On elective students may not always be clear about safeguarding themselves and others. It is important that placements are safe, and ethically grounded. A concern for medical schools is equipping their students for exposure to and response to uncomfortable and/or unfamiliar requests in locations away from home, where their comfort and safety, or that of the patient, may be compromised. This can require legal, ethical, and/or moral reasoning on the part of the student. The goal of this article is to (...) establish what students actually encounter on elective, to inform better preparing students for safe and ethical medical placements. We discuss the implications of our findings, which are arguably applicable to other areas of graduate training, e.g. first medical roles post-qualification. An anonymised survey exploring clinical and ethical dilemmas on elective was issued across 3 years of returning final year elective medical students. Questions included the prevalence and type of potentially unsafe scenarios encountered, barriers to saying ‘no’ in unsafe situations, perceived differences between resource poor and developed world settings and the degree to which students refused or consented to participation in events outside of the ‘norms’ of their own training experience. Three hundred seventy-nine students participated. 45% were asked to do something “not permissible” at home. 27% were asked to do something they felt “uncomfortable” with, often an invasive clinical task. Half asked to do something not usually permissible were “comfortable”. 48% felt it more acceptable to bypass guidelines in developing settings. 27% refused an offer outside their experience. Of interest are reasons for “going along with” uncomfortable invitations, e.g. “emergency”, self-belief in ‘capability’ and being ‘more qualified’ than host-personnel. This “best pair of hands available” merits scrutiny. Adverse scenarios were not exclusive to developing settings. We discuss preparing students for decision-making in new contexts, and address whether ‘home’ processes are too inflexible to prepare students for ‘real’ medical life? Ethical decision-making and communicating reluctance should be included in elective preparation. (shrink)

This article examines the factors that influence the propensity of corporations to engage with NGOs. Drawing from resource dependency theory and related theories of social networks and the resource-based view of the firm, the authors develop a series of hypotheses that draw from this conceptual foundation to predict a range of factors that influence firms to collaborate with NGOs. These factors include the level of commitment of the firm to CSR, the strategic fit between the firm’s and the NGO’s resources, (...) the level of trust the firm has in NGOs, the frequency of contact with NGOs, prior level and perception of experience with NGOs, and the level of pressure exerted by NGOs. The authors report on results of a survey of the Top 500 firms in the Netherlands on their interactions with NGOs, finding general support for our hypotheses, and suggest that understanding the motives for firm–NGO interactions can teach us more about firms’ corporate social activities and the way such activities are shaped in the dynamic interplay between firms and their stakeholders. Our findings are relevant for future research on cross-sectoral interactions, for corporations considering future relationships with NGO cohorts, and for broader questions about the role of stakeholders and the role of business in society. (shrink)

I will be arguing that a subject’s belief that p is justified if and only if he knows that p: justification is knowledge. I will start by describing two broad classes of allegedly justified beliefs that do not constitute knowledge and which, hence, cannot be what they are often taken to be if my view is correct. It is far from clear what my view is until I say a lot more about the relevant concept or concepts of justification that (...) concern me. The following section describes several concepts of justification that epistemologists have employed, and, in particular, identifies the two concepts of justification that I claim are coextensive with the concept of knowledge. One of those is the deontological conception of justification: I will be arguing that one ought not believe that p unless one knows that p. I imagine that the major opposition to my view will be that it is simply obvious that there are justified false beliefs, a feeling that I try to dispel in the lengthy section on concepts of justification before I finally get around to giving the main arguments in favor of my view. A view as unorthodox as mine demands more than a single argument: I offer four in the third section. Everyone allows that many people have many unjustified beliefs, and everyone has some unjustified beliefs, but such beliefs appear to be far more prevalent on my view than on more orthodox views. In the last section, I argue that unjustified beliefs, although widespread, are not quite as common as they might appear to be on my view. (shrink)

Knowledge ascriptions are contrast-sensitive. One natural explanation for this is that the knowledge relation is contrastive ( s knows that p rather than q ). But can the binary view of knowledge ( s knows that p ) explain contrast-sensitivity? I review some of the linguistic data supporting contrast-sensitivity, and critique the three main binary explanations for contrast-sensitivity. I conclude that the contrast-sensitivity of knowledge ascriptions shows that knowledge is a contrastive relation.

