The increasing application of artificial intelligence (AI) to healthcare raises both hope and ethical concerns. Some advanced machine learning methods provide accurate clinical predictions at the expense of a significant lack of explainability. Alex John London has defended that accuracy is a more important value than explainability in AI medicine. In this article, we locate the trade-off between accurate performance and explainable algorithms in the context of distributive justice. We acknowledge that accuracy is cardinal from outcome-oriented justice because it helps (...) to maximize patients’ benefits and optimizes limited resources. However, we claim that the opaqueness of the algorithmic black box and its absence of explainability threatens core commitments of procedural fairness such as accountability, avoidance of bias, and transparency. To illustrate this, we discuss liver transplantation as a case of critical medical resources in which the lack of explainability in AI-based allocation algorithms is procedurally unfair. Finally, we provide a number of ethical recommendations for when considering the use of unexplainable algorithms in the distribution of health-related resources. (shrink)

Environmental pragmatism is a new strategy in environmental thought. It argues that theoretical debates are hindering the ability of the environmental movement to forge agreement on basic policy imperatives. This new direction in environmental thought moves beyond theory, advocating a serious inquiry into the merits of moral pluralism. Environmental pragmatism, as a coherent philosophical position, connects the methodology of classical American pragmatic thought to the explanation, solution and discussion of real issues. This concise, well-focused collection is the first comprehensive presentation (...) of environmental pragmatism as a new philosophical approach to environmental thought and policy. (shrink)

De-extinction raises anew ontological and epistemological problems that have engaged environmental philosophers for decades. This essay re-examines these issues to provide a fuller understanding—and a critique—of de-extinction. One of my claims is that de-extinction as a philosophical problem merely recycles old issues and debates in the field (hence, “zombie” arguments). De-extinction is a project that arises out of the assertion of human domination of the natural world. Thus the acceptance of de-extinction as an environmental policy is an expression of a (...) human-nature relationship that disvalues the natural world and subjugates nature completely to the interests of humanity. (shrink)

First Published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.

A lack of diversity remains a significant problem in many STEM communities. According to the epistemic approach to addressing these diversity problems, it is in a community’s interest to improve diversity because doing so can enhance the rigor and creativity of its work. However, we draw on empirical and theoretical evidence illustrating that this approach can trade on the epistemic exploitation of diverse community members. Our concept of epistemic exploitation holds when there is a relationship between two parties in which (...) one party accrues epistemic benefits from another party’s knowledge and epistemic location and, in doing so, harms the second party or sets back their interests. We demonstrate that the ironic outcome of this nominal application of the epistemic approach is that it undermines the epistemic benefits which it promises. Indeed, we show that epistemic exploitation undermines the relationships and interactions among community members that produce rigor and creativity. Our central argument is that for communities to reap the benefits of an epistemic approach to diversity, to implement a genuine epistemic approach, they need to develop cultures that ameliorate the harms faced by, and protect the interests of, their diverse community members. (shrink)

Abstract:Should the process of ecological restoration be considered a type of moral reparation? In a recent issue of this journal, Ben Almassi (2017) has argued that ecological restoration should be understood as a moral repair, i.e., as "a model for rebuilding the moral conditions of relationships" (20). Ideas of restorative justice and moral repair are appropriate to address human injustice and wrongdoing. But these concepts are vacuous and lose their meaning when addressing the ethics of human activities regarding the natural (...) world because of the essential character of the restoration process: the replacement or substitution of new entities for pre-existing entities in an attempt to reverse the irreversible. At best, the idea of moral reparations to nature is a weak metaphor with no practical efficacy; at worst, it totally misconceives the relationship between human activity and the natural environment in the process of ecological restoration and provides yet another dangerous and disingenuous justification of human arrogance and domination of the natural world. In the guise of the act of moral reparations, humans are instead attempting to assume the powers of God, to control the natural and human world. My previous criticisms of the ethics and meaning of ecological restorations—especially regarding the substitution of new individuals and the artifactual nature of restorations—can be used to undermine Almassi's thesis of moral repair as a goal of ecological restoration practice. In addition an analysis of the Book of Job in the Old Testament demonstrates that not even God—much less humans—can restore and replace what has been destroyed. (shrink)

