This three-part chapter explores a higher-order logic we call ‘Classicism’, which extends a minimal classical higher-order logic with further axioms which guarantee that provable coextensiveness is sufficient for identity. The first part presents several different ways of axiomatizing this theory and makes the case for its naturalness. The second part discusses two kinds of extensions of Classicism: some which take the view in the direction of coarseness of grain (whose endpoint is the maximally coarse-grained view that coextensiveness is sufficient for (...) identity), and some which take the view in the direction of fineness of grain (whose endpoint is the maximally fine-grained theory containing all distinctness claims compatible with Classicism). The third part introduces some techniques for constructing models of Classicism, and uses them to prove the consistency of many of the extensions of Classicism introduced in the second part. (shrink)

This paper is an investigation of the general logic of "identifications", claims such as 'To be a vixen is to be a female fox', 'To be human is to be a rational animal', and 'To be just is to help one's friends and harm one's enemies', many of which are of great importance to philosophers. I advocate understanding such claims as expressing higher-order identity, and discuss a variety of different general laws which they might be thought to obey. [New version: (...) Nov. 4th, 2016]. (shrink)

This chapter contains sections titled: 1 A Question about Composition 2 Some Answers 3 How Shall We Decide? 4 Common Sense and Unrestricted Composition 5 Common Sense and Compositional Nihilism 6 Compositional Nihilism and the Self 7 The Appeal to Science 8 Problem or Pseudoproblem? What To Do?

We argue that all comparative expressions in natural language obey a principle that we call Comparability: if x and y are at least as F as themselves, then either x is at least as F as y or y is at least as F as x. This principle has been widely rejected among philosophers, especially by ethicists, and its falsity has been claimed to have important normative implications. We argue that Comparability is needed to explain the goodness of several patterns (...) of inference that seem manifestly valid, that the purported failures of Comparability would have absurd consequences, and that the influential arguments against Comparability are less compelling than they may have initially seemed. (shrink)

We attempt to extend the nominalistic project initiated in Hartry Field's Science Without Numbers to modern physical theories based in differential geometry.

Lewis's notion of a "natural" property has proved divisive: some have taken to the notion with enthusiasm, while others have been sceptical. However, it is far from obvious what the enthusiasts and the sceptics are disagreeing about. This paper attempts to articulate what is at stake in this debate.

The problem of addiction to psychoactive substances, such as alcohol and other drugs, has been addressed in psychiatry traditionally from the perspective of a mechanistic-reductionist epistemological model, whose main focus in clinical care is to avoid or suppress the use of these substances, rather than understanding the meaning of a treatment and the meaning of the alterations of consciousness produced by these addictive substances. This paper attempts to contribute towards overcoming this epistemological perspective from the perspective of phenomenological psychopathology. In (...) the first part of the article, the main characteristics of phenomenology and its incorporation into the field of mental health will be presented. Then the issue of addiction will be analysed from two ways of understanding it: the mechanistic-reductionist model and the phenomenological dialectical model. Finally, the pragmatic consequences of the dialectical perspective of phenomenology, called Dialectical Phenomenology (DPh), which seeks to enrich the diagnostic process in the mental health clinic, allowing scientific diagnoses to approach the complexities of clinical reality, will be presented. (shrink)

In this paper I attempt two things. First, I argue that one can coherently imagine different communities using languages structurally similar to English, but in which the meanings of the quantifiers vary, so that the answers to ontological questions, such as ‘Under what circumstances do some things compose something?’, are different. Second, I argue that nevertheless, one can make sense of the idea that of the various possible assignments of meanings to the quantifiers, one is especially fundamental, so that there (...) is still room for genuine debate as regards the answers to ontological questions construed in the fundamental way. My attempt to explain what is distinctive about the fundamental senses of the quantifiers involves a generalisation of the idea that claims of existence are never analytic.<br>. (shrink)

