Vaccine refusal occurs for a variety of reasons. In this article we examine vaccine refusals that are made on conscientious grounds; that is, for religious, moral, or philosophical reasons. We focus on two questions: first, whether people should be entitled to conscientiously object to vaccination against contagious diseases ; second, if so, to what constraints or requirements should conscientious objection to vaccination be subject. To address these questions, we consider an analogy between CO to vaccination and CO to military service. (...) We argue that conscientious objectors to vaccination should make an appropriate contribution to society in lieu of being vaccinated. The contribution to be made will depend on the severity of the relevant disease, its morbidity, and also the likelihood that vaccine refusal will lead to harm. In particular, the contribution required will depend on whether the rate of CO in a given population threatens herd immunity to the disease in question: for severe or highly contagious diseases, if the population rate of CO becomes high enough to threaten herd immunity, the requirements for CO could become so onerous that CO, though in principle permissible, would be de facto impermissible. (shrink)

In the face of argument to the contrary, it is shown that there is defensible middle ground available for entity realism, between the extremes of scientific realism and empiricist antirealism. Cartwright's ([1983]) earlier argument for defensible middle ground between these extremes, which depended crucially on the viability of an underdeveloped distinction between inference to the best explanation (IBE) and inference to the most probable cause (IPC), is examined and its defects are identified. The relationship between IBE and IPC is clarified (...) and a revised version of Cartwright's argument for defensible middle ground, which is free of the identified defects, is presented. (shrink)

Although The Structure of Scientific Revolutions is one of the most influential books of this century, its author, Thomas Kuhn, is notorious for disavowing most of the consequences wrought by his text. Insofar as these consequences have appeared "radical" or "antipositivist," this article argues that they are very misleading, and that Kuhn's complaints are therefore well placed. Indeed, Kuhn unwittingly succeeded where Daniel Bell's The End of Ideology tried and failed, namely, to alleviate the anxieties of alienated academics and defensive (...) policy-makers by teaching them that they could all profit from solving their own paradigmatic puzzles. The influence of tructure is traced from the philosophy of science into the social sciences and science policy. Special attention is paid to the import of the General Education in Science curriculum at Harvard, in which Kuhn taught for most of the period prior to writing tructure. Harvard President James Conant had designed this curriculum in order to keep "pure science" in the good favor of the American public, in whose eyes it suffered after the use of the atomic bomb. While Conant was keen to stress the distinctiveness of science from other social practices, Kuhn's model seemed to provide a blueprint for reconstituting any practice as a science. This enabled potentially antiscientific academics to become scientists themselves, thereby neutralizing any radical challenges to the ends of scientific inquiry. The article concludes by reconstructing some of the inchoate possibilities for radical critique that Kuhn's success preempted, and by making some suggestions for how they may be recovered in the present academic environment. (shrink)

We humans can enhance some of our mental and physical abilities above the normal upper limits for our species with the use of particular drug therapies and medical procedures. We will be able to enhance many more of our abilities in more ways in the near future. Some commentators have welcomed the prospect of wide use of human enhancement technologies, while others have viewed it with alarm, and have made clear that they find human enhancement morally objectionable. The Ethics of (...) Human Enhancement examines whether the reactions can be supported by articulated philosophical reasoning, or perhaps explained in terms of psychological influences on moral reasoning. An international team of ethicists refresh the debate with new ideas and arguments, making connections with scientific research and with related issues in moral philosophy. (shrink)

An analogy is sometimes drawn between the proper treatment of conscientious objectors in healthcare and in military contexts. In this paper, I consider an aspect of this analogy that has not, to my knowledge, been considered in debates about conscientious objection in healthcare. In the USA and elsewhere, tribunals have been tasked with the responsibility of recommending particular forms of alternative service for conscientious objectors. Military conscripts who have a conscientious objection to active military service, and whose objections are deemed (...) acceptable, are required either to serve the military in a non-combat role, or assigned some form of community service that does not contribute to the effectiveness of the military. I argue that consideration of the role that military tribunals have played in determining the appropriate form of alternative service for conscripts who are conscientious objectors can help us to understand how conscientious objectors in healthcare ought to be treated. Additionally, I show that it helps us to address the vexed issue of whether or not conscientious objectors who refuse to provide a service requested by a patient should be required to refer that patient to another healthcare professional. (shrink)

