The enjoyment of beauty has a peculiar, mildly intoxicating quality of feeling The science of aesthetics investigates the conditions under which things are felt as beautiful, but it has been unable to give any explanation of the nature and origin of beauty Psychoanalysis, unfortunately, has scarcely anything to say about beauty either.1 Freud.

The best interests principle is commonly utilized in acute care settings to assist with decision making about life-saving and life-sustaining treatment. This ethical principle demands that the decision maker refers to some conception of quality of life that is relevant to the individual patient. The aim of this article is to describe the factors that are required to be incorporated into an account of quality of life that will provide a morally justifiable basis for making a judgement about the (...) future quality of life, and therefore the best interests, of critically ill patients who are mentally incompetent. This account consists of three major components - pain and suffering, body functioning, and autonomy - and is applicable in situations where very limited information is available to guide decision making. This framework helps to make decisions about the provision of life-saving treatment that are as consistent as possible in all patient situations. (shrink)

Perhaps the most troubling medical decisionmaking cases facing state courts involve serious health care decisions for persons with severe or profound mental retardation. Existing legal standards such as substituted judgment and best interests limit or skew relevant information. As an alternative, a best respect legal standard would prod decision makers to exhaust additional sources of information before making a surrogate medical decision. Such a legal standard also offers a more complete approach to all surrogate medical decisions.

I defend the theory that one's life is meaningful to the extent that one promotes the good. Call this the good cause account (GCA) of the meaning of life. It holds that the good effects that count towards the meaning of one's life need not be intentional. Nor must one be aware of the effects. Nor does it matter whether the same good would have resulted if one had not existed. What matters is that one is causally responsible for the (...) good. I argue that the best theory of the meaning of life should clearly distinguish between subjective fulfillment and objective meaningfulness. The GCA respects the distinction. And it is superior to its leading rivals in the recent literature, most notably those of Erik Wielenberg and Susan Wolf. (shrink)

Susan Wolf famously claimed that the life of the moral saint is unattractive from the “point of view of individual perfection.” I argue, however, that the unattractive moral saints in Wolf’s account are self-defeating on two levels, are motivated in the wrong way, and are called into question by real-life counter-examples. By appealing to a real-life case study, I argue that the best life from the moral point of view is not necessarily unattractive from the individual point of (...) view. (shrink)

Susan Haack criticises the US courts' use of Karl Popper's epistemology in discriminating acceptable scientific testimony. She claims that acceptable testimony should be reliable and that Popper's epistemology is useless in discriminating reliability. She says that Popper's views have been found acceptable only because they have been misunderstood and she indicates an alternative epistemology which she says can discriminate reliable theories. However, her account of Popper's views is a gross and gratuitous misrepresentation. Her alternative epistemology cannot do what she (...) claims for it. The courts should not be concerned with reliability and, insofar as they use the term 'reliability,' it should be construed in a procedural rather than a substantive sense. Since Popper's epistemology gives something like a characterisation of science at its best, the courts should continue to invoke Popper's theories in their discrimination of acceptable testimony. (shrink)

Johnson and Stricker published an opinion piece in the Journal of Medical Ethics presenting their perspective on the 2008 agreement between the Infectious Diseases Society of America (IDSA) and the Connecticut Attorney General with regard to the 2006 IDSA treatment guideline for Lyme disease. Their writings indicate that these authors hold unconventional views of a relatively common tick-transmitted bacterial infection caused by the spirochete Borrelia burgdorferi. Therefore, it should come as no surprise that their opinions would clash with the IDSA's (...) evidence-based guidelines for the diagnosis and treatment of Lyme disease. Their allegations of conflict of interest against the IDSA resemble those made against the National Institutes of Health, the Food and Drug Administration and the Centers for Disease Control and Prevention in 2000, which were found to be baseless. It is the responsibility of all physicians and medical scientists to stand up to antiscientific, baseless and unethical attacks on those who support an evidence-based approach to caring for patients. (shrink)