We defend the thesis that every necessarily true proposition is always true. Since not every proposition that is always true is necessarily true, our thesis is at odds with theories of modality and time, such as those of Kit Fine and David Kaplan, which posit a fundamental symmetry between modal and tense operators. According to such theories, just as it is a contingent matter what is true at a given time, it is likewise a temporary matter what is true at (...) a given possible world; so a proposition that is now true at all worlds, and thus necessarily true, may yet at some past or future time be false in the actual world, and thus not always true. We reconstruct and criticize several lines of argument in favor of this picture, and then argue against the picture on the grounds that it is inconsistent with certain sorts of contingency in the structure of time. (shrink)

Seth Yalcin has pointed out some puzzling facts about the behaviour of epistemic modals in certain embedded contexts. For example, conditionals that begin ‘If it is raining and it might not be raining, … ’ sound unacceptable, unlike conditionals that begin ‘If it is raining and I don’t know it, … ’. These facts pose a prima facie problem for an orthodox treatment of epistemic modals as expressing propositions about the knowledge of some contextually specified individual or group. This paper (...) develops an explanation of the puzzling facts about embedding within an orthodox framework. (shrink)

This paper considers how counterfactuals should be evaluated on the assumption that determinism is true. I argue against Lewis's influential view that the actual laws of nature would have been false if something had happened that never actually happened, and in favour of the competing view that history would have been different all the way back. I argue that we can do adequate justice to our ordinary practice of relying on a wide range of historical truths in evaluating counterfactuals by (...) saying that, in typical cases, history would have been only *very slightly* different until shortly before the relevant time. The paper also draws some connections between the puzzle about counterfactuals under determinism and the debate about whether determinism entails that no-one can ever do otherwise than they in fact do. (shrink)

Although the topic of value congruence has attracted considerable attention from researchers and practitioners, evidence for the link between person–supervisor value congruence and followers’ reactions is less robust than often assumed. This study addresses three central issues in our understanding of person–supervisor value congruence by assessing the impact of objective person–supervisor value congruence rather than subjective value congruence, by examining the differential effects of value congruence in strongly versus moderately held values, and by exploring perceived empowerment as a central mediating (...) mechanism. Results of a multi-source study comprising 116 person–supervisor dyads reveal that objective value congruence relates to followers’ job satisfaction and affective commitment and that this link can be explained by followers’ perceived empowerment. Moreover, polynomial regression and response surface analyses reveal that congruence effects vary with the importance that leaders and followers ascribe to a certain value: Congruency in strongly held values have more robust relations with followers’ outcomes than congruence in moderately held values. (shrink)

Most meanings we express belong to large families of variant meanings, among which it would be implausible to suppose that some are much more apt for being expressed than others. This abundance of candidate meanings creates pressure to think that the proposition attributing any particular meaning to an expression is modally plastic: its truth depends very sensitively on the exact microphysical state of the world. However, such plasticity seems to threaten ordinary counterfactuals whose consequents contain speech reports, since it is (...) hard to see how we could reasonably be confident in a counterfactual whose consequent can be true only if a certain very finely tuned microphysical configuration obtains. This essay develops the foregoing puzzle and explores several possible solutions. (shrink)

I explicate and defend the claim that, fundamentally speaking, there are no numbers, sets, properties or relations. The clarification consists in some remarks on the relevant sense of ‘fundamentally speaking’ and the contrasting sense of ‘superficially speaking’. The defence consists in an attempt to rebut two arguments for the existence of such entities. The first is a version of the indispensability argument, which purports to show that certain mathematical entities are required for good scientific explanations. The second is a speculative (...) reconstruction of Armstrong's version of the One Over Many argument, which purports to show that properties and relations are required for good philosophical explanations, e.g. of what it is for one thing to be a duplicate of another. (shrink)

In general, a given object could have been different in certain respects. For example, the Great Pyramid could have been somewhat shorter or taller; the Mona Lisa could have had a somewhat different pattern of colours; an ordinary table could have been made of a somewhat different quantity of wood. But there seem to be limits. It would be odd to suppose that the Great Pyramid could have been thimble-sized; that the Mona Lisa could have had the pattern of colours (...) that actually characterizes The Scream; or that the table could have been made of the very quantity of wood that in fact made some other table. However, there are puzzling arguments that purport to show that so long as an object is capable of being somewhat different in some respect, it is capable of being radically different in that respect. These arguments rely on two tempting thoughts: first, that an object’s capacity for moderate variation is a non-contingent matter, and second, that what is possibly possible is simply possible. This book systematically investigates competing strategies for resolving these puzzles, and defends one of them. Along the way it engages with foundational questions about the metaphysics of modality. (shrink)

