harm participants emotionally is noted in some papers, although this is often set against potential therapeutic benefit. As well as these generic issues, there are some ethical issues fairly specific to in-depth interviews. The problem of dual role is noted in many papers. It can take many forms: an interviewer might be nurse and researcher, scientist and counsellor, or reporter and evangelist. There are other specific issues such as taking sides in an interview, and protecting vulnerable groups. Little specific study of the ethics of in-depth interviews has taken place. However, that which has shows some important findings. For example, one study shows participants are not averse to discussing painful issues provided they feel the study is worthwhile. Some papers make recommendations for researchers. One such is that they should consider using a model of continuous (or process) consent rather than viewing consent as occurring once, at signature, prior to the interview. However, there is a need for further study of this area, both philosophical and empirical. (shrink)

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Anhedonia, or a deficit in the liking, wanting, and seeking of rewards, is typically assessed via self-reported “in-the-moment” emotional and motivational responses to reward stimuli and activities. Given that mental imagery is known to evoke emotion and motivational responses, we conducted two studies to investigate the relationship between mental imagery use and self-reported anhedonia. Using a novel Reward Response Scale (adapted from the Dimensional Anhedonia Rating Scale, DARS; Rizvi et al., 2015) modified to assess deliberate and spontaneous mental imagery use, (...) Study 1 (N = 394) compared uninstructed and instructed mental imagery use, and Study 2 (N = 586) conducted a test of replication of uninstructed mental imagery use. Results showed that greater mental imagery use was associated with higher reward response scores (Study 1 & 2), and this relationship was not moderated by whether imagery use was uninstructed or instructed (Study 1). Importantly, mental imagery use moderated the convergence between reward response and depression scale measures of anhedonia, with lower convergence for those reporting higher mental imagery use (Study 1 & 2). Results suggest that higher spontaneous mental imagery use may increase self-reported reward response and reduce the convergence between reward response scale and depression questionnaire measures of anhedonia. [199 / 200 words]. (shrink)

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Due to improvements in medicine, the figures of patients with disorders of consciousness (DoC) are increasing. Diagnostics of DoC and prognostication of rehabilitation outcome is challenging but necessary to evaluate recovery potential and to decide on treatment options. Such decisions should be made by doctors and patients’ surrogates based on medico-ethical principles. Meeting information needs and communicating effectively with caregivers as the patients´ most common surrogate-decision makers is crucial, and challenging when novel tech-nologies are introduced. This qualitative study aims to (...) explore information needs of informal DoC caregivers, how they manage the obtained information and their perceptions and experiences with caregiver-physician communication in facilities that implemented innovative neurodiagnostics studies. In 2021, we conducted semi-structured interviews with nine caregivers of clinically stable DoC patients in two rehabilitation centers in Italy and Germany. Participants were selected based on consecutive purposeful sampling. Caregivers were recruited at the facilities after written informed consent. All interviews were recorded, transcribed verbatim and translated. For analysis, we used reflexive thematic analysis according to Braun &Clarke (2006). Caregivers experienced the conversations emotionally, generally based on the value of the information provided. They reported to seek positive information, comfort and empathy with-in the communication of results of examinations. They needed detailed information to gain a deep understanding and a clear picture of their loved-one’s condition. The results suggest a mismatch between the perspectives of caregivers and the perspectives of medical profession-als, and stress the need for more elaborate approaches to the communication of results of neu-rodiagnostics studies. (shrink)

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John Dupr argues that 'scientific imperialism' can result in 'misguided' science being considered acceptable. 'Misguided' is an explicitly normative term and the use of the pejorative 'imperialistic' is implicitly normative. However, Dupr has not justified the normative dimension of his critique. We identify two ways in which it might be justified. It might be justified if colonisation prevents a discipline from progressing in ways that it might otherwise progress. It might also be justified if colonisation prevents the expression of important (...) values in the colonised discipline. This second concern seems most pressing in the human sciences. (shrink)

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The distinction between perception and cognition frames countless debates in philosophy and cognitive science. But what, if anything, does this distinction actually amount to? In this introductory article, we summarize recent work on this question. We first briefly consider the possibility that a perception-cognition border should be eliminated from our scientific ontology, and then introduce and critically examine five positive approaches to marking a perception–cognition border, framed in terms of phenomenology, revisability, modularity, format, and stimulus-dependence.

