Our goal in this article is to provide research-based strategies for embedding Nature of Science into science instruction at the elementary level. We thus intend to aid researchers, professional developers, and teachers in noting that not only is it important and possible to teach NOS at the elementary levels, but also that elementary students can learn ideas about NOS. The manuscript reviews research from the past two decades on what students of ages 5 to 12 understand about NOS after appropriate (...) instruction. Research-based teaching strategies are then shared to provide methods for researchers, professional developers, and teachers to improve students’ NOS understandings. These strategies include embedding NOS into existing curricula, using classroom interactions, using visual representations, and using students’ written work. (shrink)

Science lessons using inquiry only or history of science with inquiry were used for explicit reflective nature of science instruction for second-, third-, and fourth-grade students randomly assigned to receive one of the treatments. Students in both groups improved in their understanding of creative NOS, tentative NOS, empirical NOS, and subjective NOS as measured using VNOS-D as pre- and post-test surveys. Social and cultural context of science was not accessible for the students. Students in second, third, and fourth grades were (...) able to attain adequate views of empirical NOS, the role of observation and inference, creative and imaginative NOS, and subjective NOS. Students were not able to express adequate views of socially and culturally embedded NOS. Most gains in NOS eroded by the next school year, except for tentative NOS for both groups and creative NOS for the inquiry group. (shrink)

Federal law often avoids setting minimum standards for women’s health and reproductive rights issues, leaving legislative and regulatory gaps for the states to fill as they see fit. This has mixed results. It can lead to state innovation that improves state-level health outcomes, informs federal health reform, and provides data on best practices for other states. On the other hand, some states may use the absence of a federal floor to impose draconian policies that pose risks to women’s and maternal (...) health. Health reforms at the federal level must trod carefully to enable state innovation, while imposing foundational safeguards for promoting women’s health nationwide. (shrink)

As practicing clinicians, physicians are expected to uphold the ethical norms of their profession, including fidelity to patients and respect for patients’ self-determination. At the same time, as individuals, physicians are moral agents in their own right and, like their patients, are informed by and committed to diverse cultural, religious, and philosophical traditions and beliefs. In some circumstances, the expectation that physicians will put patients’ needs and preferences first may be in tension with the need to sustain the sense of (...) moral integrity and continuity that grounds a physician’s personal and professional life. This article examines the implications for patients, physicians, and the medical profession when tensions arise between a physician’s professional commitments and his or her deeply held personal moral beliefs. It offers guidance on when a physician’s professional commitments should outweigh personal beliefs as well as when physicians should have freedom to act according to the dictates of conscience while still protecting patients’ interests. (shrink)

Oocyte donation raises conflicts of interest and commitment for physicians but little attention has been paid to how to reduce these conflicts in practice. Yet the growing popularity of assisted reproduction has increased the stakes of maintaining an adequate oocyte supply and minimizing conflicts. A growing body of professional guidelines, legal challenges to professional self-regulation, and empirical research on the practice of oocyte donation all call for renewed attention to the issue. As empirical findings better inform existing conflicts and their (...) potential harms, we can better attempt to reduce these conflicts. To that end, the article first describes the nature of conflicts in oocyte donation and relevant regulations and professional guidelines. We then describe studies on conflicts at four phases of oocyte donation: recruitment, screening, stimulation, and post-stimulation monitoring. Next we consider three models for conflict reduction in medicine generally: improved professional self-regulation, outright restriction like Stark anti-referral laws, or the use of conflict mediators, like in living organ donation. We ultimately conclude that improved professional self-regulation is a reasonable starting place for oocyte donation. (shrink)

This commentary proposes the need for greater normative debate about when, if ever, it is appropriate for insurers to access genetic information of insureds to combat anti-selection.

The first baby has successfully been born by uterus transplantation (UTx) in the United States and the procedure is swiftly becoming a viable clinical option for patients with uterine factor infertility (UFI). This raises a practical ethical question: should health insurers finance UTx and what issues should they consider in coming to this decision? The article lays forth some of the factors that shape the decision over whether to finance UTx in the United States, including what procedures must be covered, (...) whether UTx is more like organ transplantation or infertility treatment (which are treated differently in the United States), and the benefits and alternatives of the procedure. Then, the article explores arguments around why UTx should be financed, or at least considered along with other important medical needs. The paper argues that UTx ought to be considered along with other competing claims for healthcare services. In countries that generously cover other infertility services, it may logically follow that medical services that enable gestation should be insured when the healthcare system covers services to conceive. In the United States, however, many groups have long suffered inadequate access to medical care, in the context of infertility and more broadly. U.S. healthcare may need to be made more widely equitable, before covering UTx is seen as financially or politically possible. (shrink)

The philosophical literature on reasoning is dominated by the assumption that reasoning is essentially a matter of following rules. This paper challenges this view, by arguing that it misrepresents the nature of reasoning as a personal level activity. Reasoning must reflect the reasoner’s take on her evidence. The rule-following model seems ill-suited to accommodate this fact. Accordingly, this paper suggests replacing the rule-following model with a different, semantic approach to reasoning.

