The success of deep brain stimulation (DBS) for movement disorders and the improved understanding of the neurobiologic and neuroanatomic bases of psychiatric diseases have led to proposals to expand current DBS applications. Recent preclinical and clinical work with Alzheimer's disease and obsessive-compulsive disorder, for example, supports the safety of stimulating regions in the hypothalamus and nucleus accumbens in humans. These regions are known to be involved in addiction and overeating associated with obesity. However, the use of DBS targeting these areas (...) as a treatment modality raises common ethical considerations, which include informed consent, coercion, enhancement, threat to personhood, and manipulation of the reward center. Pilot studies for both of these conditions are currently investigational. If these studies show promise, then there is a need to address the ethical concerns related to the initiation of clinical trials including the reliability of preclinical evidence, patient selection, study design, compensation for participation and injury, cost-effectiveness, and the need for long-term follow-up. Multidisciplinary teams are necessary for the ethical execution of such studies. In addition to establishing safety and efficacy, the consideration of these ethical issues is vital to the adoption of DBS as a treatment for these conditions. We offer suggestions about the pursuit of future clinical trials of DBS for the treatment of addiction and overeating associated with obesity and provide a framework for addressing ethical concerns related to treatment. (shrink)

Background Policy decisions about childhood vaccination require consideration of multiple, sometimes conflicting, public health and ethical imperatives. Examples of these decisions are whether vaccination should be mandatory and, if so, whether to allow for non-medical exemptions. In this article we argue that these policy decisions go beyond typical public health mandates and therefore require democratic input.Methods We report on the design, implementation, and results of a deliberative public forum convened over four days in Ontario, Canada, on the topic of childhood (...) vaccination.Results 25 participants completed all four days of deliberation and collectively developed 20 policy recommendations on issues relating to mandatory vaccinations and exemptions, communication about vaccines and vaccination, and AEFI (adverse events following immunization) compensation and reporting. Notable recommendations include unanimous support for mandatory childhood vaccination in Ontario, the need for broad educational communication about vaccination, and the development of a no-fault compensation scheme for AEFIs. There was persistent disagreement among deliberants about the form of exemptions from vaccination (conscience, religious beliefs) that should be permissible, as well as appropriate consequences if parents do not vaccinate their children.Conclusions We conclude that conducting deliberative democratic processes on topics that are polarizing and controversial is viable and should be further developed and implemented to support democratically legitimate and trustworthy policy about childhood vaccination. (shrink)

Hume discusses the distinction of reason to explain how we distinguish things inseparable, and so identical, e.g., the color and figure of a white globe. He says we note the respect in which the globe is similar to a white cube and dissimilar to a black sphere, and the respect in which it is dissimilar to the first and similar to the second. Unfortunately, Hume takes these differing respects of resemblance to be identical with the white globe itself. Contradiction results, (...) undermining his theory of abstraction. The way out is apparently to admit an intrinsic complexity in even simple things. (shrink)

I. INTRODUCTION: THE PROBLEMAkrasia (or, weakness of the will), often defined as “the moral state of agents who act against their better judgment”—a definition first given by Aristotle in the Nicomachean Ethics, depicts one of the most human of predicaments.Risto Sarrinen, Weakness of the Will in Medieval Thought: From Augustine to Buridan (New York: E. J. Brill, 1994), p. 1. Similar definitions can be found in, e.g., Aristotle, Nicomachean Ethics VII, 1045b10–15; Donald Davidson, “How is Weakness of the Will (...) Possible?” in Moral Concepts, ed. J. Feinberg (Oxford: Oxford University Press, 1970) p. 93; William Charlton, Weakness of Will (Oxford: Basil Blackwell, 1988), p. 1. We know what we ought to do, and we try. But, for one reason or other, we sometimes choose to act contrary to our better judgment.Being influenced by Socratic reasoning, some philosophers have argued that, in principle, one cannot freely and intentionally choose to act against one’s better judgment, if (1) one rationally judges what is best for oneself, (2) one prefers to act according to one’s rational judgment, and (3) one is free to make one’s own choice. See, e.g., Davidson, “How is Weakness,” pp. 93–113; and R. M. Hare, Freedom and Reason (Oxford: Oxford University Press, 1963), pp. 78–79. Despite the logical difficulty, many believe that weakness of the will is a fact. (shrink)

This article employs an intersectional analysis of ethical discourse guiding the US context in the era of Trump. Illustrating the viability of intersectionality for the broader utility of Christian social ethics, this essay explores the contemporary development of surreality and sub-rosa morality indicative of the current political situation in the United States in the wake of Donald Trump’s political ascendancy from the reality TV boardroom of The Apprentice to the Oval Office of the White House. Faced with the escalating (...) nature of lies and deception emanating from the Trump administration, this article provides the moral rationale for civil disobedience as well as suggesting prescriptions for a redemptive ethic intended to remedy the legitimation crises which have become the defining ethos of our time. (shrink)

This volume provides a philosophical introduction to and analysis of the study of metaphor. By proceeding from the concrete analysis of complex metaphors, White is able to identify a range of features which are incompatible with standard accounts of the way words function in metaphor.

