In this paper, I make the case for risks and burdens of morality and meaning. Recognizing such risks and burdens would require many of us to expand how we think about the imposition of risks and burdens. As I take it, if such an expansion helps us make more sense of relevant cases and helps us clarify or resolve debates for which risks and burdens are relevant, then it is well-motivated. Accordingly, I will demonstrate the relevance of my proposed expansion (...) to recent philosophical discussion on the ethics of procreation and provide a series of cases which my proposed expansion makes more sense of than an unexpanded account of risks and burdens and. Moreover, if adopted, I expect an expanded notion of risks and burdens will have implications far beyond procreative ethics. (shrink)

Gossip is often serious business, not idle chitchat. Gossip allows those oppressed to privately name their oppressors as a warning to others. Of course, gossip can be in error. The speaker may be lying or merely have lacked sufficient evidence. Bias can also make those who hear the gossip more or less likely to believe the gossip. By examining the social functions of gossip and considering the differences in power dynamics in which gossip can occur, we contend that gossip may (...) be not only permissible but virtuous, both as the only reasonable recourse available and as a means of resistance against oppression. (shrink)

As the Sorcerer Supreme, Doctor Stephen Strange is Earth's sole protector from mystical forces that threaten its very existence. This chapter explores several ways in which Strange fails to operate with the proper balance between extremes, what moral philosophers in the tradition of virtue ethics call the “golden mean”. As a medical doctor, Strange was living his life at the extremes. Strange's carefree and reckless lifestyle helped contribute to the automobile accident that crushed his hands, ending his medical career and (...) leading him to seek out the mystical healing powers of the Ancient One. After his accident, Strange gained humility and perspective, appreciating the value of life and dedicating his own to protecting humanity. Even though Doctor Strange is overly zealous in how he prioritizes his mission as Earth's mystical defender over his personal life, the choices he makes in pursuit of that mission are nuanced. (shrink)

Selected as a Financial Times Best Book of 2013Governments today in both Europe and the United States have succeeded in casting government spending as reckless wastefulness that has made the economy worse. In contrast, they have advanced a policy of draconian budget cuts--austerity--to solve the financial crisis. We are told that we have all lived beyond our means and now need to tighten our belts. This view conveniently forgets where all that debt came from. Not from an orgy of government (...) spending, but as the direct result of bailing out, recapitalizing, and adding liquidity to the broken banking system. Through these actions private debt was rechristened as government debt while those responsible for generating it walked away scot free, placing the blame on the state, and the burden on the taxpayer. That burden now takes the form of a global turn to austerity, the policy of reducing domestic wages and prices to restore competitiveness and balance the budget. The problem, according to political economist Mark Blyth, is that austerity is a very dangerous idea. First of all, it doesn't work. As the past four years and countless historical examples from the last 100 years show, while it makes sense for any one state to try and cut its way to growth, it simply cannot work when all states try it simultaneously: all we do is shrink the economy. In the worst case, austerity policies worsened the Great Depression and created the conditions for seizures of power by the forces responsible for the Second World War: the Nazis and the Japanese military establishment. As Blyth amply demonstrates, the arguments for austerity are tenuous and the evidence thin. Rather than expanding growth and opportunity, the repeated revival of this dead economic idea has almost always led to low growth along with increases in wealth and income inequality. Austerity demolishes the conventional wisdom, marshaling an army of facts to demand that we austerity for what it is, and what it costs us. (shrink)

We argue that the interaction of biased media coverage and widespread employment of the recognition heuristic can produce epistemic injustices. First, we explain the recognition heuristic as studied by Gerd Gigerenzer and colleagues, highlighting how some of its components are largely external to, and outside the control of, the cognitive agent. We then connect the recognition heuristic with recent work on the hypotheses of embedded, extended, and scaffolded cognition, arguing that the recognition heuristic is best understood as an instance of (...) scaffolded cognition. In section three, we consider the double-edged sword of cognitive scaffolding. On the one hand, scaffolds can reduce the internal processing demands on cognitive agents while increasing their access to information. On the other hand, the use of scaffolding leaves cognitive agents increasingly vulnerable to forming false beliefs or failing to form beliefs at all about particular topics. With respect to the recognition heuristic, agents rely on third parties (such as the media) to report not just what’s true but also what’s important or valuable. This makes cognitive agents relying on these third parties vulnerable to two erroneous influences: 1) because they don’t recognize something, it isn’t important or valuable, and 2) because they do recognize something, it is important or valuable. Call the latter the Kardashian Inference and the former the Darfur Inference. In section four, we use Fricker’s (2007) concept of epistemic injustice to characterize the nature and harm of these false inferences, with special emphasis on the Darfur Inference. In section five, we use data-mining and an empirical study to show how Gigerenzer’s population estimation task is liable to produce Darfur Inferences. We conclude with some speculative remarks on more important Darfur Inferences, and how to avoid them by scaffolding better. One primary way to accomplish this it to shift the burden of embodying the virtue of epistemic justice from the hearer or consumer of media to the media themselves. (shrink)

Physicians' duties to their patients traditionally have been construed narrowly in time and scope to focus on the specific episode of care or clinical encounter. Physicians generally have had no ethical or legal duty to notify patients about new medical information discovered after a visit, notwithstanding the health care benefits to patients that might flow from receiving the information. The rule was based on the relatively high burdens that notification would impose on physicians compared with the likelihood of benefits to (...) patients. This established view, however, no longer may be appropriate in light of new physician-patient relationships and the reduced burden of patient notification using new types of health information technology. This article explores the duty to inform patients and former patients about relevant, medical developments subsequent to their episode of care. It concludes by recommending the recognition in ethics and law of a limited, ongoing duty to notify patients of significant information relevant to their health. (shrink)

A key public health measure has received far too little attention over the course of the Covid‐19 pandemic: paid sick leave policies that encourage people at risk of spreading disease to stay home rather than come to work. The United States is one of the only developed countries that fails to guarantee paid sick leave at the federal level, leaving a patchwork of state and private policies that undersupply time off when people are contagious and protect top wage earners at (...) wildly disproportionate rates compared with what workers with lower incomes experience. Other countries have shown that sick leave mandates are neither unjustified burdens on employers nor gratuitous giveaways to employees. In fact, sick leave saves on health care costs by making employees less likely to infect coworkers, to be absent for longer themselves, or to need treatment in expensive hospital emergency departments. Nationally guaranteed sick leave is urgently needed to promote public health. (shrink)

