In English Perspectives Sisson presents half a century's reflection on politics. He pursues his early concerns through decades in which he developed an unusual combination of interests. Commitment to the continuance of the English tradition is an essential part of his work as a poet, translator and critic, as well as in such book as The Spirit of British Administration with some European Comparisons and The Case of Walter Bagehot, which addressed subjects overtly political. A review of The Spirit of (...) British Administration spoke of its 'agnosticism and empiricism', describing it as a 'brilliant attack on the theoreticians'. Sisson does not write on politics from the library or classroom but from years of work in Whitehall and first-hand acquaintance with government offices in a number of European countries. The centrality of this to the debate about Europe needs no special emphasis. Early essays collected here deal with matters surprisingly relevant to present controversies. One from 1940 wryly explores 'The Argument for Federal Union'. There are essays one the operation of government machinery abroad which throw more light on the subject than current public discussions on the EEC. Sisson stresses throughout those aspects of British practice which have importance beyond the immediate battles of the day. (shrink)

For Descartes, knowledge exists as ideas in the mind that represent the world. In a radical critique, Hubert Dreyfus and Charles Taylor argue that knowledge consists of much more than the representations we formulate in our minds. They affirm our direct contact with reality—both the physical and the social world—and our shared understanding of it.

Both the commonsensical and leading theoretical accounts of entrepreneurship, democracy, and solidarity fail to describe adequately entrepreneurial, democratic, and solidarity?building practices. These accounts are inadequate because they assume a faulty description of human being. In this article we develop an interpretation of entrepreneurship, democratic action, and solidarity?building that relies on understanding human beings as neither primarily thinking nor desiring but as skillful beings. Western human beings are at their best when they are engaged in producing large?scale cultural or historical changes (...) in the way people and things are dealt with. The three domains of human activity where these historical changes are most clearly accomplished are entrepreneurship, democratic action, and solidarity. Section I, guided by a roughly Kuhnian notion of holding on to an anomaly until it re?gestalts the way we see things, offers a general interpretation of how skillful human beings open up new worlds by changing their shared background practices in three ways: reconfiguring, which makes a marginal practice central; cross?appropriation, in which one domain of practices takes over useful practices from another domain; and articulating, whereby dispersed or confused practices are brought into clearer focus. An entrepreneur creates a product which reconfigures the practices. This interpretation of entrepreneurial skills is contrasted with current accounts that overlook ehtrepreneurship to concentrate on instrumental or theoretical models of business activities. Section II claims that the most exemplary kind of political action in a liberal democracy is that of political action groups. Such groups produce a change in a nation's background practices through a kind of speaking that leads to massive cross?appropriation. We describe Mothers Against Drunk Driving (MADD) and suggest that it both satisfies the requirements for genuine democratic action that we have established in our examination of other views and lacks their disadvantages. We conclude that the relatively detached action suggested by current theories of liberal democracy fail to do justice to democratic practice. The final section argues that those who claim that a single highest value or procedure provides a source of solidarity that satisfies all the competing interests in a multi?cultural nation always arrive at a solidarity that is too thin to provide for the serious sort of commitments that one would be willing to die for. We propose that solidarity in multi?cultural states implies commitment to a set of thick values, and that when one realizes that these thick values construct one's identity one is willing to die for them. While political action concerns itself with ordering values, solidarity involves the cultivation of them in such a way that no ordering of them matters. But solidarity is not to be understood as a subjective feeling. It is rather the experience of a group identity, a ?we?, that sees things and deals with things in terms of shared concerns. This ?we? comes to recognize itself when the actions it engages in transform it. The paradigmatic action that transforms such a ?we? occurs when a culture figure articulates some forgotten concern or value. As in the cases of entrepreneurship and democratic action, a culture figure cultivates solidarity by changing the background practices in a historical manner. It is concluded that traditional theoretical accounts, by overlooking the primacy of involved skillful activities and the importance of background change, fail to capture the source, the function, and the point of entrepreneurship, liberal democracy, and solidarity. (shrink)

This article traces the trajectory of Heidegger’s thinking about technology over the course of what is considered to be his early, middle, and late periods. Over the course of the years, Heidegger’s concerns moved from somewhat conventional concerns over the consumerism technology entails, and the damage it causes to the environment, to the more complex position that technicity distorts human nature with an accompanying loss of meaning. The real danger, he said, is not the destruction of nature or culture, nor (...) selfindulgent consumerism, but a new totalizing style of practices that would restrict our openness to people and things by driving out all other styles of practice that enable us to be receptive to realty. (shrink)

