Integrating large language models (LLMs) like GPT-4 into medical ethics is a novel concept, and understanding the effectiveness of these models in aiding ethicists with decision-making can have significant implications for the healthcare sector. Thus, the objective of this study was to evaluate the performance of GPT-4 in responding to complex medical ethical vignettes and to gauge its utility and limitations for aiding medical ethicists. Using a mixed-methods, cross-sectional survey approach, a panel of six ethicists assessed LLM-generated responses to eight (...) ethical vignettes.The main outcomes measured were relevance, reasoning, depth, technical and non-technical clarity, as well as acceptability of GPT-4’s responses. The readability of the responses was also assessed. Of the six metrics evaluating the effectiveness of GPT-4’s responses, the overall mean score was 4.1/5. GPT-4 was rated highest in providing technical (4.7/5) and non-technical clarity (4.4/5), whereas the lowest rated metrics were depth (3.8/5) and acceptability (3.8/5). There was poor-to-moderate inter-rater reliability characterised by an intraclass coefficient of 0.54 (95% CI: 0.30 to 0.71). Based on panellist feedback, GPT-4 was able to identify and articulate key ethical issues but struggled to appreciate the nuanced aspects of ethical dilemmas and misapplied certain moral principles.This study reveals limitations in the ability of GPT-4 to appreciate the depth and nuanced acceptability of real-world ethical dilemmas, particularly those that require a thorough understanding of relational complexities and context-specific values. Ongoing evaluation of LLM capabilities within medical ethics remains paramount, and further refinement is needed before it can be used effectively in clinical settings. (shrink)

This essay places Paulo Freire in dialogue with a Black Radical Tradition (BRT) in three distinct yet interrelated ways. First, the paper situates the significance of Cedric’s Robinson’s articulation of a BRT while exploring how contemporary scholars are troubling his disputatious relationship with Marxist social thought. Second, the paper foregrounds Freire’s modest contributions to a BRT in his anticolonial literacy campaigns in Guinea Bissau, Africa. Extending the principles of ‘dialogical cultural action’ in the context of African struggle that Freire documented (...) in the letters compiled in Pedagogy in Process, a robust theorization of solidarity comes into sharper view. Third, the paper calls for further reinvention of Freire pointing to the ways his cogent analysis can be augmented by other racialized groups and radical traditions in solidarity with Black struggle to more explicitly confront the inherent racism and anti-Blackness fundamental to global capitalism. (shrink)

ABSTRACT Effective communication relies on the use of rhetorical devices and strategies to make ideas present in the minds of an audience. By employing the concept of cognitive environments, we can use the visual analogy of making an idea “present” to its fullest effect, empowering our rhetorical skills and helping influence audience reception. In this article, the author argues that while cognitive environments do indeed provide a significant and important conceptual tool for understanding and anticipating an audience’s experiences, beliefs, and (...) knowledge, a more robust sense of agreement is necessary. The article proposes the concept of a topos that serves as a shared meeting place within cognitive environments within which both author and audience contribute their background assumptions to find common ground and commonalities in interpretations. It is in figuring the topos effectively that cognitive environments can be more accurately and effectively mapped onto each other, and breaches between such environments can be productively bridged. (shrink)

The three books reviewed in this essay, Morality Among Nations: An Evolutionary View , Righteous Realists: Political Realism, Responsible Power, and American Culture in the Nuclear Age , and Securing Europe , in some sense represent a reaction to Reagan's ideological policies.

Post-millennial scholarship in Buddhist studies reflects increasing interest from Anglophone philosophers working within the analytic tradition.1 Within this emerging body of work the aim has been not merely to bring the conceptual toolkit of analytic philosophers to bear on topics traditionally of interest to Buddhist philosophers but also to enlist the theories that analytic philosophers have developed on core topics within epistemology and metaphysics as frameworks within which to interpret the work of major Buddhist philosophers. Two recent notable examples of (...) this interpretative enterprise are seen in the work of Siderits and Hayashi. These Anglophone commentators utilize theories... (shrink)

A number of thinkers in recent decades have argued that, in light of the Trinity, we can see that God's being is communion. Particularly effective was John D. Zizioulas, whose Trinitarian ontology centered on communion. Some skeptical of this claim have invoked Aquinas as a source for countering an ontology of communion. I argue that, while Thomas never explicitly affirms that the divine being is communion, he can give us deep resources for reaching this conclusion. Indeed, he can ultimately lead (...) us towards a divine being which is more thoroughly a matter of communion—and towards an ontology which is more radically Trinitarian—than anything we find in Zizioulas. (shrink)

Thomas Ricketts has developed a powerful interpretation of Frege on judgment, truth and logic. Recently, Ricketts has modified his reading, holding that judgment is an act of knowledge-acquisition; this rules out incorrect judgment. I argue that Ricketts goes too far here. I criticize the textual basis for Ricketts's new view, and show that the interpretive problems which led him to this change can be met without such extreme measures. Thus, I defend Ricketts' earlier view against his own later modification. Along (...) the way I discuss Kant and Brentano on judgment, and I explore Fregean argument concerning the objectivity of truth. (shrink)

This little book which is a sequel to "Cartesianism" is not written for professional philosophers. Its less ambitious purpose is to initiate undergraduate students of Catholic Universities and Colleges, who are engaged in the study of scholastic philosophy, into a knowledge of the fundamental principles of those numerous systems that have contributed to the chaos of modern thought from the time of Descartes to the present day.

