Innovative practice occurs when a clinician provides something new, untested, or nonstandard to a patient in the course of clinical care, rather than as part of a research study. Commentators have noted that patients engaged in innovative practice are at significant risk of suffering harm, exploitation, or autonomy violations. By creating a pathway for harmful or nonbeneficial interventions to spread within medical practice without being subjected to rigorous scientific evaluation, innovative practice poses similar risks to the wider community of patients (...) and society as a whole. Given these concerns, how should we control and oversee innovative practice, and in particular, how should we coordinate innovative practice and clinical research? In this article, I argue that an ethical approach to overseeing innovative practice must encourage the early transition to rigorous clinical research without delaying or deferring the development of beneficial innovations or violating the autonomy rights of clinicians and their patients. (shrink)

For quite some time, critics have attacked religious language on the grounds that theologians employed metaphors that were irreducible. By irreducible, they meant metaphors that could not be paraphrased in literal language. And any such language that could not be reduced to words that can be taken in a literal sense, would be devoid of cognitive meaning or truth value. Since theologians claimed that statements like ‘God is love’ cannot be reduced to a literal sense without robbing the concept of (...) God of its transcendent status, sceptics replied that such failures merely indicated the meaninglessness of religious language. Or, if apologists did assert that ‘God is love’ can be paraphrased by statements describing the love of one man for another, the sceptic claimed that such a move reduced religious language to anthropological language where terms like ‘God’ were superfluous. Critics argued that metaphors of religion posed the following dilemma: either religious metaphors could not be reduced to literal paraphrases and were, therefore, meaningless; or, religious metaphors could be reduced to literal paraphrases, but the method by which they were reduced eliminated the necessity for theological terminology. (shrink)

Evidentialism holds that the justified attitudes are determined entirely by the person's evidence. This book is a collection of essays, mostly jointly authored, that support and apply evidentialism.

The prefrontal cortex has long been suspected to play an important role in cognitive control, in the ability to orchestrate thought and action in accordance with internal goals. Its neural basis, however, has remained a mystery. Here, we propose that cognitive control stems from the active maintenance of patterns of activity in the prefrontal cortex that represent goals and the means to achieve them. They provide bias signals to other brain structures whose net effect is to guide the flow of (...) activity along neural pathways that establish the proper mappings between inputs, internal states, and outputs needed to perform a given task. We review neurophysiological, neurobiological, neuroimaging, and computational studies that support this theory and discuss its implications as well as further issues to be addressed. (shrink)

Evidentialism is a view about the conditions under which a person is epistemically justified in having a particular doxastic attitude toward a proposition. Evidentialism holds that the justified attitudes are determined entirely by the person's evidence. This is the traditional view of justification. It is now widely opposed. The essays included in this volume develop and defend the tradition. Evidentialism has many assets. In addition to providing an intuitively plausible account of epistemic justification, it helps to resolve the problem of (...) the criterion, helps to disentangle epistemic and ethical evaluations, and illuminates the relationship between epistemic evaluations of beliefs and the evaluation of the methods used to form beliefs. These issues are all addressed in the essays presented here. External world skepticism poses the classic problem for an epistemological theory. The final essay in this volume argues that evidentialism is uniquely well qualified to make sense of skepticism and to respond to its challenge. Evidentialism is a version of epistemic internalism. Recent epistemology has included many attacks on internalism and has seen the development of numerous externalist theories. The essays included here respond to those attacks and raise objections to externalist theories, especially the principal rival, reliabilism. Internalism generally has been criticized for having unacceptable deontological implications, for failing to connect epistemic justification to truth, and for failing to provide an adequate account of what makes basic beliefs justified. Each of these charges is answered in these essays. The collection includes two previously unpublished essays and new afterwords to five of the reprinted essays; it will be the definitive resource on evidentialism for all epistemologists. (shrink)

The paper explores the promise of ethical codes as a means to control unethical behavior in business. After a review of arguments for ethical codes from outside the business system, the paper outlines the arguments for codes from inside the business system at the level of the industry, firm and individual executive.The paper then discusses the problems of code design — the dilemma between specific practices and general precepts — and offers a model for a thoroughgoing code. This is followed (...) by a discussion of the problems of promulgation and code enforcement. (shrink)

