A nationwide survey that included personal interviews in 1,021 households studied the incidence, species, and numbers of nonhuman animals kept in Costa Rican households. A total of 71% of households keep animals.The proportion of households keeping dogs is 3.6 higher than the proportion of households keeping cats . In addition to the usual domestic or companion animals kept in 66% of the households, 24% of households keep wild species as pets. Although parrots are the bulk of wild species kept as (...) pets, there is vast species diversity, including other birds, reptiles, mammals, amphibians, fishes, and invertebrates - typically caught in their natural habitat to satisfy the pet market. The extraction from the wild and the keeping of such animals is by-and-large illegal and often involves endangered species. Costa Ricans, in a conservative estimate, keep about 151,288 parrots as pets. More than half the respondents have kept a psittacid at some point in their lives. Pet keeping is a common practice in Costa Rican society, and its incidence is high by international standards. (shrink)

We report three experimental studies of reasoning with double conditionals, i.e. problems based on premises of the form: If A then B. If B then C. where A, B, and C, describe everyday events. We manipulated both the logical structure of the problems, using all four possible arrangements (or “figures” of their constituents, A, B, and C, and the believability of the two salient conditional conclusions that might follow from them, i.e. If A then C, or If C then A. (...) The experiments showed that with figures for which there was a valid conclusion, the participants more often, and more rapidly, drew the valid conclusion when it was believable than when it was unbelievable. With figures for which there were no valid conclusions, the participants tended to draw whichever of the two conclusions was believable. These results were predicted by the theory that reasoning depends on constructing mental models of the premises. (shrink)

El ensayo intenta conectar y defender el concepto de “verosímil” en la obra de Carlos Vaz Ferreira. Esto se justifica a través de la teoría del “Razonablismo” desarrollada en las obras de Lógica viva, Un paralogismo de actualidad y Conocimiento acción. Por tanto, con esto pretendemos una mejor comprensión de los conceptos de razón y acción.

We report three experimental studies of reasoning with double conditionals, i.e. problems based on premises of the form: If A then B. If B then C. where A, B, and C, describe everyday events. We manipulated both the logical structure of the problems, using all four possible arrangements (or ''figures" of their constituents, A, B, and C, and the believability of the two salient conditional conclusions that might follow from them, i.e. If A then C , or If C then (...) A . The experiments showed that with figures for which there was a valid conclusion, the participants more often, and more rapidly, drew the valid conclusion when it was believable than when it was unbelievable. With figures for which there were no valid conclusions, the participants tended to draw whichever of the two conclusions was believable. These results were predicted by the theory that reasoning depends on constructing mental models of the premises. (shrink)

Effective vaccines for COVID‐19 are already available to humankind. In Peru, 86 million doses were administered to cover the demand for 33 million Peruvian people. Hence, vaccination has been prioritized in groups: health personnel, subjects with pre‐existing health conditions and those over 65 years of age. However, given the social problems and the public health situation in Peru, this work defends that the priority of vaccination should be focused on the population living in extreme poverty. The method used was an (...) ethical argumentation on the distribution of scarce antiSARS‐CoV2 vaccine in Peru. This argument is based on the analysis of the Peruvian population living in extreme poverty, which presents different layers of vulnerability, and that, in the face of an eventual SARS‐CoV2 infection, these would be exacerbated one after the other, through a cascade effect. This scenario would give rise to new vulnerabilities to those already existing, causing greater damage. Vaccination efforts on this key population would give them the opportunity to continue to find ways to bring food to their homes, significantly reducing the risk of contagion in their environment and mitigating the devastating effect of the local diseases to which they are already exposed. Four objections related to this argument are raised with their corresponding responses. Priority access to the vaccine would significantly reduce the humanitarian harm to people living in extreme poverty, prevailing the principles of justice and equity. (shrink)

