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Background This study assesses how pediatric assent is conceptualized and justified within the therapeutic context. Pediatric ethicists generally agree that children should participate in medical care decisions in developmentally appropriate ways. Much attention has been paid to pediatric assent for research participation, but ambiguities persist in how assent is conceptualized and operationalized in the therapeutic context where countervailing considerations such as the child’s best interest and parental permission must also be weighed.Methods Searches were conducted in 11 databases including PubMed, Embase, (...) Cochrane Library, and Web of Science. Articles published between 2010 and 2020 were screened in COVIDENCE for meeting each of four criteria: (1) focusing on pediatric assent, (2) focusing on clinical care, (3) including normative claims, and (4) containing substantive statements about the meaning of pediatric assent. Full texts were abstracted for (1) operational definitions of assent, (2) discussion of the temporal nature of assent, (3) description of the concept of “understanding,” and (4) ethical justifications for soliciting assent. These excerpts were coded and code patterns formed themes presented in the results.Results The final analytic data set contained 29 articles. Analysis yielded three key themes. First, valid assent varies by treatment, population (e.g., younger versus older), and geographic/cultural context. Second, assent represents two distinct longitudinal processes: One involves eliciting preferences over a disease course or care episode; the other focuses on children’s developmental maturation. Third, ethical justifications for assent draw variously on instrumental and intrinsic reasons, but often remain ambiguous.Conclusions There is widespread agreement that assent is morally valuable, but there remain substantial ambiguities or disagreements about its meaning, process, and ethical justification. (shrink)

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“Das Adam Smith Problem” is the name given by eighteenth-century German scholars to the question of how to reconcile the role of self-interest in the Wealth of Nations with Smith’s advocacy of sympathy in Theory of Moral Sentiments. As the discipline of economics developed, it focused on the interaction of selfish agents, pursuing their private interests. However, behavioral economists have rediscovered the existence and importance of multiple motivations, and a new Das Adam Smith Problem has arisen, of how to accommodate (...) self-regarding and pro-social motivations in a single system. This question is particularly important because of evidence of motivation crowding, where paying people can backfire, with payments achieving the opposite effects of those intended. Psychologists have proposed a mechanism for the crowding out of “intrinsic motivations” for doing a task, when payment is used to incentivize effort. However, they argue that pro-social motivations are different from these intrinsic motivations, implying that crowding out of pro-social motivations requires a different mechanism. In this essay I present an answer to the new Das Adam Smith problem, proposing a mechanism that can underpin the crowding out of both pro-social and intrinsic motivations, whereby motivations are prompted by frames and motivation crowding is underpinned by the crowding out of frames. I explore some of the implications of this mechanism for research and policy. (shrink)

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Drawing on recent findings in the cognitive and neurosciences, this article discusses how people manage to predict each other’s actions, which is fundamental for joint action. We explore how a common coding of perceived and performed actions may allow actors to predict the what, when, and where of others’ actions. The “what” aspect refers to predictions about the kind of action the other will perform and to the intention that drives the action. The “when” aspect is critical for all joint (...) actions requiring close temporal coordination. The “where” aspect is important for the online coordination of actions because actors need to effectively distribute a common space. We argue that although common coding of perceived and performed actions alone is not sufficient to enable one to engage in joint action, it provides a representational platform for integrating the actions of self and other. The final part of the paper considers links between lower‐level processes like action simulation and higher‐level processes like verbal communication and mental state attribution that have previously been at the focus of joint action research. (shrink)

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A distinguished international team of scholars under the editorship of Carlo Natali have collaborated to produce a systematic, chapter-by-chapter study of one of the most influential texts in the history of moral philosophy. The seventh book of Aristotle's Nicomachean Ethics discusses weakness of will in its first ten chapters, then turns in the last four chapters to pleasure and its relation to the supreme human good.

