This paper develops a new argument from consciousness to theism: the argument from psychophysical harmony. Roughly, psychophysical harmony consists in the fact that phenomenal states are correlated with physical states and with one another in strikingly fortunate ways. For example, phenomenal states are correlated with behavior and functioning that is justified or rationalized by those very phenomenal states, and phenomenal states are correlated with verbal reports and judgments that are made true by those very phenomenal states. We argue that psychophysical (...) harmony is strong evidence for theism (or, at least, strong evidence against atheism in its standard naturalistic form). (shrink)

This paper defends a non-reductive realist view of the sensible qualities—roughly, the view that the sensible qualities are really instantiated by the external objects of perception, and not reducible to response-independent physical properties or response-dependent relational properties. I begin by clarifying and motivating the non-reductive realist view. I then consider some familiar difficulties for the view. Addressing these difficulties leads to the development and defence of a general theory, inspired by Russellian Monist theories of consciousness, of how the sensible qualities (...) relate to physical reality. I conclude by showing how this theory, which I call ‘Secondary Quality Russellian Monism’, resolves the most significant difficulties for the non-reductive realist view of the sensible qualities. (shrink)

According to a familiar modern view, color and other so-called secondary qualities reside only in consciousness, not in the external physical world. Many have argued that this “Galilean” view is the source of the mind-body problem in its current form. This paper critically examines a radical alternative to the Galilean view, which has recently been defended or sympathetically discussed by several philosophers, a view I call “anti-modernism.” Anti-modernism holds, roughly, that the modern Galilean scientific image is incomplete – in particular, (...) it leaves out certain irreducible qualitative properties, such as colors – and that we can solve (or dissolve) the hard problem of consciousness by accepting these properties as objective features of the external physical world. I argue, first, that anti-modernism cannot fulfill its promise. Even if the outer world is resplendent with primitive colors, color experience remains a mystery. Second, I argue that the theoretical costs of accepting irreducible colors in the world are enormous. Even if irreducible colors in the world could dispel the mysteries surrounding consciousness, the theoretical benefit would not be worth the cost. If the problems of consciousness and color require that we posit irreducible properties somewhere, it would be far more plausible to accept irreducible phenomenal properties on the side of the subject, and to reject irreducible colors on the side of the object. (shrink)

According to the AI ensoulment hypothesis, some future AI systems will be endowed with immaterial souls. I argue that we should have at least a middling credence in the AI ensoulment hypothesis, conditional on our eventual creation of AGI and the truth of substance dualism in the human case. I offer two arguments. The first relies on an analogy between aliens and AI. The second rests on the conjecture that ensoulment occurs whenever a physical system is “fit to possess” a (...) soul, where very roughly this amounts to being physically structured in such a way that the system can meaningfully cooperate with the operations of the soul. (shrink)

Our universe features a harmonious match between laws and states: applying its laws to its states generates other states. This is a striking fact. Matters might have been otherwise. The universe might have been stillborn in a state unengaged by its laws. The problem of nomological harmony is that of explaining the noted striking fact. After introducing and developing this problem, we canvass candidate solutions and identify some of their virtues and vices. Candidate solutions invoke the likes of a designer, (...) axiarchic meta-laws, multiverses, essential causal powers, and Humean laws. (shrink)

One of the most important objections to sense data theory comes from the phenomenon of indeterminate perception, as when an object in the periphery of one’s visual field looks red without looking to have any determinate shade of red. As sense data are supposed to have precisely the properties that sensibly appear to us, sense data theory evidently has the implausible consequence that a sense datum can have a determinable property without having any of its determinates. In this article, I (...) show that a parallel objection applies to standard forms of colour relationism. In light of the phenomenon of indeterminate perception, the colour relationist must either reject intuitively obvious claims about the determinate–determinable structure of colour space or reject the plausible and widely accepted principle that nothing can have a determinable without having one of its determinates. (shrink)

