The white coat ceremony is a common practice at many American and European medical schools. Current justification for the ceremony is mainly based on the good will felt by participants and an assumed connection between the ceremony and encouraging humanistic values in medicine. Recent critiques of the ceremony faults its use of oaths, premature alignment of students and faculty, and the selective appropriation of meaning to the white coat itself. This paper responds to recent critiques by addressing their misconceptions and (...) arguing that the white coat ceremony is a contemporary medical ritual with a key role for students and faculty in developing a professional identity.Since its inception in 1993, the white coat ceremony has become a national and international phenomenon. It is now practised at the beginning of the year at more than 100 American medical schools and is supported by foundation grants dedicated to endorsing and encouraging professional development and humanism in medicine.1 While some literature addresses the symbolism and history of the white coat itself, few sources consider the meaning of the ceremony.2–4 A common appeal is to the emotion and good will felt at the event.1,5 Although feelings are important, a deeper justification is called for.Criticism of the WCC is more explicit, charging that the ceremony: uses the Hippocratic Oath inappropriately or, at best, prematurely; fosters improper student faculty relationships, and; interprets the meaning of the white coat selectively.6,7 Critics suggest either that students not be asked to swear an oath together because it might conflict with personally held beliefs, or that students not be allowed to take the oath until they have demonstrated competence as physicians.6 Some also say that the WCC aligns students with faculty and against patients.6 The third …. (shrink)

The paper provides an argument for the thesis that an agent’s degrees of disbelief should obey the ranking calculus. This Consistency Argument is based on the Consistency Theorem. The latter says that an agent’s belief set is and will always be consistent and deductively closed iff her degrees of entrenchment satisfy the ranking axioms and are updated according to the ranktheoretic update rules.

This paper starts by indicating the analysis of Hempel's conditions of adequacy for any relation of confirmation (Hempel, 1945) as presented in Huber (submitted). There I argue contra Carnap (1962, Section 87) that Hempel felt the need for two concepts of confirmation: one aiming at plausible theories and another aiming at informative theories. However, he also realized that these two concepts are conflicting, and he gave up the concept of confirmation aiming at informative theories. The main part of the (...) paper consists in working out the claim that one can have Hempel's cake and eat it too - in the sense that there is a logic of theory assessment that takes into account both of the two conflicting aspects of plausibility and informativeness. According to the semantics of this logic, a is an acceptable theory for evidence β if and only if a is both sufficiently plausible given β and sufficiently informative about β. This is spelt out in terms of ranking functions (Spohn, 1988) and shown to represent the syntactically specified notion of an assessment relation. The paper then compares these acceptability relations to explanatory and confirmatory consequence relations (Flach, 2000) as well as to nonmonotonic consequence relations (Kraus et al., 1990). It concludes by relating the plausibility-informativeness approach to Carnap's positive relevance account, thereby shedding new light on Carnap's analysis as well as solving another problem of confirmation theory. (shrink)

Degrees of belief are familiar to all of us. Our confidence in the truth of some propositions is higher than our confidence in the truth of other propositions. We are pretty confident that our computers will boot when we push their power button, but we are much more confident that the sun will rise tomorrow. Degrees of belief formally represent the strength with which we believe the truth of various propositions. The higher an agent’s degree of belief for a particular (...) proposition, the higher her confidence in the truth of that proposition. For instance, Sophia’s degree of belief that it will be sunny in Vienna tomorrow might be .52, whereas her degree of belief that the train will leave on time might be .23. The precise meaning of these statements depends, of course, on the underlying theory of degrees of belief. These theories offer a formal tool to measure degrees of belief, to investigate the relations between various degrees of belief in different propositions, and to normatively evaluate degrees of belief. (shrink)

Philosophically, one of the most important questions in the enterprise termed confirmation theory is this: Why should one stick to well confirmed theories rather than to any other theories? This paper discusses the answers to this question one gets from absolute and incremental Bayesian confirmation theory. According to absolute confirmation, one should accept ''absolutely well confirmed'' theories, because absolute confirmation takes one to true theories. An examination of two popular measures of incremental confirmation suggests the view that one should stick (...) to incrementally well confirmed theories, because incremental confirmation takes one to (the most) informative (among all) true theories. However, incremental confirmation does not further this goal in general. I close by presenting a necessary and sufficient condition for revealing the confirmational structure in almost every world when presented separating data. (shrink)

This book argues that formation lies at the heart of Dietrich Bonhoeffer's ethical project. Ryan Huber examines Bonhoeffer's life story and his most influential ethical writings, from his encounter with Jesus Christ in the early 1930s until his arrest in 1943, to illustrate the centrality of Christological formation in both.

