The best studies on the relationship between pharmaceutical corporations and medicine have recognized that it is an ambiguous one. Yet most scholarship has pursued a simpler, more saleable narrative in which pharma is a scheming villain and medicine its maidenly victim. In this article, I argue that such crude moral framing blunts understanding of the murky realities of medicine's relationship with pharma and, in consequence, holds back reform. My goal is to put matters right in respect to one critical area (...) of scholarly interest, the medical journal publication.Pharma relies on peer advocacy to sell its wares to prescribing doctors. This is an arrangement in which clinicians’ qualified colleagues, including “key opinion leaders,” are recruited by pharmaceutical corporations and marketing agencies to deliver commercially expedient content to their professional fellows. Precisely how this practice works in the setting of publications is not well understood because ethicists studying the problem have made too much of the narrative of corporate villainy and medical victimhood. Accordingly, criticism of industry publications has been preoccupied with the crudely dishonest practices of ghostwriting, ghost authorship, and “ghost management,” vices condemned as “dirty little secrets” perpetrated from “behind the scenes” with the connivance of academic “shills” or “guest authors,” in contempt of standards set by the International Committee of Medical Journal Editors. This account is appealing, and yet it is wrong or, at the very least, seriously incomplete, with only limited relevance to the actualities of contemporary industry practices. In truth, many commercial publications are not developed in secret but fashioned within a culture of open collaboration, where academic authors make substantial, independent contributions; pharmaceutical companies are showcased rather than hidden; and medicine's editorial standards assist rather than impede the workings of commerce. (shrink)

BackgroundThe International Committee of Medical Journal Editors Recommendations set ethical and editorial standards for article publication in most leading medical journals. Here, I examine the strengths and weaknesses of the Recommendations in the prevention of commercial bias in industry-financed journal literature, on three levels – scholarly discourse, article content, and article attribution.DiscussionWith respect to overall discourse, the most important measures in the ICMJE Recommendations are for enforcing clinical trial registration and controlling duplicate publication. With respect to article content, the ICMJE (...) promotes stringent author accountability and adherence to established reporting standards. However, the ICMJE accepts the use of commercial editorial teams to produce manuscripts, which is a potential source of bias, and accepts private company ownership and analysis of clinical trial data. New ICMJE guidance on data sharing will address but not eliminate problems of commercial data access. With respect to attribution, the Recommendations oppose guest authorship and encourage clear documentation of author contributions. However, they exclude writers from coauthorship; provide no specific advice on the attribution of commercial literature, for instance with respect to company authorship, author sequence or prominent commercial labeling; and endorse the use of fine print and euphemism. The ICMJE requires detailed author interest disclosures, but overlooks the interests of non-authors and companies, and does not recommend that interests most salient to the publication are highlighted. Together, these weaknesses facilitate “advocacy”-based marketing, in which literature planned, financed and produced by companies is fronted by academics, enabling commercial messages to be presented to customers by their respected clinical peers rather than companies themselves.ConclusionsThe ICMJE Recommendations set important research and reporting standards, without which commercial bias would likely be a significantly greater problem than it is today. However, they also support practices of commercial data control, content development and attribution that run counter to science’s values of openness, objectivity and truthfulness. These weaknesses could be addressed with appropriate modifications to the Recommendations. The ICMJE should also disclose its own commercial interests and funding – not least because publishing organizations that finance it and pay the salaries of some member editors derive substantial revenues from industry. (shrink)

