The paper discusses Bernard Williams’ argument that immortality is rationally undesirable because it leads to insufferable boredom. We first spell out Williams’ argument in the form of a dilemma. We then show that the first horn of this dilemma, namely Williams’ requirement of the constancy of character of the immortal, is defensible. We next argue against a recent attempt that accepts the dilemma, but rejects the conclusion Williams draws from it. From these we conclude that blocking the second (...) horn of the dilemma is the best way to respond to Williams. Our objection contends that Williams overlooks a basic feature of human existence, namely curiosity, and that his negative evaluation of an eternal life is therefore unconvincing. (shrink)

We tend to think that a person who is both reasonable and moral can have a good life. What constitutes a life that is not only good but superlative, or even “marvellous” or “holy”? Those who have such lives are called sages, heroes or saints, and their lives can display great integrity as well as integration with a transformative “Spiritual Presence.” Does it follow that saints are perfect people? Is there a common vision that impels them to seek holiness? In (...) a controversial interpretation of mysticism Horne suggests that there is no single formula for the meaning of life and no one story that displays it to us. Mysticism, rather than being just a visionary perception, then becomes a problem-solving process that brings about a creative transformation of the personality at a critical stage in life. He suggests also that saints may be imperfect morally and describes true saints as double-minded: they are serious in a playful way. Mysticism and Vocation illuminates our understanding of saintly lives by explicating their mystical characteristics and extending discussions of mysticism to explain its role in active lives. In discussing important decisions that go beyond conventional morality, it adds to recent philosophical arguments by Charles Taylor, Alasdair MacIntyre, Iris Murdoch, Bernard Williams and others to the effect that morality should be defined more broadly to deal with the human condition. This book will be of interest to students of philosophy and religious studies, in both graduate and undergraduate programs. (shrink)

Conceptual Foundations of Quantum Mechanics provides a detailed view of the conceptual foundations and problems of quantum physics, and a clear and comprehensive account of the fundamental physical implications of the quantum formalism. This book deals with nonseparability, hidden variable theories, measurement theories and several related problems. Mathematical arguments are presented with an emphasis on simple but adequately representative cases. The conclusion incorporates a description of a set of relationships and concepts that could compose a legitimate view of the world.

Most conceptual models of the organization of the cardiovascular system begin with the premise that the nervous system regulates the metabolic and nonmetabolic reflex adjustments of the circulation. These models assume that all the neurally mediated responses of the circulation are reactive, i.e., reflexes elicited by adequate stimuli. This target article suggests that the responses of the circulation are conditional in three senses. First, as Sherrington argued, reflexes are conditional in that they never operate in a vacuum but in a (...) context together with other reflexes. Guided by functional utility, they interact rather than add. Second, as Pavlov argued, stimuli acquire meanings as a result of experience. This notion of stimulus effect plus the Sherringtonian notion of conditionality suggest that association is one of the ways stimuli eliciting cardiovascular reflexes acquire their meanings and thus their relative strengths. Finally, as Skinner and others have argued, operants are responses that act upon the environment to obtain consequences – that is, stimuli. As operants, cardiovascular responses fulfill a major biological need, functioning proactively. The cardiovascular response is an integral component of the animal's behavior regardless of whether it is an elicited reflex or the eliciting stimulus acquired its properties as a result of the genetic inheritance of the animal or through experience, or the cardiovascular response is emitted in anticipation of an environmental consequence. The main theses of this essay are: (1) behavior is an integrated set of responses and the circulation is one of the response systems comprising behavior; (2) behavior is, in part, determined by its functional significance within a context; (3) the contextual factors operative at the time of the behavior have a major role in determining which of the set of possible responses will determine the final act, that is, which behavior will be the effective response and which other behaviors will be concomitants. (shrink)

Background In the UK, the solidaristic character of the NHS makes it one of the most trusted public institutions. In recent years, the introduction of data-driven technologies in healthcare has opened up the space for collaborations with private digital companies seeking access to patient data. However, these collaborations appear to challenge the public’s trust in the. Main text In this paper we explore how the opening of the healthcare sector to private digital companies challenges the existing social contract and the (...) NHS’s solidaristic character, and impacts on public trust. We start by critically discussing different examples of partnerships between the NHS and private companies that collect and use data. We then analyse the relationship between trust and solidarity, and investigate how this relationship changes in the context of digital companies entering the healthcare system. Finally, we show ways for the NHS to maintain public trust by putting in place a solidarity grounded partnership model with companies seeking to access patient data. Such a model would need to serve collective interests through, for example, securing preferential access to goods and services, providing health benefits, and monitoring data access. Conclusion A solidarity grounded partnership model will help establish a social contract or licence that responds to the public’s expectations and to principles of a solidaristic healthcare system. (shrink)

