David Benatar argues that coming into existence is always a harm, and that – for all of us unfortunate enough to have come into existence – it would be better had we never come to be. We contend that if one accepts Benatar’s arguments for the asymmetry between the presence and absence of pleasure and pain, and the poor quality of life, one must also accept that suicide is preferable to continued existence, and that his view therefore implies both anti-natalism (...) and pro-mortalism . This conclusion has been argued for before by Elizabeth Harman – she takes it that because Benatar claims that our lives are ‘awful’, it follows that ‘we would be better off to kill ourselves’ (Harman 2009: 784). Though we agree with Harman’s conclusion, we think that her argument is too quick, and that Benatar’s arguments for non-pro-mortalism deserve more serious consideration than she gives them. We make our case using a tripartite structure. We start by examining the prima facie case for the claim that pro-mortalism follows from Benatar’s position, presenting his response to the contrary, and furthering the dialectic by showing that Benatar’s position is not just that coming into existence is a harm, but that existence itself is a harm. We then look to Benatar’s treatment of the Epicurean line, which is important for him as it undermines his anti-death argument for non-pro-mortalism. We demonstrate that he fails to address the concern that the Epicurean line raises, and that he cannot therefore use the harm of death as an argument for non-pro-mortalism. Finally, we turn to Benatar’s pro-life argument for non-pro-mortalism, built upon his notion of interests, and argue that while the interest in continued existence may indeed have moral relevance, it is almost always irrational. Given that neither Benatar’s anti-death nor pro-life arguments for non-pro-mortalism work, we conclude that pro-mortalism follows from his anti-natalism, As such, if it is better never to have been, then it is better no longer to be. -/- . (shrink)

I give a biological account of epistemic normativity. My account explains the sense in which it is true that belief is subject to a standard of correctness, and reduces epistemic norms to there being doxastic strategies which guide how best to meet that standard. Additionally, I give an explanation of the mistakes we make in our epistemic discourse, understood as either taking epistemic properties and norms to be sui generis and irreducible, and/or as failing to recognize the reductive base of (...) epistemic normativity. This explanation will appeal to the claim that the beliefs which constitute our epistemic discourse are false but adaptive, and are the outcome of a non-truth tracking process. The opponents of my position are philosophers who take epistemic normativity not to be reducible in this way, and to involve sui generis properties and norms governing belief. The aim of the paper is to show that epistemic normativity can be explained by appeal to the biological functions of our mechanisms of belief-production. (shrink)

We argue that the most plausible characterisation of the norm of truth—it is permissible to believe that p if and only if p is true—is unable to explain Transparency in doxastic deliberation, a task for which it is claimed to be equipped. In addition, the failure of the norm to do this work undermines the most plausible account of how the norm guides belief formation at all. Those attracted to normativism about belief for its perceived explanatory credentials had better look (...) elsewhere. (shrink)

An examination of alien abduction belief can inform how we ought to approach constructing explanations of monothematic delusion formation. I argue that the formation and maintenance of alien abduction beliefs can be explained by a one-factor account, and that this explanatory power generalizes to (other) cases of monothematic delusions. There are no differences between alien abduction beliefs and monothematic delusions which indicate the need for additional explanatory factors in cases of the latter. I make the additional point that whilst alien (...) abduction beliefs can be readily explained using a one-factor framework, the two-factor framework requires adjustment to accommodate them. I conclude that theorists interested in delusion formation have much to learn from the case of alien abduction belief. (shrink)

I propose a new model of implicit bias, according to which implicit biases are constituted by unconscious imaginings. I begin by endorsing a principle of parsimony when confronted with unfamiliar phenomena. I introduce implicit bias in terms congenial to what most philosophers and psychologists have said about their nature in the literature so far, before moving to a discussion of the doxastic model of implicit bias and objections to it. I then introduce unconscious imagination and argue that appeal to it (...) does not represent a departure from a standard view of imagination, before outlining my model and showing how it accommodates characteristic features of implicit bias. I argue for its advantages over the doxastic model: it does not violate the parsimony principle, it does not face any of the objections so far raised to doxasticism, and it can accommodate the heterogeneity in the category of implicit bias. Finally, I address whether my view limits our ability to hold people accountable for their biases (it does not), and whether it is consistent with what we know about intervention strategies (it is). I conclude that implicit biases are constituted by unconscious imaginings. (shrink)

