For all humans, sexual orientation and gender identity are essential elements of identity, informing how we plan and live our lives. The historic invisibility of sexual minorities in medicine has meant that these important aspects of their identities as patients have been ignored, with the result that these patients have been denied respect, culturally competent services, and proper treatment. Likely due to historic rejection and mistreatment, there is evidence of reluctance on the part of LGBT patients to disclose their sexual (...) orientation (SO) or gender identity (GI) to their health care providers. There is some perception of risk in sharing SO and GI for many patients who have had bad prior experiences. Despite these risks, we argue that we can improve the quality of care provided this population only by encouraging them to self‐identify and then using that information to improve quality of care.One strategy both to prompt patient self‐identification and to store and use SO and GI data to improve care centers on the use of electronic health records. However, gathering SO and GI data in the EHR requires a workforce that knows both how to obtain and how to use that information. To develop these competencies, educational programs for health professionals must prepare students and educators to elicit and to use sexual orientation and gender identity information to improve care while simultaneously ensuring the safety of patients, trainees, and staff and faculty members as SO and GI become openly discussed and integral parts of ongoing medical discussion and care. As determination of SO and GI demographics becomes more common in health research, we will more fully understand the health risks for all the LGBTIQQ populations. (shrink)

How can we think about things in the outside world? There is still no widely accepted theory of how mental representations get their meaning. In light of pioneering research, Nicholas Shea develops a naturalistic account of the nature of mental representation with a firm focus on the subpersonal representations that pervade the cognitive sciences.

The success of a piece of behaviour is often explained by its being caused by a true representation (similarly, failure falsity). In some simple organisms, success is just survival and reproduction. Scientists explain why a piece of behaviour helped the organism to survive and reproduce by adverting to the behaviour’s having been caused by a true representation. That usage should, if possible, be vindicated by an adequate naturalistic theory of content. Teleosemantics cannot do so, when it is applied to simple (...) representing systems (Godfrey-Smith 1996). Here it is argued that the teleosemantic approach to content should therefore be modified, not abandoned, at least for simple representing systems. The new ‘infotel-semantics’ adds an input condition to the output condition offered by teleosemantics, recognising that it is constitutive of content in a simple representing system that the tokening of a representation should correlate probabilistically with the obtaining of its specific evolutionary success condition. (shrink)

In their constructive reviews, Frances Egan, Randy Gallistel and Steven Gross have raised some important problems for the account of content advanced by Nicholas Shea in Representation in Cognitive Science. Here the author addresses their main challenges. Egan argues that the account includes an unrecognised pragmatic element; and that it makes contents explanatorily otiose. Gallistel raises questions about homomorphism and correlational information. Gross puts the account to work to resolve a dispute about probabilistic contents in perception, but argues that (...) a question remains about whether probabilities are found in the content or instead in the manner of representation. (shrink)

Our understanding of communication and its evolution has advanced significantly through the study of simple models involving interacting senders and receivers of signals. Many theorists have thought that the resources of mathematical information theory are all that are needed to capture the meaning or content that is being communicated in these systems. However, the way theorists routinely talk about the models implicitly draws on a conception of content that is richer than bare informational content, especially in contexts where false content (...) is important. This article shows that this concept can be made precise by defining a notion of functional content that captures the degree to which different states of the world are involved in stabilizing senders’ and receivers’ use of a signal at equilibrium. A series of case studies is used to contrast functional content with informational content, and to illustrate the explanatory role and limitations of this definition of functional content. _1_ Introduction _2_ Modelling Framework _3_ Two Kinds of Content _3.1_ Informational content _3.2_ Functional content _4_ Cases _4.1_ Case 1: Simplest case _4.2_ Case 2: Partial pooling _4.3_ Case 3: Bottleneck _4.4_ Case 4: Partial common interest _4.5_ Case 5: Deception _4.6_ Case 6: A further problem arising from divergent interests _5_ Discussion Appendix. (shrink)

This article challenges the individualism and neutrality of modern moral conscience. It looks to the history of the concept to excavate an older tradition that takes conscience to be social and morally responsive, while arguing that dominant contemporary justifications of conscience in terms of integrity are inadequate without reintroducing these social and moral traits. This prompts a rethinking of the nature and value of conscience: first, by demonstrating that a morally-responsive conscience is neither a contradiction in terms nor a political (...) absurdity; second, by suggesting how a morally-responsive conscience can be informed by the social world without being a mere proxy for social power or moribund tradition. (shrink)

A review of deVries' and O'Shea's books, both titled "Wilfrid Sellars". By Jaroslav Peregrin.