This study seeks to advance the understanding of controversy resolution in science. I take as a case study conceptualization and treatment of ulcer disease. Analysis of causal accounts and effective treatments illustrate the ways in which competing parallel research programs in medicine embody opposing social, political, and economic forces which are bound to the epistemological dimensions of scientific controversy (e.g., standards of evidence, reference, and inference), and which in turn shift perception of the burden of proof. The analysis illustrates (...) the ways in which (1) medical diagnoses create as much as discover useful distinctions and (2) epistemic and non epistemic values divide scientists into competing research programs, as well as (3) the ways in which these structures often effectively prevent scientific controversy closure. (shrink)

Quietist Moral Realists accept that there are moral facts and properties, while aiming to avoid many of the explanatory burdens thought to fall on traditional moral realists. This chapter examines the forms that Quietist Moral Realism has taken and the challenges it has faced, in order to better assess its prospects. The best hope, this chapter argues, lies in a pragmatist approach that distinguishes the different functions of diverse areas of discourse. This paves the way for a form of Quietism (...) that does not simply remain quiet about the explanatory demands of metaethics, but rather is able to diagnose where they go wrong. By combining a neopragmatic analysis of the discourse with an easy approach to ontology, , we can develop a form of Quietist Moral Realism that is far stronger than critics of quietism have appreciated. (shrink)

It is argued that the primary aim of institutional management is to protect the moral integrity of health professionals without significantly compromising other important values and interests. Institutional policies are recommended as a means to promote fair, consistent, and transparent management of conscience-based refusals. It is further recommended that those policies include the following four requirements: (1) Conscience-based refusals will be accommodated only if a requested accommodation will not impede a patient’s/surrogate’s timely access to information, counseling, and referral. (2) Conscience-based (...) refusals will be accommodated only if a requested accommodation will not impede a patient’s timely access to health care services offered within the institution. (3) Conscience-based refusals will be accommodated only if the accommodation will not impose excessive burdens on colleagues, supervisors, department heads, other administrators, or the institution. (4) Whenever feasible, health professionals should provide advance notification to department heads or supervisors. Formal review may not be required in all cases, but when it is appropriate, several recommendations are offered about standards and the review process. A key recommendation is that when reviewing an objector’s reasons, contrary to what some have proposed, it is not appropriate to adopt an adversarial approach modelled on military review boards’ assessments of requests for conscientious objector status. According to the approach recommended, the primary function of reviews of objectors’ reasons is to engage them in a process of reflecting on the nature and depth of their objections, with the objective of facilitating moral clarity on the part of objectors rather than enabling department heads, supervisors, or ethics committees to determine whether conscientious objections are sufficiently genuine. (shrink)

Historically, conscientious objection has been associated with military service. Currently, however, it does not occur exclusively in response to compulsory military service. With increasing frequency, health care professionals, including those who practice in institutional settings such as hospitals and long-term care facilities, conscientiously object to providing specific medical services. This chapter provides a framework for managing conscientious objection within institutional settings. Criteria are provided for determining when refusals to provide medical services are conscientious objections. Reasons are offered for accommodating conscientious (...) objectors and for denying or limiting accommodation. A reasonable accommodation approach, which consists in five requirements, is explained and defended: (1) Conscience-based refusals will be accommodated only if a requested accommodation will not impede a patient’s/surrogate’s timely access to information, counseling, and referral. (2) Conscience-based refusals will be accommodated only if a requested accommodation will not impede a patient’s timely access to health care services offered within the institution. (3) Conscience-based refusals will be accommodated only if the accommodation will not impose excessive burdens on other clinicians, supervisors, department heads, or the institution. (4) Whenever feasible, health professionals should provide advance notification to department heads or supervisors. (5) Conscience-based refusals will be accommodated only if it will not enable invidious discrimination. (shrink)

Two of the distinctive ethical issues that arise for computer users (as opposed to computer programmers) have to do with the file formats that are used to encode information and the licensing terms for computer software. With respect to both issues, most professional philosophers do not recognize the burdens that they impose on others. Once one recognizes these burdens, a very simple argument demands changes in the behavior of the typical computer user: some of the ways we use computers gratuitously (...) impose significant burdens on others; it is wrong to impose significant burdens on others gratuitously; some of the ways we use computers are unethical. (shrink)

For nearly twenty-five years, federal regulation of privacy issues in research involving human subjects was the primary province of the federal rule for Protection of Human Subjects. As of April 14, 2003, the compliance date for the Privacy Rule of the Health Insurance Portability and Accountability Act, however, the Common Rule and the Privacy Rule jointly regulate research privacy. Although, in theory, the Privacy Rule is intended to complement the Common Rule, there are several areas in which the rules diverge. (...) In some instances the inconsistencies result in gaps in privacy protection; in other instances the inconsistencies result in added burdens on researchers without additional privacy protections. In all instances, the lack of harmonization of these rules has created confusion, frustration, and misunderstanding by researchers, research subjects, and institutional review boards. In this article, I review the major provisions of the Privacy Rule for research, explain the areas in which the Privacy Rule and Common Rule differ, and conclude that the two rules should be revised to promote consistency and maximize privacy protections while minimizing the burdens on research. (shrink)

The semantic theory of expressivism has been applied within metaethics to evaluative words like ‘good’ and ‘wrong’, within epistemology to words like ‘knows’, and within the philosophy of language, to words like ‘true’, to epistemic modals like ‘might’, ‘must’, and ‘probably’, and to indicative conditionals. For each topic, expressivism promises the advantage of giving us the resources to say what sentences involving these words mean by telling us what it is to believe these things, rather than by telling us what (...) it would be for them to be true. This, in turn, absolves these theories of the burden of holding that there is any general answer to what it is for these sentences to be true. However, expressivism is famously subject to a deep and general problem about how to account for the meanings of complex sentences – a problem variously known as the ‘Frege-Geach’ or ‘embedding’ problem. In this paper I will be interested in whether there are reasons to think that the embedding problem looks less difficult for some of these applications for expressivism, than for others. In particular, in this paper I will be interested in the prospects for expressivism about what I will call epistemics – a class which I take to include epistemic modals like ‘might’ and ‘must’, sentential adverbs like ‘probably’, adjectives like ‘likely’ and ‘improbable’, and so-called ‘open’ indicative conditionals like ‘if the Fed doesn’t intervene, then the economy will enter a deflationary spiral’. There are several reasons to be particularly interested in expressivism about epistemics, relating both to the philosophical payoffs of such a view, and relating to the technical prospects for making it work. In other work I’ve touched on the especially interesting philosophical payoffs which make expressivism about epistemics interesting; in this paper I will be interested primarily in evaluating the possibility that there are better prospects for making expressivism about epistemics work than there are for making expressivism work about other topics. There are two main reasons why one might suspect that expressivism about epistemics will have better prospects than expressivism about many other topics, including in metaethics.. (shrink)

