The Schwarzschild solution (Schwarzschild, 1915/16) to Einstein’s General Theory of Relativity (GTR) is accepted in theoretical physics as the unique solution to GTR for a central-mass system. In this paper I propose an alternative solution to GTR, and argue it is both logically consistent and empirically realistic as a theory of gravity. This solution is here called K-gravity. The introduction explains the basic concept. The central sections go through the technical detail, defining the basic solution for the geometric tensor, the (...) Christoffel symbols, Ricci tensor, Ricci scalar, Einstein tensor, stress-energy tensor and density-pressure for the system. The density is integrated, and some consistency properties are demonstrated. A notable feature is the disappearance of the event horizon singularity, i.e. there are no black holes. So far this is for a single central mass. A generalization of the solution for multiple masses is then proposed. This is required to support K-gravity as a viable general interpretation of gravity. Then the question of empirical tests is discussed. It is argued that current observational data is almost but not quite sufficient to verify or falsify K-gravity. The Pioneer spacecraft trajectory data is of particular interest, as this is capable of providing a test; but the data (which originally showed anomalies that match K-gravity) is now uncertain. A new and very practical experiment is proposed to settle the matter. This would provide a novel test of GTR, and a novel test of the cause of the Pioneer anomalies. In conclusion, K-gravity has extensive ramifications for gravitational physics and for the philosophy of GTR and space-time. (shrink)

Physicists routinely claim that the fundamental laws of physics are 'time symmetric' or 'time reversal invariant' or 'reversible'. In particular, it is claimed that the theory of quantum mechanics is time symmetric. But it is shown in this paper that the orthodox analysis suffers from a fatal conceptual error, because the logical criterion for judging the time symmetry of probabilistic theories has been incorrectly formulated. The correct criterion requires symmetry between future-directed laws and past-directed laws. This criterion is formulated and (...) proved in detail. The orthodox claim that quantum mechanics is reversible is re-evaluated. The property demonstrated in the orthodox analysis is shown to be quite distinct from time reversal invariance. The view of Satosi Watanabe that quantum mechanics is time asymmetric is verified, as well as his view that this feature does not merely show a de facto or 'contingent' asymmetry, as commonly supposed, but implies a genuine failure of time reversal invariance of the laws of quantum mechanics. The laws of quantum mechanics would be incompatible with a time-reversed version of our universe. (shrink)

Introduction to alternative ontology of mind and physics based on the multi-dimensional model of A Geometric Theory of the Universe (Holster).

Literate Experience argues for the existence of certain shared patterns of intellectual association in the English seventeenth century, patterns that follow the outlines of Bacon’s project of epistemological reform. Bacon’s project offered a theory of how knowing as a private act could be transformed into a public one, an act related to the creation and maintenance of public authority. The question thus becomes, how did thinkers in the period reimagine civil society as a polity of knowledge? This study traces out (...) a variety of answers to that question, ranging from the Royal Society’s communal rhetoric to the work of four literary writers who, in a variety of ways, problematize the notion that political society exists as a community of shared knowledge. (shrink)

This book contains programmatic essays that focus on broad-ranging proposals for re-envisioning a discipline of comparative philosophy of religions. It also contains a number of case studies focussing on the interpretation of particular religio-historical data from comparatively oriented philosophical perspectives.

The standard model of cosmology is acclaimed in physics as accurate, robust, well-tested, our best scientific theory of the cosmos, but it has had serious anomalies for a while, including the Hubble tension, anomalous galaxies, and the completely unexplained nature of dark energy and dark matter. And lurking behind it all is the lack of a unified theory: General Relativity (GR) and quantum mechanics (QM) are inconsistent. Now startling new observations by the James Webb Space Telescope (JWST) in 2022 of (...) the early universe present the strongest challenge yet to the standard model, and whispers have started that this shows there is something wrong with the fundamental theory, General Relativity itself. This would be a crisis for cosmology. But haven’t they tested this theory already, and shown it is correct? How could it turn out wrong at this late stage? Here we compare the standard cosmology with an alternative fundamental theory, that has a strikingly different overall cosmological behavior: a simple cyclic expansion function. It is simple and deterministic. There are only two or three general parameters. The interesting result is that this alternative cosmology: (A) closely matches the expansion observed and modelled through the CDM standard model, now going back to red-shifts of 5-15; and (B) it also predicts unexpected early galaxy formation now being reported by the JWST. The point here is not to try to prove this alternative theory however, but rather show how it compares to the conventional cosmology. This show us clearly how weak the empirical evidence for the standard model really is against a counterfactual fundamental theory. Some results established in science are robust against theory change, but we find the standard cosmological model and the implications drawn from it are not robust at all. (shrink)

