Theoretical models for patient-physician communication in clinical practice are frequently described in the literature. Respecting patient autonomy is an ethical problem the physician faces in a medical emergency situation. No theoretical physician-patient model seems to be ideal for solving the communication problem in clinical practice. Theoretical models can at best give guidance to behavior and judgement in emergency situations. In this article the premises of autonomous treatment decisions are discussed. Based on a case-report we discuss different genuine efforts the physician (...) can do to uncover treatment refusal and respect patient autonomy in an emergency situation. Autonomy requires competence and in emergency medicine time does not allow intimate exploration of patient competence and reasons for treatment refusal. We find that the physician must base her decision on a firm theoretical base combined with a practical and realistic view of the patient's situation on a case to case basis. (shrink)

This article argues that there is a fundamental contradiction between a profit-oriented economic system and long-term environmental sustainability. The `solutions' that are proposed by mainstream environmental economists as well as their `ecological economy' colleagues do not solve the central problems, but serve to further highlight the difficulties of changing capitalism towards sustainability. In a profit-oriented economy, capital accumulation is a prime driving force, and non-growth for the economy at large tends to result in serious economic and social crises. On the (...) other hand, a de-coupling of economic growth from resource depletion and environmental degradation is possible only within certain sectors or product types and within relatively short time perspectives. The assumptions of mainstream economists about infinite economic growth (and infinite dematerialisation) represent a false ontology according to which the powers and mechanisms of the natural world are considered totally controllable by humans as if they were mere epiphenomena of the human world. On the other hand, the assumptions of certain ecological economists about the possibility of steady-state capitalism disregard the relation between capital and surplus value, which constitutes a strong mechanism driving the capitalist economy toward limitless growth. (shrink)

Interdisciplinarity has been a key term in the ecological debate ever since its advent in the early 1960s. The paper addresses these historical links and how the two terms ‘interdisciplinary’ and ‘ecology’ have influenced each other. The later concept ‘sustainable development’ is also truly interdisciplinary, including physical, biological, socio-economic and cultural, as well as normative, mechanisms, contexts and effects operating at scales ranging from the microscopic to the macroscopic. Policies to promote sustainable development need to be based on the type (...) of interdisciplinary thinking that has been advocated for several decades within the ecological debate. This applies not least to research into the sustainability aspects of urban development, the case discussed in this paper. Despite longstanding requests for interdisciplinarity, the development within the academic world has proceeded in the opposite direction. Many of the most influential metatheoretical perspectives virtually prohibit, or at best strongly discourage, the inclusion of insights about certain parts of reality. Here, critical realism could play a very important role as an underlabourer of interdisciplinarity. (shrink)

Based on metatheoretical considerations, this article discusses what kinds of traffic forecasts are possible and what kinds are impossible to make with any reasonable degree of accuracy. It will be argued on ontological and epistemological grounds that it is inherently impossible to make exact predictions about the magnitude of the ‘general’ traffic growth 20–30 years ahead, since many of the influencing factors depend on inherently unpredictable geopolitical trajectories as well as contested political decision-making. Due to the context-dependency of each particular (...) planning situation, it is also hardly possible to make exact, quantitative predictions about the impact of implementing a specific infrastructure project, compared to ‘doing nothing’. Instead of relying on traffic model simulations as the general forecasting and assessment tool in transport planning, we propose to separate the so-called strategic, tactical and operational levels of traffic forecasting into three distinct methodological approaches reflecting the different degrees of openness/closure of the systems at hand: scenario analyses at the strategic level; theory-informed, mainly qualitative analyses supplemented with simple calculations at the tactical level; while more traditional micro-simulations should be applied only at a detailed operational level. (shrink)

A fundamental assumption of theories of decision-making is that we detect mismatches between intention and outcome, adjust our behavior in the face of error, and adapt to changing circumstances. Is this always the case? We investigated the relation between intention, choice, and introspection. Participants made choices between presented face pairs on the basis of attractiveness, while we covertly manipulated the relationship between choice and outcome that they experienced. Participants failed to notice conspicuous mismatches between their intended choice and the outcome (...) they were presented with, while nevertheless offering introspectively derived reasons for why they chose the way they did. We call this effect choice blindness. (shrink)