The HIPAA Privacy Rule is notoriously weak because of its incomplete coverage, numerous exclusions and exemptions, and limited rights for individuals. The three areas in which it provides the most protection are fundraising, marketing, and research. Provisions of the 21st Century Cures Act, pending in Congress, and the Notice of Proposed Rulemaking to amend the federal research regulations, awaiting final regulatory action, would weaken the privacy protections for research. If these measures are adopted, the HIPAA Privacy Rule would have so (...) little value that it might not be worth the aggravation and burden. (shrink)

In recent times, ‘just war’ discourse has become unfortunately associated, in the minds of some, with the idea of the forcible promotion or imposition of democracy as a legitimate just cause. It would thus be understandable if supporters of just war theory were to disavow any particular linkage of its tenets with the democratic ideal. However, while certainly not endorsing the stated cause, this article contends that the theory in its most plausible and attractive form does exhibit certain biases towards (...) the ideal, in both jus ad bellum and jus post bellum. If these biases fall short of shackling the theory to claims such as ‘only democracies can fight just wars’, they may nevertheless place taxing justificatory burdens on a non-democracy's claim to have a war-waging right and on non-democratic conceptions of the just peace that should ideally follow a just war. (shrink)

ABSTRACTIn common usage, historical distance refers to a position of detached observation made possible by the passage of time. Understood in these terms, distance has long been regarded as essential to modern historical practice, but this conception narrows the idea of distance and burdens it with a regulatory purpose. I argue that distance needs to be re‐conceived in terms of the wider set of engagements that mediate our relations to the past, as well as the full spectrum of distance‐positions from (...) near to far. Re‐imagined in these terms, distance sheds its prescriptiveness and becomes a valuable heuristic for examining the history of historical representation. When distance is studied in relation to the range of mediations entailed in historical representation, it becomes evident that the plasticities of distance/proximity are by no means limited to gradients of time; rather, temporality is bound up with other distances that come from our need to engage with the historical past as a realm of making, of feeling, of doing, and of understanding. Thus for every historical work, we need to consider at least four basic dimensions of representation as they relate to the problem of mediating distance: 1. the genres, media, and vocabularies that shape the history's formal structures of representation; 2. the affective claims made by the historical account, including the emotional experiences it promises or withholds; 3. the work's implications for action, whether of a political or moral nature; and 4. the modes of understanding on which the history's intelligibility depends. These overlapping, but distinctive, distances—formal, affective, ideological, and conceptual—provide an analytic framework for examining changing modes of historical representation. (shrink)

In this article it is argued that a complex model that includes Toulmin's functional account of argument, the pragma-dialectical stage analysis of argumentation offered by the Amsterdam School, and criteria developed in critical thinking theory, can be used to account for the normativity and field-dependence of argumentation in science. A pragma-dialectical interpretation of the four main elements of Toulmin's model, and a revised account of the double role of warrants, illuminates the domain specificity of scientific argumentation and the restrictions to (...) which the confrontation and opening stages of scientific critical discussions are subjected. In regard to the argumentation stage, examples are given to show that a general account of argumentation, as advocated by informal logicians, is not applicable to arguments in science. Furthermore, although patterns of inference differ in various scientific practices, deductive validity is argued to be a crucial notion in the assessment of scientific arguments. Finally, some remarks are made concerning the burden of proof and the concluding stage of scientific argumentation. (shrink)

For those who think the statue and the piece of copper that compose it are distinct objects that coincide, there is a burden of explanation. After all, common sense says that different ordinary objects cannot occupy the same space at the same time. A common argument in favour of four-dimensionalism (or ?perdurantism? or ?temporal parts theory?) is that it provides the resources for a superior explanation of this coincidence. This, however, is mistaken. Any explanatory work done by the four-dimensionalist (...) notion of absolute parthood rests ultimately on notions equally available to the three-dimensionalist. Thus, a neutral explanation of coincidence is at least as good while avoiding commitment to temporal parts. ?Many thanks to David Christensen, Louis deRosset, Matti Eklund, and two anonymous referees for helpful comments. (shrink)

Physicians are expected to engage patients as partners in identifying the possible benefits and harms associated with treatment options and selecting from among medically appropriate treatment options, rather than simply dictating what treatments patients will and will not receive. This collaborative model reflects the recognition that citizens in multicultural societies have diverse values and are likely to have different views about whether the possible benefits of a medical intervention outweigh the possible harms. However, there are circumstances in which the collaborative (...) process breaks down due to irresolvable disagreement. Especially challenging are cases in which patients are expected to die if they do not receive a treatment and either the patients or their surrogates insist on the treatment despite the physician's belief that providing it is ill advised. The source of disagreement is often differing appraisals of the risks and potential benefits. In such cases, physicians generally judge that there is insufficient likelihood or magnitude of benefit to justify the burdens or expense of treatment, while patients or surrogates believe that the small chance of preventing the patient's death is sufficient to justify the costs and potential burdens to the patient.There is a perception that surgeons enjoy considerable discretion in deciding when the risks of a procedure outweigh the expected benefits. An important contrast can be drawn between surgeons and intensivists—physicians who specialize in the medical management of critically ill patients. We will argue that there are good reasons for subjecting the decisions of both surgeons and intensivists to some oversight. We begin by showing that, for many cases, major professional society guidelines for intensivists recommend oversight via a procedural mechanism rather than unilateral decision‐making by individual clinicians. Next, we present reasons for adopting a procedural approach to dispute resolution, and we argue that these reasons apply to situations in which intensivists believe that patients or surrogates are requesting inappropriate life support as well as to many disagreements between surgeons and surrogates. Finally, we present and respond to several objections. (shrink)

The capacity to designate a surrogate (CDS) is not simply another kind of medical decision-making capacity (DMC). A patient with DMC can express a preference, understand information relevant to that choice, appreciate the significance of that information for their clinical condition, and reason about their choice in light of their goals and values. In contrast, a patient can possess the CDS even if they cannot appreciate their condition or reason about the relative risks and benefits of their options. Patients who (...) lack DMC for many or most kinds of medical choices may nonetheless possess the CDS, particularly since the complex means-ends reasoning required by DMC is one of the first capacities to be lost in progressive cognitive diseases (eg, Alzheimer’s disease). That is, patients with significant cognitive decline or mental illness may still understand what a surrogate does, express a preference about a potential surrogate, and be able to provide some kind of justification for that selection. Moreover, there are many legitimate and relevant rationales for surrogate selection that are inconsistent with the reasoning criterion of DMC. Unfortunately, many patients are prevented from designating a surrogate if they are judged to lack DMC. When such patients possess the CDS, this practice is ethically wrong, legally dubious and imposes avoidable burdens on healthcare institutions. (shrink)

