In this symposium, panelists presented research on benefit corporations and certified b corps. In the last decade, new incorporation laws have emerged in several states that explicitly allow firms to pursue both social purpose and profit. Panelists presented an overview of alternative incorporation statutes, evaluated the degree to which companies are externally accountable, and hold themselves internally accountable, to a broader social purpose. The panel also discussed strategies for teaching about certified b corps in the classroom. Finally, the plenary discussion (...) centered on two themes: Is a need for a legally mandated broader social purpose an American problem? Is the benefit corporate structure going to get us where we need to be? (shrink)

Contents: John A. HALL and Ian JARVIE: Preface. John A. HALL and Ian JARVIE: The Life and Times of Ernest Gellner. PART 1 INTELLECTUAL BACKGROUND. Ji_i MUSIL: The Prague Roots of Ernest Gellner's Thinking. Chris HANN: Gellner on Malinowski: Words and Things in Central Europe. Tamara DRAGADZE: Ernest Gellner in the Soviet East. PART 2 NATIONS AND NATIONALISM. Brendan O'LEARY: On the Nature of Nationalism: An Appraisal of Ernest Gellner's Writings on Nationalism. Kenneth MINOGUE: Ernest Gellner and the Dangers of (...) Theorising Nationalism. Anthony D. SMITH: History and Modernity: Reflection on the Theory of Nationalism. Michael MANN: The Emergence of Modern European Nationalism. Nicholas STARGARDT: Gellner's Nationalism: The Spirit of Modernisation? PART 3 PATTERNS OF DEVELOPMENT. Peter BURKE: Reflections on the History of Encyclopaedias. Alan MACFARLANE: Ernest Gellner and the Escape to Modernity. Ronald DORE: Sovereign Individuals. Shmuel EISENSTADT: Japan: Non-Axial Modernity. Marc FERRO: l'Indépendance Telescopée: De la Décolonisation a l'Impérialisme Multinational. PART 4 ISLAM. Abdellah HAMMOUDI: Segmentarity, Social Stratification, Political Power and Sainthood: Reflections on Gellner's Theses. Henry MUNSON, Jr.: Rethinking Gellner's Segmentary Analysis of Morocco's Ait cAtta. Jean BAECHLER: Sur le charisme. Charles LINDHOLM: Despotism and Democracy: State and Society in the Premodern Middle East. Henry MUNSON, Jr.: Muslim and Jew in Morocco: Reflections on the Distinction between Belief and Behavior. Talal ASAD: The Idea of an Anthropology of Islam. PART 5 SCIENCE AND DISENCHANTMENT. Perry ANDERSON: Science, Politics, Enchantment. Ralph SCHROEDER: From the Big Divide to the Rubber Cage: Gellner's Conception of Science and Technology. John DAVIS: Irrationality in Social Life. PART 6 RELATIVISM AND UNIVERSALS. John SKORUPSKI: The Post-Modern Hume: Ernest Gellner's 'Enlightenment Fundamentalism'. John WETTERSTEN: Ernest Gellner: A Wittgensteinian Rationalist. Ian JARVIE: Gellner's Positivism. Raymond BOUDON: Relativising Relativism: When Sociology Refutes the Sociology of Science. Rod AYA: The Devil in Social Anthropology; or, the Empiricist Exorcist; or, the Case Against Cultural Relativism. PART 7 PHILOSOPHY OF HISTORY. William MCNEILL: A Swan Song for British Liberalism? Andrus PARK: Gellner and the Long Trends of History. Eero LOONE: Marx, Gellner, Power. Rosaire LANGLOIS: Coercion, Cognition and Production: Gellner's Challenge to Historical Materialism and Postmodernism. Ernest GELLNER: Reply to Critics. Ian JARVIE: Complete Bibliography of Gellner's Work. Name index. Subject index. (shrink)

What does it mean to do wrong for its own sake, and is this even possible? I call this the puzzle of malice, and in this paper I review a historical dialectic that plays out between Kant, Schopenhauer, and Nietzsche on how to address it. By reviewing each author’s account of malice, and their criticism of their respective predecessor, I reach several surprising findings: First, that Nietzsche has a positive account of malice (albeit one on which it isn’t always a (...) vice); second, that recent attempts to defend Schopenhauer’s account of malice fail; third, that Nietzsche’s account bears more resemblance to Kant’s than to Schopenhauer’s; and fourth that Nietzsche’s broad account of malice sheds light on moral phenomena left out of more conventional approaches (e.g. willful defiance of the sacred). (shrink)

