Research Ethics Committees (RECs) play a critical gatekeeping role in clinical trials. This role is meant to ensure that only those trials that meet certain ethical thresholds proceed through their gate. Two of these thresholds are that the potential benefits of trials are reasonable in relation to risks and that trials are capable of producing a requisite amount of social value. While one ought not expect perfect execution by RECs of their gatekeeping role, one should expect routine success in it. (...) This article reviews a range of evidence showing that substantial numbers of ethically tainted trials are receiving REC approvals. Many of the trials are early phase trials that evidence shows have benefits that may not be reasonable compared with their risks and many others are later trials that evidence shows may lack sufficient social value. The evidence pertains to such matters as methodologically inadequate preclinical studies incapable of supporting the inferences that REC members must make about the prospects for potential benefit needed to offset the risks in early phase trials and sponsorship bias that can cause improperly designed, conducted, analysed and reported later phase trials. The analysis of the evidence makes clear that REC practices need to be strengthened if they are to adequately fulfil their gatekeeping role. The article also explores options that RECs could use in order to improve their gatekeeping function. (shrink)

Both communitarianism and casuistry have sought to restore ethics as a practical science—the former by incorporating various traditions into a shared definition of the common good, the latter by considering the circumstances of each situation through critical reasoning. Mark G. Kuczewski analyzes the origins and methods of these two approaches and forges from them a new unified approach. This approach takes the communitarian notion of the person as its starting point but also relies upon the narrative and analogical tools (...) of case-based reasoning. He separates out the rhetoric that is incongruent with the Aristotelian aspirations of each method to show that the two are complementary, and that consensus can emerge from fragmentation. He then applies his resulting method to three major problems in bioethics: the difficulties that the issue of personal identity poses for advance directives, the role of the family in medical decision making, and the refusal of treatment because of religious beliefs. He analyzes the need to assume a communitarian notion of the person as a starting point for the application of casuistic insights. Combining theoretical, practical, and scholarly insights, this book will be of interest to philosophers, political and social scientists, and bioethicists. (shrink)

This second edition of the book contains a new chapter on the notions of natural-kind words and natural kinds.

A Theory of Argument is an advanced textbook intended for students in philosophy, communications studies and linguistics who have completed at least one course in argumentation theory, information logic, critical thinking or formal logic. Containing nearly 400 exercises, Mark Vorobej develops a novel approach to argument interpretation and evaluation. One of the key themes of the book is that we cannot succeed in distinguishing good argument from bad arguments until we learn to listen carefully to others. Part I develops (...) a relativistic account of argument cogency that allows for rational disagreement. Part II offers a comprehensive and rigorous account of argument diagramming. Hybrid arguments are contrasted with linked and convergent arguments, and a novel technique is introduced for graphically recording disagreements with authorial claims. (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 chapter, we address the roles that exemplars might play in a comprehensive response to epistemic injustice. Fricker defines epistemic injustices as harms people suffer specifically in their capacity as (potential) knowers. We focus on testimonial epistemic injustice, which occurs when someone’s assertoric speech acts are systematically met with either too little or too much credence by a biased audience. Fricker recommends a virtue­theoretic response: people who do not suffer from biases should try to maintain their disposition towards naive (...) testimonial justice, and those who find themselves already biased should cultivate corrective testimonial justice by systematically adjusting their credence in testimony up or down depending on whether they are hearing from someone whom they may be biased against or in favor of. We doubt that the prominent admiration-­emulation model of exemplarism will be much use in this connection, so we propose two ways of learning from negative exemplars to better conduct one’s epistemic affairs. In the admiration-­emulation model, both the identification of what a virtue is and the cultivation of virtues identified thusly proceed through the admiration of virtuous exemplars. We show that this model has serious flaws and argue for two alternatives: the envy-­agonism model and the ambivalence-avoidance model. (shrink)

A Clearly argued and easy to read defense of Karl Popper's philosophy.

