BackgroundUse of modified texture diets—thickening of liquids and modifying the texture of foods—in the hope of preventing aspiration, pneumonia and choking, has become central to the current management of dysphagia. The effectiveness of this intervention has been questioned. We examine requirements for a valid informed consent process for this approach and whether the need for informed consent for this treatment is always understood or applied by practitioners.Main textValid informed consent requires provision of accurate and balanced information, and that agreement is (...) given freely by someone who knows they have a choice. Current evidence, including surveys of practitioners and patients in different settings, suggests that practice in this area is often inadequate. This may be due to patients’ communication difficulties but also poor communication—and no real attempt to obtain consent—by practitioners before people are ‘put on’ modified texture diets. Even where discussion occurs, recommendations may be influenced by professional misconceptions about the efficacy of this treatment, which in turn may poison the well for the informed consent process. Patients cannot make appropriate decisions for themselves if the information provided is flawed and unbalanced. The voluntariness of patients’ decisions is also questionable if they are told ‘you must’, when ‘you might consider’ is more appropriate. Where the decision-making capacity of patients is in question, inappropriate judgements and recommendations may be made by substitute decision makers and courts unless based on accurate information.ConclusionResearch is required to examine the informed consent processes in different settings, but there is ample reason to suggest that current practice in this area is suboptimal. Staff need to reflect on their current practice regarding use of modified texture diets with an awareness of the current evidence and through the ‘lens’ of informed consent. Education is required for staff to clarify the importance of, and requirements for, valid informed consent and for decision making that reflects people’s preferences and values. (shrink)

In ‘Rethinking Nature,’ Shaun Gallagher makes the case for a non-reductive, naturalized phenomenology. In doing so, he seeks to close the metaphysical gap between world and mind by pursuing a ‘world > mind’ strategy, conforming the natural world to the world of reason and experience. Here I assess the merits of this approach by comparison with the alternative ‘mind > world’ strategy, whereby the the world of reason and experience is conformed to the natural world. This latter approach is (...) exemplified by the method of ‘triangulating’ the mind through the integration of experiential, psychological, and neurophysiological evidence. While sympathetic to Gallagher’s ambition and aspects of his approach, I raise some doubts about the anti- or non-representational model of mind that he believes his revisionist metaphysics of nature supports. Arguably, representational assumptions are built into the concepts of perception, the senses, and the mind itself. Thus, even if the metaphysical gap between mind and world can be closed, the epistemic gap between an agent and its environment must still be bridged by the engine of representation that is the extended and embodied mind. (shrink)

The idea that incompatibilism is intuitive is one of the key motivators for incompatibilism. Not surprisingly, then philosophers who defend incompatibilism often claim that incompatibilism is the natural, commonsense view about free will and moral responsibility (e.g., Pereboom 2001, Kane Journal of Philosophy 96:217–240 1999, Strawson 1986). And a number of recent studies find that people give apparently incompatibilist responses in vignette studies. When participants are presented with a description of a causal deterministic universe, they tend to deny that people (...) are morally responsible in that universe. Although this suggests that people are intuitive incompatibilists, Eddy Nahmias and Dylan Murray, in a recent series of important papers, have developed an important challenge to this interpretation. They argue that people confuse determinism with bypassing, the idea that one’s mental states lack causal efficacy. Murray and Nahmias present new experiments that seem to confirm the bypassing hypothesis. In this paper, we use structural equation modeling to re-examine the issue. We find support instead for an incompatibilist explanation of the bypassing results, i.e., incompatibilist judgments seem to cause bypassing judgments. We hypothesize that this phenomenon occurs because people think of decisions as essentially indeterministic; thus, when confronted with a description of determinism they tend to think that decisions do not even occur. We provide evidence for this in three subsequent studies which show that many participants deny that people make decisions in a deterministic universe; by contrast, most participants tend to allow that people add numbers in a deterministic universe. Together, these studies suggest that bypassing results don’t reflect a confusion, but rather the depth of the incompatibilist intuition. (shrink)

Eddy Nahmias and Dylan Murray have recently argued that when people take agents to lack responsibility in deterministic scenarios, they do so because they take agents’ beliefs, desires and decisions to be bypassed, having no effect on their actions. This might seem like an improbable mistake, but the Bypass Hypothesis is bolstered by intriguing experimental data. Moreover, if the hypothesis is correct, it provides a straightforward error theory for incompatibilist intuitions. This chapter argues that the Bypass Hypothesis, although promising (...) and potentially highly significant, does not provide the best explanation of the data. Results from two new studies strongly suggest that subjects with incompatibilist intuitions do not take determinism to imply that belief, desires, and decisions are bypassed. Together with an independently motivated account of judgments of moral responsibility, the Explanation Hypothesis, they instead suggest, first, that subjects have incompatibilist intuitions because they see agents in deterministic scenarios from an explanatory perspective in which mental states and decisions provide no independent input into what happens, and, second, that this explains why subjects seem to think that these states and decisions are causally bypassed. The results also undermine the suggestion, by David Rose and Shaun Nichols, that subjects make what seems like bypass judgments because they take determinism to exclude he existence of decisions. (shrink)

