_Kant and Applied Ethics_ makes an important contribution to Kant scholarship, illuminating the vital moral parameters of key ethical debates. Offers a critical analysis of Kant’s ethics, interrogating the theoretical bases of his theory and evaluating their strengths and weaknesses Examines the controversies surrounding the most important ethical discussions taking place today, including abortion, the death penalty, and same-sex marriage Joins innovative thinkers in contemporary Kantian scholarship, including Christine Korsgaard, Allen Wood, and Barbara Herman, in taking Kant’s philosophy in new (...) and interesting directions Clarifies Kant’s legacy for applied ethics, helping us to understand how these debates have been structured historically and providing us with the philosophical tools to address them. (shrink)

This article argues that Dewey expresses what seems to be a core enactive commitment to constructivism: that creatures do not encounter pre-existing realities but bring them out by altering their surroundings. He adds that constructivism does not obviate realism because changes, once introduced, really are there in relation to a creature’s capacities. This poses a dilemma. If enaction primarily entails altering the external milieu, then the movement repeats pragmatism, also collapsing a basis upon which many of its authors differentiate their (...) outlooks from ecological psychology’s realism. Yet if constructive activity is largely interior, as enactivists’ language sometimes suggests, then critics may be right in saying that the movement backslides into early Modern solipsism. A broader argument is that enactivists sometimes perpetuate what James characterizes as monistic halfway empiricism. Here, the risk is that researchers hold positions not because of evidence but regardless of it, or stipulate terminological definitions that exclude opposing views ahead of time. Even physics remains ununified, and there may be room for combining antagonistic accounts of mind. Or maybe normally hostile positions like enactivism and functionalism are, with some terminological reframing, reconcilable. The article also touches on historical points, such as the fact that American philosophy and enactivism have Asian and evolutionary influences, or that they react against common schools. The purpose is to clarify the movements in question and identify where enactivists engage in something like halfway empiricism by orienting themselves against enemies based more in fiction than fact. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Role of Glass in Interior Architecture:Aesthetics, Community, and PrivacyMatthew Ziff (bio)Design education seeks to infuse students with knowledge, skills, and attitudes, regarding the design of the built environment. In the areas of knowledge and attitude, sophistication and competence are developed through both practice (largely carried out in the design studio environment), and engagement with critical analysis (largely carried out in seminar classes and traditional lecture format class environments). (...) For design students the world of design is both to be known and understood, and to be created, at their own studio desk. In order to both know and create design, students often behave like nocturnal predators, seeking what is necessary in a mode that is often unobserved, and then returning to digest their catch, to produce responsive and synthetic work. One arena in which design students find rich fields of information is that of material characteristics. Materials used in the design and construction of the built environment form a significant portion of the skeleton of a designer's body of knowledge, skills, and attitudes toward design. A current hotbed of material character and application is that of the world of glass. This essay is an exploration of some of the issues that the architectural uses of glass raise from the point of view of design student exploration.Materials evoke physical and psychological responses. Human beings are complex creatures and an individual's response to specific material applications can be unpredictable. Even so, it is reasonable to expect that there are shared attitudes that form the basis for responses to the physical character of the built environment. From delight, to confusion, materials used in the architecture of things large and small, from buildings to fountain pens, contain literal meaning, or expression of method, as well as possible symbolic and cultural meaning. The contemporary use of glass, particularly in interior architecture, presents a vivid arena for emotional and intellectual stimulation and response. [End Page 10]Glass planes that are sheer, opaque, translucent, colorful, brittle, imposing in mass, irregular in surface texture, flawlessly smooth, deformed through casting or by application of pressure and heat, are being used to create spaces that convey ambiguous relationships between private experience and public display. What is an ambiguous relationship? It is one to which a reasonable response is a high degree of uncertainty regarding the course of action one might take, or in the degree of understanding of the context one can develop. To know that the stair in the train station leads to track 4 is a condition that can be created by the use of unambiguous design; a visual connection from where one has to make a choice of paths to follow to the destination, track 4, creates a clear understanding of where track 4 is to be found. If track 4 can be seen from the position at which a choice is required, then certainty, clarity, is possible, if not probable. Visual connection is exactly what clear glass allows, and provides, yet ambiguity results because of the physical, hard barrier, transparency aside. "I can see track 4, but I cannot get there". The clarity provided by being able to see through glass, or even by being able to see light coming through translucent glass, is not sufficient to offset the uncertainty, or the mixed message, of not being able to get there, to touch what we can see.Glass in interiors offers a tactile and sensory titillation; the excitement of knowing that with a single swing of a hammer, or an umbrella handle, the beautiful sheet of curved frosted lemon ice colored tempered glass can be shattered into fragments.Windows have long been the predominant interior and exterior architectural element in which glass has played a major role. The glass used in Windows on the World, the famous restaurant atop the World Trade Center, destroyed during its collapse, and the glass used in a simple double hung window in a one story ranch house each share architectural duties of providing view from inside to outside, light transmission from outside to inside, heat gain, and acoustical isolation. Human eyes are sometimes described as "windows to the soul," which suggests the ability to... (shrink)

