Once upon a time, medicine dismissed narrative as unimportant and uninteresting. Then, in the late 1980s, physicians and scholars became interested in how the study of narrative could enhance our understanding of illness and health care, and the field that came to be known as “narrative medicine” developed. Some of this scholarly activity focused on the idea of narrative ethics.After a flurry of activity around the turn of the twenty‐first century, narrative ethics seemed to stall. The general interest in narrative (...) in medicine continued but with few new ideas on how one might use narrative toward ethical ends. In the last few years, however, forward momentum has returned. The timing seems appropriate, therefore, for a “state of the field” report of sorts. (shrink)

The anecdotal and historical literature describing intoxication in elephants from fermented fruit or alcoholic beverages is reviewed. Seven African elephants readily self-administered 7% unflavored alcohol solutions; the results included separation from herd groupings and changes in the frequency and/or duration of several behaviors as scored according to a quantitative observational system. Alcohol decreased feeding, drinking, bathing, and exploration for most animals. Inappropriate behaviors such as lethargy and ataxia increased for all elephants. Results are discussed in terms of stress-induced drinking and (...) intoxication. (shrink)

Computer technology as well as the need to conduct research in primary care settings, has stimulated the creation in the U.S. of information networks linking private physicians' offices and other primary care practice sights. These networks give rise to several problems which have philosophic interest. One is a numerator problem created by the difficulty in primary care of using the more complicated or invasive diagnostic technologies commonly employed in tertiary care research. Another is a denominator problem arising from the difficulties (...) in determining which and how many patients constitute the population from which a practice is drawn. Finally, this mode of research raises questions about the social construction of medical reality and how objective medical truth is actually based on carefully selected patient experience. All these questions combine to challenge the gold standard view on medical research: the idea that some sorts of medical knowledge are epistemologically privileged and can serve as a bench-mark to determine whether new data are valid. (shrink)

Jules Brody argues that Aristotle's usage of hamartia in The Poetics is best understood in terms of its literal meaning, "missing the mark," rather than in the broader, familiar sense of "tragic flaw." Hamartia is a morally neutral non-normative term, derived from the verb hamartano, meaning "to miss the mark," "to fall short of an objective." And by extension: to reach one destination rather than the intended one; to make a mistake, not in the sense of a moral (...) failure, but in the nonjudgmental sense of taking one thing for another, taking something for its opposite. Hamartia may betoken an error of discernment due to ignorance, to the lack of an essential piece of information.1 Or, as S. H. Butcher would have it:... (shrink)

Mark Jago presents an original philosophical account of meaningful thought: in particular, how it is meaningful to think about things that are impossible. We think about impossible things all the time. We can think about alchemists trying to turn base metal to gold, and about unfortunate mathematicians trying to square the circle. We may ponder whether God exists; and philosophers frequently debate whether properties, numbers, sets, moral and aesthetic qualities, and qualia exist. In many philosophical or mathematical debates, when (...) one side of the argument gets things wrong, it necessarily gets them wrong. As we consider both sides of one of these philosophical arguments, we will at some point think about something that’s impossible. Yet most philosophical accounts of meaning and content hold that we can’t meaningfully think or reason about the impossible. -/- In The Impossible, Jago argues that we often gain new information, new beliefs, and, sometimes, fresh knowledge through logic, mathematics, and philosophy. That is why logic, mathematics, and philosophy are useful. We therefore require accounts of knowledge and belief, of information and content, and of meaning which allow space for the impossible. Jago’s aim in this book is to provide such accounts. He gives a detailed analysis of the concept of hyperintensionality, whereby logically equivalent contents may be distinct, and develops a theory in terms of possible and impossible worlds. Along the way, he provides a theory of what those worlds are and how they feature in our analysis of normative epistemic concepts: knowledge, belief, information, and content. (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)

Everyone wants to be virtuous, but recent psychological investigations suggest that this may not be possible. Mark Alfano challenges this theory and asks, not whether character is empirically adequate, but what characters human beings could have and develop. Although psychology suggests that most people do not have robust character traits such as courage, honesty and open-mindedness, Alfano argues that we have reason to attribute these virtues to people because such attributions function as self-fulfilling prophecies - children become more studious (...) if they are told that they are hard-working and adults become more generous if they are told that they are generous. He argues that we should think of virtue and character as social constructs: there is no such thing as virtue without social reinforcement. His original and provocative book will interest a wide range of readers in contemporary ethics, epistemology, moral psychology and empirically informed philosophy. (shrink)

