Hypocrites invite moral opprobrium, and charges of hypocrisy are a significant and widespread feature of our moral lives. Yet it remains unclear what hypocrites have in common, or what is distinctively bad about them. We propose that hypocrites are persons who have undermined their claim to moral authority. Since this self-undermining can occur in a number of ways, our account construes hypocrisy as multiply realizable. As we explain, a person’s moral authority refers to a kind of standing that they occupy (...) within a particular moral community. This status is both socially important and normatively precarious. Hence, moral agents are right to be vigilant when it comes to hypocrisy, and are often justified in their outrage when they detect it. We further argue that our view can preserve what is attractive in rival accounts, while avoiding their associated problems. (shrink)

I problematize Grounding-based formulations of physicalism. More specifically, I argue, first, that motivations for adopting a Grounding-based formulation of physicalism are unsound; second, that a Grounding-based formulation lacks illuminating content, and that attempts to imbue Grounding with content by taking it to be a strict partial order are unuseful and problematic ; third, that conceptions of Grounding as constitutively connected to metaphysical explanation conflate metaphysics and epistemology, are ultimately either circular or self-undermining, and controversially assume that physical dependence is incompatible (...) with explanatory gaps; fourth, that in order to appropriately distinguish physicalism from strong emergentism, a Grounding-based formulation must introduce one and likely two primitives in addition to Grounding; and fifth, that understanding physical dependence in terms of Grounding gives rise to ‘spandrel’ questions, including, e.g., “What Grounds Grounding?”, which arise only due to the overly abstract nature of Grounding. (shrink)

This book argues that the major traditions in the philosophy of language have mistakenly focused on highly idealized linguistic contexts. Instead, it presents a non-ideal foundational theory of language that contends that the essential function of language is to direct attention for the purpose of achieving diverse social and political goals. Philosophers of language have focused primarily on highly idealized linguistic contexts in which cooperative agents are working toward the shared goal of gaining information about the world. This approach abstracts (...) away from important issues like power, ideology, social position, and diversity of goals which are crucial to explaining linguistic phenomena both at the semantic and pragmatic levels. This book begins by examining the work of some of the pioneers of this tradition--primarily David Lewis, Paul Grice, and Robert Stalnaker. The author shows that various problems have their source in idealizations made at the foundational level of linguistic theory and proposes to rebuild from the ground-up. She presents a non-ideal foundational theory of language which retains the major insights of traditional frameworks while rejecting the social idealizations that guide them. Then, she explores the social and political applications of her account to issues such as dog whistling, propaganda, slurs and racist speech, silencing, and manipulation. Non-Ideal Foundations of Language will appeal to researchers and advanced students in philosophy of language who are interested in the social and political applications of language, as well as traditional metasemantic theory. (shrink)

An approach to explaining the nature and source of logic and its laws with a rich historical tradition takes the laws of logic to be laws of thought. This view seems intuitively compelling, after all, logic seems to be intimately related with how we think. But how exactly should we understand it? And what arguments can we give in favour? I will propose one line of argument for the claim that the laws of logic are laws of thought. I will (...) motivate the claim that there is a certain phenomenon, namely, that there are logical principles which are immune to rational doubt. I will then give an argument to the best explanation; I will argue that the best explanation of this phenomenon is to take the laws of logic to be constitutive-normative laws of thought. The proposal, and some responses to potential objections, will have a notably Kantian flavour. (shrink)

In this paper, I defend McKinsey's argument (Analysis 1991) that Burge's antiindividualist position is incompatible with privileged access, viz. the claim that each subject can know his own thought contents just by reflection and without having undertaken an empirical investigation. I argue that Burge thinks that there are certain necessary conditions for a subject to have thoughts involving certain sorts of concepts; these conditions are appropriately different for thoughts involving natural kind concepts and thoughts involving non-natural kind concepts. I use (...) Burge's commitment to these entailments to show that his antiindividualist position is incompatible with privileged access. (shrink)

