For over a decade, managed care has profoundly altered how healthcare is delivered in the United States. There have been concerns that the patient-physician relationship may be undermined by various aspects of managed care, such as restrictions on physician choice, productivity requirements that limit the time physicians may spend with patients, and the use of compensation formulas that reward physicians for healthcare dollars not spent. We have previously published data on the effects of managed care on the physician-patient relationship from (...) the physician's perspective. In 1999, we collected data on the impact of managed care arrangements on the physician-patient relationship from the patient's perspective. This article discusses our collective findings. (shrink)

Dan Zahavi engages with classical phenomenology, philosophy of mind, and a range of empirical disciplines to explore the nature of selfhood. He argues that the most fundamental level of selfhood is not socially constructed or dependent upon others, but accepts that certain dimensions of the self and types of self-experience are other-mediated.

Most research on student plagiarism defines the concept very narrowly or with much ambiguity. Many studies focus on plagiarism involving large swaths of text copied and pasted from unattributed sources, a type of plagiarism that the overwhelming majority of students seem to have little trouble identifying. Other studies rely on ambiguous definitions, assuming students understand what the term means and requesting that they self-report how well they understand the concept. This study attempts to avoid these problems by examining student perceptions (...) of more complex citation issues. We presented 240 students with a series of examples, asked them to indicate whether or not each should be considered plagiarism, and followed up with a series of demographic and attitudinal questions. The examples fell within the spectrum of inadequate citation, patchwriting, and the reuse of other people’s ideas. Half were excerpted from publicized cases of academic plagiarism, and half were modified from other sources. Our findings indicated that students shared a very strong agreement that near verbatim copy and paste and patchwriting should be considered plagiarism, but that they were much more conflicted regarding the reuse of ideas. Additionally, this study found significant correlation between self-reported confidence in their understanding and the identification of more complex cases as plagiarism, but this study found little correlation between academic class status or exposure to plagiarism detection software and perceptions of plagiarism. The latter finding goes against a prevailing sentiment in the academic literature that the ability to recognize plagiarism is inherently linked to academic literacy. Overall, our findings indicate that more pedagogical emphasis may need to be placed on complex forms of plagiarism. (shrink)

What can be understood of other cultures? And what can we learn about people in general from the study of other cultures? In the three closely related essays that constitute this book and which have already created considerable controversy in their original French versions, and been rewritten and expanded for this edition, Dan Sperber discusses these fundamental issues of anthropology. In the first essay he analyses the way in which anthropology is written and read. In the second, he offers a (...) novel rationalist alternative to cultural relativism, based on both anthropological and psychological arguments, and illustrated by his own fieldwork in Ethiopia. The third essay provides an assessment of the work of Lévi-Strauss, in which the arguments of the previous two essays are linked with an incisive critique of Lévi-Strauss' contribution to the study of cultural variation. (shrink)

In these writings by one of our most creative legal philosophers, Meir Dan-Cohen explores the nature of the self and its response to legal commands and mounts a challenge to some prevailing tenets of legal theory and the neighboring moral, political, and economic thought. The result is an insider's critique of liberalism that extends contemporary liberalism's Kantian strand, combining it with postmodernist ideas about the contingent and socially constructed self to build a thoroughly original perspective on some of the most (...) vital concerns of legal and moral theory.Dan-Cohen looks first at the ubiquity of legal coercion and considers its decisive impact on the nature of legal discourse and communication, on law's normative aspirations and claim to obedience, and on the ideal of the rule of law. He moves on to discuss basic values, stressing the preeminence of individual identity and human dignity over the more traditional liberal preoccupations with preference-based choice and experiential harm. Dan-Cohen then focuses more directly on the normative ramifications of the socially constructed self. Fundamental concepts such as responsibility and ownership are reinterpreted to take account of the constitutive role that social practices--particularly law and morality--play in the formation of the self.Throughout, Dan-Cohen draws on a uniquely productive mix of philosophical traditions and subjects, blending the methods of analytic philosophy with the concerns of Continental philosophers to reconceive the self and its relation to ethics and the law. (shrink)

The article explores and compares the accounts of empathy found in Lipps, Scheler, Stein and Husserl and argues that the three latter phenomenological thinkers offer a model of empathy, which is not only distinctly different from Lipps’, but which also diverge from the currently dominant models.