There is ongoing controversy as to whether the genome is a representing system. Although it is widely recognised that DNA carries information, both correlating with and coding for various outcomes, neither of these implies that the genome has semantic properties like correctness or satisfaction conditions, In the Scope of Logic, Methodology, and the Philosophy of Sciences, Vol. II. Kluwer, Dordrecht, pp. 387–400). Here a modified version of teleosemantics is applied to the genome to show that it does indeed have semantic (...) properties – there is representation in the genome. The account differs in three respects from previous attempts to apply teleosemantics to genes. It emphasises the role of the consumer of representations. It rejects the standard assumption that genetic representation can be used to explain the course of an organism’s development. And it identifies the explanatory role played by representational properties of the genome. A striking consequence of this account is that other inheritance systems could also be representational. Thus, a version of the parity thesis is accepted. However, the criteria for being an inheritance system are demanding, so semantic properties are not ubiquitous. (shrink)

This paper sets out a view about the explanatory role of representational content and advocates one approach to naturalising content – to giving a naturalistic account of what makes an entity a representation and in virtue of what it has the content it does. It argues for pluralism about the metaphysics of content and suggests that a good strategy is to ask the content question with respect to a variety of predictively successful information processing models in experimental psychology and cognitive (...) neuroscience; and hence that data from psychology and cognitive neuroscience should play a greater role in theorising about the nature of content. Finally, the contours of the view are illustrated by drawing out and defending a surprising consequence: that individuation of vehicles of content is partly externalist. (shrink)

This collection of new essays on the systematic thought and intellectual legacy of the American philosopher Wilfrid Sellars (1912–1989) comes at a time when Sellars’s influence on contemporary debates about mind, meaning, knowledge, and metaphysics has never been greater. Sellars was among the most important philosophers of the twentieth century, and many of his central ideas have become philosophical stock-in-trade: for example, his conceptions of the ‘myth of the given’, the ‘logical space of reasons’, and the ‘clash’ between the ‘manifest (...) and scientific images of man-in-the-world’. This volume of well-known contemporary philosophers who have been strongly influenced by Sellars – Robert Brandom, Willem deVries, Robert Kraut, Rebecca Kukla, Mark Lance, John McDowell, Ruth Millikan, James O’Shea, David Rosenthal, Johanna Seibt, and Michael Williams – critically examines the groundbreaking ideas by means of which Sellars sought to integrate our thought, perception, and rational agency within a naturalistic outlook on reality. Topics include Sellars’s inferentialist semantics and normative functionalist view of the mind; his attempted reconciliations of internalist and externalist aspects of thought, meaning, and knowledge; his novel nominalist account of abstract entities; and a speculative ‘pure process’ metaphysics of consciousness. Of particular interest is how this volume exhibits the ongoing fruitful dialogue between so-called ‘left-wing Sellarsians’, who stress Sellars’s various Kantian and pragmatist defenses of the irreducibility of normativity and rationality within the space of reasons, and ‘right-wing Sellarsians’ who defend the plausibility of Sellars’s highly ambitious and systematic scientific naturalism. (shrink)

Over the past decade, heightened attention has been placed on integrating literacy strategies into the social studies. The content literacy movement, as it has become known, began with the passing of No Child Left Behind and has continued with the newly implemented Common Core State Standards. In light of this movement, many states required the pre-service social studies teachers to take courses to teach them how to integrate content literacy into their field in spite of the fact that research has (...) shown that these types of courses can lead to heightened opposition. This study examines the process of change that pre-service social studies teachers experienced as they completed a content literacy course designed to model the principles of content literacy, provide opportunities to struggle with the application of content literacy, and support attempts at implementation. (shrink)

