Having a serious illness like breast cancer is a calamity for individuals and families. Along with the pain, discomfort, and dislocation comes the issue of how to pay the medical expenses for the care and treatment of the disease. If the seriously ill person has inadequate or no insurance, these problems are aggravated.Stories abound about seriously ill people losing private health insurance following diagnosis with a catastrophic disease, remaining in jobs just to maintain health insurance, or facing financial hardship because (...) of gaps in coverage. Yet surprisingly little research has focused on the problems that people with serious illness face with health coverage and, in particular, how concerns about access to health insurance coverage shape their lives.Further, despite profoundly moving anecdotes of cancer victims and other seriously ill people about their problems with health insurance and despite recent federal and state efforts to reform the private health insurance market in ways discussed below, neither the federal government, states, nor the private sector has crafted comprehensive strategies to enhance health coverage for the seriously ill. (shrink)

ABSTRACT Objective: To identify perceived barriers to capacity building for local research ethics oversight in El Salvador, and to set an agenda for international collaborative capacity building. Methods: Focus groups were formed in El Salvador which included 17 local clinical investigators and members of newly formed research ethics committees. Information about the proposed research was presented to participants during an international bioethics colloquium sponsored and organized by the St. Jude Children's Research Hospital in collaboration with the National Ethics Committee of (...) El Salvador and the University of El Salvador. Interviews with the focus group participants were qualitatively analyzed. Results: Participants expressed the need to tailor the informed consent process and documentation to the local culture; for example, allowing family members to participate in decision‐making, and employing shorter consent forms. Participants indicated that economic barriers often impede efforts in local capacity building. Participants valued international collaboration for mutual capacity building in research ethics oversight. Conclusions: Research ethics committees in El Salvador possess a basic knowledge of locally relevant ethical principles, though they need more training to optimize the application of bioethical principles and models to their particular contexts. Challenges increase the value of collaborative exchanges with ethics committee members in the United States. Further research on facilitating communication between host country and sponsor country ethics committees can maximize local research ethics expertise, and thus raise the standard of protecting human participants involved in international research. (shrink)

Does thought precede language, or the other way around? How does having a language affect our thoughts? Who has a language, and who can think? These questions have traditionally been addressed by philosophers, especially by rationalists concerned to identify the essential difference between humans and other animals. More recently, theorists in cognitive science, evolutionary biology, and developmental psychology have been asking these questions in more empirically grounded ways. At its best, this confluence of philosophy and science promises to blend the (...) respective strengths of each discipline, bringing abstract theory to bear on reality in a principled and focused way. At its worst, it risks degenerating into a war of words, with each side employing key expressions in its own idiosyncratic way – or worse, contaminating empirical research with a priori dogmas inherited from outmoded philosophical worldviews. In Baboon Metaphysics (2007), Dorothy Cheney and Robert Seyfarth offer an analysis of baboon cognition that promises to exemplify the very best interaction of philosophical theory and empirical research. They argue that baboons have a language of thought: a language-like representational medium, which supports the sophisticated cognitive abilities required to negotiate their complex social environment. This claim is intended to be surprising in its own right, and also to shed light on the evolution of spoken language. Because our own ancestors likely lived in a similarly complex social environment, Cheney and Seyfarth propose that the earliest humans also developed language first as a cognitive medium, and that spoken language evolved as a means to express those thoughts. There are two potential difficulties here. First, ‘Language of Thought’ (LOT) is a term of art, with much associated theoretical baggage and often comparatively little careful exposition. Thus, evaluating the claim requires getting clearer about just what LOT implies in this context.. (shrink)

The writer purports to be conversing with the door of a house, now owned by a man named Caecilius, which is alleged to have harboured a scandal in the time of its previous occupants. For this the speaker reproaches the door, as having through negligence been partly responsible. The door replies that it is wholly innocent in the matter; but people lay blame on it for everything that is done amiss. Line 12, in the door's speech, is obviously corrupt, and (...) the greater part of it is obelized by editors accordingly. (shrink)

Antonio Argandoña, Norbert Bilbeny, Victòria Camps, Miquel Calsina, Àngel Castiñeira, Cristian Palazzi, Ferran Requejo, Raimon Ribera, Begoña Román, Ferran Sàez, Miquel Seguró, Francesc Torralba, Josep Maria Vallès, Rosamund Thomas Ramon Llull Journal of Applied Ethics 2012 3(3):9-16.

