Feminist bioethicists of a variety of persuasions discuss the 2013 case of Marlise Munoz, a pregnant woman whose medical care was in dispute after she became brain dead.

Integrating large language models (LLMs) like GPT-4 into medical ethics is a novel concept, and understanding the effectiveness of these models in aiding ethicists with decision-making can have significant implications for the healthcare sector. Thus, the objective of this study was to evaluate the performance of GPT-4 in responding to complex medical ethical vignettes and to gauge its utility and limitations for aiding medical ethicists. Using a mixed-methods, cross-sectional survey approach, a panel of six ethicists assessed LLM-generated responses to eight (...) ethical vignettes.The main outcomes measured were relevance, reasoning, depth, technical and non-technical clarity, as well as acceptability of GPT-4’s responses. The readability of the responses was also assessed. Of the six metrics evaluating the effectiveness of GPT-4’s responses, the overall mean score was 4.1/5. GPT-4 was rated highest in providing technical (4.7/5) and non-technical clarity (4.4/5), whereas the lowest rated metrics were depth (3.8/5) and acceptability (3.8/5). There was poor-to-moderate inter-rater reliability characterised by an intraclass coefficient of 0.54 (95% CI: 0.30 to 0.71). Based on panellist feedback, GPT-4 was able to identify and articulate key ethical issues but struggled to appreciate the nuanced aspects of ethical dilemmas and misapplied certain moral principles.This study reveals limitations in the ability of GPT-4 to appreciate the depth and nuanced acceptability of real-world ethical dilemmas, particularly those that require a thorough understanding of relational complexities and context-specific values. Ongoing evaluation of LLM capabilities within medical ethics remains paramount, and further refinement is needed before it can be used effectively in clinical settings. (shrink)

From the author of Setting Limits comes a challenging exploration of the proper goals of medicine in our rapidly changing society--a work destined to spark debate and influence policy for years to come.

There are temporal asymmetries in our attitudes towards the past and future. For example, we judge that a given amount of work is worth twice as much if it is described as taking place in the future, compared to the past :796–801, 2008). Does this temporal value asymmetry support a tensed metaphysics? By getting clear on the asymmetry’s features, I’ll argue that it doesn’t. To support a tensed metaphysics, the value asymmetry would need to not vary with temporal distance, apply (...) equally to events concerning oneself and others, and be rational and judged to be so. But evidence suggests the value asymmetry lacks these features. There are, moreover, independent arguments against its rationality. The asymmetry’s features suggest instead that it arises as an emotion-driven generalisation from a temporal bias concerning our future actions. This explanation points towards mechanisms that can play a role in explaining other instances where we generalise about the past and future, and why we’re tempted towards metaphysical pictures of time. (shrink)

In the rationalist tradition in ethics, the emotions are morally suspect. In a corrective swing of the pendulum, burgeoning philosophical interest is “rehabilitating” the emotions in ethical decisionmaking. The emotions and reason should be mutually correcting resources in moral reflection.

When we deliberate about what to do, we appear to be free to decide on different options. Three accounts use ordinary beliefs to explain this apparent freedom—appealing to different types of ‘epistemic freedom’. When an agent has epistemic freedom, her evidence while deliberating does not determine what decision she makes. This ‘epistemic gap’ between her evidence and decision explains why her decision appears free. The varieties of epistemic freedom appealed to might look similar. But there is an important difference. Two (...) rely on an agent's ability to justifiably form beliefs unconstrained by evidence, and identify decisions as beliefs—either beliefs about acts or about decisions. But, when used to explain apparent freedom, these accounts face serious problems: they imply that agents have epistemic freedom over evidence-based beliefs, and rely on a faulty notion of justification. Underlying these troubles, it turns out that these accounts presuppose an unexplained apparent ability to form different beliefs. A third variety of epistemic freedom uses ignorance conditions instead (Levi and Kapitan). We appear free partly because we’re ignorant of what we’ll decide. Ignorance-based accounts avoid the above problems, and remain a promising alternative. (shrink)

