To sustain its serene environment, YourTown, USA—which is a real town—enacted a policy designed to abate public nuisances occurring on residential properties. The nuisance ordinance authorizes the police chief, after two incidents within a twelve‐month period in which criminal activity nuisances have occurred on a property, to warn owners in writing that a third incident may result in an order to pay fees. The third finding authorizes YourTown to “abate the nuisance by responding to the activities using administrative and law (...) enforcement actions, and the costs of such abatement shall be assessed on the nuisance property.” On one of YourTown's tree‐lined streets lives a couple with a twenty‐six‐year old son, Jeremy—a real person—whose combination of behavioral disorders produces what his psychiatrist describes as devastatingly difficult symptoms. Jeremy's behavior frequently takes him outside, where he disturbs his neighbors with screams and moans. (shrink)

Conflicts of interest. None to report. Despite widespread acceptance in the United States of neurological criteria to determine death, clinicians encounter families who object, often on religious grounds, to the categorization of their loved ones as “brain dead.” The concept of “reasonable accommodation” of objections to brain death, promulgated in both state statutes and the bioethics literature, suggests the possibility of compromise between the family’s deeply held beliefs and the legal, professional and moral values otherwise directing clinicians to withdraw medical (...) interventions. Relying on narrative to convey the experience of a family and clinical caregivers embroiled in this complex dilemma, the case analyzed here explores the practical challenges and moral ambiguities presented by the concept of reasonable accommodation. Clarifying the term’s meaning and boundaries, and identifying guidelines for its clinical implementation, could help to reduce uncertainty for both health care professionals and families and, thereby, the incremental moral distress such uncertainty creates. (shrink)

While we do not share Evans’s view that social science research is needed to shield bioethics from competitive threat, we incorporate and engage in social science research to inform our knowledge base, our clinical practice, and our contributions to the ongoing development of the field.

Checklists have been used to improve quality in many industries, including healthcare. The use of checklists, however, has not been extensively evaluated in clinical ethics consultation. This article seeks to fill this gap by exploring the efficacy of using a checklist in ethics consultation, as tested by an empirical investigation of the use of the checklist at a large academic medical system (Cleveland Clinic). The specific aims of this project are as follows: (1) to improve the quality of ethics consultations (...) by providing reminders to ethics consultants about process steps that are important for most patient-centered ethics consultations, (2) to create consistency in the ethics consultation process across the medical system, and (3) to establish an effective educational tool for trainers and trainees in clinical ethics consultation. The checklist was developed after a thorough literature review and an iterative process of revising and testing by a group of experienced ethics consultants. To pilot test the checklist, it was distributed to 46 ethics consultants. After a six-month pilot period in which ethics professionals used the checklist during their clinical activities, a survey was distributed to all of those who used the checklist. The 10-item survey examined consultants’ perceptions regarding the three aims listed above. Of the 25 survey respondents, 11 self-reported as experts in ethics consultation, nine perceived themselves to have mid-level expertise, and five self-reported as novices. The majority (68 percent) of all respondents, regardless of expertise, believed that the checklist could be a “helpful” or “very helpful” tool in the consultation process generally. Novices were more likely than experts to believe that the checklist would be useful in conducting consultations. The limitations of this study include: reduced generalizability given that this project was conducted at one medical system, utilized a small sample size, and used self-reported quality outcome measures. Despite these limitations, to the authors’ knowledge this is the first investigatation of the use of a checklist systematically to improve quality in ethics consultation. Importantly, our findings shed light on ways this checklist can be used to improve ethics consultation, including its use as an educational tool. The authors hope to test the checklist with consultants in other healthcare systems to explore its usefulness in different healthcare environments. (shrink)

We describe and analyze 13 cases handled by our ethics consultation service (ECS) in which families requested continuation of physiological support for loved ones after death by neurological criteria (DNC) had been declared. These ethics consultations took place between 2005 and 2013. Patients’ ages ranged from 14 to 85. Continued mechanical ventilation was the focal intervention sought by all families. The ECS’s advice and recommendations generally promoted “reasonable accommodation” of the requests, balancing compassion for grieving families with other ethical and (...) moral concerns such as stewardship of resources, professional integrity, and moral distress. In cases we characterized as finitegoal accommodation, a “reasonable accommodation” strategy proved effective in balancing stakeholders’ interests and goals, enabling steady progress toward resolution. When a family objected outright to a declaration of DNC and asked for an indefinite accommodation, the “reasonable accommodation” approach offered clinicians little practical direction, and resolution required definitive action by either the family or the clinical team. Based on our analysis and reflections on these 13 cases, we propose ethically justified and practical guidelines to assist healthcare professionals, administrators, and ECSs faced with similar cases. (shrink)

