Certain problems with standard two-dimensional semantics are addressed and cases in which these problems arise explored. In such cases the primary intension cannot be univocally mapped in one and only one indexical world, thus standard two-dimensional semantics cannot efficiently address the problems presented. Subsequently, a modified model is presented which leads these problems to be averted in the replicated cases. This modified model admits primary intensions that are not univocally mapped. The conclusion discusses the advantages and disadvantages (...) of the modified model and analyzes its possible consequences for the philosophy of mind. (shrink)

two-dimensional modal framework introduced by Evans [2] and developed by Davies and Humberstone. [3] This framework provides Chalmers with a powerful tool for handling the most serious objection to conceivability arguments for dualism: the problem of..

A slew of conceivability arguments have been given against physicalism. Many physicalists try to undermine these arguments by offering accounts of phenomenal concepts that explain how there can be an epistemic gap, but not an ontological gap, between the phenomenal and the physical. Some complain, however, that such accounts fail to do justice to the nature of our introspective grasp of phenomenal properties. A particularly influential version of this complaint comes from David Chalmers (1996; 2003), who claims, in opposition to (...) the accounts of phenomenal concepts described above, that phenomenal concepts have primary and secondary intensions that coincide in all worlds. In this paper, I construct an argument that casts doubt upon Chalmers' claim. At the heart of this argument is an idea that Chalmers shows some affinity for: namely, that introspection doesn't reveal whether phenomenal properties are fundamental properties or whether they are derived from more basic protophenomenal properties. I argue that this claim implies that the primary and secondary intensions of our phenomenal concepts do not coincide in all worlds. In this way, I show that a plausible idea about the powers of introspection – an idea that Chalmers himself is drawn to – is a reason for rejecting the claim that phenomenal concepts have primary and secondary intensions that coincide in all worlds. (shrink)

In this article, we report the findings from a qualitative study that explored how relatives of terminally ill, alert and competent intensive care patients perceived their involvement in the end-of-life decision-making process. Eleven family members of six deceased patients were interviewed. Our findings reveal that relatives narrate about a strong intertwinement with the patient. They experienced the patients’ personal individuality as a fragile achievement. Therefore, they viewed their presence as crucial with their primary role to support and protect the (...) patient, thereby safeguarding his values and interests. However, their inclusion in decision making varied from active participation in the decision-making process to acceptance of the physicians’ decision or just receiving information. We conclude that models of informed shared decision making should be utilised and optimised in intensive care, where nurses and physicians work with both the patient and his or her family and regard the family as partners in the process. (shrink)

The role of intensity in Aristotelian philosophy is obscure. The problem has historically been approached through his logic and categorical sense of motion. Scholars have largely failed to consider the role of intensity in psychology and ethics, the consideration of which greatly clarifies the situation. To this end, I identify three types of intensity present in the corpus Aristotelicum: comparative, modal, inceptive. I show that the intensity of physical contraries is primary in nature but is different from those found (...) in organic processes. I then show that the intensifications found in life, produced by the soul, are of paramount importance to Aristotle’s philosophy. Inceptive intensity is the backbone of psychical activities: concoction, sensation, pleasure, perception, effort, attention, and self-awareness. I outline two essential characteristics of these intensifications: (1) they imply an intransitive causality that is intrinsic to the entity’s nature or form; (2) that they involve an interaction of many parts which mutually amplify each other so that the whole is beyond (irreducible to) the totality of the parts. I end by comparing Aristotle’s views on intensity to contemporary ideas of emergence: feedback, holism, intentionality, and supervenience. (shrink)

Rockburst phenomenon is the primary cause of many fatalities and accidents during deep underground projects constructions. As a result, its prediction at the early design stages plays a significant role in improving safety. The article describes a newly developed model to predict rockburst intensity grade using Adaptive Boosting classifier. A database including 165 rockburst case histories was collected from across the world to achieve a comprehensive representation, in which four key influencing factors such as maximum tangential stress of the (...) excavation boundary, uniaxial compressive strength of rock, tensile rock strength, and elastic energy index were selected as the input variables, and the rockburst intensity grade was selected as the output. The output of the AdaBoost model is evaluated using statistical parameters including accuracy and Cohen's kappa index. The applications for the aforementioned approach for predicting the rockburst intensity grade are compared and discussed. Finally, two real-world applications are used to verify the proposed AdaBoost model. It is found that the prediction results are consistent with the actual conditions of the subsequent construction. (shrink)

Academician Gerasimov devoted his presentation to the problem of improvement and protection of the environment. In his opinion, today, when there is a worldwide threat of exhaustion of natural resources, irreversible pollution, poisoning of the environment, and the impossibility of feeding a growing population, questions of environmental protection and rational use of natural resources are becoming not only an important problem for natural science but a serious social and political matter around which an acute ideological struggle is being waged. Certainly (...) it is a real fact that contemporary mankind is encountering a progressive impairment of the world's ecological situation, caused by the ever more intensive utilization of natural resources under the conditions of rapid scientific and technological progress. Therefore, issues of further rational use of natural resources and improvement and protection of the environment are now becoming problems affecting the everyday interests of the entire population of the earth. (shrink)