Conventional wisdom and commonsense morality tend to take the integrity of persons for granted. But for people in systematically unjust societies, self-respect and human dignity may prove to be impossible dreams.Susan Babbitt explores the implications of this insight, arguing that in the face of systemic injustice, individual and social rationality may require the transformation rather than the realization of deep-seated aims, interests, and values. In particular, under such conditions, she argues, the cultivation and ongoing exercise of moral imagination is (...) necessary to discover and defend a more humane social vision. Impossible Dreams is one of those rare books that fruitfully combines discourses that were previously largely separate: feminist and antiracist political theory, analytic ethics and philosophy of mind, and a wide range of non-philosophical literature on the lives of oppressed peoples around the world. It is both an object lesson in reaching across academic barriers and a demonstration of how the best of feminist philosophy can be in conversation with the best of “mainstream” philosophy—as well as affect the lives of real people. (shrink)

This new edition of Will Kymlicka's best selling critical introduction to contemporary political theory has been fully revised to include many of the most significant developments in Anglo-American political philosophy in the last eleven years, particularly the new debates over issues of democratic citizenship and cultural pluralism. The book now includes two new chapters on citizenship theory and multiculturalism, in addition to updated chapters on utilitarianism, liberal egalitarianism, libertarianism, socialism, communitarianism, and feminism. The many thinkers discussed include G. A. (...) Cohen, Ronald Dworkin, William Galston, Carol Gilligan, R. M. Hare, Chandran Kukathas, Catherine Mackinnon, David Miller, Philippe Van Parijs, Susan Okin, Robert Nozick, John Rawls, John Roemer, Michael Sandel, Charles Taylor, Michael Walzer, and Iris Young. Extended guides to further reading have been added at the end of each chapter, listing the most important books and articles on each school of thought, as well as relevant journals and websites. Covering some of the most advanced contemporary thinking, Will Kymlicka writes in an engaging, accessible, and non-technical way to ensure that the book is suitable for students approaching these difficult concepts for the first time. This second edition promises to build on the original edition's success as a key text in the teaching of modern political theory. (shrink)

These interviews with Hélène Cixous offer invaluable insight into her philosophy and criticism. Culled from newspapers, journals, and books, _White Ink_ collects the best of these conversations, which address the major concerns of Cixous's critical work and features two dialogues with twentieth-century intellectuals Michel Foucault and Jacques Derrida. The interviews in _White Ink_ span more than three decades and include a new conversation with Susan Sellers, the book's editor and a leading Cixous scholar and translator. Cixous discusses her (...) work and writing process. She shares her views on literature, feminism, theater, autobiography, philosophy, politics, aesthetics, religion, ethics, and human relations, and she reflects on her roles as poet, playwright, professor, woman, Jew, and, her most famous, "French feminist theorist." Sellers organizes _White Ink_ in such a way that readers can grasp the development of Cixous's commentary on a series of vital questions. Taken together, the revealing performances in _White Ink_ provide an excellent introduction this thinker's brave and vital work—each one an event in language and thought that epitomizes Cixous's intellectual and poetic force. (shrink)

In this volume comprised of sixteen essays and rebuttals, author and professor of philosophy Susan Haack responds to her fellow philosophers and her critics on a wide range of topics that involve much more than the esoteric nature of contemporary philosophy. Instead, as is Haack's forte, she asserts her views on important current issues such as how scientists conduct their work, the ethics of affirmative action and the pitfalls of preferential hiring, and how the distorted reality the postmodern thinkers (...) have presented has corrupted legal thinking. Her charge is to bring clarity, precision, integrity, and most of all, practicality to her field of study. (shrink)

Defenders of Inference to the Best Explanation (IBE) claim that explanatory factors should play an important role in empirical inference. They disagree, however, about how exactly to formulate this role. In particular, they disagree about whether to formulate IBE as an inference rule for full beliefs or for degrees of belief, and, if it is formulated as a rule for degrees of belief, how this rule relates to Bayesianism. In this essay I advance a new argument against non-Bayesian versions (...) of IBE that arises when we are concerned with multiple levels of explanation of some phenomenon. I show that in many such cases, following IBE as an inference rule for full belief leads to deductively inconsistent beliefs, and following IBE as a non-Bayesian updating rule for degrees of belief leads to (synchronically) probabilistically incoherent degrees of belief. (shrink)

