The development and deployment of medical devices, along with most areas of healthcare, has been significantly impacted by the COVID-19 pandemic. This has had variable ethical implications, two of which we will focus on here. First, medical device regulations have been rapidly amended to expedite approvals of devices ranging from face masks to ventilators. Although some regulators have issued cessation dates, there is inadequate discussion of triggers for exiting these crisis standards, and evidence that this may not be feasible. Given (...) the relatively low evidence standards currently required for regulatory approval of devices, this further indefinite reduction in standards raises serious ethical issues. Second, the pandemic has disrupted the usual operations of device representatives in hospitals, providing an opportunity to examine and refine this potentially ethically problematic practice. In this paper we explain and critically analyse the ethical implications of these two pandemic-related impacts on medical devices and propose suggestions for their management. These include an endpoint for pandemic-related adjustments to device regulation or a mechanism for continued refinement over time, together with a review of device research conducted under crisis conditions, support for the removal and replacement of emergency approved devices, and a review of device representative credentialling. (shrink)

Despite concerns about the relationships between health professionals and the medical device industry, the issue has received relatively little attention. Prevalence data are lacking; however, qualitative and survey research suggest device industry representatives, who are commonly present in clinical settings, play a key role in these relationships. Representatives, who are technical product specialists and not necessarily medically trained, may attend surgeries on a daily basis and be available to health professionals 24 hours a day, 7 days a week, to provide (...) advice. However, device representatives have a dual role: functioning as commissioned sales representatives at the same time as providing advice on approaches to treatment. This duality raises the concern that clinical decision-making may be unduly influenced by commercial imperatives. In this paper, we identify three key ethical concerns raised by the relationship between device representatives and health professionals: impacts on healthcare costs, the outsourcing of expertise and issues of accountability and informed consent. These ethical concerns can be addressed in part through clarifying the boundary between the support and sales aspects of the roles of device representatives and developing clear guidelines for device representatives providing support in clinical spaces. We suggest several policy options including hospital provision of expert support, formalising clinician conduct to eschew receipt of meals and payments from industry and establishing device registries. (shrink)

