Background In an effort to improve the quality of medical care, the philosophy of patient-centered care has become integrated into almost every aspect of the medical community. Despite its widespread acceptance, among patients and practitioners, there are concerns that rapid advancements in artificial intelligence may threaten elements of patient-centered care, such as personal relationships with care providers and patient-driven choices. This study explores the extent to which patients are confident in and comfortable with the use of these technologies when it (...) comes to their own individual care and identifies areas that may align with or threaten elements of patient-centered care. Methods An exploratory, mixed-method approach was used to analyze survey data from 600 US-based adults in the State of Florida. The survey was administered through a leading market research provider (August 10–21, 2023), and responses were collected to be representative of the state’s population based on age, gender, race/ethnicity, and political affiliation. Results Respondents were more comfortable with the use of AI in health-related tasks that were not associated with doctor-patient relationships, such as scheduling patient appointments or follow-ups (84.2%). Fear of losing the ‘human touch’ associated with doctors was a common theme within qualitative coding, suggesting a potential conflict between the implementation of AI and patient-centered care. In addition, decision self-efficacy was associated with higher levels of comfort with AI, but there were also concerns about losing decision-making control, workforce changes, and cost concerns. A small majority of participants mentioned that AI could be useful for doctors and lead to more equitable care but only when used within limits. Conclusion The application of AI in medical care is rapidly advancing, but oversight, regulation, and guidance addressing critical aspects of patient-centered care are lacking. While there is no evidence that AI will undermine patient-physician relationships at this time, there is concern on the part of patients regarding the application of AI within medical care and specifically as it relates to their interaction with physicians. Medical guidance on incorporating AI while adhering to the principles of patient-centered care is needed to clarify how AI will augment medical care. (shrink)

This essay deals with property rights in body parts that can be exchanged in a market. The inquiry arises in the following context. With some exceptions, the laws of many countries permit only the donation, not the sale, of body parts. Yet for some years there has existed a shortage of body parts for transplantation and other medical uses. It might then appear that if more sales were legally permitted, the supply of body parts would increase, because people would have (...) more incentive to sell than they currently have to donate. To allow sales is to recognize property rights in body parts. To allow sales, however, makes body parts into “commodities”—that is, things that can be bought and sold in a market. And some view it as morally objectionable to treat body parts as commodities. (shrink)

Stephen Schiffer presents a groundbreaking account of meaning and belief, and shows how it can illuminate a range of crucial problems regarding language, mind, knowledge, and ontology. He introduces the new doctrine of 'pleonastic propositions' to explain what the things we mean and believe are. He discusses the relation between semantic and psychological facts, on the one hand, and physical facts, on the other; vagueness and indeterminacy; moral truth; conditionals; and the role of propositional content in information acquisition and (...) explanation. This radical new treatment of meaning will command the attention of everyone who works on fundamental questions about language, and will attract much interest from other areas of philosophy. (shrink)

In this foundational work on the theory of linguistic and mental representation, Stephen Schiffer surveys all the leading theories of meaning and content in the philosophy of language and finds them lacking. He concludes that there can be no correct, positive philosophical theory or linguistic or mental representation and, accordingly advocates the deflationary "no-theory theory of meaning and content." Along the way he takes up functionalism, the nature of propositions and their suitability as contents, the language of thought and (...) other sententialist theories of belief, intention based semantics, and related issues in ontology. Stephen Schiffer is Professor of Philosophy at the City University of New York Graduate Center. A Bradford Book. (shrink)

