As COVID-19 spread, clinicians warned of mental illness epidemics within the coronavirus pandemic. Funding for digital mental health is surging and researchers are calling for widespread adoption to address the mental health sequalae of COVID-19. -/- We consider whether these technologies improve mental health outcomes and whether they exacerbate existing health inequalities laid bare by the pandemic. We argue the evidence for efficacy is weak and the likelihood of increasing inequalities is high. -/- First, we review recent trends in digital (...) mental health. Next, we turn to the clinical literature to show that many technologies proposed as a response to COVID-19 are unlikely to improve outcomes. Then, we argue that even evidence-based technologies run the risk of increasing health disparities. We conclude by suggesting that policymakers should not allocate limited resources to the development of many digital mental health tools and should focus instead on evidence-based solutions to address mental health inequalities. (shrink)

This paper argues that the question, ‘where are virtues?’ demands a response from virtue theorists. Despite the polarizing nature of debates about the relevance of empirical work in psychology for virtue theory, I first show that there is widespread agreement about the underlying structure of virtue. Namely, that virtues are comprised of cognitive and affective processes. Next, I show that there are well-developed arguments that cognitive processes can extend beyond the agent. Then, I show that there are similarly well-developed arguments (...) that affective processes can extend beyond the agent. I then introduce three cases to establish that these cognitive and affective processes are relevantly similar to the cognitive and affective processes countenanced by plausible theories of virtue. Finally, I conclude that virtue theorists must abandon default internalism, the view that the cognitive and affective processes comprising virtues are internal to the agent. (shrink)

Cohen (2023) takes a fair and measured approach to the question of what ChatGPT means for bioethics. The hype cycles around AI often obscure the fact that ethicists have developed robust frameworks...

Case reports about patients undergoing Deep Brain Stimulation (DBS) for various motor and psychiatric disorders - including Parkinson’s Disease, Obsessive Compulsive Disorder, and Treatment Resistant Depression - have sparked a vast literature in neuroethics. Questions about whether and how DBS changes the self have been at the fore. The present chapter brings these neuroethical debates into conversation with recent research in moral psychology. We begin in Section 1 by reviewing the recent clinical literature on DBS. In Section 2, we consider (...) whether DBS poses a threat to personal identity. In Section 3 we argue for engagement with recent empirical work examining judgements of when identity changes. We conclude in Section 4 by highlighting a range of ethical issues raised by DBS, including various cross-cultural considerations. (shrink)

Well before the COVID-19 pandemic, proponents of digital psychiatry were touting the promise of various digital tools and techniques to revolutionize mental healthcare. As social distancing and its knock-on effects have strained existing mental health infrastructures, calls have grown louder for implementing various digital mental health solutions at scale. Decisions made today will shape the future of mental healthcare for the foreseeable future. We argue that bioethicists are uniquely positioned to cut through the hype surrounding digital mental health, which can (...) obscure crucial ethical and epistemic gaps that ought to be considered by policymakers before committing to a digital psychiatric future. Here, we describe four such gaps: The evidence gap, the inequality gap, the prediction-intervention gap, and the safety gap. (shrink)

This paper aims to expand the range of empirical work relevant to the extended cognition debates. First, I trace the historical development of the person-situation debate in social and personality psychology and the extended cognition debate in the philosophy of mind. Next, I highlight some instructive similarities between the two and consider possible objections to my comparison. I then argue that the resolution of the person-situation debate in terms of interactionism lends support for an analogously interactionist conception of extended cognition. (...) I argue that this interactionism might necessitate a shift away from the dominant agent-artifact paradigm toward an agent–agent paradigm. If this is right, then social and personality psychology—the discipline(s) that developed from the person-situation debate—opens a whole new range of empirical considerations for extended cognition theorists which align with Clark & Chalmers original vision of agents themselves as spread into the world. (shrink)

This article identifies and examines a tension in mental health researchers’ growing enthusiasm for the use of computational tools powered by advances in artificial intelligence and machine learning (AI/ML). Although there is increasing recognition of the value of participatory methods in science generally and in mental health research specifically, many AI/ML approaches, fueled by an ever-growing number of sensors collecting multimodal data, risk further distancing participants from research processes and rendering them as mere vectors or collections of data points. The (...) imperatives of the “participatory turn” in mental health research may be at odds with the (often unquestioned) assumptions and data collection methods of AI/ML approaches. This article aims to show why this is a problem and how it might be addressed. (shrink)

