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This paper describes a practice innovation: the addition of formal weekly discussions of patients with prolonged PICU stay to reduce healthcare providers’ moral distress and decrease length of stay for patients with life-threatening illnesses. We evaluated the innovation using a pre/post intervention design measuring provider moral distress and comparing patient outcomes using retrospective historical controls. Physicians and nurses on staff in our pediatric intensive care unit in a quaternary care children's hospital participated in the evaluation. There were 60 patients in (...) the interventional group and 66 patients in the historical control group. We evaluated the impact of weekly meetings to establish goals of care for patients with longer than 10 days length of stay in the ICU for a year. Moral distress was measured intermittently and reported moral distress thermometer scores fluctuated. "Clinical situations" represented the most frequent contributing factor to moral distress. Post intervention, overall moral distress scores, measured on the moral distress scale revised, were lower for respondents in all categories, and on three specific items. Patient outcomes before and after PEACE intervention showed a statistically significant decrease in PRISM indexed LOS, a statistically significant increase in both code status changes DNR, and in-hospital death, with no change in patient 30 or 365 day mortality. The addition of a clinical ethicist and senior intensivist to weekly inter-professional team meetings facilitated difficult conversations regarding realistic goals of care. The study demonstrated that the PEACE intervention had a positive impact on some factors that contribute to moral distress and can shorten PICU length of stay for some patients. (shrink)

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Midstream modulation is a form of public engagement with science which benefits from strategic application of science and technology studies (STS) insights accumulated over nearly 20 years. These have been developed from STS researchers’ involvement in practical engagement processes and research with scientists, science funders, policy and other public stakeholders. The strategic aim of this specific method, to develop what is termed second-order reflexivity amongst scientist-technologists, builds upon and advances earlier more general STS work. However this method is focused and (...) structured so as to help generate such reflexivity—over the ‘upstream’ questions which have been identified in other STS research as important public issues for scientific research, development and innovation—amongst practising scientists-technologists in their specialist contexts (public or private, in principle). This is a different focus from virtually all such previous work, and offers novel opportunities for those key broader issues to be opened up. The further development of these promising results depends on some important conditions such as identifying and engaging research funders and other stakeholders like affected publics in similar exercises. Implementing these conditions could connect the productive impacts of midstream modulation with wider public engagement work, including with ‘uninvited’ public engagement with science. It would also generate broader institutional and political changes in the larger networks of institutional actors which constitute contemporary technoscientific innovation and governance processes. All of these various broader dimensions, far beyond the laboratory alone, need to be appropriately open, committed to democratic needs, and reflexive, for the aims of midstream modulation to be achieved, whilst allowing specialists to work as specialists. (shrink)

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When we have asked Hadza whether married couples should live with the family of the wife (uxorilocally) or the family of the husband (virilocally), we are often told that young couples should spend the first years of a marriage living with the wife’s family, and then later, after a few children have been born, the couple has more freedom—they can continue to reside with the wife’s kin, or else they could join the husband’s kin, or perhaps live in a camp (...) where there are no close kin. In this paper, we address why shifts in kin coresidence patterns may arise in the later years of a marriage, after the birth of children. To do so, we model the inclusive fitness costs that wives might experience from leaving their own kin and joining their husband’s kin as a function of the number of children in their nuclear family. Our model suggests that such shifts should become less costly to wives as their families grow. This simple model may help explain some of the dynamics of postmarital residence among the Hadza and offer insight into the dynamics of multilocal residence, the most prevalent form of postmarital residence among foragers. (shrink)

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This paper presents a new theory of the truth conditions for indicative conditionals. The theory allows us to give a fairly unified account of the semantics for indicative and subjunctive conditionals, though there remains a distinction between the two classes. Put simply, the idea behind the theory is that the distinction between the indicative and the subjunctive parallels the distinction between the necessary and the a priori. Since that distinction is best understood formally using the resources of two-dimensional modal logic, (...) those resources will be brought to bear on the logic of conditionals. (shrink)

