As digital technologies are integrated into medical environments, they continue to transform the experience of contemporary health care. Importantly, medicine is increasingly visual. In the history of sonography, visibility has played an important role in accessing fetal bodies for diagnostic and entertainment purposes. With the advent of three-dimensional rendering, sonography presents the fetus visually as already a child. The aesthetics of this process and the resulting imagery, made possible in digital networks, discloses important changes in the relationship between technology and (...) biology, reproductive health and political debates, and biotechnology and culture. (shrink)

Several promising approaches have been developed to represent conscious experience in terms of mathematical spaces and structures. What is missing, however, is an explicit definition of what a ‘mathematical structure of conscious experience’ is. Here, we propose such a definition. This definition provides a link between the abstract formal entities of mathematics and the concreta of conscious experience; it complements recent approaches that study quality spaces, qualia spaces, or phenomenal spaces; and it provides a general method to identify and investigate (...) structures of conscious experience. We hope that ultimately this work provides a basis for developing a common formal language to study consciousness. (shrink)

Dimensions of the ethical work climate, as conceptualized by Victor and Cullen (1988), are potentially important influences on individual ethical decision-making in the organizational context. The present study examined the direct and indirect effects of individuals' perceptions of work climate on their ethical judgments and behavioral intentions regarding an ethical dilemma. A national sample of marketers was surveyed in a scenario-based research study. The results indicated that, although perceived climate dimensions did not have a direct effect on behavioral intentions, there (...) were significant moderating effects. Climates perceived as emphasizing social responsibility and rules/codes moderated the individual ethical judgment-behavioral intentions relationship such that individuals were less likely to say that they would engage in a questionable selling practice even when they themselves did not believe the practice to be unethical. Respondents were somewhat more likely to form intentions consistent with their judgment that the questionable practice was morally acceptable when the ethical climate was characterized by an emphasis on team/friendship. (shrink)

[About the book] Although this collection of articles is not formally a commentary on Elizabeth Anscombe's famous article of the same title, in which she criticised the moral philosophy prevalent in 1958, a number of the contributors do take Anscombe's work as a starting point. Taken together the collection could be seen as a demonstration of the extent to which moral philosophers have since attempted to answer Anscombe's challenge, and to develop an approach to their subject which, while psychologically plausible, (...) is neither based on divine law nor permissive of the impermissible. (shrink)

Should the fundamental right to an adequate environment be provided in the constitution of any modern democratic state? Drawing on precedents from around the world, this book provides the first politically-focused analysis of this pivotal issue. Hayward compellingly demonstrates how the right is both necessary and effective, conducive to democracy, and serves the cause of international environmental justice.

The four tenets of the Strong Program are compatible with a scientific realism founded on an externalist epistemology. Such an epistemology allows that appropriate norms of rationality may differ from time to time, and from community to community, and thereby enables the realist to embrace strong forms of the ‘symmetry principle’. It also suggests a fruitful collaborative research program in externalist social epistemology. Some of what the Edinburgh School says about truth can also be accepted. But the realist should reject (...) the School's argument for the claim that there is no distinction between being rational and being locally accepted as rational, which seems to rest on a kind of epistemological internalism. Introducing the Strong Program Realism and the four tenets A stronger reading of symmetry Conflict and cooperation A note on discovery and justification Relativism and realism Truth Points of contention: the restriction of explanatory contrasts Points of contention: standards of rationality. (shrink)

Essential Philosophy of Psychiatry is a concise introduction to the growing field of philosophy of psychiatry. Divided into three main aspects of psychiatric clinical judgement, values, meanings and facts, it examines the key debates about mental health care, and the philosophical ideas and tools needed to assess those debates, in six chapters. In addition to outlining the state of play, Essential Philosophy of Psychiatry presents a coherent and unified approach across the different debates, characterized by a rejection of reductionism and (...) an emphasis on the ineliminability of uncodified skilled judgement. The first part, Values, outlines the debate about whether diagnosis of mental illness is essentially value-laden and argues that the prospects for reducing illness or disease to plainly factual matters are poor. It also explains the important role of skilled contextual judgement, rather than a principles-based deduction, in ethical judgement. The second part, Meanings, examines the central role of understanding and a shared first person perspective, both against attempts to reduce meaning to basic information-processing mechanisms and to explain away the difficulties of understanding psychopathology in recent models of delusion. The third part, Facts, shows the importance of uncodified clinical judgements, both in assessing the validity of psychiatric taxonomy and in the application of Evidence Based Medicine. Despite advances in the codifaction of practice and operationalism of diagnosis, an element of judgement remains in the assessment both of what, at one level, is good evidence for diagnosis and treatment and what, at a higher level, is good evidence for the validity of classification overall. (shrink)