The power of the positive moral emotions to uplift and transform people has long been known, but not by psychologists. In 1771, Thomas Jefferson's friend Robert Skipwith wrote to him asking for advice on what books to buy for his library, and for his own education. Jefferson sent back a long list of titles in history, philosophy, and natural science. But in addition to these obviously educational works, Jefferson advised the inclusion of some works of fiction. Jefferson justified this advice (...) by pointing to the beneficial emotional effects of great fiction: [E]very thing is useful which contributes to fix us in the principles and practice of virtue. When any... act of charity or of gratitude, for instance, is presented either to our sight or imagination, we are deeply impressed with its beauty and feel a strong desire in ourselves of doing charitable and grateful acts also. On the contrary when we see or read of any atrocious deed, we are disgusted with its deformity and conceive an abhorrence of vice. Now every emotion of this kind is an exercise of our virtuous dispositions; and dispositions of the mind, like limbs of the body, acquire strength by exercise. (shrink)

Hamilton introduced two conceptions of social fitness, which he called neighbour-modulated fitness and inclusive fitness. Although he regarded them as formally equivalent, a re-analysis of his own argument for their equivalence brings out two important assumptions on which it rests: weak additivity and actor's control. When weak additivity breaks down, neither fitness concept is appropriate in its original form. When actor's control breaks down, neighbour-modulated fitness may be appropriate, but inclusive fitness is not. Yet I argue that, despite its more (...) limited domain of application, inclusive fitness provides a distinctively valuable perspective on social evolution. (shrink)

Phylogenetic information is often necessary to distinguish between evolutionary scenarios. Recently, some prominent proponents of evolutionary psychology have acknowledged this, and have claimed that such evidence has in fact been brought to bear on adaptive hypotheses involving complex human psychological traits. Were this possible, it would be a valuable source of evidence regarding hypothesized adaptive traits in humans. However, the structure of the Hominidae family makes this difficult or impossible. For many traits of interest, the closest extant relatives to the (...) human species are too phenotypically different from humans for such methods to provide meaningful data. While phylogenetic information can be useful for testing adaptive hypotheses in humans, these generally involve traits that are (a) not widely shared in the species or (b) fairly widely shared in the Hominidae family, and hence likely of a lower order of complexity than the sorts of traits evolutionary psychology has so far been interested in. (shrink)

Conditional learning, where agents learn a conditional sentence ‘If A, then B,’ is difficult to incorporate into existing Bayesian models of learning. This is because conditional learning is not uniform: in some cases, learning a conditional requires decreasing the probability of the antecedent, while in other cases, the antecedent probability stays constant or increases. I argue that how one learns a conditional depends on the causal structure relating the antecedent and the consequent, leading to a causal model of conditional learning. (...) This model extends traditional Bayesian learning by incorporating causal models into agents’ epistemic states. On this theory, conditional learning proceeds in two steps. First, an agent learns a new causal model with the appropriate relationship between the antecedent and the consequent. Then, the agent narrows down the set of possible worlds to include only those which make the conditional proposition true. This model of learning can incorporate both standard cases of Bayesian learning and the non-uniform learning required to learn conditional information. (shrink)

A major work in moral philosophy by the noted Puritan divine.

The absolutist status Mill assigns to his liberty principle (LP) is incompatible with standard utilitarian maximizing reasoning. But LP is compatible with his non-standard utilitarianism, whose extraordinary structure is clarified using a “consequentializing” lens. This involves enlarging outcomes to include not only the downstream consequences of self-regarding actions but also the actions themselves and the agent’s liberty of choosing them using his own agent-relative evaluation criteria. Self-regarding liberty is protected by indefeasible moral right and, according to the higher pleasures doctrine, (...) the moral sentiment of justice has a pleasant quality that is infinitely superior in value as pleasure to any conflicting kinds of pleasure. Infinitesimal value attaches to any pleasures enjoyed by those who wrongfully interfere to compel competent but foolish or reckless agents to take self-regarding actions with the most expedient consequences. Absolute weight is thereby consistently given to LP over all competing considerations in the course of maximizing general happiness in point of quantity and quality. (shrink)

I defend contextualist solutions to the sorites paradox (according to which solutions vague terms are indexicals) from a recent objection raised by Jason Stanley. Stanley's argument depends on the claim that indexical expressions always have invariant interpretations in "Verb Phrase" ellipsis. I argue that this claim is false.