This Article explores settlement incentives under three different burden of proof rules. The conventional burden of proof is a discontinuous step-function, jumping from no damages to full damages at the 0.5 jury confidence level. Continuous burdens of proof, by contrast, would permit sanctions to steadily increase as juror confidence rises from 0 to 1, with no discontinuity. Linear burdens, which have received extensive attention in prior literature, escalate sanctions steadily across the whole range of confidence levels, while the (...) logistic burden takes a nonlinear form. Using a data simulation approach guided by the empirical realities of American civil litigation, I consider the incentives that each of these rules creates for parties contemplating settlement, using a model in which parties make divergent forecasts of their expected outcomes at trial due to optimism bias. Based on this analysis, I conclude that a linear burden would likely raise our settlement rate by a modest amount, except in very large cases and in “easy” cases, in which an unbiased person would predict that a trial factfinder would have a level of confidence in liability quite close to either zero or one. I also compare the expected error rate of the settlements that each rule produces, and find that the linear rule modestly lowers the expected error rate of settlement overall, although this benefit does not hold for easy cases or those with very high damages. Lastly, I conduct a similar analysis for the logistic burden, finding that it induces a similar quality and quantity of settlements as we currently achieve using conventional burdens. (shrink)

In “Other Minds,” Austin maintained that, unless there is a special reason to suspect the bird he saw is stuffed, he does not need to do enough to show it is not stuffed in order to be credited with knowing what he has just claimed to know: that the bird he saw is a goldfinch. But suppose Austin were presented with the following argument: You don’t know the bird is not a stuffed goldfinch. If you don’t know the bird is (...) not a stuffed goldfinch, you don’t know the bird is a goldfinch. Therefore, you don’t know the bird is a goldfinch. Which of the premises of this argument would Austin have rejected? My brief is that the answer is, “Neither”: Austin would have dismissed the very idea that he needed to choose a premise to reject. The burden of this essay is to explain why. (shrink)

Background Since 2015, Michigan has required parents who request nonmedical exemptions (NMEs) from school or daycare immunization mandates to receive education from local public health staff (usually nurses). This is unlike most other US states that have implemented mandatory immunization counseling, which require physicians to document immunization education, or which provide online instruction. -/- Purpose To attend to the activity and dispositions of the public health staff who provide “waiver education”. -/- Method This study reports results of focus group interviews (...) with 39 of Michigan's vaccine waiver educators (37 nurses), conducted during 2016 and 2017, and analyzed in 2018. -/- Findings Four themes emerged from analysis of the transcripts of these interviews: Participants had (1) complex and nuanced observations and evaluations of parents' judgments and feelings about vaccines and vaccine education; (2) sympathetic attitudes about alternative vaccine schedules; (3) critical and supportive evaluations of institutional policies and the background political context of immunization education; and (4) consistent commitments to respect parents, affirm their values, and protect their rights. Discussion These results show that public health nurses are sensitive to the burdens mandatory immunization education places on families, the motivations for parents' requests for nonmedical exemptions, and the values implicated by personal immunization decisions and government immunization policies. In light of the unique training, experiences, and public reputation of nurses, there is good reason for additional investigation into the roles that nurses can play in immunization education and in vaccine mandate policies, more generally. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:166 BOOK REVIEWS Those who read this handsome book and study the paintings and sculptures of Zarlenga in excellent color will be able to follow the phases of his artistic development and find many subjects for medita· tion and enjoyment. Aquinas Institute of Theology St. Louis, Missouri BENEDICT M. ASHLEY, O.P. The Thought of Thomas Aquinas. By BRIAN DAVIES, O.P. Oxford: Oxford University Press, 1992 (cloth); Oxford: Clarendon Press, (...) 1993 (paper). Pp. xv + 391. An establishing circumstance of the ' restoration ' of Christian philosophy at the end of the last century, and the turn of this century, was that the medieval authors whom Christian philosophers turned to were, by profession, theologians whose appropriation of philosophy was for explicitly theological ends. By and large, however, the modern authors who set about retrieving medieval thought had an agenda quite different from that of their medieval luminaries. Still reeling from the philosophical fall-out of the Enlightenment, and encountering rationalism, idealism, and empiricism on all sides, committed Christian thinkers sought a source of philosophical reflection and, perhaps more importantly, justification, that could buttress the claims made by Christianity for those who were within the believing community, and defend the faith from the intellectual attacks of those who were not. The enduring philosophical inheritance of the Middle Ages, and particularly the philosophia perennis of St. Thomas Aquinas, was that source, wrote Leo XIII in his Aeterni patris, and Catholic philosophers soon collected. But the inheritance was not fully collected. With distinctive philosophical goals in mind, Christian philosophers focused upon the putative philosophy of medieval writers, particularly Aquinas, and largely left theological reflection alone. And, when theological contentions on the part of medieval authors did make their way into the discussion, they were almost inevitably appropriated as a legitimate incorporation of revealed teaching into what somehow remained the philosophical project. The result was 'Christian Philosophy.' Although this resulted in the flurry of Catholic philosophical study during the first half of this century, the picture that emerged of the medieval authors, and of Thomas in particular, was inevitably one-sided, and incomplete. An overly pessimistic assessment of the situation would be to say that, for all the hard work of the Gilsons and Maritains, Van Steenberghens and DeKonincks, we are no nearer to Thomas today than we were in the 1870s. BOOK REVIEWS 167 Brian Davies's endeavor seeks to change that, because it attempts to provide the modern reader with a comprehensive introduction to the great expanse of Thomas's thought according to the manner in which Thomas himself presented it in his mature theological masterpiece, the Summa theologiae. Fr. Davies has succeeded magnificently, and his book will become, as it should, a mainstay on the bookshelves of university libraries, students, and teachers alike. Professional philosophers whose work never leads them to Thomas's discussion on Christ, say, can readily get a good working knowledge of how Thomas approaches this center of Christian faith and practice. And the student who is altogether new to Aquinas can grasp something of the ' movement ' of Thomas's thought by reading, and re-reading, Davies judicious renderings of Thomas's doctrine on human acts. This is a book of many uses, all of them instructive and helpful. Considering this book to be an introduction, as Fr. Davies does (p. viii), does not do justice to the quantity of his achievement in writing it, or of the student's investment in reading it. The work occupies some 391 pages, reading made difficult by the tightly-knit character of Thomas's thought, though Davies' easy writing helps to allay the burden. The physical constitution of the book, in slightly off-white octavo paper and an 11-point base font, makes for comfortable reading. Davies has avoided excessive footnoting, giving references to Thomas's text judiciously, and he also provides a well-tailored and impressively diverse bibliography at the end.of the volume which can be effectively consulted by his reader. The author himself is a foundational theologian at Blackfriars in Oxford, so one might expect him instinctively to address the particular audience he encounters in his work. But, save on a very few occasions, Fr. Davies is mindful that in... (shrink)