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In the literature of collective intentions, the ‘we-intentions’ that lie behind cooperative actions are analysed in terms of individual mental states. The core forms of these analyses imply that all Nash equilibrium behaviour is the result of collective intentions, even though not all Nash equilibria are cooperative actions. Unsatisfactorily, the latter cases have to be excluded either by stipulation or by the addition of further, problematic conditions. We contend that the cooperative aspect of collective intentions is not a property of (...) the intentions themselves, but of the mode of reasoning by which they are formed. We analyse collective intentions as the outcome of team reasoning, a mode of practical reasoning used by individuals as members of groups. We describe this mode of reasoning in terms of formal schemata, discuss a range of possible accounts of group agency, and show how existing theories of collective intentions fit into this framework. (shrink)

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A framing effect occurs when an agent's choices are not invariant under changes in the way a decision problem is presented, e.g. changes in the way options are described (violation of description invariance) or preferences are elicited (violation of procedure invariance). Here we identify those rationality violations that underlie framing effects. We attribute to the agent a sequential decision process in which a “target” proposition and several “background” propositions are considered. We suggest that the agent exhibits a framing effect if (...) and only if two conditions are met. First, different presentations of the decision problem lead the agent to consider the propositions in a different order (the empirical condition). Second, different such “decision paths” lead to different decisions on the target proposition (the logical condition). The second condition holds when the agent's initial dispositions on the propositions are “implicitly inconsistent,” which may be caused by violations of “deductive closure.” Our account is consistent with some observations made by psychologists and provides a unified framework for explaining violations of description and procedure invariance. (shrink)

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Game theory is central to modern understandings of how people deal with problems of coordination and cooperation. Yet, ironically, it cannot give a straightforward explanation of some of the simplest forms of human coordination and cooperation--most famously, that people can use the apparently arbitrary features of "focal points" to solve coordination problems, and that people sometimes cooperate in "prisoner's dilemmas." Addressing a wide readership of economists, sociologists, psychologists, and philosophers, Michael Bacharach here proposes a revision of game theory that resolves (...) these long-standing problems. In the classical tradition of game theory, Bacharach models human beings as rational actors, but he revises the standard definition of rationality to incorporate two major new ideas. He enlarges the model of a game so that it includes the ways agents describe to themselves their decision problems. And he allows the possibility that people reason as members of groups, each taking herself to have reason to perform her component of the combination of actions that best achieves the group's common goal. Bacharach shows that certain tendencies for individuals to engage in team reasoning are consistent with recent findings in social psychology and evolutionary biology. As the culmination of Bacharach's long-standing program of pathbreaking work on the foundations of game theory, this book has been eagerly awaited. Following Bacharach's premature death,Natalie Gold and Robert Sugden edited the unfinished work and added two substantial chapters that allow the book to be read as a coherent whole. (shrink)

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The Deprivation of Liberty Safeguards (DOLS) were recently introduced into the Mental Capacity Act (MCA) via an amendment to mental health legislation in England and Wales. As Shah (2011) discusses, the rationale behind creating these protocols was to close what is commonly referred to as the ‘Bournewood gap’; a legislative loophole that allowed a severely autistic man (H.L.) who did not initially dissent to admission to be detained in a hospital and deprived of his liberty in his ‘best interests’ as (...) judged by his clinical team. Before the implementation of the DOLS, patients who lacked the capacity to consent to admission or treatment but who were nonetheless compliant could be admitted informally and treated as .. (shrink)

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European autobiography of the sixteenth and seventeenth centuries was fed particularly by the religious exploration of the self and the desire to tell about and place oneself within the web of one's family. Jewish autobiography has behind it these same impulses, though it is more likely to be an expansion of ethical teachings appended to a will than an elaboration from an account book. It also differs from Christian autobiography in lacking a definitive conversion. Rather the life is imbued with (...) a cyclical sense of sin, of God's power and punishment, and of the unpredictable: the individual's life is a recapitulation of the history of the Jewish people. Leon Modena's Life of Judah is a combination of confession, lament, and self-celebration. It bears comparison to Girolamo Cardano's Book of My Life, for both men express pride in their fame and many books, despair about their sons, and admit to the vice of gambling. Cardano's glory and complaints delimited a secular sphere within the Christian universe of meaning, while Modena's were still closely tied to God's tangled relations with His chosen people. Further, the realm of the "secret" was defined differently by Christian and Jew. Christian writers usually assumed the inside/outside contrast to apply especially to the individual and that secrecy was bad but inevitable in a society of preferment. For Jewish writers the inside went beyond the individual and his or her family to the wider Jewish community. In that protected space and in the safe language of Hebrew, a range of situations and feelings could be explored with considerable frankness, the inner/outer contrast leading to surprising self-discovery. (shrink)