Some research is too risky to be conducted on anyone whose life expectancy is more than a few hours. Yet sometimes, the research can still be carried out using subjects who are brain dead or are soon to undergo a terminal wean, and who have articulated values that inclusion in the study can honor. So argues a team of ethicists and researchers at M.D. Anderson Cancer Center, where such research was recently undertaken.

Some research is too risky to be conducted on anyone whose life expectancy is more than a few hours. Yet sometimes, the research can still be carried out using subjects who are brain dead or are soon to undergo a terminal wean, and who have articulated values that inclusion in the study can honor. So argues a team of ethicists and researchers at M.D. Anderson Cancer Center, where such research was recently undertaken.

Access to investigational drugs is a concern to patients and regulatory agencies. In order to determine potential trial participants’ views on access to investigational drugs, we surveyed one hundred people who had been referred to a phase I clinical trial. Most respondents indicated that patients had a right to investigational drugs, that the drugs should be offered only in the context of research, that getting access to these drugs is too hard, and that knowing the right people and being persistent (...) increased the likelihood of gaining access. Respondents did not think that investigational drugs should be given to anyone who wanted them, or that physicians were aware of the latest investigational agents. They most frequently recommended two allocation criteria: offering investigational drugs to those who would benefit most or were most needy; and allocating them to maximize scientific advancement. Respondents who understood the purpose of the trial were more likely to choose the second criterion. (shrink)

The collection presents a variety of promising new directions in Royce scholarship from an international group of scholars, including historical reinterpretations, explorations of Royce's ethics of loyalty and religious philosophy, and contemporary applications of his ideas in psychology, the problem of reference, neo-pragmatism, and literary aesthetics.

Several theorists have observed that attitude reports have what we call “revisionist” uses. For example, even if Pete has never met Ann and has no idea that she exists, Jane can still say to Jim ‘Pete believes Ann can learn to play tennis in ten lessons’ if Pete believes all 6-year-olds can learn to play tennis in ten lessons and it is part of Jane and Jim’s background knowledge that Ann is a 6-year-old. Jane’s assertion seems acceptable because the claim (...) she reports Pete as believing is entailed by Pete’s beliefs if they are revised in light of Jane and Jim’s background knowledge. We provide a semantic theory of revisionist reports based on this idea. We observe that the admissible “revisions” are limited in a striking way. Jane cannot say ‘Pete thinks Ann is a 6-year-old and can play tennis in ten lessons’ in the same context that she can say ‘Pete believes Ann can learn to play tennis ten lessons’, even though this too follows from Jane and Jim’s background knowledge together with what Pete believes. Our theory predicts the infelicity of these latter reports. It also has the resources to predict the truth of “exported” attitude reports and casts the relationship between these reports and “singular thought” in a new light. We conclude by discussing how revisionist reports make trouble for a simplistic view of the connection between the relations expressed by attitude verbs in natural language and the relations of most interest to philosophers of mind and cognitive science. (shrink)

Olivier Pelon et Anne Schmitt Étude en laboratoire des céramiques dites de Vassiliki (Crète orientale) p. 431-442. La céramique minoenne dite de Vassiliki est datée du Minoen Ancien II et se rencontre sur la plupart des sites crétois de cette époque ; très reconnaissable, elle se caractérise par un décor flammé constitué de plaques irrégulières, rouges orangées et noires. Pour la détermination de son lieu de production, on a procédé à l'étude chimique globale par fluorescence X, complétée par une (...) étude pétrographique, de divers échantillons provenant de Malia, de Myrtos-Pyrgos, de Myrtos-Fournou Koryphi et de Vassiliki même. Cette étude conduit à distinguer deux groupes de composition chimique différente. Le premier, bien représenté à Malia et à Vassiliki – ce qui autorise l'hypothèse d'échanges entre les deux sites –, pourrait provenir de Vassiliki. Le second, de facture beaucoup plus grossière et beaucoup plus abondant que le premier à Malia, est, selon toute vraisemblance, de provenance locale ; les caractéristiques de l'argile utilisée le rapprochent en effet de celle des formations métamorphiques du massif du Sélinari, à quelques kilomètres à l'Est du site. (shrink)