In this paper, I describe some of what I take to be the more interesting features of friendship, then explore the extent to which other virtues can be reconstructed as sharing those features. I use trustworthiness as my example throughout, but I think that other virtues such as generosity & gratitude, pride & respect, and the producer’s & consumer’s sense of humor can also be analyzed with this model. The aim of the paper is not to demonstrate that all moral (...) virtues are exactly like friendship in all important respects, but rather to articulate a fruitful model in which to explore the virtues. Section 2 explores the relational nature of friendship, drawing on Aristotle’s discussion of friendship in the Nicomachean Ethics. Section 3 catalogues four motivations for taking seriously the friendship model of virtue. Section 4 applies the friendship model in depth to the virtue of trustworthiness. (shrink)

This pioneering book delivers a systematic account of agonistic democracy, and a much-needed analysis of the core components of agonism: pluralism, tragedy, and the value of conflict. It also traces the history of these ideas, identifying the connections with republicanism and with Greek antiquity. Mark Wenman presents a critical appraisal of the leading contemporary proponents of agonism and, in a series of well-crafted and comprehensive discussions, brings these thinkers into debate with one another, as well as with the post-structuralist (...) and continental theorists who influence them. Wenman draws extensively on Hannah Arendt, and stresses the creative power of human action as augmentation and revolution. He also reworks Arendt's discussion of reflective judgement to present an alternative style of agonism, one where the democratic contest is linked to the emergence of a militant form of cosmopolitanism, and to prospects for historical change in the context of neoliberal globalisation. (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)

This paper brings together two erstwhile distinct strands of philosophical inquiry: the extended mind hypothesis and the situationist challenge to virtue theory. According to proponents of the extended mind hypothesis, the vehicles of at least some mental states (beliefs, desires, emotions) are not located solely within the confines of the nervous system (central or peripheral) or even the skin of the agent whose states they are. When external props, tools, and other systems are suitably integrated into the functional apparatus of (...) the agent, they are partial bearers of her cognitions, motivations, memories, and so on. According to proponents of the situationist challenge to virtue theory, dispositions located solely within the confines of the nervous system (central or peripheral) or even the skin of the agent to whom they are attributed typically do not meet the normative standards associated with either virtue or vice (moral, epistemic, or otherwise) because they are too susceptible to moderating external variables, such as mood modulators, ambient sensibilia, and social expectation signaling. We here draw on both of these literatures to formulate two novel views – the embedded and extended character hypotheses – according to which the vehicles of not just mental states but longer-lasting, wider-ranging, and normatively-evaluable agentic dispositions are sometimes located partially beyond the confines of the agent’s skin. (shrink)

The concepts of placebos and placebo effects refer to extremely diverse phenomena. I recommend dissolving the concepts of placebos and placebo effects into loosely related groups of specific mechanisms, including (potentially among others) expectation-fulfillment, classical conditioning, and attentional-somatic feedback loops. If this approach is on the right track, it has three main implications for the ethics of informed consent. First, because of the expectation-fulfillment mechanism, the process of informing cannot be considered independently from the potential effects of treatment. Obtaining informed (...) consent influences the effects of treatment. This provides support for the authorized concealment and authorized deception paradigms, and perhaps even for outright deceptive placebo use. Second, doctors may easily fail to consider the potential benefits of conditioning, leading them to misjudge the trade-off between beneficence and autonomy. Third, how attentional-somatic feedback loops play out depends not only on the content of the informing process but also on its framing. This suggests a role for libertarian paternalism in clinical practice. (shrink)

Propositions play a central role in contemporary semantics. On the Russellian account, propositions are structured entities containing particulars, properties and relations. This contrasts sharply with the sets-of-possible-worlds view of propositions. I’ll discuss how to extend the sets-of-worlds view to accommodate fine-grained hyperintensional contents. When this is done in a satisfactory way, I’ll argue, it makes heavy use of entities very much like Russellian tuples. The two notions of proposition become inter-definable and inter-substitutable: they are not genuinely distinct accounts of how (...) propositions represent what they represent. Semantic theorists may move freely between the two conceptions of what propositions are. Nevertheless, the two approaches give different accounts of the metaphysical nature of propositions. I argue that the sets-of-worlds view provides an adequate account of the nature of propositions, whereas the Russellian view cannot. (shrink)

