In 1856, the State of Ohio began an enumeration of its population to count and identify people with disabilities. This paper examines the ethical role of the accounting profession in this project, which supported the transatlantic eugenics movement and its genocidal attempts to eliminate disabled persons from the population. We use a theoretical approach based on Levinas who argued that the self is generated through engagement with the Other, and that this engagement presupposes a responsibility to and for the Other. (...) We show that successive waves of legislation relied on State and County auditors along with Township clerks and assessors to conduct the mechanics of the enumeration of the population, which focused on the identification, categorization, and counting of the disabled people of the State. We argue that the accounting-based technologies of enumeration and reporting objectify the enumerated persons and deny the auditor’s pre-existing ethical obligation to this new Other. We show how the financial expertise and structures of the State were engaged in the execution of this mandate, which remained in place for over a century and supported a program of institutionalization. We consider the ramifications of this for our understanding of the ethical role of public sector accounting in the United States over this period, which has been under-explored. (shrink)

Semmelweis’s work predates the discovery of the power of randomization in medicine by almost a century. Although Semmelweis would not have consciously used a randomized controlled trial (RCT), some features of his material—the allocation of patients to the first and second clinics—did involve what was in fact a randomization, though this was not realised at the time. This article begins by explaining why Semmelweis’s methodology, nevertheless, did not amount to the use of a RCT. It then shows why it is (...) descriptively and normatively interesting to compare what he did with the modern approach using RCTs. The argumentation centres on causal inferences and the contrast between Semmelweis’s causal concept and that deployed by many advocates of RCTs. It is argued that Semmelweis’s approach has implications for matters of explanation and medical practice. (shrink)

Fred Feldman has argued that consequentialists can answer the well-known by replacing the utilitarian axiology with one that makes the value of receiving pleasures and pains depend on how deserved it is. It is shown that this proposal is open to three interpretations: the Fit-idea, which operates with the degree of fit between what recipients get and what they deserve; the Merit-idea, which operates with the magnitude of the recipients' desert or merit; and the Fit-Merit idea which is a combination (...) of and. It is argued that none of these ideas will do, among other things because they fail to take into account the fact that justice involves inter-personal comparisons. (shrink)

Artificial intelligence (AI) is becoming increasingly influential in most people’s lives. This raises many philosophical questions. One is what responsibility we have as individuals to guide the development of AI in a desirable direction. More specifically, how should this responsibility be distributed among individuals and between individuals and other actors? We investigate this question from the perspectives of five principles of distribution that dominate the discussion about responsibility in connection with climate change: effectiveness, equality, desert, need, and ability. Since much (...) is already written about these distributions in that context, we believe much can be gained if we can make use of this discussion also in connection with AI. Our most important findings are: (1) Different principles give different answers depending on how they are interpreted but, in many cases, different interpretations and different principles agree and even strengthen each other. If for instance ‘equality-based distribution’ is interpreted in a consequentialist sense, effectiveness, and through it, ability, will play important roles in the actual distributions, but so will an equal distribution as such, since we foresee that an increased responsibility of underrepresented groups will make the risks and benefits of AI more equally distributed. The corresponding reasoning is true for need-based distribution. (2) If we acknowledge that someone has a certain responsibility, we also have to acknowledge a corresponding degree of influence for that someone over the matter in question. (3) Independently of which distribution principle we prefer, ability cannot be dismissed. Ability is not fixed, however and if one of the other distributions is morally required, we are also morally required to increase the ability of those less able to take on the required responsibility. (shrink)

In Confrontations with the Reaper Fred Feldman puts forward puts forward an ethical theory called ‘justicized act utilitarianism’, JAU, according to which an act is morally right if and only if it maximizes universal justice level, i.e., brings it about that as many as possible get what they deserve. It is here argued that JAU is exposed to objections under the force of which it either loses its special emphasis on justice or its utilitarian character. It is also contended that, (...) contrary to what Feldman suggests, JAU does not deal more plausibly with procreation and abortion than do more familiar forms of utilitarianism. Rather, it deals less plausibly at least with abortion, due to difficulties in the concept of desert. (shrink)