In his [1937, 1938], Paul Dirac proposed his “Large Number Hypothesis” (LNH), as a speculative law, based upon what we will call the “Large Number Coincidences” (LNC’s), which are essentially “coincidences” in the ratios of about six large dimensionless numbers in physics. Dirac’s LNH postulates that these numerical coincidences reflect a deeper set of law-like relations, pointing to a revolutionary theory of cosmology. This led to substantial work, including the development of Dirac’s later [1969/74] cosmology, and other alternative cosmologies, such (...) as the Brans-Dicke modification of GTR, and to extensive empirical tests. We may refer to the generic hypothesis of “Large Number Relations” (LNR’s), as the proposal that there are lawlike relations of some kind between the dimensionless numbers, not necessarily those proposed in Dirac’s early LNH. Such relations would have a profound effect on our concepts of physics, but they remain shrouded in mystery. Although Dirac’s specific proposals for LNR theories have been largely rejected, the subject retains interest, especially among cosmologists seeking to test possible variations in fundamental constants, and to explain dark energy or the cosmological constant. In the first two sections here we briefly summarize the basic concepts of LNR’s. We then introduce an alternative LNR theory, using a systematic formalism to express variable transformations between conventional measurement variables and the true variables of the theory. We demonstrate some consistency results and review the evidence for changes in the gravitational constant G. The theory adopted in the strongest tests of Ġ/G, by the Lunar Laser Ranging (LLR) experiments, assumes: Ġ/G = 3(dr/dt)/r – 2(dP/dt)/P – (dm/dt)/m, as a fundamental relationship. Experimental measurements show the RHS to be close to zero, so it is inferred that significant changes in G are ruled out. However when the relation is derived in our alternative theory it gives: Ġ/G = 3(dr/dt)/r – 2(dP/dt)/P – (dm/dt)/m – (dR/dt)/R. The extra final term (which is the Hubble constant) is not taken into account in conventional derivations. This means the LLR experiments are consistent with our LNR theory (and others), and they do not really test for a changing value of G at all. This failure to transform predictions of LNR theories correctly is a serious conceptual flaw in current experiment and theory. (shrink)

IBE ('Inference to the best explanation' or abduction) is a popular and highly plausible theory of how we should judge the evidence for claims of past events based on present evidence. It has been notably developed and supported recently by Meyer following Lipton. I believe this theory is essentially correct. This paper supports IBE from a probability perspective, and argues that the retrodictive probabilities involved in such inferences should be analysed in terms of predictive probabilities and a priori probability ratios (...) of initial events. The key point is to separate these two features. Disagreements over evidence can be traced to disagreements over either the a priori probability ratios or predictive conditional ratios. In many cases, in real science, judgements of the former are necessarily subjective. The principles of iterated evidence are also discussed. The Sceptic's position is criticised as ignoring iteration of evidence, and characteristically failing to adjust a priori probability ratios in response to empirical evidence. (shrink)

These are the first two chapters from a monograph (The Time Flow Manifesto, Holster, 2013-14; unpublished), defending the concepts of time directionality and time flow in physics and naturalistic metaphysics, against long-standing attacks from the ‘conventional philosophy of physical time’. This monograph sets out to disprove twelve specific “fallacies of the conventional philosophy”, stated in the first section below. These are the foundational principles of the conventional philosophy, which developed in the mid-C20th from positivist-inspired studies. The first chapter begins (...) by re-presenting the basic analysis of time reversal symmetry in the context of probabilistic or non-deterministic processes, removing the first critical error in the conventional account. The second chapter argues for a law-like explanation of physical time asymmetry and irreversibility, and shows how the ‘reversibility paradoxes’ are explained. (shrink)

