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)

Called by many France's foremost philosopher, Gilles Deleuze is one of the leading thinkers in the Western World. His acclaimed works and celebrated collaborations with Félix Guattari have established him as a seminal figure in the fields of literary criticism and philosophy. The long-awaited publication of _What is Philosophy?_ in English marks the culmination of Deleuze's career. Deleuze and Guattari differentiate between philosophy, science, and the arts, seeing as means of confronting chaos, and challenge the common view that philosophy is (...) an extension of logic. The authors also discuss the similarities and distinctions between creative and philosophical writing. Fresh anecdotes from the history of philosophy illuminate the book, along with engaging discussions of composers, painters, writers, and architects. A milestone in Deleuze's collaboration with Guattari, _What is Philosophy?_ brings a new perspective to Deleuze's studies of cinema, painting, and music, while setting a brilliant capstone upon his work. (shrink)

The primary goal of ethics consultation should be to provide effective assistance to patients and families in obtaining care that is duly responsive to their rights and their needs. The consultation reported by Mark Bliton fails in this regard because it never ascertains why the consultation was called; makes little attempt to ascertain the motives of those involved; avoids exploration of the ethical concerns of family, attending or staff; makes no connection with institutional policies or practices; uncritically adopts and (...) serves the medical treatment ethos; and substitutes fellowfeeling for compassionate action. (shrink)

Herbert Spencer: Legacies explores and assesses the impact of the ideas and work of the great Victorian polymath Herbert Spencer across a wide range of disciplines. In the course of the essays a significant re-evaluation of his influence on Victorian and Edwardian thought is provided. Spencer's contribution to the fields of sociology, anthropology, psychology, biology and ecology are considered, alongside his influence on key figures in science and philosophy. The book brings together scholars from a wide range of disciplines to (...) explore Spencer's nuanced and complex ideas and will be invaluable for historians of science and ideas, and all those interested in the intellectual culture of the late Victorian and Edwardian period. Contributors: Peter J. Bowler, James Elwick, Mark Francis, Bernard Lightman, Chris Renwick, Vanessa L. Ryan, John Skorupski, Michael W. Taylor, Stephen Tomlinson, and Jonathan H. Turner. (shrink)

Baylis, Tomlinson, and Hoffmaster each raise a number of critiques in response to Bliton's manuscript. In response, we focus on three themes we believe run through each of their critiques. The first is the ambiguity between the role of ethics consultation within an institution and the role of the actual ethics consultant in a particular situation, as well as the resulting confusion when these roles are conflated. We explore this theme by revisiting the question of What's going on? in (...) clinical ethics consultations. Moving from those issues associated with the role of the ethics consultant to those associated with the role of inquiry within the practice of ethics consultation, we then take up the serious challenge that Bliton seems shackled by the assumptions and institutional dispositions embedded in the medical culture in which he is working. This reveals the second theme, namely that there is a risk of co-optation when acting in a role that derives its legitimacy from institutional sources. Finally, we focus on an even more problematic implication stemming from the first two, namely that the focus on institutional power as the crucial factor for determining ethical significance has the effect of distorting, and perhaps obscuring, other forms of relational, interpersonal, and moral meaning. (shrink)

This paper examines how professionals (N = 32) working on artificial intelligence (AI) view structural AI ethics challenges like injustices and inequalities beyond individual agents' direct intention and control. This paper answers the research question: What are professionals’ perceptions of the structural challenges of AI (in the agri-food sector)? This empirical paper shows that it is essential to broaden the scope of ethics of AI beyond micro- and meso-levels. While ethics guidelines and AI ethics often focus on the responsibility of (...) designers and the competencies and skills of designers to take this responsibility, our results show that many structural challenges are beyond their reach. This result means that while ethics guidelines and AI ethics frameworks are helpful, there is a risk that they overlook more complicated, nuanced, and intersected structural challenges. In addition, it highlights the need to include diverse stakeholders, such as quadruple helix (QH) participants, in discussions around AI ethics rather than solely focusing on the obligations of AI developers and companies. Overall, this paper demonstrates that addressing structural challenges in AI is challenging and requires an approach that considers four requirements: (1) multi-level, (2) multi-faceted, (3) interdisciplinary, and (4) polycentric governance. (shrink)