In the face of the Brexit vote and the election of Trump, there is serious worry about whether the liberal, democratic, and cosmopolitan values thought to underlie progressive immigration policies are in fact widely shared. In this article, I examine these worries and provide suggestions about how those who do favor just progressive immigration policies might best respond to the problems we currently face.

If you do not know the correct answer, guess.Design addresses need, of various types. A designer “designs” to address, to propose a possibility, or to meet a need. A great variety of things are designed: shoes, posters, watches, houses, televisions, keyboards, movies, washing machines, toasters, belts, and cars, to mention only some.A designer, be he or she an architect, interior designer, graphic designer, product designer, or industrial designer, nearly always provides drawings, models, written descriptions, and overarching ideas in response to (...) a need, articulated, stated, by someone. The need might be one that the designer recognizes on his or her own and decides to address, or the need might come to the... (shrink)

We are happy to announce that Libertarian Papers has been chosen for inclusion in the web archives of the Library of Congress. This means that, once archived, the complete journal will be available indefinitely both to researchers at Library facilities and by special arrangement. Of course, because Libertarian Papers uses an open-access format, the use of ….

I offer an account of truth that combines elements of deflationism and traditional correspondence theories. We need such an intermediary account, I argue, in order to adequately answer two kinds of questions: "Why do we find it obvious that 'p' is true iff p?" and "Why is it contingent that 'p' is true iff p?" If what it is for 'p' to be true is explained by simply saying that p, as the deflationist claims, it is hard to see how (...) it could be contingent that 'p' is true iff p. But if it is claimed instead that what it is for a sentence to be true is for it to correspond to a fact, we still need some explanation of why 'p's correspondence with reality insure that p, and vice versa. What we need, I claim, is to recognize a structure to truth: truth for sentences, utterances, and other non-propositional entities depends on, and is analyzable in terms of, the expression of true propositions. Propositional truth can then be treated as insubstantial, as deflationary, and truth for other entities as substantial, consisting of correspondence to a fact . ;This account of truth, which I call Weak Deflationism, anchors the dissertation. In an introductory chapter, I give a partial defense of realism about propositions and properties, later defending Platonism against attacks by David Lewis. After formulating Weak Deflationism, I examine its implications for such matters as the "absurd comparison" objection, the truthmaker project in ontology, and non-factualist theories in metaethics. In a final chapter, I provide a Kripke-inspired modification of Weak Deflationism aimed to avoid liar-like paradox. Premised on a distinction between propositions that predicatively involve truth, i.e., truth-dependent propositions, and those that do not, truth-independent propositions, I argue that truth for the latter is deflationary and that truth for the former consists in being determined by the totality of truth-independent fact. Falsity is understood as truth of the negation. Liars are then counted neither true nor false, and paradox is averted. (shrink)

