We derive a probabilistic account of the vagueness and context-sensitivity of scalar adjectives from a Bayesian approach to communication and interpretation. We describe an iterated-reasoning architecture for pragmatic interpretation and illustrate it with a simple scalar implicature example. We then show how to enrich the apparatus to handle pragmatic reasoning about the values of free variables, explore its predictions about the interpretation of scalar adjectives, and show how this model implements Edgington’s Vagueness: a reader, 1997) account of the sorites paradox, (...) with variations. The Bayesian approach has a number of explanatory virtues: in particular, it does not require any special-purpose machinery for handling vagueness, and it is integrated with a promising new approach to pragmatics and other areas of cognitive science. (shrink)

ABSTRACT A trivalent theory of indicative conditionals automatically enforces Stalnaker's thesis – the equation between probabilities of conditionals and conditional probabilities. This result holds because the trivalent semantics requires, for principled reasons, a modification of the ratio definition of conditional probability in order to accommodate the possibility of undefinedness. I explain how this modification is motivated and how it allows the trivalent semantics to avoid a number of well-known triviality results, in the process clarifying why these results hold for many (...) bivalent theories. In short, the slew of triviality results published in the last 40-odd years need not be viewed as an argument against Stalnaker's thesis: it can be construed instead as an argument for abandoning the bivalent requirement that indicative conditionals somehow be assigned a truth-value in worlds in which their antecedents are false. (shrink)

This paper presents corpus and experimental data that problematize the traditional analysis of must as a strong necessity modal, as recently revived and defended by von Fintel and Gillies :351–383, 2010). I provide naturalistic examples showing that must p can be used alongside an explicit denial of knowledge of p or certainty in p, and that it can be conjoined with an expression indicating that p is not certain or that not-p is possible. I also report the results of an (...) experiment involving lotteries, where most participants endorsed a sentence of the form must not-p despite being instructed that p is a possibility. Crucially, endorsement was much higher for must in this context than for matched sentences with knowledge or certainty expressions. These results indicate that the requirements for felicitous use of must are weaker than for know and certain rather than being at least as strong, as the epistemic necessity theory would predict. However, it is possible to account for these data while retaining the key insights of von Fintel and Gillies’ analysis of the evidential component of must. I discuss several existing accounts that could be construed in this way and explain why none is completely satisfactory. I then propose a new model that embeds an existing scalar theory into a probabilistic model of informational dynamics structured around questions and answers. (shrink)

Conditionals frequently convey that the antecedent is relevant to the consequent. Recently many authors have argued that this relevance is part of the conventional meaning of conditionals, but this approach fails to account for many examples where a conditional is used to conveyirrelevance of antecedent to consequent. Both types of conditionals are best explained by a conventional meaning with no relevance requirement, and a separate process of coherence establishment among successive clauses in discourse. This account is supported by the distribution (...) of discourse particles and is able to account for experimental studies used to support the conventionalist position. (shrink)

Abstract: Chomsky (1986) has claimed that the prima facie incompatibility between descriptive linguistics and semantic externalism proves that an externalist semantics is impossible. Although it is true that a strong form of externalism does not cohere with descriptive linguistics, sociolinguistic theory can unify the two approaches. The resulting two-level theory reconciles descriptivism, mentalism, and externalism by construing community languages as a function of social identification. This approach allows a fresh look at names and definite descriptions while also responding to Chomsky's (...) (1993, 1995) challenge to articulate an externalist theory of meaning that can be used in the scientific investigation of language. (shrink)

The basic Bayesian model of credence states, where each individual’s belief state is represented by a single probability measure, has been criticized as psychologically implausible, unable to represent the intuitive distinction between precise and imprecise probabilities, and normatively unjustifiable due to a need to adopt arbitrary, unmotivated priors. These arguments are often used to motivate a model on which imprecise credal states are represented by sets of probability measures. I connect this debate with recent work in Bayesian cognitive science, where (...) probabilistic models are typically provided with explicit hierarchical structure. Hierarchical Bayesian models are immune to many classic arguments against single-measure models. They represent grades of imprecision in probability assignments automatically, have strong psychological motivation, and can be normatively justified even when certain arbitrary decisions are required. In addition, hierarchical models show much more plausible learning behavior than flat representations in terms of sets of measures, which—on standard assumptions about update—rule out simple cases of learning from a starting point of total ignorance. (shrink)