The ethics of deceased organ procurement (OP) is supposedly based on individual consent to donate, either explicit (opt-in) or presumed (opt-out). However, in many cases, individuals fail to express any preference regarding donation after death. When this happens, the decision to remove or not to remove their organs depends on the policy’s default option or on family preferences. Several studies show that in most countries the family plays a significant and often decisive role in the process of decision-making for OP. (...) Depending on the country, the family may be allowed to take different kinds of actions in different situations, and this may be granted either by law or by clinical practice only. This adds much complexity to the usual classification of consent policies in two categories: opt-in and opt-out. Here we propose a novel and comprehensive taxonomy of the models of consent for OP according to three variables: (1) the deceased’s wishes, if any, (2) family wishes, if any, and (3) default policies. By analysing these models of consent, we show that they rely on at least three different concepts of autonomy: individual autonomy, relational autonomy, and family autonomy. In light of this analysis, we discuss the ethical debates surrounding two policy approaches: presumed consent and family veto. (shrink)

According to the widely accepted principles of beneficence and distributive justice, I argue that healthcare providers and facilities have an ethical duty to reduce the ecological footprint of the services they provide. I also address the question of whether the reductions in footprint need or should be patient-facing. I review Andrew Jameton and Jessica Pierce’s claim that achieving ecological sustainability in the healthcare sector requires rationing the treatment options offered to patients. I present a number of reasons to think that (...) we should not ration health care to achieve sufficient reductions in a society’s overall consumption of ecological goods. Moreover, given the complexities of ecological rationing, I argue that there are good reasons to think that the ethical duty to reduce the ecological footprint of health care should focus on only nonpatient-facing changes. I review a number of case studies of hospitals who have successfully retrofitted facilities to make them more efficient and reduced their resource and waste streams. (shrink)

Significant disagreement remains in ethics about the duties we have towards wild animals. This paper aims to mediate those disagreements by exploring how they are supported by, or diverge from, the common-sense ethical principles of non-maleficence, beneficence, autonomy and justice popular in medical ethics. We argue that these principles do not clearly justify traditional conservation or a ‘hands-off ’ approach to wild-animal welfare; instead, they support natural negative duties to reduce the harms that we cause as well as natural positive (...) duties to promote the welfare of wild animals. (shrink)

Consider the existence of six identical trees of the same species across a variety of environments. The first tree is in a wild and isolated landscape. The second is in a wilderness park. The third is in a heavily forested “tree plantation” owned by International Paper. The fourth is in the Ramble in Central Park. The fifth is in a suburban yard. The sixth is inside the six-story atrium of a Manhattan skyscraper. This paper begins with the intuition that the (...) identical trees have different values because they exist in different environments and biological-social contexts. To understand the different evaluations of the trees we must think along a spectrum that incorporates both axiology and ontology. This thought experiment is useful in exploring arguments about both the management and the preservation of the natural world. The conclusion is that we must think along a spectrum of natural being and value to understand the dualism between humanity and nature and thereby avoid the domination of the natural environment. (shrink)

Within the Judeo-Christian tradition, Sodom and Gomorrah represent locales in which threats to national formation are couched in sexual terms. The biblical narrative insists on a particular social invisibility for those sexual activities not blessed by the bonds of matrimony. Reclaiming Sodom surveys a number of institutions that have had an interest in perpetuating these views: the police, the state, the church and the law. The collection ranges through biblical scholarship, an investigation of the Founding Fathers' beliefs, the legal mobilization (...) towards the category of sodomy in 18th and 19th century England, and the US Supreme Court's 1986 Bowers vs. Hardwick decision. Analysis is provided of the ways in which the Judeo-Christian tradition has shaped anthropological accounts of the same-sex practices of non-Western people, as well as essays on how colonial gestures have marked lesbian identity in the Carribean, and derformed narratives about the racial geography of AIDS. Reclaiming Sodom explores alternatives to the force of the Sodomitic biblical narrative in Islamic, non-western, and western traditions, and discusses the ways in which sodomy calls into question normative definitions of sexuality and gender. The collection pursues the "pleasures and dangers" of these alternatives, and takes on Proust's refusal to imagine a social movement founded on the "stigma" of Sodom. The collection examines the relations between sex/gender identities and sexual acts in important and provocative ways, and argues for the political use and usefulness of both Sodom and sodomy. Reclaiming Sodom makes an important and controversial contribution to the literature on sexuality and gender, as well as the nature of sex in our culture. Contributors: Dorothy Allison, Robert Alter, Neil Bartlett, Leo Bersani, Gerald Creed, Marc Daniel, Lee Edelman, Janet E. Halley, Jonathan Ned Katz, Pierre Klossowski, Rocky O'Donovan, Guy Hocquenghem, Cindy Patton, Marquis de Sade, David Shannon, Makeda Silver, Jonathan Goldberg. (shrink)