(Pdf updated to final, slightly revised version of November 2010) -/- Almost everyone would prefer to lead a meaningful life. But what is meaning in life and what makes a life meaningful? I argue, first, for a new analysis of the concept of meaningfulness in terms of the appropriateness of feelings of fulfilment and admiration. Second, I argue that while the best current conceptions of meaningfulness, such as Susan Wolf’s view that in a meaningful life ‘subjective attraction meets (...) objective attractiveness’, do a fairly good job capturing meaningfulness at a time, we need an account that makes sense of the intimate connection between meaningfulness and having a direction in one’s life. According to the Teleological View I propose, what makes a single chapter of a life most meaningful is success in reaching central, objectively valuable goals as a result of exercising essential human capacities. Life as a whole is most meaningful when past efforts increase the success of future goal-setting, goal-seeking, and goal-reaching, so that the life forms a coherent whole without being dedicated to a single aim. Since coherence in this sense is a holistic property of a life, global prudential value is not a function of local prudential values. I suggest that just as pleasure is the final good of human beings as subjects of experience, meaningfulness is the final good of human beings as active agents. (shrink)

Conspiracy theories are typically thought to be examples of irrational beliefs, and thus unlikely to be warranted. However, recent work in Philosophy has challenged the claim that belief in conspiracy theories is irrational, showing that in a range of cases, belief in conspiracy theories is warranted. However, it is still often said that conspiracy theories are unlikely relative to non-conspiratorial explanations which account for the same phenomena. However, such arguments turn out to rest upon how we define what gets counted (...) both as a ‘conspiracy’ and a ‘conspiracy theory’, and such arguments rest upon shaky assumptions. It turns out that it is not clear that conspiracy theories are prima facie unlikely, and so the claim that such theories do not typically appear in our accounts of the best explanations for particular kinds of events needs to be reevaluated. (shrink)

This article generalizes the explanationist account of inference to the best explanation. It draws a clear distinction between IBE and abduction and presents abduction as the first step of IBE. The second step amounts to the evaluation of explanatory power, which consist in the degree of explanatory virtues that a hypothesis exhibits. Moreover, even though coherence is the most often cited explanatory virtue, on pain of circularity, it should not be treated as one of the explanatory virtues. Rather, coherence (...) should be equated with explanatory power and considered to be derivable from the other explanatory virtues: unification, explanatory depth and simplicity. (shrink)

This paper combines two ideas: (1) That the Lewisian best system analysis of lawhood (BSA) can cope with laws that have exceptions (cf. Braddon-Mitchell in Noûs 35(2):260–277, 2001; Schrenk in The metaphysics of ceteris paribus laws. Ontos, Frankfurt, 2007). (2) That a BSA can be executed not only on the mosaic of perfectly natural properties but also on any set of special science properties (cf., inter alia, Schrenk 2007, Selected papers contributed to the sections of GAP.6, 6th international congress (...) of the society for analytical philosophy. Mentis, Paderborn/Münster, 2008; Cohen and Callender in Philos Stud 145:1–34, 2009, Erkenntnis 73:427–447, 2010). Bringing together (1) and (2) results in an analysis of special science ceteris paribus laws. (shrink)

An influential suggestion about the relationship between Bayesianism and Inference to the Best Explanation (IBE) holds that IBE functions as a heuristic to approximate Bayesian reasoning. While this view promises to unify Bayesianism and IBE in a very attractive manner, important elements of the view have not yet been spelled out in detail. I present and argue for a heuristic conception of IBE on which IBE serves primarily to locate the most probable available explanatory hypothesis to serve as a (...) working hypothesis in an agent's further investigations. Along the way, I criticize what I consider to be an overly ambitious conception of the heuristic role of IBE, according to which IBE serves as a guide to absolute probability values. My own conception, by contrast, requires only that IBE can function as a guide to the comparative probability values of available hypotheses. This is shown to be a much more realistic role for IBE given the nature and limitations of the explanatory considerations with which IBE operates. (shrink)