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There has, over the last few decades, been a considerable growth in the development ‘business’ where, largely western, donors have sought to help the poorer nations develop. Much of this growth has been driven by Christian motivation. Increasingly such projects are being held accountable to try to ensure that the money and the effort being spent are being well spent. The question that is being asked of, and by, development workers is ‘how do we know that we are making a (...) difference?’ and a range of practices have been developed to assess, to measure, to evaluate such effects. Terms like impact assessment, objectives, log-frames, objective verifiable indicators, baselines, clients, have become part of the language. In this paper the author raises various fundamental questions about this practice of evaluating development projects, and in so doing challenges the suitability of some of the current practices for development work. (shrink)

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From Arthur Schopenhauer we can glean a characteristically moody perspective on the primordial condition of speaking and being spoken. Focusing on his dualistic view of the embodied subject as having to contend with the forces of both Will and presentation, in this article I argue that his philosophy construes communication as a sort of weird ventriloquism. Drawing on François Cooren’s proposed method of ‘ventriloqual analysis’, I re-examine Schopenhauer’s subject as a being that both animates and is animated by his strange (...) dark noumena. Bearing witness to this eerie metaphysical stagecraft, his concept of Will becomes synonymous with a will to communicate, which manifests itself through the voice of the speech actor and allows us to think about his ontology and ethics from a different rhetorical perspective. (shrink)

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The main claim here is that Aquinas’s theory of natural law is false because it is incompatible with the occurrence of evolution by variation and natural selection. This contradicts the Thomist opinion that there is no conflict between the two. The conflict is deep and pervasive, involving the core elements of Aquinas’s theory. The problematic elements include: 1) the fundamental precept that good should be done and pursued, and evil avoided; 2) the claim that every organism aims at the good (...) and that it is wrong to frustrate nature; 3) the Aristotelian preconception that everything has a single preeminent end; 4) the putative natural inclinations attributed to human beings; 5) the assumption that species essentialism is true; and 6) the notion that God’s intentions are discernible in the natural world. It is concluded that the problems are so extensive that Aquinas’s theory is beyond rescue. (shrink)

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We know that someone is a hypocrite when he acts inconsistently with his purported beliefs. Understanding how we know it is an essential aspect of understanding the nature of belief. We can recognize the phenomenon when beliefs are ‘inscribed’ in the brain, there is a disposition to maintain consistency among the propositions represented by the ‘inscriptions’, and the inscriptions and the disposition give rise to derivative disinclinations. Since the disinclinations ought to prevent certain actions, we notice the conflict between the (...) beliefs hypocrites affirm and the actions they perform. ‘Inconsistency’ is a short-hand description for the conflict. Derivative disinclinations differ from dispositions in several ways and objections to the latter are not transferable to the former. The account not only explains how we can recognize hypocrisy but is also compatible with most truisms about the nature of belief. Where it is not, the truisms can be explained away as understandable errors. (shrink)

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This article integrates arguments and evidence from my 2019 monograph Heart to Heart: How Your Emotions Affect Other People. The central claim is that emotions operate as processes of relation alignment that produce convergence, complementarity, or conflict between two or more people’s orientations to objects. In some cases, relation alignment involves strategic presentation of emotional information for the purpose of regulating other people’s behaviour. In other cases, emotions consolidate from socially distributed reciprocal adjustments of cues, signals, and emerging actions without (...) any explicit registration or communication of emotional meaning by parties to the exchange. The relation-alignment approach provides a fresh perspective on issues relating to emotion’s interpersonal, intragroup, and organizational functions and clarifies how emotions are regulated for social purposes. (shrink)

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A promotion of concepts of corporate family and employee participation as well as euphemisms which stress employee-employer long-term continuity makes the loss of loyalty flowing from downsizings and mass firings as well as corporate restructurings more difficult both for the employer and employee. The promotion of reciprocal obligations between employer and employee misleads both into a belief system which is to their mutual disadvantage.Corporate semanatics that soften employment realities and the implications of dislocation with positive rhetoric increases the sense of (...) failure and guilt on the part of both employer and employee. Unrealistic expectations create hostility. If employment dislocation is seen as part of a continual economic evolution, not shrouded in semantic double-speak, loss of employment no longer becomes an outrageous afront to the dignity of those involved but rather a normal process of economic change and renewal. (shrink)