The debate concerning the moral permissibility of using human embryos in human embryonic stem cell (hESC) research has long centred on the question of the embryo's supposed right to life. However, in focussing only on this question, many opponents to hESC research have escaped rigorous scrutiny by making vague and unfounded appeals to the concept of moral respect in order to justify their opposition to certain hESC practices. In this paper, I offer a critical analysis of the concept of moral (...) respect, and its use to support the intuitively appealing principle of proportionality in hESC research. I argue that if proponents of this principle are to justify its adoption by appealing to the concept of moral respect, they must explain two things concerning the nature of the moral respect owed to embryos. First, they must explain which particular aspect of the embryo is morally relevant, and why. Second, they must explain why some uses of embryos in research fail to acknowledge what is morally relevant about the embryo, and thereby involve a violation of the moral respect that they are due. I shall show that providing such explanations may be more difficult than it first appears. (shrink)

The phenomenon known as matching bias consists of a tendency to see cases as relevant in logical reasoning tasks when the lexical content of a case matches that of a propositional rule, normally a conditional, which applies to that case. Matching is demonstrated by use of the negations paradigm that is by using conditionals in which the presence and absence of negative components is systematically varied. The phenomenon was first published in 1972 and the present paper reviews the history of (...) research and theorising on the problem in the subsequent 25 years. Theories of matching bias considered include those based on several broad frameworks including the heuristic-analytic theory, the mental models theory, the theory of optimal data selection, and relevance theory as well as the specific processing-negations account. The ability of these theories to account for a range of phenomena is considered, including the effects of linguistic form, realistic content, and explicit negation on the matching bias effect. Of particular importance are recent findings showing that the bias is observable on a wider range of linguistic forms than has generally been thought, and that it is almost entirely dependent on the use of implicit negation in the logical cases to which rules are applied. The reasons for the general suppression of matching when realistic content is used are, however, unclear and a need for further research is identified here. It is concluded that matching bias is a highly robust effect which is closely connected with the problem of understanding implicit negation. Most of the theories in the literature are unable to account for at least some of the major phenomena discovered in research on the bias. The accounts that fare best are those that posit local effects of negation, including the heuristic-analytic and processing negations theories. (shrink)

Volume 10, Issue 2, June 2019, Page 237-245.

: "Therapeutic misconception" has been misconstrued, and some of the newer, mistaken interpretations are troublesome. They exaggerate the distinction between research and treatment, revealing problems in the foundations of research ethics and possibly weakening informed consent.

in Risk: Philosophical Perspectives ed Tim Lewens, Routledge.

:Advocates of social equality need to develop an account of the society they favor. I have argued elsewhere that social equality should be conceived negatively: in terms of opposition to asymmetric and alienating relations such as hierarchy, domination and social exclusion, rather than in terms of a positive model of equality. This essay looks in detail at social exclusion, or rather “differential social inclusion,” and especially at the mechanisms that create exclusion and bind excluded groups together, and the consequent effects (...) these mechanisms have on the reinforcement of inequality of opportunity and failure of social solidarity. Possible policies, such as improved social mobility, assertive self-affirmation, validation of subcultures, integration, and the creation of a large public sector are considered as possible responses to differential social inclusion in order to move closer to the idea of a society of equals. (shrink)

Drawing from ethnographic research conducted in Alberta, as well as across multiple sites in Canada, this article describes and discusses the practices and experiences of heating off the grid with renewable resources (i.e. passive solar and wood). Heating with renewable resources is herein examined in order to apprehend the cultural significance of dynamics of corporeal involvement in the process of creating indoor warmth. A distinction between energy for which corporeal involvement is relatively high (hot energy) and relatively low (cool energy) (...) is then made. Off-grid indoor warmth is therefore understood as a hot energy requiring intense involvement. The authors argue that thermoception is a type of affect with catalytic properties. (shrink)

According to a Received View, relativistic quantum field theories (RQFTs) do not admit particle interpretations. This view requires that particles be localizable and countable, and that these characteristics be given mathematical expression in the forms of local and unique total number operators. Various results (the Reeh-Schlieder theorem, the Unruh Effect, Haag's theorem) then indicate that formulations of RQFTs do not support such operators. These results, however, do not hold for nonrelativistic QFTs. I argue that this is due to the absolute (...) structure of the classical spacetimes associated with such theories. This suggests that the intuitions that underlie the Received View are non-relativistic. Thus, to the extent that such intuitions are inappropriate in the relativistic context, they should be abandoned when it comes to interpreting RQFTs. (shrink)