Regress arguments have convinced many that reasoning cannot require beliefs about what follows from what. In this paper I argue that this is a mistake. Regress arguments rest on dubious (although deeply entrenched) assumptions about the nature of reasoning — most prominently, the assumption that believing p by reasoning is simply a matter of having a belief in p with the right causal ancestry. I propose an alternative account, according to which beliefs about what follows from what play a constitutive (...) role in reasoning. (shrink)

In an intriguing but neglected passage in the Transcendental Deduction, Kant appears to link the synthetic activity of the understanding in experience with the phenomenon of attention (B156-7n). In this paper, we take up this hint, and draw upon Kant's remarks about attention in the Anthropology to shed light on the vexed question of what, exactly, the understanding's role in experience is for Kant. We argue that reading Kant's claims about synthesis in this light allows us to combine two aspects (...) of Kant's views that many commentators have thought are in tension with one another: on the one hand, Kant's apparent commitment to naïve realism about perception and, on the other, his apparent commitment to the necessity of synthetic activity by the understanding for any kind of cognitive contact with external objects. (shrink)

The International Conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH) was formed over 20 years ago with a goal of harmonizing research regulations among the European Union, United States, and Japan. Harmonization was intended to speed approval of pharmaceuticals, avoid unnecessary repetition of studies, and ensure protection of research participants. This paper examines United States, European Union, and ICH pediatric research regulations in five domains: parental permission, assent/dissent, payment, risk/benefit and inclusion of disabled children/wards (...) of state. The purpose is to examine similarities and differences among the regulations to help investigators, policy makers and the public to understand what each regulatory framework can learn from the others. Additionally, the paper suggests philosophical differences in how these entities view pediatric research which may serve as barriers to harmonization in the future. (shrink)

The Food and Drug Administration and the European Medicines Agency have launched a recent initiative to enhance collaboration in research, with the intent to “ensure that clinical trials submitted in drug marketing applications in the United States and European Union are conducted uniformly, appropriately, and ethically.” This initiative recalls efforts from two decades ago when the United States, the European Union and Japan formed the International Conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use as a (...) mechanism for harmonizing clinical research regulations. The intent of harmonization was to improve patients’ “access to new drugs, to prevent unnecessary global development delays and to avoid animal and human study duplications” through policy reconciliation.FDA/EMA efforts at collaboration call for a reassessment of past harmonization efforts: to what extent are ICH member policies already synchronized and to what extent can they be harmonized in the future? This paper will focus on these questions through the lens of pediatric investigation. (shrink)

What exactly is reasoning? While debate on this question is ongoing, most philosophers seem to agree on at least the following: reasoning is a mental process operating on contents, which consists in adopting or revising some of your attitudes in light of others. In this paper, I argue that this characterisation is mistaken: there is no single mental phenomenon that satisfies both of these conditions. Instead, I characterise two distinct mental phenomena, which I call ‘deducing’, on the one hand, and (...) ‘reasoning’ or ‘inference’ on the other, to play each of these roles. Recognising this division of labour is essential to developing a better understanding of our rational economy. (shrink)

According to a thesis famously associated with Anscombe'sIntention, knowledge is a necessary condition of intentional action: when acting intentionally, we know what we are doing. Call this the Agential Knowledge thesis. The Agential Knowledge thesis remains, of course, controversial. Furthermore, as even some of its proponents acknowledge, it can appear puzzling: Why should acting intentionally require knowing what you are doing? My aim in this paper is to propose an explanation and defence of the Agential Knowledge thesis, based on the (...) idea that acting intentionally is exercising control, in a relevant sense. My argument rests on two things: first, articulating a modal conception of the relevant sense of control, and, secondly, arguing that agential knowledge is distinctively practical. As I explain, the truth of the Agential Knowledge thesis opens promising paths for future work in the philosophy of action. (shrink)