This article argues in defence of the minimal self and discusses the phenomenological objection to the Buddhist no-self view. It considers the distinction made by Miri Albahari between two forms of the sense of body ownership: personal ownership and perspectival ownership. It suggests that there is an important contrast between this Buddhist conception and the phenomenological conception of nonegological consciousness as found by Edmund Husserl and Jean-Paul Sartre.

Reviews the history of teaching in the United States over three hundred years, and describes aspects of recruitment, organization, and logic particular to the profession.

We integrate information from distinct domains, especially in metaphor. What sort of cognitive architecture underlies this kind of integration? Fodor (1983) argued that it involves nonmodular mechanisms. He also contended that the nonmodular mechanisms evolved from modular ones through a process of demodularization, a position elaborated by Mithen (1996). In this article, I defend Fodor and Mithen from criticisms offered by Sperber (1994). Sperber suggested that nonmodular mechanisms are unlikely to have evolved because an increasingly large database would incapacitate the (...) cognitive system due to combinatorial explosion and the frame problem. Moreover, he argued that nonmodular mechanisms are not required to explain our ability to integrate information. I argue that proponents of demodularization can respond to Sperber's criticisms by assuming that either an expanding database co-evolved with increasingly sophisticated search mechanisms or the cognitive system evolved along connectionist lines. Moreover, I argue that Sperber's modular account of conceptual integration fails to satisfy the criteria for modularity-namely, information encapsulation. (shrink)

Using new techniques for controlling the categoricity spectrum of a structure, we construct a structure with degree of categoricity but infinite spectral dimension, answering a question of Bazhenov, Kalimullin and Yamaleev. Using the same techniques, we construct a computably categorical structure of non-computable Scott rank.

From an evolutionary point of view, the function of moral behaviour may be to secure a good reputation as a co-operator. The best way to do so may be to obey genuine moral motivations. Still, one's moral reputation maybe something too important to be entrusted just to one's moral sense. A robust concern for one's reputation is likely to have evolved too. Here we explore some of the complex relationships between morality and reputation both from an evolutionary and a cognitive (...) point of view. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Ideal of Shared Decision Making Between Physicians and PatientsDan W. Brock (bio)IntroductionShared treatment decision making, with its division of labor between physician and patient, is a common ideal in medical ethics for the physician-patient relationship.1 Most simply put, the physician's role is to use his or her training, knowledge, and experience to provide the patient with facts about the diagnosis and about the prognoses without treatment and with (...) alternative treatments. The patient's role in this division of labor is to provide the values—his or her own conception of the good—with which to evaluate these alternatives, and to select the one that is best for himself or herself. As a rough guide to practice, this is a reasonable conception; most of the time it is likely to produce sound treatment decisions. However, as an ideal it is too simplistic, and is subject to several challenges that I will explore in this paper.Some challenges relate to the physician's role. This facts/values division of labor seems to assume that the physician can and should provide the facts about treatment alternatives in a value-neutral form. But some have questioned whether the sciences on which medicine is based are, or can be, value free. Moreover, the concepts of health and disease, and of the normal and pathological, are held by many to be value laden. And even if it is possible for physicians to provide only value-neutral facts to the patient, should the physicians' role be restricted in this way?Other challenges that I will present in the paper are to the patient's role [End Page 28] as provider of the values for the evaluation of the different treatment alternatives. One defense of this role is based on the claim that physicians are not in a position to know reliably what is in a patient's best interests (Buchanan, forthcoming). I believe at least as influential—even if often not explicitly stated—is an extreme subjectivism about values that assumes that the patient's own ultimate values, which define his or her own conception of the good, are incorrigible. By incorrigible, I mean they cannot be mistaken. In the standard case in which treatment is pursued for the patient's benefit, this extreme subjectivism is thought to support the patient's values guiding treatment decision making and treatment. I will explore this incorrigibility claim and will argue that on each of the main philosophical conceptions of the good for persons it is indefensible and should not be the basis for shared treatment decision making.Underlying this view of the physician-patient division of labor are assumptions and beliefs about the nature and relation of facts and values, and science and ethics, that are largely the legacy of a logical positivism that has long since been rejected by most philosophers. It is time that these unstable foundations for our normative ideal of the physician-patient relation were finally removed and replaced with more defensible underpinnings.Two Models of the Physician-Patient RelationshipPositivists insisted on a relatively sharp distinction between descriptive or empirical claims and science, on the one hand, and evaluative claims and ethics, on the other.2 Descriptive statements and the claims of science were to be true or false according to whether they in fact correctly described and explained the world. By remaining properly descriptive or empirical, science could, at least in principle, be entirely value neutral or value free.In its more extreme versions, positivism held that ethical judgments lacked cognitive content, but were instead expressions of emotions or attitudes, and as such could be neither true nor false, correct or mistaken. Because no evaluative statements were held to be logically entailed by any descriptive or empirical statements, moral reasoning was thought to be properly understood not as reasoning but as attempts at nonrational persuasion.3 Many drew from this an extreme subjectivism in ethics along the lines of what I have called above the incorrigibility thesis—there is no meaningful sense in which an individual's ultimate values defining his or her own conception of the good life could be mistaken, false, or unfounded.These... (shrink)

