Background: Family members are often required to act as substitute decision-makers when health care or research participation decisions must be made for an incapacitated relative. Yet most families are unable to accurately predict older adult preferences regarding future health care and willingness to engage in research studies. Discussion and documentation of preferences could improve proxies' abilities to decide for their loved ones. This trial assesses the efficacy of an advance planning intervention in improving the accuracy of substitute decision-making and increasing (...) the frequency of documented preferences for health care and research. It also investigates the financial impact on the healthcare system of improving substitute decision-making.Methods/DesignDyads (n = 240) comprising an older adult and his/her self-selected proxy are randomly allocated to the experimental or control group, after stratification for type of designated proxy and self-report of prior documentation of healthcare preferences. At baseline, clinical and research vignettes are used to elicit older adult preferences and assess the ability of their proxy to predict those preferences. Responses are elicited under four health states, ranging from the subject's current health state to severe dementia. For each state, we estimated the public costs of the healthcare services that would typically be provided to a patient under these scenarios. Experimental dyads are visited at home, twice, by a specially trained facilitator who communicates the dyad-specific results of the concordance assessment, helps older adults convey their wishes to their proxies, and offers assistance in completing a guide entitled My Preferences that we designed specifically for that purpose. In between these meetings, experimental dyads attend a group information session about My Preferences. Control dyads attend three monthly workshops aimed at promoting healthy behaviors. Concordance assessments are repeated at the end of the intervention and 6 months later to assess improvement in predictive accuracy and cost savings, if any. Copies of completed guides are made at the time of these assessments.DiscussionThis study will determine whether the tested intervention guides proxies in making decisions that concur with those of older adults, motivates the latter to record their wishes in writing, and yields savings for the healthcare system.Trial RegistrationISRCTN89993391. (shrink)
Gottlob Frege famously rejects the methodology for consistency and independence proofs offered by David Hilbert in the latter's Foundations of Geometry. The present essay defends against recent criticism the view that this rejection turns on Frege's understanding of logical entailment, on which the entailment relation is sensitive to the contents of non-logical terminology. The goals are (a) to clarify further Frege's understanding of logic and of the role of conceptual analysis in logical investigation, and (b) to point out the extent (...) to which his understanding of logic differs importantly from that of the model-theoretic tradition that grows out of Hilbert's work. (shrink)
This paper examines the connection between model-theoretic truth and necessary truth. It is argued that though the model-theoretic truths of some standard languages are demonstrably ''''necessary'''' (in a precise sense), the widespread view of model-theoretic truth as providing a general guarantee of necessity is mistaken. Several arguments to the contrary are criticized.
This paper defends the view that Frege's reduction of arithmetic to logic would, if successful, have shown that arithmetical knowledge is analytic in essentially Kant's sense.It is argued, as against Paul Benacerraf, that Frege's apparent acceptance of multiple reductions is compatible with this epistemological thesis.The importance of this defense is that (a) it clarifies the role of proof, definition, and analysis in Frege's logicist works; and (b) it demonstrates that the Fregean style of reduction is a valuable tool for those (...) who would investigate the nature of arithmetical knowledge. (shrink)
In the early years of the twentieth century, Gottlob Frege and David Hilbert, two titans of mathematical logic, engaged in a controversy regarding the correct understanding of the role of axioms in mathematical theories, and the correct way to demonstrate consistency and independence results for such axioms. The controversy touches on a number of difficult questions in logic and the philosophy of logic, and marks an important turning-point in the development of modern logic. This entry gives an overview of that (...) controversy and of its philosophical underpinnings. (shrink)
Pt. 1. The journey inward. Breaking into the intellectual scene -- Awakening to the divine light in human action -- The original philosophy of the supernatural -- The vocation to philosophy -- Discourse on method for philosophy of religion -- Crisis of modernity for Catholic apologetics -- The broader social involvement -- The philosopher of Aix -- The philosophical itinerary -- The question of a Catholic philosophy -- Pt. 2. The systematic summation. The question of thought -- The responsibilities of (...) thought -- Ontology of consolidation in being in, through, and of itself -- Action as cooperation with the first cause -- The original philosophy of action revisited -- The expanded philosophy of the supernatural -- Symbiosis of the human and the divine in history -- Christian spirit and historical civilization. (shrink)
This anthology is the first devoted exclusively to On Certainty. The essays are grouped under four headings: the Framework, Transcendental, Epistemic and Therapeutic readings, and an introduction helps explain why these readings need not be seen as antagonistic. Contributions from W.H. Brenner, Alice Crary, Michael Kober, Edward Minar, Howard Mounce, Daniele Moyal-Sharrock, Thomas Morawetz, D.Z. Phillips, Duncan Pritchard, Rupert Read, Anthony Rudd, Joachim Schulte, Avrum Stroll, Michael Williams.