Epicurus, though popularly and indeed nominally associated with a doctrine advocating the procurement of rather expensive pleasure, lived very simply in his garden with a circle of friends. The 14th of his Sovran Maxims or Cardinal Tenets , as collected by Diogenes Laertius, reads: ‘When tolerable security against our fellowmen is attained, then on a basis of power sufficient to afford support and of material prosperity arises in most genuine form the security of a quiet private life withdrawn from the (...) multitude’ R. D. Hicks, the translator, gives, as an alternative to ‘power sufficient to afford support’, ‘power to expel’, but on either reading, we are to think of Epicurus's garden, both the real place and the conceptualized, or tropologized, topos of wisdom and earthly felicity, as enclosed and exclusive. This enclosure, exclusivity, and—what is also implied—abstention of its inmates from participation in the affairs of state are given apophthegmatic expression in ‘Live hidden!’ We contemplate this adage, or slogan, from an enormous cultural distance and, for most of us, ‘Live hidden!’ is much more likely to trigger secondary reflections about the relations between ethics and politics, private and public, perfection of self and improvement of the world, than it is to constitute an actual, or potential, piece of advice we might think about whether , and how , to follow. (shrink)

Recent defenders of the cognitive significance of religious language have had to face opponents from two directions; from those who demand that religious language be capable of some form of empirical verification and from those who demand that for religious language to be meaningful it must be capable of being understood in ordinary language. Apologists who have taken the first challenge seriously have strained to show that religious statements can be verified by ‘religious experience’, or by an ‘odd discernment’ or (...) by an ‘eschatological verification’. Each of these responses raises further problems for the defender of religion, but in general they all are subject to their failure to provide an adequate criterion or standard by which they could be inter-subjectively tested. Facing in the other direction, theological apologists have attempted to justify religious expressions by showing that they could be subsumed under special categories of ordinary language; namely those of ‘convictional language’ and ‘performative language’. Although these defenders have shown that religious language has an ‘ordinary usage’, they have not shown that the cognitive elements of this usage can be reduced to the ‘use of ordinary language’. (shrink)

Advertisers often use computers to create fantastic images. Generally, these are perfectly harmless images that are used for comic or dramatic effect. Sometimes, however, they are problematic human images that I call computer-generated images of perfection. Advertisers create these images by using computer technology to remove unwanted traits from models or to generate entire human bodies. They are images that portray ideal human beauty, bodies, or looks. In this paper, I argue that the use of such images is unethical. I (...) begin by explaining the common objections against advertising and by demonstrating how critics might argue that those objections apply to computer-generated images of perfection. Along the way, I demonstrate an ethically significant difference between computer-generated images of perfection and the images in ordinary ads. I argue that although critics might use this fact to apply the common objections to the use of computer-generated images of perfection, the objections fail. Finally, I argue that despite surviving the common objections, the use of computer-generated images of perfection is subject to an ethical objection that is based on aesthetic considerations. Advertisers are ethically obligated to avoid certain aesthetic results that are produced by computer-generated images of perfection. (shrink)

E j lemmon, B a o williams, Bas van fraassen, And ruth marcus have argued on behalf of the existence of moral dilemmas, I.E., Cases where an agent is subject to conflicting absolute moral obligations. The paper criticizes this support and contends that no moral dilemma is possible.

By a "literary system" we must mean two distinct yet related matters: a discrete and continuous literary history of "occurrences" such as that we designate as English literature; and a continuous set of ideas about what that first system is. To be sure, the first consists in our thought of it, which is to say of literary creations in temporal series. But the literary creations themselves represent a development or, at a minimum, a sequence of examples of literary knowledge or (...) what may be generally termed poems. That temporally serial set of creations of knowledge had individual knowers in its creators, its poets. Our historical knowledge of the poems consists of ideas about their serial, differentiated character, about their relation to each other, and about their relationship to their creators and the times in which they were created. The second sense of a literary system involves what we call criticism, knowledge about that knowledge is synchronic, as we consider such things as epics, tragedies, lyrics, or novels as categories possessing some validity. But this second kind of literary system has also an historical, diachronic character by virtue of the fact that there were generations before which the novel did not exist or generations during which the novel evolved as a kind of literature whose possibilities were exploited and altered. Without the novel in its history, there can be no history of criticism about the novel. These two varieties of literary system can be designated, then, as literary systems proper and as critical systems. The second does require the existence of the first, in spite of seeming exceptions. We might imagine a new nation wishing to have a literature it does not presently possess. The literature envisioned would imply a poetics prior to the emergent literary system, but the poetics would be borrowed from another literature in which the literary system had predated its critical system. Earl Miner is Townsend Martin, Class of 1917, Professor of English and Comparative Literature at Princeton University. "That Literature is a Kind of Knowledge," his previous contribution to Critical Inquiry, appeared in the Spring 1976 issue. His works include Literary Uses of Typology from the Middle Ages to the Present and Japanese Linked Poetry. Part II of the present essay appeared in the Spring 1979 issue of Critical Inquiry. (shrink)