Truthmaker semantics is a recent development in formal and philosophical semantics, with similar motivation and scope to possible worlds semantics. The technical background is rather different, however, and results in a more fine-grained hyperintensional notion of content, allowing us to distinguish between classically equivalent propositions. After briefly introducing the main ideas, this entry will describe the technical apparatus of state spaces and the central notions of content and partial content. It will then outline applications of truthmaker semantics in language, logic, (...) and other areas of philosophy. (shrink)

After the Human explores how the strategies and methods of scientific as well as humanistic inquiry are converging to construct a relational view of the world. It evaluates Einstein's theory of relativity, quantum theory, information theory, cognitive neuropsychology, and evolution alongside the history of modern western philosophy, arguing that presumptions such as human exceptionalism and individualism are not only out of sync with scientific knowledge but also root causes of the critical issues facing the world--climate change, machine intelligence, ideological political (...) oppositions. How to think beyond anthropocentrism and binary oppositions--human/animal, sacred/profane--and acknowledge ourselves as entangled parts of larger ecologies is the aim of the book. The distinctive character of the book is its wealth of scientific insight; the opening chapter reveals the complex worlds of dirt, water, air, and fire and how humans have deformed them beyond recognition. Extraordinary advances in technology, with their promise of furthering a global village, have been derailed by economic individualism and hierarchy, prefigured in the atomism of Descartes and Newton. Not until Einstein, Bohr, and Heisenberg introduced relativity and quantum mechanics--less than a century after Hegel first proposed his dialogical worldview--did a relational account of reality begin to develop. The study of the natural world revealed a micro-universe of relations in which organisms and environments constantly adapt to one another; as Lynn Margulis puts it, "life is a verb," webs and networks of intelligences and emotions communicating within and across species and nonbiological life forms including AI. We have only to change not the world but how we see ourselves in it. (shrink)

Talia Mae Bettcher argues that gender terms like ‘woman’ have multiple meanings, as different speakers use these terms to pick out different classes—some use ‘woman’ to pick out (roughly) the class of those assigned female at birth; some use it to pick out a class including both that class and trans women. Bettcher is correct, I argue: it is undeniable that ‘woman’ has quite different referents in different speakers' mouths; there is furthermore a kind of conventional meaning which varies across (...) speakers associated with gender terms, one which tracks and varies with these different referential practices. (shrink)

If one rejects choice theory, one still faces the challenge of explaining what one should do in a self-torture case if one is fully rational, and why. In addition, one faces the more fundamental challenge of explaining what rationality is, if it is not choice theory. Responding to these challenges in a systematic way is one of several key contributions of Andreou’s insightful book Choosing Well, and is my focus here as well. My goal is to highlight questions that arise (...) for Andreou’s view, especially from the perspective of those who are sympathetic to choice theory. (shrink)

Stephen Yablo has argued that ascriptions of belief and knowledge are sensitive to _subject matter_ and that theorising in such terms may help resolve philosophical questions about the semantics of such ascriptions. _Truthmaker semantics_ offers a way of theorising about subject matters. My main aim in this paper is to investigate what a semantics for knowledge or belief ascriptions might look like within truthmaker semantics. I then discuss what the resulting account might have to say about the problem of logical (...) omniscience, the nature of concepts, and rational belief. (shrink)

Abstract: “Paley before Hume: How Not to Teach the Design Argument” Most philosophy of religion classes discuss the classic design argument for the existence of God, and many of these treat Paley’s Natural Theology (1802) before Hume’s Dialogues Concerning Natural Religion (1779). Following the syllabus of several leading anthologies, I did this for many years, but I now think that is a mistake, because it creates the impression that Hume was responding to Paley. Not only is it obvious on chronological (...) grounds that Hume could not have been responding to Paley; it is just as obvious on textual grounds that the reverse was true: Paley was in fact responding to Hume, and, e.g., carefully crafted a non-analogical version of the argument so as to avoid Hume’s famous criticisms of analogical arguments. (shrink)

Mark Walker argues for Skeptical-Dogmatism-the view that we should disbelieve our cherished philosophical views, such as beliefs about what makes for a good life, religious beliefs, and political beliefs. To not disbelieve one's preferred views in these contested matters is hubristic.