The European Summer School in Logic, Language and Information is organized every year by the Association for Logic, Language and Information in different sites around Europe. The main focus of ESSLLI is on the interface between linguistics, logic and computation. ESSLLI offers foundational, introductory and advanced courses, as well as workshops, covering a wide variety of topics within the three areas of interest: Language and Computation, Language and Logic, and Logic and Computation. During two weeks, around 50 courses and 10 (...) workshops are offered to the attendants, each of 1.5 hours per day during a five days week, with up to seven parallel sessions. ESSLLI also includes a student session and four evening lectures by senior scientists in the covered areas. The 15 revised full papers presented were carefully reviewed and selected. The papers are organized in topical sections on The papers are organized in topical sections on language and computation; logic and computation; and logic and language. (shrink)

Individualists and externalists about language take themselves to be disagreeing about the basic subject matter of the study of language. Are linguistic facts are really facts about individuals, or really facts about language use in a community?The right answer to this question, I argue, is ‘Yes’. Both individualistic and social facts are crucial to a complete understanding of human language. The relationship between the theories inspired by these facts is analogous to the relationship between anatomy and ecology, or between micro- (...) and macro-economics: both types of facts are important objects of study in their own right, but we need a theory that accounts for the complex relationship between the two. I argue that modern extensions of the signaling-games approach of Lewis (1969) do just this, defusing the conflict while preserving the core positive insights of both sides of this debate.The upshot is that arguments for social externalism and the normativity of meaning pose no threat to individualist explanations and can be accountedfor within a naturalistic theory of language. A good externalist theory will make crucial reference to individualistic facts, but go further by examining language users’ interactions in a systematic way. (shrink)

Thought: A Journal of Philosophy, Volume 10, Issue 1, Page 42-52, March 2021.

Epistemic and deontic comparatives differ in how they interact with disjunction. I argue that this difference provides a compelling empirical argument against the semantics of Kratzer, which predicts that all modal comparatives should interact with disjunction in the same way. Interestingly, an identical distinction is found in the semantics of non-modal adjectives: additive adjectives like ‘heavy’ behave logically like epistemic comparatives, and intermediate adjectives like ‘hot’ behave like deontic comparatives. I characterize this distinction formally and argue that the divergence between (...) epistemic and deontic modals explained if we structure their semantics around scalar concepts: epistemic modals should be analyzed using probability , and deontic modals using expected value. (shrink)

Research has uncovered consistent gender differences in attitudes toward gay men, with women expressing less prejudice than men (Herek, 2003). Attitudes toward lesbians generally show a similar pattern, but to a weaker extent. The present work demonstrated that motivation to respond without prejudice importantly contributes to these divergent attitudes. Study 1 revealed that women evince higher internal motivation to respond without prejudice (IMS, Plant & Devine, 1998) than do men and that this difference partially mediates the relationship between gender and (...) attitudes toward gay men. The second study replicated this finding and demonstrated that IMS mediates the relationship between gender and attitudes toward lesbians. Study 2 further revealed that gender-role variables contribute to the observed gender differences in motivation to respond without prejudice. These findings provide new insights into the nature of sexual prejudice and for the first time point to possible antecedents of variation in motivation to respond without prejudice. (shrink)

We elucidate the epistemological futility of using concepts such as unconscious thinking in research. Focusing on Newell & Shanks' (N&S's) use of the lens model as a framework, we clarify issues with regard to unconscious-thought theory (UTT) and self-insight studies. We examine these key points: Brunswikian psychology is absent in UTT; research on self-insight did not emerge to explore the unconscious; the accuracy of judgments does not necessitate the unconscious; and the prescriptive claim of UTT is unfounded.