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Networks in nature possess a remarkable amount of structure. Via a series of data‐driven discoveries, the cutting edge of network science has recently progressed from positing that the random graphs of mathematical graph theory might accurately describe real networks to the current viewpoint that networks in nature are highly complex and structured entities. The identification of high order structures in networks unveils insights into their functional organization. Recently, Clauset, Moore, and Newman,1 introduced a new algorithm that identifies such heterogeneities in (...) complex networks by utilizing the hierarchy that necessarily organizes the many levels of structure. Here, we anchor their algorithm in a general community detection framework and discuss the future of community detection. BioEssays 30:934–938, 2008. © 2008 Wiley Periodicals, Inc. (shrink)

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Feminist epistemologies hold that differences in the social locations of inquirers make for epistemic differences, for instance, in the sorts of things that inquirers are justified in believing. In this paper we situate this core idea in feminist epistemologies with respect to debates about social constructivism. We address three questions. First, are feminist epistemologies committed to a form of social constructivism about knowledge? Second, to what extent are they incompatible with traditional epistemological thinking? Third, do the answers to these questions (...) raise serious problems for feminist epistemologies? We argue that some versions of two of the main strands in feminist epistemology – feminist standpoint theory and feminist empiricism – are committed to a form of social constructivism, which requires certain departures from traditional epistemological thinking. But we argue that these departures are less problematic than one might think. Thus, (some) feminist epistemologies provide a plausible way of understanding how (some) knowledge might be socially constructed. (shrink)

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An Insiders¿ Style Guide to Mind and Spirit ¿ Every Decade Should Be the Best Decade of Your Life byNatalie Logan is a fun and entertaining short read. Miami Florida ¿ Miami has long been a premier tourist destination, acclaimed for its physical beauty and its excellent climate. Year round, the fabled white-sand beaches and clear blue waters lapping Miami Beach have beckoned visitors to America¿s 'Riviera¿. Others are lured by Miami¿s world-class shopping and cosmopolitan dining and its (...) international culture. Mind and Spirit content:Personal Life CoachQuiet Your Inner CriticConfidence ¿ Keep Your Head High and Own Everything You Do and Do It BigBeauty and Happiness Feel Fabulous Tricks Must HavesWell Read Commit Random Acts of KindnessRe-Claim Your WeekendsManage Stress Aauvi Insiders¿ Style Guide Series ¿ There is something great about A-list living and Mind and Spirit, the ninth book of a twenty-one book series, is another step to achieving such an extraordinary life. You should be bursting with energy, and feeling you have an incredible motor inside you. There¿s still so much you want to do. You live more passionately now and savor every second. You think that¿s what happens when you grow up. (shrink)

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Merrill, Booker and Fivush examine the social functions associated with transmitting intergenerational narratives to adolescents and emerging adults and how these family stories affect identity formation in early adulthood. Merrill et al. observed that the intergenerational stories of parents’ transgression and proud moments told by adolescents and emerging adults operate as a way to transmit life lessons, strengthen relationships with the parent and give insights into their parents and their self.

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Carlo Natali se ocupa de examinar las bases y detalles del debate de Alejandro con los deterministas, así como sus razones para mostrar el papel decisivo de la deliberación en la explicación de la acción. El punto de partida de Alejandro es el capítulo 9 del De interpretatione, texto que indica de una manera bastante clara que Aristóteles visualizó las consecuencias, absurdas en su opinión, del determinismo. En su discusión Natali examina la influencia de los argumentos de Alejandro en el (...) comentario de Boecio al De interpretatione; un aspecto particularmente destacable del ensayo de Natali es que éste muestra que Alejandro –y Aspacio antes de él–, aun dando por supuesta la relevancia decisiva de la deliberación en la explicación de la acción, modifica en parte la teoría aristotélica de la deliberación, ya que trata de adaptarla a la nueva situación cultural y al nuevo debate filosófico de su tiempo. Natali hace notar que la aparente incorporación por parte de Alejandro de terminología y nociones estoicas (como la de asentimiento) es parte de una inteligente estrategia para combatir a los deterministas estoicos en su propio terreno: lo decisivo es la deliberación como ingrediente central en la explicación de la acción, así como el hecho de poder elegir una cosa o algo distinto de ella (De fato 178, 22), si eso parece preferible. (shrink)