The ‘self’ is increasingly used as a variable in cognitive experiments and correlated with activity in particular areas in the brain. At first glance, this seems to transform the self from an ephemeral theoretical entity to something concrete and measurable. However, the transformation is by no means unproblematic. We trace the development of two important experimental paradigms in the study of the self, self-face recognition and the adjective self ascription task. We show how the experimental instrumentalization has gone hand in (...) hand with a simplification of the self-concept, and how more conceptual and theoretical reflections on the structure, function and nature of self have either disappeared altogether or receded into the background. We argue that this development impedes and complicates the interdisciplinary study of self. (shrink)

Vegetarians have argued at great length that meat-eating is wrong. Even so, the vast majority of people continue to eat meat, and even most vegetarians eventually give up on their diets. Does this prove these people must be morally corrupt? In Why It’s OK to Eat Meat, Dan C. Shahar argues the answer is no: it’s entirely possible to be an ethical person while continuing to eat meat—and not just the "fancy" offerings from the farmers' market but also the regular (...) meat we find at most supermarkets and restaurants. Shahar’s examination forcefully echoes vegetarians’ concerns about the meat industry’s impacts on animals, workers, the environment, and public health. However, he shows that the most influential ethical arguments for avoiding meat on the basis of these considerations are ultimately unpersuasive. Instead of insisting we all become vegetarians, Shahar argues each of us has broad latitude to choose which of the world’s problems to tackle, in what ways, and to what extents, and hence people can decline to take up this particular form of activism without doing anything wrong. (shrink)

Our understanding of language, its origins and subsequent evolution, is shaped not only by data and theories from the language sciences, but also fundamentally by the biological sciences. Recent developments in genetics and evolutionary theory offer both very strong constraints on what scenarios of language evolution are possible and probable, but also offer exciting opportunities for understanding otherwise puzzling phenomena. Due to the intrinsic breathtaking rate of advancement in these fields, and the complexity, subtlety, and sometimes apparent non-intuitiveness of the (...) phenomena discovered, some of these recent developments have either being completely missed by language scientists or misperceived and misrepresented. In this short paper, we offer an update on some of these findings and theoretical developments through a selection of illustrative examples and discussions that cast new light on current debates in the language sciences. The main message of our paper is that life is much more complex and nuanced than anybody could have predicted even a few decades ago, and that we need to be flexible in our theorizing instead of embracing a priori dogmas and trying to patch paradigms that are no longer satisfactory. (shrink)

