Book reviewed in this article: Practical Medical Ethics. By Alastair Campbell, Grant Gillett, and Gareth Jones. If I Were a Rich Man Could I Buy a Pancreas? and Other Essays on the Ethics of Health Care. By Arthur L. Caplan. Bloomington Ethics on Call: A Medical Ethicist Shows How to Take Charge of Life and Death Choices in Today's Health Care System. By Nancy Dubler and David Nimmons.

"Recent years have seen a growing interest among scholars of 18th-century German philosophy in the period between Wolff and Kant. This book challenges traditional interpretations of this period that focus largely on post-Leibnizian rationalism and, accordingly, on a depreciation of the contribution of the senses to knowledge about the world and the self. It addresses the divergent ways in which eighteenth-century German philosophers reconceived the notion and role of experience in their efforts to identify, defend, and contest the contribution of (...) foundational a priori principles and empirical data to the various branches of metaphysics, the natural sciences, and emerging disciplines such as psychology and aesthetics. The chapters are organized according to the four major schools that defined the various phases of German Enlightenment philosophy: Wolff and Wolffianism, Eclecticism and Populärphilosophie, the Berlin Academy, and Kant. Each chapter is devoted to one or more philosophers, several of whom are seriously under investigated or even unknown outside small circles of specialists. By framing the period in terms of the notion of experience, this book presents a more nuanced understanding of the German reception of British and French ideas and theories, dismisses the prevailing view that German philosophy was largely isolated from European debates, introduces a number of relatively unknown, but highly relevant philosophers and developments to non-specialized scholars, and contributes to a better understanding of the richness and complexity of the German Enlightenment"--. (shrink)

This is a rich and rewarding book although its richness will be easily overlooked. It is in fact one of the first efforts to return American theology to one of its classical traditions, a theology of religious experience, not in the manner of scientism but religious experience in the manner of everyday human orientation. A review of this book may easily leave the impression of sentimental piety and lack of realism. Nothing could be further from the truth. The book (...) is anti-sentimental, post-secular theology, and post-existential. It is a new treatise on religious affection. What for many are abstract or empty theological categories are here given a direct and immediate meaning in everyday experience even in the midst of technological society. Modern man, identified as radial man in a radial world, lives in the presence of power with the problem of appropriating this power. To analyze this situation and in addition to more familiar thinkers, the author draws on often neglected sources which nevertheless have a living influence in his history—Edwards, Schleiermacher, Bunyan, Coleridge, and the New England Divine David Brainard. Conscious of the secularization of our day, but not in the tradition of "Death of God" theology, he isolates and analyzes the immediate and meaningful character of religious experience even in secular society. There also one seeks orientation to the powers which impinge upon one providing the central feature of religion. Faith is distinguished from both rationalism and voluntarism while returning to the Edwardian concept of "religious affection" as a total personal response to these powers. As power makes its impact upon us experientially in suffering, believing finds its place as a "form of valuing with self-restraint," and as "admiring with humility." Believing in God involves the self being diminished and enlarged, both fear and gladness, the experiential center of justification by grace through faith. The author offers thereby an elaboration of Kantian categories which provides conditions of experience. Those who expect an experiential approach to religion to be more scientific will be disappointed, and those who wish greater exactness will find the categories too metaphorical, but those who read with any religious sympathy and sensitivity will find not only a rewarding analysis of human experience but also a new direction in American theology. Even sensitive readers, however, will remain troubled by the possibility of interpreting the same experiences with nonreligious categories. That alternative is hardly discussed, the debate with purely secular categories is seldom joined, and the resolution of such an option seems to remain with the basic orientation of the reader, which is what religious faith or affection is all about. Those who have any interest in the possibility of a religious orientation to the powers in the midst of which we move daily should read this book.—H. A. D. (shrink)

To become a unifying theory of brain function, predictive processing must accommodate its rich representational diversity. Gilead et al. claim such diversity requires a multi-process theory, and thus is out of reach for PP, which postulates a universal canonical computation. We contend this argument and instead propose that PP fails to account for the experiential level of representations.