According to current orthodoxy in the philosophy of action, intentional actions consist in intrinsically mindless bodily movements that stand in causal relations to appropriate mental states. This paper challenges this approach to intentional action, by arguing that there are not enough appropriate mental states around to ‘animate’ all of the bodily movements we intuitively count as intentional actions. In the alternative picture I suggest, the bodily movements that constitute our intentional actions are themselves to be thought of as cognitive events, (...) embodying our grasp of ways of acting. (shrink)

In ‘Reasoning and Regress’ I argued that inferring a conclusion from a set of propositions may simply consist in taking it that the conclusion follows from these propositions—thereby defusing familiar regress arguments. Sinan Dogramaci challenges the generality of this view, on the grounds that sometimes you may draw conclusions from no premisses that you believe. I respond by clarifying a distinction between the premisses of an argument from the reasons your conclusion is based upon. While suppositional reasoning may involve no (...) premisses in the former sense, it does not follow that it does not involve concluding something on the basis of reasons. This allows the view defended in ‘Reasoning and Regress’ to extend to suppositional reasoning. (shrink)

Discussions of Ryle’s regress argument against the “intellectualist legend” have largely focused on whether it is effective against a certain view about knowledge how, namely, the view that knowledge how is a species of propositional knowledge. This is understandable, as this is how Ryle himself framed the issue. Nevertheless, this focus has tended to obscure some different concerns which are no less pressing—either for Ryle or for us today. More specifically, I argue that a version of Ryle’s regress confronts any (...) view according to which the intelligence manifested in action must be inherited from purely inner mental causes. I recommend an alternative account of the metaphysics of intelligent action, which avoids this commitment. (shrink)

Moving forward rapidly in the clinical research phase, uterus transplantation may be a future treatment option for women with uterine factor infertility, which accounts for three per cent of all infertility in women. This new method of treatment would allow women, who currently rely on gestational surrogacy or adoption, to gestate and birth their own genetic offspring. Since uterus transplantation carries significant risk when compared with surrogacy and adoption as well as when compared with other organ transplants, it requires greater (...) justification because its goals are quality of life, not life-saving, in their scope. It is important to address questions regarding the physical, psychosocial and ethical risks and benefits of uterus transplantation for all three parties involved—the patient, the donor and the potential child—as well as discuss the regulatory implications as research on uterus transplantations moves forward. (shrink)

In his essay ‘Transparency, Belief, Intention’, Alex Byrne (2011) argues that transparency—our ability to form beliefs about some of our intentional mental states by considering their subject matter, rather than on the basis of special psychological evidence—involves inferring ‘from world to mind’. In this reply I argue that this cannot be correct. I articulate an intuitive necessary condition for a pattern of belief to count as a rule of inference, and I show that the pattern involved in transparency does not (...) meet that condition. As a result, I conclude that transparency does not involve inference. (shrink)

According to the so-called ‘Taking Condition’ (a label due to Boghossian 2014) on inference, for a response R in circumstances C to count as an instance of reasoning or inferring, it must be the case that the agent’s taking it that R is warranted or justified in C plays (the right sort of) explanatory role in her R-ing. The Taking Condition has come under much criticism in the theory of reasoning. While I believe that these criticisms can be answered, my (...) aim in this paper is to build a positive case for the Taking Condition. More specifically, I argue that views based on the Taking Condition do a much better job accounting for crucial features of reasoning—especially once we recognize the pervasiveness and significance of defeasibility in our reasoning. (shrink)

I develop an account of our capacity to know what we consciously believe, which is based on an account of the phenomenology of conscious belief. While other recent authors have suggested that phenomenally conscious states play a role in the epistemology of self-ascriptions of belief, they have failed to give a satisfying account of how exactly the phenomenology is supposed to help with the epistemology — i.e., an account of the way “what it is like” for the subject of a (...) conscious belief makes it rational, for her, to self-ascribe that belief. I argue that an account according to which the phenomenology of belief is transparent — i.e., such that in having a conscious belief one is aware of the world as being a certain way, rather than of anything distinctively mental — is adequate to this task. (shrink)

This paper concerns the apparent fact — discussed by Sinan Dogramaci and Brian Weatherson — that inductive reasoning often interacts in disastrous ways with patterns of reasoning that seem perfectly fine in the deductive case. In contrast to Dogramaci's and Weatherson's own suggestions, I argue that these cases show that we cannot reason inductively about arbitrary objects. Moreover, as I argue, this prohibition is neatly explained by a certain hypothesis about the rational basis of inductive reasoning — namely, the hypothesis (...) that inductive reasoning is fundamentally reasoning about what normally happens. (shrink)