Over the years, companies have adopted hiring algorithms because they promise wider job candidate pools, lower recruitment costs and less human bias. Despite these promises, they also bring perils. Using them can inflict unintentional harms on individual human rights. These include the five human rights to work, equality and nondiscrimination, privacy, free expression and free association. Despite the human rights harms of hiring algorithms, the AI ethics literature has predominantly focused on abstract ethical principles. This is problematic for two reasons. (...) First, AI principles have been criticized for being vague and not actionable. Second, the use of vague ethical principles to discuss algorithmic risks does not provide any accountability. This lack of accountability creates an algorithmic accountability gap. Closing this gap is crucial because, without accountability, the use of hiring algorithms can lead to discrimination and unequal access to employment opportunities. This paper makes two contributions to the AI ethics literature. First, it frames the ethical risks of hiring algorithms using international human rights law as a universal standard for determining algorithmic accountability. Second, it evaluates four types of algorithmic impact assessments in terms of how effectively they address the five human rights of job applicants implicated in hiring algorithms. It determines which of the assessments can help companies audit their hiring algorithms and close the algorithmic accountability gap. (shrink)

Commentary about the role of AI in bioethics for the 10th anniversary issue of AJOB: Empirical Bioethics.

Peer commentary on Char, Abràmoff & Feudtner (2020) target article: "Identifying Ethical Considerations for Machine Learning Healthcare Applications" .

Background: Recent literature on addiction and judgments about the characteristics of agents has focused on the implications of adopting a ‘brain disease’ versus ‘moral weakness’ model of addiction. Typically, such judgments have to do with what capacities an agent has (e.g., the ability to abstain from substance use). Much less work, however, has been conducted on the relationship between addiction and judgments about an agent’s identity, including whether or to what extent an individual is seen as the same person after (...) becoming addicted. Methods: We conducted a series of vignette-based experiments (total N = 3,620) to assess lay attitudes concerning addiction and identity persistence, systematically manipulating key characteristics of agents and their drug of addiction. Conclusions: In Study 1, we found that US participants judged an agent who became addicted to drugs as being closer to ‘a completely different person’ than ‘completely the same person’ as the agent who existed prior to the addiction. In Studies 2-6, we investigated the intuitive basis for this result, finding that lay judgments of altered identity as a consequence of drug use and addiction are driven primarily by perceived negative changes in the moral character of drug users, who are seen as having deviated from their good true selves. (shrink)

This paper argues that the activist, feminist and pragmatist Jane Addams was an experimental philosopher. To defend this claim, I argue for capacious notions of both philosophical pragmatism and experimental philosophy. I begin in Section 2 with a new defence of Rose and Danks’ [‘In Defense of a Broad Conception of Experimental Philosophy’. Metaphilosophy 44, no. 4 : 512–32] argument in favour of a broad conception of experimental philosophy. Koopman [‘Pragmatist Resources for Experimental Philosophy: Inquiry in Place of Intuition’. Journal (...) of Speculative Philosophy 26, no. 1 : 1–24] argues that many twentieth-century American pragmatists can make important contributions to contemporary experimental philosophy. In Section 3, I argue that while this may be true, it is also true that under the broad conception, many of the pragmatists just were experimental philosophers. In Section 4, I argue that as a pragmatist philosopher in her own right, Jane... (shrink)

In 1916 John Dewey expressed a worry that American philosophy would be relegated to “chewing a historic cud long since reduced to a woody fibre, or an apologetics for lost causes (lost to natural science).”1 In this paper, I will attempt to contribute to a growing body of literature within the classical American philosophical tradition that seeks to avoid this fate by engaging Dewey’s thought with debates in contemporary philosophy of mind.2 To date, the vast majority of this work has (...) centered around Dewey’s notion of embodiment and its relation to the thesis of the embodied mind. In this paper I will evaluate the degree to which the embodied mind thesis (henceforth “EMT”) provides the proper framework for .. (shrink)

This paper brings together two erstwhile distinct strands of philosophical inquiry: the extended mind hypothesis and the situationist challenge to virtue theory. According to proponents of the extended mind hypothesis, the vehicles of at least some mental states (beliefs, desires, emotions) are not located solely within the confines of the nervous system (central or peripheral) or even the skin of the agent whose states they are. When external props, tools, and other systems are suitably integrated into the functional apparatus of (...) the agent, they are partial bearers of her cognitions, motivations, memories, and so on. According to proponents of the situationist challenge to virtue theory, dispositions located solely within the confines of the nervous system (central or peripheral) or even the skin of the agent to whom they are attributed typically do not meet the normative standards associated with either virtue or vice (moral, epistemic, or otherwise) because they are too susceptible to moderating external variables, such as mood modulators, ambient sensibilia, and social expectation signaling. We here draw on both of these literatures to formulate two novel views – the embedded and extended character hypotheses – according to which the vehicles of not just mental states but longer-lasting, wider-ranging, and normatively-evaluable agentic dispositions are sometimes located partially beyond the confines of the agent’s skin. (shrink)

