How should we respond to extremist views that we know are false? This paper proposes that we should be intellectually humble, but not open-minded. We should own our intellectual limitations, but be unwilling to revise our beliefs in the falsity of the extremist views. The opening section makes a case for distinguishing the concept of intellectual humility from the concept of open-mindedness, arguing that open-mindedness requires both a willingness to revise extant beliefs and other-oriented engagement, whereas intellectual humility requires neither. (...) Building on virtue-consequentialism, the second section makes a start on arguing that intellectually virtuous people of a particular sort—people with ‘effects-virtues’—would be intellectually humble, but not open-minded, in responding to extremist views they knew were false. We suggest that while intellectual humility and open-mindedness often travel together, this is a place where they come apart. (shrink)

Eating disorders are mental illnesses that can have a significant and persistent physical impact, especially for those who are not treated early in their disease trajectory. Although many persons w...

In this chapter I identify a phenomenon that is closely allied to testimonial injustice: mnemonic injustice. Mnemonic injustice occurs when stereotypes shape memory and jointly epistemic and practical harms that constitute injustice ensue. I argue that just as people can achieve testimonial justice by combatting the negative effects of stereotypes on the process of testimonial exchange, there are ways that people can achieve mnemonic justice by addressing the impact of stereotypes on memory. It is shown that mnemonic justice, like testimonial (...) justice, can involve personal, interpersonal and structural change. It is argued that testimonial injustice and mnemonic injustice should be treated on a par, with those concerned with reducing epistemic and practical injustices driven to tackle each. (shrink)

Biomedicine has opened up new possibilities for parenthood. Once resigned to remaining childless or pursuing adoption, infertile couples can now pursue options such as gamete donation, in-vitro fer...

ABSTRACT:Psychedelics, including psilocybin, and other consciousness-altering compounds such as 3,4-methylenedioxymethamphetamine (MDMA), currently are being scientifically investigated for their potential therapeutic uses, with a primary focus on measurable outcomes: for example, alleviation of symptoms or increases in self-reported well-being. Accordingly, much recent discussion about the possible value of these substances has turned on estimates of the magnitude and duration of persisting positive effects in comparison to harms. However, many have described the value of a psychedelic experience with little or no reference (...) to such therapeutic benefits, instead seeming to find the experience valuable in its own right. How can we make sense of such testimony? Could a psychedelic experience be valuable even if there were no persisting beneficial effects? If so, how? Using the concept of psychological richness, combined with insights from the philosophy of aesthetics and the enhancement literature, this essay explores potential sources of value in the acute subjective experience, apart from the value derived from persisting beneficial effects. (shrink)

Epistemic analyses of stereotyping describe how they lead to misperceptions and misunderstandings of social actors and events. The analyses have tended so far to focus on how people acquire stereotypes and/or how the stereotypes lead to distorted perceptions of the evidence that is available about individuals. In this chapter, I focus instead on how the stereotypes can generate misleading evidence by influencing the policy preferences of people who harbour the biases. My case study is stereotypes that relate to people living (...) in poverty. I show how these stereotypes influence policy choices in ways that generate misleading evidence about people living in poverty. I argue that the stereotypes generate the misleading evidence by supporting policies that restrict the agency of the people in poverty. In generating this misleading evidence, the stereotypes place additional constraints on the epistemic agency of everyone, making it harder for anyone, including those who do and those who do not endorse the stereotypes, to gain true beliefs about people living in poverty. Going forward, I conclude, adequate epistemic analyses of stereotyping ought to be more expansive, acknowledging both the way that stereotypes generate misleading evidence by constraining the agency of those stereotyped, and how we can all thereby be epistemically constrained by the stereotypes harboured by others. (shrink)