Jonathan Haidt ( 2001 ) advances the 'Social Intuitionist' account of moral judgment , which he presents as an alternative to rationalist accounts of moral judgment , hitherto dominant in psychology. Here I consider Haidt's anti-rationalism and the debate that it has provoked in moral psychology , as well as some anti-rationalist philosophical claims that Haidt and others have grounded in the empirical work of Haidt and his collaborators. I will argue that although the case for anti-rationalism in moral psychology (...) based on the work of Haidt and his collaborators is plausible , a decisive case has yet to be made. It will require further experimental evidence before a decisive case could be made. My assessment of anti-rationalist philosophical arguments that are grounded in the empirical work of Haidt and his collaborators is much more negative than this. I will argue that this body of empirical work is a very unpromising basis for such arguments. (shrink)

This brief article is intended to introduce the reader to the field of algebraic set theory, in which models of set theory of a new and fascinating kind are determined algebraically. The method is quite robust, applying to various classical, intuitionistic, and constructive set theories. Under this scheme some familiar set theoretic properties are related to algebraic ones, while others result from logical constraints. Conventional elementary set theories are complete with respect to algebraic models, which arise in a variety of (...) ways, including topologically, type-theoretically, and through variation. Many previous results from topos theory involving realizability, permutation, and sheaf models of set theory are subsumed, and the prospects for further such unification seem bright. (shrink)

It is sometimes suggested that new research in such areas as artificial intelligence, nanotechnology and genetic engineering should be halted or otherwise restricted because of concerns about possible catastrophic scenarios. Proponents of such restrictions typically invoke the precautionary principle, understood as a tool of policy formulation, as part of their case. Here I examine the application of the precautionary principle to possible catastrophic scenarios. I argue, along with Sunstein (Risk and Reason: Safety, Law and the Environment. Cambridge University Press, Cambridge, (...) 2002) and Manson (Environmental Ethics, 24: 263–274, 2002), that variants of the precautionary principle that appear strong enough to support significant restrictions on future technologies actually lead to contradictory policy recommendations. Weaker versions of the precautionary principle, which do not have this feature, do not appear strong enough to support restrictions on future technologies. (shrink)

The doctrine of the sanctity of life has traditionally been characterised as a Judeo‐Christian doctrine that has it that bodily human life is an intrinsic good and that it is always impermissible to kill an innocent human. Abortion and euthanasia are often assumed to violate the doctrine. The doctrine is usually understood as being derived from religious dogma and, as such, not amenable to debate. I show that this characterisation of the doctrine is problematic in a number of ways, and (...) I go on to rethink the doctrine. In doing so I follow in the footsteps of Ronald Dworkin, who offered a characterisation of the doctrine in his 1993 Life's Dominion, drawing on a conceptualisation of sacredness that is radically different from standard ones and not dependent on religious dogma. I'll argue that although Dworkin's efforts have much to recommend, his conceptualisation of sacredness is inadequate. Dworkin attempted to reconceptualise sacredness ‘from the armchair’. Here I explain how sacred values are thought of in anthropology and psychology and argue that the sanctity of human life should be understood in the same way. I'll explain how doing so allows us to resolve a number of conceptual problems that bedevil standard characterisations of the doctrine of the sanctity of life. I'll also consider the possibility of a compromise over the sanctity of human life, and as a consequence, compromise over the permissibility of abortion and euthanasia. I'll argue that such compromise is possible, albeit difficult to achieve. (shrink)

There is overwhelming agreement amongst naturalists that a naturalistic ontology should not allow for the possibility of supernatural entities. I argue, against this prevailing consensus, that naturalists have no proper basis to oppose the existence of supernatural entities. Naturalism is characterized, following Leiter and Rea, as a position which involves a primary commitment to scientific methodology and it is argued that any naturalistic ontological commitments must be compatible with this primary commitment. It is further argued that properly applied scientific method (...) has warranted the acceptance of the existence of supernatural entities in the past and that it is plausible to think that it will do so again in the future. So naturalists should allow for the possibility of supernatural entities. (shrink)

There is widespread agreement about a combination of attributes that someone needs to possess if they are to be counted as a conservative. They need to lack definite political ideals, goals or ends, to prefer the political status quo to its alternatives, and to be risk averse. Why should these three highly distinct attributes, which are widely believed to be characteristic of adherents to a significant political position, cluster together? Here I draw on prospect theory to develop an explanation for (...) the clustering of attributes that is characteristic of conservatives. I argue that a lack of political ideals is the underlying driver of conservatism. I will provide reason to believe that people who lack political ideals are disposed to prefer the political status quo to its alternatives; and reason to believe that people who prefer the political status quo to its alternatives are disposed to be risk averse, at least with respect to significantly many of the risks that arise in the social and political domain. I also consider and reject some other potential explanations for the clustering of attributes that is characteristic of conservatives and sketch some policy implications that follow from the explanation I develop. (shrink)