This paper introduces a body of research on Organizational Behavior and Industrial/organizational Psychology that expands the range of empirical evidence relevant to the ongoing character-situation debate. This body of research, mostly neglected by moral philosophers, provides important insights to move the debate forward. First, the OB/io scholarship provides empirical evidence to show that social environments like organizations have significant power to shape the character traits of their members. This scholarship also describes some of the mechanisms through which this process of (...) reshaping character takes place. Second, the character-situation debate has narrowly focused on situational influences that affect behavior episodically and haphazardly. The OB/io research, however, highlights the importance of distinguishing such situational influences from influences that, like organizational influences, shape our character traits because they are continuous and coordinated. Third, the OB/io literature suggests that most individuals display character traits that, while local to the organization, can be consistent across situations. This puts pressure on the accounts of character proposed by traditional virtue ethics and situationism and provides empirical support to interactionist models based on cognitive-affective processing system theories of personality. Finally, the OB/io literature raises important challenges to the possibility of achieving virtue, provides valuable and untapped resources to cultivate character, and suggests new avenues of normative and empirical research. (shrink)

We argue that the interaction of biased media coverage and widespread employment of the recognition heuristic can produce epistemic injustices. First, we explain the recognition heuristic as studied by Gerd Gigerenzer and colleagues, highlighting how some of its components are largely external to, and outside the control of, the cognitive agent. We then connect the recognition heuristic with recent work on the hypotheses of embedded, extended, and scaffolded cognition, arguing that the recognition heuristic is best understood as an instance of (...) scaffolded cognition. In section three, we consider the double-edged sword of cognitive scaffolding. On the one hand, scaffolds can reduce the internal processing demands on cognitive agents while increasing their access to information. On the other hand, the use of scaffolding leaves cognitive agents increasingly vulnerable to forming false beliefs or failing to form beliefs at all about particular topics. With respect to the recognition heuristic, agents rely on third parties (such as the media) to report not just what’s true but also what’s important or valuable. This makes cognitive agents relying on these third parties vulnerable to two erroneous influences: 1) because they don’t recognize something, it isn’t important or valuable, and 2) because they do recognize something, it is important or valuable. Call the latter the Kardashian Inference and the former the Darfur Inference. In section four, we use Fricker’s (2007) concept of epistemic injustice to characterize the nature and harm of these false inferences, with special emphasis on the Darfur Inference. In section five, we use data-mining and an empirical study to show how Gigerenzer’s population estimation task is liable to produce Darfur Inferences. We conclude with some speculative remarks on more important Darfur Inferences, and how to avoid them by scaffolding better. One primary way to accomplish this it to shift the burden of embodying the virtue of epistemic justice from the hearer or consumer of media to the media themselves. (shrink)

Abstract: While pragmatism and the so-called 4E program may form a united front against methodological individualism, classical cognitivism, traditional internalism, and the like, the 4E approach is not without its own internal tensions. One such tension, between Embodied and Extended, is brought to light by Clark (2008), who argues in favor of the latter. Dempsey and Shani (2013) reply that Clark’s functionalism undercuts what should be a more fundamental commitment to Embodied. With respect to this tension, Gallagher (2014) claims that (...) “there may be resources in pragmatism that can help to adjudicate some of the current debate and to develop a more integrated perspective” (Gallagher 2014, 110). In this paper, I assess Gallagher’s strategy and offer a critical perspective on the use of Deweyan pragmatism to resolve these tensions in the 4E program. (shrink)

Dominant views about the nature of health and disease in bioethics and the philosophy of medicine have presumed the existence of a fixed, stable, individual organism as the bearer of health and disease states, and as such, the appropriate target of medical therapy and ethical concern. However, recent developments in microbial biology, neuroscience, the philosophy of cognitive science, and social and personality psychology (Ickes...

Peer commentary on: Blumenthal-Barby, J. S. (2016). Biases and heuristics in decision making and their impact on autonomy. The American Journal of Bioethics, 16(5), 5-15.

Peer commentary on: Goering, S., Klein, E., Dougherty, D. D., & Widge, A. S. (2017). Staying in the loop: Relational agency and identity in next-generation DBS for psychiatry. AJOB Neuroscience, 8(2), 59-70.

By introducing the concept of “mental data,” Palermos (2023) highlights an underappreciated aspect of data ethics that policymakers would do well to heed. Sweeping artificial intelligence (AI) legi...