The gist of the many-subjects argument is that, given physicalism, it’s hard to avoid the absurd result that there are many conscious subjects in your vicinity with more-or-less the same experiences as you. The most promising ways of avoiding this result have a consequence almost as bad: that there are many things in your vicinity that are in a state only trivially different from being conscious, a state with similar normative significance. This paper clarifies and defends three versions of the (...) many-subjects argument. One version poses the threat of conscious parts. Its key premise is that if physicalism is true, then not only you, but also certain parts of your body, are conscious. These parts might include your brain, your head, all-of-you-except-your-left-pinky, all-of-your-brain-except-one-neuron, or your left cerebral hemisphere. A second version poses the threat of conscious coinciders, things that currently occupy the same spatial region as you and share all your matter. Its key premise is that if physicalism is true, then not only you, but also some things that currently coincide with you, are conscious. These might include your body or the aggregate of particles of which you are currently composed. A third version poses the threat of conscious person candidates, the many human-body-shaped material objects in your vicinity that mostly overlap one another, differing only in a few peripheral atoms. This version claims that if physicalism is true, then there are many conscious person-candidates in your vicinity. -/- . (shrink)

In this paper, we defend the representationalist theory of phenomenal consciousness against a recent objection due to Hilla Jacobson, who charges representationalism with a failure to explain the role of pain in rationalizing certain forms of behavior. In rough outline, her objection is that the representationalist is unable to account for the rationality of certain acts, such as the act of taking pain killers, which are aimed at getting rid of the experience of pain rather than its intentional object. If (...) representationalism were true, she claims, then the act of taking pain killers would be just as irrational as the act of a ruler who responds to bad tidings by killing the messenger. This paper aims to show that these charges are mistaken. (shrink)

Perceptual illusionism is the view that perceptual experience is, in general, radically illusory. That is, perceptual experience presents objects as having certain sensible properties and standing in certain sensible relations, but nothing in the subject’s environment has those properties or stands in those relations. This paper makes the case for perceptual illusionism by showing how a broad set of philosophical and scientific considerations converge to support illusionism about the full range of sensible properties and relations. After clarifying the illusionist thesis, (...) I set out the argument in three parts. First, I briefly make the case for an illusionist view of color. I then argue for illusionism about the spatial/temporal properties presented in experience on the assumption that some “radical” view of space (and/or time) is correct—that is, some view according to which nothing like our ordinary three-dimensional space (or four-dimensional spacetime) exists at the fundamental level. Finally, I argue that there is a strong case for illusionism even if all radical views turn out to be false. (shrink)

In recent work, David Chalmers argues that “Edenic shapes”—roughly, the shape properties phenomenally presented in spatial experience—are not instantiated in our world. His reasons come largely from the theory of Special Relativity. Although Edenic shapes might have been instantiated in a classical Newtonian world, he maintains that they could not be instantiated in a relativistic world like our own. In this essay, I defend realism about Edenic shape, the thesis that Edenic shapes are instantiated in our world, against Chalmers’s challenge (...) from Special Relativity. I begin by clarifying the notion of an Edenic shape by reference to Chalmers’s notion of the “Edenic” content of perceptual experience. I then reconstruct Chalmers’s argument that Edenic shapes could not be instantiated in a relativistic world. His reasoning proceeds from two assumptions. The first is that the only shape properties instantiated in a relativistic world are those which somehow involve relations to frames of reference. This is thought to follow from the phenomenon of Lorentz contraction, a consequence of Special Relativity. The second assumption is that Edenic shapes do not involve relations to frames of reference. One reason to accept the second assumption is that it seems that Edenic shapes could be instantiated in a classical Newtonian world, where the notion of a frame-relative shape has no meaningful application. I then proceed to defend RES against Chalmers’s argument by arguing that Special Relativity, properly understood, provides no support for Chalmers’s first assumption. More generally, I argue, by way of a careful analysis of the geometric structure of Minkowski space–time and Galilean space–time Newtonian physics), that Edenic shapes are no less at home in a relativistic world than in a classical Newtonian world. (shrink)

Many philosophers, especially in the wake of the 17th century, have favored an inegalitarian view of shape and color, according to which shape is mind-independent while color is mind-dependent. In this essay, I advance a novel argument against inegalitarianism. The argument begins with an intuition about the modal dependence of color on shape, namely: it is impossible for something to have a color without having a shape. I then argue that, given reasonable assumptions, inegalitarianism contradicts this modal-dependence principle. Given the (...) plausibility of the latter, I conclude that we should reject inegalitarianism in favor of some form of egalitarianism—either a subjective egalitarianism on which both shape and color are mind-dependent or an objective egalitarianism on which both shape and color are mind-independent. (shrink)

The modal argument against materialism, in its most standard form, relies on a compatibility thesis to the effect that the physical truths are compatible with the absence of consciousness. I propose an alternative modal argument that relies on an incompatibility thesis: The existence of consciousness is incompatible with the proposition that the physical truths provide a complete description of reality. I show that everyone who accepts the premises of the standard modal argument must accept the premises of the revised modal (...) argument, but not vice versa. (shrink)

