Clinical ethics consultation service remains undeveloped in developing countries. It is recognised that its introduction poses challenges. Malaysia, a multicultural society with diverse religions, values and perceptions further complicate the introduction of formal clinical ethics consultation service. Clinicians attending a national congress workshop completed a Strengths–Weaknesses–Opportunities–Threats analysis. The aim was to gain insight into clinician’s expectations and promote initiatives leading to the introduction of clinical ethics consultation service. Clinicians agree that clinical ethics consultation service can improve quality of care, reduce (...) healthcare costs and advocate for patients and providers. The analysis highlighted constraints in sufficient critical mass of relevant expertise and restricted opportunities for training. The opportunities lie in education, curriculum development and availability of dedicated proponents. Cultural barriers, limited resources, lack of awareness, differenc... (shrink)

Malaysia had its first four patients with COVID-19 on 25 January 2020. In the same week, the World Health Organization declared it as a public health emergency of international concern. The pandemic has since challenged the ethics and practice of medicine. There is palpable tension from the conflict of interest between public health initiatives and individual’s rights. Ensuring equitable care and distribution of health resources for patients with and without COVID-19 is a recurring ethical challenge for clinicians. Palliative care aims (...) to mitigate suffering caused by a life-limiting illness, and this crisis has led to the awareness and urgency to ensure it reaches all who needs it. We share here the palliative care perspectives and ethical challenges during the COVID-19 pandemic in Malaysia. (shrink)

In this article, we first review the development of clinical ethics in pediatrics in the United States. We report that, over the last 40 years, most children’s hospitals have ethics committees but that those committees are rarely consulted. We speculate that the reasons for the paucity of ethics consults might be because ethical dilemmas are aired in other venues. The role of the ethics consultant, then, might be to shape the institutional climate and create safe spaces for the discussion of (...) difficult and sometimes contentious issues. Finally, we report how pediatric clinical ethics has evolved differently in a number of other countries around the world. (shrink)

Inquiry into the meaning of logical terms in natural language (‘and’, ‘or’, ‘not’, ‘if’) has generally proceeded along two dimensions. On the one hand, semantic theories aim to predict native speaker intuitions about the natural language sentences involving those logical terms. On the other hand, logical theories explore the formal properties of the translations of those terms into formal languages. Sometimes, these two lines of inquiry appear to be in tension: for instance, our best logical investigation into conditional connectives may (...) show that there is no conditional operator that has all the properties native speaker intuitions suggest if has. Indicative conditionals have famously been the source of one such tension, ever since the triviality proofs of both Lewis (1976) and Gibbard (1981) established conclusions which are in prima facie tension with ordinary judgments about natural language indicative conditionals. In a recent series of papers, Branden Fitelson has strengthened both triviality results (Fitelson 2013, 2015, 2016), revealing a common culprit: a logical schema known as IMPORT-EXPORT. Fitelson’s results focus the tension between the logical results and ordinary judgments, since IMPORT-EXPORT seems to be supported by intuitions about natural language. In this paper, we argue that the intuitions which have been taken to support IMPORT-EXPORT are really evidence for a closely related, but subtly different, principle. We show that the two principles are independent by showing how, given a standard assumption about the conditional operator in the formal language in which IMPORT-EXPORT is stated, many existing theories of indicative conditionals validate one, but not the other. Moreover, we argue that once we clearly distinguish these principles, we can use propositional anaphora to show that IMPORT-EXPORT is in fact not valid for natural language indicative conditionals (given this assumption about the formal conditional operator). This gives us a principled and independently motivated way of rejecting a crucial premise in many triviality results, while still making sense of the speaker intuitions which appeared to motivate that premise. We suggest that this strategy has broad application and an important lesson: in theorizing about the logic of natural language, we must pay careful attention to the translation between the formal languages in which logical results are typically proved, and natural languages which are the subject matter of semantic theory. (shrink)

Bradley offers a quick and convincing argument that no Boolean semantic theory for conditionals can validate a very natural principle concerning the relationship between credences and conditionals. We argue that Bradley’s principle, Preservation, is, in fact, invalid; its appeal arises from the validity of a nearby, but distinct, principle, which we call Local Preservation, and which Boolean semantic theories can non-trivially validate.

