Evidence-based medicine’s (EBM) quantitative methodologies reflect medical science’s long-standing mistrust of the imprecision and subjectivity of ordinary descriptive language. However, EBM’s attempts to replace subjectivity with precise empirical methods are problematic when clinicians must negotiate between scientific medicine and patients’ experience. This problem is evident in the case of bibliotherapy (patient reading as treatment modality), a practice widespread despite its reliance on anecdotal evidence. While EBM purports to replace such flawed practice with reliable evidence-based methods, this essay argues that its (...) aversion to subjective language prevents EBM from effectively evaluating bibliotherapy or making it amenable to clinical and research governance. (shrink)

A UN report, which comprehensively documents the advance of global population ageing, was released on 1 October 2012, the International Day of Older Persons. In the West, this development has been accelerated by and will be profoundly experienced by the baby boomers. As they reach ages historically linked with retirement their numbers are rising, as are expectations for annual age-related public spending. Vulnerabilities are regularly being exposed in terms of medical care, social care and inadequate retirement planning. This makes acceptance (...) of the traditional narrative for ageing, including passivity, complacency and accelerating dependency, patently unsustainable. Medical and technological advancements have given this cohort an achievement award in terms of longer, healthier lives and there is a choice to make. Either substantive changes to redefine this life stage are made or the salutary lesson afforded by the new longevity could be squandered. (shrink)

This chapter is reprinted from our lead essay in the Encyclopedia of Science, Technology, and Ethics, ed. C. Mitcham, Gale, 2005.

In the social sciences and in everyday speech we often talk about groups as if they behaved in the same way as individuals, thinking and acting as a singular being. We say for example that "Google intends to develop an automated car", "the U.S. Government believes that Syria has used chemical weapons on its people", or that "the NRA wants to protect the rights of gun owners". We also often ascribe legal and moral responsibility to groups. But could groups literally (...) intend things? Is there such a thing as a collective mind? If so, should groups be held morally responsible? Such questions are of vital importance to our understanding of the social world. In this lively, engaging introduction Deborah Tollefsen offers a careful survey of contemporary philosophers? answers to these questions, and argues for the unorthodox view that certain groups should, indeed, be treated as agents and deserve to be held morally accountable. Tollefsen explores the nature of belief, action and intention, and shows the reader how a belief in group agency can be reconciled with our understanding of individual agency and accountability. _Groups as Agents_ will be a vital resource for scholars as well as for students of philosophy and the social sciences encountering the topic for the first time. (shrink)

the philosophical writings ofx Lady Mary Shepherd were apparently well regarded in her own time, but dropped out of view in the mid-nineteenth century.1 Some historians of philosophy have recently begun attending to the distinctive arguments in Shepherd's two books, but the secondary literature that exists so far has largely focused on her critiques of Hume and Berkeley. However, many other themes and arguments in Shepherd's writings have not yet been explored. This paper takes up one such issue, what Shepherd (...) means by 'mind,' 'soul,' and 'self.' Shepherd held the unusual view that the mind is an enduring capacity that causes (whether on its own or in conjunction with other partial causes, such as... (shrink)

In recent discussions on the meaning of derogatory terms, most theorists base their investigations on the assumption that slurring terms could in principle have some neutral, i.e. purely descriptive, counterpart. Lauren Ashwell has recently shown that this assumption does not generalize to gendered slurs. This paper aims to challenge the point and benefit of approaching the meaning of derogatory terms in contrast to their allegedly purely descriptive counterparts. I argue that different discursive practices among different communities of practice sometimes change (...) the semantics of a term. By the example of the term ‘black,’ I show in what ways these different practices may amount to semantic contestations which complicate the assessment of whether a specific politically significant term is purely descriptive. My discussion of politically significant terms provides insights into further phenomena such as the appropriation of derogatory terms by the target group or meaning change more generally. Moreover, it not only accounts for the political aspects of a linguistic phenomenon, but equally highlights and explains the oft-neglected but crucial role that language plays in social and political struggles. It thus contributes to ongoing discussions both in philosophy of language and in social and political philosophy. (shrink)

