ABSTRACTHélène Landemore's Democratic Reason offers a new justification for democracy and for broad-based citizen participation, appealing to the “emergent” intelligence of large, diverse groups. She argues that ordinary citizens should rule as directly as possible because they will make better informed, more intelligent decisions than, for example, appointed officials, councils of experts, or even elected representatives. The foundation of this conclusion is the premise that “diversity trumps ability” in a wide range of contexts. But the main support for that claim (...) is merely a series of computer experiments that are strongly biased toward that result and tell us essentially nothing about decision making in real-world political settings. Moreover, Landemore's analyses of alternative forms of rule deal only in abstract comparisons between sharply distinguished ideal types. Among other difficulties, they entirely overlook the central consideration in such comparisons: the relative ability of any decision-making process to go beyond stereotyped, intrinsic strategies and integrate multiple sources and varieties of information. In the end, Landemore's claims for the superior intelligence of broadly participatory forms are thus not supported by credible evidence. (shrink)

In his justly celebrated Expert Political Judgment, Philip E. Tetlock evaluates the judgment of economic and political experts by rigorously testing their ability to make accurate predictions. He finds that ability profoundly limited, implying that expert judgment is virtually useless, if not worse. He concludes by proposing a project that would seek to improve experts' performance by holding them publicly accountable for their claims. But Tetlock's methods severely underestimate the value of expert opinion. Despite their notorious disagreements, experts have highly (...) pertinent information and advice in many areas of public policy. The main problem with experts is that political actors seize on their most extreme views in one direction or the other, and overlook their areas of general agreement and the core of relatively reliable information that they provide. (shrink)

In his justly celebrated Expert Political Judgment, Philip E. Tetlock evaluates the judgment of economic and political experts by rigorously testing their ability to make accurate predictions. He finds that ability profoundly limited, implying that expert judgment is virtually useless, if not worse. He concludes by proposing a project that would seek to improve experts' performance by holding them publicly accountable for their claims. But Tetlock's methods severely underestimate the value of expert opinion. Despite their notorious disagreements, experts have highly (...) pertinent information and advice in many areas of public policy. The main problem with experts is that political actors seize on their most extreme views in one direction or the other, and overlook their areas of general agreement and the core of relatively reliable information that they provide. (shrink)

Bryan Caplan’s The Myth of the Rational Voter turns, in two contrasting ways, on the role of experts. On the one hand, Caplan uses the opinions of economists as a benchmark for identifying error in public opinion, finding such error systematic and pervasive. On the other hand, in considering remedies, he largely discounts the ability of policymakers to use expert advice and their own expertise to resist misguided public pressure. Although Caplan’s use of expert opinion as a benchmark, in principle, (...) is acceptable, he overstates what we can conclude from that exercise with his data. There are, however, alternative grounds for a more tentative, yet broadly similar, assessment of the prevalence of error in mass opinion. (shrink)

Journal Name: Philologus Issue: Ahead of print.

Tulis’s critique of popular presidential leadership raises several questions about public opinion: Do modern, rhetorically inclined presidents influence the public? What types of presidential rhetoric might, in principle, mislead or manipulate the public? And is the net result that the people are led into error and distortion in their policy opinions? The public‐opinion literature, which has assiduously documented the public’s ignorance about politics and policy, might seem, at first glance, to offer grounds for an unequivocal “yes” to the third question. (...) But most scholars of public opinion discount public ignorance and defend an optimistic view of the citizenry’s political competence. The more convincing arguments and evidence, however, support more critical views. There is ample reason to worry about the consequences of policy making driven by popular rhetoric, and thus to consider whether any remedies for plebiscitary democracy might be found. (shrink)

We present the case of a 36-year-old woman who has experienced three lost pregnancies; during the most recent loss, a full term pregnancy, she almost died from complications of placental abruption. She is now completing the 34th week of gestation and is experiencing symptoms similar to those under which she lost the previous pregnancy. Despite a lack of specific medical indications, the patient and her husband firmly but politely request that the attending obstetrician/perinatologist perform an immediate cesarean section in order (...) to alleviate the couple’s anxiety about possibly never having a family. Discussing the case are an experienced perinatologist, a neonatologist, a regional perinatal center coordinator, and a clinical ethicist. (shrink)