The threat of bioterrorism, the emergence of the SARS epidemic, and a recent focus on professionalism among physicians, present a timely opportunity for a review of, and renewed commitment to, physician obligations to care for patients during epidemics. The professional obligation to care for contagious patients is part of a larger "duty to treat," which historically became accepted when 1) a risk of nosocomial infection was perceived, 2) an organized professional body existed to promote the duty, and 3) the public (...) came to rely on the duty. Physicians' responses to epidemics from the Hippocratic era to the present suggests an evolving acceptance of the professional duty to treat contagious patients, reaching a long-held peak between 1847 and the1950's. There has been some professional retrenchment against this duty to treat in the last 40 years but, we argue, conditions favoring acceptance of the duty are met today. A renewed embrace of physicians' duty to treat patients during epidemics, despite conditions of personal risk, might strengthen medicine's relationship with society, improve society's capacity to prepare for threats such as bioterrorism and new epidemics, and contribute to the development of a more robust and meaningful medical professionalism. (shrink)

The Spohnian paradigm of ranking functions is in many respects like an order-of-magnitude reverse of subjective probability theory. Unlike probabilities, however, ranking functions are only indirectly—via a pointwise ranking function on the underlying set of possibilities W —defined on a field of propositions A over W. This research note shows under which conditions ranking functions on a field of propositions A over W and rankings on a language L are induced by pointwise ranking functions on W and the set of (...) models for L, ModL, respectively. (shrink)

Bayesianism is the position that scientific reasoning is probabilistic and that probabilities are adequately interpreted as an agent's actual subjective degrees of belief, measured by her betting behaviour. Confirmation is one important aspect of scientific reasoning. The thesis of this paper is the following: if scientific reasoning is at all probabilistic, the subjective interpretation has to be given up in order to get right confirmation—and thus scientific reasoning in general. The Bayesian approach to scientific reasoning Bayesian confirmation theory The example (...) The less reliable the source of information, the higher the degree of Bayesian confirmation Measure sensitivity A more general version of the problem of old evidence Conditioning on the entailment relation The counterfactual strategy Generalizing the counterfactual strategy The desired result, and a necessary and sufficient condition for it Actual degrees of belief The common knock-down feature, or ‘anything goes’ The problem of prior probabilities. (shrink)

Das Werk des vorsokratischen Philosophen Parmenides, das nur fragmentarisch erhalten ist, kann als Lehrgedicht beschrieben werden. In diesem Buch werden zum ersten Mal die pädagogischen Aspekte des Gedichtes aufgrund einer detaillierten Diskussion von ausgewählten Fragmenten systematisch untersucht. Es werden u. a. folgende Fragen behandelt: Wie kommt der Suchende oder Lernende zur philosophischen Erkenntnis? Welche 'Wege' oder Methoden führen dorthin? Was für Lernstufen gibt es? Wie verhält sich der Lernende (der Kuros) zur Belehrenden (der Göttin)? Welcher geistige Zustand soll den Erkennenden (...) kennzeichnen? Parmenides' Ontologie wird hier als Beschreibung des Erkennenden in Betracht gezogen, insofern das erkennende Subjekt seinem Objekt entsprechen soll. Parmenides' philosophische Pädagogik wird im Rahmen der Erziehungstheorie und Praxis der antiken Philosophie dargestellt und mit dem Thema der Philosophie als Lebenskunst verglichen. (shrink)

