The purpose of this article is to investigate how cultural meanings associated with the left ventricular assist device inform acceptance and experience of this innovative technology when it is used as a destination therapy. We conducted open-ended, semistructured interviews with family caregivers and patients who had undergone LVAD-DT procedures at six U.S. hospitals. A grounded theory approach was used for the analysis. Thirty-nine patients and 42 caregivers participated. Participants described a sense of obligation to undergo the procedure because of its (...) promise for salvation. However, once the device was implanted, patients described being placed into a liminal state of being neither sick nor healthy, with no culturally scripted role. Consideration of end-of-life decisions was complicated by the uncertainties about how patients with LVADs die. Pre-implantation communications among patient, family, and clinicians should take into account the impact of the technology on meaning, identity, and patient experience. (shrink)

Offers a systematic account of the doctrine of grace of Bonaventure (1221-1274) across his speculative-academic, mystical, hagiographical, and pastoral texts, paying particular attention to his use of the term "hierarchy" in reference to Francis of Assisi and the human soul in general.

I outline a number of parallels between trust and distrust, emphasising the significance of situations in which both trust and distrust would be an imposition upon the (dis)trustee. I develop an account of both trust and distrust in terms of commitment, and argue that this enables us to understand the nature of trustworthiness. Note that this article is available open access on the journal website.

In this paper, I argue that there is a notion of 'counterfactual success' which stands to knowledge how as true belief stands to propositional knowledge. (I attempt to avoid the question of whether knowledge how is a type of propositional knowledge.).

This article explores the relationship between pragmatic encroachment and epistemic permissiveness. If the suggestion that all epistemic notions are interest-relative is viable , then it seems that a certain species of epistemic permissivism must be viable as well. For, if all epistemic notions are interest relative then, sometimes, parties in paradigmatic cases of shared evidence can be maximally rational in forming competing basic doxastic attitudes towards the same proposition. However, I argue that this total pragmatic encroachment is not tenable, and, (...) thus, epistemic permissivism cannot be vindicated in this way. (shrink)

You can trust your friends. You should trust your friends. Not all of your friends all of the time: you can reasonably trust different friends to different degrees, and in different domains. Still, we often trust our friends, and it is often reasonable to do so. Why is this? In this paper I explore how and whether friendship gives us reasons to trust our friends, reasons which may outstrip or conflict with our epistemic reasons. In the final section, I will (...) sketch some related questions concerning trust based on the trustee’s race, gender, or other social identity. (shrink)

What kind of entity is a committee, a book group or a band? I argue that committees and other such social groups are concrete, composite particulars, having ordinary human beings amongst their parts. So the committee members are literally parts of the committee. This mereological view of social groups was popular several decades ago, but fell out of favour following influential objections from David-Hillel Ruben. But recent years have seen a tidal wave of work in metaphysics, including the metaphysics of (...) parts and wholes. We now have the resources to rehabilitate the mereological view of social groups. I show how this can be done, and why we should bother. (shrink)

We articulate a view of natural kinds as complex universals. We do not attempt to argue for the existence of universals. Instead, we argue that, given the existence of universals, and of natural kinds, the latter can be understood in terms of the former, and that this provides a rich, flexible framework within which to discuss issues of indeterminacy, essentialism, induction, and reduction. Along the way, we develop a 'problem of the many' for universals.

Resolving religious disagreements is difficult, for beliefs about religion tend to come with strong biases against other views and the people who hold them. Evidence can help, but there is no agreed-upon policy for weighting it, and moreover bias affects the content of our evidence itself. Another complicating factor is that some biases are reliable and others unreliable. What we need is an evidence-weighting policy geared toward negotiating the effects of bias. I consider three evidence-weighting policies in the philosophy of (...) religion and advocate one of them as the best for promoting the resolution of religious disagreements. (shrink)

Faith is often regarded as having a fraught relationship with evidence. Lara Buchak even argues that it entails foregoing evidence, at least when this evidence would influence your decision to act on the proposition in which you have faith. I present a counterexample inspired by the book of Job, in which seeking evidence for the sake of deciding whether to worship God is not only compatible with faith, but is in fact an expression of great faith. One might still think (...) that foregoing evidence may make faith more praiseworthy than otherwise. But I argue against this claim too, once more drawing on Job. A faith that expresses itself by a search for evidence can be more praiseworthy than a faith that sits passively in the face of epistemic adversity. (shrink)

In this chapter, I examine Lewis's ideas about ontological innocence, ontological commitment and double-counting, in his discussion of composition as identity in Parts of Classes. I attempt to understand these primarily as epistemic or methodological claims: how far can we get down this route without adopting radical metaphysical theses about composition as identity?