Are LLMs cultural technologies like photocopiers or printing presses, which transmit information but cannot create new content? A challenge for this idea, which we call bibliotechnism, is that LLMs generate novel text. We begin with a defense of bibliotechnism, showing how even novel text may inherit its meaning from original human-generated text. We then argue that bibliotechnism faces an independent challenge from examples in which LLMs generate novel reference, using new names to refer to new entities. Such examples could be (...) explained if LLMs were not cultural technologies but had beliefs, desires, and intentions. According to interpretationism in the philosophy of mind, a system has such attitudes if and only if its behavior is well explained by the hypothesis that it does. Interpretationists may hold that LLMs have attitudes, and thus have a simple solution to the novel reference problem. We emphasize, however, that interpretationism is compatible with very simple creatures having attitudes and differs sharply from views that presuppose these attitudes require onsciousness, sentience, or intelligence (topics about which we make no claims). (shrink)

I present a new puzzle about choice under uncertainty for agents whose preferences are sensitive to multiple dimensions of outcomes in such a way as to be incomplete. In response, I develop a new theory of choice under uncertainty for incomplete preferences. I connect the puzzle to central questions in epistemology about the nature of rational requirements, and ask whether it shows that preferences are rationally required to be complete.

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 39.4 (2001) 603-604 [Access article in PDF] Irving Singer. George Santayana, Literary Philosopher. New Haven: Yale University Press, 2000. Pp. xiii + 217. Cloth, $25.00. In a prefatory comment, Irving Singer affirms that George Santayana, Literary Philosopher is "an introduction to the part of Santayana's philosophy that has meant the most to me" (xii). The locus of this personal interest, he goes on (...) to say, is in the "humanistic relevance" of Santayana's work. Singer's fruitful reflections on Santayana's literary genius, as well as the great philosopher's depth of critical insight with regard to aesthetics, literature, and love, all testify to this humanistic interest.Singer's examinations of Santayana's critical and fictional works are as accessible as they are interesting, a characteristic which alone recommends the book for readers interested in gaining an introductory understanding. Equally important however is the fact that Singer's reflections lend themselves to a much larger academic audience as well. Santayana's work is revealed, correctly, to be not only relevant to the philosophical community, but to contain contributional elements that are of interest to criticism in both literature and art.This does not mean that Singer avoids criticizing Santayana's philosophy. To the contrary, he levels a key criticism that begs response. Singer believes Santayana is incapable of accounting for interpersonal love. According to Singer, Santayana's deficiency in this regard is due to his belief that "[other] individuals are merely the vehicle [End Page 603] to some cherished ideal" (124). More specifically, Singer holds that Santayana's account of the realization of interpersonal love is restricted by an unnecessary dualism: the gratification of material desires (like Freud), and the distanced contemplation of an ideal (like Plato).This familiar dualism might be referred to as the "desire-renunciation" formula Santayana employs throughout his work in an attempt to pay equal respect to the material ground, and the contrasting ideal groundlessness of all things. For Santayana, the oscillation between desire and renunciation is so obviously reflected in individual aspirations, and in the general course of every human life that, for the philosopher, the task is not to attempt to justify one or the other, but to reconcile them. For Singer however, Santayana ultimately fails in this attempt: "...[Santayana's] attempt to unify Platonism and naturalism fails as philosophy..." (x). He charges that the structure of Santayana's philosophy "fails to show us how people can overcome the split between matter and spirit." Thus, Singer's divergence from Santayana derives from an overall rejection of the philosophical soundness of his work (favoring its humanistic appeal), and from his feeling that Santayana's philosophy never achieves the reconciliation it sets out as its goal. But these charges are unjust, and they seem to arise from an insufficient account of Santayana's doctrine of essence as it relates to his understanding of love.For Singer, "persons" rather than essences (or ideals) are the irreducible themes of human interest: "...loving is not the same as desiring. We desire things or persons for what they can give us, for satisfactions we hope they will provide. In loving anyone, however, we take an interest in that person, as a person and not just as a vehicle to something else" (91). But the implicit charge of this claim, namely, that Santayana's preference for essences as the irreducible themes of human interest results in the view that humans are incapable of loving persons-qua-persons (but only qua-essences), is simply wrong; and, importantly, reflective of a misunderstanding of Santayana's doctrine of essence.Santayana is consistent in his affirmation that in youth, when the demand to act is acute, it is sane to cry and to beat one's fists against the world, while with time and experience, such heated displays become tragic and even unbecoming. The same is true for Santayana with respect to love. It is wisdom reflective of the love of all things to laugh (ironically) at what was in youth an irremediable demand for the love of particular... (shrink)

