This paper examines several decision-making models that have been proposed to limit the use of CPR for COVID-19 patients. My main concern will be to assess proposals for the implementation of unilateral DNRs — i.e., orders to withhold CPR without the agreement of patients or their surrogates.

Long considered "the noblest of the senses," vision has increasingly come under critical scrutiny by a wide range of thinkers who question its dominance in Western culture. These critics of vision, especially prominent in twentieth-century France, have challenged its allegedly superior capacity to provide access to the world. They have also criticized its supposed complicity with political and social oppression through the promulgation of spectacle and surveillance. Martin Jay turns to this discourse surrounding vision and explores its often contradictory implications (...) in the work of such influential figures as Jean-Paul Sartre, Maurice Merleau-Ponty, Michel Foucault, Jacques Lacan, Louis Althusser, Guy Debord, Luce Irigaray, Emmanuel Levinas, and Jacques Derrida. Jay begins with a discussion of the theory of vision from Plato to Descartes, then considers its role in the French Enlightenment before turning to its status in the culture of modernity. From consideration of French Impressionism to analysis of Georges Bataille and the Surrealists, Roland Barthes's writings on photography, and the film theory of Christian Metz, Jay provides lucid and fair-minded accounts of thinkers and ideas widely known for their difficulty. His book examines the myriad links between the interrogation of vision and the pervasive antihumanist, antimodernist, and counter-enlightenment tenor of much recent French thought. Refusing, however, to defend the dominant visual order, he calls instead for a plurality of "scopic regimes." Certain to generate controversy and discussion throughout the humanities and social sciences, _Downcast Eyes_ will consolidate Jay's reputation as one of today's premier cultural and intellectual historians. (shrink)

This volume presents Rosenberg's previously published studies of the central elements and implications of Sellars' philosophy, along with three new essays that ...

Few words in both everyday parlance and theoretical discourse have been as rhapsodically defended or as fervently resisted as "experience." Yet, to date, there have been no comprehensive studies of how the concept of experience has evolved over time and why so many thinkers in so many different traditions have been compelled to understand it. _Songs of Experience _is a remarkable history of Western ideas about the nature of human experience written by one of our best-known intellectual historians. With its (...) sweeping historical reach and lucid comparative analysis—qualities that have made Martin Jay's previous books so distinctive and so successful—_Songs of Experience _explores Western discourse from the sixteenth century to the present, asking why the concept of experience has been such a magnet for controversy. Resisting any single overarching narrative, Jay discovers themes and patterns that transcend individuals and particular schools of thought and illuminate the entire spectrum of intellectual history. As he explores the manifold contexts for understanding experience—epistemological, religious, aesthetic, political, and historical—Jay engages an exceptionally broad range of European and American traditions and thinkers from the American pragmatists and British Marxist humanists to the Frankfurt School and the French poststructuralists, and he delves into the thought of individual philosophers as well, including Montaigne, Bacon, Locke, Hume and Kant, Oakeshott, Collingwood, and Ankersmit. Provocative, engaging, erudite, this key work will be an essential source for anyone who joins the ongoing debate about the material, linguistic, cultural, and theoretical meaning of "experience" in modern cultures. (shrink)

In The Virtues of Mendacity, Jay resolves to avoid this conventional framing of the debate over lying and politics by examining what has been said in support of ...

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain (...) in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

Wilfrid Sellars' conclusion in "Empiricism and the Philosophy of Mind" that "the Given" is a "Myth" quickly elicited philosophical opposition and remains contentious fifty years later. William Alston has challenged that conclusion on several occasions by attempting to devise an acceptable account of perception committed to the givenness of perceived objects. His most recent challenge advances a "Theory of Appearing" which posits irreducible non-conceptual relations, ostensibly overlooked by Sellars, e.g., of "looking red", between the subject and the object perceived, that (...) can playa justificatory role vis-à-vis the corresponding beliefs, e.g., that the object is red. I argue that Alston undermines his positive plausibility arguments by first blurring and then ignoring crucial differencesamong various looks-concepts, and that his own putative "phenomenal" looks-concept demonstrably cannot play the justificatory role that he envisions for it. Both his critique of Sellars' arguments and his own alternative proposal thus fail on all fronts. (shrink)

This mixed-methods case study describes the experiences of a rural health organization in Canada that was a pioneer in undergoing institutionally driven radical change. This change was advocated by senior managers and physicians with the strong backing of the government. The senior managers and physicians made a strong case for the radical change and argued that a focus on efficiency and wellness would lead to improved service and quality of patient-care. However, this radical change initiative was resisted by nurses and (...) support staff who perceived that these changes were being driven by market-based institutional logics and questioned their ethical appropriateness in a public system. They also expressed a lack of trust given the large-scale layoffs in a prior restructuring. These findings run counter to extant theory by highlighting the role of agency despite institutional pressures. Specifically, change implementers not only face the burden of justifying ethical appropriateness of institutional logics, but also are required to engage in persuasive discourse that these institutional logics protect the interests of the members. (shrink)