Two recent and influential papers, van Rooij 2007 and Lassiter 2012, propose solutions to the proviso problem that make central use of related notions of independence—qualitative in the first case, probabilistic in the second. We argue here that, if these solutions are to work, they must incorporate an implicit assumption about presupposition accommodation, namely that accommodation does not interfere with existing qualitative or probabilistic independencies. We show, however, that this assumption is implausible, as updating beliefs with conditional information does (...) not in general preserve independencies. We conclude that the approach taken by van Rooij and Lassiter does not succeed in resolving the proviso problem. (shrink)

“X-Firsters” hold that there is some normative feature that is fundamental to all others (and, often, that there’s some normative feature that is the “mark of the normative”: all other normative properties have it, and are normative in virtue of having it). This view is taken as a starting point in the debate about which X is “on first.” Little has been said about whether or why we should be X-Firsters, or what we should think about normativity if we aren’t (...) X-Firsters. Hence the chapter’s two main goals. First, to provide a simple argument that one shouldn’t be an X-Firster about the normative domain, which starts with the observation that analogous views have dubious merits in analogous domains. Second, to offer an alternative view—taking normativity to be a determinable explained in terms of its determinates—that offers an interesting way to think about the structure and unity of normativity. (shrink)

Supporters of open borders sometimes argue that the state has no pro tanto right to restrict immigration, because such a right would also entail a right to exclude existing citizens for whatever reasons justify excluding immigrants. These arguments can be defeated by suggesting that people have a right to stay put. I present a new form of the exclusion argument against closed borders which escapes this “right to stay put” reply. I do this by describing a kind of exclusion that (...) has not been discussed in depth, which I call “territorial exclusion.” Territorial exclusion is the process according to which the group that wishes to exclude current citizens secedes from the territory in which those citizens reside. I argue that the wrongness of territorial exclusion explains why there is no pro tanto right for a state to exclude immigrants, because otherwise there would be a pro tanto right for the state to kick people out by seceding from the territory they inhabit. Because kicking people out like this is typically wrong, borders cannot be closed. (shrink)

The potential to collect brain data more directly, with higher resolution, and in greater amounts has heightened worries about mental and brain privacy. In order to manage the risks to individuals posed by these privacy challenges, some have suggested codifying new privacy rights, including a right to “mental privacy.” In this paper, we consider these arguments and conclude that while neurotechnologies do raise significant privacy concerns, such concerns are—at least for now—no different from those raised by other well-understood data collection (...) technologies, such as gene sequencing tools and online surveillance. To better understand the privacy stakes of brain data, we suggest the use of a conceptual framework from information ethics, Helen Nissenbaum’s “contextual integrity” theory. To illustrate the importance of context, we examine neurotechnologies and the information flows they produce in three familiar contexts—healthcare and medical research, criminal justice, and consumer marketing. We argue that by emphasizing what is distinct about brain privacy issues, rather than what they share with other data privacy concerns, risks weakening broader efforts to enact more robust privacy law and policy. (shrink)

Motion—and, in particular, local motion or change in location—plays a central role in Kenelm Digby’s natural philosophy and in his arguments for the immateriality of the soul. Despite this, Digby’s account of what motion consists in has yet to receive much scholarly attention. In this paper, I advance a novel interpretation of Digby on motion. According to it, Digby holds that for a body to move is for it to divide from and unify with other bodies. This is a view (...) of motion—as change in relations of parthood—that Alison Peterman attributes to Digby’s contemporary and acquaintance, Margaret Cavendish. Having shown that Digby’s presentation of the view predates Cavendish’s by more than a decade, I make a case that Digby’s work influenced Cavendish’s on this topic. In developing and defending my reading, I consider to what extent the Digbean account of motion and the arguments for it accord with the ideals of the mechanical philosophy emerging in the early modern period. (shrink)