An action is agentially perfect if and only if, if a person tries to perform it, they succeed, and, if a person performs it, they try to. We argue that trying itself is agentially perfect: if a person tries to try to do something, they try to do it; and, if a person tries to do something, they try to try to do it. We show how this claim sheds new light on the logical structure of intentional action, on the (...) question of whether basic actions are tryings, and on the notion of “options” in decision theory. On the way to these central ideas, we argue that a person can try to do something even if they believe it is impossible that they will succeed, that a person can try to do something even if they do not want to succeed, and that a person can try to do something even if they do not intend to succeed. (shrink)

Under Any Sky: Contemporary Readings of George Santayana is a testament to the cross-cultural relevance of the work of one of the leading intellectuals of the twentieth century, George Santayana. A list of geographic origins of the twenty-two contributions contained in this volume indicates the transatlantic cultural diversity of scholarly representation: scholars variously hailing from Canada, Germany, Italy, Spain, Poland, Slovakia, and Switzerland, and from the United States, representing three of its major regions. The authors explore the major plots of (...) Santayana's thinking, including materialistic Platonism in ontology, skepticism in epistemology, rationality in social philosophy, naturalism in aesthetics, piety in materialism, and literary and poetic expression as a means to cosmic understanding. After a preface by Professor John Lachs, and an editorial introduction, the book is divided into three respective thematic parts: I. Ontology and Naturalism; II. Culture, Society, America; and III. Aesthetics, Poetry, and Spirit. Before each thematic section brief introductions of the section papers is provided to accommodate specific scholarly interests. The authors entrust the present volume to readers appreciative of the philosophic catholicity of the subject's work, invoking the book title which is taken from the preface of Santayana's mature system of philosophy, Scepticism and Animal Faith: "In the past or in the future, my language and my borrowed knowledge would have been different, but under whatever sky I had been born, since it is the same sky, I should have had the same philosophy". (shrink)

Consider the sentence “Lois knows that Superman flies, but she doesn’t know that Clark flies”. In this paper we defend a Millian contextualist semantics for propositional attitude ascriptions, according to which ordinary uses of this sentence are true but involve a mid-sentence shift in context. Absent any constraints on the relevant parameters of context sensitivity, such a semantics would be untenable: it would undermine the good standing of systematic theorizing about the propositional attitudes, trivializing many of the central questions of (...) epistemology, the philosophy of mind, and the philosophy of action. In response to this problem, we prove a series of tenability results. We show that, given certain constraints on the parameters of context sensitivity, there is a broad class of principles of propositional attitude psychology whose good standing follows from corresponding claims about people’s mental representations. But these constraints also have some surprising consequences: they are jointly incompatible with coarse-grained theories of propositions, and they are in tension with a natural picture of how speakers and hearers coordinate on the interpretation of attitude ascriptions. In light of these consequences we explore different ways in which the contextualist picture might be developed, and argue that our preferred way compares favorably with Fregeanism and neo-Russellianism. (shrink)