How do we go about weighing evidence, testing hypotheses, and making inferences? The model of " inference to the best explanation " -- that we infer the hypothesis that would, if correct, provide the best explanation of the available evidence--offers a compelling account of inferences both in science and in ordinary life. Widely cited by epistemologists and philosophers of science, IBE has nonetheless remained little more than a slogan. Now this influential work has been thoroughly revised and updated, (...) and features a new introduction and two new chapters. Inference to the Best Explanation is an unrivaled exposition of a theory of particular interest in the fields both of epistemology and the philosophy of science. (shrink)

This article discusses how inference to the best explanation can be justified as a practical meta - argument. It is, firstly, justified as a practical argument insofar as accepting the best explanation as true can be shown to further a specific aim. And because this aim is a discursive one which proponents can rationally pursue in — and relative to — a complex controversy, namely maximising the robustness of one’s position, IBE can be conceived, secondly, as a meta (...) - argument. My analysis thus bears a certain analogy to Sellars ’ well - known justification of inductive reasoning ; it is based on recently developed theories of complex argumentation. (shrink)

This volume gathers eleven new and three previously unpublished essays that take on questions of epistemic justification, responsibility, and virtue. It contains the best recent work in this area by major figures such as Ernest Sosa, Robert Audi, Alvin Goldman, and Susan Haak.

This paper argues that ceteris paribus (cp) laws exist based on a Lewisian best system analysis of lawhood (BSA). Furthermore, it shows that a BSA faces a second trivialization problem besides the one identified by Lewis. The first point concerns an argument against cp laws by Earman and Roberts. The second point aims to help making some assumptions of the BSA explicit. To address the second trivialization problem, a restriction in terms of natural logical constants is proposed that allows (...) one to describe regularities, as specified by basic generics (e.g. ‘birds can fly’) and universals (e.g. ‘all birds can fly’). It is argued that cp laws rather than strict laws might be a part of the the best system of such a regularity-based BSA, since sets of cp laws can be both (a) simpler and (b) stronger when reconstructed as generic non-material conditionals. Yet, if sets of cp laws might be a part of the best system of a BSA and thus qualify as proper laws of nature, it seems reasonable to conclude that at least some cp laws qualify as proper laws of nature. (shrink)

Theory theorists conceive of social cognition as a theoretical and observational enterprise rather than a practical and interactive one. According to them, we do our best to explain other people's actions and mental experience by appealing to folk psychology as a kind of rule book that serves to guide our observations through our puzzling encounters with others. Seemingly, for them, most of our encounters count as puzzling, and other people are always in need of explanation. By contrast, simulation theorists (...) do their best to avoid the theoretical stance by using their own experience as the measure of everyone else's. When it comes to explaining how we understand other people some of the very best contemporary philosophers, psychologists, and neuroscientists are simulationists. For example, Vittorio Gallese, Alvin Goldman, Robert Gordon, Jane Heal, Susan Hurley, and Marc Jeannerod. This short list of simulationists, however, already involves some problems. Not everyone on this list understands simulation in the same way. In effect, there are different simulation theories, and although it is important to distinguish them, and I will do so before I go much further, I will in the end argue against all of them. For several reasons I don't think that the concept of simulation explains our primary and pervasive way of understanding others, any more than theory theory does. (shrink)

This study uses best–worst scaling experiments to examine differences across six countries in the attitudes of consumers towards social and ethical issues that included both product related issues (such as recycled packaging) and general social factors (such as human rights). The experiments were conducted using over 600 respondents from Germany, Spain, Turkey, USA, India, and Korea. The results show that there is indeed some variation in the attitudes towards social and ethical issues across these six countries. However, what is (...) more telling are the similarities seen and the extent to which individual variation dominates observable demographics and country-based variables. (shrink)

According to welfarism about value, something is good simpliciter just in case it is good for some being or beings. In her recent Presidential Address to the American Philosophical Association, “Good-For-Nothings”, Susan Wolf argues against welfarism by appeal to great works of art, literature, music, and philosophy. Wolf provides three main arguments against this view, which I call The Superfluity Argument, The Explanation of Benefit Argument, and The Welfarist’s Mistake. In this paper, I reconstruct these arguments and explain where, (...) in my view, each goes wrong. (shrink)

