This paper presents an autobiographical narrative of two aspects of my history; two events that permeated my moral consciousness and influenced my political development and a sequence of changes in my dominant theoretical and epistemological perspectives. The two events were, as a teenager, the intense experience of briefly witnessing Apartheid culture and, as a young adult, becoming deeply engaged in feminist activism. My intellectual journey began in cognitive developmental theory and progressed to a cultural, discursive perspective in which the role (...) of affect is seen as integrated. The paper explores the intersection of these two strands of my moral and intellectual development and concludes with a preliminary model of action and engagement. (shrink)

Historically, entities with a vested interest in a product that critics have suggested is harmful have consistently used research to back their claims that the product is safe. Prominent examples are: tobacco, lead, bisphenol A, and atrazine. Research literature indicates that about 80–90% of studies with industry affiliation found no harm from the product, while only about 10–20% of studies without industry affiliation found no harm. In parallel to other historical debates, recent studies examining a possible relationship between mercury exposure (...) and autism spectrum disorder show a similar dichotomy. Studies sponsored and supported by industry or entities with an apparent conflict of interest have most often shown no evidence of harm or no “consistent” evidence of harm, while studies without such affiliations report positive evidence of a Hg/autism association. The potentially causal relationship between Hg exposure and ASD differs from other toxic products since there is a broad coalition of entities for whom a conflict of interest arises. These include influential governmental public health entities, the pharmaceutical industry, and even the coal burning industry. This review includes a systematic literature search of original studies on the potential relationship between Hg and ASD from 1999 to August 2015, finding that of the studies with public health and/or industry affiliation, 86% reported no relationship between Hg and ASD. However, among studies without public health and/or industry affiliation, only 21% find no relationship between Hg and ASD. The discrepancy in these results suggests a bias indicative of a conflict of interest. (shrink)

The COVID-19 pandemic will generate vexing ethical issues for the foreseeable future and many journals will be open to content that is relevant to our collective effort to meet this challenge. While the pandemic is clearly the critical issue of the moment, it’s important that other issues in medical ethics continue to be addressed as well. As can be seen in this issue, the Journal of Medical Ethics will uphold its commitment to publishing high quality papers on the full array (...) of medical ethics. At the same time, JME aims to be a premiere home for ground-breaking scholarship on the ethical issues raised by COVID-19. Toward this end, we have a number of papers that are freely available online and for which production has been fast-tracked.1–5 A challenge for authors who want to write about the pandemic is the rapidly evolving nature of the situation and the time it takes for journal content to be reviewed and published, even when fast-tracked. For that reason, all authors who would like to submit a paper on the pandemic can also submit a post to the JME blog prior to submitting a full paper to the journal. Those interested in writing for the JME blog should contact one of its editors, Hazem Zohny or Mike King. Over the last 3 weeks, 30 high-quality commentaries on the pandemic have been posted to the blog. These posts are circulated widely via the JME Twitter and Facebook feeds and have stimulated significant …. (shrink)

The editors of the _Journal of Medical Ethics_ support the call of the UK Health Alliance on Climate for urgent action to ensure that the current Conference of the Parties to the United Nations Framework Convention on Climate Change ‘finally delivers climate justice for Africa and vulnerable countries’. 1 As they note ‘Africa has suffered disproportionately although it has done little to cause the crisis’. The burden of climate change has thus far fallen disproportionately on Global South countries. The monsoon (...) in Pakistan this year killed over 1100 people and the public health implications of the flooding might affect the health of over 5 million people. 2 The South Asian monsoon impacts the lives of a billion people and the flooding associated with wet seasons is likely to occur eight times more frequently in future years than at present. 3 For many pacific islands such as Kiribati,... (shrink)

Historically, entities with a vested interest in a product that critics have suggested is harmful have consistently used research to back their claims that the product is safe. Prominent examples are: tobacco, lead, bisphenol A, and atrazine. Research literature indicates that about 80–90 % of studies with industry affiliation found no harm from the product, while only about 10–20 % of studies without industry affiliation found no harm. In parallel to other historical debates, recent studies examining a possible relationship between (...) mercury exposure and autism spectrum disorder show a similar dichotomy. Studies sponsored and supported by industry or entities with an apparent conflict of interest have most often shown no evidence of harm or no “consistent” evidence of harm, while studies without such affiliations report positive evidence of a Hg/autism association. The potentially causal relationship between Hg exposure and ASD differs from other toxic products since there is a broad coalition of entities for whom a conflict of interest arises. These include influential governmental public health entities, the pharmaceutical industry, and even the coal burning industry. This review includes a systematic literature search of original studies on the potential relationship between Hg and ASD from 1999 to date, finding that of the studies with public health and/or industry affiliation, 86 % reported no relationship between Hg and ASD. However, among studies without public health and/or industry affiliation, only 19 % find no relationship between Hg and ASD. The discrepancy in these results suggests a bias indicative of a conflict of interest. (shrink)

