Introduction to the Philosophy of Science: Cutting Nature at Its Seams is a clear and lively explanation of key concepts and issues in the philosophy of science. It surveys the field from positivism to social constructivism, focusing on the metaphysical implications of science as a form of knowledge gathering that explains what the world is really like, while simultaneously arguing for the superiority of a holistic model of scientific theories over competing models. An innovative feature is the use of immunology (...) as the central domain of illustration, in contrast to other philosophy of science texts that draw examples predominantly from physics. The text also presents Thomas Kuhn's model of science clearly and accurately, rectifying the notorious and widespread misinterpretations projected upon it in the past. Klee discusses both traditional models of science and alternative interpretations, most notably nonfeminist and feminist models inspired by the work of Kuhn. Richly illustrated and complete with a glossary of over eighty key terms, this book serves as an ideal text for undergraduates, because it presents a highly accessible and contemporary investigation of science as a form of inquiry capable of revealing to us the structure of the world. (shrink)

Contemporary scientific theories assume a primarily micro-deterministic view of nature. This paper explores the question of whether micro-determinism is incompatible with the alleged emergence of properties and laws that some biologists and philosophers assert occurs in various biological systems. I argue that a preferable unified treatment of these emergence claims takes properties, rather than laws, to be the units of emergence. Four distinct conceptions of emergence are explored and three shown to be compatible with micro-determinism. The remaining concept of emergence, (...) direct macro-determination, does not, I argue, meet the general requirement that an adequate scientific explanation provide a coherent mechanism or effective means of determination. (shrink)

After presenting and criticizing recent theoretical work on the nature of delusional belief, I argue that the works of the later Wittgenstein and Donald Davidson offer heretofore underappreciated insights into delusional belief. I distinguish two general kinds of delusion: pedestrian and stark. The former can be explained as cognitive mistakes of various kinds, whereas the latter I argue are necessarily inexplicable. This thesis requires the denial of the Davidsonian dogma that rationality is constitutive of mental content. I claim that the (...) dogma holds only for normal cognition and is violated precisely in the case of stark delusion. (shrink)

Introduction to the Philosophy of Science: Cutting Nature at Its Seams is a clear and lively explanation of key concepts and issues in the philosophy of science. It surveys the field from positivism to social constructivism, focusing on the metaphysical implications of science as a form of knowledge gathering that explains what the world is really like, while simultaneously arguing for the superiority of a holistic model of scientific theories over competing models. An innovative feature is the use of immunology (...) as the central domain of illustration, in contrast to other philosophy of science texts that draw examples predominantly from physics. The text also presents Thomas Kuhn's model of science clearly and accurately, rectifying the notorious and widespread misinterpretations projected upon it in the past. Klee discusses both traditional models of science and alternative interpretations, most notably nonfeminist and feminist models inspired by the work of Kuhn. Richly illustrated and complete with a glossary of over eighty key terms, this book serves as an ideal text for undergraduates, because it presents a highly accessible and contemporary investigation of science as a form of inquiry capable of revealing to us the structure of the world. (shrink)