The paediatric intensive care unit is a high-stress environment for parents, families and health care professionals alike. Family members experiencing stress or grief related to the admission of their sick child may at times exhibit challenging behaviours; these exist on a continuum from those that are anticipated in context, through to unacceptable aggression. Rare, extreme behaviours include threats, verbal or even physical abuse. Both extreme and recurrent ‘subthreshold’ behaviours can cause significant staff distress, impede optimal clinical care and compromise patient (...) outcomes. The unique PICU environment and model of care may magnify stressors for both families and staff and the family-centred approach to care central to paediatric practice, may also contribute to contextual challenges. Pervasive conflict in paediatric healthcare is harmful for patients, families, PICU staff and the institution more broadly. We propose that caring for children and caring for staff are inseparable goals and the latter has been inadvertently but detrimentally deprioritised as FCC has become a primary focus. A transparent and graded hierarchy of responses to variable levels of challenging behaviour is necessary to ensure that families are supported, while HCPs remain protected in the workplace. This requires establishing firm limits supported by all teams and levels of the institution. As such, we aim to identify and clarify the context and impact of challenging parent and family behaviour in the PICU and to offer potential, proactive mitigation strategies, based on reflections and stakeholder discussion following recent clinical challenges and experiences in our unit. (shrink)

A number of colleges and universities offer writing intensive courses that emphasize writing as a primary means of learning. This paper presents an approach to teaching undergraduate philosophy courses that makes an effective use of writing as a means to teach students philosophy. The paper begins by discussing the aims and requirements of writing intensive philosophy courses and the nature of philosophical writing. In addition, five course activities (classroom discussion, in-class writing assignments, paper assignments, in-class peer review, tutorials) are (...) discussed along with a summary of the work required by both the student and the instructor. (shrink)

This paper engages in the ongoing dialog on "justice and the health care 'industry"'1 and addresses the question of whether market strategies are consistent with an ethical distribution of resources in health care. As it pertains to the development of perinatal services over the past twenty-five to thirty years in the United States, my short answer to this question is "no." Business organization and market-oriented strategies have contributed to the creation and extensive growth of perinatal intensive care centers located in (...) large medical centers. This growth, which has aggravated the neglect of primary care, has been incongruent with known health needs and represents an ethically questionable distribution of resources. (shrink)

According to two-dimensional semantics, primary intension and secondary intension can play the role of reflecting the cognitive aspect of an expression like Fregean sense does. The aim of this paper is to argue that this role is likely a myth. To argue for this, I attempt to show that cognitive aspects of fictional names cannot be explained within the framework of two-dimensional semantics. To be more specific, I consider four ontological theories about fictional characters that two-dimensional semanticists (...) might be tempted to choose. And then, I argue that none of them can be combined with two-dimensional semantics in a satisfactory way. (shrink)

This study has two goals: first, to show that Avicenna’s account of being and thing significantly influenced Aquinas’s doctrine of the primary notions; second, to establish the value of adopting a mereological construal of these primary notions in the metaphysics of Avicenna and Aquinas. I begin with an explication of the mereological construal of the primary notions that casts these notions in terms of wholes and parts. Being and thing refer to the same entitative whole and have (...) the same extension, but they are distinct in intension according to the different entitative parts they signify. Existence and essence constitute the two most fundamental entitative parts of every entitative whole. Being is taken to mean that which has existence, and thing signifies that which has essence. I then show how this mereological construal of the primary notions clarifies a number of texts in Avicenna and Aquinas. Finally, I address a few arguments against employing this mereological interpretation of the primary notions. (shrink)

When intensive care for newborns was introduced thirty years ago its primary goal was to improve the rates of survival of sick and premature infants. Medicine has been successful in attaining this goal; however, as more infants survive, the cost of intensive care and the additional cost of services and care for handicapped survivors continue to escalate. In order to curb the increasing cost of newborn intensive care, heightened initiatives directed at the prevention of premature births will be necessary.

The primary goal of this study is to identify patterns in the ways mothers adhere to, reject, and combine intensive mothering attitudes and behaviors. Mothers often face immense pressure to devote significant physical and mental effort toward childrearing, referred to as intensive mothering. At the same time, many mothers do not follow the actions or beliefs that gender norms suggest they should. It remains unclear how mothers holistically approach intensive parenting across many different facets. Using the 2014 Child Development (...) Supplement from the Panel Study of Income Dynamics, I examined how a sample of mothers fell into intensive mothering profiles, or latent classes, and how class membership varied by demographic characteristics. Results showed four underlying latent classes of intensive motherhood: Relaxed Mothers, High Investors, Essentialist Mothers, and Strained Mothers. No group was intensive across all measures, contrary to common narratives in previous research and theory. Class membership varied by several characteristics, including education, age, income, race, single parenthood, and employment. By revealing how mothers are selectively intensive, this study expands on the ways mothers simultaneously “do” and “undo” gender norms in their parenting, as well as the sociodemographics that may predict these patterns. (shrink)

Background: Decisions of patients, families, and health care providers about medical care at the end of life depend on many factors, including the societal culture. A pan-European study was conducted to determine the frequency and types of end of life practices in European intensive care units , including those in Israel. Several results of the Israeli subsample were different to those of the overall sample.Objective: The objective of this article was to explore these differences and provide a possible explanation based (...) on the impact of culture on end of life decision making.Method: All adult patients admitted consecutively to three Israeli ICUs who died or underwent any limitation of life saving interventions between 1 January 1999 and 30 June 2000 were studied prospectively . These patients were compared with a similar sample taken from the larger study carried out in 37 European ICUs. Patients were followed until discharge, death, or 2 months from the decision to limit therapy. End of life decisions were prospectively organised into one of five mutually exclusive categories: cardiopulmonary resuscitation , brain death, withholding treatment, withdrawing treatment, and active shortening of the dying process . The data also included patient characteristics , specific therapies limited, and the method of SDP.Results: The majority of patients had treatment withheld, none underwent SDP, 62 received CPR , 31 had brain death , and 18 underwent withdrawal of treatment . The primary reason given for limiting treatment was that the patient was unresponsive to therapy . End of life discussions were held with 132 families , the vast majority of which revolved around withholding treatment and the remainder concerned withdrawing treatment .There was a statistically significant association between the type of end of life decision and region—that is, the northern region of Europe, the central region, the southern region, and Israel.Conclusions: Regional culture plays an important part in end of life decision making. Differences relating to end of life decision making exist between regions and these differences can often be attributed to cultural factors. Such cultures not only affect patients and their families but also the health care workers who make and carry out such decisions. (shrink)