I ask you to X. You now have a reason to X. My request gave you a reason. How? One unpopular theory is the epistemic account, according to which requests do not create any new reasons but instead simply reveal information. For instance, my request that you X reveals that I desire that you X, and my desire gives you a reason to X. Peter Schaber has recently attacked both the epistemic account and other theories of the reason-giving force of (...) requests. Schaber defends a new theory of the reason-giving force of requests according to which request give reasons because it is valuable for requesters and requestees that requests have this power. In this paper I argue that Schaber's attack on the epistemic account fails, and that his own theory ought to be rejected because it faces compelling objections. (shrink)

Plato's dialogues frequently criticize traditional Greek myth, yet Plato also integrates myth with his writing. Daniel S. Werner confronts this paradox through an in-depth analysis of the Phaedrus, Plato's most mythical dialogue. Werner argues that the myths of the Phaedrus serve several complex functions: they bring nonphilosophers into the philosophical life; they offer a starting point for philosophical inquiry; they unify the dialogue as a literary and dramatic whole; they draw attention to the limits of language and the limits (...) of knowledge; and they allow Plato to co-opt cultural authority as a way of defining and legitimating the practice of philosophy. Platonic myth, as a species of traditional tale, is thus both distinct from philosophical dialectic and similar to it. Ultimately, the most powerful effect of Platonic myth is the way in which it leads readers to participate in Plato's dialogues and to engage in a process of self-examination. (shrink)

This book is a study of the role of intellect in human action as described by Thomas Aquinas. One of its primary aims is to compare the interpretation of Aristotle by Aquinas with the lines of interpretation offered in contemporary Aristotelian scholarship. The book seeks to clarify the problems involved in the appropriation of Aristotle's theory by a Christian theologian, including such topics as the practical syllogism and the problems of akrasia. Westberg argues that Aquinas was much closer to Aristotle (...) than is often recognized, and he puts forward important new interpretations of the relation of intellect and will in the stages of intention, deliberation, decision, and execution. In the concluding section of the book, he shows how this new interpretation yields fruitful insights on a range of theological topics, including sin, law, love, and the moral virtues. (shrink)

Abstract This paper offers an appraisal of Phillip Pettit's approach to the problem how a merely finite set of examples can serve to represent a determinate rule, given that indefinitely many rules can be extrapolated from any such set. I argue that Pettit's so-called ethnocentric theory of rule-following fails to deliver the solution to this problem he sets out to provide. More constructively, I consider what further provisions are needed in order to advance Pettit's general approach to the problem. I (...) conclude that what is needed is an account that, whilst it affirms the view that agents' responses are constitutively involved in the exemplification of rules, does not allow such responses the pride of place they have in Pettit's theory. (shrink)

Can a liberal state exclude illiberal immigrants in order to preserve its liberal status? Hrishikesh Joshi has argued that liberalism cannot require a commitment to open borders because this would entail that liberalism is committed to its own demise in circumstances in which many illiberal immigrants aim to immigrate into a liberal society. I argue that liberalism is committed to its own demise in certain circumstances, but that this is not as bad as it may appear. Liberalism’s commitment to its (...) own demise is merely a reflection of the fact that it must take into account the rights of outsiders, not just the rights of existing citizens, and of the fact that circumstances of injustice can sometimes leave liberal societies with no correct choice. (shrink)

This paper aims to understand Hegel’s claim in the introduction to his Philosophy of Mind that mind is an actualization of the Idea and argues that this claim provides us with a novel and defensible way of understanding Hegel’s naturalism. I suggest that Hegel’s approach to naturalism should be understood as ‘formal’, and argue that Hegel’s Logic, particularly the section on the ‘Idea’, provides us with a method for this approach. In the first part of the paper, I present an (...) interpretation of Hegel’s method in which life plays a central role. In the second part of the paper, I develop Hegel’s method by providing a reading of Hegel’s Subjective Spirit, focusing on the sections ‘Anthropology’ and ‘Phenomenology’ in particular, arguing that they display the dialectic between life and cognition outlined by Hegel’s Idea. (shrink)