On a familiar and prima facie plausible view of metaphor, speakers who speak metaphorically say one thing in order to mean another. A variety of theorists have recently challenged this view; they offer criteria for distinguishing what is said from what is merely meant, and argue that these support classifying metaphor within 'what is said'. I consider four such criteria, and argue that when properly understood, they support the traditional classification instead. I conclude by sketching how we might extract a (...) workable notion of 'what is said' from ordinary intuitions about saying. (shrink)

Everyone has mistaken one thing for another, such as a stranger for an acquaintance. A person who has mistaken two things, Joseph Camp argues, even on a massive scale, is still capable of logical thought. In order to make that idea precise, one needs a logic of confused thought that is blind to the distinction between the objects that have been confused. Confused thought and language cannot be characterized as true or false even though reasoning conducted in such language can (...) be classified as valid or invalid. To the extent that philosophers have addressed this issue at all, they take it for granted that confusion is a kind of ambiguity. Camp rejects this notion; his fundamental claim is that confusion is not a mental state. To attribute confusion to someone is to take up a paternalistic stance in evaluating his reasoning. Camp proposes a novel characterization of confusion, and then demonstrates its fruitfulness with several applications in the history of philosophy and the history of science. (shrink)

This article critically surveys the current bioethical and politico-philosophical debate about the ethical permissibility of a so-called ‘liberal eugenics’ and argues that neither the liberal argument for nor the liberal argument against human genetic enhancement is internally consistent as, ultimately, each ends up violating the very liberal principles it nonetheless pretends to defend. In particular, it will be shown that while the argument against a new eugenics necessarily entails a preemptive dehumanization of any potential enhanced form of life, the argument (...) for it threatens to reduce any non-enhanced form of life to a “wrongful life” or a life not worth living. It will therefore be concluded that the specific stakes of this contentious issue cannot be grasped within a liberal conceptual framework. (shrink)

Philosophers have traditionally inclined toward one of two opposite extremes when it comes to metaphor. On the one hand, partisans of metaphor have tended to believe that metaphors do something different in kind from literal utterances; it is a ‘heresy’, they think, either to deny that what metaphors do is genuinely cognitive, or to assume that it can be translated into literal terms. On the other hand, analytic philosophers have typically denied just this: they tend to assume that if metaphors (...) express any genuine content at all, then that content can in principle be paraphrased into literal terms. They often conclude on this basis that metaphor is theoretically dispensable, and so that it poses no special challenges and affords no distinctive insights for the philosophy of language and mind. (shrink)

Since the mid-1990s most EU Member States have established a national forensic DNA database. These mass repositories of DNA profiles enable the police to identify DNA stains which are found at crime scenes and are invaluable in criminal investigation. Governments have always brushed aside privacy objections by stressing that the stored DNA profiles do not contain sensitive genetic information on the included individuals and that they reside under the statutory privacy protection regulations. However, it has been generally overlooked that the (...) police also store the DNA samples from which the DNA profiles are derived. Although these DNA samples are actually a potential source of genetic information, they have so far scarcely been the subject of discussion. In this article we will show that both European and national regulations offer inadequate protection to completely prevent function creep, that is, the use of these forensic DNA samples for purposes beyond those envisaged at the time of collection. (shrink)