Imagine your mirror‐inverted counterpart on Mirror Earth, a perfect mirror image of Earth. Would her experiences be the same as yours, or would they be phenomenally mirror‐inverted? I argue, first, that her experiences would be phenomenally the same as yours. I then show that this conclusion gives rise to a puzzle, one that I believe pushes us toward some surprising and philosophically significant conclusions about the nature of perception. When you have a typical visual experience as of something to your (...) left, the following three claims seem very plausible: (1) No one could have an experience phenomenally just like yours without thereby having an experience as of something to her left. (2) Your experience is veridical. (3) Your experience doesn't differ from that of your mirror‐inverted counterpart with respect to veridicality. But (1)‐(3) jointly contradict the claim that you and your mirror‐inverted counterpart would have the same experiences. I argue that any viable response to this puzzle will embrace the following disjunction: either there is a degree of independence between perceptual phenomenology and representational content, contrary to popular intentionalist views of perception, or spatial subjectivism is true, where spatial subjectivism is the view that the spatial properties presented in perception are either mind‐dependent or illusory. (shrink)

The consequence argument is widely regarded as the most important argument for incompatibilism. In this paper, I argue that, although the consequence argument may be sound in its standard formulations, it does not support any thesis that could reasonably be called ‘incompatibilism’.

This chapter focuses specifically on the case of pain. Despite traditional opposition to the representational thesis, the latter has won widespread assent. The most important early proponents of the representational thesis were David Armstrong and George Pitcher, both of whom held that pain is a form of perception. Following Armstrong and Pitcher, intentionalists have traditionally held that the experience of pain has a content with roughly the following form: there is a disturbance with such-and-such features at location L. Since the (...) internal states associated with the experience of pain arguably track local physical properties of disturbances, it seems that the tracking intentionalist must identify the pain qualities represented by pain experience with these physical properties. But there are at least two important objections to the identification of pain qualities with local physical properties of disturbances. (shrink)

This paper develops and defends a new argument against physicalist views of consciousness: the inconceivability argument. The argument has two main premises. First, it is not (ideally, positively) conceivable that phenomenal truths are grounded in physical truths. (For example, one cannot positively conceive of a situation in which someone has a vivid experience of pink wholly in virtue of the movements of colorless, insentient atoms.) Second, (ideal, positive) inconceivability is a guide to falsity. I attempt to show that the inconceivability (...) argument enjoys a significant advantage over the more familiar conceivability argument. One can reasonably endorse the inconceivability argument without endorsing the conceivability argument, but one cannot reasonably endorse the conceivability argument without also endorsing the inconceivability argument. (shrink)

Moral realism faces a well known genealogical debunking challenge. I argue that the moral realist’s best response may involve abandoning metaphysical naturalism in favor of some form of axiarchism—the view, very roughly, that the natural world is “ordered to the good.” Axiarchism comes in both theistic and non-theistic forms, but all forms agree that the natural world exists and has certain basic features because it is good for it to exist and have those features. I argue that theistic and non-theistic (...) forms of axiarchism are better positioned than metaphysical naturalism to avoid two commitments that a moral realist should seek to avoid: that the correctness of our moral beliefs is a major coincidence, and that there is a complete explanation of our moral beliefs that does not mention any moral truths. (shrink)

Philosophy and Phenomenological Research, EarlyView.

This commentary on Adam Pautz's excellent book, Perception, explores the consequences of “spatial illusionism,” the view that the spatial properties presented in experience aren't instantiated in the extra-mental world. First, I consider whether spatial illusionism entails that our ordinary beliefs about the physical world are mostly false. I then argue that spatial illusionism threatens to undermine two arguments Pautz's defends in Perception: his argument that sense data theory is incompatible with physicalism, and his central argument against the internal physical state (...) view of perception. (shrink)

It is common for an object to present different colour appearances to different perceivers, even when the perceivers and viewing conditions are normal. For example, a Munsell chip might look unique green to you and yellowish green to me in normal viewing conditions. In such cases, there are three possibilities. Ecumenism: both experiences are veridical. Nihilism: both experiences are non-veridical. Inegalitarianism: one experience is veridical and the other is non-veridical. Perhaps the most important objection to inegalitarianism is the ignorance objection, (...) according to which inegalitarianism should be rejected because it is committed to the existence of unknowable colour facts. The goal of this paper is to show that ecumenists are also committed to unknowable colour facts. More specifically, I argue that, with the exception of colour eliminativism, all major philosophical theories of colour are committed to unknowable colour facts. (shrink)