There is a common refrain in the literature on punishment that presumes the mutual exclusivity of defending retribution and adopting a humanistic or welfare-oriented outlook. The refrain, that if we want to be humane, or care about human welfare, we must abandon retributive punishment, anger, and resentment is readily repeated, endorsed, and relied upon. This article suggests that this opposition is false: retribution and welfare-orientation can not only be endorsed concomitantly, but are complimentary projects, and may even be grounded in (...) the same normative basis, such that if we endorse one we are already committed to ideas that ground reason to care about the other.My primary target will be claims that aim to undermine retributivism by demonstrating the desirability of welfare-orientation. If both can live together, demonstrating the attractiveness of one goes nowhere toward displacing the other. Further, establishing this claim invites further inquiry into classic questions about the “barbaric,” or “morally repugnant” credentials of retributivism. Confronting these claims will elucidate the consistency of adopting both retributive and welfare-oriented views, which, I suggest, can be jointly adopted and pursued. (shrink)

Because of the “problem of individual causal inefficacy,” it has been difficult to explain why a purchase that will make little to no difference to a producer’s wrongdoing is itself morally wrong. Some have recently appealed to the concept of complicity in order to support the idea that consumers have a moral reason to avoid purchasing from companies engaged in wrongdoing. In this paper, I contribute to the development of this direction in consumer ethics. First, I explore how we should (...) define moral complicity in such situations. Some have claimed that an individual’s purchase makes her complicit, even though it makes no difference to the wrongdoing, because she is still knowingly joining in with the wrong that the company or other consumers are doing. I argue, however, that it is difficult to see making a purchase as a form of joining in a joint or group action. Instead, I respond to the causal inefficacy problem directly. I argue that even when the outcome is massively overdetermined, an individual purchase still makes a causal contribution to the principal wrongdoing and thus a basic condition for an act of moral complicity is met. Yet, this does not resolve the deeper question of whether and why consumers should morally avoid purchases that make them complicit in these cases. The issue is with how small the causal contribution such an individual purchase makes. That is, an individual purchase in such a situation may only make one a little bit complicit. I argue that for the concept of moral complicity to gain traction here, we will have to appeal to normative concerns besides the outcome of the complicit action. Still, even with this account, purchases in such overdetermination cases may not often be all things considered wrong because the reasons against them may be outweighed by other relevant reasons. (shrink)

Frege argues that number is so unlike the things we accept as properties of external objects that it cannot be such a property. In particular, (1) number is arbitrary in a way that qualities are not, and (2) number is not predicated of its subjects in the way that qualities are. Most Aristotle scholars suppose either that Frege has refuted Aristotle's number theory or that Aristotle avoids Frege's objections by not making numbers properties of external objects. This has led some (...) to conclude that Aristotle's accounts of arithmetical and geometrical objects differ substantially. I close this supposed gap by showing that Aristotle's arithmetical objects, like geometrical objects, are just certain sensible things qua certain properties they in fact possess. Specifically, numbers are pluralities qua quantitative or relational properties like ten units or ten. I show that this view is resistant to the Fregean concerns about arbitrariness and numerical predication. (shrink)