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‘Generalists’ hold that conspiracy theories, as a class, have epistemic defects. Well confirmed theories that invoke conspiracies, such as the theory that the Nixon administration conspired to orchestrate the break in at the Democratic National Committee offices in the Watergate complex, on 17 June 1972, – the ‘Watergate theory’ – raise a problem for generalists as it’s hard to understand how such theories can have epistemic defects. The Watergate theory is often not considered a mere conspiracy theory, because it enjoys (...) ‘official theory’ status and in folk usage that means it is not a conspiracy theory. However, most people concede that the Watergate theory was a conspiracy theory before obtaining official status. So, appealing to folk usage does not make the problem go away. Recently however, several generalist scholars including, Cassam, Mandik, Thalman and Butter, have argued that theories invoking conspiracies that enjoy official status were never conspiracy theories. I’ll consider their reasoning and show where they go wrong. I’ll work with the examples of the Watergate theory and the ‘false flag’ theory of the Mountain Meadows massacre of 1857, which has it that this massacre of over 100 people was led by white Utahn Mormons disguised as Native Americans. (shrink)

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I argue that analogue mental representations possess a canonical decomposition into privileged constituents from which they compose. I motivate this suggestion, and rebut arguments to the contrary, through reflection on the approximate number system, whose representations are widely expected to have an analogue format. I then argue that arguments for the compositionality and constituent structure of these analogue representations generalize to other analogue mental representations posited in the human mind, such as those in early vision and visual imagery.

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Scanlon’s Being Realistic about Reasons (BRR) is a beautiful book – sleek, sophisticated, and programmatic. One of its key aims is to demystify knowledge of normative and mathematical truths. In this article, I develop an epistemological problem that Scanlon fails to explicitly address. I argue that his “metaphysical pluralism” can be understood as a response to that problem. However, it resolves the problem only if it undercuts the objectivity of normative and mathematical inquiry.

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Descartes' methodology is ambiguous about the role of empirical evidence in science. This ambiguity does not derive from Rationalist qualms about the specifically empirical character of such evidence; for the apparant clash of experience and reason is explained by the need to re-interpret perceptions in terms of new theories, and by the frequently "contaminated" status of so-called experimental evidence. The ambiguity results, rather, from: (a) Descartes' predilection for "ordinary experience" rather than experiments as a source of warrant, and (b) the (...) looseness of fit between hypotheses and confirming evidence. The mathematical ideal of science is a camouflage for a naive, and conceptually impoverished, empiricism. (shrink)

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Gideon Rosen, Brian Leiter, and Catarina Dutilh Novaes raise deep questions about the arguments in Morality and Mathematics (M&M). Their objections bear on practical deliberation, the formulation of mathematical pluralism, the problem of universals, the argument from moral disagreement, moral ‘perception’, the contingency of our mathematical practices, and the purpose of proof. In this response, I address their objections, and the broader issues that they raise.

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Causal accounts of scientific explanation are currently broadly accepted (though not universally so). My first task in this paper is to show that, even for a causal approach to explanation, significant features of explanatory practice are not determined by settling how causal facts bear on the phenomenon to be explained. I then develop a broadly causal approach to explanation that accounts for the additional features that I argue an explanation should have. This approach to explanation makes sense of several aspects (...) of actual explanatory practice, including the widespread use of equilibrium explanations, the formulation of distinct explanations for a single event, and the tight relationship between explanations of events and explanations of causal regularities. (shrink)

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I am grateful to Sean Carroll, Paul Horwich, and Sarah McGrath for their stimulating responses to Morality and Mathematics (M&M). Their arguments concern the reality of unapplied mathematics, the practical import of moral facts, and the deliberative and explanatory roles of evaluative theories. In what follows, I address their responses, as well as some broader issues.

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Number Nativism is the view that humans innately represent precise natural numbers. Despite a long and venerable history, it is often considered hopelessly out of touch with the empirical record. I argue that this is a mistake. After clarifying Number Nativism and distancing it from related conjectures, I distinguish three arguments which have been seen to refute the view. I argue that, while popular, two of these arguments miss the mark, and fail to place pressure on Number Nativism. Meanwhile, a (...) third argument is best construed as a challenge: rather than refuting Number Nativism, it challenges its proponents to provide positive evidence for their thesis and show that this can be squared with apparent counterevidence. In response, I introduce psycholinguistic work on The Tolerance Principle (not yet considered in this context), propose that it is hard to make sense of without positing precise and innate representations of natural numbers, and argue that there is no obvious reason why these innate representations couldn’t serve as a basis for mature numeric conception. (shrink)

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Benjamin Matheson has recently argued that blameworthiness is terminable: in at least some cases, one's blameworthiness for a given offense can be diminished or even eliminated. Although Matheson presents a forceful challenge to those who deny this view—interminability theorists, he calls them—he misconstrues their position and fails to come to grips with several considerations that favor it. This paper aims to clarify key aspects of the debate and defend the claim that blameworthiness is interminable.

