In this paper I develop an argument against a type of Non-Analytic Normative Naturalism. This argument, the Normative Property Dualism Argument, suggests that, if Non-Analytic Normative Naturalists posit that normative properties are identical to natural properties and that such identities are a posteriori, they will be forced to posit that these properties which are both normative and natural have higher-order normative properties of their own.

Moral metasemantic theories explain how our moral thought and talk are about certain properties. Given the connection between what our moral terms are about and which moral claims are true, it might be thought that metasemantic theorising can justify first-order ethical conclusions, thus providing a novel way of doing moral epistemology. In this paper, we spell out one kind of argument from metasemantic theories to normative ethical conclusions, and argue that it fails to transmit justification from premises to conclusion. We (...) give three reasons for this transmission failure, which together pose a serious challenge to such metasemantic arguments. (shrink)

In this paper I argue against Analytic Normative Naturalism by suggesting that the view cannot capture the way that normative concepts figure in advice. To establish this conclusion, I identify several links between normative concepts and advice and argue that, if Analytic Normative Naturalism were true, these links would not obtain.

Jesse Prinz argues that recent work in philosophy, neuroscience, and anthropology supports two radical hypotheses about the nature of morality: moral values are based on emotional responses, and these emotional responses are inculcated by culture, not hard-wired through natural selection. In the first half of the book, Jesse Prinz defends the hypothesis that morality has an emotional foundation. Evidence from brain imaging, social psychology, and psychopathology suggest that, when we judge something to be right or wrong, we are (...) merely expressing our emotions. Prinz argues that these emotions do not track objective features of reality; rather, the rightness and wrongness of an act consists in the fact that people are disposed to have certain emotions towards it. In the second half of the book, he turns to a defense of moral relativism. Moral facts depend on emotional responses, and emotional responses vary from culture to culture. Prinz surveys the anthropological record to establish moral variation, and he draws on cultural history to show how attitudes toward practices such as cannibalism and marriage change over time. He also criticizes evidence from animal behavior and child development that has been taken to support the claim that moral attitudes are hard-wired by natural selection. Prinz concludes that there is no single true morality, but he also argues that some moral values are better than others; moral progress is possible. Throughout the book, Prinz relates his views to contemporary and historical work in philosophical ethics. His views echo themes in the writings of David Hume and Friedrich Nietzsche, but Prinz supports, extends, and revises these classic theories using the resources of cutting-edge cognitive science. The Emotional Construction of Morals will stimulate and challenge anyone who is curious about the nature and origin of moral values. (shrink)

Laplacean determinism remains a popular theory among philosophers and scientists alike, in spite of the fact that the Copenhagen Interpretation of quantum mechanics, with which it is inconsistent, has been around for more than fifty years. There are a number of reasons for its continuing popularity. One, recently articulated by Honderich, is that there are too many possible interpretations of quantum mechanics, and the subject is too controversial even among physicists to be an adequate basis for overturning determinism. Nevertheless, quantum (...) mechanics is an enormously successful theory, considering the quantity and variety of its predictions which have been verified under conditions never dreamt of by its originators; and the Copenhagen Interpretation is the only widely accepted interpretation of it. Although a hidden variable theory consistent with the results of quantum mechanics is not impossible, one of its major advocates admits that it is highly speculative, and far from adequately developed. Yet such a theory would be needed to reconcile Laplacean determinism with quantum mechanics; most of the controversies alluded to by Honderich are irrelevant. (shrink)

There seems to be a large gulf between percepts and concepts. In particular, con- cepts seem to be capable of representing things that percepts cannot. We can conceive of things that would be impossible to perceive. (The converse may also seem true, but I will leave that to one side.) In one respect, this is trivially right. We can conceive of things that we cannot encounter, such as unicorns. We cannot literally perceive unicorns, even if we occasionally.

Writers in the propositions literature consider the Benacerraf objection serious, often decisive. The objection figures heavily in dismissing standard theories of propositions of the past, notably set-theoretic theories. I argue that the situation is more complicated. After explicating the propositional Benacerraf problem, I focus on a classic set-theoretic theory of propositions, the possible worlds theory, and argue that methodological considerations influence the objection’s success.