This chapter provides an outline of consent in the history of medical ethics. In doing so, it ranges over attitudes towards consent in medicine in ancient Greece, medieval Europe and the Middle East, as well as the history of Western law and medical ethics from the early modern period onwards. It considers the relationship between consent and both the disclosure of information to patients and the need to indemnify physicians, while attempting to avoid an anachronistic projection of concern with patient (...) autonomy too far back into the historical record. The chapter also includes a survey of the development of the social and intellectual infrastructure that underpins modern medical consent. It concludes with a brief discussion of possible future directions for ethical approaches to medical consent and competence that would depart from the models that arose in the twentieth-century. (shrink)

The distinction between top-down and bottom-up effects is widely relied on in experimental psychology. However, there is an important problem with the way it is normally defined. Top-down effects are effects of previously-stored information on processing the current input. But on the face of it that includes the information that is implicit in the operation of any psychological process – in its dispositions to transition from some types of representational state to others. This paper suggests a way to distinguish information (...) stored in that way from the kind of influence of prior information that psychologists are concerned to classify as a top-down effect. So-drawn, the distinction is not just of service to theoretical psychology. Asking about the extent of top-down processing is one way to pose some of the questions at issue in philosophical debates about cognitive penetrability – about the extent of the influence of cognitive states on perception. The existence of a theoretically-useful perception-cognition distinction has come under pressure, but even if it has to be abandoned, some of the concerns addressed in the cognitive penetrability literature can be recaptured by asking about the extent of top-down influences on any given psychological process. That formulation is more general, since it can be applied to any psychological process, not just those that are paradigmatically perceptual. (shrink)

This chapter develops a civic republican approach to disability justice. It begins by articulating a republican account of liberty as nondomination before showing how such domination can shape the relationships of people with disabilities. This leads to a consideration of whether disability justice can be defined in terms of maximizing or sufficient nondomination. Instead, the chapter provides a civic framework within which republican disability justice can be understood, encompassing both the absence of oppressive relationships and the presence of capabilities of (...) special egalitarian concern. It also considers some specific normative implications of a republican account of disability justice—doubting the suitability of contestatory democracy but pointing toward the merits of self-education and universal basic income. Finally, the objection that this republican approach to disability justice unreasonably denigrates dependence is rebutted. (shrink)

This paper raises two problems for plan-expressivism concerning normative judgments about non-corealizable actions: actions which cannot both be performed. First, plan-expressivists associate normative judgment with an attitude which satisfies a corealizability constraint, but this constraint is (in the interpersonal case) unwarranted, and (in the intrapersonal case) warranted only at the price of a contentious normative premise. Ayars (2022) holds that the pair of judgments ‘A should φ’ and ‘B should ψ’ is coherent only if one believes that A can φ (...) while B ψ’s. But this is false. Both Gibbard (2003) and Ayars hold that the pair of judgments ‘A should φ’ and ‘A should ψ’ is coherent only if one believes that A can φ and ψ. But this assumes possibilism. Second, the paper demonstrates, cases involving interpersonal non-corealizability prompt judgments about what multiple agents should do which – contra Gibbard – are not plausibly associated with any planning subject. (shrink)

The idea of ‘the given’ and its alleged problematic status as most famously articulated by Sellars continues to be at the center of heated controversies about foundationalism in epistemology, about ‘conceptualism’ and nonconceptual content in the philosophy of perception, and about the nature of the experiential given in phenomenology and in the cognitive sciences. I argue that the question of just what the myth of the given is supposed to be in the first place is more complex than has typically (...) been supposed in these debates, and that clarification of this prior question has surprising consequences. Foundationalism was only one of Sellars’s targets, and this not only in the familiar sense that the more fundamental issues at stake concern the very ‘objective purport’ or intentionality of our empirical thinking in general. When pushed further still, Sellars’s critique in fact hinged on his diagnoses of implicit framework-relative or ‘categorial’ metaphysical presuppositions he exposes in givenist views. Furthermore, the key to his critique accordingly turns out to rest on implicit assumptions concerning the in principle revisability or replaceability of any such presuppositions, whether ‘innate’ or acquired, and including Sellars’s own. Another key result is that widespread assumptions that Sellars’s famous critique is simply inapplicable or irrelevant to either ‘thin’ nonconceptualist views of the given, since they are ‘non-epistemic’; or alternatively, irrelevant to ‘thick’ conceptualist and phenomenological analyses –both turn out to be mistaken. (shrink)

