Patient-reported outcomes are frequently used for medical decision making, at the levels of both individual patient care and healthcare policy. Evidence increasingly shows that PROs may be influenced by patients’ response shifts and dispositions. We identify how response shifts and dispositions may influence medical decisions on both the levels of individual patient care and health policy. We provide examples of these influences and analyse the consequences from the perspectives of ethical principles and theories of just distribution. If influences of response (...) shift and disposition on PROs and consequently medical decision making are not considered, patients may not receive optimal treatment and health insurance packages may include treatments that are not the most effective or cost-effective. We call on healthcare practitioners, researchers, policy makers, health insurers, and other stakeholders to critically reflect on why and how such patient reports are used. (shrink)

In Consciousness and Persons: Unity and Identity, Michael Tye takes on the thorny issue of the unity of consciousness and answers these important questions: What exactly is the unity of consciousness? Can a single person have a divided consciousness? What is a single person? Tye argues that unity is a fundamental part of human consciousness -- something so basic to everyday experience that it is easy to overlook. For example, when we hear the sound of waves crashing on a (...) beach and at the same time see a red warning flag, there is an overall unity to our experience; the sound and the red shape are presented together in our consciousness. Similarly, when we undergo a succession of thoughts as we think something through, there is an experience of succession that unifies the thoughts into a conscious whole. But, Tye shows, consciousness is not always unified. Split-brain subjects, whose corpus callosum has been severed, are usually taken to have a divided or disunified consciousness. Their behavior in certain situations implies that they have lost the unity normal human subjects take for granted; it is sometimes even supposed that a split-brain subject is really two persons.Tye begins his account by proposing an account of the unity of experience at a single time; this account is extended over the succeeding chapters to cover bodily sensations at a single time and perceptual experience, bodily sensations, conscious thoughts, and felt moods at a single time. Tye follows these chapters with a discussion of the unity of experience through time. Turning to the split-brain phenomenon, he proposes an account of the mental life of split-brain subjects and argues that certain facts about these subjects offer support for his theory of unity. Finally, addressing the topic of the nature of persons and personal identity, Tye finds the two great historical accounts -- the ego theory and the bundle theory -- lacking and he makes an alternative proposal. He includes an appendix on the general representational approach to consciousness and its many varieties, because of the relevance of representationalism to the theory of unity being adanced. (shrink)

The introduction of Western healthcare, via colonialism, into Africa facilitated a confrontation of indigenous and exogenous “medical” knowledge as well as the attendant praxis. Although colonialism has been expunged from the shores of Africa, the epistemic and ideological frictions it introduced into the sphere of healthcare linger and raise different dilemmas. Against this background, this paper explores pragmatic and ethical approaches that may help engage these tensions in the context of drug development based on validated traditional phytomedicines.

Was leistete der Gedanke der selbstandigen Auswahl (Eklektik) in der Geschichte der Philosophie von Aristoteles bis zum 20. Jahrhundert, wo liegen die Anwendungsgebiete, wo seine Grenzen und warum kam der Begriff der Eklektik schon im 18. Jahrhundert zur Bezeichnung unselbstandiger Vermischung herunter? Der Schwerpunkt der umfangreichen Arbeit liegt in der Philosophie und Naturwissenschaft des 17. Jahrhunderts; sie reicht aber bis zur eklektischen Psychotherapie der Gegenwart.

In this far-reaching essay, historian Michael Edward Moore examines modernity as an historical epoch following the end of the medieval period -- and as a "messianic concept of time." In the early twentieth century, a debate over the meaning and origins of modernity unfolded among the philosophers Ernst Cassirer, Hans-Georg Gadamer and Hans Blumenberg. These thinkers tried to resolve the puzzle of the fifteenth-century master Nicholas of Cusa. Was Cusanus the last great medieval thinker, his ideas a summa of (...) medieval tradition? Or was he a mysterious epochal figure, seated at one end of the bridge leading to modern thought? Nicholas of Cusa lived during a time of historical and existential crisis, or kairos, when medieval governments and cherished sources of unity were shaken. Likewise, the debate over his significance took place during a later phase of crisis for Europe, in the decades before and after the Second World War, when the collapse of European civilization was witnessed. Moore argues that modernity, so intently examined as an historical and spiritual problem, has significance for our contemporary sense of crisis. (shrink)

Michael Cholbi on the ways in which paternalism shows disrespect.

One of the central characteristics of public health disasters is the rapid overlapping of different needs and priorities that require making critical choices that inevitably elicit conflicti...

Volition and Valuation is a typology of valuations, and conflicts between values, using a phenomenological approach that treats the difference between cognitive-thinking and value-thinking as a difference in the mode of intentionality towards the objects. It also suggests a method for axiology to bracket the validity of the values described, acknowledge that the observation of phenomena of consciousness goes beyond empirical observation, and has a character of pure intuition or an intuition of essences which are a source of metavaluative knowledge. (...) Michael Strauss explores the origins and nature of values, focusing on the norms and rules of valuations, called valuative values. He argues that valuative values cannot be reduced to a single value-type, nor do they always arise from a sensation or feeling, but can be created, chosen, and established. Strauss also refutes the method for measuring values devised by Plato in his Protagoras dialogue, and suggests middle ground between relativism and absolutism and between subjectivism and objectivism. (shrink)