The moral domain is broader than the empathy and justice concerns assessed by existing measures of moral competence, and it is not just a subset of the values assessed by value inventories. To fill the need for reliable and theoretically grounded measurement of the full range of moral concerns, we developed the Moral Foundations Questionnaire on the basis of a theoretical model of 5 universally available sets of moral intuitions: Harm/Care, Fairness/Reciprocity, Ingroup/Loyalty, Authority/Respect, and Purity/Sanctity. We present evidence for the (...) internal and external validity of the scale and the model, and in doing so we present new findings about morality: Comparative model fitting of confirmatory factor analyses provides empirical justification for a 5-factor structure of moral concerns; convergent/discriminant validity evidence suggests that moral concerns predict personality features and social group attitudes not previously considered morally relevant; and we establish pragmatic validity of the measure in providing new knowledge and research opportunities concerning demographic and cultural differences in moral intuitions. These analyses provide evidence for the usefulness of Moral Foundations Theory in simultaneously increasing the scope and sharpening the resolution of psychological views of morality. (shrink)

Dependencies are identified in two recently proposed first-order axiom systems for plane hyperbolic geometry. Since the dependencies do not specifically concern hyperbolic geometry, our results yield two simpler axiom systems for absolute geometry.

Actin plays several essential roles in cellular processes and is a vital component in the contractile apparatus. To accomplish its many cellular tasks, actin must interact with a wide range of other proteins in addition to self‐assembling into filaments. Characterization of these functional domains and localized binding regions on the actin monomer is therefore an important undertaking. Strategies for elucidating the many interaction sites include X‐ray diffraction, NMR and fluorescence spectroscopy, chemical modification, chemical cross‐linking, protein cleavage, and the study of (...) sequence homologies between the many isotypes of actin. Based on these varied data, we discuss the possible spatial relationships between the interaction sites. (shrink)

There seem to be two kinds of emotion the rists in the world. Some work very hard to show that emotions are essentially cognitive states. Others resist this suggestion and insist that emotions are noncognitive. The debate has appeared in many forms in philosophy and psychology. It never seems to go away. The reason for this is simple. Emotions have properties that push in both directions, properties that make them seem quite smart and properties that make them seem quite dumb. (...) They exemplify the base impulses of our animal nature while simultaneously branching out into the most human and humane reaches of our mental repertoires. Depending on where one looks, emotions can emerge as our simplest instincts or our subtlest achievements. This double nature makes emotions captivating, but also confounding. Researchers find themselves picking one side at the expense of the other, or packaging seemingly disparate components into unstable unions. I will defend a more integrative approach. For a more thorough treatment, see Prinz (forthcoming). (shrink)

An adequate linguistic theory of slurs must address three major aspects of their meaning: descriptive, evaluative and expressive. Slurs denote specific groups, they are used to convey speakers’ evaluative attitudes, and some have a very strong emotional impact. In this paper, I argue that a variety of mechanisms are required to account for this range of properties. Semantically, slurs simply denote the groups that they target. Pragmatically, speakers use slurs to show, in the Relevance-Theoretic sense, that they share a negative (...) attitude towards the targeted group. However, this does not yet explain the capacity of certain ‘toxic’ slurs to express strong emotions of the speaker and to elicit a strong emotional reaction in hearers. In order to account for this psychological impact, I posit that, like curse words, slurs undergo distinct neurolinguistic processing that links them directly to emotional centers in the brain. (shrink)

The inductive argument from the falsity of most past scientific theories (more than 100 years old) to the falsity of most present ones is defensible, I argue, if it is modified to account for the degrees of theoreticity or observationality in such theories, and the extent to which they are hedged. The case of descriptive astronomy is examined to show that most of the true theories of the 1890s were high in observationality and/or significantly hedged. The false theories of that (...) period, however, were not even approximately true. Apparently, scientists are more interested in supplanting theories with improved observations than in producing true theories. (shrink)