In its original form, Nozick’s experience machine serves as a potent counterexample to a simplistic form of hedonism. The pleasurable life offered by the experience machine, its seems safe to say, lacks the requisite depth that many of us find necessary to lead a genuinely worthwhile life. Among other things, the experience machine offers no opportunities to establish meaningful relationships, or to engage in long-term artistic, intellectual, or political projects that survive one’s death. This intuitive objection finds some support in (...) recent research regarding the psychological effects of phenomena such as video games or social media use. After a brief discussion of these problems, I will consider a variation of the experience machine in which many of these deficits are remedied. In particular, I’ll explore the consequences of a creating a virtual world populated with strongly intelligent AIs with whom users could interact, and that could be engineered to survive the user’s death. The presence of these agents would allow for the cultivation of morally significant relationships, and the world’s long-term persistence would help ground possibilities for a meaningful, purposeful life in a way that Nozick’s original experience machine could not. While the creation of such a world is obviously beyond the scope of current technology, it represents a natural extension of the existing virtual worlds provided by current video games, and it provides a plausible “ideal case” toward which future virtual worlds will move. While this improved experience machine would seem to represent progress over Nozick’s original, I will argue that it raises a number of new problems stemming from the fact that that the world was created to provide a maximally satisfying and meaningful life for the intended user. This, in turn, raises problems analogous in some ways to the problem(s) of evil faced by theists. In particular, I will suggest that it is precisely those features that would make a world most attractive to potential users—the fact that the AIs are genuinely moral agents whose well-being the user can significantly impact—that render its creation morally problematic, since they require that the AIs inhabiting the world be subject to unnecessary suffering. I will survey the main lines of response to the traditional problem of evil, and will argue that they are irrelevant to this modified case. I will close by considering by consider what constraints on the future creation of virtual worlds, if any, might serve to allay the concerns identified in the previous discussion. I will argue that, insofar as the creation of such worlds would allow us to meet morally valuable purposes that could not be easily met otherwise, we would be unwise to prohibit it altogether. However, if our processes of creation are to be justified, they must take account of the interests of the moral agents that would come to exist as the result of our world creation. (shrink)

This article draws upon the civic republican tradition to offer new conceptual resources for the normative assessment of mental capacity law. The republican conception of liberty as non-domination is used to identify ways in which such laws generate arbitrary power that can underpin relationships of servility and insecurity. It also shows how non-domination provides a basis for critiquing legal tests of decision-making that rely upon ‘diagnostic’ rather than ‘functional’ criteria. In response, two main civic republican strategies are recommended for securing (...) freedom in the context of the legal regulation of psychological disability: self-authorisation techniques and participatory shaping of power. The result is a series of proposals for the reform of decisional capacity law, including a transition towards purely functional assessment of decisional capacity, surer legal footing for advanced care planning, and greater control over the design and administration of decision-making capacity laws by those with psychological disabilities. (shrink)

In 2013 John McDowell, Distinguished University Professor of Philosophy at the University of Pittsburgh, delivered the Agnes Cuming Lectures that are hosted annually by the School of Philosophy at...

