Continuous sedation until death (CSD), the act of reducing or removing the consciousness of an incurably ill patient until death, often provokes medical–ethical discussions in the opinion sections of medical and nursing journals. Some argue that CSD is morally equivalent to physician-assisted death (PAD), that it is a form of “slow euthanasia.” A qualitative thematic content analysis of opinion pieces was conducted to describe and classify arguments that support or reject a moral difference between CSD and PAD. Arguments pro and (...) contra a moral difference refer basically to the same ambiguous themes, namely intention, proportionality, withholding artificial nutrition and hydration, and removing consciousness. This demonstrates that the debate is first and foremost a semantic rather than a factual dispute, focusing on the normative framework of CSD. Given the prevalent ambiguity, the debate on CSD appears to be a classical symbolic struggle for moral authority. (shrink)
Continuous sedation until death (CSD), the act of reducing or removing the consciousness of an incurably ill patient until death, often provokes medical-ethical discussions in the opinion sections of medical and nursing journals. A content analysis of opinion pieces in medical and nursing literature was conducted to examine how clinicians define and describe CSD, and how they justify this practice morally. Most publications were written by physicians and published in palliative or general medicine journals. Terminal Sedation and Palliative Sedation are (...) the most frequently used terms to describe CSD. Seventeen definitions with varying content were identified. CSD was found to be morally justified in 73 % of the publications using justifications such as Last Resort, Doctrine of Double Effect, Sanctity of Life, Autonomy, and Proportionality. The debate over CSD in the opinion sections of medical and nursing journals lacks uniform terms and definitions, and is profoundly marked by ‘charged language’, aiming at realizing agreement in attitude towards CSD. Not all of the moral justifications found are equally straightforward. To enable a more effective debate, the terms, definitions and justifications for CSD need to be further clarified. (shrink)
Pāṇinīyavyākaraṇodāharaṇakośaḥ; La grammaire paninéenne par ses exemples; Paninian Grammar through Its Examples, vol. I: Udāharaṇasamāhāraḥ; L’ensemble des exemples; The Collection of Examples; saṁśodhitaprakāśanam, édition révisée, revised edition. Two parts. By F. Grimal, V. Venkataraja Sarma, S. Lakshminarasimham, K. V. Ramakrishnamacharyulu, and Jagadeesh Bhat. Rashtriya Sanskrit Vidyapeetha Series, vols. 309, 310; Collection indologie 93.1.1, 2. Tirupati: Rashtriya Sanskrit Vidyapeetha; Pondichéry: École française d’Extrème-Orient; Institut Français de Pondichéry, 2018. Pp. xiii + 757 + 481. Rs. 680, 450.
Introduction : time, film, and the ethical vision of Emmanuel Levinas. American transcendence : Levinas and a short history of an American idea in film -- Frank Capra and James Stewart : time, transcendence, and the other -- The changing face of American redemption : Henry Fonda, Marilyn Monroe, Paul Newman, and Denzel Washington -- Sex, art, and Oedipus : The unbearable lightness of being -- Fellini and La dolce vita : documentary, decadence, and desire -- Antonioni and L'avventura : (...) transcendence, the body, and the feminine. (shrink)
This essay attempts to clarify the distinction between property and sovereignty, and to bring out the importance of that distinction to a liberal nationalism. Beginning with common intuitions about what distinguishes our rights to our possessions from the state's rightful governance over us, it proceeds to explore some historical sources of these intuitions, and the importance of a sharp distinction between ownership and governance to the rise of liberalism. From here, the essay moves into an exploration of group ownership, and (...) the ways in which group ownership can in practice turn into an illiberal kind of sovereignty The point is to shed new light on problems that nationalist states — states purporting to represent or foster a particular group identity — characteristically face. Examples of these problems, from the Israel/Palestine conflict, are put forth in the conclusion. (shrink)
In this enlightening book, Sam Harris argues that free will is an illusion but that this truth should not undermine morality or diminish the importance of social and political freedom; indeed, this truth can and should change the way we think about some of the most important questions in life.