The rights and wrongs of adaptationism areoften discussed by appeal to what I call theartefact model. Anti-adaptationistscomplain that the use of optimality modelling,reverse engineering and other techniques areindicative of a mistaken and outmoded beliefthat organisms are like well-designedartefacts. Adaptationists (e.g. Dennett 1995)respond with the assertion that viewingorganisms as though they were well designed isa fruitful, perhaps necessary research strategyin evolutionary biology. Anti-adaptationistsare right when they say that techniques likereverse engineering are liable to mislead. This fact does not undermine the artefact (...) modelprecisely because the same techniques misleadus for the same reasons when they are appliedunreflectively to artefacts. Thoseadaptationists who hold only that it isworthwhile to investigate organisms as thoughthey were artefacts and thoseanti-adaptationists who criticise simplisticdesign models have far more in common than thelabels attached to their positions mightsuggest. (shrink)

Anthropocentrism can intelligibly be criticised as an ontological error, but attempts to conceive of it as an ethical error are liable to conceptual and practical confusion. After noting the paradox that the clearest instances of overcoming anthropocentrism involve precisely the sort of objectivating knowledge which many ecological critics see as itself archetypically anthropocentric, the article presents the follwoing arguments: there are some ways in which anthropocentrism is not objectionable; the defects associated with anthropocentrism in ethics are better understood as instances (...) of speciesism and human chauvinism; it is unhelpful to call these defects anthropocentrism because there is an ineliminable element of anthropocentrism in any ethic at all; moreover, because the defects do not typically involve a concern with human interests as such, the rhetoric of anti-anthropocentrism is counterproductive in practice. (shrink)

Values based practice is a radical view of the place of values in medicine which develops from a philosophical analysis of values, illness and the role of ethical principles. It denies two attractive and traditional views of medicine: that diagnosis is a merely factual matter and that the values that should guide treatment and management can be codified in principles. But it goes further in the adoption of a radical liberal view: that right or good outcome should be replaced by (...) right process. I describe each of these three claims but caution against the third. (shrink)

My goal in this essay will be to show, contra Parfit, that the separateness of human persons—although metaphysically shallow—has a moral significance that should not be overlooked. Parfit holds that his reductionist view of personal identity lends support to consequentialism; I reject this claim because it rests on the assumption that the separateness of human persons has an arbitrariness that renders it morally insignificant. This assumption is flawed because this separateness is grounded in our 'person practices', which reflect some of (...) the morally relevant aspects of our nature: if we imagine a species of person whose members are not naturally separate from each other, it is reasonable to suppose that the morality of this different species of person would be drastically different from human morality. Thus, if consequentialists aim to offer a human moral theory, they overlook the separateness of human persons with peril. (shrink)

Jerome, the vir trilinguis, frequently makes pertinent observations on linguistic features of Hebrew. The present note offers a discussion of his comments specifically relating to Hebrew interjections. In doing so, it illustrates how in approaching the ‘foreign’, Semitic language material, Jerome relies on the Latin artigraphical tradition, i. e. the tradition of Latin grammars and literary commentaries.

In response to Hand’s paper, I undertake three tasks. Firstly, I believe that his characterisation of the theory and practice of Community of Inquiry facilitation does not take account of approaches to indoctrination and the idea of philosophical self-effacement that can lessen his worries. Secondly, I will argue that Hand makes some sharp cuts—particularly between justified, controversial and unjustified moral standards—that do not stand up to scrutiny, and that he unnecessarily narrows the scope of moral inquiry. Finally, I will explore (...) the practicalities of these considerations. How should we approach the idea of directive teaching in training facilitators? What should moral inquiry cover? In doing so, I see much of value in Hand’s approach, but also recommend some modifications. (shrink)

Journal of Social Philosophy, Volume 53, Issue 2, Page 148-167, Summer 2022.

One of the tasks that recent philosophy of psychiatry has taken upon itself is to extend the range of understanding to some of those aspects of psychopathology that Jaspers deemed beyond its limits. Given the fundamental difficulties of offering a literal interpretation of the contents of primary delusions, a number of alternative strategies have been put forward including regarding them as abnormal versions of framework propositions described by Wittgenstein in On Certainty. But although framework propositions share some of the apparent (...) epistemic features of primary delusions, their role in partially constituting the sense of inquiry rules out their role in helping to understand delusions. (shrink)

Moral realists can, and should, allow that the truth-conditional content of moral judgments is in part attitudinal. I develop a two-dimensional semantics that embraces attitudinal content while preserving realist convictions about the independence of moral facts from our attitudes. Relative to worlds “considered as counterfactual,” moral terms rigidly track objective, response-independent properties. But relative to different ways the actual world turns out to be, they nonrigidly track whatever properties turn out to be the objects of our relevant attitudes. This theory (...) provides realists with a satisfactory account of Moral Twin Earth cases and an improved response to Blackburn’s supervenience argument. (shrink)

