Background Healthcare professionals (HCPs) face a myriad of ethical challenges during the coronavirus disease 2019 (COVID-19) pandemic. However, there is limited literature examining the ethical challenges faced by HCPs in low- and medium-income countries. The research was designed to explore the ethical challenges experienced by HCPs in a Malaysian hospital setting during the pandemic. Methods Semistructured interviews were conducted via video calls with 10 Malaysian HCPs across different clinical disciplines involved in managing patients diagnosed with COVID-19 infections. The calls were (...) audio-recorded, transcribed verbatim and checked. Thematic analysis with constant comparison across transcripts was carried out to identify categories and themes. Results Three main themes emerged. Firstly, there was deprioritisation of care for non-COVID-19 patients resulting from resource limitations. HCPs raised concerns that there was curtailed access to various healthcare services by non-COVID-19 patients. There was also a trade-off between protecting individual patient safety and public health interests. Secondly, patients were disempowered from decision-making; the decision to segregate suspected COVID-19 patients to high-risk areas without seeking patients’ approval may result in an increased risk of infection. Lastly, HCPs expressed internal conflicts when balancing the professional duty of care against concerns about contracting COVID-19 and spreading it to their family members. Conclusion The study highlighted ethical issues faced by HCPs in Malaysia during the pandemic. It underscores the need for clinical ethics consultation services in hospitals to navigate the various ethical dilemmas. (shrink)

In this largely antimetaphysical treatment of free will and determinism, Mark Balaguer argues that the philosophical problem of free will boils down to an open scientific question about the causal histories of certain kinds of neural events. In the course of his argument, Balaguer provides a naturalistic defense of the libertarian view of free will. The metaphysical component of the problem of free will, Balaguer argues, essentially boils down to the question of whether humans possess libertarian free will. Furthermore, (...) he argues that, contrary to the traditional wisdom, the libertarian question reduces to a question about indeterminacy--in particular, to a straightforward empirical question about whether certain neural events in our heads are causally undetermined in a certain specific way; in other words, Balaguer argues that the right kind of indeterminacy would bring with it all of the other requirements for libertarian free will. Finally, he argues that because there is no good evidence as to whether or not the relevant neural events are undetermined in the way that's required, the question of whether human beings possess libertarian free will is a wide-open empirical question. (shrink)

The last few decades have witnessed the birth and growth of both virtue epistemology and the situationist challenge to virtue ethics. It seems only natural that eventually we would see the situationist challenge to virtue epistemology. This article articulates one aspect of that new challenge by spelling out an argument against the responsibilist brand of virtue epistemology. The trouble can be framed as an inconsistent triad: many people know quite a bit; knowledge is true belief acquired and retained through the (...) exercise of intellectual virtue; most people do not possess the intellectual virtues countenanced by responsibilism. Non‐skepticism is a Moorean platitude we should aim to preserve at most if not all costs. I muster evidence from cognitive and social psychology to argue for epistemic situationism. If my argument is correct, responsibilism must be revised or rejected, and reliabilists should avoid incorporating responsibilist components into their theories. (shrink)

2009 Massachusetts Institute of Technology All rights reserved. No part of this book may ... ISBN 978-0-262-01324-6 (hardcover : alk. paper)— ISBN 978-0-262 -51304-3 (pbk. : alk. paper) 1. Science— Political aspects. 2. Science and state. 3 .

This book provides a rich, systematic, and accessible introduction to moral psychology, aimed at undergraduate philosophy and psychology majors. There are eight chapters, in addition to a short introduction, prospective conclusion, and extensive bibliography. The recipe for each chapter will be: a) to introduce a philosophical topic (e.g., altruism, virtue, preferences, rules) and some prominent positions on it, without assuming prior acquaintance on the part of the reader b) to canvass and explain the relevance of a particular domain of empirical (...) inquiry (e.g., evolutionary psychology, behavioral economics, neuroscience) to the topic c) to argue for some tentative conclusions about the topic d) to suggest further avenues for conceptual and empirical research The guiding theme of the book is that moral philosophy without psychological content is empty, whereas psychological investigation without philosophical insight is blind. Thus, I advocate a holistic approach that pictures moral psychology as a project of collaborative inquiry into the descriptive and normative aspects of the human condition. Ideally, students will come away from (a course built around) the book with the sense that, though philosophy may not be the queen of the sciences, its role is not merely to interpret scientific results. (shrink)

