When making substituted judgments for incapacitated patients, surrogates often struggle to guess what the patient would want if they had capacity. Surrogates may also agonize over having the (sole) responsibility of making such a determination. To address such concerns, a Patient Preference Predictor (PPP) has been proposed that would use an algorithm to infer the treatment preferences of individual patients from population-level data about the known preferences of people with similar demographic characteristics. However, critics have suggested that even if such (...) a PPP were more accurate, on average, than human surrogates in identifying patient preferences, the proposed algorithm would nevertheless fail to respect the patient’s (former) autonomy since it draws on the ‘wrong’ kind of data: namely, data that are not specific to the individual patient and which therefore may not reflect their actual values, or their reasons for having the preferences they do. Taking such criticisms on board, we here propose a new approach: the Personalized Patient Preference Predictor (P4). The P4 is based on recent advances in machine learning, which allow technologies including large language models to be more cheaply and efficiently ‘fine-tuned’ on person-specific data. The P4, unlike the PPP, would be able to infer an individual patient’s preferences from material (e.g., prior treatment decisions) that is in fact specific to them. Thus, we argue, in addition to being potentially more accurate at the individual level than the previously proposed PPP, the predictions of a P4 would also more directly reflect each patient’s own reasons and values. In this article, we review recent discoveries in artificial intelligence research that suggest a P4 is technically feasible, and argue that, if it is developed and appropriately deployed, it should assuage some of the main autonomy-based concerns of critics of the original PPP. We then consider various objections to our proposal and offer some tentative replies. (shrink)

by D. M. Armstrong In the history of the discussion of the problem of universals, G. F. Stout has an honoured, and special. place. For the Nominalist, meaning by that term a philosopher who holds that existence of repeatables - kinds, sorts, type- and the indubitable existence of general terms, is a problem. The Nominalist's opponent, the Realist, escapes the Nominalist's difficulty by postulating universals. He then faces difficulties of his own. Is he to place these universals in a (...) special realm? Or is he to bring them down to earth: perhaps turning them into repeatable properties of particulars, and repeatable relations between universals? Whichever solution he opts for, there are well-known difficulties about how particulars stand to these universals. Under these circumstances the Nominalist may make an important con cession to the Realist, a concession which he can make without abandoning his Nominalism. He may concede that metaphysics ought to recognize that particulars have properties and are related by relations. But, he can maintain, these properties and relations are particulars, not universals. Nor, indeed, is such a position entirely closed to the Realist. A Realist about universals may, and some Realists do, accept particularized properties and relations in addition to universals. As Dr. Seargent shows at the beginning of his book. a doctrine of part icularized properties and relations has led at least a submerged existence from Plato onwards. The special, classical. (shrink)

Although the philosophical systems of G. W. Leibniz and David Lewis both feature possible worlds, the ways in which their systems are similar and dissimilar are ultimately surprising. At first glance, Leibniz’s modal metaphysics might strike us as one of the most contemporarily relevant aspects of his system. But I clarify in this paper major interpretive problems that result from understanding Leibniz’s system in terms of contemporary views (like Lewis’s, for instance). Specifically, I argue that Leibniz rejects the inference (...) that if something is possible, it therefore occurs in some possible world. This discussion highlights how Leibniz’s account of individual substance (with his strict notion of identity) constrains his modal theorizing and produces fatalistic threats. I then make an unexpected connection between Leibniz’s and Lewis’s systems by showing that Leibniz’s treatment of fatalism bears similarities to the response Lewis gives to the fatalist when considering the paradoxes of time travel. (shrink)

Il volume edito da F. Calemi, noto studioso di D.M. Armstrong (1926‑2014), al quale ha dedicato un’ampia monografia (Le radici dell’essere. Metafisica e metaontologia in David Malet Armstrong, Armando, 2013), è il primo in memoria del filosofo australiano, le cui opere sono state da noi raccolte in traduzione italiana nel 2012 per la collana Bompiani “Il Pensiero Occidentale” diretta da G. Reale. Una prima raccolta di saggi in onore di Armstrong, Ontology, Causality and Mind, curata da (...) J. Bac... (shrink)

In the fourth-century Greek theologian Basil of Caesarea is found a discussion of the signification of proper names, which appears to pick up some points from earlier ideas about language. He undertakes an analysis of proper names in response to his theological opponents. I will argue that Basil presents a theory which in some respects anticipates modern description theories. Basil has an idea of the role of cognition in a theory of naming. (edited).