We present the case of a 36-year-old woman who has experienced three lost pregnancies; during the most recent loss, a full term pregnancy, she almost died from complications of placental abruption. She is now completing the 34th week of gestation and is experiencing symptoms similar to those under which she lost the previous pregnancy. Despite a lack of specific medical indications, the patient and her husband firmly but politely request that the attending obstetrician/perinatologist perform an immediate cesarean section in order (...) to alleviate the couple’s anxiety about possibly never having a family. Discussing the case are an experienced perinatologist, a neonatologist, a regional perinatal center coordinator, and a clinical ethicist. (shrink)

Involuntary autobiographical memories (IAMs) and déjà vu are phenomena that occur spontaneously in daily life. IAMs are recollections of the personal past, whereas déjà vu is defined as an experience in which the person feels familiarity at the same time as knowing that the familiarity is false. We present and discuss the idea that both IAMs and déjà vu can be explained as natural phenomena resulting from memory processing and, importantly, are both based on the same memory retrieval processes. Briefly, (...) we hypothesise that both can be described as “involuntary” or spontaneous cognitions, where IAMs deliver content and déjà vu delivers only the feeling of retrieval. We map out the similarities and differences between the two, making a theoretical and neuroscientific account for their integration into models of memory retrieval and how the autobiographical memory literature can explain these quirks of daily life and unusual but meaningful phenomena. We explain the emergence of the déjà vu phenomenon by relating it to well-known mechanisms of autobiographical memory retrieval, concluding that IAMs and déjà vu lie on a continuum. (shrink)

Bertrand Russell says of Leibniz that "the best parts of his philosophy are the most abstract and the worst those which most nearly concern human life". Many have agreed with Russell's comments and the treatment of Leibniz by most Anglo-American philosophers in particular during this century is a testimony to his sentiments. Even sympathetic commentators have been dismissive or apologetic of those aspects of Leibniz's thought that "concern human life". My purpose here is not to dear Leibniz of any and (...) all animadversions - personal or philosophical - but to attempt to understand the dissimulation and equivocality that even his admirers ascribe to his non-logical writings. It is my position that such qualities were intrinsic to his thought, and not simply personal quirks or flaws that have to be tolerated or dismissed in any sustained examination of his philosophy. (shrink)