Recent work in experimental philosophy has shown that people are more likely to attribute intentionality, knowledge, and other psychological properties to someone who causes a bad side effect than to someone who causes a good one. We argue that all of these asymmetries can be explained in terms of a single underlying asymmetry involving belief attribution because the belief that one’s action would result in a certain side effect is a necessary component of each of the psychological attitudes in question. (...) We argue further that this belief-attribution asymmetry is rational because it mirrors a belief-formation asymmetry, and that thebelief-formation asymmetry is also rational because it is more useful to form some beliefs than others. (shrink)

Owing to a genral dissatisfaction with hedonistic theories of value, a number of recent discussions have sought to identify an agent's selfinterest, individual utility, or personal welfare with what the agent most wants to do, all things considered. Two features of these accounts merit special attention for the argument in this paper. First, on such accounts any desire or aversion which persists in the face of complete information is logically relevant to the determination of an agent's self interest. This includes (...) apparently altruistic desires like a desire for another's happiness as well as more narrow and self-regarding desires like a desire to eat a good meal. Second, when the agent finds himself in a situation where he must choose between incompatible desires, his informed preference determines the act which is most in his self-interest. (shrink)

In this book, Mark Johnston argues that God needs to be saved not only from the distortions of the "undergraduate atheists" but, more importantly, from the idolatrous tendencies of religion itself. Each monotheistic religion has its characteristic ways of domesticating True Divinity, of taming God's demands so that they do not radically threaten our self-love and false righteousness. Turning the monotheistic critique of idolatry on the monotheisms themselves, Johnston shows that much in these traditions must be condemned as false (...) and spiritually debilitating. A central claim of the book is that supernaturalism is idolatry. If this is right, everything changes; we cannot place our salvation in jeopardy by tying it essentially to the supernatural cosmologies of the ancient Near East. Remarkably, Johnston rehabilitates the ideas of the Fall and of salvation within a naturalistic framework; he then presents a conception of God that both resists idolatry and is wholly consistent with the deliverances of the natural sciences. Princeton University Press is publishing Saving God in conjunction with Johnston's forthcoming book Surviving Death, which takes up the crux of supernaturalist belief, namely, the belief in life after death. (shrink)

In the first book wholly concerned with divine authority, Mark C. Murphy explores the extent of God's rule over created rational beings. The author challenges the view—widely supported by theists and nontheists alike—that if God exists, then humans must be bound by an obligation of obedience to this being. He demonstrates that this view, the "authority thesis," cannot be sustained by any of the arguments routinely advanced on its behalf, including those drawn from perfect being theology, metaethical theory, normative (...) principles, and even Scripture and tradition. After exposing the inadequacies of the various arguments for the authority thesis, he develops his own solution to the problem of whether, and to what extent, God is authoritative. For Murphy, divine authority is a contingent matter: while created rational beings have decisive reason to subject themselves to the divine rule, they are under divine authority only insofar as they have chosen to allow God's decisions to take the place of their own in their practical reasoning. The author formulates and defends his arguments for this view, and notes its implications for understanding the distinctiveness of Christian ethics. (shrink)

Mark Eli Kalderon presents an original study of perception, taking as its starting point a puzzle in Empedocles' theory of vision: if perception is a mode of material assimilation, how can we perceive colors at a distance? Kalderon argues that the theory of perception offered by Aristotle in answer to the puzzle is both attractive and defensible.

