W B Gallie’s notion of essentially contested concepts remains of philosophical interest. I argue that medicine is one such concept and look at the consequences of this as regards the inappropriateness of looking for definitions and necessary and sufficient conditions to settle debates about what medicine is and is not.

In lieu of an abstract, here is a brief excerpt of the content:The Case of the Disappearing EnigmaDeborah Knight and George McKnightAsked to give examples of detection narratives, one might first mention paradigms of the detective genre from either the classical or hard-boiled traditions. But the study of detection need not be restricted to the generic as familiarly construed. 1 Our interest in detection is transgeneric, which is why we speak in terms of “detection narratives” rather than the detective genre. (...) We are as interested in detection narratives that exploit the generic tendencies of suspense or comedy as we are in nongeneric narratives that feature an investigation of some mystery or crime. While what we have to say about detection, interpretation, and narrative explanation is generally applicable to both literary and non-literary detection narratives, our five main examples are all unapologetically taken from cinema. We have selected these five just because they are unlikely to strike anyone as an intuitively obvious group of films. They are The Thin Man (W. S. Van Dyke, 1934), a mystery/comedy; The Maltese Falcon (John Huston, 1941), standardly cited as the earliest film noir and a paradigm of the cinematic hard-boiled detective genre; All The President’s Men (Alan J. Pakula, 1976), a political thriller based on Bernstein and Woodward’s nonfictional investigation of the Watergate break-in; Nicholas Roeg’s 1980 Bad Timing, a nongeneric film about sensual obsession; and Woody Allen’s 1993 comedy of manners, Manhattan Murder Mystery.Whether focusing on the investigation of a crime, the unraveling of a puzzle, or the solution of a mystery, detection narratives exhibit what Frank Kermode calls “a specialized ‘hermeneutic’ organization.” 2 As such, they call for a particular sort of investigation: namely, a hermeneutical one. Often we think about hermeneutical investigations as [End Page 123] interpretations and assume that the proper object of such interpretations is a text. Thinking primarily about literary texts, David Novitz argues that the function of such explanations is to “solve certain puzzles, answer certain questions, dispel confusions, or eliminate doubts about... the theme of a work or its plot, [or] about the actions, motives, or machinations of fictional characters....” 3Of course, interpretation is not restricted to literary texts, nor to answering specific questions about such matters as theme or plot or character motivation, nor does Novitz suggest it is. But when the object of interpretation is a text—literary, cinematic, legal, or other—it is arguable that interpretation is not restricted to those localized aspects of the text which we take to be puzzling. Novitz’s position is that interpretation only occurs when one confronts a specific puzzle or problem. What we understand directly is not, on this account, interpreted; interpretation is required only where we do not understand. The consideration of detection narratives suggests that understanding and interpretation are more closely related than Novitz seems to allow.In our attempts to make sense of the course of action of any detection narrative, there is always the question whether we have understood a given situation, event, action or statement correctly. It is always a question whether we have correctly distinguished between clues and red herrings. Detection narratives operate on the basis of a continual questioning—both for the detective and for the reader or viewer—as to whether we do, in fact, understand what is happening.This questioning attitude is keyed to the uncertainty as to whether we have correctly recognized what information is salient, which characters’ testimony is trustworthy. At various moments in any detection narrative, the detective (or reader/viewer) will have reason to question the reliability of their own assessment of what is going on. There is the risk of being mistaken, but also the risk of being deceived. So the appropriate attitude to detection narratives is an interpretive one, an attitude that asks questions about what is presented.Of course, particular questions cannot even be sensibly asked in the absence of a larger interpretive framework which gives the particular question its point. Not only the detective, but the reader or viewer, is well advised to contextualize any particular event or action as a (potential) part of what we call, adapting a notion of David Carr’s, an action of large... (shrink)