Ludwig Wittgenstein famously declared that philosophy “ought really to be written only as a form of poetry,” and he even described the Tractatus as “philosophical and, at the same time, literary.” But few books have really followed up on these claims, and fewer still have focused on their relation to the special literary and artistic period in which Wittgenstein worked. This book offers the first collection to address the rich, vexed, and often contradictory relationship between modernism—the twentieth century’s predominant cultural (...) and artistic movement—and Wittgenstein, one of its preeminent and most enduring philosophers. In doing so it offers rich new understandings of both. Michael LeMahieu Karen Zumhagen-Yekplé bring together scholars in both twentieth-century philosophy and modern literary studies to put Wittgenstein into dialogue with some of modernism’s most iconic figures, including Samuel Beckett, Saul Bellow, Walter Benjamin, Henry James, James Joyce, Franz Kafka, Adolf Loos, Robert Musil, Wallace Stevens, and Virginia Woolf. The contributors touch on two important aspects of Wittgenstein’s work and modernism itself: form and medium. They discuss issues ranging from Wittgenstein and poetics to his use of numbered propositions in the Tractatus as a virtuoso performance of modernist form; from Wittgenstein’s persistence metaphoric use of religion, music, and photography to an exploration of how he and Henry James both negotiated the relationship between the aesthetic and the ethical. Covering many other fascinating intersections of the philosopher and the arts, this book offers an important bridge across the disciplinary divides that have kept us from a fuller picture of both Wittgenstein and the larger intellectual and cultural movement of which he was a part. (shrink)

Volume 19, Issue 7, July 2019, Page 53-55.

Funding broadly connotes the notion of an institution and/or institutions making money and other resources available to individual researchers and organizations to accomplish specific projects. Whi...

The Recurrence of the End Times: Voegelin, Hegel, and the Stop-History Movements explores the deep connection between modern political ideologies and the secular eschatological hopes and dreams of a post-Christian society.

Dans une page de L'individuation consacrée au problème du fondement de la connaissance, Simondon affirme que 'l'être individué est le sujet transcendantal'. Cette phrase énigmatique croise deux conceptions du sujet connaissant apparemment incompatibles : ontogénétique et transcendantale. Elle ouvre une lecture possible de l'œuvre qui révèle un dialogue constant avec Kant, à travers lequel la réforme philosophique qui anime Simondon se comprend comme un effort réflexif duquel le concept de sujet en ressort quasiment méconnaissable, transformé par les révolutions scientifiques et (...) techniques qui ont fait notre temps. En héritier, Simondon continue l'histoire de la philosophie et annonce une nouvelle époque, un avenir pour le transcendantal."--Page 4 of cover. (shrink)

However, there has also been growing interest in trying to create, and investigate the potential benefits of, intelligent systems which are themselves metacognitive. It is thought that systems that monitor themselves, and proactively respond to problems, can perform better, for longer, with less need for (expensive) human intervention. Thus has IBM widely publicized their "autonomic computing" initiative, aimed at developing computers which are (in their words) self-aware, selfconfiguring, self-optimizing, self-healing, self-protecting, and self-adapting. More ambitiously, it is hypothesized that metacognitive awareness (...) may be one of the keys to developing truly intelligent artificial systems. DARPA's recent Cognitive Information Processing Technology initiative, for instance, foregrounds reflection (along with reaction and deliberation) as one of the three pillars required for flexible, robust AI systems. (shrink)

The current paper details a restricted semantics for active logic, a time-sensitive, contradictiontolerant logical reasoning formalism. Central to active logic are special rules controlling the inheritance of beliefs in general, and beliefs about the current time in particular, very tight controls on what can be derived from direct contradictions (P &¬P ), and mechanisms allowing an agent to represent and reason about its own beliefs and past reasoning. Using these ideas, we introduce a new definition of model and of logical (...) consequence, as well as a new definition of soundness such that, when reasoning with consistent premises, all classically sound rules are sound for active logic. However, not everything that is classically sound remains sound in our sense, for by classical definitions, all rules with contradictory premises are vacuously sound, whereas in active logic not everything follows from a contradiction. (shrink)

Aims to rethink ethics and transcendence in light of the phenomenology of empathy and social ontology.

J.D. Trout and I started this project in 2000. Our goal was to write a book that was interesting, opinionated, accessible, and fun to read. Here are some excerpts from the first two pages of chapter 1: Excerpts [pdf] . The cover photo is a still of the great Buster Keaton from his movie, The General.

Normative apriorist philosophers of science build purely normative a priori reconstructions of science, whereas descriptive naturalists eliminate the normative elements of the philosophy of science in favor of purely descriptive endeavors. I hope to exhibit the virtues of an alternative approach that appreciates both the normative and the natural in the philosophy of science. ;Theory ladenness. Some philosophers claim that a plausible view about how our visual systems work either undermines or facilitates our ability to rationally adjudicate between competing theories (...) on the basis of a theory-neutral observation language. I argue that these psychological premises do not support the epistemological conclusions drawn. ;Scientific theories. I argue for a psychological plausibility constraint: An account of scientific theories should tell us how a theory is mentally represented. I tentatively advance an account that satisfies the constraint. Finally, I criticize the traditional view of theories and the semantic view of theories . ;Conceptual clarity. Philosophers often offer classical accounts of terms ; then others adduce alleged counterexamples. The success conditions on these accounts must include either preserving or revising the original term's extension. Given recent psychological theorizing, the probability that we can find an extension-preserving classical account of a term is very low. Furthermore, it provides no benefits over the empirical effort to find the non-classical conditions we actually use in applying our terms. If the aim of counterexample philosophy is to non-arbitrarily revise the extension of the original term, I argue that we should choose a particular account of a term on the basis of how it performs in our best available theory on the subject. ;Conclusion. I argue that normative apriorists unwittingly make defeasible empirical assumptions that, if false, would undermine their normative claims. Against descriptive naturalism I argue that the cost of ignoring normative issues is exorbitant. Finally, I defend a version of normative naturalism, a style of philosophy of science that is informed--but not engulfed--by empirical assumptions. (shrink)