The ability to exchange samples and data is crucial for the rapidly growth of biobanking. However, sharing is based on the assumption that the donor has given consent to a given use of her or his sample. Biobanking stakeholders, therefore, must choose 1 of 3 options: obtain general consent enabling multiple future uses before taking a sample from the donor, try to obtain consent again before sharing a previously obtained sample, or look for a legally endorsed way to share a (...) sample without the donor's consent. In this study, we present the results of 36 semistructured qualitative interviews with Swiss biobanking stakeholders regarding these options and the role of ethics committees in the process of authorizing sharing. Our results show that despite a lack of legal or guideline-based barriers to general consent, some stakeholders and ethics committees have reservations about this method of consent. In most cases, however, a general consent form is already in use. Many interviewees describe processes involving the ethics committees as time-consuming and cumbersome and their requirements as too demanding for donors/patients. Greater awareness of donors' opinions and preferences and the content of guidelines and recommendations could therefore be helpful for a better justified perspective of biobanking stakeholders and ethical committee members, equally. Finally, it may be necessary to differentiate between procedures governing future samples, where general consent is clearly desirable, and the use of old yet still relevant samples, where the option of using them without consent can be highly beneficial for research. (shrink)

This article examines the effects of globalization on changing notions of the ‘savage’. We compare discussions taking place in different contexts in the late 18th century concerning two Swedish scholars and travellers to Africa: Anders Sparrman (1748–1820), a naturalist and Linnaean disciple, and Carl Bernhard Wadström (1746–99), an engineer and economist. Both moved in Swedish Swedenborgian circles, and both became involved in the British abolitionist movement. Nevertheless, their images of African ‘Others’ diverged in crucial respects, reflecting differences in their ideological (...) outlooks, institutional affiliations, and understandings of how the world was changing. More specifically, we argue that the perception of global change brought about by a new economic framework of production and consumption provides a key for reading and comparing Wadström’s and Sparrman’s texts. Comparing their divergent uses of ‘savagery’, the article also highlights the versatility of the savage as a tool for presenting distant parts of the world to a domestic audience. (shrink)

Recent work in experimental philosophy shows that folk intuitions about moral responsibility are sensitive to a surprising variety of factors. Whether people take agents to be responsible for their actions in deterministic scenarios depends on whether the deterministic laws are couched in neurological or psychological terms (Nahmias et. al. 2007), on whether actions are described abstractly or concretely, and on how serious moral transgression they seem to represent (Nichols & Knobe 2007). Finally, people are more inclined to hold an agent (...) responsible for bringing about bad than for bringing about good side effects that the agent is indifferent about (Knobe 2003). Elsewhere, we have presented an analysis of the everyday concept of moral responsibility that provides a unified explanation of paradigmatic cases of moral responsibility, and accounts for the force of both typical excuses and the most influential skeptical arguments against moral responsibility or for incompatibilism. In this article, we suggest that it also explains the divergent and apparently incoherent set of intuitions revealed by these new studies. If our hypothesis is correct, the surprising variety of judgments stems from a unified concept of moral responsibility. -Knobe, J. (2003) Intentional Action and Side Effects in Ordinary Language. Analysis 63, pp.190–93. -Nahmias, E.; Coates, J.; Kvaran. T. (2007) Free will, moral responsibility, and mechanism: experiments on folk intuitions. Midwest studies in Philosophy XXXI -Nichols, S.; Knobe, J. (2007) Moral responsibility and determinism: the cognitive science of folk intuitions, Noûs 41:4, 663-685. (shrink)

Using the tools of modern political economics and combining economic theory with a bird's-eye view of the data, this book reinterprets Smith's pillars of prosperity to explain the existence of development clusters--places that tend to ...

For many years, some urban architecture has aimed to exclude unwanted groups of people from some locations. This type of architecture is called “defensive” or “hostile” architecture and includes benches that cannot be slept on, spikes in the ground that cannot be stood on, and pieces of metal that hinder one’s ability to skateboard. These defensive measures have sparked public outrage, with many thinking such measures lead to suffering, are disrespectful, and violate people’s rights. In this paper, it is argued (...) that these views are difficult to defend and that much more empirical research on the topic is needed. (shrink)

We would like to thank D. H. Mellor for taking time to comment on our paper “A New Challenge for Objective Uncertainties and The Propensity Theorist”.