Here I compare two accounts of metaphysical indeterminacy (MI): first, the 'meta-level' approach described by Elizabeth Barnes and Ross Cameron in the companion to this paper, on which every state of affairs (SOA) is itself precise/determinate, and MI is a matter of its being indeterminate which determinate SOA obtains; second, my preferred 'object-level' determinable-based approach, on which MI is a matter of its being determinate---or just plain true---that an indeterminate SOA obtains, where an indeterminate SOA is one whose constitutive object (...) has a determinable property, but no unique determinate of that determinable. In S1, I first note an important difference between our accounts, concerning whether MI is taken to induce propositional indeterminacy; in S2, I highlight and defend certain advantages of my account; in S3, I address certain of Barnes and Cameron's objections to my account. (shrink)

Proponents of evolutionary debunking arguments aim to show that certain genealogical explanations of our moral faculties, if true, undermine our claim to moral knowledge. Criticisms of these arguments generally take the debunker’s genealogical explanation for granted. The task of the anti-debunker is thought to be that of reconciling the truth of this hypothesis with moral knowledge. In this paper, I shift the critical focus instead to the debunker’s empirical hypothesis and argue that the skeptical strength of an evolutionary debunking argument (...) is dependent upon the evidence for that hypothesis—evidence which, upon further inspection, proves far from compelling. Following that, however, I suggest that the same considerations which spell trouble for the empirical hypotheses of traditional debunking arguments can also be taken to give rise to an alternative—and better supported—style of debunking argument. (shrink)

According to Ian Hacking, some human kinds are subject to a peculiar type of classificatory instability: individuals change in reaction to being classified, which in turn leads to a revision of our understanding of the kind. Hacking’s claim that these ‘human interactive kinds’ cannot be natural kinds has been vehemently criticized on the grounds that similar patterns of instability occur in paradigmatic examples of natural kinds. I argue that the dialectic of the extant debate misses the core conceptual problem of (...) human interactive kinds. The problem is not that these kinds are particularly unstable but ‘capricious’—their members behave in wayward, unexpected manners that defeats existing theoretical understanding. The reason for that, I argue, is that human interactive kinds are often ‘hybrid kinds’ consisting of a base kind and an associated status, which makes mechanisms that support patterns of change and stability systematically difficult to understand and predict. 1Introduction2The Extant Discussion 2.1Hacking’s account of interactive kinds2.2Classificatory feedback in non-human kinds3Natural kinds and Ontological Instability 3.1Understanding instability3.2The problem of stabilizing feedback3.3Summary4Capricious Kinds 4.1Biased conceptualization4.2Studying social status5Conclusion. (shrink)

The World Health Organisation declared COVID-19 a global pandemic on 11th March 2020, recognising that the underlying SARS-CoV-2 has caused the greatest global crisis since World War II. In this chapter, we present a framework to evaluate whether and to what extent the use of digital systems that track and/or trace potentially infected individuals is not only legal but also ethical.

In this paper, I propose a novel interpretation of the role of the understanding in generating the unity of space and time. On the account I propose, we must distinguish between the unity that belongs to determinate spaces and times – which is a result of category-guided synthesis and which is Kant’s primary focus in §26 of the B-Deduction, including the famous B160–1n – and the unity that belongs to space and time themselves as all-encompassing structures. Non-conceptualist readers of Kant (...) have argued that this latter unity cannot be the product of categorial synthesis. While they are correct that this unity is not the product of any particular act of category-guided synthesis, I argue that conceptualists are right to nevertheless attribute this unity to the understanding. I argue that it is a result of what we can think of as the ‘original’ synthesis of understanding and sensibility themselves – it is a synthesis, moreover, in which the whole is logically prior to the parts. (shrink)