Bioethics scholarship considering the possibility of gestating an embryo to full term in an artificial womb (ectogenesis) often overstates the capacities of current technologies and underestimates the barriers to the development of full ectogenesis. Moreover, this debate causes harm by (1) neglecting more immediate problems in the development of artificial wombs, (2) treating abortion as a “problem with a technological solution,” bolstering anti-abortion rhetoric, and (3) presuming the stability of women’s reproductive rights. The ectogenesis conversation must consider anticipated uses of (...) the technology (neonatal intensive care) and acknowledge the immediate context (recognizing abortion as essential healthcare and existing reproductive inequities). (shrink)

For over four decades feminist linguists and philosophers of language have addressed the semantic, cognitive, and political factors associated with gender asymmetries in nominal and pronominal choice. The sociolinguistic spotlight has focused on the history, extent, and implications of the prescriptively sanctioned use of man and he for sex-neutral reference—he/man language in Martyna ’s term. Bare singular and simple indefinite man in exemplify this use, while the bare singulars in yield the male-specific meaning exhibited by the man or that man.

On 26 February 2020, the German Constitutional Court rejected a law from 2015 that prohibited any form of ‘business-like’ assisted suicide as unconstitutional. The landmark ruling of the highest federal court emphasised the high priority given to the rights of autonomy and free personal development, both of which constitute the principle of human dignity, the first principle of the German constitution. The ruling echoes particularities of post-war Germany’s end-of-life debate focusing on patient self-determination while rejecting any discussion of active assistance (...) to die through a lethal injection administered by a doctor. This brief report discusses the ruling in the light of the broader sociopolitical and historical context of the German end-of-life debate. (shrink)

The treatise known as book Lambda of Aristotle’s Metaphysics has become one of the most debated issues of recent scholarship. Aristotle adresses here fundamental questions of his theory of substance, his idea of causes and principles, and his concept of motions. Furthermore, the importance of the text is due to the fact that it contains an outline of what was traditionally understood as Aristotle’s theology.

Pragmatic comparative effectiveness randomized controlled trials evaluate the effectiveness of one interventions under real-world clinical conditions. The results of ceRCTs are often directly generalizable to everyday clinical practice, providing information critical to decision-making by patients, clinicians, and healthcare policymakers. The PRECIS-2 framework identifies nine domains that serve to score a trial on a continuum between very explanatory to very pragmatic. According to the framework, pragmatic trials may have one or more of the following features: there are fewer eligibility criteria for (...) participants, in an... (shrink)

Solidarity has for a long time been referred to as the core value underpinning European health and welfare systems. But there has been debate in recent years about whether solidarity, with its alleged communitarian content, can be reconciled with the emphasis on individual freedom and personal autonomy. One may wonder whether there is still a place for solidarity, and whether the concept of justice should be embraced to analyse the moral issues regarding access to health care. In this article, I (...) will answer this question by analysing the normative foundations of the concept of justice, followed by a deeper examination of the concept of solidarity in continental philosophy. More specifically, I will compare the philosophical traditions rooted in Kant to approaches rooted in Hegel. In addition, I will present the work of Avishai Margalit on the decent society to criticize a predominantly liberal approach to access to health care. The importance of solidarity lies particularly in its emphasis on relational aspects and the role of recognition in care practices, which are usually ignored in liberal approaches to justice. However, the article will argue that solidarity is not an alternative to a rights-based concept of justice, but must be considered as a necessary complement to it. (shrink)

In 2016, a law came into force in France granting terminally ill patients the right to continuous deep sedation until death. This right was proposed as an alternative to euthanasia and presented as the ‘French response’ to problems at the end of life. The law draws a distinction between CDS and euthanasia and other forms of sympton control at the end of life. France is the first country in the world to legislate on CDS. This short report describes the particular (...) context and underlying social values that led to this piece of legislation, and explores its meaning in the wider French context. (shrink)

Werner Jaeger (1888–1961) was at his time the most brilliant and the most influential German classicist. His most important project was a tripartite study that he finally published under the title of Paideia. Die Formung des griechischen Menschen (1933–1947). Paideia was much more than a detailed scholarly book on pedagogy in the ancient world. It was an attempt to interpret the history of ancient thought—from Homeric epics to Attic tragedy and Platonic philosophy—as rooted in the intention to educate (or rather (...) to ‘form’) human beings. And it was the attempt to contribute to a contemporary German movement called ‘Third Humanism’. In this article, I give a critical overview of this work, its strengths and its shortcomings. (shrink)