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Recent studies have used self-report methods to defend a close associative or causal connection between appraisal and emotion. The present experiments used similar procedures to investigate remembered experiences of reasonable and unreasonable anger and guilt, and of nonemotional other-blame and selfblame. Results suggest that the patterns of appraisal reported for reasonable examples of emotions and for situations where there is a near absence of emotion may be highly similar, but that both may differ significantly from the appraisal profiles reported for (...) unreasonable examples of the same emotions. Further, relevant appraisals were not always identified by participants as the most influential determinants of guilt and anger. These findings demonstrate either that the relationship between certain appraisals and emotions is less consistent than implied in some contemporary versions of appraisal theory, or that there are problems with the validity of existing questionnaire-based measures of the variables in question. (shrink)

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This book explains and defends a naturalized reading of Nietzsche’s doctrine of will to power. By providing a new interpretation of the term,Brian Lightbody argues that other aspects of Nietzsche’s philosophy, such as his ontology, epistemology and ethics become clearer and more coherent.

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We live in a world of gross inequality. While a minority live in unprecedented wealth, the majority live in considerable poverty. Though much money has been given in aid by the rich countries to the poor, both by secular and Christian institutions, there has been much criticism that much of that aid has been wasted, indeed much of it has been actually harmful. But while there is truth in some of these criticisms, there is also increasing evidence of where community (...) development has been effective, and sustainable. This article considers the strengths and limitations, and examples, of such a church-based, bottom-up, approach to transforming the physical and spiritual needs of the individuals and their communities. We will see that it is, arguably, the only way that truly holistic transformation can be delivered, and consider some of the implications for Western Christians and Christian NGOs. (shrink)

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Moral and legal notions engaged in clinical ethics should not only possess analytic clarity but a sound basis in empirical findings. The latter condition brings into question the expansion of the mature minor exception. The mature minor exception in the healthcare law of the United States has served to enable those under the legal age to consent to medical treatment. Although originally developed primarily for minors in emergency or quasi-emergency need for health care, it was expanded especially from the 1970s (...) in order to cover unemancipated minors older than 14 years. This expansion initially appeared plausible, given psychological data that showed the intellectual capacity of minors over 14 to recognize the causal connection between their choices and the consequences of their choices. However, subsequent psychological studies have shown that minors generally fail to have realistic affective and evaluative appreciations of the consequences of their decisions, because they tend to over-emphasize short-term benefits and underestimate long-term risks. Also, unlike most decisionmakers over 21, the decisions of minors are more often marked by the lack of adequate impulse control, all of which is reflected in the far higher involvement of adolescents in acts of violence, intentional injury, and serious automobile accidents. These effects are more evident in circumstances that elicit elevated affective responses. The advent of brain imaging has allowed the actual visualization of qualitative differences between how minors versus persons over the age of 21 generally assess risks and benefits and make decisions. In the case of most under the age of 21, subcortical systems fail adequately to be checked by the prefrontal systems that are involved in adult executive decisions. The neuroanatomical and psychological model developed by Casey, Jones, and Summerville offers an empirical insight into the qualitative differences in the neuroanatomical and neuropsychological bases of adolescent versus adult decision making. These and other data, as well as developing law bearing on the culpability of juvenile criminal offenders, argue for critically re-evaluating the expansion of the mature minor exception with regard to medical decision making, as well as in support of a rebuttable presumption in favor of treating minors as immature decisionmakers. The clinical ethics of adolescent medical decision making will need foundationally to be reconsidered. (shrink)

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Homology continues to be a concept of central importance in the study of phylogenetic relations, but its relation to ontogenetic processes remains problematical. A definition of homology in terms of equivalent morphogenetic processes is defined and applied to the comparative study of tetrapod limbs. This allows for a consistent treatment of relations of similarity and difference of appendage structure in vertebrates, and the distinction between fishes fins and tetrapod limbs in terms of the concept of equivalence is described. The role (...) of genes can also be clarified in this context, in particular the influence of the Hox 4 complex in determining digit character and the homeotic transformations that arise from changes in their expression patterns. It is argued that these observations are not compatible with the notion of homology between individual digits (I, II, III, etc.) across the tetrapods, and that homology cannot be consistently identified with gene action. The relations between homology and the properties of the morphogenetic limb field are discussed. (shrink)