Recent developments in astrophysical cosmology have revived support for the design argument among a growing clique of astrophysicists. I show that the scientific/mathematical evidence cited in support of intelligent design of the universe is infected with a mathematical sharp practice: the concepts of two numbers being of the same order of magnitude, and of being within an order of each other, have been stretched from their proper meanings so as to doctor the numbers evidentially. This practice started with A. S. (...) Eddington and P. A. M. Dirac in the 1920s and 1930s, but it is still very much alive today. 1 Introduction 2 The birth of a sharp practice 3 High tide for the anthropic principle 4 How not to do things with numbers 5 The recalcitrant sloppiness of crud 6 How excited can excited carbon-12 be? 7 Is a pile of doubts a doubtful pile? 8 Conclusion. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 11.1 (2004) 95-99 [Access article in PDF] Delusional Content and the Public Nature of Meaning:Reply to the Other Contributors Robert Klee The contribution by professors Bayne and Pacherie (2004) is an earnest attempt to defend a popular model of monothematic delusions against criticisms launched by John Campbell (2001). This model of monothematic delusions holds that such delusions are rational attempts by the sufferer (...) to explain to herself specific kinds of anomalous sensory/affective experiences. Bayne, Pacherie, Campbell, and for that matter Sass, Harper, and Georgaca, write as if semantic meaning accrued to words in a language term by term, as if meaning is "private" to the deluded person, and that she might therefore mean almost anything by her own idiosyncratic use of the public language she otherwise speaks. This is a notorious mistake. As Hilary Putnam famously put it in his classic 1975 paper "The meaning of 'meaning,'" "Cut the pie any way you like, 'meanings' just ain't in the head" (1975, 227). That is, meanings are not ethereal interior mental objects, private to the speaker—they are not private inner episodes that take place in some mental center stage of consciousness. The deluded person does not and cannot succeed in changing the meaning of a term in a public language like English merely by an individual act of imaginative will involving the making of a bizarre assertion—not even if she repeats it a thousand times. The public nature of meaning, if I can coin a phrase for it, is the central theme in the work of the later Wittgenstein. Even before Putnam, Wittgenstein had made the same point in his Philosophical Investigations via a famous footnote in which he writes, Can I say 'bububu' and mean "If it doesn't rain I shall go for a walk"?—it is only in a language that I can mean something by something. This shows clearly that the grammar of 'to mean' is not like that of the expression 'to imagine' and the like." (2001, 18e) Wittgenstein argues that the answer to the rhetorical question in the footnote is an emphatic No. To mean something by the use of words in a public language is not equivalent to an act of individual free imagination. The languages we each speak, including the unfortunately deluded among us, are public not private, and insofar as the notion of meaning has an understandable sense, the meaning of a term is fixed by its actual public use, across large time intervals, in many different contexts, by the many millions of speakers of the language in question. It is time that segments of the intellectual map beyond the borders [End Page 95] of philosophy got the news about this, for I think an appreciation of this point would forestall certain objections and argumentative moves that otherwise take up space in the psychological literature.Bayne and Pacherie (2004) describe Campbell's model of monothematic delusions as proposing that "delusions can be usefully regarded as Wittgensteinian framework propositions" (p. 7). I have discussed this notion in my main paper, although I do not use the terms framework propositions; I stick to Wittgenstein's own words. Wittgenstein called them, literally in the German, propositions that "stand fast for us" (feststehen). This description strikes me as less misleading than calling them framework propositions, for the latter expression suggests that they could in some sense be replaceable by a different framework of framework propositions, something that Wittgenstein in no way ever meant to suggest. Wittgenstein did not think of these propositions as individualized or privately owned—as beliefs that might vary considerably across the population of speakers of the language in which they are expressed. That is why he explicitly wrote that they stand fast for us. Note the plural pronoun. There is something irreducibly collective, something publicly owned, about the epistemology of these propositions. These propositions represent the accumulated certainties that precipitate out of what is commonly shared in human experience over long time intervals. Precisely because what stands fast for us is... (shrink)

While discussing the work of Kuhn and Hanson, John Greenwood (1990) misidentifies the nature of the relationship between the incommensurability of theories and the theory-ladenness of observation. After pointing out this error, I move on to consider Greenwood's main argument that the Quine-Duhem thesis suffers from a form of epistemological self-defeat if it is interpreted to mean that any recalcitrant observation can always be accommodated to any theory. Greenwood finds this interpretation implausible because some adjustments to auxiliary hypotheses undermine too (...) much of the prior observational evidence for the test theory. I argue that Greenwood mistakes the logico-metaphysical Quine-Duhem thesis for an epistemological one. All the argument he takes to undercut it actually illustrates how well the thesis works on a practical level. This is illustrated with an example from contemporary immunology. (shrink)

