This paper draws on qualitative research using focus groups involving 38 general practitioners (GPs). It explores their attitudes and feelings about (over-)medicalisation. Our main findings were that GPs had a complex representation of (over-)medicalisation, composed of many professional, social, technological, economic and relational issues. This representation led GPs to feel uncomfortable. They felt pressure from all sides, which led them to question their social roles and responsibilities. We identified four main GP-driven proposals to deal with (over-)medicalisation: (1) focusing on the (...) communication in doctor–patient relationships; (2) grounding practices in evidence-based medicine; (3) relying on clinical skills, experience and intuition; and (4) promoting training, leadership bodies and social movements. Drawing on these proposals, we identify and discuss five paradigms that underpin GPs’ attitudes toward (over-)medicalisation: underlying social factors, preventing medicalisation, managing uncertainties, sharing medical decision-making and thinking about care as a rationale. We suggest that these paradigms constitute a defensive posture against GPs’ uncomfortable feelings. All five defensive paradigms were identified in our focus groups, echoing contemporary political debates on public health. This non-exhaustive framework forms the outline of what we call _ordinary defensive medicine_. GPs’ uncomfortable feelings are the origin of their defensive solutions and the manifestation of their vulnerability. This professional vulnerability can be shared with the patient’s vulnerability. In our view, this creates an opportunity to rediscover patient–doctor relationships and examine patients’ and doctors’ vulnerabilities together. “There are many cases in which—though the signs of a confusion of tongues between the patient and his doctor are painfully present—there is apparently no open controversy. Some of these cases demonstrate the working of two other, often interlinked, factors. One is the patient’s increasing anxiety and despair, resulting in more and more fervently clamouring demands for help. Often the doctor’s response is guilt feelings and despair that his most conscientious, most carefully devised examinations do not seem to throw real light on the patient’s “illness”, that his most erudite, most modern, most circumspect therapy does not bring real relief.” (Balint M. The Doctor, His Patient and the Illness. New York: International Universities; 2005. [1957].) “Theories about care put an unprecedented emphasis on vulnerability—taking up that challenge to transform what really counts in today’s hospitals implies letting colleagues inside previously closely guarded professional boundaries” (2, our translation). (shrink)

The word ‘probability’ in ordinary language has two different senses, here called inductive and physical probability. This paper examines the concept of inductive probability. Attempts to express this concept in other words are shown to be either incorrect or else trivial. In particular, inductive probability is not the same as degree of belief. It is argued that inductive probabilities exist; subjectivist arguments to the contrary are rebutted. Finally, it is argued that inductive probability is an important concept and that it (...) is a mistake to try to replace it with the concept of degree of belief, as is usual today. (shrink)

James Joyce's 'Nonpragmatic Vindication of Probabilism' gives a new argument for the conclusion that a person's credences ought to satisfy the laws of probability. The premises of Joyce's argument include six axioms about what counts as an adequate measure of the distance of a credence function from the truth. This paper shows that (a) Joyce's argument for one of these axioms is invalid, (b) his argument for another axiom has a false premise, (c) neither axiom is plausible, and (d) without (...) these implausible axioms Joyce's vindication of probabilism fails. (shrink)

How can formal methods be applied to philosophical problems that involve informal concepts of ordinary language? Carnap answered this question by describing a methodology that he called “explication." Strawson objected that explication changes the subject and does not address the original philosophical problem; this paper shows that Carnap’s response to that objection was inadequate and offers a better response. More recent criticisms of explication by Boniolo and Eagle are shown to rest on misunderstandings of the nature of explication. It is (...) concluded that explication is an appropriate methodology for formal philosophy. (shrink)

It remains controversial whether touch is a truly spatial sense or not. Many philosophers suggest that, if touch is indeed spatial, it is only through its alliances with exploratory movement, and with proprioception. Here we develop the notion that a minimal yet important form of spatial perception may occur in purely passive touch. We do this by showing that the array of tactile receptive fields in the skin, and appropriately relayed to the cortex, may contain the same basic informational building (...) blocks that a creature navigating around its environment uses to build up a perception of space. We illustrate this point with preliminary evidence that perception of spatiotemporal patterns on the human skin shows some of the same features as spatial navigation in animals. We argue (a) that the receptor array defines a ‘tactile field’, (b) that this field exists in a minimal form in ‘skin space’, logically prior to any transformation into bodily or external spatial coordinates, and (c) that this field supports tactile perception without integration of concurrent proprioceptive or motor information. The basic cognitive elements of space perception may begin at lower levels of neural and perceptual organisation than previously thought. (shrink)