Cultural psychologists often describe the relationship between mind and culture as ‘dynamic.’ In light of this, we provide two desiderata that a theory about encultured minds ought to meet: the theory ought to reflect how cultural psychologists describe their own findings and it ought to be thoroughly naturalistic. We show that a realist theory of causal powers — which holds that powers are causally-efficacious and empirically-discoverable — fits the bill. After an introduction to the major concepts in cultural psychology and (...) describing causal power realism, we use a case study — the effects of pathogen prevalence on culture and cognition — to show the explanatory capacities of the powers framework. (shrink)

This paper aims to understand Hegel’s claim in the introduction to his Philosophy of Mind that mind is an actualization of the Idea and argues that this claim provides us with a novel and defensible way of understanding Hegel’s naturalism. I suggest that Hegel’s approach to naturalism should be understood as ‘formal’, and argue that Hegel’s Logic, particularly the section on the ‘Idea’, provides us with a method for this approach. In the first part of the paper, I present an (...) interpretation of Hegel’s method in which life plays a central role. In the second part of the paper, I develop Hegel’s method by providing a reading of Hegel’s Subjective Spirit, focusing on the sections ‘Anthropology’ and ‘Phenomenology’ in particular, arguing that they display the dialectic between life and cognition outlined by Hegel’s Idea. (shrink)

This model explores consensus among agents in a population in terms of two properties. The first is a probability of belief change. This value indicates how likely agents are to change their mind in interactions. The other is the size of the agents audience: the proportion of the population the agent has access to at any given time. In all instances, the agents converge on a single belief, although the agents are arational. I argue that this generates a skeptical hypothesis: (...) any instance of purportedly rational consensus might just as well be a case of arational belief convergence. I also consider what the model tells us about increasing the likelihood that one agent’s belief is adopted by the rest. Agents are most likely to have their beliefs adopted by the entire population when their value for PBC is low relative to the rest of the population and their audience sizes are roughly three-quarters of the largest possible audience. I further explore the consequences of dogmatists to the population; individuals who refuse to change their mind end up polarizing the population. I conclude with reflections on the supposedly special character of rationality in belief-spread. (shrink)

This essay considers the critical response to Hegel's view of Socrates we find in Kierkegaard's dissertation, The Concept of Irony. I argue that this dispute turns on the question whether or not the examination of particular thinkers enters into Socrates’ most basic aims and interests. I go on to show how Kierkegaard's account, which relies on an affirmative answer to this question, enables him to provide a cogent defence of Socrates' philosophical practice against Hegel's criticisms.

According to ethical objectivism, what a person should do depends on the facts, as opposed to their perspective on the facts. A long-standing challenge to this view is that it fails to accommodate the role that norms play in guiding a person’s action. Roughly, if the facts that determine what a person should do lie beyond their ken, they cannot inform a person’s deliberations. This paper explores two recent developments of this line of thought. Both focus on the epistemic counterpart (...) to ethical objectivism, according to which what a person should believe depends on the facts, as opposed to their perspective on the facts. The suggestion in each case is that epistemic objectivism faces a distinctive problem in accommodating guidance. Insofar as objectivism concerning the epistemic domain stands or falls with objectivism concerning the ethical domain, this is a problem for objectivism more generally. In this paper, I show that those arguments are not successful. The upshot is that the objectivist – whether ethical or epistemic – need not reject the idea that norms serve a guiding function. (shrink)

Novices sometimes misidentify authorities and end up endorsing false beliefs as a result. In this paper, I suggest that this phenomenon is at least sometimes the result of culturally evolved mechanisms functioning in faulty epistemic contexts. I identify three background conditions which, when satisfied, enable expert-identifying mechanisms to function properly. When any one of them fails, that increases the likelihood of identifying a non-authority as authoritative. Consequently, novices can end up deferring to merely apparent authorities without having failed in any (...) epistemic obligations. (shrink)