This paper discusses two views of what makes an action difficult deriving from two very different approaches. On the first view, the difficulty of an action is determined by the (physical) effort involved in performing the action. On the second view, the difficulty of an action is determined by the level of ability required to perform the action. I develop and refine a version of each approach, including an original version of the ability approach drawing on recent work on agentive (...) abilities. Then, I subject each, in turn, to a series of problem cases and consider how each view might be further refined to address these cases. I conclude that the ability approach is more promising than the effort approach because, among other reasons, it more aptly accounts for cases where difficulty seems to arise from factors other than effort (including counterproductive habits, lack of artistic imagination, and presence of pain). (shrink)

In this paper, I consider three accounts of what makes an action difficult stemming from recent literature on the value of achievements. On one view, an action is difficult insofar as its successful performance involves effort; on another, insofar as the probability the agent will fail is high; and on my preferred view, insofar as the ratio of comparable agents able to perform the same action in the same circumstance from among all comparable agents is low. I raise new objections (...) to each view and defend a new version of the third. The view I defend provides a unified explanation of the widest range of uses of the concept of difficulty and captures an intuitive connection of difficulty to agentive ability. One upshot of my discussion is that none of the existing accounts of achievement-value are defensible without modification. (shrink)

A great achievement makes one’s life go better independently of its results, but what makes an achievement great? A simple answer is—its difficulty. I defend this view against recent, pressing objections by interpreting difficulty in terms of competitiveness. Difficulty is determined not by how hard the agent worked for the end but by how hard others would need to do in order to compete. Successfully reaching a goal is a valuable achievement because it is difficult, and it is difficult because (...) it is competitive. Hence, both virtuosic performances and lucky successes can be valuable achievements. (shrink)

A prominent tradition in Nietzsche scholarship reads his views about will to power as a psychological thesis and his claims about the value of power as an attempt to derive normativity from psychological necessity. This article shows that these interpretations have failed to articulate a cogent reading faithful to Nietzsche’s texts, and so casts doubt on such an approach. My argument bears not only on how we read Nietzsche, but also on the viability of one recent constitutivist reading. After presenting (...) these critical arguments, I consider an original interpretation of will to power in terms of the motivation to grow. This revised interpretation, however, still fails to support the tradition’s derivation of normativity. Thus, I conclude we should look elsewhere for Nietzsche’s normative argument. (shrink)

In this article, I explore the impact of disability on one of life’s goods: achievement. Contra Campbell, Nyholm, and Walter, I argue that construing the magnitude of achievements in terms of subjective effort trivializes what it means to achieve. This poses a problem for the authors’ argument that disability, in general, does not reduce access to this good. I draw on an alternative construal of achievement that I have proposed elsewhere in order to show that, indeed, many disabilities do not (...) restrict access to achievement. I defend this argument against an objection that it problematically relativizes the achievements of persons with disability, and I close with general lessons for future work. (shrink)

Why does it seem better to be a pauper who becomes a king rather than a king who becomes a pauper even when each life contains an equivalent sum of goods to the other? Many argue that only the pauper-to-king life can be told as a redemption story and that it is good for you to live a redemption story. This paper calls that explanation into question and proposes an alternative: upward-trending lives reveal growth. I argue that growth is a (...) valuable feature of a life, that redemption is not, and that growth explains intuitions cited in favor of redemption. (shrink)

Nietzsche assesses values, moralities, religions, cultures, and persons in terms of health. He argues that we should reject those that are unhealthy and develop healthier alternatives. But what is Nietzsche’s conception of health, and why should it carry such normative force? In this paper I argue for reading Nietzsche’s concept of health as the overall ability to meet the demands of one’s motivational landscape. I show that, unlike other interpretations, this reading accounts for his rejection of particular features of a (...) prevailing, then as now, model of health; for his association of health with strength and with psychic unity; and for his claim that health is compatible with, and can even be enhanced by, functional impairments such as those from which he personally suffered. Throughout I draw connections to recent literature on health and disability. (shrink)

What is Nietzsche’s concept of health; what is the criteria he employs when he assesses individuals as sick or healthy, when he criticizes values and institutions for their effect on human health? This Element is dedicated to answering that question. I begin by showing the importance of this question for grasping many of Nietzsche’s philosophical contributions. I carefully review the interpretive touchstones for developing an interpretation. And I assess interpretations that have been offered so far by Nietzsche scholars. I show (...) that none are adequate to the interpretive touchstones, and I develop and defend my own interpretation, according to which an individual is healthy to the extent that they are able to perform those acts required to satisfy their drives and values. Finally, I show how this reading sheds light on Nietzsche’s criticism of morality in the Genealogy and his project of revaluing values. (shrink)