This anthology focuses on the extraordinary contributions Wittgenstein made to several areas in the philosophy of psychology - contributions that extend to psychology, psychiatry, sociology and anthropology. To bring them a richly-deserved attention from across the language barrier, Danièle Moyal-Sharrock has translated papers by eminent French Wittgensteinians. They here join ranks with more familiar renowned specialists on Wittgenstein's philosophical psychology. While revealing differences in approach and interests, this coming together of some of the best minds on the subject discloses a (...) surprising degree of consensus, and gives us the clearest picture yet of Wittgenstein as a philosopher of psychology. (shrink)
Transpersonal psychology first emerged as an academic discipline in the 1960s and has subsequently broadened into a range of transpersonal studies. Jorge Ferrer (2002) has called for a 'revisioning' of transpersonal theory, dethroning inner experience from its dominant role in defining and validating spiritual reality. In the current paradigm he detects a lingering Cartesianism, which subtly entrenches the very subject-object divide that transpersonalists seek to overcome. This paper outlines the development and current shape of the transpersonal movement, compares Ferrer's epistemology (...) with the heterophenomenology of Daniel Dennett, and speculates on the integration of the latter into transpersonal theory. (shrink)
Drawing on Christopher Boorse's Biostatistical Theory (BST), Norman Daniels contends that a genuine health need is one which is necessary to restore normal functioning – a supposedly objective notion which he believes can be read from the natural world without reference to potentially controversial normative categories. But despite his claims to the contrary, this conception of health harbors arbitrary evaluative judgments which make room for intractable disagreement as to which conditions should count as genuine health needs and therefore which needs (...) should be met. I begin by offering a brief summary of Boorse's BST, the theory to which Daniels appeals for providing the conception of health as normal functioning upon which his overall distributive scheme rests. Next, I consider what I call practical objections to Daniels's use of Boorse's theory. Finally I recount Elseljin Kingma's theoretical objection to Boorse's BST and discuss its impact on Daniels's overall theory. Though I conclude that Boorse's view, so weakened, will no longer be able to sustain the judgments which Daniels's theory uses it to reach, in the end, I offer Daniels an olive branch by briefly sketching an alternative strategy for reaching suitably objective conclusions regarding the health and/or disease status of various conditions. (shrink)
This collection is a much-needed remedy to the confusion about which varieties of enactivism are robust yet viable rejections of traditional representionalism...