This book examines spectral haunting through the philosophies of Levinas and Derrida. Arguing that moral obligation can appear terrifying to the complacent self, the text interrogates ethical responsibility in contemporary horror genres.

The first chapter explores the theory developed in Kripke's "Outline of a Theory of Truth." A tension in Kripke's account of the concept of truth is revealed--a conflict between two intuitions. The first intuition, called the "fixed point conception of truth," is that the whole meaning of the truth predicate is given by the formula "we may assert of a sentence that it is true iff we may assert that sentence." The second intuition, called the "thesis of the supervenience of (...) semantics," is that the interpretation of the truth predicate is determined by the interpretations of all the other non-logical constants of the language. I show that these two intuitions cannot be reconciled within the context of Kripke's theory, and I argue for the choice of the fixed point conception of truth over the principle of the supervenience of semantics. Chief among the considerations that I advance is the fact that the fixed point conception of truth yields a natural logic of truth. In the second chapter I present that logic of truth in the form of a cut-free sequent calculus. I then turn, in chapter three, to a discussion of the significance of such cut-free sequent calculi. I argue that we may view the sequent calculus introduction rules for a logical constant as giving the meaning of that constant, under certain conditions. In particular, we can see our logic of truth as providing an explication of our intuitive concept of truth which complements Kripke's original model-theoretic explication. The fourth chapter takes up some criticisms of Kripke's theory which center on the logic of truth. In addition, the general ideas developed in the first three chapters are applied in a discussion of the various schemes of three-valued logic which can be used in the development of Kripke's approach. Finally, in the last chapter, it is shown that Kripke's technical concepts, and the logical ideas developed in the second and third chapters, can be used to provide a unified account of many contexts in which paradox arises. (shrink)

This paper offers the first philosophical analysis of a form of artificial intelligence (AI) which the author calls facial profiling technology (FPT). FPT is a type of facial analysis technology designed to predict criminal behavior based solely on facial structure. Marketed for use by law enforcement, face classifiers generated by the program can supposedly identify murderers, thieves, pedophiles, and terrorists prior to the commission of crimes. At the time of this writing, an FPT company has a contract with the United (...) States federal government. After recounting how FPT resurrects the same moral problems associated with the pseudoscience of physiognomy, the author of this manuscript develops and defends the ‘Liberal Argument Against Facial Discrimination’ (LAAFD), which concludes that government use of FPT poses a significant risk of violating the classical liberal value of equality before the law by committing unjust discrimination against groups of people whose faces happen to match FPT classifiers. A key move in the argument suggests how a future scenario that results in widespread discrimination based solely on facial structure could be as unjustified and harmful, mutatis mutandis, as similar discrimination based solely on racial background. In the final section, the author of this paper develops prima facie policy proposals designed to protect classical liberal values if FPT is to be utilized by governments in liberal democratic societies. (shrink)

In this paper, I argue that, on a reductionist reading of Buddhist no-self ontology, Buddhists could not have sincere ethical intentions toward persons. And if Buddhists cannot have sincere intentions toward persons, they cannot have second-personal moral reasons for acting. From this I conclude that Buddhists fail to qualify as genuine members of the moral community if, as some contemporary Anglo-American moral philosophers argue, such membership depends on an individual agent’s having the capacity to be motivated by second-personal moral reasons.

The moral complexity surrounding intervention is influenced by a broad spectrum of both ethical and practical assumptions and considerations.

