Tversky and Koehler's support theory attempts to explain why probability judgments are affected by the manner in which formally similar events are described. Support theory suggests that as the explicitness of a description increases, an event will be judged to be more likely. In the present experiment, experienced decision-makers from large, international accounting firms were given case-specific information about an audit client and asked to provide a series of judgments regarding the perceived likelihood of events. Unpacking a hypothesis into four (...) formally equivalent hypotheses more than doubled its perceived likelihood. These results are largely consistent with support theory, extending its generalizability to applied contexts involving business professionals. Further, the paper finds that task-specific factors, a previously untested area, can also affect support theory interpretations. (shrink)

The book begins with an overview that introduces the Theorem and the issues surrounding it, and explores how the essays that follow contribute to our understanding of those issues.

A predominant ethical view holds that physician‐investigators should conduct their research with therapeutic intent. And since a physician offering a therapy wouldn't prescribe second‐rate treatments, the experimental intervention and the best proven therapy should appear equally effective. "Clinical equipoise" is necessary. But this perspective is flawed. The ethics of research and of therapy are fundamentally different, and clinical equipoise should be abandoned.

Discusses Frege's formal definitions and characterizations of infinite and finite sets. Speculates that Frege might have discovered the "oddity" in Dedekind's famous proof that all infinite sets are Dedekind infinite and, in doing so, stumbled across an axiom of countable choice.

The leading ethical position on placebo-controlled clinical trials is that whenever proven effective treatment exists for a given condition, it is unethical to test a new treatment for that condition against placebo. Invoking the principle of clinical equipoise, opponents of placebo-controlled trials in the face of proven effective treatment argue that they (1) violate the therapeutic obligation of physicians to offer optimal medical care and (2) lack both scientific and clinical merit. We contend that both of these arguments are mistaken. (...) Clinical equipoise provides erroneous ethical guidance in the case of placebo-controlled trials, because it ignores the ethically relevant distinction between clinical trials and treatment in the context of clinical medicine and the methodological limitations of active-controlled trials. Placebo controls are ethically justifiable when they are supported by sound methodological considerations and their use does not expose research participants to excessive risks of harm. (shrink)

Cosmetic surgery is a fast-growing medical practice. In 1997 surgeons in the United States performed the four most common cosmetic procedures443,728 times, an increase of 150% over the comparable total for 1992. Estimated total expenditures for cosmetic surgery range from $1 to $2 billion. As managed care cuts into physicians' income and autonomy, cosmetic surgery, which is not covered by health insurance, offers a financially attractive medical specialty.

In Mind and World, John McDowell argues against the view that perceptual representation is non-conceptual. The central worry is that this view cannot offer any reasonable account of how perception bears rationally upon belief. I argue that this worry, though sensible, can be met, if we are clear that perceptual representation is, though non-conceptual, still in some sense 'assertoric': Perception, like belief, represents things as being thus and so.

This book prints for the first time two remarkable interlocking sequences of letters between Paris and the Netherlands: 40 letters from Gilles Ménage in Paris to Johann-Georg Grævius in Utrecht, and 30 from the printer Henrik Wetstein, in Amsterdam, to Ménage. Their principal focus is the publication of a considerable number of Ménage’s works outside France, above all his monumental edition of Diogenes Laertius’s _Lives of the Philosophers._ The letters give an engaging picture of mutual help within the community of (...) scholars, Dutch, German, English, and French, including Huguenot exiles like Le Clerc and Bayle. Ménage’s are full of information from Paris; while Wetstein’s, forthright and humorous, concentrate on publishing details in a sometimes stormy relationship. The great Diogenes edition encountered an extraordinary range of problems: difficulties at every stage of publication, hazardous wartime communications, and, not least, a bizarrely eccentric collaborator in Marcus Meibomius. The two correspondences provide a fascinating case-study of the practical working of international scholarly publishing in time of war, and the European network of learned correspondence in the later seventeenth century. Each letter is printed in full, accompanied by a summary, detailed commentary, and extensive annotations. (shrink)

A basic question of medical ethics is whether the norms governing medical practice should be understood as the application of principles and rules of the common morality to medicine or whether some of these norms are internal or proper to medicine. In this article we describe and defend an evolutionary perspective on the internal morality of medicine that is defined in terms of the goals of clinical medicine and a set of duties that constrain medical practice in pursuit of these (...) goals. This perspective is developed by means of a critical examination of the essentialist conception of the internal morality of medicine advocated by Edmund Pellegrino and the critique of internal morality approaches by Robert Veatch and Tom Beauchamp. (shrink)

The practice of voluntary physician‐assisted death as a last resort is compatible with doctors' duties to practice competently, to avoid harming patients unduly, to refrain from medical fraud, and to preserve patients' trust. It therefore does not violate physicians' professional integrity.