Pluralists about coincident entities say that distinct entities may be spatially coincident throughout their entire existence. The most pressing issue they face is the grounding problem. They say that coincident entities may differ in their persistence conditions and in the sortals they fall under. But how can they differ in these ways, given that they share all their microphysical properties? What grounds those differences, if not their microphysical properties? Do those differences depend only on the way we conceptualise those objects? (...) Are they primitive facts about reality? Neither option is pleasant for the pluralist, but what else can she say? To respond to the grounding problem, the pluralist should first tell a story about what material objects are. If that story explains how the modal and sortal properties of objects are grounded, in a way that allows for differences between coincident objects, then she has a response to the problem. That is precisely my aim in this paper. (shrink)

I present an internal problem for David Lewis’s genuine modal realism. My aim is to show that his analysis of modality is inconsistent with his metaphysics. I consider several ways of modifying the Lewisian analysis of modality, but argue that none are successful. I argue that the problem also affects theories related to genuine modal realism, including the stage theory of persistence and modal fictionalism.

This volume presents over a decade of work by Mark Schroeder, one of the leading figures in contemporary metaethics. One new and ten previously published papers weave together treatments of reasons, reduction, supervenience, instrumental rationality, and legislation, to explore the nature and limits of moral explanation.

What makes up reality, and how? What kinds of entity are fundamental to reality, and how do dependent entities depend on the fundamental ones? How does one entity metaphysically ground another? These questions are central to contemporary metaphysics. The papers in this collection, written by a new generation of metaphysicians, address these and related questions. They investigate the metaphysical concepts of grounding and fundamentality, and the relationship between the fundamental and all the other parts of reality. Together, these papers represent (...) the cutting-edge of a central topic in contemporary metaphysics. (shrink)

Parents in the US and other societies are increasingly refusing to vaccinate their children, even though popular anti-vaccine myths – e.g. ‘vaccines cause autism’ – have been debunked. This book explains the epistemic and moral failures that lead some parents to refuse to vaccinate their children. First, some parents have good reasons not to defer to the expertise of physicians, and to rely instead upon their own judgments about how to care for their children. Unfortunately, epistemic self-reliance systematically distorts beliefs (...) in areas of inquiry in which expertise is required. Second, vaccine refusers and mainstream medical authorities are often committed to different values surrounding health and safety. For example, while vaccine advocates stress that vaccines have low rates of serious complications, vaccine refusers often resist vaccination because it is ‘unnatural’ and because they view vaccine-preventable diseases as a ‘natural’ part of childhood. Finally, parents who refuse vaccines rightly resist the utilitarian moral arguments – ‘for the greater good’ – that vaccine advocates sometimes make. Unfortunately, vaccine refusers also sometimes embrace a pernicious hyper-individualism that sanctions free-riding on herd immunity and that cultivates indifference to the interpersonal and social harms that unvaccinated persons may cause. (shrink)

Rich with historical and cultural value, these works are published unaltered from the original University of Minnesota Press editions.

The speech act of bragging has never been subjected to conceptual analysis until now. We argue that a speaker brags just in case she makes an utterance that is an assertion and is intended to impress the addressee with something about the speaker via the belief produced by the speaker's assertion. We conclude by discussing why it is especially difficult to cancel a brag by prefacing it with, ‘I'm not trying to impress you, but…’ and connect this discussion with Moore's (...) paradox and the recent neologism ‘humblebrag’. (shrink)

Although Nietzsche accepted a distant cousin of Brian Leiter’s “Doctrine of Types,” according to which, “Each person has a fixed psycho-physical constitution, which defines him as a particular type of person,” the details of his actual view are quite different from the flat-footed position Leiter attributes to him. Leiter argues that Nietzsche thought that type-facts partially explain the beliefs and actions, including moral beliefs and actions, of the person whom those type-facts characterize. With this much, I agree. However, the Doctrine (...) of Types as formulated by Leiter, is manifestly unsupported both by Nietzsche’s texts and as an empirical hypothesis. Although Leiter has teamed up with Joshua Knobe to shore up the empirical credentials of his version of the Doctrine of Types, and although Knobe is one of the best experimental philosophers currently working in moral psychology, their account of the Doctrine is wrong both textually and empirically. That is to say, Nietzsche did not hold the version of the Doctrine they attribute to him, and it’s a good thing he didn’t, because the version that he actually did hold is better empirically supported than the version that they attribute to him. For Nietzsche – and in reality – types are not immutable or fixed. Although not everyone is endowed with the same type, which type someone belongs to can (though needn’t) evolve over the course of her lifetime. In particular, whereas I agree with Leiter that the neo-Aristotelian account of character development is empirically inadequate, I do so not because I think no character development occurs but because I think that character development occurs in a different way. In addition, for Nietzsche – and in reality – types on their own are not normative. Character, which is normatively evaluable, only arises through the refinement, calibration, and development of temperament. It might seem like I’ve just set myself an ambitious-enough goal, but I want to do more in this paper. The main point I want to argue is that Nietzsche held a person-type-relative unity of virtue thesis, according to which what’s intrinsically good for a particular person is to develop and act from particular character traits that “fit” her type. (shrink)