This article examines two corpora of telephone calls to the Swedish emergency services SOS-Alarm. The focus of analysis is on the procedural consequentiality of the routine opening by the operator. In the first corpus, the summons are answered by identification of the service via the emergency number. In the second corpus, the protocol has been altered, such that the opening entails the emergency number combined with a standard query concerning the nature of the incident. Through sequential and categorial analysis of (...) the two collections, we highlight the distinct trajectories of action ensuing from the two opening protocols. The stand-alone emergency number opening typically results in callers asking for a specific service. In contrast, opening turns that end with a direct query about the incident tend to solicit brief descriptions of the trouble. We discuss the benefits of the latter procedure in terms of topical progression and institutional relevance, proposing that the work of emergency assistance agencies worldwide might consider implementing opening routines with a similar design. (shrink)

This is a reply to Jesse Prinz and Paul Bloom’s skepticism about the moral importance of empathy. It concedes that empathy is spontaneously biased to individuals who are spatio-temporally close, as well as discriminatory in other ways, and incapable of accommodating large numbers of individuals. But it is argued that we could partly correct these shortcomings of empathy by a guidance of reason because empathy for others consists in imagining what they feel, and, importantly, such acts of imagination can be (...) voluntary – and, thus, under the influence of reflection – as well as automatic. Since empathizing with others motivates concern for their welfare, a reflectively justified empathy will lead to a likewise justified altruistic concern. In addition, we argue that such concern supports another central moral attitude, namely a sense of justice or fairness. (shrink)

The ambivalence of human-animal-relationships culminates in our eating habits; most people disapprove of factory farming, but most animal products that are consumed come from factory farming. While psychology and sociology offer several theoretical explanations for this phenomenon our study presents an experimental approach: an attempt to challenge people’s attitude by confronting them with the animals’ perspective of the consumption process. We confronted our participants with a fictional scenario that could result in them being turned into an animal. In the scenario, (...) a wicked fairy forces them to choose a ticket. Depending on their choice of ticket they have equal chances of becoming a human being with a certain consumption behaviour (meat eater, organic eater, vegetarian, vegan) or, correspondingly, becoming a certain kind of animal (factory farmed meat animal, organically farmed meat animal, animal for dairy/egg production, free living animal). Our results indicate a strong discrepancy between people’s actual consumption habits (mostly regular meat eaters) and their choices in the experiment (strong preferences for the organic or vegan life style). The data reveal a broad spectrum of explanations for people’s decisions in the experiment. We investigated the influence of four different factors on the participant’s choices in addition to reasons they gave as open-ended answers. Correspondingly, different coping strategies to overcome the tension (cognitive dissonance) between real-life consumption choices and attitudes towards nonhuman animals could be detected. Furthermore, many participants indicated a lack of knowledge concerning living conditions in farming but also concerning capacities and properties of nonhuman animals. (shrink)

Since 2013, several social actors of the Federal University of Santa Catarina community have formed a public sphere in order to deliberate and decide on the University Hospital’s affiliation to the Brazilian Hospital Services Company, a public company set up in accordance with a private law which has been created by the Brazilian federal government in order to set up a management body for public university hospitals. Underpinned by critical discourse analysis, our purpose is to analyze the embedded ideologies in (...) discursive practices within the UFSC/ebserh public sphere, especially those perpetrated by the federal government’s bureaucratic means as to mystify reality, and also promote and legitimize dominant interests and actions with regard to the UH/ufsc’s affiliation to the EBSERH. We organized this analysis in five main categories: staff shortage and the ideological use of the double standard policy, the ideology of neo-liberalism and managerialism, blame avoidance behavior and the ideological dispute between ideology and pragmatism, the policy of terror and the fallacy of choice and ideology of participationism. (shrink)

Many philosophers think that if you're morally responsible for a state of affairs, you must be a cause of it. Ingmar Persson argues that this strand of common sense morality is asymmetrical, in that it features the act-omission doctrine, according to which there are stronger reasons against performing some harmful actions than in favour of performing any beneficial actions. He analyses the act-omission doctrine as consisting in a theory of negative rights, according to which there are rights not to (...) have one's life, body, and property interfered with, and a conception of responsibility as being based on causality. This conception of responsibility is also found to be involved in the doctrine of double effect. The outcome of Persson's critical examination of these ideas is that reasons of rights are replaced by reasons of beneficence, and we are made responsible for what is under the influence of our practical reasons. The argument gives rise to a symmetrical, consequentialist morality which is more demanding but less authoritative than common sense morality, because reasons of beneficence are weaker than reasons of rights. It is also argued that there are no non-naturalist external practical reasons, and all practical reasons are desire-dependent: so practical reasons cannot be universally binding. The question is whether such a morality possesses enough authority to command our compliance. This seems necessary in order for us to cope with the greatest moral problems of our time, such as aid to developing countries and anthropogenic climate change. (shrink)