ABSTRACT This paper reviews the dynamics behind, and ethical issues associated with, the phenomenon of drug resistance. Drug resistance is an important ethical issue partly because of the severe consequences likely to result from the increase in drug resistant pathogens if more is not done to control them. Drug resistance is also an ethical issue because, rather than being a mere quirk of nature, the problem is largely a product of drug distribution. Drug resistance results from the over‐consumption of (...) antibiotics by the wealthy; and it, ironically, results from the under‐consumption of antibiotics, usually by the poor or otherwise marginalized. In both kinds of cases the phenomenon of drug resistance illustrates why health (care) – at least in the context of infectious disease – should be treated as a (global) public good. The point is that drug resistance involves ‘externalities’ affecting third parties. When one patient develops a resistant strain of disease because of her over‐ or under‐consumption of medication, this more dangerous malady poses increased risk to others. The propriety of free‐market distribution of goods subject to externalities is famously dubious – given that the ‘efficiency’ rationale behind markets assumes an absence of externalities. Market failure in the context of drug resistance is partly revealed by the fact that no new classes of antibiotics have been developed since 1970. I conclude by arguing that the case of drug resistance reveals additional reasons – to those traditionally appealed to by bioethicists – for treating health care as something special when making policy decisions about its distribution. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Fictive and the Imaginary: Charting Literary AnthropologyPeter J. RabinowitzThe Fictive and the Imaginary: Charting Literary Anthropology, by Wolfgang Iser; xix & 347 pp. Baltimore: Johns Hopkins University Press, 1993, $55.00 cloth, $15.95 paper.Iser’s book argues that “the special character of literature is its production through a fusion” (p. xiii) of the fictive (“an act of boundary-crossing which, nonetheless, keeps in view what has been overstepped”) (pp. xiv-xv) (...) and the imaginary (“a featureless and inactive potential”) (p. xvii). As a consequence, he anchors his “different form of heuristics” (p. xiii) in two dense meditations on the history of these terms. The first, chapter 3, teases out the way “fiction” has been “thematized” in philosophical writings—with detailed explications, in particular, of the works of Bacon (who views fiction as an idol), Bentham (“who stands for a paradigm switch” [p. 112] in which fiction becomes “a mode of bridge-building” [p. 123]), Vaihinger (“fiction as a transparent posit” [p. 130]), and Nelson Goodman (who sees fictions in terms of worldmaking). The second, chapter 4, deliberates on the nature of the imaginary, with particular attention to Coleridge (who made “the last significant attempt” to treat imagination as a faculty [p. 186]), Sartre (for whom the imaginary is an act), and Cornelius Castoriadis (who has developed the notion of the “radical imaginary”).But while the book deals exhaustively with the twin terms of its main title, its relation to its subtitle is more vexed. Certainly, this book is not about anthropology in any conventional sense. Although Iser pays lip service to “culture-bound patternings” (p. 297), in fact his inquiry almost entirely ignores the pressures of particular cultural contexts; and to the extent that he deals with “the human condition,” he does so by universalizing from a narrow slice of the Western intellectual tradition. Nor, more surprisingly, is the book really very much concerned with literature. True, the second chapter—the most compelling—offers revealing insights into the literary fictionality of some specific instances of Renaissance pastoral; but it is significant that this analysis precedes, rather than follows from, Iser’s philosophical explorations. And while he returns, in his last chapters, to literature—specifically, to a notion of literature as play—this discussion is almost completely divorced from any engagement with actual literary texts. Glancing references to Tristram Shandy and Finnegans Wake, a slightly longer mention of Beckett’s Imaginary Dead Imagine: these serve as the springboards from which Iser makes sweeping transhistorical, crosscultural pronouncements about “the” text.The Fictive and the Imaginary makes heavy demands on its readers. Although Iser lashes out against “unwieldy structuralist terminology” (p. x), his own style is dense and abstract, and his basic terminology is muddled. For instance, he insists on the term “imaginary,” in contrast to such familiar terms as “imagination,” because it is “comparatively neutral” and “has not yet been permeated by [End Page 188] traditional associations” (p. 305)—yet his analysis often depends pivotally on treating “the imaginary” and “the imagination” as equivalents. Matters are made more difficult yet by Iser’s tendency to conflate two different tasks: elucidating the history of the discourse around the terms and finding the “true” nature of the fictive and the imaginary themselves.Then, too, as the summary above may suggest, the book has organizational quirks. Iser begins by insisting vigorously on a triad, replacing the distinction between fiction and reality with the three-pronged distinction of “the real, the fictive, and... the imaginary” (p. 1). But the definition of the real, oddly exiled to a footnote, is internally inconsistent (it refers simultaneously to “the empirical world” and to “the variety of discourses relevant to the author’s approach to the world”) (p. 305), and in any case, it is soon demoted to a minor character in the argument. Indeed, in the “Epilogue”—on mimesis and literary staging—the notions of the fictive and imaginary have vanished as well. One is left, then, with a clump of chapters that do not cohere into a single book, much less a unified argument. For all its scattered insights, The Fictive and the Imaginary does not meet the high standards set by... (shrink)

The two last chapters of the book are a personal addition of Aquino giving a communal dimension to the illative sense and mapping how people ordinarily reach certitude by transmission of knowledge and by relying on the reason of others. He leaves behind certain limitations of Newman, his “personality quirks and cultural biases”, and stresses the need of the virtues and the damaging influence of the vices on the illative sense. Christian wisdom is a mature form of the illative sense. (...) In chapter 5 we are told that even in theology one needs this communal exchange to reach an informed judgment. Instead of solitary theological discernment we must form “communities of theological judgment.” This part of the book describes what happens in teaching and learning as an application of Newman’s illative sense. A good number of modern authors are quoted to strengthen the argument. (shrink)

Following the announcement in 1949 in the USA that cortisone offered rheumatoid arthritis sufferers effective treatment for their crippling disease, the Ministry of Health came under considerable pressure from the medical profession and the public to make cortisone available in Britain. The Ministry, therefore, urged British companies to start manufacturing cortisone. Among the several pharmaceutical firms responding to the Ministry’s request, Glaxo’s expertise in the field of vitamins gave them a head start. This paper describes the varied and flexible strategy (...) that enabled Glaxo to maintain this head start, and the scientific and technical capabilities which the company subsequently built up, enabling them to dominate the market for corticosteroids in Britain.Among the drugs to emerge out of the Glaxo project to manufacture cortisone, which began in 1950 and later became a wider R&D programme on steroids, was the topical steroid Betnovate, launched in 1963, which remains a best-seller today. However, although it led to successful new products, Glaxo’s programme had limitations. The paper identifies a missed opportunity, in the shape of the biosynthetic route to steroid drugs, often considered as a milestone in the development of the new biotechnology. Whether or not this missed opportunity proved costly to the company is uncertain. However, it illustrates the role of technological path-dependence, and the importance of the integration between different scientific disciplines, in this case chemistry and biology, in pharmaceutical innovation. (shrink)