Immanuel Kant’s Critique of Pure Reason (1781) remains a landmark work of philosophy and one that most students will encounter at some point in their studies. At nearly seven hundred pages of detailed and complex argument it is a demanding and intimidating read. James O’Shea’s introduction to the Critique seeks to make it less so. Aimed primarily at students coming to the book for the first time, it provides step-by-step analysis in clear, unambiguous prose. The conceptual problems Kant sought (...) to resolve are outlined and his conclusions concerning the nature of human knowledge and the possibility of metaphysics, and the arguments for those conclusions, are explored. Key concepts are explained throughout and the reader is provided with an unrivalled route map through the many and varied parts of the text. In addition, O’Shea’s careful and insightful analysis offers much for more seasoned readers of Kant and his interpretation provides a significant contribution to recent work. -/- “Exhibiting both care and liveliness, the text provides what it set out to offer, namely a readable and philosophically stimulating discussion of a difficult but seminal work. The discussion is genuinely approachable and clear without diminishing the difficulty of the problems it addresses. It provides students with a very helpful basis for understanding Kant’s book.” Graham Bird, Emeritus Professor of Philosophy, University of Manchester. (shrink)

A basic deep neural network (DNN) is trained to exhibit a large set of input–output dispositions. While being a good model of the way humans perform some tasks automatically, without deliberative reasoning, more is needed to approach human‐like artificial intelligence. Analysing recent additions brings to light a distinction between two fundamentally different styles of computation: content‐specific and non‐content‐specific computation (as first defined here). For example, deep episodic RL networks draw on both. So does human conceptual reasoning. Combining the two takes (...) advantage of the complementary costs and benefits of each. It also offers a better model of human cognitive competence. (shrink)

The work of the American philosopher Wilfrid Sellars continues to have a significant impact on the contemporary philosophical scene. His writings have influenced major thinkers such as Rorty, McDowell, Brandom, and Dennett, and many of Sellars basic conceptions, such as the logical space of reasons, the myth of the given, and the manifest and scientific images, have become standard philosophical terms. Often, however, recent uses of these terms do not reflect the richness or the true sense of Sellars original ideas. (...) This book gets to the heart of Sellars philosophy and provides students with a comprehensive critical introduction to his lifes work. The book is structured around what Sellars himself regarded as the philosophers overarching task: to achieve a coherent vision of reality that will finally overcome the continuing clashes between the world as common sense takes it to be and the world as science reveals it to be. It provides a clear analysis of Sellars groundbreaking philosophy of mind, his novel theory of consciousness, his defense of scientific realism, and his thoroughgoing naturalism with a normative turn. Providing a lively examination of Sellars work through the central problem of what it means to be a human being in a scientific world, this book will be a valuable resource for all students of philosophy. (shrink)

This article argues that political injustices can arise from the distribution and character of our sexual desires and that we can be held responsible for correcting these injustices. It draws on a conception of structural injustice to diagnose unjust patterns of sexual attraction, which are taken to arise when socio-structural processes shaping the formation of sexual desire compound systemic domination and capacity-deprivation for the occupants of a social position. Individualistic and structural solutions to the problem of unjust patterns of sexual (...) attraction are assessed in the context of racialised sexual aversion, racial fetishism, and the desexualisation of people with disabilities. While both forms of intervention can help in principle, some of the advantages of structural approaches are laid out. A schema for assigning political responsibilities for addressing this injustice is proposed, with some limits identified to the kinds of state and social responses that are justified. Finally, the status of the merely aesthetically unappealing is considered, with a relational egalitarian approach concluding that they are subject to structurally unjust patterns of sexual desire only when exposed to oppression or second-class citizenship as a result. (shrink)

A thought process is an unfolding causal chain. Some thoughts cause others in virtue of their contents. Paradigmatic cases of personal level inference involve something more, some kind of appreciation or feeling that the conclusion follows from the premises. First- order processes are inadequate to account for the phenomenon. Attempts to capture the additional ingredient in terms of second-order beliefs have proven problematic. An intermediate position has, however, been overlooked. The extra ingredient could be an epistemic feeling, a form of (...) procedural metacognition. Extensive psychological research has shown that epistemic feelings are involved in monitoring many kinds of cognitive process, affecting how the processes unfold. Inferences may be no different. Inferences are also plausibly accompanied by an epistemic feeling, something like a feeling of reliability or unreliability. Such a feeling accounts for the phenomenological datum. It can also play a significant epistemic role for the thinker. (shrink)