In the philosophy of time, the neo-positivist is focussed above all else on sustaining the view called the static theory of time, as the very foundation of their scientific metaphysics. This is the deeply held metaphysical conviction of almost all ‘modern philosophical-scientific’ writers on time. In fact it is hardly too much to say that the entire official modern 20th Century philosophy of physics rests on the assumption that the static theory of space-time is the only concept of time we (...) can use in physics. The static theory of time prescribes the representational space for physics as being logically based on space-time – to the point physicists are incapable of conceiving a theory without space-time any longer, and mutter superstitiously among themselves if someone suggests such a thing. By extension, this space-time provides the representation of all reality for the modern scientific materialists, since they believe that everything ultimately reduces to physics. This agenda simultaneously requires discrediting the alternative concept of time flow and the associated traditional metaphysical concepts that it supports. This Chapter explains the concept of time flow and contrasts it with the static or block universe theory as a genuine and natural alternative for a physical ontology. (shrink)

This study presents a new type of foundational model unifying quantum theory, relativity theory and gravitational physics, with a novel cosmology. It proposes a six-dimensional geometric manifold as the foundational ontology for our universe. The theoretical unification is simple and powerful, and there are a number of novel empirical predictions and theoretical reductions that are strikingly accurate. It subsequently addresses a variety of current anomalies in physics. It shows how incomplete modern physics is by giving an example of a theory (...) that is genuinely unified. In doing this, it radically alters the metaphysical interpretation of the nature of time, space and matter currently interpreted from modern physics. It also profoundly challenges materialist expectations about a naturalistic account our own existence. I contend here that there is sufficient evidence to support this theory as a leading paradigm for a unified foundational theory. (shrink)

This chapter starts with a simple conventional presentation of time reversal in physics, and then returns to analyse it, rejects the conventional analysis, and establishes correct principles in their place.

‘Philosophy’ today has come to mean the academic ideological disputes between various grandiose ‘meta-philosophies’, rather than the content or explanation of the real problems and issues. I illustrate typical expressions of the conventional ‘scientific' anti-realist philosophy of time here, and how far it has infiltrated the scientific world view.

The conventional claims and concepts of 5* - 8* are a hang-over from the classical theory of thermodynamics – i.e. thermodynamics based on a fully deterministic micro-theory, developed in the time of Boltzmann, Loschmidt and Gibbs in the late C19th. The classical theory has well-known ‘reversibility paradoxes’ when applied to the universe as a whole. But the introduction of intrinsic probabilities in quantum mechanics, and its consequent time asymmetry, fundamentally changes the picture.

In this chapter, we see one way that time flow may force us to develop our physical theory if we add it back into physics proper. Now of course this is speculative in this context, and should be thought of as a model. The two following extracts are from introductions a more complete unified theory. They explain the basic mathematical models that are required to illustrate the point that such models may be plausible. The second extract, ‘the parable of the (...) ants’, introduces us to the ideological-philosophical conflict that prevents such a development being considered in the present generation, which we will go on to next. (shrink)

This continues from Part 1. It is shown how an intensional interpretation of physics object languages can be formalised, and how a syntactic compositional time reversal operator can subsequently be defined. This is applied to solve the problems used as examples in Part 1. A proof of a general theorem that such an operator must be defineable is sketched. A number of related issues about the interpretation of theories of physics, including classical and quantum mechanics and classical EM theory are (...) discussed. (shrink)