The debate between exceptionalists and anti-exceptionalists about logic is often framed as concerning whether the justification of logical theories is a priori or a posteriori (for short: whether logic is a priori or a posteriori). As we substantiate (S1), this framing more deeply encodes the usual anti-exceptionalist thesis that logical theories, like scientific theories, are abductively justified, coupled with the common supposition that abduction is an a posteriori mode of inference, in the sense that the epistemic value of abduction is (...) (and, indeed, must be) a posteriori. In past work, however, we have argued that this common supposition is incorrect: abduction is an a priori mode of inference, in the sense that the epistemic value of abduction is (and indeed, must be) a priori (Biggs and Wilson 2017a, 2017b, 2019). After sketching our two main argumentative strategies for this conclusion (S2), we go on (S3) to consider its import on the proper understanding of anti-exceptionalism about logic. (shrink)

Recently, a debate has developed between those who claim that essence can be explained in terms of de re modality (modalists), and those who claim that de re modality can be explained in terms of essence (essentialists). The aim of this paper is to suggest that we should reassess. It is assumed that either necessity is to be accounted for in terms of essence, or that essence is to be accounted for in terms of necessity. I will argue that we (...) should assume neither. I discuss what role these key notions – essence and necessity – can reasonably be thought to contribute to our understanding of the world, and argue that, given these roles, there is no good reason to think that we should give an account of one in terms of the other. I conclude: if we can adequately explain de re modality and essence at all, we should aim to do so separately. (shrink)

Vetter's Potentiality is an exposition and development of a new account of possibility and necessity, given in terms of potentialities. In this critical notice, I give an outline of some of the key claims of the book. I then raise some issues for the extent to which Vetter's view can accommodate genuine de re modalities, especially those of possible existence and non-existence.

This chapter explores the prospects for justifying the somewhat widespread, somewhat firmly held sense that there is some moral advantage to untruthfully implicating over lying. I call this the "Difference Intuition." I define lying in terms of asserting, but remain open about what precise definition best captures our ordinary notion. I define implicating as one way of meaning something without asserting it. I narrow down the kind of untruthful implicating that should be compared with lying for purposes of evaluating whether (...) there is a moral difference between them. Just as lying requires a robust form of assertion, so the kind of untruthful implicating to be compared with lying requires a robust form of implicating. Next, I set out various ways of sharpening the Difference Intuition and survey a range of approaches to justifying one class of sharpenings. I finish by sketching an approach to justifying an alternative sharpening of the Difference Intuition, which is inspired by John Stuart Mill's discussion of lying. (shrink)

In this paper, I argue that an account of security as a basic human right must incorporate moral security. Broadly speaking, a person possesses subjective moral security when she believes that her basic interests and welfare will be accorded moral recognition by others in her community and by social, political, and legal institutions in her society. She possesses objective moral security if, as a matter of fact, her interests and welfare are regarded by her society as morally important—for example, when (...) violent crimes against her being taken to warrant the same punishment and condemnation as equivalent crimes against others. Moral security, thus characterized, is an essential part of what it is to be secure as a human person, and any right to security must include it. In the first part of the paper I critique alternative narrower accounts of the right to security, before defending my account of moral security in Section 2. Section 3 explores how acts of racialized and gendered violence are attacks on the moral security of the victims and of all members of the groups to which the victims belong. Broader structural and institutional forms of racial and sexual discrimination further compound the impact of such acts on moral security. Understanding how racial and sexual discrimination and violence are attacks on moral security offers a new way of thinking about the scope and urgency of a state’s duty to combat racial and sexual discrimination, an issue I explore in the final section of the paper. -/- . (shrink)

