Tyler Burge has argued that an incorrect understanding of a word can be sufficient for possessing the concept the word literally expresses. His well-known 'arthritis' case involves a patient who understands 'arthritis' incorrectly, but who nevertheless, according to Burge, possesses the concept arthritis. Critics of Burge have objected that there is an alternative concept that best matches the patient's understanding and that this, therefore, is the patient's concept. The paper first argues that Burge's response to this objection is unconvincing. A (...) better response is then developed. It is argued that there is no alternative concept that matches the incorrect understanding, since the patient thinks he has a partial understanding. This, together with points about ordinary psychological explanation and modes of presentations of concepts, establish that it is impossible to undermine Burge's social externalism by appealing to the idea that an alternative concept matches the incorrect understanding. (shrink)

ABSTRACTRoy Bhaskar's concrete utopianism assumes that a key role for intellectuals, given the current precarious situation of humanity, is the envisaging of alternative possible futures, coherently grounded in the deep structure of what already exists, which includes what people already know and have. Without this grounding, people will not be able to make a persuasive case for change. With this grounding, and by combining the realism of the intellect with the optimism of the will, they may be able to usher (...) in a future of which the youthful Marx said ‘the world has long since dreamed’. This paper is both motivated by Bhaskar's position, and takes it as its starting point. I therefore begin by presenting three scenarios for the world's future, which I take to be real possibilities. I consider which of these possibilities would be worth striving for, and in so doing, I introduce a strategy that I take to be a means to that end. Specifically, this strategy involves harmonizing interventions with critical realist eco-philosophical ambitions. I argue that such interventions should therefore have an interdisciplinary framework, be dedicated to an ethics of dialogue and care, and be directed by dialectical change and learning. (shrink)

In the last decade, there has been an increased focus on child protection cases in the European Court of Human Rights. The heightened attention on child protection underscores the actuality of children’s rights, rendering it an interesting area for researchers in fields such as children’s rights, child protection, or international relations. All judgments from the Court are public. Research on social media data has shown that public data is not necessarily intended for the public. Moreover, in child protection cases, the (...) child is rarely a part of the case. It is the biological parents against the domestic authorities. Nevertheless, the situation the case revolves around includes the child, making the child an indirect part of the judgment. There is little research on the ethical considerations of indirectly involving children in research on court judgments. However, there is abundant research on ethical considerations in researching public data, specifically social media data. By drawing on research on ethical considerations in the use of social media data, this article delves into the ethical consequences of including children indirectly in research. The article pinpoints crucial areas that require special attention from researchers and provides insights on navigating ethical challenges effectively. (shrink)

Harald Grimen: Hva er tillit. Universitetsforlaget, 2009. 151 sider.

Reflections on an Interview with Jan Masschelein.

In this paper, the aim is to study how the work organization in one specific company for one specific trade has changed over time and with these changes, the presence and absence of alienation of employees in this trade. Blauner’s U-shaped alienation development trend has been a reference in discussions on alienation. It displays a connection between the degree of alienation and technological development. The findings from this study verify the trend and the connection in the case company. However, although (...) the development trend may look similar to that of Blauner’s model, it is differently founded. Where previous studies highlight the production system, including technology, as crucial to the presence of alienation, this study documents that external conditions outside or partly outside the company’s control—such as digital information availability, product complexity, and quality requirements—will determine the presence of alienation. Thus, researchers should adjust the content of the concept of alienation accordingly. (shrink)

The paper explores consequences of applying the view that illness is negative first‐person experience in caring practice. The main reason this is an important issue is that it is empirically documented that patients conceive of illness in different ways. Communicating about illness in caring practice can therefore involve difficulties. I argue that many of these difficulties can be avoided if nurses focus directly on the extension of the concept of illness – patients’ experiences like the state of being in pain (...) – and not on how this extension is represented as (the intension) illness. This argument is compatible with different views on the nurse–patient relationship as a communicative process. All it requires is the acceptance of minimal assumptions about concepts and concept possession. The argument has a descriptive and a normative dimension. It is descriptive in the sense that it seeks to use concepts from philosophy of mind to explain how many nurses succeed in talking about illness without applying the concept of illness. It is normative in the sense that it provides a philosophical justification for this practice. (shrink)