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Brian Barry examines the idea that the demands of justice in a given society can be ascertained by interpreting the shared understandings of the meanings of the goods that are to be distributed. Focusing on Michael Walzer's claims regarding the meanings of such goods as money, health, and leisure, Barry argues that for meanings to determine the uniquely right distributions, the criteria of distribution need to be built into the meanings. He criticizes the implications of Walzer's theory for thinking (...) about global justice. (shrink)

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Does appraisal co-ordinate emotional responses? Are emotions usually reached via mental representations of relational meaning? This comment considers alternative causal routes in order to assess the centrality of appraisal in the explanation of emotion. Implicit and explicit meaning extraction can certainly help steer the course of emotion-related processes. However, presupposing that appraisals represent the driving force behind all aspects of emotion generation leads to inclusive formulations of appraisal or restrictive formulations of emotion.

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Au cours de ses cent dix ans d’existence la Revue de synthèse a connu des périodes différentes chaque fois caractérisées par des prédilections, des actions et des modes de publication particuliers. Au fil de ce long itinéraire, elle a préservé un lieu de référence pour la réflexion historiographique et pour le dialogue entre les sciences. Elle a aussi été un aiguillon pour l’histoire intellectuelle, l’histoire des sciences et de l’ épistémologie. L’article retrace cet itinéraire et en propose des clés utiles (...) aujourd’hui. (shrink)

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How are the teachings of a thirteenth-century master relevant today? Twenty contemporary writers unpack Dogen's words and show how we can still find meaning in his teachings. Engaging Dogen's Zen is a practice oriented study of Shushogi (a canonical distillation of Dogen's thought used as a primer in the Soto School of Zen) and Fukanzazengi (Dogen's essential text on the practice of "just sitting," a text recited daily in the Soto School of Zen). It is also a study of the (...) entire self. Here, the principles of Soto Zen practice are unpacked and explained by leading contemporary Buddhists from the living tradition--monks, priests, academics, and community teachers. Tackling Dogen's approach to key issues, such as the preeminence of shikantaza, universal buddha nature, and what it means to be a Mahayana Buddhist, the contributors to the volume help Zen practitioners and any who are trying to deepen their lives to appreciate better the teachings of Soto Zen and make these teachings part of their lives. By revisiting what remains precious in Shushogi and Fukanzazengi, we let them breathe just as we learn to breathe in zazen. We find that Soto practice not only engages Dogen and Sakyamuni, but all of our sisters and brothers, and indeed the great earth itself. Includes essays from Kosho Itagaki, Taigen Dan Leighton, Tenshin Charles Fletcher, ShudoBrian Schroeder, Glen A. Mazis, David Loy, Drew Leder, Steven DeCaroli, Steve Bein, John Maraldo, Michael Schwartz, Tetsuzen Jason M. Wirth, Leah Kalmanson, Erin Jien McCarthy, Dainen David Putney, Steven Heine, Graham Parkes, Mark Unno, ShudoBrian Schroeder, and Kanpu Bret W. Davis. (shrink)

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Liberty and Law examines a previously underappreciated theme in legal history―the idea of permissive natural law. The idea is mentioned only peripherally, if at all, in modern histories of natural law. Yet it engaged the attention of jurists, philosophers, and theologians over a long period and formed an integral part of their teachings. This ensured that natural law was not conceived of as merely a set of commands and prohibitions that restricted human conduct, but also as affirming a realm of (...) human freedom, understood as both freedom from subjection and freedom of choice. Freedom can be used in many ways, and throughout the whole period from 1100 to 1800 the idea of permissive natural law was deployed for various purposes in response to different problems that arose. It was frequently invoked to explain the origin of private property and the beginnings of civil government. Several kinds of permissive natural law were identified. Permission could be positive or negative, depending on whether it was specifically conceded by a legislator or only tacitly allowed. It could free from sin or merely remit some temporal punishment that was due. It could commend some conduct without commanding it or permit some evil without condoning it. Medieval canonists used the concept of permissive natural law to harmonize the discordant texts that they found in their sources; William of Ockham found it a powerful tool in his defense of Franciscan poverty against papal criticisms; for Richard Hooker it justified both the constitutional structure and the ritual practices of the Anglican church; John Selden used it to uphold the inviolability of contracts, most importantly the contract of government; Hugo Grotius made it a central theme in his treatment of the conduct permissible in waging war; in the eighteenth century Jean Barbeyrac and Jean-Jacques Burlamaqui associated the idea with the emerging doctrine of natural rights. In Liberty and Law, Tierney has presented us with a magisterial and provocative way of interpreting legal history. (shrink)