I argue that explanations of doxastic transparency which go via an appeal to an aim or norm of belief are problematic. I offer a new explanation which appeals to a biological function of our mechanisms for belief production. I begin by characterizing the phenomenon, and then move to the teleological and normative accounts of belief, advertised by their proponents as able to give an explanation of it. I argue that, at the very least, both accounts face serious difficulties in this (...) endeavour. These difficulties are a function of seeking an explanation of transparency at the agential level, either with the subject aiming at truth, or being guided by a norm of truth. I adopt a motivational account of belief, one which severs the connection between belief and truth, and supplement this with an account of actual world beliefs. My alternative explanation is found at the sub-intentional, non-agential level, secured by biology. This explanation casts transparency not as related to the nature of deliberation over what to believe, but rather as contingently characterizing the beliefs of some believers, namely those with a particular biological history. My explanation thus parts company with what has come before along two dimensions: it moves away from transparency being something related to the agent’s aims or commitments, and it understands it as a contingent phenomenon. I close by considering an objection to my view—that transparency must not be understood as a contingent phenomenon—and a nearby alternative position which avoids this consequence. I respond to this objection and give reasons not to endorse the nearby alternative. I conclude that my explanation does not face the difficulties of those offered by teleologists and normativists, and, that by moving away from agential explanations, and casting transparency as contingent, we can provide a successful explanation of it. (shrink)

A number of studies have investigated how immersion in a virtual reality environment can affect participants’ implicit biases. These studies presume associationism about implicit bias. Recently philosophers have argued that associationism is inadequate and have made a case for understanding implicit biases propositionally. However, no propositionalist has considered the empirical work on virtual reality and how to integrate it into their theories. I examine this work against a propositionalist background, in particular, looking at the belief and patchy endorsement models. I (...) argue that the results therein can only be accommodated by a model which recognizes structural heterogeneity, that is, one which allows for implicit biases being both associatively and non-associatively structured. My preferred view – that implicit biases are constituted by unconscious imaginings – allows for this, as well as for heterogeneity at the level of content (propositional and imagistic), a feature which also earn its explanatory keep in this context. I conclude that empirical work on virtual reality and implicit bias gives us a reason to prefer a pluralist model of bias, and that my unconscious imagination model, in its recognizing wide-ranging heterogeneity, is uniquely placed to accommodate the results of work on virtual reality and bias mitigation. (shrink)

When subject to the choice-blindness effect, an agent gives reasons for making choice B, moments after making the alternative choice A. Choice blindness has been studied in a variety of contexts, from consumer choice and aesthetic judgement to moral and political attitudes. The pervasiveness and robustness of the effect is regarded as powerful evidence of self-ignorance. Here we compare two interpretations of choice blindness. On the choice error interpretation, when the agent gives reasons she is in fact wrong about what (...) her choice is. On the choice change interpretation, when the agent gives reasons she is right about what her choice is, but she does not realise that her choice has changed. In this paper, we spell out the implications of the two interpretations of the choice-blindness effect for self-ignorance claims and offer some reasons to prefer choice change to choice error. (shrink)