Examining the significance of Kant's account of "rational faith," this study argues that he profoundly revises his account of the human will and the moral philosophy of it in his later religious writings.

The model of parallel architecture for language presented by Jackendoff is a kind of stratificational model in the spirit of Sydney Lamb. It differs from the more usual stratificationalism most importantly in its clear commitment to nativism, though the variety of nativism is greatly modified from what is more usual among Chomskyans. The revised model presents a potential for fruitful discussion with proponents of stratificationalism, and the potential for enrichment via a relational implementation.

Semiotic objections to markets urge us not to place a good on the market because of the message that doing so would send. Brennan and Jaworski reject them on the grounds that either the contingent semiotics of a market can be changed or the weakness of semiotic reasons allows them to be ignored. The scope of their argument neglects the impure semiotic objections that claim that the message a market sends causes, constitutes, or involves a nonsemiotic wrong. These are the (...) most compelling class of semiotic objections and are the kind actually advanced in the literature. Rather than focusing on the necessity or contingency of a market's semiotics, we should instead attend to a semiotic objection's most important feature: its purity or impurity. (shrink)

Abstract: In chapter 15 of A Materialist Theory of the Mind, D.M.Armstrong offers an account of what he calls “the biological value of introspection”, namely, that “without information…about the current state of our minds, purposive trains mental activity would be impossible.” This paper examines and assesses Armstrong’s “Just-so story about introspective consciousness”—as W.G.Lycan later called it. One moral will be that appreciating this aspect of Armstrong’s view blurs the difference between his own perceptual model of introspection, and (...) the anti-perceptual models advanced by such critics as Sydney Shoemaker . (shrink)

The "standard account" of Wittgenstein’s relations with the Vienna Circle is that the early Wittgenstein was a principal source and inspiration for the Circle’s positivistic and scientific philosophy, while the later Wittgenstein was deeply opposed to the logical empiricist project of articulating a "scientific conception of the world." However, this telegraphic summary is at best only half-true and at worst deeply misleading. For it prevents us appreciating the fluidity and protean character of their philosophical dialogue. In retrospectively attributing clear-cut positions (...) to Wittgenstein and his interlocutors, it is very easy to read back our current understanding of familiar distinctions into a time when those terms were used in a much more open-ended way. The paper aims to to provide a broader perspective on this debate, starting from the protagonists’ understanding of their respective positions. Too often, the programmatic statements about the nature of their work that are repeated in manifestoes, introductions, and elementary textbooks have occupied center stage in the subsequent secondary literature. Consequently, I focus on a detailed examination of a turning point in their relationship. That turning point is Wittgenstein's charge, in the summer of 1932, that a recently published paper of Carnap's, "Physicalistic Language as the Universal Language of Science", made such extensive and unacknowledged use of Wittgenstein's own ideas that Wittgenstein would, as he put it in a letter to Schlick, "soon be in a situation where my own work shall be considered merely as a reheated version or plagiarism of Carnap’s." While the leading parties in this dispute shared a basic commitment to the primacy of physicalistic language, and the view that all significant languages are translatable, there was a remarkable lack of mutual understanding between them, and deep disagreement about the nature of the doctrines they disputed. Three quarters of a century later, we are so much more conscious of the differences that separated them than the points on which they agreed that it takes an effort of historical reconstruction to appreciate why Wittgenstein once feared that his own work would be regarded as a pale shadow of Carnap’s. (shrink)

The paper maps out and responds to some of the main areas of disagreement over the nature of Wittgenstein’s philosophy: (1) Between defenders of a “two Wittgensteins” reading (which draws a sharp distinction between early and late Wittgenstein) and the opposing “one Wittgenstein” interpretation. (2) Among “two-Wittgensteins” interpreters as to when the later philosophy emerged, and over the central difference between early and late Wittgenstein. (3) Between those who hold that Wittgenstein opposes only past philosophy in order to do philosophy (...) better and those who hold that Wittgenstein aimed to bring an end to philosophy and teach us to get by without a replacement. It is shown that each of these debates depends on some deeply un-Wittgensteinian, and quite mistaken, assumptions. It is concluded that Wittgenstein’s most polished writing, most notably in Philosophical Investigations I §§ 1–425, is best understood as a kind of Pyrrhonism which aims to subvert philosophical theorizing, by means of a polyphonic dialogue. Because this delicate balance between philosophical questions and their dissolution is not achieved in most of his other published and unpublished writings, we should be very cautious when using the theories and methods we find in those other writings as a guide to reading the Philosophical Investigations. (shrink)

