This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs.

ABSTRACT:The judgments of conscientious and informed experts play a central role in two elements of clinical equipoise. The first, and most widely discussed, element involves ensuring that no participant in a randomized trial is allocated to a level of treatment that everyone agrees is substandard. The second, and less often discussed, element involves ensuring that trials are likely to generate social value by producing the information necessary to resolve a clinically meaningful uncertainty or disagreement about the relative merits of a (...) set of interventions. The distribution of judgments in expert communities can take many forms, each with important implications for whether a trial satisfies one or both elements of clinical equipoise. In this article we use a graphical approach to represent three ways in which expert community uncertainty can vary: by spread, modality, and skew. Understanding these different distributions of expert judgment has three important implications: it helps to make operational the requirement of social value, it shows that some conditions for initiating studies to promote social value diverge from common assumptions about clinical equipoise, and it has important implications for how trials should be designed and monitored, and what patients should be told during informed consent. (shrink)

Four Views on Free Will is a robust and careful debate about free will, how it interacts with determinism and indeterminism, and whether we have it or not. Providing the most up-to-date account of four major positions in the free will debate, the second edition of this classic text presents the opposing perspectives of renowned philosophers John Martin Fischer, Robert Kane, Derk Pereboom, and Manuel Vargas. -/- Substantially revised throughout, this new volume contains eight in-depth chapters, almost entirely (...) rewritten for the new edition, in which the authors state their different positions on the debate, offer insights into how their views have evolved over the past fifteen years, respond to recent critical literature in the field, and interact and engage with each other in dialogue. In the first four chapters the authors defend their distinctive views about free will: libertarianism, compatibilism, hard incompatibilism, and revisionism. The subsequent four chapters consist of direct replies by each of the authors to the other three. (shrink)

Focusing on the concepts and interactions of free will, moral responsibility, and determinism, this text represents the most up-to-date account of the four major positions in the free will debate. Four serious and well-known philosophers explore the opposing viewpoints of libertarianism, compatibilism, hard incompatibilism, and revisionism The first half of the book contains each philosopher’s explanation of his particular view; the second half allows them to directly respond to each other’s arguments, in a lively and engaging conversation Offers the reader (...) a one of a kind, interactive discussion Forms part of the acclaimed Great Debates in Philosophy series. (shrink)

It is often said that politics is an amoral realm of power and interest in which moral judgment is irrelevant. In this book, by contrast, John Kane argues that people's positive moral judgments of political actors and institutions provide leaders with an important resource, which he christens 'moral capital'. Negative judgements cause a loss of moral capital which jeopardizes legitimacy and political survival. Studies of several historical and contemporary leaders - Lincoln, de Gaulle, Mandela, Aung San Suu Kyi (...) - illustrate the significance of moral capital for political legitimation, mobilizing support, and the creation of strategic opportunities. In the book's final section, Kane applies his arguments to the American presidency from Kennedy to Clinton. He argues that a moral crisis has afflicted the nation at its mythical heart and has been refracted through and enacted within its central institutions, eroding the moral capital of government and people and undermining the nation's morale. (shrink)

Throughout the biological and biomedical sciences there is a growing need for, prescriptive ‘minimum information’ (MI) checklists specifying the key information to include when reporting experimental results are beginning to find favor with experimentalists, analysts, publishers and funders alike. Such checklists aim to ensure that methods, data, analyses and results are described to a level sufficient to support the unambiguous interpretation, sophisticated search, reanalysis and experimental corroboration and reuse of data sets, facilitating the extraction of maximum value from data sets (...) them. However, such ‘minimum information’ MI checklists are usually developed independently by groups working within representatives of particular biologically- or technologically-delineated domains. Consequently, an overview of the full range of checklists can be difficult to establish without intensive searching, and even tracking thetheir individual evolution of single checklists may be a non-trivial exercise. Checklists are also inevitably partially redundant when measured one against another, and where they overlap is far from straightforward. Furthermore, conflicts in scope and arbitrary decisions on wording and sub-structuring make integration difficult. This presents inhibit their use in combination. Overall, these issues present significant difficulties for the users of checklists, especially those in areas such as systems biology, who routinely combine information from multiple biological domains and technology platforms. To address all of the above, we present MIBBI (Minimum Information for Biological and Biomedical Investigations); a web-based communal resource for such checklists, designed to act as a ‘one-stop shop’ for those exploring the range of extant checklist projects, and to foster collaborative, integrative development and ultimately promote gradual integration of checklists. (shrink)