This paper calls on philosophers of medicine to attend to work on dispositions by metaphysicians. I make that call by drawing on recent work on dispositions to show several things. First, I show that the concept has been undertheorized by a wide range of theories of health and disease. Specifically, I discuss Boorse’s influential biostatistical theory of health, Werkhoven’s recent dispositional theory, and Aas and Wasserman’s neglected revision to Wakefield’s harmful dysfunction analysis. I also show how applying a careful analysis (...) of dispositions clarifies and strengthens each theory. But I show, lastly, that objections to each of these views are more easily grasped by virtue of this analysis. This discussion clarifies and contributes to ongoing debates over how to analyze health and disease. And it reveals the need for these debates to be better informed by clear thinking about the nature of dispositions. (shrink)

Nurse Ethicists bring a unique perspective to clinical ethics consultation. This perspective provides an appreciation of ethical tensions that will exist beyond the consult question into the moral space of patient care. These tensions exist even when an ethically preferable plan of action is identified. Ethically appropriate courses of action can still lead to moral dilemmas for others. The nurse ethicist provides a lens well suited to identify and respond to these dilemmas. The nurse–patient relationship is the ethical foundation of (...) nursing practice and this relational ontology is well suited to addressing ethical dilemmas that exist prior to and beyond the initial consult question. This paper will describe one nurse ethicist’s phronetic and pragmatic approach to a clinical ethics consult elucidated through feminist ethics and systems thinking. This paper will describe the theoretical basis for this method, present a case, and describe how this consultation approach provides a rich analysis based around relationships and responsibilities that also highlights the important ethical tensions within the social structure that exists around the patient and continue after the consult question is answered. (shrink)

First published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.

Recent scholarship has shown Nietzsche to offer an original and insightful moral psychology centering on a motivational feature he calls ‘will to power.’ In many places, though, Nietzsche presents will to power differently, as the ‘essence of life,’ an account of ‘organic function,’ even offering it as a correction to physiologists. This paper clarifies the scope and purpose of will to power by identifying the historical physiological view at which Nietzsche directs his criticisms and by identifying his purpose in doing (...) so. Nietzsche’s criticism, it is argued, is a widespread and pre-Darwinian description of the basic dispositions of organisms and their internal processes. The purpose of this criticism is to undermine the efforts of Herbert Spencer and Arthur Schopenhauer to derive moral-psychological insights from that description. The paper concludes that Nietzsche’s proposal to conceive of ‘organic function’ in terms of will to power is of little import for his moral psychology besides clearing away competing views. (shrink)

The relationship between mind and necessity is one of the major points of difficulty for the interpretation of Plato’s Timaeus. At times Timaeus seems to say the demiurge is omnipotent in his creation, and at other times seems to say he is limited by pre-existing matter. Most interpretations take one of the two sides, but this paper proposes a novel approach to interpreting this issue which resolves the difficulty. This paper suggests that in his speech Timaeus presents two hypothetical models (...) of creation, one with an omnipotent demiurge and one where he is limited by matter, so as to investigate their theoretical and empirical validity. Further, he shows that each model is ultimately an inadequate explanation of the first principles of the cosmos. Timaeus’ speech is therefore properly understood to be aporetic: it leaves its listeners aware of the difficulties inherent in the two models of creation, but without a more viable alternative. (shrink)

The Timaeus is perhaps the most unusual of Plato’s dialogues. In this paper, I attempt to interpret Timaeus’s strange speech, which makes up most of the dialogue. I argue that Timaeus has grasped the grave challenge posed to philosophic reason by men like Hesiod who claim that mysterious gods are the first causes of the world, and therefore one cannot say that there are any true necessities governing this world. If this is true, then philosophy, as the study of nature, (...) which depends on the existence of necessity, would be impossible. Timaeus articulates two serious attempts to meet this challenge by demonstrating the stability and rational comprehensibility of the world from solid first principles: one according to which mind is the cause of all things; another according to which everything comes to be through mindless necessity. But he ultimately suggests that neither of these attempts have been successful, thereby demonstrating the limits of natural science’s ability to meet the religious challenge. Timaeus’s speech also has a rhetorical purpose related to this failure: insofar as he finds himself unable adequately to meet the religious challenge, and yet is still attracted to and finds worthwhile the pursuit of philosophy, he thinks a rhetorical account of the cosmos is necessary to shore up faith in reason for elite and educated young men who find themselves inclined to natural science. The more rhetorical aspects of Timaeus’s speech, and above all his account of the triangles, serve this purpose. (shrink)