La humanidad ya dispone de vacunas eficaces contra el COVID‐19. En Perú se administraron 86 millones de dosis para cubrir la demanda de 33 millones de peruanos. Para ello, se ha priorizado la vacunación en grupos clave: personal de salud, sujetos con condiciones de salud preexistentes y mayores de 65 años. Sin embargo, dada la problemática social y la situación de la salud pública en Perú, este trabajo defiende que la prioridad de la vacunación debe centrarse en la población que (...) vive en extrema pobreza. El método utilizado fue una argumentación ética sobre la distribución de la vacuna contra el COVID‐19 en Perú. Esta argumentación se basa en el análisis de la población peruana que vive en extrema pobreza, la cual presenta diferentes estratos de vulnerabilidad, y que, ante una eventual infección por SARS‐CoV‐2, se irían agravando uno tras otro, a través de un efecto en cascada. Este escenario daría lugar a nuevas vulnerabilidades de las ya existentes, causando mayores daños. Los esfuerzos de vacunación en esta población clave les brindaría oportunidad de seguir encontrando formas de llevar alimentos a sus hogares, reduciendo significativamente el riesgo de contagio en su entorno y mitigando el efecto devastador de las enfermedades locales a las que ya está expuesta. Se plantean cuatro objeciones relacionadas con este argumento, con sus correspondientes respuestas. El acceso prioritario a la vacuna reduciría significativamente el daño a las personas que viven en la extrema pobreza, haciendo prevalecer los principios de justicia y equidad. (shrink)

We are even less aware of our internal organs and the physiological processes that keep us alive. In this fascinating work, Drew Leder examines all the ways in which the body is absent—forgotten, alien, uncontrollable, obscured.

Why is it that some instances of disagreement appear to be so intractable? And what is the appropriate way to handle such disagreements, especially concerning matters about which there are important practical and political needs for us to come to a consensus? In this paper, I consider an explanation of the apparent intractability of deep disagreement offered by hinge epistemology. According to this explanation, at least some deep disagreements are rationally unresolvable because they concern ‘hinge’ commitments that are unresponsive to (...) rational considerations. This explanation, if correct, seems to have troubling implications for how we should respond to deep disagreement. If my position on a topic is not responsive to rational considerations, then what choice have I but to dogmatically hold to that position, and simply dismiss the views of those with whom I disagree? I address this problem by identifying an attitude of intellectual humility that is appropriate to have towards one's hinge commitments, and suggest that this attitude provides the basis for a non-rational, constructive way to resolve deep disagreement. (shrink)

Recent studies of naturalistic face‐to‐face communication have demonstrated coordination patterns such as the temporal matching of verbal and non‐verbal behavior, which provides evidence for the proposal that verbal and non‐verbal communicative control derives from one system. In this study, we argue that the observed relationship between verbal and non‐verbal behaviors depends on the level of analysis. In a reanalysis of a corpus of naturalistic multimodal communication (Louwerse, Dale, Bard, & Jeuniaux, ), we focus on measuring the temporal patterns of specific (...) communicative behaviors in terms of their burstiness. We examined burstiness estimates across different roles of the speaker and different communicative modalities. We observed more burstiness for verbal versus non‐verbal channels, and for more versus less informative language subchannels. Using this new method for analyzing temporal patterns in communicative behaviors, we show that there is a complex relationship between verbal and non‐verbal channels. We propose a “temporal heterogeneity” hypothesis to explain how the language system adapts to the demands of dialog. (shrink)

Many of the computing systems programmed using Machine Learning are opaque: it is difficult to know why they do what they do or how they work. Explainable Artificial Intelligence aims to develop analytic techniques that render opaque computing systems transparent, but lacks a normative framework with which to evaluate these techniques’ explanatory successes. The aim of the present discussion is to develop such a framework, paying particular attention to different stakeholders’ distinct explanatory requirements. Building on an analysis of “opacity” from (...) philosophy of science, this framework is modeled after accounts of explanation in cognitive science. The framework distinguishes between the explanation-seeking questions that are likely to be asked by different stakeholders, and specifies the general ways in which these questions should be answered so as to allow these stakeholders to perform their roles in the Machine Learning ecosystem. By applying the normative framework to recently developed techniques such as input heatmapping, feature-detector visualization, and diagnostic classification, it is possible to determine whether and to what extent techniques from Explainable Artificial Intelligence can be used to render opaque computing systems transparent and, thus, whether they can be used to solve the Black Box Problem. (shrink)