In his recent book Delusions and Beliefs, Kengo Miyazono offers a thoroughgoing defence of delusions as biologically malfunctioning beliefs, greatly elaborating on his earlier defence of this view. Miyazono has it that delusions have biological doxastic functions, and that delusions involve direct or indirect malfunctions of this kind. In this short piece, I focus on Miyazono’s defence of a two-factor approach to delusion formation as it appears in Chapter Four. Miyazono approaches his discussion of the debate between one- and two-factor (...) theories having already defended the key thesis of the book: that delusions are malfunctioning beliefs. Of course, that thesis might be thought to mesh nicely with the two-factor theorist’s claim that there is a cognitive abnormality present in delusion formation or maintenance. However, I will discuss Miyazono’s defence of the two-factor position in isolation from its role in his overall account of delusion. Miyazono abstracts away from the particulars of Max Coltheart’s two-factor view, and takes himself to be investigating the plausibility of two-factor theories without the specific commitments of Coltheart’s view. Miyazono also captures under the two-factor heading theories which locate the second factor in belief maintenance rather than just in belief formation. He puts forward a new argument for a two-factor approach which goes via inference to the best explanation. I begin by arguing that Miyazono’s starting motivation for a two-factor approach rests on a misrepresentation of the one-factor approach. Then, I turn to the four components of Miyazono’s inference to the best explanation argument, and argue that in each case, we do not have grounds for positing a second factor. (shrink)

Monothematic delusions are bizarre beliefs which are often accompanied by highly anomalous experiences. For philosophers and psychologists attracted to the exploration of mental phenomena in an evolutionary framework, these beliefs represent—notwithstanding their rarity—a puzzle. A natural idea concerning the biology of belief is that our beliefs, in concert with relevant desires, help us to navigate our environments, and so, in broad terms, an evolutionary story of human belief formation will likely insist on a function of truth (true beliefs tend to (...) lead to successful action). Monothematic delusions are systematically false and often harmful to the proper functioning of the agent and the navigation of their environment. So what are we to say? A compelling thought is that delusions are _malfunctioning_ beliefs. Compelling though it may be, I argue against this view on the grounds that it does not pay due attention to the circumstances in which monothematic delusions are formed, and fails to establish _doxastic_ malfunction. I argue instead that monothematic delusions are _misfunctioning_ beliefs, that is, the result of mechanisms of belief formation operating in historically abnormal conditions. Monothematic delusions may take their place alongside a host of other strange beliefs formed in difficult epistemic conditions, but for which no underlying doxastic malfunction is in play. (shrink)

The Covid-19 pandemic provides the newest example of staunch polarization in the epistemic community, providing ample opportunity for profound disagreements on its origin and the international resp...

Historical accounts of biological function are thought to have, as a point in their favour, their being able to accommodate malfunction. Recently, this has been brought into doubt by Paul Sheldon Davies’s argument for the claim that both selected malfunction (that of the selected functions account) and weak etiological malfunction (that of the weak etiological account), are impossible. In this paper I suggest that in light of Davies’s objection, historical accounts of biological function need to be adjusted to accommodate malfunction. (...) I propose a historical account which places two conditions on membership of a functional kind. My claim is that it is in virtue of a trait’s meeting these conditions that it is a member of a functional kind, and can thus malfunction. I suggest that a version of my proposal can be adopted by both the selected effects and weak etiological theorists, and so conclude that such a proposal meets Davies’s objection. (shrink)

ABSTRACTEmpiricists about monothematic delusion formation agree that anomalous experience is a factor in the formation of these attitudes, but disagree markedly on which further factors need to be specified. I argue that epistemic innocence may be a unifying feature of monothematic delusions, insofar as a judgment of epistemic innocence to this class of attitudes is one that opposing empiricist accounts can make. The notion of epistemic innocence allows us to tell a richer story when investigating the epistemic status of monothematic (...) delusions, one which resists the trade-off view of pragmatic benefits and epistemic costs. Though monothematic delusions are often characterized by appeal to their epistemic costs, they can play a positive epistemic role, and this is a surprising conclusion on which, so I argue, all empiricists can agree. Thus, I show that all empiricists have the notion of epistemic innocence at their disposal. (shrink)