Some of the earliest Western ideas about the virtues of character gave justice a prominent position, but if moral philosophy has made any progress at all in the past two centuries, we might think it worthwhile to reconsider what that virtue involves. Kant seems (even to most non-Kantians) to have crystallized something important to our relations with others in formulating a proscription against treating others merely as means. And twentieth-century moral and political theory put the justice of social institutions in (...) the spotlight in an unprecedented way. Here I explore the significance of these developments for what it is to be a just person (the nature of “individual justice”) as it was originally understood, within the eudaimonist virtue-ethical theories of the ancient Greeks. By any standard, ancient thinking about individual justice seems to have been incomplete in important ways; perhaps, in virtue of these advances in moral theory, we are in position to enrich our thinking about it. (shrink)

This dissertation explores the reasons why structured graphics have been largely ignored in the representation and reasoning components of contemporary theories of axiomatic systems. In particular, it demonstrates that for the case of modern logic and geometry, there are systematic forces in the intellectual history of these disciplines which have driven the adoption of sentential representational styles over diagrammatic ones. These forces include: the changing views of the role of intuition in the procedures and formalisms of formal proof; the historical (...) contrast between the universalist subject matter of logic and the specific subject matter of geometry; and the ways in which both logic and geometry were affected by the changes that swept through mathematics during the nineteenth century. This dissertation traces the effects of each of these influences in the evolution of logic and geometry from antiquity to the early twentieth-century work of David Hilbert. For each discipline, it examines the historical factors impacting the creation and development of important diagrammatic systems, the reasons for the adoption or abandonment of these systems, and the philosophical context and debates surrounding the use of these systems. It concludes by arguing that the history of diagrammatic representations in logic and geometry cannot be adequately understood without essential reference to their philosophical background. (shrink)

Because of the ease of their implementation, attribute-value based theories of grammar are becoming increasingly popular in theoretical linguistics as an alternative to transformational accounts and in computational linguistics. This book provides a formal analysis of attribute-value structures, their use in a theory of grammar and the representation of grammatical relations in such theories of grammar. It provides a classical treatment of disjunction and negation, and explores the linguistic implications of different representations of grammatical relations. Mark Johnson is assistant (...) professor in cognitive and linguistic sciences at Brown University. He was a Fairchild postdoctoral fellow at the Massachusetts Institute of Technology during the 1987-88 academic year. (shrink)

This book is a philosophical study of the relations between hearing and thinking about music. The central problem it addresses is as follows: how is it possible to talk about what a listener perceives in terms that the listener does not recognize? By applying the concepts and techniques of analytic philosophy the author explores the ways in which musical hearing may be described as nonconceptual, and how such mental representation contrasts with conceptual thought. The author is both philosopher and musicologist (...) and uniquely combines the perspectives of both disciplines. Exploring the philosophical questions of mental representation in the relatively neglected, nonverbal domain of music, this study is a major contribution to the philosophical understanding of music perception and cognitive theory. (shrink)

Rumelhart and McClelland's chapter about learning the past tense created a degree of controversy extraordinary even in the adversarial culture of modern science. It also stimulated a vast amount of research that advanced the understanding of the past tense, inflectional morphology in English and other languages, the nature of linguistic representations, relations between language and other phenomena such as reading and object recognition, the properties of artificial neural networks, and other topics. We examine the impact of the Rumelhart and McClelland (...) model with the benefit of 25 years of hindsight. It is not clear who “won” the debate. It is clear, however, that the core ideas that the model instantiated have been assimilated into many areas in the study of language, changing the focus of research from abstract characterizations of linguistic competence to an emphasis on the role of the statistical structure of language in acquisition and processing. (shrink)