An important objection to preference-satisfaction theories of well-being is that these theories cannot make sense of interpersonal comparisons of well-being. A tradition dating back to Harsanyi () attempts to respond to this objection by appeal to so-called extended preferences: very roughly, preferences over situations whose description includes agents’ preferences. This paper examines the prospects for defending the preference-satisfaction theory via this extended preferences program. We argue that making conceptual sense of extended preferences is less problematic than others have supposed, but (...) that even so extended preferences do not provide a promising way for the preference satisfaction theorist to make interpersonal well-being comparisons. Our main objection takes the form of a trilemma: depending on how the theory based on extended preferences is developed, either the result will be inconsistent with ordinary preference-satisfaction theory, or it will fail to recover sufficiently rich interpersonal well-being comparisons, or it will take on a number of other arguably odd and undesirable commitments. (shrink)

According to the structured theory of propositions, if two sentences express the same proposition, then they have the same syntactic structure, with corresponding syntactic constituents expressing the same entities. A number of philosophers have recently focused attention on a powerful argument against this theory, based on a result by Bertrand Russell, which shows that the theory of structured propositions is inconsistent in higher order-logic. This paper explores a response to this argument, which involves restricting the scope of the claim that (...) propositions are structured, so that it does not hold for all propositions whatsoever, but only for those which are expressible using closed sentences of a given formal language. We call this restricted principle Closed Structure, and show that it is consistent in classical higher-order logic. As a schematic principle, the strength of Closed Structure is dependent on the chosen language. For its consistency to be philosophically significant, it also needs to be consistent in every extension of the language which the theorist of structured propositions is apt to accept. But, we go on to show, Closed Structure is in fact inconsistent in a very natural extension of the standard language of higher-order logic, which adds resources for plural talk of propositions. We conclude that this particular strategy of restricting the scope of the claim that propositions are structured is not a compelling response to the argument based on Russell’s result, though we note that for some applications, for instance to propositional attitudes, a restricted thesis in the vicinity may hold some promise. (shrink)

An important objection to preference-satisfaction theories of well-being is that they cannot make sense of interpersonal comparisons. A tradition dating back to Harsanyi :434, 1953) attempts to solve this problem by appeal to people’s so-called extended preferences. This paper presents a new problem for the extended preferences program, related to Arrow’s celebrated impossibility theorem. We consider three ways in which the extended-preference theorist might avoid this problem, and recommend that she pursue one: developing aggregation rules that violate Arrow’s Independence of (...) Irrelevant Alternatives condition. (shrink)

This article explores Santayana's critique of Modern philosophy and its connections with his views of Nietzsche. The aim is to highlight, primarily, the importance of Santayana's critique for contemporary philosophers working in the shadow of Nietzsche. The resounding view of Nietzsche is that he is an anti, and/or postmodern thinker. Santayana's critique interestingly challenges this view.

In a recent article, Joel Marks presents the amoralist argument against vivisection, or animal laboratory experimentation. He argues that ethical theories that seek to uncover some universal morality are in fact useless and unnecessary for ethical deliberations meant to determine what constitutes an appropriate action in a specific circumstance. I agree with Marks’ conclusion. I too believe that vivisection is indefensible, both from a scientific and philosophical perspective. I also believe that we should become vegan (unfortunately, like the two philosophers (...) mentioned by Marks, I too am still struggling to reduce my meat and dairy consumption). However, I am in the dark as to Marks’ vision of normative deliberations in the spirit of amoralism and desirism. (shrink)

Dans la genese de sa constitution, la philosophie n'a pu faire l'economie d'une confrontation avec la musique qui fournissait aux anciens Grecs les schemes fondamentaux de la culture. De cette confrontation Platon est le temoin. Scindant la musique, il privilegie l'Harmonique, qui en est la partie theorique, sans toutefois lui reconnaitre la titre de science supreme. Correlativement, il condamne comme dysharmonie, tumulte fracassant et perturbateur de l'ordre cosmique, l'harmonie chromaticiste dont il s'emploie, non sans paradoxe, a decrire le detail. Par (...) cette lecture en filigrane des Dialogues de Platon, l'auteur se propose de reconstruire la pensee qui procede de l'harmonie chromaticiste et de montrer son importance dans l'elaboration de la philosophie fondatrice. Au carrefour des disciplines du savoir antique, ce livre s'adresse non seulement aux philosophes, mais aussi a tous ceux qui, musiciens ou stylisticiens, s'interessent a la forme musicale. (shrink)

