Überblicken wir noch einmal das ganze riesige Gebiet des Geistesgeschehens vor und nach der Jahrhundertwende, soweit es darwinistische Züge erkennen läßt, so können wir eines feststellen : Ausgenommen die Konservativen und die Kirchen, die beide angesichts des stürmischen Vorwärtsdrängens darwinistischer Gedankengänge in die Defensive gehen müssen, bedienen sich so gut wie alle geistigen Strömungen des Darwinismus: Die Sozialisten, weil Darwins "Naturtheorie" mit ihrer Gesetzlichkeit des biologischen Fortschritts Gewähr zu bieten scheint, daß auch im Gesellschaftlichen eherne Gesetze des Fortschritts walten, und (...) weil sie aus dem Darwinismus den Beweis für die Gleichheit aller Menschen herauslesen. Die Sozialdarwinisten, weil ihnen Darwins Lehre vom Kampf ums Dasein und von der Auslese der Lebensfähigsten angeblich den Beweis liefert für die Ungleichheit der Menschen und für die Notwendigkeit einer Menschenzucht. Nicht zufällig sprießen um 1890 so viele Zuchtvereine aus dem Boden, weil man in Charles Darwin den großen Pflanzen-, Tier- und Menschenzüchter sah. Die Atheisten, weil mit der Affenabstammung jegliches göttliche Wirken beim Werden des Menschengeschlechts widerlegt sei. Die pantheistischen Schwärmer von Friedrichshagen, weil sie ein Entwicklungsgesetz am Werk zu sehen glauben, das ganz folgerichtig zu immer Besserem, Edlerem, Vollkommnerem, Vergeistigterem führen müsse. Die Verteidiger einer "Leistungsaristokratie". (shrink)

According to the view that there is moral encroachment in epistemology, whether a person has knowledge of p sometimes depends on moral considerations, including moral considerations that do not bear on the truth or likelihood of p. Defenders of moral encroachment face a central challenge: they must explain why the moral considerations they cite, unlike moral bribes for belief, are reasons of the right kind for belief (or withheld belief). This paper distinguishes between a moderate and a radical version of (...) moral encroachment. It shows that, while defenders of moderate moral encroachment are well-placed to meet the central challenge, defenders of radical moral encroachment are not. The problem for radical moral encroachment is that it cannot, without taking on unacceptable costs, forge the right sort of connection between the moral badness of a belief and that belief’s chance of being false. (shrink)

We often speak as if there are merely possible people—for example, when we make such claims as that most possible people are never going to be born. Yet most metaphysicians deny that anything is both possibly a person and never born. Since our unreflective talk of merely possible people serves to draw non-trivial distinctions, these metaphysicians owe us some paraphrase by which we can draw those distinctions without committing ourselves to there being merely possible people. We show that such paraphrases (...) are unavailable if we limit ourselves to the expressive resources of even highly infinitary first-order modal languages. We then argue that such paraphrases are available in higher-order modal languages only given certain strong assumptions concerning the metaphysics of properties. We then consider alternative paraphrase strategies, and argue that none of them are tenable. If talk of merely possible people cannot be paraphrased, then it must be taken at face value, in which case it is necessary what individuals there are. Therefore, if it is contingent what individuals there are, then the demands of paraphrase place tight constraints on the metaphysics of properties: either (i) it is necessary what properties there are, or (ii) necessarily equivalent properties are identical, and having properties does not entail even possibly being anything at all. (shrink)

Current views of metaphysical ground suggest that a true conjunction is immediately grounded in its conjuncts, and only its conjuncts. Similar principles are suggested for disjunction and universal quantification. Here, it is shown that these principles are jointly inconsistent: They require that there is a distinct truth for any plurality of truths. By a variant of Cantor’s Theorem, such a fine-grained individuation of truths is inconsistent. This shows that the notion of grounding is either not in good standing, or that (...) natural assumptions about it need to be revised. (shrink)

The models of contingency in what propositions, properties and relations there are developed in Part 1 are related to models of contingency in what propositions there are due to Robert Stalnaker. It is shown that some but not all of the classes of models of Part 1 agree with Stalnaker’s models concerning the patterns of contingency in what propositions there are they admit. Further structural connections between the two kinds of models are explored.