This article analyzes the question of how the size of bribes should impact criminal sanctions. In contrast to the commonly held view that punishment should increase with the size of the bribe, we argue to the contrary: that the punishment of the bribee should decrease with the size of the bribe. Our conclusion is based both on a philosophical argument and an economic argument. We argue that all else being equal, as an agent’s reservation price for selling public interests decreases, (...) the culpability of the agent willing to receive a bribe increases. In addition, from an economic perspective, the expected social harm of an official acting with a low reservation price for bribes is much greater than one acting with a high reservation price: both the susceptibility of being bribed as well as the potential for social harm is much greater when the reservation price is low. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 23 (2003) 161-164 [Access article in PDF] Dakini's Warm Breath: The Feminine Principle in Tibetan Buddhism. By Judith Simmer-Brown. Boston: Shambhala, 2001. xxv + 404 pp. For more than a century, the dakini of Hindu and Buddhist tantric literature and practice lore has intrigued, fascinated, beguiled, and confounded Western scholars. First described by Austine Waddell in 1895 as "demonical furies" and "she-devils," S.C.Das's ATibetan-English Dictionary, published just (...) shortly afterward, defined mkha' 'gro ma (the Tibetan equivalent of the Sanskrit term dakini ) as "a class, mainly of female sprites, akin to our witches, but not necessarily ugly or deformed." More recently the dakini has been investigated by scholars as diverse as David Snellgrove, Rene Nebesky-Wojkowitz, Nathan Katz, Janet Gyatso, Miranda Shaw, and myself. Snellgrove suggested in his Buddhist Himalaya (1957) that "their [i.e., the dakinis' ] activities are generally so gruesome and obscene as to earn them quite properly the name witch," but he conceded that they entered Tibetan mythology "in a rather more gentle aspect." Even so, this ubiquitous, powerful, and yet ever-elusive figure —or symbol, image, motif, or principle—has remained, it seems, just beyond our reach. In a certain respect, this is exactly as it should be; for the dakini— at least within the systems of the Buddhist tantras—is the symbol of transcendent wisdom itself, direct and unmediated, hovering just outside the reach of all discursive language and reasoning.Today one scholar, Judith Simmer-Brown, has given us a thoughtful, well-informed, and well-researched treatment of the history and functioning of the dakini (which she prefers to refer to as a "symbol" or "principle") that seeks to present a balanced discussion and overview of this feminine principle and steers clear of the essentializing and reductionist pitfalls of either Jungian interpretations or contemporary feminist ones. It is timely that we take a careful look at Simmer-Brown's work, not only because it represents the most complete exploration to date of the dakini in a single volume, but also because this valuable study has just been reprinted in paperback.Though in the preface of her work Simmer-Brown characterizes her methodology as being "perhaps wildly messy," there is clearly both system and method in her [End Page 161] presentation. Her study begins with a careful delineation of what may be called the two extremes or poles of contemporary interpretations of the dakini: the one, influenced by Jungian psychology in which the dakini is seen as Jung's famed "shadow," and the other, influenced by feminist goddess theology, which has served either to see the dakini as a feminine savior or as the source of a critique of Tibetan Buddhism in which this feminine ideal reflects an objectified product of patriarchal fantasy. For Simmer-Brown, both poles of interpretation are inadequate; and in her first chapter, "Gender, Subjectivity, and the Feminine Principle," she argues powerfully and convincingly about why this is the case. Indeed, in many respects, this carefully argued opening chapter is the true centerpiece of the work.With respect to Jungian analysis, while Simmer-Brown sees "some real benefits in employing Jungian ideas in interpreting the dakini, " she notes the skewing and distorting complications introduced by Jung's emphasis on contrasexuality. Ultimately, Simmer-Brown declares, "the pervasiveness of the Jungian paradigm in examination of the dakini emphasizes contrasexuality, the ultimacy of gender imagery, and psychological interpretation. These emphases have precipitated a blizzard of feminist objections, and no wonder. However, that critique may be directed more toward Jungian tenets than toward Tibetan Buddhism, which has not been properly represented in Western interpretation" (17).Simmer-Brown's case is especially well made with regard to the second pole of interpretation. Here she notes that recent studies of the dakini that employ feminist considerations have generally taken two directions. Namely, "one identifies the dakini as a construct of patriarchy drawn by a primarily monastic Buddhism in Tibet into the service of the religious goals of male practitioners only. The second perspective identifies the dakini as a goddess figure in... (shrink)

Growing Up With Philosophy Camp brings together essays by the directors of philosophy summer camps, perhaps the newest venture for teaching philosophy to pre-college students.