Table of Contents -/- Introduction: Epistemic Situationism by Abrol Fairweather -/- 1. Is Every Epistemology A Virtue Epistemology? by Lauren Olin -/- 2. Epistemic Situationism: An extended prolepsis by Mark Alfano -/- 3. Virtue Epistemology in the Zombie Apocalypse: Hungry Judges, Heavy Clipboards and Grou Polarization by Berit Brogaard -/- 4. Situationism and Responsibilist Virtue Epistemology by James Montmarquet -/- 5. Virtue Theory Against Situationism by Ernest Sosa -/- 6. Intellectual Virtue Now and Again by Chris Lepock -/- 7.Responsibilism (...) Out of Character by Kurt Sylvan -/- 8. Epistemic Situationism and Cognitive Ability by John Turri -/- 9. Epistemic Situationism, Epistemic Dependence and the Epistemology of Education by J. Adam Carter and Duncan Pritchard -/- 10. The Situationist Challenge to Educating For Intellectual Virtues by Jason Baehr -/- 11. Feminist Responsibilism, Situationism and the Complexities of the Virtue ofTrustworthiness by Heidi Grasswick -/- 12. Moods and Their Unexpected Virtues by Nicole Smith . (shrink)

Laura Gow, Uriah Kriegel, Hamid Taieb, and David Woodruff Smith raised help – and insightful points of criticism about my book Brentano’s Mind. In this paper, I will defend and expand on the main claims of the book. My responses are organized around four topics: Psychology without a Soul, Plural Intentionality (and Conceptual Parts), Intentionality and Intentionality Primitivism, Mark of Mental.

The spectre of the repugnant conclusion and the search for a population axiology that avoids it has endured as a focus of population ethics. This is in part because the repugnant conclusion is often interpreted as a defining problem for totalism, while the implications of averagism and related views are taken to illustrate the theoretical cost of avoiding the repugnant conclusion. However, we show that this interpretation cannot be sustained unless one focuses only on a special case of the repugnant (...) conclusion: namely, the subset of instances of the repugnant conclusion where there is no portion of the population unaffected by the choice between population outcomes (as in Derek Parfit’s original illustration). To avoid an inappropriate focus on only this proper subset of instances of the repugnant conclusion, we formulate a general characterization of the repugnant conclusion. We then prove formally that all leading welfarist axiologies imply this conclusion, including averagism and Ng’s Theory X0 , including probabilistic and ‘very repugnant’ variants that involve the addition of negative lives. We then prove that the full range of axiologies considered by population ethics each imply an extended version of the repugnant conclusion, including axiologies that are incomplete, intransitive, rank-dependent, person-affecting, and/or pluralist. The upshot is that the repugnant conclusion does not ultimately tell against any approach to axiology, and the methodological requirement to avoid the repugnant conclusion should be dropped from population axiology. (shrink)

In his contribution, Mark Alfano lays out a new (to virtue theory) naturalistic way of determining what the virtues are, what it would take for them to be realized, and what it would take for them to be at least possible. This method is derived in large part from David Lewis’s development of Frank Ramsey’s method of implicit definition. The basic idea is to define a set of terms not individually but in tandem. This is accomplished by assembling all (...) and only the common sense platitudes that involve them (e.g., typically, people want to be virtuous), conjoining those platitudes, and replacing the terms in question by existentially quantified variables. If the resulting sentence is satisfied, then whatever satisfies are the virtues. If it isn’t satisfied, there are a couple of options. First, one could just admit defeat by saying that people can’t be virtuous. More plausibly, one could weaken the conjunction by dropping a small number of the platitudes from it (and potentially adding some others). Alfano suggests that the most attractive way to do this is by dropping the platitudes that deal with cross-situational consistency and replacing them with platitudes that involve social construction: basically, people are virtuous (when they are) at least in part because other people signal their expectations of virtuous conduct, which induces virtuous conduct, which in turn induces further signals of expected virtuous conduct, and so on. (shrink)

This paper provides a short summary of Mark Bevir, The Logic of the History of Ideas (Cambridge: Cambridge University Press, 1999). Logic stands here as a subset of Wittgenstein’s notion of philosophy as a matter of the grammar of our concepts. It studies the forms of reasoning appropriate to a discipline, rather than the material of that discipline. Hence, the logic of the history of ideas considers the nature of meaning, the way we should justify our knowledge of past (...) meanings, and how we should explain things such as the existence of meanings, the beliefs people held, and conceptual change. (shrink)