Trust has become an important aspect of evaluating the relationship between lay public and technology implementation. Experiences have shown that a focus on trust provides a richer understanding of reasons for backlashes of technology in society than a mere focus of public understanding of risks and science communication. Therefore, trust is also widely used as a key concept for understanding and predicting trust or distrust in emerging technologies. But whereas trust broadens the scope for understanding established technologies with well-defined questions (...) and controversies, it easily fails to do so with emerging technologies, where there are no shared questions, a lack of public familiarity with the technology in question, and a restricted understanding amongst social researchers as to where distrust is likely to arise and how and under which form the technology will actually be implemented. Rather contrary, ‘trust’ might sometimes even direct social research into fixed structures that makes it even more difficult for social research to provide socially robust knowledge. This article therefore suggests that if trust is to maintain its important role in evaluating emerging technologies, the approach has to be widened and initially focus not on people’s motivations for trust, but rather the object of trust it self, as to predicting how and where distrust might appear, how the object is established as an object of trust, and how it is established in relation with the public. (shrink)

In recent philosophy of mind a non-holistic view on concept possession, originally developed by Tyler Burge, has emerged as an alternative to holistic analyses of language mastery. The article discusses the implications of this view for analyses of communication in doctor—patient-interaction. The central question Burge's theory gives an answer to is this: to what extent must a doctor and a patient understand a medical term in the same way in order to communicate in the sense that they express the same (...) concept by the term? Many empirical studies have shown that patients do not, typically, understand medical terms in the same way as doctors they encounter. Holistic approaches therefore imply that doctors and patients seldom communicate. Burge's position, on the other hand, implies that it is sufficient that patients have a minimal understanding. In an important range of cases doctors can make sure that patients have a minimal understanding by being explicit about common dictionary definitions of the terms in question. (shrink)

The potential of mitigating the spreading rate and consequences of the coronavirus disease 2019 currently depends on adherence to sanitary protocols. The current study aimed to investigate the role of fatalism and comparative optimism for adherence to COVID-19 protocols. We also tested whether these factors are directly associated with adherence or associated through attitudinal mediation. The results were based on a web survey conducted among university students in Tehran, Iran. The respondents completed a multidimensional measure of fatalism and measures of (...) comparative optimism, attitudes toward COVID-19 health measures, and adherence. The estimated structural equation model explained approximately 40% of the total variance in attitudes toward COVID-19 protocols and adherence. As expected, high internality was associated with stronger adherence, whereas luck was associated with weaker adherence. Comparative optimism was more strongly associated with adherence than fatalism, and somewhat unexpectedly comparative optimism was associated with stronger adherence. Analyses of direct and indirect effects suggested that fatalism was mainly mediated through attitudes, whereas comparative optimism had both direct and mediated effects. The findings are discussed in relation to the role of these social psychological factors for COVID-19 mitigation. (shrink)

It is a fundamental assumption in nursing theory that it is important for nurses to understand how patients think about themselves and the contexts they are in. According to modern theories of hermeneutics, a nurse and a patient must share the same concepts in order to communicate beliefs with the same content. But nurses and patients seldom understand medical concepts in exactly the same way, so how can this communicative aim be achieved in interaction involving medical concepts? The article uses (...) a theory of concepts from recent cognitive science and philosophy of mind to argue that nurses and patients can share medical concepts despite the diversity of understanding. According to this theory, two persons who understand medical language in different ways will nevertheless possess the same medical concepts if they agree about the normative standards for the applications of the concepts. This entails that nurses and patients normally share medical concepts even though patients’ conceptions of disease and illness are formed in idiosyncratic ways by their social and cultural contexts. Several practical implications of this argument are discussed and linked to case studies. One especially important point is that nurses should seek to make patients feel comfortable with deferring to a medical understanding. In many cases, an adequate understanding of patients presupposes that nurses manage to do this. Another implication is that deference‐willingness to normative meaning is not equivalent to the actual application of concepts. Deference‐willingness should rather be thought of as a pre‐communicative attitude that it is possible for patients who are not fully able to communicate to possess. What is important is that nurses and patients have the intention of conforming to the same meaning. (shrink)

Within philosophy of medicine it has been a widespread view that there are important theoretical and practical reasons for clarifying the nature of basic health concepts like disease, illness and sickness. Many theorists have attempted to give definitions that can function as general standards, but as more and more definitions have been rejected as inadequate, pessimism about the possibility of formulating plausible definitions has become increasingly widespread. However, the belief that no definitions will succeed since no definitions have succeeded is (...) an inductive objection, open to realist responses. The article argues that an influential argument from philosophy of language constitutes a more fundamental objection. I use disease as an example and show that this argument implies that if a common understanding of disease can be analysed into a definition, then this is a non-trivial definition. But any non-trivial analysis must be viciously circular: the analysis must presuppose that disease can be defined, but this is what the analysis is supposed to yield as a result. This means, the article concludes, that disease and other controversial health concepts do not have analyses grounded in a common language. Stipulative and contextual definitions can have local significance, but the normative roles of such definitions are at the same time limited. (shrink)