Working memory--the ability to keep important information in mind while comprehending, thinking, and acting--varies considerably from person to person and changes dramatically during each person's life. Understanding such individual and developmental differences is crucial because working memory is a major contributor to general intellectual functioning. This volume offers a state-of-the-art, integrative, and comprehensive approach to understanding variation in working memory by presenting explicit, detailed comparisons of the leading theories. It incorporates views from the different research groups that operate on each (...) side of the Atlantic, and covers working-memory research on a wide variety of populations, including healthy adults, children with and without learning difficulties, older adults, and adults and children with neurological disorders. A particular strength of this volume is that each research group explicitly addresses the same set of theoretical questions, from the perspective of both their own theoretical and experimental work and from the perspective of relevant alternative approaches. Through these questions, each research group considers their overarching theory of working memory, specifies the critical sources of working memory variation according to their theory, reflects on the compatibility of their approach with other approaches, and assesses their contribution to general working memory theory. This shared focus across chapters unifies the volume and highlights the similarities and differences among the various theories. Each chapter includes both a summary of research positions and a detailed discussion of each position. Variation in Working Memory achieves coherence across its chapters, while presenting the entire range of current theoretical and experimental approaches to variation in working memory. (shrink)

The human brain is divided into two hemispheres, right and left, that are joined by a thick ‘cable’ of neural fibres called the corpus callosum. It has long been observed that injury to the left hemisphere in the average adult damages speech, speech comprehension, and reading, and causes paralysis on the right side of the body. Injury to the right hemisphere, on the other hand, seems to leave linguistic capabilities intact, but causes paralysis on the left side of the body. (...) These observations have given rise to the twin concepts of contralaterality of hemispheric control and cognitive specialization of hemispheric function. As far back as the nineteenth century, it was recognized that the left hemisphere’s specialty was language. Pioneering British neurologist John Hughlings Jackson asserted in 1868 that the left hemisphere was the ‘leading side’ in most people, responsible for the control of speech and will. In the decade of the 1940s, French neurologist Henry Hecaen and British psychologist Oliver Zangwill demonstrated that the right hemisphere, far from being passive, controlled visuospatial processing. (shrink)

In a recent article, Meghan Griffith (American Philosophical Quarterly 47:43–56, 2010) argues that agent-causal libertarian theories are immune to the problem of luck but that event-causal theories succumb to this problem. In making her case against the event-causal theories, she focuses on Robert Kane’s event-causal theory. I provide a brief account of the central elements of Kane’s theory and I explain Griffith’s critique of it. I argue that Griffith’s criticisms fail. In doing so, I note some important respects (...) in which Kane’s view is unclear and I suggest a plausible way of reading Kane that makes his theory immune to Griffith’s objections. (shrink)

Dwayne Moore (2021) argues that libertarians about free will who are reductive physicalists cannot make proper sense of free will. In doing so, he presents what he calls “the physical indeterminism luck objection” to libertarian free will. He goes on to consider three different contemporary naturalistic approaches to libertarian free will (LFW) – those of Christopher Franklin, Mark Balaguer, and Robert Kane – and argues that if understood as reductive physicalist views they all fall prey to this objection. While (...) it’s not entirely clear that Kane is a reductive physicalist, it is clear that he would reject any kind of eliminative materialism or eliminative physicalism (Kane 1996, 147). Regardless, in this essay I argue that even if Kane’s view is a kind of reductive physicalist view, it is immune to the arguments made in Moore’s essay. (shrink)

This paper provides a brief review of some of the central elements of Robert Kane’s event-causal libertarian theory of free will. It then goes on to consider four of the central criticisms Derk Pereboom has made of Kane’s view and it shows how each of these criticisms can be reasonably answered. These criticisms are the no further power/control objection, the disappearing agent/luck objection, the randomizing manipulator objection, and the problem of responsibility for efforts of will.