The leading account of intrinsicality over the last thirty years has arguably been David Lewis's account in terms of perfect naturalness. Lewis's account, however, has three serious problems: i) it cannot allow necessarily coextensive properties to differ in whether they are intrinsic; ii) it falsely classifies non-qualitative properties like being Obama as non-intrinsic; and iii) it is incompatible with a number of metaphysical theories that posit irreducibly non-categorical properties. I argue that, as a result of these problems, Lewis's account should (...) be rejected and replaced with an alternative account, which also analyses intrinsicality in terms of perfect naturalness, but which avoids these problems. (shrink)

The leader–member relationship has been identified as a key determinant of successful working relationships and business outcomes in China. A high-quality leader–member relationship helps managers and employees to meet the demands they face and gives them the opportunity to develop socially, emotionally and morally. Such relationships form the basis of the overall well-being and success of the organisation. This article contributes to relationally oriented leadership theories and more specifically to the leader–member exchange theory by examining the theory in the context (...) of Western expatriate managers and Chinese employees in China. The first aim of the study is to analyse the similarities and differences between the LMX theory, which owes its origins to Western corporate experience, and the social and moral norms of guanxi, a crucial element in the Chinese value system. Since Westerners and Chinese people can give different interpretations to guanxi, the second aim of the article is to discuss the ethical challenges to the Western manager arising from guanxi. The findings of this study have implications not only for China, but also for other Chinese communities where guanxi is endorsed and practised. (shrink)

A standard view about criminal law distinguishes between two kinds of offenses, “mala in se” and “mala prohibita.” This view also corresponds to a distinction between two bases for criminalization: certain acts should be criminalized because they are moral wrongs; other acts may be criminalized for the sake of promoting overall welfare. This paper aims to show two things: first, that allowing for criminalization for the sake of promoting welfare renders the category of wrongfulness crimes largely redundant. Second, and more (...) importantly, accepting welfare as a legitimate ground for criminalization implies a certain view about legitimate state action, which makes criminalization for wrongfulness more difficult to justify. If I am right, the view that keeps the two categories of criminalization as largely separate is untenable. I conclude with some remarks about the advantages of welfare as the basis for criminalization. (shrink)

The continual background awareness of duration is an essential structure of consciousness, conferring temporal extension to the many objects of awareness within the evanescent sensory present. Seeking the possible neural correlates of ubiquitous temporal awareness, this article reexamines fMRI data from off-task “default mode” periods in 25 healthy subjects studied by Grady et al. , 2005). “Brain reading” using support vector machines detected information specifying elapsed time, and further analysis specified distributed networks encoding implicit time. These networks fluctuate; none are (...) continuously active during DM. However, the aggregate regions of greatest variability closely resemble the default mode network. It appears that the default mode network has an important role as a state-dependent monitor of temporality. (shrink)

In Kourken Michaelian questions the basic tenets of our article (Sperber et al. 2010). Here I defend against Michaelian's criticisms the view that epistemic vigilance plays a major role in explaining the evolutionary stability of communication and that the honesty of speakers and the reliability of their testimony are, to a large extent, an effect of hearers' vigilance.

According to the Monist Interpretation of Descartes, there is really only one corporeal substance—the entire extended plenum. Evidence for this interpretation seems to be provided by Descartes in the Synopsis of the Meditations, where he claims that all substances are incorruptible. Finite bodies, being corruptible, would then fail to be substances. On the other hand, ‘body, taken in the general sense,’ being incorruptible, would be a corporeal substance. In this paper, I defend a Pluralist Interpretation of Descartes, according to which (...) there are many corporeal substances. In particular, I show that none of the claims in the Synopsis about incorruptibility and substance entail either that finite bodies are not substances, or that the only corporeal substance is the entire plenum. (shrink)

Contingent Valuation has been promoted as a catch-all approach to environmental valuation. While there have been numerous attempts in recent years to place monetary values on environmental amenities, studies have often reported a high frequency of protest, zero or inordinately large dollar-value responses. This paper reports on the results of a survey designed to obtain information on how people actually interpret questions of paying to avoid changes in their views of Rangitoto Island. Evidence suggests that the meaning respondents attach to (...) the actual dollar values they offer or bid are inconsistent with the conventional logic that underlies Contingent Valuation. Instead, respondents might be seen to be expressing views about how things ought to be in society, and that it is simply not right to develop Rangitoto Island. (shrink)