Grief is often described as characterized by a particular emotional response to another person’s death. While this is true of paradigm cases, we argue that a broader notion of grief allows accommodating forms of this emotional experience that deviate from the paradigmatic case. The bulk of the paper explores such a nonparadigmatic form of grief, anticipatory-vicarious grief, which is typically triggered by pondering the inevitability of our own death. We argue that AV-grief is a particular moral emotion that serves a (...) unique function and is indissolubly linked to the practical identities of human agents. An agent’s AV-grief is about the harm that occurs to individuals whose practical identities depend on the agent. (shrink)

How does character information inform judgments of blame? Some argue that character information is indirectly relevant to blame because it enriches judgments about the mental states of a wrongdoer. Others argue that character information is directly relevant to blame, even when character traits are causally irrelevant to the wrongdoing. We propose an empirical synthesis of these views: a Two Channel Model of blame. The model predicts that character information directly affects blame when this information is relevant to the wrongdoing that (...) elicits blame. Further, the effect of character information on blame depends on judgments about the true self that are independent of judgments of intentionality. Across three pre-registered studies (N = 662), we found support for all three predictions of the Two Channel Model. We propose that this reflects two distinct functions of blame: a social regulatory function that encourages norm compliance and a pedagogical function that encourages personal improvement. (shrink)

In a majority of situations the normal adult maintains posture or moves without consciously monitoring motor activity. Posture and movement are usually close to automatic; they tend to take care of themselves, outside of attentive regard. One's body, in such cases, effaces itself as one is geared into a particular intentional goal. This effacement is possible because of the normal functioning of a body schema. Body schema can be defined as a system of preconscious, subpersonal processes that play a dynamic (...) role in governing posture and movement (Head, 1920). There is an important and often overlooked conceptual difference between the subpersonal body schema and what is usually called body image . The latter is most often defined as a conscious idea or mental representation that one has of one's own body (for example, Adame, Radell, Johnson, and Cole, 1991; Gardner and Moncrieff, 1988; Schilder, 1935). Despite the conceptual difference many researchers use the terms interchangeably, leading to both a terminological and conceptual confusion. (shrink)

This paper discusses three potential varieties of update: updates to the common ground, structuring updates, and updates that introduce discourse referents. These different types of update are used to model different aspects of natural language phenomena. Not-at-issue information directly updates the common ground. The illocutionary mood of a sentence structures the context. Other updates introduce discourse referents of various types, including propositional discourse referents for at-issue information. Distinguishing these types of update allows a unified treatment of a broad range of (...) phenomena, including the grammatical evidentials found in Cheyenne (Algonquian) as well as English evidential parentheticals, appositives, and mood marking. An update semantics that can formalize all of these varieties of update is given, integrating the different kinds of semantic contributions into a single representation of meaning. (shrink)

Many languages grammatically mark evidentiality, i.e., the source of information. In assertions, evidentials indicate the source of information of the speaker while in questions they indicate the expected source of information of the addressee. This dissertation examines the semantics and pragmatics of evidentiality and illocutionary mood, set within formal theories of meaning and discourse. The empirical focus is the evidential system of Cheyenne (Algonquian: Montana), which is analyzed based on several years of fieldwork by the author.

Recent significant research in a number of disciplines centers around the concept of the sense of agency. Because many of these studies cut across disciplinary lines there is good reason to seek a clear consensus on what ‘sense of agency’ means. In this paper I indicate some complexities that this consensus might have to deal with. I also highlight an important phenomenological distinction that needs to be considered in any discussion of the sense of agency, regardless of how it gets (...) defined, and I offer some critical comments on some current models tied to the notion that the sense of agency has an ambiguous phenomenology. (shrink)

Understanding the ethics of enhancement begins with getting clear about the concept, as well as the factors likely to move people to pursue biomedical enhancement. This article first considers the usefulness of the distinction between therapy and enhancement for understanding the ethics of enhancement. Once the conceptual underbrush has been cleared away, we can move on to ethics. The next section examines critically a number of arguments that have been offered to defend biomedical enhancement, or, at least, to claim that (...) efforts to deter it are either ethically or practically mistaken. Finally, the article considers a set of arguments that take the ethics of enhancement to be a serious matter and that gives reasons to question whether some biomedical enhancements, for some purposes, may be ethically suspect. (shrink)

