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The methodology and impact of independent inquiries of homicides by people in care of mental health services have been questioned.
Aims
To analyse characteristics of patients who committed homicide, their victims and inquiries published in England between 2010 and 2023.
Method
Documentary and thematic analysis of 162 mental health homicide inquiries. We compared characteristics of perpetrators with those from the National Confidential Inquiry into Suicide and Safety (2018), and characteristics of victims with those in the general population of England and Wales. We examined methodology used by inquiries and thematically analysed root causes, contributory factors, recommendations, action plans, predictability and preventability.
Results
Fifty-two per cent of perpetrators had a diagnosis of schizophrenia and 52% had a history of non-adherence to medication and follow-up; 71% of victims in mental health homicides were family, friends or partners compared with 44% in the general population; 77% of inquiries used no clear methodology. The most frequent root causes and contributory factors related to deficits in assessment, treatment, follow-up or discharge, and risk assessment. There was no direct link between putative causes and resulting recommendations. The most frequent recommendations related to changing policy, improving clinical governance and training. Only 4% of inquiries deemed the homcide to be predictable and preventable.
Conclusions
There is considerable variation in the methodology of mental health homicide inquiries, with little use of human factors and systems theory. Inquiries repeatedly identify the same themes, and most mental health homicides are found to be neither predictable nor preventable. We make recommendations for improving consistency and usefulness.
This chapter characterizes History as an interpretive discipline, one in which conclusions are drawn by applying critical thinking to the available evidence, rather than one that aims to achieve actionable results from experimental or observational results. It points out that History aims not at reproducible and definitive outcomes but at broadening and deepening inquiry. It seeks to define what kinds of questions historians most value, questions that contribute to and enable such deepening and widening inquiry. Finally, this chapter discusses in greater depth the methodological and epistemological division introduced in the Introduction, between those more attracted to the historicist tradition examined in Chapter 1 and those more attracted to the methods, aims, and epistemological assumptions of social-science theory and of critical social theory. The chapter discusses both the strengths and weaknesses of these competing traditions and the pedagogical benefit of introducing students to both – the unique intellectual flexibility that the study of the discipline of History can cultivate.
This chapter argues for an approach to teaching History rooted in the ethical position foundational to the discipline. That approach is based on respect for our students and for the discipline; in it instructors encounter and learn from their students in the same way that they encounter and learn from historical subjects, and instruction in History, just like research in History, focuses not on controlling outcomes but on engaging in an ethically authentic process. It offers six approaches to instruction that can help build this kind of relationship between instructors and students, and between students and the discipline. These include consulting our students regarding their interests and aims; building instruction around the process of inquiry; making pedagogical use both of the breadth of the discipline and of its complexity, diversity, and epistemological and methodological divisions; focusing on teaching analysis, critical thinking, and interpretation; and bringing students to see their engagement with History not only as a process by which they master specific bodies of knowledge and methods of thinking but also as an open-ended intellectual adventure.
At the court of the Phaeacians, Demodocus sings of the quarrel between Odysseus and Achilles and delights his listeners, all except the still unrevealed Odysseus who covers his head and weeps. During the feast that follows, Odysseus, despite his grief, sends the singer a rich portion of meat and salutes him, praising how well he sang ’all that the Achaeans did and suffered and toiled, as if you were present yourself, or heard it from one who was’. In this simile, Odysseus anticipates the twin methods of validation for contemporary historians: eyewitness (autopsy) and inquiry of the participants in events. In ancient historiography, professions of autopsy and inquiry are found from Herodotus to Ammianus, and they serve as one of the most prominent means of claiming the authority to narrate contemporary and non-contemporary history. In this chapter, we shall survey some of the issues revolving around inquiry for ancient historians, treating the theoretical observations of the historians on the difficulties and problems raised by inquiry, as well as the explicit claims made by historians in the course of their narratives.
A pervasive feature of democracy is disagreement. In general, when we encounter disagreement from someone who is at least more reliable than chance, this puts some pressure on us to moderate our beliefs. But this raises the specter of asymmetric compliance – it’s not obvious what to do when we moderate our beliefs but the other party refuses to do so. Whereas an elegant solution is available when it comes to how we can respond to our higher-order evidence while still preserving democratic fairness, I argue that no such solution is forthcoming when we consider zetetic intransigence – that is, asymmetric compliance with regard to how we inquire, or gather evidence. The upshot is that democratic participation can involve messy trade-offs with no entirely satisfactory resolution.
Why should you inquire for yourself as a novice in a domain of inquiry when, for most questions within most domains, there are established experts to consult instead? In the face of this question, recent discussants of “autonomous-yet-novice” inquiry have sought to defend its epistemic value for the inquirer. Here I argue that autonomous-yet-novice inquiry can also be epistemically beneficial for agents other than the inquirer herself. Paradigm cases are those in which one agent improves her zetetic skills or virtues through an encounter or interaction with a more skillful or virtuous autonomous-yet-novice inquirer.