Causes always seem to come prior to their effects. What might explain this asymmetry? Causation's temporal asymmetry isn't straightforwardly due to a temporal asymmetry in the laws of nature—the laws are, by and large, temporally symmetric. Nor does the asymmetry appear due to an asymmetry in time itself. This Element examines recent empirical attempts to explain the temporal asymmetry of causation: statistical mechanical accounts, agency accounts and fork asymmetry accounts. None of these accounts are complete yet and a full explanation (...) of the temporal asymmetry of causation will likely require contributions from all three programs. (shrink)

How should we give accounts of scientific modal relations? According to the Humean, we should do so by considering the role of such relations in our lives and scientific theorizing. For example, to give a Humean account of chance, we need to identity a non-modal relation that can play the ‘role’ of chance—typically that of guiding credences and scientifically explaining events. Defenders of Humean accounts claim to be uniquely well placed to meet this aim. Humean chances are objective, and so (...) suitable for explaining. Humean chances reduce to patterns in actual events in a way that limits the possible divergence between relative frequencies and chances. So, they argue, Humean chances can uniquely be shown to satisfy chance−credence principles. I’ll argue that Humeans have no special advantage. When used in scientific contexts, Humean chances must be allowed to diverge from the relative frequencies. So, when considering the scientific question of whether agents who align their credences to the chances will do well, it is merely probable that they will. This scientific use of chance undercuts the Humean’s claimed advantage over their rivals. This undercutting also points to a deeper tension in Humeanism: Humeans must either give up the aim of recovering scientific practice, or live with a disunity between science and metaphysics. While a focus on function is laudable, the motivation for being Humean must come from elsewhere. (shrink)

Bioethics education now takes place outside universities as well as within them. How should clinicians, ethics committee members, and policymakers be taught the ethics they need, and how may their progress best be evaluated?

There is a strong case to be made for thinking that an obscure logic, KR, is better than classical logic and better than any relevant logic. The argument for KR over relevant logics is that KR counts disjunctive syllogism valid, and this is the biggest complaint about relevant logics. The argument for KR over classical logic depends on the normativity of logic and the paradoxes of implication. The paradoxes of implication are taken by relevant logicians to justify relevant logic, but (...) considerations on the normativity of logic show that only some of the paradoxes of implication are genuine. KR avoids all the genuine paradoxes of implication, unlike classical logic. Overall, KR avoids the genuine paradoxes of implication and avoids the major objection to relevant logics. This combination of features provides strong reason to give KR a place in the conversation about the right logic. (shrink)

A plausible thought is that we should evaluate counterfactuals in the actual world by holding the present ‘fixed’; the state of the counterfactual world at the time of the antecedent, outside the area of the antecedent, is required to match that of the actual world. When used to evaluate counterfactuals in the actual world, this requirement may produce reasonable results. However, the requirement is deeply problematic when used in the context of explaining causal asymmetry. The requirement plays a crucial role (...) in certain statistical mechanical explanations of the temporal asymmetry of causation. I will use a case of backwards time travel to show how the requirement enforces certain features of counterfactual structure a priori. For this reason, the requirement cannot be part of a completely general method of evaluating counterfactuals. More importantly, the way the requirement enforces features of counterfactual structure prevents counterfactual structure being derived from more fundamental physical structure—as explanations of causal asymmetry demand. Therefore, the requirement cannot be used when explaining causal asymmetry. To explain causal asymmetry, we need more temporally neutral methods for evaluating counterfactuals—those that produce the right results in cases involving backwards time travel, as well as in the actual world. (shrink)

For decades now, moral philosophy and bioethics have been dominated variously by universalist and particularist impulses, both of which exert legitimate pull on our thinking. Although there is little prospect of settling the debate by recourse to theory, classifying the cases in which particularist and universalist demands compete reveals a rough practical guide.