This paper explores some ways in which artificial intelligence (AI) could be used to improve human moral judgments in bioethics by avoiding some of the most common sources of error in moral judgment, including ignorance, confusion, and bias. It surveys three existing proposals for building human morality into AI: Top-down, bottom-up, and hybrid approaches. Then it proposes a multi-step, hybrid method, using the example of kidney allocations for transplants as a test case. The paper concludes with brief remarks about how (...) to handle several complications, respond to some objections, and extend this novel method to other important moral issues in bioethics and beyond. (shrink)

Debates about obesity in bioethics tend to unfold in predictable epicycles between individual choices and behaviours and the oppressive socio-economic structures constraining them. Here, we argue that recent work from two cutting-edge research programmes in microbiology and social psychology can advance this conceptual stalemate in the literature. We begin in section 1 by discussing two promising lines of obesity research involving the human microbiome and relationship partners. Then, in section 2, we show how this research has made viable novel strategies (...) for fighting obesity, including microbial therapies and dyad-level interventions. Finally, in section 3, we consider objections to our account and conclude by arguing that attention to the most immediate features of our biological and social environment offers a middle ground solution, while also raising important new issues for bioethicists. (shrink)

This chapter aims to expand the body of empirical literature considered relevant to virtue theory beyond the burned-over districts that are the situationist challenges to virtue ethics and epistemology. We thus raise a rather simple-sounding question: why doesn’t virtue epistemology have an account of intelligence? In the first section, we sketch the history and present state of the person-situation debate to argue for the importance of an interactionist framework in bringing psychological research in general, and intelligence research in particular, to (...) bear on questions of virtue. In Section 2, we discuss the history and present state of intelligence research to argue for its relevance to virtue epistemology. In Section 3, we argue that intelligence sits uneasily in both responsibilist and reliabilist virtue frameworks, which suggests that a new approach to virtue epistemology is needed. We conclude by placing intelligence within a new interactionist framework. (shrink)

Review of: Abel, C. (2014). The extended self: Architecture, memes and minds. Manchester University Press.

Recent research has begun treating the perennial philosophical question, “what makes a person the same over time?” as an empirical question. A long tradition in philosophy holds that psychological continuity and connectedness of memories are at the heart of personal identity. More recent experimental work, following Strohminger & Nichols (2014), has suggested that persistence of moral character, more than memories, is perceived as essential for personal identity. While there is a growing body of evidence supporting these findings, a critique by (...) Starmans & Bloom (2018) suggests that this research program conflates personal identity with mere similarity. To address this criticism, we explore how loss of someone’s morality or memories influence perceptions of identity change, and perceptions of moral duties towards the target of the change. We present participants with a classic ‘body switch’ thought experiment and after assessing perceptions of identity persistence, we present a moral dilemma, asking participants to imagine that one of the patients must die (Study 1) or be left alone in a care home for the rest of their life (Study 2). Our results highlight the importance of the continuity of moral character, suggesting lay intuitions are tracking (something like) personal identity, not just mere similarity. (shrink)

In this chapter, we outline the interdisciplinary contributions that philosophy, psychology, and neuroscience have provided in the understanding of the self and identity, focusing on one specific line of burgeoning research: the importance of morality to perceptions of self and identity. Of course, this rather limited focus will exclude much of what psychologists and neuroscientists take to be important to the study of self and identity (that plethora of self-hyphenated terms seen in psychology and neuroscience: self-regulation, self-esteem, self-knowledge, self-concept, self-perception, (...) and more). We will likewise not engage with many canonical philosophical treatments of self and identity. But we will lay out a body of research that brings together classic themes in philosophy, psychology, and neuroscience to raise empirically tractable philosophical questions, and philosophically rigorous empirical questions about self and identity. More specifically, in section 4.2, we will review some recent research that has treated traditional philosophical questions about self and identity as empirical questions. Within this body of work, we will be primarily concerned with the finding that morality (more so than memory) is perceived to be at the core of self and identity. Then, in section 4.3, we raise and respond to a variety of questions and criticisms: first, about the operationalization of identity concepts in the empirical literature; second, about the generalizability of the moral self effect; third, about the direction of change; fourth, about connections with recent work in neuroscience; and fifth, about the target of evaluation. Finally, in section 4.4, we consider a variety of implications and applications of this work on the moral self. Throughout, we aim to highlight connections between classical themes in philosophy, psychology, and neuroscience, while also suggesting new directions for interdisciplinary collaboration. (shrink)