Brierley et al argue that in cases where it is medically futile to continue providing life-sustaining therapies to children in intensive care, medical professionals should be allowed to withdraw such therapies, even when the parents of these children believe that there is a chance of a miracle cure taking place. In reasoning this way, Brierley et al appear to implicitly assume that miracle cures will never take place, but they do not justify this assumption and it would be very difficult (...) for them to do so. Instead of seeking to override the wishes of parents, who are waiting for a miracle, it is suggested that a better response may be to seek to engage devout parents on their own terms, and encourage them to think about whether or not continuing life-sustaining therapies will make it more likely that a miracle cure will occur. (shrink)

Bostrom and Ord’s reversal test has been appealed to by many philosophers to substantiate the charge that preferences for status quo options are motivated by status quo bias. I argue that their characterization of the reversal test needs to be modified, and that their description of the burden of proof it imposes needs to be clarified. I then argue that there is a way to meet that burden of proof which Bostrom and Ord fail to recognize. I also argue that (...) the range of circumstances in which the reversal test can be usefully applied is narrower than they recognize. (shrink)

Defining privacy is problematic because the condition of privacy appears simultaneously to require separation from others, and the possibility of choosing not to be separate. This latter feature expresses the inherent normative dimension of privacy: the capacity to control the perceptual and informational spaces surrounding one’s person. Clearly the features of separation and control as just described are in tension because one may easily enough choose to give up all barriers between oneself and the public space. How could the capacity (...) for privacy give rise to its absence? Yet both the separation and control features of privacy do seem indispensable to any sensible understanding of it. In this paper I set out an approach to defining privacy that keeps these features and avoids the tension between them. (shrink)

This paper argues that the provision of effective informed consent by surgical patients requires the disclosure of material information about the comparative clinical performance of available surgeons. We develop a new ethical argument for the conclusion that comparative information about surgeons' performance - surgeons' report cards - should be provided to patients, a conclusion that has already been supported by legal and economic arguments. We consider some recent institutional and legal developments in this area, and we respond to some common (...) objections to the use of report cards on the clinical performance of surgeons. (shrink)

Both intention-based and causation-based definitions of the miraculous make reference to the term ‘supernatural’. Philosophers who define the miraculous appear to use this term in a loose way, perhaps meaning the nonnatural, perhaps meaning a subcategory of the nonnatural. Here I examine the aetiology of the term ‘supernatural’. I consider three outstanding issues regarding the meaning of the term and conclude that the supernatural is best understood as a subcategory of the nonnatural. In light of this clarification, I argue that (...) a prominent causation-based definition of the miraculous should be revised so as not refer to the supernatural. I further argue that authors of intention-based definitions of the miraculous need to consider whether or not they should continue to refer to the supernatural, in their definitions of the miraculous, in light of the conclusions discerned here. (shrink)

Stephen Mumford concludes a recent paper in Religious Studies, in which he advances a new causation-based analysis of miracles, by stating that the onus is ‘on rival accounts of miracles to produce something that matches it’. I take up Mumford 's challenge, defending an intention-based definition of miracles, which I developed earlier, that he criticizes. I argue that this definition of miracles is more consistent with ordinary intuitions about miracles than Mumford 's causation-based alternative. I further argue that Mumford has (...) failed to demonstrate any advantages that his approach to miracles has over an intention-based approach. (shrink)

It is widely supposed that it is important to ensure that patients undergoing medical procedures hope that their treatments will be successful. But why is hope so important, if indeed it is? After examining the answers currently on offer in the literature, we identify a hitherto unrecognized reason for supposing that it is important that patients possess hope for a successful treatment, which draws on prospect theory, Kahneman and Tversky’s hugely influential descriptive theory about decision-making in situations of risk and (...) uncertainty. We also consider some concerns about patient consent and the potential manipulation of patients that are raised by our account. (shrink)