Experimental moral philosophy began to emerge as a methodology inthe last decade of the twentieth century, a branch of the largerexperimental philosophy approach. From the beginning,it has been embroiled in controversy on a number of fronts. Somedoubt that it is philosophy at all. Others acknowledge that it isphilosophy but think that it has produced modest results at best andconfusion at worst. Still others think it represents an important advance., Before the research program can be evaluated, we should have someconception of (...) its scope. But controversy surrounds questionsabout its boundaries as well. Uncontroversially, the distinctionbetween experimental and non-experimental philosophy is not identicalto the distinction between a posteriori and a prioriphilosophy. Experimental evidence is a proper subset of empiricalevidence, which is itself a subset of a posteriorievidence. Can any more be said?, L1: A child raised in a particular linguistic community almostinevitably ends up speaking an idiolect of the local language despitelack of sufficient explicit instruction, lack of extensive negativefeedback for mistakes, and grammatical mistakes by caretakers., character, moral | cognitivism vs. non-cognitivism, moral | emotion | ethics: virtue | intuition | moral anti-realism | moral psychology: empirical approaches | moral realism | moral relativism | well-being, Copyright © 2014 byMark Alfano Don Loeb, View this site from another server:. (shrink)

Because the United States has failed to provide a pathway to citizenship for its long-term undocumented population, clinical ethicists have more than 20 years of addressing issues that arise in caring for this population. I illustrate that these challenges fall into two sets of issues. First-generation issues involve finding ethical ways to treat and discharge patients who are uninsured and ineligible for safety-net resources. More recently, ethicists have been invited to help address second-generation issues that involve facilitating the presentation for (...) care of undocumented patients. In the current environment of widespread fear of deportation in the immigrant community, ethicists are working with health care providers to address patient concerns that prevent them from seeking care. I illustrate that in both generations of issues, values implicit within health care, namely, caring, efficiency, and promotion of public health, guide the strategies that are acceptable and recommended. (shrink)

In this paper it is argued that sensitivity theory suffers from a fatal defect. Sensitivity theory is often glossed as: (1) S knows that p only if S would not believe that p if p were false. As Nozick showed in his pioneering work on sensitivity theory, this formulation needs to be supplemented by a further counterfactual condition: (2) S knows that p only if S would believe p if p were true. Nozick further showed that the theory needs a (...) qualification on the method used to form the belief. However, when these complications are spelled out in detail, it becomes clear that the two counterfactuals are in irresolvable tension. To jibe with the externalist intuitions that motivate sensitivity theory in the first place, (1) needs a fine-grained grouping of belief-formation methods, but (2) needs coarse-grained grouping. It is therefore suggested that sensitivity theory is in dire straits: either its proponents need to provide a workable principle of method individuation or they must retrench and give up their claims to providing sufficient conditions for knowledge. (shrink)

Contemporary bioethics has been somewhat skewed by its focus on high-tech medicine and the resulting development of ethical frameworks based on an acute-care model of healthcare. Research and scholarship in bioethics have payed only cursory attention to ethical issues related to disability. I argue that bioethics should concern itself with the full range of theoretical and practical issues related to disability. This encounter with the disability community will enrich bioethics and, potentially, society as well. I suggest a number of items (...) that the bioethics agenda should include, such as the development of a casuistry of the right to healthcare and to community integration and an advocacy role in fostering an understanding among the public and policy makers of the need to reform research and treatment related to disability. (shrink)

It’s natural to assume that the bearers of virtues are individual agents, which would make virtues monadic dispositional properties. I argue instead that the most attractive theory of virtue treats a virtue as a triadic relation among the agent, the social milieu, and the asocial environment. A given person may or may not be disposed to behave in virtuous ways depending on how her social milieu speaks to and of her, what they expect of her, and how they monitor her. (...) Likewise, asocial environmental factors such as mood elevators, mood depressors, ambient sounds, and ambient smells mediate morally important behavioral dispositions. Many commentators have responded to such intrusions from outside the agent by arguing for the rarity of virtue understood as a monadic property. In contrast, I claim that we need to rethink the very nature of virtue, which would entail that cultivating virtue can be accomplished not only by habituation and other such interventions on the individual agent but also by selecting, modifying, and reinterpreting the social and asocial aspects of the environment. (shrink)