Against Davidsonian (or deflationary) realism, it is argued that it is coherent to believe that science can in principle give us access to the functional components of the universe as they are in themselves in distinction from how they appear to us on the basis of our quotidian concerns or sensory capacities. The first section presents the deflationary realist's argument against independence. The second section then shows that, although Heidegger pioneered the deflationary realist account of the everyday, he sought to (...) establish a robust realist account of science. Next, the third section develops two different sides of Heidegger's thinking. Resources developed by Thomas Kuhn are drawn on to work out Heidegger's account of plural worlds. This argument shows that it makes sense to talk about things-in-themselves independent of our practices, but falls short of the robust realist claim that we can have access to things as they are in themselves independent of our practices. So, secondly, Saul Kripke's account of rigid designation is drawn on to work out Heidegger's account of formal designation. On the basis of a Heideggerian elaboration of rigid designation, it is argued that we do indeed have practices for achieving access to things independent of all our practices. But this second argument leaves us unable to reject metaphysical nominalism. So, thirdly, it is proposed that the currently most persuasive philosophical argument for nominalism depends on a logico-mathematical space of possibilities. But the proto-theoretical space opened by the pre-scientific access practices has features that provide reasons for believing that the independent stuff to which we have access has a determinate structure and specific causal powers. (shrink)

We appreciate the thoughtful responses we have received on ?Disclosing New Worlds?. We will respond to the concerns raised by grouping them under three general themes. First, a number of questions arise from lack of clarity about how the matters we undertook to discuss ? especially solidarity ? appear when one starts by thinking about the primacy of skills and practices. Under this heading we consider (a) whether we need more case studies to make our points, and (b) whether national (...) and other solidarities require willingness to die for the values that produce that solidarity. Second, we take up questions concerning the historical character of the skills of entrepreneurs, virtuous citizens, and culture figures. Here we shall (a) emphasize how we distinguish ourselves from earlier writers on these subjects, (b) consider essentialism, relational identities, and exclusion, (c) answer a number of Habermasian concerns raised by Hoy, (d) speak to Taylor's concern regarding the contingency of solidarity and forgetting, and (e) take up Grant's objection that we are both formalists and relativists. Third, we shall take up the concern, raised mostly by Borgmann, that historical disclosing, that is to say history as the West has known it, is over, and that now all that can be done by those who transform the practices is to make them more and more technological. (shrink)

We argue that the asymmetry between diverging and converging electromagnetic waves is just one of many asymmetries in observed phenomena that can be explained by a past hypothesis and statistical postulate (together assigning probabilities to different states of matter and field in the early universe). The arrow of electromagnetic radiation is thus absorbed into a broader account of temporal asymmetries in nature. We give an accessible introduction to the problem of explaining the arrow of radiation and compare our preferred strategy (...) for explaining the arrow to three alternatives: (i) modifying the laws of electromagnetism by adding a radiation condition requiring that electromagnetic fields always be attributable to past sources, (ii) removing electromagnetic fields and having particles interact directly with one another through retarded action-at-a-distance, (iii) adopting the Wheeler-Feynman approach and having particles interact directly through half-retarded half-advanced action-at-a-distance. In addition to the asymmetry between diverging and converging waves, we also consider the related asymmetry of radiation reaction. (shrink)

Robust realism is defended by developing further the account in Inquiry 42 (1999), pp. 49-78 of how human beings make things and people intelligible. Incommensurate worlds imply a violation of the principle of noncontradiction, but this violation does not have the consequences normally feared. Given our capacities to make things intelligible, some things, like human action, are most intelligible when they are understood as contradictory (e.g. free and determined). Things-in-themselves need not have contradictory features for multiple orders of nature to (...) make sense. We can coherently suppose that both Western and Chinese science give two incommensurable and complete accounts of the functioning of the human body. Since things do not have contradictory properties, we would then have to suppose that, in the case of bodies, there are two independent functional orders. If this can be true for bodies, it can be true for the orders of nature as a whole. John Haugeland's account of systems and interfaces shows us how to make sense of necessary functional components of the universe. Finally, multiple realism makes more sense than Rorty's deflationary pragmatism because it explains how things can matter. (shrink)

Each essay in this book starts with a question posed by individual ethnographic experience and then goes on to frame this question in a broader, comparative context. Written in an engaging and accessible style, Questions of Anthropology presents an introduction to the purpose and value of Anthropology today."--BOOK JACKET.

