Objective Futile treatment, which by definition cannot benefit a patient, is undesirable. This research investigated why doctors believe that treatment that they consider to be futile is sometimes provided at the end of a patient9s life. Design Semistructured in-depth interviews. Setting Three large tertiary public hospitals in Brisbane, Australia. Participants 96 doctors from emergency, intensive care, palliative care, oncology, renal medicine, internal medicine, respiratory medicine, surgery, cardiology, geriatric medicine and medical administration departments. Participants were recruited using purposive maximum variation sampling. (...) Results Doctors attributed the provision of futile treatment to a wide range of inter-related factors. One was the characteristics of treating doctors, including their orientation towards curative treatment, discomfort or inexperience with death and dying, concerns about legal risk and poor communication skills. Second, the attributes of the patient and family, including their requests or demands for further treatment, prognostic uncertainty and lack of information about patient wishes. Third, there were hospital factors including a high degree of specialisation, the availability of routine tests and interventions, and organisational barriers to diverting a patient from a curative to a palliative pathway. Doctors nominated family or patient request and doctors being locked into a curative role as the _main_ reasons for futile care. Conclusions Doctors believe that a range of factors contribute to the provision of futile treatment. A combination of strategies is necessary to reduce futile treatment, including better training for doctors who treat patients at the end of life, educating the community about the limits of medicine and the need to plan for death and dying, and structural reform at the hospital level. (shrink)

An inquiry into the current ways of knowing, their ramifications, and institutional and noninstitutional artistic practices that provide channels for education from below. Artistic Ecologies: New Compasses and Tools aims to both analyze and speculate about potentials of artistic ecologies, collective learning, and engaged pedagogies to engender new institutionalities. Going beyond tensions between individuals and institutions, Artistic Ecologies examines avenues for collective learning. If learning for life is emancipation—understood not just as a matter of power but of freedom—the essential question (...) that emerges is: What knowledge makes us free and how can institutions help produce it? In search of an answer, this publication’s textual and visual contributions explore sites and practices through which new institutionalities can emerge. Artistic Ecologies comprises essays analyzing current ways of knowing and their ramifications (Marina Garcés, Yayo Herrero and Pirate Care) and portraying alternative ways of forming knowledge through institutional and non-institutional artistic practices (DAAR—Decolonizing Architecture Art Research, Yael Davids, Max Jorge Hinderer Cruz, The Sensing Salon). Artistic contributions in various formats—poems, drawings, visual essays—by Luna Acosta, CAConrads, Eva Ďurovec, Teuta Gatolin, Margherita Isola, and Jammers illustrate heterodox channels for questioning the dominant forms of knowledge and educating from below. (shrink)

What is possible and why? What is the difference between the merely possible and the actual? In Kants Modal Metaphysics Nicholas Stang examines Kants lifelong engagement with these questions and their role in his philosophical development. This is the first book to trace Kants theory of possibility all theway from the so-called pre-Critical writings of the 1750s and 1760s to the Critical system of philosophy inaugurated by the Critique of Pure Reason in 1781. Stang argues that the key to (...) understanding both the change and the continuity between Kants pre-Critical and Critical theory of possibility is his transformation of the ontological question about possibility-what is it for a being to be possible?-into a question in transcendental philosophy-what is it to represent an object as possible? (shrink)

Recent attempts to distinguish a normatively acceptable “civic nationalism"—as distinct from an irrationally tainted “ethnic nationalism"—have failed to take seriously the implications of the transition from the city as the immediate spatial unit of the patria to the more abstract national state that replaced it. The nation‐state has required a mythologizing naturalism to legitimate it, thus blurring the distinction between “civic” and “ethnic.” The urban political experience of the patria is lost to us; cosmopolitan intellectuals should resist the comforting temptation (...) to recover it in the nation, and should recognize civic nationalism for the oxymoron it is. (shrink)

The success of a piece of behaviour is often explained by its being caused by a true representation (similarly, failure falsity). In some simple organisms, success is just survival and reproduction. Scientists explain why a piece of behaviour helped the organism to survive and reproduce by adverting to the behaviour’s having been caused by a true representation. That usage should, if possible, be vindicated by an adequate naturalistic theory of content. Teleosemantics cannot do so, when it is applied to simple (...) representing systems (Godfrey-Smith 1996). Here it is argued that the teleosemantic approach to content should therefore be modified, not abandoned, at least for simple representing systems. The new ‘infotel-semantics’ adds an input condition to the output condition offered by teleosemantics, recognising that it is constitutive of content in a simple representing system that the tokening of a representation should correlate probabilistically with the obtaining of its specific evolutionary success condition. (shrink)