There is broad agreement in aesthetics that some artworks are greater than others despite bearing equivalent (or lesser) aesthetic value. One explanation of this difference in artistic value is that creation of the greater artwork represents a greater achievement. The aim of this article is to refine this explanation and to defend it against recent criticisms. First, I present a prima facie case in favor of the achievement explanation. Second, I draw on the history of photography to motivate three objections (...) to it: namely, that it wrongly excludes (1) lucky, (2) easy, and (3) failed creations from being artistically great. Third, I present my refined version of the achievement explanation and show how it avoids these objections. On my view, an artistic achievement consists in creating a work it would have been especially hard for comparable artists to create. Finally, I raise and address several additional objections. In responding to these objections, I argue, among other things, that my explanation of artistic value enhances our understanding of good-bad art: specifically, it allows us to see how good-bad art is artistically great despite being aesthetically flawed. (shrink)

While “green marketing” has emerged as powerful competitive force, many markets lack clear institutional standards or knowledgeable customers to allow firms committed to sustainable practices to differentiate themselves from opportunistic, green-washing competitors. Within these contexts we propose a firm-level lens based on authentic firm reputation as an important, yet poorly understood, competitive force. Drawing on interview data from the architectural design services context we identify the elements that firms use to communicate their own authenticity, as well as discourage green-washing behavior (...) of peers, and present these elements as the “Diamond” model of authentic green marketing, consisting of: The ability to appear above commercial considerations; The ability to frame production methods as craft; The use of corporate visual identity; and An organization's social network of stakeholders. We conclude by discussing the generalizability and implications of our framework for practitioners as well as opportunities for future research. (shrink)

Nietzsche argues in the Genealogy of Morality (GM) that key aspects of modern European morality arose as “cures” for widespread human sickness but are ultimately making us sicker (“poisoning” us). This article provides a systematic overview of how Nietzsche believes morality has functioned as a cure and poison for European humanity. Drawing on my own previous work on Nietzsche’s concept of health, I sketch an overview of the (1) sicknesses, (2) treatments, and (3) pathogeneses discussed in each of the three (...) treatises in terms of a single (and plausible) concept of health. The result is a systematic interpretive overview of the core polemical argument in GM. (shrink)

Navigating tragic circumstances in pediatrics requires consideration of parental grief responses. We meet parents where they are, not where we might want them to be. Different parents grieve differ...

Caruso Brown brings forward an argument that clinicians and ethicists have a duty to consider decision-makers marginalized by hierarchical structures. The author presents a pragmatic approac...

ABSTRACT In this article, the author offers a reconstruction and criticism of Brian Leiter's interpretation of Nietzsche's criticism of conventional morality in Nietzsche on Morality. Leiter's interpretation is said to falter because it attributes to Nietzsche an implausible combination of positions. First, Nietzsche is said to be a value antirealist. But he is also said to defer to the value of the flourishing of his audience, who are limited to a certain subset of “higher” humans. The author argues that, in (...) spite of Leiter's attempt to defend this view, he ultimately fails to explain how Nietzsche can be confident in the normative force of the higher humans' flourishing and, so, his criticism of morality. Since the author takes the problems of Leiter's reading to bear on a prevalent general reading of Nietzsche, the author concludes with a brief sketch of a plausible alternative. (shrink)

Nietzsche repeatedly criticizes traditional morality for having ruined our health. This raises three questions: (1) How does Nietzsche understand human health? (2) Why are health-impacts evaluatively significant? (3) Why should these impacts override the weight of our traditional moral values? By addressing these questions, I bring clarity to Nietzsche’s ethics and new insight to contemporary philosophy of medicine. First, Nietzsche conceives of health as a balance between one’s abilities and the demands placed upon them by one's motivations. One is healthier (...) the more one is able to meet those demands; less healthy, the less so. This view is similar to “embedded instrumentalism” in current philosophy of medicine. Second, the value health has for Nietzsche is closely related to that of “power.” Power involves the confrontation of difficulty in one’s pursuits. Nietzsche is especially interested in the diachronic value of upward trends in difficult confrontations. One is better off to the extent that one tackles more difficult versions of a task than before. Such upward trends are valuable because they prevent a form of human despair of special concern to Nietzsche. Striving after a prized goal one feels unable to realize is deeply distressing and, Nietzsche argues, leads to a form of self-alienation, resentment of others, evaluative instability, and a sense of futility in acting. This cluster of attitudes diminishes one’s welfare and undermines one’s agency. Upward trends in power contribute to one’s sense that one is able to carry out one’s dearest aims (i.e. to a sense of good health) and so prevent this dissatisfaction. Downward trends contribute to a sense of one’s impotence (of ill health). The value of avoiding this dissatisfaction and its consequences accounts for the value of health. Third, drawing on recent scholarship, I argue that Nietzsche affords health normative force for its being a constitutive aim of genuine agency. Constitutive of genuine action is the realization of a condition in which we act and do not see ourselves as impotent in acting. Therefore we have reason to avoid conditions that eradicate our (sense of our own) health, grounded in the aim of realizing genuine agency. (shrink)