When speakers utter conflicting moral sentences, it seems clear that they disagree. It has often been suggested that the fact that the speakers disagree gives us evidence for a claim about the semantics of the sentences they are uttering. Specifically, it has been suggested that the existence of the disagreement gives us reason to infer that there must be an incompatibility between the contents of these sentences. This inference then plays a key role in a now-standard argument against certain theories (...) in moral semantics. In this paper, we introduce new evidence that bears on this debate. We show that there are moral conflict cases in which people are inclined to say both that the two speakers disagree and that it is not the case at least one of them must be saying something incorrect. We then explore how we might understand such disagreements. As a proof of concept, we sketch an account of the concept of disagreement and an independently motivated theory of moral semantics which, together, explain the possibility of such cases. (shrink)

Despite its small stature, "if" occupies a central place both in everyday language and the philosophical lexicon. In allowing us to talk about hypothetical situations, "if" raises a host of thorny philosophical puzzles about language and logic. Addressing them requires tools from linguistics, logic, probability theory, and metaphysics. Justin Khoo uses these tools to navigate a maze of interconnected issues about conditionals, some of which include: the nature of linguistic communication, the relationship between logical and natural languages, and the (...) relationship between different kinds of modality. According to Khoo's theory, conditionals form a unified class of expressions which share a common semantic core that encodes inferential dispositions. Thus, rather than represent the world, conditionals are devices used to communicate how we are disposed to infer. Khoo shows that this theory can be extended to predict the probabilities of conditionals, as well as how different kinds of conditionals differ both semantically and pragmatically. Khoo's book will make for a significant contribution to the literature on conditionals and should be of interest to philosophers, linguists, and computer scientists. (shrink)

I argue that code words like “inner city” do not semantically encode hidden or implicit meanings, and offer an account of how they nonetheless manage to bring about the surprising effects discussed in Mendelberg 2001, White 2007, and Stanley 2015 (among others).

_Tsai Ming-liang_ Jean-Pierre Rehm, Olivier Joyard and Daniele Riviere Paris: Dis Voir, 1999 ISBN: 2-906571-90-3 127 pps.

It is often assumed that when one party felicitously rejects an assertion made by an- other party, the first party thinks that the proposition asserted by the second is false. This assumption underlies various disagreement arguments used to challenge contex- tualism about some class of expressions. As such, many contextualists have resisted these arguments on the grounds that the disagreements in question may not be over the proposition literally asserted. The result appears to be a dialectical stalemate, with no independent (...) method of determining whether any particular instance of disagreement is over the proposition literally asserted. In this paper, I propose an independent method for assessing whether a disagreement is about what’s literally asserted. Focusing on epistemic modals throughout, I argue that this method provides evidence that some epistemic modal disagreements are in fact not over the proposition literally asserted by the utterance of the epistemic modal sentence. This method provides a way to break the stalemate, and reveals a new data point for theories of epistemic modals to predict—that is, how there can be such modal disagreements. In the rest of the paper, I motivate a general theory of how to predict these kinds of disagreements, and then offer some brief remarks about how contextualist, relativist, and expressivist theories of epistemic modals might accommodate this new data point. (shrink)

At the center of the literature on conditionals lies the division between indicative and subjunctive conditionals, and Ernest Adams’ famous minimal pair: If Oswald didn’t shoot Kennedy, someone else did. If Oswald hadn’t shot Kennedy, someone else would have. While a lot of attention is paid to figuring out what these different kinds of conditionals mean, significantly less attention has been paid to the question of why their grammatical differences give rise to their semantic differences. In this paper, I articulate (...) and defend an answer to this question that illuminates and unifies the meanings of both kinds of conditionals. The basic idea is that epistemic and metaphysical possibilities differ with respect to their interaction with time, such that there can be present epistemic possibilities with different pasts, while present metaphysical possibilities share the same past. The interpretation of conditionals is subject to a pragmatic constraint that rules out interpretations in which their consequents are directly settled by information used to build their domains. The past + future morphology on subjunctives, but not indicatives, is what allows them to receive a metaphysical interpretation in light of this pragmatic constraint. The resulting theory predicts several surprising features of indicatives and subjunctives, which I argue are correct. (shrink)