The coupling-constitution fallacy claims that arguments for extended cognition involve the inference of “x and y constitute z” from “x is coupled to y” and that such inferences are fallacious. We argue that the coupling-constitution fallacy fails in its goal to undermine the hypothesis of extended cognition: appeal to the coupling-constitution fallacy to rule out possible empirical counterexamples to intracranialism is fallacious. We demonstrate that appeals to coupling-constitution worries are problematic by constructing the fallacious argument against the hypothesis of extended (...) cognition. We consider several objections to our argument and find them insufficient to rebut our conclusion. (shrink)

Chapter I: The Geometry of Visibles 1 . The N on- Euclidean Geometry of Visibles In the chapter "The Geometry of Visibles" in Inquiry into the Human Mind, ...

Lovejoy (1873-1962) was America's foremost historian of ideas, a major participant in the philosophical debates of the twentieth century, and a prominent advocate of academic freedom. The product of an emotionally unsettled childhood and an evangelical father, Lovejoy reacted against his father by postulating the certainty of self-sufficient reason. He believed that only the principles of reason could order the world and so make our universe intelligible. Originally published in 1980. A UNC Press Enduring Edition -- UNC Press Enduring Editions (...) use the latest in digital technology to make available again books from our distinguished backlist that were previously out of print. These editions are published unaltered from the original, and are presented in affordable paperback formats, bringing readers both historical and cultural value. (shrink)

The _Physics_ is a foundational work of western philosophy, and the crucial one for understanding Aristotle's views on matter, form, essence, causation, movement, space, and time. This richly annotated, scrupulously accurate, and consistent translation makes it available to a contemporary English reader as no other does—in part because it fits together seamlessly with other closely associated works in the New Hackett Aristotle series, such as the _Metaphysics_, _De Anima_, and forthcoming _De Caelo_ and _On Coming to Be and Passing Away_. (...) Eventually the series will include all of Aristotle's works. Sequentially numbered endnotes provide the information most needed at each juncture, while a detailed Index of Terms indicates places where focused discussion of key notions occurs. An illuminating general Introduction describes the book that lies ahead, explaining what sort of work it is and what sorts of evidence it relies on. (shrink)

Embodied, embedded, enactive, and extended theorists do not typically focus on the ontological frameworks in which they develop their theories. One exception is 4E theories that embrace New Mechanism. In this paper, we endorse the New Mechanist’s general turn to ontology, but argue that their ontology is not the best on the market for 4E theories. Instead, we advocate for a different ontology: causal powers realism. Causal powers realism posits that psychological manifestations are the product of mental powers, and that (...) mental powers are empirically-discoverable features of individuals that account for the causal work those individuals do. We contend that causal powers realism provides a unifying framework for the central commitments of 4E theories, as well as additional resources for theorizing in a 4E framework. And while New Mechanism offers some of these resources as well, we argue that causal powers realism is ultimately the better of the two. (shrink)

The almost 300 articles contain not only historical accounts but also some indication of the state of present day study in classical philosophy.

Implicit bias results from living in a society structured by race. Tamar Gendler has drawn attention to several epistemic costs of implicit bias and concludes that paying some costs is unavoidable. In this paper, we reconstruct Gendler’s argument and argue that the epistemic costs she highlights can be avoided. Though epistemic agents encode discriminatory information from the environment, not all encoded information is activated. Agents can construct local epistemic environments that do not activate biasing representations, effectively avoiding the consequences of (...) activation. We conclude that changing our local environments provides a way to avoid paying implicit bias’s epistemic costs. (shrink)

Despite myriad controversies about reasons, two theses are frequently taken for granted: (i) reasons are sources of normative support for actions, attitudes, etc; and (ii) reasons, at least in simple, paradigmatic cases, consist in atomic facts. Call this conjunction “the atomic view.” Against this, we advocate what we call “the cluster view,” on which even in the simplest cases, the normative support for an action or attitude is typically provided by a whole cluster of facts. Moreover, many of these facts (...) are on an explanatory par—they each play the same kind of role in explaining why there is normative support for the action or attitude in question. We show that presupposition of the atomic view generates unnecessary (psuedo-)puzzles⁠—about topics such as rationality, moral worth, and doxastic justification⁠—that can be largely (dis)solved with the cluster view in place. The cluster view’s ability to do this constitutes an argument in its favor, beyond intuitive considerations that we also adduce. (shrink)

