Libertarian paternalism describes the idea of nudging—that is, steering individual decision-making while preserving freedom of choice. In medicine, libertarian paternalism has gained widespread attention, specifically with respect to interventions designed to promote healthy behaviours. Some scholars argue that nudges appropriately balance autonomy and paternalistic beneficence, while others argue that nudges inherently exploit cognitive weaknesses. This paper further explores the ethics of libertarian paternalism in public health. The use of nudges may infringe on an individual’s voluntary choice, autonomy and informed consent, (...) but they are ethically justified when there is a clear public health benefit to the manipulation of choice. (shrink)

In the face of limited resources during the COVID-19 pandemic response, public health experts and ethicists have sought to apply guiding principles in determining how those resources, including vaccines, should be allocated.

Childress et al. (2023) present the case of a patient with capacity who requests to stay on extracorporeal membrane oxygenation (ECMO) indefinitely and highlight the ethical challenges associated w...

Liao and Carbonell explore how oppressive medical technologies constitute materiality insofar as they reflect past oppression, embody oppression in the present day, and carry oppression into the fu...

The dominant discourse on dementia promotes a view that as individuals progress with the disease, they experience a neurological decline causing a loss of self. This notion, grounded in a Cartesian representation of selfhood, associates a loss of self as directly related to cognition. This paper presents an alternative anthropological framework, embodied selfhood, that challenges this representation. It then examines a potential tool, graphic medicine, to translate this theory into caregiving practice. Through analyzing three graphic novels—Wrinkles, Tangles, and Aliceheimer’s—this paper (...) demonstrates how tension exists between different conceptions of selfhood and associated implications for caregivers and patients alike. (shrink)

In the article “Informed Consent: What Must be Disclosed and What Must be Understood?” Joseph Millum and Danielle Bromwich argue that informed consent requires satisfaction of certain disclosure an...

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Contemplative Foundations of Classical Daoism by Harold D. RothDerek Asaba Chi (bio)The Contemplative Foundations of Classical Daoism. By Harold D. Roth. Albany: State University of New York Press, 2021. Series: SUNY series in Chinese Philosophy and Culture. Pp. xiii+ 522. Hardcover ＄ 77.37, isbn 978-1-4384-8271-2. The Contemplative Foundations of Classical Daoism (hereafter Contemplative Foundations) is a compilation of articles and book chapters selected from Harold Roth's almost (...) 27 years of scholarly publications on the origins and early history of the classical Daoist tradition. The essays that constitute this collection seek to counter certain myths about Early China Studies and Daoist Studies that have previously prevented the field from identifying, in a historically plausible, contemplatively grounded, and textually justified fashion, some of the basic contours of classical Daoism. Roth begins by discussing prior studies of the early history of Daoism. In his view, these studies were hampered in their understanding of the contemplative foundations of Daoism by limits derived from a set of unreflective assumptions that restrict human cognitive possibilities to merely those that were deemed possible by European cultures. Some of the most deleterious of these assumptions were: "all human beings have a genetic predisposition to a belief in gods or other supernatural beings; veridical human cognition is restricted to either reason or emotion—categories established by the European Enlightenment" (p. 2). Roth argues that these products of unreflective Eurocentrism have largely contributed to a failure to recognize that early Daoist thinkers could possibly have derived their ideas about human psychology, human nature, and the nature of the cosmos through anything other than abstract rational thought or emotional responses (pp. 3-5). These unreflective thoughts have contributed to constructing the idea that contemplative experiences can never be epistemologically valid, and that, because of this non-veridicality, attempts to ascertain the contemplative foundations of classical Daoism are either unnecessary or deluded. The author also discusses the distinctive philosophical origins of classical Daoism. The first myth about the origins of classical Daoism revolves around beliefs that the Daoist tradition began with Lao Dan 老聃 in the sixth century BCE and his outstanding work the Daodejing 道德經. Further, Lao Dan founded a Daoist "school" that included Zhuang Zhou 莊周, the sole author of the Zhuangzi [End Page 1] 莊子, and other eponymous works created by later disciples such as Liezi 列子 and Wenzi 文子. Together they created and transmitted a Daoist school that developed a lofty mystical philosophy which accepted death as a natural transformation and maintained a cosmology of the Way Dao 道 and its Inner Power or Potency De 德. However, this tradition of "philosophical Daoism" or "Lao-Zhuang" 老 莊 became singularly corrupted through its contact with superstitious beliefs in longevity, immortality, and polytheistic deities to form the organized Daoist religion that emerged in the second century CE and that persists until today (p. 3). Roth argues that the contemplative foundations of classical Daoism are grounded in a distinctive form of practice that the author defines as "inner cultivation," neiye 內業, or "inward training" (p. 6). Roth provides a list of works that present surviving evidence for these practices. These include: the Laozi and the Zhuangzi, as well as other classical texts of mixed traditions, including the Lüshi Chunqiu 呂士春秋 and the Huainanzi 淮 南子. Contemplative Foundations is divided into two parts which present a more or less holistic view of the contemplative foundation of classical Daoism. Part I is dedicated to the careful textual analysis of the major surviving sources of classical Daoism to derive evidence for both its contemplative foundations and its historical and social context. First, the author examines the theories of the physiological basis of psychology and self-cultivation as discussed in three texts from the Guanzi 管子 and in the Huainanzi. Despite its apparent absence in the early Daoist tradition, the physiological basis of human psychology plays a major role in the theory and practice of neidan 內丹, or "physiological alchemy," which emerged somewhat later, when Daoism became institutionalized (p. 23). Roth tries to link the psychological experience to physiological conditions that make possible a whole range of neidan practices that seem to have preceded Daoist religion but became fully developed therein. Roth moves on to debunk the traditional... (shrink)