A recent systematic review of Machine Learning (ML) approaches to health data, containing over 100 studies, found that the most investigated problem was mental health (Yin et al., 2019). Relatedly, recent estimates suggest that between 165,000 and 325,000 health and wellness apps are now commercially available, with over 10,000 of those designed specifically for mental health (Carlo et al., 2019). In light of these trends, the present chapter has three aims: (1) provide an informative overview of some of the recent (...) work taking place at the intersection of text mining and mental health so that we can (2) highlight and analyze several pressing ethical issues that are arising in this rapidly growing field and (3) suggest productive directions for how these issues might be better addressed within future interdisciplinary work to ensure the responsible development of text mining approaches in psychology generally, and in mental health fields, specifically. In Section 1, we review some of the recent literature on text-mining and mental health in the contexts of traditional experimental settings, social media, and research involving electronic health records. Then, in Section 2, we introduce and discuss ethical concerns that arise before, during, and after research is conducted. Finally, in Section 3, we offer several suggestions about how ethical oversight of text-mining research might be improved to be more responsive to the concerns mapped out in Section 2. (shrink)

We present a new understanding of Christ’s real presence in the Eucharist on the model of Stump’s account of God’s omnipresence and Green and Quan’s account of experiencing God in Scripture. On this understanding, Christ is derivatively, rather than fundamentally, located in the consecrated bread and wine, such that Christ is present to the believer through the consecrated bread and wine, thereby making available to the believer a second-person experience of Christ, where the consecrated bread and wine are the way (...) in which she shares attention with him. The consecrated bread and wine are then, in a sense, icons of Christ. (shrink)

Theoria, Volume 88, Issue 4, Page 727-732, August 2022.

DBS Think Tank IX was held on August 25–27, 2021 in Orlando FL with US based participants largely in person and overseas participants joining by video conferencing technology. The DBS Think Tank was founded in 2012 and provides an open platform where clinicians, engineers and researchers can freely discuss current and emerging deep brain stimulation technologies as well as the logistical and ethical issues facing the field. The consensus among the DBS Think Tank IX speakers was that DBS expanded (...) in its scope and has been applied to multiple brain disorders in an effort to modulate neural circuitry. After collectively sharing our experiences, it was estimated that globally more than 230,000 DBS devices have been implanted for neurological and neuropsychiatric disorders. As such, this year’s meeting was focused on advances in the following areas: neuromodulation in Europe, Asia and Australia; cutting-edge technologies, neuroethics, interventional psychiatry, adaptive DBS, neuromodulation for pain, network neuromodulation for epilepsy and neuromodulation for traumatic brain injury. (shrink)

Preview: /Review: Justo Serrano Zamora, Democratization and Struggles Against Injustice (London and New York: Rowman and Littlefield, 2021), 232 pages./ “No, no, we are not satisfied, and we will not be satisfied until justice rolls down like waters, and righteousness like a mighty stream.” In amongst a plethora of memorable metaphors and other impressive rhetorical devices, we find in Martin Luther King Jr’s most iconic speech (delivered at the March on Washington, August 28, 1963, on the steps of the (...) Lincoln Memorial – commonly known as the “I have a Dream” speech): this biblical expression of the fluid quality of the pursuit of justice. Quoting the Jewish prophet Amos, who was outraged by wealth disparities in the ancient Northern kingdom of Israel, King taps into a common imagery of the forward march of justice as a matter of a watery bursting forwards, aiming ultimately for a calmer, more settled state of affairs. This kind of imagery is widespread in popular culture. For example, people can be said to “flood” or “pour into” the streets at moments of mass mobilization; in response, the police often seek to “contain the flow” of crowds at protests; and a successful revolution is often thought of as a “turning of the tide.” This lexical field of water in motion evokes both a chaotic sense of the unexpected and the emergence of an underlying order seeking to overcome the existing political order. It also suggests that the justice-oriented masses are moved, at best, in a semi-conscious way by events that typically start outside of themselves – like a growing ripple caused by the proverbial pavé dans la mare. The strategic benefit of this kind of talk is that it presents the struggle for justice as natural and, in some sense, inevitable; while injustice is presented as merely artificial and temporary, for nature eventually reclaims its rights. To put it simply: φύσις meets νόμος, φύσις defeats νόμος. This way of speaking is both dramatically and rhetorically powerful. (shrink)

The present study aimed to understand how status-oriented individual differences such as narcissistic antagonism, narcissistic extraversion, and moral grandstanding motivations may have longitudinally predicted both behavioral and social media responses during the early stages of the COVID-19 pandemic. Via YouGov, a nationally representative sample of U.S. adults was recruited in August of 2019 (N = 2,519; Mage = 47.5, SD = 17.8; 51.4% women) and resampled in May of 2020, (N = 1,533). Results indicated that baseline levels of narcissistic (...) antagonism were associated with lower levels of social distancing and lower compliance with public health recommended behaviors. Similarly, dominance oriented moral grandstanding motivations predicted greater conflict with others over COVID-19, greater engagement in status-oriented social media behaviors about COVID-19, and lower levels of social distancing. (shrink)