We have argued for an urgent need for moral bioenhancement; that human moral psychology is limited in its ability to address current existential threats due to the evolutionary function of morality to maximize cooperation in small groups. We address here Powell and Buchanan's novel objection that there is an ‘inclusivist anomaly’: humans have the capacity to care beyond in-groups. They propose that ‘exclusivist’ morality is sensitive to environmental cues that historically indicated out-group threat. When this is not present, we are (...) inclusivist. They conclude that moral bioenhancement is unnecessary or less effective than socio-cultural interventions. We argue that Powell and Buchanan underestimate the hard-wiring features of moral psychology; their appeal to adaptively plastic, conditionally expressed responses accounts for only a fragment of our moral psychology. In addition to restrictions on our altruistic concern that their account addresses – such as racism and sexism – there are ones it is ill-suited to address: that our concern is stronger for kin and friends and for concrete individuals rather than for statistical lives; also our bias towards the near future. Hard-wired features of our moral psychology that are not clearly restrictions in altruistic concern also include reciprocity, tit-for-tat, and others. Biomedical means are not the only, and maybe not the most important, means of moral enhancement. Socio-cultural means are of great importance and there are currently no biomedical interventions for many hard-wired features. Nevertheless research is desirable because the influence of these features is greater than our critics think. (shrink)

We find problems with Vaesen's treatment of the primatological research, in particular his analysis of foresight, function representation, and social intelligence. We argue that his criticism of research on foresight in great apes is misguided. His claim that primates do not attach functions to particular objects is also problematic. Finally, his analysis of theory of mind neglects many distinctions.

New technologies and practices, such as drug testing, genetic testing, and electronic surveillance infringe upon the privacy of workers on workplaces. We argue that employees have a prima facie right to privacy, but this right can be overridden by competing moral principles that follow, explicitly or implicitly, from the contract of employment. We propose a set of criteria for when intrusions into an employee''s privacy are justified. Three types of justification are specified, namely those that refer to the employer''s interests, (...) to the interests of the employee her- or himself, and to the interests of third parties such as customers and fellow workers. For each of these three types, sub-criteria are proposed that can be used to determine whether a particular infringement into an employee''s privacy is morally justified or not. (shrink)

For successful climate change adaptation, the distribution of responsibility within society is an important question. While the literature highlights the need for involving both public and private actors, little is still known of how citizens perceive their own and others’ responsibility, let alone the moral groundings for such perceptions. In this paper, we report the results of a survey regarding people’s attitudes towards different ways of distributing responsibility for climate change adaptation. The survey was distributed to citizens in six Swedish (...) municipalities and completed by 510 respondents. A large number of respondents wanted to assign responsibility for making decisions about and implementing adaptation measures to local governments, but also to property owners, whereas the national government was raised as responsible for setting decision boundaries and for financial support. The most preferred principles for a fair distribution of responsibility among the respondents were desert, ability, efficiency and need, while the principle of equal shares found less support. All principles received some support, indicating that it is necessary to consider several principles when distributing responsibility for climate change adaptation. Compared to earlier studies, this study shows more nuanced perceptions on who should be responsible and on what moral grounds. (shrink)

There is a growing trend in policy making of holding people responsible for their lifestyle-based diseases. This has sparked a heated debate on whether people are responsible for these illnesses, which has now come to an impasse. In this paper, I present a psychological model that explains why different views on people’s responsibility for their health exist and how we can reach a resolution of the disagreement. My conclusion is that policymakers should not perceive people as responsible while health care (...) personnel should take the opposing view. (shrink)

Review of James S. J. Schwartz and Tony Milligan, eds.: The Ethics of Space Exploration.