Bodily pain and distress come in many forms. They can well up from within at times of serious illness, but the body can also be subjected to harsh treatment from outside. The medical system is often cold and depersonalized, and much worse are conditions experienced by prisoners in our age of mass incarceration, and by animals trapped in our factory farms. In this pioneering book, Drew Leder offers bold new ways to rethink how we create and treat distress, clearing the (...) way for more humane social practices. Leder draws on literary examples, clinical and philosophical sources, his medical training, and his own struggle with chronic pain. He levies a challenge to the capitalist and Cartesian models that rule modern medicine. Similarly, he looks at the root paradigms of our penitentiary and factory farm systems and the way these produce distressed bodies, asking how such institutions can be reformed. Writing with coauthors ranging from a prominent cardiologist to long-term inmates, he explores alternative environments that can better humanize—even spiritualize—the way we treat one another, offering a very different vision of medical, criminal justice, and food systems. Ultimately Leder proposes not just new answers to important bioethical questions but new ways of questioning accepted concepts and practices. (shrink)

The received view of dynamical explanation is that dynamical cognitive science seeks to provide covering law explanations of cognitive phenomena. By analyzing three prominent examples of dynamicist research, I show that the received view is misleading: some dynamical explanations are mechanistic explanations, and in this way resemble computational and connectionist explanations. Interestingly, these dynamical explanations invoke the mathematical framework of dynamical systems theory to describe mechanisms far more complex and distributed than the ones typically considered by philosophers. Therefore, contemporary dynamicist (...) research reveals the need for a more sophisticated account of mechanistic explanation. (shrink)

Much previous work in artificial intelligence has neglected representing time in all its complexity. In particular, it has neglected continuous change and the indeterminacy of the future. To rectify this, I have developed a first‐order temporal logic, in which it is possible to name and prove things about facts, events, plans, and world histories. In particular, the logic provides analyses of causality, continuous change in quantities, the persistence of facts (the frame problem), and the relationship between tasks and actions. It (...) may be possible to implement a temporal‐inference machine based on this logic, which keeps track of several “maps” of a time line, one per possible history. (shrink)

Models developed using machine learning are increasingly prevalent in scientific research. At the same time, these models are notoriously opaque. Explainable AI aims to mitigate the impact of opacity by rendering opaque models transparent. More than being just the solution to a problem, however, Explainable AI can also play an invaluable role in scientific exploration. This paper describes how post-hoc analytic techniques from Explainable AI can be used to refine target phenomena in medical science, to identify starting points for future (...) investigations of causal relationships, and to generate possible explanations of target phenomena in cognitive science. In this way, this paper describes how Explainable AI—over and above machine learning itself—contributes to the efficiency and scope of data-driven scientific research. (shrink)

In this important book, Drew Khlentzos explains the antirealist argument from a realist perspective. He defends naturalistic realism against the antirealist challenge, and he considers the consequences of his defense for our understanding of realism and truth. Khlentzos argues that the naturalistic realist view that the world exists independently of the mind must take into consideration what he calls the representation problem: if the naturalistic realist view is true, how can mental representation of the world be explained?He examines this major (...) antirealist challenge in detail and shows that many realists have dismissed it because they have not understood its nature. He sees it as a philosophical puzzle: the antirealist challenge, if sound, does not prove that there are no objects that exist independently of the mind, but that there is no rational basis for thinking that there are; we have good reason to believe in the naturalistic view, but we have no way of knowing how it could be true. Khlentzos surveys the antirealist arguments of Michael Dummett, Hilary Putnam, and Crispin Wright and suggests a realist answer. He argues for a radically nonepistemic conception of truth, and against pragmatist, intuitionist, verificationist, and pluralist alternatives. He examines and rejects some current versions of physicalism and functionalism, and offers an original version of the correspondence theory of truth. (shrink)