Historically, entities with a vested interest in a product that critics have suggested is harmful have consistently used research to back their claims that the product is safe. Prominent examples are: tobacco, lead, bisphenol A, and atrazine. Research literature indicates that about 80–90% of studies with industry affiliation found no harm from the product, while only about 10–20% of studies without industry affiliation found no harm. In parallel to other historical debates, recent studies examining a possible relationship between mercury exposure (...) and autism spectrum disorder show a similar dichotomy. Studies sponsored and supported by industry or entities with an apparent conflict of interest have most often shown no evidence of harm or no “consistent” evidence of harm, while studies without such affiliations report positive evidence of a Hg/autism association. The potentially causal relationship between Hg exposure and ASD differs from other toxic products since there is a broad coalition of entities for whom a conflict of interest arises. These include influential governmental public health entities, the pharmaceutical industry, and even the coal burning industry. This review includes a systematic literature search of original studies on the potential relationship between Hg and ASD from 1999 to August 2015, finding that of the studies with public health and/or industry affiliation, 86% reported no relationship between Hg and ASD. However, among studies without public health and/or industry affiliation, only 21% find no relationship between Hg and ASD. The discrepancy in these results suggests a bias indicative of a conflict of interest. (shrink)

There has been a recent surge of evolutionary explanations of art. In this article I evaluate one currently influential example, Brian Boyd’s recent book On the Origin of Stories: Evolution, Cognition, and Fiction (2009). The book offers a stimulating collection of findings, ideas, and hypotheses borrowed from a wide range of research disciplines (philosophy of art and art criticism, anthropology, evolutionary and developmental psychology, neurobiology, ethology, etc.), brought together under the umbrella of evolution. However, in so doing Boyd lumps (...) together issues that need to be separated, most importantly, organic and cultural evolution. In addition, he fails to consider alternative explanations to art as adaptation such as exaptation and constraint. Moreover, the neurobiological literature suggests current evidence of biological adaptation for most of the arts is weak at best. Given these considerations, I conclude by proposing to regard the arts instead as culturally evolved practices building on pre-existing biological traits. (shrink)

Authors have a lot of leeway with regard to what they can make true in their story. In general, if the author says that p is true in the fiction we’re reading, we believe that p is true in that fiction. And if we’re playing along with the fictional game, we imagine that, along with everything else in the story, p is true. But there are exceptions to these general principles. Many authors, most notably Kendall Walton and Tamar Szabó Gendler, (...) have discussed apparent counterexamples when p is “morally deviant”. Many other statements that are conceptually impossible also seem to be counterexamples. In this paper I do four things. I survey the range of counterexamples, or at least putative counterexamples, to the principles. Then I look to explanations of the counterexamples. I argue, following Gendler, that the explanation cannot simply be that morally deviant claims are impossible. I argue that the distinctive attitudes we have towards moral propositions cannot explain the counterexamples, since some of the examples don’t involve moral concepts. And I put forward a proposed explanation that turns on the role of ‘higher-level concepts’, concepts that if they are satisfied are satisfied in virtue of more fundamental facts about the world, in fiction, and in imagination. (shrink)

Normative Externalism argues that it is not important that people live up to their own principles. What matters, in both ethics and epistemology, is that they live up to the correct principles: that they do the right thing, and that they believe rationally. This stance, that what matters are the correct principles, not one's own principles, has implications across ethics and epistemology. In ethics, it undermines the ideas that moral uncertainty should be treated just like factual uncertainty, that moral ignorance (...) frequently excuses moral wrongdoing, and that hypocrisy is a vice. In epistemology, it suggests we need new treatments of higher-order evidence, and of peer disagreement, and of circular reasoning, and the book suggests new approaches to each of these problems. Although the debates in ethics and in epistemology are often conducted separately, putting them in one place helps bring out their common themes. One common theme is that the view that one should live up to one's own principles looks less attractive when people have terrible principles, or when following their own principles would lead to riskier or more aggressive action than the correct principles. Another common theme is that asking people to live up to their principles leads to regresses. It can be hard to know what action or belief complies with one's principles. And now we can ask, in such a case should a person do what they think their principles require, or what their principles actually require? Both answers lead to problems, and the best way to avoid these problems is to simply say people should follow the correct principles. (shrink)