This study analyses the predictions of the General Theory of Relativity (GTR) against a slightly modified version of the standard central mass solution (Schwarzschild solution). It is applied to central gravity in the solar system, the Pioneer spacecraft anomalies (which GTR fails to predict correctly), and planetary orbit distances and times, etc (where GTR is thought consistent.) -/- The modified gravity equation was motivated by a theory originally called ‘TFP’ (Time Flow Physics, 2004). This is now replaced by the ‘Geometric (...) Model’, 2014 [20], which retains the same theory of gravity. This analysis is offered partially as supporting detail for the claim in [20] that the theory is realistic in the solar system and explains the Pioneer anomalies. The overall conclusion is that the model can claim to explain the Pioneer anomalies, contingent on the analysis being independently verified and duplicated of course. -/- However the interest lies beyond testing this theory. To start with, it gives us a realistic scale on which gravity might vary from the accepted theory, remain consistent with most solar-scale astronomical observations. It is found here that the modified gravity equation would appear consistent with GTR for most phenomena, but it would retard the Pioneer spacecraft by about the observed amount (15 seconds or so at time). Hence it is a possible explanation of this anomaly, which as far as I know remains unexplained now for 20 years. -/- It also shows what many philosophers of science have emphasized: the pivotal role of counterfactual reasoning. By putting forward an exact alternative solution, and working through the full explanation, we discover a surprising ‘counterfactual paradox’: the modified theory slightly weakens GTR gravity – and yet the effect is to slow down the Pioneer trajectory, making it appear as if gravity is stronger than GTR. The inference that “there must be some tiny extra force…” (Musser, 1998 [1]) is wrong: there is a second option: “…or there may be a slightly weaker form of gravity than GTR.” . (shrink)

This paper argues that ordinary object languages for fundamental physics are incomplete, essentially because they are extensional, and consequently lack any adequate formal representation of contingency. It is shown that it is impossible to formulate adequate deduction systems for general transformations in such languages. This is argued in detail for the time reversal transformation. Two important controversies about the application of time reversal in quantum mechanics are summarized at the start, to provide the context of this problem, and show its (...) serious implications, but the aim here is not to solve these problems. The flaw is not special to quantum mechanics: it is a general feature traced to extensionality, and demonstrated through a simple example in classical physics. It is proposed that this defect can be overcome by extending to an intensional semantics, but this involves extending the usual formalism of physics. A detailed proposal for such an extension is given in Part 2. (shrink)

Pavel Tichy (1936-1994) was a Czech philosopher who originally studied and worked at Charles University in Prague, and spent the second half of his life in New Zealand as a political refugee. Early in his career he invented intensional logic, simultaneously with Richard Montague, but published his version in 1971, slightly after Montague's 1970 papers, and has never been recognised for this achievement. But this was only the beginning of his work. He developed a highly original theory of semantics called (...) Transparent Intensional Logic, which is the basis of an important research program based in the Czech Republic and Slovenia. He published a wide range of original work in semantics, philosophy of logic and language, philosophy of science, and metaphysics; but despite the indisputable quality of this work, he has gained little contemporary recognition. This article provides a brief introduction to his work, focussing mainly on basic ideas of his intensional semantics and his theory of 'constructions'. (shrink)

This paper outlines a ‘paradox’ in quantum measurement theory, illustrated with two different types of systems. If this paradox cannot be resolved in ordinary quantum mechanics (as I currently think), it is alarming. If it can be resolved, it can be added to a long list of examples that show the internal consistency of quantum mechanics, and in this case I hope the correct analysis will be an interesting example for students. The immediate paradox involves a failure of Lorentz invariance (...) for measurements on certain types of single particle systems. It seems to show that an absolute frame of reference is required to describe wave function collapse. But if the argument is correct, quantum measurement theory is not merely dependant on the frame of collapse - it is inconsistent, and experimental tests would have to be done to verify whether the apparent non-local effects predicted are real. (shrink)