Despite flourishing as a multidisciplinary subject, the predominant view in bioethics today is based on Anglo-American thought. This has serious implications for a global bioethics that needs to be contextualized to local cultures and circumstances in order to be relevant. Being the largest continent on the earth, Asia is home to a variety of cultures, religions and countries of different economic statuses. While the practice of medicine in the East and West may be similar, its ethical practices do differ. Thus, (...) the Western understanding of autonomy may not be wholly applicable in the Asian setting, especially in the setting of breaking bad news, giving consent, determining best interests and deciding on end-of-life care. This article explores these topics in depth, attempting to find shared integrating factors, but at the same time arguing for a modified ethical application of autonomy, based on Asian beliefs. (shrink)

We argue that the causal account offered by analytic functionalism provides the best account of the folk psychological theory of mind, and that people ordinarily define mental states relative to the causal roles these states occupy in relation to environmental impingements, external behaviors, and other mental states. We present new empirical evidence, as well as review several key studies on mental state ascription to diverse types of entities such as robots, cyborgs, corporations and God, and explain how this evidence supports (...) a functional account. We also respond to two challenges to this view based on the embodiment hypothesis, or the claim that physical realizers matter over and above functional role, and qualia. In both cases we conclude that research to date best supports a functional account of ordinary mental state concepts. (shrink)

This paper contributes to the study of explicit performative utterances in the following ways. First, it presents arguments that support Austin’s view that these utterances are not assertions. In doing so, it offers an original explanation of why they cannot be true or false. Second, it puts forward a new analysis of explicit performatives as cases of showing performing, rather than of instances of asserting or declaring that one is performing a particular act. Finally, it develops a new account of (...) the role of the performative prefix in signalling performative intentions that shows how the prefix can play a special role in the interpretation of performatives utterances. (shrink)

I argue in this article that there is a mistake in Searle's Chinese room argument that has not received sufficient attention. The mistake stems from Searle's use of the Church-Turing thesis. Searle assumes that the Church-Turing thesis licences the assumption that the Chinese room can run any program. I argue that it does not, and that this assumption is false. A number of possible objections are considered and rejected. My conclusion is that it is consistent with Searle's argument to hold (...) onto the claim that understanding consists in the running of a program. (shrink)

Epistemologists are interested in what makes beliefs well justified. Even before considering competing theories of epistemic justification, however, we should ask what sort of valuational structure we are trying to explain. If, as far as epistemic justification is concerned, beliefs are like bank accounts, then all beliefs are comparable: just as in any bank account there must be more, less, or as much money as in any other, one belief must be better, worse, or as good as any other. Contemporary (...) epistemologists take for granted the assumption that beliefs are comparable in the same way that bank accounts are comparable: bank accounts have balances, sprinters have personal bests for the 100-meter dash, and beliefs have degrees of justifiedness. Alternatively, we could understand the justificatory status of a belief to be more like the expensiveness of a restaurant. Consider a concept of restaurant expensiveness on which the expensiveness of a restaurant is determined by the range of prices for meals at that restaurant. If meals at Restaurant A are $25 to $50 and meals at B are $10 to $20, then A is more expensive than B. Restaurant C, however , is neither more nor less expensive than A. Nor is it equally expensive, for there are restaurants that are more expensive than C that are not more expensive than A . Some evaluative concepts, like this concept of restaurant expensiveness, do not reduce values to single numbers. If epistemic justification is like this, then there may be pairs of beliefs such that neither is better justified than the other, but nor are they equally well justified. Such beliefs would be incomparable. While incomparability is familiar in the ethics literature, it has not previously been explored in epistemology. I discuss the implications of allowing for incomparability in epistemology, both for theories of epistemic justification and theories of knowledge. (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)