We provide a new interpretation of Zeno’s Paradox of Measure that begins by giving a substantive account, drawn from Aristotle’s text, of the fact that points lack magnitude. The main elements of this account are (1) the Axiom of Archimedes which states that there are no infinitesimal magnitudes, and (2) the principle that all assignments of magnitude, or lack thereof, must be grounded in the magnitude of line segments, the primary objects to which the notion of linear magnitude applies. Armed (...) with this account, we are ineluctably driven to introduce a highly constructive notion of (outer) measure based exclusively on the total magnitude of potentially infinite collections of line segments. The Paradox of Measure then consists in the proof that every finite or potentially infinite collection of points lacks magnitude with respect to this notion of measure. We observe that the Paradox of Measure, thus understood, troubled analysts into the 1880’s, despite their knowledge that the linear continuum is uncountable. The Paradox was ultimately resolved by Borel in his thesis of 1893, as a corollary to his celebrated result that every countable open cover of a closed line segment has a finite sub-cover, a result he later called the “First Fundamental Theorem of Measure Theory.” This achievement of Borel has not been sufficiently appreciated. We conclude with a metamathematical analysis of the resolution of the paradox made possible by recent results in reverse mathematics. (shrink)

It is well-known that naïve realism has difficulty accommodating perceptual error. Recent discussion of the issue has focused on whether the naïve realist can accommodate hallucination by adopting disjunctivism. However, illusions are more difficult for the naïve realist to explain precisely because the disjunctivist solution is not available. I discuss what I take to be the two most plausible accounts of illusion available to the naïve realist. The first claims that illusions are cases in which you are prevented from perceiving (...) properties you would ordinarily perceive and subsequently form a mistaken judgment about the perceived object. The second appeals to an unusual look or appearance that the perceived object instantiates. I argue that neither account is satisfactory and that, consequently, naïve realism ought to be rejected. (shrink)

Virtually every aspect of the current philosophical discussion of self-deception is a matter of controversy including its definition and paradigmatic cases. We may say generally, however, that self-deception is the acquisition and maintenance of a belief (or, at least, the avowal of that belief) in the face of strong evidence to the contrary motivated by desires or emotions favoring the acquisition and retention of that belief. Beyond this, philosophers divide over whether this action is intentional or not, whether self-deceivers recognize (...) the belief being acquired is unwarranted on the available evidence, whether self-deceivers are morally responsible for their self-deception, and whether self-deception is morally problematic (and if it is in what ways and under what circumstances). The discussion of self-deception and its associated puzzles gives us insight into the ways in which motivation affects belief acquisition and retention. And yet insofar as self-deception represents an obstacle to self-knowledge, which has potentially serious moral implications, self-deception is more than an interesting philosophical puzzle. It is a problem of particular concern for moral development, since self-deception can make us strangers to ourselves and blind to our own moral failings. (shrink)

It is widely acknowledged that individual moral obligations and responsibility entail shared (or joint) moral obligations and responsibility. However, whether individual epistemic obligations and responsibility entail shared epistemic obligations and responsibility is rarely discussed. Instead, most discussions of doxastic responsibility focus on individuals considered in isolation. In contrast to this standard approach, I maintain that focusing exclusively on individuals in isolation leads to a profoundly incomplete picture of what we're epistemically obligated to do and when we deserve epistemic blame. First, (...) I argue that we have epistemic obligations to perform actions of the sort that can be performed in conjunction with other people, and that consequently, we are often jointly blameworthy when we violate shared epistemic obligations. Second, I argue that shared responsibility is especially important to doxastic responsibility thanks to the fact that we don't have the same kind of direct control over our beliefs that we have over our actions. In particular, I argue that there are many cases in which a particular individual who holds some problematic belief only deserves epistemic blame in virtue of belonging to a group all the members of which are jointly blameworthy for violating some shared epistemic obligation. (shrink)

Group beneficial norms are common in human societies. The persistence of such norms is consistent with evolutionary game theory, but existing models do not provide a plausible explanation for why they are common. We show that when a model of imitation used to derive replicator dynamics in isolated populations is generalized to allow for population structure, group beneficial norms can spread rapidly under plausible conditions. We also show that this mechanism allows recombination of different group beneficial norms arising in..