This paper weaves together a number of separate strands each relating to an aspect of Wittgenstein’s Philosophical Investigations. The first strand introduces his radical and incoherent idea of a private object. Wittgenstein in § 258 and related passages is not investigating a perfectly ordinary notion of first person privacy; but his critics have treated his question, whether a private language is possible, solely in terms of their quite separate question of how our ordinary sensation terms can be understood, in a (...) philosophical context, to acquire meaning. Yet it is no part of his intention to demonstrate logically that ordinary sensations are not intrinsically meaningful. This is a tempting yet misleading picture, the picture also expressed through the idea of Augustine’s child who is conceptually articulateprior to learning how to talk. This picture lies behind the born Crusoe, an idea at the centre of the dichotomy between language as essentially shared and essentially shareable, a dichotomy considered here to result from a misconception of two quite separate but related aspects of Wittgenstein’s treatment offollowing a rule. The notion of a misleading picture, in both its pre-theoretical and philosophical aspects, also plays a crucial role in a treatment of Saul Kripke’s well-known “Postscript: Wittgenstein and Other Minds.”. (shrink)

This book introduces and applies Foucault's most important concepts and procedures, and does so specifically for a psychology readership. Drawing on the recently published Collège de France lectures Abnormal (2003) and Psychiatric Power (2006), Foucauldian Analytics and Psychology is as useful to those concerned with Foucault's engagement with the "psy-disciplines" as it is to those interested in the practical application of Foucault's critical research methods.

Scientists often make surprising claims about things that no one can observe. In physics, chemistry, and molecular biology, scientists can at least experiment on those unobservable entities, but what about researchers in fields such as paleobiology and geology who study prehistory, where no such experimentation is possible? Do scientists discover facts about the distant past or do they, in some sense, make prehistory? In this book Derek Turner argues that this problem has surprising and important consequences for the scientific (...) realism debate. His discussion covers some of the main positions in philosophy of science - realism, social constructivism, empiricism, and the natural ontological attitude - and shows how they relate to issues in paleobiology and geology. His original and thought-provoking book will be of wide interest to philosophers and scientists alike. (shrink)