It’s generally assumed that a compositional semantic theory will have to recognise a semantic category of expressions which serve simply to pick out some one object: e-type expressions. Kripke’s views about names, Kaplan’s about indexicals and demonstratives, the standard Tarskian semantics for bound variables, Heim and Kratzer’s Strawsonian view about definites, even an analysis of indefinites, assume as much. In this thesis, I argue that recent advances in the semantics of names and of quotation, and in metaphysics, give good reason (...) to doubt there is such a category. I do so in two parts. In the first part, comprising about two thirds of the thesis, I combine two recent views, one from semantics and one from metaphysics. From semantics, I take over predicativism about names, the view, as one might have guessed, that names are predicates. From metaphysics, I take over the doctrine that there are temporal parts. Putting them together, I hold that the semantic contribution of the name ’Joan’, in a sentence like ’Joan is a barrister’, is a predicate, and in particular a predicate the extension of which is Joan’s temporal parts. Names are not, as is commonly thought, e-type expressions. In the second part, building on the first, I further undermine the existence of a semantically important category of e-type expressions by arguing that a construction which might be thought to mandate such a category, namely de re attitude ascriptions, in fact, when properly analysed, does not do so. I argue this by considering the nature of transparent occurrences of expressions in opaque contexts in general, and in particular by considering the phenomenon of mixed quotation. I present a new theory of it, and show how it can be parlayed into a new Fregean theory of de re attitude ascriptions. The thesis overall, then, will provide strong evidence against the semantic importance of e-type expressions either in language, or in thought. (shrink)

The general issue addressed in this dissertation is: what do the models of formal model-theoretic semantics represent? In chapter 2, I argue that those of first-order classical logic represent meaning assignments in possible worlds. This motivates an inquiry into what the interpretations of first-order quantified model logic represent, and in Chapter 3 I argue that they represent meaning assignments in possible universes of possible worlds. A possible universe is unpacked as one way model reality might be. The problem arises here (...) as to how we are to understand the distinction between the actual and the possible as it relates to modal reality. ;Along with the development of the main arguments in Chapters 2 and 3, the dissertation assesses the status of semantic accounts or logical properties and relations. Specifically, what does the model-theoretic account of a logically possible situation add to the syntactic account ? ;Proofs of invalidity in terms of the models of formal semantics do not establish that it is possible for the premises to be true and the conclusion false, since a formal model is merely given by a consistent set of sentences. Unless there is some way to generate a non-formal model from a formal one, such proofs do not really go beyond syntactic notions. The dissertation ends by concluding that there is no way to generate a non-formal model from a formal one without relying on logical intuitions that are syntactical. ;Hence efforts to construct a semantic basis for model logic independent of syntactic commitments are misguided. However, in classical logic the independence of the semantic account from the syntactic one is grounded on the intuition that it is metaphysically possible for there to be a denumerably infinite totality of objects. (shrink)

In this article, we investigate how the concept of Care Biography and related concepts are understood and operationalised and describe how it can be applied to advancing our understanding and practice of holistic and person‐centred care. Walker and Avant's eight‐step concept analysis method was conducted involving multiple database searches, with potential or actual applications of Care Biography identified based on multiple discussions among all authors. Our findings demonstrate Care Biography to be a novel overarching concept derived from the conjunction of (...) multiple other concepts and applicable across multiple care settings. Concepts related to Care Biography exist but were more narrowly defined and mainly applied in intensive care, aged care, and palliative care settings. They are associated with the themes of Meaningfulness and Existential Coping, Empathy and Understanding, Promoting Positive Relationships, Social and Cultural Contexts, and Self‐Care, which we used to inform and refine our concept analysis of Care Biography. In Conclusion, the concept of Care Biography, can provide a deeper understanding of a person and their care needs, facilitate integrated and personalised care, empower people to be in control of their care throughout their life, and help promote ethical standards of care. (shrink)

What sort of philosophical work are natural kinds suited for? Scientific realists often contend that they provide the ‘aboutness’ of successful of scientific classification and explain their epistemic utility (among other side hustles). Recent history has revealed this to be a tricky job — particularly given the present naturalistic climate of philosophy of science. As a result, we’ve seen an explosion of different sorts of theories. This phenomenon that has suggested to some that philosophical theorizing about natural kinds has reached (...) a sort of ‘scholastic twilight’ and that the concept (or family of concepts) has outlived its utility: perhaps there’s no work natural kinds are suited for. While I think this pessimistic take is unwarranted, I will argue that it is worth rethinking the roles to which a reasonably naturalistic account of natural kinds can be fruitfully put. Natural kinds deserve a shorter work week. (shrink)