In “Group Testimony” (2007) I argued that the testimony of a group cannot be understood (or at least cannot always be understood) in a summative fashion; as the testimony of some or all of the group members. In some cases, it is the group itself that testifies. I also argued that one could extend standard reductionist accounts of the justification of testimonial belief to the case of testimonial belief formed on the basis of group testimony. In this paper, I explore (...) the issue of group testimony in greater detail by focusing on one putative source of testimony, that of Wikipedia. My aim is to the answer the following questions: Is Wikipedia a source of testimony? And if so, what is the nature of that source? Are we to understand Wikipedia entries as a collection of testimonial statements made by individuals, some subset of individuals, or is Wikipedia itself (the organization or the Wikipedia community) the entity that testifies? If Wikipedia itself is a source of testimony, what resources do we have for assessing the trustworthiness of such an unusual epistemic source? In answering these questions I hope to further elucidate the nature of collective epistemic agency (Tollefsen 2006), of which group testimony is a paradigm example. When a mans Discourse begineth…at some saying of another, of whose ability to know the truth, and of whose honesty in not deceiving, he doubteth not; and then the Discourse is not so much concerning the Thing, as the Person; and the Resolution is called Beleefe, and Faith: Faith in the man. (1651/1991, Ch. 7; p. 48). (shrink)

This paper explores ethical questions arising from the work of health practitioners in immigration detention centres in Australia. It raises questions about the roles of professional disciplines and the ways in which they confront dual loyalty issues. The exploration is guided by interviews conducted with health professionals who have worked in asylum seeker detention and an examination of the outsider advocacy role undertaken by the social work profession. The paper discusses the stance taken by individuals and professional associations on participation (...) in controlled settings, including as participant, bystander and advocate, and asks when the provision of care becomes collusion with oppression. (shrink)

Adorno and Foucault are among the 20th century’s most renowned social critics but little work has been done to compare their ideas about the activity of critique. ‘Adorno, Foucault and Critique’ attempts to fill this lacuna. It takes as its starting point the Kantian legacy that informs Adorno’s and Foucault’s notions of critique, or their ‘ontologies of the present’, as Foucault calls them. Exploring the ontological foundations of critique, the article then addresses the principal objects of critique: domination and fascism. (...) It ends with a comparative account of the central aims of Adorno’s and Foucault’s critiques of western societies. (shrink)

In seeking general accounts of evidence, confirmation, or inference, philosophers have looked to logical relationships between evidence and hypotheses. Such logics of evidential relationship, whether hypothetico-deductive, Bayesian, or instantiationist fail to capture or be relevant to scientific practice. They require information that scientists do not generally have (e.g., an exhaustive set of hypotheses), while lacking slots within which to include considerations to which scientists regularly appeal (e.g., error probabilities). Building on my co-symposiasts contributions, I suggest some directions in which a (...) new and more adequate philosophy of evidence can move. (shrink)

Community engagement to protect and empower participating individuals and communities is an ethical requirement in research. There is however limited evidence on effectiveness or relevance of some of the approaches used to improve ethical practice. We conducted a study to understand the rationale, relevance and benefits of community engagement in health research. This paper draws from this wider study and focuses on factors that shaped Community Advisory Group members’ selection processes and functions in Malawi. A qualitative research design was used; (...) two participatory workshops were conducted with CAG members to understand their roles in research. Workshop findings were triangulated with insights from ethnographic field notes, key informant interviews with stakeholders, focus group discussions with community members and document reviews. Data were coded manually and thematic content analysis was used to identify main issues. Results have shown that democratic selection of CAG members presented challenges in both urban and rural settings. We also noted that CAG members perceived their role as a form of employment which potentially led to ineffective representation of community interests. We conclude that democratic voting is not enough to ensure effective representation of community's interests of ethical relevance. CAG members’ abilities to understand research ethics, identify potential harms to community and communicate feedback to researchers is critical to optimise engagement of lay community and avoid tokenistic engagement. (shrink)