One justification for preregistering research hypotheses, methods, and analyses is that it improves the transparent evaluation of the severity of hypothesis tests. In this article, I consider two cases in which preregistration does not improve this evaluation. First, I argue that, although preregistration can facilitate the transparent evaluation of severity in Mayo’s error statistical philosophy of science, it does not facilitate this evaluation in Popper’s theory-centric approach. To illustrate, I show that associated concerns about Type I error rate inflation are (...) only relevant in the error statistical approach and not in a theory-centric approach. Second, I argue that a test procedure that is preregistered but that also allows deviations in its implementation (i.e., a “plan, not a prison”) does not provide a more transparent evaluation of Mayoian severity than a non-preregistered procedure. In particular, I argue that sample-based validity-enhancing deviations cause an unknown inflation of the test procedure’s Type I error rate and, consequently, an unknown reduction in its capability to license inferences severely. I conclude that preregistration does not improve the transparent evaluation of severity in Popper’s philosophy of science or when deviations are allowed. (shrink)

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

This reply is a refutation of Santiago Vrech’s article “The End of the Case? A Metaphilosophical Critique of Thought Experiments” (2022) which argues that thought experiments used in argumentation cannot hold in All Possible Worlds (APW) modality, and thus should end. Cases are used to justify or refute a philosophical theory, but should not have the power to refute an entire theory, especially ad infinitum. Significant variations in intuitions, he argues, invalidate cases and are not proven. I argue some variation (...) is acceptable and expected, and his bar of criteria is too high—APW validity is unnecessary. Vrech’s three arguments are faulty and/ or too weak, and his thought experiment is of questionable value. Experimental and armchair philosophy (or philosophers) are misnomers, misleading and false dichotomy. (shrink)

Hume argues that we succumb to the vice of prejudice when we fail to correct negative generalizations about social groups in the face of counter-evidence. We are blameworthy for these biases, moreover, even if they are unavoidable. Hume’s theory of doxastic responsibility entails that his own racial prejudices are deserving of condemnation. In contrast, contemporary vice epistemologists are more inclined to absolve agents of culpability for prejudices beyond their control.

In Outlines of Skeptical-Dogmatism, Mark Walker argues for Skeptical-Dogmatism about philosophical views—i.e., he argues that we should disbelieve most philosophical views. Walker argues for Skeptical-Dogmatism over both Dogmatism and Skepticism. In response, I defend Skepticism—i.e., the view that we should neither believe nor disbelieve most philosophical views. I argue that Walker’s arguments overlook some of the most plausible forms of philosophical Skepticism where the Skeptic suspends judgment about most disputed philosophical views without assigning a credence of 0.5 to those (...) views. In doing so, I argue that suspension of judgment is the default justified doxastic attitude—i.e., the doxastic attitude one is epistemically justified in adopting absent any reason to do otherwise. I also champion Skepticism by offering modified versions of some of Walker’s thought experiments, posing challenges for Skeptical-Dogmatism, and arguing that Skepticism and Skeptical-Dogmatism share some common benefits. (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...

Volume 24, Issue 11, November 2024, Page 1-3.

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

We argue that libertarianism (roughly, the thesis that we have indeterministic, libertarian free will) is compatible with God’s infallible foreknowledge. We use eternalism (roughly, the thesis that reality is a 4-dimensional block and that past, present, and future objects exist) as an explanatory stepping stone between libertarianism and God’s foreknowledge: eternalism entails that (and comes close to explaining how) an omniscient God would know what we decide in the future even if we have libertarian free will. This account also explains (...) what is wrong with standard fatalist arguments for the incompatibility of free will and God’s foreknowledge. (shrink)

Contemporary society is dominated by the reality of the Anthropocene ecological crisis. In a certain subset of the ecopolitical literature, however, this topic is framed as a problem of governance. Supposedly, the unintended consequences of numerous micro-level human actions can be addressed by macro-level government interventions. Such discourses of eco-governmentality are informed by an emphasis upon the ‘planetary’ and the desirability of political centralisation. Our article seeks to critically engage with both the notion of a supposedly ‘planetary’ community of interests, (...) and also reject the idea of global eco-governmentality. In our view, not only does the misguided emphasis on global ecological governance oversimply the planetary predicament, obscuring differences between cultures and social power structures; but it also runs the risk of obviating local democracy and could also lead to an ecologically legitimated undemocratic global technocracy. Instead of centralisation, further decentralisation could be key to both thinking and acting ‘glocally’, without expecting too much from political systems. We make the case against eco-authoritarianism and also reject ecomodernism. Recent critiques relating to the pitfalls of ecomodernism can help us construct a more inclusive, bottom-up form of ecopolitics. (shrink)