Robert Kane's event-causal libertarian theory of free will has been subjected to a variety of criticisms. In response to the luck objection, he has provided an ambiguous answer which results in additional criticisms that are avoidable. I explain Kane's theory, the luck objection and Kane's reply to the problem of luck. I note that in some places he suggests that the dual wantings of agents engaged in self-forming actions (SFAs) provides the key to answering the luck objection, (...) whereas in other places he suggests that the dual willings or tryings of agents is the key. Various philosophers criticize Kane's view by focusing on his concept of the dual willings/tryings involved in SFAs. I argue that despite Kane's efforts to answer these criticisms, they still hold; but I also go on to argue that Kane can avoid these criticisms and also answer the luck objection by just focusing on the important role of the dual wantings in SFAs. (shrink)

A Pragmatic Approach to Libertarian Free Will argues that the kind of free will required for moral responsibility and just desert is libertarian free will. It is a source of great controversy whether such a libertarian view is coherent and whether we should believe that we have such free will. This book explains and defends Robert Kane¿s conception of libertarian free will while departing from it in certain key respects. It is argued that a suitably modified Kanean model of (...) free will can be shown to be conceptually coherent. In addition, it is argued that while we lack sufficient epistemic grounds supporting belief in the existence of libertarian free will, we may still be justified in believing in it for moral reasons. As such, the book engages critically with the works of a growing number of philosophers who argue that we should jettison belief in the existence of desert-grounding free will and the practices of praise and blame and reward and punishment which it supports. (shrink)

Various philosophers have argued that in order to be morally responsible, we need to be the "ultimate sources'' of our choices and behavior. Although there are different versions of this sort of argument, I identify a "picture'' that lies behind them, and I contend that this picture is misleading. Joel Feinberg helpfully suggested that we scale down what might initially be thought to be legitimate demands on "self-creation,'' rather than jettison the idea that we are truly and robustly responsible. I (...) follow Feinberg in rejecting various "inflated'' demands on "origination,'' "initiation,'' or ultimate sourcehood. (shrink)

This article articulates and defends an indeterministic weightings model of libertarian free will. It begins by defining the conception of free will at issue and then goes on to present versions of the luck objection which is often made against theories of LFW. It is argued that the sort of indeterministic weightings model of LFW which has been defended in the recent literature by Storrs McCall and E.J. Lowe and John Lemos has the resources to answer such luck objections (...) while possessing virtues which some other libertarian views lack. According to the indeterministic weightings model of LFW, in making undetermined free-willed choices between two courses of action, A or B, the reasons for choosing each option don’t come with pre-established evaluative weights. During the process of deliberation, the agent assigns weight in an undetermined way to the reasons for each option and this typically leads to the choice of the option that has been assigned a greater value. In the paper, it is not only argued that this theory can resolve worries about luck but also that the view has virtues which certain other libertarian views lack, as such the view is contrasted with the modest libertarian models of LFW from Daniel Dennett and Alfred Mele as well as Robert Kane’s view. (shrink)

Robert Kane has for many years claimed that in our underivatively free actions, what he calls “self-forming acts”, we actually try to do both of the two acts we are contemplating doing and then we ultimately end up doing only one of them. This idea of dual willings/efforts was put forward in an attempt to solve luck problems, but Randolph Clarke and Alfred Mele argue that for this to work agents must, then, freely engage in the dual efforts leading (...) up to their SFAs. In response, Kane has said they do so freely by meeting compatibilist criteria of freedom. In Free Will and Luck , Mele argues that this move is deeply problematic. In this essay, I defend Kane's position. In doing so, I clarify important differences between the SFAs of adults and those of young children, making more clear the connections between SFAs, character, and responsibility. (shrink)