Desde finales del siglo xviii los conceptos de razón e imaginación se transformaron en la cultura europea, con la segunda como facultad privilegiada de la mente humana para los románticos. En el presente texto se mostrarán ejemplos del incremento en la estima de la facultad, que gozó de su apoteosis en la original estética de William Blake. El artista servirá como autor por antonomasia de una tendencia común durante varias décadas, actitud romántica de la que él probablemente constituye el (...) ejemplo paradigmático; tam-bién se comentarán sus influencias, pensadores neoplatónicos y místicos ocultistas como Böhme o Swedenborg. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Descartes and the Last ScholasticsBlake D. DuttonRoger Ariew. Descartes and the Last Scholastics. Ithaca: Cornell University Press, 1999. Pp. xi + 230. Cloth, $42.50.The attempt to understand Descartes vis-à-vis the scholastic tradition dates back to the studies of Etienne Gilson early in this century. Though Descartes saw himself as a revolutionary who would overthrow the Aristotelianism entrenched in the universities, Gilson was able to demonstrate his reliance upon (...) a variety of scholastic sources for important terminology, distinctions, and arguments which permeate his writings. Unfortunately, this line of investigation was largely ignored among Anglo-American scholars who were generally hostile to Scholasticism and uninterested in contextualizing Descartes's thought. However, since the mid-eighties there has been a distinct shift in attitude as scholars have increasingly turned their attention to the place of Scholasticism within Descartes's intellectual environment. Among these, Roger Ariew has to be counted as one of the most sophisticated, and his new book, Descartes and the Late Scholastics, marks an important contribution to the growing literature on the topic.Ariew's book is actually a collection of essays published over the last decade, including two which he co-authored with Marjorie Grene. Many of these have been substantially expanded to include fresh material and reworked so as to give the whole a greater sense of continuity. After a marvelous opening chapter in which he lays out his overall account of Descartes's attitude towards Scholasticism, Ariew presents the remaining essays in two large groups: those dealing with the immediate context of Descartes's thought and those dealing with its reception through the early part of the eighteenth century.Among the more interesting results of the first group of studies is Ariew's claim that the scholastic climate in and around Paris during Descartes's lifetime was predominately Scotistic rather than Thomistic. He shows this by looking at positions taken by a number of Parisian schoolmen on important issues which typically divided Scotists and Thomists. Ariew goes on to argue that not only was the Parisian environment Scotistic, but that Descartes aligned himself with the Scotists on many key issues in both physics (e.g., that time is independent of motion) and metaphysics (e.g., that the principle of individuation is a form). This is certainly an intriguing claim since most studies of this type have viewed Descartes in relation to Aquinas and those Jesuit thinkers who were broadly Thomistic in outlook. In bringing to light this Scotistic background, Ariew has opened up an important new line of inquiry.Other topics included in this first section are the literary and philosophical background [End Page 275] to the "new way of ideas" of which Descartes is a founder, the place of Descartes's doctrine of matter and form in seventeenth century debates over hylomorphism, and the reaction of Scholastics to the observational results of the new astronomy. What emerges in these essays is not only a highly nuanced view of Descartes's relation to Scholasticism, but an important corrective to still prevalent views of the Scholastics as reactionary and blindly opposed to developments within the new science. This last point is made with particular force in the fifth essay entitled "Scholastics and the New Astronomy." There Ariew argues that the astronomical observations of Galileo et alia were not in themselves decisive for overthrowing the Aristotelian cosmology as it had been articulated in the seventeenth century. This is because scholastic astronomers were generally accepting of such findings (e.g., sunspots) and were able to accommodate them within their own systems by making relatively minor adjustments. Although these systems ultimately proved themselves inadequate, Ariew makes a strong case that the Aristotelianism of the seventeenth century was sufficiently fluid to accommodate most of what the astronomers offered up. Thus the necessity for a radical overhaul of basic philosophical and scientific assumptions was by no means as evident as standard histories of this period would have us believe.The second section of the book is dedicated to debates over Cartesianism and its fate in the generations immediately following Descartes's death. Here Ariew provides a wealth of detail about various condemnations of Cartesianism, a comparative study of... (shrink)

Offers an in-depth exposition of the Confucian conception of persons as the starting point of Confucian ethics.

In his bestselling work of popular science, Sir Roger Penrose takes us on a fascinating roller-coaster ride through the basic principles of physics, cosmology, mathematics, and philosophy to show that human thinking can never be emulated by a machine.

Over the past generation, the rise of East Asia and especially China, has brought about a sea change in the economic and political world order. At the same time, global warming, environmental degradation, food and water shortages, population explosion, and income inequities have created a perfect storm that threatens the very survival of humanity. It is clear now that the Westphalian model of individual sovereign states seeking their own self-interest will not be able to respond effectively to this win-win or (...) lose-lose crisis. In this volume, a cadre of distinguished scholars comes together to reflect on Confucianism and Deweyan pragmatism as possible resources for a new geopolitics that begins from an ontology of interdependence and recognizes the irreducibly ecological nature of the human experience at every level. Both Confucian and Deweyan traditions emphasize the primacy of experience, the importance of vital relationality, and the moral roots of good governance. The potential benefits of conceptually blending the two are many. Indeed, the contemporary Chinese philosopher Tang Junyi provides us with a cosmological understanding of the "idea" of Confucianism that, in parallel to Dewey's "idea" of democracy, can enable us to anticipate the core values, if not the specific contours, of a "Confucian democracy." Just as Dewey's "idea" of democracy is his vision of the flourishing communal life made possible by the contributions of the uniquely distinguished persons that constitute it, Tang Junyi's Confucianism is a pragmatic naturalism directed at achieving the most highly integrated cultural, moral, and spiritual growth for the individual-in-community. In both, we find an affirmation of communal harmony as a process "starting here and going there" through which those involved learn together to do ordinary things in extraordinary ways. Just such a cosmological understanding of democracy is one way of describing what will be needed to address the many predicaments characterizing the environmental, cultural, socioeconomic, and political dynamics of the twenty-first century. (shrink)