The paper starts by identifying dynamic stabilization as a defining feature of modern societies. This term refers to the fact that such a society requires growth, augmentation and high rates of innovation in order to reproduce its structure and to preserve the socioeconomic and political status quo. The subsequent sections explore the mechanisms and consequences of this mode of social reproduction, proceeding in three steps. First, three key aspects or ‘motors’ of dynamization are identified, namely the mechanisms of appropriation, acceleration (...) and activation. In the second step, we argue that this ‘Triple-A-Mode’ of dynamic stabilization necessarily entails a logic of incessant escalation which eventually threatens to undermine itself, leading to a multifaceted process of destabilization. Unmistakable signs of this can be seen in the current financial, democratic, ecological and psychosocial crises. The third and last part briefly and very preliminarily sketches out the possible contours of a ‘post-growth’ society which could move beyond the current mode of dynamic stabilization. (shrink)

We present and discuss a counterexample to the following plausible principle: if you know that a coin is fair, and for all you know it is going to be flipped, then for all you know it will land tails.

Argues for the "thirder" solution to the Sleeping Beauty puzzle. The argument turns on an analogy with a variant case, in which a coin-toss on Monday night determines whether one's memories of Monday are permanently erased, or merely suspended in such a way that they will return some time after one wakes up on Tuesday.

Presupposing that most predicates do not correspond directly to genuine relations, I argue that all genuine relations are symmetric. My main argument depends on the premise that there are no brute necessities, interpreted so as to require logical and metaphysical necessity to coincide for sentences composed entirely of logical vocabulary and primitive predicates. Given this premise, any set of purportedly primitive predicates by which one might hope to express the facts about non-symmetric relations order their relata will generate an objectionable (...) multiplication of possibilities. In the final section I give a different argument, based on the weaker premise that brute necessities should not be multiplied without necessity. (shrink)

This paper defends the claim that although ‘Superman is Clark Kent and some people who believe that Superman flies do not believe that Clark Kent flies’ is a logically inconsistent sentence, we can still utter this sentence, while speaking literally, without asserting anything false. The key idea is that the context-sensitivity of attitude reports can be - and often is - resolved in different ways within a single sentence.

I motivate and briefly sketch a linguistic theory of vagueness, on which the notion of indeterminacy is understood in terms of the conventions of language: a sentence is indeterminate iff the conventions of language either forbid asserting it and forbid asserting its negation, under the circumstances, or permit asserting either. I then consider an objection that purports to show that if this theory (or, as far as I can see, any other theory of vagueness that deserved the label "linguistic" were (...) true, there would be no such thing as indeterminacy. I respond to this objection by arguing on independent grounds against its main premise, the widely-accepted claim that if it is indeterminate whether P, no human being knows whether P. I defend an alternative view according to which, when it is indeterminate whether P, it is often also indeterminate whether we know that P. (shrink)

According to a tradition stemming from Quine and Putnam, we have the same broadly inductive reason for believing in numbers as we have for believing in electrons: certain theories that entail that there are numbers are better, qua explanations of our evidence, than any theories that do not. This paper investigates how modal theories of the form ‘Possibly, the concrete world is just as it in fact is and T’ and ‘Necessarily, if standard mathematics is true and the concrete world (...) is just as it in fact is, then T’ bear on this claim. It concludes that, while analogies with theories that attempt to eliminate unobservable concrete entities provide good reason to regard theories of the former sort as explanatorily bad, this reason does not apply to theories of the latter sort. (shrink)

Even if non-cognitivists about some subject-matter can meet Geach’s challenge to explain how there can be valid implications involving sentences which express non-cognitive attitudes, they face a further problem. I argue that a non-cognitivist cannot explain how, given a valid argument whose conclusion expresses a belief and at least one of whose premises expresses a non-cognitive attitude, it could be reasonable to infer the conclusion from the premises.