This paper investigates force shift, a phenomenon in which the canonical discourse conventions, or force, associated with a clause type can be overridden to yield polar questions with the help of additional force-indicating devices. Previous studies attribute force shift to the presence of a complex question force component operating on semantic content. Based on utterance particles and particle clusters in Cantonese, we analyze force shift as resulting from compositional operations on force-bearing expressions. We propose that a simplex force, such as (...) assertion or question, denotes unanchored sentence acts, while a force-shifting particle like Cantonese _ho2_ is an anchoring function anchoring a sentence act to the speaker while querying whether or not the addressee can perform the sentence act. The proposed semantics makes predictions about _ho2_’s interactions with addressee-changing operations and imperatives, as well as about a larger family of force shift phenomena. (shrink)

There are two major perspectives on the origin of emotions. According to one, emotions are the products of natural selection. They are evolved adaptations, best understood using the explanatory tools of evolutionary psychology. According to the other, emotions are socially constructed, and they vary across cultural boundaries. There is evidence supporting both perspectives. In light of this, some have argued both approaches are right. The standard strategy for compromise is to say that some emotions are evolved and others are constructed. (...) The evolved emotions are sometimes given the label “basic,” and there is considerable agreement about a handful of emotions in this category. My goal here is to challenge all of these perspectives. I don’t think we should adopt a globally evolutionary approach, nor indulge the radical view that emotions derive entirely from us. I am equally dissatisfied with approaches that attempt to please Darwinians and constructivists by dividing emotions into two separate classes. I will defend another kind of ecumenicalism. Every emotion that we have a name for is the product of both nature and nurture. Emotions are evolved and constructed. The dichotomy between the two approaches cannot be maintained. This thesis will require making some claims that would be regarded as surprising to many emotion researchers. First, while there is a difference between basic emotions and nonbasic emotions, it is not a structural difference. All emotions are fundamentally alike. Second, the standard list of basic emotions, though by many to be universal across cultures, are not basic after all. We don’t have names for the basic emotions. All emotions that we talk about are culturally informed. And finally, this concession to constructivism does not imply that emotions are cognitive in any sense. Emotions are perceptual and embodied. They are gut reactions, and they are not unique to our species.. (shrink)

Fodor's theory makes thinking prior to doing. It allows for an inactive agent or pure reflector, and for agents whose actions in various ways seem to float free of their own conceptual repertoires. We show that naturally evolved creatures are not like that. In the real world, thinking is always and everywhere about doing. The point of having a brain is to guide the actions of embodied beings in a complex material world. Some of those actions are, to be sure, (...) more recondite than others. But in every case the contents of thoughts still look to depend, in some non‐unique but vitally important way, on the kinds of doings they support. (shrink)

Chalmers (Mind 120(479): 587–636, 2011a) presents an argument against “referentialism” (and for his own view) that employs Bayesianism. He aims to make progress in a debate over the objects of belief, which seems to be at a standstill between referentialists and non-referentialists. Chalmers’ argument, in sketch, is that Bayesianism is incompatible with referentialism, and natural attempts to salvage the theory, Chalmers contends, requires giving up referentialism. Given the power and success of Bayesianism, the incompatibility is prima facie evidence against referentialism. (...) In this paper, I review Chalmers’ arguments and give some responses on behalf of the referentialist. (shrink)

It is sometimes said by legal scholars that ‘hard cases make bad law’, by which they mean an extreme case provides a poor lens through which to view general laws. It can be said in retort that ‘bad laws make hard cases’; implying that the case may be a controversial one only because the general laws that govern it are poorly formulated. The same tension may be found in medical ethics. Perhaps extreme cases provide a poor lens through which to (...) view general ethical standards, or perhaps the case is controversial by virtue of the prevailing ethical standards being poorly formulated. It becomes important to consider whether a case is controversial or extreme. At first blush, the case of ‘Mrs A’—outlined in this edition by Miller et al 1—is both. The article by Miller et al raises a series of ethical questions concerning Advanced Euthanasia Directives and highlights weaknesses in the Dutch regulatory procedures. Also included in this edition are responses to the Miller et al article, by Menzel2 and Jongsma et al.3 These responses challenge some of implications that Miller et al seek to draw from the case. Miller et al have also replied to Jongsma et al in this edition.4 While the Miller et al article provides a detailed account of the formulation …. (shrink)