This dissertation aims at forging an archetectonic link between Kant's first and third Critiques within a cognitive-semantic framework. My aim is to show how the major conceptual innovations of Kant’s third Critique can be plausibly understood in terms of the theoretical aims of the first, (Critique of Pure Reason). However, unlike other cognition-oriented approaches to Kant's third Critique, which take the point of contact between the first and third Critique's to be the first Critique's Transcendental Analytic, I link these two (...) works via the first Critique's Transcendental Dialectic, specifically its discussions of the "ideas of pure reason." -/- According to Kant, the “ideas of pure reason” (IPRs) — viz., the notions of self, world-whole, and God — are innate content-bearing entities representing three types of transempirical object, none of which are possible objects of cognition. However, although Kant denies that these rather unique content-bearers can be used for purposes of “speculative cognition,” he does think that they have an internal functional value for human cognitive systems. Although under my analysis of their functional value the IPRs subserve a highest-order aim which derives from theoretical reason — namely, to ground and optimize cognitive systematicity — their directive content in fact renders their implementation(thus their form of intentionality) more characteristic of practical reason. Kant’s positive account of reason’s “interest” in and use of the IPRs exhibits a kind of cognitive pragmatism. -/- Of utmost concern to the cognitive-semantic enterprise, as I conceive it, is the development of (what might be called) a metaphysics of intentionality. A `metaphysics of intentionality', as I use the term, refers to a coherent set of postulative propositional cognitions (or, at any rate, content-bearing entities) implemented, first, for the sake of rationally explaining the phenomenological unity and object-directed character of our perceptual states and, second, to explain why the objects represented in such states are, or must be, law-governed and thus necessarily amenable to scientific investigation. On my view, the discussions in Kant’s third Critique nontrivially contribute to the development of a metaphysics of intentionality and thus to the larger cognitive-semantic enterprise of Kant's first Critique, and it is this link that lends Kant's third Critique a cognitive significance. -/- . (shrink)

Smith provides a summary of Walzer's work, with particular emphasis on his method of moral argument. Walzer's argument emphasizes the importance of moral judgment based on the principle of human rights rather than on utilitarian calculation.

The essay first makes some observations on the general interrelationship between the logical writings of Albert and Buridan. Second, it gives an account of a ‘semantic logical model’ for analyzing complex subject terms in some basic categorical propositions which is defended by Albert of Saxony, and briefly recounts Buridan's criticisms of that model. Finally, the essay maintains that the Albertian model is typically compatible with, and a further development of, what is called by a late-fourteenth century anonymous scholar ‘the English-Rule’ (...) but the ‘determinable/determinate’ grammatical model defended by Buridan is not. (shrink)

Jorge Luis Borges introduces the mythical ouroboros as follows: “A third-century Greek amulet, to be found today in the British Museum, gives us an image that can better illustrate that infinitude:...

Volume 20, Issue 6, June 2020, Page 28-30.

The ‘black box problem’ is a long-standing talking point in debates about artificial intelligence. This is a significant point of tension between ethicists, programmers, clinicians and anyone else working on developing AI for healthcare applications. However, the precise definition of these systems are often left undefined, vague, unclear or are assumed to be standardised within AI circles. This leads to situations where individuals working on AI talk over each other and has been invoked in numerous debates between opaque and explainable (...) systems. This paper proposes a coherent and clear definition for the black box problem to assist in future discussions about AI in healthcare. This is accomplished by synthesising various definitions in the literature and examining several criteria that can be extrapolated from these definitions. There are no data in this work. (shrink)

When used in psychotherapy, Sedlakova and Trachsel (2023) hypothesize that conversational artificial intelligence (CAI) ought to be considered as a new and hybrid artifact somewhere on a spectrum b...

Volume 19, Issue 7, July 2019, Page 43-45.

Contemporary philosophers and scientists have done much to expand our understanding of the structure and neural mechanisms of joint action. But the phenomenology of joint action has only recently become a live topic for research. One method of clarifying what is unique about the phenomenology of joint action is by considering the alternative perspective of agents subsumed in group action. By group action we mean instances of individual agents acting while embedded within a group agent, instead of with individual coordination. (...) Paradigm examples are educational bureaucracies, corporations, and nation states. There is a phenomenological difference between agents whose actions are subsumed within a group action (“the university did X”) as compared to agents who act jointly (“we did x”). Attending to this difference clarifies what is phenomenologically distinctive about joint action. Appealing to an Aristotelian account of agency and to the metaphysical concept of weak emergence, we argue that what makes paradigmatic group action distinctive is the relative inaccessibility, un-revisability, and evaluative simplicity of the group agent’s goal(s) from the perspective of individual agents. This suggests that a distinctive feature of joint agency is the maintenance of a greater sense of individual agency. Put simply, joint agency is often experienced as an enhancement of the individuals’ agency precisely because our paradigmatic agential powers are extended intersubjectively as we act together. In contrast, group agency often involves a loss of the sense of agency, precisely because it is the emergent group agent that maintains the agential powers. (shrink)

Background Nonanonymized direct contact between organ recipients and donor families is a topic of international interest in the adult context. However, there is limited discussion about whether direct contact should be extended to pediatric settings due to clinician and researcher concerns of the potential harms to pediatric patients.Methods We interviewed pediatric organ recipients, their families, and donorfamilies in British Columbia, Canada, to determine their views on direct contact. Interviews were conducted in two stages, with those who were further removed from (...) the transplant process informing the approach to interviews with those who more recently went throughthe transplant process.Results Twenty-nine individuals participated in twenty in-depth interviews. The study included participants from three major organ systems: kidney, heart, and liver. Only five participants expressed that direct contact might cause harm or discomfort, while twenty-three indicated they saw significant potential for benefits. Nearly half focused on the harms to others rather than themselves, and nearly two-thirds focused on the benefits for others rather than themselves.Conclusion There appears to be a community desire for direct contact in pediatric organ transplant programs among those living in British Columbia, Canada. These results suggest a need to revisit the medical community’s assumptions around protection and paternalism in our practice as clinicians and researchers. (shrink)

