Modal Truth : Integrating the Metaphysics, Epistemology, and Semantics of the Necessary and the Possible

The integration challenge for modality states that metaphysical theories of modality tend to fail in one of two ways: either they render the meanings of modal sentences mysterious, or they render modal knowledge mysterious. I argue that there are specific semantic and epistemic constraints on metaphysics implied by the integration challenge and that a plausible metaphysical theory of modality will satisfy both of them. I further argue that no popular metaphysical theory of modality simultaneously satisfies both of the constraints. Therefore, a new metaphysical theory of modality is needed, one that can offer a clear response to the integration challenge. I attempt to supply the needed theory and show that it satisfies the constraints of the integration challenge. The overall result is an argument for a new and unique metaphysical theory of modality that I call constructionism

Existential Loneliness and end-of-life care: A Systematic Review

Contains fulltext : 88662.pdf (publisher's version ) (Closed access)Patients with a life-threatening illness can be confronted with various types of loneliness, one of which is existential loneliness (EL). Since the experience of EL is extremely disruptive, the issue of EL is relevant for the practice of end-of-life care. Still, the literature on EL has generated little discussion and empirical substantiation and has never been systematically reviewed. In order to systematically review the literature, we (1) identified the existential loneliness literature; (2) established an organising framework for the review; (3) conducted a conceptual analysis of existential loneliness; and (4) discussed its relevance for end-of-life care. We found that the EL concept is profoundly unclear. Distinguishing between three dimensions of EL-as a condition, as an experience, and as a process of inner growth-leads to some conceptual clarification. Analysis of these dimensions on the basis of their respective key notions-everpresent, feeling, defence; death, awareness, difficult communication; and inner growth, giving meaning, authenticity-further clarifies the concept. Although none of the key notions are unambiguous, they may function as a starting point for the development of care strategies on EL at the end of life.1 april 201