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American Indian/Alaska Native (AI/AN) populations in the United States continue to experience overall health inequity, despite significant improvement in health status for nearly all other racial‐ethnic groups over the past 30 years. Nurses comprise the bulk of healthcare providers in the U.S. and are in an optimal position to improve AI/AN health by transforming both nursing education and practice. This potential is dependent, however, on nurses’ ability to recognize the distinct historical and political conditions through which AI/AN health inequities have (...) been produced and sustained. Nurse providers, educators, and leaders must in turn recognize how the sustained conditions of marginalization and expropriation that underpin current AI/AN health inequities continue to shape contemporary AI/AN health outcomes. This manuscript builds upon the extant literature of AI/AN historical health policy and utilizes decolonial theorizations of nursing and a cultural safety framework to propose a series of immediately actionable steps for nursing intervention into AI/AN health inequity. Ultimately, we suggest that it is crucial for nurses to collaborate with AI/AN individuals and communities across educational and clinical settings to further refine these approaches in alignment with the disciplinary obligation of promoting social justice within healthcare. (shrink)

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In 2004,Natalie Lloyd and Jane Mulcock initiated the Australian Animals & Society Study Group, a network of social science, humanities and arts scholars that quickly grew to include more than 100 participants. In July 2005, about 50 participants attended the group's 4-day inaugural conference at the University of Western Australia, Perth. Papers in this issue emerged from the conference. They exemplify the Australian academy's work in the fields of History, Population Health, Sociology, Geography, and English and address strong (...) themes: human-equine relationships; management of native and introduced animals; and relationships with other domestic, nonhuman animals—from cats and dogs to cattle. Human-Animal Studies is an expanding field in Australia. However, many scholars, due to funding and teaching concerns, focus their primary research in different domains. All authors in this issue—excepting one—are new scholars in their respective fields. The papers represent the diversity and innovation of recent Australian research on human-animal interactions. The authors look at both past and present, then anticipate future challenges in building an effective network to expand this field of study in Australia. (shrink)

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In Medical Ethics, the editors have developed a completely different type book, focusing upon issues not ordinarily dealt with in texts on bioethics.

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As Stanley Cavell has critiqued Christianity for displacing authority from the individual to somewhere beyond critical assessment, so several Christian theologians have also turned to Wittgenstein to justify just such displacement. This article suggests that both offer theologically impoverished and historically inattentive accounts of authority. It aims instead to sketch five moments in the Christian tradition to suggest five ways of naming the intimacy of religious authority with individual critical assessment. Such intimacy is then theologically described through the doctrinal loci (...) of creation and incarnation, which generate a picture of authority surprisingly near to one Cavell might want to celebrate. (shrink)

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In this article I undertake to discover the extent to which five distinct philosophical arguments for “hardhearted” responses to hunger are rationalizations. In each case, I consider the prima facie appeal and then consider the extent to which these appeals can be answered or overcome by principles promoting policies of food equity. I pay special attention to the appeal that pits political self-determination against food equity, because I believe it is especially important to determine the extent to which respect for (...) sovereignty and political self-determination is to be seen as compatible with promoting policies of food equity. (shrink)

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Presented as an imaginary dialogue with the author of Art and Agency , this paper displays a number of methodological shared positions: the contextualist nature of his epistemology, his focus on relations rather than on objects, his sense of pragmatism, his proximity with the notion of “person-objects” such as developed by the author of the present paper, his attention to the meso-social level and, eventually, his neutral standing in front of research objects. In spite of a few disagreements, all these (...) properties bring to light a convergence between Gell’s anthropological approach and the kind of sociological methodology presently practiced in certain trends of French sociology. (shrink)