This paper reviews the relatively small body of work in computer ethics which looks at the question of whether gender makes any difference to ethical decisions. There are two strands of writing on gender and computer ethics. The first focuses on problems of women's access to computer technology; the second concentrates on whether there are differences between men and women's ethical decision making in relation to information and computing technologies. I criticize the latter area, arguing that such studies survey student (...) audiences, that they emphasize the result of an ethical decision over the process of arriving at the decision, that they are problematic in relation to research methodology and that they are undertheorized. Given that traditional ethical theories largely ignore gender, I offer a gender based ethics in terms of feminist ethics as the best place to look for theoretical substance. The paper concludes by considering how feminist ethics can be combined with empirical studies that emphasize observation and interviewing in order to move gender and computer ethics onward from statistical studies of men's and women's ethical decisions toward more substantially theorized studies of areas in computer ethics which have gender implications, such as privacy and power. (shrink)

In this book, Alison Ross engages in a detailed study of Walter Benjamin’s concept of the image, exploring the significant shifts in Benjamin’s approach to the topic over the course of his career. Using Kant’s treatment of the topic of sensuous form in his aesthetics as a comparative reference, Ross argues that Benjamin’s thinking on the image undergoes a major shift between his 1924 essay on ‘Goethe’s Elective Affinities ,’ and his work on The Arcades Project from 1927 up (...) until his death in 1940 . The two periods of Benjamin’s writing share a conception of the image as a potent sensuous force able to provide a frame of existential meaning. In the earlier period this function attracts Benjamin’s critical attention, whereas in the later he mobilises it for revolutionary outcomes. The book gives a critical treatment of the shifting assumptions in Benjamin’s writing about the image that warrant this altered view. It draws on hermeneutic studies of meaning, scholarship in the history of religions and key texts from the modern history of aesthetics to track the reversals and contradictions in the meaning functions that Benjamin attaches to the image in the different periods of his thinking. Above all, it shows the relevance of a critical consideration of Benjamin’s writing on the image for scholarship in visual culture, critical theory, aesthetics and philosophy more broadly. (shrink)

Traditional accounts of the emergence of professional biology have privileged not only metropolis over province, but research over teaching and laboratory over museum. This paper seeks to supplement earlier studies of the ‘transformation of biology’ in the late nineteenth century by exploring in detail the developments within three biology departments in Northern English civic colleges. By outlining changes in the teaching practices, research topics and the accommodation of the departments, the authors demonstrate both locally contingent factors in their development and (...) continuities with existing traditions in natural history. The appointment of Arthur Milnes Marshall in preference to Louis Miall to the new zoology chair in Manchester in 1879 casts light on contemporary views of the laboratory and museum as ‘equal though different’. The transformation in biology, in Northern England at least, was shaped more by such local institutional changes than by a phoenix-like rise of the laboratory from the ashes of the museum—more by the rhetorical construction of a professional academic community than any dramatic shift in sites. In this period the biology laboratory supplemented, rather than eclipsed, the museum, and the dichotomy between the ‘naturalist’ and the ‘experimentalist’ was far from clear-cut. (shrink)

Artificial Intelligence (AI) pervades humanity in 2022, and it is notoriously difficult to understand how certain aspects of it work. There is a movement—_Explainable_ Artificial Intelligence (XAI)—to develop new methods for explaining the behaviours of AI systems. We aim to highlight one important philosophical significance of XAI—it has a role to play in the elimination of vagueness. To show this, consider that the use of AI in what has been labeled _surveillance capitalism_ has resulted in humans quickly gaining the capability (...) to identify and classify most of the occasions in which languages are used. We show that the knowability of this information is incompatible with what a certain theory of vagueness—_epistemicism_—says about vagueness. We argue that one way the epistemicist could respond to this threat is to claim that this process brought about the end of vagueness. However, we suggest an alternative interpretation, namely that epistemicism is false, but there is a weaker doctrine we dub _technological epistemicism_, which is the view that vagueness is due to ignorance of linguistic usage, but the ignorance can be overcome. The idea is that knowing more of the relevant data and how to process it enables us to know the semantic values of our words and sentences with higher confidence and precision. Finally, we argue that humans are probably not going to believe what future AI algorithms tell us about the sharp boundaries of our vague words unless the AI involved can be explained in terms understandable by humans. That is, if people are going to accept that AI can tell them about the sharp boundaries of the meanings of their words, then it is going to have to be XAI. (shrink)