The idea that payment for research participation can be coercive appears widespread among research ethics committee members, researchers, and regulatory bodies. Yet analysis of the concept of coercion by philosophers and bioethicists has mostly concluded that payment does not coerce, because coercion necessarily involves threats, not offers. In this article we aim to resolve this disagreement by distinguishing between two distinct but overlapping concepts of coercion. Consent-undermining coercion marks out certain actions as impermissible and certain agreements as unenforceable. By contrast, (...) coercion as subjection indicates a way in which someone’s interests can be partially set back in virtue of being subject to another’s foreign will. While offers of payment do not normally constitute consent-undermining coercion, they do sometimes constitute coercion as subjection. We offer an analysis of coercion as subjection and propose three possible practical responses to worries about the coerciveness of payment. (shrink)

A recurrent theme in ethnomethodological research is that of instructed actions. Contrary to the classic traditions in the social and cognitive sciences, which attribute logical priority or causal primacy to instructions, rules, and structures of action, ethnomethodologists investigate the situated production of actions which enable such formulations to stand as adequate accounts. Consequently, a recitation of formal structures can not count as an adequate sociological description, when no account is given of the local production ofwhat those structures describe. The natural (...) sciences can be described as a domain of practical action in whichthe use of methods enables the intersubjective reproduction of naturalistic observations and experiments. As numerous sociological studies of laboratory practices have shown, the achievement of intersubjective order cannot be reduced to formal methods; instead, it arises from the work of custom-fitting relevant methods to the local circumstances of the research. In this paper we discuss a possible extension of this idea to cover two intertwined aspects of molecular biology: (1) the work of following instructions on how to perform routine laboratory procedures, and (2) the relationship between cellular orders and the encoded instructions contained in the DNA molecule. We suggest that a classic conception of scientific action is implied by the way formal instructions are treated as a primary basis, both for molecular biologists' actions and the cellular functions they study, and we envision an ethnomethodological alternative to those conceptions of social and biological order. (shrink)

We often feel survivor guilt when the very circumstances that harm others leave us unscathed. Although survivor guilt is both commonplace and intelligible, it raises a puzzle for the standard philosophical account of guilt, according to which people feel guilt only when they take themselves to be morally blameworthy. The standard account implies that survivor guilt is uniformly unfitting, as people are not blameworthy simply for having fared better than others. In this paper, we offer a rival account of guilt, (...) the relational account of guilt, which makes sense of survivor guilt and other forms of guilt without self-blame while preserving the intelligibility of guilt about culpable wrongdoing. According to this account, guilt involves the feeling of being unable to justify ourselves to others, and we lack self-justification when we (however blamelessly) stand on the positive side of an undesirable asymmetry with them. When someone survives something that those around her do not, the disparity in outcome constitutes an asymmetry that is often undesirable, because it arises from luck or violates a requirement of solidarity. Thus, survivor guilt is often fitting. (shrink)

Paulin and Cahill‐Lane explore the origins of event processing and event prediction in animal evolution. They propose that the evolutionary benefit of being able to predict and thus to quickly react to anticipated events may have triggered the evolution of the earliest nervous systems.

In 1903 the Cody Road opened, leading travelers from Cody, Wyoming, to Yellowstone National Park. Cheyenne photographer J. E. Stimson traveled the route during its first week in existence, documenting the road for the state of Wyoming's contribution to the 1904 World's Fair. His images of now-famous landmarks like Cedar Mountain, the Shoshone River, the Holy City, Chimney Rock, Sylvan Pass, and Sylvan Lake are some of the earliest existing photographs of the route. In 2008, 105 years later, Michael (...) Amundson traveled the same road, carefully duplicating Stimson's iconic original photographs. In Passage to Wonderland, these images are paired side by side and accompanied by a detailed explanation of the land and history depicted. Amundson examines the physical changes along "the most scenic fifty miles in America" and explores the cultural and natural history behind them. This careful analysis of the paired images make Passage to Wonderland more than a "then and now" photography book--it is a unique exploration of the interconnectedness between the Old West and the New West. It will be a wonderful companion for those touring the Cody Road as well as those armchair tourists who can follow the road on Google Earth using the provided GPS coordinates. The University Press of Colorado gratefully acknowledges the generous support of the Charles Redd Center for Western Studies at Brigham Young University toward the publication of this book. (shrink)