In a context of pervasive digitalization of the social world, both before and during the COVID-19 pandemic, the field of education has undergone major changes with the development of digital practices and settings. However, the physical presence of the subjects and the body remain something primordial and irreplaceable in traditional educational processes. Thus, it is often assumed that virtuality is opposed to the corporeal reality of the subjects involved in teaching, learning and studying. In this paper we aim to critically (...) challenge this assumption by addressing the phenomenon of virtuality in a more original sense: as a fundamental dimension of corporeality itself. Drawing on Merleau-Ponty’s phenomenological insights, we argue that the experience of the virtual is inherently embodied and fully real. We understand corporeality and virtuality as entangled and multidimensional phenomena. At the same time, this leads us to rethink the digital as only one possible medium in which virtuality can appear as inherent to embodied experience. We develop our phenomenological approach in three instances. First, we question and bracket two common assumptions about corporeality. From our critical perspective, assumptions about a disembodied digitality and a devirtualized corporeality represent extremes within which educational discourses currently move. Second, we address the inherent virtuality of embodied experience. We outline the heuristic concept of the virtual body to describe corporeality and virtuality as entangled and multidimensional phenomena that encompass extension, intercorporeality and intermediality. Finally, we make some remarks on the relationships of corporeality and virtuality considering the challenges of digital education. (shrink)

Hypotheses regarding the selective pressures driving the threefold increase in the size of the hominid brain since Homo habilis include climatic conditions, ecological demands, and social competition. We provide a multivariate analysis that enables the simultaneous assessment of variables representing each of these potential selective forces. Data were collated for latitude, prevalence of harmful parasites, mean annual temperature, and variation in annual temperature for the location of 175 hominid crania dating from 1.9 million to 10 thousand years ago. We also (...) included a proxy for population density and two indexes of paleoclimatic variability for the time at which each cranium was discovered. Results revealed independent contributions of population density, variation in paleoclimate, and temperature variation to the prediction of change in hominid cranial capacity (CC). Although the effects of paleoclimatic variability and temperature variation provide support for climatic hypotheses, the proxy for population density predicted more unique variance in CC than all other variables. The pattern suggests multiple pressures drove hominid brain evolution and that the core selective force was social competition. (shrink)

In this important book, Drew Khlentzos explains the antirealist argument from a realist perspective. He defends naturalistic realism against the antirealist challenge, and he considers the consequences of his defense for our understanding of realism and truth. Khlentzos argues that the naturalistic realist view that the world exists independently of the mind must take into consideration what he calls the representation problem: if the naturalistic realist view is true, how can mental representation of the world be explained? He examines this (...) major antirealist challenge in detail and shows that many realists have dismissed it because they have not understood its nature. He sees it as a philosophical puzzle: the antirealist challenge, if sound, does not prove that there are no objects that exist independently of the mind, but that there is no rational basis for thinking that there are; we have good reason to believe in the naturalistic view, but (given the antirealist arguments) we have no way of knowing how it could be true. Khlentzos surveys the antirealist arguments of Michael Dummett, Hilary Putnam, and Crispin Wright and suggests a realist answer. He argues for a radically nonepistemic conception of truth, and against pragmatist, intuitionist, verificationist, and pluralist alternatives. He examines and rejects some current versions of physicalism and functionalism, and offers an original version of the correspondence theory of truth. (shrink)

This paper employs Ruth Millikan’s biosemantic theory of representation to develop a proposal about the function of ethical claims and judgments. I propose that ethical claims and judgments (or ethical ‘affirmations’) have the function of simultaneously tracking the morally salient features of social situations and directing behavior that coordinates in a collectively beneficial way around those features. Thus, ethical affirmations count as a species of what Millikan labels ‘Pushmi-Pullyu’ representations that simultaneously have a descriptive and a directive direction of fit. (...) This proposal supports a version of motivational internalism that can accommodate a surprising range of actual failures of motivation. I also briefly situate this proposal in the metaethical literature, contrasting it with other hybrid views incorporating elements of cognitivism and expressivism. (shrink)