Slurs are incendiary terms so much that many ordinary speakers and theorists deny that sentences containing them can ever be true, and utterances where they occur embedded within normally "quarantining" contexts, like conditionals and indirect reports, are still typically offensive. At the same time, however, many speakers and theorists also find it obvious that sentences containing slurs can be true; and there are clear cases where embedding does inoculate a speaker from the slur's offensiveness. I argue that four standard accounts (...) of the "other" element that differentiates slurs from their more neutral counterparts semantic content, perlocutionary effect, presupposition, and conventional implicature all fail to account for this puzzling mixture of intuitions about truth, and for this mixture of projection and quarantining. Instead, I propose that slurs make two distinct, coordinated contributions to a sentence's conventional communicative role: predication of group membership and endorsement of a derogating perspective on the group. Predication of group membership is "at issue" by default, but different semantic and conversational contexts can alter the relative prominence and scope of the two contributions. (shrink)

Philosophers have often adopted a dismissive attitude toward metaphor. Hobbes (1651, ch. 8) advocated excluding metaphors from rational discourse because they “openly profess deceit,” while Locke (1690, Bk. 3, ch. 10) claimed that figurative uses of language serve only “to insinuate wrong ideas, move the passions, and thereby mislead the judgment; and so indeed are perfect cheats.” Later, logical positivists like Ayer and Carnap assumed that because metaphors like..

Nearly everyone shares the intuition that sarcasm or verbal irony1 is a use of language in which speaker meaning and sentence meaning come apart. Two millennia ago, Quintilian defined irony as speech in which “we understand something which is the opposite of what is actually said.”2 More recently, Josef Stern sharply distinguishes metaphor, which he argues is semantic, from irony: in the latter case, he says, we are not “even tempted to posit an ironic meaning in the utterance in addition (...) to the ordinary literal meanings of the words used.”3 Indeed, sarcasm is frequently cited as a paradigm case of pragmatic meaning. (shrink)

I argue that stories are ‘equipment for living’ in two senses: retrospectively, they provide ‘configurational comprehension’ of a temporal sequence of events; prospectively, they offer templates for action. Narrative conceptions of the self appear well poised to leverage these functional roles for stories into an intuitively compelling view of self-construction as self-construal. However, the narrative conception defines selves in terms of the lives they live: a self is the protagonist in a lifelong story. And narrative structure is itself defined by (...) ‘retrospective necessity’: the meaning of events within a story is given by their contribution to that story's ending. Together, this entails that life stories hold selves metaphysically, epistemically, and practically hostage to their ends. Fortunately, narratives are just one species of interpretive frame. I suggest some alternative types of frames, including identity labels and metaphors, that support configurational comprehension, action guidance, and self construction without shackling selves to their lives’ ends. (shrink)

Victoria Camps analiza en estas páginas la fragilidad de una ética que nace y se desarrolla con el triunfo del pensamiento liberal. La defensa de las libertades individuales, de donde emanan los derechos humanos, potencia los intereses privados frente al interés público. Desde esta perspectiva, una ética liberal es tolerante y laica, carece de dogmas, se nutre de principios abstractos, aceptados en teoría, pero con escasa incidencia en la práctica, como lo muestran la impotencia frente a la corrupción y (...) las dificultades para educar cívicamente y construir una moralidad pública. Como es habitual en otras publicaciones de la autora, su interés parte de las teorías filosóficas que han estructurado el pensamiento moral contemporáneo pero no se limita a elaborar un discurso circunscrito al debate académico. Le importa mostrar la relevancia de la filosofía para abordar las debilidades ético-políticas de nuestro tiempo. (shrink)

The expression ‘Like’ has a wide variety of uses among English and American speakers. It may describe preference, as in (1) She likes mint chip ice cream. It may be used as a vehicle of comparison, as in (2) Trieste is like Minsk on steroids.