The thesis that in order to genuinely think about a particular object one must be (in some sense) acquainted with that object has been thoroughly explored since it was put forward by Bertrand Russell. Recently, the thesis has come in for mounting criticism. The aim of this paper is to point out that neither the exploration nor the criticism have been sensitive to the fact that the thesis can be interpreted in two different ways, yielding two different principles of acquaintance. (...) One principle uses the notion of content in distinguishing genuine thinking-about things from a merely derivative kind of thinking-about things. The other principle is quiet about content, focusing instead on a distinction between satisfactional and non-satisfactional means of bringing things into thought. Most work has focused on the first, content-based principle of acquaintance. But criticisms of this principle do not apply straightforwardly to the non-content-based principle. I shall argue that the latter principle merits independent assessment as part of the broader effort to account for genuine thinking about particular objects. In the final section of the paper, I will sketch a roadmap for this assessment. (shrink)

In her 1938 paper ‘Logical and Metaphysical Necessity’, Martha Kneale introduces the necessary a posteriori. I present a critical summary of Kneale's argument that so-called ‘metaphysical propositions’ are necessary but not a priori. I argue that Kneale is well placed to offer a template for reconciling conceivability approaches to modal epistemology with the post-Kripkean trend for taking metaphysical necessities to have their source in mind-independent reality.

One striking contrast that Kant draws between the kind of cognitive capacities that humans have and alternative kinds of intellect concerns modal concepts. Whilst , the very distinction between possibility and actuality would not arise for an intuitive understanding. The aim of this paper is to explore in more detail how the functioning of these cognitive capacities relates to modal concepts, and to provide a model of the intuitive understanding, in order to draw some general lessons for our ability to (...) make modal judgements, and the function of such judgements. (shrink)

Since the publication of Kit Fine's “Essence and Modality”, there has been lively debate over how best to think of essence in relation to necessity. The present aim is to draw attention to a definition of essence in terms of modality that has not been given sufficient attention. This neglect is perhaps unsurprising, since it is not a proposal made in response to Fine's 1994 paper and ensuing discussion, but harks back to Ruth Barcan Marcus's earlier work in the 1960s (...) and 1970s on essentialist claims. At the core of Barcan Marcus's account is Minimal Essentialism, of which there are several extensions, in particular, for cases of referential predicates (such as “x is identical to Socrates”), Individuating Essentialism, and Aristotelian Essentialism. I argue that Minimal Essentialism fares favourably against a host of familiar examples. I close with some historical observations, that the distinction between essence and necessity was already commonplace in the early days of quantified modal logic and its philosophy. (shrink)

Numerous studies have found that many people believe that a provocatively dressed woman is at greater risk for sexual assault and bears some responsibility for her assault if she is attacked. Furthermore, in legal, academic, and public debates about sexual assault the appropriateness of the term ‘provocative’ as a descriptor of certain kinds of women’s clothing is rarely questioned. Thus, there is a widespread but largely unquestioned belief that it is appropriate to describe revealing or suggestive women’s clothing as ‘provocative’ (...) and that women who wear such clothing could provoke sexual assault and harassment from men. Yet it is rarely noted that only women’s clothing is described as sexually provocative. Men’s clothing, no matter how revealing, is never described as provocative. Why is this the case? This Article challenges the assumption that it is appropriate to describe women’s clothing as provocative. Drawing on on models of the legal defense of provocation and research on objectification and responsibility, this Article demonstrates that continued use of ‘provocative’ term normalizes and entrenches deeply problematic attitudes about women’s responsibility for men’s sexual behavior. The social interpretation of women’s clothing as provocative arises from the privileged social and legal status of men’s sexual arousal and the objectification of women’s bodies. Describing women’s clothing as provocative thus reinforces a problematic conception of women’s bodies and sexuality that is connected to women’s experiences of their bodies, their clothes, and shapes their vulnerability to sexual assault and social and legal attitudes to such attacks. (shrink)