Strawson argues that we should understand moral responsibility in terms of our practices of holding responsible and taking responsibility. The former covers what is commonly referred to as backward-looking responsibility , while the latter covers what is commonly referred to as forward-looking responsibility . We consider new technologies and interventions that facilitate assignment of responsibility. Assigning responsibility is best understood as the second- or third-personal analogue of taking responsibility. It establishes forward-looking responsibility. But unlike taking responsibility, it establishes forward-looking responsibility (...) in someone else. When such assignments are accepted, they function in such a way that those to whom responsibility has been assigned face the same obligations and are susceptible to the same reactive attitudes as someone who takes responsibility. One family of interventions interests us in particular: nudges. We contend that many instances of nudging tacitly assign responsibility to nudgees for actions, values, and relationships that they might not otherwise have taken responsibility for. To the extent that nudgees tacitly accept such assignments, they become responsible for upholding norms that would otherwise have fallen under the purview of other actors. While this may be empowering in some cases, it can also function in such a way that it burdens people with more responsibility that they can (reasonably be expected to) manage. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Remembering ApartheidMark Sanders (bio)What was apartheid? How is it being remembered? Two questions. The first of them, almost at once, encourages a third: what is apartheid? An answer to the first question will be an answer to the third. Knowing what apartheid was, it is implied, we will know what apartheid is. We will know what it is in essence. But if the answer supplied to the first question (...) is the same as that to the second, the question has been begged. This answer and begged question affect not only what we understand apartheid to have been. The essence of what apartheid is has been derived from an activity of remembering that is historically contingent. Is there a way out of this circle? A path to a place where essence will in no way be trammeled by any historical excrescence—where apartheid, stamped with -heid, the Afrikaans suffix for -ness, stands forth intact, unique—where, in a final victory, apartheid's phantasy of separateness will have perfected itself in truth? Supposing that responsibility involves the unstable articulation of essence and contingency, and consequent decision in the "night of non-knowledge," would it be responsible to seek such a way out? Is it possible, on the other hand, not to embark upon, or want to embark upon, such a search?The title "Remembering Apartheid" is to be understood as shorthand for this aporia of certain knowing. It refers in the first place to ways of remembering bound up, in South Africa, with the Truth and Reconciliation Commission. These have involved not only the collection of facts anchored in recollection, a classically forensic project, but also the admission of acts of grieving and the invitation for others to participate in these acts—a participation to which I will refer, employing the word in the general sense of a mourning-with, as condolence. The word remembrance (echoing the German Gedächtnis, with its folding in of Denken) might more closely approach the inextricable interlinking, before the Commission, of epistemic and mournful practice. Yet, in traversing the aporia provisionally without eliminating it, the title of my essay lays claim to knowledge. It announces: this is apartheid, for this is what apartheid was. It thereby also seeks to acknowledge that, just as forensic evidence assembled by the Commission may be bound up with the grieving of witnesses, no claim about the nature of apartheid can be untouched by the affective demands of those who bear the burden of remembering. The legacy of apartheid of which they speak is of undiscovered bodies, of bodies denied a proper burial. They seek the help of the Commission in rectifying this state of affairs. What we hear when we listen to those witnesses is this: apartheid was a proscription on mourning, specifically of the other. Can we then not say: apartheid is, at least for those who remember the worst deeds committed under it, and who attach to them a particular affect, a proscription on mourning the other? Viewed from a purely forensic point of view, it is far from clear that we possess evidence to impeach this testimony. [End Page 60]Apartheid was/is, in the most general terms, an interdict against the development of a social formation. Although Afrikaner-nationalist politicians and intellectuals sometimes frightened the volk with images of being swamped by the vast black African mass or of being ploughed under as a people [see Louw 1: 505], the nature of that social formation was never outlined in precise terms. Versions of racial degeneration and bastardy were proffered by apartheid theorists, but what the ideology of race purity and the power that hid behind it really entailed was a foreclosure of the other, and thus of any historical possibility of another social formation—of what Breyten Breytenbach, alluding in Dog Heart [69] to the novelist Jan Rabie, calls "other-making" (andersmaak).In Group Psychology and the Analysis of the Ego (1921), Sigmund Freud offers an account of the social formation that, although standing on the shoulders of conservative nineteenth-century writers such as Gustave le Bon, does not depend upon racial, cultural, linguistic, or other characteristics that, singularly or together, formed the core... (shrink)

The 'Beethoven syndrome' is the inclination of listeners to hear music as the projection of a composer's inner self. This was a radically new way of listening that emerged after Beethoven's death. Beethoven's music was a catalyst for this change, but only in retrospect, for it was not until after his death that listeners began to hear composers--and not just Beethoven--in their works, particularly in their instrumental music. The Beethoven syndrome: hearing music as autobiography traces the rise, fall, and persistence (...) of this mode of listening from the middle of the eighteenth century to the present. Prior to 1830, composers and audiences alike operated within a framework of rhetoric in which the burden of intelligibility lay squarely on the composer, whose task it was to move listeners in a calculated way. But through a confluence of musical, philosophical, social, and economic changes, the paradigm of expressive objectivity gave way to one of subjectivity in the years around 1830. The framework of rhetoric thus yielded to a framework of hermeneutics: concert-goers no longer perceived composers as orators but as oracles to be deciphered. In the wake of World War I, however, the aesthetics of 'new objectivity' marked a return not only to certain stylistic features of eighteenth-century music but also to the earlier concept of expression itself. Objectivity would become the cornerstone of the high modernist aesthetic that dominated the century's middle decades. Masterfully citing a broad array of source material from composers, critics, theorists, and philosophers, Mark Evan Bonds's engaging study reveals how perceptions of subjective expression have endured, leading to the present era of mixed and often conflicting paradigms of listening"--Dust jacket flap. (shrink)

Models carry the meaning of science. This puts a tremendous burden on the process of model selection. In general practice, models are selected on the basis of their relative goodness of fit to data penalized by model complexity. However, this may not be the most effective approach for selecting models to answer a specific scientific question because model fit is sensitive to all aspects of a model, not just those relevant to the question. Model Structural Adequacy analysis is proposed (...) as a means to select models based on their ability to answer specific scientific questions given the current understanding of the relevant aspects of the real world. (shrink)