Researchers have documented the dominance of intensive mothering ideologies and their impact on mothers and their families. However, the effect of these ideologies on childless women has received little attention. I draw on interview data to examine the parenting ideologies of childless women with electively frozen eggs. I demonstrate that incorporation of and commitment to intensive mothering ideologies affect fertility decision making among these childless women. I find that concerns about the heavy burdens of intensive motherhood, coupled with unsupportive partners (...) and workplaces, produce ambivalence toward childbearing and a strategy of fertility postponement. I extend the literatures on intensive mothering, reproductive decision making, assisted reproductive technologies, and elective egg freezing by identifying egg freezing as an expression of the gendering of fertility risk and as a means of “doing security.” Participants view egg freezing as a means of managing risk in two primary ways: as a means of securing access to biogenetic motherhood by managing biological risks of infertility and fetal genetic abnormality, and as a means of enabling intensive parenting by managing temporal risks inherent in coordinating careers, relationships, and childbearing. (shrink)

Are there some newborn infants whose short- and long-term care costs are so great that treatment should not be provided and they should be allowed to die? Public discourse and academic debate about the ethics of newborn intensive care has often shied away from this question. There has been enough ink spilt over whether or when for the infant's sake it might be better not to provide life-saving treatment. The further question of not saving infants because of inadequate resources has (...) seemed too difficult, too controversial, or perhaps too outrageous to even consider. However, Roman Catholic ethicist Charles Camosy has recently challenged this, arguing that costs should be a primary consideration in decision-making in neonatal intensive care. In the first part of this paper I will outline and critique Camosy's central argument, which he calls the ‘social quality of life (sQOL)’ model. Although there are some conceptual problems with the way the argument is presented, even those who do not share Camosy's Catholic background have good reason to accept his key point that resources should be considered in intensive care treatment decisions for all patients. In the second part of the paper, I explore the ways in which we might identify which infants are too expensive to treat. I argue that both traditional personal ‘quality of life’ and Camosy's ‘sQOL’ should factor into these decisions, and I outline two practical proposals. (shrink)

Motor training to improve walking and balance function is a common aspect of rehabilitation following motor-incomplete spinal cord injury. Evidence suggests that moderate- to high-intensity exercise facilitates neuroplastic mechanisms that support motor skill acquisition and learning. Furthermore, enhancing corticospinal drive via transcranial direct current stimulation may augment the effects of motor training. In this pilot study, we investigated whether a brief moderate-intensity locomotor-related motor skill training circuit, with and without tDCS, improved walking and balance outcomes in persons with MISCI. In (...) addition, we examined potential differences between within-day and between-day effects of MST. Twenty-six adults with chronic MISCI, who had some walking ability, were enrolled in a 5-day double-blind, randomized study with a 3-day intervention period. Participants were assigned to an intensive locomotor MST circuit and concurrent application of either sham tDCS or active tDCS. The primary outcome was overground walking speed measured during the 10-meter walk test. Secondary outcomes included spatiotemporal gait characteristics, peak trailing limb angle, intralimb coordination, the Berg Balance Scale, and the Falls Efficacy Scale-International questionnaire. Analyses revealed a significant effect of the MST circuit, with improvements in walking speed, cadence, bilateral stride length, stronger limb TLA, weaker limb ACC, BBS, and FES-I observed in both the MST+tDCSsham and MST+tDCS groups. No differences in outcomes were observed between groups. Between-day change accounted for a greater percentage of the overall change in walking outcomes. In persons with MISCI, brief intensive MST involving a circuit of ballistic, cyclic locomotor-related skill activities improved walking outcomes, and selected strength and balance outcomes; however, concurrent application of tDCS did not further enhance the effects of MST.Clinical Trial Registration[ClinicalTrials.gov], identifier [NCT03237234]. (shrink)

When making end-of-life decisions in intensive care units (ICUs), different staff groups have different roles in the decision-making process and may not always assess the situation in the same way. The aim of this study was to examine the challenges Danish nurses, intensivists, and primary physicians experience with end-of-life decisions in ICUs and how these challenges affect the decision-making process. Interviews with nurses, intensivists, and primary physicians were conducted, and data is discussed from an ethical perspective. All three (...) groups found that the main challenges were associated with interdisciplinary collaboration and future perspectives for the patient. Most of these challenges were connected with ethical issues. The challenges included different assessments of treatment potential, changes and postponements of withholding and withdrawing therapy orders, how and when to identify patients’ wishes, and suffering caused by the treatment. To improve end-of-life decision-making in the ICU, these challenges need to be addressed by interdisciplinary teams. (shrink)