Various studies have shown that philosophizing with children at school can have a positive effect on cognitive, language and social skills. However, previous studies have not considered how the quality of the dialogue influences these outcomes. Addressing this gap, our article introduces a high-inference rating instrument to assess the quality of philosophical dialogue. This instrument features four quality dimensions: Philosophical Richness, Co-construction, Focus, and Restrained Facilitation. It was applied to evaluate 63 class dialogues from a Swiss study involving secondary-school students. (...) The article presents the instrument using excerpts from the study, along with initial validation information, showing its reliability in measuring philosophical dialogue quality. The significance of this research lies in its focus on the quality of philosophical dialogue, an aspect often overlooked in educational settings. By providing a tool to assess this quality, we open up new pathways for analyzing the effectiveness of philosophical dialogues in schools. This is especially relevant as educational systems increasingly recognize the importance of developing students' critical thinking and discussion skills. The findings highlight the potential of high-quality philosophical dialogues to enrich students' educational experiences and offer insights for educators and researchers into enhancing these interactions. This study contributes to a deeper understanding of how philosophical dialogue can be used as a powerful educational tool, not just for engaging students but for fostering meaningful and impactful learning. (shrink)

Theories of statistical testing may be seen as attempts to provide systematic means for evaluating scientific conjectures on the basis of incomplete or inaccurate observational data. The Neyman-Pearson Theory of Testing (NPT) has purported to provide an objective means for testing statistical hypotheses corresponding to scientific claims. Despite their widespread use in science, methods of NPT have themselves been accused of failing to be objective; and the purported objectivity of scientific claims based upon NPT has been called into question. The (...) purpose of this paper is first to clarify this question by examining the conceptions of (I) the function served by NPT in science, and (II) the requirements of an objective theory of statistics upon which attacks on NPT's objectivity are based. Our grounds for rejecting these conceptions suggest altered conceptions of (I) and (II) that might avoid such attacks. Second, we propose a reformulation of NPT, denoted by NPT*, based on these altered conceptions, and argue that it provides an objective theory of statistics. The crux of our argument is that by being able to objectively control error frequencies NPT* is able to objectively evaluate what has or has not been learned from the result of a statistical test. (shrink)

Cartwright argues for being a realist about theoretical entities but non-realist about theoretical laws. Her reason is that while the former involves causal explanation, the latter involves theoretical explanation; and inferences to causes, unlike inferences to theories, can avoid the redundancy objection--that one cannot rule out alternatives that explain the phenomena equally well. I sketch Cartwright's argument for inferring the most probable cause, focusing on Perrin's inference to molecular collisions as the cause of Brownian motion. I argue that either the (...) inference she describes fails to be a genuinely causal one, or else it too is open to the redundancy objection. However, I claim there is a way to sustain Cartwright's main insight: that it is possible to avoid the redundancy objection in certain cases of causal inference from experiments (e.g., Perrin). But, contrary to Cartwright, I argue that in those cases one is able to infer causes only by inferring some theoretical laws about how they produce experimental effects. (shrink)

The article explores the character of Adorno’s materialism while fleshing out his Marxist-inspired idea of natural history. Adorno offers a non-reductionist and non-dualistic account of the relationship between matter and mind, human history and natural history. Emerging from nature and remaining tied to it, the human mind is nonetheless qualitatively distinct from nature owing to its limited independence from it. Yet, just as human history is always also natural history, because human beings can never completely dissociate themselves from the natural (...) world, nature is inextricably entwined with human history. Owing to the entwinement of mind and matter, humanity and nature, a version of dialectical materialism can be found in Adorno’s work. Key Words: body • dialectics • Hegel • history • idealism • Marx • materialism • mind • nature • Timpanaro. (shrink)