We are much given to supposing that "knowledge" designates a few prize classes of—of what I am not sure, but matters quite distinct from, superior to, others. It seems we are beginning to understand that: "Such terms as sensation, perception, imagery, recall, problem-solving, and thinking, among many others, refer to hypothetical stages or aspects of cognition."1 The imagery of Macbeth refers to a hypothetical stage or aspect of cognition, as does problem solving using algebra. For that matter, it might be (...) argued that "cognition" itself is hypothetical, only a part of knowing, only an abstraction of a human activity. But we must have terms to make sense, and we can take "cognition" to designate the activity that we otherwise designate in specific result as knowledge. In such a view, what we know is all "a human being might possibly do." That "all" is inexplicable apart from doer-knower, from a postulated "real world," and from activities by organs or tissue collectively referred to as the brain. · 1. Ulrich Neisser, Cognitive Psychology , p. 3. Earl Miner is Townsend Martin, Class of 1917, Professor of English and Comparative Literature at Princeton University. His works include Literary Uses of Typology from the Middle Ages to the Present and Japanese Linked Poetry. He has contributed "On the Genesis and Development of Literary Systems, Part 1" and "On the Genesis and Development of Literary Systems, Part 2" to Critical Inquiry. (shrink)

abstract Much of the public criticism of many public figures, such as that of Michael Phelps, Lindsay Lohan, and Bill Clinton, accuses those persons of failing as role models. The criticism often ascribes to public figures role‐model status in a general sense that encompasses their behaviour in aspects of life beyond the fields for which they are known. I argue that, because of privacy considerations, we are unjustified in ascribing broadly to public figures role‐model status in the general sense. Unless (...) public figures hold themselves out to be role models regarding other aspects of life, we are justified in demanding only that they be good role models with respect to their behaviour in their particular fields. To make my arguments, I demonstrate that: 1) we are justified in ascribing role‐model status to individuals far less often than most believe; 2) legitimate role‐model obligations typically do not extend as far into role models' lives as most believe; and, 3) those who try to convince public figures to be better role models should redirect their efforts toward educating young people about who are proper role models and about what aspects of role‐models' lives young people should imitate. (shrink)

This is an introduction to metaphysics for students and non-philosophers. (Philosophers: it's supposed to be the kind of book you can give to your friends and family, when they ask what you do for a living.) Contents: personal identity, fatalism, time, God, why not nothing?, free will, constitution, universals, necessity and possibility, what is metaphysics? (There is a second edition, which adds chapters on meta-metaphysics and the metaphysics of ethics.).

This article advances towards the reconceptualization of financial innovation. It examines the calamitous role of financial innovation in the global financial crisis, developing a non-rational theorization of finance within the social economy that factors in the role of affect. Outlining the foundations for such an approach, the analysis draws on Thorstein Veblen and Georges Bataille, whose work encompasses psycho-social conceptions of political-economic agency. From the more anthropological lens of Veblen and Bataille's theorizations, it is possible to move beyond instrumentalist accounts (...) of financial innovation premised on pecuniary expedients and aspirations of market completion. As we argue, in a broader affective economy, contemporary financial innovation serves invidious ends, providing a means of attaining social distinction, constituting a medium for violent expenditure and bestowing access to sovereign expression on its purveyors. Highlighting the non-rational dimension of financial markets prompts a reconsideration of the nature of crisis and the means of its redress. (shrink)

Although a number of articles have addressed ethical perceptions and behaviors, few studies have examined ethics across cultures. This research focuses on measuring the job satisfaction, customer orientation, ethics, and ethical training of automotive salespersons in the U.S. and Taiwan. The relationships of these variables to salesperson performance were also investigated. Ethics training was found to be negatively related to perceived levels of ethicalness and performance. High performance U.S. salespeople reported high ethical behavior, while the opposite was true in Taiwan. (...) Customer orientation in both countries was influenced by ethics training. Managers should evaluate current ethics training programs to insure correct ethical behavior is taught and rewarded. (shrink)

This Ideas and Opinions article revisits an argument from Judith Jarvis Thomson in her essay “A Defense of Abortion” that abortion can be an ethical choice even if we assume that fetuses have full moral personhood and moral rights. The authors examine the implications of laws that require a pregnant person to care for another with their body and what other impositions states may also require of citizens to care for others.

My university recently established a business ethics competency exam for graduate business students. The exam is designed to test whether students can demonstrate several abilities that are indicative of competency in business ethics. They are the abilities to speak the language of business ethics, identify business ethics issues, apply theories and concepts to issues, identify connections among theories and concepts as they relate to different issues, and construct and critically evaluate arguments for various positions on business ethics issues. Through this (...) paper, I hope to begin a discussion among business ethicists about both the merits of a competency exam and what the format of such an exam should be. I attempt to do this by explaining the reasons why my institution adopted a competency exam, the goals and purposes of the exam, the format of the exam, and why I believe the exam has merit. (shrink)

We present and discuss the responses to a survey we sent to selected libraries regarding their decisions to accept unsolicited book donations, especially regarding any with an apparent political or proselytizing intent.