We examined how language supports the expression of temporality within sentence boundaries in English, which has a rich inventory of grammatical means to express temporality. Using a computational model that mimics how humans learn from exposure we explored what the use of different tense and aspect combinations reveals about the interaction between our experience of time and the cognitive demands that talking about time puts on the language user. Our model was trained on n-grams extracted from the BNC to select (...) the TA combination that fits the context best. It revealed the existence of two different sub-systems within the set of TA combinations, a “simplex” one that is supported lexically and is easy to learn, and a “complex” one that is supported contextually and is hard to learn. The finding that some TA combinations are essentially lexical in nature necessitates a rethink of tense and aspect as grammatical categories that form the axes of the temporal system. We argue that the system of temporal reference may be more fruitfully thought of as the result of learning a system that is steeped in experience and organised along a number of functional principles. (shrink)

Experimental philosophers advocate expansion of philosophical methods to include empirical investigation into the concepts used by ordinary people in reasoning and action. We propose also including methods of qualitative social science, which we argue serve both moral and epistemic goals. Philosophical analytical tools applied to interdisciplinary research designs can provide ways to extract rich contextual information from subjects. We argue that this approach has important implications for bioethics; it provides both epistemic and moral reasons to use the experiences and perspectives (...) of diverse populations to better identify underlying concepts as well as to develop effective interventions within particular communities. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Creating a Learning Space That Is Virtual and ExperientialBette E. Schneiderman (bio)The final product of the Rembrandt Project will be a Web site that is intended primarily for use by middle and high school teachers and their students. It is a celebration of Rembrandt’s work in the contexts of his time, place, and culture and all that may emanate from them. A special feature of the site is the (...) integration of art, aesthetic, and social studies education. Other articles in this issue address the rich content of the project’s work, that is, the artworks themselves, their contextual grounding, and the development of skills that maximize learning. This article looks at the creation of a learning space as a home for the development of the project. It explores issues related to learning spaces and features some of the technologies that can be used within them.The Rembrandt Project will not be a Web site that merely flattens images on a computer screen or conveys facts about Rembrandt and his oeuvre. Rather, it is a portal to a learning place with online features and opportunities for learners to have transformative experiences. Learning may occur online in electronic conversations, in opportunities to view and respond to reproductions in collections that cannot be visited in person, and in the creation and display of learners’ products. Learning is facilitated by access to a range of resources and people. Numerous announcements of activities, events, and products will be posted on the site. Some individuals will work in the space of the works themselves while others might undertake learning activities in museums, galleries, and private homes. In some cases special programs will highlight certain works and relate them to the project. Images of places in the Netherlands will also be presented with accompanying learning opportunities for those who may wish to see the paintings in person or simply ponder their influence from afar. All participants will be encouraged to share creations and reflections on the site. [End Page 38]To provide a sense of what this article is about, three cases are presented, each with two scenarios and a sample online discussion. The purpose of these cases is to draw readers into the experience of a virtual learning space before discussing contemporary learning communities, learning spaces, and technologies. The cases will show how to develop lively democratic conversation that makes communal learning possible. Participants can be of all kinds, from experts to those who simply want to learn. They can be located anywhere and participate at whatever time suits them best.Case A: Two ScenariosScenario 1: Viewing a Masterwork by RembrandtStanding before a work by Rembrandt you are drawn into its space. If you have viewed a Rembrandt in the past, recall your experience. If not, perhaps you might want to travel to a place that has one of his works or access some of his images online.1 Or you might think about a work of art that aroused your interest and prompted you to ponder its import and ask questions. Perhaps you returned to the work many times, experiencing it more deeply and differently upon each visit. What is it, specifically, about the encounter that resulted in a satisfying experience? And what changed the moment you viewed the work in a book reproduction, a slide, or a digitized image on a computer? In pursuing its purposes, the Rembrandt Project explores ways multiple skills can help maximize the experience of a wide range of works both online and off. Case A, Scenario 1, will set the stage for an experience with the work itself.Scenario 2: Viewing a Masterwork OnlineSelect a major work by Rembrandt online.2 What makes experiencing this image worthwhile, despite the fact that certain aspects cannot be captured in this flat digitized space? Upon reflecting on these scenarios, thoughts about experiencing the work may be recorded and discussed with others.3Case B: Two ScenariosScenario 1: An Experience of a LandscapeImagine wandering through an open field, tingled by a gentle breeze, warmed by the sun, refreshed by the aromas of moist grasses, mixed flowers, and the woody smells of trees. A village, visible... (shrink)