When information activated in memory involves emotional associations, the ability to shift attention away from an emotional cue is impaired compared to an emotionally neutral cue. The purpose of the present study was to investigate how emotional stimuli modulate attentional processes, and how this is reflected in localised brain electrical activity. Eight emotion and eight neutral words served as cues in a covert attention spatial orienting task. The cues were either valid or invalid indicators of which hemifield the target would (...) be presented to. In the remaining trials, no cue was presented prior to the target. Twenty subjects were instructed to manually respond to the target as fast as possible. Event-related potentials (ERPs) showed an enhanced P3 component to the emotion words. The ERPs to the target showed enhanced P1 and P3 components on invalid trials, with emotional cues. There were faster reaction times (RTs) to validly cued targets, but only when the emotion words served as cues. The results demonstrated that the emotional cues elicited sustained focused attention, facilitating an engage mechanism of spatial orienting. (shrink)

Hilary Putnam’s influential analysis of the ‘division of linguistic labour’ has a striking application in the area of doctor–patient interaction: patients typically think of themselves as consumers of technical medical terms in the sense that they normally defer to health professionals’ explanations of meaning. It is at the same time well documented that patients tend to think they are entitled to understand lay health terms like ‘sickness’ and ‘illness’ in ways that do not necessarily correspond to health professionals’ understanding. Drawing (...) on recent philosophical theories of concept possession, the article argues that this disparity between medical and lay vocabulary implies that it is, in an important range of cases, easier for doctors to create a communicative platform of shared concepts by using and explaining special medical expressions than by using common lay expressions. This conclusion is contrasted with the view that doctors and patients typically understand each other when they use lay vocabulary. Obviously, use of expressions like ‘sickness’ or ‘illness’ does not necessarily lead to poor communication, but it is important that doctors have an awareness of how patients interpret such terms. (shrink)

Incremental change and innovation are often regarded as two separate concepts, with some interconnections. Based on two practical cases that emphasize respectively incremental change and innovation, the article discusses whether a division between these concepts can be maintained. Action research is seen as having a central role, offering an integral working method in industrial networks.

BackgroundThis case report discusses an ethical communication dilemma in prehospital patient interaction, involving a patient who was about to board a plane at a busy airport. The article argues that the situation raised dilemmas about communication, patient autonomy and paternalism. Paramedics should be able to find good solutions to these dilemmas, but they have not received much attention in the literature on prehospital ambulance work.Case presentationThe patient had chest pains that were consistent with serious heart disease, but she wanted to (...) catch her plane and was unwilling to let paramedics assess her heart activity by means of an electrocardiogram (ECG). The paramedics had to decide, there and then, whether the patient’s refusal to submit to an ECG should be respected, or whether they should set the patient’s expressed wishes aside by exercising verbal power and persuasive communication techniques. The paramedics chose to do the latter. It later turned out that the patient was grateful that the paramedics had been very direct, almost brutal, in their communication. When the patient regained her autonomy, she saw clearly that taking time to obtain and monitor an ECG was the best option for her.ConclusionLooking forward in time might be a good professional strategy for deciding whether ethical paternalism in communication is justified. If there is good reason to believe that patients who later regain their autonomy will agree that paternalistic verbal actions were in their best interests, and if acting in accordance with patients’ preferences can have severe negative health consequences for them, then paramedics have good reason to believe that ethical paternalism is justified. (shrink)

ABSTRACTPatric Baert suggests that ‘encountering difference’, as we might when immersing ourselves in new cultural settings, allows us to redescribe and reconceptualise ourselves, our culture and our surroundings. By so doing, individuals can learn to see themselves, their own culture and their own presuppositions from a different point of view. They can then contrast their interpretations with alternative forms of life; and this is a requirement both for learning about themselves and coming to understand others. There is evidence that such (...) learning can reduce animosity towards others and encourage reciprocity. In this paper, I discuss the possibility that such an approach could also be useful if applied to the more-than-human world, as an antidote to nature’s exploitation by humans. I therefore argue that we need to ‘encounter difference’ with nature’s forms, which will allow us to learn from it. The meaning and implications of such ‘encountering difference’ will be developed in relation to Bhaskar’s philosophy of metaReality. (shrink)

Hilary Kornblith argues that many traditional philosophical accounts involve problematic views of reflection (understood as second-order mental states). According to Kornblith, reflection does not add reliability, which makes it unfit to underlie a separate form of knowledge. We show that a broader understanding of reflection, encompassing Type 2 processes, working memory, and episodic long-term memory, can provide philosophy with elucidating input that a restricted view misses. We further argue that reflection in fact often does add reliability, through generalizability, flexibility, and (...) creativity that is helpful in newly encountered situations, even if the restricted sense of both reflection and knowledge is accepted. And so, a division of knowledge into one reflexive (animal) form and one reflective form remains a plausible, and possibly fruitful, option. (shrink)