At the outset of this discussion, I undertook to present an argument from design which would follow Swinburne's example in making use of a priori judgments, while avoiding some of the objections which have been posed in response to his treatment of these issues. So we need to ask: how does this approach to the question of design compare with Swinburne's?Swinburne argues that a chaotic world is a priori more likely than an ordered world: this consideration provides one central reason, (...) on his account, for giving an explanation of some sort for the world's regularity. The other central argument he advances for this claim is the argument from analogy (in terms of the coins) which we noted earlier. The approach I have taken offers an alternative route to this same conclusion. In particular, it substitutes the simpler a priori judgments recorded in (i) and (ii) for the rather difficult and contentious claim that chaos is a priori more likely than order. In place of this claim, I have offered the judgment that order, or recurrence, is more likely given the activity of a common source or common kind of source than otherwise: this proposal does not commit us to a view either way on the question of whether order is a priori likely per se. Moreover, in place of Swinburne's analogical argument, I have offered an a priori approach, with the advantages I have noted.Given that recurrence is to be explained, we might ask: why offer an explanation in terms of design? On this point, Swinburne argues, for instance, that no other explanation of temporal regularity is even possible a priori. Again, the a priori principles which I have used, in (iv) and (v), may be less ambitious, but at the same time more persuasive. In support of this same idea, Swinburne also cites various ideas to do with the predictive power of the idea of design. I have tried to bring out the role of this sort of consideration in terms of my principle (v). Principle (iv) has no place in Swinburne's account, in view of his reliance on the principle of simplicity as a measure of prior probability.Lastly, we may ask: if we are to cite a designer, are there reasons for attributing to this agent more powers than are needed for the production of the effect to be explained? On this point, Swinburne cites the principle of simplicity. Again, my approach avoids what has proved to be a relatively controversial judgment about the nature of a priori probabilities, offering in place of the principle of simplicity the less ambitious principle recorded in (iii). At this point, I have moreover inverted the logical sequence of Swinburne's argument: it seems to me that, in the ways I have indicated, it is helpful to consider the extent of the powers of the source of recurrence before addressing the question of design.In these various ways, I hope I have made good my undertaking to present an argument which avoids some of the controversy surrounding the particular measures of a priori probability which figure in Swinburne's argument. Moreover, I hope that this approach provides an indication of how a priori judgments may function in a relatively unproblematic way within an argument from design, in so far as (i)–(v) are all rather modest proposals. In sum, the argument I have presented is distinguished by its explicit use of the a priori judgments recorded in (i)–(v), by its attempt to buttress in this fashion analogical forms of argument, and by the logical role it gives to the idea that the source of regularity possesses more powers than are required for the production of this effect.Lastly, we might ask: how persuasive is this argument? Of course, the cogency of the idea of design depends upon the balance of debate in other areas of the philosophy of religion, especially upon our ability to provide some account of the existence of evil. In this paper, I have been concerned to argue simply that recurrence by kind provides evidence for design: I have not addressed the question of whether other features of the world provide good evidence against the idea of (benevolent) design. However, if we confine our attention to this one phenomenon, there is it seems to me good evidence for the idea of design, (i) and (ii) suggest that recurrence surely calls for some explanation; (iii), together with the existence in nature of statistical irregularities, suggests that whatever provides this explanation could have brought about other effects besides; and design seems the only clear explanation of why this effect should have been brought about, if (as I have argued) analogies drawn from vegetable and animal reproduction fail, and if we cannot explain the effect satisfactorily by reference to the conditions of observation. Moreover, I have argued that there are reasons for supposing that the probability a priori of design is relatively high in relation to the probability a priori of any rival hypothesis of equivalent predictive power. In brief, this is because the design hypothesis (unlike the hypothesis of theism) can cite an agent of relatively indeterminate power in order to account for the phenomenon to be explained. In this regard, it is less ‘precisely defined’ than any rival hypothesis of equivalent predictive power. If all of this is so, then as philosophers from early times have supposed, temporal regularity provides the basis for a powerful argument in favour of design. It remains true, of course, that its import can be judged in full only when we have taken into account the relevance of other phenomena, many of which are apparently less favourable to the idea of design. (shrink)

New Blackfriars, Volume 103, Issue 1104, Page 278-293, March 2022.