Recent interest in ethical pluralism derives from Isaiah Berlin's reflections on the writings of Vico and Herder and their opposition to the views of the Enlightenment. I begin with two quotations from Berlin: It is not relativism. Members of one culture can, by the force of imaginative insight, understand … the values, the ideals, the forms of life of another culture or society, even those remote in time or space. They may find these values unacceptable, but if they open their (...) minds sufficiently they can grasp how one might be a full human being, with whom one could communicate, and at the same time live in the light of values widely different from one's own, but which nevertheless one can see to be values, ends of life, by the realisation of which men could be fulfilled. (shrink)

There have been several recent attempts to account for the special authority of self-knowledge by grounding it in a constitutive relation between an agent's intentional states and her judgments about those intentional states. This constitutive relation is said to hold in virtue of the rationality of the subject. I argue, however, that there are two ways in which we have self-knowledge without there being such a constitutive relation between first-order intentional states and the second-order judgments about them. Recognition of this (...) fact thus represents a significant challenge to the rational agency view. (shrink)

ABSTRACT In his paper ‘The Survival Lottery’John Harris suggested that there could be situations where the rational thing to do would be to kill a healthy person and harvest his organs for transplantation, thereby saving several lives at the cost of one. Anne Maclean claims that such a proposal, far from being rational, does not qualify as a moral proposal at all since what it suggests is ‘plain murder’. I argue that she is correct to claim that the proposal is (...) not uniquely rational and that doctors could quite rationally reject it, but that she overreaches herself when she holds it not to be a moral proposal at all. (shrink)

Neural cell adhesion molecules of the immunoglobulin superfamily are important components of the network of guidance cues and receptors that govern axon growth and guidance during development. For neural cell adhesion molecule L1, the combined application of human genetics, knockout mouse technology, and cell biology is providing fundamental insight into the role of L1 in mediating neuronal differentiation. Disease-causing mutations as well as mouse models of L1 disruption can now be used to examine the relevance of L1 binding specificities and (...) signal transduction pathways that have been observed in vitro. BioEssays 20:668–675, 1998.© 1998 John Wiley & Sons Inc. (shrink)

As a means to challenge and diminish the hold of mainstream curriculum's claim of being a colorblind, politically neutral text, we will address two particular features that partially, though significantly, constitute the hidden curriculum in the United States—race and class—historically studied as separate social issues. Race and class have been embedded within the institutional curriculum from the beginning in the US; though rarely acknowledged as intertwined issues. We illustrate how the theoretical and interpretive structure of French philosopher and sociologist Pierre (...) Bourdieu can productively subsume the insights of critical race theory into its framework in a way that provides a more robust understanding of how race and class continue to be socially reproduced in schools. To perform this task we examine, through Bourdieu's constructs of habitus, field, capital, symbolic violence and misrecognition, the ways in which race, in general, and whiteness, specifically, influences pedagogical and curricular existence within the institutional superstructure of school. (shrink)

People are unable to report how they decide whether to move backwards or forwards to catch a ball. When asked to imagine how their angle of elevation of gaze would change when they caught a ball, most people are unable to describe what happens although their interception strategy is based on controlling changes in this angle. Just after catching a ball, many people are unable to recognise a description of how their angle of gaze changed during the catch. Some people (...) confidently choose incorrect descriptions that would guarantee failure of interception demonstrating unconscious knowledge co-existing with systematically different conscious beliefs. Where simple solutions to important evolutionary problems exist, unconscious perception needs to be impervious to conscious beliefs. (shrink)

Contemporary literary theory takes truth and meaning to be dependent on shared conventions in a community of discourse and views authors’ intentions as irrelevant to interpretation. This view, argues Reed Way Dasenbrock, owes much to Anglo-American analytic philosophy as developed in the 1950s and 1960s by such thinkers as Austin and Kuhn, but it ignores more recent work by philosophers like Davidson and Putnam, who have mounted a counterattack on this earlier conventionalism. This book draws on current analytic philosophy (...) to resuscitate the notion of objective truth and intentionalist models of meaning and interpretation, thereby moving beyond the antifoundationalism of postmodern theory. It addresses the work of Rorty and Fish as representative of literary conventionalism, discusses the futility of Derrida’s anti-intentionalism, and shows how poststructuralist thinkers like Althusser and Foucault have contributed to the "new thematics" of race, class, gender, and sexual orientation that dominates literary theory today. Examining the counter-arguments of conventionalists to have their theory judged by its consequences, Dasenbrock shows how damaging this antiobjectivism and anti-intentionalism have been for literary studies. (shrink)