: This article critically examines central arguments made in Sam Harris’ Free Will as well as key aspects of Daniel Dennett’s compatibilist conception of free will. I argue that while Dennett makes thoughtful replies to Harris’ critique of compatibilism, his compatibilism continues to be plagued by critical points raised by Bruce Waller. Additionally, I argue that Harris’ rejection of the libertarian view of free will is ill-informed and I explain the basics of Robert Kane’s libertarian view, arguing that it (...) can be defended against points raised by both Dennett and Harris. Keywords: Free Will; Libertarianism; Compatibilism; Daniel Dennett; Sam Harris Una replica libertaria Dennett e Harris sul libero arbitrio Riassunto : Questo articolo prende criticamente in esame gli argomenti principali presentati nel volume di Sam Harris “Free Will” e gli aspetti principali della concezione compatibili sta proposta da Daniel Dennett sul libero arbitrio. Intendo sostenere che Dennett, pur rispondendo accuratamente alla critica del compatibilismo proposta da Harris, sostiene un compatibilismo che resta sotto il giogo delle critiche sollevate da Bruce Waller. Inoltre, cercherò di sostenere che il rifiuto della prospettiva libertarian proposto da Harris è una posizione male informata ed esporrò I principi di base della prospettiva libertarian di Robert Kane, affermando che lo si può difendere dale critiche sollevate sia da Dennett che da Harris. Parole chiave: Libero arbitrio; Libertarianismo; Compatibilismo; Daniel Dennett; Sam Harris. (shrink)

Free determined decisions are free decisions that are causally determined by the character of the agent. Robert Kane is a libertarian about free will who believes some of our free decisions are determined in this way. According to Kane, for a determined decision to be free it must proceed from the agent's character and the agent must have shaped that character through previous undetermined free decisions. In recent writings, Mark Balaguer has argued that human beings may well possess (...) libertarian freedom, but he rejects Kane's view that free determined acts must proceed from a character that is constructed from prior undetermined free decisions. This essay explains Balaguer's argument for rejecting the Kanean view and critically responds to it in defense of Kane's position on free determined decisions. (shrink)

This article provides a brief explanation of Robert Kane's indeterministic, event‐causal libertarian theory of freedom and responsibility. It is noted that a number of authors have criticized libertarian theories, such as Kane's, by presenting the problem of luck. After noting how Kane has tried to answer this problem in his recent writings, the author goes on to explain Ishtiyaque Haji's recent version of the luck argument. The author considers three possible Kanian replies to Haji's luck argument and (...) argues that the third reply can adequately answer the luck objection. It is also noted that the third reply requires making some significant alterations to Kane's theory that would also help him resolve certain problems with his views about responsibility for character. (shrink)

This article provides a brief explanation of Robert Kane's indeterministic, event‐causal libertarian theory of freedom and responsibility. It is noted that a number of authors have criticized libertarian theories, such as Kane's, by presenting the problem of luck. After noting how Kane has tried to answer this problem in his recent writings, the author goes on to explain Ishtiyaque Haji's recent version of the luck argument. The author considers three possible Kanian replies to Haji's luck argument and (...) argues that the third reply can adequately answer the luck objection. It is also noted that the third reply requires making some significant alterations to Kane's theory that would also help him resolve certain problems with his views about responsibility for character. (shrink)

I explore a key feature of Robert Kane’s libertarianism. Kane claims that we should separate issues of alternative possibilities from issues of ultimacy, but he further argues that they are connected in a certain way. I call into question this connection, and I continue to argue for a strict separation of considerations pertaining to alternative possibilities and “actual-sequence” considerations.

Hindu Law is the first comprehensive study of the Sanskrit-language literatures on dharma since the publication of P. V. Kane’s five-volume History of Dharmaśāstra. The present essay offers a detailed review of this significant new work’s contents and its contributions to the study of the Dharmaśāstras. Particular attention is paid to the various places where Hindu Law revises the historical record or furnishes new insight into religious and other practices, symbols, and social institutions defined by dharmaśāstric works. This essay (...) concludes with a suggestion for future research, which is made possible in no small part by the contributions of the volume here under review. (shrink)