Averroes on Intellect provides a detailed analysis of the Muslim philosopher Averroes 's notorious unicity thesis -- the view that there is only one separate and eternal intellect for all human beings. It focuses directly on Averroes' arguments, both from the text of Aristotle's De Anima and, more importantly, his own philosophical arguments in the Long Commentary on the De Anima. Stephen Ogden defends Averroes' interpretation of De Anima using a combination of Greek, Arabic, Latin, and contemporary sources. Yet, (...) Ogden also insists that Averroes is not merely a 'commentator' but an incisive philosopher in his own right. The author thus reconstructs and analyzes Averroes' two most significant independent philosophical arguments, the Determinate Particular Argument and the Unity Argument. Alternative ancient and medieval views are also considered throughout, especially from two important foils before and after Averroes, namely, Avicenna and Thomas Aquinas. Aquinas' most famous and penetrating arguments against the unicity thesis are also addressed. Finally, Ogden considers Averroes' own objections to broader metaphysical views of the soul like Avicenna's and Aquinas', which agree with him on several key points including the immateriality of the intellect and the individuation of human souls by matter, while still diverging on the number and substantial nature of the intellect. The central goal of this book is to provide readers with a single study of Averroes' most pivotal arguments on intellect, consolidating and building on recent scholarship and offering a comprehensive case for his unicity thesis in the wider context of Aristotelian epistemology and metaphysics. (shrink)

I defend the claim that understanding is the goal of explanation against various persistent criticisms, especially the criticism that understanding is not truth-connected in the appropriate way, and hence is a merely psychological state. Part of the reason why understanding has been dismissed as the goal of explanation, I suggest, is because the psychological dimension of the goal of explanation has itself been almost entirely neglected. In turn, the psychological dimension of understanding—the Aha! experience, the sense that a certain explanation (...) “feels right”, and so on—has been conspicuously overemphasized. I try to correct for both of these exaggerations. Just as the goal of explanation includes a richer psychological—including phenomenological—dimension than is generally acknowledged, so too understanding has a stronger truth connection than is generally acknowledged.Keywords: Understanding; Explanation; Philosophy of science; Epistemology. (shrink)

Anyone who wishes to talk about angels has to respond to the mocking question, how many of them can dance on the point of a pin. The answer is: ‘just as many as they please’. Angels being immaterial intellects do not occupy space to the exclusion of any other such intellectual substance, and their being ‘on’ the point of a pin can only mean that they attend to it. The question, however, is not one that concerned our mediaeval predecessors, although (...) it seems as difficult to persuade anyone of this as it is to clear Canute of the charge of insane conceit. (shrink)

Reprinted in Aristotle's Ethics, edited by T. Irwin, Garland Press, 1995; revised in Essays on Aristotle's Rhetoric, edited by A. Rorty, University of California Press, 1996.

What is it for marks or sounds to have meaning, and what is it for someone to mean something in producing them? Answering these and related questions, Schiffer explores communication, speech acts, convention, and the meaning of linguistic items in this reissue of a seminal work on the foundations of meaning. A new introduction takes account of recent developments and places his theory in a broader context.

Despite a recent surge of interest in philosophy as a way of life, it is not clear what it might mean for philosophy to guide one's life, or how a “philosophical” way of life might differ from a life guided by religion, tradition, or some other source. We argue against John Cooper that spiritual exercises figure crucially in the idea of philosophy as a way of life—not just in the ancient world but also today, at least if the idea is (...) to be viable. In order to make the case we attempt to clarify the nature of spiritual exercises, and to explore a number of fundamental questions, such as “What role does reason have in helping us to live well?” Here we distinguish between the discerning and motivational powers of reason, and argue that both elements have limitations as guides to living well. (shrink)

Among philosophers of science there seems to be a general consensus that understanding represents a species of knowledge, but virtually every major epistemologist who has thought seriously about understanding has come to deny this claim. Against this prevailing tide in epistemology, I argue that understanding is, in fact, a species of knowledge: just like knowledge, for example, understanding is not transparent and can be Gettiered. I then consider how the psychological act of "grasping" that seems to be characteristic of understanding (...) differs from the sort of psychological act that often characterizes knowledge. Zagzebski's account Kvanvig's account Two problems Comanche cases Unreliable sources of information The upper-right quadrant So is understanding a species of knowledge? A false choice. (shrink)

There are good reasons for being suspicious of the very concept of ‘a religion’, let alone a ‘world religion’. It may be useful for a hospital administrator to know a patient's ‘religion’ – as Protestant or Church of England or Catholic or Buddhist – but such labels clearly do little more than identify the most suitable chaplain, and connote groupings in the vast and confusing region of ‘religious thought and practice’ that are of very different ranks. By any rational, genealogical (...) taxonomy ‘Protestant’, ‘Anglican’, ‘Catholic’ connote species, genera or families within Christianity, which is in turn a taxon within the multivariant tradition traced back to Abraham. ‘Buddhism’ includes as many variants as would ‘Abrahamism’. Most Abrahamists, traditionally, have been theists, but it is difficult not to suspect that Marxist socialism is an atypical variant which has inherited a linear view of time, a contest between the chosen agents of justice and the doomed powers-that-be, and the prospect of a future in which ‘there shall be no more sea’. (shrink)

We agree with Nielsen Busch and Mjaaland’s (2023) assessment that the Dead Donor Rule (DDR) should be viewed as an essential requirement of the organ donation process, and that the essence of the r...