Sparrows fly because they are birds. This mushroom is poisonous because it is an Amanita muscaria. Pointing out the kind to which things belong explains many of their properties. Jonathan Lowe’s four-category ontology and his account of laws of nature provide a framework to account for the explanatory appeal of referring to kind membership. For Lowe, “Electron has Unit-negative charge” is a typical example for a law of nature: a kind universal characterized by a property universal. We present both Lowe’s (...) original account of laws of nature and later developments, and show how Lowe’s account can help to solve notorious problems of other accounts, namely, the regularity view and the Armstrong-Dretske-Tooley view. We argue that there are two challenges that Lowe’s view cannot master. First, Lowe conflates generics and dispositions, which is a considerable problem for Lowe, because his account of dispositional predication and his account of laws of nature are intimately connected. Second, there is the identification problem of fully specifying and identifying the formal ontological relation of characterization between kind universals and property universals. In order to solve these problems, we develop an account of formal causation inspired by Aristotle’s theory of explanation in his Posterior Analytics. Though very close to Lowe’s own account, our neo-Aristotelian account avoids Lowe’s confusion regarding dispositions, avoids overdetermination through several similar laws of nature, and provides an answer to the identification problem: The characterization of a kind universal by a property universal constitutes the relation of formal causation. By virtue of this relation, the kind Amanita muscaria is the formal cause of this mushroom having the attribute of being poisonous. (shrink)

Exceptions are often cited as a counterargument against formal causation. Against this I argue that Aristotle explicitly allows for exceptions to essences in his biological writings, and that he has a means of explaining them through formal causation – though this means that he has to slightly elaborate on his general case theory from the Posterior Analytics, by supplementing it with a special case application in the biological writings. Specifically for Aristotle an essential predication need not be a universal predication. (...) Rather an essential predication is where a property belongs essentially to a species or genus. This essential predication serves a causal and explanatory role, and is not dependent on a corresponding universal predication. (shrink)

The volume documents, and makes an original contribution to, an astonishing period in twentieth-century philosophy—the progress of Arne Naess's ecophilosophy from its inception to the present. It includes Naess's most crucial polemics with leading thinkers, drawn from sources as diverse as scholarly articles, correspondence, TV interviews and unpublished exchanges. The book testifies to the skeptical and self-correcting aspects of Naess's vision, which has deepened and broadened to include third world and feminist perspectives. Philosophical Dialogues is an essential addition to the (...) literature on environmental philosophy. (shrink)

The legacy of Nisbett and Wilson’s classic article, Telling More Than We Can Know: Verbal Reports on Mental Processes , is mixed. It is perhaps the most cited article in the recent history of consciousness studies, yet no empirical research program currently exists that continues the work presented in the article. To remedy this, we have introduced an experimental paradigm we call choice blindness [Johansson, P., Hall, L., Sikström, S., & Olsson, A. . Failure to detect mismatches between intention and (...) outcome in a simple decision task. Science, 310, 116–119.]. In the choice blindness paradigm participants fail to notice mismatches between their intended choice and the outcome they are presented with, while nevertheless offering introspectively derived reasons for why they chose the way they did. In this article, we use word-frequency and latent semantic analysis to investigate a corpus of introspective reports collected within the choice blindness paradigm. We contrast the introspective reasons given in non-manipulated vs. manipulated trials, but find very few differences between these two groups of reports. (shrink)

The main causes of suicide and how suicide could and should be prevented are ongoing controversies in the scientific literature as well as in public media. In the bill on public health from 2008, the Swedish Parliament adopted an overarching “Vision Zero for Suicide” and nine strategies for suicide prevention. However, how the VZ should be interpreted in healthcare is unclear. The VZ has been criticized both from a philosophical perspective and against the background of clinical experience and alleged empirical (...) claims regarding the consequences of regulating suicide prevention. This study is part of a larger research project in medical ethics with the overarching aim to explore whether the VZ is ethically justifiable. The aim is to enrich the normative discussion by investigating empirically how the VZ is perceived in healthcare. Interviews based on a semi-structured interview guide were performed with 12 Swedish psychiatrists. The interviews were analysed with descriptive qualitative content analysis aiming for identifying perceptions of the Vision Zero for Suicide as well as arguments for and against it. Though most of the participants mentioned at least some potential benefit of the Vision Zero for Suicide, the overall impression was a predominant skepticism. Some participants focused on why they consider the VZ to be unachievable, while others focused more on its potential consequences and normative implications. The VZ was perceived to be impossible to realize, nonconstructive or potentially counterproductive, and undesirable because of potential conflicts with other values and interests of patients as well as the general public. There were also important notions of the VZ having negative consequences for the working conditions of psychiatrists in Sweden, in increasing their work-related anxiety and thwarting the patient-physician relationship. (shrink)

Weakness of will denotes a phenomenon that many would regard as forming part of everyday human experience. I hate to admit to it, but I do sometimes reprimand my children more harshly than I think I should, and similar situations occur daily. This could be an example of weakness of will or incontinence: I will to be constructive and provide a model of calm interaction, but fail to do so because my will is weak and I end up acting against (...) better knowledge. But what is it that happens in such situations? Philosophers, theologians, poets, and other writers have discussed this question as akrasia, as well as under other headings. Weakness of Will from Plato to the Present not only contributes to a growing body of scholarship on the history of akrasia, but is also the first book that attempts to cover the trajectory of this issue through all major periods of Western philosophy. The book invites a broad range of readers, focusing on canonical figures from Plato and Aristotle through Augustine and Aquinas to Descartes, Kant, and Nietzsche. (shrink)