This essay proposes a bifurcation within the concept of moderation in early modern Europe. To draw this out it reconstructs an “encounter” between two citizens of the scholarly Republic of Letters in the years around 1700—Lodovico Antonio Muratori and Jean Le Clerc—and the concept of moderation each maintained. It proposes that the former maintained an ideal of moderation which was “hard” principally about self-regulation, while the latter maintained an ideal of moderation which was “soft” and principally about (religious) toleration. It (...) then attaches this “encounter” to an analogous conflict between uses of moderation in late seventeenth- and early eighteenth-century England. It concludes by proposing that this bifurcation, while occurring within scholarly and theological debates, has enduring significance for our interpretation of the Enlightenment, and for the passage of political moderation into the modern world. (shrink)

A study in philosophical methodology aimed at providing a clear view of the scope and limits of philosophical inquiry.

In my response to Kevin Carnahan, I explain the concept of religion that I have been working with in my writings on the place of religious reasons in public political discourse. While acknowledging that religion is often privatized, my concern has been with religion as a way of life. It is religion so understood that raises the most serious issues concerning the role of religion in public discourse. In my response to Erik A. Anderson, I go beyond what I have (...) previously said about the role of religious reasons in public discourse. As an alternative to Rawlsian public reason, I argue that the essence of liberal democracy is that every citizen is to have equal political voice. I go on to consider what it is to exercise one’s equal political voice as a moral engagement. (shrink)

This article is a response to the commentaries on my book Justice: Rights and Wrongs in the previous contributions in this issue of Studies in Christian Ethics (23.2).

Abstractabstract:In the field of interreligious dialogue, it is sometimes easier to find points of contact between the practical aspects of the major faith traditions, rather than focus on matters of philosophy or theology. This essay explores the possible commonality between monastic/religious life in Christianity and Buddhism as described in the foundation documents of the Franciscan and Theravāda traditions. The particular focus will be the virtue (or vice, depending on one's perspective) of obedience. In Christian monastic tradition a common summary of (...) the commitments made by a "religious," that is, a monk or nun, brother or sister, is the triple vow of poverty, chastity, and obedience (Latin: paupertas, castitas, and obedientia). These values are strongly represented in all Christian monastic rules. They were explicitly cited in the Rules of Saint Francis of Assisi (1182–1226). The question explored here is whether the practice of obedience as delineated in the Later Rule (the Regula Bullata, 1223) of St. Francis has any parallel in the Buddhist monastic code, known in the Theravāda scriptural language of Pāli as the Vinaya, and in the Dialogues of the Buddha, known as the Suttas. Areas to be explored include obedience to the teaching of the founders and their monastic rules, the process of reception into the monastic community, and the roles of preceptors, ministers, and spiritual guides. (shrink)

In a recent work, Popper claims to have solved the problem of induction. In this paper I argue that Popper fails both to solve the problem, and to formulate the problem properly. I argue, however, that there are aspects of Popper's approach which, when strengthened and developed, do provide a solution to at least an important part of the problem of induction, along somewhat Popperian lines. This proposed solution requires, and leads to, a new theory of the role of simplicity (...) in science, which may have helpful implications for science itself, thus actually stimulating scientific progress. (shrink)

The theory of the economics of research played a central role in the analysis of scientific method of Charles Sanders Peirce. The present paper describes Peirce's project as he saw it and then puts its machinery to work in an analysis of current issues in the philosophy of science. The aim is to show that, even apart from their historical interest, Peirce's ideas on this subject have a substantial systematic interest.

Commentary on Bergstrom and Rosvall, ‘The transmission sense of information’, Biology and Philosophy. In response to worries that uses of the concept of information in biology are metaphorical or insubstantial, Bergstrom and Rosvall have identified a sense in which DNA transmits information down the generations. Their ‘transmission view of information’ is founded on a claim about DNA’s teleofunction. Bergstrom and Rosvall see their transmission view of information as a rival to semantic accounts. This commentary argues that it is complementary. The (...) idea that DNA is transmitting information down the generations only makes sense if it is carrying a message, that is to say if it has semantic content. (shrink)

In the target article, Christie, Brusse, et al. argue that selected effect functions do not, in general, explain why a trait exists in a population and, therefore, theories of representational content should not rely on selected effect functions. This response focuses on the claim about functions-for-representation. The role of evolutionary functions in a theory of content is to pick out outcomes that have been systematically stabilized by natural selection. Correctness conditions are conditions involved in explaining how that happened. Selected effect (...) functions can play that role in the complex equilibria that Christie, Brusse, et al. identify. Non-equilibrium cases are also discussed. (shrink)