One of the most influential philosophical voices in the consciousness studies community is that of Daniel Dennett. Outside of consciousness studies, Dennett is well-known for his work on numerous topics, such as intentionality, artificial intelligence, free will, evolutionary theory, and the basis of religious experience. (Dennett, 1984, 1987, 1995c, 2005) In 1991, just as researchers and philosophers were beginning to turn more attention to the nature of consciousness, Dennett authored his Consciousness Explained. Consciousness Explained aimed to develop both a theory (...) of consciousness and a powerful critique of the then mainstream view of the nature of consciousness, which Dennett called,. (shrink)
In The illusion of conscious will , Daniel Wegner offers an exciting, informative, and potentially threatening treatise on the psychology of action. I offer several interpretations of the thesis that conscious will is an illusion. The one Wegner seems to suggest is "modular epiphenomenalism": conscious experience of will is produced by a brain system distinct from the system that produces action; it interprets our behavior but does not, as it seems to us, cause it. I argue that the evidence Wegner (...) presents to support this theory, though fascinating, is inconclusive and, in any case, he has not shown that conscious will does not play a crucial causal role in planning, forming intentions, etc. This theory's potential blow to our self-conception turns out to be a glancing one. (shrink)
Questions about Leibniz's views on the ontological status of the corporeal world have been at the center of debate in Leibniz scholarship for more than two decades, and one of the major players in these debates has been Daniel Garber. Having sketched his influential position in a number of articles over the years, he now gives full expression to his view in this highly anticipated and long-awaited book.
In A New Form of Agent-Based Virtue Ethics , Daniel Doviak develops a novel agent-based theory of right action that treats the rightness (or deontic status) of an action as a matter of the action’s net intrinsic virtue value (net-IVV)—that is, its balance of virtue over vice. This view is designed to accommodate three basic tenets of commonsense morality: (i) the maxim that “ought” implies “can,” (ii) the idea that a person can do the right thing for the wrong reason, (...) and (iii) the idea that a virtuous person can have “mixed motives.” In this paper, I argue that Doviak’s account makes an important contribution to agent-based virtue ethics, but it needs to be supplemented with a consequentialist account of the efficacy of well-motivated actions—that is, it should be transformed into a mixed (motives-consequences) account, while retaining its net-IVV calculus. This is because I believe that there are right-making properties external to an agent’s psychology which it is important to take into account, especially when an agent’s actions negatively affect other people. To incorporate this intuition, I add to Doviak’s net-IVV calculus a scale for outcomes . The result is a mixed view which accommodates tenets (ii) and (iii) above, but allows for (i) to fail in certain cases. I argue that, rather than being a defect, this allowance is an asset because our intuitions about ought-implies-can break down in cases where an agent is grossly misguided, and our theory should track these intuitions. (shrink)
Norman Daniels argues that health is important for justice because it affects the distribution of opportunities. He claims that a just society should guarantee fair opportunities by promoting and restoring the “normal functioning” of its citizens, that is, their health. The scope of citizens' mutual obligations with respect to health is defined by a reasonable agreement that, according to Daniels, should be based on the distinction between normal functioning and pathology drawn by the biomedical sciences. This paper deals with the (...) question whether it is legitimate to ascribe the responsibility of defining this important moral boundary to the biomedical sciences, which Daniels regards as value neutral. Daniels appeals to Christopher Boorse's sophisticated bio-statistical theory (BST) to show the plausibility of a value-neutral distinction between normal functioning and pathology. Here I argue that a careful analysis of the concept of normal functioning, such as the one offered by the recent critique by Elselijn Kingma, shows that it depends from evaluative assumptions. This, I argue, implies that Daniels's theory must give up its naturalistic commitments. In the conclusion, the paper offers a detailed discussion and an objection to one of Daniels's arguments in favor of a moderate form of normativism that remains too close to Boorse's naturalism. (shrink)