Scientific Inquiry: Readings in the Philosophy of Science features an impressive collection of classical and contemporary readings on a wide range of issues in the philosophy of science. The volume is organized into six sections, each with its own introduction, and includes a general introduction that situates the philosophy of science in relation to other areas of intellectual inquiry. The selections focus on the main issues in the field, including the structure of scientific theories, models of scientific explanation, reductionism, historicist (...) challenges to the objectivity of science, and the dispute over the ontological interpretation of mature scientific theories. Both the positivist model of science and its competitors, including contemporary social constructivist models, are included. Ideal for introductory philosophy of science courses, Scientific Inquiry strives to provide students and other readers with a thorough knowledge of the philosophical complexity of modern science and an appreciation of its authoritative intellectual standing in contemporary life. (shrink)

Davidson has argued that there can be no laws linking psychological states with physical states. I stress that this argument depends crucially on there being no purely psychological laws. All of this has to do with the holism and indeterminacy of the psychological domain. I criticize this claim by showing how Davidson misconstrues the role of ceteris paribus clauses in psychological explanation. Using a model of how ceteris paribus clauses operate derived from Lakatos, I argue that if Davidson is correct, (...) then there can be no purely physical laws either. This is illustrated with a case from immunology involving interferons. Since there clearly are physical laws, Davidson cannot be correct. (shrink)

The scales across which physical properties exist are vast and subtle in their effects on particular systems placed locally on such scales. For example, human experiential access is restricted only to partial segments of the mass density, size, and temperature scales of the universe. I argue that philosophers must learn to appreciate better the effects of physical scales. Specifically, thought experiments in philosophy should be more sensitive to physical scale effects, because the conclusion of a thought experiment may be undermined (...) by unintentionally ignored scale effects, and the changes required to obtain the foreground state of affairs in a thought experiment might require unacknowledged scale-spanning changes to the contextual background. I discuss four philosophical thought experiments: Putnam's Twin Earth and Brain in a Vat, Searle's Chinese Room, and Chalmers's Zombies Without Qualia. I close by briefly defending the greater interest and importance of physical possibility over logical possibility. (shrink)

Formal models of theory contraction entered the philosophicalliterature with the prototype model by Alchourrón, Gärdenfors,and Makinson (Alchourrón et al. 1985). One influential modelinvolves theory contraction with respect to a relation calledepistemic entrenchment which orders the propositions of a theoryaccording to their relative degrees of theoretical importance.Various postulates have been suggested for characterizingepistemic entrenchment formally. I argue here that threesuggested postulates produce inappropriately bizarre results whenapplied to scientific theories. I argue that the postulates callednoncovering, continuing up, and continuing down, implyrespectively that, (...) (i) no scientific law is more epistemicallyentrenched than any of its instances, (ii) two distinct instances ofthe same scientific law must have different degrees of epistemicentrenchment, and (iii) any two scientific laws must have differentdegrees of epistemic entrenchment. I also argue that continuingup and continuing down each lead to incoherency. (shrink)

Formal models of theory contraction entered the philosophicalliterature with the prototype model by Alchourrón, Gärdenfors,and Makinson (Alchourrón et al. 1985). One influential modelinvolves theory contraction with respect to a relation calledepistemic entrenchment which orders the propositions of a theoryaccording to their relative degrees of theoretical importance.Various postulates have been suggested for characterizingepistemic entrenchment formally. I argue here that threesuggested postulates produce inappropriately bizarre results whenapplied to scientific theories. I argue that the postulates callednoncovering, continuing up, and continuing down, implyrespectively that, (...) (i) no scientific law is more epistemicallyentrenched than any of its instances, (ii) two distinct instances ofthe same scientific law must have different degrees of epistemicentrenchment, and (iii) any two scientific laws must have differentdegrees of epistemic entrenchment. I also argue that continuingup and continuing down each lead to incoherency. (shrink)