Philosophers of science have often favoured reductive approaches to how-possibly explanation. This article identifies three alternative conceptions making how-possibly explanation an interesting phenomenon in its own right. The first variety approaches “how possibly X?” by showing that X is not epistemically impossible. This can sometimes be achieved by removing misunderstandings concerning the implications of one’s current belief system but involves characteristically a modification of this belief system so that acceptance of X does not result in contradiction. The second variety offers (...) a potential how-explanation of X. It is usually followed by a range of further potential how-explanations of the same phenomenon. In recent literature the factual claims implied by the second variety have been downplayed whereas the heuristic role of mapping the space of conceptual possibilities has been emphasized. I will focus especially on this truth-bracketing sense of potentiality when looking closer at the second variety in the paper. The third variety has attracted less interest. It presents a partial how-explanation of X. Typically it aims to establish the existence of a mechanism by which X could be and was generated. The third conception stands out as the natural alternative for the advocate of ontic how-possibly explanations. This article transfers Salmon’s view that explanation-concepts can be broadly divided into epistemic, modal, and ontic to the context of how-possibly explanations. Moreover, it is argued that each of the three above-mentioned varieties of how-possibly explanation occurs in science. To recognize this may be especially relevant for philosophers. We are often misled by the promises of various why-explanation accounts, and seem to have forgotten nearly everything about the diversity of how-possibly explanations. (shrink)

When working with garden archaeology and garden archaeobotany, the plant material is of great importance. It is important to be able to identify which plants have grown in a particular garden and which have not, which of the plants you find in the garden today that are newly introduced or have established themselves on their own, and which plants that may be remnants of earlier cultivation. During the past two years, my colleagues and I have been involved in a project (...) that deals with the latter kind of plants, that is, plants that were once actively cultivated and that have survived in their original place of cultivation until the present time(Persson, Ansebo & Solberg, this volume). When we started the project we simply called the plants we worked with ‘relict plants’. This is also the term that has been used unofficially in this field of research for some time. It was in no way an official term, however, and as it turned out, the term already had a different meaning in botany that was both older and better established. We were therefore in need of a better name for the plants we worked with. To single out the plants we were working with, we used the following working definition: “Plants that were once, but are no longer cultivated in a certain area, and where a part of the population still exists even though it is no longer actively maintained”. Although we still think this is a decent approximation, we have realized that there are several complicating factors we have had to think more about. We thus needed both a better name and a better definition. Both these tasks became important parts of the project. (shrink)

I shall discuss only one of Nicholas Agar's main claims,1 namely ‘that the bad consequences/of moral status enhancement/are, in moral terms, so bad that a moderate probability of their occurrence makes it wrong not to seek to prevent them’. His other main claim, which I grant, is that moral status enhancement to the effect of creating beings with a moral status higher than that of persons—post-persons—is possible. My chief objection to Agar's argument is that it is biased in favour of (...) persons. This comes out when he sums it up: ‘the creation of post-persons would be a morally bad thing. It is likely to impose significant penalties on mere persons’. Suppose it is true that the creation of post-persons will impose such significant penalties on mere persons that they are worse off than they were before the creation of post-persons. Then it follows that the creation of post-persons is bad for mere persons, but it does not follow that it is bad overall. This follows only if it is not the case that post-persons receive benefits to an extent that morally outweighs the burdens to mere persons. As far as I can see, Agar does not show this—that is why I think he is biased towards mere persons, and simply assumes that what is bad for them is bad overall.I have, in fact, been too concessive to Agar …. (shrink)

I have earlier argued that, like egalitarianism, prioritarianism is exposed to the levelling down objection—which I do not find serious—but also that it faces related, more serious objections that egalitarianism avoids. In this paper I reply to Thomas Porter’s attempt to rebut this argument. I also trace the more serious objections to prioritarianism to the fact that it implies the desirability of welfare diffusion, i.e. that it is better all things considered if a quantity of welfare is distributed over as (...) many recipients as possible, so that each recipient gets a minimal benefit, and that the outcome would still be in one respect better, even if the quantity of welfare was reduced. In contrast to egalitarianism, prioritarianism therefore implies that it is in one respect better if an equality, or a solitary individual, is located at lower rather than a higher level of welfare. (shrink)

G. E. Moore raised the question of whether consequentialists ought to maximize actual rather than expected value, and came down in favour of the former alternative. But rather recently Frank Jackson has presented an example which has been widely thought to clinch the case in favour of the alternative view. This article argues for a sort of compromise between these rival views, namely that while we ought to do what maximizes actual value, we ought to try to do what maximizes (...) expected value. It is claimed that consequentialists could consistently adopt this view, though in Jackson's case they are certain that, if they try to maximize expected value, they shall most likely not maximize actual value. (shrink)