Ruth Millikan has hypothesised that human cognition contains ‘consistency testers’. Consistency testers check whether different judgements a thinker makes about the same subject matter agree or conflict. Millikan’s suggestion is that, where the same concept has been applied to the world via two routes, and the two judgements that result are found to be inconsistent, that makes the thinker less inclined to apply those concepts in those ways in the future. If human cognition does indeed include such a capacity, its (...) operation will be an important determinant of how people use concepts. It will have a major impact on which concepts they deploy and which means of application (conceptions) they rely on. Since consistency testers are a selection mechanism at the heart of conceptual thinking, they would be crucial to understanding how concepts are selected – why some are retained and proliferate and others die out. Hence, whether consistency testers for concepts exist, and how they operate, is an important question for those seeking to understand the cultural evolution of concepts, and of the words we use to express them. (shrink)

This article develops a civic republican approach to medical ethics. It outlines civic republican concerns about the domination that arises from subjection to an arbitrary power of interference, while suggesting republican remedies to such domination in healthcare. These include proposals for greater review, challenge and pre-authorisation of medical power. It extends this analysis by providing a civic republican account of assistive arbitrary power, showing how it can create similar problems within both formal and informal relationships of care, and offering strategies (...) for tackling it. Two important objections to civic republican medical ethics—that it overvalues independence and political participation in healthcare—are also considered and rebutted. (shrink)

Consciousness in experimental subjects is typically inferred from reports and other forms of voluntary behaviour. A wealth of everyday experience confirms that healthy subjects do not ordinarily behave in these ways unless they are conscious. Investigation of consciousness in vegetative state patients has been based on the search for neural evidence that such broad functional capacities are preserved in some vegetative state patients. We call this the standard approach. To date, the results of the standard approach have suggested that some (...) vegetative state patients might indeed be conscious, although they fall short of being demonstrative. The fact that some vegetative state patients show evidence of consciousness according to the standard approach is remarkable, for the standard approach to consciousness is rather conservative, and leaves open the pressing question of how to ascertain whether patients who fail such tests are conscious or not. We argue for a cluster-based ‘natural kind’ methodology that is adequate to that task, both as a replacement for the approach that currently informs research into the presence or absence of consciousness in vegetative state patients and as a methodology for the science of consciousness more generally. 1. Introduction2. The Vegetative State3. The Standard Approach4. The Natural Kind Methodology5. Is Consciousness a Special Case? 5.1 Is consciousness a natural kind?5.2 A special obstacle?6. Conclusion. (shrink)

The articles in this issue cover a wide range of topics, including the moral status of human embryos and human-animal chimeras and hybrids, the determination of death, theories of human cognition, and policies on the identity of mitochondrial donors. Despite this variety, there are two underlying questions that tie the articles together: what is a human being? And, what is the basis of moral status? First, I discuss these two questions and why they are important for bioethics. Then I provide (...) summaries of the six articles in this issue and explain how each of them is connected to the questions of human nature and moral status. (shrink)

Research on concepts has focused on categorization. Categorization starts with a stimulus. Equally important are episodes that start with a thought. We engage in thinking to draw out new consequences from stored information, or to work out how to act. Each of the concepts out of which thought is constructed provides access to a large body of stored information. Access is not always just a matter of retrieving a stored belief (semantic memory). Often it depends on running a simulation. Simulation (...) allows conceptual thought to draw on information in special-purpose systems, information stored in special-purpose computational dispositions and special-purpose representational structures. While the utility of simulation, prospection or imagination is widely appreciated, the role of concepts in the process is not well understood. This paper turns to cognitive and computational neuroscience for a model of how simulations enable thinkers to reach novel conclusions. Carried over to conceptual thought, the model suggests that concepts are ‘plug & play’ devices. The distinctive power of thought-driven simulation derives from the ability of concepts to plug into two kinds of structure at once: the combinatorial structure of a thought at one end and special-purpose structural representations at the other. This article is part of the theme issue ‘Concepts in interaction: social engagement and inner experiences’. (shrink)