BackgroundThe International Committee of Medical Journal Editors Recommendations set ethical and editorial standards for article publication in most leading medical journals. Here, I examine the strengths and weaknesses of the Recommendations in the prevention of commercial bias in industry-financed journal literature, on three levels – scholarly discourse, article content, and article attribution.DiscussionWith respect to overall discourse, the most important measures in the ICMJE Recommendations are for enforcing clinical trial registration and controlling duplicate publication. With respect to article content, the ICMJE (...) promotes stringent author accountability and adherence to established reporting standards. However, the ICMJE accepts the use of commercial editorial teams to produce manuscripts, which is a potential source of bias, and accepts private company ownership and analysis of clinical trial data. New ICMJE guidance on data sharing will address but not eliminate problems of commercial data access. With respect to attribution, the Recommendations oppose guest authorship and encourage clear documentation of author contributions. However, they exclude writers from coauthorship; provide no specific advice on the attribution of commercial literature, for instance with respect to company authorship, author sequence or prominent commercial labeling; and endorse the use of fine print and euphemism. The ICMJE requires detailed author interest disclosures, but overlooks the interests of non-authors and companies, and does not recommend that interests most salient to the publication are highlighted. Together, these weaknesses facilitate “advocacy”-based marketing, in which literature planned, financed and produced by companies is fronted by academics, enabling commercial messages to be presented to customers by their respected clinical peers rather than companies themselves.ConclusionsThe ICMJE Recommendations set important research and reporting standards, without which commercial bias would likely be a significantly greater problem than it is today. However, they also support practices of commercial data control, content development and attribution that run counter to science’s values of openness, objectivity and truthfulness. These weaknesses could be addressed with appropriate modifications to the Recommendations. The ICMJE should also disclose its own commercial interests and funding – not least because publishing organizations that finance it and pay the salaries of some member editors derive substantial revenues from industry. (shrink)

This article explores three ways in which physics may involve counterpossible reasoning. The first way arises when evaluating false theories: to say what the world would be like if the theory were true, we need to evaluate counterfactuals with physically impossible antecedents. The second way relates to the role of counterfactuals in characterizing causal structure: to say what causes what in physics, we need to make reference to physically impossible scenarios. The third way is novel: to model metaphysical dependence in (...) physics, we need to consider counterfactual consequences of metaphysical impossibilities. Physics accordingly bears substantial and surprising counterpossible commitments. (shrink)

The critique of psychologism -- Phenomenology and other 'eidetic sciences' -- Phenomenology and transcendental philosophy -- The transcendental reduction -- The structure of intentionality -- Intuition, evidence, and truth -- Categorial intuition and ideation (eidetic seeing) -- Time-consciousness -- The ego and selfhood -- Intersubjectivity -- The crisis of the sciences and the idea of the 'lifeworld' -- Conclusion: mastering Husserl.

In this paper, I first consider three possible explanations for why celebrities typically apologise publicly and sometimes also include their fans among the targets of their apology. I then identify three moral dangers of celebrity apologies, the third of which arises specifically for fan-targeted apologies, and each of which teaches us important lessons about the practice of celebrity apologies. From these individual lessons, I draw more general lessons about apologies from those with elevated social positions and the powers they are (...) associated with. (shrink)

This chapter examines the ways in which the debates about the epistemic significance of disagreement are debates about the nature and impact of higher-order evidence.

Kierkegaard and Philosophy makes many of the most important papers on Kierkegaard available in one place for the first time. These seventeen essays, written over a period of over twenty years, have all been substantially revised or specially prepared for this collection, with a new introduction by the author. In the first part, Alastair Hannay concentrates on Kierkegaard's central philosophical writings, offering closely text-based accounts of the slient concepts Kierkegaard uses. The second part shows the relevance of other thinkers' (...) treatments of shared themes, pointing our where they differ from Kierkegaard. The concluding chapter provides a reason Kierkegaard himself would give for disagreeing with those who claim his texts are infinitely interpretable. Written by the world's foremost Kierkegaard scholar and translator, Kierkegaard and Philosophy is an indispensible resource for all students of Kierkegaard's work. (shrink)

First Published in 2004. Routledge is an imprint of Taylor & Francis, an informa company.

In this introduction we explore a number of puzzles that arise concerning epistemic autonomy, and introduce the sections and chapters of the book. There are four broad types of puzzles to be explored, corresponding to the four sections of the book. The first set of puzzles concerns the nature of epistemic autonomy. Here, questions arise such as what is epistemic autonomy? Is epistemic autonomy valuable? What are we epistemically autonomous about? The second set of puzzles concern epistemic paternalism. Paternalistic acts (...) interfere with an agent’s autonomy. Here, questions arise concerning the permissibility of epistemic paternalism as well the extension of epistemically paternalistic acts. The third set of puzzles concerns the relation of epistemic autonomy to epistemic value and to intellectual virtues and vices. Is there epistemic value to being epistemically autonomous? How does epistemic autonomy relate to different intellectual virtues and vices? Finally, the fourth set of puzzles concerns the role of epistemic autonomy within a social epistemology. How does epistemic autonomy square with a reliance on expertise? Does thinking about epistemic autonomy add to the debates about the epistemic significance of disagreement or epistemic injustice? (shrink)