This is a response to a claim by Sven Ove Hansson to the effect that Poppers dictum that falsification lies at the heart of all pursuit of science has once and for all been falsified by his study of articles published in Nature during the year 2000. We claim that this is based on a misunderstanding of Poppers philosophy of science interpreting it too literally, and that alternative readings of those papers are fully compliant with falsification. We scrutinize Hansson’s arguments (...) as well as giving an overview of Poppers falsification theory. (shrink)

There are two fundamental aspects of the notion of a self: it is the owner of one's experiences, that to which one's experiences are properly attributed, and it perceives itself. is a condition on the self's being capable of attributing experiences to itself or being introspectively aware of its experiences, which constitutes a third, higher-order aspect of the self. I claim that it is a common sense assumption, enshrined in the use of 'I', that one's body satisfies the first two (...) aspects. I then argue that these two aspects are not really satisfied by one's body, which is essentially a human organism. Nor are they satisfied by anything of any other kind. So we are not identical to things of any kind, since one can be identical only to that which is one's self or is the referent of one's uses of, 'I'. (shrink)

This paper rejects Hume's famous claim that we never perceive our selves, by arguing that, under conditions specified, our perception of our bodies is perception of our selves. It takes as its point of departure Quassim Cassam's defence of a position to a similar effect but puts a different interpretation on the distinction between perceiving the body as an object, having spatial attributes, and perceiving it as a self or subject of experiences.

In this article the predominant, purely theoretical perspectives on animal ethics are questioned and two important sources for empirical data in the context of animal ethics are discussed: methods of the social and methods of the natural sciences. Including these methods can lead to an empirical animal ethics approach that is far more adapted to the needs of humans and nonhuman animals and more appropriate in different circumstances than a purely theoretical concept solely premised on rational arguments. However, the potential (...) tension between lay people’s moral judgements and ethical theory must be handled with care. The thorough analysis of qualitative data can lead to a deep insight into e.g. ethical problems with the application of laws and guidelines, practicality issues with ethical theories, personal ambivalence, and cognitive biases. The interaction between animal ethics theory and empirical findings can lead to both a more context-sensitive and applicable ethical theory and a less arbitrary folk moral system. Findings from the natural sciences can also contribute valuable information to animal ethics theory—the more we know about the properties and preferences of nonhuman animals the better we can respect them. Here, however, it is vital not to justify invasive procedures for the sake of “ethical progress”. It might be ethically required to forego some scientific findings about nonhuman animals if it is not clear how much a procedure would harm them. Only with robust empirical methods will light ultimately be shed on the nature of our moral relationship with animals. (shrink)

BACKGROUND: Representing is about theories and theory formation. Philosophy of science has a long-standing interest in representing. At least since Ian Hacking's modern classic Representing and Intervening analytical philosophers have struggled to combine that interest with a study of the roles of intervention studies. With few exceptions this focus of philosophy of science has been on physics and other natural sciences. In particular, there have been few attempts to analyse the use of the notion of intervention in other disciplines where (...) intervention studies are important, such as in nursing research. One unintended consequence of this is that the relations between representing and intervening tend to be less understood outside the natural sciences. OBJECTIVES AND DESIGN: This article highlights a number of possible topics on which nursing science and analytic philosophy of science can fruitfully interact. The basic idea is simple. Building on a characterisation of interventions in terms of what is intervened on and with respect to what, we suggest that interventions in nursing research typically are a blend of varieties belonging to the three dimensions of agency, epistemology, and ontology. The details of the blend determine the relation of the particular intervention study to traditional representational categories such as inductivism and hypothetico-deductive method, and have a bearing on its explanatory power and other more theory independent features of research as well. The framework we suggest should be relevant for nurse researchers who want to adopt a more general and analytically entrenched perspective on representing and intervening than the methodological boundaries in nursing research typically allow. (shrink)

In his book Rethinking the Good: Moral Ideals and the Nature of PracticalReasoning Larry Temkin contrasts two views of ideals for evaluating outcomes:the Internal Aspects View and the Essentially Comparative View. He claimsthat the latter view can make the relation of being better/worse than all thingsconsidered nontransitive, while the former can’t. This paper argues that theInternal Aspects View can also be a source of nontransitivity. The gist of theargument is that perfect similarity as regards supervenient properties, likevalue, is compatible with (...) differences as regards their subvenient propertiesand that it’s logically possible that such sets of insufficient differences add upto differences that are sufficient for supervenient differences. Thus, perfectsimilarity or identity is nontransitive as regards the supervenient property ofvalue, and this implies that the relation of being better/worse than all thingsconsidered is also nontransitive. (shrink)