This paper contains a preliminary investigation of an experimental, first-order logic with identity which encodes as an inference rule the faulty reasoning which Von Domarus (1944) suggested underwrote much of the bizarre thinking seen in certain forms of schizophrenia. I begin with a discussion of the "Von Domarus thesis," note its fate under statistical testing, and remark on its continued explanatory power in the hands of certain psychiatrists. I next discuss a proof calculus which contains a rule representing Von Domarus (...) reasoning — the phrenetic calculus — and present several nonstandard theorems which are provable in this system. In an appendix the phrenetic calculus is proven to be absolutely consistent, but unsound, yet complete. After a brief aside which addresses certain caveats and restrictions required in order to avoid rendering the calculus trivial, I close with a discussion of three of the nonstandard theorems, each of which are consistent in interesting ways with known schizophrenic cognitive deficits. (shrink)

The twentieth century began with the deconstruction of the image, as it is ending with the effort to restore it. Cubism, dada, and abstract expressionism took apart what, in their various ways, pop art, magic realism, and neoexpressionism have tried to put back together. Tonality in music and narrative in literature have undergone similar change.1 What has been at stake in each case has been the redefinition of a center, a normative or ordering principle as such. Yeats intuited this general (...) phenomenon in his famous observation that “the center cannot hold,” and though whether one applauds or, with Yeats, condemns the result, it is undeniable that the crisis of contemporary culture has been in large part experienced as a deprivation of norms.This sense of deprivation has been most apparent in the plastic arts. The fashioning of images has been one of the primary impulses of human art. It has been the basis of most systems of visual representation and constitutes the earliest record we have off art itself. Its loss or abandonment has been in good part responsible for the bewilderment and hostility much of the general public continues to express toward modern art.The experience of this loss, however, has not been confined to the public alone. For many artists, the sense of modern art’s expressive potential has been tempered by an anxiety about its ultimate direction.2 For these artists, the image had not been transcended but rather rendered inaccessible, and implicitly or explicitly they sought its restoration. At the same time, they were keenly aware that there could be no return to exhausted modes of representation, no looking back except as parody or quotation.3 1. Among the studies comparing changes across the arts in the early twentieth century are Georges Edouard Lemaître, From Cubism to Surrealism in French Literature , and Bram Dijkstra, The Hieroglyphics of a New Speech: Cubism, Stieglitz, and the Early Poetry of William Carlos Williams . More recently, visualization in cubist art and relativity theory has been compared in Linda Dalrymple Henderson, The Fourth Dimension and Non-Euclidean Geometry in Modern Art . For a general overview, see Stephen Kern, The Culture of Time and Space, 1880-1918 . Marxist critics, notably Walter Benjamin, have long insisted on the relationship between modernism in the arts and the crisis of the traditional order.2. This is clearly visible in the work and writing of pioneers such as Kandinsky and Klee or, to take a later case, Adolph Gottlieb. The correspondence between Kandinsky and Schönberg is illuminating as well.3. Much of the neoimagistic art of the past twenty-five years falls into these categories, and thus signals a prolongation rather than a resolution of the crisis. Pop art was clearly an art of parody, while work of an artist such as Malcolm Morley might almost be taken as an illustration of Benjamin’s thesis about the work of art in an age of mechanical reproduction. His “imitations,” like those of Robert Lowell in verse, betray a deep anxiety about mastery and tradition. Much the same can be said for such musical compositions as Lukas Foss’ “Baroque Variations” and “Phorion” or Luciano Berio’s “Sinfonia,” to name but a random few among many. Robert Zaller is professor of history and head of the department of history and politics at Drexel University. He was formerly on the faculties of Queens College , the University of California at Santa Barbara, and the University of Miami. His books include The Parliament of 1621: A Study in Constitutional Conflict and The Cliffs of Solitude: A Reading of Robinson Jeffers. (shrink)