A series of writings describes Hellenistic philosophy as spiritual guidance. Starting from a selection of Heraclitean fragments, this essay considers whether it is possible to read pre-Socratic philosophy as spiritual guidance. Its conclusion is that one cannot talk about spiritual guidance in the case of Heraclitus since he does not accompany the scholar in his search for understanding and because his teachings are not meant to be followed strictly and diligently. Finally, Heraclitus sets the impersonal Logos as a teacher; he (...) himself does not accept any human teachings. The only accepted learning comes through one's own experience; no-one can pass his wisdom on to anyone else. Moreover, the teachings of Heraclitus do not soothe man's grief or offer any eschatol-ogy; on the contrary, they are meant to deprive his listeners of all security. His teaching goes no further than to encourage the scholar in his own search for understanding. Only insofar as Heraclitus' teachings lead to psychic autonomy can we call them therapeutic. (shrink)

Im Zentrum der Abhandlung steht Nietzsches Entscheidung, den Antichrist schliesslich als vollendete Umwertlung aller Werthe zu betrachten. Merkwürdigerweise wurde bisher nie näher nach dem Zustandekommen und dem Sinn dieser Entscheidung gefragt. Sie geschieht im Zuge von Nietzshes Arbeit an Ecce homo, d.h. im Rückblick auf sein Leben und seine philosophische Entwicklung. Entscheidend dürfte dabei seine ;Wiederbegegnung' mit Zarathustra gewesen sein. In diesem Werk sieht Nietzsche den 'Begriff des Dionysos' - der seine 'positive' Philosophie subsumieren soll - in unüberbietbarer Weise schon (...) gegeben. 'Dionysos' verkörpert dabei eine höchste Form der Bejahung, die insbesondere auch die Lust am Verneinen und Vernichten mit einschliesst bzw. das Neintun nicht vom Jasgen zu trennen weiss. Insofern aber dann Nietzshe seine antichristlich Umwerthung selbst als Ausdruck und Beweis seines positiven Gegen-Ideals verstehen.The paper details with Nietzsche's decision to view The Antichrist as teh complete Revaluation of all Values. Oddly enough, it has never been asked now Nietzsche came to this decision and whether he had good reasons for it. The Antichrist became the complete Revaluation in the course of Nietzsche's work on Ecce homo, when the looked back on his life and philosophical development. His rereading of Zarathustra thereby seems to be most important. in this work Nietzsche sees his 'notion of Dionysos' - under which his 'positive' philosophy should be subsumed - already presented in an unsurpassable way. 'Dionysos' is incorporating a highest form of life-affirmation, including the pleasure in denying and destroying i.e. not knowing how to separate No-doing from Yes-saying. In this sense however Nietzsche can understand his antichristian Revaluation itself as expression and evidence of his positive counter-ideal. (shrink)

Nietzsches entschiedene Wendung gegen den Idealismus und die romantische Vergötterung "grosser Menschen" seit Menschliches, Allzumenschliches beduetet offensichtlich nicht eine Absage an jeglich Form des Ideals "Bleibt der Erde treu", gilt von nun an jedoch als Maxime, der jedes Streben nach einer höheren Kultur unterworfen wird. Nietzsches höchster Typus Mensch zeichnet sich nicht nur dadurch aus, dass er die Realität werden kann. Er sei kein ""idealistischer" Typus einer höheren Art Mensch", wird in Ecce homo ausdrücklich bekräftigt. Während in Also spruch Zarathustra (...) das einholen des Ideals exemplarisch vorgeführt wird, setzt Nietzsche seinerseits alles daran, es seinem "Sohn Zarathustra" gleichzutun d.h. seinem "höeren Selbst" tatsächlich gerecht zu werden.Nietzsche's decisive turn against idealism and the romantic adulation of "great men" since Human, All Too Human obviously does not entail a refusal of any kind of ideal. All striving for a superior culture however should from now on follow the maxim to "remain true to the earth". Not only does Nietzsche's highest type of man conceive reality as it is: the overman himself is conceived as an ideal that actually can become real. he is not an ""idealistic" type of a higher kind of man", as Ecce homo explicitly confirms. Whereas Thus Spoke Zarathustra shows the protagonists catching up with his ideal, Nietzsche himself is determined to live up to his "son Zarathustra", i.e. to fulfill the demands and standards of his "higher self". (shrink)

The problem adressed in this paper is “the main epistemic problem concerning science”, viz. “the explication of how we compare and evaluate theories [...] in the light of the available evidence” (van Fraassen 1983, 27).