I propose a new theory of semantic presupposition, which I call dissatisfaction theory. I first briefly review a cluster of problems − known collectively as the proviso problem − for most extant theories of presupposition, arguing that the main pragmatic response to them faces a serious challenge. I avoid these problems by adopting two changes in perspective on presupposition. First, I propose a theory of projection according to which presuppositions project unless they are locally entailed. Second, I reject the standard (...) assumption that presuppositions are contents which must be entailed by the input context; instead, I propose that presuppositions are contents which are marked as backgrounded. I show that, together, these commitments allow us to avoid the proviso problem altogether, and generally make plausible predictions about presupposition projection out of connectives and attitude predicates. I close by sketching a two-dimensional implementation of my theory which allows us to make further welcome predictions about attitude predicates and quantifiers. (shrink)

Responses to public health emergencies can entail difficult decisions about restricting individual liberties to prevent the spread of disease. The quintessential example is quarantine. While isolating sick patients tends not to provoke much concern, quarantine of healthy people who only might be infected often is controversial. In fact, as the experience with severe acute respiratory syndrome (SARS) shows, the vast majority of those placed under quarantine typically don't become ill. Efforts to enforce involuntary quarantine through military or police powers also (...) can backfire, stoking both panic and disease spread. Yet quarantine is part of a limited arsenal of options when effective treatment or prophylaxis is not available, and some evidence suggests it can be effective, especially when it is voluntary, home-based and accompanied by extensive outreach, communication and education efforts. Even assuming that quarantine is medically effective, however, it still must be ethically justified because it creates harms for many of those affected. Moreover, ethical principles of reciprocity, transparency, non-discrimination and accountability should guide any implementation of quarantine. (shrink)

Individuals are a prominent part of the biological world. Although biologists and philosophers of biology draw freely on the concept of an individual in articulating both widely accepted and more controversial claims, there has been little explicit work devoted to the biological notion of an individual itself. How should we think about biological individuals? What are the roles that biological individuals play in processes such as natural selection (are genes and groups also units of selection?), speciation (are species individuals?), and (...) organismic development (do genomes code for organisms)? Much of our discussion here will focus on organisms as a central kind of biological individual, and that discussion will raise broader questions about the nature of the biological world, for example, about its complexity, its organization, and its relation to human thought. (shrink)

This paper develops a novel conception of freedom of thought as the right to epistemic self-realization. The recognition of this right is characterized here as a modally robust normative status that I think one has as a potential knower in an epistemic community. It is a status that one cannot enjoy without a specific form of institutionalized intellectual respect and support. To explain and defend this conception of freedom of thought, it is contrasted here with more traditionally “negative” conceptions of (...) freedom of thought, in terms of not being interfered with. It is also contrasted here with a “positive” conception of freedom of thought derived from a recently prominent account of doxastic agency as grounded in the rational capacity to self-determine one's own response to reasons. In both cases, the crux of the argument in this paper is that a conception of freedom of thought as a right to epistemic self-realization makes better sense of why we fear the counter-liberatory forces of propaganda and regulated thinking, and also why we hold out hope for the liberating potential of education and critical engagement with expertise in the public sphere. (shrink)

One of the liveliest debates about cognition concerns whether our cognition sometimes extends beyond our brains and bodies. One party says Yes, another No. This paper shows that debate between these parties has been epistemologically confused and requires reorienting. Both parties frequently appeal to empirical considerations and to extra-empirical theoretical virtues to support claims about where cognition is. These things should constrain their claims, but cannot do all the work hoped. This is because of the overlooked fact, uncovered in this (...) paper, that we could never distinguish the rival views empirically or by typical theoretical virtues. I show this by drawing on recent work on testing, predictive accuracy, and theoretical virtues. The recommendation to emerge is that we step back from debate about where cognition is, to the epistemology of what cognition is. (shrink)