Some truths about color are knowable a priori. For example, it is knowable a priori that redness is not identical to the property of being square. This extremely modest and plausible claim has significant philosophical implications, or so I shall argue. First, I show that this claim entails the falsity of standard forms of color functionalism, the view that our color concepts are functional concepts that pick out their referents by way of functional descriptions that make reference to the subjective (...) responses of perceivers. I then argue that, while some sophisticated forms of color functionalism can accommodate the a priori knowability of a truth like “redness is not identical to squareness,” they can only do so by abandoning color realism, the thesis that colors are instantiated by external material objects. In practice, color functionalists are almost invariably color realists. Thus, given extremely modest assumptions concerning what can be known a priori about color, we should conclude that color functionalism, at least in its typical realist form, is false. (shrink)

What does it mean to consider the world of AI through a Christian lens? Rapid developments in AI continue to reshape society, raising new ethical questions and challenging our understanding of the human person. Encountering Artificial Intelligence draws on Pope Francis’ discussion of a culture of encounter and broader themes in Catholic social thought in order to examine how current AI applications affect human relationships in various social spheres and offers concrete recommendations for better implementation. The document also explores questions (...) regarding personhood, consciousness, and the kinds of relationships humans might have with even the most advanced AI. Through these discussions, this book investigates the theoretical and practical challenges to interpersonal encounter raised by the age of AI. (AI Research Group for the Centre for Digital Culture of the Dicastery of Culture and Education of the Holy See). (shrink)

No quiero dar la impresión de que intentaré una aproximación entre el primero y el segundo Wittgenstein que borre diferencias tan fundamentales cuanto esa. Sin embargo, debo luego aclarar que sí será mi intención hablar de la existencia de "límites" del lenguaje en un sentido que sea asimilable por quien acepta las líneas básicas de argumentación de las Investigaciones Filosóficas. Más exactamente, trataré de redefinir esos límites en términos que sean completamente compatibles con la filosofía madura de Wittgenstein. Asociada a (...) esta nueva definición de la noción de límite, creo que emergirá una nueva concepción de lo Místico, y una suerte muy particular de "teología negativa", que trataré de definir con más exactitud en la parte final mi ponencia. [Fragmento]. (shrink)

Brian Leftow offers a theist theory of necessity and possibility, and a new sort of argument for God's existence. He argues that necessities of logic and mathematics are determined by God's nature, but that it is events in God's mind - his imagination and choice - that account for necessary truths about concrete creatures.

A textbook on modal logic, intended for readers already acquainted with the elements of formal logic, containing nearly 500 exercises. Brian F. Chellas provides a systematic introduction to the principal ideas and results in contemporary treatments of modality, including theorems on completeness and decidability. Illustrative chapters focus on deontic logic and conditionality. Modality is a rapidly expanding branch of logic, and familiarity with the subject is now regarded as a necessary part of every philosopher's technical equipment. Chellas here offers (...) an up-to-date and reliable guide essential for the student. (shrink)

A theoretical and sociological exploration of the relationship between law and society, this book constructs an approach to law that integrates legal theory with sociological approaches to law. Law is generally understood to be a mirror of society--a reflection of its customs and morals--that functions to maintain social order. Focusing on this common understanding, the book conducts a survey of Western legal and social theories about law and its relationship within society, engaging in a theoretical and empirical critique of this (...) common understanding. (shrink)

In the first full-length analysis of Wittgenstein's Remarks on Frazer's Golden Bough, Brian R. Clack presents a fresh and innovative interpretation of Wittgenstein's conception of religion. While previous commentators have tended to sideline the Remarks on Frazer, Clack shows how the key to Wittgenstein's thought on religion lies in these remarks on primitive magico-religious observances. This book shows that Wittgenstein neither embraces expressivism, as it is generally assumed, nor straightforwardly denies instrumentalism. Focusing instead on Wittgenstein's suggestion that magic is (...) somehow akin to metaphysics, a view of ritual as the spontaneous expression of human beings is presented. (shrink)

Four Testaments brings together four foundational texts from world religions--the Tao Te Ching, Dhammapada, Analects of Confucius, and Bhagavad Gita--inviting readers to experience them in full, to explore possible points of connection and divergence, and to better understand people who practice these traditions.