At the intersection of epistemology, metaphilosophy, and philosophy of science, this exciting new book examines the epistemic limits of empirical science. It makes a unique contribution to research on epistemological naturalism in Quine’s tradition by criticizing the position based on first-order data from empirical psychology and the history of natural science. This way, it meets the naturalist on their own ground not only regarding subject matter, but also regarding their epistemic methods. The book explores the works of a variety of (...) philosophers in the field, including W. V. Quine, Penelope Maddy, Tyler Burge, Stathis Psillos and Howard Sankey. By carefully considering experimental results from behaviourism as well as developmental and perceptual psychology, Gubelmann finds that none of these disciplines can furnish the epistemic means to successfully naturalize the central cognitive preconditions of scientific theorizing. Furthermore, Gubelmann presents novel arguments for the claims that epistemological naturalists are committed to scientific realism, and that they are unable to defend this position. Based on these results, Gubelmann concludes that epistemology is not part of empirical science, which directly contradicts epistemological naturalism. (shrink)

This article sets in with the question whether current or foreseeable transformer-based large language models (LLMs), such as the ones powering OpenAI’s ChatGPT, could be language users in a way comparable to humans. It answers the question negatively, presenting the following argument. Apart from niche uses, to use language means to act. But LLMs are unable to act because they lack intentions. This, in turn, is because they are the wrong kind of being: agents with intentions need to be autonomous (...) organisms while LLMs are heteronomous mechanisms. To conclude, the article argues, based on structural aspects of transformer-based LLMs, that these LLMs have taken a first step away from mechanistic artificiality to autonomous self-constitution, which means that these models are (slowly) moving into a direction that someday might result in non-human, but equally non-artificial agents, thus subverting the time-honored Kantian distinction between organism and mechanism. (shrink)

In this article, I develop a loosely Wittgensteinian conception of what it takes for a being, including an AI system, to understand language, and I suggest that current state of the art systems are closer to fulfilling these requirements than one might think. Developing and defending this claim has both empirical and conceptual aspects. The conceptual aspects concern the criteria that are reasonably applied when judging whether some being understands language; the empirical aspects concern the question whether a given being (...) fulfills these criteria. On the conceptual side, the article builds on Glock’s concept of intelligence, Taylor’s conception of intrinsic rightness as well as Wittgenstein’s rule-following considerations. On the empirical side, it is argued that current transformer-based NNLP models, such as BERT and GPT-3 come close to fulfilling these criteria. (shrink)

Model evaluation for long-term climate predictions must be done on quantities other than the actual prediction, and a comprehensive uncertainty quantificationUncertainty quantification is impossible. An ad hoc alternative is provided by coordinated model intercomparisonsModel intercomparisons which typically use a “one model one vote” approach. The problem with such an approach is that it treats all models as independent and equally plausible. Reweighting all models of the ensemble for performance and dependence seems like an obvious way to improve on model democracy, (...) yet there are open questions on what constitutes a “good” model, how to define dependency, how to interpret robustnessRobustness, and how to incorporate background knowledgeBackground knowledge. UnderstandingUnderstanding those issues have the potential to increase confidence in model predictions in modeling efforts outside of climate scienceClimate science where similar challenges exist. (shrink)

