David Wallace\'s \'Dennett\'s Criterion\' plays a key part in establishing realist claims about the existence of a multiverse emerging from the mathematical formalism of quantum physics, even after decoherence is fully appreciated. Although the philosophical preconditions of this criterion are not neutral, they are rarely explicitly addressed conceptually. I tease apart three: (I) a rejection of conceptual bridge laws even in cases of inhomogeneous reduction; (II) a reliance on the pragmatic notion of usefulness to highlight quasi-classical patterns, as seen in a decoherence basis, over others; and (III) a structural realist or \'functional realist\' point of view that leads to individuating those patterns as real macroscopic objects at the coarse-grained level, as they are seen from the Classical Stance (analogous to Dennett\'s Intentional Stance). I conclude that the justification of Dennett\'s Criterion will be intimately tied up with the fate of strong forms of naturalism, and in particular that Wallacian quantum mechanics is a key case study for concretely evaluating his \'math-first\' structural realism (Wallace 2022).

暂无摘要。

In this paper, I leverage the pragmatist tradition in philosophy, the collective wisdom of scholarship in clinical ethics consultation, and earlier attempts to apply pragmatism in clinical ethics to develop a new vision of clinical ethics practice called New Clinical Pragmatism. It argues that clinical ethics methodology, from the New Clinical Pragmatist\'s perspective, amounts to the recommendation that consultants should customize a methodological approach, drawing on the various available methods, depending on the demands of the specific case, and should avoid attempts to identify a \'true\' methodology but to the incoherence and inevitable failure of those attempts. I argue that pragmatism\'s emphasis on practical wisdom and experimentation allow the New Clinical Pragmatist to do this while avoiding irrationality in choosing methods. I discuss how the New Clinical Pragmatist gives a unique, constructive perspective on key aspects of clinical ethics consultation such as the choice of common morality vs. internal morality of medicine approaches, process standards, bioethics mediation, and narrative ethics, and suggest how New Clinical Pragmatism\'s relaxed approach to choice of methodology encourages consultants to balance attention to the particulars of the case with knowledge of what the many insightful scholars of clinical ethics methodology have found useful in the past. I also argue that New Clinical Pragmatism is consistent with efforts to professionalize clinical ethics consultation.

This chapter examines the interplay between human resource management theory and human resource management practice. It advocates that effective human resource management practice and theory are intrinsically intertwined, and this indispensable link ought to be central to the pedagogy of management research methods. Through greater embeddedness of the institutional and societal context in research method teaching, students can develop as scholars who understand their roles as facilitators of dialogue between researchers and a significant part of their audience (practitioners). The chapter conceptualizes this perspective as a collaborative model in human resource management research, which then must hold centrality in the teaching of research methods in our university and college classrooms.

BACKGROUND: Intervention fidelity in health services research has been poor with a reported lack of understanding about what constitutes pragmatic adaptation of interventions and what constitutes failure to maintain intervention fidelity. However, the challenges facing those delivering such interventions have not been thoroughly explored. The aims of this study were to critically explore the challenges in maintaining fidelity experienced by physiotherapy staff and support workers when delivering a complex intervention for older people living with frailty.
METHODS: This study is a secondary analysis of data from a process evaluation of a large randomised controlled trial (RCT). The process evaluation employed qualitative methodologies with mixed methods including a variety of data collection methods, including participant observation, semi-structured interviews and documentary analysis. Thematic analysis was used to make sense of the data.
RESULTS: Many therapy staff felt ongoing confusion about what was acceptable to adapt and what needed to follow the protocol exactly. We found that some therapy staff were able to embrace the challenges of pragmatically adapting interventions while maintaining intervention fidelity, others stuck rigidly to the protocol and failed to adapt interventions where it was necessary.
CONCLUSIONS: It was clear that the understanding of fidelity and pragmatism was poor. While pragmatic trials are vital to replicate real world clinical practice, further guidance may need to be developed in order to guide the level of adaptation that is acceptable before fidelity is undermined.

In the late 19th and early 20th centuries, Gertrude Buck and collaborators developed a sociologically and pragmatist-informed approach to language that has been neglected in later scholarship. Buck approached the study of language from the standpoint of pragmatist functional psychology, which is indebted to John Dewey\'s pragmatism at the University of Michigan, and which views language as a normal, dynamic action of human organisms engaged in necessary cooperative relations with one another. Her approach overcomes the small-minded pragmatism that would criticize figurative or poetic language as impractical, and instead shows how figuration is essential to the particular ways in which language is action that conveys meaning to others and serves broader social functions. Buck\'s forgotten work helps overcome criticisms of the application of pragmatic action theory to language and literature, sketching how language structure may be explained on the basis of language as a natural social-communicative act, how figurative language is inherent in the normal act of communicating situated bodily experiences to others, and how rhetorical speech and writing contributes to participation in democratic social processes. This paper also indicates how Buck\'s work has been partially rediscovered in Composition Studies, as well as prefigures later reader-response esthetics and feminist analyses of language.

