Despite what you have heard over the years, the famous evil deceiver argument in Meditation One is not original to Descartes. Early modern meditators often struggle with deceptive demons. The author of the Meditations is merely giving a new spin to a common rhetorical device. Equally surprising is the fact that Descartes’ epistemological rendering of the demon trope is probably inspired by a Spanish nun, Teresa of Ávila, whose works have been ignored by historians of philosophy, although they were a (...) global phenomenon during Descartes’ formative years. In this paper, I first answer the obvious question as to why previous early modernists have missed something so important as the fact that Descartes’ most famous publication relies on a well-established genre and that his deceiver argument bears a striking similarity to ideas in Teresa’s final work, El Castillo Interior? I discuss the meditative tradition at the end of which Descartes’ Meditations stands, present evidence to support the claim that Descartes was familiar with Teresa’s proposals, contrast their meditative goals, and make a point-by-point comparison between the meditative steps in Teresa’s Interior Castle and those in Descartes’ Meditations which constitute their common deceiver strategy. My conclusion makes a case for a broader and more inclusive history of philosophy. (shrink)

while no one was looking, contextualism replaced rational reconstructionism as the dominant methodology among English-speaking early modern historians of philosophy. In this paper, I expose the contours of this silent revolution, show that rational reconstructionism is a thing of the past among early modern historians, and examine the current state of early modern scholarship.1 As the contextualist revolution has increasingly widened our perspective and revealed the period’s philosophical diversity, it has encouraged early modernists to develop new skills and expertise. I (...) propose here that current early modern historians are devoted to maximize... (shrink)

This book offers a major reassessment of Leibniz's metaphysics. Christia Mercer has exposed the underlying doctrines of Leibniz's philosophy. By analysing Leibniz's early works she demonstrates that the metaphysics of pre-established harmony developed many years earlier than previously believed and for reasons which have not been understood. As a result of this analysis she has unearthed a philosophical school that Leibniz scholars have not recognized. A much deeper understanding of some of Leibniz's key doctrines emerges. Moreover, since the Leibniz that (...) is revealed here does not fit neatly into the standard accounts of the history of philosophy and science, Christia Mercer's study will prompt scholars to reconsider their basic assumptions about early modern philosophy and science. (shrink)

Although clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems, progress in developing standards for quality is challenging. In this article, we describe the results of a pilot project utilizing portfolios as an evaluation tool. We found that this approach is feasible and resulted in a reasonably wide distribution of scores among the 23 submitted portfolios that we evaluated. We discuss limitations and implications of these results, and suggest that this is a significant step (...) on the pathway to an eventual certification process for clinical ethics consultants. (shrink)

Descartes intended to revolutionize seventeenth-century philosophy and science. But first he had to persuade his contemporaries of the truth of his ideas. Of all his publications, Meditations on First Philosophy is methodologically the most ingenuous. Its goal is to provoke readers, even recalcitrant ones, to discover the principles of “first philosophy.” The means to its goal is a reconfiguration of traditional methodological strategies. The aim of this chapter is to display the methodological strategy of the Meditations. The text’s method is (...) more subtle and more philosophically significant than has generally been appreciated. Descartes’ most famous work is best understood as a response to four somewhat separate philosophical concerns extant in the seventeenth century. Section 1 describes these. Section 2 discusses how Descartes uses and transforms them. A clearer sense of the Meditations’ methodological strategy provides a better understanding of exactly how Descartes intended to revolutionize seventeenth-century thought. (shrink)

The main goal of this chapter is to present the basic components of Anne Conway’s metaphysics of sympathy. To that end, I will explicate her concepts of God or first substance and second substance or Christ with special emphasis on the key role that the second substance plays in her philosophy. I argue that one of the keys to Conway’s system lies in her reinterpretation of the Christian narrative about suffering. She combines Christian imagery with ancient and modern ideas in (...) an attempt to create a philosophy that will appeal to people of all faiths and explain ‘all phenomena in the entire universe’ ). Christ’s role as a metaphysical and moral figure is crucial to Conway’s philosophy and helps explain her views about suffering and the importance of sympathy in her philosophy. (shrink)