Aesthetics is a normative domain. We evaluate artworks as better or worse, good or bad, great or grim. I will refer to a positive appraisal of an artwork as an aesthetic appreciation of that work, and I refer to a negative appraisal as aesthetic depreciation. (I will often drop the word “aesthetic.”) There has been considerable amount of work on what makes an artwork worthy of appreciation, and less, it seems, on the nature of appreciation itself. These two topics are (...) related, of course, because they nature of appreciation may bear on what things are worthy of that response, or at least on what things are likely to elicit it. So I will have some things to say about the latter. But I want to focus in this discussion on appreciation itself. When we praise a work of art, when we say it has aesthetic value, what does our praise consist in? This is a question about aesthetic psychology. I am interested in what kind of mental state appreciation is. What kind of state are we expressing when we say a work of art is “good”? This question has parallels in other areas of value theory. In ethics, most notably, there has been much attention lavished on the question of what people express when they refer to an action as “morally good.” One popular class of theories, associated with the British moralists and their followers, posits a link between moral valuation and emotion. To call an act morally good is to express an emotion toward that act. I think this approach to morality is right on target (Prinz, 2007). Here I want to argue that an emotional account of aesthetic valuation is equally promising. There are important differences between the two domains, but both have an affective foundation. I suspect that valuing of all kinds involves the emotions. Here I will inquire into the role of emotions in aesthetic valuing. I will not claim that artworks express emotions or even that they necessarily evoke emotions.. (shrink)

Gut Reactions is an interdisciplinary defense of the claim that emotions are perceptions of changes in the body.

There seem to be two kinds of emotion the rists in the world. Some work very hard to show that emotions are essentially cognitive states. Others resist this suggestion and insist that emotions are noncognitive. The debate has appeared in many forms in philosophy and psychology. It never seems to go away. The reason for this is simple. Emotions have properties that push in both directions, properties that make them seem quite smart and properties that make them seem quite dumb. (...) They exemplify the base impulses of our animal nature while simultaneously branching out into the most human and humane reaches of our mental repertoires. Depending on where one looks, emotions can emerge as our simplest instincts or our subtlest achievements. This double nature makes emotions captivating, but also confounding. Researchers find themselves picking one side at the expense of the other, or packaging seemingly disparate components into unstable unions. I will defend a more integrative approach. For a more thorough treatment, see Prinz. (shrink)

It is generally agreed that dispositions cannot be analyzed in terms of simple subjunctive conditionals (because of what are called “masked dispositions” and “finkish dispositions”). I here defend a qualified subjunctive account of dispositions according to which an object is disposed to Φ when conditions C obtain if and only if, if conditions C were to obtain, then the object would Φ ceteris paribus . I argue that this account does not fall prey to the objections that have been raised (...) in the literature. (shrink)

Power enthusiasts are engaged in two projects: developing a decent metaphysical account of powers, and applying that account in order to make progress on various other philosophical issues, ranging from narrowly related topics such as causality to further removed ones such as free will, reasoning, or perception. I argue that an intermediate step may be taken, one that explores ‘varieties of power’ while still staying within the realm of, of ‘pure’ powers metaphysics. Taking this intermediate step provides a much more (...) interesting basis for those involved in project, ‘applied’ powers metaphysics. I articulate four such varieties of power by exploring various dimensions in which the explanatory profile of a power can be extended. I then briefly survey how these relate to various further metaphysical issues. (shrink)

In Furnishing the Mind, Jesse Prinz attempts to swing the pendulum back toward empiricism.