The option of being ‘spiritual but not religious’ deserves much more philosophical attention. That is the aim here, taking the work of Robert Solomon as a starting point, with focus on the particular issues around viewing life as gift. This requires analysis of ‘existential gratitude’ to show that there can be gratitude for things without gratitude to someone for providing things, and also closer attention to the role that metaphor plays in cognition. I consider two main concerns with gift and (...) gratitude thinking, that the nonreligious justification is too instrumentalist in its approach and that viewing life as gift, whether in a religious or nonreligious way, is simply too optimistic. (shrink)

The claim has often been made that passing the Turing Test would not be sufficient to prove that a computer program was intelligent because a trivial program could do it, namely, the “Humongous-Table (HT) Program”, which simply looks up in a table what to say next. This claim is examined in detail. Three ground rules are argued for: (1) That the HT program must be exhaustive, and not be based on some vaguely imagined set of tricks. (2) That the HT (...) program must not be created by some set of sentient beings enacting responses to all possible inputs. (3) That in the current state of cognitive science it must be an open possibility that a computational model of the human mind will be developed that accounts for at least its nonphenomenological properties. Given ground rule 3, the HT program could simply be an “optimized” version of some computational model of a mind, created via the automatic application of program-transformation rules [thus satisfying ground rule 2]. Therefore, whatever mental states one would be willing to impute to an ordinary computational model of the human psyche one should be willing to grant to the optimized version as well. Hence no one could dismiss out of hand the possibility that the HT program was intelligent. This conclusion is important because the Humongous-Table Program Argument is the only argument ever marshalled against the sufficiency of the Turing Test, if we exclude arguments that cognitive science is simply not possible. (shrink)

Pain is far more than an aversive sensation. Chronic pain, in particular, involves the sufferer in a complex experience filled with ambiguity and paradox. The tensions thereby established, the unknowns, pressures, and oscillations, form a significant part of the painfulness of pain. This paper uses a phenomenological method to examine nine such paradoxes. For example, pain can be both immediate sensation and mediated by complex interpretations. It is a certainty for the experiencer, yet highly uncertain in character. It pulls one (...) to the present but also projects one outward to a feared or desired future. Chronic pain can seem located in the body and/or mind; interior to the self, or an alien other; confined to a particular point and/or radiating everywhere. Such fundamental paradoxes, existential and epistemological, can challenge those living with long-term pain. (shrink)

This is the first volume to systematically explore the range of contemporary thought concerning the body and draw out its crucial implications for medicine.

Bayesian reverse-engineering is a research strategy for developing three-level explanations of behavior and cognition. Starting from a computational-level analysis of behavior and cognition as optimal probabilistic inference, Bayesian reverse-engineers apply numerous tweaks and heuristics to formulate testable hypotheses at the algorithmic and implementational levels. In so doing, they exploit recent technological advances in Bayesian artificial intelligence, machine learning, and statistics, but also consider established principles from cognitive psychology and neuroscience. Although these tweaks and heuristics are highly pragmatic in character and (...) are often deployed unsystematically, Bayesian reverse-engineering avoids several important worries that have been raised about the explanatory credentials of Bayesian cognitive science: the worry that the lower levels of analysis are being ignored altogether; the challenge that the mathematical models being developed are unfalsifiable; and the charge that the terms ‘optimal’ and ‘rational’ have lost their customary normative force. But while Bayesian reverse-engineering is therefore a viable and productive research strategy, it is also no fool-proof recipe for explanatory success. (shrink)

We suggest that there are two coordination games when it comes to understanding kin terminology. Jones' article focuses on the linguistic coordination inherent in developing meaningful kin terminologies, alluding briefly to the benefits of these kin terminologies for coordination in other domains. We enhance Jones' discussion by tracing the links between the structure of kin terminologies and their functions.

Smaldino argues that evolutionary theories of social behavior do not adequately explain the emergence of group-level traits, including differentiation of roles and organized interactions among individuals. We find Smaldino's account to be commendable but incomplete. Our commentary focuses on a simple question that has not been adequately addressed: What is a group?