The paper undertakes a critical examination of three key strands- relativism, antirealism, and reflection- in Bernard Williams's sceptical interpretation of ethical thought. The anti-realist basis of Williams's 'relativism of distance' is identified and the way this threatens to render his relativism more subversive than initially appears. Focusing on Williams's anti-realism, the paper argues that it fails because it is caught on the horns of a dilemma: either it draws on a conception of reality that is metaphysically incoherent, or else (...) it employs a 'best explanation' criterion that question-beggingly excludes from further consideration the sort of reason-based explanations that disclose ethical properties to be real. Finally, it is noted that Williams's relativism and anti-realism destabilize his picture of ethical reflection. (shrink)

In this short response, I agree with Cavaliere’s recent invitation to consider ectogenesis, the process of gestation occurring outside the body, as a political perspective and provocation to building a world in which reproductive and care labour are more justly distributed. But I argue that much of the literature Cavaliere addresses in which scholars argue that artificial wombs may produce greater gender equality has the limitation of taking a fixed, binary and biological approach to sex and gender. I argue that (...) in taking steps toward the possibility of more just practices of caregiving and family making, we must look first not to artificial womb technologies but to addressing the ways that contemporary legal and social practices that enforce essentialising, binary ways of thinking about reproductive bodies inhibit this goal. (shrink)

The objective of this paper is to understand from a sociological perspective how the moral question of euthanasia, framed as the “right to die”, emerges and is dealt with in society. It takes France and Germany as case studies, two countries in which euthanasia is prohibited and which have similar legislation on the issue. I presuppose that, and explore how, each society has its own specificities in terms of practical, social and political norms that affect the ways in which they (...) deal with these issues. The paper thus seeks to understand how requests for the “right to die” emerge in each society, through both the debate (analysis of daily newspapers, medical and philosophical literature, legal texts) and the practices (ethnographic work in three French and two German hospitals) that elucidate the phenomenon. It does so, however, without attempting to solve the moral question of euthanasia. In spite of the differences observed between these two countries, the central issue at stake in their respective debates is the question of the individual’s autonomy to choose the conditions in which he or she wishes to die; these conditions depend, amongst others, on the doctor-patient relationship, the organisation of end-of-life care in hospital settings, and more generally, on the way autonomy is defined and handled in the public debate. (shrink)

This paper presents the results of a qualitative interview study exploring English and French physicians’ moral perspectives and attitudes towards end-of-life decisions when patients lack capacity to make decisions for themselves. The paper aims to examine the importance physicians from different contexts accord to patient preferences and to explore the role of advance directives in each context. The interviews focus on problems that emerge when deciding to withdraw/-hold life-sustaining treatment from both conscious and unconscious patients; decision-making procedures and the participation (...) of proxies/relatives; previous experience with ADs and views on their usefulness; and perspectives on ways in which the decision-making processes in question might be improved. The analysis reveals differences in the way patient preferences are taken into consideration and shows how these differences influence the reasons physicians in each country invoke to justify their reluctance to adhering to ADs. Identifying cultural differences that complicate efforts to develop the practical implementation of ADs can help to inform national policies governing ADs and to better adapt them to practice. (shrink)

In 2016, a law came into force in France granting terminally ill patients the right to continuous deep sedation until death. This right was proposed as an alternative to euthanasia and presented as the ‘French response’ to problems at the end of life. The law draws a distinction between CDS and euthanasia and other forms of sympton control at the end of life. France is the first country in the world to legislate on CDS. This short report describes the particular (...) context and underlying social values that led to this piece of legislation, and explores its meaning in the wider French context. (shrink)

A computable structure $\mathcal {A}$ is $\mathbf {x}$-computably categorical for some Turing degree $\mathbf {x}$ if for every computable structure $\mathcal {B}\cong\mathcal {A}$ there is an isomorphism $f:\mathcal {B}\to\mathcal {A}$ with $f\leq_{T}\mathbf {x}$. A degree $\mathbf {x}$ is a degree of categoricity if there is a computable structure $\mathcal {A}$ such that $\mathcal {A}$ is $\mathbf {x}$-computably categorical, and for all $\mathbf {y}$, if $\mathcal {A}$ is $\mathbf {y}$-computably categorical, then $\mathbf {x}\leq_{T}\mathbf {y}$. We construct a $\Sigma^{0}_{2}$ set whose degree (...) is not a degree of categoricity. We also demonstrate a large class of degrees that are not degrees of categoricity by showing that every degree of a set which is 2-generic relative to some perfect tree is not a degree of categoricity. Finally, we prove that every noncomputable hyperimmune-free degree is not a degree of categoricity. (shrink)