0.0. Theistic Ethics as a Challenge and a Diagnostic Tool. Naturalistic conceptions in metaethics come in many varieties. Many philosophers who have sought to situate moral reasoning in a naturalistic metaphysical conception have thought it necessary to adopt non-cognitivist, prescriptivist, projectivist, relativist, or otherwise deflationary conceptions. Recently there has been a revival of interest in non-deflationary moral realist approaches to ethical naturalism. Many non-deflationary approaches have exploited the resources of non-empiricist “causal” or “naturalistic” conceptions of reference and of kind definitions (...) in service of the “naturalistic” metaphilosophical conception that substantive moral questions, and questions about the metaphysics of morals, are broadly a posteriori questions, somewhat analogous to scientific questions, and are not amenable to a priori resolution by “conceptual analysis.”. (shrink)

Very often when the vast majority of experts agree on some scientific issue, laypeople nonetheless regularly consume articles, videos, lectures, etc., the principal claims of which are inconsistent with the expert consensus. Moreover, it is standardly assumed that it is entirely appropriate, and perhaps even obligatory, for laypeople to consume such anti-consensus material. I maintain that this standard assumption gets things backwards. Each of us is particularly vulnerable to false claims when we are not experts on some topic – such (...) falsehoods have systematic negative impacts on our doxastic attitudes that we can neither prevent nor correct. So, when there is clear expert consensus on a given scientific issue, while it is permissible for experts to consume anti-consensus material, laypeople have an epistemic obligation to avoid such material. This argument has important consequences for philosophical discussions of our epistemic obligations to perform or omit belief-influencing actions. Such discussions typically abstract away from the important differences between experts and laypeople. Accordingly, we should reject this typical practice as problematic, and insist instead that laypeople and experts have fundamentally different epistemic obligations. (shrink)

Most human populations are subdivided into ethnic groups which have self-ascribed membership and are marked by seemingly arbitrary traits such as distinctive styles of dress or speech. Existing explanations of ethnicity do not adequately explain the origin and maintenance of group marking. Here we develop a mathematical model which shows that groups distinguished by both differences in social norms and in arbitrary markers can emerge and remain stable despite significant mixing between them, if (1) people preferentially interact in mutually beneficial (...) social interaction with people who have the same marker as they do, and (2) they acquire their markers and social behaviors by imitating successful individuals. We also show that the propensity to interact with people with markers like oneself may be favored by natural selection under plausible conditions. (shrink)

Thanks to the advent of social media, large numbers of Americans believe outlandish falsehoods that have been widely debunked. Many of us have a tendency to fault the individuals who hold such beliefs. We naturally assume that the individuals who form and maintain such beliefs do so in virtue of having violated some epistemic obligation: perhaps they failed to scrutinize their sources, or failed to seek out the available competing evidence. I maintain that very many ordinary individuals who acquire outlandish (...) false beliefs thanks to their use of popular social media platforms (and other similar internet technologies) deserve little or no blame for believing these falsehoods. Such individuals would be fully blameworthy only if they had formed or maintained the relevant beliefs partly in virtue of violating some epistemic obligation and had no excuse for violating that obligation. However, the nature of these internet technologies provides excuses for violating the relevant epistemic obligations, and so individuals are excused for holding the resulting false beliefs. (shrink)

3.0. Well-being as a Challenge to Naturalism. In Chapter Three Adams discusses and criticizes those accounts of a person’s well being which characterize it in terms of counterfactuals regarding her actual desires and preferences. These criticisms are important for the question of ethical naturalism because any plausible naturalist position will have to portray a person’s well-being as somehow or other supervening on features of her psychology and her environment. The sorts of analyses Adams criticizes are the most prominent analyses consistent (...) with this constraint, so it is important to see whether or not Adams’ criticisms of them undermine the prospects for ethical naturalism generally. (shrink)