Computational models will play an important role in our understanding of human higher‐order cognition. How can a model's contribution to this goal be evaluated? This article argues that three important aspects of a model of higher‐order cognition to evaluate are (a) its ability to reason, solve problems, converse, and learn as well as people do; (b) the breadth of situations in which it can do so; and (c) the parsimony of the mechanisms it posits. This article argues that fits of (...) models to quantitative experimental data, although valuable for other reasons, do not address these criteria. Further, using analogies with other sciences, the history of cognitive science, and examples from modern‐day research programs, this article identifies five activities that have been demonstrated to play an important role in our understanding of human higher‐order cognition. These include modeling within a cognitive architecture, conducting artificial intelligence research, measuring and expanding a model's ability, finding mappings between the structure of different domains, and attempting to explain multiple phenomena within a single model. (shrink)

The word apory stems from the Greek aporia, meaning impasse or perplexing difficulty. In _Aporetics,_ Nicholas Rescher defines an apory as a group of individually plausible but collectively incompatible theses. Rescher examines historic, formulaic, and systematic apories and couples these with aporetic theory from other authors to form this original and comprehensive survey. Citing thinkers from the pre-Socratics through Spinoza, Hegel, and Nicolai Hartmann, he builds a framework for coping with the complexities of divergent theses, and shows in detail (...) how aporetic analysis can be applied to a variety of fields including philosophy, mathematics, linguistics, logic, and intellectual history. Rescher's in-depth examination reveals how aporetic inconsistency can be managed through a plausibility analysis that breaks the chain of inconsistency at its weakest link by deploying right-of-way precedence based on considerations of cognitive centrality. Thus while involvement with cognitive conflicts and inconsistencies are pervasive in human thought, aporetic analysis can provide an effective means of damage control. (shrink)

From Fine and Kamp in the 70’s—through Osherson and Smith in the 80’s, Williamson, Kamp and Partee in the 90’s and Keefe in the 00’s—up to Sauerland in the present decade, the objection continues to be run that fuzzy logic based theories of vagueness are incompatible with ordinary usage of compound propositions in the presence of borderline cases. These arguments against fuzzy theories have been rebutted several times but evidently not put to rest. I attempt to do so in this (...) paper. (shrink)

Within the last decade or so several philosophers have argued against handgun prohibition on the ground that it violates the right to self-defense. However, even these philosophers grant that the right to own handguns is not absolute and could be overridden if doing so would bring about an enormous social good. Analysis of intra-United States empirical data cited by gun rights advocates indicates that guns do not make us safer, while international data lends powerful support to the thesis that guns (...) do indeed increase homicide. If handguns do not make us safer, then appealing to the right to self-defense as an objection to prohibition is moot. Prohibition neither violates the right to self-defense nor sacrifices anyone’s interests for the common good, since it makes each person less likely to be murderedthan the current permissive handgun laws. Moreover, we also must take into account the right to life of victims of handgun crimes made possible by liberal handgun laws. Consequently, invoking the right to self-defense does not provide any sound reason against handgun prohibition over and above familiar utilitarian objections, which are themselves refuted by the empirical evidence. (shrink)

This volume collects Wolterstorff's essays on the philosophy of religion written over the last thirty-five years.

"I began to ask myself whether there might be found a single argument which would require no other for its proof than itself alone, and would suffice to demonstrate that God truly exists." - St. Anselm.

An examination of philosophical realism from the standpoint of pragmatic epistemology, this book addresses the core idea of Rescher's work in epistemology: that functional and pragmatic concerns exert a controlling influence on the conduct ...

This volume brings together mostly previously unpublished studies by prominent historians, classicists, and philosophers on the roles and effects of religion in Socratic philosophy and on the trial of Socrates. Among the contributors are Thomas C. Brickhouse, Asli Gocer, Richard Kraut, Mark L. McPherran, Robert C. T. Parker, C. D. C. Reeve, Nicholas D. Smith, Gregory Vlastos, Stephen A. White, and Paul B. Woodruff.

