BackgroundSelf-prescribing and prescribing to personal contacts is explicitly discouraged by General Medical Council guidelines.AimsThis study examines how widespread the practice of self-prescribing and prescribing to personal contacts is.MethodsA 16-item questionnaire was distributed via an online forum comprising 4445 young medical doctors, which asked respondents about previous prescribing to themselves, their families, friends and colleagues, including the class of medication prescribed. Demographic details were collected including medical grade and specialty.ResultsA total of 729 responses were obtained, the majority of which were from (...) young non-consultant hospital doctors from a range of specialties. Two-thirds of respondents had self-prescribed, over 70% had prescribed to family, and nearly 60% had prescribed to a friend or colleague. Older doctors were more likely to self-prescribe. Interns being less likely to self-prescribe was not unexpected, while general practitioners and paediatricians were more likely to self-prescribe. GPs, paediatricians and hospital medicine specialties were more likely to prescribe to family and surgeons were more likely to prescribe to friends. Some 3% to 7% who had self-prescribed had prescribed an opiate, benzodiazepine or psychotropic medication. Male doctors, anaesthetists and surgeons were more likely to self-prescribe opioids, while those in hospital medicine were more likely to self-prescribe psychotropic medications.ConclusionPrescribing outside the traditional doctor-patient relationship is widespread despite clear professional guidance advising against it. (shrink)

What is the role of consciousness in our mental lives? Declan Smithies argues here that consciousness is essential to explaining how we can acquire knowledge and justified belief about ourselves and the world around us. On this view, unconscious beings cannot form justified beliefs and so they cannot know anything at all. Consciousness is the ultimate basis of all knowledge and epistemic justification.

This chapter is organized around four central questions about the role of reasons in the epistemology of perception. The 'whether?' question: does perception provide us with reasons for belief about the external world? The 'how?' question: how does perception provide us with reasons for belief about the external world? The 'when?' question: when does perception provide us with reasons for belief about the external world? The 'what?' question: what are the reasons that perception provides us with for belief about the (...) external world? (shrink)

In this chapter, I argue for the thesis that phenomenal consciousness is the basis of epistemic justification. More precisely, I argue for the thesis of phenomenal mentalism, according to which epistemic facts about which doxastic attitudes one has justification to hold are determined by non-epistemic facts about one’s phenomenally individuated mental states. I begin by providing intuitive motivations for phenomenal mentalism and then proceed to sketch a more theoretical line of argument according to which phenomenal mentalism provides the best explanation (...) of the independently motivated thesis of access internalism. The result is a theory of epistemic justification that brings intuition and theory into reflective equilibrium. (shrink)

A revision of George Kennedy's translation of, introdution to, and commentary on Aristotle's On Rhetoric. His translation is most accurate, his general introduction is the most thorough and insightful, and his brief introductions to sections of the work, along with his explanatory footnotes, are the most useful available.

Michael Martin aims to affirm a certain pattern of first-person thinking by advocating disjunctivism, a theory of perceptual experience which combines naive realism with the epistemic conception of hallucination. In this paper I argue that we can affirm the pattern of thinking in question without the epistemic conception of hallucination. The first part of my paper explains the link that Martin draws between the first-person thinking and the epistemic conception of hallucination. The second part of my paper explains how we (...) can achieve Martin’s ambition without Martin’s theory. One resource that I enlist for this purpose is a naive-realist friendly conception of first-person access to experience. The metaphysical theory that I enlist is a form of naive realism that endorses an intentionalist or representationalist “common-factor” approach to veridical and hallucinatory experience. The third part of my paper briefly develops this theory. (shrink)

This chapter is guided by the hypothesis that the point and purpose of using the concept of justification in epistemic evaluation is tied to its role in the practice of critical reflection. In section one, I propose an analysis of justification as the epistemic property in virtue of which a belief has the potential to survive ideal critical reflection. In section two, I use this analysis in arguing for a form of access internalism on which one has justification to believe (...) a proposition if and only if one has higher-order justification to believe that one has justification to believe that proposition. In section three, I distinguish between propositional and doxastic versions of access internalism and argue that the propositional version avoids familiar objections to the doxastic version. In section four, I argue that the propositional version of access internalism also explains and vindicates internalist intuitions about cases. In section five, I conclude with some reflections on the relationship between critical reflection, responsibility and personhood. (shrink)