This paper proposes a new and testable view about the nature of species and other evolving lineages, according to which they are feedback systems. On this view, it is a mistake to think gene flow, niche sharing, and trait frequency similarities between populations are among variables that interact to cause some further downstream variable that distinguishes evolving lineages from each other, some sort of “species cohesion” for example. Instead, gene flow, niche sharing, similarities between populations, and other causal variables feed (...) into each other—instances of these at earlier times help cause instances of these same variables at later times. And any lineage-identifying cohesion just is the recurrence or cycling of these feedback relations within metapopulations over generations. Such cohesion can then be represented as variable M within multi-dimensional variable spaces, where values of M vary dynamically with the frequency and magnitude of feedback relations. Related conditions for being a species or other evolving lineage are then clarified. To argue for the development and testing of this view, the paper shows how it improves upon others. (shrink)

We are all capable of arriving at views that are driven by corrupting non-epistemic interests. But we are nonetheless very skilled at performing a commitment to epistemic goods in such cases. I call this the ‘Problem of Mere Epistemic Performance’, and it generates a need to determine when these commitments are illusory and when they are in fact genuine. I argue that changing one’s mind, when done in response to the evidence and at a likely cost to oneself, are the (...) best indications that an agent is committed to epistemic goods, that they are genuinely in the game of giving and asking for reasons. This is because changing one’s mind in this way goes as far as we can in eliminating the possibility that the agent has an ulterior motivation for their epistemic practices. Moreover, this account shows that the consensus view of the ideal epistemic agent is mistaken. The ideal agent must have false beliefs or deficient epistemic practices because only then do they have the opportunity to change their mind and establish a commitment to epistemic goods – a commitment that even an agent with only true beliefs and maximal justification or understanding may lack. (shrink)

This paper explores a fundamental similarity between cognitive models for crying and conceptions of insight, enlightenment or, in the context of art, “aesthetic experience.” All of which center on a process of initial discrepancy, followed by schema change, and conclude in a personal adjustment or a “transformation” of one’s image of the self. Because tears are argued to mark one of the only physical indicators of this cognitive outcome, and because the process is particularly salient in examples with art, I (...) argue that crying may provide an intriguing marker for empirical study of perceiving art. To explore this parallel, I offer a review of crying theory as well as of tearful cases with art, pointing out the key cognitive elements. I then introduce an expanded crying model, based upon our recent model of art experience which does consider insight and adjustment or application of the self. I also consider multiple emotional and evaluative factors, which may co-vary with crying response. This theoretical discussion is then applied in three exploratory, survey-based studies, conducted within U.K., Japan and U.S. museums, and including what is claimed to be the 20th century’s most tear-inducing abstract paintings. Results showed—with cross-cultural consistency—significant correlation between “feeling like crying” and a collection of responses posited to indicate a full progression to aesthetic experience. This also found correlation to positive assessment of artwork goodness, beauty, understanding of meaning, and to final reported self reflection and epiphany. I argue that, beyond the question of why we may cry, by considering implications of what tears may indicate for information processing, feeling like crying may be a compelling basis for identifying outcomes of perceptual (art) experience. (shrink)

This article seeks to challenge existing understandings of good work. It does so through a critical exploration of recognitive and craft conceptions of work, which are among the richest and most philosophically nuanced of extant accounts. The recognitive view emphasises work’s recognitive value through the social esteem derived from making a valuable social contribution. But by making recognition foundational, it is unable to appreciate the irreducible ethical significance of the objective quality of one’s work activity. The ‘craft ideal’, by contrast, (...) promises to provide a powerful basis for understanding the importance of rich, rewarding, and morally educative activities, but is undermined by a laudable but misdirected egalitarian impulse which prevents it from being able to properly distinguish good from bad work. One underlying aim of our discussion is to provoke deeper reflection from business ethicists regarding what we might want from an account of good work. (shrink)

*The views in this article are the author's alone and should not be construed as policy statements of the American Medical Association.