The paper contrasts two approaches to the analysis of hope: one that takes its departure from a view broadly shared by Hobbes, Locke and Hume, another that fits better with Aquinas's definition of hope. The former relies heavily on a sharp distinction between the cognitive and conative aspects of hope. It is argued that while this approach provides a valuable source of insights, its focus is too narrow and it rests on a problematic rationalistic psychology. The argument is supported by (...) a discussion of hope understood as a stance and by a consideration of the phenomenological contrast between expectation and anticipation. The paper concludes with some reflections on the relation between hope and illusion and the idea of responsible hope. (shrink)

While Mindfulness-Based Interventions (MBIs) have been shown to be effective for a range of patient populations and outcomes, a question remains as to the role of common therapeutic factors, as opposed to the specific effects of mindfulness practice, in contributing to patient improvements. This project used a mixed-method design to investigate the contribution of specific (mindfulness practice-related) and common (instructor and group related) therapeutic factors to client improvements within an MBI. Participants with mild-severe depression (N= 104; 73% female,Mage = 40.28) (...) participated in an 8-week MBI. Specific therapeutic factors (formal out-of-class meditation minutes and informal mindfulness practice frequency) and social common factors (instructor and group ratings) were entered into multilevel growth curve models to predict changes in depression, anxiety, stress, and mindfulness at six timepoints from baseline to 3-month follow-up. Qualitative interviews with participants provided rich descriptions of how instructor and group related factors played a role in therapeutic trajectories. Findings indicated that instructor ratings predicted changes in depression and stress, group ratings predicted changes in stress and self-reported mindfulness, and formal meditation predicted changes in anxiety and stress, while informal mindfulness practice did not predict client improvements. Social common factors were stronger predictors of improvements in depression, stress, and self-reported mindfulness than specific mindfulness practice-related factors. Qualitative data supported the importance of relationships with instructor and group members, involving bonding, expressing feelings, and instilling hope. Our findings dispel the myth that MBI outcomes are exclusively the result of mindfulness meditation practice, and suggest that social common factors may account for much of the effects of these interventions. Further research on meditation should take into consideration the effects of social context and other common therapeutic factors. (shrink)

In this essay Nicholas C. Burbules reviews his experiences and the lessons he learned as editor of Educational Theory for more than twenty years, and he explores some of the normative choices that are inevitably made by any editor in carrying out his or her role. Burbules examines the relationship of a journal to its intellectual field; the review process; communications and interactions with authors; the process of editing and revising manuscripts; questions of representativeness in a theoretically pluralistic field; (...) the business of journal publishing; and the dilemmas that confront an editor in terms of his or her own position and identity within a field. In all of these reflections, he examines the ethical and political background of the choices made, and how these in turn reveal deeper assumptions about the nature and purpose of academic publishing. The result is to “lift up the curtain” and reveal how one philosophically reflective and self-questioning editor handled his responsibilities. (shrink)

Il y a soixante ans, il y avait peu de philosophie de la religion et à peu près rien en ce qui concerne la théologie philosophique ; aujourd’hui, la philosophie de la religion en général, et la théologie philosophique en particulier, prospèrent dans la tradition analytique de la philosophie. Mon but est d’expliquer pourquoi la situation actuelle est si différente de celle d’il y a soixante ans.

Anna Smajdor and Joona Räsänen argue that we have good reason to classify pregnancy as a disease. They discuss five accounts of disease and argue that each account either implies that pregnancy is a disease or if it does not, it faces problems. This strategy allows Smajdor and Räsänen to avoid articulating their own account of disease. Consequently, they cannot establish that pregnancyisa disease, only that plausible accounts of disease suggest this. Some readers will dismiss Smajdor and Räsänen’s claims as (...) counterintuitive. By analogy, if a mathematical proof concludes ‘2+2=5’, readers will know—without investigation—that an error occurred. Rather than dismiss Smajdor and Räsänen’s work, however, the easiest way to undermine their argument is to describe at least one plausible account of disease that (1) excludes pregnancy and (2) avoids the problems they raise for it. This is our strategy. We focus on dysfunction accounts of disease. After outlining Smajdor and Räsänen’s main arguments against dysfunction accounts, we explain why pregnancy is not a disease on these accounts. Next, we defend dysfunction accounts against the three problems that Smajdor and Räsänen raise. If successful, then contra Smajdor and Räsänen, at least one plausible account of disease does not imply that pregnancy is a disease. We suspect that defenders of other accounts can respond similarly. Yet, we note that insofar as dysfunction accounts align with the commonsense intuition that pregnancy is not a disease, this, all else being equal, seems like a point in their favour. (shrink)