Recently, several states in the US have made it more difficult to receive nonmedical exemptions to school vaccine mandates in the hope of better orienting parents towards vaccination. However, little is known about how public-facing school staff implement and enforce mandate policies, including why or how often they steer parents towards nonmedical exemptions. This study focused on Michigan, which has recently added an additional burden for families seeking nonmedical exemptions. We used an anonymous online survey to assess Michigan public-school (...) employees (n = 157) about their knowledge, attitudes, and behaviors regarding Michigan's school enrollment vaccine mandate policy. Our main conclusions are that frontline school staff are generally knowledgeable about vaccines and immunization policy, but are at best ambivalent about their role in immunization governance, believing that other agents should be responsible for ensuring that children are vaccinated. Furthermore, some respondents indicated low vaccine confidence, which was associated with increased ambivalence about, or opposition to, their role in immunization governance. As more jurisdictions within and beyond the US consider introducing or tightening childhood vaccine mandates, it is increasingly important to understand how these policies can be improved by attending to the attitudes and roles of relevant frontline actors. (shrink)

BackgroundExtremely violent events such as terrorist attacks and mass shootings form a severe risk for the health and wellbeing of affected individuals. In this study based on a public health monitor, we focus on the health impact of the Utrecht tram shooting, which took place in the morning of March 18th 2019. A lone gunman opened fire on passengers within a moving tram. Four people died, and six people were injured in this attack. The attack resulted in nationwide commotion and (...) drew much media attention. Aim of this study was to increase insight into the health effects for the survivors, and whether they received the needed care and support.MethodsSemi-structured interviews with accompanying questionnaires were conducted at six and 18 months post-attack. Overall, 21 survivors participated in the first series of interviews, 15 in the second series. Qualitative data were analyzed using reflexive thematic analysis, quantitative data was only described because of the low sample size.ResultsAt both six and 18 months after the attack many survivors had been able to resume daily life, and most rated their overall health as good or excellent. At the same time, a substantial portion suffered from health problems such as posttraumatic stress symptoms and other complaints, and needed professional care. Furthermore, those in need did not always find their own way to appropriate care through the existing health system: half of the survivors still needed support in finding the right care 18 months later.ConclusionAlthough the design and implementation of this public health monitor were accompanied by multiple challenges, it was possible to track a portion of the survivors and gain insight in the considerable health burden of the attack. Also, it is clear in this study that the health impact of terrorism affects survivors in the long run and requires attention from health authorities and professionals, as survivors were not able to find the right care by themselves. (shrink)

Thus far, little work in bioethics has specifically focused on global health research priority-setting. Yet features of global health research priority-setting raise ethical considerations and concerns related to health justice. For example, such processes are often exclusively disease-driven, meaning they rely heavily on burden of disease considerations. They, therefore, tend to undervalue non-biomedical research topics, which have been identified as essential to helping reduce health disparities. In recognition of these ethical concerns and the limited scholarship and dialogue addressing them, (...) we convened an international workshop in September 2015. The workshop aimed to initiate discussion on the appropriate relationship between global and national levels of health research priority-setting and to begin exploring what might be ethically required for priority-setting at each of those levels. This paper comprises our reflections following the workshop. Its main objective is to launch a research agenda for the ethics of global health research priority-setting. We identify three domains of global health research priority-setting—scope, underlying values and substantive requirements, and procedural considerations. For each domain, specific research questions are highlighted and why they need to be explored is explained. Some preliminary thoughts and normative arguments as to how the research questions might be answered are also offered. For example, we provide initial ideas about the appropriate relationship between different priority-setting levels and what values and substantive considerations should guide or underpin global health research priority-setting as a matter of justice. We anticipate that framing a new research agenda for the ethics of global health research priority-setting will spur ethicists, researchers, and policymakers to refocus their efforts on developing more rigorous and ethically sound approaches to priority-setting. (shrink)

J. L. Mackie argued that if there were objective moral properties or facts, then the supervenience relation linking the nonmoral to the moral would be metaphysically queer. Moral realists reply that objective supervenience relations are ubiquitous according to contemporary versions of metaphysical naturalism and, hence, that there is nothing especially queer about moral supervenience. In this paper we revive Mackie's challenge to moral realism. We argue: (i) that objective supervenience relations of any kind, moral or otherwise, should be explainable rather (...) than sui generis; (ii) that this explanatory burden can be successfully met vis-à-vis the supervenience of the mental upon the physical, and in other related cases; and (iii) that the burden cannot be met for (putative) objective moral supervenience relations. (shrink)

Clinicians at quaternary centers see part of their mission as providing hope when others cannot. They tend to see sicker patients with more complex disease processes. Part of this mission is offering longshot treatment modalities that are unlikely to achieve their stated goal, but conceivably could. When patients embark on such a treatment plan, it may fail. Often treatment toward an initial goal continues beyond the point at which such a goal is feasible. We explore the progression of care from (...) longshot to fantasy using two pediatric cases. This progression may be differentiated into four distinct stages of care related to the potential of achieving the initial goals of care. Physicians are often ill prepared for the progression of treatments from a longshot hope to an unfeasible and, therefore, typically unjustified intervention. We present a structured approach to guide clinicians at referral institutions where these situations may be common. The transition of care from “longshot” to “fantasy” is an inherent part of quaternary care for the sickest of patients that has been underexplored. Physicians are often poorly equipped to approach that transition. We advocate this approach to the shift from longshot to fantasy with the belief that such a structured method will have multiple benefits, including: reduced suffering for the patient; decreased emotional burden on patient and family; decreased provider moral distress; increased likelihood of seeking high quality palliative care earlier; and provision of honest and straightforward information to patients and their families. (shrink)

Recently published consensus recommendations on pediatric decision-making by Salter and colleagues (2023) did not address neonatal decision-making, due to the unique complexities of neonatal care. This essay explores three areas that impact neonatal decision-making: legal and policy considerations, rapid technological advancement, and the unique emotional burdens faced by parents and clinicians during the medical care of neonates. The authors evaluate the six consensus recommendations related to these considerations and conclude that the consensus recommendations apply to neonates.