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En este trabajo realizo un examen crítico del reciente libro de Silvana Gabriela Di Camillo sobre la crítica de Aristóteles a la teoría platónica de las Ideas. El libro de Di Camillo es un trabajo muy serio cuya lectura recomiendo ampliamente. Sin embargo, considero que cuatro de las principales tesis que la autora defiende tienen varias dificultades y mi objetivo aquí es presentar argumentos detallados en contra de ellas: la interpretación de la distinción entre argumentos más y menos rigurosos del (...) tratado Sobre las Ideas; la tesis de que la separación es el blanco esencial de las críticas aristotélicas a las Ideas; la interpretación de las opciones que Platón tiene para responder al argumento del tercer hombre, y la tesis de que la separación de las Ideas debe entenderse como homonimia. In this paper I examine Silvana Gabriela Di Camillo's recent book on Aristotle's criticisms of Plato's theory of Ideas. Di Camillo's book is a very serious work that I highly recommend. Nevertheless, I consider that four of the main theses that the author defends face several difficulties and my aim here is to offer detailed arguments against them: the interpretation of the distinction between more and less accurate arguments of the treatise On Ideas; the thesis that separation is the essential target of Aristotle's criticisms against Plato's Ideas; the interpretation of the options available to Plato to reply to the third man argument; and the thesis that the separation of Ideas should be understood as homonymy. (shrink)

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Participation is an important but little understood concept in science and innovation. While participation promises the production of new knowledge, social justice, and economic growth, little research has been done on its contribution to innovation processes at the group level. The concept of imaginaries can provide a window into these processes. Adopting a micro-sociological perspective, we examined the interplay between imaginaries of participation and group development within a long-term ethnographic observation study of an initiative, Energy Avant-garde, as it pursued the (...) development of a decentralized, self-contained, and entirely renewable energy system in one German region. We scaled down the macrolevel concept of imaginaries to the group level. We found that group imaginaries are a resource for bringing order to a group and that a group is a resource for creating, operationalizing, revising, and sustaining imaginaries. We describe a “failure-through-success” story: while imaginaries initially promoted group cohesion, creativity, and productivity, in later stages, these effects were impeded by group dynamics. We therefore distinguish between process imaginaries and outcome imaginaries and conclude that, inherently, participation must be managed and employed at the appropriate stages to make valuable contributions. (shrink)

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Looks at the scientific basis for theories of drama, and explains how Cage's ideas have affected modern theater.

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Cet article s’attache à deux films représentatifs de l’« esthétique des décombres », Les Assassins sont parmi nous et Entre hier et aujourd’hui, pour analyser, du point de vue du genre, la présentation des objets légués par le nazisme. Les objets à l’écran sont compris comme des « événements tangibles » qui témoignent du bouleversement de l’ordre des choses dans l’Allemagne d’après-guerre, y compris celui de l’héritage de la confiscation et de l’« aryanisation » de l’espace allemand. Dans ces films, (...) un parallèle est établi entre le sentiment de culpabilité éprouvé par les hommes par rapport aux objets arrachés à une femme, victime, et le problème de dépossession (ainsi que son corollaire, le meurtre collectif) qui vient se mêler aux défis des relations de genre dans l’après-guerre. L’activité même de nettoyage et de remise en ordre est représentée comme une forme féminine de travail ; ces interventions physiques de la part des femmes sont aussi chargées de résoudre le problème posé par l’embarrassante présence des restes matériels du Troisième Reich. (shrink)

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This paper proposes a refocusing of consent for clinical genetic testing, moving away from an emphasis on autonomy and information provision, towards an emphasis on the virtues of healthcare professionals seeking consent, and the relationships they construct with their patients. We draw on focus groups with UK healthcare professionals working in the field of clinical genetics, as well as in-depth interviews with patients who have sought genetic testing in the UK’s National Health Service. We explore two aspects of consent: first, (...) how healthcare professionals consider the act of ‘consenting’ patients; and second how these professional accounts, along with the accounts of patients, deepen our understanding of the consent process. Our findings suggest that while healthcare professionals working in genetic medicine put much effort into ensuring patients’ understanding about their impending genetic test, they acknowledge, and we show, that patients can still leave genetic consultations relatively uninformed. Moreover, we show how placing emphasis on the informational aspect of genetic testing is not always reflective of, or valuable to, patients’ decision-making. Rather, decision-making is socially contextualised – also based on factors outside of information provision. A more collaborative on-going consent process, grounded in virtue ethics and values of honesty, openness and trustworthiness, is proposed. (shrink)