In a recent study of astrophysical “fine-tunings” (or “coincidences”), Robert Klee critically assesses the support that such astrophysical evidence might be thought to lend to the design argument (i.e., the argument that our universe has been designed by some deity). Klee argues that a proper assessment indicates that the universe is not as “fine-tuned” as advertised by proponents of the design arguments. We argue (i) that Klee’s assessment of the data is, to a certain extent, problematic; (...) and (ii) even if Klee’s assessment of the data is correct, it provides a necessary but not a sufficient response to the design argument. However, an adequate skeptical rejoinder to the design argument can be made by appealing to the anthropic principle. (shrink)

Theories of discourse bring to realism new ideas about how knowledge develops and how representations of reality are influenced. We gain an understanding of the conceptual aspect of social life and the processes by which meaning is produced. This collection reflects the growing interest realist critics have shown towards forms of discourse theory and deconstruction. The diverse range of contributions address such issues as the work of Derrida and deconstruction, discourse theory, Eurocentrism and poststructuralism. What unites all of the contributions (...) is a sense that it is essential to provide a realist alternative to the hitherto dominance of social constructionism, hermeneutics and postmodernism, over many of the issues discussed. By developing a realist perspective the different authors attempt to embed discourse within the structured nature of the reality of the world. Realism can situate language, discourse and ideology within context specific, or 'causally efficacious' circumstances. Realism can help to uncover issues of power, representation, and subjectivity and how discursive and other social practices produce real effects. This can help us understand the manner in which social structures are reproduced through various forms of ideology and discourse. And by knowing this, we can start to address questions concerning human emancipation and how the world is to be transformed. (shrink)

This is a paradigmatic work of contemporary philosophy.

Robert Stern investigates how scepticism can be countered by using transcendental arguments concerning the necessary conditions for the possibility of experience, language, or thought. He shows that the most damaging sceptical questions concern neither the certainty of our beliefs nor the reliability of our belief-forming methods, but rather how we can justify our beliefs.

Robert Hanna presents a fresh view of the Kantian and analytic traditions that have dominated continental European and Anglo-American philosophy over the last two centuries, and of the connections between them. But this is not just a study in the history of philosophy, for out of this emerges Hanna's original approach to two much-contested theories that remain at the heart of contemporary philosophy. Hanna puts forward a new 'cognitive-semantic' interpretation of transcendental idealism, and a vigorous defense of Kant's theory (...) of analytic and synthetic necessary truth, making this compelling reading for all who are interested in these fundamental philosophical issues. (shrink)

One of our great behavioral scientists, the bestselling author of Behave, plumbs the depths of the science and philosophy of decision-making to mount a devastating case against free will, an argument with profound consequences Robert Sapolsky's Behave, his now classic account of why humans do good and why they do bad, pointed toward an unsettling conclusion: We may not grasp the precise marriage of nature and nurture that creates the physics and chemistry at the base of human behavior, but (...) that doesn't mean it doesn't exist. Now, in Determined, Sapolsky takes his argument all the way, mounting a brilliant (and in his inimitable way, delightful) full-frontal assault on the pleasant fantasy that there is some separate self telling our biology what to do. Determined offers a marvelous synthesis of what we know about how consciousness works-the tight weave between reason and emotion and between stimulus and response in the moment and over a life. One by one, Sapolsky tackles all the major arguments for free will and takes them out, cutting a path through the thickets of chaos and complexity science and quantum physics, as well as touching ground on some of the wilder shores of philosophy. He shows us that the history of medicine is in no small part the history of learning that fewer and fewer things are somebody's "fault"; for example, for centuries we thought seizures were a sign of demonic possession. Yet, as he acknowledges, it's very hard, and at times impossible, to uncouple from our zeal to judge others and to judge ourselves. Sapolsky applies the new understanding of life beyond free will to some of our most essential questions around punishment, morality, and living well together. By the end, Sapolsky argues that while living our daily lives recognizing that we have no free will is going to be monumentally difficult, doing so is not going to result in anarchy, pointlessness, and existential malaise. Instead, it will make for a much more humane world. (shrink)

Classical American pragmatism: the pragmatist -- Enlightenment-and its problematic semantics -- Analyzing pragmatism: pragmatics and pragmatisms -- A Kantian rationalist pragmatism: pragmatism -- Inferentialism, and modality in Sellars's arguments against -- Empiricism -- Linguistic pragmatism and pragmatism about norms: an arc of -- Thought from Rorty's eliminative materialism to his pragmatism -- Vocabularies of pragmatism: synthesizing naturalism and -- Historicism -- Towards an analytic pragmatism: meaning-use analysis -- Pragmatism, expressivism, and anti-representationalism: -- Local and global possibilities.

