Basic disagreements about what makes human life valuable hinder use of the concept of futility to decide whether it is appropriate to continue life support for one in a permanent state of unconsciousness, or to provide intensive medical care to one in the last stages of a terminal illness (the “paradigm cases”). Triage planning (the process of establishing criteria for health care prioritization) is an attractive alternative framework for addressing the paradigm cases. Triage planning permits society to see the cases (...) in the context of diverse moral perspectives, limited resources, and competing health care demands. Furthermore, at least one essential question posed by the paradigm cases is whether treatment is wasteful, and triage planning is a useful model for identifying and eliminating wasteful medical care. The authors describe how triage planning can be implemented to address the paradigm cases, and conclude that it offers one way of moving debate about these cases beyond futility. (shrink)

In this paper we continue the study of inner models of the type studied inInner models for set theory—Part I.The present paper is concerned exclusively with a particular kind of model, the ‘super-complete models’ defined in section 2.4 of I. The condition of 2.4 and the completeness condition 1.42 imply that such a model is uniquely determined when its universal class Vmis given. Writing condition and the completeness conditions 1.41, 1.42 in terms of Vm, we may state the definition in (...) the form:3.1. Dfn.A classVmis said to determine a super-complete model if the model whose basic notions are defined by,satisfies axiomsA, B, C.N. B. This definition is not necessarily metamathematical in nature. If desired, it could be written out quite formally as the definition of a notion ‘SCM’ thus:whereψ is the propositional function expressing in terms ofUthe fact that the model determined byUaccording to 3.1 satisfies the relativization of axioms A, B, C. E.g. corresponding to axiom A1m, i.e.,,ψ contains the equivalent term. All the relativized axioms can be similarly expressed in this way by first writing out the relativized form and then replacing ‘ϕ bywhich is in turn replaced by, and similarly replacing ‘ϕ’ by ‘ϕ’ by ‘), andThusψ is obtained in primitive notation. (shrink)

Hobbes’ account of these issues is conspicuously brief and puzzling. Indeed it has been criticized by some commentators as ‘confused.’ I hope to show, however, that it appears confused only because it has not been read with sufficient precision. Properly understood, Hobbes’ account is both exact and profound. It is also, in my view, far more interesting as a conception of natural right than the modern ‘confusions’ which have come to be read into it.To show this, the text must be (...) read as it is presented: on its own terms, analytically and exactly. In what follows, therefore, I shall focus upon Hobbes’ definitive account of the right of nature in chapter XIV of Leviathan, with only minimal reference to other passages and other works. I do not pretend that this is the only possible approach to Hobbes on this point; but it does show how his account may be read intelligibly, and with greater respect for the power and precision of his thought. (shrink)

What does it take for a positive epistemic status to obtain? I argue throughout my thesis that if a positive epistemic status obtains, this is not a brute fact. Instead, if for example a belief is justified, it is justified in virtue of some further condition(s) obtaining. A fundamental topic in epistemology is the question of what sorts of factors can be relevant to determining the positive epistemic status of belief. Epistemic Internalism holds that these factors must be “internal” (in (...) a sense that needs to be specified). Epistemic Externalism is the denial of internalism. My thesis is an explanation and defense of an internalist theory of epistemic justification. -/- The central claim of my thesis is that something is “internal” in this sense only if it is, or can easily be, the object of the agent’s conscious awareness. By considering key cases, I show that without an awareness requirement on justification, the subject cannot avoid what I call the Subject’s Perspective Objection. In developing this objection I examine and respond to an argument against the awareness requirement which claims that such awareness either leads to a vicious regress of requiring higher order beliefs of increasing complexity (if any beliefs are to be justified), or else requiring such awareness is unmotivated. This regress is generated because it is assumed that the relevant kind of awareness must be doxastic. My solution invokes what I call ‘strong non-doxastic awareness’ that grounds non-inferential justification and thereby avoids this dilemma, while meeting the Subject’s Perspective Objection. -/- I also argue that external factors, such as the reliability (actual or conditional) of the mechanism supporting the belief, are not necessary for justification. I argue for this conclusion by comparing what constitutes justified belief in the actual world with one’s counterpart in a ‘demon world’. I argue that this intuition, correctly interpreted, counts in favour of internalism. As I explain, many philosophers moved by arguments presented by externalists about mental content deny that such a case is possible. In opposition I argue that the awareness requirement remains substantially unaffected, no matter which view of content turns out to be correct. What is key is that the two worlds are completely subjectively indistinguishable from each other for those who inhabit them in all the ways of which they are consciously aware. -/- If neither the obtaining of truth nor reliability is necessary for epistemic justification, what makes justification genuinely epistemic? In the final chapter I argue against recent work that assimilates justification with knowledge, as well as for a positive account of the truth connection. As to the former question, I defend the orthodoxy that they are distinct epistemic statuses; as to the latter, I argue that the connection between justification and truth is conceptual. That is, epistemic justification is epistemic because it turns on evidence; evidence is epistemic because it is conceptually linked with truth. Epistemic justification, therefore, is conceptually linked with the truth (via evidence), which is what makes it distinctively epistemic. -/- In short, this thesis is an explanation and defense of an internalist theory of epistemic justification. The central claim of the thesis is that something is “internal” in this sense only if it is, or can easily be, the object of the agent’s conscious awareness. I argue that conscious awareness is a necessary condition of epistemic justification obtaining, and that factors external to consciousness play no justificatory role. (shrink)

Some years ago, Lokhorst proposed an intuitionistic reformulation of Mally's deontic logic. This reformulation was unsatisfactory, because it provided a striking theorem that Mally himself did not mention. In this paper, we present an alternative reformulation of Mally's deontic logic that does not provide this theorem.

In an increasingly global landscape, NFP initiatives including those addressing animal protection, are increasingly operating cross-borders. Doing so without respect, local engagement, and a thorough understanding of the issues of concern is fraught with danger, and potentially wasteful of resources. To this purpose, we sought to understand attitudes to the importance of 13 major world social issues in relation to animal protection by surveying 3433 students from at least 103 universities across 12 nations. The emergence of a ‘nature trifecta’ was (...) suggested, with animal and environmental protection and sustainable development recurring as the most highly rated in importance across all countries, with these issues also consistently rating amongst the highest in each individual country. It is concluded that significant differences exist between attributed importance of world issues by nation, pointing towards the benefit of tailoring NFP initiatives by country and region. It is also suggested that nation, or more specifically, sociopolitical and cultural region, is a vitally important demographic for consideration in social development. (shrink)

Psychiatry is rapidly changing. The authors review the history of psychiatry in the United States, its gradual integration into medicine and society, and the dialectic between its “biologic” and “mentalist” outlooks. After describing the current state of the profession and its knowledge base, they discuss the likely future of the field: psychiatry's projected mode of practice and economics; its future as a science for understanding human behavior; its expected boundaries with other treatment disciplines; its anticipated relationship with academia and with (...) the community at large; and internal issues for the profession. Unprecedented internal and external pressures on the field are likely to require important reconceptualizations of psychiatry both by its members and by the rest of the American public. (shrink)