In his 2013 monograph Modal Logic as Metaphysics, Timothy Williamson develops and defends a view he terms necessitism. According to necessitism, everything that exists does so necessarily (alternatively, necessarily everything is necessarily something). I demonstrate that necessitism is incompatible with the conjunction of two doctrines rooted in the broadly Nicene tradition: God’s metaphysical sovereignty and freedom. First, I exposit and formalize the two doctrines in question. Next, I expound Williamson’s theory of necessitism. Third, I demonstrate the formal incompatibility of the (...) conjunction of the two doctrines with necessitism. Finally, I conclude with reflections on the implications of this incompatibility. (shrink)

If we lack deep free agency, like that supposed by metaphysical libertarianism, should we view life as meaningless, pointless, or not worth living? Here I present a new argument in support of meaning-compatibilism, or the view that life can indeed be meaningful without our having deep free agency. I show that this argument secures meaning-compatibilism more effectively than an argument provided by Derk Pereboom. In the process, we learn that Susan Wolf’s hybrid theory of meaning in life is not equipped (...) to handle the question of meaning-compatibilism, which a broader approach to meaning in life should help us to grasp. On the alternative approach I present, judgments about meaning in life involve a sensitivity to whether giving up on life, or “agency defeat”, is justified. I argue that, so long as we are able to exist in reality, giving up on life is difficult to justify, and even without deep free agency, we do indeed exist in reality. (shrink)

The philosophical conception of mechanistic explanation is grounded on a limited number of canonical examples. These examples provide an overly narrow view of contemporary scientific practice, because they do not reflect the extent to which the heuristic strategies and descriptive practices that contribute to mechanistic explanation have evolved beyond the well-known methods of decomposition, localization, and pictorial representation. Recent examples from evolutionary robotics and network approaches to biology and neuroscience demonstrate the increasingly important role played by computer simulations and mathematical (...) representations in the epistemic practices of mechanism discovery and mechanism description. These examples also indicate that the scope of mechanistic explanation must be re-examined: With new and increasingly powerful methods of discovery and description comes the possibility of describing mechanisms far more complex than traditionally assumed. (shrink)

Much has been made of the so-called “empirical turn” of “speculative materialism” with thinkers like Quentin Meillassoux championing the material sciences as a new route to absolute reality. According to Meillassoux, the material sciences “provide philosophers access once again to the great outdoors, the absolute outside,” of reality in-itself. One might expect from such encomia the attempt to engage with the products of contemporary science in order to develop a new metaphysics; but, Meillassoux spends almost no time in this way, (...) focusing instead on the form and methods of the material sciences over their actual accomplishments. As a result, his praise rings hollow and his metaphysics remains undeveloped. This paper examines what would happen if we were to take seriously his claims that a new metaphysics be developed from a scientific accounting of material reality by surveying the conclusions of contemporary physics. The paper ends by contrasting such a new speculative and materialistic metaphysics with the speculative nihilism of Ray Brassier. (shrink)

The lived body has structures of ability built up over time through habit. Serious illness, injury, and incapacity can disrupt these capacities, and thereby, one’s relationship to the body, and to time itself. This paper focuses attention on a series of healing strategies individuals then employ on the “chessboard” of possibilities intrinsic to lived embodiment. This can include restoring past abilities (pointing to the future to recreate the past); and/or transforming one’s bodily structure or use-patterns, or the external environment, to (...) compensate. With many conditions, including progressive aging, no full rehabilitation is possible. Nevertheless, one can also seek consolation, richness, or hope by remembering the past; anticipating the future; or presencing, that is, living fully in the now. Insofar as past, present, and future are interwoven in one’s life experience, many also meet adversity by a life-story revision, constructing a new narrative to render events meaningful. Some also access a sense of transpersonal timelessness, whether through anticipation of an afterlife, or a sense of the eternal present. There is a literature on the adaptive coping mechanism used by the chronically ill, but with its diverse patient populations, methodologies, and categories, it has proved difficult to systematize. This article suggests that the structures of lived embodiment, as explored by phenomenology, provide a way to understand the modes of wholeness individuals access over time, and in relation to time—what is here termed chronic healing. (shrink)