Multimodal prehabilitation is increasingly recognized as an important component of the pre-operative pathway in oncology. It aims to optimize physical and psychological health through delivery of a series of tailored interventions including exercise, nutrition, and psychological support. At the core of this prescription is a need for considerable health behavior change, to ensure that patients are engaged with and adhere to these interventions and experience the associated benefits. To date the prehabilitation literature has focused on testing the efficacy of devised (...) exercise and nutritional interventions with a primary focus on physiological and mechanistic outcomes with little consideration for the role of behavioral science, supporting individual behavior change or optimizing patient engagement. Changing health behavior is complex and to maximize success, prehabilitation programs should draw on latest insights from the field of behavioral science. Behavioral science offers extensive knowledge on theories and models of health behavior change to further advance intervention effectiveness. Similarly, interventions developed with a person-centered approach, taking into consideration individual needs and preferences will increase engagement. In this article, we will provide an overview of the extent to which the existing prehabilitation literature incorporates behavioral science, as well as studies that have explored patient's attitudes toward prehabilitation. We will go on to describe and critique ongoing trials in a variety of contexts within oncology prehabilitation and discuss how current scientific knowledge may be enhanced from a behavioral science perspective. We will also consider the role of “surgery schools” and detail practical recommendations that can be embedded in existing or emerging clinical settings. (shrink)

This is a short response to a paper by Trenton Merricks in which he argues against the following doctrine: Microphysical Supervenience (MS) Necessarily, if atoms A1 through An compose an object that exemplifies intrinsic qualitative properties Q1 through Qn, then atoms like A1 through An (in all their respective intrinsic qualitative properties), related to one another by all the same restricted atom-to-atom relations as A1 through An, compose an object that exemplifies Q1 through Qn.

In their article on the limited duty to reinterpret genetic variants, Watts and Newson argue that clinical labs are not morally obligated to conduct routine reinterpretation despite its potential clinical and personal value.1 We endorse the authors’ argument for a circumscribed duty to reclassify genomic variants in certain cases, including to promote diagnostic equity for racial and ethnic minority populations that have been historically excluded from and exploited by genomic research and medicine. However, given the history and resilience of scientific (...) racism, the use of socially constructed racial and ethnic categories to enhance diagnostic equity raises several ethical and practical challenges. In the short term, using socially constructed racial and ethnic categories to identify patients for variant reclassification is a practical approach for addressing concerns of diagnostic equity. In contrast, diagnostic accuracy depends on patients’ genetic similarity to reference genomes, rather than their socially determined race or ethnicity.2 Thus, in the long term, securing both diagnostic equity and diagnostic accuracy through targeted variant reclassification will require a shift away from relying on race and ethnicity and towards assessing genetic similarity. Critically, the identification of patients for genomic variant reclassification using socially constructed race or ethnicity runs the risk of perpetuating the harmful …. (shrink)

Closest-continuer or best-candidate accounts of persistence seem deeply unsatisfactory, but it’s hard to say why. The standard criticism is that such accounts violate the ‘only a and b’ rule, but this criticism merely highlights a feature of the accounts without explaining why the feature is unacceptable. Another concern is that such accounts violate some principle about the supervenience of persistence facts upon local or intrinsic facts. But, again, we do not seem to have an independent justification for this supervenience claim. (...) Instead, I argue that closest continuer accounts are committed to unexplained correlations between distinct existences, and that this is their fundamental flaw. We can have independent justification for rejecting such correlations, but what the justification is depends upon much broader issues in ontology. There is no one-size-fits all objection to closest-continuer accounts of persistence. (shrink)

The COVID-19 pandemic laid bare systemic inequities shaped by social determinants of health (SDoH). Public health agencies, legislators, health systems, and community organizations took notice, and there is currently unprecedented interest in identifying and implementing programs to address SDoH. This special issue focuses on the role of medical-legal partnerships (MLPs) in addressing SDoH and racial and social inequities, as well as the need to support these efforts with evidence-based research, data, and meaningful partnerships and funding.