David Albert has recently argued that classical electromagnetic theory (EM) is not time reversal invariant (non-TRI), while David Malament rejects this argument and maintains the orthodox result, that EM is TRI. Both Albert's and Malament's arguments are analysed, and both are found wanting in certain respects. It is argued here that the result really depends on the choice of theoretical ontology choosen to interpret EM theory, and there is more than one plausible choice. Albert and Malament have choosen different plausible (...) ontologies; but neither shows that their choice of interpretation is definitive. Deeper principles about this choice are examined. The extension to EM theory with magnetic monopoles is also examined. It is concluded that, despite certain flaws in his account, Albert's analysis does reveal serious problems in the orthodox account, which Malament's response does not adequately address. (shrink)

Cancers rely on multiple, heterogeneous processes at different scales, pertaining to many biomedical fields. Therefore, understanding cancer is necessarily an interdisciplinary task that requires placing specialised experimental and clinical research into a broader conceptual, theoretical, and methodological framework. Without such a framework, oncology will collect piecemeal results, with scant dialogue between the different scientific communities studying cancer. We argue that one important way forward in service of a more successful dialogue is through greater integration of applied sciences (experimental and clinical) (...) with conceptual and theoretical approaches, informed by philosophical methods. By way of illustration, we explore six central themes: (i) the role of mutations in cancer; (ii) the clonal evolution of cancer cells; (iii) the relationship between cancer and multicellularity; (iv) the tumour microenvironment; (v) the immune system; and (vi) stem cells. In each case, we examine open questions in the scientific literature through a philosophical methodology and show the benefit of such a synergy for the scientific and medical understanding of cancer. (shrink)

In this paper, our goal is to survey some of the legal contexts within which violence risk assessment already plays a prominent role, explore whether developments in neuroscience could potentially be used to improve our ability to predict violence, and discuss whether neuropredictive models of violence create any unique legal or moral problems above and beyond the well worn problems already associated with prediction more generally. In Violence Risk Assessment and the Law, we briefly examine the role currently played by (...) predictions of violence in three high stakes legal contexts: capital sentencing, civil commitment hearings, and sexual predator statutes. In Clinical vs. Actuarial Violence Risk Assessment, we briefly examine the distinction between traditional clinical methods of predicting violence and more recently developed actuarial methods, exemplified by the Classification of Violence Risk software created by John Monahan and colleagues as part of the MacArthur Study of Mental Disorder and Violence [1]. In The Neural Correlates of Psychopathy, we explore what neuroscience currently tells us about the neural correlates of violence, using the recent neuroscientific research on psychopathy as our focus. We also discuss some recent advances in both data collection and data analysis that we believe will play an important role when it comes to future neuroscientific research on violence. In The Potential Promise of Neuroprediction, we discuss whether neuroscience could potentially be used to improve our ability to predict future violence. Finally, in The Potential Perils of Neuroprediction, we explore some potential evidentiary, constitutional, and moral issues that may arise in the context of the neuroprediction of violence. (shrink)

Despite the enormous influence of Michel Foucault in gender studies, social theory, and cultural studies, his work has been relatively neglected in the study of politics. Although he never published a book on the state, in the late 1970s Foucault examined the technologies of power used to regulate society and the ingenious recasting of power and agency that he saw as both consequence and condition of their operation. These twelve essays provide a critical introduction to Foucault's work on politics, exploring (...) its relevance to past and current thinking about liberal and neo-liberal forms of government. Moving away from the great texts of liberal political philosophy, this book looks closely at the technical means with which the ideals of liberal political rationalities have been put into practice in such areas as schools, welfare, and the insurance industry. This fresh approach to one of the seminal thinkers of the twentieth century is essential reading for anyone interested in social and cultural theory, sociology, and politics. (shrink)

Foucault is often thought to have a great deal to say about the history of madness and sexuality, but little in terms of a general analysis of government and the state.; This volume draws on Foucault's own research to challenge this view, demonstrating the central importance of his work for the study of contemporary politics.; It focuses on liberalism and neo- liberalism, questioning the conceptual opposition of freedom/constraint, state/market and public/private that inform liberal thought.

Foucault is often thought to have a great deal to say about the history of madness and sexuality, but little in terms of a general analysis of government and the state.; This volume draws on Foucault's own research to challenge this view, demonstrating the central importance of his work for the study of contemporary politics.; It focuses on liberalism and neo- liberalism, questioning the conceptual opposition of freedom/constraint, state/market and public/private that inform liberal thought.