This essay asks why Aristotle, certainly no friend to unlimited democracy, seems so much more comfortable with unconstrained rhetoric in political deliberation than current defenders of deliberative democracy. It answers this question by reconstructing and defending a distinctly Aristotelian understanding of political deliberation, one that can be pieced together out of a series of separate arguments made in the Rhetoric, the Politics, and the Nicomachean Ethics.

Litotes, “a figure of speech in which an affirmative is expressed by the negative of the contrary” has had some tough reviews. For Pope and Swift, litotes—stock examples include “no mean feat”, “no small problem”, and “not bad at all”—is “the peculiar talent of Ladies, Whisperers, and Backbiters”; for Orwell, it is a means to affect “an appearance of profundity” that we can deport from English “by memorizing this sentence: A not unblack dog was chasing a not unsmall rabbit across (...) a not ungreen field.” But such ridicule is not without equivocation, given that litotes, or “logical” double negation, may or may not be semantically redundant. When the negation of a logical contrary yields an unexcluded middle, it contributes to expressive power: someone who is not unhappy may not be happy either, and an occurrence may not be infrequent without being frequent. But if something is not possible, what can it be but possible? Why does Crashaw’s “not impossible she” survive rhetorically while Orwell’s “not unsmall rabbit” is doomed? How is Robbie being “not not friends” with Mary on 7th Heaven distinct from being friends with her, if not not-p reduces to p? The key is recognizing in litotes a corollary of MaxContrary, the tendency for contradictory sentential negation ¬p to strengthen pragmatically to a contrary ©p, as when the formal contradictory Fr. “Il ne faut pas partir” is reinterpreted as expressing a contrary. Just as the Law of Excluded Middle can apply where it “shouldn’t”, resulting in pragmatically presupposed disjunctions between semantic contraries, so that “p v ©p” amounts to an instance of “p v ¬p”, the Law of Double Negation can fail to apply where it “should”. When not not-p conveys ¬©p, the negation of a virtual contrary, the middle between p and not-p is no longer excluded, rendering the Fregean dictum that “Wrapping up a thought in double negation does not alter its truth value” not unproblematic. (shrink)

Abstract The idea of a purely civic nationalism has attracted Western scholars, most of whom rightly disdain the myths that sustain ethnonationalist theories of political community. Civic nationalism is particularly attractive to many Americans, whose peculiar national heritage encourages the delusion that their mutual association is based solely on consciously chosen principles. But this idea misrepresents political reality as surely as the ethnonationalist myths it is designed to combat. And propagating a new political myth is an especially inappropriate way of (...) defending the legacy of Enlightenment liberalism from the dangers posed by the growth of nationalist political passions. (shrink)

No understanding of morality has more zealous or influential defenders among academic philosophers than Kant’s. Yet as Michael Rosen demonstrates in The Shadow of God, there is a sense in which Kant’s critics take his conception of freedom more seriously nowadays than his defenders. As a result, contemporary versions of “Kantian ethics” often end up challenging what Rosen calls “the ethics of Kant,” not just the claims of rival moral theories. Rosen supports this surprising conclusion with some powerful arguments, showing (...) that we cannot make sense of Kantian moral philosophy or its extraordinary impact on modern philosophy while detaching it from Kant’s conception of transcendental freedom. But Rosen overstates the continuity between Kant and the Idealist philosophers that he inspired. Thinkers like Schiller, Schelling, and Hegel took Kant’s concept of transcendental freedom far more seriously than defenders of Kantian ethics do today. But precisely because they did so, they felt compelled to address a whole new set of problems, which could be solved only by radically transforming the conception of freedom that they received from Kant. (shrink)

Contemporary physics, especially quantum theory, has raised profound questions about the relationship between the methods of science and the reality these methods seek to investigate. D'Espagnat investigates these questions as well as how we should answer them. Part I examines the practices of contemporary physicists and addresses the criticism philosophers of science have made of these practices. The doctrine of physical realism, adopted by most physicists and many philosophers of science, comprises Part II. Part III explores the consequences of physical (...) realism for our understanding of what science can seek to know of reality, and concludes by outlining the position contemporary physics indicates we should take. (shrink)