In this paper I consider the project of offering an evolutionary debunking explanation for transparency in doxastic deliberation. I examine Nicole Dular and Nikki Fortier’s (2021) attempt at such a project. I suggest that their account faces a dilemma. On the one horn, their explanation of transparency involves casting our mechanisms for belief formation as solely concerned with truth. I argue that this is explanatorily inadequate when we take a wider view of our belief formation practices. I show that Dular (...) and Fortier overstate the extent to which adaptive non-evidentially supported beliefs are rare, and the implausibility of disjunctive evolutionary systems. They should allow a role for the non-truth directed behaviour of our mechanisms of belief formation. On the other hand, we might restrict the explanation offered by Dular and Fortier to the deliberative context, that is, we might understand them as allowing for non-evidential belief formation outside of the deliberative context, but as identifying the key to explaining transparency in the truth-directed evolutionary mechanisms as they operate in the deliberative context. However, this would land them on the second horn of the dilemma: we would then have no different an explanation to one I have offered elsewhere (2018), an explanation which Dular and Fortier explicitly put aside as engaged in a project different from their own. I finish by briefly considering some broader implications relating to explaining transparency, the nature of belief, and the prospects for pragmatism. I conclude that Dular and Fortier’s debunking explanation of transparency bestows an implausible role for truth in fixing our beliefs, or, if it doesn’t, then we simply have the restatement of a view explicitly disavowed by the authors. We are left, then, with an explanation we ought not want, or an explanation we already had. (shrink)

In this chapter we argue that some beliefs present a problem for the truth-aim teleological account of belief, according to which it is constitutive of belief that it is aimed at truth. We draw on empirical literature which shows that subjects form beliefs about the real world when they read fictional narratives, even when those narratives are presented as fiction, and subjects are warned that the narratives may contain falsehoods. We consider Nishi Shah’s teleologist’s dilemma and a response to it (...) from Asbjørn Steglich-Petersen which appeals to weak truth regulation as a feature common to all belief. We argue that beliefs from fiction indicate that there is not a basic level of truth regulation common to all beliefs, and thus the teleologist’s dilemma remains. We consider two objections to our argument. First, that the attitudes gained through reading fiction are not beliefs, and thus teleologists are not required to account for them in their theory. We respond to this concern by defending a doxastic account of the attitudes gained from fiction. Second, that these beliefs are in fact appropriately truth-aimed, insofar as readers form beliefs upon what they take to be author testimony. We respond to this concern by suggesting that the conditions under which one can form justified beliefs upon testimony are not met in the cases we discuss. Lastly, we gesture towards a teleological account grounded in biological function, which is not vulnerable to our argument. We conclude that beliefs from fiction present a problem for the truth-aim teleological account of belief. (shrink)

We have higher-order evidence that aesthetic judgements in the context of awarding art prizes may be affected by implicit bias, to the detriment of artists from marginalized groups. Epistemologists have suggested how to respond to higher-order evidence by appeal to bracketing or suspending judgement. We explain why these approaches do not help in this context. We turn to three ways of addressing the operation of implicit bias: (i) anonymization, (ii) the production of objective criteria, (iii) direct implicit bias mitigation techniques. (...) We show that, in the art prize case, strategy (i) is sometimes counterproductive and any benefits are partial, and strategy (ii) is difficult or impossible to implement. This means that the need for (iii) (direct implicit bias mitigation techniques) is more pressing here than elsewhere. The art prize context is one where mitigation of a particular kind is all we are left with. However, domain-specific problems arise for this strategy too, which call for further empirical work on the operation of implicit bias in the artworld. We conclude that the problem of implicit bias as it arises in the specific context of awarding prizes in the artworld is especially challenging and, given the unavailability of alternative mitigations in this context, the need for direct bias mitigation is even more pressing here than in society in general. (shrink)