Social learning has been shown to be an evolutionarily adaptive strategy, but it can be implemented via many different cognitive mechanisms. The adaptive advantage of social learning depends crucially on the ability of each learner to obtain relevant and accurate information from informants. The source of informants’ knowledge is a particularly important cue for evaluating advice from multiple informants; if the informants share the source of their information or have obtained their information from each other, then their testimony is statistically (...) dependent and may be less reliable than testimony from informants who do not share information. In this study, we use a Bayesian model to determine how rational learners should incorporate the effects of shared information when learning from other people, conducting three experiments that examine whether human learners behave similarly. We find that people are sensitive to a number of different patterns of dependency, supporting the use of a sophisticated strategy for social learning that goes beyond copying the majority, and broadening the situations in which social learning is likely to be an adaptive strategy. (shrink)

:Behavioural public policy has come under fire by critics who claim that it is illiberal. Some authors recently suggest that there is a type of BPP – boosting – that is not as vulnerable to this normative critique. Our paper challenges this claim: there's no non-circular way to draw the distinction between nudge and boost that would make the normative difference required to infer the permissibility of a policy intervention from its type-membership. We consider two strategies: paradigmatic examples and causal (...) mechanisms. We conclude by sketching some suggestions about the right way to approach the normative issues. (shrink)

Kriegel described the problem of intentional inexistence as one of the ‘perennial problems of philosophy’, 307–340, 2007: 307). In the same paper, Kriegel alluded to a modal realist solution to the problem of intentional inexistence. However, Kriegel does not state by name who defends the kind of modal realist solution he has in mind. Kriegel also points out that even what he believes to be the strongest version of modal realism does not pass the ‘principle of representation’ and thus modal (...) realism is not an adequate solution to the problem of intentional inexistence. In this paper, I respond to Kriegel by defending a modal realist solution that he did not consider in 2007, called ‘extended modal realism’. EMR is a version of modal realism where possible worlds are not completely isolated as they are under the Lewisian model. Rather, under EMR worlds are, in a way, spatiotemporally related. The fact EMR worlds are related allows EMR to sufficiently pass the principle of representation and thus can be deemed a legitimate solution to the problem of intentional inexistence. I conclude that either EMR can pass the principle of representation in some cases or, and I think the more sensible option, we give up on the principle of representation altogether. (shrink)

The development of ethical guidelines and regulations regarding human subjects research has focused upon protection of vulnerable populations by relying on a limited typology of vulnerabilities. This results in several challenges: First, Institutional Review Boards struggle to interpret and apply the regulations because they are often vague and inconsistent. Second, applying the regulations to subjects who fit within multiple categories of vulnerability can lead to contradictions and the rejection of research that would be permissible if only one category were applicable. (...) Finally, some potential subjects have social and other context-based vulnerabilities that are not described in the federal regulations... (shrink)

Systematic study of the intersection of ethics consultation services and solid organ transplants and recipients can identify and illustrate ethical issues that arise in the clinical care of these patients, including challenges beyond resource allocation. This was a single-centre, retrospective cohort study of all adult ethics consultations between January 1, 2007, and December 31, 2017, at a large academic medical centre in the north-eastern United States. Of the 880 ethics consultations, sixty (6.8 per cent ) involved solid organ transplant, thirty-nine (...) (65.0 per cent) for candidates and twenty-one (35.0 per cent ) for recipients. Ethics consultations were requested for 4.3 per cent of heart, 4.9 per cent of lung, 0.3 per cent of liver, and 0.3 per cent of kidney transplant recipients over the study period. Nurses were more likely to request ethics consultations for recipients than physicians (80.0 per cent vs 20.0 per cent, p = 0.006). The most common reason for consultation among transplant candidates was discussion about intensity of treatment or goals of care after the patient was not or was no longer a transplant candidate. The most common reason for ethics consultation among transplant recipients was disagreement between transplant providers and patients/families/non-transplant healthcare professionals over the appropriate intensity of treatment for recipients. Very few consultations involved questions about appropriate resource allocation. Ethics consultants involved in these cases most often navigated communication challenges between transplant and non-transplant healthcare professionals and patients and families. (shrink)