The Ramseyan thesis that the probability of an indicative conditional is equal to the corresponding conditional probability of its consequent given its antecedent is both widely confirmed and subject to attested counterexamples (e.g., McGee 2000, Kaufmann 2004). This raises several puzzling questions. For instance, why are there interpretations of conditionals that violate this Ramseyan thesis in certain contexts, and why are they otherwise very rare? In this paper, I raise some challenges to Stefan Kaufmann's account of why the Ramseyan thesis (...) sometimes fails, and motivate my own theory. On my theory, the proposition expressed by an indicative conditional is partially determined by a background partition, and hence its probability depends on the choice of such a partition. I hold that this background partition is contextually determined, and in certain conditions is set by a salient question under discussion in the context. I show how the resulting theory offers compelling answers to the puzzling questions raised by failures of the Ramseyan thesis. (shrink)

I argue that not all context dependent expressions are alike. Pure (or ordinary) indexicals behave more or less as Kaplan thought. But quasi indexicals behave in some ways like indexicals and in other ways not like indexicals. A quasi indexical sentence φ allows for cases in which one party utters φ and the other its negation, and neither party’s claim has to be false. In this sense, quasi indexicals are like pure indexicals (think: “I am a doctor”/“I am not a (...) doctor” as uttered by different individuals). In such cases involving a pure indexical sentence, it is not appropriate for the two parties to reject each other’s claims by saying, “No.” However, in such cases involving a quasi indexical sentence, it is appropriate for the par- ties to reject each other’s claims. In this sense, quasi indexicals are not like pure indexicals. Drawing on experimental evidence, I argue that gradable adjectives like “rich” are quasi indexicals in this sense. e existence of quasi indexicals raises trouble for many existing theories of context dependence, including standard contextualist and relativist theories. I propose an alternative semantic and pragmatic theory of quasi indexicals, negotiated contextualism, that combines insights from Kaplan 1989 and Lewis 1979. On my theory, rejection is licensed with quasi indexicals (even when neither of the claims involved has to be false) because the two utterances involve conflicting proposals about how to update the conversational score. I also adduce evidence that conflicting truth value assessments of a single quasi indexical utterance exhibit the same behavior. I argue that negotiated contextualism can account for this puzzling property of quasi indexicals as well. (shrink)

ABSTRACTRecent debate over the semantics and pragmatics of epistemic modals has focused on intuitions about cross-contextual truth-value assessments. In this paper, we advocate a different approach to evaluating theories of epistemic modals. Our strategy focuses on judgments of the incompatibility of two different epistemic possibility claims, or two different truth value assessments of a single epistemic possibility claim. We subject the predictions of existing theories to empirical scrutiny, and argue that existing contextualist and relativist theories are unable to account for (...) the full pattern of observed judgments. As a way of illustrating the theoretical upshot of these results, we conclude by developing a novel theory of epistemic modals that is able to predict the results. (shrink)

In some ways, the timing of this book is both fortunate and unfortunate at the same time. Considering its emphasis, authoritarian dictators who govern by spin rather than fear, it is of particular...

The European Union is working towards harmonizing legislation across Europe, in order to improve cross-border interchange of legal information. This goal is supported for instance via standards such as the European Law Identifier and the European Case Law Identifier, which provide technical specifications for Web identifiers and suggestions for vocabularies to be used to describe metadata pertaining to legal documents in a machine readable format. Notably, these ECLI and ELI metadata standards adhere to the RDF data format which forms the (...) basis of Linked Data, and therefore have the potential to form a basis for a pan-European legal Knowledge Graph. Unfortunately, to date said specifications have only been partially adopted by EU member states. In this paper we describe a methodology to transform the existing legal information system used in Austria to such a legal knowledge graph covering different steps from modeling national specific aspects, to population, and finally the integration of legal data from other countries through linked data. We demonstrate the usefulness of this approach by exemplifying practical use cases from legal information search, which are not possible in an automated fashion so far. (shrink)

Perry Meisel’s new book, Criticism After Theory from Shakespeare to Virginia Woolf, inevitably evokes Stanley Fish’s seminal declaration back in 1985 that “theory’s day is dying” (“Consequences,” C...