In this chapter, the author analyzes Foucault's conception of subjectivity and his history of technologies of the self, the collections of practices by which subjectivity constitutes itself. The first section situates Foucault's conception of subjectivity in his overall body of work and intellectual context, particularly in relation to two figures in French philosophy. The second section explores the conception of the subject that Foucault develops in his late work. Having explained the importance of historical practices to his conception of subjectivity, (...) the third section considers his history of Western practices of the self, mapping the relative fortunes of what Foucault calls the “technologies” of ethics and spirituality. The fourth section explores Foucault's consideration of the contemporary implications of his position, his assessment of the scope for and importance of spiritual or ethical practices today. (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)

The New York Times have praised Dave Chappelle as "an American folk hero" for his ability to communicate across lines of race, class, and culture at a time when Americans are more polarized than they have ever been. Dave Chappelle and Philosophy brings together twenty-five chapters by philosophers of diverse backgrounds and varying points of view, looking closely at the hilarious, annoying, exhilarating, upsetting, and thought-provoking aspects of Chappelle's wonderfully rich output. This volume of the Series serves as an invitation (...) to think about some of the most urgent moral and political questions of our time. (shrink)

Over the course of the twentieth century, the logical space available to metaethics has been rather thoroughly mapped out. We now have a pretty good idea of the inhabitable terrain, and each bit of that terrain appears to be occupied by able defenders. So it comes as a surprise when Mark Timmons stakes out previously undiscovered and unclaimed territory. He defends a view that he labels “ethical contextualism,” a position that is at once naturalistic, nonreductive, nonrelativist, irrealist, nondescriptivist, and (...) cognitivist. The list may seem incoherent so as to risk identifying contextualism with a form of error theory, but Timmons thinks this is an illusion resulting from a failure to realize that not all assertions need be descriptive. Some assertions are evaluative assertions distinct from descriptive assertions. As assertions, they express beliefs, but not representational beliefs. (shrink)

: Bioethicists have articulated an ideal of shared decision making between physician and patient, but in doing so the role of clinical uncertainty has not been adequately confronted. In the face of uncertainty about the patient's prognosis and the best course of treatment, many physicians revert to a model of nondisclosure and nondiscussion, thus closing off opportunities for shared decision making. Empirical studies suggest that physicians find it more difficult to adhere to norms of disclosure in situations where there is (...) substantial uncertainty. They may be concerned that acknowledging their own uncertainty will undermine patient trust and create additional confusion and anxiety for the patient. We argue, in contrast, that effective disclosure will protect patient trust in the long run and that patients can manage information about uncertainty. In situations where there is substantial uncertainty, extra vigilance is required to ensure that patients are given the tools and information they need to participate in cooperative decision making about their care. (shrink)

ABSTRACT:This essay offers an interpretation of Hegel's theory of normativity according to which normative evaluation is primarily a matter of a thing's answerability to its own constitutive norms. I show that natural and spiritual norms correspond to two different species of normative evaluation for Hegel, two categorically distinct ways something can violate its own constitutive norms. I conclude with some general reflections on the relationship between normativity and ontology in Hegel's system.

Drawing on the best scholars in the field from around the world, The Oxford Handbook of Public Accountability showcases conceptual and normative as well as the empirical approaches in public accountability studies.

Alternative proteins, including plant-based and cell-based meat and dairy analogues, are discursively positioned as a new form of meat and dairy and as a solution to the myriad of issues associated with conventional animal agriculture. Animal agricultural industries across various nations have resisted this positioning in regulatory spaces by advocating for laws that restrict the use of meat and dairy terms on the labels of alternative proteins products. Underlying this contestation are differing understandings of, and vested interests in, desirable futures (...) for animal agriculture. In Australia, this broader contestation led to a national-level inquiry by a Senate parliamentary committee entitled _Definitions of meat and other animal products_ (the Inquiry). This paper reports findings from a study of the problematizations developed through the Inquiry using a framework for policy discourse analysis referred to as Bacchi’s ‘What’s the Problem Represented to be’ methodology. It shows how the dominant discourse throughout the Inquiry moved away from the initial problematization of alternative proteins as a threat to animal agriculture. Instead, both industries were ultimately positioned as not in competition and only labelling laws were problematized with the solution being amendments to ensure ‘consumer clarity’. This outcome ignored a range of alternative problematizations related to the ethical, environmental, health, social and economic issues raised by animal agriculture and by alternative proteins. This lack of scrutiny benefits both industries, by closing off the policy discourse to consideration of a range of alternative interests, voices, and potential solutions, such as stricter health and welfare regulation. (shrink)