Emotions are open to various kinds of normative assessment. For example, we can assess emotions for their prudential or moral value. Recently, philosophers have increasingly attended to a distinct form of normative assessment of emotions – fittingness assessment. An emotion is fitting when it is merited by its object. For example, admiration is fitting when it is felt towards the admirable, and shame towards the shameful. This paper defends a hybrid account of emotional fittingness. Emotions are complex, and typically involve (...) various elements. As well as involving representations that can be assessed for accuracy, emotions typically motivate their subjects in characteristically urgent ways. The fittingness of an emotion as a whole is a function of the fittingness of both its representational and motivational aspects. (shrink)
Sam Harris is a contemporary illustration of the difficulties standing in the way of coherent interdisciplinary thinking in an age where science and the humanities have drifted so far apart. We are here with Harris’s views on AI, and specifically with his view according to which, with the advance of AI, there will evolve a machine superintelligence with powers that far exceed those of the human mind. This he sees as something that is not merely possible, but rather a matter (...) of inevitability. If, however, we look carefully at what intelligence is, and at how computers really work on the basis of mathematical models, then we can see that it is forever impossible to emulate inside a computer even the intelligence of crows or rabbits, let alone that of human beings. (shrink)
Inquiry aims at knowledge. Your inquiry into a question succeeds just in case you come to know the answer. However, combined with a common picture on which misleading evidence can lead knowledge to be lost, this view threatens to recommend a novel form of dogmatism. At least in some cases, individuals who know the answer to a question appear required to avoid evidence bearing on it. In this paper, we’ll aim to do two things. First, we’ll present an argument for (...) this novel form of dogmatism and show that it presents a substantive challenge. Second, we’ll consider a way those who take knowledge to be the aim of inquiry can mount a response. In the course of doing so, we’ll try to get clearer on the normative connections between inquiry, knowledge and evidence gathering. (shrink)
The curriculum design, faculty characteristics, and experience of implementing masters' level international research ethics training programs supported by the Fogarty International Center was investigated. Multiple pedagogical approaches were employed to adapt to the learning needs of the trainees. While no generally agreed set of core competencies exists for advanced research ethics training, more than 75% of the curricula examined included international issues in research ethics, responsible conduct of research, human rights, philosophical foundations of research ethics, and research regulation and ethical (...) review process. Common skills taught included critical thinking, research methodology and statistics, writing, and presentation proficiency. Curricula also addressed the cultural, social, and religious context of the trainees related to research ethics. Programs surveyed noted trainee interest in Western concepts of research ethics and the value of the transnational exchange of ideas. Similar faculty expertise profiles existed in all programs. Approximately 40% of faculty were female. Collaboration between faculty from low- and middleincome countries (LMICs) and high-income countries (HICs) occurred in most programs and at least 50% of HIC faculty had previous LMIC experience. This paper is part of a collection of papers analyzing the Fogarty International Research Ethics Education and Curriculum Development program. (shrink)
Standard approaches to counterfactuals in the philosophy of explanation are geared toward causal explanation. We show how to extend the counterfactual theory of explanation to non-causal cases, involving extra-mathematical explanation: the explanation of physical facts by mathematical facts. Using a structural equation framework, we model impossible perturbations to mathematics and the resulting differences made to physical explananda in two important cases of extra-mathematical explanation. We address some objections to our approach.
Formal models of appearance and reality have proved fruitful for investigating structural properties of perceptual knowledge. This paper applies the same approach to epistemic justification. Our central goal is to give a simple account of The Preface, in which justified belief fails to agglomerate. Following recent work by a number of authors, we understand knowledge in terms of normality. An agent knows p iff p is true throughout all relevant normal worlds. To model The Preface, we appeal to the normality (...) of error. Sometimes, it is more normal for reality and appearance to diverge than to match. We show that this simple idea has dramatic consequences for the theory of knowledge and justification. Among other things, we argue that a proper treatment of The Preface requires a departure from the internalist idea that epistemic justification supervenes on the appearances and the widespread idea that one knows most when free from error. (shrink)
Think of a number, any number, or properties like fragility and humanity. These and other abstract entities are radically different from concrete entities like electrons and elbows. While concrete entities are located in space and time, have causes and effects, and are known through empirical means, abstract entities like meanings and possibilities are remarkably different. They seem to be immutable and imperceptible and to exist "outside" of space and time. This book provides a comprehensive critical assessment of the problems raised (...) by abstract entities and the debates about existence, truth, and knowledge that surround them. It sets out the key issues that inform the metaphysical disagreement between platonists who accept abstract entities and nominalists who deny abstract entities exist. Beginning with the essentials of the platonist–nominalist debate, it explores the key arguments and issues informing the contemporary debate over abstract reality: arguments for platonism and their connections to semantics, science, and metaphysical explanation the abstract–concrete distinction and views about the nature of abstract reality epistemological puzzles surrounding our knowledge of mathematical entities and other abstract entities. arguments for nominalism premised upon concerns about paradox, parsimony, infinite regresses, underdetermination, and causal isolation nominalist options that seek to dispense with abstract entities. Including chapter summaries, annotated further reading, and a glossary, _Entities_ is essential reading for anyone seeking a clear and authoritative introduction to the problems raised by abstract entities. (shrink)
We develop a new version of the causal theory of spacetime. Whereas traditional versions of the theory seek to identify spatiotemporal relations with causal relations, the version we develop takes causal relations to be the grounds for spatiotemporal relations. Causation is thus distinct from, and more basic than, spacetime. We argue that this non-identity theory, suitably developed, avoids the challenges facing the traditional identity theory.