The problem addressed in this paper is “the main epistemic problem concerning science”, viz. “the explication of how we compare and evaluate theories [...] in the light of the available evidence” (van Fraassen, BC, 1983, Theory comparison and relevant Evidence. In J. Earman (Ed.), Testing scientific theories (pp. 27–42). Minneapolis: University of Minnesota Press). Sections 1– 3 contain the general plausibility-informativeness theory of theory assessment. In a nutshell, the message is (1) that there are two values a theory should exhibit: (...) truth and informativeness—measured respectively by a truth indicator and a strength indicator; (2) that these two values are conflicting in the sense that the former is a decreasing and the latter an increasing function of the logical strength of the theory to be assessed; and (3) that in assessing a given theory by the available data one should weigh between these two conflicting aspects in such a way that any surplus in informativeness succeeds, if the shortfall in plausibility is small enough. Particular accounts of this general theory arise by inserting particular strength indicators and truth indicators. In Section 4 the theory is spelt out for the Bayesian paradigm of subjective probabilities. It is then compared to incremental Bayesian confirmation theory. Section 4 closes by asking whether it is likely to be lovely. Section 5 discusses a few problems of confirmation theory in the light of the present approach. In particular, it is briefly indicated how the present account gives rise to a new analysis of Hempel’s conditions of adequacy for any relation of confirmation (Hempel, CG, 1945, Studies in the logic of comfirmation. Mind, 54, 1–26, 97–121.), differing from the one Carnap gave in § 87 of his Logical foundations of probability (1962, Chicago: University of Chicago Press). Section 6 adresses the question of justification any theory of theory assessment has to face: why should one stick to theories given high assessment values rather than to any other theories? The answer given by the Bayesian version of the account presented in section 4 is that one should accept theories given high assessment values, because, in the medium run, theory assessment almost surely takes one to the most informative among all true theories when presented separating data. The concluding section 7 continues the comparison between the present account and incremental Bayesian confirmation theory. (shrink)

Ranking functions have been introduced under the name of ordinal conditional functions in Spohn (1988; 1990). They are representations of epistemic states and their dynamics. The most comprehensive and up to date presentation is Spohn (manuscript).

This paper discusses an almost sixty year old problem in the philosophy of science -- that of a logic of confirmation. We present a new analysis of Carl G. Hempel's conditions of adequacy (Hempel 1945), differing from the one Carnap gave in §87 of his Logical Foundations of Probability (1962). Hempel, it is argued, felt the need for two concepts of confirmation: one aiming at true theories and another aiming at informative theories. However, he also realized that these two concepts (...) are conflicting, and he gave up the concept of confirmation aiming at informative theories. We then show that one can have Hempel's cake and eat it, too: There is a (rank-theoretic and genuinely nonmonotonic) logic of confirmation -- or rather, theory assessment -- that takes into account both of these two conflicting aspects. According to this logic, a statement H is an acceptable theory for the data E if and only if H is both sufficiently plausible given E and sufficiently informative about E. Finally, the logic sheds new light on Carnap's analysis (and solves another problem of confirmation theory). (shrink)

Even if together we could make poverty history, we would not all do our part. The paper presents a device that makes it more likely for everybody to do his part. This is achieved by making everybody’s contribution dependent on the other people’s commitment to contribute given that certain conditions are fulfilled. Furthermore, a device is introduced which, based on the same general idea, doubles everybody’s donation. Finally, possibilities, assumptions and limitations of such devices are addressed.

Model evaluation for long term climate predictions must be done on quantities other than the actual prediction, and a comprehensive uncertainty quantification is impossible. An ad hoc alternative is provided by coordinated model intercomparisons which typically use a “one model one vote” approach. The problem with such an approach is that it treats all models as independent and equally plausible. Reweighting all models of the ensemble for performance and dependence seems like an obvious way to improve on model democracy, yet (...) there are open questions on what constitutes a “good” model, how to define dependency, how to interpret robustness, and how to incorporate background knowledge. Under¬standing those issues has the potential to increase confidence in model predictions in modeling efforts outside of climate science where similar challenges exist. (shrink)

Zusammenfassung Case studies in the history of science and technology have shown that scientific norms, so called standards, contribute significantly to the evolution of scientific practices. They arise predominantly, but not exclusively, on the basis of interactions with instruments of measurement and other technical devices. As regards experimental practices standards are mandatory preparatory procedures in a variety of designs, including the inbreeding and genetic engineering of experimental organisms (e.g. transgenic mice). I claim that scientific norms not only regulate mere technical (...) preconditions of research but also guide experimental practices, for example with regard to the stabilisation and validation of phenomena. Against this background, the paper introduces different kinds of scientific norms and elaborates on the question if they are means to epistemic ends (e.g. stability). (shrink)