What is epistemically required of the rationally hopeful? In this paper, I propose that, as a subject becomes hopeful that p, she also adopts an inquiring attitude toward the question of whether p. Moreover, remaining rationally hopeful requires maintaining an inquiring attitude toward those possibilities we are hopeful about. On top of being led by a particular practical goal (that of attaining p), I suggest that the hopeful agent is also led by the epistemic goal of knowing whether p. Adding the “inquiry” criteria to rational hopefulness helps explain our intuition that there is something wrong with being hopeful that p and not disposed to inquire into whether p. It also helps us further distinguish hopefulness from other positive attitudes we adopt in the face of uncertainty, such as optimism, and faith.
This chapter will examine how a transdisciplinary approach to curriculum design provides a context for the development of intercultural awareness, fosters conceptual understanding and places the learner at the heart of the educational experience. A theoretical basis for transdisciplinary learning will first be presented. This will be followed by an analysis of the nature of the individual in the learning process and how this relates to the development of a global mindset. The chapter will conclude by offering practical considerations for the planning, teaching and assessing of learning through a transdisciplinary approach.
The role of the coroner is to investigate violent, unnatural or unexplained deaths, as set out in the Coroners and Justice Act of 2009. The coroner is a creature of statute; the oldest judicial office confirmed in 1194, but in existence before that time, to assist the Crown with the valuable and inevitable business of death. This chapter outlines the duties and responsibilities of a coroner.
I respond to challenges posed by Andrew Dole, Joanna Leidenhag, Kevin Schilbrack, and Sameer Yadav. Key topics include: whether the engagement between analytic theology and the academic study of religion really is mutually beneficial, distinguishing analytic theology from science-engaged theology, restrictive methodological naturalism, and whether I misconstrue analytic theology’s ‘characteristic damage’.
Analytic Theology and the Academic Study of Religion aims to explain analytic theology to other theologians, and to scholars of religion, and to explain those other fields to analytic theologians. The book defends analytic theology from some common criticisms, but also argues that analytic theologians have much to learn from other forms of inquiry. Analytic theology is a legitimate form of theology, and a legitimate form of academic inquiry, and it can be a valuable conversation partner within the wider religious studies academy. I aim to articulate an attractive vision of analytic theology, foster a more fruitful inter-disciplinary conversation, and enable scholars across the religious studies academy to understand one another better. Analytic theology can flourish in the secular academy, and flourish as authentically Christian theology.
This chapter focuses on the transition process, called the Expert Transition Cycle, which an individual goes through each time they make a transition. It reviews the more traditional models including vocational models, career anchors, psychometric models, work adjustment theories, and psychologically based models as well as ecologically and socially embedded models. It then reviews more contemporary transition process models, focusing on two models, working identity and identity status, which inform the study of identities in transition in the research. Finally, it presents the Expert Transition Cycle, which is the basis for determining how identity changes during a transition. This model includes five stages: Intention, Inquiry, Exploration, Commitment, and Integration.
When we're inquiring to find out whether p is true, knowing that we'll get better evidence in the future seems like a good reason to suspend judgment about p now. But, as Matt McGrath has recently argued, this natural thought is in deep tension with traditional accounts of justification. On traditional views of justification, which doxastic attitude you are justified in having now depends on your current evidence, not on what you might learn later. McGrath proposes to resolve this tension by distinguishing between different ways of having a neutral attitude. I argue that McGrath's account is unable to account for the full range of cases in which an agnostic attitude is warranted. We can remedy this by pairing his account with my theory of transitional and terminal attitudes, which claims that attitudes are justified in different ways depending on whether they are formed in intermediate stages of deliberation or as conclusions of deliberation. I compare my view with an alternative, more parsimonious one, according to which deliberation itself is a source of new evidence. I argue that this alternative proposal is faced with a dilemma: it either generates a vicious regress, or it fails to capture the relevant cases.
Socrates’ claim that he is engaged in a cooperative inquiry (506e3-5) may surprise readers of the dialogue. In particular, some readers take Callicles to be a hostile interlocutor; his views about philosophy, ethics, and politics seem to be designed to give us a vivid picture of everything that Socrates rejects and of the whole outlook that vehemently rejects Socrates. Socrates, however, attributes the success of his argument to cooperation between himself and Callicles; he implies that Callicles fulfils the promise that Socrates saw in him when he described him as the ideal interlocutor. Evidence drawn from Thucydides shows that Callicles holds the views of an enlightened (in his view) Periclean supporter of democracy. Socrates exposes a conflict between the acceptance of hedonism and the recognition of non-instrumental goods that belong to this Periclean outlook. Hedonism is fairly attributed to Callicles, and Callicles acknowledges it. Since Callicles is willing to make the effort to ‘view himself correctly’, he recognizes the fairness of Socrates’ argument, and accepts its consequences. Despite appearances, he participates in the cooperative inquiry that leads to Socrates’ conclusion.