Universal Basic Income (UBI) can serve as a beneficial public policy to reduce poverty and inequality, yet a great challenge is how to fund it. This article offers a roadmap for fully funding UBI in a manner that: eliminates poverty; bolsters the middle-class; eliminates the stigma and government bureaucracy of social welfare programs; reduces ever-expanding inequality; initiates a path to meeting climate change goals; reduces speculation; and increases fairness and opportunity in the tax code. As stand-alone policies, these revenue proposals (...) are valuable correctives in their own right. If the entire package of UBI and funding sources were in effect, society (and American capitalism) would be on a more stable, equitable, and environmentally sustainable footing. (shrink)

We clarify options for conceptualizing equity, or what we refer to as justice, in resource allocation. We do this by systematically differentiating, expounding, and then illustrating eight different substantive principles of justice. In doing this, we compare different meanings that can be attributed to “need” and “the capacity to benefit”. Our comparison is sharpened by two analytical tools. First, quantification helps to clarify the divergent consequences of allocations commended by competing principles. Second, a diagrammatic approach developed by economists Culyer and (...) Wagstaff offers a visual and conceptual aid. Of the eight principles we illustrate, only two treat as relevant both a person’s initial health state and a person’s CTB per resource unit expended: allocate resources so as to most closely equalize final health states and allocate resources so as to equally restore health states to population norms. These allocative principles ought to be preferred to the alternatives if one deems relevant both a person’s initial health state and a person’s CTB per resource unit expended. Finally, we examine some possibilities for conceptualizing benefits as relative to how badly off someone is, extending Parfit’s thought on Prioritarianism. Questions arise as to how much intervention effects accruing to the worse off count for more and how this changes with improving health. We explicate some recent efforts to answer these questions, including in Dutch and British government circles. These efforts can be viewed as efforts to operationalize need as an allocative principle. Each effort seeks to maximize in the aggregate quanta of effect that are differentially valued in favor of the worst off. In this respect, each effort constitutes one type of Prioritarianism, which Parfit failed to differentiate from other types. (shrink)

Drew A. Hyland, one of Continental philosophy's keenest interpreters of Plato, takes up the question of beauty in three Platonic dialogues, the Hippias Major, Symposium, and Phaedrus. What Plato meant by beauty is not easily characterized, and Hyland's close readings show that Plato ultimately gives up on the possibility of a definition. Plato's failure, however, tells us something important about beauty—that it cannot be reduced to logos. Exploring questions surrounding love, memory, and ideal form, Hyland draws out the connections between (...) beauty, the possibility of philosophy, and philosophical living. This new reading of Plato provides a serious investigation into the meaning of beauty and places it at the very heart of philosophy. (shrink)

I argue that clinical medicine can best be understood not as a purified science but as a hermeneutical enterprise: that is, as involved with the interpretation of texts. The literary critic reading a novel, the judge asked to apply a law, must arrive at a coherent reading of their respective texts. Similarly, the physician interprets the text of the ill person: clinical signs and symptoms are read to ferret out their meaning, the underlying disease. However, I suggest that the hermeneutics (...) of medicine is rendered uniquely complex by its wide variety of textual forms. I discuss four in turn: the experiential text of illness as lived out by the patient; the narrative text constituted during history-taking; the physical text of the patient's body as objectively examined; the instrumental text constructed by diagnostic technologies. I further suggest that certain flaws in modern medicine arise from its refusal of a hermeneutic self-understanding. In seeking to escape all interpretive subjectivity, medicine has threatened to expunge its primary subject — the living, experiencing patient. (shrink)

This paper suggests that the paradigm of the lived-body developed by Straus, Merleau-Ponty and others has important implications for medical practice and theory. Certain recognized flaws in modern medicine, such as its reductionist tendencies and lack of emphasis on preventive measures are shown to be related to the exclusive use of a Cartesian notion of embodiment. Increased attention to the paradigm of the lived-body emphasizing its unity, purposiveness and "enworldment" could help to beneficially reorient practice. Moreover, this portrayal of the (...) body as an intentional entity may provide a better tool than the traditional view for conceptualizing the psychological and psychosocial components of disease etiology, as well as some newly developed modes of treatment. CiteULike Connotea Del.icio.us What's this? (shrink)