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An important work in the debate between materialists and dualists, the public correspondence between Anthony Collins and SamuelClarke provided the framework for arguments over consciousness and personal identity in eighteenth-century Britain. InClarke's view, mind and consciousness are so unified that they cannot be compounded into wholes or divided into parts, so mind and consciousness must be distinct from matter. Collins, by contrast, was a perceptive advocate of a materialist account of mind, who defended the possibility that (...) thinking and consciousness are emergent properties of the brain. Appendices include philosophical writings that influenced, and responded to, the correspondence. (shrink)

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We can observe a connection between some serious environmental problems caused by the overexploitation of environmental resources and the particular conceptions of property rights that are claimed to hold with regard to these resources. In this paper, I investigate whether Kant’s conception of property rights might constitute a basis for justifying property regimes that would overcome some of these environmental problems. Kant’s argument for the right to property, put forward in his Doctrine of right, is complex. In Section 2, I (...) attempt an interpretation. Section 3 works out the defining characteristics of the conception of property rights that Kant’s argument establishes and investigates their implications for determining property regimes in environmental resources. Kant proposes a minimalist notion of the right to property as a triadic relation between persons with regard to an object, justified only on the condition that it is universalizable in the given circumstances. I argue that this notion offers a promising account for determining property relations with regard to environmental resources. By way of illustration, in Section 4, I focus on an example of Kantian property rights in one type of environmental resource: the marine fisheries. (shrink)

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This article argues that consent must be revocable. I present two arguments for this conclusion. On the argument from informed consent, irrevocable consent lacks validity because it cannot be sufficiently informed. On the argument from bodily integrity, irrevocable consent lacks validity because we do not have the authority to deny our future selves the ability to protect our bodily integrity. I explain why the argument from bodily integrity captures unique moral problems raised by irrevocable consent and illuminates an important but (...) undertheorized distinction between autonomy and bodily integrity. (shrink)

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It is widely supposed that it is important to ensure that patients undergoing medical procedures hope that their treatments will be successful. But why is hope so important, if indeed it is? After examining the answers currently on offer in the literature, we identify a hitherto unrecognized reason for supposing that it is important that patients possess hope for a successful treatment, which draws on prospect theory, Kahneman and Tversky’s hugely influential descriptive theory about decision-making in situations of risk and (...) uncertainty. We also consider some concerns about patient consent and the potential manipulation of patients that are raised by our account. (shrink)

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‘Flourishing’ is a concept of the good life of plants which comprises an empirical and an evaluative aspect. In this article, I shall discuss this concept as a starting point for addressing the moral status of plants anew; I shall therefore first outline the content of flourishing as explained in botany. The article then explores the evaluative aspect of flourishing in the context of three questions. These questions are: how does the concept of flourishing fit into moral theory? Why do (...) plants deserve a moral standing? And finally, what are the consequences of this approach to plants in ethics? The exploration of these questions contributes to a fine-grained perspective on the moral implications of the capacity of plants to flourish. (shrink)

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Visual illusions provide a means of investigating the rules and principles through which approximate number representations are formed. Here, we investigated the developmental trajectory of an important numerical illusion – the connectedness illusion, wherein connecting pairs of items with thin lines reduces perceived number without altering continuous attributes of the collections. We found that children as young as 5 years of age showed susceptibility to the illusion and that the magnitude of the effect increased into adulthood. Moreover, individuals with greater (...) numerical acuity exhibited stronger connectedness illusions after controlling for age. Overall, these results suggest the approximate number system expects to enumerate over bounded wholes and doing so is a signature of its optimal functioning. (shrink)

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Other than the ligation of the aortic arch vessels, extracorporeal cardiopulmonary resuscitation (ECPR) and thoraco-abdominal normothermic regional ­perfusion (TA-NRP) in donation after circulatory...

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Given any collection F of computable functions over the reals, we show that there exists an algorithm that, given any sentence A containing only bounded quantifiers and functions in F, and any positive rational number delta, decides either “A is true”, or “a delta-strengthening of A is false”. Moreover, if F can be computed in complexity class C, then under mild assumptions, this “delta-decision problem” for bounded Sigma k-sentences resides in Sigma k. The results stand in sharp contrast to the (...) well-known undecidability of the general first-order theories with these functions, and serve as a theoretical basis for the use of numerical methods in decision procedures for formulas over the reals. (shrink)

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Jung's interest in the East was deep-rooted and life-long, and the traditional teachings of China and India played an important role in his personal and intellectual development, as well as in the formations of the ideas and practices that are central to Jungian psychology. Jung on the East brings together key selections from his work on Buddhism, yoga and Taoism, and on such classic texts as the I Ching and The Tibetan Book of the Dead. It also includes accounts on (...) his own journey to India. The clear and perceptive introduction sets the context for Jung's encounter with the East, and provides an excellent framework that will enable the reader to get the most out of Jung's writings in this area. The book will be of interest to everyone seeking to further their understanding both of Jung, and of Eastern thought and spirituality. (shrink)

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