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Research Ethics, Volume 18, Issue 3, Page 210-225, July 2022. Interview-based research in multilingual situations can present researchers with specific ethical challenges relating to language-based power play, data handling and presentation. Studies indicate favouring the L1 as an interviewing language may produce better quality data, but external pressures can favour English as the dominant research language. This article examines researcher perceptions and experiences of the ethical consequences of language choice and the practical issues involved. Interviews were conducted with five European (...) researchers working on an interview-based project with experiences of diverse interviewing scenarios. The four moral principles of respect for autonomy, justice, beneficence and non-maleficence were used as a framework for analysis. The analysis revealed a nuanced picture of ethical issues in both L1- and English-oriented scenarios. This included potential misrepresentation and deculturalisation of the data in the former, and language-based power asymmetries in the latter. The findings highlight the importance of documenting ethics-related methodological details of language use, and advocates publication practices favouring the inclusion and foregrounding of L1 data. (shrink)

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Philosophers, psychologists, neuroscientists, and psychiatrists examine the will and its pathologies from theoretical and empirical perspectives, offering a conceptual overview and discussing schizophrenia, depression, prefrontal lobe damage, and substance abuse as disorders of volition. Science tries to understand human action from two perspectives, the cognitive and the volitional. The volitional approach, in contrast to the more dominant "outside-in" studies of cognition, looks at actions from the inside out, examining how actions are formed and informed by internal conditions. In Disorders of (...) Volition, scholars from a range of disciplines seek to advance our understanding of the processes supporting voluntary action by addressing conditions in which the will is impaired. Philosophers, psychologists, neuroscientists, and psychiatrists examine the will and its pathologies from both theoretical and empirical perspectives, offering a conceptual overview and discussing specific neurological and psychiatric conditions as disorders of volition. After presenting different conceptual frameworks that identify agency, decision making, and goal pursuit as central components of volition, the book examines how impairments in these and other aspects of volition manifest themselves in schizophrenia, depression, prefrontal lobe damage, and substance abuse. Contributors George Ainslie, Tim Bayne, Antoine Bechara, Paul W. Burgess, Anna-Lisa Cohen, Daniel Dennett, Stéphanie Dubal, Philippe Fossati, Chris Frith, Sam J. Gilbert, Peter Gollwitzer, Jordan Grafman, Patrick Haggard, Jay G. Hull, Marc Jeannerod, Roland Jouvent, Frank Krueger, Neil Levy, Peter F. Liddle, Kristen L. Mackiewitz, Thomas Metzinger, Jack B. Nitschke, Jiro Okuda, Adrian M. Owen, Chris Parry, Wolfgang Prinz, Joëlle Proust, Michael A. Sayette, Werner X. Schneider,Natalie Sebanz, Jon S. Simons, Laurie B. Slone, Sean A. Spence. (shrink)

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In this paper I make the case for a feminist hinge epistemology in three steps. My first step is to explain hinge epistemologies as contemporary epistemologies that take Wittgenstein’s work in On Certainty as their starting point. My second step is to make three criticisms of this literature as it currently stands. My third step is to introduce feminist epistemologies, which argue that social factors like race and gender affect what different people and groups justifiably believe, and argue that developing (...) a feminist hinge epistemology is both plausible and desirable. (shrink)

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This collection of original essays explores the social and relational dimensions of individual autonomy. Rejecting the feminist charge that autonomy is inherently masculinist, the contributors draw on feminist critiques of autonomy to challenge and enrich contemporary philosophical debates about agency, identity, and moral responsibility. The essays analyze the complex ways in which oppression can impair an agent's capacity for autonomy, and investigate connections, neglected by standard accounts, between autonomy and other aspects of the agent, including self-conception, self-worth, memory, and the (...) imagination. (shrink)

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Standard game theory cannot explain the selection of payoff-dominant outcomes that are best for all players in common-interest games. Theories of team reasoning can explain why such mutualistic cooperation is rational. They propose that teams can be agents and that individuals in teams can adopt a distinctive mode of reasoning that enables them to do their part in achieving Pareto-dominant outcomes. We show that it can be rational to play payoff-dominant outcomes, given that an agent group identifies. We compare team (...) reasoning to other theories that have been proposed to explain how people can achieve payoff-dominant outcomes, especially with respect to rationality. Some authors have hoped that it would be possible to develop an argument that it is rational to group identify. We identify some large—probably insuperable—problems with this project and sketch some more promising approaches, whereby the normativity of group identification rests on morality. (shrink)

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