Among the most significant findings of SUPPORT was that 50% of ICU patients suffered from moderate to severe pain during the last days of life. At the time of its publication late in 1995, SUPPORT was merely the latest in a long series of articles in the medical literature documenting the widespread and significant undertreatment of pain, beginning with a 1973 study of hospital inpatients. Much has been written about the phenomenon of undertreated pain and inadequate care of patients at (...) the end of life, and many positive suggestions for reform of clinical education and clinical practice have been iterated and reiterated in the two decades separating the studies. Proposals for modifying clinician behaviors in this aspect of patient care have tended to focus on particular barriers to effective pain management and palliative care. (shrink)

Petersens Jena-Plan-Schulmodell ist auch heute international aktuell. Weniger bekannt ist das theoretische Konzept, auf dem es basiert. Es wurde stets neu dem Wechsel politischer Systeme in Deutschland angepasst (NS-Regime, DDR...). Die zentralen padagogischen Begriffe der Freiheit und Bindung wurden dabei unterschiedlich eingegrenzt. Freiheit zugunsten von Bindung an das jeweils herrschende System vereinnahmt. Handelt es sich um eine aufklarungsbezogene moderne Bildungstheorie oder um eine politisch-affirmative antimoderne Erziehungslehre? Mit Hilfe problem- und werkgeschichtlicher Analyse und der Rekonstruktion von Ursprungen des Konzeptes (u.a. Petersens (...) Deutung des deutschen Protestantismus) wird die politische Indienstnahme von Padagogik kritisch beleuchtet.". (shrink)

In the mid to late 1980s a debate arose over the moral and legal authority of advance medical directives. At the center of this debate were two point-counterpoint law journal articles by Rebecca Dresser and Nancy Rhoden. What appeared to have the makings of an ongoing critical dialogue ended with the untimely death of Nancy Rhoden. Rebecca Dresser, however, has continued her challenge of advance directives in numerous publications, most recently in a critique of Ronald Dworkin's Life's Dominion. Like Rhoden, (...) Dworkin has been a staunch advocate of advance directives as an exercise of what has come to be referred to as prospective or precedent autonomy. In this paper I will consider a number of the issues that Dresser has repeatedly raised about the infirmities of advance directives, and suggest that it is from an understanding of and appreciation for the narrative dimension of the life of a person that advanced directives draw one of their most powerful justifications. (shrink)

Modern philosophy is, for what appear to be good reasons, uniformly hostile to sui generis final causes. And motivated to develop philosophically and scientifically plausible interpretations, scholars have increasingly offered reductivist and eliminitivist accounts of Aristotle's teleological commitment. This trend in contemporary scholarship is misguided. We have strong grounds to believe Aristotle accepted unreduced sui generis teleology, and reductivist and eliminitivist accounts face insurmountable textual and philosophical difficulties. We offer Aristotelians cold comfort by replacing his apparent view with failed accounts. (...) And so we ought to admit Aristotle’s prima facie commitments and deal with — if not accept — the consequences. (shrink)

You meet someone new; you like them; you send them to your Facebook page. But how accurate is this representation of you? We all want to look our best, which is why we are drawn to the ability to fudge things a bit online. How does this projection of who we are distort us into who we want to be? Facebook allows us to hide our flaws that are all too visible in real life. We can embellish or correct what (...) we said earlier, edit out what we don’t like about ourselves, and only show photos where our chin is down and the lighting is blown out just enough to hide the bump on our nose. Our prospective employers can even turn to Facebook to assess our desirability. So might the constructed aesthetic of Facebook affect our approach to ethics – to interacting with other people? Does the way we design ourselves on Facebook directly impact the other people in our lives? Is each of us really just a rough draft that needs immediate editing? What about Facebook makes it possible to achieve genuine beauty? (shrink)