This collection offers original work on the nature of understanding by a range of distinguished philosophers. Although some of the essays are by scholars well known for their work on understanding, many of the essays bring entirely new figures to the discussion.

Kant’s enigmatic term, “Gesinnung”, baffles many readers of Religion within the Bounds of Bare Reason. Detailed analysis of Kant’s theory of Gesinnung, covering all 169 occurrences of cognate words in Religion, clarifies its role in his theories of both general moral decision-making and specifically religious conversion. Whereas the convention of translating “Gesinnung” as “disposition” reinforces a tendency to interpret key Kantian theories metaphysically, and Pluhar’s translation as “attitude” has psychological connotations, this study demonstrates that Kantian Gesinnung is volitional, referring to (...) a person’s principle-based choice to live a certain way. Interpreted as principled “conviction”, Kantian Gesinnung is a religiously-manifested, moral form of Überzeugung (“convincing”). (shrink)

This chapter shows even tighter textual and conceptual connections between these philosophers, delineating how Spinoza drew from Avicenna on the definition of essence and the essence/existence distinction. Spinoza departs from Avicenna, potentially regarding the tendency of essences for existence and especially regarding their universality and particularity. Multiple doses of Avicennianism likely made their way into Spinoza's bloodstream. Avicenna's Najāt and the IP are the most likely sources for Maimonides's own knowledge of Avicenna. In medieval philosophy, including Avicenna accidents are real (...) beings and are isomorphic to Spinoza's modes. As may already be clear and is well‐attested, Avicenna and Spinoza agree that the essence/existence distinction only holds for things other than God. Spinoza's apparent insistence on essence as particular in itself seems to a more fundamental contrast with Avicenna and a more obviously modern/late medieval innovation than Spinoza's utilization of God's nominal essence in an ontological proof. (shrink)

One of the largest ongoing debates in scholarship on Avicenna concerns his epistemology of the first acquisition of intelligible forms or concepts. “Emanationists” hold that intelligibles are emanated by the separate Active Intellect directly into human minds. “ionists” hold that intelligibles are abstracted by the human intellect from sensory images. Neither of these positions has a satisfactory grip on Avicenna’s philosophy. I propose that the two positions can be reconciled because Avicenna states in many texts that what the AI emanates (...) is a power, and not the various intelligible forms. I argue that this can only be the power of abstraction itself. This new interpretation does greater justice to Avicenna’s system and reveals his unique place in the history of epistemology. (shrink)

This is the third in a series of articles that correlates Kant's architectonic with the Yijing's sixty-four hexagrams. Previous articles explained “architectonic” reasoning, introduced four levels of the “Compound Yijing,” consisting of 0 + 4 + 12 + gua, and suggested correlating the fourth level's four sets of twelve to the four “faculties” in Kant's model of the university. This third paper examines the philosophy faculty, assessing whether the twelve proposed gua meaningfully correlate with twelve basic philosophical concepts that Kant (...) introduces in his three Critiques. A key difference emerges: Kant's architectonic method aims to produce synthetic a priori knowledge, while the Yijing's architectonic method aims to produce analytic a posteriori belief. (shrink)

Words have determinable sense only within a complex of unstated assumptions, and all interpretation must therefore go beyond the given material. This book addresses what is man's place in the Aristotelian world. It also describes man's abilities and prospects in managing his life, and considers how far Aristotle's treatment of time and history licenses the sort of dynamic interpretation of his doctrines that have been given. The ontological model that explains much of Aristotle's conclusions and methods is one of life-worlds, (...) in which the material universe of scientific myth is no more than an abstraction from lived reality, not its transcendent ground. (shrink)