Despite strong growth in scientific investigation of the placebo effect, understanding of this phenomenon remains deeply confused. We investigate critically seven common conceptual distinctions that impede clear understanding of the placebo effect: (1) verum/placebo, (2) active/inactive, (3) signal/noise, (4) specific/nonspecific, (5) objective/subjective, (6) disease/illness, and (7) intervention/context. We argue that some of these should be eliminated entirely, whereas others must be used with caution to avoid bias. Clearing away the conceptual underbrush is needed to lay down a path to understanding (...) and harnessing placebo effects in clinical medicine. (shrink)

As is well-known, the formal system in which Frege works in his Grundgesetze der Arithmetik is formally inconsistent, Russell’s Paradox being derivable in it.This system is, except for minor differ...

Book reviewed in this article: Eros as the Educational Principle of Democracy Kerry T.Burch. Feeling Power—emotions and education Megan Boler. The Students are Watching: schools and the moral contract Theodore R.Sizer & Nancy Faust Sizer.

The doctrine of clinical equipoise is appealing because it appears to permit physicians to maintain their therapeutic obligation to offer optimal medical care to patients while conducting randomized controlled trials (RCTs). The appearance, however, is deceptive. In this article we argue that clinical equipoise is defective and incoherent in multiple ways. First, it conflates the sound methodological principle that RCTs should begin with an honest null hypothesis with the questionable ethical norm that participants in these trials should never be randomized (...) to an intervention known to be inferior to standard treatment. Second, the claim that RCTs preserve the therapeutic obligation of physicians misrepresents the patient-centered orientation of medical care. Third, the appeal to clinical equipoise as a basic principle of risk-benefit assessment for RCTs is incoherent. Finally, the difficulties with clinical equipoise cannot be resolved by viewing it as a presumptive principle subject to exceptions. In the final sections of the article, we elaborate on the non-exploitation framework for the ethics clinical research and indicate issues that warrant further inquiry. (shrink)

Depression and the subjective experience of suffering are distinct forms of distress, but they are sometimes commingled with one another. Using a cross-sectional sample of flight attendants, we tested for further empirical evidence distinguishing depression and suffering. Correlations with 15 indices covering several dimensions of well-being indicated that associations with worse well-being were mostly stronger for depression than suffering. There was a large positive correlation between depression and suffering, but we also found evidence of notable non-concurrent depression and suffering in (...) the sample. After dividing participants into four groups that varied based on severity of depression and suffering, regression analyses showed higher levels of well-being among those with both none-mild depression and none-mild suffering compared to those with moderate-severe depression, moderate-severe suffering, or both. All indices of well-being were lowest among the group of participants with moderate-severe depression and moderate-severe suffering. In addition to providing further evidence supporting a distinction between depression and suffering, our findings suggest that concurrent depression and suffering may be more disruptive to well-being than when either is present alone. (shrink)

Jim Joyce has presented an argument for Probabilism based on considerations of epistemic utility [Joyce, 1998]. In a recent paper, I adapted this argument to give an argument for Probablism and the Principal Principle based on similar considerations [Pettigrew, 2012]. Joyce’s argument assumes that a credence in a true proposition is better the closer it is to maximal credence, whilst a credence in a false proposition is better the closer it is to minimal credence. By contrast, my argument in that (...) paper assumed (roughly) that a credence in a proposition is better the closer it is to the objective chance of that proposition. In this paper, I present an epistemic utility argument for Probabilism and the Principal Principle that retains Joyce’s assumption rather than the alternative I endorsed in the earlier paper. I argue that this results in a superior argument for these norms. (shrink)