Virtue is among the most venerable concepts in philosophy, and has recently seen a major revival. However, new challenges to conceptions of virtue have also arisen. In _Current Controversies in Virtue Theory_, five pairs of cutting-edge philosophers square off over central topics in virtue theory: the nature of virtue, the connection between virtue and flourishing, the connection between moral and epistemic virtues, the way in which virtues are acquired, and the possibility of attaining virtue. Mark Alfano guides his readers (...) through these essays, with a synthetic introduction, succinct abstracts of each debate, suggested further readings and study questions for each controversy, and a list of further controversies to be explored. (shrink)

This article offers a reconstruction of Brentano’s notion of act content that identifies the content of a mental act with a combination of marks (Merkmale) or a single such mark. The author will first clarify the role act content plays in Brentano’s philosophy of psychology and then go on to locate the proposed notion of content in the historical context of Brentano’s work as well as in his writings at the time of Psychologie. The author will defend this notion (...) against potential objections and explore its explanatory potential. (shrink)

Questions about phenomenology’s role in non-philosophical disciplines gained renewed attention. While we claim that phenomenology makes indispensable, unique contributions to different domains of scientific practice such as concept formation, experimental design, and data collection, we also contend that when it comes to explanation, phenomenological approaches face a dilemma. Either phenomenological attempts to explain conscious phenomena do not satisfy a central constraint on explanations, i.e. the asymmetry between explanans and explanandum, or they satisfy this explanatory asymmetry only by largely merging with (...) non-phenomenological explanation types. The consequence of this dilemma is that insofar as phenomenological approaches are explanatory, they do not provide an own type of explanation. We substantiate our two claims by offering three case studies of phenomenologically inspired experiments in cognitive science. Each case study points out a specific phenomenological contribution to experimental practice while also illustrating how phenomenological approaches face the explanatory dilemma we outline. (shrink)

_Nature and Normativity _argues that the problem of the place of norms in nature has been essentially misunderstood when it has been articulated in terms of the relation of human language and thought, on the one hand, and the world described by physics on the other. Rather, if we concentrate on the facts that speaking and thinking are activities of organic agents, then the problem of the place of the normative in nature becomes refocused on three related questions. First, is (...) there a sense in which biological processes and the behavior of organisms can be legitimately subject to normative evaluation? Second, is there some sense in which, in addition to having ordinary causal explanations, organic phenomena can also legitimately be seen to happen _because_ they _should_ happen in that way, in some naturalistically comprehensible sense of ‘should’, or that organic phenomena happen _in order to_ achieve some result, because that result should occur? And third, is it possible to naturalistically understand how human thought and language can be legitimately seen as the normatively evaluable behavior of a particular species of organism, behavior that occurs in order to satisfy some class of norms? This book develops, articulates, and defends positive answers to each of these questions. (shrink)

This work represents an investigation of the most important properties of the human mind consciousness, apperception and reflection - and of their significance for Leibnizian philosophy. The development of Leibniz's thinking in the course of his treatment of these themes receives especially detailed treatment, and is thoroughly documented on the basis of the original texts. The concepts of consciousness and reflection were the object of intensive discussion in the l7th century. Starting out from the problem of the distinction between humans (...) and brutes - Descartes' view of animals as mere machines was always decisively rejected by Leibniz-Kulstad shows the significance of these concepts in the early writings of Leibniz. He shows how Leibniz was then stimulated by Locke to add the word "apperception" into his philosophy. The author sets out the influence of Locke on Leibniz and demonstrates how Leibniz adopted a firmer and more constant position as to the relation between consciousness and reflection than one finds in Locke's own writings. From the beginning to the end of his life Leibniz defends the thesis that both consciousness and reflection consist in the memory of one mental act via another. The author shows how Leibniz hereby aligns himself with an European philosophihical tradition which can be traced back to Plato, Aristotle and Aquinas. Of course, a clarification of the meanings of words such as "consciousness", "reflection" and "apperception" is important not only for an understanding of Leibniz's philosophy but also for contemporary metaphysics and theory of knowledge. Leibniz certainly recognized and thought through the problems associated with these words, but he never developed a final, coherent theory, a fact which certainly reflects in part the complexity of the underlying problems. By exploiting not only all the relevant Leibnizian writings but also the results of more receent philosophy in this field, Kulstad is able to draw a reliable picture both of Leibniz's treatment of these problems and of the influence of his views on his contemporaries and successors. (shrink)