According to ‘orthodox’ epistemology, it has recently been said, whether or not a true belief amounts to knowledge depends exclusively on truth-related factors: for example, on whether the true belief was formed in a reliable way, or was supported by good evidence, and so on. Jason Stanley refers to this as the ‘intellectualist’ component of orthodox epistemology, and Jeremy Fantl and Matthew McGrath describe it as orthodox epistemology’s commitment to a ‘purely epistemic’ account of knowledge — that is, an account (...) of knowledge where only truth-related factors figure in whether or not a person knows. In the first part of this paper I try to clarify the intellectualist thesis and to distinguish what I take to be its two main strains. In the remainder of the paper I then take a more critical turn and argue that even if, as a matter of fact, traditional epistemology has endorsed intellectualism in both of its strains, this is a mistake on the part of the tradition. At least one way of understanding intellectualism should be rejected and its practicalist counterpart should be accepted instead. (shrink)

This paper offers and analysis of Ernest Sosa's Virtue Perspectivism. Although Sosa has been credited with fathering the influential contemporary movement known as Virtue Epistemology, I argue that Sosa imprudently abandons the reliabilist-based insights of Virtue Epistemology in favor of a reflection-based, "perspectival"' view. Sosa's mixed allegiance to reliabilist-based and reflection-based views of knowledge, in fact, leads to an unwelcome tension in his thought which can be relieved by recognizing that his reflection-based view is in fact an account of the (...) cognitive state of understanding, rather than an account of knowledge. Sosa makes matters difficult for himself because he expects too much, as it were, from the concept of knowledge, and in the process burdens his view with elements of reflection it does not require. To solve the problem, I suggest that Sosa needs to develop a two-tiered epistemology which recognizes that knowledge, on the one hand, and understanding, on the other, both have necessary and sufficient conditions unique to themselves. (shrink)

Journal of Chinese Philosophy, EarlyView.

Defenders of pragmatic encroachment in epistemology (or what I call practicalism) need to address two main problems. First, the view seems to imply, absurdly, that knowledge can come and go quite easily—in particular, that it might come and go along with our variable practical interests. We can call this the stability problem. Second, there seems to be no fully satisfying way of explaining whose practical interests matter. We can call this the “whose stakes?” problem. I argue that both problems can (...) be addressed in roughly the same terms. More exactly, I argue that by first clarifying the whose stakes? problem an answer to the stability problem naturally falls out. (shrink)

The Value of Life is an exploration of the actual and perceived importance of biological diversity for human beings and society. Stephen R. Kellert identifies ten basic values, which he describes as biologically based, inherent human tendencies that are greatly influenced and moderated by culture, learning, and experience. Drawing on 20 years of original research, he considers: the universal basis for how humans value nature differences in those values by gender, age, ethnicity, occupation, and geographic location how environment-related activities (...) affect values variation in values relating to different species how vlaues vary across cultures policy and management implications Throughout the book, Kellert argues that the preservation of biodiversity is fundamentally linked to human well-being in the largest sense as he illustrates the importance of biological diversity to the human sociocultural and psychological condition. (shrink)

Kants theories of both general moral decision-making and specifically religious conversion. It is argued that Kantian Gesinnung is volitional, referring to a personconvictionberzeugung (). This is confirmed by a detailed analysis of the 169 occurrences of Gesinnung and cognate words in Religion. It contrasts with what is suggested by translating Gesinnung as, which reinforces a tendency to interpret the notion more metaphysically, and also with Pluharattitude’, which has too strongly psychological connotations.

I explore the extent to which the epistemic state of understanding is transparent to the one who understands. Against several contemporary epistemologists, I argue that it is not transparent in the way that many have claimed, drawing on results from developmental psychology, animal cognition, and other fields.