Gatekeeping, or determining membership of your group, is crucial to science: the moniker ‘scientific’ is a stamp of epistemic quality or even authority. But gatekeeping in science is fraught with dangers. Gatekeepers must exclude bad science, science fraud and pseudoscience, while including the disagreeing viewpoints on which science thrives. This is a difficult tightrope, not least because gatekeeping is a human matter and can be influenced by biases such as groupthink. After spelling out these general tensions around gatekeeping in science, (...) we shed light on them with a case study from psychology. This concerns whether academic psychologists rightly or wrongly classify the applied-psychology framework of NLP (‘neuro-linguistic programming’) as unscientific and even pseudoscientific. This example of gatekeeping is particularly instructive because both the NLP community and the psychology community, we argue, make legitimate but also illegitimate moves. This case gives rise to several general insights about gatekeeping in science more generally. (shrink)

Until recently, scientific consensus held firm that genetically manipulated embryos created through methods including Mitochondrial Replacement Therapy or human germline genome editing should not be used to initiate a pregnancy. In countries that have relevant laws pertaining to heritable human germline modifications, the vast majority prohibit or restrict this practice. In the last several years, scholars have observed a transformation of scientific and policy restrictions with insistent calls for creating a regulatory pathway. Multiple stakeholders highlight the role of social consensus (...) and public engagement for governance of heritable human germline modifications. However, in the drive to gain public acceptance and lift restrictions, some proponents provide distorted or misleading narratives designed to influence public perception and incrementally shift the consensus. This article describes eight discrete strategies that proponents employ to influence framing, sway public opinion, and revise policymaking of human germline modifications in a manner that undermines honest engagement. (shrink)

Question: Do clinicians providing abortion practicing in states that restrict abortion experience more moral distress than those practicing in states that protect abortion? -/- Findings: In this national, purposive survey study of 310 clinicians providing abortion, moral distress was elevated among all clinicians, with those practicing in restrictive states reporting higher levels of moral distress compared with those practicing in protective states. -/- Meaning: The findings suggest that structural changes addressing bans on necessary health care, such as federal protection for (...) abortion, are needed at institutional, state, and federal policy levels to address clinician moral distress. (shrink)

Spirituality has been a part of nursing for many centuries and represents an essential value for people, including nurses and patients. Cumulative evidence points to the positive contribution of spiritually on health and wellbeing. However, there is little clarity about what spirituality means. The literature reveals that nurses have ascribed a diversity of interpretations to spirituality. However, no studies have investigated how registered nurses construct their understanding of spirituality using a critical discourse analysis approach. Therefore, the aim of this study (...) was to uncover how registered nurses construct their understanding of spirituality using a critical discourse analysis approach. Twenty registered nurses from a non‐denominational public hospital and a faith‐based private hospital were interviewed about their understanding of spirituality and practice of spiritual care. A critical discourse analysis approach was used in the examination of the interview texts to uncover underlying social and power features. Links were made between the linguistic features the registered nurses used in their interviews and the broader social context of the study. Three discourses emerged from the interview texts. These include constructing spirituality through personal religious beliefs discourse, holistic discourse and empathetic care discourse. The findings of this study have implications for nurse education and policy makers. (shrink)

This paper focuses on how experiences of trauma can lead to generalized fear of people, objects and places that are similar or contextually or conceptually related to those that produced the initial fear, causing epistemic, affective, and practical harms to those who are unduly feared and those who are intimates of the victim of trauma. We argue that cases of fear generalization that bring harm to other people constitute examples of injustice closely akin to testimonial injustice, specifically, mnemonic injustice. Mnemonic (...) injustice is a label that has been introduced to capture how injustice can occur via the operation of human memory systems when stereotypes shape what is remembered. Here we argue that injustices can also occur via memory systems when trauma leads to a generalized fear. We also argue that this calls for a reformulation of the notion of mnemonic injustice. (shrink)