Analytic metaphysics is in resurgence; there is renewed and vigorous interest in topics such as time, causation, persistence, parthood and possible worlds. We who share this interest often pay lip-service to the idea that metaphysics should be informed by modern science; some take this duty very seriously.2 But there is also a widespread suspicion that science cannot really contribute to metaphysics, and that scientific findings grossly underdetermine metaphysical claims. For some, this prompts the thought ‘so much the worse for metaphysics’; (...) others mutter ‘so much the worse for science’. (shrink)

Much of what we learn from talking and listening does not qualify as testimonial knowledge: we can learn a great deal from other people without simply accepting what they say as being true. In this article, I examine the ways in which we acquire skills or knowledge how from our interactions with other people, and I discuss whether there is a useful notion of testimonial knowledge how.Keywords: Knowledge how; Practical knowledge; Tacit knowledge; Testimony; Skills; Assertion.

Findings from the cognitive sciences suggest that the cognitive mechanisms responsible for some memory errors are adaptive, bringing benefits to the organism. In this paper we argue that the same cognitive mechanisms also bring a suite of significant epistemic benefits, increasing the chance of an agent obtaining epistemic goods like true belief and knowledge. This result provides a significant challenge to the folk conception of memory beliefs that are false, according to which they are a sign of cognitive frailty, indicating (...) that a person is less reliable than others or their former self. Evidence of memory errors can undermine a person’s view of themselves as a competent epistemic agent, but we show that false memory beliefs can be the result of the ordinary operation of cognitive mechanisms found across the species, which bring substantial epistemic benefits. This challenge to the folk conception is not adequately captured by existing epistemological theories. However, it can be captured by the notion of epistemic innocence, which has previously been deployed to highlight how beliefs which have epistemic costs can also bring significant epistemic benefits. We therefore argue that the notion of epistemic innocence should be expanded so that it applies not just to beliefs but also to cognitive mechanisms. (shrink)

Vague existence can seem like the worst kind of vagueness in the world, or seem to be an entirely unintelligible notion. This bad reputation is based upon the rumour that if there is vague existence then there are non-existent objects. But the rumour is false: the modest brand of vague existence entailed by certain metaphysical theories of composition does not deserve its bad reputation.

Material objects extend through space by having different spatial parts in different places. But how do they persist through time? According to some philosophers, things have temporal parts as well as spatial parts: accepting this is supposed to help us solve a whole bunch of metaphysical problems, and keep our philosophy in line with modern physics. Other philosophers disagree, arguing that neither metaphysics nor physics give us good reason to believe in temporal parts.

If the property _being a methane molecule_ is a universal, then it is a structural universal: objects instantiate _being a methane molecule_ just in case they have the right sorts of proper parts arranged in the right sort of way. Lewis argued that there can be no satisfactory account of structural universals; in this paper I provide a satisfactory account.

I argue that, despite van Inwagen’s pessimism about the task, it is worth looking for answers to his General Composition Question. Such answers or ‘principles of composition’ tell us about the relationship between an object and its parts. I compare principles of composition with criteria of identity, arguing that, just as different sorts of thing satisfy different criteria of identity, they may satisfy different principles of composition. Variety in criteria of identity is not taken to reflect ontological variety in the (...) identity relation; I discuss whether variety in principles of composition should be taken to reflect ontological variety in the composition relation. (shrink)

If we are sympathetic to the project of naturalising metaphysics, how should we approach the metaphysics of the social world? What role can the social sciences play in metaphysical investigation? In the light of these questions, this paper examines three possible approaches to social metaphysics: inference to the best explanation from current social science, conceptual analysis, and Haslanger-inspired ameliorative projects.