Does knowledge depend in any interesting way on our practical interests? This is the central question in the pragmatic encroachment debate. Pragmatists defend the affirmative answer to this question while purists defend the negative answer. The literature contains two kinds of arguments for pragmatism: principle-based arguments and case-based arguments. Principle-based arguments derive pragmatism from principles that connect knowledge to practical interests. Case-based arguments rely on intuitions about cases that differ with respect to practical interests. I argue that there are insurmountable (...) problems for both kinds of arguments, and that it is therefore unclear what motivates pragmatism. (shrink)

Doxastic involuntarists have paid insufficient attention to two debates in contemporary epistemology: the permissivism debate and the debate over norms of assertion and belief. In combination, these debates highlight a conception of belief on which, if you find yourself in what I will call an ‘equipollent case’ with respect to some proposition p, there will be no reason why you can’t believe p at will. While doxastic involuntarism is virtually epistemological orthodoxy, nothing in the entire stock of objections to belief (...) at will blocks this route to doxastic voluntarism. Against the backdrop of the permissivism debate and the literature on norms of belief and assertion, doxastic involuntarism emerges as an article of faith, not the obvious truth it’s usually purported to be. (shrink)

According to what I will call ‘the disanalogy thesis,’ beliefs differ from actions in at least the following important way: while cognitively healthy people often exhibit direct control over their actions, there is no possible scenario where a cognitively healthy person exhibits direct control over her beliefs. Recent arguments against the disanalogy thesis maintain that, if you find yourself in what I will call a ‘permissive situation’ with respect to p, then you can have direct control over whether you believe (...) p, and you can do so without manifesting any cognitive defect. These arguments focus primarily on the idea that we can have direct doxastic control in permissive situations, but they provide insufficient reason for thinking that permissive situations are actually possible, since they pay inadequate attention to the following worries: permissive situations seem inconsistent with the uniqueness thesis, permissive situations seem inconsistent with natural thoughts about epistemic akrasia, and vagueness threatens even if we push these worries aside. In this paper I argue that, on the understanding of permissive situations that is most useful for evaluating the disanalogy thesis, permissive situations clearly are possible. (shrink)

This special issue of Philosophy East and West is dedicated to the inaugural meeting of the World Consortium for Research in Confucian Cultures, convened at the University of Hawai‘i and the East-West Center, October 8-12, 2014, on the theme “Confucian Values in a Changing World Cultural Order,” to explore the contributions of Confucian thought to world culture. The conference brought together leading scholars from partner institutions around the world to explore critically the meaning and value of Confucian culture in the (...) twenty-first century. The purpose of this initial meeting was to address the questions “What is the contemporary form of ‘Confucian’ culture?” “What are its historical failings and limitations?”... (shrink)

Purists think that changes in our practical interests can’t affect what we know unless those changes are truth-relevant with respect to the propositions in question. Impurists disagree. They think changes in our practical interests can affect what we know even if those changes aren’t truth-relevant with respect to the propositions in question. I argue that impurists are right, but for the wrong reasons, since they haven’t appreciated the best argument for their own view. Together with “Minimalism and the Limits of (...) Warranted Assertability Maneuvers,” “The Pragmatic Encroachment Debate,” and “Anti-Intellectualism” (below), this paper constitutes my attempt to refute the entire pragmatic encroachment debate. As I show in this paper, there is an argument for impurism sitting in plain sight that is considerably more plausible than any extant argument for pragmatism. (shrink)