Critical Notice on Organizations as Wrongdoers By Stephanie Collins Oxford University Press, 2023. -/- Extract: What, if any, role does metaphysics have to play in addressing moral questions? When answering questions about moral responsibility, many theories rely on answers to questions about the nature of agency and agents, the persistence of persons and the existence and nature of free will. In recent work in social ontology, philosophers have argued for views of social categories or identities that take ethical and social–political (...) desiderata into consideration in several ways. Some argue for views of gender identities that depend on epistemic and ethical considerations (Bettcher, 2009). Others develop views of gender categories in ways they take to be metaphysically realist, tracking robust explanatory patterns in the world. For instance, Barnes (2017) argues for this interpretation of Haslanger’s views of racial and gender categories. Others argue that injustice and oppression are reflected in the nature of social categories. For instance, while it ought not to be this way, some gender categories are, for instance, trans-exclusionary (Ásta 2018). Indeed, one might even argue that social categories can involve a distinctively metaphysical form of oppression (Jenkins 2020, 2023). It is clear that many philosophers argue in ways that draw close connections between metaphysical and moral theorizing. ... (shrink)

Several prominent debates in biology, such as those surrounding adaptationism, group selection, and punctuated equilibrium, have focused on disagreements about the relative importance of a cause in producing a phenomenon of interest. Some philosophers, such as John Beatty have expressed scepticism about the scientific value of engaging in these controversies, and Karen Kovaka has suggested that their value might be limited. In this paper, I challenge that scepticism by giving a novel analysis of relative significance controversies, showing that there are (...) three forms they can take. I argue that these controversies can have significant epistemic upshots, in that they help scientists form predictions about new instances of the phenomenon of interest. Finally, using two historical examples, I show how engaging in these controversies can improve our understanding of causal relationships. (shrink)

Newman’s explicit presentation of the ideal type, “the gentleman,” appears first and foremost in his Oratory papers of 1847 and 1848, and appears only secondarily, and then but partially, four and five years later in his Dublin Discourses of 1852. This essay traces lines of similarity and of difference between these successive portraits and distinguishes both from the attractive, better-known sketch Newman presents as Lord Shaftesbury’s, the “beau ideal” of the man of the world.

There is a growing recognition among many scientists and philosophers that metaphysical presuppositions guide scientific research. These ontological claims, in turn, prescribe a particular methodology for how to go about investigating and explaining those kinds of things. There is thus what I call a move from metaphysics to methods. Using cancer research as a case study, I defend the existence of this move, and I argue for an “agnostic” attitude towards the metaphysical presuppositions guiding cancer research. I defend this agnosticism (...) on two grounds: first, the underdetermination of metaphysical frameworks by empirical research, and second, on the ground of inductive risk, namely that when it comes to cancer research, there are more than just epistemic consequences for making the wrong metaphysical choice. I conclude that one should instead allow for a pluralism of metaphysical frameworks to guide cancer research. (shrink)

The Laws x argument that the gods attend to humans has a surprising structure: the Athenian offers an argument that ‘forces’ the interlocutor to agree that he was wrong, then says he needs a myth in addition. I argue that the myth responds to the interlocutor’s motivation for thinking that the gods ignore human beings, and that although it is not an argument, it is a vehicle for rational persuasion.

What is silence? Is it a loss, an omission? Is it a stopping of the mouth, of the voice? An empty place where no meaning has come forward…or perhaps at times quite the opposite, an absence-as-presence Deleuze, 1990; Derrida, 1976)? Might silence evoke much more about what we assume is our monological, unitary reality, indexing possibilities yet unseen? This paper outlines the ways in which silence is typically understood according to scholarly orthodoxy: as omission in human communication or a silencing (...) of minoritized individuals or communities by those in power. It then moves to critique the preeminence of whitestream Western-centric academic authority, which self-perpetuates via the exclusion of outsider ways of doing, being and knowing such as those brought forward by silence, constituting a loss of meaning and knowledge from the social imaginary. This paper suggests that the pursuit of an articulate unknowing regarding silence as a creative, disruptive force beyond the control of rationality is a means of engaging with radical possibilities for a different, juster world. It proposes a socio-diologic politics of the real that welcomes silence as an unsettling of our current thinking about what is and will be possible, as well as who does and does not matter. It concludes by illustrating the ingenious force of silence in examples of subversive art that expose the hegemonizing, rational version of reality sold by academics and powerholders, bringing forward into the imagination what prospects for change, justice, and social transformation yet await. (shrink)