Embryogenesis involves biochemical patterning as well as mechanical morphogenetic movements, both regulated by the expression of the regulatory genes of development. The reciprocal interplay of morphogenetic movements with developmental gene expression is becoming an increasingly intense subject of investigation. The molecular processes through which differentiation patterning closely regulates the development of morphogenetic movements are today becoming well understood. Conversely, experimental evidence recently revealed the involvement of mechanical cues due to morphogenetic movements in activating mechano-transduction pathways that control both the differentiation (...) and the active morphogenesis of fundamental events in embryonic tissue development. Here I will first focus on the central role the shape of biological structures of the molecular and mesoscopic cell scales plays in mechano-transduction. Then, after a short description of the genetic regulation of the Drosophila embryo mesoderm invagination at gastrulation—one of the best-understood morphogenetic movement of embryogenesis—I will detail the processes of differentiation and of active morphogenesis of Drosophila embryo gastrulation, which require mechano-transduction. Finally, I will explore the putative consequences in evolution of these mechano-transduction events. I speculate that the first ancient multicellular organisms might have emerged from primary morphological and differentiation patterns induced by primitive mechano-sensation effects allowed by mechano-transduction in response to their physical environment, such as touch by gravity or water flows, which might have acted as primitive motor–sensorial systems, thus conditioning the emergence of our primary animal ancestors. (shrink)

Oxytocin (OT) is one of the most intensively researched neuropeptides during the three past decades. In benign social contexts, OT exerts a range of desirable socioemotional, stress-reducing, and immunoregulatory effects in mammals and humans and influences mammalian parenting. Consequentially, research in potential pharmacological applications of OT toward human social deficits/disorders and physical illness has increased substantially. Regrettably, the results from the administration of exogenous OT are still relatively inconclusive. Research in rodent maternal developmental programming has demonstrated the susceptibility of offspring (...) endogenous OT systems to maternal somatosensory stimulation, with consequences for behavioral, epigenetic, cognitive, and neurological outcomes. A translation of this animal research into practically feasible human parenting recommendations has yet to happen, despite the significant prevention potential implied by the maternal developmental programming research. Extended physical contact with full-term healthy infants in the months following birth (infant carrying) might constitute the human equivalent of those specific rodent maternal behaviors, found to positively influence emerging OT systems. Findings from both OT and maternal programming research parallel those found for infants exposed to such extended parental physical contact, whether through skin-to-skin contact or infant carrying. Clinical support of parents to engage in extended physical contact represents a feasible intervention to create optimum conditions for the development of infant OT systems, with potential beneficial long-term health effects. (shrink)

If the import of a book can be assessed by the problem it takes on, how that problem unfolds, and the extent of the problem’s fruitfulness for further exploration and experimentation, then Duffy has produced a text worthy of much close attention. Duffy constructs an encounter between Deleuze’s creation of a concept of difference in Difference and Repetition (DR) and Deleuze’s reading of Spinoza in Expressionism in Philosophy: Spinoza (EP). It is surprising that such an encounter has not already been (...) explored, at least not to this extent and in this much detail. Since the two works were written simultaneously, as Deleuze’s primary and secondary dissertations, it is to be expected that there is much to learn from their interaction. Duffy proceeds by explicating, in terms of the differential calculus, a logic of what Deleuze in DR calls different/ciation, and then maps this onto Deleuze’s account of modal expression in EP. (shrink)

According to epistemic two-dimensionalism, every expression is associated with two kinds of meaning: a primary intension (a “Fregean” component) and a secondary intension (a “Russellian” component). While the rst kind of meaning lines up with the speaker’s abilities to pick out referents of correctly employed expressions in hypothetical scenarios, the second kind of meaning is a version of what standard semanticists call “semantic content”—a kind of content which does not pivot on speaker abilities. Despite its conciliatory temperament, (...) epistemic two-dimensionalism has come under recent attack. It has been alleged that it is bound to attribute to speakers a priori identifying knowledge of the referents of correctly employed terms, and bound also to reject valid rules of inference such as exportation: P(a) → λx[P(x)](a) (see, e.g., Soames 2005. (shrink)

This paper develops and critiques the two-dimensionalist account of mental content developed by David Chalmers. I first explain Chalmers's account and show that it resists some popular criticisms. I then argue that the main interest of two-dimensionalism lies in its accounts of cognitive significance and of the connection between conceivability and possibility. These accounts hinge on the claim that some thoughts have a primary intension that is necessarily true. In this respect, they are Carnapian, and subject to broadly (...) Quinean attack. The remainder of the paper advances such an attack. I argue that there are possible thinkers who are willing to revise their beliefs in response to expert testimony, and that such thinkers will have no thoughts with necessary primary intensions. I even suggest that many actual humans may well be such thinkers. I go on to argue that these possible thinkers show that the two-dimensionalist accounts fail. (shrink)

Robert Stalnaker contrasts two interpretations, semantic and metasemantic, of the two-dimensionalist framework. On the semantic interpretation, the primary intension or diagonal proposition associated with an utterance is a semantic value that the utterance has in virtue of the actual linguistic meaning of the corresponding sentence, and that primary intension is both what a competent speaker grasps and what determines different secondary intensions or horizontal propositions relative to different possible worlds considered as actual. The metasemantic interpretation reverses (...) the order of explanation: an utterance has the primary intension it has because it yields the secondary intensions it yields relative to different possible worlds considered as actual. In these possible worlds, the semantic facts can be different: the metasemantic interpretation is metasemantic in the sense that the secondary intensions are determined relative to possible worlds considered as actual given the meanings the expressions have there. Stalnaker holds a causal picture of the reference of names, according to which names have no meaning over and above their unique referent, and therefore maintains that the semantic interpretation is not an option. He thus endorses the metasemantic interpretation, while insisting that this interpretation does not, contrary to what he originally thought, yield any account of a priori truth and knowledge. My double aim in this paper is to show (i) that the metasemantic interpretation, as sketched by Stalnaker, is not compatible with one natural understanding of the causal picture of reference, on which names are rigid because they have their original bearers essentially , and (ii) that a third kind of interpretation of the framework is available, the metasyntactic interpretation, which grants that names have their bearers essentially and yields some account of a priori knowledge. (shrink)