A number of philosophers and logicians have argued for the conclusion that maps are logically tractable modes of representation by analyzing them in propositional terms. But in doing so, they have often left what they mean by "propositional" undefined or unjustified. I argue that propositions are characterized by a structure that is digital, universal, asymmetrical, and recursive. There is little positive evidence that maps exhibit these features. Instead, we can better explain their functional structure by taking seriously the observation that (...) maps arrange their constituent elements in a non-hierarchical, holistic structure. This is compatible with the more basic claim advanced by defenders of a propositional analysis: that (many) maps do have formal semantics and logic. (shrink)

Most of us create and use a panoply of non-sentential representations throughout our ordinary lives: we regularly use maps to navigate, charts to keep track of complex patterns of data, and diagrams to visualize logical and causal relations among states of affairs. But philosophers typically pay little attention to such representations, focusing almost exclusively on language instead. In particular, when theorizing about the mind, many philosophers assume that there is a very tight mapping between language and thought. Some analyze utterances (...) as the outer vocalizations of inner thoughts (e.g. Grice 1957, Devitt 2005), while others treat thought as a form of inner speech (e.g. Sellars 1956/1997, Carruthers 2002). But even philosophers who take no stand on the relative priority of language and thought still tend to individuate mental states in terms of the sentences we use to ascribe them. Indeed, Dummett (1993) claims that it is constitutive of analytic philosophy that it approaches the mind by way of language. In many ways, this linguistic model is salutary. Our thoughts are often intimately intertwined with their linguistic expression, and public language does provide a comparatively tractable proxy for, and a window into, the messier realm of thought. However, an exclusive focus on thought as it is expressed in language threatens to leave other sorts of thought unexplained, or even to blind us to their possibility. In particular, many cognitive ethologists and psychologists find it useful to talk about humans, chimpanzees, birds, rats, and even bees as employing cognitive maps. We need to make sense of this way of talking about minds as well as more familiar sentential descriptions. In what follows, I investigate the theoretical and practical possibility of non-sentential thought. Ultimately, I am most interested in the contours of distinctively human thought: what forms does human thought take, and how do those different forms interact? How does human thought compare with that of other animals? In this essay, however, I focus on a narrower and more basic theoretical question: could thought occur in maps? Many philosophers are convinced that in some important sense, thought per se must be language-like.. (shrink)

Metaphors are powerful communicative tools because they produce ”framing effects’. These effects are especially palpable when the metaphor is an insult that denigrates the hearer or someone he cares about. In such cases, just comprehending the metaphor produces a kind of ”complicity’ that cannot easily be undone by denying the speaker’s claim. Several theorists have taken this to show that metaphors are engaged in a different line of work from ordinary communication. Against this, I argue that metaphorical insults are rhetorically (...) powerful because they combine perspectives, presupposition, and pragmatics in the service of speech acts with assertoric force. (shrink)

Slurs are rhetorically insidious and theoretically interesting because they communicate something above and beyond the truth-conditional predication of group membership, something which typically though not always projects across 'blocking' constructions like negation, conditionals, and indirect quotation, and which is exceptionally resistant to direct challenge. I argue that neither pure expressivism nor straightforward truth-conditionalism can account for the sort of commitment that speakers undertake by using slurs. Instead, I claim, users of slurs endorse a denigrating perspective on the targeted group.

This article compares the landscape of tobacco regulations to the landscape of gun regulations, with a focus on regulations that target youth. This article argues that guns are significantly less regulated compared to tobacco, despite the frequency with which each product causes significant harm to both self and other. Many of the specific ways tobacco is regulated can be applied analogously to firearms while plausibly surviving potential Second Amendment challenges. This article compares the regulatory landscape of tobacco and firearms across (...) six categories: minimum age for purchase, sale by unlicensed individuals, taxation, advertising, graphic warning labels, and zoning. At one time, tobacco was as central — or more so — to American culture as guns are today. However, many decades of public health advocacy led to historic tobacco regulations. Tobacco's regulatory history provides a valuable blueprint for gun regulation, despite Constitutional differences. (shrink)