Mind wandering is a pervasive feature of subjective experience. But why does the mind tend to wriggle about rather than always staying focused? To answer this question, this paper defends the claim that mind wandering consists in task-unrelated thought. Despite being the standard view of mind wandering in cognitive psychology, there has been no systematic elaboration or defense of the task-unrelated thought view of mind wandering. Here, I argue for the task-unrelated thought view by showing how mind wandering reflects a (...) distinctive form of non-vigilant thinking. When the relationship between mind wandering and vigilance is clarified, several objections to the task-unrelated thought view can be defused. Not only does this provide a novel defense of the task-unrelated thought view of mind wandering, but it also presents an account of mind wandering that is compatible with a naturalistic account of subjectivity. (shrink)

Loyalty is considered central to people’s moral life, yet little is known about how people think about what it means to be loyal. We used a prototype approach to understand how loyalty is represented in Colombia and the United States and how these representations mediate attributions of loyalty and moral judgments of loyalty violations. Across 7 studies (N = 1,984), we found cross-cultural similarities in the associative meaning of loyalty (Study 1) but found differences in the centrality of features associated (...) with loyalty (Study 2) and the latent structure of loyalty representations (Study 3). Colombians represent loyalty in terms of more general moral characteristics, while US participants represent loyalty in terms of interpersonal commitment, both in contrast with current approaches to loyalty. By comparing representations of loyalty and honesty, we establish that difference in loyalty conceptualizations reflect a different way of thinking about loyalty rather than morality more generally (Study 4). Further, Colombians attributed greater loyalty to individuals with general moral characteristics compared to participants from the United States sample (Study 5) and were more likely to classify non-loyal values as loyalty-related (Study 6). While the centrality of prototypical features predicts categorizing norm violations as loyalty-related, differences in prototypical structure account for differences in the severity of moral judgment for such violations (Study 7), which suggests that loyalty representations have similar functions even though these representations differ in structural characteristics. (shrink)

Many people have long-term commitments that require coordination and cooperation with others. To achieve this, we construct plans to settle when, how, and for how long to pursue certain goals rather than others. This raises an interesting cognitive problem, namely that individuals can, at any given moment, manage significantly less information than they will need to accomplish their goals. Call this the Problem of Scarce Information. The solution requires a special self-regulatory system that strategically manages the varying informational demands of (...) one's activity. This paper argues that vigilance has structural and functional characteristics that make it apt to play this role. This paper illuminates both crucial aspects of temporally extended agency, but also the unique practical norms that structure how we act over time. (shrink)

Accession Number: ATLA0001788486; Hosting Book Page Citation: p 168-178.; Language(s): English; Issued by ATLA: 20130825; Publication Type: Essay.

A qualitative analysis of societal silences, demonstrating how the unsaid directs social action and shapes individual and collective lives.

Consider the following situation. It is the first day of school, and the new third-grade students file into the classroom to be shown to their seats for the coming year. As they enter, the third-grade teacher notices one small boy who is particularly unkempt. He looks to be in desperate need of bathing, and his clothes are dirty, torn and tight-fitting. During recess, the teacher pulls aside the boy's previous teacher and asks about his wretched condition. The other teacher informs (...) her that he always looks that way, even though the boy's family is quite wealthy. The reason he appears as he does, she continues, is that the family observes an odd practice according to which the children do not receive many important things – food, clothing, bathing, even shelter – unless they specifically request them. Since the boy, like many third-graders, has little interest in bathing and clean clothes, he just never asks for them. (shrink)

Digital transformations and processes of “datafication” fundamentally reshape how information is produced, circulated and given meaning. In this article, we provide a concept of “datastructuring” which seeks to capture this reshaping as both a product of and productive of social activity. To do this we focus on how new forms of social action map onto and are enabled by technological changes related to datafication, and how new forms of datafied social action constitute a form of knowledge production which becomes embedded (...) in technologies themselves. We illustrate the potential of the datastructuring concept with empirical examples which also serve to highlight some new avenues for research and some empirical questions to explore further. We suggest a focus on datastructuring can ignite scholarly debates across disciplines that may share an interest in the technological configurations, sorting activities, and other socio-material forces that shape digital spaces, but which are rarely brought together. Such cross-disciplinary conceptualizations may give more attention to how information is structured and organized, becomes “algorithmically recognizable”, and emerges as visible in digital, datafied spaces. Such a concept, we suggest, may help us better understand the novel ways in which “backstage datawork” and “data sorting processes” gain traction in political interventions, commercial processes, and social ordering. (shrink)