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

Nineteenth century treatments of attention often argued that analysis (attention singles out an object) and synthesis (attention unifies some objects) are inseparable aspects of this activity. Subsequent philosophical work on attention concentrated on the analytic aspect and exploited William James's characterisation of attention as focussing on one object among others. The aim of this paper is to give a more balanced account of the history of philosophical work on attention as well as the activity theorised by highlighting the synthetic aspect (...) of attention. The paper is centred on Hermann Lotze's (1817–1881) work on attention. According to him, attention is constituted by comparing. I will motivate Lotze's main thesis and expound his supporting argument in detail by locating it in his work on vision. The paper will draw on George Dawes Hicks engagement with Lotze and assess Francis H. Bradley's criticism of Lotze's main thesis. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Frederick J. Streng Award for Excellence in Buddhist-Christian StudiesMark UnnoThe awardee for this year's Frederick Streng J. Streng Award for Outstanding Book in Buddhist-Christian Studies is Peter Feldmeier, Experiments in Buddhist-Christian Encounter: From Buddha-Nature to Divine Nature (NY: Orbis, 2019).This monograph is highly sophisticated in covering a wide range of topics from Early Buddhism through the Mahayana, including Zen and Pure Land, the latter of which is often either (...) underrepresented or poorly represented. The mastery and presentation of Christian theology and praxis are superb. As a Christian theologian, Peter Feldmeier demonstrates extensive first-hand knowledge of Buddhist practice, and this is evident in several ways, including a sophisticated presentation of praxes along with religious thought, featuring the differences between the formal logic behind much of Buddhism, the Mahayana in particular, on the one hand, and Christian thinkers, on the other. The author includes discussions of both primary scripture and commentarial/exegetical literature in ways that are accessible, appropriate, and inspiring for undergraduates as well as specialists. Much of the book is dialogical in ways that negotiate differences and similarities in both engaging and nuanced terms, with apt and vivid illustrations/examples. The treatment of the Heart Sutra toward the end represents a more synthetic, constructive turn, one that is all the more effective as Feldmeier has already established the foundations for informed, knowledgeable dialogue beforehand. [End Page 241]Mark UnnoSBCS Board Member and Past PresidentCopyright © 2024 University of Hawai'i Press... (shrink)

Background Research ethics boards exist for good reason. By setting rules of ethical behaviour, REBs can help mitigate the risk of researchers causing harm to their research participants. However, the current method by which REBs promote ethical behaviour does little more than send researchers into the field with a set of rules to follow. While appropriate for most situations, rule-based approaches are often insufficient, and leave significant gaps where researchers are not provided institutional ethical direction. Results Through a discussion of (...) a recent research project about drinking and driving in South Africa, this article demonstrates that if researchers are provided only with a set of rules for ethical behaviour, at least two kinds of problems can emerge: situations where action is required but there is no ethically good option and situations where the ethical value of an action can only be assessed after the fact. These dilemmas highlight and help to articulate what we already intuit: that a solely rule-based approach to promoting ethical research is not always desirable, possible, effective, or consistent. Conclusions In this article, I argue that to better encourage ethical behaviour in research, there is a need to go beyond the rules and regulations articulated by ethics boards, and focus more specifically on creating and nurturing virtuous researchers. (shrink)

Popper’s (1983, 2002) philosophy of science has enjoyed something of a renaissance in the wake of the replication crisis, offering a philosophical basis for the ensuing science reform movement. However, adherence to Popper’s approach may also be at least partly responsible for the sense of “crisis” that has developed following multiple unexpected replication failures. In this article, I contrast Popper’s approach with that of Lakatos (1978) as well as with a related but problematic approach called naïve methodological falsificationism (NMF; Lakatos, (...) 1978). The Popperian approach is powerful because it is based on logical refutations, but its theories are noncausal and, therefore, potentially lacking in scientific value. In contrast, the Lakatosian approach considers causal theories, but it concedes that these theories are not logically refutable. Finally, NMF represents a hybrid approach that subjects Lakatosian causal theories to Popperian logical refutations. However, its tactic of temporarily accepting a ceteris paribus clause during theory testing may be viewed as scientifically inappropriate, epistemically inconsistent, and “completely redundant” (Lakatos, 1978, p. 40). I conclude that the replication “crisis” makes the most sense in the context of the Popperian and NMF approaches because it is only in these two approaches that the failure to replicate a previously corroborated theory represents a logical refutation of that theory. In contrast, such replication failures are less problematic in the Lakatosian approach because they do not logically refute theories. Indeed, in the Lakatosian approach, replication failures can be temporarily ignored or used to motivate theory development. (shrink)