This article is concerned with two concepts. The first is a coinage of the author, 'Protscience', a contracted form of 'Protestant science', made in reference to the 16th—17th century Protestant Reformation, when the members of Western Christendom took their religion into their hands, specifically by reading the Bible for themselves and interpreting its relevance fortheir lives.Today we witness a similar tendency with regard to the dominant epistemic authority, science, whose 'reformation' often portrayed as 'democratisation'. However, a more exact understanding draws (...) on the article's second key concept, the distinction drawn in marketing between 'customer' and 'consumer'. The former purchases to sell (i.e. a retailer), whereas the latter purchases to use. Many of the so-called 'anti-science' movements of recent times can be explained as a rise in 'science customisation', whereby people who have acquainted themselves with the latest science adopt a discretionary attitude towards what they will and will not believe of what they have learned. Keywords: anticipatory governance, democracy, New Age, placebo effect, Protestant Reformation, Protscience, science customisation. (shrink)

Notices Amer. Math. Sac. 51, 2004). Logically, such a "Grothendieck topos" is something like a universe of continuously variable sets. Before long, however, F.W. Lawvere and M. Tierney provided an elementary axiomatization..

Inspired by Smith, Ben-Moshe suggests that we should only accommodate conscientious objections (COs) in medicine based on moral beliefs that are true, or which closely approximate to the truth. He suggests that we can identify moral truths by consulting our consciences when our consciences adopt the standpoint of an impartial spectator. He also suggests some (surprisingly modest) changes to our current practices in regard to the management of CO in medicine that would be needed were his proposal to be adopted. (...) Here, I argue that both Smith and Ben-Moshe underestimate the difficulties involved in adopting the standpoint of an impartial spectator. In particular, both authors fail to recognise the extent to which cognitive bias and ideological commitments prevent many of us from identifying the standpoint of an impartial spectator and also prevent us from realising that we are failing to be impartial. I also consider some different changes to current practices that would be needed if we were to take on Ben-Moshe’s approach to CO in medicine while also recognising the difficulties involved in adopting the standpoint of an impartial spectator. (shrink)

In this paper I develop an objection to the version of expressivism found in Allan Gibbard’s book Thinking How to Live, and I suggest that the difficulty faced by Gibbard’s analysis is symptomatic of a problem for expressivism more generally. The central claim is that Gibbard’s expressivism is unable to account for certain normative judgments that arise in the process of evaluating cases of innocent mistakes. I begin by considering a type of innocent mistake that Gibbard’s view is able to (...) capture, one that can occur in situations in which our judgments of what it makes sense to do come apart from our judgments of what it makes sense to plan to do. Whether or not such mistakes are possible is a normative question, and I argue against Gibbard that we should adopt a normative stance that rules out such mistakes. This leads me to consider a second type of innocent mistake, one that can arise when an agent is constituted in such a way as to be incapable of recognizing the appropriate course of action. I argue here that our full normative assessment of the situation incorporates judgments that cannot be captured by Gibbard’s expressivism. I conclude by suggesting that any form of expressivism that shares Gibbard’s commitment to account for an intimate tie between normative judgments and action will face a similar problem. (shrink)

The “adaptive toolbox” model of the mind is much too uncritical, even as a model of bounded rationality. There is no place for a “meta-rationality” that questions the shape of the decision-making environments themselves. Thus, using the ABC Group's “fast and frugal heuristics,” one could justify all sorts of conformist behavior as rational. Telling in this regard is their appeal to the philosophical distinction between coherence and correspondence theories of truth.

Bryan Van Norden’s _Taking Back Philosophy: A Multicultural Manifesto_ draws on his expertise in Chinese philosophy to launch a comprehensive and often scathing critique of contemporary Anglo-American philosophy. I focus on the sense in which “China” figures as a “non-Western culture” in Van Norden’s argument. Here I identify an equivocation between what I call a “functional” and a “substantive” account of culture. I argue that Van Norden, like perhaps most others who have discussed Chinese philosophy, presupposes a “functional” conception, whereby (...) the relevant sense in which “China” matters is exactly as “non-Western,” which ends up incorporating some exogenous influences such as Indian Buddhism but not any of the Western philosophies that made major inroads in the twentieth century. I explore the implications of the functional/substantive distinction for the understanding of cross-cultural philosophy generally. (shrink)

Finn Collin has been the honest broker of social epistemology. In this article, I attempt to come clean on the nature and sources of what I have always regarded as the ‘normative’ horizon of the field. It basically turns on a social constructivist reading of Plato’s Phaedrus, the dialogue from which modern analytic epistemology also takes its inspiration. I pursue the implications of this approach in various normative fields of philosophy.

Ross & Spurrett (R&S) appear convinced that the world must have a unified ontological structure. This conviction is difficult to reconcile with a commitment to mainstream realism, which involves allowing that the world may be ontologically disunified. R&S should follow Kitcher by weakening their conception of unification so as to allow for the possibility of ontological disunity.