The field of clinical ethics consultation has matured into a multidisciplinary profession, with clinical ethics consultants (CECs) being trained in bioethics, philosophy, theology, law, medicine, n...

Simon Saunders argues that, although distinct objects must be discernible, they need only be weakly discernible (Saunders 2003, 2006a). I will argue that this combination of views is unmotivated: if there can be objects which differ only weakly, there can be objects which don’t differ at all.

This is a critical notice of Ladyman and Ross et al's Every Thing Must Go. I argue that they mischaracterise much of so-called 'analytic metaphysics', and that they could have usefully drawn upon the resources of current metaphysics in order to articulate their own views more clearly. The piece appears in a symposium which also includes contributions by Kyle Stanford and Paul Humphreys, with responses from Ladyman and Ross.

This is a very introductory introduction to some ways in which the special and general theories of relativity may bear upon metaphysical questions about the nature of time and space, and the persistence of objects.

This paper explores the concept of “gendered seeing”: the capacity to visually perceive another person's gender and the role that one's own gender plays in that perception. Assuming that gendered properties are actually perceptible, my goal is to provide some support from the philosophy of perception on how gendered visual experiences are possible. I begin by exploring the ways in which sociologists and psychologists study how we perceive one's sex and the implications of these studies for the sex/gender distinction. I (...) then discuss feminist philosopher Linda Alcoff's concept of “interpretative horizons,” which highlights the role that one's social and political identities play in how we understand the world around us. I also discuss Elizabeth Grosz's notion of double sensation. I then apply some work in the philosophy of perception on perceptual learning and the cognitive penetration of perception to gendered seeing. My hypothesis is that we can explain how one's interpretative horizons are acquired through some notion of perceptual learning. I conclude by suggesting some of the epistemic and ethical implications of gendered seeing. (shrink)

I claim that, if persisting objects have temporal parts, then there are non-supervenient relations between those temporal parts. These are relations which are not determined by intrinsic properties of the temporal parts. I use the Kripke-Armstrong 'rotating homogeneous disc' argument in order to establish this claim, and in doing so I defend and develop that argument. This involves a discussion of instantaneous velocity, and of the causes and effects of rotation. Finally, I compare alternative responses to the rotating disc argument, (...) and consider the implications of my arguments for the doctrines of Humean Supervenience and unrestricted mereology. (shrink)

This is a short response to a paper by Trenton Merricks in which he argues against the following doctrine: Microphysical Supervenience (MS) Necessarily, if atoms A1 through An compose an object that exemplifies intrinsic qualitative properties Q1 through Qn, then atoms like A1 through An (in all their respective intrinsic qualitative properties), related to one another by all the same restricted atom-to-atom relations as A1 through An, compose an object that exemplifies Q1 through Qn.

Roughly speaking, perdurantism is the view that ordinary objects persist through time by having temporal parts, whilst endurantism is the view that they persist by being wholly present at different times. (Speaking less roughly will be important later.) It is often thought that perdurantists have an advantage over endurantists when dealing with objects which appear to coincide temporarily: lumps, statues, cats, tail-complements, bisected brains, repaired ships, and the like. Some cases – personal fission, for example – seem to involve temporary (...) coincidence between objects of the same kind. Other cases – a cat and its flesh, a statue and its lump – seem to involve objects of different kinds. (shrink)

This is a short response to Aaron Cotnoir's 'Composition as General Identity', in which I suggest some further applications of his ideas, and try to press the question of why we should think of his 'general identity relation' as a genuine identity relation.

In his paper in the same volume, Sider argues that, of maximalism and quantifier variance, the latter promises to let us make better sense of neo-Fregeanism. I argue that neo-Fregeans should, and seemingly do, reject quantifier variance. If they must choose between these two options, they should choose maximalism.