Craig Callender, Jonathan Cohen and Markus Schrenk have recently argued for an amended version of the best system account of laws – the better best system account (BBSA). This account of lawhood is supposed to account for laws in the special sciences, among other desiderata. Unlike David Lewis's original best system account of laws, the BBSA does not rely on a privileged class of natural predicates, in terms of which the best system is formulated. According to (...) the BBSA, a contingently true generalization is a law of a special science S iff the generalization is an axiom (or a theorem) of the best system relative to the set of predicates used by special science S. We argue that the BBSA is, at best, an incomplete theory of special science laws, as it does not account for typical features of special science laws, such as attached ceteris paribus conditions and the idealized character of law statements in these disciplines. (shrink)

This article critically examines, and ultimately rejects, the best interest standard as the predominant, go-to ethical and legal standard of decision making for children. After an introduction to the presumption of parental authority, it characterizes and distinguishes six versions of the best interest standard according to two key dimensions related to the types of interests emphasized. Then the article brings three main criticisms against the best interest standard: (1) that it is ill-defined and inconsistently appealed to and (...) applied, (2) that it is unreasonably demanding and narrow, and (3) that it fails to respect the family. Finally, it argues that despite the best interest standard’s potent rhetorical power, it is irreparably encumbered by too much inconsistency and confusion and should be rejected. (shrink)

Numerous philosophers allege that the "general theory of second best" (Lipsey and Lancaster, 1956) poses a challenge to the Target View, which asserts that real world reform efforts should aim to establish arrangements that satisfy the constitutive features of ideal just states of affairs. I demonstrate two claims that are relevant in this context. First, I show that the theory of second best fails to present a compelling challenge to the Target View in general. But, second, the theory (...) of second best requires ideal theorists to undertake certain kinds of causal and comparative analyses that are typically thought to lie beyond the borders of conventional ideal theory. (shrink)

Dawes (2013) claims that we ought not to believe but to accept our best scientific theories. To accept them means to employ them as premises in our reasoning with the goal of attaining knowledge about unobservables. I reply that if we do not believe our best scientific theories, we cannot gain knowledge about unobservables, our opponents might dismiss the predictions derived from them, and we cannot use them to explain phenomena. We commit an unethical speech act when we (...) explain a phenomenon in terms of a theory we do not believe. (shrink)

We describe a prediction method called "Attractivity Weighting" (AW). In the case of cue-based paired comparison tasks, AW's prediction is based on a weighted average of the cue values of the most successful cues. In many situations, AW's prediction is based on the cue value of the most successful cue, resulting in behavior similar to Take-the-Best (TTB). Unlike TTB, AW has a desirable characteristic called "access optimality": Its long-run success is guaranteed to be at least as great as the (...) most successful cue. While access optimality is a desirable characteristic, concerns may be raised about the short-term performance of AW. To evaluate such concerns, we here present a study of AW's short-term performance. The results suggest that there is little reason to worry about the short-run performance of AW. Our study also shows that, in random sequences of paired comparison tasks, the behavior of AW and TTB is nearly indiscernible. (shrink)

(2014). Leibniz and the Necessity of the Best Possible World. Australasian Journal of Philosophy: Vol. 92, No. 3, pp. 507-523. doi: 10.1080/00048402.2014.889724.

I defend a realist commitment to the truth of our most empirically successful current scientific theories—on the ground that it provides the best explanation of their success and the success of their falsified predecessors. I argue that this Best Current Theory Realism (BCTR) is superior to preservative realism (PR) and the structural realism (SR). I show that PR and SR rest on the implausible assumption that the success of outdated theories requires the realist to hold that these theories (...) possessed truthful components. PR is undone by the fact that past theories succeeded even though their ontological claims about unobservables are false. SR backpeddles to argue that the realist is only committed to the truth about the structure of relations implied by the outdated theory, in order to explain its success. I argue that the structural component of theories is too bare-bones thin to explain the predictive/explanatory success of outdated theories. I conclude that BCTR can meet these objections to PR and SR, and also overcome the pessimistic meta-induction. (shrink)