Largely thanks to Mill’s influence, the suggestion that the state ought to restrict the distribution of misinformation will strike most philosophers as implausible. Two of Mill’s influential assumptions are particularly relevant here: first, that free speech debates should focus on moral considerations such as the harm that certain forms of expression might cause; second, that false information causes minimal harm due to the fact that human beings are psychologically well equipped to distinguish truth and falsehood. However, in addition to our (...) moral obligations, we also have a distinct set of epistemic obligations—and even when a false belief doesn’t harm anyone, it constitutes an epistemically bad outcome. Moreover, Mill was profoundly mistaken about human psychology: human beings are vulnerable to the influence of a wide variety of false claims via a wide variety of psychological mechanisms. Consequently, there is a purely epistemic justification for restricting the distribution of misinformation: because each of us has an individual epistemic obligation to avoid unnecessary exposure to misinformation, and because avoiding such exposure is simply too difficult when acting alone, we all have a shared epistemic obligation to establish laws or regulations restricting the widespread distribution of misinformation. (shrink)

When you have a perceptual experience of a given physical object that object seems to be immediately present to you in a way it never does when you consciously think about or imagine it. Many philosophers have claimed that naïve realism (the view that to perceive is to stand in a primitive relation of acquaintance to the world) can provide a satisfying account of this phenomenological directness of perceptual experience while the content view (the view that to perceive is to (...) represent the world to be a certain way) cannot. I argue that this claim is false. Specifically, I maintain that the only acceptable naïve realist account of the relevant phenomenology is circular and that the content view can provide a similar account. In addition, I maintain that a certain specific variety of the content view provides a non-circular and thus more satisfactory account of this phenomenology. If so, then contrary to what is commonly assumed there are powerful phenomenological grounds for preferring the content view to naïve realism. (shrink)

A perceptual experience of a given object seems to make the object itself present to the perceiver’s mind. Many philosophers have claimed that naïve realism (the view that to perceive is to stand in a primitive relation of acquaintance to the world) provides a better account of this phenomenological directness of perceptual experience than does the content view (the view that to perceive is to represent the world to be a certain way). But the naïve realist account of this phenomenology (...) has a conspicuous shortcoming: it explains the phenomenological directness of veridical perceptual experiences but not of hallucinations. Conversely, I maintain that a particular variety of the content view provides a unified account of the phenomenological directness of both veridical and hallucinatory experiences. If so, then contrary to what is often assumed, the phenomenological facts concerning perceptual experience are explained better by the content view than by naïve realism, and consequently, we have a compelling reason to prefer the content view to naïve realism. (shrink)

The paper is divided into two parts, each with subsections. In the first part, I shall discuss some matters that have been extensively examined by Kim, namely what the basic types of supervenience are and how they are pairwise logically related; in the course of this discussion, I shall distinguish a weak from a strong notion of global supervenience. In the second part, I shall examine supervenience in a context in which Kim has not: I shall attempt to solve a (...) puzzle that arises when we consider supervenience relations involving vague properties and/or predicates. This is, of course, not a special case of property/predicate super- venience, but the typical one: for virtually all properties/predicates are vague. The two parts of the paper stand independently of each other. Of the discussion in the first part, essentially all that is presupposed in the second is the notion of “world strong supervenience” defined in section 1 of part I. (shrink)

According to an influential variety of the representational view of perceptual experience—the singular content view—the contents of perceptual experiences include singular propositions partly composed of the particular physical object a given experience is about or of. The singular content view faces well-known difficulties accommodating hallucinations; I maintain that there is also an analogue of Frege's puzzle that poses a significant problem for this view. In fact, I believe that this puzzle presents difficulties for the theory that are unique to perception (...) in that strategies that have been developed to respond to Frege's puzzle in the case of belief cannot be employed successfully in the case of perception. Ultimately, I maintain that this perceptual analogue of Frege's puzzle provides a compelling reason to reject the singular content view of perceptual experience. (shrink)

In this paper, I argue that John Milton, in his tragedy Smason Agonistes, raises and offers a solution to a version of the problem of evil raised by Marilyn McCord Adams. Sections I and II are devoted to the presentation of Adams’s version of the problem and its place in the current discussion of the problem of evil. In section III, I present Milton’s version of the problem as it is raised in Samson Agonistes. The solution Milton offers to this (...) problem is taken up in section IV and examined in section V. Last, in section VI, I explore briefly the existential aspect of Milton’s solution. (shrink)