This review note surveys some important aspects of a recent publication by Amos Edelheit, A Philosopher at the Crossroads: Giovanni Pico della Mirandola’s Encounter with Scholastic Philosophy. While focus over the last decades has been placed on Pico’s thought in relation to Jewish Kabbalah and mysticism, Edelheit hopes to emphasize the importance of the scholastic tradition (or, rather, the pluriform and various tradition of late medieval and Renaissance scholasticism) in Pico’s thought, and the ways in which this intellectual context places (...) this unique Renaissance thinker at a sort of ‘crossroads’. Beyond providing a brief overview of the three main parts of the text, this note examines more closely Edelheit’s study of Pico’s 900 Theses and the methodological approach which involves a reconstruction of the dialectical context for each thesis. The Latin scholastics are real conversational partners for Pico: he is versed in the 13th-century scholastic sources, is certainly familiar with contemporaneous scholastic thought, and is able to employ scholastic methods and terminology within his wider philosophical project. While scholastic philosophy was very much alive at the end of the fifteenth century, Pico’s new and inclusive approach to philosophy and the history of philosophy, never eschewing the Latin masters, departs from both scholastic and humanist trends. (shrink)

All major western countries today contain groups that differ in their religious beliefs, customary practices or ideas about the right way in which to live. How should public policy respond to this diversity? In this important new work, Brian Barry challenges the currently orthodox answer and develops a powerful restatement of an egalitarian liberalism for the twenty-first century. Until recently it was assumed without much question that cultural diversity could best be accommodated by leaving cultural minorities free to associate (...) in pursuit of their distinctive ends within the limits imposed by a common framework of laws. This solution is rejected by an influential school of political theorists, among whom some of the best known are William Galston, Will Kymlicka, Bhikhu Parekh, Charles Taylor and Iris Marion Young. According to them, this 'difference-blind' conception of liberal equality fails to deliver either liberty or equal treatment. In its place, they propose that the state should 'recognize' group identities, by granting groups exemptions from certain laws, publicly 'affirming' their value, and by providing them with special privileges or subsidies. In Culture and Equality, Barry offers an incisive critique of these arguments and suggests that theorists of multiculturism tend to misdiagnose the problems of minority groups. Often, these are not rooted in culture, and multiculturalist policies may actually stand in the way of universalistic measures that would be genuinely beneficial. (shrink)

We live in a world of crowds and corporations, artworks and artifacts, legislatures and languages, money and markets. These are all social objects — they are made, at least in part, by people and by communities. But what exactly are these things? How are they made, and what is the role of people in making them? In The Ant Trap, Brian Epstein rewrites our understanding of the nature of the social world and the foundations of the social sciences. Epstein (...) explains and challenges the three prevailing traditions about how the social world is made. One tradition takes the social world to be built out of people, much as traffic is built out of cars. A second tradition also takes people to be the building blocks of the social world, but focuses on thoughts and attitudes we have toward one another. And a third tradition takes the social world to be a collective projection onto the physical world. Epstein shows that these share critical flaws. Most fundamentally, all three traditions overestimate the role of people in building the social world: they are overly anthropocentric. Epstein starts from scratch, bringing the resources of contemporary metaphysics to bear. In the place of traditional theories, he introduces a model based on a new distinction between the grounds and the anchors of social facts. Epstein illustrates the model with a study of the nature of law, and shows how to interpret the prevailing traditions about the social world. Then he turns to social groups, and to what it means for a group to take an action or have an intention. Contrary to the overwhelming consensus, these often depend on more than the actions and intentions of group members. (shrink)

Pt. I. Zeno and the metaphysics of quantity. Zeno's paradox of measure -- Tractarian nominalism -- Logical atoms and combinatorial possibility -- Strict coherence, sigma coherence, and the metaphysics of quantity -- pt. II. Coherent degrees of belief. Higher-order degrees of belief -- A mistake in dynamic coherence arguments? -- Dynamic coherence and probability kinematics -- Updating, supposing, and MAXENT -- The structure of radical probabilism -- Diachronic coherence and radical probabilism -- pt. III. Induction. Carnapian inductive logic for Markov (...) chains -- Carnapian inductive logic and Bayesian statistics -- Bayesian projectability. (shrink)