In four studies, we examine the “LIFE IS A JOURNEY” conceptual metaphor using as data output from semantic and episodic memory. In the first three studies output from semantic memory indicates that undergraduate samples, when primed to think in “LIFE” in terms of a course followed until one's 70th year, provided a set of events output in a sequential order and when compared to a second sample, showed high agreement on the ages in which the events would occur. These data (...) were taken as supportive of a “JOURNEY” metaphor in which one progressed along a life path. Study 2 indicated that the “LIFE” events produced also aroused specific subthemes, consistent with the notion of the arousal of lower-level “LIFE-JOURNEY” metaphors (e.g., “LOVE IS A JOURNEY”). In a third study, we experimentally constrained the order of report from semantic memory. These data indicate that free output of events (as in Study 1) involves both a forward-temporal output, and clustering of life themes, but that forcing a forward-temporal order is indicative of the arousal of the superordinate conceptual metaphor but not the lower-level themes. Finally, in an episodic memory task one finds the reverse, namely arousal of the lower-level themes but not of the superordinate conceptual metaphor. Taken together, these findings indicate conditions under which the “LIFE IS A JOURNEY” metaphor is facilitated, and when lower-level metaphors are made more salient. In a more general way, the studies provide a new tool with which to study conceptual metaphors. (shrink)

I argue that intelligible matter, for Aristotle, is what makes mathematical objects quantities and divisible in their characteristic way. On this view, the intelligible matter of a magnitude is a sensible object just insofar as it has dimensional continuity, while that of a number is a plurality just insofar as it consists of indivisibles that measure it. This interpretation takes seriously Aristotle's claim that intelligible matter is the matter of mathematicals generally – not just of geometricals. I also show that (...) intelligible matter has the same meaning in all three places where it is explicitly invoked: Z.10, Z.11, and H.6. Since the H.6 passage involves a mathematical definition, this requires determining what the mathematician defines and how she defines it. I show that, as with natural scientific definitions, there must be a matterlike element in mathematical definitions. This element is not identical with, but rather refers to, intelligible matter. (shrink)

This book advances a journalistic theory of empathy, challenging long-held notions about how best to do journalism. Because the institution of journalism has typically equated empathy and compassion with bias, it has been slow to give the intelligence of the emotions a legitimate place in the reporting and writing process. Blank-Libra's work locates the point at which the vast, multidisciplinary research on empathy intersects with the work of the journalist, revealing a reality that has always been so: journalists practice empathy (...) as a way to connect but also as a form of inquiry, as sincere and legitimate in its goals and aspirations as is objectivity. (shrink)

We characterize general constraints under which rational choices are characterized by asymmetric revealed preferences. A key feature of our main characterization result is expressed by the leveling axiom. We also consider the special case of a law-abiding decision maker who chooses optimally among legal options. We show that the law does not necessarily satisfy the leveling axiom and, therefore, transitivity adds empirical content to law-abiding choices.

According to Aristotle, those who seek mathematical principles of sensible things are looking in entirely the wrong place. But despite his strong opposition to mathematized metaphysics, Aristotle does not outright reject mathematical explanation of the natural world. In fact, he argues that mathematics does explain certain sensible phenomena, that the natural world has many mathematical patterns and features, and that this is often not mere coincidence. That he devotes two books of his Metaphysics to shoring up the boundary between mathematics (...) and metaphysics indicates that this issue is crucially important to him. Yet it receives little systematic scholarly discussion. I take up the issue by examining Aristotle’s treatment of the sensible phenomena that have mathematical explanations. This examination shows that—and why—on his view, mathematics explains many things about the natural world, but not the most fundamental things. (shrink)

Conceptions of teaching quality and teacher accountability, and the values and assumptions that underpin them, are relatively under‐examined by policy makers. We suggest ways in which philosophers might address this deficit, with reference to policy concerns found in the United Kingdom (UK). Further philosophical questions are generated by this process of reflection and we offer a partial analysis of those we judge to be of particular significance. While optimistic generally, we identify three challenges to asserting a role for philosophical analysis (...) in policy, practice and research concerned with teacher education, and urge philosophers of education to engage in constructive dialogue with other critical and reflective thinkers in the field of education. (shrink)