Health care and public health programs increasingly rely on, and often even require, organizational action, which is facilitated, if not dependent on, trust. Case examples in this essay highlight trust, trustworthiness, and distrust in public and private organizations, providing insights into how trust in health‐related organizations can be betrayed, earned, and justified and into the consequences of organizational trust and trustworthiness for the health of individuals and communities. These examples demonstrate the need for holistic assessments of trust in clinicians and (...) trust in organizations and for organizations, public health, and the medical profession to address questions concerning their own trustworthiness. Normative and empirical assessments of trust and trustworthiness that capture the experiences of those treated within the walls of a health care organization, as well as the care of those outside, will contribute to more trustworthy systems of care. (shrink)

We defend three controversial claims about preference, credence, and choice. First, all agents (not just rational ones) have complete preferences. Second, all agents (again, not just rational ones) have real-valued credences in every proposition in which they are confident to any degree. Third, there is almost always some unique thing we ought to do, want, or believe.

David Builes presents a paradox concerning how confident you should be that any given member of an infinite collection of fair coins landed heads, conditional on the information that they were all flipped and only finitely many of them landed heads. We argue that if you should have any conditional credence at all, it should be 1/2.

The Eternal Coin is a fair coin has existed forever, and will exist forever, in a region causally isolated from you. It is tossed every day. How confident should you be that the Coin lands heads today, conditional on (i) the hypothesis that it has landed Heads on every past day, or (ii) the hypothesis that it will land Heads on every future day? I argue for the extremely counterintuitive claim that the correct answer to both questions is 1.

This paper investigates the form a modal realist analysis of possibility and necessity should take. It concludes that according to the best version of modal realism, the notion of a world plays no role in the analysis of modal claims. All contingent claims contain some de re element; the effect of modal operators on these elements is described by a counterpart theory which takes the same form whether the de re reference is to a world or to something else. This (...) fully general counterpart theory can validate orthodox modal logic, including the logic of 'actually'. (shrink)

Suppose a sentence of the following form is true in a certain context: ‘Necessarily, whenever one believes that the F is uniquely F if anything is, and x is the F, one believes that x is uniquely F if anything is’. I argue that almost always, in such a case, the sentences that result when both occurrences of ‘believes’ are replaced with ‘has justification to believe’, ‘knows’, or ‘knows a priori’ will also be true in the same context. I also (...) argue that many sentences of the relevant form are true in ordinary contexts, and conclude that a priori knowledge of contingent de re propositions is a common and unmysterious phenomenon. However, because of the pervasive context-sensitivity of propositional attitude ascriptions, the question what it is possible to know a priori concerning a given object will have very different answers in different contexts. (shrink)

This paper is a response to Theodore Sider's book, Writing the Book of the World. It raises some puzzles about Sider's favoured methodology for finding out about naturalness (or 'structure').

usually brings to mind images of picket signs held by laborers striking for better wages and benefits. Collective action, however, need not be limited to the withholding of labor. Nor need it involve only the working or middle classes, as airline pilots have recently demonstrated. Finally, collective action need not have as its only purpose the self-interest of the group. Collective action does, however, always involve a joining together of individuals united by common goals or interests in order to consolidate (...) power for the purpose of negotiating with another group or entity. Examples of collective action obviously include striking, other withholding labor actions, and slowdowns, but can also include many other activities. for example, have been threatened or used by house officer organizations in the past. In a paper strike, patient care continues but without documentation, and thus, the institution suffers from absent or delayed financial remuneration. (shrink)

The American Journal of Bioethics, Volume 11, Issue 12, Page 13-16, December 2011.