Research about the Olympic Games has primarily focused on preparing athletes for competition. Less attention has been paid to the post-Olympic-phase and athlete well-being during this time. This study explored Australian Olympic athletes’ experiences following the conclusion of the 2016 Rio Olympic Games, including the factors that may have contributed to or challenged their well-being during this time. Eighteen athletes participated in semi-structured interviews and thematic analysis revealed that when Olympic performance appraisal met prior expectations, when athletes planned for a (...) return to work or study, and when support from a variety of sources was readily available, this positively influenced athletes’ well-being during the POP. When these factors were not in place, more challenging post-Games experiences were present, and well-being was compromised. The findings contribute to the broader literature on elite athlete well-being and at an applied level, may be used to inform targeted programs that focus on supporting athletes after an Olympic campaign. (shrink)

Critical care society guidelines recommend that ethics committees mediate intractable conflict over potentially inappropriate treatment, including Do Not Resuscitate status. There are, however, limited data on cases and circumstances in which ethics consultants recommend not offering cardiopulmonary resuscitation despite patient or surrogate requests and whether physicians follow these recommendations. This was a retrospective cohort of all adult patients at a large academic medical center for whom an ethics consult was requested for disagreement over DNR status. Patient demographic predictors of ethics (...) consult outcomes were analyzed. In 42 of the 116 cases, the patient or surrogate agreed to the clinician recommended DNR order following ethics consultation. In 72 of 74 of the remaining cases, ethics consultants recommended not offering CPR. Physicians went on to write a DNR order without patient/surrogate consent in 57 of those cases. There were no significant differences in age, race/ethnicity, country of origin, or functional status between patients where a DNR order was and was not placed without consent. Physicians were more likely to place a DNR order for patients believed to be imminently dying. The median time from DNR order to death was 4 days with a 90-day mortality of 88.2%. In this single-center cohort study, there was no evidence that patient demographic factors affected ethics consultants’ recommendation to withhold CPR despite patient/surrogate requests. Physicians were most likely to place a DNR order without consent for imminently dying patients. (shrink)

A common objection against deflationism is that it cannot account for the fact that truth depends on reality. Consider the question ‘On what does the truth of the proposition that snow is white depend?’ An obvious answer is that it depends on whether snow is white. Now, consider what answer, if any, a deflationist can offer. The problem is as follows. A typical deflationary analysis of truth consists of biconditionals of the form ‘The proposition that p is true iff p’. (...) Such biconditionals tell us nothing about what the truth of the proposition that p might depend on. Therefore, it seems that a typical deflationist cannot give an answer. Since we know that an answer is available, this throws doubt over the adequacy of deflationism as an account of truth. Articulated here is a defence of deflationism against this objection. It is argued that although biconditionals of the sort mentioned do not explicitly state a dependency between truth and reality, they nevertheless convey one. The reason is that, given the context in which a deflationist invokes the biconditionals, such a dependency is implicated. A potential problem with this defence is that it leaves the deflationist still unable to give an account of what it is for truth to depend on reality. One might think that a deflationist can offer such an account by appealing to truthmaker theory but, it is argued below, truthmaker theory is unavailable to a deflationist. Instead, the deflationist should question the assumption that an account is available. (shrink)

Advances in Experimental Philosophy of Free Will and Responsibility brings together leading researchers from psychology and philosophy to present new findings and ideas about human agency and moral responsibility. Their contributions reflect the growth of research in these areas over the past decade and highlight both the ways that philosophy can be relevant to empirical research and how empirical work can be relevant to philosophical investigations. Mixing new empirical work with the meta-philosophical and philosophical upshot of the latest research being (...) done, chapters cover motivated cognition and free will beliefs, folk intuitions about manipulation and agency, mental control in assessments of responsibility, the importance of skilled decision making to free will judgments and the relationship between free will and substance dualism. Blending cutting-edge research from philosophy with methods from psychology, this collection is a compelling example of the value of interdisciplinary approaches, contributing to our understanding of the complex networks of attitudes, beliefs, and judgments that inform how we think about agency and responsibility. (shrink)