In this chapter I develop and motivate and account of epistemic autonomy as an intellectual character virtue. In Section one, I clarify the concept of an intellectual virtue and character intellectual virtues in particular. In Section two, I clear away some misconceptions about epistemic autonomy to better focus on our target. In Section three, I examine and evaluate several extant accounts of the virtue of epistemic autonomy, noting problems with each. In Section four, I provide my positive account of the (...) virtue of epistemic autonomy and explain how it meets the desiderata for such an account while avoiding the problems with extant accounts. Finally, in Section five, I fill the account out by digging into the factors that guide epistemically autonomous agents in having an appropriate reliance on their own thinking. (shrink)

Deftly quilting themes of Latin American and feminist liberation theologies with those of philosophers such as Immanuel Kant and John Rawls, Alastair V. Campbell displays our rich interconnectedness and our moral responsibilities to one another. Suggesting that many American citizens are oppressed by our current health-care system, he contends that prior to questions of health-care allocation are questions of what we mean as a society by the term health--and how that term is inextricably linked to personal and social freedom (...) and liberation. In the forceful final chapter of the book, Campbell articulates ethical standards for just health-care delivery in the United States--standards that, above all, take account of deep religious faith and concern for one's neighbor. Health as Liberation is a critical analysis of justice and modern health care, and of a society's moral obligations to its citizens. (shrink)

This unique Handbook provides a sophisticated, scholarly overview of the most advanced thought regarding the idea of life after death. Its comprehensive coverage encompasses historical, religious, philosophical and scientific thinking. Starting with an overview of ancient thought on the topic, The Palgrave Handbook of the Afterlife examines in detail the philosophical coherence of the main traditional notions of the nature of the afterlife including heaven, hell, purgatory and rebirth. In addition (and breaking with traditional conceptions) it also explores the most (...) recent exciting advance – digital models. Later sections include analysis of various possible metaphysical accounts that might make sense of the afterlife (including substance dualism, emergent dualism and materialism) and the science of near death experiences as well as the links between human psychology and our attitude to the afterlife. Key features: • Grounded in the most advanced philosophical, theological and scientific thinking • Contributions by eminent scholars from the world’s top universities • Balanced treatment of fundamental issues that are relevant to everyone • Diverse approaches ranging from the religious to the scientific, from the optimistic to the pessimistic • A major section on the meaning of the afterlife which includes chapters on fear, purpose, evil, and issues regarding identity The Palgrave Handbook of the Afterlife is essential reading for scholars, researchers and advanced students researching attitudes to and effects of beliefs about death and life after death from philosophical, historical, religious, psychological and scientific perspectives. (shrink)

This book equips readers with a sound understanding of the value-base of mental health care and provides them with the skills and knowledge to demystify complex values in decision-making in order to reach outcomes which are focused on the needs of service users. Engaging case examples and exercises link theory and practice throughout.

Thanks to pioneering work in the mid to late twentieth century by the likes of Elizabeth Anscombe, Alasdair MacIntyre, Michael Slote, Philippa Foot, and Rosalind Hursthouse, virtue ethics has estab...

There is a systematic and suggestive analogy between grounding and causation. In my view, this analogy is no coincidence. Grounding and causation are alike because grounding is a type of causation: metaphysical causation. In this paper I defend the identification of grounding with metaphysical causation, drawing on the causation literature to explore systematic connections between grounding and metaphysical dependence counterfactuals, and I outline a non-reductive counterfactual theory of grounding along interventionist lines.