Disjunctive antecedent conditionals —conditionals of the form if A or B, C—sometimes seem to entail both of their simplifications and sometimes seem not to. I argue that this behavior reveals a genuine ambiguity in DACs. Along the way, I discuss a new observation about the role of focal stress in distinguishing the two interpretations of DACs. I propose a new theory, according to which the surface form of a DAC underdetermines its logical form: on one possible logical form, if A (...) or B, C does entail both of its simplifications, while on the other, it does not. (shrink)

I discuss three observations about backtracking counterfactuals not predicted by existing theories, and then motivate a theory of counterfactuals that does predict them. On my theory, counterfactuals quantify over a suitably restricted set of historical possibilities from some contextually relevant past time. I motivate each feature of the theory relevant to predicting our three observations about backtracking counterfactuals. The paper concludes with replies to three potential objections.

Schrödinger discusses what an elementary particle is. This essay originally appeared in the journal Endeavour.

A proof by Allan Gibbard (Ifs: Conditionals, beliefs, decision, chance, time. Reidel, Dordrecht, 1981) seems to demonstrate that if indicative conditionals have truth conditions, they cannot be stronger than material implication. Angelika Kratzer's theory that conditionals do not denote two-place operators purports to escape this result [see Kratzer (Chic Linguist Soc 22(2):1–15, 1986, 2012)]. In this note, I raise some trouble for Kratzer’s proposed method of escape and then show that her semantics avoids this consequence of Gibbard’s proof by denying (...) modus ponens. I also show that the same holds for Anthony Gillies’ semantics (Philos Rev 118(3):325–349, 2009) and argue that this consequence of these theories is not obviously prohibitive—hence, both remain viable theories of indicative conditionals. (shrink)

The aim of this article is to free Aristotle's Metaphysics, especially book XII (Lambda), frome some metaphysical and theological presuppositions by detecting their inappropriate conceptual framwork, which once was progressive, but now holds an obsolete position. Ousia, being (not substance, a much later concept, construed to solve other problems than Aristotle's), stand for a question, not for an answer. Book Lambda develops a highly speculative argument for this queston. The famous noesis noeseos says that empirical being and knowledge is the (...) realization of a noetic structure (noesis), laid down in our most fundamental opinioons about being. (shrink)

I articulate the challenge disagreement poses for epistemic contextualism, and then discuss several possible replies on behalf of the contextualist.

Überlegungen zur Geschichte des politischen Dienstes der Evangelischen Kirche in Deutschland.--Kirchliche Mitverantwortung in Politik, Staat und Gesellschaft.--Die Einheit der Evangelischen Kirche in Deutschlands.--Die Denkschrift-und was nun?--Der Friede und die Völkergemeinschaft.

Wissen wir, wer oder was unseren Lebensgang bestimmt? Wissen wir überhaupt, was in uns und ausserhalb von uns abläuft? Das einzig Gewisse ist unser Tod, doch was hilft die Gewissheit unseres Todes, wenn ungewiss bleibt, wann er kommt? Unsere Bedürfnisse kennen wir, aber wo sind die Grenzen der Befriedigung? Wenn unsicher geworden ist, wer oder was das bestimmt, was faktisch geschieht, wenn die Welt uns körperlich und seelisch bedrängt und die einzige Gewissheit in der Zukunft unser Tod ist, wenn uns (...) unsere Bedürfnisse und die Grenzen ihrer Befriedigung unklar geworden sind, dann hilft nichts mehr als das Nachdenken – das Nachdenken über unsere Natur und ihren Platz in der Welt, über die Hierarchie unserer Bedürfnisse, darüber, wie wir das Gelingen unseres Lebens mit Vernunft und Gerechtigkeit in Einklang bringen. Kurz, es hilft nichts als der Epikureismus. ********** Do we know who or what determines the course of our lives? Do we even know what is going on inside and outside of us? The only certain thing is our death, but what good is the certainty of our death if it remains uncertain when it will come? We know our needs, but where are the limits to their fulfilment? When it has become uncertain who or what determines what actually happens, when the world oppresses us physically and emotionally and the only certainty in the future is our death, when our needs and the limits of their fulfilment have become unclear to us, then nothing helps more than reflection - reflection on our nature and its place in the world, thinking about the hierarchy of our needs, about how we can harmonise the success of our lives with reason and justice. In short, nothing helps but Epicureanism. (shrink)