Intellectualists disagree with anti-intellectualists about the relationship between knowledge and truth. According to intellectualists, this relationship is intimate. Knowledge entails true belief, and in fact everything required for knowledge is somehow relevant to the probability that the belief in question is true. According to anti-intellectualists, this relationship isn’t intimate. Or, at least, it’s not as intimate as intellectualists think. Factors that aren’t in any way relevant to the probability that a belief is true can make a difference to whether it (...) counts as knowledge. In this paper, I give a new argument for anti-intellectualism and draw out consequences of this argument for the pragmatic encroachment debate. The standard purist objection to pragmatism is that pragmatism entails anti-intellectualism. As I show, anti-intellectualism follows from premises that are plausible even if purism is true, so the standard purist objection to pragmatism fails. (shrink)

Aristotle's Nicomachean Ethics, based on lectures that he gave in Athens in the fourth century BCE, is one of the most significant works in moral philosophy, and has profoundly influenced the whole course of subsequent philosophical endeavour. It is soundly located within a philosophical tradition, but its argument differs markedly from those of Plato and Socrates in its emphasis on the exercise - as opposed to the mere possession - of virtue as the key to human happiness, offering seminal discussions (...) of ethical issues that are practical in their intent. Topics covered include the role of luck in human wellbeing, moral education, responsibility, courage, justice, moral weakness, friendship and pleasure. This accessible new translation by Roger Crisp follows the Greek text closely and also provides a non-Greek-reader with the flavour of the original. The volume also includes a historical and philosophical introduction and notes on further reading. (shrink)

In “Reasons to Believe and Reasons to Act,” Stewart Cohen argues that balance of reasons accounts of rational action get the wrong results when applied to doxastic attitudes, and that there are therefore important differences between reasons to believe and reasons to act. In this paper, I argue that balance of reasons accounts of rational action get the right results when applied to the cases that Cohen considers, and that these results highlight interesting similarities between reasons to believe and reasons (...) to act. I also consider an argument for Cohen's conclusion based on the principle that Adler, Moran, Shah, Velleman and others call “transparency.” I resist this argument by explaining why transparency is itself doubtful. (shrink)

Is knowledge consistent with literally any credence in the relevant proposition, including credence 0? Of course not. But is credence 0 the only credence in p that entails that you don’t know that p? Knowledge entails belief (most epistemologists think), and it’s impossible to believe that p while having credence 0 in p. Is it true that, for every value of ‘x,’ if it’s impossible to know that p while having credence x in p, this is simply because it’s impossible (...) to believe that p while having credence x in p? If so, is it possible to believe that p while having (say) credence 0.4 in p? These questions aren’t standard epistemological fare, at least in part because many epistemologists think their answers are obvious, but they have unanticipated consequences for epistemology. Let ‘improbabilism’ name the thesis that it’s possible to know that p while having a credence in p below 0.5. Improbabilism will strike many epistemologists as absurd, but careful reflection on these questions reveals that, if improbabilism is false, then all of the most plausible theories of knowledge are also false. Or so I argue in this paper. Since improbabilism is widely rejected by epistemologists (at least implicitly), this paper reveals a tension between all of the most plausible theories of knowledge and a widespread assumption in epistemology. (shrink)

The author discusses how Rand’s largely underdeveloped concept of the “dual-aspect objective,” first introduced in the 1960s, is vital for understanding how knowledge is grounded in reality. He defines it, then applies it to perception and introspection, and to concepts, propositions, and syllogisms. The author also defines content of awareness, carefully distinguishing it from both object and form of awareness, and applies those distinctions throughout. In addition, he discusses how truth is both dual-aspect and contextual, and he extends his discussion (...) in Part 1 of Rand’s “unit-perspective,” showing how units, too, have a dual-aspect, even on the level of syllogisms. (shrink)

In this third installment of his series on key, underappreciated ideas in Ayn Rand's epistemology, the author discusses the nature of differentiation and integration as the functional essence of consciousness and applies that insight to various cognitive and noncognitive processes of awareness, with a special emphasis on logic and illogic. He offers an extended analysis of the fallacies of “Frozen Abstraction” and “False Alternative,” as well as critiques of a long-standing Objectivist conflation of falsity and contradiction and a relatively more (...) recent Objectivist error, the fallacy of “genuine awareness.”. (shrink)

This book explores contemporary continental philosophy and aesthetics. It addresses the problem of post-Kantian reason in relation to the pathologies of experience, alienation, the transformative and ethical import of aesthetic experience, the relation between philosophy and social critique, and language as disclosure rather than correspondence.

