Norwegian health professionals, elderly people and family members experience ethical problems involving end-of-life decision making for elders in the context of the values of Norwegian society. This study used ethical inquiry and qualitative methodology to conduct and analyze interviews carried out with 25 health professionals, six elderly people and five family members about the ethical problems they encountered in end-of-life decision making in Norway. All three participant groups experienced ethical problems involving the adequacy of health care for elderly Norwegians. Older (...) people were concerned about being a burden to their families at the end of their life. However, health professionals wished to protect families from the burden of difficult decisions regarding health care for elderly parents at the end of life. Strategies are suggested for dialogue about end-of-life decisions and the integration of palliative care approaches into health care services for frail elderly people. (shrink)

Using a conceptual framework and method combining ethical enquiry and phenomenology, we asked 73 senior baccalaureate nursing students to answer two questions: (1) What is nursing students’ experience of an ethical problem involving nursing practice? and (2) What is nursing students’ experience of using an ethical decision-making model? Each student described one ethical problem, from which emerged five content categories, the largest being that involving health professionals (44%). The basic nature of the ethical problems consisted of the nursing students’ experience (...) of conflict, resolution and rationale; 85% of the students stated that using an ethical decision-making model was helpful. Although additional research is needed, these findings have important implications for nursing ethics education and practice. (shrink)

On the now dominant Quinean view, metaphysics is about what there is. Metaphysics so conceived is concerned with such questions as whether properties exist, whether meanings exist, and whether numbers exist. I will argue for the revival of a more traditional Aristotelian view, on which metaphysics is about what grounds what. Metaphysics so revived does not bother asking whether properties, meanings, and numbers exist (of course they do!) The question is whether or not they are fundamental.

In ‘Quiddistic Knowledge’ (Schaffer in Philos Stud 123:1–32, 2005), Jonathan Schaffer argued influentially against the view that the laws of nature are metaphysically necessary. In this reply I aim to show how a coherent and well-motivated form of necessitarianism can withstand his critique. Modal necessitarianism—the view that the actual laws are the laws of all possible worlds—can do justice to some intuitive motivations for necessitarianism, and it has the resources to respond to all of Schaffer’s objections. It (...) also has certain advantages over contingentism in the domain of modal epistemology. I conclude that necessitarianism about laws remains a live option. (shrink)

Causation, says David Lewis now, is to be understood as the ancestral of counterfactual influence, where C influences E (roughly) iff little changes in C map onto big changes in E. I argue that the influence account provides neither necessary nor sufficient conditions for causation, and suggest that what is missing is the notion of effluence, or physical connection.

Are the sparse properties drawn from all the levels of nature, or only the fundamental level? I discuss the notion of sparse property found in Armstrong and Lewis, show that there are tensions in the roles they have assigned the sparse properties, and argue that the sparse properties should be drawn from all the levels of nature.

I argue that Schaffer’s recent defence of Spinozan Monism—the thesis that the cosmos is the only substance, or the only fundamental and integrated thing— fails to establish that the universe is uniquely fundamental. In addition, Schaffer’s own defence of his thesis offers the pluralist about fundamentality a model for responding to Schaffer’s criticism of pluralism.

Jonathan Schaffer (2010) has summoned a new sort of demon – which he calls the debasing demon – that apparently threatens all of our purported knowledge. We show that any debasing skeptical argument must attack the justification condition and can do so only if a plausible thesis about justification is false.

Consider a circle and a pair of its semicircles. Which is prior, the whole or its parts? Are the semicircles dependent abstractions from their whole, or is the circle a derivative construction from its parts? Now in place of the circle consider the entire cosmos (the ultimate concrete whole), and in place of the pair of semicircles consider the myriad particles (the ultimate concrete parts). Which if either is ultimately prior, the one ultimate whole or its many ultimate parts?

Jonathan Schaffer has summoned a new sort of demon – which he calls the debasing demon – that apparently threatens all of our purported knowledge. We show that any debasing skeptical argument must attack the justification condition and can do so only if a plausible thesis about justification is false.

Grounding is often glossed as metaphysical causation, yet no current theory of grounding looks remotely like a plausible treatment of causation. I propose to take the analogy between grounding and causation seriously, by providing an account of grounding in the image of causation, on the template of structural equation models for causation.

Quantum mechanics seems to portray nature as nonseparable, in the sense that it allows spatiotemporally separated entities to have states that cannot be fully specified without reference to each other. This is often said to implicate some form of “holism.” We aim to clarify what this means, and why this seems plausible. Our core idea is that the best explanation for nonseparability is a “common ground” explanation, which casts nonseparable entities in a holistic light, as scattered reflections of a more (...) unified underlying reality. (shrink)

According to a prominent claim in recent epistemology, people are less likely to ascribe knowledge to a high stakes subject for whom the practical consequences of error are severe, than to a low stakes subject for whom the practical consequences of error are slight. We offer an opinionated "state of the art" on experimental research about the role of stakes in knowledge judgments. We draw on a first wave of empirical studies--due to Feltz & Zarpentine (2010), May et al (2010), (...) and Buckwalter (2010)--which cast doubt on folk stakes sensitivity, and a second wave of empirical studies--due to Pinillos (2012) and Sripada & Stanley (2012)--said to vindicate it, as well as new studies of our own. We conclude that the balance of evidence to date best supports Folk stakes insensitivity, or that all else equal, stakes do not affect knowledge ascription. (shrink)

Causation is widely assumed to be a binary relation: c causes e. I will argue that causation is a quaternary, contrastive relation: c rather than C* causes e rather than E*, where C* and E* are nonempty sets of contrast events. Or at least, I will argue that treating causation as contrastive helps resolve some paradoxes.