What does it matter if the climate changes? This kind of question does not admit of a scientific answer. Natural science can tell us what some of its biophysical effects are likely to be; social scientists can estimate what consequences such effects could have for human lives and livelihoods. But how should we respond? The question is, at root, about how we think we should live—and different people have myriad different ideas about this. The distinctive task of ethics is to (...) bring some clarity and order to these ideas. (shrink)

Organizational ethics—defined as the alignment of an institution’s practices with its mission, vision, and values—is a growing field in health care not well characterized in empirical literature. To capture the scope and context of organizational ethics work in United States healthcare institutions, we conducted a nationwide convenience survey of ethicists regarding the scope of organizational ethics work, common challenges faced, and the organizational context in which this work is done. In this article, we report substantial variability in the structure of (...) organizational ethics programs and the settings in which it is conducted. Notable findings included disagreement about the activities that comprise organizational ethics and a lack of common metrics used to assess organizational ethics activities. A frequently cited barrier to full engagement in these activities was poor institution-wide understanding about the role and function of organizational ethics resources. These data suggest a tension in the trajectory of organizational ethics’ professionalization: while some variability is appropriate to the field’s relative youth, inadequate attention to definitions of organizational ethics practice and metrics for success can impede discussions about appropriate institutional support, leadership context, and training for practitioners. (shrink)

Total utilitarianism implies Parfit's repugnant conclusion. For any world containing ten billion very happy people, there is a better world where a vast number of people have lives barely worth living. One common response is to claim that life in Parfit's Z is better than he suggests, and thus that his conclusion is not repugnant. This paper shows that this strategy cannot succeeed. Total utilitarianism also implies a reverse repugnant conclusion. For any world where ten billion people have lives of (...) excruciating agony, there is a worse world where a vast number of people have lives almost worth living. This reverse repugnant conclusion is at least as repugnant as Parfit's original. If we avoid the latter by raising the zero level, then the former becomes more repugnant. We cannot save total utilitarianism by tinkering with the zero level. (shrink)

This paper makes the case for an inhabited institutionalism by pondering questions that continue to vex institutional theory: How can we account for local activity, agency, and change without reverting to a focus on individual actors—the very kinds of actors that institutional theory was designed to critique? How is change possible in an institutional context that constructs interests and sets the very conditions for such action? Efforts to deal with these questions by inserting various forms of individual, purposive actors into (...) institutional frameworks have created inconsistencies that threaten the overall coherence of institutional theory and move it farther from its sociological roots. To provide alternative answers, we turn to the growing line of work on “inhabited” institutions. Our exegesis of this literature has two goals. The first goal is to shift focus away from individuals and nested imagery and towards social interaction and coupling configurations. This move opens new avenues for research and helps to identify the spaces—both conceptual and empirical—and the supra-individual processes that facilitate change. This shift has important theoretical implications: incorporating social interaction alters institutional theory, and our second goal is to specify an analytic framework for this new research, an inhabited institutionalism. Inhabited institutionalism is a meso-approach for examining the recursive relationships among institutions, interactions, and organizations. It provides novel and sociologically consistent means for dealing with issues of agency and change, and a new agenda for research that can reinvigorate and reunite organizational sociology and institutional theory. (shrink)

The paper outlines the role that tacit knowledge plays in what might seem to be an area of knowledge that can be made fully explicit or codified and which forms a central element of Evidence Based Medicine. Appeal to the role the role of tacit knowledge in science provides a way to unify the tripartite definition of Evidence Based Medicine given by Sackett et al: the integration of best research evidence with clinical expertise and patient values. Each of these three (...) elements, crucially including research evidence, rests on an ineliminable and irreducible notion of uncodified good judgement. (shrink)

Alex Mesoudi’s book shows cultural evolution to be a mature field, which has already illuminated many instances of cultural change. Mesoudi’s presentation of the discipline nonetheless invites three objections. First, the culture concept it makes use of is not clearly defined; second, Mesoudi’s historical argument which looks back to the modern synthesis in order to predict an analogous synthesis in the social sciences is flawed; third, Mesoudi’s understanding of the positions held by leading figures within social science is shaky.