Recently, philosophers have discovered that they have a lot to learn from, or at least to ponder about, fiction. Many metaphysicians are attracted to fiction as a model for our talk about purported objects and properties, such as numbers, morality, and possible worlds, without embracing a robust Platonist ontology. In addition, a growing group of philosophers of mind are interested in the implications of our engagement with fiction for our understanding of the mind and emotions: If I don’t believe that (...) Anna Karenina exists, can I really pity her, or hope or desire that she extricate herself from her tragic situation? And why is there no “morality fiction,” analogous to science fiction? I suspect that philosophers have been especially comfortable thinking about fiction because it seems, at least prima facie, to employ the imagination in a way that conforms to a standard model of the mind. Specifically, contemporary philosophers tend to think of imagination as a form of mental pretense. Mental pretense can take two main forms: a cognitive attitude of supposing a set of propositions to be true (make-believe) or else an experiential state of imaging a scenario as if it were before one (imaging). Much of our pretense intertwines the cognitive and experiential modalities, of course. But both share a crucial common feature: all of one’s imaginative effort is invested in pretending that certain contents obtain. In this sense, we can understand imagination as the “offline” simulation of actual beliefs and perceptions (and perhaps other attitudes as well), where we analyze these in the normal way, as states individuated by their attitude and representational content. While I share the burgeoning interest in fiction, I want to suggest that we also have a lot to learn from poetry, and in particular from poetic metaphor. I will argue.. (shrink)

This volume collects articles of the late philosopher Tamara Horowitz. It includes four previously published and two unpublished articles. Though she had wide-ranging interests during her career, Horowitz was mostly concerned with what can be known as priori. She argued against too much confidence in philosophical intuition and argued for a more naturalist, scientific approach. Joseph Camp includes an editor's introduction to the collection of this important philosopher.

How and when does followers’ upward hostile behavior contribute to the emergence of abusive supervision? Although from a normative or ethical point of view, supervisors should refrain from displaying abusive supervision, in line with a social exchange perspective, we argue that abusive followership causes supervisors to experience low levels of interpersonal justice, stimulating abusive supervision in response. Based on uncertainty management theory, we further expect that the extent to which supervisors reciprocate the experienced injustice with abusive supervisory behavior is moderated (...) by supervisors’ self-doubt. A multi-source field study as well as a vignette study following an experimental-causal-chain approach supported our hypotheses. Specifically, our results revealed that the indirect effect of abusive followership on abusive supervision through supervisors’ interpersonal justice is most pronounced when supervisors experience high levels of self-doubt. The practical and theoretical implications of our findings are discussed. (shrink)

From the mid-thirties onwards, Martin Heidegger occasionally speculated about the future possibility of artificially producing human beings. What is at stake in biotechnology, Heidegger claims, is the imminent possibility of the destruction of the human essence. It is unclear, however, how Heidegger can substantiate such a claim given that he consistently denounced attempts to define human Dasein as a living being to which a higher capacity such as reason or language is added. This paper will argue that, in this sense, (...) Heidegger took the radical challenge of biotechnology both too seriously and not seriously enough. Too seriously, because it is unclear why he would fear the annihilation of Dasein’s essence if he is convinced that this essence is not related to man’s biological equipment in the first place. Not seriously enough, because Heidegger at the same time remained convinced that even the most intrusive interventions in the human body will not be able to disrupt Dasein’s ontological essence. (shrink)

I distinguish among a range of distinct representational devices, which I call "frames", all of which have the function of providing a perspective on a subject: an overarching intuitive principle or for noticing, explaining, and responding to it. Starting with Max Black's metaphor of metaphor as etched lines on smoked glass, I explain what makes frames in general powerful cognitive tools. I distinguish metaphor from some of its close cousins, especially telling details, just-so stories, and analogies, in ordinary cognition and (...) communication. And I use these distinctions to illustrate different sorts of gaps that frames or models can open up between representation and reality. (shrink)

We should not admit categorial restrictions on the significance of syntactically well formed strings. Syntactically well formed but semantically absurd strings, such as ‘Life’s but a walking shadow’ and ‘Caesar is a prime number’, can express thoughts; and competent thinkers both are able to grasp these and ought to be able to. Gareth Evans’ generality constraint, though Evans himself restricted it, should be viewed as a fully general constraint on concept possession and propositional thought. For (a) even well formed but (...) semantically cross-categorial strings often do possess substantive inferential roles; (b) hearers exploit these inferential roles in interpreting such strings metaphorically; (c) there is no good reason to deny truth-conditions to strings with inferential roles. (shrink)