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If the rhetorical and economic investment of educators, policy makers and the popular press in the United States is any indication, then unbridled enthusiasm for the introduction of computer mediated communication (CMC) into the educational process is wide-spread. In large part this enthusiasm is rooted in the hope that through the use of Internet-based CMC we may create an expanded community of learners and educators not principally bounded by physical geography. The purpose of this paper is to reflect critically upon (...) whether students and teachers are truly linked together as a``community'' through the use of Internet-based CMC. The paper uses the writings of Kierkegaard, and Hubert Dreyfus's exploration of Kierkegaardian ideas, to look more closely at the prospects and problems embedded in the use of Internet-based CMC to create "distributed communities" of teachers and learners. It is argued that from Kierkegaard's perspective, technologically mediated communications run a serious risk of attenuating interpersonal connectivity. Insofar as interpersonal connectivity is an integral component of education, such attenuation bodes ill for some, and perhaps many instances of Internet-based CMC. (shrink)

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Permissivism in epistemology is a family of theses, each of which says that rationality is compatible with a number of distinct attitudes. This paper argues that thinking about symmetric games gives us new reason to believe in permissivism. In some finite games, if permissivism is false then we have to think that a player is more likely to take one option rather than another, even though each option has the same expected return given that player’s credences. And in some infinite (...) games, if permissivism is false there is no rational way to play the game, although intuitively the games could be rationally played. The latter set of arguments rely on the recent discovery that there are symmetric games with only asymmetric equilibria. It was long known that there are symmetric games with no pure strategy symmetric equilibria; the surprising new discovery is that there are symmetric games with asymmetric equilibria, but no symmetric equilibria involving either mixed or pure strategies. (shrink)

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Comments on Sherri Rousch’s Tracking Truth for the 2006 Philosophy of Science Association conference.

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In this document, we explore the Philosophy of Data and its roots amongst other disciplines. The Philosophy of Data seeks to understand the nature of data through experimental philosophy. In order to understand the many different ontologies of data, information, and knowledge out there, this paper will describe part of the problem space in terms of other disciplines and make an argument for the establishment of this new philosophical field. Furthermore, we will show how the PoD is very important to (...) IS scholars and practitioners. (shrink)

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Intuitively, a question is indeterminate just in case it is unsettled, not merely epistemically, but metaphysically. We ordinarily ascribe indeterminacy by saying that there is no fact of the matter. We say for instance that there is no fact of the matter how many clouds exist. The distribution of water droplets in the sky would appear to settle that there are some clouds, but not how many. ;On the one hand, it seems obvious that certain questions are indeterminate. On the (...) other hand, it seems easy to reduce an arbitrary ascription of indeterminacy to absurdity: Suppose that it is indeterminate---that is, metaphysically unsettled---whether Jud is bald. Because it is true that Jud is bald only if it is metaphysically settled that he is bald, and because it is true that Jud is not bald only if it is metaphysically settled that he is not bald, it is not true that Jud is bald and not true that Jud is not bald. Because Jud is bald only if it is true that he is bald, and because Jud is not bald only if it is true that he is not bald, Jud is not bald and Jud is not not bald. This is a contradiction. Hence, our supposition is false. Moreover, because the issue of whether Jud is bald was chosen arbitrarily, the argument generalizes: indeterminacy is impossible. ;We are faced with a dilemma: take the anti-indeterminacy argument at face value and look for a way to explain away our pro-indeterminacy intuitions, or take our intuitions at face value and look for a way to reject the argument. Many philosophers are inclined toward the latter route, but I want to take the first step toward justifying the former. ;After emphasizing the costs of rejecting the preceding sort of argument, I show how five of the most salient phenomena that give rise to pro-indeterminacy intuitions can be accounted for without postulating genuine indeterminacy. I examine explicitly incomplete definitions, hidden relativity, vagueness, comparatives, and subjunctive conditionals. In each case I suggest a way to account for the phenomenon without postulating indeterminacy. (shrink)

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This book examines the significance of the second volume of The Edinburgh Critical Edition of the Complete Works of Alfred North Whitehead: The Harvard Lectures of Alfred North Whitehead, 1925-1927: General Metaphysical Problems of Science, published in 2021, which covers Whitehead's second and third years of American lectures in philosophy.