After summarizing the content of Philip Rossi’s book, The Ethical Commonwealth in History: Peace-Making as the Moral Vocation of Humanity, I pose two main questions. First, does politics or religion play a more important role in Kant’s philosophy when it comes to the task of ushering humanity to the realization of its ultimate vocation, the establishment of a lasting peace for human society? I argue that Kant portrays politics as a means to a religious end, whereas Rossi tends to reverse (...) their Kantian order of priority. Second, what concrete details does Kant give in defense of his theory that establishing an ethical community is a universal duty of humankind? As Rossi tends to overlook Kant’s details, I provide an overview. Kant argues that the ethical community can only be established in the form of a church and that the rational content constituting the core of the true church consists of four requirements: universality, integrity, freedom, and unchangeableness. After challenging Rossi’s claim that Kantian hope is necessarily social, I conclude with two minor questions: Is Kant’s theory of human nature dualist or monist? and Must the church create a political form of peace that applies to all human beings? (shrink)

The question of whether the normative testimony of ethics experts should be admissible under the rules of evidence has been the subject of much debate. Professor Imwinkelried's paper is an effort to get us, for a moment, to change that subject. He seeks to turn our attention, instead, to a means by which bioethics experts’ normative analyses might come before the court without regard to the rules of evidence - a means lying formally outside those rules’ jurisdiction. The court, he (...) argues, may freely consider evidence from expert bioethicists so long as it is performing a legislative rather than an adjudicative function. The rules of evidence apply to the court's efforts to find the facts of a particular case, Imwinkelried argues, but they do not constrain the court's investigations relative to its creative law-making efforts. (shrink)

After reviewing Kant’s well-known criticisms of the traditional proofs of God’s existence and his preferred moral argument, this paper presents a detailedanalysis of a densely-packed theistic argument in Religion within the Bounds of Bare Reason. Humanity’s ultimate moral destiny can be fulfilled only through organized religion, for only by participating in a religious community (or “church”) can we overcome the evil in human nature. Yet we cannot conceive how such a community can even be founded without presupposing God’s existence. Viewing (...) God as the internal moral lawgiver, empowering a community of believers, is Kant’s ultimate rationale for theistic belief. (shrink)

After briefly recounting a strange, quasi-mystical experience I had while first reading Immanuel Kant’s Critique of Pure Reason, I devote most of this article to exploring various similarities between theories Kant developed and ideas more commonly associated with Paul Tillich. Hints are drawn from Chris Firestone’s book, Kant and Theology at the Boundaries of Reason, which argues that my interpretation of Kant echoes themes in Tillich’s ontology. Among the themes whose Kantian roots I explore are Tillich’s theories of: God as (...) the Ground of Being; faith as ultimate concern; courage as the proper life-choice in the face of the anxiety that naturally arises out of an honest response to the human situation, given our fundamental alienation from the divine; the crucial role of cultural symbols in bringing faith into historically realistic expressions; political forms as ideally self-negating; and love as a gift that we must express with power and justice in order to be efficacious. After considering whether Kant influenced Tillich more than Tillich ever admitted, I conclude by wondering if my own effort to develop an “affirmative” interpretation of Kant’s theory of religion may have itself had a hidden influence from my prior reading of Tillich. * Professor of Philosophy, Dept. of Religion and Philosophy, Hong Kong Baptist University, Kowloon, Hong Kong SAR, China ׀ [email protected]. (shrink)

Immortality is a subject which has long been explored and imagined by science fiction writers. In his intriguing new study, Stephen R.L.Clark argues that the genre of science fiction writing allows investigation of philosophical questions about immortality without the constraints of academic philosophy. He reveals how fantasy accounts of issues such as resurrection, disembodied survival, reincarnation and devices or drugs for preserving life can be used as an important resource for philosophical inquiry and examines how a society of immortals (...) might function through a reading of the vampire myth. _How to Live Forever_ is a compelling study which introduces students and professional philosophers to the possibilities of using science fiction in their work. It includes extensive suggestions for further reading, both fictional and philosophical, and examines the work of such major science fiction authors as _Arthur C. Clarke, Frank Herbert, Larry Niven, William Gibson_, and _Colin Wilson_. (shrink)