Almost every country today contains adherents of different religions and different secular conceptions of the good life. Is there any alternative to a power struggle among them, leading most probably to either civil war or repression? The argument of this book is that justice as impartiality offers a solution. According to the theory of justice as impartiality, principles of justice are those principles that provide a reasonable basis for the unforced assent of those subject to them. The object of this (...) book is to set the theory out, explain its rationale, and respond to a variety of criticism that have been made of it. As the second volume of his work-in-progress, A Treatise on Social Justice, this work lies at the heart of a thriving academic debate which the author has played a key role in shaping. (shrink)

This essay investigates whether or not we should think that the things we say are identical to the things our sentences mean. It is argued that these theoretical notions should be distinguished, since assertoric content does not respect the compositionality principle. As a paradigmatic example, Kaplan's formal language LD is shown to exemplify a failure of compositionality. It is demonstrated that by respecting the theoretical distinction between the objects of assertion and compositional values certain conflicts between compositionality and contextualism are (...) avoided. This includes the conflict between eternalism and the semantics of tense, the embedding problems for contextualism about epistemic modals and taste claims, and the conflict between direct reference and the semantics of bound pronouns (and monstrous operators). After presenting the theoretical picture which distinguishes assertoric content from compositional semantic value, some objections to the picture are addressed. In so doing, the objection from King (2003) stemming from apparent complications with the interaction of temporal expressions and attitude reports is assessed and shown to be non-threatening. (shrink)

Brian Hedden defends a radical view about the relationship between rationality, personal identity, and time. On the standard view, personal identity over time plays a central role in thinking about rationality, because there are rational norms for how a person's attitudes and actions at one time should fit with her attitudes and actions at other times. But these norms are problematic. They make what you rationally ought to believe or do depend on facts about your past that aren't part (...) of your current perspective on the world, and they make rationality depend on controversial, murky metaphysical facts about what binds different instantaneous snapshots into a single person extended in time. Hedden takes a different approach, treating the relationship between different time-slices of the same person as no different from the relationship between different people. On his account, the locus of rationality is the time-slice rather than the temporally extended agent. This impersonal, time-slice-centric approach to rationality yields a unified approach to the rationality of beliefs, preferences, and actions where what rationality demands of you is solely determined by your evidence, with no special weight given to your past beliefs or actions. (shrink)

I advocate Time-Slice Rationality, the thesis that the relationship between two time-slices of the same person is not importantly different, for purposes of rational evaluation, from the relationship between time-slices of distinct persons. The locus of rationality, so to speak, is the time-slice rather than the temporally extended agent. This claim is motivated by consideration of puzzle cases for personal identity over time and by a very moderate form of internalism about rationality. Time-Slice Rationality conflicts with two proposed principles of (...) rationality, Conditionalization and Reflection. Conditionalization is a diachronic norm saying how your current degrees of belief should fit with your old ones, while Reflection is a norm enjoining you to defer to the degrees of belief that you expect to have in the future. But they are independently problematic and should be replaced by improved, time-slice-centric principles. Conditionalization should be replaced by a synchronic norm saying what degrees of belief you ought to have given your current evidence and Reflection should be replaced by a norm which instructs you to defer to the degrees of belief of agents you take to be experts. These replacement principles do all the work that the old principles were supposed to do while avoiding their problems. In this way, Time-Slice Rationality puts the theory of rationality on firmer foundations and yields better norms than alternative, non-time-slice-centric approaches. (shrink)

This essay comments on the articles by Loretta M. Kopelman and Anita Silvers. It extends their analyses and concludes that consistency and the total absence of conflict may be unavailable when one interprets and applies the Americans with Disabilities Act.

"Ethical Choices in Contemporary Medicine" jettisons the standard medical ethics models of "rights" language and shows how the bioethical problems that receive attention from the media and the public are related to and are explicable in terms of the epistemological foundations of science and medicine. These epistemological concerns include how medical knowledge is established, how medical protocols are administered, how medical certainty is evaluated and medical responsibility is framed, and how medical knowledge is transmitted and how medical care is allocated. (...) The book examines the present predicaments of medicine within a broad cultural context and suggests that rational discourse and parochial ethical dialogue may be futile in the face of competing and incommensurable frameworks and agendas, attitudes and wishes. The authors show that, in the postmodern age, two interrelated issues surface when it comes to medicine. On the one hand, there is a strong critique of science and the privileges associated with the scientific discourse and, on the other, there is still a deep-seated quest for certainty in all medical matters. (shrink)