The author assures readers that Chris Matthew Sciabarra has met all Aristotelian requirements in full, providing not one but two definitions of “dialectics,” which, as the art of context-keeping, is indeed an essential part of Ayn Rand's philosophical method. He shows how Sciabarra's definitional process compares quite favorably in terms of timeliness, transparency, and benevolence to that of Rand and other Objectivists, and notes that Sciabarra's overriding concern, notwithstanding his obvious great respect for Rand's substantive philosophical achievements, has been to (...) identify and clarify the methods she and other thinkers have used to profound benefit. (shrink)

The author provides another metaphysical argument to bolster his thesis of the logical harmony of determinism and volition. He shows how the typical mainstream and Objectivist doctrine of “libertarian” free will commits the same logical error as the Sophist attacks on the Law of Non-Contradiction—namely, an out-of-context interpretation of, respectively, the Law of Causality and the Law of Identity as being unconditional absolutes, which they are not and cannot be.

Beyond geometry : Leibniz and the science of law -- The force of law : will -- Leibniz's systema iuris -- From the gesetzbuch to the landrecht : the ALR and the triumph of legality -- The rule of law : the Crown Prince lectures and the grounding of legality in order and security -- From reason to history : Savigny's system and the rise of social legal science -- The Bürgerliches Gesetzbuch (BGB) of 1900 : positive legal science and (...) the end of justice. (shrink)

Critiquer Kant? C'est remettre son oeuvre majeure, la Critique de la raison pure, face à son intention initiale, et lui appliquer le projet critique qu'elle expose. C'est en approfondir la compréhension en la resituant dans son contexte philosophique, et en se forçant de pénétrer son argumentation. C'est surtout analyser, avec Kant, la nature et les possibilités de la connaissance humaine, en cherchant, à travers les thèses qu'il développe, ce qui rejoint notre expérience. C'est faire de son oeuvre une lecture proprement (...) philosophique, au service d'une meilleure compréhension des rapports entre notre esprit et ce qu'il cherche à connaître. Ainsi, qu'on arrive ou non aux mêmes conclusions, on aura philosophé avec Kant, et progressé grâce à lui. (shrink)

This article addresses two questions: First, how does the value of human dignity distinctively bear on a state’s responsibilities in relation to migrants; and, secondly, how serious a wrong is it when a state fails to respect the dignity of migrants? In response to these questions, a view is presented about the distinction between wrongs that violate cosmopolitan standards and wrongs that violate the standards that are distinctive to a particular community; about when and how the contested concept of human (...) dignity might be engaged; and, elaborating a three-tiered and lexically ordered scheme of state responsibilities, about how we should assess the seriousness of a state’s failure to respect the dignity of migrants. (shrink)

The Cold Moon occurs in late December, auguring the arrival of the winter sol stice. Approaching the winter solstice of his own life, Roger Rosenblatt offers a book dedicated to the three most important lessons he has learned over his many years: an appreciation of being alive, a recognition of the gift and power of love, and the necessity of excercising responsibility toward one another. Rosenblatt's poetic reflections on these vital life lessons offer a tonic for these perilous and (...) fearful times, and attest to the value of our very existence. Cold Moon: a book to offer purpose, to focus the attention on life's essentials, and to lift the spirit. (shrink)