Kant proclaimed that all theodicies must fail in ?On the Miscarriage of All Philosophical Trials in Theodicy?, but it is mysterious why he did so since he had developed a theodicy of his own during the critical period. In this paper, I offer an explanation of why Kant thought theodicies necessarily fail. In his theodicy, as well as in some of his works in ethics, Kant explained moral evil as resulting from unavoidable limitations in human beings. God could not create (...) finite beings without such limitations and so could not have created humans that were not prone to committing immoral acts. However, the work of Carl Christian Eberhard Schmid showed Kant that given his own beliefs about freedom and the nature of responsibility one could not account for moral evil in this way without tacitly denying that human beings were responsible for their actions. This result is significant not only because it explains an otherwise puzzling shift in Kant's philosophy of religion, but also because it shows that the theodicy essay provides powerful evidence that Kant's thinking about moral evil and freedom underwent fundamental shifts between early works such as the Groundwork and later works like the Religion within the Limits of Mere Reason. (shrink)
The existence and fundamentality of spacetime has been questioned in quantum gravity where spacetime is frequently described as emerging from a more fundamental non-spatiotemporal ontology. This is supposed to lead to various philosophical issues such as the problem of empirical coherence. Yet those issues assume beforehand that we actually understand and agree on the nature of spacetime. Reviewing popular conceptions of spacetime, we find that there is substantial disagreement on this matter, and little hope of resolving it. However, we argue (...) that this should not trouble us as these issues, which seem to suggest the need for an account of spacetime in quantum gravity, can be addressed without one. (shrink)
Introduction: the use and abuse of Thomas Paine in the transatlantic world / Sam Edwards and Marcus Morris -- Part I. The image and idea(s) of Paine: origins, use and reuse -- The image of Tom: Paine in print and portraiture / W.A. Speck -- "I am made to say what I never wrote": deism, spiritualism and ventriloquizing Paine, c.1790s-1850s / Patrick W. Hughes -- All Paine: the American mind and the creation of the League of Nations and the U.N. (...) / Michael Holm -- The distortion of Thomas Paine's philosophy of government / Gary Berton -- Part II. Discovering and using Paine's radicalism -- "Revolutions are the order of the day": Atlantic fragments of Thomas Paine, c.1819-1832 / Matteo Battistini -- Posthumous Paine in the United Kingdom, 1809-1832: Jacobin or loyalist cult? / Matthew Roberts -- "The neglect of Paine seems particularly strange at the present political juncture": explaining British socialists' relationship to Paine, c. 1884-1914 / Marcus Morris -- Citizens of the world: Paine and the political prisoners transported to Australia / Tony Moore -- Part III. Remembering and remaking Paine -- Common sense on the Lower East Side: Thomas Paine and the era of immigration, c.1900-1950 / Louis Mazzari -- "A monument in every city?": Thomas Paine in memoriam / Theodore Marotta -- "He came from America didn't he?": the Thetford Statue controversy and the problem of Paine in transatlantic memory, c.1909-1970 / Sam Edwards -- Afterword: the struggle for Paine's memory and the making of American democracy / Harvey J. Kaye. (shrink)
In non‐literal uses of language, the content an utterance communicates differs from its literal truth conditions. Loose talk is one example of non‐literal language use (amongst many others). For example, what a loose utterance of (1) communicates differs from what it literally expresses: (1) Lena arrived at 9 o'clock. Loose talk is interesting (or so I will argue). It has certain distinctive features which raise important questions about the connection between literal and non‐literal language use. This paper aims to (i.) (...) introduce a range of novel data demonstrating certain overlooked features of loose talk, and (ii.) develop a new theory of the phenomenon which accounts for these data. In particular, this theory is motivated by the need to explain minimal pairs such as (2)-(3): (2) Lena arrived at 9 o'clock, but she did not arrive at 9 o'clock exactly. (3) ?? Lena did not arrive at 9 o'clock exactly, but she arrived at 9 o'clock. (2) and (3) agree in their truth conditions. Yet they differ in felicity. As such, they constitute a problem for any account which hopes to predict the acceptability of the loose use of a sentence from its truth conditions and the context of utterance alone. Instead, it will be argued, to explain loose talk phenomena we must posit an additional layer of meaning outstripping truth conditions. This layer of meaning is shown to exhibit a range of properties, all of which point to its being semantically encoded. Thus, if correct, the theory provides a new example of how semantic meaning must extend beyond literal, truth‐conditional content. (shrink)
Joint actions often require agents to track others’ actions while planning and executing physically incongruent actions of their own. Previous research has indicated that this can lead to visuomotor interference effects when it occurs outside of joint action. How is this avoided or overcome in joint actions? We hypothesized that when joint action partners represent their actions as interrelated components of a plan to bring about a joint action goal, each partner’s movements need not be represented in relation to distinct, (...) incongruent proximal goals. Instead they can be represented in relation to a single proximal goal – especially if the movements are, or appear to be, mechanically linked to a more distal joint action goal. To test this, we implemented a paradigm in which participants produced finger movements that were either congruent or incongruent with those of a virtual partner, and either with or without a joint action goal (the joint flipping of a switch, which turned on two light bulbs). Our findings provide partial support for the hypothesis that visuomotor interference effects can be reduced when two physically incongruent actions are represented as mechanically interdependent contributions to a joint action goal. (shrink)