In this paper, I defend an epistemic requirement on fitting hopes and worries: it is fitting to hope or to worry that p only if one’s epistemic position makes it rational to suspend judgment as to whether p. This view, unlike prominent alternatives, is ecumenical; it retains its plausibility against a variety of different background views of epistemology. It also has other important theoretical virtues: it is illuminating, elegant, and extensionally adequate. Fallibilists about knowledge have special reason to be friendly (...) to my view; it can help them explain why it can be unfitting to hold on to hope and worry in the face of overwhelming evidence, and it can also help them explain the sense in which knowledge that p and hope that –p are in tension with one another. (shrink)

Two expressive limitations of an infinitary higher-order modal language interpreted on models for higher-order contingentism – the thesis that it is contingent what propositions, properties and relations there are – are established: First, the inexpressibility of certain relations, which leads to the fact that certain model-theoretic existence conditions for relations cannot equivalently be reformulated in terms of being expressible in such a language. Second, the inexpressibility of certain modalized cardinality claims, which shows that in such a language, higher-order contingentists cannot (...) express what is communicated using various instances of talk of ‘possible things’, such as ‘there are uncountably many possible stars’. (shrink)

Many object-directed emotions change in intensity over time. Importantly, this sometimes happens even though the emotion’s object remains unchanged: grief over the tragic loss of a loved one, for instance, fades even though the loss remains tragic. Can a changing emotion continue to fit its unchanging object? Existing answers to this question tend to vindicate strikingly narrow visions of fitting emotional change: some, for instance, consider it uniquely fitting for grief to diminish, while others consider grief fitting only when it (...) maintains, or returns to, its originally-fitting intensity. I argue for a permissive view that can make sense of both fitting diminished emotion and fitting resurgent emotion. This view is also uniquely positioned to address the most pressing contemporary challenge for views that embrace fitting emotional change in unchanging-object cases, one forcefully pressed by Christopher Howard. (shrink)

Nanoethics seeks to examine the potential risks and rewards of applications of nanotechnology. This up-to-date anthology gives the reader an introduction to and basic foundation in nanotechnology and nanoethics, and then delves into near-, mid-, and far-term issues. Comprehensive and authoritative, it: -/- - Goes beyond the usual environmental, health, and safety (EHS) concerns to explore such topics as privacy, nanomedicine, human enhancement, global regulation, military, humanitarianism, education, artificial intelligence, space exploration, life extension, and more -/- -Features contributions from forty (...) preeminent experts from academia and industry worldwide, reflecting diverse perspectives -/- -Includes seminal works that influence nanoethics today -/- -Encourages an informed, proactive approach to nanoethics and advocates addressing new and emerging controversies before they impede progress or impact our welfare -/- This resource is designed to promote further investigations and a broad and balanced dialogue in nanoethics, dealing with critical issues that will affect the industry as well as society. While this will be a definitive reference for students, scientists in academia and industry, policymakers, and regulators, it's also a valuable resource for anyone who wants to understand the challenges, principles, and potential of nanotechnology. (shrink)

Call the following claim Asymmetry: rationality often requires a more steadfast response to pure moral disagreement than it does to otherwise analogous non-moral disagreement. This paper briefly motivates Asymmetry and explores its implications for meta-ethics. Some philosophers have thought that anti-realists are better-placed than realists to explain Asymmetry because, if anti-realism is true, disagreement cannot provide evidence against the reliability of one's thinking about objective moral facts. This paper argues that this simple diagnosis fails to support otherwise plausible anti-realisms. It (...) closes by discussing an alternative explanation for Asymmetry, which appeals to the moral importance of steadfastness. (shrink)

Can conjunctive propositions be identical without their conjuncts being identical? Can universally quantified propositions be identical without their instances being identical? On a common conception of propositions, on which they inherit the logical structure of the sentences which express them, the answer is negative both times. Here, it will be shown that such a negative answer to both questions is inconsistent, assuming a standard type-theoretic formalization of theorizing about propositions. The result is not specific to conjunction and universal quantification, but (...) applies to any binary operator and propositional quantifier. It is also shown that the result essentially arises out of giving a negative answer to both questions, as each negative answer is consistent by itself. (shrink)

As many studies around the theme of ‘too much medicine’ attest, investigations are being ordered with increasing frequency; similarly the threshold for providing treatment has lowered. Our contention is that trust is a significant factor in influencing this, and that understanding the relationship between trust and investigations and treatments will help clinicians and policymakers ensure ethical decisions are more consistently made. Drawing on the philosophical literature, we investigate the nature of trust in the patient–doctor relationship, arguing that at its core (...) it involves a transfer of discretion. We show that there is substantial empirical support for the idea that more trust will reduce the problem of too much medicine. We then investigate ways in which trust can be built, concentrating on issues of questioning, of acknowledging uncertainty and of shouldering responsibility for it. We argue that offering investigations or treatments as a way of generating trust may itself be an untrustworthy way of proceeding, and that healthcare systems should provide the institutional support for facilitating continuity, questioning and the entrusting of uncertainty. (shrink)