Borgmann's views seem to clarify and elaborate Heidegger's. Both thinkers understand technology as a way of coping with people and things that reveals them, viz. makes them intelligible. Both thinkers also claim that technological coping could devastate not only our environment and communal ties but more importantly the historical, world-opening being that has defined Westerners since the Greeks. Both think that this devastation can be prevented by attending to the practices for coping with simple things like family meals and footbridges. (...) But, contrary to Borgmann, Heidegger claims further that, alongside simple things, we can affirm technological things such as autobahn bridges. For Borgmann, technological coping produces things like central heating that are so dispersed they inhibit skillful interaction with them and therefore prevent our being sensitive to ourselves as world-disclosers. For Heidegger, so long as we can still relate to non-technological things, we can affirm relations with technological things because we can maintain both our technological and the non-technological ways of world-disclosing. So Borgmann sees revealing as primarily directed to things while Heidegger sees it as directed to worlds. If Heidegger is right about us, we have more leeway to save ourselves from technological devastation than Borgmann sees. (shrink)

Heidegger's Being and Time: Critical Essays provides a variety of recent studies of Heidegger's most important work. Twelve prominent scholars, representing diverse nationalities, generations, and interpretive approaches deal with general methodological and ontological questions, particular issues in Heidegger's text, and the relation between Being and Time and Heidegger's later thought. All of the essays presented in this volume were never before available in an English-language anthology. Two of the essays have never before been published in any language ; three of (...) the essays have never been published in English before , and two of the essays provide previews of works in progress by major scholars. (shrink)

Background This paper examines the degree of agreement among simple dichotomous self-report, validated screening results, and biochemical screening results of prenatal alcohol and other drug use among pregnant women. Method Secondary analysis was conducted on a cohort of pregnant women 16 years or older, presenting for prenatal care in the greater Cape Town, South Africa. Dichotomous verbal screening is a standard of care, and pregnant patients reporting alcohol and other drug use in dichotomous verbal screenings were asked to engage in (...) screening using the Alcohol Smoking and Substance Involvement Screening Test and urinalysis. Results Significant agreements between dichotomous and ASSIST scores were observed. A higher rate of self-reported alcohol use was detected, relative to urine screening with a predictive value of 34.9; while underreporting of illicit substance use was observed with an overall predictive value of 50.0. Conclusion Dichotomous verbal screening was considered valid after comparison with the ASSIST; however, combined use with urine screenings can be recommended especially for identifying illicit substance use in order to accurately detect alcohol and other drug use in pregnancy, so that women can be identified and referred for appropriate interventions where needed. (shrink)

The worldwide COVID-19 pandemic has shed more light on the difficulty of making health care decisions integrating scientific knowledge and values associated to life and death issues, human suffering, quality of life, economic losses, liberty of movement, etc. But the difficulties related to health care decisions and the use of innovative drugs or technologies are not new, and many countries have created agencies that have the mandate to evaluate new technologies in health care. Health Technological Assessment (HTA) reports’ aim is (...) to guide the decision makers in these difficult matters. There are two ethical components in HTA. The first is the report’s presentation of an ethical evaluation of the technology. The second is the value-ladenness of the HTA decision-making process itself. When implicit value judgments are not elicited, the justification of the final decision cannot be transparent. The present paper aims to identify and elicit the implicit value-judgments related to each step of the HTA process. This research is grounded on an applied ethics decision-making paradigm based on the role of value judgments in the decision-making process. The first part discusses two different approaches to values and value judgments in HTA. In the second part, citations mentioning value judgments extracted from a systematic review on the integration of ethics into HTA were categorized to elicit the value judgments and their criteria for each different HTA decision-making steps. The results show that there are 18 decision-making steps in the HTA process where 23 implicit value-judgments can be recognized. The range of these value judgments encompasses the whole HTA process: from the initial request, the presenting of the principal issues, to the final report’s dissemination. Since stakeholders need to understand which value judgments the conclusion of a report relies on, eliciting the implicit value judgments in the HTA decision-making process should yield more transparency. (shrink)

Nicolas Asselin,Stéphanie Audet,Eric Crégheur,Julio Cesar Dias Chaves,Gavin McDowell,Charles-Frédéric Murray,Louis Painchaud,Paul-Hubert Poirier,Maryse Robert,Philippe Therrien.