The rise of applied biology was one of the most striking features of the biological sciences in the early 20th century. Strongly oriented toward agriculture, this was closely associated with the growth of a number of disciplines, notably, entomology and mycology. This period also saw a marked expansion of the English University system, and biology departments in the newly inaugurated civic universities took an early and leading role in the development of applied biology through their support of Economic Biology. This (...) sought explicitly to promote the application of biological knowledge to economically important problems and especially to agriculture. The impact of Economic Biology was felt most strongly within Zoology, where it became synonymous with entomology. The transience of Economic Biology belies its significance, for example, in providing a means for the expansion of biology at the civic universities. More broadly, it opened up new research and employment opportunities within the life sciences. In late Edwardian Britain, newly available state funds for agriculturally relevant biological disciplines transformed the life sciences. This paper examines the impact of these funds -- mobilized either under the 1909 Development Act, or under the auspices of colonial interests -- on Economic Biology and the institutionalization of applied biology. The rise and fall of Economic Biology casts new light on the way in which institutional and political alignments profoundly shaped the development of British biology. (shrink)

Much of the recent work in psychology (and affective science) has shown that humans regulate their emotions nearly constantly, sometimes well and sometimes poorly. I argue that properly regulating one’s emotions displays emotional rationality, and failing to do so displays emotional irrationality. If an agent feels an emotion that is obviously problematic for the agent to feel and she is aware that it is problematic, then the agent ought to regulate her emotions in future similar situations. To capture this aspect (...) of emotional rationality, I introduce the concept of imprudence, which is meant to capture a familiar way that we assess each other’s emotions, despite the fact that it has yet to be a factor in the literature on emotions in philosophy, psychology, or affective science. (shrink)

The paper proposes that gender can be used to explore alternative epistemologies represented within AI systems. Current research on feminist epistemology is reviewed then criticisms of the main philosophical position dominant in AI are outlined. These criticisms say little about epistemology and nothing about gender. It is suggested that the way forward might be found within the sociology of scientific knowledge as its approach is in accord with the postmodernist view of feminist epistemology in seeing knowledge as a cultural product. (...) However, the sociology of knowledge must brush up its feminist credentials and feminist epistemology must supply more concrete examples with which to test out our theories in AI. (shrink)

Por meio de uma revisão integrativa, busca-se identificar, dentro da produção científica brasileira, artigos que fazem intersecção entre os temas do luto e da velhice, sob o olhar da psicanálise. Desta forma, se visa estabelecer qual o enfoque dado ao idoso e qual a visão apresentada pela psicanálise para um trabalho com esta população que se encontra mais propensa a rupturas e perdas. Assim, se reconhece que há uma identificação de morte e finitude vinculada à figura do sujeito que envelhece, (...) mentalidade adotada pela lógica de consumo. Identificou-se de que forma as inúmeras perdas aliadas ao envelhecimento suscitam no idoso um processo de luto que, segundo a psicanálise, pode ser definido como o afeto resultante da perda de um objeto libidinal. Verifica-se, assim, a importância de um acompanhamento aos idosos que vise desobstruir a via do desejo e criar novas perspectivas de vida, sobretudo nesta fase do desenvolvimento, que como todas as outras, possui características e desafios particulares. (shrink)

En esta era digital contemporánea, la constante creación y consumo de arte e imágenes visuales se ha vuelto predominante. Sin embargo, sigue existiendo la necesidad imperante de alfabetización visual. Esta investigación explora el impacto positivo de la educación artística en la vida de los estudiantes y aborda las desigualdades en la oferta de clases de arte en España y Estados Unidos. También enfatiza el rol fundamental de la integración de las artes de manera interdisciplinaria y transversal, instando a los encargados (...) de formular políticas educativas a priorizar la educación artística mejorando la legislación educativa y la asignación de recursos. El artículo examina las dificultades para garantizar el acceso equitativo a la educación artística y señala las oportunidades que se pierden cuando las habilidades de alfabetización visual no se desarrollan. Los resultados indican la necesidad de incorporar el arte en el plan de estudios de todas las asignaturas y así promover las habilidades de alfabetización visual. El artículo concluye ofreciendo sugerencias para integrar el arte en las clases obligatorias y promoviendo una educación artística equitativa en las escuelas. Esta investigación contribuye al discurso vigente sobre el potencial transformador de la educación artística en el panorama digital actual. (shrink)