Karl Rahner was one of the most significant theological voices of the twentieth century. For many his theology has come to symbolise the Catholic Church's entry into modernity. Part of his enduring appeal lies in his ability to reflect on a whole variety of issues in theology and spirituality and concentrate this plurality into a few basic convictions. This Cambridge Companion provides an accessible introduction to the main themes of Rahner's work. Written by an international array of experts, it will (...) be of interest to both students and scholars alike. Each chapter serves as a guide to its topic and recommends further reading for additional study. The contributors also assess Rahner's significance for contemporary theology by bringing his thought into dialogue with many current concerns including: religious pluralism, spirituality, postmodernism, ecumenism, ethics and developments in political and feminist theologies. (shrink)

Does rationality require logical omniscience? Our best formal theories of rationality imply that it does, but our ordinary evaluations of rationality seem to suggest otherwise. This paper aims to resolve the tension by arguing that our ordinary evaluations of rationality are not only consistent with the thesis that rationality requires logical omniscience, but also provide a compelling rationale for accepting this thesis in the first place. This paper also defends an account of apriori justification for logical beliefs that is designed (...) to explain the rational requirement of logical omniscience. On this account, apriori justification for beliefs about logic has its source in logical facts, rather than psychological facts about experience, reasoning, or understanding. This account has important consequences for the epistemic role of experience in the logical domain. In a slogan, the epistemic role of experience in the apriori domain is not a justifying role, but rather an enabling and disabling role. (shrink)

In this paper I argue that there is an urgent need for more empirical research into everyday experiences of living with datafication, something that has not been prioritised in the emerging field of data studies to date. As a result of this absence, the knowledge produced within data studies is not as aligned to the aims of data activism as it might be. Data activism seeks to challenge existing, unequal data power relations and to mobilise data in order to enhance (...) social justice, yet data studies has focused primarily on identifying the former and not on imagining the latter. To build a picture of what more just conditions of datafication might look like, I argue that it is important to take account of everyday experiences of datafication, of what people themselves say would enable them to live better with data and would constitute more just data arrangements, based on their experiences. I explore two possible approaches to this endeavour, both of which suggest the need for a vocabulary of emotions in researching everyday living with data. (shrink)

This paper argues that justification is accessible in the sense that one has justification to believe a proposition if and only if one has higher-order justification to believe that one has justification to believe that proposition. I argue that the accessibility of justification is required for explaining what is wrong with believing Moorean conjunctions of the form, ‘p and I do not have justification to believe that p.’.

This chapter has two goals: to motivate the foundationalist solution to the regress problem and to defend it against arguments from Sellars, BonJour and Klein. Both the motivation and the defence of foundationalism raise larger questions about the relationship between foundationalism and access internalism. I argue that foundationalism is not in conflict with access internalism, despite influential arguments to the contrary, and that access internalism in fact supplies a theoretical motivation for foundationalism. I conclude that foundationalism and access internalism form (...) a coherent and well-motivated package. (shrink)

What is involved in making an inference? This chapter argues against what Paul Boghossian calls the Taking Condition: "Inferring necessarily involves the thinker taking his premises to support his conclusion and drawing his conclusion because of that fact" (2014: 5). I won’t argue that the Taking Condition is incoherent: that nothing can coherently play the role that takings are supposed to play in inference. Instead, I’ll argue that it cannot plausibly explain all the inferential knowledge that we ordinarily take ourselves (...) to have. Moreover, I’ll argue that we don’t need it to understand the nature of inference. (shrink)

This chapter defends the thesis that feeling conviction is sufficient for belief: if you feel conviction that p, then you believe that p. I begin with a neutral characterization of belief in terms of its normative profile: belief is a state that is subject to certain distinctive norms of rationality. The main argument of the chapter is that feelings of conviction are beliefs because they are subject to the same norms of rationality that govern our beliefs. Functionalists often deny that (...) feelings of conviction constitute beliefs when they play dysfunctional causal roles, as in cases of mad belief or delusion or implicit bias, but this only serves to obscure the kind of irrationality involved in such cases. These are dysfunctional beliefs, rather than non-doxastic states, or "in-between" cases. (shrink)