Does rationality require us to take the means to our ends? Intuitively, it seems clear that it does. And yet it has proven difficult to explain why this should be so: after all, if one is pursuing an end that one has decisive reason not to pursue, the balance of reasons will presumably speak against one's taking the means necessary to bring that end about. In this paper I propose a novel account of the instrumental requirement which addresses this problem. (...) On the view I develop, the instrumental requirement is normative not because agents have reasons to comply with it, but because it is a normative standard intrinsic to intentional action—i.e., it is a standard that partly spells out what it is to exercise one's agency well. (shrink)

This paper concerns the apparent fact — discussed by Sinan Dogramaci and Brian Weatherson — that inductive reasoning often interacts in disastrous ways with patterns of reasoning that seem perfectly fine in the deductive case. In contrast to Dogramaci's and Weatherson's own suggestions, I argue that these cases show that we cannot reason inductively about arbitrary objects. Moreover, as I argue, this prohibition is neatly explained by a certain hypothesis about the rational basis of inductive reasoning — namely, the hypothesis (...) that inductive reasoning is fundamentally reasoning about what normally happens. (shrink)

In §24 of the Transcendental Deduction, Kant remarks that his account of the capacity of the understanding to spontaneously determine sensibility explains how empirical self-knowledge is possible through inner-sense. Although most commentators consider Kant's conception of empirical self-knowledge through inner sense to be either a failure or at least drastically under-developed, I argue that (just as Kant claims) his account of the capacity of the understanding to determine sensibility - the "productive imagination" - can ground an attractive account of self-knowledge. (...) The account of inner sense I propose, however, may seem to conflict with some of Kant's views on time. I close the paper by arguing that the apparent conflict is not a fault specific to my account of inner sense, but rather indicative of a deeper tension, internal to Kant's views on time. (shrink)

Famously, David Lewis argued that we can avoid the apparent paradoxes of time travel by introducing a notion of personal time, which by and large follows the causal flow of the time traveler's life history. This paper argues that a related approach can be adapted for use by three-dimensionalists in response to Ted Sider's claim that three-dimensionalism is inconsistent with time travel. In contrast to Lewis (and others who follow him on this point), however, this paper argues that the order (...) of events captured by so-called "personal time" should be thought of as causal, rather than temporal. (shrink)

Does rationality require us to take the means to our ends? Intuitively, it seems clear that it does. And yet it has proven difficult to explain why this should be so: after all, if one is pursuing an end that one has decisive reason not to pursue, the balance of reasons will presumably speak against one's taking the means necessary to bring that end about. In this paper I propose a novel account of the instrumental requirement which addresses this problem. (...) On the view I develop, the instrumental requirement is normative not because agents have reasons to comply with it, but because it is anormative standardintrinsic to intentional action—i.e., it is a standard that partly spells out what it is to exercise one's agency well. (shrink)

Almost everything that we do, we do by doing other things. Even actions we perform without deliberation or conscious planning are composed of ‘smaller’, subsidiary actions. But how should we think of such subsidiary actions? Are they fully-fledged intentional actions (in the sense of things that we do for reasons) in their own right? In this paper I defend an affirmative answer to this question, against a recently influential form of scepticism. Drawing on a distinctive kind of ‘action-demonstrative’ representation, I (...) show that the sceptic's arguments do not go through. (shrink)

Even if you believe just what you rationally ought to believe, you may be open to rational criticism if you do so ‘for the wrong reasons’, as we say. Some have thought that this familiar observation supports the idea that there are diachronic norms of epistemic rationality – namely, norms of good reasoning. Partly drawing upon Carroll's story of Achilles and the Tortoise, this article criticises this line of thought on the grounds that it rests on a mistaken conception of (...) inference. (shrink)

Considered from a specific perspective, the world is full actions and agents: a star explodes, grass grows, a spider spins its web, a cat stalks a bird, Fred butters a piece of toast, Mary plays a...