The 1920-1960 period saw the creation of the conditions for a unification of disciplines in the area of evolutionary biology under a limited number of theoretical prescriptions: the evolutionary synthesis. Whereas the sociological dimension of this synthesis was fairly successful, it was surprisingly loose when it came to the interpretation of the evolutionary mechanisms per se, and completely lacking at the level of the foundational epistemological and metaphysical commitments. Key figures such as Huxley, Simpson, Dobzhansky, and Rensch only paid lip (...) service to the conceptual dimension of the evolutionary synthesis, as they eventually realized that a number of evolutionary phenomena could not be explained by its narrow theoretical corpus. Apparently, the evolutionary synthesis constituted a premature event in the development of evolutionary biology. Not only are the real achievements of the evolutionary synthesis in need of reevaluation, but this reassessment also has important implications for the historiography of Darwinism and the current debates about the darwinian movement. (shrink)

A brief, non-technical introduction to technical and philosophical aspects of Frege's philosophy of arithmetic. The exposition focuses on Frege's Theorem, which states that the axioms of arithmetic are provable, in second-order logic, from a single non-logical axiom, "Hume's Principle", which itself is: The number of Fs is the same as the number of Gs if, and only if, the Fs and Gs are in one-one correspondence.

With breathtalung speed, traditional criminal prohibitions against assisted suicide have been declared unconstitutional in twelve states, including California and New York. This poses great promise and great peril. The promise is that competent terminally ill patients, as a compassionate measure of last resort, will have the option of putting an end to their suffering by physician-assisted suicide. More sigmficant, legally permitting this controversial option may be a catalyst for doctors, health care institutions, and society to improve the care of the (...) dying. PAS should be limited only to those relatively few competent patients who continue to suffer intolerably despite unrestrained efforts to palliate and who face a continued existence that they regard as worse than death. When dying patients know they will not be abandoned to miserable and pointless suffering if palliative care fails, they will be fortified to cope better with the process of dying.The immediate peril is that PAS will become a quick fix, available on demand to any patient diagnosed as terminally ill, thus bypassing palliative care and producing premature deaths. (shrink)

Gottlob Frege's Grundgesetze der Arithmetik, or Basic Laws of Arithmetic, was intended to be his magnum opus, the book in which he would finally establish his logicist philosophy of arithmetic. But because of the disaster of Russell's Paradox, which undermined Frege's proofs, the more mathematical parts of the book have rarely been read. Richard G.

Frege, famously, held that there is a close connection between our concept of cardinal number and the notion of one-one correspondence, a connection enshrined in Hume's Principle. Husserl, and later Parsons, objected that there is no such close connection, that our most primitive conception of cardinality arises from our grasp of the practice of counting. Some empirical work on children's development of a concept of number has sometimes been thought to point in the same direction. I argue, however, that Frege (...) was close to right, that our concept of cardinal number is closely connected with a notion like that of one-one correspondence, a more primitive notion we might call just as many. (shrink)

Contrairement à une croyance trop répandue, le darwinisme et son prolongement au XXe siècle — le néo-darwinisme — ne portent pas sur une idée de l'évolution fondée sur la simple notion de « la survie du plus apte ». Si la théorie de la sélection naturelle est partie intégrante du néo-darwinisme, plusieurs de ses fondateurs seront en quête d'une conception beaucoup plus généreuse, pleine et compréhensive de l'évolution. En réalité, la révolution dite darwinienne s'insère au coeur d'une révolution intellectuelle beaucoup (...) plus importante : la révolution transformiste. Avant d'être des darwiniens, de dignes représentants de cette mouvance s'afficheront comme étant des transformistes. Cela signifie que, en plus des mécanismes de l'évolution biologique, d'autres éléments tout aussi cruciaux seront pris en considération`, dans l'élaboration d'une véritable synthèse évolutionniste : les rapports entre l'évolution biologique et l'évolution cosmique ; les interrogations portant sur la question d'une possible direction évolutive ; l'enseignement à tirer pour l'homme de sa place et de son rôle dans la nature. A la croisée de l'histoire, de la philosophie et de la science, cet ouvrage cherche à démontrer, à travers l'analyse des travaux de plusieurs néo-darwiniens de premier plan, que la révolution darwinienne demeurera incomplète aussi longtemps que la révolution transformiste le restera. (shrink)