Pathologies of agency affect both groups and individuals. I present a case study of agential pathology in a group, in which supposedly rogue members of a group act in light of what they take the group’s interests and attitudes to be, but in a way that goes against the group’s explicitly stated agential point of view. I consider several practical concerns brought out by rogue member action in the context of a group agent, focusing in particular on how it undermines (...) the agency of the group and whether or not the group agent itself may be responsible for it. (shrink)

The three primary ethical challenges in preparing for public health emergencies - addressing questions of rationing, restrictions and responsibilities - all entail confronting uncertainty. But the third, considering whether people and institutions will live up to their responsibilities in a crisis, is perhaps the hardest to predict and therefore plan for. The quintessential example of a responsibility during a public health emergency is that of health care professionals' obligation to continue caring for patients during epidemics. Historically, this 'duty to treat' (...) has sometimes gone unrecognized or ignored, but it has also famously been adhered to, including during the recent SARS epidemic. And non-crisis examples of health professionals working in the face of personal risk are very common. The duty to treat should be circumscribed by several considerations, including the levels or risk and benefit at issue, the degree of public reliance on health professional action, and the nature of the individual health professional's acceptance of greater than usual risk. Examining the professional duty to treat and the legitimate questions it raises can provide insight into other actors' responsibilities. Public health ethics as well as professional ethics can help frame answers to some key questions: How strong are ethical responsibilities during crises? To whom do they apply? Should they be more explicit - and hence more circumscribed - or less explicit and hence largely aspirational? And how can public health policies encourage responsible actions? (shrink)

Despite the ongoing need for managers to fire employees and the wide prevalence of downsizing and layoffs, little research has examined how the conduct of termination interviews affects employee reactions. The current research was designed to explore reactions to several commonly used termination interview practices. Two scenario-based experiments examined the effectiveness of having a third party (an HR manager or a security guard) present, mentioning the employee's positive characteristics and contributions, and using alone, discrete escort, or public escort modes of (...) exit from the interview. Perceptions of being treated with respect and empathy, levels of anger, and the likelihood of complaining to others and taking legal action were assessed. Support for the effectiveness of specific termination interview practices was mixed. Specifically, in Experiment 1, third party presence was viewed as demonstrating a lack of respect, whereas mentioning positive characteristics was generally viewed favorably. Experiment 2 showed the favorable effects of mentioning positive characteristics were eroded by a security guard escort from the interview, and actually reversed and became negative when that escort was public in nature. A public escort also produced the highest levels of anger. These results suggest that multiple aspects of the termination interview process should be considered carefully when developing managerial policies. (shrink)

* Disclaimer: The views expressed are the author's own. This article should not be construed as representing policies of the American Medical Association.

ABSTRACT Why did the popping of the housing bubble bring the financial system—rather than just the housing sector of the economy—to its knees? The answer lies in two methods by which banks had evaded regulatory capital requirements. First, they had temporarily placed assets—such as securitized mortgages—in off‐balance‐sheet entities, so that they did not have to hold significant capital buffers against them. Second, the capital regulations also allowed banks to reduce the amount of capital they held against assets that remained on (...) their balance sheets—if those assets took the form of AAA‐rated tranches of securitized mortgages. Thus, by repackaging mortgages into mortgage‐backed securities, whether held on or off their balance sheets, banks reduced the amount of capital required against their loans, increasing their ability to make loans many‐fold. The principal effect of this regulatory arbitrage, however, was to concentrate the risk of mortgage defaults in the banks and render them insolvent when the housing bubble popped. (shrink)

Recent arguments over whether certain public health interventions should be mandatory raise questions about what counts as a "mandate." A mandate is not the same as a mere recommendation or the standard of practice. At minimum, a mandate should require an active opt-out and there should be some penalty for refusing to abide by it. Over-loose use of the term "mandate" and the easing of opt-out provisions could eventually pose a risk to the gains that truly mandatory public health interventions, (...) such as childhood vaccines, have provided over the last 50 years. Already, confusion about what counts as a mandate, and about what criteria should be used to determine when a public health intervention should be implemented as a mandate, has led to some inappropriate public policy decisions. For instance, by any reasonable criteria, the yearly influenza vaccine should be mandatory for health care workers. To enforce this mandate, those who refuse vaccination should be required to sign a waiver, and patients - especially those at high risk from flu - should be informed when they receive care from unvaccinated practitioners. (shrink)

Although Kant defends a cosmopolitan ideal, his philosophy is problematically vague regarding how to achieve it, which lends support to the empty formalism charge. How Kant would respond to the crisis in Syria reveals that judgement plays too central a role, because Kantian principles lead to equally reasonable but opposite conclusions on how to weigh the duty of hospitality to refugees against a state’s duty to its own citizens, the right of prevention towards ISIS against the duty not to harm (...) non-combatants, and the responsibility to protect the people of Syria against the duty of non-interference in its internal affairs. (shrink)

*The views expressed are the author's own. This article should not be construed as representing policies of the American Medical Association.