The purpose of this article is to present and discuss some of the best practices of financial industry, in three emerging economies: Colombia, Ecuador, and Peru. The main thesis is that, notwithstanding the importance of certain specific deficiencies, such as an inadequate regulatory context or the lack of financial education among the population, the main factor that explains the low banking levels in emerging and developing economies, affecting mostly lower-income segments, is the use of inefficient financial service distribution models. (...) In connection with this thesis, we will try to show that traditional financial institutions, both in developing countries and in the advanced economies have a special social responsibility to help create an efficient financial system that makes saving and borrowing instruments available to the greatest possible number of citizens. (shrink)

The maxim “parents should do what is in the best interests of their child” seems like an unassailable truth, and yet, as I argue here, there are serious problems with it when it is taken seriously. One problem concerns the sort of demands such a principle places on parents; the other concerns its larger social implications when conceived as part of a national policy for the rearing of children. The theory of parenting that creates these problems I call “optimizing (...) parentalism.” To avoid them, I define and defend a new and more morally appealing theory, “satisficing parentalism.”. (shrink)

According to one influential view, advanced by Jonathan Adler, David Owens and Susan Hurley, epistemic akrasia is impossible because when we form a full belief, any apparent evidence against that belief loses its power over us. Thus theoretical reasoning is quite unlike practical reasoning, in that in the latter our desires continue to exert a pull, even when they are outweighed by countervailing considerations. I call this argument against the possibility of epistemic akrasia the subsumption view. The subsumption view (...) accurately reflects the nature of reasoning in a range of everyday cases. But, as I show, it is quite false with regard to controversial questions, like philosophical disputes. In these, evidence against our best judgments continues to exert a hold on us. Thus, the claimed disanalogy between practical and theoretical reasoning fails. (shrink)

The aim of this essay is to argue for a new version of ‘inference-to-the-best-explanation’ scientific realism, which I characterize as Best Theory Realism or ‘BTR’. On BTR, the realist needs only to embrace a commitment to the truth or approximate truth of the best theories in a field, those which are unique in satisfying the highest standards of empirical success in a mature field with many successful but falsified predecessors. I argue that taking our best theories (...) to be true is justified because it provides the best explanation of the predictive success of their predecessors and their own special success. Against standard and especially structural realism, I argue against the claim that the best explanations of the success of theories is provided by identifying their true components, such as structural relations between unobservable, which are preserved across theory change. In particular, I criticize Ladyman's and Carrier’s structural account of the success of phlogiston theory, and Worrall's well-known structural account of the success of Fresnel’s theory of light. I argue that these accounts tacitly assume the truth of our best theories, which in any case provides a better explanation of these theories’ success than the structural account. Structural realism is now defended as the only version of realism that is able to surmount the pessimistic meta-induction and the general problem that successful theories involve ontological claims concerning unobservable entities that are abandoned and falsified in theory-change. I argue that Best Theory Realism can overcome the pessimistic meta-induction and this general problem posed by theory-change. Our best theories possess a characteristic which sharply distinguishes them from their successful but false predecessors. Furthermore ‘inference-to-the-best-explanation’ confirmation can establish the truth of our best theories and thus trumps the pessimistic inductive reasoning which is supposed to show that even our best theories are most likely false in their claims concerning unobservable entities and processes. (shrink)

In medical practice, the doctrine of informed consent is generally understood to have priority over the medical practitioner’s duty of care to her patient. A common consequentialist argument for the prioritisation of informed consent above the duty of care involves the claim that respect for a patient’s free choice is the best way of protecting that patient’s best interests; since the patient has a special expertise over her values and preferences regarding non-medical goods she is ideally placed to (...) make a decision that will protect her interests. In this paper I argue against two consequentialist justifications for a blanket prioritisation of informed consent over the duty of care by considering cases in which patients have imperfect access to their overall best interests. Furthermore, I argue that there are cases where the mere presentation of choice under the doctrine of informed consent is detrimental to patient best interests. I end the paper by considering more nuanced approaches to resolving the conflict between informed consent and the duty of care and consider the option of permitting patients to waive informed consent. (shrink)