Investigating random homicides involves constructing models of an odd sort. While the differences between these models and scientific models are radical, calling them models is justified both by functional and structural similarities. Serial homicide investigations illustrate the marked difference between theoretical models in science and the models applied in these criminal investigations. This is further illustrated by considering Glymourian bootstrapping in attempts to solve such homicides. The solutions that result differ radically from explanations in science that are confirmed or disconfirmed (...) by occurrences. Unlike the scientist, the flatfoot gumshoe is also barefoot: he is bereft of a general, determinative theoretical frame. This result shows that criminal investigations do not apply science in the Galilean sense. (shrink)

A central premise in Tyler Burge's argument for social externalism says that an incomplete understanding can be sufficient for concept possession. Burge claims that this premise is grounded in ordinary practices of giving psychological explanations. On the basis of an extended version of Burge's 'arthritis' case Donald Davidson has argued that this claim is false. The paper argues that Davidson's argument is unconvincing. A closer analysis of Davidson's extended 'arthritis' case shows that the belief ascriptions Davidson focuses on actually support (...) social externalism. (shrink)

This book is a collection of articles about communication and ethics in the field of medicine and health care. Common to all the articles is that they are not directly based on empirical investigations. The discussions refer to research, but this is research that has already been carried out and documented in existing literature. In this sense the articles belong to what is often called applied philosophy. All the articles address communicative and ethical challenges in patient interaction on the basis (...) of assumptions in modern moral philosophy and philosophy of language. There is a great need for literature that deals more comprehensively with the themes in this book than many introductory books do. It is particularly difficult to find suitable reading material that can be used in teaching at graduate and master levels. This book is designed to meet this need. It is suitable for use in all higher-level courses where the aim is to give students a theoretical understanding of ethical dilemmas and communicative challenges in health care. (shrink)

Tyler Burge has in many writings distinguished between mental content externalism based on incorrect understanding and mental content externalism based on partial but not incorrect understanding. Both and have far-reaching implications for analyses of communication and concept possession in various expert-layperson relations, but Burge and his critics have mainly focused on . This article first argues that escapes the most influential objection to . I then raise an objection against Burge’s argument for . The objection focuses on Burge’s claim that (...) a person with a partial understanding of a term in our community expresses our standard concept because he is willing to defer to our standard understanding, while his “Putnamian” twin in a counterfactual community does not. The problem with Burge’s argument for this claim is that he does not consider the possibility that the person in our community and the twin would defer to the same understanding if they were presented with the same alternatives. Drawing from widespread dispositional assumptions about meaning, I argue that Burge must accept that they express the same concept if they would defer to the same understanding. The article closes with an examination on various ways the externalist may attempt to avoid this problem and concludes that none of them succeeds. (shrink)

It has been a fundamental assumption in management theory that communication is a key condition for successful management. This assumption has been linked to Habermas’ model of communicative rationality, but it is very difficult for managers to implement this model in real-life leadership relations. The reason is that practical obstacles, resource limitations and knowledge gaps make it impossible to achieve Habermas’ ideal aim of ‘shared horizons’. The article argues that it is possible for managers to meet fundamental communication conditions in (...) employee interaction and other forms of leadership relations if the holistic concept of a shared horizon is replaced with an idea of contextual agreement. Within this alternative conceptual framework, a key strategic aim for managers is to communicate as well as realistically possible how organisational strategies and action-guiding principles are justified. This presupposes that managers are able to uncover ‘hidden’ language meaning and transcend contextual power relations. Within a speech act theory of meaning, the article articulates three basic communication conditions that can function as conceptual tools for achieving these communicative aims. (shrink)

The skeptical Dream argument appeals to the possibility of dreaming. The skeptic holds that states of being awake are subjectively indistinguishable from possible dream states and that this means that we do not know that we are awake. This, the skeptic then claims, means that we have to accept that we do not have external world knowledge.It is natural to assume that there must be a connection between the Dream argument and epistemic internalism, the view that a belief is justified (...) for a given person if and only if the person has cognitive access to all the factors that are needed for the belief to be justified. The problem, the skeptic thinks, is that in order for my belief that I am awake to be justified I have to have cognitive access to something that establishes that I am awake. But according to the skeptic, even if I am awake, this is not something I have cognitive access to. However, the more precise connections between internalism and the skeptical argument are not so clear. (shrink)