Ce texte explore certaines implications de l'idée selon laquelle des pensées religieuses peuvent faire partie de l'apparence sensorielle des choses. Je commence par clarifier cette idée en utilisant des exemples exposés par Roger Scruton qui discute la phénoménologie de l'expérience architecturale. Ensuite, je considère, d'un point de vue pragmatique et épistémique, l'apport de cette idée pour l'argument pour les croyances religieuses. Plus précisément, j'explore comment l'idée d'une relation interne entre la pensée religieuse et les apparences sensorielles des choses peut être (...) utilisée i) pour formuler avec nuances l'argument de William James dans « La volonté de croire » et ii) pour présenter un argument épistémique pour les croyances religieuses dont l'importance des affirmations centrales est assez couramment reconnue par les croyants mais qui n'a pas été beaucoup discutée par les philosophes. (shrink)

This paper explores some implications of the idea that religious thoughts can enter into the sensory appearances of things. I begin by clarifying this idea, using some examples drawn from Roger Scruton's discussion of the phenomenology of architectural experience. Then I consider the bearing of the idea on the case for religious belief in pragmatic and epistemic terms. More exactly, I explore how the idea of an internal relation between religious thought and the sensory appearances of things can be used (...) (1) to state William James's case in 'The will to believe' with new nuance, and (2) to set out an epistemic case for religious belief whose central claims seem quite commonly to weigh with believers, but which has not been much discussed by philosophers. (shrink)

The thesis of the paper is that For Profit Hospitals are morally inappropriate health care delivery institutions. The thesis is established first by elaborating on the beneficent nature of medicine, hospitals, and the physician/patient relationship. The primary obligation of the physician, who draws on the resources of medicine and the hospitals, is to restore personal autonomy that is diminished by illness and suffering within the constraints of the canon of loyalty that frames the physician patient relationship. Hospitals have historically played (...) the role of facilitator enhancing a physician's ability to administer treatment. Next it is argued that For Profit Hospitals may neglect the role of facilitator. This neglect may occur given the institutions' motivations to return a profit to investors by exploiting the patient/physician relationship. This exploitation is clearly shown to be contrary to the canon of loyalty that ought to exist between the patient and physician. (shrink)

The popular view of non-directive genetic counseling limits the counselor's role to providing information to clients and assisting families in making decisions in a morally neutral fashion. This view of non-directive genetic counseling is shown to be incomplete. A fuller understanding of what it means to respect autonomy shows that merely respecting client choices does not exhaust the duty. Moreover, the genetic counselor/client relationship should also be governed by the counselor's commitment to the principle of beneficience. When non-directive counseling is (...) reexamined in light of both these principles, it becomes clear that there are cases in which counselors should attempt to persuade clients to reconsider their decisions. Such attempts are consistent with non-directive counseling because, while respecting the clients' decision-making authority, they insure that clients act with full knowledge of the moral consequences of their decisions. (shrink)

The focus of this article is to offer an account of how the development of one’s intellectual character has therapeutic value in the attempt to overcome self-deception. Even stronger, the development of intellectual character has necessary therapeutic value in regard to self-deception. This account proceeds by first consulting the predominant psychological theory of virtuous character offered by contemporary virtue ethicists and virtue epistemologists. A motivational/dispositional account of self-deception is then offered and connected to the former account of intellectual character. By (...) connecting these two sets of literature the therapeutic value of intellectual virtue is displayed. The problem of self-diagnosis is then presented as well as intellectual character as a necessary therapeutic measure to assure agents that they are not self-deceived. (shrink)

At various times, mathematicians have been forced to work with inconsistent mathematical theories. Sometimes the inconsistency of the theory in question was apparent (e.g. the early calculus), while at other times it was not (e.g. pre-paradox na¨ıve set theory). The way mathematicians confronted such difficulties is the subject of a great deal of interesting work in the history of mathematics but, apart from the crisis in set theory, there has been very little philosophical work on the topic of inconsistent mathematics. (...) In this paper I will address a couple of philosophical issues arising from the applications of inconsistent mathematics. The first is the issue of whether finding applications for inconsistent mathematics commits us to the existence of inconsistent objects. I then consider what we can learn about a general philosophical account of the applicability of mathematics from successful applications of inconsistent mathematics. (shrink)

This paper argues that the principle of necessary identity (f)(g)(f=g then necessarily f=g) cannot be maintained, At least in second order form. A paradox based upon scientific definitional practice is introduced to demonstrate this. A non-Fregean reading of standard contingent identity semantics is provided to explain how such 'definition breaking' works.