Piers Norris Turner’s recent interpretation of John Stuart Mill’s philosophy transforms Mill into an illiberal utilitarian, against the textual evidence. Mill rejects Turner’s standard utilitarian, or “expansive,” conception of harm, according to which mere displeasure or distress counts as nonconsensual harm. Moreover, Mill is not a radical antipaternalist. He says that society may legitimately consider the individual’s own good as a reason for interference with other-regarding actions that inflict nonconsensual harm on others. But there are no reasons, paternalistic or otherwise, (...) for interference with self-regarding actions that may be displeasing to others without causing them any nonconsensual harm. (shrink)

Matching bias in conditional reasoning consists of a tendency to select as relevant cases whose lexical content matches that referred to in the conditional statement, regardless of the presence of negatives. Evans demonstrated that use of explicit rather than implicit negative cases markedly reduced the matching bias effect on the conditional truth table task. In apparent contrast, recent studies of explicit negation on the Wason selection task have failed to find evidence of logical facilitation. Experiment 1 of the present study (...) strongly replicated the Evans findings and extended them to three forms of conditional statement. Experiments 2 and 3 showed further that the use of explicit negatives removed completely the matching bias effect on the Wason selection task. However, consistent with other recent studies, this elimination of bias didnotlead to facilitation of correct responding. The findings are interpreted as providing evidence that matching bias reflects a linguistically cued relevance effect. (shrink)

Tim Scanlon’s famous and important paper ‘The Diversity of Objections to Inequality’ sets out five reasons why those sympathetic to equality may object to inequality. This paper shows the origin of this approach to inequality in Scanlon’s earlier work, and its persistence in his later work. It also compares Scanlon’s position to earlier egalitarian writers, such as R.H. Tawney, and anti-egalitarians such as J.R. Lucas. It concludes by suggesting that there are interaction effects between the reasons for objecting to inequality (...) and hence they are more powerful if taken together. (shrink)

Recently Trent Dougherty has claimed that there is a tension between skeptical theism and common sense epistemology—that the more plausible one of these views is, the less plausible the other is. In this paper I explain Dougherty’s argument and develop an account of defeaters which removes the alleged tension between skeptical theism and common sense epistemology.

Innovation in basic science is often a cause for won­der and excitement. Those associated with a new development are quick to point out the anticipated benefits: a cure for cancer or dementia, an end to unsafe water or hunger. These advocates are slower to draw at­tention to the possible costs, which may become known only much later. It is always hard to have an accurate overview, as it is almost impossible to predict the total effects of the widespread adoption of (...) any new technology and, especially, its longer‐term or cumulative effects, as as­bestos and CFCs demonstrate. For this reason, some policy‐makers or members of the public hope that we can apply “the precautionary principle” to innovation. Unfortunately, if one is looking for a principle that can guide action, then, strictly speaking, there is no pre­cautionary principle. One might better speak of a “pre­cautionary approach,” although even this needs to be unpacked. (shrink)

BackgroundChronic kidney disease is a significant cause of global deaths. Those who progress to end-stage kidney disease often commence dialysis as a life-extending treatment. For cognitively impaired patients, the decision as to whether they commence dialysis will fall to someone else. This scoping review was conducted to map existing literature pertaining to how decisions about dialysis are and should be made with, for, and on behalf of adult patients who lack decision-making capacity. In doing so, it forms the basis of (...) a larger body of work that is exploring how these decisions ought to be made.MethodsTo identify relevant papers, searches were conducted on Ovid MEDLINE(R), Embase, PsychINFO, The Cochrane Library, and Web of Science. Inclusion criteria were then applied, requiring that papers: report on empirical studies about how decisions about dialysis are made and/or discuss how decisions about dialysis should be made with, for, and on behalf of adult patients who lack decision-making capacity; be published from 1961 onwards; and be published in English. This resulted in 27 papers eligible for inclusion.ResultsOf note, the majority of papers originated in the United States. There was wide variation across the included papers. Extracted data were grouped under the following themes: involving various parties (patient involvement, family dominance, and wider communication); objectivity about care options (including difficulties with family detachment); cultural sensitivity; medical versus non-medical factors; managing nonadherent patients; and the role and prevalence of substituted judgement. The literature shows that there is inconsistency in the principles and processes surrounding decisions made about dialysis with, for, and on behalf of adult patients who lack decision-making capacity.ConclusionsThis scoping review demonstrates that there is significant variation in both the practice and theory of dialysis decision making with, for, and on behalf of cognitively impaired adult patients. Complexity arises in considering who should get a say, how influential their say should be in a decision, and what factors are most relevant to the decision. A lack of up-to-date literature exploring this issue is highlighted, with this scoping review providing a useful groundwork from which further research can be undertaken. (shrink)