Healey et al. use experiments with chat dialogues to test the hypothesis that language co‐ordination is driven by ‘running repairs’. They replace signals of understanding such as “okay” with weaker, ‘spoof’ signals like “ummm”, and replace specific requests for clarification like “on the left?” with signals that suggest a higher degree of misunderstanding like “what?”. The latter manipulation causes participants to switch rapidly to more abstract forms of referring expression.

Let R(X, B) denote the class of probability functions that are defined on algebra X and that represent rationally permissible degrees of certainty for a person whose total relevant background evidence is B. This paper is concerned with characterizing R(X, B) for the case in whichX is an algebra of propositions involving two properties and B is empty. It proposes necessary conditions for a probability function to be in R(X, B), some of which involve the notion of statistical dependence. The (...) class of probability functions that satisfy these conditions, here denoted PI, includes a class that Carnap once proposed for the same situation. Probability functions in PI violate Carnap's axiom of analogy but, it is argued, that axiom should be rejected. A derivation of Carnap's model by Hesse has limitations that are not present in the derivation of PI given here. Various alternative probability models are considered and rejected. (shrink)

Experimental research by social and cognitive psychologists has established that cooperative groups solve a wide range of problems better than individuals. Cooperative problem solving groups of scientific researchers, auditors, financial analysts, air crash investigators, and forensic art experts are increasingly important in our complex and interdependent society. This comprehensive textbook--the first of its kind in decades--presents important theories and experimental research about group problem solving. The book focuses on tasks that have demonstrably correct solutions within mathematical, logical, scientific, or verbal (...) systems, including algebra problems, analogies, vocabulary, and logical reasoning problems.The book explores basic concepts in group problem solving, social combination models, group memory, group ability and world knowledge tasks, rule induction problems, letters-to-numbers problems, evidence for positive group-to-individual transfer, and social choice theory. The conclusion proposes ten generalizations that are supported by the theory and research on group problem solving. Group Problem Solving is an essential resource for decision-making research in social and cognitive psychology, but also extremely relevant to multidisciplinary and multicultural problem-solving teams in organizational behavior, business administration, management, and behavioral economics. (shrink)

Evidence for a hypothesis typically confirms the hypothesis more if the evidence was predicted than if it was accommodated. Or so I argued in previous papers, where I also developed an analysis of why this should be so. But this was all a mistake if Howson and Franklin (1991) are to be believed. In this paper, I show why they are not to be believed. I also identify a grain of truth that may have been dimly grasped by those Bayesians (...) who deny the confirmatory value of prediction. (shrink)

This is a study of the epistemological theory of Theodor Adorno.

A Sense of Beauty -- Hearing -- Seeing -- Touching -- Tasting -- Smelling -- Epilogue.

The fine editions of the Aristotelian Commentary Series make available long out-of-print commentaries of St. Thomas on Aristotle. Each volume has the full text of Aristotle with Bekker numbers, followed by the commentary of St. Thomas, cross-referenced using an easily accessible mode of referring to Aristotle in the Commentary. Each volume is beautifully printed and bound using the finest materials. All copies are printed on acid-free paper and Smyth sewn. They will last.

This article outlines the emergence of ABA (Applied Behaviour Analysis) in the mid-20th century, and the current popularity of ABA in the anglophone world. I draw on the work of earlier historians to highlight the role of Ole Ivar Lovaas, the most influential practitioner of ABA. I argue that reception of his initial work was mainly positive, despite concerns regarding its efficacy and use of physical aversives. Lovaas’ work, however, was only cautiously accepted by medical practitioners until he published results (...) in 1987. Many accepted the results as validation of Lovaas’ research, though both his methods and broader understanding of autism had shifted considerably since his early work in the 1960s. The article analyses the controversies surrounding ABA since the early 1990s, considering in particular criticisms made by autistic people in the ‘neurodiversity movement’. As with earlier critics, some condemn the use of painful aversives, exemplified in the campaign against the use of shock therapy at the Judge Rotenberg Center. Unlike earlier, non-autistic critics, however, many in this movement reject the ideological goals of ABA, considering autism a harmless neurological difference rather than a pathology. They argue that eliminating benign autistic behaviour through ABA is impermissible, owing to the individual psychological harm and the wider societal impact. Finally, I compare the claims made by the neurodiversity movement with those made by similar 20th- and 21st-century social movements. (shrink)