Closest‐continuer or best‐candidate accounts of persistence seem deeply unsatisfactory, but it is hard to say why. the standard criticism is that such accounts violate the ‘only a and b’ rule, but this criticism merely highlights a feature of the accounts without explaining why the feature is unacceptable. Another concern is that such accounts violate some principle about the supervenience of persistence facts upon local or intrinsic facts. But, again, we do not seem to have an independent justification for this supervenience (...) claim. Instead, I argue that closest continuer accounts are committed to unexplained correlations between distinct existences, and that this is their fundamental flaw. We can have independent justification for rejecting such correlations, but what the justification is depends upon much broader issues in ontology. There is no one‐size‐fits all objection to closest‐continuer accounts of persistence. (shrink)

In this chapter I outline some metaphysical views about time, and about persistence, and discuss how they can help us clarify our thinking about life and death.

ABSTRACTThis research investigated whether precues engage proactive control to reduce emotional interference during speech production. A picture-word interference task required participants to name target pictures accompanied by taboo, negative, or neutral distractors. Proactive control was manipulated by presenting precues that signalled the type of distractor that would appear on the next trial. Experiment 1 included one block of trials with precues and one without, whereas Experiment 2 mixed precued and uncued trials. Consistent with previous research, picture naming was slowed in (...) both experiments when distractors were taboo or negative compared to neutral, with the greatest slowing effect when distractors were taboo. Evidence that precues engaged proactive control to reduce interference from taboo distractors was found in Experiment 1. In contrast, mixing precued trials in Experiment 2 resulted in no taboo cueing benefit. These results suggest that item-level proactive control can b... (shrink)

This article analyses the Hegelian notion of death, presented in the Phenomenology of Spirit. In this work, Hegel names death the “absolute master” and this idea appears in two different sections of the text. The first mention of the absolute master is in the death struggle for recognition, whereby the slave, who is aware of death and due to it experiments the anguish of its arrival, abandons the struggle to live at the service of his master. Thus, overcoming his own (...) fear of death, the slave finds in its expression the transformation of the world. The second mention takes place in the analysis of the terror lived during the French Revolution. In this part, Hegel describes how the abstraction of absolute freedom is imposed upon all citizens, generating death and terror among individuals. In both experiences that the subjects respectively face, death appears as an experience that opens us to reflection and allows us to overcome immediacy. (shrink)

Gamete donation offers a unique opportunity to compare men and women's relationships to reproductive decision-making, unlike other reproductive processes, which typically involve women's bodies much more asymmetrically. I address medical and reproductive decision-making by examining how a gamete donor's partner may be involved in the donation process. Some countries explicitly involve a donor's partner by legally requiring spousal consent for donation, but this is not the case for the U.S. In the absence of any formal regulation, what are the expectations (...) for involving a donor's partner? Through a content analysis of materials from donation programs across the U.S., I examine how donation programs configure the partner's role. Overall, I find that there are quite different expectations for partner involvement in egg versus sperm donation. Such differences, I argue, both stem from and reinforce existing issues navigating boundaries between intimate relationships and women's medical and reproductive autonomy. (shrink)

Self-criticism is a trait associated with increased psychopathology, but self-criticism is also a personality state reflecting an action that people do in moments of time. In the current study, we explored factors associated with heightened self-criticism in daily life. Participants (N = 197) received five random prompts per day for one week on their mobile phones, where they reported their current affect (negative and positive affect), willpower self-efficacy, distress intolerance, degree of support and criticism from others, current context (location, activity, (...) hunger, tiredness) and momentary self-criticism. We first demonstrated that self-criticism varies over time and across contexts, and is associated with heightened trait self-criticism. Then, using multilevel modelling, we explored the contextual factors associated with greater self-criticism. We found that self-criticism was higher when people were at home, and more tired. We also found higher self-criticism to be associated with greater negative and lower positive affect, greater distress intolerance, lower willpower and greater perceived criticism from others. In addition, self-criticism predicted subsequent distress intolerance, willpower and positive affect in lagged analyses. This study provides evidence that both environmental and psychological factors are associated with the dynamics of self-critical thoughts. (shrink)

This is a paper, aimed at students, which sets out some issues regarding personal identity over time.

This is a contribution to a symposium on Trenton Merricks' book Truth and Ontology. The symposium includes contributions by Karen Bennett and Kris McDaniel, with précis and replies by Trenton Merricks. I argue that even the very weak truthmaking principle he is willing to endorse is nevertheless useful for some philosophical purposes.