Context In response to outbreaks of vaccine‐preventable disease and increasing rates of vaccine refusal, some political communities have recently implemented coercive childhood immunization programs, or they have made existing childhood immunization programs more coercive. Many other political communities possess coercive vaccination policies, and others are considering developing them. Scholars and policymakers generally refer to coercive immunization policies as “vaccine mandates.” However, mandatory vaccination is not a unitary concept. Rather, coercive childhood immunization policies are complex, context‐specific instruments. Their legally and morally (...) significant features often differ, and they are imposed by political communities in varying circumstances and upon diverse populations. Methods In this paper, we introduce a taxonomy for classifying real‐world and theoretical mandatory childhood vaccination policies, according to their scope (which vaccines to require), sanctions and severity (which kind of penalty to impose on vaccine refusers, and how much of that penalty to impose), and selectivity (how to enforce or exempt people from vaccine mandates). Findings A full understanding of the operation of a vaccine mandate policy (real or potential) requires attention to the separate components of that policy. However, we can synthesize information about a policy's scope, sanctions, severity, and selectivity to identify a further attribute—salience —which identifies the magnitude of the burdens the state imposes on those who are not vaccinated. Conclusion Our taxonomy provides a framework for forensic examination of current and potential mandatory vaccination policies, by focusing attention on those features of vaccine mandates that are most relevant for comparative judgments. (shrink)

A recent American Academy of Pediatrics (AAP) clinical report states that it is an acceptable option for pediatric care clinicians to dismiss families who refuse vaccines. This is a clear shift in guidance from the AAP, which previously advised clinicians to “endeavor not to discharge” patients solely because of parental vaccine refusal. While this new policy might be interpreted as encouraging or recommending dismissal of vaccine-refusing families, it instead expresses tolerance for diverse professional approaches. This is unlike the earlier guidance, (...) which promoted a unified response to vaccine refusal. In fact, the resolution (which was presented at the AAP’s Annual Leadership Forum) that led to this clinical report also calls on the AAP “to continue to support pediatricians who continue to provide health care to children of parents who refuse to immunize their children.” However, the shift toward embracing dismissal as an acceptable response to vaccine refusal may erode professional solidarity. Pediatricians are clearly divided on this question; most do not dismiss vaccine-refusing families. By declaring that dismissal is an acceptable option, the AAP has sanctioned a practice that may be unfair to the many clinicians who do not dismiss these families. Clinicians who adopt a policy of dismissal toward families who refuse vaccines might impose burdens on colleagues who remain willing to offer care to those families, and their actions might show insufficient commitment to the efforts of their profession to promote health for all children. (shrink)

It has recently been argued that a person’s moral judgments (about both their own and others’ actions) are constrained by the nature and extent of their relevant ignorance and, thus, that such judgments are determined in the first instance by the person’s epistemic circumstances. It has been argued, in other words, that the epistemic is logically prior to other normative (e.g., ethical, prudential, pecuniary) considerations in human decision-making, that these other normative considerations figure in decision-making only after (logically and temporally) (...) relevant ignorance has constrained the decision-maker’s menu of options. If this is right, then a person’s moral judgments in some set of circumstances should vary with their knowledge and ignorance of these circumstances. In this study, we test the hypothesis of the logical priority of the epistemic. We describe two experiments in which subjects’ knowledge and ignorance of relevant consequences were manipulated. In the second experiment, we also compared the effect of ignorance on moral judgments with that of personal force, a factor previously shown to influence moral judgments. We found broad empirical support for the armchair arguments that epistemic considerations are logically prior to normative considerations. (shrink)

Background: Current practice frequently fails to provide care consistent with the preferences of decisionally-incapacitated patients. It also imposes significant emotional burden on their surrogates. Algorithmic-based patient preference predictors (PPPs) have been proposed as a possible way to address these two concerns. While previous research found that patients strongly support the use of PPPs, the views of surrogates are unknown. The present study thus assessed the views of experienced surrogates regarding the possible use of PPPs as a means to help (...) make treatment decisions for decisionally-incapacitated patients. -/- Methods: This qualitative study used semi-structured interviews to determine the views of experienced surrogates [n=26] who were identified from two academic medical centers and two community hospitals. The primary outcomes were respondents’ overall level of support for the idea of using PPPs and the themes related to their views on how a PPP should be used, if at all, in practice. -/- Results: Overall, 21 participants supported the idea of using PPPs. The remaining five indicated that they would not use a PPP because they made decisions based on the patient’s best interests, not based on substituted judgment. Major themes which emerged were that surrogates, not the patient’s preferences, should determine how treatment decisions are made, and concern that PPPs might be used to deny expensive care or be biased against minority groups. -/- Conclusions: Surrogates, like patients, strongly support the idea of using PPPs to help make treatment decisions for decisionally-incapacitated patients. These findings provide support for developing a PPP and assessing it in practice. At the same time, patients and surrogates disagree over whose preferences should determine how treatment decisions are made, including whether to use a PPP. These findings reveal a fundamental disagreement regarding the guiding principles for surrogate decision-making. Future research is needed to assess this disagreement and consider ways to address it. (shrink)

Mental and behavioral disorders represent a significant portion of the public health burden in all countries. The human cost of these disorders is immense, yet treatment options for sufferers are currently limited, with many patients failing to respond sufficiently to available interventions and drugs. High quality ontologies facilitate data aggregation and comparison across different disciplines, and may therefore speed up the translation of primary research into novel therapeutics. Realism-based ontologies describe entities in reality and the relationships between them in (...) such a way that – once formulated in a suitable formal language – the ontologies can be used for sophisticated automated reasoning applications. Reference ontologies can be applied across different contexts in which different, and often mutually incompatible, domain-specific vocabularies have traditionally been used. In this contribution we describe the Mental Functioning Ontology (MF) and Mental Disease Ontology (MD), two realism-based ontologies currently under development for the description of humanmental functioning and disease. We describe the structure and upper levels of the ontologies and preliminary application scenarios, and identify some open questions. (shrink)

Background: Research involving adults lacking mental capacity relies on the involvement of a proxy or surrogate, although this raises a number of ethical concerns. Empirical studies have examined attitudes towards proxy decision-making, proxies’ authority as decision-makers, decision accuracy, and other relevant factors. However, a comprehensive evidence-based account of proxy decision-making is lacking. This systematic review provides a synthesis of the empirical data reporting the ethical issues surrounding decisions made by research proxies, and the development of a conceptual framework of proxy (...) decision-making for research. Methods: A systematic review was conducted according to PRISMA guidelines. Databases including MEDLINE, EMBASE, and CINAHL were searched using a combination of search terms, and empirical data from eligible studies were retrieved. The review followed the framework synthesis approach to refine and develop a conceptual framework. Results: Thirty-four studies were included in the review. Two dimensions of proxy decision-making emerged. The ethical framing criteria of decision-making used by proxies: use of a substituted judgement, use of a best interests approach, combination of substituted judgement and best interests, and ‘something else’, and the active elements of proxy decision-making: ‘knowing the person’, patient-proxy relationship, accuracy of the decision, and balancing risks, benefits and burdens, and attitudes towards proxy decision-making. Interactions between the framing criteria and the elements of decision-making are complex and contextually-situated. Conclusions: The findings from this systematic review challenge the accepted reductionist account of proxy decision-making. Decision-making by research proxies is highly contextualized and multifactorial in nature. The choice of proxy and the relational features of decision-making play a fundamental role: both in providing the proxy’s authority as decision-maker, and guiding the decision-making process. The conceptual framework describes the relationship between the framing criteria used by the proxy, and the active elements of decision-making. Further work to develop, and empirically test the proposed framework is needed. (shrink)