According to the Rationality Constraint, our concept of belief imposes limits on how much irrationality is compatible with having beliefs at all. We argue that empirical evidence of human irrationality from the psychology of reasoning and the psychopathology of delusion undermines only the most demanding versions of the Rationality Constraint, which require perfect rationality as a condition for having beliefs. The empirical evidence poses no threat to more relaxed versions of the Rationality Constraint, which only require only minimal rationality. Nevertheless, (...) we raise problems for all versions of the Rationality Constraint by appealing to more extreme forms of irrationality that are continuous with actual cases of human irrationality. In particular, we argue that there are conceivable cases of “mad belief” in which populations of Lewisian madmen have beliefs that are not even minimally rational. This undermines Lewis’s claim that our ordinary concept of belief is a theoretical concept that is implicitly defined by its role in folk psychology. We argue that introspection gives us a phenomenal concept of belief that cannot be analyzed by applying Lewis’s semantics for theoretical terms. (shrink)

This chapter argues that attention is a distinctive mode of consciousness, which plays an essential functional role in making information accessible for use in the rational control of thought and action. The main line of argument can be stated quite simply. Attention is what makes information fully accessible for use in the rational control of thought and action. But what makes information fully accessible for use in the rational control of thought and action is a distinctive mode of consciousness. Therefore, (...) attention is a distinctive mode of consciousness. In a slogan: attention is rational-access consciousness. (shrink)

What is the normative role of knowledge? I argue that knowledge plays an important role as a norm of assertion and action, which is explained and unified by its more fundamental role as a norm of belief. Moreover, I propose a distinctive account of what this normative role consists in. I argue that knowledge is the aim of belief, which sets a normative standard of correctness and a corresponding normative standard of justification. According to my proposal, it is correct to (...) believe, assert and act on a proposition if and only if one is in a position to know it, but one has justification to believe, assert and act on a proposition if and only if one has justification to believe that one is in a position to know it. (shrink)

What is the role of affective experience in explaining how our desires provide us with reasons for action? When we desire that p, we are thereby disposed to feel attracted to the prospect that p, or to feel averse to the prospect that not-p. In this paper, we argue that affective experiences – including feelings of attraction and aversion – provide us with reasons for action in virtue of their phenomenal character. Moreover, we argue that desires provide us with reasons (...) for action only insofar as they are dispositions to have affective experiences. On this account, affective experience has a central role to play in explaining how desires provide reasons for action. (shrink)

Drawing on Sir Ian Kennedy's extensive experience in healthcare law, ethics and public policy-making, this book explores vital issues in the law surrounding healthcare and regulation. The book contains a range of published and unpublished essays and speeches with the addition of notes and commentaries by the author that bring the pieces up to the present day. Those who want to understand developments, from transplants to confidentiality, from COVID-19 to public inquiries to regulation will find a rich seam of (...) rigorous, informed analysis. The author's unique range of experience allows him to share insights on a variety of issues; from the conduct of the disgraced breast surgeon, Ian Paterson, to research at Porton Down, to the economics of innovation in drug development at NICE. His abiding interest in the welfare of children informs his trenchant forensic examination of how children fare in the NHS. Those involved in or with an interest in law, moral philosophy, and public policy will find much food for thought. (shrink)

Questions about the transparency of evidence are central to debates between factive and non-factive versions of mentalism about evidence. If all evidence is transparent, then factive mentalism is false, since no factive mental states are transparent. However, Timothy Williamson has argued that transparency is a myth and that no conditions are transparent except trivial ones. This paper responds by drawing a distinction between doxastic and epistemic notions of transparency. Williamson's argument may show that no conditions are doxastically transparent, but it (...) fails to show that no conditions are epistemically transparent. Moreover, this reinstates the argument from the transparency of evidence against factive mentalism. (shrink)

The topic of introspection stands at the interface between questions in epistemology about the nature of self-knowledge and questions in the philosophy of mind about the nature of consciousness. What is the nature of introspection such that it provides us with a distinctive way of knowing about our own conscious mental states? And what is the nature of consciousness such that we can know about our own conscious mental states by introspection? How should we understand the relationship between consciousness and (...) introspective self-knowledge? Should we explain consciousness in terms of introspective self-knowledge or vice versa? Until recently, questions in epistemology and the philosophy of mind were pursued largely in isolation from one another. This volume aims to integrate these two lines of research by bringing together fourteen new essays and one reprinted essay on the relationship between introspection, self-knowledge, and consciousness. (shrink)