“I want out before the day when I can no longer assess my situation,” wrote Gillian Bennett, a Vancouver woman, in an open letter to be published after her death. “[I] will be physically alive but there will be no one inside.” Addressing the dementia she had been living with for three years: “[M]uch faster now, I am turning into a vegetable … Dementia gives no quarter and admits no bargaining.” So, dragging a mattress to her favorite spot, on (...) class='Hi'>August 18, 2014, Bennett, age 83, self-administered a lethal dose of barbiturates and passed with her husband holding her hand. In Canada, physician-assisted suicide is illegal, leaving individuals with degenerative illnesses to make these decisions on their one without the resources available to most hospitals. As Bennett observed, if she wished to resist becoming a vegetable, this was her only option – she had to act before the day when she could “no longer assess my situation.” Though using language common in the “death with dignity” debate, in her letter she notes there was another influence on her decision. This one was more utilitarian than personal: As we – the elderly – undergo manifold operations and become gaga while taking up a hospital bed, our grandchildren’s schooling, their educational, athletic, and cultural opportunities will squeeze up. Media attention to Bennett’s story has been positive, with many agreeing that PAS laws ought to be revisited. Still, it is not without its detractors. Some have expressed skepticism toward Bennett’s utilitarian argument while others are critical of rhetoric that implies “sticking it out” to be undignified. Currently, only Quebec has passed right-to-die legislation, but this is expected to be challenged by the federal government – this is in light of the fact that the Canadian Medical Association has softened its stand on PAS. What is certain is that Bennett has raised questions too often secluded to the bioethics classroom. While all end-of-life decisions should be left in the hands of the patient, Bennett’s consideration of societal costs is a unique approach to an otherwise personal issue. In an era when life expectancy exceeds what it was when Canada’s health care system was created, how many years are we entitled to? At what point, in the artificial prolonging of human life, does one weigh quality of life against cost? Is quality of life even the best measurement? Far from being personal, as long as the costs are incurred by the whole society, all of society has a vested interest in its outcomes – and because these are choices everyone must make, ideally, these will be both fair and just. It is unclear what effect this story will have on the United States. Compared to Canada, the U.S. has a different relationship to healthcare and medical rights. This is highlighted by the fact that, in recent memory, even conservative legislation like the Affordable Care Act inspired fears of “Death Panels.” Since the Supreme Court ruled in Washington v. Glucksberg and Vacco v. Quill that there is no constitutional “right to die,” PAS laws must be decided on the state-level. Even though a 2013 Gallup Poll found that 70% of Americans support PAS, only five states allow it. In finding data on who uses this service, only those states that went through the democratic process – by either ballot initiative or the legislature – produce annual reports monitoring it. In those where it was legalized through the courts, it is not so much that the state condones PAS as much as they are unable to prosecute physicians. Each follows similar regulations – for example, patients must be capable of making decisions, diagnosed with a terminal illness, and have less than six months to live. When/if the data is collected for Montana and New Mexico, it will likely confirm doctors’ anecdotes, which is that it is selected by only a few who are eligible. Again, it is uncertain what Gillian Bennett’s legacy will be in both Canada and the United States, but as a focusing event, her story raises questions that everyone – and every society – must address. The very fact that it has done that much is as much a legacy as anyone can hope to leave. It was right of her to title her letter, “Goodbye & Good Luck!” – because we need it. (shrink)