Abstract“Conscientious provision” refers to situations in which clinicians wish to provide legal and professionally accepted treatments prohibited within their (usually Catholic) health care institutions. It mirrors “conscientious objection,” which refers to situations in which clinicians refuse to provide legal and professionally accepted treatments offered within their (usually secular) health care institutions. Conscientious provision is not protected by law, but conscientious objection is. In practice, this asymmetry privileges conservative religious or moral values (usually associated with objection) over secular moral values (usually (...) associated with provision). In this article, we first argue for a legal right to one kind of conscientious provision: referral for procedures prohibited at Catholic hospitals. We then argue that a premise in that argument—the principle of comparably trivial institutional burdens—justifies legal protections for some additional forms of conscientious provision that include, for example, writing prescriptions for contraception or medical abortions. However, this principle cannot justify legal protections for other forms of conscientious provision, for instance, the right to perform surgical abortions or gender-affirming hysterectomies at Catholic hospitals. (shrink)

Harrowing stories reported in the media describe Covid‐19 ravaging through families. This essay reports professional experiences of this phenomenon, family clustering, as encountered during the pandemic's spread across Southern California. We identify three ethical challenges following from it: Family clustering impedes shared decision‐making by reducing available surrogate decision‐makers for incapacitated patients, increases the emotional burdens of surrogate decision‐makers, and exacerbates health disparities for and the suffering of people of color at increased likelihood of experiencing family clustering. We propose that, in (...) response to these challenges, efforts in advance care planning be expanded, emotional support offered to surrogates and family members be increased, more robust state guidance be issued on ethical decision‐making for unrepresented patients, ethics consultation be increased in the setting of conflict following from family clustering dynamics, and health care professionals pay more attention to systemic and personal racial biases and inequities that affect patient care and the surrogate experience. (shrink)

A large proportion of the total global burden of disease is caused by emergency medical conditions. Emergency care research is essential to improving emergency medicine but this research can raise some distinctive ethical challenges, especially with regard to (1) standard of care and risk–benefit assessment; (2) blurring of the roles of clinician and researcher; (3) enrolment of populations with intersecting vulnerabilities; (4) fair participant selection; (5) quality of consent; and (6) community engagement. Despite the importance of research to improve (...) emergency care in low-income and middle-income countries (LMICs) and the widely acknowledged ethical challenges, very little has been written on the ethics of emergency care research in LMICs. This paper examines the ethical and regulatory challenges to conducting emergency care research with human participants in LMICs. We outline key challenges, present potential solutions or frameworks for addressing these challenges, and identify gaps. Despite the ethical and regulatory challenges, conducting high-quality, ethical emergency care research in LMICs is possible and it is essential for global health. (shrink)

It has recently been argued that a person’s moral judgments (about both their own and others’ actions) are constrained by the nature and extent of their relevant ignorance and, thus, that such judgments are determined in the first instance by the person’s epistemic circumstances. It has been argued, in other words, that the epistemic is logically prior to other normative (e.g., ethical, prudential, pecuniary) considerations in human decision-making, that these other normative considerations figure in decision-making only after (logically and temporally) (...) relevant ignorance has constrained the decision-maker’s menu of options. If this is right, then a person’s moral judgments in some set of circumstances should vary with their knowledge and ignorance of these circumstances. In this study, we test the hypothesis of the logical priority of the epistemic. We describe two experiments in which subjects’ knowledge and ignorance of relevant consequences were manipulated. In the second experiment, we also compared the effect of ignorance on moral judgments with that of personal force, a factor previously shown to influence moral judgments. We found broad empirical support for the armchair arguments that epistemic considerations are logically prior to normative considerations. (shrink)

Intentionality and phenomenal consciousness are the main candidates to provide a ‘ mark of the mental’. Rorty, who thinks the category ‘mental’ lacks any underlying unity, suggests a challenge to these positions: to explain how intentionality or phenomenal consciousness alone could generate a mental-physical contrast. I argue that a failure to meet Rorty’s challenge would present a serious indictment of the concept of mind, even though Rorty’s own position is untenable. I then argue that both intentionalism and proposals such (...) as Searle’s ‘Connection Principle’ fail to satisfy this explanatory burden. I conclude with the suggestion that only introspectibility may be able to unite intentional and phenomenal states whilst meeting Rorty’s challenge. (shrink)

To be alive is to be vulnerable. That is probably the most basic truth all living creatures confront, from the smallest to the greatest and from the most primitive to the most complex. As Hans Jonas states in the introduction to his wonderful treatise, The Phenomenon of Life, the paradoxical, still enigmatic fact that vital substance by some original act of segregation has isolated itself from the general fabric of things and set itself over against the world introduced the tension (...) of ‘to be or not to be’ in the indifferent continuum of material existence. With life, Jonas observes with Friedrich Nietzsche, being appears as being in an emphatic sense for the first time. Life means mortality, it is existence affirmed but as such, given the inherent and continuous threat of relapsing back into non-being (all living creatures’ ultimate fate anyway), it is existence as concern. Being alive as being free from the identity with matter implies having its own being as a burden and this means—h. (shrink)

Slife and Reber ask of psychologists that they recognize their prejudice against theism and the incompatibility between theistic and naturalistic worldviews. Yet, the subtext of their article is that theism and naturalism are equally valid and that psychology’s secularism is a mistake. Given that theism is not beyond reason, the only sufficient ground for charging psychologists with prejudice is if theism has survived serious attempts at conceptual and empirical test, and psychology ignores or disguises this fact. So, the grounds for (...) believing in the reality of a supernatural existent are highly relevant to the authors’ allegation. However, their concept of God affords no such grounds. They disavow the logic involved in the ordinary meaning of the term “incompatible” and they ignore a crucial distinction between conditions of existence and qualities of things or processes. The consequence is that either God is this-worldly, and there is no ontological basis to Slife and Reber’s incompatibility thesis, or God’s mode of existence is quite different from the mode of existence of ordinary things and all the problems of dualism follow. Either way, their charge of prejudice is without foundation. The burden of proof rests with the defender of theism and, for now, psychology’s secularism can be considered a mark of the discipline’s rationality. 2012 APA, all rights reserved). (shrink)