When Black agents engage spaces and phenomena that suggest a racialized, potential danger, Black agents shift in their existential understanding of themselves and their phenomenological engagement with the world. This article describes that existential and phenomenological change, and examines the issue of hypothetical anti-Black racism. Utilizing Sartrean and Fanonian conceptions of existential phenomenology, this article explicates three terms: Black nausea, Black vertigo, and a phenomenology of caution. These terms are used to describe the tension that Black agents experience when they (...) are confronted with phenomena related to the history of anti-Black racism, and that confrontation brings their Blackness to the surface of their consciousness. This article argues that “Black paranoia” is an inappropriate label for a justified phenomenology of caution, and that Black freedom includes addressing these nauseating phenomena. (shrink)

Value pluralism does not imply relativism or subjectivism about values. What it does is allow respect for an at least limited toleration of values with which one may profoundly disagree. Thus a doctor can respect the autonomy of a patient whose values he does not share.

The experiences of working-class people and those from communities of color seeking abortions in the United States before and during COVID-19 call for feminist, relational pandemic ethics. Françoise Baylis and colleagues argue for public health ethics that emphasize relational personhood, relational autonomy, social justice, and solidarity. COVID-19 abortion bans in the United States require vigilance against powerful actors who abuse these values—particularly that of solidarity—to further their political, religious, and/or economic agendas in harmful ways. Thus, efforts to promote solidarity during (...) a pandemic must attend to social injustice and systemic oppression and provide resources to vulnerable people. (shrink)

The purpose of this paper is to identify a kind of discrimination that has hitherto gone unrecognised. ‘Terminalism’ is discrimination against the dying, or treating the terminally ill worse than they would expect to be treated if they were not dying. I provide four examples from healthcare settings of this kind of discrimination: hospice eligibility requirements, allocation protocols for scarce medical resources, right to try laws and right to die laws. I conclude by offering some reflections on why discrimination against (...) the dying has been hard to identify, how it differs from ageism and ableism, and its significance for end-of-life care. (shrink)

Epistemic circularity occurs when a subject forms the belief that a faculty F is reliable through the use of F. Although this is often thought to be vicious, externalist theories generally don't rule it out. For some philosophers, this is a reason to reject externalism. However, Michael Bergmann defends externalism by drawing on the tradition of common sense in two ways. First, he concedes that epistemically circular beliefs cannot answer a subject's doubts about her cognitive faculties. But, he argues, subjects (...) don't have such doubts, so epistemically circular beliefs are rarely called upon to play this role. Second, following Thomas Reid, Bergmann argues that we have noninferential, though epistemically circular, knowledge that our faculties are reliable. I argue, however, that Bergmann's view is undermined by doubts a subject should have and that there is no plausible explanation for how we can have noninferential knowledge that our faculties are reliable. (shrink)

Over the last two decades there has been a proliferation of partnerships between business and government, multilateral bodies, and/or social actors such as NGOs and local community organizations engaged in promoting development. While proponents hail these partnerships as an important new approach to engaging business, critics argue that they are not only generally ineffective but also serve to legitimate a neo-liberal, global economic order which inhibits development. In order to understand and evaluate the role of such partnerships, it is necessary (...) to appreciate their diversity with respect to not only the activities that they engage in, but also the degree to which they are subject to social control. This paper distinguishes four different types of business partnerships, based upon differing degrees of social control: conventional business; corporate social responsibility; corporate accountability; and social economy. Each type of partnership is described, their basic forms are noted, and the conditions and prospects for them contributing to development are examined. By way of conclusion, an analysis is offered of how the different types of business partnerships relate to different conceptions of development and function as policy paradigms to promote different globalization agendas. (shrink)