The French feminist philosopher Michèle Le Doeuff has taught us something about “the collectivity,” which she discovers in women’s struggle for access to the philosophical, but also about “the unknown” and “the unthought.” It is the unthought which will matter most to what I intend to say today about a fundamental ignorance on which speaker vulnerability is built. On International Women’s Day, it seems appropriate to speak about – or, at least, to evoke – the silencing which has been imposed (...) on women by an oppressive form of ignorance. My question is: how do our resounding voices as women – on 8 March 2016 – avoid what feminist philosophers have distinguished as wilful forms of silencing? Silencing exploits vulnerability; and speaker vulnerability is an exposure either to violence or affection, in its dependence on an audience. My response seeks to undo the silencing of women by transforming an ignorance of vulnerability into a distinctively ethical avowal. To see the significance of this undoing, we will consider how our contemporary global world reduces vulnerability to an openness to violence, ignoring what has been unthought: an openness to affection. A wilful ignorance of vulnerability develops not as a lack of knowledge but its disavowal – on which various forms of oppression are built. An active disavowal of thinking (the unthought) is the other side of a striving for invulnerability; and this striving is encouraged by a social world which remains ignorant of its own wounding, as well as its own potential for ethical relations in vulnerability. Like la mauvaise foi of the French existentialist, invulnerability is a form of self-deception; and those who claim it embrace ignorance of their own and others’ vulnerability too. (shrink)

Addresses Ming Dynasty philosopher Wang Fuzhi’s neo-Confucianism from the perspective of contemporary ecological humanism. In this novel engagement with Ming Dynasty philosopher Wang Fuzhi (1619–1692), Nicholas S. Brasovan presents Wang’s neo-Confucianism as an important theoretical resource for engaging with contemporary ecological humanism. Brasovan coins the term “person-in-the-world” to capture ecological humanism’s fundamental premise that humans and nature are inextricably bound together, and argues that Wang’s cosmology of energy (qi) gives us a rich conceptual vocabulary for understanding the continuity that (...) exists between persons and the natural world. The book makes a significant contribution to English-language scholarship on Wang Fuzhi and to Chinese intellectual history, with new English translations of classical Chinese, Mandarin, and French texts in Chinese philosophy and culture. This innovative work of comparative philosophy not only presents a systematic and comprehensive interpretation of Wang’s thought but also shows its relevance to contemporary discussions in the philosophy of ecology. “This is a fine study of Wang Fuzhi’s complex and fascinating neo-Confucian cosmology. I learned an immense amount about one of China’s last great Confucian intellectuals.” — John Berthrong, author of Expanding Process: Exploring Philosophical and Theological Transformations in China and the West. (shrink)

What model of knowledge does Plato's Socrates use? In this book, Nicholas D. Smith argues that it is akin to knowledge of a craft which is acquired by degrees, rather than straightforward knowledge of facts. He contends that a failure to recognize and identify this model, and attempts to ground ethical success in contemporary accounts of propositional or informational knowledge, have led to distortions of Socrates' philosophical mission to improve himself and others in the domain of practical ethics. He (...) shows that the model of craft-knowledge makes sense of a number of issues scholars have struggled to understand, and makes a case for attributing to Socrates a very sophisticated and plausible view of the improvability of the human condition. (shrink)

The study examines the research methodology of more than 200 empirical investigations of ethics in personal selling and sales management between 1980 and 2010. The review discusses the sources and authorship of the sales ethics research. To better understand the drivers of empirical sales ethics research, the foundations used in business, marketing, and sales ethics are compared. The use of hypotheses, operationalization, measurement, population and sampling decisions, research design, and statistical analysis techniques were examined as part of theory development and (...) testing. The review establishes a benchmark, assesses the status and direction of the sales ethics research methodology, and helps inform researchers who need to deal with increasing amounts of empirical research. The investigation identified changing sources of publication with the Journal of Business Ethics and the Journal of Personal Selling & Sales Management maintaining their position as the main conduit of high quality empirical sales ethics research. The results suggest that despite the use of theoretical models for empirical testing, a greater variety of moral frameworks and wider use of marketing exchange theory is needed. The review highlights many sound aspects about the empirical sales ethics research statistical methodology but also raises concerns about several areas. Ways in which these concerns might be addressed and recommendations for researchers are provided. (shrink)

ABSTRACT This essay reviews major areas of ethical debate with regard to biodefense, focusing on cases in which biodefense presents ethical problems that diverge from those presented by naturally‐occurring outbreaks of infectious disease. It concludes with a call for ethicists to study not only the ethical issues raised in biodefense programs, but also the ethics of biodefense more generally.