ABSTRACTThis article explores the relationship between the operation of combat drones and the martial virtue courage. The article proceeds in three parts. Part one develops a brief account of virtue generally, and the martial virtue courage in particular. Part two discusses why critics suggest that drone operation does not fit the orthodox conceptualization of courage and, in some instances, even erodes the virtue. Part three explores how these criticisms are flawed. This section of the paper goes on to argue that (...) the criticisms are predicated on a twofold misunderstanding. The first involves improperly truncated conceptualizations of courage, which are, in part, predicated upon a narrow definition of risk. From this narrow definition of risk springs the conclusion that drone operation must be riskless. The second misunderstanding follows from the first and involves the failure to grasp properly how courage can be cultivated and required in drone operation. The paper concludes with a discussion of how, pr.. (shrink)

Because much of the recent philosophical interest in functions has been motivated by their application in biology and other sciences, most of the ensuing discussions have focused on functional explanations to the neglect of the practical role of functional knowledge. This practical role is essential for understanding how users form plans involving artifacts. We introduce the concept of instrumental function which is intended to capture the features of functional claims that are relevant to practical—in particular, instrumental—reasoning. We discuss the four (...) primary features of an instrumental function ascription, the teleological component of such ascriptions and give a clear definition of malfunction in terms of incapability to perform as well as “normal” tokens of the same type. (shrink)

We analyse Hutto & Myin's three arguments against computationalism [Hutto, D., E. Myin, A. Peeters, and F. Zahnoun. Forthcoming. “The Cognitive Basis of Computation: Putting Computation In Its Place.” In The Routledge Handbook of the Computational Mind, edited by M. Sprevak, and M. Colombo. London: Routledge.; Hutto, D., and E. Myin. 2012. Radicalizing Enactivism: Basic Minds Without Content. Cambridge, MA: MIT Press; Hutto, D., and E. Myin. 2017. Evolving Enactivism: Basic Minds Meet Content. Cambridge, MA: MIT Press]. The Hard Problem (...) of Content targets computationalism that relies on semantic notion of computation, claiming that it cannot account for the natural origins of content. The Intentionality Problem is targeted against computationalism using non-semantic accounts of computation, arguing that it fails in explaining intentionality. Theion Problem claims that causal interaction between concrete physical processes and abstract computational properties is problematic. We argue that these a... (shrink)

The present article examines how people’s belief in an afterlife, as well as closely related supernatural beliefs, may open an empirical backdoor to our understanding of the evolution of human social cognition. Recent findings and logic from the cognitive sciences contribute to a novel theory of existential psychology, one that is grounded in the tenets of Darwinian natural selection. Many of the predominant questions of existential psychology strike at the heart of cognitive science. They involve: causal attribution (why is mortal (...) behavior represented as being causally related to one’s afterlife? how are dead agents envisaged as communicating messages to the living?), moral judgment (why are certain social behaviors, i.e., transgressions, believed to have ultimate repercussions after death or to reap the punishment of disgruntled ancestors?), theory of mind (how can we know what it is “like” to be dead? what social-cognitive strategies do people use to reason about the minds of the dead?), concept acquisition (how does a common-sense dualism interact with a formalized socio-religious indoctrination in childhood? how are supernatural properties of the dead conceptualized by young minds?), and teleological reasoning (why do people so often see their lives as being designed for a purpose that must be accomplished before they perish? how do various life events affect people’s interpretation of this purpose?), among others. The central thesis of the present article is that an organized cognitive “system” dedicated to forming illusory representations of (1) psychological immortality, (2) the intelligent design of the self, and (3) the symbolic meaning of natural events evolved in response to the unique selective pressures of the human social environment. (shrink)

The Conscious Brain brings neuroscientific evidence to bear on enduring philosophical questions. Major philosophical and scientific theories of consciousness are surveyed, challenged, and extended.

Much earlier work claims that appositives and expressives are invariably speaker-oriented. These claims have recently been challenged, most extensively by Amaral et al. (Linguist and Philos 30(6): 707–749, 2007). We are convinced by this new evidence. The questions we address are (i) how widespread are non-speaker-oriented readings of appositives and expressives, and (ii) what are the underlying linguistic factors that make such readings available? We present two experiments and novel corpus work that bear directly on this issue. We find that (...) non-speaker-oriented readings, while rare in actual language use, are systematic. We also find that non-speaker-oriented readings occur even outside of attitude predications, which leads us to favor an account based in pragmatically-mediated perspective shifting over one that relies on semantic binding by attitude predicates. (shrink)