In his 1676 text De Quadratura Arithmetica, Leibniz distinguished infinita terminata from infinita interminata. The text also deals with the notion, originating with Desargues, of the point of intersection at infinite distance for parallel lines. We examine contrasting interpretations of these notions in the context of Leibniz’s analysis of asymptotes for logarithmic curves and hyperbolas. We point out difficulties that arise due to conflating these notions of infinity. As noted by Rodríguez Hurtado et al., a significant difference exists between the (...) Cartesian model of magnitudes and Leibniz’s search for a qualitative model for studying perspective, including ideal points at infinity. We show how respecting the distinction between these notions enables a consistent interpretation thereof. (shrink)

The author argues non-human, sentient animals have aggregation-trumping rights by explaining why and how they should be included in the scope of Kantian contractualism. He explains that the beings to whom we owe duties—who can be wronged by our treatment—are all those with the capacity for first-person, subjective experience; i.e., all sentient beings. To determine what duties we owe to such beings, we should reflect on the principles for the general regulation of behavior that could be hypothetically justified to their (...) imaginary perfectly reasonable counterparts; i.e., even though animals actually cannot understand or reflect on the reasons we have for treating them in a particular way, burdening them unjustifiably is wrong to them. The author argues this inclusive contractualist theory can explain all the distinctive moral phenomena that T. M. Scanlon’s approach does and so is a more attractive contractualist moral theory. (shrink)

This chapter contains sections titled: What's A Parent to Do? Crying‐It‐Out Co‐Sleeping Conclusion Notes.

Recent research has pointed to the importance of the prenatal environment in the etiology of autism spectrum disorder (ASD) but the biological mechanisms which mitigate these environmental factors are not clear. Mitochondrial metabolism abnormalities, inflammation and oxidative stress as common physiological disturbances associated with ASD. Network analysis of the scientific literature identified several leading prenatal environmental factors associated with ASD, particularly air pollution, pesticides, the microbiome and epigenetics. These leading prenatal environmental factors were found to be most associated with inflammation, (...) followed by oxidative stress and mitochondrial dysfunction. Other prenatal factors associated with ASD not identified by the network analysis were also found to be significantly associated with these common physiological disturbances. A better understanding of the biological mechanism which mediate the effect of prenatal environmental factors can lead to insights of how ASD develops and the development of targeted therapeutics to prevent ASD from occuring. (shrink)

This chapter contains sections titled: I The Nature of Philosophy of Education and Conceptual Analysis II Peters' Conception of Education and some of its Normative Implications III Peters' Indeterminacy of Educational Aims and the Need for Sustained Dialogue References.

Husserl analiza progresivamente a la fantasía por oposición a la originariedad de la percepción -cuyo modelo constitutivo es la aprehensión de contenidos presentes-, a la mediatez de la conciencia de imagen -especie de representación indirecta-, y a la posicionalidad de la rememoración -para la cual se desarrolla el modelo de la modificación reproductiva-. El presente trabajo muestra cómo, a partir de este análisis por contraste con otras vivencias intencionales, la fantasía llega a ser caracterizada como un tipo inactual de modificación (...) reproductiva, más precisamente, como la “modificación de neutralidad de la presentificación ponente” (Ideas I, § 111). Luego de objetar que esta definición asimila a la fantasía a una suerte de recuerdo indeterminado en detrimento de su especificidad productiva y libre, propone que una caracterización más adecuada debe ir más allá de la cuestión, desde luego fundamental, de si creer o no creer, y afirmar su carácter a la vez inactual y quasi-productivo. (shrink)

Collective Liability in Islam: The ʿĀqila and Blood-Money Payments. By Nurit Tsafrir. Cambridge: Cambridge University Press, 2020. Pp. xviii + 167. $99.99.

This book offers an interdisciplinary approach to religion and psychology, including a compelling denouement that reveals new narratives about longstanding rumours in the early history of the psychoanalytic movement. This volume demonstrates that the first generation of psychoanalysts succeeded in writing themselves into the history of religious thought and sacralizing the origins of psychoanalysis.

Yeshayahu Leibowitz (1903–1994) was an Israeli philosopher and scientist. For decades, his thinking and persona were the embodiment of a Judaism in Israel. Getting to know him is getting to know a great Israeli thinker and also invites a window into the life of Israel and its problems.