Readers familiar with Harry Frankfurt’s argument that we do not need leeway-liberty (or the power to bring about alternative possible actions or intentions) to be morally responsible will probably also know that the most famous and popular response on behalf of leeway-libertarianism remains a dilemma posed in similar forms by David Widerker, Robert Kane, and Carl Ginet: either the agent retains significant residual leeway in Frankfurt-style cases, or these cases beg the question by presupposing causal determinism. In the last (...) few years, there have been several different attempts to defend Frankfurtian critiques of PAP in response this dilemma. In a novel approach, Derk Pereboom and Michael McKenna present cases in which all deliberatively relevant or “robust” alternatives are blocked, but the agent’s act or decision is not determined. Pereboom and McKenna argue that any plausible leeway-condition on responsibility must characterize the required alternatives as robust in two ways: being voluntary performances and having a practical relevance accessible to the agent’s mind. I agree with the requirement of robustness, and argue that we can build this notion into a complex concept of agent-possibility, or “agentive-can.” However, I argue that both McKenna’s and Pereboom’s conceptions of robustness are too demanding: they exclude alternatives that are intuitively relevant. Moreover, I argue that the alternative of refraining from deciding, or voluntarily failing to decide, is robust in the right sense. In agreement with a tradition running from Ockham back through Scotus to Aquinas, I argue that this robust alternative is necessary for responsibility. If the Frankfurt-controller eliminates it, then the agent’s responsibility is undermined. In particular, I argue that Pereboom’s tax evasion cases do not refute this leeway-condition on moral responsibility. (shrink)

This article provides a transnational analysis of the campaigns for the organization of expeditions to the central Arctic region by the American explorer Elisha Kent Kane and the Prussian cartographer August Petermann between 1851 and 1853. By adopting a comparative approach, this study focuses on three interventions in the history of Arctic science and exploration: the construction of scientific expertise surrounding the relationship between the ‘armchair’ and the field, the role of transnational networks, and the significance of maps as (...) travelling epistemic objects in the production of knowledge about the Arctic regions. In bringing both campaigns in conversation with each other, this article demonstrates that the histories of Kane's and Petermann's campaigns did not constitute isolated episodes but form part of a transnational nexus of imperial science and Arctic exploration in the nineteenth century. Moreover, based on research in libraries and archives in the United States, Germany and England, this study reconnects otherwise siloed collections and contributes new findings on the interpersonal networks of science and exploration. Finally, this article illustrates the importance of adopting comparative transnational approaches for understanding the fluid and reciprocal nature of Arctic science throughout the transatlantic world. (shrink)

Summary and brief critical evaluation of 4 views on free will (Kane, Fischer, Pereboom, Vargas).

The best-known controversy in film criticism of recent years has been over the authorship of the Citizen Kane script. Pauline Kael first raised the issue in a flamboyant piece in The New Yorker in 1971. Contrary to what Orson Welles would like us to believe, Kael charged, the script for the film was actually not his work but almost wholly the work of an all-but-forgotten figure, one of Hollywood's veteran screenwriters, Herman J. Mankiewicz. . . . The first two (...) drafts of the Citizen Kane script were written by Herman Mankiewicz and John Houseman in seclusion in the desert at Victorville, California, during March, April, and May 1940. Officially, Houseman was there as an editor. But part of his job was to ride herd on Mankiewicz, whose drinking habits were legendary and whose screenwriting credentials unfortunately did not include a reputation for seeing things through. Detailed accounts of the Victorville interlude have been given by Houseman in his autobiography and by Kael in "Raising Kane." There was constant interchange between Victorville and Hollywood, with Houseman going in to confer on the script and Welles sending up emissaries and regularly receiving copies of the work in progress. Welles in turn was working over the draft pages with the assistance of his own secretary, Katherine Trosper, and handing the revised screenplay copy in its rough state over to Amalia Kent, a script supervisor at RKO noted for her skills at breaking this kind of material down into script continuity form, who was readying it for the stenographic and various production departments.1 · 1. John Houseman, Run-Through: A Memoir , pp. 445-61. "Raising Kane," pp. 29-39. Amalia Kent had impressed Welles with her work on the problematic first-person script for his unproduced Heart of Darkness film, and she worked directly with him on various script supervision capacities on other of his RKO projects, including The Magnificent Ambersons and the unproduced Smiler with the Knife. She also continued as the script supervisor throughout the shooting of Citizen Kane and prepared the cutting reports for the film's editor, Robert Wise. Kael gives the impression that Rita Alexander, Herman Mankiewicz's private secretary, was performing all these specialized studio functions herself. Robert L. Carringer is associate professor of English and cinema studies at the University of Illinois at Urbana-Champaign and the author of Ernst Lubitsch. His forthcoming edition of The Jazz Singer will begin the Warner Brothers script series. "Citizen Kane, The Great Gatsby, and Some Conventions of American Narrative," his previous contribution to Critical Inquiry, appeared in the Winter 1975 issue. (shrink)