Combined oral contraceptives have been demonstrated to have significant benefits for the treatment and prevention of disease. These medications also are associated with untoward health effects, and they may be directly contraceptive. Prescribers and users must compare and weigh the intended beneficial health effects against foreseeable but unintended possible adverse effects in their decisions to prescribe and use. Additionally, those who intend to abide by Catholic teachings must consider prohibitions against contraception. Ethical judgments concerning both health benefits and contraception are (...) approached in this essay through an overview of the therapeutic, prophylactic, untoward, and contraceptive effects of COC and discussion of magisterial and traditional Catholic teachings from natural law. Discerning through the principle of double effect, proportionate reason, and evidence gathered from the sciences, medical and moral conclusions are drawn that we believe to be fully compliant with good medicine and Catholic teaching. (shrink)

On Anthropomorphism concerns itself with performances and artworks that explore the complex of interesting and mutually contradictory ideas located under the umbrella term, ‘anthropomorphism’. On the one hand, it is used to refer to something that resembles a human, and on the other hand it refers to our natural tendency to read human characteristics in the non-human object or animal. Moreover, an interrogation of the concept of anthropomorphism, especially as it is found in contemporary performance, suggests that there is not (...) a singular line dividing the human from the non-human but a vast terrain that houses the comical, the uncanny and the abject. The aim of this issue is to elucidate anthropomorphism in its multitude of aspects, thereby shedding light on discourses around object theatre and ecological performance that attempt to understand the more-than-human world in a way that goes beyond ‘mere’ anthropomorphism. (shrink)

In Political Liberalism John Rawls argues that “the reasonable” and “the rational” are “two distinct and independent” ideas. This differentiation is essential to the viability of Rawls' conception of political liberalism insofar as it facilitates the recognition and subsequent voluntary acceptance of the need for a public conception of justice that requires all individuals to forsake the unfettered pursuit of their personal ambitions. However, the soundness of Rawls' argument is premised upon a number of questionable claims that, in effect, render (...) his proposed distinction between the reasonable and the rational more chimerical than real, and in so doing critically undermine the ability of his conception of justice to secure the type of voluntary public consensus he deems necessary to establish and sustain a just and stable liberal democracy. It is concluded that the only way one can be assured of generating the sought after conditions is to develop a regulatory framework that publicly supports and protects the principles embodied in Rawls' conception of reasonableness, rather than relying upon the reasonableness of individuals to secure and nourish the required conditions. S. Afr. J. Philos. Vol.24(4) 2005: 308-320. (shrink)

Descartes's achievement is a radical reversal of the order of knowing, a subjectivism that places knowledge of the mind ahead of knowledge of material things, ...

This chapter contains sections titled: * Notes * References.

Milgate and Stimson are first-rate historians of economic ideas."--Ian Shapiro, Yale University "This is a fascinating and elegant study of the development of political economy and its relationship to political thought.

This article constitutes the first part of a larger paper concerning the philosophical provenance of Mr. Cogito, the title character of poems by Zbigniew Herbert, which were published under the same title by “Czytelnik” in 1974. The poet used to study philosophy and corresponded for many years with his Master, Professor Henryk Elzenberg. The first part of the paper presents Mr. Cogito’s polemics with Cartesian apriorism, according to which only rational thinking leads to the knowledge of the truth. Herbert’s lyrical (...) character draws attention to the fallacy of Cartesian methodological reductionism; Mr. Cogito’s knowledge is individual, connected with both his mind and his sense and empirical experience. In the terminology of J.H. Newman, whose philosophy was known to Herbert, there is not merely notional knowledge, based on ratio, but the equally important real knowledge, which stems from the experience of an individual human being. (shrink)

The article constitutes the second part of a larger paper concerning the philosophical heritage of Mr. Cogito, the lyrical subject of Zbigniew Herbert’s poems. The self-consciousness of the title character is formed, quite like in P. Ricoeur’s hermeneutics of existence, in relation to the sphere of history and culture, as well as to the other. Mr. Cogito, when confronted with the war and annihilation, cannot simply use the Cartesian deductive method of reasoning in order to intelligibly prove the existence of (...) God and an immortal soul. Therefore, he refers in his philosophical thinking not merely to rationalism, but also to symbol, which more profoundly than ratio describes the nature of his existence. When challenged by boundary situations, he unsuccessfully attempts to find consolation in the Upanishads, Stoicism, or the wisdom of Chasidism. His attitude towards the modern philosophy of nature as well as to the relative motion theory is that of a sceptic; he juxtaposes them with Aristotle’s Logic. The propensity of contemporary Western civilization to follow magic or gnosis is perceived by him as a sign of self-delusion, or even self-destruction. (shrink)