A number of prominent moral philosophers and political theorists have recently called for a recovery of love. But what do we mean when we speak of love today? Love's Enlightenment examines four key conceptions of other-directedness that transformed the meaning of love and helped to shape the way we understand love today: Hume's theory of humanity, Rousseau's theory of pity, Smith's theory of sympathy, and Kant's theory of love. It argues that these four Enlightenment theories are united by a shared (...) effort to develop a moral psychology that can provide both justificatory and motivational grounds for concern for others in the absence of recourse to theological or transcendental categories. In this sense, each theory represents an effort to redefine the love of others that used to be known as caritas or agape - a redefinition that came with benefits and costs that have yet to be fully appreciated. (shrink)

The media, perhaps more than any other slice of culture, influence what we think and talk about, what we take to be important, what we worry about. And this was especially true when news of Dolly hit the airwaves and newstands. Most Americans received training in the ethics of cloning before they knew what cloning was. Media coverage fixed the content and outline of the public moral debate, both revealing and creating the dominant public worries about cloning humans. The primary (...) characterization of cloning as an ethical issue centers around three connected concerns: the loss of human uniqueness and individuality, the pathological motivations of a cloner, and the fear of out‐of‐control scientists. (shrink)

Companions in guilt arguments are widespread in defenses of moral realism and criticisms of error theory. Recently, a number of philosophers have argued that the companions in guilt argument fails because it makes untenable assumptions about the existence of categorical epistemic reasons. In this article, I develop an alternative version of the companions in guilt argument that does not succumb to this criticism, as it begins with the claim that there is a presumptive case in favor of attributing a belief (...) in categorical norms of philosophical argumentation to proponents of the error theory. I then point to an instability in the error-theoretic position and explore the extent to which this instability poses a serious philosophical problem. While this argument has a narrower scope than the traditional companions in guilt arguments, I conclude that it nonetheless poses a significant challenge to any philosophical attempt to deny the categoricity of moral reasons. (shrink)

I conceive of inductive logic as a project of explication. The explicandum is one of the meanings of the word `probability' in ordinary language; I call it inductive probability and argue that it is logical, in a certain sense. The explicatum is a conditional probability function that is specified by stipulative definition. This conception of inductive logic is close to Carnap's, but common objections to Carnapian inductive logic (the probabilities don't exist, are arbitrary, etc.) do not apply to this conception.

Despite its philosophical interest, Susanna Newcome’s Enquiry Into the Evidence of the Christian Religion (1728, revised 1732) has received little attention from commentators. This paper seeks to redress this oversight by offering a reconstruction of Newcome’s innovative argument for God’s existence. Newcome employs a cosmological argument that differs from Thomist and kalām version of the argument. Specifically, Newcome challenges that idea that the causal chains observed in nature can exist independently. She does this through an appeal to findings from Newtonian (...) natural philosophy that suggest that the universe has entropic tendencies. This suggests that the continued operations of nature are dependent on a cause external to the universe. Newcome identifies this external cause with God. Various strengths and weaknesses of Newcome’s argument are discussed and an attempt is made to situate the argument within her broader epistemic framework and the larger context of Newtonian physico-theology. The paper also explores what is known of Newcome’s biography and intellectual milieu. (shrink)

Bayesian confirmation theory offers an explicatum for a pretheoretic concept of confirmation. The “problem of irrelevant conjunction” for this theory is that, according to some people's intuitions, the pretheoretic concept differs from the explicatum with regard to conjunctions involving irrelevant propositions. Previous Bayesian solutions to this problem consist in showing that irrelevant conjuncts reduce the degree of confirmation; they have the drawbacks that (i) they don't hold for all ways of measuring degree of confirmation and (ii) they don't remove the (...) conflict with intuition but merely “soften the impact” (as Fitelson has written). A better solution, which avoids both these drawbacks, is to show that the intuition is wrong. (shrink)

Bayesian decision theory is here construed as explicating a particular concept of rational choice and Bayesian probability is taken to be the concept of probability used in that theory. Bayesian probability is usually identified with the agent’s degrees of belief but that interpretation makes Bayesian decision theory a poor explication of the relevant concept of rational choice. A satisfactory conception of Bayesian decision theory is obtained by taking Bayesian probability to be an explicatum for inductive probability given the agent’s evidence.