Kierkegaard’s ideal supports a radical form of “deep diversity,” to use Charles Taylor’s expression. It is radical because it embraces not only irreducible conceptions of the good but also incompatible ones. This is due to its paradoxical nature, which arises from its affirmation of both monism and pluralism, the One and the Many, together. It does so in at least three ways. First, in terms of the structure of the self, Kierkegaard describes his ideal as both unified (the “positive (...) third”) and plural (a “negative unity”). Second, he affirms a process which brings together unity, as implied by the linear notion of “stages”, with plurality, in the form of “spheres of existence” (aesthetic, ethical, and religious). And third, the culmination of the process implies that we should embrace both a unified dialectic (“Religiousness A”) alongside the plural remnants of the ethical/aesthetic, that is, both the infinity of the former and the finitudes of the latter. Unsurprisingly, while Kierkegaard describes those who are able to exemplify his ideal in practice as “always joyful,” he also considers the ideal to be “extremely hard, the hardest task of all.” This is why those such as Hubert L. Dreyfus are wrong to claim that it provides an experience of bliss; on the contrary, those who realize it “are always in danger.” As I shall show, one form this danger takes is that it threatens to dirty the hands of those who manage to uphold Kierkegaard’s ideal. Moreover, it does so in ways that, I claim, tend to be missed by Kierkegaard himself. Nevertheless, the danger is also essential to the creativity of his approach, and I conclude by pointing out how this creativity makes it capable of tackling one of the profoundest challenges in contemporary ethics: that arising from what just war theorists call a “supreme emergency.” . (shrink)

Modernity is not that form of life toward which all cultures converge as they discard beliefs that held our forefathers back. Rather, it is a movement from one constellation of background understandings to another, which repositions the self in relation to others and the good.

Sensibility, in any of its myriad realms – moral, physical, aesthetic, medical and so on – seems to be a paramount case of a higher-level, intentional property, not a basic property. Diderot famously made the bold and attributive move of postulating that matter itself senses, or that sensibility (perhaps better translated ‘sensitivity’ here) is a general or universal property of matter, even if he at times took a step back from this claim and called it a “supposition.” Crucially, sensibility is (...) here playing the role of a ‘booster’: it enables materialism to provide a full and rich account of the phenomena of conscious, sentient life, contrary to what its opponents hold: for if matter can sense, and sensibility is not a merely mechanical process, then the loftiest cognitive plateaus are accessible to materialist analysis, or at least belong to one and the same world as the rest of matter. This was noted by the astute anti-materialist critic, the Abbé Lelarge de Lignac, who, in his 1751 Lettres à un Amériquain, criticized Buffon for “granting to the body [la machine, a common term for the body at the time] a quality which is essential to minds, namely sensibility.” This view, here attributed to Buffon and definitely held by Diderot, was comparatively rare. If we look for the sources of this concept, the most notable ones are physiological and medical treatises by prominent figures such as Robert Whytt, Albrecht von Haller and the Montpellier vitalist Théophile de Bordeu. We then have, or so I shall try to sketch out, an intellectual landscape in which new – or newly articulated – properties such as irritability and sensibility are presented either as an experimental property of muscle fibers, that can be understood mechanistically (Hallerian irritability, as studied recently by Hubert Steinke and Dominique Boury) or a property of matter itself (whether specifically living matter as in Bordeu and his fellow montpelliérains Ménuret and Fouquet, or matter in general, as in Diderot). I am by no means convinced that it is one and the same ‘sensibility’ that is at issue in debates between these figures (as when Bordeu attacks Haller’s distinction between irritability and sensibility and claims that ‘his own’ property of sensibility is both more correct and more fundamental in organic beings), but I am interested in mapping out a topography of the problem of sensibility as property of matter or as vital force in mid-eighteenth-century debates – not an exhaustive cartography of all possible positions or theories, but an attempt to understand the ‘triangulation’ of three views: a vitalist view in which sensibility is fundamental, matching up with a conception of the organism as the sum of parts conceived as little lives (Bordeu et al.); a mechanist, or ‘enhanced mechanist’ view in which one can work upwards, step by step from the basic property of irritability to the higher-level property of sensibility (Haller); and, more eclectic, a materialist view which seeks to combine the mechanistic, componential rigour and explanatory power of the Hallerian approach, with the monistic and metaphysically explosive potential of the vitalist approach (Diderot). It is my hope that examining Diderot in the context of this triangulated topography of sensibility as property sheds light on his famous proclamation regarding sensibility as a universal property of matter. (shrink)

This paper tries to examine what is at stake in the various projects to ?re-enchant the world?, which have arisen in the face of modernity. It sees the ambition to ?save the sacred? in this context. It poses a number of problems which arise for such projects, and in particular examines the notion of ?polytheism? which is central to the recent book of Sean Kelly and Hubert Dreyfus, All Things Shining.