Just health: meeting health needs fairly is an ambitious book, in which Norman Daniels attempts to bring together in a single framework all his work on health and justice from the past 25 years. One major aim is to reconcile his earlier work on the special moral importance of healthcare with his later work on the social determinants of health. In his earlier work, Daniels argued that healthcare is of special moral importance because it protects opportunity. In this later work, (...) Daniels argues that the social determinants of health (which in fact tend to have a larger effect on health outcomes than healthcare does) should also be considered special. This paper argues that it is a mistake to base a theory of justice for health on the claim that health (or the social determinants of health) are "special", for three reasons. First, once we realise that health is to a large part socially determined by features such as distribution of income, which are also of independent importance for justice, we cannot talk about a theory of justice for health in isolation from an overall theory of justice. Second, when we are trying to work out the place of health in a general theory of justice, being told that health (or the social determinants of health) is special is unhelpful. The relevant starting point should rather be whether health matters in a fundamental way for justice, or whether it matters merely for the effects it has on those goods which are of fundamental importance for justice. Third, treating the social determinants of health as special would in fact be counterproductive in terms of the broad approach to justice Daniels favours. (shrink)
Darker skin correlates with reduced opportunities and negative health outcomes. Recent discoveries related to the genes associated with skin tone, and the historical use of cosmetics to conform to racist appearance standards, suggest effective skin-lightening products may soon become available. This article examines whether medical interventions of this sort should be permitted, subsidized, or restricted, using Norman Daniels's framework for determining what justice requires in terms of protecting health. I argue that Daniels's expansive view of the requirements of justice in (...) meeting health needs offers some support for recognizing a societal obligation to provide this kind of ‘enhancement,’ in light of the strong connections between skin tone and health outcomes. On balance, however, Daniels's framework offers compelling reasons to reject insurance coverage for skin-lightening medical interventions, including the likely ineffectiveness of such technologies in mitigating racial health disparities, and the danger that covering skin-lightening enhancements would undermine public support for cooperative schemes that protect health. In fact, justice may require limiting access to these technologies because of their potential to exacerbate the negative effects of racism. (shrink)
We have never entirely agreed with Daniel Cohnitz on the status and rôle of thought experiments. Several years ago, enjoying a splendid lunch together in the city of Ghent, we cheerfully agreed to disagree on the matter; and now that Cohnitz has published his considered opinion of our views, we are glad that we have the opportunity to write a rejoinder and to explicate some of our disagreements. We choose not to deal here with all the issues that Cohnitz raises, (...) but rather to restrict ourselves to three specific points. (shrink)
Allhoff, Fritz, Patrick Lin, and Daniel Moore. 2010. What is nanotechnology and why does it matter? From science to ethics Content Type Journal Article Pages 209-211 DOI 10.1007/s11673-011-9289-z Authors Jennifer Kuzma, University of Minnesota, Humphrey School of Public Affairs, 301 19th Ave So, Minneapolis, MN 55455, USA Journal Journal of Bioethical Inquiry Online ISSN 1872-4353 Print ISSN 1176-7529 Journal Volume Volume 8 Journal Issue Volume 8, Number 2.
Norman Daniels, in applying Rawls’ theory of justice to the issue of human health, ideally presupposes that society exists in a state of moderate scarcity. However, faced with problems like climate change, many societies find that their state of moderate scarcity is increasingly under threat. The first part of this essay aims to determine the consequences for Daniels’ theory of just health when we incorporate into Rawls’ understanding of justice the idea that the condition of moderate scarcity can fail. Most (...) significantly, I argue for a generation-neutral principle of basic needs that is lexically prior to Rawls’ familiar principles of justice. The second part of this paper aims to demonstrate how my reformulated version of Daniels’ conception of just health can help to justify action on climate change and guide climate policy within liberal-egalitarian societies. (shrink)