The article traces the articulation of the principle of distributed authority, or sphere sovereignty, and its background in politics and theology. It considers the two Dutch national leaders who used and developed it most as well as noting some of its earlier sources. An account is given of the way the principle of distributed authority arose and what it meant to the thinkers and leaders of the Anti-Revolutionary Party in the Netherlands. The principle and its articulation is chronicled through the (...) long struggle for the distribution of educational, ecclesiastical, and political authority to those people active in various areas, each understood as sovereign spheres. The article shows the crucial role played by Kuyper in the step by step formulation of the principle, thereby laying to rest rival claims. Finally, the article suggests that the principle had great importance in Herman Dooyeweerd’s thought and in the development of his philosophy. (shrink)

Normal 0 false false false EN-US JA X-NONE Normal 0 false false false EN-US JA X-NONE The spotlight that Martha Nussbaum turns on the plight of women in developing nations brings the disproportion between human capabilities and the opportunities to exercise them sharply into focus. Social prejudices, economic discrimination, and deep-seated traditions and attitudes all harbor the seeds of systemic injustices within governing policies and institutions. The refusal on the part of a dominant class to recognize the rights and claims (...) of subaltern individuals and groups has both symbolic and material consequences. The power that one group exercises over another brings the refusal to recognize the rights and claims of others to the fore. Thanks to the moral priority that Paul Ricoeur accords to the victim against such refusals, I tie the fragility of identity to the idea of justice’s federating force. This federating force, I therefore argue, accompanies the struggle for recognition among capable human beings. (shrink)

According to attributor virtue epistemology (the view defended by Ernest Sosa, John Greco, and others), S knows that p only if her true belief that p is attributable to some intellectual virtue, competence, or ability that she possesses. Attributor virtue epistemology captures a wide range of our intuitions about the nature and value of knowledge, and it has many able defenders. Unfortunately, it has an unrecognized consequence that many epistemologists will think is sufficient for rejecting it: namely, it makes knowledge (...) depend on factors that aren't truth-relevant, even in the broadest sense of this term, and it also makes knowledge depend in counterintuitive ways on factors that are truth-relevant in the more common narrow sense of this term. As I show in this paper, the primary objection to interest-relative views in the pragmatic encroachment debate can be raised even more effectively against attributor virtue epistemology. (shrink)

The author explains how Rand was absolutely correct in saying that Aristotle “stated the formula” of the Law of Identity. He corrects long-standing faulty Thomist criticisms on this issue and gives due credit to thinkers such as Antonius Andreas, Leibniz, and William Hamilton. The author further contends that the gradual shift in Objectivist usage of the Law of Identity tacitly ratifies these erroneous criticisms and has actually contributed to the failure of Objectivist thinkers to develop Rand's concept theory into a (...) valid model of propositions and syllogisms. (shrink)

As scholars of the American tradition, we know Charles Sanders Peirce as an original thinker with personal foibles and complex ideas, a primary source and yet an enigma in the main channel of the tradition. He is most profound in developing an architectonic system that rivals and proceeds beyond Kant in the interest of furthering the inquiry necessary for self-control and the development of the community of inquiry. The object of the Real consistently appears as a figure to Peirce's inquiry (...) as its true home, and the community of self-and-other correcting minds sharing this goal of inquiry may bring themselves together in experience and work. This handbook is an example of such work that extends beyond this... Read More. (shrink)

Research suggests that when we treat our non-obligatory activities playfully, we are more likely to engage with them and derive meaningfulness from them. Play is of interest to the field of music education on at least two counts: the perceived relationship between play and music, and the perceived educational aspects of play related to human development and behavior. Using Johan Huizinga’s definition of play in Homo Ludens as a starting point, I interrogate the ways in which school music may militate (...) against play efforts in music education. I draw particular attention to the problem of group-based musical performance, competition, and how school music in many jurisdictions has capitulated to an impoverished paradigm of “getting it right.” I conclude with a brief appeal to re-center play as critically important to the aims of school music. (shrink)