ABSTRACTI consider objections to the use of living wills based upon the discontinuity of personal identity between the time of the execution of the directive anbd the time the person becomes incompetent. Recent authors, following Derek Parfit's “Complex View” of personal identity, have argued that there is often not sufficient identity interests between the competent person who executes the living will and the incompetent patient to warrant the use of the advance directive. I argue that such critics err by seeking (...) personal identity in a purely descriptive manner. By exploring Buchanan and Brock's concept of “surviving interests”, an argument is developed that certain future‐oriented acts have a normative force that contributes to the narrative unity which is constitutive of personal ideality. This narrative concept of the self is entailed by many of the our ordinary practices and challenges the philosophical consensus to view the self in a more dynamic and communitarian manner. (shrink)

Seeing language barriers as a significant threat to the health of patients calls for a response from health-care institutions and providers at all levels. Failing to respond allows an arbitrary soc...

Integrated assessment models of climate and the economy provide estimates of the social cost of carbon and inform climate policy. We create a variant of the Regional Integrated model of Climate and the Economy (RICE)—a regionally disaggregated version of the Dynamic Integrated model of Climate and the Economy (DICE)—in which we introduce a more fine-grained representation of economic inequalities within the model’s regions. This allows us to model the common observation that climate change impacts are not evenly distributed within regions (...) and that poorer people are more vulnerable than the rest of the population. Our results suggest that this is important to the social cost of carbon—as significant, potentially, for the optimal carbon price as the debate between Stern and Nordhaus on discounting. (shrink)

This article explores the affinities and parallels between Foucault's Nietzschean view of history and models of complexity developed in the physical sciences in the twentieth century. It claims that Foucault's rejection of structuralism and Marxism can be explained as a consequence of his own approach which posits a radical ontology whereby the conception of the totality or whole is reconfigured as an always open, relatively borderless system of infinite interconnections, possibilities and developments. His rejection of Hegelianism, as well as of (...) other enlightenment philosophies, can be understood at one level as a direct response to his rejection of the mechanical atomist, and organicist epistemological world views, based upon a Newtonian conception of a closed universe operating upon the basis of a small number of invariable and universal laws, by which all could be predicted and explained. The idea of a fully determined, closed universe is replaced; and in a way parallel to complexity theories, Foucault's own approach emphasises notions such as self‐organisation and dissipative structures; time as an irreversible, existential dimension; a world of finite resources but with infinite possibilities for articulation, or re‐investment; and characterised by the principles of openness, indeterminism, unpredictability, and uncertainty. The implications of Foucault's type of approach are then explored in relation to identity, creativity, and the uniqueness of the person. The article suggests that within a complexity theory approach many of the old conundrums concerning determinism and creativity, social constructionism and uniqueness, can be overcome. (shrink)

The rise of quantum information theory has lent new relevance to experimental tests for non-classicality, particularly in controversial cases such as adiabatic quantum computing superconducting circuits. The Leggett-Garg inequality is a “Bell inequality in time” designed to indicate whether a single quantum system behaves in a macrorealistic fashion. Unfortunately, a violation of the inequality can only show that the system is either (i) non-macrorealistic or (ii) macrorealistic but subjected to a measurement technique that happens to disturb the system. The “clumsiness” (...) loophole (ii) provides reliable refuge for the stubborn macrorealist, who can invoke it to brand recent experimental and theoretical work on the Leggett-Garg test inconclusive. Here, we present a revised Leggett-Garg protocol that permits one to conclude that a system is either (i) non-macrorealistic or (ii) macrorealistic but with the property that two seemingly non-invasive measurements can somehow collude and strongly disturb the system. By providing an explicit check of the invasiveness of the measurements, the protocol replaces the clumsiness loophole with a significantly smaller “collusion” loophole. (shrink)

This volume of new essays provides a comprehensive and structured examination of Kant's justification of norms, a crucial but neglected theme in Kantian practical philosophy.