Abstractabstract:In the following, I argue that Hegel took concepts—not propositions, judgments, or spatiotemporal objects—as the primary truth-bearer in his logic and attempt to offer a defensible interpretation of what it means for an individual concept (or "thought-determination") to be assessed as true or untrue. Along the way, I consider the shortcomings of several alternative interpretations of truth in Hegelian logic, paying particular attention to the now-common contention that a commitment to something like Frege's context principle prevents Hegel from assessing concepts (...) independently of the role that they play in judgments. (shrink)

The legal basis of informed consent in Texas may on first examination suggest an unqualified affirmation of persons as the source of authority over themselves. This view of individuals in the practice of informed consent tends to present persons outside of any social context in general and outside of their families in particular. The actual functioning of law and medical practice in Texas, however, is far more complex. This study begins with a brief overview of the roots of Texas law (...) and public policy regarding informed consent. This surface account is then contrasted with examples drawn from the actual functioning of Texas law: Texas legislation regarding out-of-hospital do-not-resuscitate (DNR) orders. As a default approach to medical decision-making when patients lose decisional capacity and have failed to appoint a formal proxy or establish their wishes, this law establishes a defeasible presumption in favor of what the law characterizes as “qualified relatives” who can function as decision-makers for those terminal family members who lose decisional capacity. The study shows how, in the face of a general affirmation of the autonomy of individuals as if they were morally and socially isolated agents, space is nevertheless made for families to choose on behalf of their own members. The result is a multi-tier public morality, one affirming individuals as morally authoritative and the other recognizing the decisional standing of families. (shrink)

Corporations have increasingly turned to voluntary, multi-stakeholder governance programs to monitor workers’ rights and standards in global supply chains. This article argues that the emphasis of these programs varies significantly depending on stakeholder involvement and issue areas under examination. Corporate-influenced programs are more likely to emphasize detection of violations of minimal standards in the areas of wages, hours, and occupational safety and health because focusing on these issues provides corporations with legitimacy and reduces the risks of uncertainty created by activist (...) campaigns. In contrast, these programs are less likely to emphasize workers’ rights to form democratic and independent unions, bargain, and strike because these rights are perceived as lessening managerial control without providing firms with significant reputational value. This argument is explored by coding 805 factory audits of the Fair Labor Association between 2002 and 2010, followed by case studies of Russell Athletic in Honduras, Apple in China, and worker rights monitoring in Vietnam. (shrink)

Being Inclined is the first book-length study in English of the work of Felix Ravaisson, France's most influential philosopher in the second half of the nineteenth century. Mark Sinclair shows how Ravaisson, in his great work Of Habit, understands habit as tendency and inclination in away that provides the basis for a philosophy of nature and a general metaphysics. In examining Ravaisson's ideas against the background of the history of philosophy, and in the light of later developments in French (...) thought, Sinclair shows how Ravaisson gives an original account of the nature ofhabit as inclination, within a metaphysical framework quite different to those of his predecessors in the philosophical tradition.Being Inclined sheds new light on the history of modern French philosophy and argues for the importance of the neglected nineteenth-century French spiritualist tradition. It also shows that Ravaisson's philosophy of inclination, of being-inclined, is of great import for contemporary philosophy, andparticularly for the contemporary metaphysics of powers given that ideas about tendency have recently come to prominence in discussions concerning dispositions, laws, and the nature of causation. Being Inclined therefore offers a detailed and faithful contextualist study of Ravaisson's masterpiece,demonstrating its continued importance for contemporary thought. (shrink)