According to operator theories, "if" denotes a two-place operator. According to restrictor theories, "if" doesn't contribute an operator of its own but instead merely restricts the domain of some co-occurring quantifier. The standard arguments (Lewis 1975, Kratzer 1986) for restrictor theories have it that operator theories (but not restrictor theories) struggle to predict the truth conditions of quantified conditionals like -/- (1) a. If John didn't work at home, he usually worked in his office. b. If John didn't work at (...) home, he must have worked in his office. -/- Gillies (2010) offers a context-shifty conditional operator theory that predicts the right truth conditions for epistemically modalized conditionals like (1b), thus undercutting one standard argument for restrictor theories. I explore how we might generalize Gillies' theory to adverbially quantified conditionals like (1a) and deontic conditionals, and argue that a natural generalization of Gillies' theory -- following his strategy for handling epistemically modalized conditionals -- won't work for these other conditionals because a crucial assumption that epistemic modal bases are closed (used to neutralize the epistemic quantification contributed by "if") doesn't have plausible analogs in these other domains. (shrink)

A middle fact is a true proposition about what would have happened had A been true (where A is in fact false), whose truth isn't entailed by any non-counterfactual facts. I argue that there are no middle facts; if there were, we wouldn't know them, and our ignorance of them would result in ignorance about whether regret is fitting in cases where we clearly know it is. But there's a problem. Consider an unflipped fair coin which is such that no (...) non-counterfactual fact determines that it would have landed heads had it been flipped (or tails had it been flipped). If there are no middle facts, it's not true that it would have landed heads had it been flipped nor that it would have landed tails had it been flipped. Yet each counterfactual is still possibly true for all we know. I argue that we can resolve this tension in the anti-middle fact position, further strengthening the case against middle facts. (shrink)

This paper discusses and relates two puzzles for indicative conditionals: a puzzle about indeterminacy and a puzzle about triviality. Both puzzles arise because of Ramsey's Observation, which states that the probability of a conditional is equal to the conditional probability of its consequent given its antecedent. The puzzle of indeterminacy is the problem of reconciling this fact about conditionals with the fact that they seem to lack truth values at worlds where their antecedents are false. The puzzle of triviality is (...) the problem of reconciling Ramsey's Observation with various triviality proofs which establish that Ramsey's Observation cannot hold in full generality. In the paper, I argue for a solution to the indeterminacy puzzle and then apply the resulting theory to the triviality puzzle. On the theory I defend, the truth conditions of indicative conditionals are highly context dependent and such that an indicative conditional may be indeterminate in truth value at each possible world throughout some region of logical space and yet still have a nonzero probability throughout that region. (shrink)

A Nobel prize winner, a great man and a great scientist, Erwin Schrödinger has made his mark in physics, but his eye scans a far wider horizon: here are two stimulating and discursive essays which summarize his philosophical views on the nature of the world. Schrödinger's world view, derived from the Indian writings of the Vedanta, is that there is only a single consciousness of which we are all different aspects. He admits that this view is mystical and metaphysical (...) and incapable of logical deduction. But he also insists that this is true of the belief in an external world capable of influencing the mind and of being influenced by it. Schrödinger's world view leads naturally to a philosophy of reverence for life. (shrink)