This is the first in a series of two articles that serve as an introduction to recent debates about cognitive phenomenology. Cognitive phenomenology can be defined as the experience that is associated with cognitive activities, such as thinking, reasoning, and understanding. What is at issue in contemporary debates is not the existence of cognitive phenomenology, so defined, but rather its nature and theoretical role. The first article examines questions about the nature of cognitive phenomenology, while the second article explores the (...) philosophical implications of these questions for the role of consciousness in theories of intentionality, introspective self-knowledge, and knowledge of the external world. (shrink)

This chapter develops a simple theory of introspection on which a mental state is introspectively accessible just by virtue of the fact that one is in that mental state. This theory raises two questions: first, a generalization question: which mental states are introspectively accessible; and second, an explanatory question: why are some mental states introspectively accessible, rather than others, or none at all? In response to the generalization question, I argue that a mental state is introspectively accessible if and only (...) if it is phenomenally individuated. And in response to the explanatory question, I argue that a mental state is introspectively accessible if and only if it is among the determinants of justification. This provides the basis of an argument for a phenomenal conception of justification, according to which a mental state is among the determinants of justification if and only if it is phenomenally individuated. (shrink)

Perception enables us to think demonstrative thoughts about the world around us, but what must perception be like in order to play this role? Does perception enable demonstrative thought only if it is conscious? This paper examines three accounts of the role of consciousness in demonstrative thought, which agree that consciousness is essential for demonstrative thought, but disagree about why it is. First, I consider and reject the accounts proposed by Gareth Evans in The Varieties of Reference and by John (...) Campbell in Reference and Consciousness before offering an alternative proposal of my own. My proposal is that consciousness plays an essential epistemic role in explaining the capacity for demonstrative thought about an object by enabling the subject to form immediately justified beliefs about the object. (shrink)

Democracy faces threats from an emerging right-wing movement in democratic governments around the world. This may be even more prevalent in the United States because there is an evil that uses rhetorical tropes to undermine the anchor institutions of democracy: press, courts, universities, and Congress. This evil has a personification--former President Donald Trump. All the rhetorical critiques of Trump, that he is a demagogue, an authoritarian, a serial liar, a populist on steroids, fail to take into account the evil that (...) is fomented by his angry and vengeful rhetoric. Pictures of evil in Scripture, philosophy, and rhetoric bear a striking resemblance to Trump. It is not enough to say that he is dangerous to democracy. Kennedy claims that he is the evil seed in democracy that is even now sprouting new versions of the Trump rhetoric as each acolyte attempts to outrage the next. Good and Evil in the Garden of Democracy screams at the evil, fights against the evil, and then attempts to sing the songs of goodness and democracy from poets, prophets, and rhapsodes. For the health of democracy these words have been written. (shrink)

The aim of this paper is to argue that what I call the simple theory of introspection can be extended to account for our introspective knowledge of what we believe as well as what we consciously experience. In section one, I present the simple theory of introspection and motivate the extension from experience to belief. In section two, I argue that extending the simple theory provides a solution to Moore’s paradox by explaining why believing Moorean conjunctions always involves some degree (...) of irrationality. In section three, I argue that it also solves the puzzle of transparency by explaining why it’s rational to answer the question whether one believes that p by answering the question whether p. Finally, in section four, I defend the simple theory against objections by arguing that self-knowledge constitutes an ideal of rationality. (shrink)

This is the second in a series of two articles that serve as an introduction to recent debates about cognitive phenomenology. Cognitive phenomenology can be defined as the experience that is associated with cognitive activities, such as thinking, reasoning, and understanding. What is at issue in contemporary debates is not the existence of cognitive phenomenology, so defined, but rather its nature and theoretical role. The first article examines questions about the nature of cognitive phenomenology, while the second article explores the (...) philosophical implications of these questions for the role of consciousness in theories of intentionality, introspective self-knowledge, and knowledge of the external world. (shrink)

This chapter provides a critical overview of several influential proposals about the epistemic function of higher-order evidence. I start by criticizing accounts of higher-order evidence that appeal to evidential defeat (§1), epistemic conflicts (§2), and unreasonable knowledge (§3). Next, I propose an alternative account that appeals to a combination of improper basing (§4) and non-ideal rationality (§5). Finally, I conclude by summarizing my reasons for preferring this account of higher-order evidence to the alternatives (§6).