Trust makes cooperation possible. It enables us to learn from others and at a distance. It makes democratic deliberation possible. But it also makes us vulnerable: when we place our trust in another’s word, we are liable to be deceived—sometimes intentionally, sometimes unintentionally. Our evolved mechanisms for deciding whom to trust and whom to distrust mostly rely on face-to-face interactions with people whose reputation we can both access and influence. Online, these mechanisms are largely useless, and the institutions that might (...) supplant them need to have their own trustworthiness verified. Currently, those institutions are mostly corporations such as Facebook and Twitter, which have checkered track records at best. To make matters worse, the social media sector is a natural monopoly, and companies like Facebook have shown that they are willing to use their market power unscrupulously. For these reasons, we argue that social media should be treated like other natural monopolies: it should either be nationalized, highly regulated, or broken up through antitrust legal actions. (shrink)

Debates over the politicization of science have led some to claim that scientists have or should have a “right to research.” This article examines the political meaning and implications of the right to research with respect to different historical conceptions of rights. The more common “liberal” view sees rights as protections against social and political interference. The “republican” view, in contrast, conceives rights as claims to civic membership. Building on the republican view of rights, this article conceives the right to (...) research as embedding science more firmly and explicitly within society, rather than sheltering science from society. From this perspective, all citizens should enjoy a general right to free inquiry, but this right to inquiry does not necessarily encompass all scientific research. Because rights are most reliably protected when embedded within democratic culture and institutions, claims for a right to research should be considered in light of how the research in question contributes to democracy. By putting both research and rights in a social context, this article shows that the claim for a right to research is best understood, not as a guarantee for public support of science, but as a way to initiate public deliberation and debate about which sorts of inquiry deserve public support. (shrink)

The essays in this issue of The Journal of Medicine and Philosophy explore an innovative voucher program for encouraging kidney donation. Discussions cluster around a number of central moral and political/theoretical themes: What are the direct and indirect health care costs and benefits of such a voucher system in human organs? Do vouchers lead to more effective and efficient organ procurement and allocation or contribute to greater inequalities and inefficiencies in the transplantation system? Do vouchers contribute to the inappropriate commodification (...) of human body parts? Is there a significant moral difference between such a voucher system and a market in human organs for transplantation? This paper argues that while kidney vouchers constitute a step in the right direction, fuller utilization of market-based incentives, including, but not limited to, barter exchanges, would save more lives and further reduce human suffering. (shrink)

This article addresses the question whether we can know on the basis of folk intuitions that we have character traits. I answer in the negative, arguing that on any of the primary theories of knowledge, our intuitions about traits do not amount to knowledge. For instance, because we would attribute traits to one another regardless of whether we actually possessed such metaphysically robust dispositions, Nozickian sensitivity theory disqualifies our intuitions about traits from being knowledge. Yet we do think we know (...) that we have traits, so I am advancing an error theory, which means that I owe an account of why we fall into error. Why do we feel so comfortable navigating the language of traits if we lack knowledge of them? To answer this question, I refer to a slew of heuristics and biases. Some, like the fundamental attribution error, the false consensus effect, and the power of construal, pertain directly to trait attributions. Others are more general cognitive heuristics and biases whose relevance to trait attributions requires explanation and can be classed under the headings of input heuristics and biases and processing heuristics and biases. Input heuristics and biases include selection bias, availability bias, availability cascade, and anchoring. Processing heuristics and biases include disregard of base rates, disregard of regression to the mean, and confirmation bias. (shrink)

For decades, intelligence and achievement tests have registered significant differences between people of different races, ethnicities, classes, and genders. We argue that most of these differences are explained not as reflections of differences in the distribution of intellectual virtues but as evidence for the metacognitive mediation of the intellectual virtues. For example, in the United States, blacks typically score worse than whites on tests of mathematics. This might lead one to think that fewer blacks possess the relevant intellectual virtues, or (...) that they possess them less fully. However, research on stereotype threat shows that when blacks are not reminded of their race, they do much better on these tests than when they are. Simply raising to salience the race of the student triggers the activation of the stereotype, which in turn leads to poorer performance. However, learning about stereotype threat to a large extent immunizes people against it. This suggests that the psycho-social dimension of intelligence that recognizes the possibility of effects like stereotype threat is a crucial mediating variable in the development and expression of the intellectual virtues. The Socratic, “Know thyself” needs to be expanded to, “Know thyself and thy society.” Self-knowledge and knowledge of relevant stereotypes are a necessary condition for optimal development and expression of the other intellectual virtues. (shrink)