Charles Dickens began one of his many great works of literature with this seemingly paradoxical, self-contradictory statement. Reflecting on a jury verdict in Northern California in June of 2001, in the context of what has transpired during the decade of the 1990s with regard to the care of dying patients, observations in the genre of Dickens come readily to mind. In 1991, two of the most compelling books on the subject of pain, medicine, and society were published: Eric Cassell's The (...) Nature of Suffering and the Goals of Medicine and David Morris's The Culture of Pain. Both works unflinchingly recognized and explored the implications of the vast clinical literature documenting the failure of modern medicine to respond compassionately and effectively to what had by then become an epidemic of undertreated pain. (shrink)

When one considers the protracted and continuing struggle of the citizens of Oregon to include physician-assisted suicide among the panoply of measures available to dying patients and the physicians who care for them, the depth and breadth of the issue becomes inescapable. The potential intractability of the dispute is illustrated by the very fact, noted in the preceding parenthetical phrase, that consensus eludes us on even the most basic of semantic points—how we are to most aptly characterize the conduct in (...) question? The case featured in this issue's The Caduceus in Court must be examined as the latest battle in a long war of attrition waged by opponents of physician-assisted suicide against the Oregon Death with Dignity Act. After briefly reviewing that history, I will then consider the details of Oregon v. Ashcroft and the implications of the litigation not only for the care of dying patients but also for the regulation of medical practice in the United States and, more broadly still, the search for resolution of serious medical disputes in a democratic society. (shrink)

In the regime of Anglo-American tort law, every person has a responsibility to comport him- or herself with “due care” in going about day-to-day activities so as not to imperil the health, safety, or general welfare of others. The gold standard for determining what constitutes due care in any particular situation is what a reasonable person, similarly situated, would do. Determinations of due care are necessarily fact specific. Nevertheless, the general objective is to strike an appropriate balance between an unrealistically (...) high standard of caution and one that fails to take into account the known or foreseeable risks of any human endeavor. The same standard applies to individuals regardless of their age, gender, race, and level of education or economic status. The standard also applies to fictional “persons” such as corporations. The usual or prevailing custom and practice in an industry or occupation may provide relevant evidence of what constitutes “due care” in the activities common to it, but that evidence can be effectively overcome or rebutted by competent, credible evidence that the custom and practice either diverges from what it has been asserted to be or that the custom and practice is itself unsafe or otherwise poses an unreasonable risk of harm to others. Until quite recently, a singular exception to this general principle of tort law was made for the medical profession. We will consider this exception in the next section. (shrink)

A decision by the Supreme Court of California in the case Conservatorship of Wendland, issued in August 2001, forces us once again to confront the all-too-common situation in which an individual has, on multiple occasions, expressed strongly held personal convictions about life-sustaining interventions but failed to incorporate those convictions into a formal advance directive. Many courts have recognized that lay citizens do not consistently resort to written legal formalities in their day-to-day lives, and reasonable accommodation must be made to this (...) fundamental fact about human nature. However, a small but apparently growing minority of courts adamantly insist on either formal written directives or prescience and prophetic precision on the part of the patient before a surrogate can direct the withdrawal of life-sustaining treatment. The chronology of cases that comprise this minority position in American medical jurisprudence raise important ethical issues. (shrink)

This paper focuses on the cognitive/computational and evolutionary levels. It describes three proposals to make cognition computationally tractable, namely: Resource Rationality, the Adaptive Toolbox and Massive Modularity. While each of these proposals appeals to evolutionary considerations to dissolve the intractability of cognition, Rich, Blokpoel, de Haan, and van Rooij argue that, in each case, the intractability challenge is not resolved, but just relocated to the level of evolution.