Purpose This paper aims to describe a perspective from the Council of European Professional Informatics Societies on the role of ethics in IT professionalism, and what that means in a practical sense for IT practitioners. Design/methodology/approach The paper develops ideas generated in a series of micro-conferences hosted by CEPIS on the topic of ethics, in the context of establishing a professional ethics framework as part of CEPIS’ work in support of IT professionalism. Findings Professional ethics is the weakest of the (...) four professional pillars, and development of supports and resources is required. CEPIS is taking action in this areas. Practical implications Without a framework, and without IT Practitioners themselves taking a coordinated action, there risks a fragmentation of responses to ethical questions. Originality/value This paper describes the view of the CEPIS on the need for, and role of, professional ethics, and how that might be supported. (shrink)

Which beings have moral status? This paper argues that moral status requires some capacity for affective consciousness. David Chalmers rejects this view on the grounds that it denies moral status to Vulcans – namely, conscious creatures with no capacity for affective consciousness. On his more inclusive view, all conscious beings have moral status. Although we agree that consciousness is required for moral status, we disagree about how to explain this. I argue that we cannot explain why unconscious zombies lack moral (...) status without excluding conscious Vulcans too. (shrink)

Could there be a cognitive zombie – that is, a creature with the capacity for cognition, but no capacity for consciousness? Searle argues that there cannot be a cognitive zombie because there cannot be an intentional zombie: on this view, there is a connection between consciousness and cognition that is derived from a more fundamental connection between consciousness and intentionality. However, I argue that there are good empirical reasons for rejecting the proposed connection between consciousness and intentionality. Instead, I argue (...) that there is a connection between consciousness and cognition that is derived from a more fundamental connection between consciousness and rationality. On this view, there cannot be a cognitive zombie because there cannot be a rational zombie. (shrink)

The main goal of this chapter is to argue that accessibilism in epistemology is incompatible with vehicle externalism in philosophy of mind. As we shall see, however, there are strong arguments for both of these positions. On the one hand, there is a compelling argument for vehicle externalism: the parity argument from Clark and Chalmers 1998. On the other hand, there is a compelling argument for accessibilism: the Moorean argument from Smithies 2012. If accessibilism is incompatible with vehicle externalism, then (...) both arguments cannot be sound. I resolve the tension by arguing that while the Moorean argument succeeds, the parity argument fails, and so vehicle externalism should be rejected on broadly epistemological grounds. (shrink)

IN/Search RE/Search' offers a unique insight into the wide range of appearances of the intersection between art, design and research. The book is organized into twelve substantive chapters: The Anthropocene Epoch; The Climate Crisis; The Coexerced Existence, The Limitations of Language; Facts and Fictions; The Fragile Human; The Instrumentalised Identity; Gender and Violence; The Question of Race; Politics of Public Space; Naked Capitalism; The Morality of a Cyborg. These themes are analysed through art and design projects. The projects are further (...) contextualised by journalistic explorations and academic reflections on similar matters, grappled by varied research outlooks. 00By bringing together various practices (arts, design and writing practices and academic research), 'IN/Search RE/Search' shows how artistic research processes are designed and performed. The kaleidoscopic convergence of the featured approaches promises an exciting shift in thinking about how knowledge within the arts comes about, and how this knowledge nurtures daily practice, and vice versa. In this way, this publication discloses methods of thinking and working through which a new generation of artists/designers/researchers is shaping scenarios for the near future.00The core of this publication is formed by various art and design projects by students of the Rietveld Academie and the Sandberg Instituut. Many of these projects confuse, blur and confront what is traditionally relevant in research practices. These young artists demonstrate what happens when ideas and practices that seem to be miles apart within the traditional domain of research, are suddenly allowed touch upon and influence each other. (shrink)

Women are everywhere in Dune, especially the members of the Bene Gesserit Sisterhood. In the Dune universe, the Bene Gesserit give girls so much practice in honing their skills that it almost guarantees they will grow into supremely confident women who trust their bodies to follow through on any action they desire. The Bene Gesserit in Dune represent a fulfillment of the ideal of the liberated women Beauvoir and Young describe. If women were “given the opportunity to use their full (...) bodily capacities in free and open engagement with the world” and encouraged “to develop specific bodily skills,” they could overcome some of the challenges in a sexist society and make their goals a reality. Dualism has cast a long shadow in Western philosophy, making human bodies out to be burdens entrapping the minds within. In particular, the female body has been treated as a nuisance, even by feminists. (shrink)

This Is A New Release Of The Original 1911 Edition.