Principlism, the bioethical theory championed by Tom Beauchamp and James Childress, is centered on the four moral principles of beneficence, non-maleficence, respect for autonomy, and justice. Two key processes related to these principles are specification—adding specific content to general principles—and balancing—determining the relative weight of conflicting principles. I argue that both of these processes necessarily involve an appeal to human goods and evils, and therefore require a theory of the good. A significant problem with principlism is that it lacks a (...) theory of the good and consequently does not have an adequate solution to the problems of specification and balancing. My conclusion is that principlism must adopt some account of human well-being in order to be a satisfactory bioethical framework. (shrink)

The New Thinking contained in this volume rejects an Evolutionary Psychology that is committed to innate domain-specific psychological mechanisms: gene-based adaptations that are unlearnt, developmentally fixed and culturally universal. But the New Thinking does not simply deny the importance of innate psychological traits. The problem runs deeper: the concept of innateness is not suited to distinguishing between the two positions. That points to a more serious problem with the concept of innateness as it is applied to human psychological phenotypes. This (...) paper argues that the features of recent human evolution highlighted by the New Thinking imply that the concept of inherited representation, set out here, is a better tool for theorising about human cognitive evolution. (shrink)

Perfectionism is the view that what is intrinsically good is the fulfillment of human nature or the development and exercise of the characteristic human capacities. An important objection to the theory is what Gwen Bradford calls the “Deep Problem”: explaining why nature-fulfillment is good. We argue that situating perfectionism within a Thomistic metaethical framework and adopting Aquinas's account of the metaphysical “convertibility” of being and goodness gives us a solution to the Deep Problem. In short, the fulfillment of human nature (...) consists in the actualization of human potentialities or fullness of human being, and because being is ultimately the same thing as goodness, the fulfillment of human nature is good. We show that Thomistic perfectionism meets the requirements for an answer to the Deep Problem, provides the best explanation possible for the goodness of nature fulfillment, and is a natural foundation for perfectionist theories of value. (shrink)

Miracle Max, it seems, is the only remaining miracle worker in all of Florin. Among other things, this means that he (unlike anyone else) can resurrect the recently dead, at least in certain circumstances. Max’s peculiar talents come with significant perks (for example, he can basically set his own prices!), but they also raise a number of ethical dilemmas that range from the merely amusing to the truly perplexing: -/- How much about Max’s “methods” does he need to reveal to (...) his patients? Is it really OK for Max to lie about Valerie’s being a witch, even though she really isn’t? Just how much of the “truth” does Max have to tell his patients? -/- Let’s suppose that Humperdinck had offered Max his old job back. Would it have been OK for Max to accept this offer? What about if Humperdinck wanted him to do experiments at “the Zoo”? -/- Is Max obligated to offer his services to everyone who needs them, such as the (mostly) dead Westley and friends? Or is he free to pick and choose? -/- In this chapter, I’ll consider how these questions might be addressed using concepts of medical ethics. As it turns out, Max’s dilemmas are not too different from the sorts of dilemmas that many medical professionals encounter in their daily lives, and exploring how Max could (or should) respond to them can help us figure out what we can do here in the “real” world. (shrink)

This paper argues that there is a distinctive vice of hypocrisy, which is Janus-faced. The vice of hypocrisy is the self-excepting avoidance of a particular pain, namely, the pain associated with being an object of blame one believes deserved. One can self-exceptingly avoid this pain attitudinally or behaviorally. With “attitudinal” hypocrisy, a person avoids it at the level of her beliefs: she avoids forming the belief that she is blameworthy for some act, while blaming others for their comparable acts. With (...) “behavioral” hypocrisy, by contrast, a person avoids it at the level of her behavior. She shields herself from the blame she believes her acts merit (e.g. by hiding what she has done), while blaming others for their comparable acts. The paper argues that both forms of hypocrisy are objectionable and explains how they are in tension, such that a given instance of the vice will typically involve only one or the other. Though both attitudinal and behavioral hypocrisy selectively spare the hypocrite the same pain, they require incongruous moral-psychological states: the attitudinal hypocrite avoids blaming herself, while the behavioral hypocrite proceeds on the assumption she is blameworthy. (shrink)