Daniel Russell's Practical Intelligence and the Virtues is principally a defense of the Aristotelian claim that phronesis is part of every unqualified virtue—a defense of what Russell calls "hard virtue theory" and "hard virtue ethics." The main support for this is the further claim that we would be unable to act well reliably, or form our character reliably, without phronesis performing its "twin roles": correctly identifying the mean of each virtue, and integrating the mean of each virtue with those of (...) others so as to enable us to act in an overall virtuous manner. In following Russell's argument for these claims, we find much else of interest, including a persuasive account of right action and a resurrection of the old doctrine of cardinal virtues. Here I seek first to give readers a sense of the range and depth of this important book by summarizing the main lines of its argument. But I also raise some critical points, the most substantive of which concern his treatments of the unity of the virtues and of responsibility for character. (shrink)
Democracy requires a rather large tolerance for confusion and a secret relish for dissent. I am delighted to respond to Daniel Dombrowski’s book Rawls and Religion. Dombrowski and I share a number of what he would call comprehensive doctrine, such as the ethical treatment of animals, the relational worldview of process thought, and the idiosyncratic love of pacifism. So, immediately I was drawn in and claimed Dombrowski as a kindred spirit. With so many commonalities, including an interest in political philosophy (...) and religion, I approached this book with a built-in desire to engage with and respect his thinking. To be honest, I wondered if I would be able to critically engage Dombrowski’s book given our .. (shrink)
Contemporary Philosophy in Focus will offer a series of introductory volumes to many of the dominant philosophical thinkers of the current age. Each volume will consist of newly commissioned essays that will cover all the major contributions of a preeminent philosopher in a systematic and accessible manner. Author of such groundbreaking and influential books as Consciousness Explained and Darwin's Dangerous Idea, Daniel C. Dennett has reached a huge general and professional audience that extends way beyond the confines of academic philosophy. (...) He has made significant contributions to the study of consciousness, the development of the child's mind, cognitive ethnology, explanation in the social sciences, artificial intelligence, and evolutionary theory. This volume is the only truly introductory collection that traces these connections, explores the implications of Dennett's work, and furnishes the non-specialist with a fully-rounded account of why Dennett is such an important voice on the philosophical scene. (shrink)
Daniel Garber’s Leibniz: Body, Substance and Monad . When I first entered graduate school Dan’s previous book Descartes’s Metaphysical Physics had recently appeared, and it made a huge and lasting impression on me. All of a sudden I saw Descartes’s project in a much different, more intriguing light. This Garber fella had managed to open up a new area of Descartes’s thought to me, to tease out with great care his philosophical arguments, and to situate both in a broader historical (...) context in which they seemed to me at least much more at home. In short, Dan’s Descartes’s book is one of the main reasons why I work on Leibniz. And now we have his rich, learned, and provocative book on Leibniz to wrestle with. I am certain that it will similarly inspire another generation of early modern scholars as well – hopefully they won’t all be moved to work on Kant! (shrink)
In Setting Limits, Daniel Callahan advances the provocative thesis that age be a limiting factor in decisions to allocate certain kinds of health services to the elderly. However, when one looks at available data, one discovers that there are many more elderly women than there are elderly men, and these older women are poorer, more apt to live alone, and less likely to have informal social and personal supports than their male counterparts. Older women, therefore, will make the heaviest demand (...) on health care resources. If age were to become a limiting factor, as Dr. Callahan suggests it should, the limits that will be set are limits that will affect women more drastically than they affect men. This review essay examines the implications of Callahan's thesis for elderly women. (shrink)
According to Daniel Flage, Berkeley thinks that all necessary truths are founded on acts of will that assign meanings to words. After briefly commenting on the air of paradox contained in the title of Flage’s paper, and on the historical accuracy of Berkeley’s understanding of the abstractionist tradition, I make some remarks on two points made by Flage. Firstly, I discuss Flage’s distinction between the ontological ground of a necessary truth and our knowledge of a necessary truth. Secondly, I discuss (...) Flage’s attempt to show that, according to Berkeley, the resemblance relation does not constitute a necessary connection. (shrink)
A taped conversational interview with Daniel Dennett and Bill Uzgalis covers a wide range of topics arising from Dennett’s thoughts about computing and human beings. The background of Dennett’s work is explored as are his views about mind-brain identity theory, artificial intelligence, functionalism, human exceptionalism, animal culture, language, pain, freedom and determinism, and quality of life.