When Swiss artist Paul Klee died in 1940, he left behind not only paintings that are a testament to his prodigious skill and vision but also a trove of writings and lectures that highlight his impressive intellectual prowess. Paul Klee: Philosophical Vision: From Nature to Art is the fully illustrated catalog accompanying an eponymous exhibition opening in 2012 at the McMullen Museum of Art that focuses on the philosophical depth of Klee's art. Demonstrating how ideas developed in (...) Klee's written work are realized in his paintings, Paul Kleeputs a keen emphasis on the artist as philosopher, both in his theoretical writings and in his artistic works. Klee's philosophy of nature and of the genesis of natural things is explored, as are the ways in which Klee translated these ideas into form, line, and color. His paintings are also decoded to reveal Klee as an astute critic of modern society, taking up topics as various as the impact of technology on art and the political failures of Germany that led to the rise of Hitler and Nazism. The exhibition and catalog will also look at twentieth- and twenty-first-century philosophers who have discussed Klee's work, including Benjamin, Heidegger, Foucault, and Merleau-Ponty, and will articulate the broad impact that Klee's art has had on recent philosophical thought. This book brings together contributions by an international group of scholars and also includes a new translation of Klee's "On Modern Art." A beautiful and rigorous treatment of one of the twentiethcentury's most famous painters, Paul Klee not only reveals the man himself as a thinker and artist, but also creates a larger paradigm for how philosophical ideas shape art, and vice versa. (shrink)

A sourcebook for developing and facilitating collaborative groups capable of continuously adapting to anticipate the evolving learning needs of students. Based on a theoretical foundation of schools as complex systems in which linear management models are no longer sufficient.

The Joy of Philosophy is a return to some of the perennial questions of philosophy--questions about the meaning of life; about death and tragedy; about the respective roles of rationality and passion in the good life; about love, compassion, and revenge; about honesty, deception, and betrayal; and about who we are and how we think about who we are. Recapturing the heart-felt confusion and excitement that originally brings us all to philosophy, internationally renowned teacher and lecturer Robert C. Solomon (...) offers both a critique of contemporary philosophy and an invitation to engage in philosophy in a different way. He attempts to save philosophy from itself and its self-imposed diet of thin arguments and logical analysis to recover the richness and complexity of life in thought. Solomon defends the passionate life in contrast to the life of thoughtful contemplation idealized by so many philosophers, attempting to recapture the kind of philosophy that Nietzsche celebrated as a "joyful wisdom.". (shrink)

Comprehensie collection of historical and contemporary philosophies of technology, including Plato, Aristotle, St. Simon, Comte, Marx, Heidegger, Mumford, Foucault.

On the Genealogy of Morality has become the most common point of entry into Nietzsche's thought. It offers relatively straightforward, sustained explanatory narratives addressing many of the main ideas of Nietzsche's mature thought, such as 'will to power', 'nihilism', 'perspectivism' and the 'value of truth'. It also directs its attention to what is widely taken to be Nietzsche's important philosophical contribution, the critique of morality. Yet it is challenging to understand because Nietzsche intended it as an expansion and elaboration of (...) his ideas developed elsewhere. Presupposing no prior knowledge of Nietzsche or the text, Robert Guay provides the interpretive and philosophical context to make Nietzsche's thought more accessible and shows how Nietzsche's narratives engage with philosophical issues about agency, self-knowledge, historical explanation and the critique of morality"-- Back cover. (shrink)

This book is available either individually, or as part of the specially-priced Arguments of the Philosphers Collection.