Timothy Williamson has shown that the B axiom for 'definitely' (α → Δ¬Δ¬α) guarantees that if a sentence is second-order vague in a Kripke model, it is nth order vague for every n. More recently, Anna Mahtani has argued that Williamson's epistemicist theory of vagueness does not support the B axiom, and conjectured that if we consider models in which the “radius of accessibility” varies between different points, we will be able to find sentences that are nth-order vague but (n+1)th-order (...) precise, for any n. This paper bolsters Mahtani's argument, shows her conjecture to be true, and shows that imposing certain further natural constraints on "variable radius" models does not change the situation. (shrink)

In a recent paper, Yoaav Isaacs, Alan Hájek, and John Hawthorne argue for the rational permissibility of "credal imprecision" by appealing to certain propositions associated with non-measurable spatial regions: for example, the proposition that the pointer of a spinner will come to rest within a certain non-measurable set of points on its circumference. This paper rebuts their argument by showing that its premises lead to implausible consequences in cases where one is trying to learn, by making multiple observations, whether a (...) certain outcome is associated with a non-measurable region or a measurable one. (shrink)

Training in ethics and professionalism is a fundamental component of residency education, yet there is little empirical information to guide curricula. The objective of this study is to describe empirically derived ethics objectives for ethics and professionalism training for multiple specialties. Study design is a thematic analysis of documents, semi-structured interviews, and focus groups conducted in a setting of an academic medical center, Veterans Administration, and community hospital training more than 1000 residents. Participants were 84 informants in 13 specialties including (...) residents, program directors, faculty, practicing physicians, and ethics committees. Thematic analysis identified commonalities across informants and specialties. Resident and nonresident informants identified consent, interprofessional relationships, family interactions, communication skills, and end-of-life care as essential components of training. Nonresidents also emphasized formal ethics instruction, resource allocation, and self-monitoring, whereas residents emphasized the learning environment and resident-attending interactions. Conclusions are that empirically derived learning needs for ethics and professionalism included many topics, such as informed consent and resource allocation, relevant for most specialties, providing opportunities for shared curricula and resources. (shrink)

Se plantea la pregunta de si efectivamente el delirio es idéntico a la irracionalidad,como se ha postulado desde la Ilustración. Se hace una breve síntesis de la forma como ha sido concebida la locura desde la Antigüedad Clásica hasta nuestros días. De esta revisión es importante destacar cómo el carácter absoluto del "ego cogito" de Descartes hace impensable la locura como posibilidad humana y abre el camino a su conceptualización como enemiga de la razón, vale decir, como irracionalidad. Como argumento (...) en favor a la tesis contraria al racionalismo, se menciona el sentido biográfico de la locura, ejemplificado en figuras literarias, como Edipo, Ofelia y Don Quijote. Lo común a todas estas vidas que terminan en la locura es un afán desmedido por permanecer en lo ilusorio, en el autoocultamiento, de tal modo que cuando una circunstancia los obliga a ver su propia verdad transforman "una realidad imposible en una posible irrealidad", vale decir, enloquecen. Ahora bien, tanto en las figuras literarias como en los esquizofrénicos de la práctica diaria, encontramos que el desborde se produce no hacia lo irracional y dionisíaco, sino exactamente en la dirección opuesta: hacia lo apolíneo y racional. La tesis de que en la base de la locura habría un exceso y no una falta de racionalidad, tratamos de demostrarla a través del análisis de dos casos paradigmáticos, en los que aparece tematizada la entrega al dominio absoluto de la razón como capacidad analítica y sintética y a la razón como luz que saca a los objetos cognoscibles desde las sombras. El delirio sería, entonces, el producto de un imperio sin contrapeso de la razón,entendida ésta ya sea como "ratio" o como "logos". (shrink)

This paper lays out a novel proposal about the metaphysical foundations of (non-relativistic) quantum mechanics, which has some elements in common with Everett's “Many Worlds” interpretation and some elements in common with Bohm's ”Pilot Wave” interpretation. The view agrees with the Everettians that the quantum wavefunction can be interpreted be interpreted as a <em>complete</em> description of the world in fundamental terms. But it holds that this truth of this description suffices for the existence of an <em>uncountable</em> plurality of “worlds” of (...) ordinary, non-fundamental objects, where each such “world” corresponds to a mapping of points of time to points of configuration space that obeys that Bohmian “Guidance Equation”. (shrink)