Causal claims are context sensitive. According to the old orthodoxy (Mackie 1974, Lewis 1986, inter alia), the context sensitivity of causal claims is all due to conversational pragmatics. According to the new contextualists (Hitchcock 1996, Woodward 2003, Maslen 2004, Menzies 2004, Schaffer 2005, and Hall ms), at least some of the context sensitivity of causal claims is semantic in nature. I want to discuss the prospects for causal contextualism, by asking why causal claims are context sensitive, what they are (...) sensitive to, and where they are sensitive to it. (shrink)

Suppose that Ann says, “Keith knows that the bank will be open tomorrow.” Her audience may well agree. Her knowledge ascription may seem true. But now suppose that Ben—in a different context—also says “Keith knows that the bank will be open tomorrow.” His audience may well disagree. His knowledge ascription may seem false. Indeed, a number of philosophers have claimed that people’s intuitions about knowledge ascriptions are context sensitive, in the sense that the very same knowledge ascription can seem true (...) in one conversational context but false in another. This purported fact about people’s intuitions serves as one of the main pieces of evidence for epistemic contextualism. (shrink)

Illustrates the similarities between the enslavement of Black people and the enslavement of animals in both the past and the present.

Orthodoxy has it that only metaphysically elite properties can be invoked in scientifically elite laws. We argue that this claim does not fit scientific practice. An examination of candidate scientifically elite laws like Newton’s F = ma reveals properties invoked that are irreversibly defined and thus metaphysically non-elite by the lights of the surrounding theory: Newtonian acceleration is irreversibly defined as the second derivative of position, and Newtonian resultant force is irreversibly defined as the sum of the component forces. We (...) think that scientists are happy to invoke metaphysically non-elite properties in scientifically elite laws for reasons of convenience, such as to simplify the equations and to make them more modular. On this basis, we draw a deflationary moral about laws themselves, as being merely convenient summaries. 1 Introduction2 Orthodoxy2.1 Orthodoxy stated2.2 Orthodoxy explained2.3 A worrisome commitment: Term objectivism3 The Loose View3.1 The argument from practice3.2 Finding the scientifically elite equations3.3 Diagnosing the metaphysically non-elite properties3.4 Situating our challenge4 Newtonian Mechanics4.1 Newtonian acceleration4.2 Newtonian resultant force4.3 A metaphysical discovery?5 Objections5.1 Metaphysically elite after all?5.2 Scientifically non-elite after all?5.3 But our world is not Newtonian!6 Consequences6.1 Consequences for the motivations for link6.2 Consequences for metaphysically elite properties6.3 Consequences for lawhood. (shrink)

According to a line of thought tracing from Descartes, Leibniz, and Locke through to Kripke, Levine, and Chalmers, there is a special explanatory gap arising between the physical and the phenomenal. I argue that the physical-phenomenal gap is not special but rather that such gaps are pervasive, lurking in the transition from the physical to the chemical and in every concrete transition from more to less fundamental. Correlatively, I argue that such gaps are unproblematic, so long as they are bridged (...) by substantive principles of metaphysical grounding. So I articulate a form of physicalism — “ground physicalism” — on which the physical grounds the chemical, the biological, and the psychological, and explain how ground physicalism resolves explanatory gap worries. (shrink)

Contextualism treats ‘knows’ as an indexical that denotes different epistemic properties in different contexts. Contrastivism treats ‘knows’ as denoting a ternary relation with a slot for a contrast proposition. I will argue that contrastivism resolves the main philosophical problems of contextualism, by employing a better linguistic model. Contextualist insights are best understood by contrastivist theory.

Can there be deterministic chance? That is, can there be objective chance values other than 0 or 1, in a deterministic world? I will argue that the answer is no. In a deterministic world, the only function that can play the role of chance is one that outputs just Os and 1s. The role of chance involves connections from chance to credence, possibility, time, intrinsicness, lawhood, and causation. These connections do not allow for deterministic chance.

Mereological nihilism is the view that all concrete objects are simple. Existence monism is the view that the only concrete object is one big simple: the world. I will argue that nihilism culminates in monism. The nihilist demands the simplest sufficient ontology, and the monist delivers it.