Kant is often regarded as one of the founding fathers of modern liberal democracy. His political theory reaches its climax in the ground-breaking work, Perpetual Peace (1795), which sets out the basic framework for a world federation of states united by a system of international law. What is less well known is that two years earlier, in his Religion within the Bounds of Bare Reason (1793/1794), Kant had postulated a very different, explicitly religious path to the politics of peace: he (...) presents the idea of an “ethical community” as a necessary requirement for humanity to become “satisfactory to God”. While many recent scholars have noted the importance of Kant’s concept of the ethical community, few recognize the force of his argument that such a community is possible only if it takes the form of a church; as a result, the precise status of his proposal remains unclear and under-appreciated. He argues in Division One, Section IV, of Religion’s Third Piece that the idea of this community can become a reality only through a “church” that is characterized by four rational requirements: unity, integrity, freedom, and the changeability of all church rules except these four unchangeable marks. Prior to Section IV, Division One portrays this ethical community as having a political form, yet an essentially nonpolitical matter. He compares it with Jewish theocracy, but observes that the latter failed to be an ethical commonwealth because it was explicitly political. Whereas traditional theocracy replaces the political state of nature (which conforms to the law, “might makes right”) with an ethical state of nature (which conforms to the law that I call, “should makes good”), or attempts to synthesize them, non-coercive theocracy transcends this distinction through a new perspective: it unites humanity in a common vision of a divine legislator whose only law is inward, binding church members together like families, through the law of love. Whereas the legal rights supported by democracy and a system of international law can go a long way to prepare for world peace, Kant’s conviction is that it will be ultimately impossible without support from healthy religion. (shrink)

Object files (OFs) are hypothesized mid-level representations which mediate our conscious perception of persisting objects—e.g. telling us ‘which went where’. Despite the appeal of the OF framework, not previous research has directly explored whether OFs do indeed correspond to conscious percepts. Here we present at least one case wherein conscious percepts of ‘which went where’ in dynamic ambiguous displays diverge from the analogous correspondence computed by the OF system. Observers viewed a ‘bouncing/streaming’ display in which two identical objects moved such (...) that they could have either bounced off or streamed past each other. We measured two dependent variables: (1) an explicit report of perceived bouncing or streaming; and (2) an implicit ‘object-specific preview benefit’ (OSPB), wherein a ‘preview’ of information on a specific object speeds the recognition of that information at a later point when it appears again on the same object (compared to when it reappears on a different object), beyond display-wide priming. When the displays were manipulated such that observers had a strong bias to perceive streaming (on over 95% of the trials), there was nevertheless a strong OSPB in the opposite direction—such that the object files appeared to have ‘bounced’ even though the percept ‘streamed’. Given that OSPBs have been taken as a hallmark of the operation of object files, the five experiments reported here suggest that in at least some specialized (and perhaps ecologically invalid) cases, conscious percepts of ‘which went where’ in dynamic ambiguous displays can diverge from the mapping computed by the object-file system. (shrink)

In this paper I explore the value of invertebrates to human society. I initially examine various ecological, utilitarian, scientific, and cultural benefits provided by invertebrate organisms. I then explore the extent of appreciation and understanding of these values among the American public. This assessment was based on a study of residents of the state of Connecticut, including randomly selected members of the general public, farmers, conservation organization members, and scientists. The general public and farmers were found to view most invertebrates (...) with aversion, anxiety, fear, avoidance, and ignorance. Far more positive and knowledgeable attitudes toward invertebrates and their conservation were observed among scientists and, to a lesser extent, among conservation organization members. I finally examine the motivational basis for hostile attitudes toward invertebrates, particularly arthropods, among the general public. Important factors include the possibility of an innate learning disposition, the association of many invertebrates with disease and agricultural damage, differences in ecological scale between humans and invertebrates, the multiplicity of invertebrates, the apparent lack of a sense of identity and consciousness among invertebrates, the presumption of mindlessness among invertebrates, and the radical autonomy of invertebrates from human control. (shrink)

Quantum indeterminism seems incompatible with Kant’s defense of causality in his Second Analogy. The Copenhagen interpretation also takes quantum theory as evidence for anti-realism. This first article of a two-part series argues that the law of causality, as transcendental, applies only to the world as observable, not to hypothetical objects such as quarks, detectable only by high energy accelerators. Taking Planck’s constant and the speed of light as the lower and upper bounds of observability provides a way of interpreting the (...) observables of quantum mechanics as empirically real even though they are transcendentally ideal. (shrink)