Virtues commonly associated with physicians and other healthcare professionals include empathy, respect, kindness, compassion, trustworthiness, and many more. Building upon the work of Bortolloti, Murphy-Hollies, and others, I suggest that curiosity as a virtue has an integral role to play in healthcare, namely, in helping to make those who are invisible, visible. Practicing the virtue of curiosity enables one to engage with and explore the experiences of patients and contributes toward building a physician–patient relationship of trust. As the perspectives and (...) experiences of patients can be too often dismissed or lost within medical settings, curiosity can allow physicians to deeply know their patients, and thus provide better care. However, caution must be exercised so as to not to venture into inappropriate curiosity, where questions are asked for improper reasons or to help satisfy the personal interest of physicians. Finally, I sketch out two cases—on chronic pain and on vaccine hesitancy—to illustrate where curiosity can play a valuable role. (shrink)

Previous philosophical work on distrust in science has argued that understanding public distrust in science and scientific interventions requires that we pay careful attention not only to epistemic considerations (that is, beliefs about science), but also to values, and the emotional contexts in which assessments of scientific credibility are made. This is likely to be a truncated list of relevant factors for understanding trust/distrust, but these are certainly key areas of concern. The aim of this paper is not to further (...) innumerate the list of relevant factors. Rather, it is to map the ways that these key areas (beliefs, values, and emotions) are related to each other. These are not distinct categories, but rather they interact, making our picture of distrust more complicated than we might otherwise imagine. This discussion will take place in the context of resistance to medical interventions. Notably, Ebola interventions in West Africa, HIV/AIDS testing in South Africa, and vaccines across the world. (shrink)

Famously, in 1790, Edmund Burke asked who of the most recent generation had ever read a work of the most prominent freethinkers of the earlier eighteenth century (naming Anthony Collins, John Tolan...