In this paper, I develop a view about machine autonomy grounded in the theoretical frameworks of 4E cognition and PF Strawson’s reactive attitudes. I begin with critical discussion of White, and conclude that his view is strongly committed to functionalism as it has developed in mainstream analytic philosophy since the 1950s. After suggesting that there is good reason to resist this view by appeal to developments in 4E cognition, I propose an alternative view of machine autonomy. Namely, machines count as (...) autonomous when we members of the moral community adopt reactive attitudes in response to their actions. I distinguish this view from White’s and suggest assets and liabilities of this approach. (shrink)

“It's almost like putting salt in a wound, for this person who's already made a very difficult decision,” suggested Meghan Patterson, a licensed obstetrician-gynecologist whom we interviewed in our qualitative study of the experiences of North Carolina abortion providers practicing under the state's Woman's Right to Know Act. The act requires that women receive counseling with state-mandated information at least twenty-four hours prior to obtaining an abortion. After the law was passed, Patterson worked with clinic administrators, in consultation with a (...) lawyer, to write a script to be used in the state-mandated counseling procedure. She and her colleagues took particular steps to mitigate the effects of what she described as HB 854's “forced language”—such as referring to the “father of the child.” While HB 854 stipulated that patients must be informed of the medical risks associated with the particular abortion procedure as well as those of carrying the child to term, Patterson's script made explicit the magnitude of comparative risks, emphasizing that the risks of carrying a pregnancy to term are substantially greater than the risks of an early-term abortion. She felt that these contextualization strategies helped to facilitate trust and rapport in a clinical care situation that proved relationally and morally challenging. In this article, we take up and expand on this point by elucidating an empirically grounded approach to ethically justified care when health care providers face legal or institutional policy mandates that raise possible moral conflicts. Our approach builds on recent bioethics discourse addressing conscience in the practice of medicine. While the concept of conscience has broad philosophical underpinnings relating to moral judgment, agency, and discernments of right and wrong, debates in bioethics have tended to engage the concept primarily vis-à-vis rights of conscientious objection or refusal. Here, we suggest a broader frame for thinking about claims of conscience in health care. Our approach draws on the feminist bioethics and the ethics of care literatures to highlight how providers may be motivated by matters of conscience, including relational concerns, in the active provision of certain forms of care. What emerges are two possibilities: not only conscientious refusal to comply with a policy mandate but also conscientious compliance—working conscientiously within a mandate's confines. (shrink)

We build a model of the reflective equilibrium method to better understand under what conditions a community of agents would achieve a shared equilibrium. We find that, despite guaranteeing that agents individually reach equilibrium and numerous constraints on how agents deliberate, it is surprisingly difficult for a community to converge on a small number of equilibria. Consequently, the literature on reflective equilibrium has underestimated the challenge of coordinating intrapersonal convergence and interpersonal convergence.

Ayahuasca, an ancient Amazonian psychedelic tea traditionally used ceremonially among indigenous peoples, has recently become known as a possible treatment for a wide range of disorders. The awareness of this sacred medicine has grown exponentially over the past decade, attracting westerners from a wide variety of backgrounds, hoping to find treatment for a myriad of emotional and physical illnesses, as well as spiritual needs. In the wake of the commercialization and westernization of the use of ayahuasca, and the subsequent proliferation (...) of ayahuasca treatment centers, this paper examines the benefits and possible risks of this form of therapy in an effort to create a safety protocol for Westerners in this context. The most practical approach to increasing safety for Westerners attending these Amazonian treatment centers is to educate the seeker prior to treatment and to provide access to specialized therapeutic aftercare services. (shrink)