In this paper I explore the nature of confabulatory explanations of action guided by implicit bias. I claim that such explanations can have significant epistemic benefits in spite of their obvious epistemic costs, and that such benefits are not otherwise obtainable by the subject at the time at which the explanation is offered. I start by outlining the kinds of cases I have in mind, before characterising the phenomenon of confabulation by focusing on a few common features. Then I introduce (...) the notion of epistemic innocence to capture the epistemic status of those cognitions which have both obvious epistemic faults and some significant epistemic benefit. A cognition is epistemically innocent if it delivers some epistemic benefit to the subject which would not be attainable otherwise because alternative (less epistemically faulty) cognitions that could deliver the same benefit are unavailable to the subject at that time. I ask whether confabulatory explanations of actions guided by implicit bias have epistemic benefits and whether there are genuine alternatives to forming a confabulatory explanation in the circumstances in which subjects confabulate. On the basis of my analysis of confabulatory explanations of actions guided by implicit bias, I argue that such explanations have the potential for epistemic innocence. I conclude that epistemic evaluation of confabulatory explanations of action guided by implicit bias ought to tell a richer story, one which takes into account the context in which the explanation occurs. (shrink)

If belief has an aim by being a intentional activity, then it ought to be the case that the aim of belief can be weighed against other aims one might have. However, this is not so with the putative truth aim of belief: from the first-person perspective, one can only be motivated by truth considerations in deliberation over what to believe. From this perspective then, the aim cannot be weighed. This problem is captured by David Owens's Exclusivity Objection to belief (...) having an aim. Conor McHugh has responded to this problem by denying the phenomenon of exclusivity and replacing it with something weaker: demandingness. If deliberation over what to believe is characterised by demandingness and not exclusivity, this allows for the requisite weighing of the truth aim. I argue against such a move by suggesting that where non-evidential considerations play a role in affecting what we believe, these considerations merely change the standards required for believing in a particular context, they do not provide non-evidential reasons for forming or withholding belief, which are considered as such from the deliberative perspective. Exclusivity thus remains, and so too does Owens's objection. (shrink)

In this paper we argue that Steglich-Petersen’s response to Owens’ Exclusivity Objection does not work. Our first point is that the examples Steglich-Petersen uses to demonstrate his argument do not work because they employ an undefended conception of the truth aim not shared by his target (and officially eschewed by Steglich-Petersen himself). Secondly we will make the point that deliberating over whether to form a belief about p is not part of the belief forming process. When an agent enters into (...) this process of deliberation, he has not, contra Steglich-Petersen, already adopted the truth aim with regard to p. In closing, we further suggest that proponents of the truth aim hypothesis need to focus on aim-guidance, not mere aim attribution, for their approach to have explanatory utility so underlining the significance of Owens’ argument. (shrink)

Chenwei Nie ([22]) argues against a Maherian one-factor approach to explaining delusion. We argue that his objections fail. They are largely based on a mistaken understanding of the approach (as committed to the claim that anomalous experience is sufficient for delusion). Where they are not so based, they instead rest on misinterpretation of recent defences of the position, and an underestimation of the resources available to the one-factor theory.

Monothematic delusions involve a single theme, and often occur in the absence of a more general delusional belief system. They are cognitively atypical insofar as they are said to be held in the absence of evidence, are resistant to correction, and have bizarre contents. Empiricism about delusions has it that anomalous experience is causally implicated in their formation, whilst rationalism has it that delusions result from top down malfunctions from which anomalous experiences can follow. Within empiricism, two approaches to the (...) nature of the abnormality/abnormalities involved have been touted by philosophers and psychologists. One-factor approaches have it that monothematic delusions are a normal response to anomalous experiences whilst two-factor approaches seek to identify a clinically abnormal pattern of reasoning in addition to anomalous experience to explain the resultant delusion. In this paper we defend a one-factor approach. We begin by making clear what we mean by atypical, abnormal, and factor. We then identify the phenomenon of interest and overview one and two-factor empiricism about its formation. We critically evaluate the cases for various second factors, and find them all wanting. In light of this we turn to our one-factor account, identifying two ways in which ‘normal response’ may be understood, and how this bears on the discussion of one-factor theories up until this point. We then conjecture that what is at stake is a certain view about the epistemic responsibility of subjects with delusions, and the role of experience, in the context of familiar psychodynamic features. After responding to two objections, we conclude that the onus is on two-factor theorists to show that the one-factor account is inadequate. Until then, the one-factor account ought to be understood as the default position for explaining monothematic delusion formation and retention. We don’t rule out the possibility that, for particular subjects with delusions there may be a second factor at work causally implicated in their delusory beliefs but, until the case for the inadequacy of the single factor is made, the second factor is redundant and fails to pick out the minimum necessary for a monothematic delusion to be present. (shrink)

Review of Timothy Chan's (ed.) The Aim of Belief.