Adolescence is a moment when sexuality, identity, and relationships are heightened; at adolescence women begin to be vulnerable to losing touch with their own thoughts and feelings. Reporting from a larger study of adolescent girls' experiences of sexual desire, the author focuses on how adolescent girls who have different sexual orientations describe their experiences of sexuality and their responses to their own sexual desire. Cultural contexts that render girls' sexuality problematic and dangerous divert them from the possibilities of empowerment through (...) their sexual desire. (shrink)

Many philosophers have recently defended the epistemic value of imagination. In this paper, we expand these discussions into the realm of virtue epistemology by proposing and defending a virtue-theoretic conception of imagination. On this account, the intellectual virtue of imagination is a character trait consisting of dispositions to engage skilfully in activities characteristic of imagining, with good judgement and from appropriate epistemic motivations. We argue that this approach helps to explain important connections between related, but distinct, intellectual virtues, including creativity (...) and empathy, and reveals avenues for future work on how best to develop intellectually virtuous imagination. (shrink)

The error statistical account of testing uses statistical considerations, not to provide a measure of probability of hypotheses, but to model patterns of irregularity that are useful for controlling, distinguishing, and learning from errors. The aim of this paper is (1) to explain the main points of contrast between the error statistical and the subjective Bayesian approach and (2) to elucidate the key errors that underlie the central objection raised by Colin Howson at our PSA 96 Symposium.

It is considered the right of children to have their pain managed effectively. Yet, despite extensive research findings, policy guidelines and practice standard recommendations for the optimal management of paediatric pain, clinical practices remain inadequate. Empirical evidence definitively shows that unrelieved pain in children has only harmful consequences, with no benefits. Contributing factors identified in this undermanaged pain include the significant role of nurses. Nursing attitudes and beliefs about children’s pain experiences, the relationships nurses share with children who are suffering, (...) and knowledge deficits in pain management practices are all shown to impact unresolved pain in children. In this article, a relational ethics perspective is used to explore the need for nurses to engage in authentic relationships with children who are experiencing pain, and to use evidence-based practices to manage that pain in order for this indefensible suffering of children to end. (shrink)

The aim of this paper is to present an argument to show both that ‘exists ’ is not a predicate of things or continuants and that ‘is present ’ is not a predicate of events or states of affairs. I shall confine my remarks to statements having a singular referring expression as their subject. My argument requires that we accept as a premiss that Strawson’s account of referring correctly depicts the working of statements containing a singular referring expression as their (...) subject. According to the Strawsonian account, a subject–predicate sentence can be used to make a statement, that is, to say something that can be said to be true or false, only if its subject expression refers successfully. Thus the statement ‘The S is φ presupposes the existential statement ‘There is one and only one S’, such that if this latter statement is false nothing true or false has been said, but rather there has been, what Strawson calls, a spurious or incorrect use made of the sentence ‘The S is φ’. (shrink)

ArgumentWhat, if anything, uniquely defines the mountain as a “laboratory of nature”? Here, this question is considered from the perspective of meteorology. Mountains played a central role in the early history of modern meteorology. The first permanent year-round high-altitude weather stations were built in the 1880s but largely fell out of use by the turn of the twentieth century, not to be revived until the 1930s. This paper considers the unlikely survival of the Sonnblick observatory in the Austrian Alps. By (...) examining the arguments of the Sonnblick's critics and defenders, it reveals a seemingly paradoxical definition of the mountain as a space that simultaneously maximized isolation and communication. Drawing on the social and environmental history of the Alps, it shows how the Sonnblick came to appear as the perfect embodiment of this paradox. (shrink)

In arguing against the likelihood of consciousness in non-human animals, Descartes advances a slippery slope argument that if thought were attributed to any one animal, it would have to be attributed to all, which is absurd. This paper examines the foundations of Thomas Willis’ comparative neuroanatomy against the background of Descartes’ slippery slope argument against animal consciousness. Inspired by Gassendi’s ideas about the corporeal soul, Thomas Willis distinguished between neural circuitry responsible for reflex behaviour and that responsible for cognitively or (...) consciously mediated behaviour. This afforded Willis a non-arbitrary basis for distinguishing between animals with thought and consciousness and those without, a methodology which retains currency for neuroscience today. (shrink)