The republican ideal of non-domination identifies the capacity for arbitrary interference as a fundamental threat to liberty that can generate fearful uncertainty and servility in those dominated. I argue that republican accounts of domination can provide a powerful analysis of the nature of legal and institutional power that is encountered by people with mental disorders or cognitive disabilities. In doing so, I demonstrate that non-domination is an ideal which is pertinent, distinctive, and desirable in thinking through psychological disability. Finally, I (...) evaluate republican strategies for contesting domination, focusing on the limits of contestatory democracy, and proposing a participatory alternative which better addresses problems of political agency in the mentally disordered and cognitively disabled. (shrink)

Block’s well-known distinction between phenomenal consciousness and access consciousness has generated a large philosophical literature about putative conceptual connections between the two. The scientific literature about whether they come apart in any actual cases is rather smaller. Empirical evidence gathered to date has not settled the issue. Some put this down to a fundamental methodological obstacle to the empirical study of the relation between phenomenal consciousness and access consciousness. Block (2007) has drawn attention to the methodological puzzle and attempted to (...) answer it. While the evidence Block points to is relevant and important, this paper puts forward a more systematic framework for addressing the puzzle. To give it a label, the approach is to study phenomenal consciousness as a natural kind. The approach allows consciousness studies to move beyond the initial means of identifying instances of the kind, like verbal report, and to find its underlying nature. It is wellrecognised that facts about an underlying kind may allow identification of instances of the kind that do not match the initial means of identification (cp. non-liquid samples of water). This paper shows that the same method can be deployed to investigate phenomenal consciousness independently of access consciousness. (shrink)

Radical constructivists appeal to self-legislation in arguing that rational agents are the ultimate sources of normative authority over themselves. I chart the roots of radical constructivism and argue that its two leading Kantian proponents are unable to defend an account of self-legislation as the fundamental source of practical normativity without this legislation collapsing into a fatal arbitrariness. Christine Korsgaard cannot adequately justify the critical resources which agents use to navigate their practical identities. This leaves her account riven between rigorism and (...) voluntarism, such that it will not escape a paradox that arises when self-legislation is unable to appeal to external normative standards. Onora O'Neill anchors self-legislation more firmly to the self-disciplining structures of reason itself. However, she ultimately fails to defend sufficiently unconditional practical norms which could guide legislation. These endemic problems with radical constructivist models of self-legislation prompt a reconstruction of a neglected realist self-legislative tradition which is exemplified by Christian Wolff. In outlining a rationalist and realist account of self-legislation, I argue that it can also make sense of our ability to overcome anomie and deference in practical action. Thus, I claim that we need not make laws but can make them our own. (shrink)

I develop a socialist republican conception of economic liberty and show how it can be used to understand the domination of workers. It holds that both paid and unpaid workers can be deprived of economic freedom when they are exposed to an arbitrary power to undermine their access to the economic capabilities needed for civic equality. Measures intended to reduce domination are recommended, including public ownership of productive property, workplace democracy, and robust unconditional basic income and services. Finally, I discuss (...) the implications of this approach for platform capitalism, digital surveillance, the rise of automation, and post-work politics. (shrink)

In a recent paper, Alvin Plantinga defends occasionalism against an important moral objection: if God is the sole direct cause of all the suffering that results from immoral human choices, this causal role is difficult to reconcile with God’s perfect goodness. Plantinga argues that this problem is no worse for occasionalism than for any of the competing views of divine causality; in particular, there is no morally relevant difference between God directly causing suffering and God indirectly causing it. First, we (...) examine Plantinga’s moral parity argument in detail and offer a critical evaluation of it. Then we provide a positive argument, based on the doctrine of doing and allowing, to show why there is a morally relevant difference between God’s direct and indirect causation of suffering. (shrink)

In ‘Mental Events’ Donald Davidson argued for the anomalism of the mental on the basis of the operation of incompatible constitutive principles in the mental and physical domains. Many years later, he has suggested that externalism provides further support for the anomalism of the mental. I examine the basis for that claim. The answer to the question in the title will be a qualified ‘Yes’. That is an important result in the metaphysics of mind and an interesting consequence of externalism.