Angesichts der gegenwärtigen ökonomischen, ökologischen und sozialen Krisen zeichnet sich ab, dass die Wachstumsdynamik moderner Gesellschaften nicht mehr stabilisierend wirkt, sondern selbst zum Krisentreiber geworden ist. In diesem Band diskutieren die Philosophin Nancy Fraser und die Soziologen Klaus Dörre, Stephan Lessenich und Hartmut Rosa, was dies für die Gegenwart und die Zukunft der Demokratie bedeutet und welche Konzeptionen und Wege hin zu einer demokratischen Transformation vorstellbar sind. Aus ihrer demokratietheoretischen Perspektive intervenieren Viviana Asara, Banu Bargu, Ingolfur Blühdorn, Robin Celikates, Lisa (...) Herzog, Brian Milstein, Michelle Williams und Christos Zografos. (shrink)

Though trust is essential to relationships between people, including that between patient and clinician, its role in organizational ethics is largely unexplored. Nonetheless, trust is also ideally a part of the relationship between patient and health care institution, both because it is desirable in and of itself, and because it makes for better medical care.

BackgroundAdvance directives imply the promise of determining future medical treatment in case of decisional incapacity. However, clinical practice increasingly indicates that standardized ADs often fail to support patients’ autonomy. To date, little data are available about the quality and impact of ADs on end-of-life decisions for incapacitated acute stroke patients.MethodsWe analyzed the ADs of patients with fatal stroke, focusing on: their availability and type, stated circumstances to which the AD should apply, and stated wishes regarding specific treatment options.ResultsBetween 2011 and (...) 2014, 143 patients died during their hospitalization on our stroke unit. Forty-two of them had a completed and signed, written AD, as reported by their family, but only 35 ADs were available. The circumstances in which the AD should apply were stated by 21/35 as a “terminal condition that will cause death within a relatively short time” or an ongoing “dying process.” A retrospective review found only 16 of 35 ADs described circumstances that, according to the medical file, could have been considered applicable by the treating physicians. A majority of patients objected to cardiopulmonary resuscitation, mechanical ventilation, and artificial nutrition, while almost all directed that treatment for alleviation of pain or discomfort should be provided at all times even if it could hasten death.ConclusionsThe prevalence of ADs among patients who die from acute stroke is still low. A major flaw of the ADs in our cohort was their attempt to determine single medical procedures without focusing on a precise description of applicable scenarios. Therefore, less than half of the ADs were considered applicable for severe acute stroke. These findings stress the need to foster educational programs for the general public about advance care planning to facilitate the processing of timely, comprehensive, and individualized end-of-life decision-making. (shrink)

BB Whenever a baseball causes an event, the baseball’s constituent atoms also cause that event, and the baseball is causally irrelevant to whether those atoms cause that event.

Volume 20, Issue 7, July 2020, Page 6-8.

Argument that Q∃ expresses more than one proposition: (1) Q∃ expresses the proposition that Q∃ expresses some proposition that isn’t true. ((E)) (2) If Q ∃ expresses only true propositions, then the proposition that Q ∃ expresses some proposition that isn’t true is true. ((1)) (3) If Q∃ expresses only true propositions, then some proposition expressed by Q∃ is not true. (2, T) (4) Some proposition expressed by Q ∃ is not true. ((3)) (5) The proposition that Q ∃ expresses (...) some proposition that isn’t true is true. (4, T) (6) Q∃ expresses at least one true proposition. (1,5) (7) Q∃ expresses at least two propositions. (3, 6) (A parallel argument shows that Q∀ expresses both true and false propositions. (shrink)

Let me regale you with yet another variant of the story of Sleeping Beauty. In this one, the experiment takes place in a room with a skylight, so that Beauty can see what the weather is like outside as soon as she wakes up. The weather can be in any one of n different states on any given day. Beauty regards each of these states as equiprobable; moreover, she takes there to be no correlation between the weather on Monday and (...) the weather on Tuesday, or between the weather on either day and the coin-toss. The rest of the story works as usual: Beauty will be awoken on Monday, after which a coin will be tossed; if it lands Tails, she will be woken again on Tuesday having had her memories of the Monday awakening erased; otherwise, she will stay asleep until Wednesday.1 The weather is the only source of variation in her wakings, so if it should happen that the weather is the same on Monday and Tuesday, her total evidence will be exactly the same on both wakings. (shrink)