The chapter delves into the question of whether medicine is a science, examining arguments that suggest medicine is not a science due to differing aims, progress criteria, and moral commitments (as proposed by Munson 1981; Pellegrino 1998; Miller and Miller 2014). The chapter counters these arguments by challenging assumptions about science’s aims. Rather than simply increasing knowledge, the chapter defends the "Understanding Thesis" (informed by debates in epistemology and philosophy of science with reference to authors such as Kitcher 2001; 2008; 2011; Kvanvig 2003; Bird 2007; 2019a; 2019b; Douglas 2009; Pritchard 2010; Grimm 2014; Potochnik 2017), which holds that science’s aim is understanding, making the world more transparent. This aim is inherently practical, driven by our interest in manipulating the environment and bolstering our agency, thus making scientific inquiry responsive to promoting human agency and autonomy. As such, science, like medicine, is a moral enterprise, and there is no significant difference in terms of aims, progress criteria, or moral commitments that would disqualify medicine from being considered a science. It concludes by discussing the implications of this for scientists’ responsibilities.
In this paper I offer a characterization of the intellectual virtue of social inquisitiveness, paying attention to its difference from the individual virtue of inquisitiveness. I defend that there is a significant distinction between individual and social epistemic virtues: individual epistemic virtues are attributed to individuals and assessed by the quality of their cognitive powers, while social epistemic virtues are attributed to epistemic communities and are assessed by the quality of the epistemic relations within the communities. I begin presenting Lani Watson's characterization of the (individual) practice of questioning and its related intellectual virtue, inquisitiveness. While she does not employ normative language, I show that her description can be constructed through four norms. Then, based on an account of epistemic communities, I defend that, while epistemic virtues attributable to individuals have norms regulating cognitive powers, epistemic virtues attributable to epistemic communities have norms regulating social epistemic interactions and shared epistemic responsibility. I then present a robust characterization of the epistemic virtue of social inquisitiveness through its social epistemic norms: DISTRIBUTION, ACCESSIBILITY, SOCIAL SINCERITY, SOCIAL CONTEXT, and FREQUENCY. I respond to two possible objections to my account and conclude by offering suggestions to broaden the scope of the epistemology of questioning.
In ‘The Place of Concepts in Socratic Inquiry’, Terence Irwin examines Socrates’ question ‘What is F?’, which is often taken to be a request for some sort of definition or account of what F is. When Socrates asks, ‘What is courage?’, ‘What is piety?’, ‘What is temperance?’, does his discovery that everyone, including himself, cannot answer such questions in a satisfactory manner imply that these answerers do not know what the words mean? If one cannot answer the ‘What is F?’ question, does it follow that one lacks the concept of F? Irwin argues that conceptual argument has an indispensable role in the arguments that lead to Socratic definitions, but it will not take us all the way to them. To understand Socratic definitions, Irwin compares them with Aristotelian real definitions, and with Epictetus’ views on the articulation of preconceptions.
In this chapter, I mount a sustained argument against Friedman’s claim that one is agnostic about whether P if and only if one is in an inquiring state of mind about whether P. I reject the claim that an inquiring state of mind entails agnosticism on the grounds that it fails to accommodate cases in which an agent inquires with the aim of ratcheting up an instance of (justified) believing to the status of knowledge or an instance of knowledge to the status of complete certainty. I reject the claim that agnosticism entails being in an inquiring state of mind on the grounds that it fails to accommodate cases in which a subject is agnostic towards P but are unmotivated to inquire about whether P because they believe or know that the question of whether P is unanswerable.
This article aims to contribute to the elucidation of the nature of inquiry. I start with some common desiderata for any theory of inquiry. I then categorize inquiry as a structured process. By focusing on its essential components, I advance a new characterization of inquiry as a combination of questioning attitudes guiding actions. Finally, I turn to the recent objection that questioning attitudes are not necessary for inquiry. I argue that inquiry is a structured process essentially constituted by questioning attitudes having two precise functional roles, initiating and guiding the deployment of cognitive capacities towards an epistemic goal.
This chapter is organized according to two complementary sections. The first examines ethical practice as an extension of liberal humanism, a series of operating assumptions that present select claims of discrete subjects and individualized responsibility. Liberal humanism colludes with capitalistic claims of value and a foregrounding of articulated rights over and above any semblance of collective justice. From this frame extend a series of research practices that “make sense” in particular ways and according to procedurized claims of ethical practice. Part two engages with an alternative ethical practice that is termed “relational materialism.” Relational materialism refuses the governing processes endemic to liberal humanism in favor of an affirmative ethical practice animated by transformative potential – the resistive assumption that we might become otherwise through generating a future yet unknown. Rather than solely describing or reconstituting the normative status quo (as is seen in conventional research), relationally materialist inquiry begins with an ethic of refusal such that we might experiment with alternative ways of living that are not governed by the ubiquitous claims of liberal humanism.