In this paper, I examine the arguments offered by prominent ancient philosophers and medical theorists to justify the view that female bodies are imperfect or “mutilated” compared to male bodies from which it is supposed to follow that women are morally inferior to men. These arguments rendered men superior to women and justified the need for women to subjugate themselves to their procreative powers and to the wisdom of their superiors. Western sexism and misogyny has its roots here. It is (...) unsettling to witness the ease with which a few men writing millennia ago laid the groundwork for centuries of sexism and depressing to realize that many of our contemporaries embrace the residue of these ancient ideas. But it is important for us to understand how these sexist attitudes arose, how they maintained themselves, and how utterly contingent they are. (shrink)

Medical advances in transplantation techniques have driven an exponential increase in the demand for transplantable organs. Unfortunately, policy efforts to bolster the organ supply have been less than effective, failing to provide a stopgap for ever-increasing numbers of patients who await organ transplantation. The number of registrations on waiting lists exceeded 65,245 in early 1999, a 325% increase over the 20,000 that existed 11 years earlier in 1988. Regrettably, more than 4,000 patients die each year while awaiting transplantation.

The coronavirus disease (COVID-19) crisis provoked an organizational ethics dilemma: how to develop ethical pandemic policy while upholding our organizational mission to deliver relationship- and patient-centered care. Tasked with producing a recommendation about whether healthcare workers and essential personnel should receive priority access to limited medical resources during the pandemic, the bioethics department and survey and interview methodologists at our institution implemented a deliberative approach that included the perspectives of healthcare professionals and patient stakeholders in the policy development process. Involving (...) the community more, not less, during a crisis required balancing the need to act quickly to garner stakeholder perspectives, uncertainty about the extent and duration of the pandemic, and disagreement among ethicists about the most ethically supportable way to allocate scarce resources. This article explains the process undertaken to garner stakeholder input as it relates to organizational ethics, recounts the stakeholder perspectives shared and how they informed the triage policy developed, and offers suggestions for how other organizations may integrate stakeholder involvement in ethical decision-making as well as directions for future research and public health work. (shrink)

Engineering the Climate: The Ethics of Solar Radiation Management is a wide-ranging and expert analysis of the ethics of the intentional management of solar radiation. This book will be a useful tool for policy-makers, a provocation for ethicists, and an eye-opening analysis for both the scientist and the general reader with interest in climate change.

The Treatment Escalation Plan (TEP) was introduced into our trust in an attempt to improve patient involvement and experience of their treatment in hospital and to embrace and clarify a wider remit of treatment options than the Do Not Resuscitate (DNR) order currently offers. Our experience suggests that the patient and family are rarely engaged in DNR discussions. This is acutely relevant considering that the Mental Capacity Act (MCA) now obliges these discussions to take place. The TEP is a form (...) that the doctor completes, ideally with the competent patient or close relative, documenting what treatment options would be appropriate if that patient were to become acutely unwell. Ventilation of the lungs, cardiac resuscitation, renal replacement therapy, intravenous fluids and antibiotics are all discussed. The study evaluated patient and relative experiences with the TEP. 55 patients or their relatives were interviewed regarding their experience of the TEP and thoughts regarding the process. 96% of patients and relatives evaluated thought that the TEP was a good idea. Free text comments were all positive and only 34% of patients claimed to feel anxious when completing the form. Following this study, the TEP has been expanded hospital wide and into the community within our trust. Discussions are currently taking place in hospitals within our region to introduce the TEP form into other local trusts. (shrink)