Medicine involves specific practical expertise as well as more general context-independent medical knowledge. This raises the question, what is the nature of the expertise involved? Is there a model of clinical judgement or understanding that can accommodate both elements? This paper begins with a summary of a published account of the kinds of situation-specific skill found in anaesthesia. It authors claim that such skills are often neglected because of a prejudice in favour of the ‘technical rationality’ exemplified in evidence-based medicine (...) but they do not themselves offer a general account of the relation of practical expertise and general medical knowledge. The philosopher Hubert Dreyfus provides one model of the relation of general knowledge to situation-specific skilled coping. He claims that the former logically depends on the latter and provides two arguments, which I articulate in the second section, for this. But he mars those arguments by building in the further assumption that such situation-specific responses must be understood as concept-free and thus mindless. That assumption is held in place by three arguments all of which I criticize in the next section to give a unified account of clinical judgement as both practical and conceptually structured and thus justified in the face of a prejudice in favour of ‘technical rationality’. (shrink)

The varying demands of justice are often thought to depend on a distinction between natural and social inequalities, but making this distinction has been little discussed, and it has been dismissed by philosophers of biology. It cannot be established by a simple causal criterion, nor by use of the analysis of variance, nor by distinguishing the innate from the acquired. Whether an inequality can be socially controlled provides the most plausible criterion, so 'natural' and 'social' are misleading labels for types (...) of inequality. The analysis of these depends, besides, on how fine-grained the descriptions are; so it is implausible to think that the natural/social distinction, when drawn in terms of social control, is relevant to theories of justice. (shrink)

In Paradoxes of Delusion, Sass aims to use passages from Wittgenstein to characterize the feeling of “mute particularity” that forms a part of delusional atmosphere. I argue that Wittgenstein’s discussion provides no helpful positive account. But his remarks on more everyday cases of the uncanny and the feeling of unreality might seem to promise a better approach via the expressive use of words in secondary sense. I argue that this also is a false hope but that, interestingly, there can be (...) no interesting or substantial explanation of this failure. (shrink)

Philosophically, the study of argumentation is important because it holds out the prospect of an interpretation of rationality. For this we need to identify a transcendent perspective on the argumentative interaction. We need a normative theory of argumentation that provides an answer to the question: should the hearer accept the argument of the speaker. In this article I argue that formal logic implies a notion of transcendence that is not suitable for the study of argumentation, because, from a logical point (...) of view, argumentation ’disappears from sight‘. We should therefore not expect formal logic to provide an interesting interpretation of the rationality intrinsic in argument and discussion. (shrink)

The article Transformative experience and the shark problem, written by Tim Campbell and Julia Mosquera, was originally published electronically on the publisher’s Internet portal on 31 January 2020 without open access.

Developments in the philosophy of mind over the last 20 years have dramatically changed the nature of the subject. In this major new introduction, Tim Bayne presents an outstanding overview of many of the key topics, problems, and debates, taking account not only of changes in philosophy of mind itself but also of important developments in the scientific study of the mind. -/- The following topics are discussed in depth: -/- What distinguishes a physicalist conception of the mind? -/- Behaviourism, (...) the identity theory, functionalism, and eliminativism as accounts of the mental -/- The nature of perception, including the issue of perceptual transparency, the admissible contents of perception, and the question of unconscious perception -/- The nature of thought, including the language of thought hypothesis, Searle’s Chinese room argument, and the Turing test -/- The basis of intentional content -/- Externalist accounts of content and the ‘extended mind’ thesis -/- Consciousness-based objections to physicalism, and illusionist and panpsychist conceptions of consciousness -/- Theories of consciousness, including methodological issues in the study of consciousness -/- Mental causation, including both philosophical and scientific challenges -/- The problem(s) of other minds, including knowledge of non-human minds -/- Self-knowledge -/- Personal identity and the nature of the self -/- The book features a number of boxes that provide a more in-depth look at particular issues. Also included are chapter summaries, guides to further reading, and a helpful glossary of terms. -/- Written by a leading figure in the field, Philosophy of Mind: An Introduction is an invaluable core text for any student coming to philosophy of mind for the first time. (shrink)

There has been considerable recent philo- sophical work on the nature of mental illness. Two..

An examination of the philosophical issues surrounding prudential value: what it is for something to be good for a person; and well-being: what it is for someone's life to go well. It critically analyzes competing approaches, and proposes a new subjective account that addresses key weaknesses of existing theories.

In the United States, running as a leisure activity continues to grow in popularity. Healthism can explain some of this popularity, but it does not explain ultradistance running. Motivations for running can be seen through the framework of the Kantian beautiful and the sublime. Beauty arises through extrinsic motivation and relates to an economy of form, while the sublime arises through intrinsic motivation and relates to confronting the challenge of infinity. The commercial, casual, and competitive aspects of distance running correspond (...) to the beautiful, while its wilderness, serious, ultradistance aspects correspond to the sublime. This framework is used to explain the resistance of ultrarunning to the would-be detrimental effects of commodification, as well as ultrarunning’s ‘wild turn.’. (shrink)