We argue that a semantics for counterfactual conditionals in terms of comparative overall similarity faces a formal limitation due to Arrow’s impossibility theorem from social choice theory. According to Lewis’s account, the truth-conditions for counterfactual conditionals are given in terms of the comparative overall similarity between possible worlds, which is in turn determined by various aspects of similarity between possible worlds. We argue that a function from aspects of similarity to overall similarity should satisfy certain plausible constraints while Arrow’s impossibility (...) theorem rules out that such a function satisfies all the constraints simultaneously. We argue that a way out of this impasse is to represent aspectual similarity in terms of ranking functions instead of representing it in a purely ordinal fashion. Further, we argue against the claim that the determination of overall similarity by aspects of similarity faces a difficulty in addition to the Arrovian limitation, namely the incommensurability of different aspects of similarity. The phenomena that have been cited as evidence for such incommensurability are best explained by ordinary vagueness. (shrink)

The proliferation of multistakeholder initiatives (MSIs) over the past years has sparked an intense debate on the political role of corporations in the governance of global business conduct. To gain a better understanding of corporate political behavior in multistakeholder governance, this article investigates how firms construct a political identity when participating in MSIs. Based on an in-depth case study of the Accord on Fire and Building Safety in Bangladesh—an MSI established after the collapse of the Rana Plaza garment factory complex (...) in 2013 to improve working conditions in the Bangladeshi garment industry—we introduce the construct of a political CSR (corporate social responsibility) identity (PCSRI) and explore how firms construct their PCSRIs in MSIs. Employing a qualitative, inductive theory-building method, we analyze interviews and archival data to develop a framework that elucidates how companies construct their PCSRIs within a continuum ranging from conservative to progressive. We show that constructing a PCSRI involves enacting specific, yet interrelated, political strategies that are themselves shaped by several forces over time. This article contributes to the literature by providing a political perspective on organizational identity construction that extends the emerging integrative perspective in political corporate social responsibility (PCSR) research. We suggest that MSIs should be conceptualized as inherently political governance mechanisms that are driven by multidirectional and dynamic political processes of identity construction. Our study shows that corporate political engagement in MSIs is a more nuanced and complex phenomenon than presently theorized. (shrink)

Transformer-based Pre-Trained Language Models currently dominate the field of Natural Language Inference (NLI). We first survey existing NLI datasets, and we systematize them according to the different kinds of logical inferences that are being distinguished. This shows two gaps in the current dataset landscape, which we propose to address with one dataset that has been developed in argumentative writing research as well as a new one building on syllogistic logic. Throughout, we also explore the promises of ChatGPT. Our results show (...) that our new datasets do pose a challenge to existing methods and models, including ChatGPT, and that tackling this challenge via fine-tuning yields only partly satisfactory results. (shrink)

This paper contains a positive development and a negative argument. It develops a theory of function loss and shows how this undermines an objection raised against the etiological theory of function in support of the modal theory of function. Then it raises two internal problems for the modal theory of function.

Dieses Buch entwirft eine neue, organismische Wirklichkeitskonzeption im Ausgang von Whitehead, Cassirer und Piaget. Wirkwesen ist der Name fur das, was in der Wirklichkeit wirklich ist, weil es aus seinem Wirken hervorgeht, sich nur durch sein Wirken erhalt und anderen mitteilt. Anders als die Dinge weisen die Wirkwesen eine innere Einheit und einen ganzheitlichen Charakter auf. Sie sind ineins Trager und Resultat ihrer von innen gesteuerten Prozesse. Wirkwesen bilden sich durch Strukturen, die eine Genese haben und auseinander hervorgehen. Je komplexer (...) diese Strukturen sind, desto mehr eignet den Wirkwesen ein Subjektcharakter, der im Menschen zum vollen Durchbruch kommt. (shrink)