This paper focuses on the cognitive/computational and evolutionary levels. It describes three proposals to make cognition computationally tractable, namely: Resource Rationality, the Adaptive Toolbox and Massive Modularity. While each of these proposals appeals to evolutionary considerations to dissolve the intractability of cognition, Rich, Blokpoel, de Haan, and van Rooij argue that, in each case, the intractability challenge is not resolved, but just relocated to the level of evolution.

Teleology is the study of ends and goals, things whose existence or occurrence is purposive. Aristotle’s views on teleology are of seminal importance, particularly his views regarding biological functions or purposes. This article surveys core examples of Aristotle’s invocations of teleology; explores philosophically puzzling aspects of teleology (including their normativity and the fact that ends can, apparently, act as causes despite never coming to exist); articulates two of Aristotle’s arguments defending commitment to teleology against critics who attempt to explain nature (...) solely through appeal to nonteleological efficient and material causes; and argues that Aristotle was an ontological realist when it came to teleology: he conceived of ends as an irreducible and ineliminable aspect of the causal structure of reality. Other interpretive controversies are addressed more briefly. (shrink)

In the current American iconoclash, certain monuments are subject to vandalism and municipal removal from their pedestals. Phrases such as “the erasure of history” and “damnatio memoriae” point to concerns that iconoclasm is an attempt to censor history or even remove certain individuals from public memory altogether. Because these phrases beckon the past, this wave of iconoclasm calls for a close examination of previous image-breaking to establish motives. Drawing first from art history, we analyze Byzantine iconoclasm and anxieties over the (...) nature of icons’ power, before contextualizing these findings within image destruction from the Paleolithic to the present day. Each comparison is suggestive of an enduring aesthetic principle: that what appears inanimate is not always inert. Next, drawing from cultural anthropology, we argue that principles of sympathetic magic are at the heart of contemporary iconoclasms, but not in the way media outlets often suggest. Instead, the fear of history’s erasure betrays a deeply rooted equivalence between the representation and the represented. In perceiving their fates as shared, sympathetic magic is seen to persist in the way humans create, interpret, and desecrate images. We conclude with the speculative realist proposition that iconoclasm can produce new, original artworks, which carries implications for the autonomy of art and its distribution between artist and artwork. (shrink)

Many interpretations of Hume's Dialogues Concerning Natural Religion have labored under the assumption that one of the characters represents Hume's view on the Design Argument, and Philo is often selected for this role. I reject this opinion by showing that Philo is inconsistent. He offers a decisive refutation of the Design Argument, yet later endorses this very argument. I then dismiss two prominent ways of handling Philo's reversal: first, I show that Philo is not ironic either in his skepticism or (...) in his theistic reversal. Second, I reject the suggestion that the Design Argument is a natural belief, since it differs significantly from causal and external world beliefs. Finally, I argue that the control the Design Argument exerts is the product of a youthful indoctrination that prevents Philo from consistently maintaining his skeptical position. (shrink)

Many interpretations of Hume's Dialogues Concerning Natural Religion have labored under the assumption that one of the characters represents Hume's view on the Design Argument, and Philo is often selected for this role. I reject this opinion by showing that Philo is inconsistent. He offers a decisive refutation of the Design Argument, yet later endorses this very argument. I then dismiss two prominent ways of handling Philo's reversal: first, I show that Philo is not ironic either in his skepticism or (...) in his theistic reversal. Second, I reject the suggestion that the Design Argument is a natural belief, since it differs significantly from causal and external world beliefs. Finally, I argue that the control the Design Argument exerts is the product of a youthful indoctrination that prevents Philo from consistently maintaining his skeptical position. (shrink)