This book defends a radical new theory of contingency as a physical phenomenon. Drawing on the many-worlds approach to quantum theory and cutting-edge metaphysics and philosophy of science, it argues that quantum theories are best understood as telling us about the space of genuine possibilities, rather than as telling us solely about actuality. When quantum physics is taken seriously in the way first proposed by Hugh Everett III, it provides the resources for a new systematic metaphysical framework encompassing possibility, necessity, (...) actuality, chance, counterfactuals, and a host of related modal notions. -/- Rationalist metaphysicians argue that the metaphysics of modality is strictly prior to any scientific investigation; metaphysics establishes which worlds are possible, and physics merely checks which of these worlds is actual. Naturalistic metaphysicians respond that science may discover new possibilities and new impossibilities. This book's quantum theory of contingency takes naturalistic metaphysics one step further, allowing that science may discover what it is to be possible. As electromagnetism revealed the nature of light, as acoustics revealed the nature of sound, as statistical mechanics revealed the nature of heat, so quantum physics reveals the nature of contingency. (shrink)

In 1988, Michael Nyman composed the score for Peter Greenaway’s film Drowning by Numbers (or did something that we would ordinarily think of as composing that score). We can think of Nyman’s compositional activity as a “generative performance” and of the sound structure that Nyman indicated (or of some other abstract object that is appropriately related to that sound structure) as the product generated by that performance (ix).1 According to one view, Nyman’s score for Drowning by the Numbers—the musical work—is (...) the product generated by Nyman’s compositional activity (namely, an abstract object) and, more generally, artworks are identified with the products generated by compositional or other creative activities. Let’s call this view The Product Theory. By contrast, according to another view, Nyman’s score for Drowning by Numbers is the generative performance itself (namely, Nyman’s compositional activity) and, more generally, artworks are identified with generative performances themselves. Following David Davies in Art as Performance, let’s call this view The Performance Theory (80). In that book, Davies argues for The Performance Theory and against The Product Theory. (shrink)

Media outlets, industry researchers, and policy-makers are today busily extolling new robotic advances that promise to transform agriculture, bringing us ever closer to self-farming farms. Yet such techno-optimist discourse ignores the cautionary lessons of past attempts to mechanize farms. Adapting the Social Construction of Technology framework, we trace the history of efforts to replace human labor with machine labor on fruit, nut, and vegetable farms in California between 1945 and 1980—a place and time during which a post-WWII culture of faith (...) in the beneficence of technoscience applications to agriculture reached an apex. The degree to which and forms whereby mechanization gains momentum hinges on whether, how, and among whom a technological frame for mimicking human capabilities and supplanting workers coalesces. These frames, we find, vary considerably across crops, reflecting complex interactions of biology, farmer and farm worker behavior, industry supply chains, agricultural research and development, financial flows, and beliefs about labor, race, gender, and immigration. To tease out these complex dynamics, we draw directly from archival evidence to follow the development of cultivation and harvest machines through four cases spanning a spectrum of outcomes—tomatoes, nuts, peaches, and lettuce. In comparing across these cases, we find that although agricultural engineers, scientists, and their boosters framed mechanization as a triumphal narrative of progress in ‘human vs. nature’ conflicts, this techno-optimist rhetoric camouflaged deeper ‘human vs. human’ conflicts, particularly among agribusiness, farmers, and farm workers. We conclude with several insights that this historical study brings to the study of agricultural automation today. (shrink)

How do people form beliefs, and how should they do so? This book presents seventeen new essays on these questions, drawing together perspectives from philosophy and psychology. The first section explores the ethics of belief from an individualistic framework. It begins by examining the question of doxastic voluntarism-i.e., the extent to which people have control over their beliefs. It then shifts to focusing on the kinds of character that epistemic agents should cultivate, what their epistemic ends ought to be, and (...) the way in which these issues are related to other traditional questions in epistemology. The section concludes by examining questions of epistemic value, of whether knowledge is in some sense primary, and of whether the ethics of belief falls within the domain of epistemology or ethics. The second section extends this traditional debate to issues concerning the social dimensions of belief formation. It begins with essays by social psychologists discussing the past three decades of research in 'lay epistemics'. It continues by examining Humean, Kantian, and feminist insights into the social aspects of belief formation, as well as questions concerning the ethics of assertion. The section concludes with a series of essays examining a topic that is currently of great interest to epistemologists: namely, the significance of peer disagreement. (shrink)