It has long been known that the popular account of egocentric thoughts developed by David Lewis is in conflict with a natural account of communication, according to which successful communication requires the transmission of a thought content from speaker to hearer. In this paper, I discuss a number of proposed attempts to reconcile these two accounts of egocentric thought and communication. Each of them postulates two kinds of mental content, where one is egocentric, and the other is transmitted from speaker (...) to hearer in communication. I argue that Ninan’s account, which involves multi-centered contents, and Kölbel’s and Moss’s accounts, which postulate centered and uncentered proxy contents, respectively, are unsatisfactory. Therefore, I propose a two-dimensionalist account, according to which egocentric thoughts are represented by primary intensions, while the thoughts shared by speaker and hearer in cases of successful communication are represented by secondary intensions. Finally, I argue that aside from being able to reconcile Lewis’s account of egocentric thoughts with the natural account of communication, two-dimensionalism also provides the means for modeling agreement and disagreement. (shrink)

Kripke and Putnam have convinced most philosophers that we cannot do metaphysics of nature by analysing the senses of natural kind terms -- simply because natural kind terms do not have senses. Neo-descriptivists, especially Frank Jackson and David Chalmers, believe that this view is mistaken. Merging classical descriptivism with a Kaplan-inspired two-dimensional framework, neo-descriptivists devise a semantics for natural kind terms that assigns natural kind terms so-called 'primary intensions'. Since primary intensions are senses by other names, Jackson and (...) Chalmers conclude that we can and should do metaphysics of nature by analysing the natural kind concepts competent speakers possess. I argue that neo-descriptivism does not provide a suitable basis for doing this kind of metaphysics. I first of all give a detailed account of the neo-descriptivist semantics and deflate the intuitive support neo-descriptivists try to draw from their case of the XYZ-world. I then present three arguments -- the Argument from Ignorance, the Argument from Conceptual Analysis, and the Argument from Laziness. Taken together, these arguments undermine the neo-descriptivist analysis of natural kind terms. I conclude that natural kind terms do not have senses, that we cannot do metaphysics of nature by analysing the senses of our kind terms, and that the Kripke-Putnam account still provides the best semantics for natural kind terms we have. (shrink)

In this paper I challenge the core of David Chalmers' argument against materialism-the claim that "there is a logically possible world physically identical to ours, in which the positive facts about consciousness do not hold." First, I analyze the move from conceivability to logical possibility. Following George Seddon, I consider the case of a floating iron bar and argue that even this seemingly conceivable event has implicit logical contradictions in its description. I then show that the distinctions Chalmers employs between (...) primary and secondary intensions, and a priori and a posteriori entailment, break down upon close examination-with iron bars and with consciousness it is impossible to know where primary intensions end and secondary intensions begin. I extend this analysis of logical possibility to the famous zombie thought experiment and conclude not that a zombie world is logically impossible, but rather that, at present, the question is open. Finally, I show how a similar line of argument may be used to undermine the "Mary the color scientist" thought experiment as well. (shrink)

Michael Huemer argues, on statistical grounds, that ``existence is evidence for immortality". On reasoning derived from the anthropic principle, however, mere existence cannot be evidence against any non-indexical, ``eternal'' hypothesis that predicts observers. This note attempts to advertise the much-flouted anthropic principle's virtues and workings in a new way, namely by calling attention to the fact that it is the primary intension of one's indexically-described evidence that best characterizes one's epistemic position.

This paper aims to show that David Chalmers' conceivability argument against physicalism, as presented in his 1996 book, The Conscious Mind, is inconclusive. The key point is that, while the argument seems to assume that someone competent with a given concept thereby has access to the primary intension of the concept, there are physicalist-friendly views of conceptual competence which imply that this assumption is not true.

Anti-materialist thought experiments as, e.g., zombie arguments, have posed some of the most vexing problems for materialist accounts of phenomenal consciousness. I doubt, however, that arguments of this kind can refute the core thesis of materialism. Although I do not question that there is something very special about an adequate explanation of phenomenal consciousness, and although I accept the epistemic irreducibility of phenomenal consciousness, I deny that modal arguments reach far enough to establish essentialism about consciousness. I will draw upon (...) a relativistic conception of modal space and suggest to strictly separate between varieties of metaphysical possibility - depending on which world is considered as actual, and depending on accessibility relations. It is shown that the modal argument cannot endanger the reductive explanation of the mind-brain relation if one distinguishes carefully between possibility according to primary intensions and possibility according to secondary intensions . Modal arguments are strong enough to make an epistemological point but not an ontological one. (shrink)

Materialism is the view according to which a zombie world is metaphysically impossible. Assuming that zombies are conceivable in the sense that we cannot rule out a priori that our world is a zombie world, materialists must hold that a zombie world is metaphysically impossible despite being conceivable. There are no good reasons to think that this view (type-B materialism) is false, since there are no good reasons to think that the corresponding phenomenal and physical/functional concepts cannot be distinct concepts (...) of the same thing. Nonetheless, we cannot understand how type-B materialism can be true. We cannot understand this, because we cannot in principle explain how a zombie world could be impossible despite being conceivable. (shrink)