Recent epistemology has seen a striking rise in interest in the notion of normality, including in the analysis of justified belief, defeasible reasoning, and knowledge. In the analysis of knowledge in particular, normality has been used to support modal analyses of knowledge, according to which knowledge is safely true belief. In this paper, I sound a note of caution regarding this proposal. As I will argue, the counterexamples that originally seemed to threaten the safety analysis of knowledge in its more (...) traditional formulations have natural counterparts that continue to threaten the newer, normality-based formulations. Moreover, these reformulated counterexamples seem to exploit structural features of the notion of normality itself, rather than one or another particular conception of normality. (shrink)

According to dogmatism, one may know a proposition by inferring it from a set of evidence even if one has no independent grounds for rejecting a skeptical hypothesis compatible with one’s evidence but incompatible with one’s conclusion. Despite its intuitive attractions, many philosophers have argued that dogmatism goes wrong because they have thought that it licenses Moorean reasoning — i.e., reasoning in which one uses the conclusion of an inference as a premise in an argument against a skeptical hypothesis that (...) would undermine that very inference. In this paper I defend dogmatism against this line of thought. To begin with, I argue that the common assumption that uncontroversial Bayesian principles suffice to show that Moorean reasoning is not cogent is false: for all that Bayesianism says on the matter, Moorean reasoning might be perfectly fine. Nevertheless, Moorean reasoning does seem intuitively defective. As I argue, however, this does not provide grounds for an argument against dogmatism, because — contrary to what many philosophers have thought — dogmatism need not license Moorean reasoning. On the contrary, as I argue, dogmatism predicts that Moorean reasoning suffers from a clearly identifiable defect. (shrink)

Cognitive agency - the idea that our judgments and beliefs are manifestations of agency on our part - is a deeply entrenched aspect of our self-conception as persons. And yet it has proven hard to give a satisfying account of what such agency might consist in. In this paper I argue that getting clear about Kant’s notion of spontaneity might help us make progress in that debate. In particular, I argue that the very same assumption - namely, that agency must (...) be understood on the model of production - has been holding us back in both areas. (shrink)

"Divided chronologically into four volumes, The Philosophy of Knowledge: A History presents the history of one of Western philosophy's greatest challenges: understanding the nature of knowledge. Each volume follows conceptions of knowledge that have been proposed, defended, replaced, and proposed anew. Knowledge in Contemporary Philosophy covers discussions about scientific knowledge, social knowledge, and self-knowledge, along with attempts to understand knowledge naturalistically, contextually, and normatively. How did contemporary epistemology begin? What shape is it now in? What future seems to await it? (...) The past hundred or so years have included excitement, puzzlement, and apparent progress within epistemology. This volume conveys much of that philosophical ferment and energy."--Bloomsbury Publishing. (shrink)

There is reason to expect a reasonable account of a priori knowledge to be linked with an account of the nature of conceptual thought. Recent “two-dimensionalist” accounts of conceptual thought propose an extremely direct connection between the two: on such views, being in a position to know a priori a large number of non-trivial propositions is a necessary condition of concept-possession. In this paper I criticize this view, by arguing that it requires an implausibly internalist and intellectualist conception of capacities (...) we bring to bear in applying concepts in experience. Empirical concept-application depends on the exercise of a variety of capacities, many of which can be grouped together under the general label “recognitional”. As I argue, two-dimensionalism cannot accommodate a plausible account of such capacities. This suggests that the link between a priori knowledge and the nature of conceptual thought is not as direct as twodimensionalists take it to be. I close by briefly sketching a different way to think of that link. (shrink)

This book closely examines our commonly held beliefs about human suffering, and offers unique insights into God's role in why we suffer. Dr. Perri critically examines what it means to be human from a Judeo-Christian perspective, and extrapolates from the work of Carl Gustav Jung showing a deeply complex development of human transcendence in human suffering. On an interpersonal level, Dr. Perri elaborates on the work of Martin Buber and Emanuel Levinas and shows how our suffering can be shared and (...) lessened by our unconditionality and presence for the other. Scriptural passages are quoted from both the Hebrew and New Testament texts, and are used to depict the suffering of humankind as seen in the face of Job. It was this face, according to Perri, that Jesus saw in the faces of those He came to redeem, and that ultimately brought Him to the crucifix of redemption. Dr. Perri challenges Sartre's position that our existence precedes our essence, and draws on the work of Abraham Joshua Heschel and Christian theology in this regard. He further elaborates a neurodevelopmental paradigm that creates essence as the basis of our freedom to choose. This book can be read and studied by both professionals in the helping and healing professions, and lay persons seeking to better understand our suffering, and how to better help those who suffer. Dr. Perri offers specific ways in how to be present for those who suffer, how to read and receive the hidden language of human suffering, and how to use silence as a communication skill. (shrink)