I argue that Aristotle’s account of scientific demonstrations in the Posterior Analytics is centred upon formal causation, understood as a demonstration in terms of essence (and as innocent of the distinction between form and matter). While Aristotle says that all four causes can be signified by the middle term in a demonstrative syllogism, and he discusses at some length efficient causation, much of Aristotle’s discussion is foremost concerned with the formal cause. Further, I show that Aristotle had very detailed procedures (...) for identifying the formal cause, and that he is aware of several problems which might lead one to erroneously identify the wrong form as the cause of a property. Finally, I show that Aristotle’s account can easily be adapted to material causation, and through some modifications (introduction of process universals related through parthood), hinted at in II 11-12 and 16-17, to efficient and final causation. (shrink)

This paper reviews the contemporary discussion on the epistemological and ontological effects of Big Data within social science, observing an increased focus on relationality and complexity, and a tendency to naturalize social phenomena. The epistemic limits of this emerging computational paradigm are outlined through a comparison with the discussions in the early days of digitalization, when digital technology was primarily seen through the lens of dematerialization, and as part of the larger processes of “postmodernity”. Since then, the online landscape has (...) become increasingly centralized, and the “liquidity” of dematerialized technology has come to empower online platforms in shaping the conditions for human behavior. This contrast between the contemporary epistemological currents and the previous philosophical discussions brings to the fore contradictions within the study of digital social life: While qualitative change has become increasingly dominant, the focus has gone towards quantitative methods; while the platforms have become empowered to shape social behavior, the focus has gone from social context to naturalizing social patterns; while meaning is increasingly contested and fragmented, the role of hermeneutics has diminished; while platforms have become power hubs pursuing their interests through sophisticated data manipulation, the data they provide is increasingly trusted to hold the keys to understanding social life. These contradictions, we argue, are partially the result of a lack of philosophical discussion on the nature of social reality in the digital era; only from a firm metatheoretical perspective can we avoid forgetting the reality of the system under study as we are affected by the powerful social life of Big Data. (shrink)

The classical view of the gene prevailing during the 1910s and 1930s comprehended the gene as the indivisible unit of genetic transmission, genetic recombination, gene mutation and gene function. The discovery of intragenic recombination in the early 1940s led to the neoclassical concept of the gene, which prevailed until the 1970s. In this view the gene or cistron, as it was now called, was divided into its constituent parts, the mutons and recons, materially identified as nucleotides. Each cistron was believed (...) to be responsible for the synthesis of one single mRNA and concurrently for one single polypeptide. The discoveries of DNA technology, beginning in the early 1970s, have led to the second revolution in the concept of the gene in which none of the classical or neoclassical criteria for the definition of the gene hold strictly true. These are the discoveries concerning gene repetition and overlapping, movable genes, complex promoters, multiple polyadenylation sites, polyprotein genes, editing of the primary transcript, pseudogenes and gene nesting. Thus, despite the fact that our comprehension of the structure and organization of the genetic material has greatly increased, we are left with a rather , open and general concept of the gene. This article discusses past and present contemplations of genes, genomes, genotypes and phenotypes as well as the most recent advances of the study of the organization of genomes. (shrink)

I present three critical points against G.E.R. Lloyd's ‘The Fortunes of Analogy’. First, I argue that Lloyd unduly criticises Aristotle's view of analogies. Second, I argue that Lloyd needs to discuss the means of limiting the semantic stretch of terms, for instance through the distinction between fiat and bona fide boundaries. Third, I point out some terminological issues in Lloyd's account, especially concerning the applicability of validity, soundness, and fallaciousness to analogies.

Ecologically responsible policies are concerned only in part with pollution and resource depletion. There are deeper concerns which touch upon principles of diversity, complexity, autonomy, decentralization, symbiosis, egalitarianism, and classlessness.

SummaryOverweight and obesity constitute a major and increasing health and welfare problem throughout the world. Assessing the multifaceted mechanisms – biological, environmental and behavioural – behind this development is a crucial task in medical, social and economic sciences. We are, therefore, grateful to have been given the opportunity to, once again, discuss whether the risk of divorce may be one of the factors influencing the incentives of becoming overweight or obese and, hence, ultimately the physical appearance among the married. In (...) this Debate, colleagues Schneider and Grimps present the results of a multilevel analysis, in which they could not identify any statistically significant association between body mass index and divorce risk among married people. Thus, they question the findings, previously published in this Journal. The Schneider and Grimps arguments are not convincing, however. So, we still claim that the statistical material at hand does, indeed, imply that divorce risk at the national level may well influence the weight of the married. (shrink)