Ruth Macklin argued that dignity is nothing more than respect for persons or their autonomy. During the COVID-19 pandemic, difficult decisions are being made about the allocation of scarce resources. Respect for autonomy cannot justify rationing decisions. Justice can be invoked to justify rationing. However, this leaves an uncomfortable tension between the principles. Dignity is not a useless concept because it is able to account for why we respect autonomy and for why it can be legitimate to override autonomy in (...) times of critical care resource shortages. Dignity affirms the worth of the human individual as a meaning-making embodied subject, who is always in relationship to others, the world, time, and transcendence, and who realizes their dignity through their moral behaviour. Such an understanding means people should be helped to make morally right decisions about their own treatment, which may include forgoing potentially beneficial treatment for the good of others. Respect for dignity does not require fulfilling the morally wrong choices of one who insists on treatment at the expense of others. Dignity also protects the discretion of clinicians to make decisions appropriate to their competence by prohibiting the application of broad-based criteria such as age. (shrink)

Volume 20, Issue 8, August 2020, Page 96-98.

The current coronavirus pandemic presents the greatest healthcare crisis in living memory. Hospitals across the world have faced unprecedented pressure. In the face of this tidal wave of demand for limited healthcare resources, how are clinicians to identify patients most likely to benefit? Should age or frailty be discriminators? This paper seeks to analyse the current evidence-base, seeking a nuanced approach to pandemic decision-making, such as admission to critical care.

Philosophical analysis of ecological theories has lagged behind the study of evolutionary theory. The semantic conception of scientific theories, which has been employed successfully in the analysis of evolutionary theory, is adopted here to analyse ecological theory. Two general problems in ecology are discussed. One arises from the continued use of covering law models in ecology, and the other concerns the applicability of ecological theory in conservation biology. The semantic conception of ecological theories is used to resolve these problems.

This edition of G. E. Moore's notes taken at Wittgenstein's seminal Cambridge lectures in the early 1930s provides, for the first time, an almost verbatim record of those classes. The presentation of the notes is both accessible and faithful to their original manuscripts, and a comprehensive introduction and synoptic table of contents provide the reader with essential contextual information and summaries of the topics in each lecture. The lectures form an excellent introduction to Wittgenstein's middle-period thought, covering a broad range (...) of philosophical topics, ranging from core questions in the philosophy of language, mind, logic, and mathematics, to illuminating discussions of subjects on which Wittgenstein says very little elsewhere, including ethics, religion, aesthetics, psychoanalysis, and anthropology. The volume also includes a 1932 essay by Moore critiquing Wittgenstein's conception of grammar, together with Wittgenstein's response. A companion website offers access to images of the entire set of source manuscripts. (shrink)

Well-known social psychologist David G. Myers addresses why Americans can have so many social problems--reflecting a deep spiritual poverty--at a time when material wealth is at record levels. 32 illustrations.

This paper uses a semiotic, performative theory of language and post-colonial theory to argue that nursing's representations of ‘multiculturalism’ need to be grounded in a theory of whiteness, an historicized understanding of how ethnic/cultural differences come to be represented in the ways they are and informed by Foucault's notions of power/knowledge. Using nursing education and ‘cultural compentency’ as examples, the paper draws on a range of literatures to suggest more critical and politically productive ways of approaching difference from within nursing's (...) largely white interpretive framework. (shrink)