The Preface to Leibniz's famous Theodicy offers a perspective on the work that has been insufficiently studied. In this paper, I ask that we step back from the main text of the Theodicy and attend to its Preface. I show that the latter performs two crucial preparatory tasks that have not been properly appreciated. The first is to offer a public declaration of what I call Leibniz’s radical rationalism. The Preface assumes that any attentive rational being is capable of divine (...) knowledge. The basic idea is that it is knowledge about a divine perfection that can be understood more or less completely. In the Preface, Leibniz entices his readers to seek such knowledge and explains why doing so has been so difficult before now. What makes this rationalism radical is that divine knowledge is severed from any religion or set of religious beliefs. While some Christian doctrines make it easier to approach God, they are neither necessary nor sufficient to do so. The author of the Theodicy thereby informs his readers that they have access to divine perfections, regardless of religious affiliation. To acquire such knowledge, they need only work through his book. The second task of the Preface is closely related to the first. It invites readers to seek divine love and virtue. To set themselves on the path to virtue, they need only avoid the pitfalls of religion and use reason in the right way to grasp a divine perfection. Once they enter the main text of the Theodicy, they have begun that journey. (shrink)

There is increasing evidence that dynamic changes to chromatin, chromosomes and nuclear architecture are regulated by RNA signalling. Although the precise molecular mechanisms are not well understood, they appear to involve the differential recruitment of a hierarchy of generic chromatin modifying complexes and DNA methyltransferases to specific loci by RNAs during differentiation and development. A significant fraction of the genome-wide transcription of non-protein coding RNAs may be involved in this process, comprising a previously hidden layer of intermediary genetic information that (...) underpins developmental ontogeny and the differences between species, ecotypes and individuals. It is also evident that RNA editing is a primary means by which hardwired genetic information in animals can be altered by environmental signals, especially in the brain, indicating a dynamic RNA-mediated interplay between the transcriptome, the environment and the epigenome. Moreover, RNA-directed regulatory processes may also transfer epigenetic information not only within cells but also between cells and organ systems, as well as across generations. (shrink)

This paper explores some of the important parallels between recent reforms to legal rules for the admissibility of scientific and expert evidence, exemplified by the US Supreme Court's decision in Daubert v Merrell Dow Pharmaceuticals, Inc. in 1993, and similar calls for reforms to medical practice, that emerged around the same time as part of the Evidence-Based Medicine (EBM) movement. Similarities between the “movements” can be observed in that both emerged from a historical context where the quality of medicine and (...) legal approaches to science were being subjected to growing criticism, and in the ways that proponents of both movements have used appeals to “folk epistemologies” of science to help legitimate their reform aspirations. The term folk epistemology is used to describe the weaving together of formal and informal images of scientific method with normative and pragmatic concerns such as eradicating “junk science”, and promoting medical best practice. Perhaps unsurprisingly, given the unfocused breadth of these aspirations the implications of these “reforms” for medical and legal practice have not been straightforward, although they do represent an important new set of rhetorical resources to critique and or legitimate expertise in medical and legal domains. Discussion closes, by noting the growth of calls for these movements to reciprocate in areas where law and medicine intersect, such as medical negligence litigation. (shrink)

Weak psychological egoism is the doctrine that anything an agent does intentionally, that agent does at least expecting thereby to realize one of her self-regarding ends. (Strong psychological egoism, by contrast, is the doctrine that agents act always intending thereby to realize a self-regarding end.) Though weak psychological egoism is a doctrine ultimately answerable to empirical evidence, we presently have excellent a priori reasons for accepting it and attempting to construct psychological theories that include it as an organizing principle. These (...) reasons have mainly to do with the idea that to understand the motivation behind an action, we need to understand the force of the consideration that motivates the agent, and the way to do this is to find a self-regarding end associated in the agent''s mind with acting on that consideration. (shrink)

Scholars have long noted that, for Leibniz, the attributes or Ideas of God are the ultimate objects of human knowledge. In this paper, I go beyond these discussions to analyze Leibniz’s views about the nature and limitations of such knowledge. As with so many other aspects of his thought, Leibniz’s position on this issue—what I will call his divine epistemology—is both radical and conservative. It is also not what we might expect, given other tenets of his system. For Leibniz, “God (...) is the easiest and the hardest being to know.” God is the easiest to know, in that to grasp some property of an essence is to attain a knowledge of the divine essence, but God is also the most difficult to know, in that “real knowledge” of the divine essence is not available to finite beings. There is an enormous gap between the easy and the real knowledge of God, but for Leibniz, this gap is a good thing, since the very slowness of our epistemological journey prepares us morally for its end. (shrink)