I first discuss Kit Fine's distinctive 'schema-based' approach to metaphysical theorizing, which aims to identify general principles accommodating any intelligible application of the notion, by attention to his accounts of essence and dependence. I then raise some specific concerns about the general principles Fine takes to schematically characterize these notions. In particular, I present various counterexamples to Fine's essence -based account of ontological dependence. The problem, roughly speaking, is that Fine supposes that an object's essence makes reference to just what (...) it ontologically depends on, but various cases suggest that an object's essence can also make reference to what ontologically depends on it, either by way of composition or causation. As such, Fine's account of ontological dependence is subject to the same objection he raises against modal accounts of essence and dependence---that is, of being insufficiently ecumenical. (shrink)

In ‘The Varieties of Necessity’ Fine presents purported counterexamples to the view that a proposition is a naturally necessary truth if and only if it is logically necessary relative to or conditional upon the basic truths about the status and distribution of natural kinds, properties and relations. The aim of this article is to defend the view that natural necessity is relative necessity, and the general idea that we can define other kinds of necessity as relative, against Fine's criticisms.

Kant distinguishes cognition and thought. Mere thoughts do not conform to the conditions that Kant places on cognition and hence do not represent objects of experience. They are, nevertheless, intelligible, and play a vital role in our mental and moral lives. I offer the beginnings of an account of mere thought using Kant's resources. I consider four key cases of intelligible representations that lack objective validity: unschematized categories; transcendental ideas; philosophical concepts; thoughts that violate principles of the understanding.

Despite his awareness that organisms are well suited to the habitats they are typically found in, Aristotle nowhere tries to explain this. It is unlikely that he thinks this “fit” (as I call it) between organisms and their habitats is simply a lucky coincidence, given how vehemently he rejects that as an explanation of the fit between organisms’ various body parts. But it is quite puzzling that Aristotle never explicitly addresses this, since it is a question that seemed so pressing (...) to later philosophers and biologists such as Darwin. In this paper I offer a solution to that puzzle. As I argue, the type of habitat an organism lives in is partly constitutive of its essence or nature. The reason Aristotle does not ask, for instance, why marsh-dweller birds live in marshes, is that it is simply constitutive of their nature that they do so. Given that habitat is built into a kind’s essence, the answer to such a question is obvious and the question would have seemed to him trivial. By attending to the details of his biological treatises, I show that Aristotle’s conception of a living being’s essence is much more nuanced than one can glean from his discussions in the Physics and Metaphysics alone. (shrink)

_ Source: _Volume 63, Issue 1, pp 64 - 86 Five times in the extant corpus, Aristotle refers to a distinction between two ways of being a ‘that for the sake of which’ that he sometimes marks by using genitive and dative pronouns. Commentators almost universally say that this is the distinction between an aim and beneficiary. I propose that Aristotle had a quite different distinction in mind, namely: that which holds between something and the aim or objective it is (...) in the business of producing or achieving, and that which holds between some instrument and the user of that instrument. (shrink)

Journal of Political Philosophy, EarlyView.

Following Burge, many anti-individualists suppose that a subject can possess a concept even if she incompletely understands it. While agreeing that this is possible, I argue that there is a limit on the extent to which a subject can incompletely understand the set of concepts she thinks with. This limit derives from our conception of our ability to reflectively evaluate our own thoughts or, as Burge puts it, our ability to engage in critical reasoning. The paper extends Burge’s own work (...) on critical reasoning. He argued that critical reasoning imposes a limit on the extent to which we can be mistaken about what thoughts we are having; in general, we can know non-empirically what we are thinking . He does not explicitly consider whether critical reasoning also imposes a limit on incomplete understanding of thoughts. (shrink)

Jessica du Toit wonders if our relationship with our pets can be morally defended.