Invested with the capacity to reinstate physiological order, medicines are at the centre of contemporary health care. Their purpose and efficacy are generally seen as predictable and concrete: disease = therapy = outcome. These culturally specific understandings shape the practices and meanings of taking medicines. This article, however, queries what actually takes place when human bodies and medical drugs converge. Is it a solely therapeutic affair, a restoration of bodily normality, or one of multiple transformations? The ambivalent meaning of the (...) original Greek word for drug, pharmakon, intimates the potential of medicines to act as ‘remedy’ as well as ‘poison’. Using pharmakon as a conceptual tool, the article explores the complex, and often paradoxical corporeal effects of HIV combination therapy, with particular focus on lipodystrophy, a peculiar change in people‘s body shape. This unintended and frequently distressing iatro-genic phenomenon challenges common notions of therapeutic efficacy and causality and foregrounds the productive dimension of medical drugs - their capacity to reconfigure bodies, diseases and identities in multiple, unpredictable ways. (shrink)

Proven experience can be shared. Given this, we cannot assume that the character of proven experience is always manifest as a physical token in each individual sharing it. But the token might still exist somewhere. Perhaps that is a condition of the proven experience’s existence. Something similar could have been accepted as true of scientific knowledge, especially if those who argued that scientific claims were only shorthand for more complicated claims about observations had been right. But it seems that they (...) were not. Hence there might be an ontological difference explaining why there will always be a netto divergence between science and proven experience. (shrink)

This paper discusses Nicholas Agar's argument in Humanity's End, that it can be morally permissible for human beings to prevent the coming into existence of morally enhanced people because this can harm the interests of the unenhanced humans. It contends that Agar's argument fails because it overlooks the distinction between morally permissible and morally impermissible harm. It is only if the harm to them would be of the morally impermissible kind that humans are provided with a reason to prevent the (...) coming into existence of enhanced people. But if their enhancement includes moral enhancement, it is unlikely that the enhanced people will cause morally impermissible harm. (shrink)

Jon Elster worries about the explanatory power of the social sciences. His main concern is that they have so few well-established laws. Elster develops an interesting substitute: a special kind of mechanism designed to fill the explanatory gap between laws and mere description. However, his mechanisms suffer from a characteristic problem that I will explore in this article. As our causal knowledge of a specific problem grows we might come to know too much to make use of an Elsterian mechanism (...) but still lack a law. We might then find ourselves in the paradoxical position of knowing more relevant causal truths about the phenomenon we are interested in than we did before, but being able to explain less. If this possibility is realized in social science settings, as I argue it might well be, Elster?s mechanistic account is threatened. Moreover, even if the possibility is rarely realized in that way, it raises, simply as a possibility, a conceptual problem with Elster?s mechanistic framework. (shrink)

The prevalence and negative impact of brain disorders are increasing. Clinical Neuropsychology is a specialty dedicated to understanding brain-behavior relationships, applying such knowledge to the assessment of cognitive, affective, and behavioral functioning associated with brain disorders, and designing and implementing effective treatments. The need for services goes beyond neurological diseases and has increased in areas of neurodevelopmental and psychiatric conditions, among others. In Europe, a great deal of variability exists in the education and training of Clinical Neuropsychologists. Training models include (...) master’s programs, continuing education courses, doctoral programs, and/or post-doctoral specialization depending on the country, with no common framework of requirements, although patients’ needs demand equal competencies across Europe. In the past five years, the Standing Committee on Clinical Neuropsychology of the European Federation of Psychologists’ Association has conducted a series of surveys and interviews with experts in the field representing 30 European countries. The information, along with information from the existing literature, is used in presenting an overview of current and relevant topics related to policy and guidelines in the training and competencies in Clinical Neuropsychology. An option for the way forward is the EuroPsy Specialist Certificate which is currently offered in Work- and Organizational psychology and Psychotherapy. It builds upon the Basic Certificate and complements national standards without overriding them. General principles can be found that can set the basis for a common, solid, and comprehensive specialty education/training, sharpening the Neuropsychologists’ competencies across Europe. The requirements in Clinical Neuropsychology should be comparable to those for the existing specialty areas in the EuroPsy model. Despite the perceived challenges, developing a Specialist Certificate appears a step forward for the development of Clinical Neuropsychology. Recommendations are proposed towards a shared framework of competencies by the means of a common level of education/training for the professionals in Europe. Benchmarking training standards and competencies across Europe has the potential of providing protection against unqualified and ethically questionable practice, creating transparency, raising the general European standard, and promoting mobility of both Clinical Neuropsychologists and patients in Europe, for the benefit of the professional field and the population. (shrink)