Released as part of WikiLeaks’ 2012 “The Detainee Policies,” classified documents from the U.S. Department of Defense ought to raise bioethical concerns over detainee treatment. Although some documents are in draft form, others bear the signature of Secretary Rumsfeld and reflect the military’s standard operating procedures in both Iraqi detainment facilities and Guantanamo Bay. Addressing everything from the assignment of detainee numbers to restraint, its guidelines on the forced medication raise many questions. Specifically: What those guidelines even are. In one (...) document the DoD outlines its policies on “the ethical and safe use of restraints on detainee patients in medical treatment facilities within Iraq.” When leather restraints do not work, it suggests forced medication: If mechanical restraints fail to maintain the appropriate medical effect and/or safe environment, pharmacologic agents may will be used in accordance with JCAHO guidelines [WHAT ARE THESE GUIDELINES? SHOULD THEY BE LISTED AS REFERENCES?] medical standards, and ethics. Patients requiring pharmacologic restraint will be monitored for 12 hours after dosing. The two drugs mentioned – Haldol and Ativan – are the trademark names of Haloperidol and Lorazepam, the first an antipsychotic used to treat schizophrenia and the second a sedative. Both have their side-effects and, with long-term use can cause cognitive impairment. Of the 100+ leaked documents, this is one of the few where either the author or a reviewer made a note to the original text. What is astounding is that the military’s own guidelines on forced medication are so vague that someone felt compelled to note as much. To further confuse the matter, it is unclear whether such JCAHO guidelines even exist. Searching online for the JCAHO’s uncited policies on forced medication, I found nothing. When I reached out to a media representative of the Commission’s Standards Interpretation Group, I was told it currently has no such guidelines. Additionally, they were “not able to pull up any old standards.” When I asked for clarification as to whether they ever existed, I was not given a direct answer and my follow-up emails were ignored. It is no secret that both torture and forced medication were regularly practiced at Guantanamo Bay. In fact, the very author of the Bush Administration’s legal rationale for torture, John Yoo, went so far as to argue that the Army Field Manual allowed the use of drugs to torture. In August 2013, an attorney filed an appeal on the part of six former Guantanamo prisoners who, in 2001 and 2002, were wrongly detained as enemy combatants. While detained, “the guards … neither let [one prisoner] refuse the medication nor tell him what they were giving him”. When another resisted, he was forcibly medicated by an Extreme Reaction Force team. As is typical in such circumstances, a group of soldiers in riot gear burst into his cell, threw him to the ground and restrained him, carried him out of the cell, and forced him to either take pills or an injection. Sadly, with the government’s classification bias, it is only through WikiLeaks and court documents that these human rights abuses will come to light. For all we know, the DoD’s guidelines on restraint may have been clarified, but it will be a generation before the public can see them—long after they are of any use but to historians. (shrink)

(2013). Brandom and Gadamer on the Hermeneutical (Il)legitimacy of Rational Reconstruction. International Journal of Philosophical Studies. ???aop.label???

"If a tree falls in a forest and no one is around to hear it, does it make a sound?" In this article I examine the framework of George Berkeley's global metaphysical theory, 'Esse est Percipi'. Then I highlight two competing potential interpretations of the theory.

In this paper I will examine the infinite regress arguments pertaining to the unreality of relations that are presented in Francis Herbert Bradley’s paper, Appearance and Reality. Then I will suggest two argumentative strategies one can take to undermine Bradley’s regress argument. The first option concerns plainly rejecting the regress by stating that Bradley is viewing relations as kinds of objects that are in need of being related, whereas the second option is in regards to adopting an existential-dependence view between (...) objects and their properties to refute the need for relations. I will conclude this paper by comparing these two strategies against each other, alluding to each of their ramifications. (shrink)

Cushman, Young, & Greene (2010) urge the consolidation of moral psychology around a dual-system consensus. On this view, a slow, often-overstretched rational system tends to produce consequentialist intuitions and action-tendencies, while a fast, affective system produces virtuous (or vicious) intuitions and action-tendencies that perform well in their habituated ecological niche but sometimes disastrously outside of it. This perspective suggests a habit-corrected-by-reason picture of moral behavior. Recent research, however, has raised questions about the adequacy of dual-process theories of cognition and behavior, (...) which tend to distinguish categorically between fast, affect-laden, automatic, sometimes-unconscious, nearly-incorrigible mental processes and slow, rational, effortful, conscious, corrigible mental processes. Processes of one alleged type often have properties associated with the contrary type. For instance, rational processes can be emotional, and fast thinking can perform logical operations. In addition, the fast-slow binary transforms a continuous temporal scale into a dichotomous one, losing potentially important information along the way. While these problems are beginning to be addressed in some subfields of psychology, moral psychology has yet to grapple with them. In this theoretical paper, we argue that moral psychology needs a framework that accounts for our knowledge of both temporal and spatial (anatomical) dimensions of the brain basis of moral cognition and virtuous decision-making. We argue that methodologies with very fine-grained temporal granularity, such as electroencephalography (EEG), should be used to complement more frequently used methodologies such as functional magnetic resonance imaging (fMRI). We outline how this might be accomplished using generosity, gratitude, and integrity as a case study. (shrink)

Machine ethics and robot rights are quickly becoming hot topics in artificial intelligence and robotics communities. We will argue that attempts to attribute moral agency and assign rights to all intelligent machines are misguided, whether applied to infrahuman or superhuman AIs, as are proposals to limit the negative effects of AIs by constraining their behavior. As an alternative, we propose a new science of safety engineering for intelligent artificial agents based on maximizing for what humans value. In particular, we challenge (...) the scientific community to develop intelligent systems that have human-friendly values that they provably retain, even under recursive self-improvement. (shrink)

This book argues that this powerful technique permits the social sciences to meet an explanation, in which one 'grows' the phenomenon of interest in an artificial society of interacting agents: heterogeneous, boundedly rational actors.