The third part of the article is focused on the interpretation of a well-known poem by Zbigniew Herbert, “The Message of Mr. Cogito”. The rhetorical figure, the golden fleece of nothingness, has been interpreted in the context of Meister Eckhart’s apophatic theology, as well as the phenomenology of Bertrand Welte. Since nothingness has been described by the predicate of the golden fleece, it paradoxically comes across as something that is. The golden fleece, in turn, alludes to the ancient Greek poem (...) by Apollonius of Rhodes, in which it became a reward for the Argonauts’ virtue of courage in their fight against evil. In the ancient myths of Hellas, the golden fleece is also a symbol of divine providence and protection. Therefore nothingness, described in the poem by the predicate of the golden fleece, does not have to mean non-existence, or mere nothing, but it can point to reality which transcends the limits of human language and as such, it can be described merely in the terms of apophatic theology. For B. Welte, on the other hand, nothingness exists in the consciousness of Dasein as the inevitability of death and its ontological status is ambiguous. This is because nothingness exists as something that is. Since Dasein intends to endow his/her being-here with meaning by following the rules of ethics, the only guarantee of their rightfulness is nothingness understood as the mystery of transcendence. (shrink)

Increasingly, the mind is being treated as a fit subject for scientific inquiry. As cognitive science and empirical psychology strive to uncover the mind's secrets, it is fitting to inquire as to what distinctive role is left for philosophy in the study of mind. This collection, which includes contributions by some of the leading scholars in the field, offers a rich variety of perspectives on this issue. Topics addressed include: the place of a priori inquiry in philosophy of mind, moral (...) psychology, consciousness, social dimensions of intentionality, the relation of logic to philosophical psychology, objectivity and the mind, and privileged access. (shrink)

In “Beat the (Backward) Clock,” we argued that John Williams and Neil Sinhababu’s Backward Clock Case fails to be a counterexample to Robert Nozick’s or Fred Dretske’s Theories of Knowledge. Williams’ reply to our paper, “There’s Nothing to Beat a Backward Clock: A Rejoinder to Adams, Barker and Clarke,” is a further attempt to defend their counterexample against a range of objections. In this paper, we argue that, despite the number and length of footnotes, Williams is still wrong.

The paper addresses a plea by accounting educators that ethics should be integrated into the accounting curriculum (Poje and Zaman Groff 2022). Further, accountants should teach ethics. Case learning is consistent with Bloom’s (1956) taxonomy of six levels of learning. The ethics literature supports using cases to teach ethics because cases allow each student to put themselves in the position of a decision-maker. Case selection should engage the learner emotionally. Therefore, current issues are preferable. With these goals—engaging the student as (...) a learner, ensuring action learning, and meeting the learning taxonomy of Bloom, the paper provides educators with a suggested road map of case materials that can be employed in accounting courses across the program. Road maps are a means to demonstrate a holistic view of curriculum design and learning execution across specific accounting courses. (shrink)

The analytic method by which Descartes discovered the first principle of his philosophy—cogito, ergo sum—is a unique cognitive process of direct insight and nonlogical inference. It differs markedly from inductive as well as deductive procedures, but also from older models of the direct noetic apprehension of first principles, notably those of Plato and Aristotle. However, a critical examination of Descartes’s argument for the innateness of the idea of God shows that there are serious obstacles in the way of his employment (...) of the analytic method of discovery to reach this or any other conclusion about ideas that do not fall within the scope of ordinary human experience. (shrink)

ABSTRACT: The analytic method by which Descartes established the first principle of his philosophy is a unique cognitive process of direct insight and non-logical inference that differs markedly from the deductive model of noetic apprehension long associated with seventeenth-century rationalism. In this paper, it is shown that the same analytic process is at work in the Third Meditation proof of the innateness of the idea of God, where, however, there are serious doubts about its legitimacy.

The ideas of economists and political philosophers, both when they are right and when they are wrong, are more powerful than is commonly understood. Indeed the world is ruled by little else. Practical men, who believe themselves to be quite exempt from any intellectual influences, are usually the slaves of some defunct economist. Madmen in authority, who hear voices in the air, are distilling their frenzy from some academic scribbler of a few years back. We have changed, by insensible degrees, (...) our philosophy of economic life, our notions of what is reasonable and what is tolerable; and we have done this without changing our technique or our copybook maxims. Hence our tears and troubles. (shrink)