The primary objective was to review pediatric ethics consultations at a large academic health center over a nine year period, assessing demographics, ethical issues, and consultant intervention. The secondary objective was to describe the evolution of PECs at our institution. This was a retrospective review of Consultation Summary Sheets compiled for PECs at our Academic Health Center between January 2008 and April 2017. There were 165 PECs reviewed during the study period. Most consult requests came from the inpatient setting, (...) with the Pediatric and Neonatal Intensive Care Units being the highest utilizers. Consultation utilization increased over the study period. The most common patient age was less than one year. Physicians were most likely to request consultation. Patient Best Interest, Withholding/Withdrawing of Life Sustaining Therapy, and Provider Moral Distress were ethical issues most commonly identified by the consultants. Making recommendations was the most common consultant intervention. The ethics consultation process evolved over time from informal provider discussions, to a hospital infant care review committee, to a pediatric only consultation service, to a combined adult/pediatric consultation service, with variable levels of salary support for consultants. Ethics consultation requests are growing at our institution. Similarities in identified ethical issues exist between our findings and existing literature, however meaningful comparisons remains elusive secondary to variability in approaches to investigation and reporting. A combined paid/volunteer/trainee ethics consultation service model appears sustainable and real time ethics consultation is feasible using this approach. (shrink)

Definition of the problemHealth Apps are becoming increasingly important for a preventive and responsible orientation of the health system. Currently, most of these digital health applications (DiGA) are based on so-called self-tracking technologies which record physiological and psychological data via sensors, usually combined with personalized everyday information. In the last few years, these digital developments have launched an intense and clearly polarized debate about the opportunities and dangers of self-tracking in healthcare.ArgumentsAfter a brief overview of medical self-tracking, this essay wants (...) to systematize and check the polarized discourse on the basis of its decisive individual and social potentials. It turns out that self-measurement techniques have long been an integral part of medical practice in diagnostics and therapy.ConclusionThe area of tension between individual empowerment and potential loss of control by the users will be emphasized as being especially important for the implementation of health Apps in primary health care. Finally, possible implications for the current design of the new German Digital Care Law (Digitale-Versorgung-Gesetz) are shown and some existing “blind spots” are highlighted. (shrink)

Chalmers’s two-dimensional argument against materialism (aka the zombie argument) is arguably the most ingenious attempt to ground a view about fundamental reality on epistemic considerations. From the conceivability of a being that is physically identical to a conscious being but that is deprived of phenomenal consciousness (a zombie), the argument draws on the interplay of the primary and the second intensions of the zombie hypothesis to infer the metaphysical possibility of a zombie world, and thus the falsity of physicalism (...) about phenomenality. By means of a detailed reconstruction of the two-dimensional argument, the paper tries to isolate its most central assumption: that the role played by an epistemic scenario (an intentional object) in the verification of the zombie hypothesis is played by a nonintentionally individuated metaphysical world (the zombie world) considered as actual. The paper argues that no non-viciously circular case for this assumption has been made. Thus, the two-dimensional argument is at best inconclusive. (shrink)

What is the concept of sense developed by Deleuze in his 1969 Logic of Sense? This paper attempts to answer this question analysing the three dimensions of language that Deleuze isolates: the primary order of noises and intensities ; the secondary order of sense ; and the tertiary organisation of propositions. What renders language possible is that which separates sounds from bodies and organises them into propositions, freeing them for the expressive function. Deleuze argues that it is the dimension (...) of sense that brings about this genesis of language, and he analyses in detail the three syntheses that bring about the production of this surface of sense. Yet Deleuze also distinguishes between two types of non-sense: the nonsense of Lewis Carroll's portmanteau words, which remain ensconced in the dimension of sense, and the more profound nonsense of Antonin Artaud's psychotic scream-breaths, which penetrate the almost unbearable world of the primary order of noise and intensities. In the end, the focus of Logic of Sense is less the surface domain of sense than the primary depth of corporeal intensities. What Deleuze calls a ‘minor’ use of language is nothing other than an intensive use of language that constitutes a principle of metamorphosis. (shrink)

The central question in contemporary ethics is whether virtue can replace duty as the primary notion in ethical theory. The subject of intense contemporary debate in ethical theory, virtue ethics is currently enjoying an increase in interest. This is the first book to focus directly on the subject. It provides a clear, systematic introduction to the area and houses under one cover a collection of the central articles published on the debate over the past decade. The essays encompass a (...) wide range ofaspects: the difference between virtue ethics and traditional duty ethics; present arguments for and against virtue ethics; the practical implications of virtue ethics and the Aristotelian and Kantian attitudes to virtue ethics. (shrink)

This article presents evidence that individual words and phrases can contribute multiple independent pieces of meaning simultaneously. Such multidimensionality is a unifying theme of the literature on conventional implicatures and expressives. I use phenomena from discourse, semantic composition, and morphosyntax to detect and explore various dimensions of meaning. I also argue that, while the meanings involved are semantically independent, they interact pragmatically to reduce underspecification and fuel pragmatic enrichment. In this article, the central case studies are appositives like Falk, the (...) CEO, and the taboo intensive damn, though discourse particles and connectives like but, even, and still play supporting roles. The primary evidence, both quantitative and qualitative, is drawn from large interview and product-review corpora, which harbor a wealth of information about the importance of these items to discourse. (shrink)

For the past three decades there has been a substantial amount of scientific evidence supporting the view that attention is necessary and sufficient for perceptual representations to become conscious (i.e., for there to be something that it is like to experience a representational perceptual state). This view, however, has been recently questioned on the basis of some alleged counterevidence. In this paper we survey some of the most important recent findings. In doing so, we have two primary goals. The (...) first is descriptive: we provide a literature review for those seeking an understanding of the present debate. The second is editorial: we suggest that the evidence alleging dissociations between consciousness and attention is not decisive. Thus, this is an opinionated overview of the debate. By presenting our assessment, we hope to bring out both sides in the debate and to underscore that the issues here remain matters of intense controversy and ongoing investigation. (shrink)