We provide a general argument against value incomparability, based on a new style of impossibility result. In particular, we show that, against plausible background assumptions, value incomparability creates an incompatibility between two very plausible principles for ranking lotteries: a weak "negative dominance" principle (to the effect that Lottery 1 can be better than Lottery 2 only if some possible outcome of Lottery 1 is better than some possible outcome of Lottery 2) and a weak form of ex ante Pareto (to (...) the effect that, if Lottery 1 gives an unambiguously better prospect to some individuals than Lottery 2, and equally good prospects to everyone else, then Lottery 1 is better than Lottery 2). After spelling out our results, and the arguments based on them, we consider which principle the proponent of incomparability ought to reject. (shrink)

We show that, contrary to conventional wisdom, Frege’s distinction between sense and reference does not reconcile a classical logic of identity with apparent counterexamples to it involving proper names embedded under propositional attitude verbs.

Philosophy and Phenomenological Research, EarlyView.

The impossibility theorem of Dekel, Lipman and Rustichini has been thought to demonstrate that standard state-space models cannot be used to represent unawareness. We first show that Dekel, Lipman and Rustichini do not establish this claim. We then distinguish three notions of awareness, and argue that although one of them may not be adequately modeled using standard state spaces, there is no reason to think that standard state spaces cannot provide models of the other two notions. In fact, standard space (...) models of these forms of awareness are attractively simple. They allow us to prove completeness and decidability results with ease, to carry over standard techniques from decision theory, and to add propositional quantifiers straightforwardly. (shrink)

One Health is a novel paradigm that recognizes that human and non-human animal health is interlinked through our shared environment. Increasingly prominent in public health responses to zoonoses, OH differs from traditional approaches to animal-borne infectious risks, because it also aims to promote the health of animals and ecological systems. Despite the widespread adoption of OH, culling remains a key component of institutional responses to the risks of zoonoses. Using the threats posed by highly pathogenic avian influenza viruses to human (...) and animal health, economic activity and food security as a case exemplar, we explore whether culling and other standard control measures for animal-borne infectious disease might be justified as part of OH approaches. Our central premise is that OH requires us to reformulate ‘health’ as universal good that is best shared across species boundaries such that human health and well-being are contingent upon identifying and meeting the relevant sets of human and non-human interests and shared dependencies. Our purpose is to further nascent discussions about the ethical dimensions of OH and begin to describe the principles around which a public health agenda that truly seeks to co-promote human and non-human health could potentially begin to be implemented. (shrink)

This letter replies to the letter “Colonial and Neocolonial Barriers to Companion Digital Humans in Africa,” by Luís Cordeiro‐Rodrigues, in the same, May‐June 2024, issue of the Hastings Center Report.

The naive theory of properties states that for every condition there is a property instantiated by exactly the things which satisfy that condition. The naive theory of properties is inconsistent in classical logic, but there are many ways to obtain consistent naive theories of properties in nonclassical logics. The naive theory of classes adds to the naive theory of properties an extensionality rule or axiom, which states roughly that if two classes have exactly the same members, they are identical. In (...) this paper we examine the prospects for obtaining a satisfactory naive theory of classes. We start from a result by Ross Brady, which demonstrates the consistency of something resembling a naive theory of classes. We generalize Brady’s result somewhat and extend it to a recent system developed by Andrew Bacon. All of the theories we prove consistent contain an extensionality rule or axiom. But we argue that given the background logics, the relevant extensionality principles are too weak. For example, in some of these theories, there are universal classes which are not declared coextensive. We elucidate some very modest demands on extensionality, designed to rule out this kind of pathology. But we close by proving that even these modest demands cannot be jointly satisfied. In light of this new impossibility result, the prospects for a naive theory of classes are bleak. (shrink)

Some people commonly know a proposition just in case they all know it, they all know that they all know it, they all know that they all know that they all know it, and so on. They commonly believe a proposition just in case they all believe it, they all believe that they all believe it, they all believe that they all believe that they all believe it, and so on. A long tradition in economic theory, theoretical computer science, linguistics (...) and philosophy has held that people have some approximation of common knowledge or common belief in a range of circumstances, for example, when they are looking at an object together, or when they have just discussed something explicitly in conversation. In this paper, I argue that people do not have any approximation of common knowledge or common belief in these circumstances. The argument suggests that people never have any approximation of common knowledge or common belief. (shrink)