How might people be wronged in relation to their feelings, moods, and emotions? Recently philosophers have begun to investigate the idea that these kinds of wrongs may constitute a distinctive form of injustice: affective injustice (Archer & Mills 2019; Mills 2019; Srinivasan 2018; Whitney 2018). In previous work, we have outlined a particular form of affective injustice that we called emotional imperialism (Archer & Matheson 2022). This paper has two main aims. First, we aim to provide an expanded account (...) of the forms that emotional imperialism can take. We will do so by drawing inspiration from William Reddy’s concept of an emotional regime and investigating ways in which colonial powers of the 18th to 20th Centuries sought to impose their emotional regimes on their colonial subjects. Second, we will offer more expansive accounts of both emotional imperialism and affective injustice that can accommodate these additional forms of emotional imperialism. (shrink)

The Northern Irish footballer James McClean chooses not to take part in the practice of wearing a plastic red poppy to commemorate those who have died fighting for the British Armed Forces. Each year he faces abuse, including occasional death threats, for his choice. This forms part of a wider trend towards ‘poppy enforcement’, the pressuring of people, particularly public figures, to wear the poppy. This enforcement seems wrong in part because, at least in some cases, it involves abuse. But (...) is there anything else wrong with it? We will consider the various ways the existing literature on the ethics of commemoration might help us understand what is wrong with poppy enforcement. We will argue that this cannot provide a complete account of what is wrong with poppy enforcement. We then argue that such pressure can constitute two distinct forms of affective injustice, which are wrongs done to people specifically in their capacity as affective beings. In McClean’s case, we argue first that poppy enforcement is a violation of affective rights and second that he faces a particular type of affective injustice that we call emotional imperialism. (shrink)

In this paper, I present a dilemma for those who believe in the afterlife: either we won’t survive death (or an eternal life) in the sense that most matters to us or we will become bored if we do. First, I argue that even if we – in a strict sense – survive death, there is practical sense in which we don’t survive death. This applies, I contend, to all accounts of the afterlife that: eventually, we lose our practical identity. (...) I show that our practical identity is more important to us than our numerical identity. But, as we’ll see, our practical identity is not just lost in an afterlife, but also with an eternal or immortal life. Theists have a strategy to resist this line of argument: they can argue that God will help us to retain our current practical identities. However, those that pursue this line of argument fall onto the second horn of my proposed dilemma: if we cannot change our practical identities then it seems that eventually we will become bored, and eternally so. (shrink)

In disputes about the ontology of music, musical idealism—that is, the view that musical compositions are ideas—has proven to be rather unpopular. We argue that, once we have a better grip on the ontology of ideas, we can formulate a version of musical idealism that is not only defensible, but plausible and attractive. We conclude that compositions are a particular kind of idea: they are completed ideas for musical manifestation.

The evolutionary framework suggested by Müller & Schumann (M&S) can be extended further by considering drug-taking in terms of Niche Construction Theory (NCT). It is suggested here that genetic and environmental components of addiction are modified by cultural acceptance of the advantages of non-addicted drug taking and the legitimate supply of performance-enhancing drugs. This may then reduce the prevalence of addiction.

Following WWII the French state deployed television as an instrument of nation-building. The televising of philosophy, visible in 3500 programs aired between 1951 and 1999, contributed to this project. This article examines forty philosophy shows produced for national broadcast in France during the 1960s. It argues that philosophy's dialogic structure rendered it suited to capitalize on television technology. These shows (featuring Hyppolite, Canguilhem, Ricoeur, Foucault and Badiou) also demonstrate how the state used philosophy to reify an image of national superiority (...) at a time when, under the impress of decolonization and modernization, France's role in the global arena was in question. (shrink)

This article examines the central epistemological issues tied to the recognition of disagreement.