In this discussion note I clarify the motivation behind my original paper "Social Mechanisms, Causal Inference and the Policy Relevance of Social Science." I argue that one of the tasks of philosophers of social science is to draw attention to methodological problems that are often forgotten or overlooked. Then I show that my original paper does not make the mistake or fallacy that Daniel Steel suggests in his comment on it. Key Words: social mechanisms • causal inference • social policy.
As Peter Niebyl has documented, one of the issues in which the Wittenberg-based physician and philosopher Daniel Sennert (1572–1637) departed from Paracelsus and his followers was the concept of disease. Paracelsus and some of his followers regarded diseases as real beings—so-called “disease-entities” (entia morbis) that can enter into the body of a living being and thereafter possess a clearly defined location in the affected organism. 1 For Sennert, such a view is a dangerous confusion between disease and its causes. According (...) to him, causes of disease can be present in an organism without actually causing a disease (Sennert 1629, p. 253). Moreover, he shares the traditional Christian doctrine .. (shrink)
Contemporary Philosophy in Focus will offer a series of introductory volumes to many of the dominant philosophical thinkers of the current age. Each volume will consist of newly commissioned essays that will cover all the major contributions of a preeminent philosopher in a systematic and accessible manner. Author of such groundbreaking and influential books as Consciousness Explained and Darwin's Dangerous Idea, Daniel C. Dennett has reached a huge general and professional audience that extends way beyond the confines of academic philosophy. (...) He has made significant contributions to the study of consciousness, the development of the child's mind, cognitive ethnology, explanation in the social sciences, artificial intelligence, and evolutionary theory. This volume is the only truly introductory collection that traces these connections, explores the implications of Dennett's work, and furnishes the non-specialist with a fully-rounded account of why Dennett is such an important voice on the philosophical scene. (shrink)
This article is about the chief character of Sartre?s unfinished trilogy of novels known as Les chemins de la liberté—Daniel, Mathieu?s fellow-student at the École normale, Daniel the "archangel," Daniel the shamefaced pederast, Daniel the gaping wound, Daniel the strange hero, Daniel the recurrent figure in many of Sartre?s works. We do not intend to offer yet another explanation of this handsome young literature professor?s convoluted character to the explanations that already exist, nor to interpret yet again his detestation of (...) mankind and his prayers to God, which the author openly mocks. What we wish to do in these few pages is firstly to shed light on the procedures of Daniel?s imagination and evolution, and secondly to analyze how the author?s goals changed as, while writing the trilogy, he evolved from Gallimard?s up and coming star into the symbol of the search for freedom, the spokesman whom some disagreed with, criticised, despised, while others glorified him and praised him to the skies. We would like to try and elucidate the evolution of this character, steering between the free future of a literary work in progress and the ungraspable heart of darkness. (shrink)
Norman Daniels's new book, Just Health, brings together his decades of work on the problem of justice and health. It improves on earlier writings by discussing how we can meet health needs fairly when we cannot meet them all and by attending to the implications of the socioeconomic determinants of health. In this article I return to the core idea around which the entire theory is built: that the principle of equality of opportunity grounds a societal obligation to meet health (...) needs. I point, first, that nowhere does Daniels say just what version of that principle he accepts. I then proceed to construct a principle on his behalf, based on a faithful reading of Just Health. Once we actually nail down the principle, I argue, we will find that there are two problems: it is implausible in itself, and it fails to ground a societal obligation to meet health needs. (shrink)
A multi-faceted study of intellectual transformation in early modern Europe as seen through the eyes of a leading French scholar and cleric, Pierre-Daniel Huet (1630-1721).
A review of Daniel Salvatore Schiffer´s Le dandysme, dernier éclat d’héroïsme (Paris: Presses Universitaires de France, 2010, 302 pp. ISBN 978-2-13-058227-4).
I respond to Daniel and Frances Howard-Snyder’s criticisms of my arguments in another place for the conclusion that human supplicants would have little responsibility (if any) for the result of answered petitionary prayer, and criticize their defense of the claim that God would have good reasons for creating an institution of petitionary prayer.