Of the many opportunities and affordances that mobile technologies bring to our day-to-day lives, the ability to cheat physical separation and remain accessible to each other—in an instant—also brings pressure to bear on well-established social conventions as to how we should act when we are engaged with others in shared spaces. In this paper we explore some ethical dimensions of mobile communication by considering the manner in which individuals in everyday contexts balance interpretations of emergent social conventions with personal desires (...) to connect in the moment. As we later discuss, the decisions made in response to a ringing mobile phone or flashing text message emerge from consequential versus deontological ethical frames used to determine what to do versus what we ought to do. This is particularly true in western and North American cultural contexts from which our data are collected. Using Goffman's dramaturgy, we suggest that these conflicts occurring on an individual level provide evidence of social structure, and are simultaneously entwined with our less obvious ruminations on the maintenance of social order. (shrink)

There are two prominent viewpoints regarding the nature of rationality and how it should be evaluated in situations of interest: the traditional axiomatic approach and the newer ecological rationality. An obstacle to comparing and evaluating these seemingly opposite approaches is that they employ different language and formalisms, ask different questions, and are at different stages of development. I adapt a formal framework known as SCOP to address this problem by providing a comprehensive common framework in which both approaches may be (...) defined and compared. The main result is that the axiomatic and ecological approaches are in far greater agreement on fundamental issues than has been appreciated; this is supported by a pair of theorems to the effect that they will make accordant rationality judgements when forced to evaluate the same situation. I conclude that ecological rationality has some subtle advantages, but that we should move past the issues currently dominating the discussion of rationality. (shrink)

Sarah Moss’ thesis that we have probabilistic knowledge is from some perspectives unsurprising and from other perspectives hard to make sense of. The thesis is potentially transformative, but not yet elaborated in sufficient detail for epistemologists. This paper interprets Mossean probabilistic knowledge in a suitably-modified Kripke framework, thus filling in key details. It argues that probabilistic knowledge looks natural and plausible when so interpreted, and shows how the most pressing challenges to the thesis can be overcome. Most importantly, probabilistic knowledge (...) can satisfy factivity in the framework, though we are not forced to accept a specific account of probabilistic “facts”. The framework also reflects Moss’ claim that old-fashioned propositional knowledge is just a limiting case of probabilistic knowledge, and all knowledge is fundamentally probabilistic. Finally, Moss endorses a failure of contraposition: for example, p implies probably p, but not probably p does not imply not p. The framework makes clear the sense in which the valid inferences regarding probably p are as Moss claims. (shrink)

This paper addresses the problems that must be considered if computers are going to treat their users as individuals with distinct personalities, goals, and so forth. It first outlines the issues, and then proposes stereotypes as a useful mechanism for building models of individual users on the basis of a small amount of information about them. In order to build user models quickly, a large amount of uncertain knowledge must be incorporated into the models. The issue of how to resolve (...) the conflicts; hot will arise along such inferences is discussed. A system, Grundy, is described that builds models of its users, with the aid of stereotypes, and then exploits those models to guide it in its task, suggesting novels that people may find interesting. If stereotypes are to be useful to Grundy, they must accurately characterize the users of the system. Some techniques to modify stereotypes on the basis of experience are discussed. An analysis of Grundy's performance shows that its user models are effective in guiding its performance. (shrink)

Knowledge-first epistemology includes a knowledge norm of action: roughly, act only on what you know. This norm has been criticized, especially from the perspective of so-called standard decision theory. Mueller and Ross provide example decision problems which seem to show that acting properly cannot require knowledge. I argue that this conclusion depends on applying a particular decision theory which is ill-motivated in this context. Agents’ knowledge is often most plausibly formalized as an ambiguous epistemic state, and the theory of decision (...) under ambiguity is then the appropriate modeling tool. I show how to model agents as acting rationally on the basis of their knowledge according to such a theory. I conclude that the tension between the knowledge norm of action and formal decision theory is illusory; the knowledge-first paradigm should be used to actively select the decision-theoretical tools that can best capture the knowledge-based decisions in any given situation. (shrink)

Wynn describes a revolution in cognitive abilities some 500,000 years ago, which added new sophistication to the curiosity of early man – the ability to form hypotheses. This derivative of archaic curiosity is a fundamental feature of learning, and it is our contention that the naive hypothesis testing behavior of early man will have left a distinctive trail in the archaeological record.