When Bruno was burned at the stake in 1600, philosophers were still inclined to offer natural explanations in Aristotelian terms. Neither the physical proposals of Bruno himself, nor those of other prominent non-Aristotelians like Paracelsus had diminished the power of the explanatory model offered by the scholastics. For those philosophers watching the demise of Bruno in the Campo dei Fiori in Rome, the burning of the wood and its subsequent effects would have been explained adequately in terms of matter and (...) substantial form. For such Aristotelian philosophers, all natural objects are constituted of matter and form, and natural events are explained in terms of the actualization of the potency of these two “principles of nature.” By the time Kenelm Digby composed his Two Treatises of 1644 and Thomas Hobbes his De Corpore in 1655, there was a new explanatory model available to explain such events, one that had greatly diminished the power of the scholastic model. According to the mechanical philosophy, nature is composed of matter—whether the res extensa of Descartes, the atoms of Gassendi, or one of the many less popular accounts of corporeity—whose actions and interactions cause and explain all the phenomena of nature. For the mechanist, therefore, all physical phenomena are to be explained in terms of some kind of matter and motion. Although these thinkers disagreed about how to define the material component in nature, they all took it to be entirely devoid of substantial forms. For our purposes here, it will be helpful to distinguish between first wave and second wave mechanists. A first wave mechanist is someone like Descartes, Galileo, Hobbes, or Gassendi who proposed a version of the mechanical explanatory model before 1650. A second wave mechanist is a philosopher working in the second half of the seventeenth century who accepts the mechanical explanatory model. For our purposes, it is important that many second wave mechanists were prepared to reject the scholastic explanatory model, replace it with the mechanical one, and yet were not content to accept the metaphysical grounding of the mechanical physics offered by the first wave mechanists. (shrink)

This chapter contains section titled: Historical Background Early Modern Eclecticism and Philosophical Humanism Early Modern Platonism Conclusion.

Umberto Eco's Baudolino (2000) never achieved the success of his first novel, The Name of the Rose (1980), although both are historical fictions that provide literary clothing for philosophical ideas. In Baudolino, Eco again dramatizes the disagreement between rationalists and empiricists regarding the sources of our concepts and knowledge, ideas that came to the fore during the medieval period and which continue to be pertinent questions in epistemology. Propositions of either sense experience or logic and reasoning being the basis for (...) knowledge, offer Eco an opportunity for playing what he calls "a game of ambiguity about truth and lies."1 Historical uncertainties, the holes in the fabric of our knowledge about .. (shrink)

He shows us that Kierkegaard's expressed intent is to provide readers with the opportunity to choose or reject Christ. He explores the question of who Kierkegaard understands Jesus to be and why he believes that faith or history alone cannot answer this question, claiming that history is meaningful only when it is understood from the perspective of "sacred history." Kierkegaard's Livingroom explores what "sacred history" is, why it is so important to us, and why it depends on an incarnate God. (...) Mercer argues that Kierkegaard is not tilting at windmills but responding to Hegel's view of history and Kant's view of faith, showing that Kierkegaard has much to contribute to the debates on liberalism and post-modernism. (shrink)

In Kierkegaard's Livingroom David Mercer weaves his way through the Philosophical Fragments, bringing the reader a new understanding of Kierkegaard's work.

Donald Davidson holds that metaphors have no linguistic meaning in addition to their literal meaning. Max Black and Frank B. Farrell each contends that Davidson’s view is inconsistent with the fact that metaphors are appropriate objects of explication and evaluation. However, as I show, Davidson’s view actually is entirely consistent with this fact. I also argue that Black’s and Farrell’s own accounts of metaphor imply that sometimes the linguistic meaning of a sentence is other than a product of the meanings (...) of its words and its logical form, and I give a reason why accounts of metaphor with this implication are best rejected. E.M. Zemach, for his part, agrees with Davidson about what metaphors mean, but contends that, on Davidson’s recent account of language and interpretation, all metaphors turn out to be true; metaphors express novel or impractical but nonetheless literally true comparisons or categorizations. Zemach, however, I argue, has neglected the distinction between how speakers actually apply their words to things and their standards of correct application. (shrink)