Plato seems to have been pessimistic about how most people stand with regard to virtue. However, unlike the Stoics, he did not conclude that most people are vicious. Rather, as we know from discussions across several dialogues, he countenanced decent ethical conditions that fall short of genuine virtue, which he limited to the philosopher. Despite Plato's obvious interest in this issue, commentators rarely follow his lead by investigating in detail such conditions in the dialogues. When scholars do investigate what kind (...) of virtue, if any, Plato thinks is open to non-philosophers, they typically look to the Republic. But in the Republic Plato sets out an ideal city; therefore, the virtue available to non-philosophers there is likely different from what he thinks is available to them in the real world. If we want to determine Plato's thoughts about the virtue of actual non-philosophers, we must look elsewhere. In this paper, I set my sights on the Phaedo. (shrink)

Some disability rights advocates criticise prenatal testing and selective abortion on the grounds that these practices express negative attitudes towards existing persons with disabilities. Disability rights advocates also commonly criticise and oppose physician-assisted suicide (PAS) and euthanasia on the same grounds. Despite the structural and motivational similarity of these two kinds of arguments, there is no literature comparing and contrasting their relative merits and the merits of responses to them with respect to each of these specific medical practices. This paper (...) undertakes such a comparison. My thesis is that a number of potentially significant weaknesses of the expressivist argument against reproductive technologies are avoided when the argument is used against PAS. In particular, I try to show that three common criticisms of the expressivist argument applied to reproductive technologies, whatever merit they have, have even less merit when they are used to reply to the expressivist argument applied to PAS. This is important because the expressivist argument applied to the end of life scenario does not get as much attention as the argument applied to the beginning of life scenario, and yet it has a relatively stronger position. (shrink)

This piece, included in the drift special issue of continent. , was created as one step in a thread of inquiry. While each of the contributions to drift stand on their own, the project was an attempt to follow a line of theoretical inquiry as it passed through time and the postal service(s) from October 2012 until May 2013. This issue hosts two threads: between space & place and between intention & attention . The editors recommend that to experience the (...) drifiting thought that attention be paid to the contributions as they entered into conversation one after another. This particular piece is from the BETWEEN INTENTION & ATTENTION thread: Jeremy Fernando, Sitting in the Dock of the bay, watching... * R.H. Jackson, Reading Eyes * Gina Rae Foster, Nyctoleptic Nomadism: The Drift/Swerve of Knowing * Bronwyn Lay, Driftwood * Patricia Reed, Sentences on Drifitng * David Prater, drift: a way * * * * * 1. To drift is to be propelled by currents. 2. Sentences are textual currents. 3. To drift is to be com pelled with currents. 4. To be compelled is to be overcome by some force. 5. To be overcome by some force requires the instantiation of a weightless body (virtual or actual), upon which and through which a force can operate. 6. Forces can be physical, cognitive, unconscious and sensory. 7. Forces of drift have no particular telos; they incline bodies without knowable destination. 8. Drifting is nomadic, where nomadism includes movements between places, times (also time-zones), genres, thought and cognitive states. 9. Forces are attractors; attractivity is a force. 10. Attractivity is a relation between force and body. 11. Attractivity is relation of exteriority; it is of the domain of the foreign. 12. To drift is to become the prey of attraction, the prey of the foreign. 13. In the movement of becoming prey, one can either be eaten or feed into a re-composition of things. 14. Drifting is liminal; it can be equally productive and destructive. 15. The deviated course implied by drifting may yield novelty, yet may equally yield a perpetual deferral of any positionality. 16. The state of drifting is necessary to the creation of novelty. 17. The state of drifting can inhibit the creation of novelty. 18. The modern drift was celebrated as a form of emancipation, through the liberation of urban structures traced on foot, to the negation of banal tasks in riding on the open highway. In the attention economy, drifting has become a paradigm of labour, precarious and otherwise. 19. To drift in a novel fashion requires a necessary threshold between distraction and re-attraction. 20. Re-attraction is a form of going off-track, yet implies the fidelity to an alter force. Re-attraction is eccentric in inclination, that is, decentred, casting alter orbits of orientation. 21. Eccentricity is a form of drift defined as a body inflected by the force of heterogeneous inclination. Eccentricity is the fidelity to the becoming-foreign of the body as prey to attractivity. 22. Drift as eccentricity is equal to the creation of novel modes of inclination alter to the limits of normative orbits of determinate trajectories. 23. The effects of eccentric drifting can only be known post-movement. 24. All modes of drifting (natural and cognitive) are relative to some former position, although distances and their capacity for measurement are inconsistent. 25. Eccentric drifting does not result in relativism. Drifting is transitional, and, like a Moiré pattern, produces interferences between things. 26. Where there is drifting there are both side-effects and side-affects, which feed-back into the inclination of drift itself. 27. Side-effects and side-affects may produce conditions and sensibilities of failure. 28. The ethics of drifting play out in the responsiveness to side-effects/side-affects. 29. Eccentric drifting is not algorithmic, informational, strategic nor opportunistic; it is tactically lived experience. 30. Eccentric drifting is a dance with contingency, of repositioning a body (a body includes thought) through the affirmation of re-attraction. 31. Eccentric drifting is a form of love, a love of existence that proceeds strategic coupling with ideas, people, situations, places and so forth. 32. As a form of love, eccentric drifting can generate changes of state (and even changes of State). 33. Currents that propel/compel a state of eccentric drifting may be imaginary; a possible current includes the attractive force to that which is not (yet) present. 34. Eccentric drifting is not only a state of transitional movement, but most importantly includes the fabrication of imaginary forces that could propel/compel a given body and its spheres of interaction. 35. These sentences comment on drift, but are not exemplary of drifting. (shrink)