Introduction to a special issue of Consciousness and Cognition on the costs and benefits of imperfect cognitions.

Art and Belief presents new work at the intersection of philosophy of mind and philosophy of art. Topics include the cognitive contributions artworks can make, the phenomenon of fictional persuasion, and the nature of aesthetic testimony, and the relation between belief and truth in our experience of art.

This volume brings together recent work on the nature of belief, imagination, and delusion. Whilst philosophers of mind and epistemology employ notions of belief and imagination in their theorizing, parallel work seeking to make these notions more precise continues. Delusions are standardly taken to be bizarre beliefs occurring in the clinical population, which do not respond to evidence. The purpose of this collection of essays is to get clearer on the nature of belief and imagination, the ways in which they (...) relate to one another, and how they might be integrated into accounts of delusional belief formation. The jumping off point is the idea that recent work in philosophy of mind and epistemology which has sought to characterise the nature of belief and imagination allows us to formulate the issues with new precision, by, for example, drawing on work concerning how imagination is involved in delusion formation, or work concerning how to properly distinguish imagination from belief. The volume also considers questions concerning imagination's architecture, the role of metacognitive error in our mental lives, how best to understand delusional experience, and the relationship between delusion and evidence. The contributors are ideally placed to explore these issues, both individually and as a collective. With interests spanning different disciplines (philosophy, psychology, cognitive science), and approaches (theoretical, empirically informed), the result is a rich and varied collection of insights. (shrink)

Delusions play an important and fascinating role in philosophy and are a particularly fertile area of study in recent years, spanning philosophy of mind and psychology, epistemology, ethics, psychology, psychiatry, and cognitive science. The Routledge Handbook of Philosophy of Delusion explores the conceptual and philosophical issues in the study of delusion and is the first major reference source of its kind. Comprising 38 chapters by an international team of contributors, the Handbook is divided into six clear parts: The Nature of (...) Delusion Delusion in Disorders Epistemology of Delusion Delusion's Place in the Mind Delusion Formation Responsibility, Culture, and Society. Within these sections key topics are discussed including delusions and wellbeing, delusions as they occur in wider mental disorder, the epistemic profile of delusions (evidence, justification, rationality), how delusions are formed, delusions and folk psychology (how they relate to belief, self-deception, imagination, and so on), and delusions in the wider social and cultural context. An outstanding resource for both students and researchers, The Routledge Handbook of Philosophy of Delusion is essential reading for those working on delusion in philosophy departments, and also suitable for those in related disciplines such as psychology, psychiatry, and cognitive science. (shrink)

In some neuropsychological disorders memory distortions seemingly fill gaps in people’s knowledge about their past, where people’s self-image, history, and prospects are often enhanced. False beliefs about the past compromise both people’s capacity to construct a reliable autobiography and their trustworthiness as communicators. However, such beliefs contribute to people’s sense of competence and self-confidence, increasing psychological wellbeing. Here we consider both psychological benefits and epistemic costs, and argue that distorting the past is likely to also have epistemic benefits that cannot (...) be obtained otherwise, such as enabling people to exchange information, receive feedback, and retain key beliefs about themselves. (shrink)