Alexander Bogdanov’s first work of philosophy, Basic Elements of the Historical View of Nature, was fundamentally influenced by Friedrich Engels. As a Marxist philosopher seeking to elaborate a comprehensive, systematic, and scientific worldview appropriate for worker–students, Bogdanov found inspiration in Engels’s Anti-Dühring, which provided him with his monist conception of being and his ‘historical view of nature’ and pointed him toward three critical elements of his work: the monism of motion, Spinoza’s naturalist and determinist system, and Charles Darwin’s conception of (...) natural selection. Bogdanov’s overall goal was to demonstrate that in nature, life, the psyche, and society there is no such thing as self-generated motion; all change occurs because of external action. For the individual and for society this means that existence determines consciousness, and societies evolve as a result of their struggle for existence, which is manifested first and foremost in labor. (shrink)

This chapter examines the developments that led from Wittgenstein’s early logical atomist view that all meaningful discourse can be analyzed into logically independent elementary propositions to his later philosophy. In 1929, Wittgenstein rejected logical atomism for a “logical holist” conception of language as composed of calculi, formal systems characterized by their constitutive rules. By the mid-1930s, he had rejected the model of a calculus, emphasizing that language is action within a social and natural context — more like a game than (...) a calculus — and that rule-governed behavior is dependent on a background of practices which cannot themselves be explicitly formulated as rules. The discussion of these central developments for the emergence of his later “practical holism” focuses on changes in his conception of the nature of measurement and the role of mind and mental processes in linguistic meaning. (shrink)

Wittgenstein's middle period work has been brought into the current debate on rule following and representation by Kripke and the Hintikkas. In my dissertation, I argue that approaches which aim at a consistent reconstruction of Wittgenstein's argument, while valuable in their own right, fail to do justice to his focus on the conflicting intuitions that lie behind philosophical theory building. For this hidden and ambiguous side to his thought is the turning point in his philosophical development. ;One can summarise my (...) findings as follows: In 1929, Wittgenstein recognised that the analysis of colour propositions forced him to give up the Tractarian doctrine that analysis must end in logically independent elementary propositions. From this point, his work branched out in two main directions. On the one hand, he worked on 'philosophical grammar': analyses of the rules we follow in talking about such matters as colour, visual experience, intention, time, memory and the philosophical subject. Here, the picture theory provided the basis for an account of how the mind represents the world. On the other hand, he also thought of language as a 'secondary' system, to be contrasted with direct apprehension of the 'primary' phenomena. This view, which is set out most fully in several chapters of an unpublished typescript , led to a seemingly inexpressible solipsism on which 'all is in flux.' The attempt to reconcile the two conceptions of the pictorial analogy--language as a system of representational conventions and experience as a direct presentation of the phenomena--ultimately led him to see the dangers in that analogy and thus to his later notion of a 'philosophical picture.'. (shrink)

Otto Weininger was one of the most controversial and widely read authors of fin-de-siècle Vienna. He was both condemned for his misogyny, self-hatred, anti-semitism and homophobia, as well as praised for his uncompromising and outspoken approach to gender and morality. For Wittgenstein Weininger was a 'remarkable genius'. He repeatedly recommended Weininger's Sex and Character to friends and students and included the author on a short list of figures who had influenced him. The purpose of this new collection of essays is (...) to explore the various ways in which Wittgenstein absorbed and responded to Weininger's ideas. Written by an international team of experts on Wittgenstein and Weininger, the volume is especially timely in the light of recent translations of Weininger's work and will appeal to anyone interested in the history of 20th century philosophy, and the literary and cultural history of fin-de-siècle Vienna. (shrink)

Drawing on ten years of research on the unpublished Wittgenstein papers, Stern investigates what motivated Wittgenstein's philosophical writing and casts new light on the Tractatus and Philosophical Investigations. The book is an exposition of Wittgenstein's early conception of the nature of representation and how his later revision and criticism of that work led to a radically different way of looking at mind and language. It also explains how the unpublished manuscripts and typescripts were put together and why they often provide (...) better evidence of the development of his ideas than can be found in his published writing. In doing so, the book traces the development of a number of central themes in Wittgenstein's philosophy, including his conception of philosophical method, the picture theory of meaning, the limits of language, the application of language to experience, his treatment of private language, and what he called the "flow of life." Arguing that Wittgenstein's views are often much more simple (and more radical) than we have been led to believe, Wittgenstein on Mind and Language provides an overview of the development of Wittgenstein's philosophy and brings to light aspects of his philosophy that have been almost universally neglected. (shrink)

This book updates and adds to the classic Social Movements of the Sixties and Seventies, showing how social movement theory has grown and changed.