Antibiotic resistance (AR) is a major threat to public health and healthcare worldwide. In this article, we analyse and discuss the claim that taking actions to minimize AR is everyone's responsibility, focusing on individual moral responsibility. This should not be merely interpreted as a function of knowledge of AR and the proper use of antibiotics. Instead, we suggest a circumstantial account of individual responsibility for AR, where individuals do or do not engage in judicious antibiotic behaviour with different degrees of (...) voluntariness. Furthermore, we suggest a notion of responsibility as a virtue, in which individuals have the opportunity to develop a sensitivity towards the AR theme and, consequently, are capable of engaging, actively and voluntarily, in judicious antibiotic behaviour. The development of such sensitivity depends on the creation of adequate circumstances, that is individual capacities and availability of resources. (shrink)

I address the question of whether there is any role for metaphysics to play on which it is both non-redundant and capable of genuinely illuminating whatever subject matter is at issue. I first argue that metaphysical methodology itself obliges metaphysicians to take this question seriously. I then argue that the currently popular “hands-off” conception of metaphysical theorizing is unable to provide a satisfactory answer to the question of metaphysics. Third, I present my preferred “embedded” conception of metaphysics, and say why (...) it makes good sense of metaphysics as a non-redundant discipline, capable of producing intelligible and illuminating results. (shrink)

Inadequate diet is the leading risk factor for morbidity and mortality worldwide. However, approaches to identifying inadequate diets in clinical practice remain inconsistent, and dietary interventions frequently focus on facilitating ‘healthy choices’, with limited emphasis on structural constraints. We examine the ethical implications of introducing a routine question in the medical history about ability to access food. Not collecting data on food security means that clinicians are unable to identify people who may benefit from support on an individual level, unable (...) to consider relevant dietary risk factors for disease and disease progression and unable to monitor population trends and inequalities in dietary access in order to design effective policy interventions. We argue that the current lack of routine screening for food insecurity is inconsistent with our approach to other health behaviours, as well as with doctors’ frequent informal role as gatekeepers to the food aid system, and recent calls for governmental action on food insecurity and health inequalities from individual clinicians and professional bodies. Potential ethical barriers to asking patients about food security are addressed, including concerns about stigma, limiting autonomy, fair resource allocation, unclear professional remits and clinicians’ ability to offer effective interventions. We suggest that there is an ethical imperative for doctors to ask patients about their ability to access healthy food. Gathering this data provides a valuable first step in re-framing the social determinants of health as modifiable risks, rather than inevitable inequities. No data are available. (shrink)

The capability approach aims to ensure all individuals are able to form and pursue their own conception of the good, whilst the state remains neutral between them, and has done much to include oppressed and marginalised groups. Liberal neutrality and social inclusivity are worthy goals, yet I argue that Martha Nussbaum’s influential formulation of the capability approach, at least, cannot meet them. Conceptualising capabilities as opportunities to perform specific, valuable functionings fails to accommodate those who do not value, or cannot (...) perform, these functionings. I therefore propose that the capability approach be modified, such that capabilities are conceptualised, instead, as opportunities to exercise control in certain central domains of our life. (shrink)

ABSTRACTThis article analyzes the moral-psychological stakes of Jay Garfield's reading of Buddhist ethics as moral phenomenology and applies that thesis to the pedagogical mechanisms of the Tibetan Buddhist lojong tradition. I argue that moral phenomenology requires that the practitioner work on a part of her subjectivity not ordinarily accessible to agential action: the phenomenological structures that condition experience. This makes moral phenomenology a highly ambitious ethical project. I turn to lojong as an example of a Buddhist practice that claims to (...) accomplish this ambitious task. As a training toward the ethical ideal of bodhicitta, lojong utilizes practices of meditation and contemplation to disrupt the habitual, affective responses that arise from the conventional phenomenological orientation to the world, replacing them with imagined responses of radically compassionate altruism. This ultimately inculcates a transformation of the phenomenological structures that underlie both ethical action and conscious experience, fulfilling the aim of moral phenomenology. (shrink)