Develops a theory of culture based on a metaphysics that elaborates on the Platonic and Confucian traditions. In Metaphysics of Goodness, Robert Cummings Neville extends Alfred North Whitehead’s project of cultural studies, which was based on a new metaphysics that Whitehead developed in Adventures of Ideas. Neville’s focus is value or goodness in many modes. The metaphysics treated in this book derive from the Platonic and Confucian traditions, with significant modifications of Whitehead, Peirce, Dewey, Confucius, Xunzi, and Zhou Dunyi. (...) Part one develops a theory of form based on a metaphysics of harmony. Part two elaborates a theory of art based on a metaphysics of beauty. Part three sketches a theory of personhood based on a metaphysics of obligation. Part four discusses civilization in a systematic way based on a metaphysics of flourishing. Throughout the book, Neville elaborates a theory of interpretation that is inspired by Peirce, Dewey, and Xunzi but is not limited to their ideas. While the reasoning of the book is concise, it employs methodologies from many kinds of philosophy, art criticism, ethics, and cultural studies, and sees philosophy as needing to learn from all these disciplines. “Neville’s work is informed by a lifelong engagement with the most important philosophers in history, including Plato, Aristotle, Whitehead, and Dewey. Here, he offers an important argument that there is beauty not only in how people see the world, but also in the world itself.” — Kevin Schilbrack, Appalachian State University. (shrink)

Background: The parent of a child with profound cognitive disability will have complex decisions to consider throughout the life of their child. An especially complex decision is whether to place a tracheotomy to support the child’s airway. The decision may involve the parent wanting a tracheotomy and the clinician advising against this intervention or the clinician recommending a tracheotomy while the parent is opposed to the intervention. This conflict over what is best for the child may lead to a bioethics (...) consult. Objective: The study explores the conflicts that may arise around tracheotomy placements. Research design: This study is a retrospective cohort study of pediatric patients for whom a tracheotomy decision required a bioethics consult. Participants and research context: Pediatric patients aged birth to 18 years old with a bioethics consult for a tracheotomy decision conflict between April 2010 and December 2016. A standardized data collection tool was used to review notes entered by the palliative care team, social workers, primary clinical team interim summaries, and the bioethics consult service. Ethical considerations: The study was reviewed and approved by the medical center’s institutional review board. Results: There were 248 clinical bioethics consults during the identified study period. There were 31 consults involving 21 children where the word tracheotomy was mentioned in the consult, and 13 of the 21 consults were for children with profound cognitive disability. Discussion and conclusion: Clinicians need to be aware of their own biases when discussing a child’s prognosis and treatment options while also understanding the parents’ values and what the parent might consider to be burdensome in the care of their child and the acceptable burden for the child to experience. (shrink)

The volume concludes by examining a critique of Hegel's metaphysical position from the perspective of the "continental" tradition, and in particular Gilles ...

Abstract:This paper is a preliminary attempt to better understand the concept of legitimacy in stakeholder theory. The normative component of stakeholder theory plays a central role in the concept of legitimacy. Though the elaboration of legitimacy contained herein applies generally to all “normative cores” this paper relies on Phillips’s principle of stakeholder fairness and therefore begins with a brief description of this work. This is followed by a discussion of the importance of legitimacy to stakeholder theory as well as the (...) general ambiguity of the term. A distinction is then drawn between normative and derivative legitimacy. Reference to this distinction helps distinguish between a relationship with the organization based on direct moral obligation and one based on the power to help or harm the organization. It is concluded that stakeholders who retain the ability to affect the organization arelegitimate(derivatively), but that this legitimacy is derived from the moral obligation owed other (normative) stakeholders and that the two sorts of legitimacy are importantly different from one another. An example of the normative/derivative distinction at work in managerial decision making is elaborated upon and managerial and research implications are then suggested. (shrink)