One of Martin Heidegger’s enduring philosophical legacies is his overall vision of what it is to be us. We—whoever that turns out to include—are cases of Dasein, and as such we are distinctively open to entities, including others and ourselves. In this essay, I paint a picture of that openness that aims to capture why Heidegger’s vision has so powerfully gripped so many. Drawing on Heidegger’s thought both early and late, I present a synoptic view of us as open to (...) the encounter with entities' bursting forth into presencing. We can be more or less closed off to this upsurge, but we can also allow it in its full power: in philosophical and poetic openness. I draw on Borgmann, Buber, Plato’s Socrates, Rilke, and others to capture our openness at its Heideggerian best—and we ourselves at our best, showing up radiantly for encounter. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Christians Talk About Buddhist Meditation; Buddhists Talk About Christian PrayerSarah K. PinnockChristians Talk About Buddhist Meditation; Buddhists Talk About Christian Prayer. Edited by Rita M. Gross and Terry C. Muck. London: Continuum, 2003. 157 pp.It is popularly assumed that meditation enhances well-being and relieves stress. In the West, Asian practices are taught to persons from mainly Christian and Jewish backgrounds as new forms of spirituality, often presented as (...) dramatically different from monotheistic traditions. Yet some practitioners consider meditation and other forms of Asian spirituality as enhancing rather than replacing worship of God.This book presents essays by twelve authors that explore similarities and differences between Buddhist meditation and Christian prayer. The book reprints pieces that originally appeared in the journal Buddhist-Christian Studies in 2001 and 2002. It is thoroughly dialogical in format. Part 1 contains five Christian reflections on Buddhist spiritual practice followed by two Buddhist responses, while part 2 consists of five Buddhist reflections on Christian spiritual practice with two Christian responses. Many of the contributors are connected with the Society for Buddhist-Christian Studies. Importantly, they combine academic and experiential knowledge of the two religions. The collection is framed by an introduction by Terry Muck and a conclusion by Rita Gross, the book's editors, who are Christian and Buddhist practitioners, respectively. The symmetry of the chapter layout is pleasing and apt.Sociologically, the major impetus for this dialogue is the fact that a growing number of Christians have found Buddhist meditation fruitful. However, these Christians have not left behind their original religious identification. As they interact with Buddhists, dialogue has emerged comparing the two traditions. Clearly for Christians practicing some Buddhism, the emphasis is on mutual appreciation and commonality. To examine the motivation for interreligious dialogue, it is fitting to ask, whose interests does the dialogue serve? First and foremost, the interests are Christian. While Christian authors have gained from Buddhist spiritual practice, Buddhists have not adapted Christian prayer techniques in return. But although the genealogy of dialogue has Christian origins, the editors intend to take a neutral approach. They frame the topic broadly and invite [End Page 204] contributors to remark on any facet of the other tradition, including critical points.In part 1, Frances Adeney, Mary Frohlich, Paul Ingram, Terry Muck, and Bardwell Smith express how aspects of Buddhist meditation have enriched their Christian spirituality. Adeney learned techniques of Buddhist silent meditation from a Jesuit priest in Indonesia that enable heightened awareness of God's presence. Frohlich belongs to a Catholic religious order for women and finds Buddhism helpful for developing discipline in prayer. For Ingram, Buddhist meditation is one ingredient in a spiritual journey focused on social liberation and discovering God's presence. Muck has found reflection on Theravada teaching about morality (sila) to be an impetus to overcome the theological dichotomy between faith and works and to develop the importance of spiritual readiness that cuts across religious traditions. Smith's participation in interfaith pilgrimage and meditation illustrates the spiritual discipline that Buddhism offers.There are many overlapping insights among these chapters that Grace Burford helpfully summarizes in her response essay: first, Buddhist practice can confirm aspects of Christian practice, such as silent prayer; second, the encounter with Buddhism can lead Christians to uncover untapped streams within Christianity, especially monastic and mystical traditions; third, Buddhism can offer unique new techniques to Christians, such as zazen, which provide rigor in developing mental concentration. Christian appreciation of Buddhism blurs religious boundaries but never requires abandonment of church or creed. Robert Thurman's response concludes with a comment on the postmodern insecurity about boundaries, and praises these Christian authors for resisting the hardening of religious identities. He reminds readers of the Dalai Lama's exhortation that conversion to Buddhism is not generally the best option for non-Buddhists drawn to his Tibetan tradition. Rather, he advises taking what seems good in Buddhism to enrich one's original religion, thus remaining integrated with family members, communities, and local customs.In part 2, the contributions of Buddhist authors display more academic distance because of the fact that the authors are not engaged in Christian practices in their Buddhist lives. But the essays... (shrink)

I review Part III of Dmitri Levitin's Kingdom of Darkness, itself a book-length study of Isaac Newton's life and works. I focus my attention on Levitin's interpretation of Newton's natural philosophy. On the negative side, Levitin argues that there is no metaphysics in Newton's natural philosophy and, moreover, that Newton was deeply and explicitly opposed to metaphysics. On the positive side he maintains that, for Newton, natural philosophy was the search for mathematically-expressible regularities in the phenomena; no more, and no (...) less. In my review, I explore how we should understand the term ‘metaphysics' in Levitin's book, how his reading of Newton relates to a positivist reading (something he eschews), and the extent to which Newton’s natural philosophy includes the investigation of causes. (shrink)

Although higher education is positioned as a site of opportunity for young women in the UK, not all female applicants experience straightforward pathways into this arena. This paper focuses on a group of 16 high-achieving girls from working-class backgrounds who are striving for academic success, in the form of top grades and places at high-tariff UK universities. Against the backdrop of neoliberalism and postfeminism, the stereotype of an academic ‘supergirl’ incites these young women to construct their pathways to high-tariff universities (...) individualistically and to invest in aspirational futures beyond where they grew up. However, this stereotype also places a heavy burden on them, as young women from working-class backgrounds, to take responsibility for their own outcomes. Using Margaret Archer’s concept of ‘autonomous reflexivity’ to analyse the research findings, the paper shows how the girls find themselves pincered between the powerfully enabling and constraining effects of their social class alongside their academic success. It highlights complexities and contradictions of striving to be a high-achieving, working-class girl that are not currently well understood within the research literature or widening access and participation agenda. (shrink)