Knowledge ascriptions seem context sensitive. Yet it is widely thought that epistemic contextualism does not have a plausible semantic implementation. We aim to overcome this concern by articulating and defending an explicit contextualist semantics for ‘know,’ which integrates a fairly orthodox contextualist conception of knowledge as the elimination of the relevant alternatives, with a fairly orthodox “Amherst” semantics for A-quantification over a contextually variable domain of situations. Whatever problems epistemic contextualism might face, lack of an orthodox semantic implementation is not (...) among them. (shrink)

Does G. E. Moore know that he has hands? Yes, says the dogmatist: Moore’s hands are right before his eyes. No, says the skeptic: for all Moore knows he could be a brain-in-a-vat. Yes and no, says the contrastivist: yes, Moore knows that he has hands rather than stumps; but no, Moore does not know that he has hands rather than vat-images of hands. The dogmatist and the skeptic suppose that knowledge is a binary, categorical relation: s knows that p. (...) The contrastivist says that knowledge is a ternary, contrastive relation: s knows that p rather than q. (shrink)

‘‘Thus I believe that there is no part of matter which is not—I do not say divisible—but actually divided; and consequently the least particle ought to be considered as a world full of an infinity of different creatures.’’ (Leibniz, letter to Foucher).

Quantum mechanics seems to portray nature as nonseparable, in the sense that it allows spatiotemporally separated entities to have states that cannot be fully specified without reference to each other. This is often said to implicate some form of “holism.” We aim to clarify what this means, and why this seems plausible. Our core idea is that the best explanation for nonseparability is a “common ground” explanation, which casts nonseparable entities in a holistic light, as scattered reflections of a more (...) unified underlying reality. (shrink)

I argue that the one and only truthmaker is the world. This view can be seen as arisingfrom (i) the view that truthmaking is a relation of grounding holding between true propositions and fundamental entities, together with (ii) the view that the world is the one and only fundamental entity. I argue that this view provides an elegant and economical account of the truthmakers, while solving the problem of negative existentials, in a way that proves ontologically revealing.

The Razor commands us not to multiply entities without necessity. I argue for an alternative principle—The Laser—which commands us not to multiply fundamental entities without necessity.

The physical and/or intrinsic connection approach to causation has become prominent in the recent literature, with Salmon, Dowe, Menzies, and Armstrong among its leading proponents. I show that there is a type of causation, causation by disconnection, with no physical or intrinsic connection between cause and effect. Only Hume-style conditions approaches and hybrid conditions-connections approaches appear to be able to handle causation by disconnection. Some Hume-style, extrinsic, absence-relating, necessary and/or sufficient condition component of the causal relation proves to be needed.

What is the relation between material objects and spacetime regions? Supposing that spacetime regions are one sort of substance, there remains the question of whether or not material objects are a second sort of substance. This is the question of dualistic versus monistic substantivalism. I will defend the monistic view. In particular, I will maintain that material objects should be identified with spacetime regions. There is the spacetime manifold, and the fundamental properties are pinned directly to it.

The argument from internal relatedness was one of the major nineteenth century neo-Hegelian arguments for monism. This argument has been misunderstood, and may even be sound. The argument, as I reconstruct it, proceeds in two stages: first, it is argued that all things are internally related in ways that render them interdependent; second, the substantial unity of the whole universe is inferred from the interdependence of all of its parts. The guiding idea behind the argument is that failure of free (...) recombination is the modal signature of an integrated monistic cosmos. Frequently consider the connection of all things in the universe and their relation to one another. For in a manner all things are implicated with one another... (Marcus Aurelius, Meditations, p. 43). (shrink)

How should one understand knowledge-wh ascriptions? That is, how should one understand claims such as ‘‘I know where the car is parked,’’ which feature an interrogative complement? The received view is that knowledge-wh reduces to knowledge that p, where p happens to be the answer to the question Q denoted by the wh-clause. I will argue that knowledge-wh includes the question—to know-wh is to know that p, as the answer to Q. I will then argue that knowledge-that includes a contextually (...) implicit question. I will conclude that knowledge is a question-relative state. Knowing is knowing the answer, and whether one knows the answer depends (in part) on the question. (shrink)

Philosophy and Phenomenological Research, Volume 99, Issue 3, Page 749-767, November 2019.

Negative causation occurs when an absence serves as cause, effect, or causal intermediary. Negative causation is genuine causation, or so I shall argue. It involves no physical connection between cause and effect. Thus causes need not be physically connected to their effects.

I argue that, just like causal explanation requires laws of nature, so metaphysical explanation requires laws of metaphysics. I offer a minimal rendition of the argument for laws of metaphysics, assuming nothing about grounding or essences, and little about explanation. And I offer a positive and minimal functional conception of the laws of metaphysics, coupled with an argument that some laws of metaphysics are fundamental.

How should the contrastivist formulate closure? That is, given that knowledge is a ternary contrastive state Kspq (s knows that p rather than q), how does this state extend under entailment? In what follows, I will identify adequacy conditions for closure, criticize the extant invariantist and contextualist closure schemas, and provide a contrastive schema based on the idea of extending answers. I will conclude that only the contrastivist can adequately formulate closure.

Is the relation between properties and the causal powers they confer necessary, or contingent? Necessary, says Sydney Shoemaker, on pain of skepticism about the properties. Contingent, says David Lewis, swallowing the skeptical conclusion. I shall argue that Lewis is right about the metaphysics, but that Shoemaker and Lewis are wrong about the epistemology. Properties have intrinsic natures (quiddities), which we can know.