I argue that the Bradley of the 1883 The Principles of Logic marks and separates contents under tension in judgments. The separation comes in attending to content as a device for recuperation of scale. For Bradley that involves scaling material of immediate presentations under limits. As unrealised commitments of so- called real and ideal are an exclusionary condition of singular comprehension, singularity of judgments is mark of singular reflex with privative force; not some singularity in objects taken in episodic correspondence (...) forming distinctively in singular judgment. The distinguishing input, as it were, to judgment forms is via content in some consequential and fact-like limitive facing of the real. I want to approach Bradley in this slightly negative sense as imposing via inversion some sensible restrictions under some conditions of scaling rather than in direct contact with materials to which one stands in some act of obversion, finally. (shrink)

*The views represented are the author's alone and should not be construed as representing policies of the American Medical Association.

The self-indication assumption (SIA) claims that given that one exists, one should think that the universe has many people, for a universe that has more people is more likely to contain any particular person. SIA is attractive to many because it diffuses the infamous doomsday argument, and avoids the problems of its main rival, the self-sampling assumption (SSA), which instructs one to reason as if they’re randomly selected from the people in their reference class. Here, I will go further than (...) the traditional argument for SIA from its ability to avoid the doomsday argument: I will show that any view other than SIA must accept the soundness of the doomsday argument and certain even stranger conclusions. Additionally, I’ll argue that the main objection to SIA, the presumptuous philosopher case, is unconvincing. Together then, these considerations give one a strong reason to adopt SIA. (shrink)

Confidentiality is a core value in medicine and public health yet, like other core values, it is not absolute. Medical ethics has typically allowed for breaches of confidentiality when there is a credible threat of significant harm to an identifiable third party. Medical ethics has been less explicit in spelling out criteria for allowing breaches of confidentiality to protect populations, instead tending to defer these decisions to the law. But recently, issues in military detention settings have raised the profile of (...) decisions to breach medical confidentiality in efforts to protect the broader population. National and international ethics documents say little about the confidentiality of detainee medical records. But initial decisions to use detainee medical records to help craft coercive interrogations led to widespread condemnation, and might have contributed to detainee health problems, such as a large number of suicide attempts several of which have been successful. More recent military guidance seems to reflect lessons learned from these problems and does more to protect detainee records. For the public health system, this experience is a reminder of the importance of confidentiality in creating trustworthy, and effective, means to protect the public's health. (shrink)

The Centers for Disease Control and Prevention (CDC) recently recommended that HIV screening should become routine for all adults in the United States. Implicit in the CDC proposal is the notion that pre-test counseling would be more limited than at present, and that written informed consent to screening would no longer be required. If widely implemented, routine testing would mark a tremendous shift in the US HIV screening strategy. There are a number of considerations used to determine what screening tests (...) should be routine, and HIV fits the bill in almost every regard. Yet the stigma associated with HIV infection remains, making the CDC's recommendation highly controversial. Will minimizing requirements for pre-test counseling and special written informed consent lead to unexpected or unwanted HIV testing, or do these stringent counseling and consent requirements needlessly scare people away? Will widespread and routine testing be associated with declining stigmatization, or will it drive some patients away from seeking desperately needed health care? These are high stakes questions, and we're about to find out the answers. (shrink)