The proliferation of digital data has been the impetus for the emergence of a new discipline for the study of social life: ‘computational social science’. Much research in this field is founded on the premise that society is a complex system with emergent structures that can be modeled or reconstructed through digital data. This paper suggests that computational social science serves practical and legitimizing functions for digital capitalism in much the same way that neoclassical economics does for neoliberalism. In recognition (...) of this homology, this paper develops a critique of the complexity perspective of computational social science and argues for a heterodox computational social science founded on the meta-theory of critical realism that is critical, methodological pluralist, interpretative and explanative. This implies diverting computational social science’ computational methods and digital data so as to not be aimed at identifying invariant laws of social life, or optimizing state and corporate practices, but to instead be used as part of broader research strategies to identify contingent patterns, develop conjunctural explanations, and propose qualitatively different ways of organizing social life. (shrink)

It is widely accepted that if a property is essential then it is necessary. Against this I present numerous counterexamples from biology and chemistry, which fall into two groups: (I) A property is essential to a genus or species, yet some instances of this genus or species do not have this essential property. (II) A property is essential to a genus, yet some species of this genus do not have this essential property. I discuss and reject four minor objections. Then (...) I discuss in depth whether a distinction between constitutive essence and consequential essence is able to handle these counterexamples. I conclude that this distinction is better put as one between (1) the essence, which is necessary, and (2) the essential properties, which are not formally necessary. An essence of an object X is the substantial universal expressed by its real definition. An object X has a property P essentially iff the property P is explanatory and non-trivial, and P follows from the essence of X. (shrink)

Originally published in 1968. Scepticism is generally regarded as a position which, if correct, would be disastrous for our everyday and scientific beliefs. According to this view, a sceptical argument is one that leads to the intuitively false conclusion that we cannot know anything. But there is another, much neglected and more radical form of scepticism, Pyrrhonism, which neither denies nor accepts the possibility of knowledge and is to be regarded not as a philosophical position so much as the expression (...) of a philosophical way of life. Professor Naess argues that, given a sympathetic interpretation, Sextus Empiricus’s outline of Pyrrhonian scepticism provides the essentials of a genuine and rational sceptical point of view. He begins with a brief account of Pyrrhonism, then goes on to argue for the psychological possibility of this kind of scepticism, defending it against common objections, and examining some of its implications. The last two chapters provide detailed support for the rationality of Pyrrhonism, drawing mainly on certain methodological distinctions in semantics which both justify the Pyrrhonist’s failure to make assertions and restrict the scope of recent epistemological arguments against scepticism in such a way as to modify severely the conclusions based on them. (shrink)

Experiments on choice blindness support von Hippel & Trivers's (VH&T's) conception of the mind as fundamentally divided, but they also highlight a problem for VH&T's idea of non-conscious self-deception: If I try to trick you into believing that I have a certain preference, and the best way is to also trick myself, I might actually end up having that preference, at all levels of processing.

This thesis is an empirical and theoretical exploration of the surprising finding that people often may fail to notice dramatic mismatches between what they want and what they get, a phenomenon my collaborators and I have named choice blindness. The thesis consists of four co-authored papers, dealing with different aspects of the phenomenon. Paper one presents an initial set of studies using a computerised choice procedure, and discusses the relation of choice blindness to the parent phenomenon of change blindness. Paper (...) two is the most central paper of the thesis. In this study, participants were shown pairs of pictures of female faces, and were instructed to choose which face in each pair they found most attractive. In addition, on some trials, immediately after their choice, they were asked to verbally describe the reasons for choosing the way they did. Unknown to the participants, on certain trials, a double-card ploy was used to covertly exchange one face for the other. On these trials, the outcome of the choice became the opposite of what they intended. Counting across all conditions of the experiment no more than a fourth of all such manipulated trials were detected. But not only were the participants in the experiment blind to the manipulation of their choices, they also offered introspectively derived reasons for preferring the alternative they were given instead. A second major conclusion of this paper is that normal participants may produce confabulatory reports when asked to describe the reasons behind their choices. Paper three applies this form of analysis of introspection and confabulation to a second corpus of reports collected within the choice blindness paradigm. In this paper we use word-frequency and latent semantic analysis to contrast the introspective reasons given in non-manipulated and manipulated trials, but very few differences between these two groups of reports were found. In paper four, passer-by shoppers in a local supermarket were invited to sample two different varieties of jam and tea, and to decide which alternative in each pair they preferred the most. After their choice, the participants were asked to again sample to chosen alternative and describe why that one was preferred. At this point, the content of the sample containers were secretly switched, so that the outcome of the choice became the opposite of what the participants intended. No more than a third of the manipulated trials were detected, thus demonstrating considerable levels of choice blindness for the taste and smell of two different consumer goods. (shrink)