One of the primary and most consequential properties of consciousness is that it is absolutely isolated. One’s consciousness cannot be shared by anyone else. Self- consciousness about this condition can give rise to a debilitating sense of loneliness. One important task of culture is to manage this sense of loneliness, to defer and diminish it. Religion supplies ideas that function in this way. Literature supplies imaginative experiences to the same ends. After introducing the general topic through a literary example, (...) the paper takes up the problem of other minds and solipsism, considering aspects of the issue treated by Wittgenstein, Moore, Heidegger and Descartes. The possibility of solipsism both demonstrates and results from the unbridgeable isolation of consciousness. The second section turns to the mind/body relation. It argues that intentionality is irreducible to a purely physical explanatory account. This is not because the mind is a brain-like entity that interacts with the body. Rather, it is because any physical explanatory account presupposes an observer or speaker outside the system being observed or described. The irreducibility of that observer is, so to speak, the flip side of solipsism. The unobserved observer is, precisely, each one of us. Each of us is removed in just this way from the world he/she is perceiving and addressing hence, our isolation. The third section turns to the varieties of loneliness here called ‘longing’, ‘grief’ and ‘despair’ relating these to the inevitability of death, primarily the death of others. The fourth part takes up the feeling that makes loneliness intense, love. It goes on to consider the thematization of loneliness in the most common narrative structure cross- culturally, romantic tragi-comedy. The concluding sections examine the ways in which religion and literature serve not only to represent loneliness, but, what is more important, to inhibit or manage it. (shrink)

Πόλεμος πάντων μὲν πατήρ ἐστι War is the father of all. New : Publication of my book : Histoire du libéralisme in Editions Ellipses, on Fnac or Amazon.1) HERACLITUS : 139 Fragments.a) Heraclitus (PDF) Original Greek text : Diels; English translation : John Burnet (1912), French translation of the English translation (1919), in PDFb) Heraclitus (unicode) : Parallel version or Interlinear version (Work in Progress) Original Greek text : Diels; English translation : John Burnet (1912), French translation of the English (...) translation (1919)c) Heraclitus : Original greek text : original pages of Hermann Diels edition (1912)2) The Encyclopædia Britannica Eleventh Edition (1910–1911) : HERACLITUS (Ἡράκλειτος; c. 540-475 B.C.), Greek philosopher, was born at Ephesus of distinguished parentage. Of his early life and education we know nothing; from the contempt with which he spoke of all his fellow-philosophers and of his fellow-citizens as a whole we may gather that he regarded himself as self-taught and a pioneer of wisdom. So intensely aristocratic (hence his nickname ὀχλολοίδορος, "he who rails at the people") was his temperament that he declined to exercise the regal-hieratic office of βασιλεύς which was hereditary in his family, and presented it to his brother. It is probable, however, that he did occasionally intervene in the affairs of the city at the period when the rule of Persia had given place to autonomy; it is said that he compelled the usurper Melancomas to abdicate. From the lonely life he led, and still more from the extreme profundity of his philosophy and his contempt for mankind in general, he was called the "Dark Philosopher" (ὁ σκοτεινός), or the "Weeping Philosopher," in contrast to Democritus, the "Laughing Philosopher." κακοὶ μάρτυρες Heraclitus is in a real sense the founder of metaphysics. Starting from the physical standpoint of the Ionian physicists, he accepted their general idea of the unity of nature, but entirely denied their theory of being. The fundamental uniform fact in nature is constant change (πάντα χωρεῖ καὶ οὐδὲν μένει); everything both is and is not at the same time. He thus arrives at the principle of Relativity; harmony and unity consist in diversity and multiplicity. The senses are "bad witnesses" (κακοὶ μάρτυρες); only the wise man can obtain knowledge. To appreciate the significance of the doctrines of Heraclitus, it must be borne in mind that to Greek philosophy the sharp distinction between subject and object which pervades modern thought was foreign, a consideration which suggests the conclusion that, while it is a great mistake to reckon Heraclitus with the materialistic cosmologists of the Ionic schools, it is, on the other hand, going too far to treat his theory, with Hegel and Lassalle, as one of pure Panlogism. Accordingly, when he denies the reality of Being, and declares Becoming, or eternal flux and change, to be the sole actuality, Heraclitus must be understood to enunciate not only the unreality of the abstract notion of being, except as the correlative of that of not-being, but also the physical doctrine that all phenomena are in a state of continuous transition from non-existence to existence, and vice versa, without either distinguishing these propositions or qualifying them by any reference to the relation of thought to experience. " Every thing is and is not'"; all things are, and nothing remains. So far he is in general agreement with Anaximander (q.v.), but he differs from him in the solution of the problem, disliking, as a poet and a mystic, the primary matter which satisfied the patient researcher, and demanding a more vivid and picturesque element. Naturally he selects fire, according to him the most complete embodiment of the process of Becoming, as the principle of empirical existence, out of which all things, including even the soul, grow by way of a quasi condensation, and into which all things must in course of time be again resolved. But this primordial fire is in itself that divine rational process, the harmony of which constitutes the law of the universe (see LOGOS). Real knowledge consists in comprehending this all-pervading harmony as embodied in the manifold of perception, and the senses are "bad-witnesses," because they apprehend phenomena, not as its manifestation, but as "stiff and dead." In like manner real virtue consists in the subordination of the individual to the laws of this harmony as the universal reason wherein alone true freedom is to be found." The law of things is a law of Reason Universal (λόγος), but most men live as though they had a wisdom of their own." Ethics here stands to sociology in a close relation, similar, in many respects, to that which we find in Hegel and in Comte. For Heraclitus the soul approaches most nearly to perfection when it is most akin to the fiery vapour out of which it was originally created, and as this is most so in death, " while we live our souls are dead in us, but when we die our souls are restored to life." The doctrine of immortality comes prominently forward in his ethics, but whether this must not be reckoned with the figurative accommodation to the popular theology of Greece which pervades his ethical teaching, is very doubtful. The school of disciples founded by Heraclitus flourished for long after his death, the chief exponent of his teaching being Cratylus. A good deal of the information in regard to his doctrines has been gathered from the later Greek philosophy, which was deeply influenced by it. BIBLIOGRAPHY.—The only authentic extant work of Heraclitus is the περὶ φύσεως. The best edition (containing also the probably spurious Ἐπιστολαί) is that of I. Bywater, Heracliti Ephesii reliquiae (Oxford, 1877); of the epistles alone by A. Westermann (Leipzig, 1857). See also in A. H. Ritter and L. Preller's Historia philosophiae Graecae (8th ed. by E. Wellmann, 1898); F. W. A. Mullach, Fragm. philos. Graec. (Paris, 1860); A. Fairbanks, The First Philosophers of Greece (1898); H. Diels, Heraklit von Ephesus (2nd ed., 1909), Greek and German. English translation of By water's edition with introduction by G. T. W. Patrick (Baltimore, 1889). For criticism see, in addition to the histories of philosophy, F. Lassalle, Die Philosophie Herakleitos' des Dunklen (Berlin, 1858; 2nd ed., 1892), which, however, is too strongly dominated by modern Hegelianism; Paul Schuster, Heraklit von Ephesus (Leipzig, 1873); J. Bernays, Die heraklitischen Briefe (Berlin, 1869); T. Gomperz, Zu Heraclits Lehre und den Uberresten seines Werkes (Vienna, 1887), and in his Greek Thinkers (English translation, L. Magnus, vol. i. 1901); J. Burnet, Early Greek Philosophy (1892); A. Patin, Heraklits Einheitslehre (Leipzig, 1886); E. Pfleiderer, Die Philosophie des Heraklit us von Ephesus im Lichte der Mysterienidee (Berlin, 1886); G. T. Schäfer, Die Philosophie des Heraklit von Ephesus und die moderne Heraklilforschung (Leipzig, 1902); Wolfgang Schultz, Studien zur antiken Kultur, i.; Pythagoras und Heraklit (Leipzig, 1905); O. Spengler, Heraklit. Eine Studie ilber den energetischen Grundgedanken seiner Philosophie (Halle, 1904); A. Brieger, "Die Grundzüge der heraklitischen Physik " in Hermes, xxxix. (1904) 182-223, and "Heraklit der Dunkle" in Neue Jahrb. f. das klass. Altertum (1904), p. 687. For his place in the development of early philosophy see also articles IONIAN SCHOOL OF PHILOSOPHY and LOGOS. Ancient authorities: Diog. Laert. ix.; Sext. Empiric, Adv. mathem. vii. 126, 127, 133; Plato, Cratylus, 402 A and Theaetetus, 152 E; Plutarch, Isis and Osiris, 45, 48; Arist. Nic. Eth. vii. 3, 4; Clement of Alexandria, Stromata, v. 599, 603 (ed. Paris). (J. M. M.) Copyright. (shrink)