The claim that faith is creative of its objects resides primarily in the conviction that the richness of the life of faith demands that it shall be subject only to its own laws. Its very diversity of expression is indication that it should not be fettered or confined by a restrictive model that outlaws the marvellously unexpected quality of its explorations. Yet that metaphor itself suggests caution; for exploration is necessarily of a territory that the explorer does not bring into (...) being by his voyage or journey. His travels have their own richness; thus Shackleton's famous boat journey has its place in the records of human endurance. But travel assumes a ground to be traversed, and the journey of Ernest Shackleton and the men who sailed with him was not conjured out of nothing, but an achievement made necessary as response to a situation that was itself in no sense of the explorer's contriving. Yet of course we are impatient with the suggestion that it was a mere, largely passive reaction to natural emergency, and only marginally regarded as humanly creative. (shrink)

Introduction -- The mathematical roots of the concept of analogy -- Aristotle : the uses of analogy -- Aristotle : analogy and language -- Thomas Aquinas -- Immanuel Kant -- Karl Barth -- Final reflections.

Human attitudes to animals have changed as non-humans have become more widely incorporated in the category of moral agents who deserve some respect. Parallels between the functioning of humans and non-humans have been made for thousands of years but the idea that the animals that we keep can suffer has spread recently. An improved understanding of motivation, cognition and the complexity of social behaviour in animals has led in the last 30 years to the rapid development of animal welfare science. (...) Early attempts to define welfare referred to individuals being in harmony with nature but the first usable definition incorporated feelings and health as part of attempts to cope with the environment. Others considered that welfare is only about feelings but it is argued that as feelings are mechanisms that have evolved they are a part of welfare rather than all of it. Most reviews of welfare now start with listing the needs of the animal, including needs to show certain behaviours. This approach has used sophisticated studies of what is important to animals and has replaced the earlier general guidelines described as freedoms. Many measures of welfare are now used and indicate how good or how poor the welfare is. Naturalness is not a part of the definition of welfare but explains why some needs exist. In recent years, welfare has become established as one of various criteria used to decide on whether a system is sustainable because members of the public will not accept systems that cause poor welfare. The study of welfare has become part of the scientific basis upon which important political decisions are made. (shrink)

Traditionally, the dominant theory of metaphor has taken the form of saying that metaphor is a matter of using a word with a figurative meaning, that is, a meaning which deviates from standard, literal, meaning. The present article challenges the assumption on which such a characterization rests: that there are standard meanings for words fixed by conventions normative for our use of words. It argues that the most sophisticated defence of such a conception of meaning‐that of David Lewis‐gives an account (...) of convention that cannot be coherently applied to the case of language, and which misdescribes the phenomena of language. The fluidity and flexibility exhibited in our normal literal uses of words is such that to say that a meaning deviates from past meanings assigned to a word registers no contrast between the metaphorical use of words and the literal. Hence if we contrast the literal and the metaphorical, we must do it in some other way than by talking about what happens to the meanings of words. (shrink)

In _The Body in Late-Capitalist USA_, Donald M. Lowe explores the varied social practices that code and construct the body. Arguing that our bodily lives are shaped by a complex of daily and ongoing practices—how we work, what we buy and consume—Lowe contends that as a result of the commodification of these and other social practices in the late-twentieth century, what we often understand to be the needs of the body are in fact means for capital accumulation. Moving beyond (...) studies of representations and images of the body, Lowe focuses on the intersection of body practices, language, and the Social to describe concretely the reality of a lived body. His strongly synthetic work brings together Marxist critique, semiotics, Foucaultian discourse analysis, and systems and communications theory to examine those practices that construct the body under late capitalism: habits of work and consumption, the ways we give birth and raise children, socialization, mental and physical healing, reconstructions and contestations of sexuality and gender. Lowe draws upon a wide range of sources, including government and labor studies and statistics, diagnostic and statistical manuals on mental illness, computer manuals, self-help books, and guides to work-related stress disorders, to illustrate the transformation of the body into a nexus of exchange value in postmodern society. (shrink)

This paper sets out to give sufficient detail to the notion of mental simulation to allow an appraisal of its contribution to ‘mindreading’ in the context of the ‘false-belief tasks’ used in developmental psychology. We first describe the reasoning strategy of ‘modified derivation’, which supports counterfactual reasoning. We then give an analysis of the logical structure of the standard false-belief tasks. We then show how modified derivation can be used in a hybrid strategy for mindreading in these tasks. We then (...) formulate the hypothesis that children become able (around the age of 4 years) to pass these tasks when they acquire the counterfactual reasoning ability required in this strategy. We find this to be consistent with various empirical findings. We then discuss the implications for the theory/simulation debate, meta-representation and pretence. (shrink)