Background Positivism is sometimes rejected for the wrong reasons. Influential textbooks on nursing research and in other disciplines tend to reinforce the misconceptions underlying these rejections. This is problematic, since it provides students of these disciplines with a poor basis for making epistemological and methodological decisions. It is particularly common for positivist views on reality and causation to be obscured. Objectives and design The first part of this discussion paper identifies and explains the misconceptions about positivism as they appear in (...) two influential textbooks. The second part pinpoints five mistakes these misconceptions easily result in when the researcher adopts an epistemological and methodological standpoint. What is already known about the topic? There are several impeccable descriptions of positivism in nursing research literature; but a relatively large number of inaccurate or confused views of positivism appear in the nursing research literature as well. Mistakes of the kind identified in this paper have been noted before—for instance, in Shadish. What this paper adds: This paper provides a detailed analysis of two particularly common and influential misconceptions about positivism. It traces the historical roots of these misconceptions and characterizes them more carefully than many earlier attempts have done. The paper shows how and why these misconceptions affect epistemological and methodological decisions negatively, regardless of one’s interest in positivism. (shrink)

Obstetric ultrasound has become a significant tool in obstetric practice, however, it has been argued that its increasing use may have adverse implications for women’s reproductive freedom. This study aimed to explore Australian obstetricians’ experiences and views of the use of obstetric ultrasound both in relation to clinical management of complicated pregnancy, and in situations where maternal and fetal health interests conflict.

This article examines Derek Parfit's claim in Reasons and Persons that personal identity consists in non-branching psychological continuity with the right kind of cause. It argues that such psychological accounts of our identity fail, but that their main rivals, biological or animalist accounts do not fare better. Instead it proposes an error-theory to the effect that common sense takes us to be identical to our bodies on the erroneous assumption that our minds belong non-derivatively to them, whereas they in fact (...) belong to them derivatively in virtue of belonging to some proper parts of them, namely certain features of their brains. However, these features do not meet another necessary condition of being the subject or owner of our minds: the condition of being “accessible” so that we can attribute our mental states to them in everyday life. There is also the problem of specifying these features more precisely. Nothing meets these two conditions, so we are not identical to anything. This conclusion fits well with Parfit's claim that personal identity is not what matters. But although this negative claim is true, it is suggested that Parfit's positive account of what matters is mistaken: it is rather psychological similarity than psychological continuity/connectedness that matters. (shrink)

This paper explores why it is so hard for us to do what we morally ought to do to mitigate anthropogenic climate change by reducing our carbon dioxide, CO2, emissions. It distinguishes between two sources of this difficulty: factors which make us underrate the harm that we individually cause when we perform our everyday CO2 emitting acts and, thus, the wrongness of these acts, and factors which make it difficult for us to cooperate to the extent necessary to mitigate effectively (...) harmful climate change by reducing our everyday CO2 emitting acts. Under are listed such factors as the temporal remoteness of climate harm, the fact that the causal connections between our acts and this harm are elusive, that countless agents together cause harm which is diffused widely over countless, anonymous victims, by acts routinely done. As regards, a comparison with the problems of cooperation in the well-known tragedy of the commons is natural, but it is here argued that the problem of reducing our CO2 emissions is disanalogous in several respects which make it harder: the world’s nations differ enormously in respect of level of welfare, their record of past emissions, and the degree of exposure to climate harm; additionally, it is harder to survey compliance and apply sanctions to those who defect from agreements, in particular as future generations who have not consented to these agreements are involved. Together these factors make up a good case for saying that the problem of ameliorating anthropogenic climate change by reduction of our CO2 emissions is the hardest moral problem humanity is facing. (shrink)

I am grateful to Daniel Little for his insightful reply to my recent article in Social Epistemology about what appears to be a flaw in Jon Elster’s conception of mechanisms. I agree with much of what Little says, but want to amplify a different underlying problem with Elster’s conception than Little suggests in his reply. This underlying problem connects nicely with a passage in Little’s reply, which he thinks unconnected with the point on which I focus.