Bolzano holds that every sentence can be paraphrased into a sentence of the form "A has b". Bolzano's arguments for this claim are reconstructed and discussed. Since they crucially rely on Bolzano's notion of paraphrase, this notion is investigated in detail. Bolzano has usually been taken to require that in a correct paraphrase the sentence to be paraphrased and the paraphrasing sentence express the same proposition. In view of Bolzano's texts and systematical considerations this interpretation is rejected: Bolzano only holds (...) that the sentence to be paraphrased and the paraphrasing sentence must be equipollent ("gleichgeltend"). It is shown that even this modest view of paraphrase does not help Bolzano in sustaining his claim that all sentences have the form "A has b". (shrink)

The age of information, media, and virtuality is transforming every aspect of human experience. Questions that have long haunted the philosophical imagination are becoming urgent practical concerns: Where does the natural end and the artificial begin? Is there a difference between the material and the immaterial? In his new work, Mark C. Taylor extends his ongoing investigation of postmodern worlds by critically examining a wide range of contemporary cultural practices. Nothing defines postmodernism so well as its refusal of depth, (...) its emphasis on appearance and spectacle, its tendency to collapse a three-dimensional world in which image and reality are distinct into a two-dimensional world in which they merge. The postmodern world, Taylor argues, is a world of surfaces, and the postmodern condition is one of profound superficiality. For many cultural commentators, postmodernism's inescapable play of surfaces is cause for despair. Taylor, on the other hand, shows that the disappearance of depth in postmodern culture is actually a liberation repleat with creative possibilities. Taylor introduces readers to a popular culture in which detectives--the postmodern heroes of Paul Auster and Dennis Potter--lift surfaces only to find more surfaces, and in which fashion advertising plays transparency against hiding. Taylor looks at the contemporary preoccupation with body piercing and tattooing, and asks whether these practices actually reveal or conceal. Phrenology and skin diseases, the "religious" architecture of Las Vegas, the limitless spread of computer networks--all are brought within the scope of Taylor's brilliant analysis. Postmodernism, he shows, has given us a new sense of the superficial, one in which the issue is not the absence of meaning but its uncontrollable, ecstatic proliferation. Embodying the very tendencies it analyzes, Hiding is unique. Conceived and developed with well-known designers Michael Rock and Susan Sellars, this work transgresses the boundary that customarily separates graphic design from the story within a text. The product of nearly three decades of reflection and writing, Hiding opens a window on contemporary culture. To follow the remarkable course Taylor charts is to see both our present and past differently and to encounter a future as disorienting as it is alluring. (shrink)

Suppose that two nations A and B each possess a nuclear arsenal and are rational utility-maximizers. Suppose further that B has some interest in provoking A, possibly by attacking her with nuclear weapons. In the hope of preventing this from happening, A informs B of à conditional intention on her part to retaliate against B with nuclear weapons should B in fact attack A. By doing so A attempts to lower the probability of B's attacking A by increasing B's estimate (...) of the conditional probability of A's retaliating once provoked. Problematic deterrent situations are those in which B prefers to attack A without retaliation, A prefers most of all that she not be attacked, and A prefers an attack-with-no-retaliation scenario to an attack-with-retaliation scenario. Feature is à result of the fact that A prefers to minimize nuclear devastation, i.e., A would herself be worse off retaliating than not retaliating to an attack. Now, if B knows all of this to be the case then A's expression of a conditional intention to retaliate will not in fact deter B from attacking, since A is rational and will not act contrary to her own best interests. B has no reason to fear A's retaliation and therefore B has no reason not to attack. Deterrence, it seems, is an irrational policy among fully rational actors. This is one version of the so-called paradox of deter-rence. If expressing a conditional retaliatory intention is the best way for A to ward off an attack, then the paradox can be strengthened as follows: It is rational for A to intend to act irrationally. (shrink)