The cause of deterioration is often unclear, so it is vitally important that we spot the sick and deteriorating patient from all causes. As a result, warning scores must cater for all conditions, and - where possible - be standardised across all healthcare settings. This article summarises the importance of an \'unblinkered\' approach to acute illness assessment, comparing and examining the evidence for different historical scoring systems and looking at the early impact of national alignment to NEWS2 in patients admitted to hospital with suspected bacterial infections.

Zoos strive to provide excellent welfare for resident animals, including those belonging to endangered species involved in captive breeding programs while addressing visitors\' concerns regarding the ethics of captivity. Zoos also rely on income and support from visitors to provide exceptional care for their animal residents. It is essential, therefore, that zoos consider how visitors perceive their animals\' well-being, including physical and psychological welfare. This pragmatic, qualitative research explores the aspects of training-focused enrichment activities provided for a resident herd of African elephants (Loxodonta africana) that visitors liked/disliked, and it assesses perceptions of the animals\' emotions and welfare. Data were collected via surveys following live encounters at Zoo Tampa, Florida (USA). Reflexive Thematic Analysis generated key themes related to visitors\' most/least-liked aspects of the encounters, including proximity, elephant-caregiver relationships (ECRs), educational content, and teaching/learning opportunities for the elephants themselves. Participants in the research perceived the elephants as happy, content, calm, comfortable, engaged, excited, good, playful, and safe (among other emotional descriptors) and as having excellent welfare. Expressions of dislike referred to visitors\' inability to have contact with the elephants, such as via touching or feeding. While focused on one case-study zoo and a charismatic species, this study nonetheless provides zoos with insight into the impact that animal-caregiver interactions can have on visitors\' perceptions, and it offers a model that could be applied to other species and at other zoological institutions. These visitor experiences and visitor perceptions of animal welfare drive future visitor actions, including support for zoos.

In line with recent proposals for experimental philosophy and philosophy of science in practice, we propose that the philosophy of medicine could benefit from incorporating empirical research, just as bioethics has. In this paper, we therefore take first steps towards the development of an empirical philosophy of medicine, that includes investigating practical and moral dimensions. This qualitative study gives insight into the views and experiences of a group of various medical professionals and patient representatives regarding the conceptualization of health and disease concepts in practice and the possible problems that surround them. This includes clinical, epistemological, and ethical issues. We have conducted qualitative interviews with a broad range of participants (n = 17), working in various health-related disciplines, fields and organizations. From the interviews, we highlight several different practical functions of definitions of health and disease. Furthermore, we discuss 5 types of problematic situations that emerged from the interviews and analyze the underlying conceptual issues. By providing theoretical frameworks and conceptual tools, and by suggesting conceptual changes or adaptations, philosophers might be able to help solve some of these problems. This empirical-philosophical study contributes to a more pragmatic way of understanding the relevance of conceptualizing health and disease by connecting the participants\' views and experiences to the theoretical debate. Going back and forth between theory and practice will likely result in a more complex but hopefully also better and more fruitful understanding of health and disease concepts.

Moral or ethical questions are vital because they affect our daily lives: what is the best choice we can make, the best action to take in a given situation, and ultimately, the best way to live our lives? Health ethics has contributed to moving ethics toward a more experience-based and user-oriented theoretical and methodological stance but remains in our practice an incomplete lever for human development and flourishing. This context led us to envision and develop the stance of a \"living ethics\", described in this inaugural collective and programmatic paper as an effort to consolidate creative collaboration between a wide array of stakeholders. We engaged in a participatory discussion and collective writing process known as instrumentalist concept analysis. This process included initial local consultations, an exploratory literature review, the constitution of a working group of 21 co-authors, and 8 workshops supporting a collaborative thinking and writing process. First, a living ethics designates a stance attentive to human experience and the role played by morality in human existence. Second, a living ethics represents an ongoing effort to interrogate and scrutinize our moral experiences to facilitate adaptation of people and contexts. It promotes the active and inclusive engagement of both individuals and communities in envisioning and enacting scenarios which correspond to their flourishing as authentic ethical agents. Living ethics encourages meaningful participation of stakeholders because moral questions touch deeply upon who we are and who we want to be. We explain various aspects of a living ethics stance, including its theoretical, methodological, and practical implications as well as some barriers to its enactment based on the reflections resulting from the collaborative thinking and writing process.