This paper explores how knowledge is exchanged between agricultural advisors and farmers in the context of sustainable farming practices in England. Specifically the paper examines the nature of the knowledge exchange at the encounters between one group of advisors, agronomists, and farmers. The promotion of best management practices, which are central to the implementation of sustainable agricultural policies in England, provide the empirical context for this study. The paper uses the notion of expert and facilitative approaches as a conceptual (...) framework for analyzing knowledge exchange encounters between agronomists and farmers. Data were derived from semi-structured interviews with 31 agronomists and 17 farmers, in the context of three initiatives promoting a range of best management practices including (a) targeted use of nitrogen (N), (b) use of nutrients within manure, and (c) management practices to improve soil structure. The interviews revealed that, although many agronomist–farmer knowledge exchange encounters are characterized by an imbalance of power, distrust, and the divergence of knowledge, other encounters provide a platform for the facilitation of farmer learning in their transition to more sustainable practices. (shrink)

In his seminal Inference to the Best Explanation, Peter Lipton adopted a causal view of explanation and a broadly Millian view of how causal knowledge is obtained. This made his account vulnerable to critics who charged that Inference to the Best Explanation is merely a dressed-up version of Mill’s methods, which in the critics’ view do the real inductive work. Lipton advanced two arguments to protect Inference to the Best Explanation against this line of criticism: the problem (...) of multiple differences and the problem of inferred differences. Lipton claimed that these two problems show Mill’s method of difference to be largely unworkable unless it is embedded in an explanationist framework. Here I consider both arguments as well as the best Millian defense against them. Since the existing Millian defense is only partially successful, I will develop a new and improved account. As an integral part of the argument, I show that my solutions to the problems of multiple and inferred differences offer new insight into Lipton’s main case study: Ignaz Semmelweis’s discovery of the cause of childbed fever. I conclude that the method of difference can overcome Lipton’s challenges outside an explanationist framework. (shrink)

On one conception of "best interest" there can only be one course of action in a given situation that is in a person's best interest. In this paper we will first consider what theories of "best interest" and rational decision-making that can lead to this conclusion and explore some of the less commonly appreciated implications of these theories. We will then move on to consider what ethical theories that are compatible with such a view and explore their (...) implications. In the second part of the paper we will explore a range of possible criticisms of these views. And in the third part we will criticise the view that a court is always or even often in a good position to decide what the patient's best interest is. In the fourth and final part we will put forward a reconstructive proposal aimed at saving whatever is sound in the "best interest" conception. (shrink)

The case of Twin B involves the decision to send a newborn to a less intensive Level 2 special care nursery (SCN) than to the Level 3 neonatal intensive care unit (NICU) that is considered optimal by the physician. The physician’s acceptance of the transfer is against the child’s best interest and is due to parental convenience. In analyzing the case, we reject the best interest standard. Our rejection is partly supported by the views of Douglas Diekema, John (...) Hardwig, and Lannie Ross. Instead of the best interest standard, we offer and defend an approach we base on a microeconomic analysis of externalities, such as those involved with automobile emissions. This extends our previously presented general microeconomic approach to patient decision-making. It provides a clearer way to evaluate situations, like those of Twin B, in which burdens faced by family members may be used to determine the appropriate level of treatment for a decisionally incapable patient. (shrink)

Clinicians sometimes disagree about how much to honor surrogates’ deeply held cultural values or traditions when they differ from those of the host country. Such a controversy arose when parents requested a cultural accommodation to let their infant die by withdrawing life saving care. While both the parents and clinicians claimed to be using the Best Interests Standard to decide what to do, they were at an impasse. This standard is analyzed into three necessary and jointly sufficient conditions and (...) used to resolve the question of how much to accommodate cultural preferences and how to treat this infant. The extreme versions of absolutism and relativism are rejected. Properly understood, the Best Interests Standard can serve as a powerful tool in settling disputes about how to make good decisions for those who cannot decide for themselves. (shrink)