A higher order potential analysis of moral status clarifies the issues that divide Human Being Theorists who oppose embryo research from Person Theorists who favor embryo research. Higher order potential personhood is transitive if it is active, identity preserving and morally relevant. If the transition from the Second Order Potential of the embryo to the First Order Potential of an infant is transitive, opponents of embryo research make a powerful case for the moral status of the embryo. If it is (...) intransitive, then the Person Theorist can draw lines between levels of moral status that permit embryo research to proceed. (shrink)

I analyze the insights present in Elisabeth Kübler-Ross’s seminal work, On Death and Dying that have laid the foundation for contemporary clinical bioethics as it is practiced by clinical ethics co...

Spirituality or religion often presents as a foreign element to the clinical environment, and its language and reasoning can be a source of conflict there. As a result, the use of spirituality or religion by patients and families seems to be a solicitation that is destined to be unanswered and seems to open a distance between those who speak this language and those who do not. I argue that there are two promising approaches for engaging such language and helping patients (...) and their families to productively engage in the decision-making process. First, patient-centered interviewing techniques can be employed to explore the patient's religious or spiritual beliefs and successfully translate them into choices. Second, and more radically, I suggest that in some more recalcitrant conflicts regarding treatment plans, resolution may require that clinicians become more involved, personally engaging in discussion and disclosure of religious and spiritual worldviews. I believe that both these approaches are supported by rich models of informed consent such as the transparency model and identify considerations and circumstances that can justify such personal disclosures. I conclude by offering some considerations for curbing potential unprofessional excesses or abuses in discussing spirituality and religion with patients. (shrink)

Non-cognitivism might seem to offer a plausible account of evaluative judgments, at least on the assumption that there is a satisfactory solution to the Frege-Geach problem. However, Cian Dorr has argued that non-cognitivism remains implausible even assuming that the Frege-Geach problem can be solved, on the grounds that non-cognitivism still has to classify some paradigmatically rational inferences as irrational. Dorr's argument is ingenious and at first glance seems decisive. However, in this paper I will show that Dorr's argument equivocates between (...) two different notions of evidence, and that once this equivocation is noted there is no reason to doubt that non-cognitivism is consistent with the rationality of such inferences, at least if it is assumed that the Frege-Geach problem can be solved. In particular, I will show that non-cognitivists can endorse the same explanation of the rationality of such inferences that cognitivists should endorse, and that there is thus no need for non-cognitivists to offer any sort of idiosyncratic account of the epistemology of such cases, in contrast to what other commentators on Dorr's argument have thought. (shrink)

Dieser Aufsatz analysiert Leibniz' Begriff der Expression. Er ist eine Vorstudie zu einer umfassenden Untersuchung der Lehre, daß jede einfache Substanz das ganze Weltall ausdrückt. Leibnizens Beispiele und Definitionen von Expression werden besprochen, und dann wird die Analyse des Begriffs in zwei Stufen entwickelt.

Formal arguments have proven that avoiding the Repugnant Conclusion is impossible without rejecting one or more highly plausible population principles. To many, such proofs establish not only a deep challenge for axiology, but also pose an important practical problem of how policymaking can confidently proceed without resolving any of the central questions of population ethics. Here we offer deflationary responses: first to the practical challenge, and then to the more fundamental challenge for axiology. Regarding the practical challenge, we provide an (...) overview of recent literature that explores the implications for public policy of the Repugnant Conclusion and related puzzles within population ethics, and shows that there is more commonality in the implications of different population axiologies than is generally recognized. The upshot is that uncertainty about population ethics presents no important problem for policymaking, and the importance of population ethics to policymaking has been overstated. We then turn to more fundamental issues about axiology, and describe a new series of formal proofs that undermine the idea that any plausible axiology could avoid the Repugnant Conclusion, including those that are assumed to avoid it in the literature. The philosophical upshot is that the Repugnant Conclusion cannot plausibly be avoided, and so it is a mistake to assume as a constraint on a plausible axiology that it must be avoided, as is assumed by most of the literature in population ethics, including by all of the fundamental impossibility theorems. (shrink)