An introductory text on the philosophy of chiropractic, for both chiropractic students and practitioners and those interested in the practice and philosophy of...

The neonatologist was describing the dire situation, the complexity of the fetus's anomalies, and the options—comfort care, some resuscitation—and finished by saying, “We would not recommend ECMO …” “We would not recommend” is a curious phrase. There is something ambiguous, very nebulous about it, something passive, noncommittal, maybe even deflective. As a bioethics researcher, I wondered how this phrase is interpreted, how it influences parents' moral deliberation over their options.

European Journal of Philosophy, EarlyView.

"Nietzsche on art and life" is an alluring topic. As the editor of this volume, Daniel Came, puts it, art plays a central role in "the principal task [Nietzsche] set himself as a philosopher—to identify the conditions of the affirmation of life, cultural renewal, and exemplary human beings". Since the precise nature of this task, and the role of art in it, is hard to pin down, a volume that promises to clarify these issues cannot fail to attract readers of (...) Nietzsche.The contents of Nietzsche on Art and Life largely make good on the allure of its topic. Unsurprisingly, its best contributions are those that directly engage its purported task of clarifying the role of art in Nietzsche's philosophical project.... (shrink)

Current regulations and guidelines identify specific subject populations as vulnerable. Regulations and guidelines generally stipulate protections with regard to the process of informed consent. Recent clinical trials suggest that satisfying the legal requirements for additional safeguards may not protect subjects to the extent we may desire. We present proposed guidelines for the protection of decisionally impaired subjects throughout the course of the trial.

The RecQ family of DNA helicases have been shown to be important for the maintenance of genomic integrity in all organisms analysed to date. In human cells, representatives of this family include the proteins defective in the cancer predisposition disorder Bloom's syndrome and the premature ageing condition, Werner's syndrome. Several pieces of evidence suggest that RecQ family helicases form associations with one or more of the cellular topoisomerases, and together these heteromeric complexes manipulate DNA structure to effect efficient DNA replication, (...) genetic recombination, or both. Here, we propose that RecQ helicases are required for ensuring that structural abnormalities arising during replication, such as at sites where replication forks encounter DNA lesions, are corrected with high fidelity. In mutants defective in these proteins, not only is replication abnormal, but cells display aberrant responses to DNA-damaging agents or inhibitors of DNA synthesis. We suggest that RecQ helicases may be important for the integration of cellular responses to these insults, such as by linking cell cycle checkpoint responses to recombinational repair. BioEssays 21:286–294, 1999. © 1999 John Wiley & Sons, Inc. (shrink)

Bermúdez argues that framing effects are rational because particular frames provide goal-consistent reasons for choice and that people exert some control over the framing of a decision-problem. We propose instead that these observations raise the question of whether frame selection itself is a rational process and highlight how constraints in the choice environment severely limit the rational selection of frames.

The DNA of all species is constantly under threat from both endogenous and exogenous factors, which damage its chemical structure. Probably the most common lesion that arises in cellular DNA is the loss of a base to generate an abasic site, which is usually referred to as an apurinic or apyrimidinic (AP) site. Since these lesions are potentially both cytotoxic and mutagenic, cells of all organisms express dedicated repair enzymes, termed AP endonucleases, to counteract their damaging effects. Indeed, many organisms (...) consider it necessary to express two or more of these lesion‐specific endonucleases, underscoring the requirement that exists to remove AP sites for the maintenance of genome integrity and cell viability. Most AP endonucleases are very versatile enzymes, capable of performing numerous additional repair roles. In this article, we review the AP endonuclease class of repair enzymes, with emphasis on the evolutionary conservation of structural features, not only between prokaryotic and eukaryotic homologues, but also between these enzymes and the RNase H domain of one class of reverse transcriptase. (shrink)