Recent findings in epigenetics have been attracting much attention from social scientists and bioethicists because they reveal the molecular mechanisms by which exposure to socioenvironmental factors, such as pollutants and social adversity, can influence the expression of genes throughout life. Most surprisingly, some epigenetic modifications may also be heritable via germ cells across generations. Epigenetics may be the missing molecular evidence of the importance of using preventive strategies at the policy level to reduce the incidence and prevalence of common diseases. (...) But while this “policy translation” of epigenetics introduces new arguments in favor of public health strategies and policy-making, a more “clinical translation” of epigenetics is also emerging. It focuses on the biochemical mechanisms and epigenetic variants at the origin of disease, leading to novel biomedical means of assessing epigenetic susceptibility and reversing detrimental epigenetic variants. In this paper, we argue that the impetus to create new biomedical interventions to manipulate and reverse epigenetic variants is likely to garner more attention than effective social and public health interventions and therefore also to garner a greater share of limited public resources. This is likely to happen because of the current biopolitical context in which scientific findings are translated. This contemporary neoliberal “regime of truth,” to use a term from Michel Foucault, greatly influences the ways in which knowledge is being interpreted and implemented. Building on sociologist Thomas Lemke's Foucauldian “analytics of biopolitics” and on literature from the field of science and technology studies, we present two sociological trends that may impede the policy translation of epigenetics: molecularization and biomedicalization. These trends, we argue, are likely to favor the clinical translation of epigenetics—in other words, the development of new clinical tools fostering what has been called “personalized” or “precision” medicine. In addition, we argue that an overemphasized clinical translation of epigenetics may further reinforce this biopolitical landscape through four processes closely related to neoliberal pathways of thinking: the internalization and isolation of socioenvironmental determinants of health and increased opportunities for commodification and technologicalization of health care interventions. (shrink)

The effort to revise the Declaration of Helsinki and the CIOMS Guidelines has sparked a sometimes vitriolic debate centering on the use of placebo controls.

Issues associated with consent to clinical trials have attracted considerable attention recently, spurred in part by controversies over alleged inadequacies in the consent process. Professor Jansen's interesting essay is unusual in two ways. First, it raises issues about the conceptualization of one set of problems in informed consent (which Jansen subsumes under the term “therapeutic error”) and, more critically, about the methods and the data used to assess them. Second, she is unique in using the findings of academic experimental psychology (...) to critique the empirical findings. This produces a thoughtful and original critique of the process of informed consent to research that, nonetheless, we believe, yields a model that does not reflect the reality of clinical research. (shrink)

The goals of a global liberal arts education, as conjoining both western and eastern sources, focus on ‘virtue first’, i.e. on pursuing human excellence . To determine whether such excellence can be taught online, I turn to contemporary research on Computer-Mediated Communication and online education. Among other factors, important cultural issues as well as the real costs of online education have moderated 1990s enthusiasm for online learning as ‘revolutionary’. I then take up Hubert Dreyfus’ pedagogical taxonomy as it emphasizes (...) the role of embodiment in learning. Expanding on his analysis, I argue that the most important goals of a global liberal arts education–precisely the goals of becoming excellent human beings capable of Aristotelian phroneØsis, a key form of judgment crucial to not only professional success but also ethical and political life–require human teachers who incarnate the skills and judgment students need to acquire. These analyses, finally, support what is in fact a recent turn in online education towards blended classrooms that seek to exploit the distinctive advantages of both embodied and disembodied teaching. (shrink)

In this dissertation, I critically examine the philosophy of transcendental empiricism. Transcendental empiricism is, among other things, a philosophy of mental content. It attempts to dissolve an epistemological dilemma of mental content by splitting the difference between two diametrically opposed accounts of content. John McDowell's minimal empiricism and Richard Gaskin's minimalist empiricism are two versions of transcendental empiricism. Transcendental empiricism itself originates with McDowell's work. This dissertation is divided into five parts. First, in the Introduction, I state the Wittgensteinian metaphilosophical (...) orientation of transcendental empiricism. This metaphilosophical approach provides a plateau upon which much of the rest of this work may be examined. Second, I offer a detailed description of McDowell’s minimal empiricism. Third, I critique Gaskin's critique and modification of McDowell's minimal empiricism. I argue that (1) Gaskin's critiques are faulty and that (2) Gaskin's minimalist empiricism is very dubious. Fourth, I scrutinize the alleged credentials of McDowell's minimal empiricism. I argue that McDowell's version of linguistic idealism is problematic. I then comment on a recent dialogue between transcendental empiricism and Hubert Dreyfus's phenomenology. The dialogue culminates with Dreyfus's accusation of the “Myth of the Mental.” I argue that this accusation is correct in which case McDowell's direct realism is problematic. I conclude that minimal empiricism does not dissolve the dilemma of mental content. Finally, I argue that Tyler Burge successfully undermines the doctrine of disjunctivism, but disjunctivism is crucial for transcendental empiricism. Ultimately, however, I aim to show that transcendental empiricism is an attractive alternative to philosophies of mental content. (shrink)