There have been few attempts, so far, to document the history of artificial intelligence. It is argued that the “historical sociology of scientific knowledge” can provide a broad historiographical approach for the history of AI, particularly as it has proved fruitful within the history of science in recent years. The article shows how the sociology of knowledge can inform and enrich four types of project within the history of AI; organizational history; AI viewed as technology; AI viewed as cognitive science (...) and historical biography. In the latter area the historical treatments of Darwin and Turing are compared to warn against the pitfalls of “rational reconstructions” of the past. (shrink)

The question of how the ‘border’ is conceived in international law, and how it shapes identity and peoples’ lives, remains largely unexplored in the international legal literature. This article seeks to contribute to our understanding of the meaning of the border in international law, and in the contemporary context, by drawing on the work of the philosopher and political theorist, Étienne Balibar, and by reflecting, in the light of his work, on the recent decision of the House of Lords in (...) R v Immigration Officer at Prague Airport. It is shown that international law's focus on the territorial border may render invisible other borders which are significant for subaltern groups, and thereby fail to address the manner in which borders affect lives and determine outcomes. Borders are not stable and ‘univocal’, but instead, ‘multiple’, shifting in meaning and function from group to group. They are also being ‘exported’ such that a person may experience a foreign border while still within the territory of their own country. In highlighting the multiplicity of borders, the article seeks to prompt further reflection on the articulation and application of norms of international law in a way that addresses the realities of the contemporary context. (shrink)

This paper describes three social studies teachers’ participation in an approximately 50-h, 13-month, Lesson Study-type professional development program called Beyond Words. The program centered around promoting teachers’ understanding of historical domain knowledge through experiences with innovative visual curriculum materials and sustained collaboration. This qualitative investigation answers: To what degree can Beyond Words help in-service geography teachers design and implement powerful instruction centered around historical photographs? Throughout Beyond Words the teachers demonstrated a spirit of open-mindedness and a willingness to experiment with (...) unfamiliar ideas; they planned and implemented a lesson that featured engaging historical photographs, thinking critically about the past, and making claims about a public issue. At the end of the program, however, they demonstrated conventional approaches toward social studies instruction, especially regarding curriculum and assessment. The work shared here suggests that helping teachers craft high-quality questions to anchor student-inquiry and scaffolding teachers’ sensemaking of student-outcome data should be high priorities for professional development providers. (shrink)

Jeffrey Friedman has attempted to make a case for limiting state social engineering that is based on the skeptical epistemology of Sir Karl Popper. But Popper's epistemology is flawed, both in its rejection of a priori theorizing and its insistence on empirical falsification rather than confirmation. Classical liberalism of the sort that Friedman advocates requires, as its basis, positive knowledge of economics and social reality—not Popperian skepticism.

I have spent a good portion of my professional life studying old age as a social, cultural, and economic problem. I had not, however, paid much attention to my own old age, creeping stealthily up on me. What began as a whisper in my early 80s became, by my 87th birthday this year, a loud clamor—insisting on being noticed and accelerating at a rapid rate. It is now obvious to myself and others close to me that I am falling apart, (...) mainly my body, but likely my mind also. My future is unclear.I had a hazy notion from my earlier research that something like this could happen to me, but larger interests pushed it aside. Then a new ingredient showed up. Beginning about five months ago, after a... (shrink)

This edited collection brings together keynote articles from the journal _Disability & Society_ to provide a comprehensive and though-provoking exploration of the place of technology in disabled people’s lives, documenting and analysing the growing impact of technology on disability and society over recent decades. The authors explore theoretical, empirical and moral dilemmas that arise with the changing relationship between technological change and the lives, aspirations and possibilities of disabled people. The volume is organised into three parts which consider early foundational (...) work connecting disability and technology; key empirical studies related to the optimum use of technologies for independence and inclusion; and new moral and social dynamics thrown up by technological developments for disabled people’s lives. (shrink)