Concept definitions applicable to human and non-human animals should be usable for both. Awareness is a state during which concepts of environment, self, and self in relation to environment result from complex brain analysis of sensory stimuli or constructs based on memory. There are several proposed categories of awareness. The widespread usage of the term conscious is 'not unconscious' so a conscious individual is an individual that has the capability to perceive and respond to sensory stimuli. It is confusing and (...) scientifically undesirable if conscious is also used to mean aware. Hence it is proposed that conscious should be used only as above. Fully functioning and adequately developed humans and members of many other animal species are sentient. Sentience means having the capacity, the level of awareness and cognitive ability, necessary to have feelings. The welfare of an individual is its state as regards its attempts to cope with its environment. This includes feelings, which are important coping mechanisms, and health. Since feelings involve awareness, there is overlap between welfare assessment and awareness assessment. Methods for assessing awareness, consciousness, sentience, and welfare and links to morality are briefly discussed. (shrink)

Peter Geach frequently showed the relevance of some of Frege's insights to contemporary philosophical debates, such as that which Geach called “the Frege Point” – “a proposition may occur in discourse now asserted, now unasserted, and yet be recognizably the same proposition”. Geach argued against a variety of “expressivist” accounts of certain propositions that their proponents could not explain the significance of such propositions in subordinate clauses. The paper extends Geach's argument to show that “the Frege Point” presents a powerful (...) challenge to any attempt, such as those influenced by the later Wittgenstein, to equate meaning with use. (shrink)

Drawing on convergent work in a broad range of disciplines, this article uses the tipping point paradigm to frame a new account of how early human ancestors may have first broken free from, as Bickerton calls it, the “prison of animal communication.” Under building pressure for an enhanced signaling system capable of supporting joint attentional-intentional activities, a cultural tradition of disambiguated indexical pointing, combined with increasingly sophisticated mindreading circuitry and prosocial tendencies, may have sparked the first in the series of (...) biocultural explosions that led from a simple protolanguage to fully modern human language. This account successfully integrates at least ten other competing hypotheses, and is shown to pass nine important tests that have been proposed for language origin scenarios of its type. (shrink)

This book provides students with an understanding of the nature of family theory as well as a survey of six major theoretical frameworks to explain patterns of family life. Each theory is systematically explored.

A policy of “preventive detention” has recently been debated in the British Parliament. Alarmed by the high-profile criminal activities of people suspected of having dangerous severe personality disorder , the government have made clear their intention to “indeterminately but reviewably detain” people with DSPD, after diagnosis by forensic psychiatrists, even if the individuals are yet to commit an offence. Such a policy may improve the safety of the public, but has obvious implications for civil liberties. This essay criticises the morality (...) of the government's intention and rejects the notion that the medical profession could ethically collude with such a policy. (shrink)

Donald Broom argues that morality and the central components of religion are of great value, and presents two central ideas. He asserts that morality has a biological foundation and has evolved as a consequence of natural selection, and that religions are essentially the structures supporting morality. Many philosophers and theologians write about morality and its origins without reference to biological processes such as evolution. Likewise, biologists discuss phenomena of importance to human morality and religion without taking account of the (...) thoughts of others on these subjects. (shrink)

Wittgenstein's Tractatus contains a wide range of profound insights into the nature of logic and language – insights which will survive the particular theories of the Tractatus and seem to me to mark definitive and unassailable landmarks in our understanding of some of the deepest questions of philosophy. And yet alongside these insights there is a theory of the nature of the relation between language and reality which appears both to be impossible to work out in detail in a way (...) which is completely satisfactory, and to be bizarre and incredible. I am referring to the so-called logical atomism of the Tractatus . The main outlines of this theory at least are clear and familiar: there are elementary propositions which gain their sense from being models of possible states of affairs; such propositions are configurations of names of simple objects, signifying that those simples are analogously configured; every proposition has its sense through being analysable as a truth-functional compound of elementary propositions, thus deriving its sense from the sense of the elementary propositions when this view is taken in conjunction with the idea that the sense of a proposition is completely specified by specifying its truth-conditions. In this way the Tractatus incorporates in its working out a philosophical system analogous to the classical philosophical systems of Leibniz or Spinoza which are regarded by many people, in a sense rightly, as the prehistoric monsters of philosophy which are not to be studied as living organisms, but studied as the curiosities of human thought. And we may here agree that in the end we must simply reject a philosophy which incorporates such features as its postulation of simple eternal objects, or of a possibility of an analysis of a proposition which was presented as a pre-condition for the propositions that we ordinarily utter to make sense, and yet the specific form of which we are unaware of, and so on. (shrink)

As part of a review symposium on DARWIN'S ARGUMENT BY ANALOGY: FROM ARTIFICIAL TO NATURAL SELECTION (2021), the journal METASCIENCE invited Roger White, Jon Hodge and me to submit a response to the thoughtful commentaries on our book by Andrea Sullivan-Clarke, David Depew and Andrew Inkpen.