In philosophy, psychiatry, and cognitive science, definitions of clinical delusions are not based on the mechanisms responsible for the formation of delusions, since there is no consensus yet on what causes delusions. Some of the defining features of delusions are epistemic and focus on whether delusions are true, justified, or rational, as in the definition of delusions as fixed beliefs that are badly supported by evidence. Other defining features of delusions are psychological and focus on whether delusions are harmful, as (...) in the definition of delusions as beliefs that disrupt good functioning. Even if the epistemic features go some way towards capturing what otherwise different instances of clinical delusions have in common, they do not succeed in distinguishing delusions as a clinical phenomenon from everyday irrational beliefs. Focusing on the psychological features is a more promising way to mark the difference between clinical and non-clinical irrational beliefs, but there is wide variability in the extent to which delusions are psychologically harmful, and some everyday irrational beliefs can affect functioning in similarly negative ways. In this chapter we consider three types of belief that share similar epistemic features and exhibit variation with respect to how psychologically harmful they are: (1) delusions of thought insertion, (2) alien abduction beliefs, and (3) self-enhancing beliefs. In the light of the similarities and differences among these cases, we highlight the difficulty in providing an answer to what makes an irrational belief delusional. (shrink)

Introduction to a special issue on False Beliefs that are Useful.

In philosophy, psychiatry, and cognitive science, definitions of clinical delusions are not based on the mechanisms responsible for the formation of delusions. Some of the defining features of delusions are epistemic and focus on whether delusions are true, justified, or rational, as in the definition of delusions as fixed beliefs that are badly supported by evidence). Other defining features of delusions are psychological and they focus on whether delusions are harmful, as in the definition of delusions as beliefs that disrupt (...) good functioning. Even if the epistemic features go some way towards capturing what otherwise different instances of clinical delusions have in common, they do not succeed in distinguishing delusions as a clinical phenomenon from everyday irrational beliefs. Focusing on the psychological features is a more promising way to mark the difference between clinical and non-clinical irrational beliefs, but there is wide variability in the extent to which delusions are psychologically harmful, and some everyday irrational beliefs can affect functioning in similarly negative ways. In this chapter we consider three types of belief that share similar epistemic features and exhibit variation with respect to how psychologically harmful they are: (1) delusions of thought insertion, (2) alien abduction beliefs, and (3) self-enhancing beliefs. In the light of the similarities and differences between these cases, we highlight the difficulty in providing an answer to what makes an irrational belief delusional. (shrink)

Jessica Wilson has recently offered a more sophisticated version of the self-defeat objection to Cartesian scepicism. She argues that the assertion of Cartesian scepticism results in an unstable vicious regress. The way out of the regress is to not engage with the Cartesian sceptic at all, to stop the regress before it starts, at the warranted assertion that the external world exists. We offer three reasons why this objection fails: first, the sceptic need not accept Wilson’s characterization of the sceptical (...) thesis and thus need not start her regress; second, even if she did commit to the regress, it would not undermine scepticism in the way Wilson envisages; and third, the appeal to mental state scepticism which is necessary to generate the second and subsequent steps in the regress is not justified. (shrink)

In this volume we will focus on how educators in high schools (grades 9-12) can incorporate the teaching of ethics effectively across all disciplines.

Given that university faculty members and supervisors practicing in the community have been involved in at least one research supervisor-graduate student relationship, it is surprising that so little attention has been paid to the ethical issues involved in such relationships. Indeed, as a student and her or his graduate research supervisor may be involved in a close working relationship for many years, it is understandable that several opportunities can arise that could be considered dual or multiple relationships. Examples of such (...) relationship issues discussed in this article include authorship matters, favoritism or inequitable treatment of students, and sexual relationships. Depending on the nature of the relationship, the impact on students can be quite severe; although, the effects on students have not been adequately studied. Existing ethical guidelines do not provide enough guidance in this area where students are in a position of diminished power with respect to the supervisor. Following the discussion of relationship issues, we suggest extensions of current guidelines to deal with these issues. (shrink)