In recent years, multiple authors have voiced discontent with the theoretical and practical neglect of the concept of ability. This includes, but is not limited to, philosophers of disability who have long assailed the implausible accounts of ability utilized by most social and political philosophers. Historically, most philosophers took it for granted that the meaning of ability will come easily, or is even a given, when higher-order questions are addressed. The aim of this chapter is to animate discussions about ability (...) trouble, which is to say, to animate (i) concern over the lack of philosophical inquiry that takes the concept of ability seriously as a problem in its own right and to animate (ii) novel interest in and further research on the concept of ability—and, correlatively, disability. We first analyze a famous argument concerning moral status that exemplifies how treating the concept of ability as a mere matter of common sense can lead philosophical inquiry awry. We then turn to the role of the concept of ability in an account that does, at least prima facie, take the concept seriously: Sen and Nussbaum’s capabilities approach. While better than common-sense approaches, we draw a cautionary tale, suggesting that even there the concept is simplified in theoretically and practically problematic ways. We conclude with a number of open questions offered in the hope of inspiring future non-ideal research on the topic. (shrink)

It is now widely expected that climate change will be serious enough that a very large number of people will be displaced from their homes because of events relating to or resulting from climate change. Such events may include rising sea levels (and resulting increased salination of ground water), stronger hurricanes and tropical storms, drought, floods, increased and more intense wildfires, and other extreme or (previously) unusual weather events. Although estimates vary widely, it seems very likely that many millions of (...) people—perhaps hundreds of millions if sufficient precautions are not taken—will be forced from their homes by these events related to climate change. In the public imagination, much of the attention has been on ‘climate refugees’, where this is taken to mean people who have crossed borders. However, there is good reason to believe that a very large percentage—probably a significant majority—of displacement resulting from climate change will be, or could be, internal. In this chapter I argue that there are likely to be a large number of cases where internal displacement related to climate change is of international concern, and where, therefore, states have significant moral reasons to provide assistance, either directly to those displaced, or else to the state in which the displacement has taken place. My claim is that internal displacement arising from climate change is of international concern and so grounds a duty of aid by states able to provide it, when this displacement threatens the basic human rights of those displaced, and when the local or domestic government cannot or will not take the necessary steps to meet the needs and protect the rights of those who are displaced. (The uploaded version of this paper is an uncorrected proof. Please cite and refer to the published version.). (shrink)

Existing ethical guidelines that aim to guide the development of mental health apps tend to overemphasize the role of Western conceptual frameworks. While such frameworks have proved to be a useful first step in introducing ethics to a previously unregulated industry, the rapid global uptake of mental health apps requires thinking more deeply about the diverse populations these apps seek to serve. One way to do this is to introduce more intercultural ethical perspectives into app design and the guidelines that (...) aim to encourage best practices. In addition to this, existing ethical guidelines can also benefit from the ethical scholarship from the feminist and disability traditions, both of which highlight specific ethical considerations for vulnerable users. Rethinking the ethical responsibilities of mental health app designers through the prisms of feminism, disability studies, and intercultural philosophy leads us to a more global and inclusive set of ethical considerations in app design. This white paper explores what existing guidelines for the regulation of mental health apps are missing. It also explores how these guidelines could be improved for users who inhabit an increasingly diverse and globalized world. (shrink)

Given the ever-present subject of consciousness wherever consciousness is, it is peculiar that consciousness researchers often mention mental states as if they are conscious independently of being the conscious states of someone [1, p. 132]. We refer to visual perceptions that become conscious, when in reality no one has ever studied mere conscious visual perceptions. What are studied are visual perceptions belonging to conscious human or animal subjects; it is the subjects who are conscious of visual stimuli, not the visual (...) perceptions. I do not know all the reasons why conscious subjects are rarely mentioned in consciousness science, but one could be pragmatic. Explaining the mysterious jump from the nonconscious nuts and bolts of neurons to the aurora borealis of consciousness is a hard problem. But it is an easy problem compared to explaining the emergence of a single conscious subject from the human brain’s 86 billion neurons [cf. 5]. Perhaps it is more practically realistic to solve the less hard problem before attempting to solve the harder hard problem. On the other hand, if we ignore a necessary condition for the presence of consciousness, our explanations of it could be plagued by inadequacy. And how can we explain our whole data set regarding consciousness if we neglect the most fundamental aspect of the data? (shrink)