According to Hume, the idea of a persisting, self-identical object, distinct from our impressions of it, and the idea of a duration of time, the mere passage of time without change, are mutually supporting "fictions". Each rests upon a "mistake", the commingling of "qualities of the imagination" or "impressions of reflection" with "external" impressions (perceptions), and, strictly speaking, we are conceptually and epistemically entitled to neither. Among Kant's aims in the First Critique is the securing of precisely these entitlements. Like (...) Hume, he acknowledges the correlativity of the notions of temporal duration and persisting self-identical objects (i.e., continuant substances). Unlike Hume, however, he undertakes to establish the legitimacy or objective validity of the schematized category of substance and, correspondingly, of the representation of time as a formal unity with duration as one of its modes. (shrink)

Discusses epistemic foundationalism. Examines the confrontation between Wilfrid Sellars's critique of the ‘Myth of the Given’ and William Alston's defence of ‘immediate knowledge’, and explores and endorses Sellars's strong epistemic internalism and the integrated normative accounts of justification, language‐mastery, concept‐possession, and perceptual experience that support it. The proceduralist thesis that the activity of justifying is prior to the state of being justified is elucidated and defended.

Rorty rejects the idea of a "permanent and neutral matrix of Heuristic concepts". The claim of privilege, however, is separable from the aim of universality, and this idea can be transposed into a regulative ideal, while still preserving the unique intellectual mission of a discipline of philosophy. Rorty's own positive picture of "edifying Philosophy" in contrast is arguably irresponsible and grounded in misreadings both of the epistemology of science and of episodes in the history of philosophy, especially the contributions of (...) Kant. (shrink)

Descartes' First Meditation is widely supposed to contain an intuitive and compelling argument in support of skepticism with respect to the existence of a natural world. The leading question of this essay is whether that is indeed the case. To this end, I undertake a detailed rereading of Descartes' text on its own terms, abstracting from what has been made of it during subsequent centuries. I conclude that the argument in fact to be found in the First Meditation rests upon (...) a series of problematic and disputable commitments - a classical formalist paradigm in epistemology, according to which, explicitly or implicitly, mathematical knowledge is treated as a model for knowledge in general; a broad notion of "reasons for doubt" which subsumes mere possibilities; and, most contentiously of all, the presumed ontological independence of mind and body. (shrink)

Remarks such as 'I am in pain' and 'I think that it's raining' present opportunity for reflection and theory. Ostensibly such remarks report what one feels or thinks. But we do not in conversation treat these remarks as we do ordinary reports. If I ask you about the weather and you say, "I think it's raining," I can't complain that you told me just about your thoughts, and not about the weather. It is often held, moreover, when we do take (...) such remarks as revealing the speaker's mental states, those remarks are not subject to the kind of challenges that are in place with ordinary reports. Indeed, such remarks are often taken to exhibit some kind of epistemic privilege, and some have even maintained that one cannot be wrong when one says such things. (shrink)

: Rorty rejects the idea of a “permanent and neutral matrix of heuristic concepts”. The claim of privilege, however, is separable from the aim of universality, and this idea can be transposed into a regulative ideal, while still preserving the unique intellectual mission of a discipline of philosophy. Rorty’s own positive picture of “edifying philosophy” in contrast is arguably irresponsible and grounded in misreadings both of the epistemology of science and of episodes in the history of philosophy, especially the contributions (...) of Kant. (shrink)

Philosophy is by its nature systematic in intent. In Wilfrid Sellars’ words, it aims “to understand how things in the broadest possible sense of the term hang together in the broadest possible sense of the term.” Philosophical systematicity is thus a matter of both scope and structure. The purview of a philosophical inquiry may encompass more or less of what is of rational concern to us, and such structure as its outcome has will constituted by the fundamental globalcommitments that inform (...) it—realism, nominalism, expressivism, naturalism, pragmatism, or the like. Lack of systematic vision arguably subverts philosophical reflection, but genuine systematicity turns out to be surprisingly difficult to achieve. I offer three brief case studies, which illustrate different, but significantly related, ways of failing to achieve it. (shrink)

It has been about 20 years since Austin offered to teach us some simple ways of talking. In view of the attention paid the balance of the Austin corpus, this offer has been greeted with a surprising silence. There are, perhaps, some reasons for this lack of response. First, of course, the article is a difficult one, tortuous and opaque. Second, I suspect that there is a general, though tacit, consensus that any insights of value in “How To Talk” have (...) been absorbed or transcended by the later theorizing on speech acts incorporated in How To Do Things With Words. Nevertheless, I am convinced that it is worth working through “How To Talk” if only to reveal the major internal inconsistency which it contains. Mistakes made by important philosophers are likely to be important mistakes. In addition, sorting through the ontology and epistemologies of Austin's analyses of asserting will equip us with some worthwhile distinctions which, while not Austin's, may help us unravel the multiplicity of linguistic performances with which he confronts us. (shrink)

Culturally, America is well overdue for a Second Enlightenment, but since the dominant majority of its citizens are regrettably both symbol-minded and star-craving mad, and since the mass media are generally inaccessible to us, the chance that contemporary philosophers could contribute to such a thing, much less help instigate it, is near vanishingly small. As educators, in contrast, we can perhaps make ourselves useful by beginning to clear the extensive muck out of at least some of our students’ minds. In (...) any event, the discipline of philosophy as such is in serious need of renewal, but that, should it unexpectedly happen, will be matter of luck rather than a result of deliberate action. (shrink)