The fact that you see some particular object seems to be due to the causal relation between your visual experience and that object, rather than to your experiences’ phenomenal character. On the one hand, whenever some phenomenal element of your experience stands in the right sort of causal relation to some object, your experience presents that object (your experience’s phenomenology doesn’t need to match that object). On the other hand, you can’t have a perceptual experience that presents some object unless (...) you stand in the right sort of causal relation to that object (no matter how closely your experience’s phenomenology matches some object). According to the continuity thesis, property perception is similar to object perception in these two respects. A standard reason to reject the continuity thesis is the assumption that the environmental properties that a perceptual experience presents are determined by its phenomenal properties (which are not determined by the environmental properties that cause the experience). I maintain that the continuity thesis is false but for a different reason: perceptual experiences present both objects and properties via manners of presentation; but, whereas perceptual manners of presentation for objects are purely relational, perceptual manners of presentation for properties are satisfactional. (shrink)

The paper identifies in the literature two categories of codes of ethics, inspirational and prescriptive, and introduces new classification categories of allodial and decretal. The first classification is based on the identity of the ethics decision‐maker – the authors or the addressees of codes. The second classification is based on whether operational definitions are applied by the codes. Such concrete definitions may be in the rules themselves, in related documents or be known from shared knowledge. The second classification has importance (...) if national associations of accountants use codes as a means for assurance of specific outcomes of defined ethical behaviours. For the study, a survey of 57 codes of ethics issued by national associations of professional accountants was undertaken to determine the basic features of codes and to analyse their content. The areas of ethical concern in national associations were identified and compared to the IFAC model code for professional accountants. The paper reports that national organisations of accountants have promulgated decretal codes in 96% of cases examined. As these codes contain operational definitions, their outcomes can be scientifically measured and sanctions for breaches fairly and reasonably imposed. (shrink)

The reports of individuals who have had their vision restored after a long period of blindness suggest that, immediately after regaining their vision, such individuals are not able to recognize shapes by vision alone. It is often assumed that the empirical literature on sight restoration tells us something important about the relationship between visual and tactile representations of shape. However, I maintain that, immediately after having their sight restored, at least some newly sighted individuals undergo visual experiences that instantiate basic (...) shape phenomenology but which do not present (that is, neither represent nor involve acquaintance with) the corresponding shape properties. Consequently, the empirical literature on sight restoration tells us something important about the role that perceptual phenomenology plays in our perceptual awareness of an object’s properties—it tells us that the properties presented by perceptual experiences are not determined by or “built into” perceptual phenomenology. In addition, I maintain that the evidence concerning sight restoration suggests an alternative theory concerning the role that sensory phenomenology plays in our perceptual awareness of an object’s properties. Specifically, it suggests that, while not inherently representational, sensory phenomenal properties can serve as vehicles for the representation of an object’s properties. (shrink)

The Data Protection Act 1998 presents a number of significant challenges to data controllers in the health sector. To assist data controllers in understanding their obligations under the act, the Information Commissioner has published guidance, The Use and Disclosure of Health Data, which is reproduced here. The guidance deals, among other things, with the steps that must be taken to obtain patient data fairly, the implied requirements of the act to use anonymised or psuedonymised data where possible, an exemption applicable (...) principally to records based research, the right of patients to object to the processing of their data, and the interface of the act and the common law duty of confidence. (shrink)

Scientific Essentialism defends the view that the fundamental laws of nature depend on the essential properties of the things on which they are said to operate, and are therefore not independent of them. These laws are not imposed upon the world by God, the forces of nature or anything else, but rather are immanent in the world. Ellis argues that ours is a dynamic world consisting of more or less transient objects which are constantly interacting with each other, and whose (...) identities depend on their roles in these processes. Natural objects must behave as they do, because to do otherwise would be contrary to their natures. The laws of nature are, therefore, metaphysically necessary, and consequently, there are necessary connections between events. Brian Ellis calls for the rejection of the theory of Humean Supervenience and an implementation of a new kind of realism in philosophical analysis. (shrink)