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I show how an almost exclusive focus on the simplest case - the case of a single particle - along with the commonplace conception of the single-particle wave function as a scalar field on spacetime contributed to the perception, first brought to light by I. Bloch, that there existed a contradiction between quantum theory with instantaneous state collapses and special relativity. The incompatibility is merely apparent since treating wave-function values as hypersurface dependent avoids the contradiction. After clarifying confusions which fueled (...) the perception of a paradox, I elaborate on an analysis of the wave function due to Wayne Myrvold to show that nothing special, or ad hoc, is required in treating wave-function values, even in the single-particle case, as hypersurface-dependent; rather, the hypersurface dependence of these values is the natural development of nonlocal entanglement in the context of the relativity of simultaneity. Properly understood, what Bloch's paradox reveals is that the combination of nonlocal entanglement together with a hypersurface-dependent process of state collapse conflicts with the thesis of spatiotemporal separability and, in particular, with the idea that chances are local matters of fact. (shrink)

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Barrett and Artzenius posed a problem concerning infinite sequences of decisions. It appeared that the strategy of making the rational choice at each stage of the game was, in some circumstances, guaranteed to lead to lower returns than the strategy of making the irrational choice at each stage. This paper shows that there is only the appearance of paradox. The choices that Barrett and Artzenius were calling ‘rational’ cannot be economically justified, and so it is not surprising that someone who (...) makes them ends up with sub-optimal returns. A solution to the more general problem they pose is also advanced. (shrink)

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Assume also that it is vague, in some sense, which hairs are hairs of that cat. Then one might think that it is indeterminate in some sense which thing is the cat on the mat.

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There is an ongoing public debate about sex, gender and identity that is often quite heated. This is an edited transcript of an informal lecture I recorded in 2019 to serve as a friendly guide to these complex issues. It represents my best attempt, not to score political points for any particular side, but to give an introductory map of the territory so that you can think for yourself, investigate further, and reach your own conclusions about such controversial questions as (...) ‘What does mean to be a man or a woman?’. (shrink)

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In the past two decades scholars such as Robert Dodaro, Kathy Eden, and Michael Cameron have called attention to the influence that Augustine’s rhetorical education had on his scriptural hermeneutic. Recently, M. Cameron has argued that Augustine began to incorporate the rhetorical concept of oeconomia into his scriptural hermeneutic during his time in Milan. This article expands on Cameron’s work by establishing that Augustine had in fact incorporated rhetorical oeconomia into his scriptural hermeneutic by 387 / 8 C.E. through a (...) focused reading of two texts from De moribus ecclesiae. This reading demonstrates that the terminology and logic that Augustine employs to argue for the unity of the Christian scriptures in mor. 1.17.30 and 1.28.56 mirror the terminology and logic of the Latin rhetorical tradition, revealing that Augustine uses the phrases mirifica dispositio and admirabilis ordo to represent the same concept that Quintilian had referred to with the phrase oeconomica dispositio. (shrink)

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Dietrich Bonhoeffer, best known for his involvement in the anti-Nazi resistance, was one of the 20th century's most important theologians. His ethics have been a source of guidance and inspiration for men and women in the face of evil. Today, Bonhoeffer's theology is being read by Continental thinkers who value his contributions to the recent "religious turn" in philosophy. In this volume, an international group of scholars present Bonhoeffer's thought as a model of Christian thinking that can help shape a (...) distinctly religious philosophy. They examine the philosophical influences on Bonhoeffer and explore the new perspectives his work brings to the perennial challenges of faith and reason, philosophy and theology, and the problem of evil. These essays add Bonhoeffer's voice to important contemporary debates in the philosophy of religion. (shrink)

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