This paper argues against a common misunderstanding of Foucault's work. Even after the release of his lectures at the Collège de France, which ran throughout the 1970s until his death in 1984, he is still often taken to have made an "ethical" turn toward the end of his life. As opposed to his genealogies of power published in the 1970s, which are relentlessly suspicious of claims of individual agency, his final monographs focus on the ethical self-formation of free individuals. I (...) suggest that this basic misinterpretation makes possible interpretations of Foucault's work as being sympathetic to neoliberal government, by linking the ethical turn to a "liberal" or "neoliberal" turn in his thought. I present a case against the ethical turn by arguing that Foucault's main focus, throughout the 1970s and 1980s, is a concern for the ways in which we become obligated by truth. (shrink)

In this groundbreaking book, J. Patrick Dobel describes and analyzes the elements that constitute integrity in public office. Drawing on case studies, memoirs, interviews, and fiction (e.g., John Le Carré), Dobel addresses such issues as when to resign and when to stay in office. He examines the temptations of power, the relation between private and public life, and the role of honor and prudence in making personal decisions. He applies not only moral theory but also the insights of history, (...) organizational theory, and psychology. Unlike most political ethics books, Public Integrity puts personal responsibility at the center of public morality, examining not just the responsibilities of office but also the role of personal moral commitments and promises. This timely book reminds us of the importance of public integrity as well as the demands and challenges that often threaten that integrity, especially in a liberal democracy such as the United States. (shrink)

Human enhancement, in which nanotechnology is expected to play a major role, continues to be a highly contentious ethical debate, with experts on both sides calling it the single most important issue facing science and society in this brave, new century. This paper is a broad introduction to the symposium herein that explores a range of perspectives related to that debate. We will discuss what human enhancement is and its apparent contrast to therapy; and we will begin to tease apart (...) the myriad intertwined issues that arise in the debate: (1) freedom & autonomy, (2) health & safety, (3) fairness & equity, (4) societal disruption, and (5) human dignity. (shrink)

Hendley argues that philosophers of edu­cation should reject their preoccupation of the past 25_ _years with defining terms and analyzing concepts and once again embrace the philosophical task of con­structing general theories of education. Exemplars of that tradition are John Dewey, Bertrand Russell, and Alfred North Whitehead, who formulated theo­ries of education that were tested. Dewey and Russell ran their own schools, and Whitehead served as a university admin­istrator and as a member of many com­mittees created to study education. After (...) providing a general introduction to the present state of educational phi­losophy, Hendley discusses in detail the educational philosophies of Dewey, Rus­sell, and Whitehead. He sees in these men excellent role models that contem­porary philosophers might well follow. Hendley believes that like these men­tors, philosophers should take a more ac­tive, practical role in education. (shrink)

A mixed review of Stephen E. Braude, The Limits of Influence: Psychokinesis and the Philosophy of Science.

A panoramic collection of ninety photographs captures the spirit of people at work and play along the Illinois River, as well as the quiet beauty of the flora and fauna that make the river a natural retreat.

L’IA révèle quelque chose sur le travail et la condition humaine que ne montraient pas pleinement les techniques antérieures, ce en quoi elle achève d’une certaine manière l’histoire des techniques. Ce qu’elle révèle, c’est la spécificité de l’intelligence humaine dans le travail collectif, qu’elle atteint au plus profond : à savoir la communication humaine et le fait que le travail est une expérience du temps. Il s’agit de formes d’une intelligence vivante ou vécue, dans lesquelles plonge le sens du travail. (...) En voulant les annihiler, l’IA participe de vieilles idées gnostiques. (shrink)