Virtue ethics has been dogged by the objection that it lacks the ability to provide adequate action-guidance, that it is agent-centered rather act-centered. Virtue ethics has also been faulted for devolving into moral cultural relativism. Rosalind Hursthouse has presented an action-based, naturalistic theory of virtue ethics intended to defuse these charges. Despite its merits, I argue that Hurthouse’s theory fails to successfully solve the problems associated with action guidance and relativism precisely because her attempt to provide a non-cultural basis for (...) virtue ethics undermines the possibility of using virtue ethics to derive useful action-guidance. The action-guiding power of virtue is derived from culture; seeking to avoid the cultural grounding of virtue merely brings one back to the problem of how virtue ethics can provide action-guidance. (shrink)

What if wilderness is bad for wildlife? This question motivates the philosophical investigation in Wilderness, Morality, and Value. Environmentalists aim to protect wilderness, and for good reasons, but wilderness entails unremittent, incalculable suffering for its non-human habitants. Given that it will become increasingly possible to augment nature in ways that ameliorates some of this suffering, the morality of wilderness preservation is itself in question. Joshua S. Duclos argues that the technological and ethical reality of the Anthropocene warrants a fundamental (...) reassessment of the value of wilderness. After exposing the moral ambiguity of wilderness preservation, he explores the value of wilderness itself by engaging with anthropocentricism and nonanthropocentrism; sentientism, biocentrism, and ecocentrism; and instrumental value and intrinsic value. Duclos argues that the value of wilderness is a narrow form of anthropocentric intrinsic value, one with a religio-spiritual dimension. By integrating scholarship from bioethics on the norms of engineering human nature with debates in environmental ethics concerning the prospect of engineering non-human nature, Wilderness, Morality, and Value sets the stage for wilderness ethics—or wilderness faith—in the Anthropocene. (shrink)

Advocates of the use of intuitions in philosophy argue that they are treated as evidence because they are evidential. Their opponents agree that they are treated as evidence, but argue that they should not be so used, since they are the wrong kinds of things. In contrast to both, we argue that, despite appearances, intuitions are not treated as evidence in philosophy whether or not they should be. Our positive account is that intuitions are a subclass of inclinations to believe. (...) Our thesis explains why intuitions play a role in persuasion and inquiry, without conceding that they are evidential. The account also makes predictions about the structure of intuitions that are confirmed by independent arguments. (shrink)

There is a thinking animal in your chair and you are the only thinking thing in your chair; therefore, you are an animal. So goes the main argument for animalism, the Thinking Animal Argument. But notice that there are many other things that might do our thinking: heads, brains, upper halves, left-hand complements, right-hand complements, and any other object that has our brain as a part. The abundance of candidates for the things that do our thinking is known as the (...) Thinking Parts Problem. Animalists who endorse the Thinking Animal Argument must solve this problem by giving reasons for privileging the animal over its rivals. In order to meet this challenge, some animalists have argued that the best solution is a biological minimalist one. In what follows, I argue that every extant biological minimalist solution to the Thinking Parts Problem fails. (shrink)

Experimental philosophy uses experimental research methods from psychology and cognitive science in order to investigate both philosophical and metaphilosophical questions. It explores philosophical questions about the nature of the psychological world - the very structure or meaning of our concepts of things, and about the nature of the non-psychological world - the things themselves. It also explores metaphilosophical questions about the nature of philosophical inquiry and its proper methodology. This book provides a detailed and provocative introduction to this innovative field, (...) focusing on the relationship between experimental philosophy and the aims and methods of more traditional analytic philosophy. Special attention is paid to carefully examining experimental philosophy's quite different philosophical programs, their individual strengths and weaknesses, and the different kinds of contributions that they can make to our philosophical understanding. Clear and accessible throughout, it situates experimental philosophy within both a contemporary and historical context, explains its aims and methods, examines and critically evaluates its most significant claims and arguments, and engages with its critics. (shrink)

There are several important arguments in metaethics that rely on explanatory considerations. Gilbert Harman has presented a challenge to the existence of moral facts that depends on the claim that the best explanation of our moral beliefs does not involve moral facts. The Reliability Challenge against moral realism depends on the claim that moral realism is incompatible with there being a satisfying explanation of our reliability about moral truths. The purpose of this chapter is to examine these and related arguments. (...) In particular, this chapter will discuss four kinds of arguments – Harman’s Challenge, evolutionary debunking arguments, irrelevant influence arguments, and the Reliability Challenge – understood as arguments against moral realism. The main goals of this chapter are (i) to articulate the strongest version of these arguments; (ii) to present and assess the central epistemological principles underlying these arguments; and (iii) to determine what a realist would have to do to adequately respond to these arguments. (shrink)