The suggestion that individuals should be considered disadvantaged, and consequently entitled to compensation, only if they consider themselves disadvantaged (Dworkin’s ‘continuity test’) is initially appealing. However, it also faces problems. First, if individuals are routinely mistaken, then we routinely fail to assist the deserving. Second, if individuals assess their circumstances differently then the state will provide different levels of assistance to people in identical situations. Thus, should we instead ignore individuals’ convictions and provide assistance that some, at least, do not (...) feel they need? One set of cases where this dilemma is salient are those in which disabled individuals disagree over whether they are disadvantaged. Focussing on these, I argue that despite objections, individuals should have a voice in determining whether they are disadvantaged. However, I contend that our goal should not be ensuring continuity with individuals’ ethical convictions (concerning the pursuits they deem worthwhile or valuable), but their convictions regarding whether they are relevantly disadvantaged (whether they have what they are entitled to). (shrink)

In this article, I argue that a mistaken economy–culture dualism underlies the pitting of identity politics against class. I propose we be ‘non-dualists’ instead, viewing economic distributions and cultural representations as importantly co-constitutive, since this non-dualism lets us best theorise the intersections of injustices like class and race. I argue that the most sophisticated dualist attempt to transcend class versus identity debates – Nancy Fraser’s ‘perspectival dualism’ – inadvertently instantiates ‘methodological whiteness’ and struggles to illuminate the intersections of race and (...) class, overlooking how culturally specific representations and understandings importantly constitute economic structures and distributions. Jodi Dean’s contemporary restaging of the class versus identity debate, I suggest, repeats some of Fraser’s dualist missteps. To end, I propose a non-dualist approach which understands the economy as an ideological objectification of certain practices – an objectification which naturalises relations of raced, classed and gendered domination. Building on social reproduction currents of thought, I suggest a counter-hegemonic understanding of the economy – one informed by anti-racist, feminist and socialist rethinkings of what constitutes labour and who constitutes the ‘public’ of the economy’s imaginaries of public value. (shrink)

Given the long-standing controversy about whether the brain-dead should be considered alive in an irreversible coma or dead despite displaying apparent signs of life, the ethical and policy issues posed when family members insist on continued treatment are not as simple as commentators have claimed. In this article, we consider the kind of policy that should be adopted to manage a family's insistence that their brain-dead loved one continues to receive supportive care. We argue that while it would be ethically (...) inappropriate to continue to devote scarce acute care resources to such patients in a hospital setting, it may not be ethically inappropriate for patients to receive these resources in certain other settings. Thus, if a family insists on continuing to care for their brain-dead loved at their home, we should not, from a policy perspective, interfere with the family's wishes. We also argue that healthcare professionals should make some effort to facilitate the transfer of brain-dead patients to these other settings when families insist on continued treatment despite being informed about the lack of any potential for recovery of consciousness. Our arguments are strengthened by the fact that patients in a persistent vegetative state, who, when correctly diagnosed, also have no potential for recovery of consciousness, are routinely transferred from hospitals to nursing homes or long-term care facilities where they continue to be ventilated, tube fed and to receive other supportive care. We also briefly explore the question of who should be responsible for the costs of such treatment at the long-term care facility. (shrink)

Evidence that placebo acupuncture is an effective treatment for chronic pain presents a puzzle: how do placebo needles appearing to patients to penetrate the body, but instead sitting on the skin’s surface in the manner of a tactile stimulus, evoke a healing response? Previous accounts of ritual touch healing in which patients often described enhanced touch sensations suggest an embodied healing mechanism. In this qualitative study, we asked a subset of patients in a singleblind randomized trial in irritable bowel syndrome (...) to describe their treatment experiences while undergoing placebo treament. Analysis focused on patients’ unprompted descriptions of any enhanced touch sensations and any significance patients assigned to the sensations. We found in 5/6 cases, patients associated sensations including “warmth” and “tingling” with treatment efficacy. The conclusion offers a “neurophenomenological” account of the placebo effect by considering dynamic effects of attentional filtering on early sensory cortices, possibly underlying the phenomenology of placebo acupuncture. (shrink)