Shestov and Levinas share a preference for Jerusalem over Athens—specifically, for a movement of spirit other than knowledge that is not oriented toward the past, as knowledge is, but toward the new. They characterize that movement differently: Shestov opts for faith and the exercise of creative powers based on his interpretation of Adam and Eve eating of the tree of knowledge, while Levinas prefers a suspension in which we marvel at the created other, an idea, influenced by Husserl on suspension, (...) which presages Levinas’s later notion of welcoming or being cored out by the absolute other. (shrink)

Background: Palliative care is acknowledged as an appropriate approach to support older people in nursing homes. Ethical issues arise from many aspects of palliative care provision in nursing homes; however, they have not been investigated in this context. Aim: To explore the ethical issues associated with palliative care in nursing homes in the United Kingdom. Design: Exploratory, sequential, mixed-methods design. Methods: Semi-structured interviews with 13 registered nurses and 10 healthcare assistants (HCAs) working in 13 nursing homes in the United Kingdom (...) were used to explore ethical issues in palliative care. The ‘Ethical Issues in Palliative Care for Nursing Homes’ instrument was used to measure the frequency and level of distress arising from ethical issues through a cross-sectional survey with 69 registered nurses and 129 healthcare assistants. Data collection occurred between December 2014 and November 2015. Ethical considerations: Ethical approval was granted by Queen’s University’s School of Nursing and Midwifery Research Ethics Committee and governance sought from each nursing home’s manager. Findings: The interviews revealed three themes: ethical issues in practice; relational issues; and organisational issues. No significant differences between registered nurses and healthcare assistants were evident, confirming the patterns emerging from the interviews. Relational issues, primarily issues with residents and families, occurred most frequently and caused greater distress. Conclusion: The shared environment is key in the experience of ethical issues; therefore, multidisciplinary education is needed for ethical decision making in palliative care. Addressing staff knowledge and service organisation may reduce ethical issues locally and provide a benchmark for global change. (shrink)

The product rule has been used to calculate the risk of a research study, in which the risk of harm is calculated as the product of the degree of harm multiplied by the likelihood that the harm will occur. This article challenges the product rule, especially when used to calculate "minimal risk" studies.

RESUMO O ensaio busca apresentar como as caracterizações da alegoria, em Winckelmann, ultrapassam a mera tentativa de se compreender um modo de figurar, nos moldes de uma iconologia, configurando uma espécie de metodologia geral para a compreensão da História da arte dos antigos e para a própria apreensão do ideal das artes. Tal possibilidade é dada num ambiente de debates artísticos que antecede a distinção canônico-romântica entre símbolo e alegoria. ABSTRACT This essay aims to show how the central characteristics that (...) Winckelmann gave to the allegory surpass the very range of the modes of figuration and became an original method to understand arts in History and in its ideal. This way of thinking took place in an age that the distinction between allegory and symbol was not canonic and it is very distant from the core of this opposition that became clear in romantic thought. (shrink)

This paper analyses the hidden use of new axioms in set-theoretic practice with a focus on large cardinal axioms and presents a general overview of set-theoretic practices using large cardinal axioms. The hidden use of a new axiom provides extrinsic reasons in support of this axiom via the idea of verifiable consequences, which is especially relevant for set-theoretic practitioners with an absolutist view. Besides that, the hidden use has pragmatic significance for further important sub-groups of the set-theoretic community---set-theoretic practitioners with (...) a pluralist view and set-theoretic practitioners who aim for ZFC-proofs. By describing this, the paper gives a more complete picture of new axioms in set-theoretic practice. These observations, for instance, show that set-theoretic practitioners interested in ZFC-proofs use tools that go beyond ZFC. The analysis is based on empirical data that was collected in an extensive interview study with set-theoretic practitioners. (shrink)