Many writers have recently argued that there is something distinctively problematic about sustaining moral beliefs on the basis of others’ moral views. Call this claim pessimism about moral deference. Pessimism about moral deference, if true, seems to provide an attractive way to argue for a bold conclusion about moral disagreement: moral disagreement generally does not require belief revision. Call this claim steadfastness about moral disagreement. Perhaps the most prominent recent discussion of the connection between moral deference and moral disagreement, due (...) to Alison Hills, uses pessimism about the former to argue for steadfastness about the latter. This paper reveals that this line of thinking, and others like it, are unsuccessful. There is no way to argue from a compelling version of pessimism about moral deference to the conclusion of steadfastness about moral disagreement. The most plausible versions of pessimism about moral deference have only very limited implications for moral disagreement. (shrink)

Traditionally, those writing on blame have been concerned with blaming others, including when one has the standing to blame others. Yet some alleged problems for such accounts of standing arise when we focus on self-blame. First, if hypocrites lack the standing to blame others, it might seem that they also lack the standing to blame themselves. But this would lead to a bootstrapping problem, wherein hypocrites can only regain standing by doing that which they lack the standing to do. Second, (...) in addition to hypocrites, there may be hypercrites, who blame themselves more severely than others. Leading accounts for why hypocrites lack standing to blame others would also seem to imply that hypercrites lack the standing to blame others, but some may find this counterintuitive. We argue that neither of these problems from self-blame poses a unique threat to leading accounts of standing. (shrink)

BackgroundInternationally, patient access to notes is increasing. This has been driven by respect for patient autonomy, often recognised as a primary tenet of medical ethics: patients should be able to access their records to be fully engaged with their care. While research has been conducted on the impact of patient access to outpatient and primary care records and to patient portals, there is no such review looking at access to hospital medical records in real time, nor an ethical analysis of (...) the issues involved in such a change in process.MethodsThis study employed a systematic review framework in two stems, to integrate literature identified from two searches: Medline, CINAHL and Scopus databases were conducted, (for (1) hospitalised patients, patient access to records and its effects on communication and trust within the doctor-patient relationship; and (2) patient access to medical records and the ethical implications identified). The qualitative and quantitative results of both searches were integrated and critically analysed.Results3954 empirical and 4929 ethical studies were identified; 18 papers representing 16 studies were identified for review (12 empirical and 6 ethical). The review reveals a consensus that our current approach to giving information to patients – almost exclusively verbally – is insufficient; that patient access to notes is a welcome next step for patient-centred care, but that simply allowing full access, without explanation or summary, is also insufficient. Several ethical implications need to be considered: increased information could improve patient trust and knowledge but might transfer an (unwelcome) sense of responsibility to patients; doctors and patients have conflicting views on how much information should be shared and when; sharing written information might increase the already significant disparity in access to health care, and have unforeseen opportunity costs. The impact on medical practice of sharing notes in real time will also need to be evaluated.ConclusionsThe review presents encouraging data to support patient access to medical notes. However, sharing information is a critical part of clinical practice; changing how it is done could have significant empirical and ethical impacts; any changes should be carefully evaluated. (shrink)

This paper explores a framework for thinking about risks inherent in emerging technologies; given uncertainty about the magnitude—or even nature—of those risks, deliberation about those technologies is challenged. §1 develops a conceptual framework for risk, and §2 integrates that conception into cost-benefit analysis. Given uncertainty, we are often pushed toward precautionary approaches, and such approaches are explored in §3. These first three sections are largely literature review, and then a positive argument for how to think about the relationship between risk, (...) precaution, and uncertainty is offered in §4. (shrink)

L’histoire du Cogito ergo sum de Descartes montre la problématique de l’esprit moderne. Leibniz et Kant ont insisté sur le conditionnement empirique de la proposition. Fichte l’a défendue, en la rapportant au moi supra- individuel. Schelling et Hegel ont combattu le Cogito, qui a introduit le dualisme moderne entre l’esprit et la nature. La critique la plus pressante est celle de Schelling ; cependant Hegel et lui ont reconnu comme un grand événement historique la séparation, opérée par Descartes, entre la (...) philosophie et l’autorité. (shrink)