Can religious premises ever be cited legitimately in explanations of matters of fact? Scientific practice is generally regarded as the source of our explanatory paradigms and the final arbiter of matters of fact, and is so constituted that it could never endorse such explanations. Neither would they be sanctioned by the non-cognitive reconstructions of religious discourse currently fashionable. I argue: Some scientific constraints on explanations, such as consistency, testability, and corrigibility, are generally legitimate in non-scientific contexts. Other cognitive values, such (...) as clarity and simplicity, though not constraints, still have adequate credentials to serve globally in the evaluation of theories and explanations. In addition to these, science employs overtly ideological constraints on explanation, plus a number of parochial values, including control, replicability, and skepticism. These serve to circumscribe the range of acceptable explanations more narrowly than reasonable standards of rationality would necessitate. In particular, they are responsible for precluding religious explanations unnecessarily. ;Finally, one can reconstruct from religious contexts a system of cognitive values with broad application that takes exception to scientific norms pertaining to the status of teleological explanations, the ranking of outstanding problem areas in importance, the usefulness of anecdotal material, and the appropriateness of pragmatic conceptions of truth. The additional explanations this value structure sanctions will be less secure than scientific explanations generally, and somewhat idiosyncratic. They may be appropriate when no scientific explanations are possible or available, or if the religious explanation is teleological and the scientific explanation is not. Near-death experiences represent a major potential source of religious explanations, although one in great need of development. More generally, our ability to give religious explanations is hampered by inadequate theoretical articulations of the concept of God. (shrink)

Arguments about Abortion: Personhood, Morality, and Law approaches a complex set of issues with analytical rigour, clarity, and a respectful directness. It extensively buries poor argumentation and...

When part of a person's body is separated from them, or when a person dies, it is unclear what legal status the item of bodily material is able to obtain. A 'no property rule' which states that there is no property in the human body was first recorded in an English judgment in 1882. Claims based on property rights in the human body and its parts have failed on the basis that the human body is not the subject of property. (...) Despite a recent series of exceptions to the 'no property rule', the law still has no clear answer as to the legal status of the body or its material. In this book, Wall examines the appropriate legal status of bodily material, and in doing so, develops a way for the law to address disputes over the use and storage of bodily material that, contrary to the current trend, resists the application of property law. Wall assesses when a person ought to be able to possess, control, use, or profit from, his or her own bodily material or the bodily material of another person. Bodily material may be valuable because it retains a functional unity with the body or is a material resource that is in short supply. With this in mind, Wall measures the extent to which property law can represent the rights and duties that protects the entitlement that a person may exercise in bodily material, and identifies the limits to the appropriate application of property law. An alternative to property law is developed with reference to the right of bodily integrity and the right to privacy. (shrink)

This article is a cry for help. It is a search for some possible view of legal philosophy that does not render it either intrinsically useless or useless in its current form. In this article I focus on two methodological hallmarks of contemporary anglophone legal philosophy. The first is the Archimedean way in which the legal theorist places a critical distance between him- or herself and the subject matter of the philosophical inquiry. The second is the introverted way in which (...) the accuracy of any given legal theory is confined to the theorist’s own puzzles, concerns, controversies, and preoccupations. Whilst I consider those who have turned against these methodological commitments and called for an anti-Archimedean or extroverted approach to legal theory, I explain how those who accept both commitments adopt a very modest view of the helpfulness of legal philosophy. I then consider whether, contrary to the modest view, if we accept both commitments, then whatever is true in legal philosophy will always be trivially true, irrelevant, or inconsequential, for any non-philosophical practice or non-philosophical inquiry about the law. The value of this article, I hope, lies in its refutation. (shrink)

The Journal of Medical Ethics can sometimes read part Men Like Gods and part A Brave New World. At times, we learn how all controversies can resolved with reference to four principles. At other times, we learn how “every discovery in pure science is potentially subversive”.1 This issue is no exception. Here, we can read about the utopia of gene editing, manufactured organs, and machine learnt algorithmic decision-making. We can also read about the dystopia of inherited disorders from edited germlines, (...) the testing of xenotransplants on braindead patients, and misdiagnosis by artificial intelligence. What we see in the three papers that I will foreground here is the application of medical ethics to avoid the dystopia while preserving the promises of medical science. But as I seek to explain here, our ability to address the controversies that we anticipate in medical science depend on our ability to refine our understanding of what medical ethics requires of us now. From the diagnosis of eye diseases from fungus images to predicting the risk of imminent risk of suicide attempts, machine learnt medical decision making has, in some high profile instances, outperformed clinicians in medical diagnosis and treatment recommendations. While clinician and machine learnt diagnoses will both involve degrees of uncertainty and fallibility, Thomas Grote2 asks us to consider is how much weight a clinician ought to give an algorithmic diagnosis which she disagreements with. Since a clinician is held to account for …. (shrink)