Background: This study attempts to understand if medical providers beliefs about the moral permissibility of honoring patient-directed refusals of life-sustaining treatment (LST) are tied to their beliefs about the patient’s decision-making capacity. The study aims to answer: 1) does concern about a patient’s treatment decision-making capacity relate to beliefs about whether it is morally acceptable to honor a refusal of LST, 2) are there differences between provider types in assessments of decision-making capacity and the moral permissibility to refuse LST, and (...) 3) do provider demographics impact beliefs about decision-making capacity and the moral permissibility to refuse LST. Methods: A mixed-methods survey using Likert assessment and vignette-based questions was administered to medical providers within a single health system in the upper Midwest (N = 714) to assess their perspectives on the moral acceptance and decision-making capacity in cases of withholding and withdrawing treatment and suicide. Results: Behavioral health providers report accepting of the moral permissibility of suicide (91.2%) more than either medical providers (77.2%) or surgeons (74.4%) (n = 283). Decision-making capacity was questioned more in the vignettes of the patients refusing life-saving surgery (36%) and voluntarily starvation (40.8%) than in the vignette of the patient requesting to deactivate a pacemaker (13%) (n = 283). Behavioral health providers were more concerned about the capacity to refuse life-saving surgery (55.9%) than medical providers (33.8%) or surgeons (23.1%) (n = 283). Conclusions: Respondents endorse the moral permissibility of persons to withhold or withdraw from treatment regardless of motive. Clinical concerns about a patient’s treatment decision-making capacity do not strongly correlate to views about the moral permissibility of honoring refusals of LST. Different provider types appear to have different thresholds for when to question treatment decision-making capacity. Behavioral health providers tend to question treatment decision-making capacity to refuse LST more than non-behavioral health providers. (shrink)

One of the concerns that citizen science shares with the evolving practice of precision medicine is how to approach oversight for N-of-1 or N-of-many-1’s research. In their target article, Wiggins...

We report on five experiments investigating response choices and response times to simple science questions that evoke student “misconceptions,” and we construct a simple model to explain the patterns of response choices. Physics students were asked to compare a physical quantity represented by the slope, such as speed, on simple physics graphs. We found that response times of incorrect answers, resulting from comparing heights, were faster than response times of correct answers comparing slopes. This result alone might be explained by (...) the fact that height was typically processed faster than slope for this kind of task, which we confirmed in a separate experiment. However, we hypothesize that the difference in response time is an indicator of the cause of the response choice. To support this, we found that imposing a 3-s delay in responding increased the number of students comparing slopes on the task. Additionally a significant proportion of students recognized the correct written rule , but on the graph task they incorrectly compared heights. Finally, training either with repetitive examples or providing a general rule both improved scores, but only repetitive examples had a large effect on response times, thus providing evidence of dual paths or processes to a solution. Considering models of heuristics, information accumulation models, and models relevant to the Stroop effect, we construct a simple relative processing time model that could be viewed as a kind of fluency heuristic. The results suggest that misconception-like patterns of answers to some science questions commonly found on tests may be explained in part by automatic processes that involve the relative processing time of considered dimensions and a priority to answer quickly. (shrink)

The unbridled consumption of clothing threatens the environment. In fashion communities, a discussion is developing around the adoption of new materials and economic models to reduce the impacts of clothing production and use. We discuss these emergent technologies in the wider historical setting of the Anthropocene, a geologic term that denotes the global-scale environmental changes brought about by agricultural and industrial activity. The long history of human-environmental interactions is interwoven with the development of international garment economies that have shaped biological (...) and physical systems. This article provides an account of how changes in clothing manufacturing and consumption patterns have... (shrink)