Deepfakes are visual and audio media that use artificial intelligence to portray people saying things they never said, doing things they never did, and experiencing events that never happened. They can be trivial (“Tom Cruise knows magic tricks?”), outlandish (“Why is Nancy Pelosi drunk on national television?”), or even dangerous (“Run, the Hollywood sign is burning!”). Because deepfakes can be both persuasive and pervasive, many commentators fear that humanity will soon take another step into the post-truth abyss. -/- This Article (...) evaluates the threat deepfakes pose to truth by anticipating how they will impact the area of law most directly concerned with truth: the law of evidence. Deepfakes present an obvious challenge to the administration of justice in modern courtrooms, where audiovisual evidence plays an important role. Solutions offered in past legal scholarship—like relying on experts to identify deepfakes or criminalizing deepfake production—are superficial. They optimistically assume that deepfakes will always have a tell. To truly appreciate the threat deepfakes pose, the law must brace itself for the likely prospect of what this Article calls “deepest” fakes, which will be indistinguishable in every respect from authentic media. -/- Drawing on tools from philosophy, legal history, and technology studies, this Article demonstrates how evidence law can and likely will adapt to a world saturated with deepest fakes. Courts have long encountered the sort of philosophical skepticism that deepest fakes threaten today. In essence, the existence of deepest fakes reduces the truth value of digital media to the level of oral testimony, creative works, other easily falsifiable evidence. While deepest fakes do raise serious problems, trial procedure only needs to change if existing safeguards fail. This Article finds that deepest fakes present no different challenge for modern courts than oral testimony, paintings, and photographs presented for their early twentieth century counterparts. The safeguard then, as now, is a nuanced adversarial process that, refusing to take evidence at face value, probes each submission with contextual indicators of reliability. What emerges is an empowering picture in which human judgment, rather than blind trust in media of any sort, is the ultimate arbiter of truth. (shrink)

Background: Omalizumab, an anti-immunoglobulin E antibody, reduces exacerbations and symptoms in uncontrolled allergic asthma. The study objective was to estimate the costs and consequences of omalizumab compared to usual care from a US payer perspective. Methods: We estimated payer costs, quality-adjusted survival (QALYs), and the incremental cost-effectiveness ratio (ICER) of omalizumab compared to usual care using a state-transition simulation model that included sensitivity analyses. Every 2 weeks, patients could transition between chronic asthma and exacerbation health states. The best available evidence (...) informed the clinical and cost input estimates. Five years of omalizumab treatment followed by usual care was assumed to estimate a lifetime horizon. Omalizumab responders (60.5% of treated) were modeled as a separate scenario where nonresponders reverted back to usual care after 16 weeks of active treatment. Results: The mean lifetime discounted costs and QALYs were $83 400 and 13.87 for usual care and $174 500 and 14.19 for omalizumab plus usual care resulting in $287 200/QALY (95% interval: $219 300, $557 900). The ICER was $172 300/QALY when comparing omalizumab to usual care in the responder scenario. One-way sensitivity analyses indicated that the results were sensitive to the difference in treatment-specific utilities for the chronic state, exacerbation-associated mortality, omalizumab price, exacerbation rates, and response definition. Conclusions: The results suggest that adding omalizumab to usual care improves QALYs at an increase in direct medical costs. The cost-effectiveness of omalizumab is similar to other chronic disease biologics. The value increases when omalizumab response is used to guide long-term treatment. (shrink)

The aim of this systematic review was to summarize and assess the quality of asthma intervention health economic studies from 2002 to 2007, compare the study findings with clinical management guidelines, and suggest avenues for future improvement of asthma health economic studies. Forty of the 177 studies met our inclusion criteria. We assessed the quality of studies using The Quality of Health Economic Studies validated instrument (total score range: 0-100). Six studies (15%) had quality category 2, 26 studies (65%) achieved (...) quality category 3, and the remaining eight (20%) studies were scored as the highest quality level, category 4. Overall, the findings from this review are in line with the Global Initiative for Asthma clinical guidelines. Many asthma health economic studies lacked appropriate long term time horizons to match the chronic nature of the disease and suffered from using effectiveness measures that did not capture all disease related risks and benefits. We recommend that new asthma simulation models: be flexible to allow for long term time horizons, focus on using levels of asthma control in their structure, and estimate both long term asthma specific outcomes like well-controlled time as well as generic outcomes such as quality adjusted survival. (shrink)