In this groundbreaking work, Christa Davis Acampora offers a profound rethinking of Friedrich Nietzsche’s crucial notion of the agon. Analyzing an impressive array of primary and secondary sources and synthesizing decades of Nietzsche scholarship, she shows how the agon, or contest, organized core areas of Nietzsche’s philosophy, providing a new appreciation of the subtleties of his notorious views about power. By focusing so intensely on this particular guiding interest, she offers an exciting, original vantage from which to view this (...) iconic thinker: Contesting Nietzsche. Though existence—viewed through the lens of Nietzsche’s agon—is fraught with struggle, Acampora illuminates what Nietzsche recognized as the agon’s generative benefits. It imbues the human experience with significance, meaning, and value. Analyzing Nietzsche’s elaborations of agonism—his remarks on types of contests, qualities of contestants, and the conditions in which either may thrive or deteriorate—she demonstrates how much the agon shaped his philosophical projects and critical assessments of others. The agon led him from one set of concerns to the next, from aesthetics to metaphysics to ethics to psychology, via Homer, Socrates, Saint Paul, and Wagner. In showing how one obsession catalyzed so many diverse interests, Contesting Nietzsche sheds fundamentally new light on some of this philosopher’s most difficult and paradoxical ideas. (shrink)

ABSTRACT Ever since an intense theoretical debate over a decade ago, the concept of heterogeneity has had a well-established place within poststructuralist Discourse Theory. It captures the interactions between the heart of the space of representation and its margins, between excluded excess and manifest presence; and conceptualizes particularities, differential remainders, and discursive exteriority. The analytical implications of heterogeneity remain underexploited, however. This contribution makes the case that one way to operationalize the notion of heterogeneity in empirical research is by tracing (...) its strategic effects. Since heterogeneity constitutes ‘the primary terrain within which homogeneizing logics operate’, heterogeneous dynamics like the ‘incorporation of new demands’ and ‘the exclusion of others who were previously present’ affect and shape the availability and feasibility of political strategies. This contribution first provides an extensive definition of heterogeneity drawing on the original debate that gave the concept prominence. An approach that captures and explains the strategic effects of heterogeneity is then developed through the integration of heterogeneity into the logics framework. Finally, this approach is illustrated through an exploration of the politics of international trade. (shrink)