A series of interviews with people from various backgrounds, showing how people's personal experiences influences their politics.

A series of interviews with people from various backgrounds, showing how people's personal experiences influences their politics.

BackgroundDefensive practice occurs when physicians provide services, such as tests, treatments and referrals, mainly to reduce their perceived legal or reputational risks, rather than to advance patient care. This behaviour is counter to physicians’ ethical responsibilities, yet is widely reported in surveys of doctors in various countries. There is a lack of qualitative research on the drivers of defensive practice, which is needed to inform strategies to prevent this ethically problematic behaviour.MethodsA qualitative interview study investigated the views and experiences of (...) physicians in Australia on defensive practice and its contribution to low value care. Interviewees were recruited based on interest in medico-legal issues or experience in a health service involved in ‘Choosing Wisely’ initiatives. Semi-structured interviews averaged 60 min in length. Data were coded using the Theoretical Domains Framework, which encapsulates theories of behaviour and behaviour change.ResultsAll participants (n = 17) perceived defensive practice as a problem and a contributor to low value care. Behavioural drivers of defensive practice spanned seven domains in the TDF: knowledge, focused on inadequate knowledge of the law and the risks of low value care; skills, emphasising patient communication and clinical decision-making skills; professional role and identity, particularly clinicians’ perception of patient expectations and concern for their professional reputation; beliefs about consequences, especially perceptions of the beneficial and harmful consequences of defensive practice; environmental context and resources, including processes for handling patient complaints; social influences, focused on group norms that encourage or discourage defensive behaviour; and emotions, especially fear of missing a diagnosis. Overall, defensive practice is motivated by physicians’ desire to avoid criticism or scrutiny from a range of sources, and censure from their professional peers can be a more potent driver than perceived legal consequences.ConclusionsThe findings call for strengthening knowledge and skills, for example, to improve clinicians’ understanding of the law and their awareness of the risks of low value care and using effective communication strategies with patients. Importantly, supportive cultures of practice and organisational environments are needed to create conditions in which clinicians feel confident in avoiding defensive practice and other forms of low value care. (shrink)

Life poses a threat to materialism. To understand the phenomena of animate nature, we make use of a teleological form of explanation that is peculiar to biology, of explanations in terms of what I call the ‘vital categories’ – and this holds even for accounts of underlying physico-chemical ‘mechanisms’. The materialist claims that this teleological form of explanation does not capture what is metaphysically fundamental, whereas her preferred physical form of explanation does. In this essay, I do three things. (1) (...) I argue that the ‘vital categories’, such as life form and life-process, do not reduce to the ‘physical categories’ and show that there are no grounds for the materialist's metaphysically limiting claim; (2) I sketch a positive view on how vital and physical explanations can both apply to a given phenomenon, and on how they interrelate; and (3) I show that this view meshes nicely with evolutionary theory, despite being committed to a form of ‘biological essentialism’. (shrink)

Empathy can be characterized as a vicarious emotion that one person experiences when reflecting on the emotion of another. So characterized, empathy is sometimes regarded as a precondition on moral judgment. This seems to have been Hume's view. I review various ways in which empathy might be regarded as a precondition and argue against each of them: empathy is not a component, a necessary cause, a reliable epistemic guide, a foundation for justification, or the motivating force behind our moral judgments. (...) In fact, empathy is prone to biases that render it potentially harmful. Another construct—concern—fares somewhat better, but it is also of limited use. I argue that, instead of empathy, moral judgments involve emotions such as anger, disgust, guilt, and admiration. These, not empathy, provide the sentimental foundation for morality. (shrink)