Is it appropriate to honour and admire people who have created great works of art, made important intellectual contributions, performed great sporting feats or shaped the history of a nation if those people have also acted immorally? This book provides a philosophical investigation of this important and timely question. -/- The authors draw on the latest research from ethics, value theory, philosophy of emotion, social philosophy and social psychology to develop and substantiate arguments that have been made in the public (...) debates about this issue. They offer a detailed analysis of the nature and ethics of honour and admiration, and present reasons both in favor and against honouring and admiring the immoral. They also take on the important matter of whether we can separate the achievements of public figures from their immoral behavior. Ultimately, the authors reject a "one-size-fits-all" approach and argue that we must weigh up the reasons for and against honouring and admiring in each particular case. -/- Honouring and Admiring the Immoral is written in an accessible style that shows how philosophy can engage with public debates about important ethical issues. It will be of interest to scholars and students working in moral philosophy, philosophy of emotion, and social philosophy. (shrink)

If musical works are abstract objects, which cannot enter into causal relations, then how can we refer to musical works or know anything about them? Worse, how can any of our musical experiences be experiences of musical works? It would be nice to be able to sidestep these questions altogether. One way to do that would be to take musical works to be concrete objects. In this paper, we defend a theory according to which musical works are concrete objects. In (...) particular, the theory that we defend takes musical works to be fusions of performances. We defend this view from a series of objections, the first two of which are raised by Julian Dodd in a recent paper and the last of which is suggested by some comments of his in an earlier paper. (shrink)

How should we respond to historical figures who played an important role in their country’s history but have also perpetrated acts of great evil? Much of the existing philosophical literature on this topic has focused on explaining why it may be wrong to celebrate such figures. However, a common response that is made in popular discussions around these issues is that we should not judge historical figures by today’s standards. Our goal in this paper is to examine the most plausible (...) way to understand this objection. We will examine three different interpretations of this argument. First, we will examine a view we call Temporal Moral Relativism, according to which moral standards are relative to particular points in time. Next, we outline Blame Relativism, the view that people from the past may be excused from blame for acts of conventionalized wrongdoing. Finally, we outline Ideals Relativism, according to which our moral ideals are partially relative to the time in which we live. We argue that Ideals Relativism provides the most plausible interpretation of this argument. (shrink)

This paper outlines a non-reductive counterfactual account of grounding along interventionist lines, and uses the account to argue that taking grounding seriously requires ascribing non-trivial truth-conditions to a range of counterpossible counterfactuals. This result allows for a diagnosis of a route to scepticism about grounding, as deriving at least in part from scepticism about non-trivial counterpossible truth and falsity.

According to evidentialism, a subject is justified in believing a proposition at a time, just in case their evidence on balance supports that proposition at that time. Evidentialist justification is thus a property of fit – fitting the subject’s evidence. However, evidentialism does not evaluate the subject’s evidence beyond this relation of fit. For instance, evidentialism ignores whether the subject was responsible or negligent in their inquiry. A number of objections have been raised to evidentialism involving cases of irresponsible inquiry (...) and the relevance of unpossessed evidence. In this paper, I argue that while these objections miss their mark, they do help motivate a distinct, and richer, concept of epistemic justification. This different concept of justification, what I call ‘robust justification’, supplements the evidentialist account of epistemic justification with an assessment of the subject’s evidence with respect to their inquiry. According to this proposal, to be robustly justified in believing a proposition at a time, the subject’s evidence must support that proposition at that time and that evidence must be the result of the subject’s responsible inquiry. While robust justification is not necessary for knowledge, I argue that it is an independently valuable epistemic state. (shrink)

This article describes some of the main arguments for the existence of other minds, and intersubjectivity more generally, that depend upon a transcendental justification. This means that our focus will be largely on ‘continental’ philosophy, not only because of the abiding interest in this tradition in thematising intersubjectivity, but also because transcendental reasoning is close to ubiquitous in continental philosophy. Neither point holds for analytic philosophy. As such, this essay will introduce some of the important contributions of Edmund Husserl, Martin (...) Heidegger, Jean-Paul Sartre, Maurice Merleau-Ponty and Karl-Otto Apel, all of whom use transcendental reasoning as a key part of their analyses of intersubjectivity, and we also consider the work of Peter Strawson who does likewise in the analytic tradition. (shrink)

Can a musical work be created? Some say ‘no’. But, we argue, there is no handbook of universally accepted metaphysical truths that they can use to justify their answer. Others say ‘yes’. They have to find abstract objects that can plausibly be identified with musical works, show that abstract objects of this sort can be created, and show that such abstract objects can persist. But, we argue, none of the standard views about what a musical work is allows musical works (...) both to be created and to persist. (shrink)