Since the critique of psychologism initiated by Gottlob Frege and championed by Edmund Husserl, logicians and psychologists alike have adhered to a strict division of labour. This has created a gap between reasoning as a psychological phenomenon and logic. However, reasoning involves logic, and logic is the benchmark of rationality; intuitively at least, reasoning and logic are connected. Recently, attempts have been made to bridge the gap, but the strict division of labour is often eroded. Jean Piaget conceived genetic epistemology (...) as a science of the growth of knowledge, and since logical knowledge is in its purview the accusation of psychologism was omnipresent. In this paper, I outline Piaget's psychological account of the development of logic and argue that he successfully navigated the hazards of psychologism. In essence, he minds the gap by preserving the division of labour; however, by making logic the mirror of thought, he also intimated at a bridge. Concrete correspondences between logic and psychological structures of thought lie at the heart of Piaget's metaphor, and, by building on these foundations, I illustrate how an axiom schema for sentential logic can be derived from the interpropositional grouping, Piaget's psychological model of the operational structure characterising hypothetico-deductive reasoning. (shrink)

Process metaphysics is both internally coherent and coherent with what we know about the basic ‘what there is’ of the world, whereas a particle-as-particular metaphysics is neither. One consequence of a process metaphysics is that metaphysical emergence becomes explicable, and, in turn, normative emergence. This point is developed with models of the emergence of normative function and of representation. These are steps toward an integrated naturalistic understanding of the world.

Often, when we think about living an ethical life, we think about which of our actions are ethical or unethical. Philosopher and mathematician W. K. Clifford thought that ethics was about more than just actions. He also thought that ethical living required aligning one’s beliefs with one’s evidence. Specifically, he argued that it was always wrong to believe something based on insufficient evidence. This article provides an overview of the first section of Clifford’s essay “The Ethics of Belief,” in which (...) he argues for this claim. As part of his argument, Clifford offers examples of people harming others because they believed things based on insufficient evidence. He argues that such cases are examples of unethical beliefs. From there, he turns to arguing for his more general principle. He also emphasizes the importance of inquiring into one’s beliefs and the social importance of our epistemic lives. (shrink)

The dilemmas and uncertainties related to determining mental capacity and surrogate decision-making are universally recognised as one of the most important concepts in the field of clinical ethics. In Malaysia, healthcare practitioners often find both determining decision-making capacity of patients, and identifying surrogate decision makers for incapacitated patients confusing. This paper explores the concepts of decision-making capacity and surrogate decision-making, identifying key components and associated principles such as substituted judgement and best interests. It reviews current provisions and guidances available in (...) Malaysia that are related to these issues, including the Power of Attorney Act 1949 (revised 1990), Mental Health Act 2001, and various guidelines. It then highlights the challenges encountered in the local clinical setting due to the lack of specific legislation and clear guidance. Finally, this paper provides recommendations for improvements to address these issues in order to safeguard both the clinical practice of healthcare professionals and the rights of patients. These recommendations include the establishment of a regulatory framework with four main domains: clear and objective criteria for mental capacity assessment, provisions for advance decision-making while patients still possess mental capacity, a ladder or hierarchy of surrogate decision-makers, and provisions for appropriate surrogate decision-making standards, as well as the need for advocacy and awareness education among both the general public and healthcare professionals. (shrink)

Volume 24, Issue 8, August 2024, Page 93-95.

Secular bioethics fails to grasp the central moral and spiritual realities of medicine. As the authors in this issue of Christian Bioethics argue, contemporary healthcare practice is often based on the false premise that medical science can secure the safety of human life. Yet, the standard “biopsychosocial model” of medicine fails to grasp the theological dimensions of healthcare often harming patients and their families in the process. Indeed, as the articles explore, all too often secular bioethics manipulates medicine to achieve (...) immoral purposes, such as active euthanasia of the sick or elderly. Such spiritual decay is acutely manifested in the pressure put on patients to accept an economically efficient and medically expedient assisted death as well as in how society often treats the human body as mere res—a thing unimportant in itself apart from animation as a living person. Together the articles illustrate that without careful religiously grounded advice modern medicine is often spiritually disorienting for both patients and practitioners. (shrink)

This meticulous exposition of Plato’s thinking about rule engages with a wide range of scholarship in both ancient and modern political theory. It shows that rule and office are central to Plato an...