Medical ethics, principles, persons, and perspectives is discussed under three headings: History, Theory, and Practice. Under Theory, the author will say something about some different approaches to the study and discussion of ethical issues in medicine—especially those based on principles, persons, or perspectives. Under Practice, the author will discuss how one perspectives based approach, hermeneutics, might help in relation first to everyday ethical issues and then to public controversies. In that context some possible advantages of moving from controversy to conversation (...) will be explored; and that will then be illustrated with reference to a current controversy about the use of human embryos in stem cell therapy research. The paper begins with history, and it begins in the author’s home city of Edinburgh. (shrink)

Human societies are extraordinarily cooperative compared to those of most other animals. In the vast majority of species, individuals live solitary lives, meeting to only to mate and, sometimes, raise their young. In social species, cooperation is limited to relatives and (maybe) small groups of reciprocators. After a brief period of maternal support, individuals acquire virtually all of the food that they eat. There is little division of labor, no trade, and no large scale conflict. Communication is limited to a (...) small repertoire of self-verifying signals. No one cares for the sick, or feeds the hungry or disabled. The strong take from the weak without fear of sanctions by third parties. Amend Hobbes to account for nepotism, and his picture of the state of nature is not so far off for most other animals. In contrast, people in even the simplest human societies regularly cooperate with many unrelated individuals. Human language allows low-cost honest communication of virtually unlimited complexity. The sick are cared for, and sharing leads to substantial flows of food from the middle aged to the young and old. Division of labor and trade are prominent features of every historically known human society, and archaeology indicates that they have a long history. Violent conflict among sizable groups is common. In every human society, social life is regulated by commonly held moral systems that specify the rights and duties of individuals enforced, albeit imperfectly, by third party sanctions. (shrink)

If we acknowledge that a perceptual experience’s sensory phenomenology is not inherently representational, we face a puzzle. On the one hand, sensory phenomenology must play an intimate role in the perception of ordinary physical objects; but on the other hand, our experiences’ purely sensory element rarely captures our attention. I maintain that neither indirect realism nor the dual component theory provides a satisfactory solution to this puzzle: indirect realism is inconsistent with the fact that sensory phenomenology typically goes unnoticed by (...) perceivers; while, the dual component theory cannot do justice to the important role that sensory phenomenology plays in our perceptual awareness of physical objects. I argue that in order to avoid the difficulties with each of the standard alternatives, we must characterize sensory phenomenology as functioning in the way that linguistic symbols function in thought. (shrink)

Paul Ricoeur remains one of philosophy of religion's most distinctive voices. Ricoeur was a philosopher first, and while his religious reflections are very relevant to theology, Boyd Blundell argues that his philosophy is even more relevant. Using Ricoeur's own philosophical hermeneutics, Blundell shows that there is a way for explicitly Christian theology to maintain both its integrity and overall relevance. He demonstrates how the dominant pattern of detour and return found throughout Ricoeur’s work provides a path to understanding the relationship (...) between philosophy and theology. By putting Ricoeur in dialogue with current, fundamental, and longstanding debates about the role of philosophy in theology, Blundell offers a hermeneutically sensitive engagement with Ricoeur's thought from a theological perspective. (shrink)

The issue of how best to combat the negative impacts of misinformation distributed via social media hangs on the following question: are there methods that most individuals can reasonably be expected to employ that would largely protect them from the negative impact that encountering misinformation on social media would otherwise have on their beliefs? If the answer is “yes,” then presumably individuals bear significant responsibility for those negative impacts; and, further, presumably there are feasible educational remedies for the problem of (...) misinformation. However, I argue that the answer is “no.” Accordingly, I maintain that individuals do not bear significant responsibility for the negative impacts at issue; and, further, I maintain that the only effective remedies for the problem of misinformation involve changing the information environment itself. (shrink)

The fact that each of us has significantly greater confidence in the claims of co-partisans – those belonging to groups with which we identify – explains, in large part, why so many people believe a significant amount of the misinformation they encounter. It's natural to assume that such misinformed partisan beliefs typically involve a rational failure of some kind, and philosophers and psychologists have defended various accounts of the nature of the rational failure purportedly involved. I argue that none of (...) the standard diagnoses of the irrationality of misinformed partisan beliefs is convincing, but I also argue that we ought to reject attempts to characterize these beliefs as rational or consistent with epistemic virtue. Accordingly, I defend an alternative diagnosis of the relevant epistemic error. Specifically, I maintain that such beliefs typically result when an individual evaluating testimony assigns more weight to co-partisanship than he ought to under the circumstances, and consequently believes the testimony of co-partisans when better alternatives are available. (shrink)