In The Varieties of Reference, Gareth Evans argues that the content of perceptual experience is nonconceptual, in a sense I shall explain momentarily. More recently, in his book Mind and World, John McDowell has argued that the reasons Evans gives for this claim are not compelling and, moreover, that Evans’s view is a version of “the Myth of the Given”: More precisely, Evans’s view is alleged to suffer from the same sorts of problems that plague sense-datum theories of perception. In (...) particular, McDowell argues that perceptual experience must be within “the space of reasons,” that perception must be able to give us reasons for, that is, to justify, our beliefs about the world: And, according to him, no state that does not have conceptual content can be a reason for a belief. Now, there are many ways in which Evans’s basic idea, that perceptual content is nonconceptual, might be developed; some of these, I shall argue, would be vulnerable to the objections McDowell brings against him. But I shall also argue that there is a way of developing it that is not vulnerable to these objections. (shrink)

In this exciting new collection, a distinguished international group of philosophers contribute new essays on central issues in philosophy of language and logic, in honor of Michael Dummett, one of the most influential philosophers of the late twentieth century. The essays are focused on areas particularly associated with Professor Dummett. Five are contributions to the philosophy of language, addressing in particular the nature of truth and meaning and the relation between language and thought. Two contributors discuss time, in particular the (...) reality of the past. The last four essays focus on Frege and the philosophy of mathematics. The volume represents some of the best work in contemporary analytical philosophy. (shrink)

Hartry Field has suggested that we should adopt at least a methodological deflationism: [W]e should assume full-fledged deflationism as a working hypothesis. That way, if full-fledged deflationism should turn out to be inadequate, we will at least have a clearer sense than we now have of just where it is that inflationist assumptions ... are needed. I argue here that we do not need to be methodological deflationists. More pre-cisely, I argue that we have no need for a disquotational truth-predicate; (...) that the word true, in ordinary language, is not a disquotational truth-predicate; and that it is not at all clear that it is even possible to introduce a disquotational truth-predicate into ordinary language. If so, then we have no clear sense how it is even possible to be a methodological deflationist. My goal here is not to convince a committed deflationist to abandon his or her position. My goal, rather, is to argue, contrary to what many seem to think, that reflection on the apparently trivial character of T-sentences should not incline us to deflationism. (shrink)

My purpose is to account for some oddities in what Kant did and did not say about "moral worth," and for another in what commentators tell us about his intent. The stone with which I hope to dispatch these several birds is-as one would expect a philosopher's stone to be-a distinction. I distinguish between two things Kant might have had in mind under the heading of moral worth. They come readily to mind when one both takes account of what he (...) actually said about it and notices a fact which he did not seem to notice: namely, that dutiful action- action which, whatever its motive, fulfills a duty-can be over- determined, and determined in particular by both respect for duty and some consortium of inclinations and prudenc. (shrink)

*The opinions expressed are the views of the author and do not necessarily reflect the policy of the National Institutes of Health, the Public Health Service, or the U.S. Department of Health and Human Services.

The paper formulates and proves a strengthening of ‘Frege’s Theorem’, which states that axioms for second-order arithmetic are derivable in second-order logic from Hume’s Principle, which itself says that the number of Fs is the same as the number ofGs just in case the Fs and Gs are equinumerous. The improvement consists in restricting this claim to finite concepts, so that nothing is claimed about the circumstances under which infinite concepts have the same number. ‘Finite Hume’s Principle’ also suffices for (...) the derivation of axioms for arithmetic and, indeed, is equivalent to a version of them, in the presence of Frege’s definitions of the primitive expressions of the language of arithmetic. The philosophical significance of this result is also discussed. (shrink)

In recent work on Frege, one of the most salient issues has been whether he was prepared to make serious use of semantical notions such as reference and truth. I argue here Frege did make very serious use of semantical concepts. I argue, first, that Frege had reason to be interested in the question how the axioms and rules of his formal theory might be justified and, second, that he explicitly commits himself to offering a justification that appeals to the (...) notion of reference. I then discuss the justifications Frege offered, focusing on his discussion of inferences involving free variables, in section 17 of Grundgesetze, and his argument, in sections 29-32, that every well-formed expression of his formal language has a unique reference. (shrink)

John Etchemendy has argued that it is but "a fortuitous accident" that Tarski's work on truth has any signifance at all for semantics. I argue, in response, that Etchemendy and others, such as Scott Soames and Hilary Putnam, have been misled by Tarski's emphasis on definitions of truth rather than theories of truth and that, once we appreciate how Tarski understood the relation between these, we can answer Etchemendy's implicit and explicit criticisms of neo-Davidsonian semantics.