Early utopian notions of Internet-based community as enabling transcendence of earthly governments and cultural divides manifested in the massively multiplayer online nongame platform, Second Life. However, while platform users nearly unanimously chose governance regimes based on professional management rather than democratic self-governance, one of the few democratic experiments experienced deep conflict over precisely the utopian notions it held in common. This article examines a failed merger between two experimental democratic communities in the virtual world of Second Life as an example (...) of the general failure of internet utopianism and a specific failure to transcend distinctions in cultures of origin (the “failure of convivencia,” of the title, a term reflecting a historical model chosen by one of the communities) in a common online space. Based on ethnographic fieldwork, this article will analyze a distinction between radically different, and ultimately incommensurable, discourses around governance in the merged community amid the failure of participatory, democratic models of online governance. (shrink)

Women's mating strategies have typically been characterised as restrictive or coy. However, recent research on sociosexual behaviour suggests that the frequency of women's extra-pair copulations is a function of an unrestricted personality. While agreeing with the general thrust of Gangestad & Simpson's strategic pluralism theory we suggest that it is more likely a matter of finely calculated reproductive opportunism.

Kant’s 3rd Critique claims that the concept of purposiveness bridges the chasm between nature and freedom. This concept derives from the reflecting power of judgment’s demand for a system of particular laws. The published Introduction represents this system as grounded on the Idea of a divine understanding. According to Tuschling, this divinity is the intuitive understanding of §§76-77. According to Allison, this divinity is discursive and purposive and, thus, numerically distinct from §§76-77’s intuitive understanding. I argue that this debate between (...) Tuschling and Allison fails to appreciate the varied ways in which Kant predicates divine attributes. The 3rd Critique refers to a single God but does so in various ways. First, Kant literally ascribes an intuitive understanding to God on analytic grounds. Second, Kant analogically ascribes a discursive, purposive mind to this same God. Finally, Kant ascribes moral predicates to this analogical representation of God on practical grounds. (shrink)