Until recently, cognitive research in infantile autism primarily focussed on the ability of autistic subjects to understand and predict the actions of others. Currently, researchers are also considering the capacity of autists to understand their own minds. In this article we discuss selected recent contributions to the theory of mind debate and the study of infantile autism, and provide an analysis of intersubjectivity and self-awareness that is informed both by empirical research and by work in the phenomenological tradition. This analysis (...) uncovers certain problems in the theory-theory account of autism, and at the same time illustrates the potential value of phenomenology for cognitive science. (shrink)

[my chapter in "Dissident Philosophers: Voices Against the Political Current of the Academy" (2022), T. Allan Hillman and Tully Borland, eds.].

According to Goodman (1972), two things are similar only if they possess relevant common properties. The relevance of properties, however, can vary with the context and with the goals of the person making the comparison. As a result, similarity is a highly unstable relation, and therefore difficult to use as a base from which to explain other processes, such as analogy, induction, categorization, and metaphor. A recent attempt by Gentner and her colleagues to explain the operations of the comparison process (...) in analogy may run across some of these difficulties. In particular, her structure-mapping theory (Gentner, 1983, 1989; Gentner & Markman, 1997) does not explain how the relevant features are accessed during the early stages of the comparison process. Moreover, progress on this problem will not be made until we have a solution to a more general problem--the problem of explaining how people manage to bring relevant information to bear in the processing of new information. (shrink)

Intrinsicality is a central notion in metaphysics that can do important work in many areas of philosophy. It is not widely appreciated, however, that there are in fact a number of different notions of intrinsicality, and that these different notions differ in what work they can do. This paper discusses what these notions are, describes how they are related to each other, and argues that each of them can be analysed in terms of a single notion of intrinsic aboutness that (...) relates states of affairs to the things they are intrinsically about. (shrink)

Written for any motivated reader with a high-school knowledge of mathematics, and the discipline to follow logical arguments, this book presents the proofs for revolutionary impossibility theorems in an accessible way, with less jargon and notation, and more background, intuition, examples, explanations, and exercises.

What does the fact that we feel shame tell us about the nature of self? Does shame testify to the presence of a self-concept, a self-ideal, and a capacity for critical self-assessment, or does it rather, as some have suggested, point to the fact that the self is in part socially constructed? Should shame primarily be classified as a self-conscious emotion, is it rather a distinct social emotion, or might this forced alternative be misguided? In the chapter, I contrast certain (...) prevalent cognitivist accounts of shame with different proposals that can be found in the phenomenological tradition and ultimately argue that prototypical forms of shame provide vivid examples of other-mediated forms of self-experience. (shrink)

Past work has shown that men’s gender identities often lead them to eschew household labour in an attempt to shore up threatened masculinity. As the COVID-19 pandemic has lead to both enormous fina...

The spiritual experience is, somehow, closer to what is proper to the contemporary scientific experiment: both are ways of tryout. A follower of such path needs to meet the requirements comparable with those of scientific experiment : rules and criteria of verification. Yet the result of this spiritual quest is on another level, because it grants access to a reality beyond our common-sense perception. To express the contents of this experience is extremely difficult, and the normal usage of words is (...) inadequate. And, with any generation in history, expressing the specificity of this experience becomes always a question of novelty. This is due to a different cultural and social background, of a different “field of experience”. I consider that nowadays we can better understand the rigor of a spiritual path as well as its concreteness, tracking the significance of spiritual practice for a more complex understanding of reality. But at the same time, new spiritual experiences, made in the actual contexts, can offer new solutions and new answers to the contemporary social and cultural challenges. Spirituality, understood as a practice following a particular religious tradition and aiming personal and community’s betterment, has the ability to provide empathy for the other, because somebody having a spiritual practice can recognize a similar need of any other human. “To reconcile” can have many meanings, from reconciling individuals to reconciling neighborhoods, communities, entire countries, to which the reconciliation with self gathers. (shrink)