In the first monograph on Lyotard and education, Derek R. Ford approaches Lyotard's thought as pedagogical in itself. The result is a novel, soft, and accessible study of Lyotard organized around two inhuman educations: that of "the system" and that of "the human." The former enforces an interminable process of development, dialogue and exchange, while the latter finds its force in the mute, secret, opaque, and inarticulable. Threading together a range of Lyotard's work through four pedagogical processes-reading, writing, voicing, (...) and listening-the author insists on the distinct educational logics that can uphold or interrupt different ways of being-together in the world, touching on a range of topics from literacy and aesthetics to time and political-economy. While Inhuman Educations can serve as an introduction to Lyotard's philosophy, it also constitutes a singular, provocative, and fresh take on his thought. (shrink)

It’s intuitive to think that an intentional action requires that the agent knows that she’s doing so. In light of some apparent counterexamples, Setiya suggests that this intuitive insight is better captured in terms of credence: performing an intentional action requires the agent to have a higher credence that she’s doing so than she would have otherwise. I argue that there is no such thing as an agent’s credence for what she’s doing. After distinguishing this thesis from an idea some (...) defend under the slogan “deliberation crowds out prediction”, I explore the thesis’s broader epistemological implications for the belief-credence relation. (shrink)

By creating certain marks on paper, or by making certain sounds-breathing past a moving tongue-or by articulation of hands and bodies, language users can give expression to their mental lives. With language we command, assert, query, emote, insult, and inspire. Language has meaning. This fact can be quite mystifying, yet a science of linguistic meaning-semantics-has emerged at the intersection of a variety of disciplines: philosophy, linguistics, computer science, and psychology. Semantics is the study of meaning. But what exactly is "meaning"? (...) What is the exact target of semantic theory? Much of the early work in natural language semantics was accompanied by extensive reflection on the aims of semantic theory, and the form a theory must take to meet those aims. But this meta-theoretical reflection has not kept pace with recent theoretical innovations. This volume re-addresses these questions concerning the foundations of natural language semantics in light of the current state-of-the-art in semantic theorising. (shrink)

According to Bickerton, the behavioral sciences have failed to give an adequate account of human nature at least partly because of the conjunction and mutual reinforcement of two widespread beliefs: that language is simply a means of communication and that human intelligence is the result of the rapid growth and unusual size of human brains. Bickerton argues that each of the properties distinguishing human intelligence and consciousness from that of other animals can be shown to derive straightforwardly from properties of (...) language. In essence, language arose as a representational system, not a means of communication or a skill, and not a product of culture but an evolutionary adaptation. The author stresses the necessity of viewing intelligence in evolutionary terms, seeing it not as problem solving but as a way of maintaining homeostasis - the preservation of those conditions most favorable to an organism, the optimal achievable conditions for survival and well-being. The term protolanguage is used to describe the stringing together of symbols that prehuman hominids employed. "It did not allow them to turn today's imagination into tomorrow's fact. But it is just this power to transform imagination into fact that distinguishes human behavior from that of our ancestral species, and indeed from that of all other species. It is exactly what enables us to change our behavior, or invent vast ranges of new behavior, practically overnight, with no concomitant genetic changes." Language and Human Behavior should be of interest to anyone in the behavioral and evolutionary sciences and to all those concerned with the role of language in human behavior. (shrink)

Is there one univocal or generic notion of ground? Monists answer yes, while pluralists answer no. Pluralists argue that monism cannot meet plausible constraints on an adequate theory of ground. My aim in this paper is to articulate a monist theory of ground that can satisfy the pluralist constraints in a way that leaves the pluralists with no reasons not to endorse the monist picture of ground. I do this by adopting a tripartite conception of ground and then showing that (...) it has the resources to vindicate monism while satisfying the pluralist constraints on a theory of ground. (shrink)

Mark Schroeder has argued that all reasonable forms of inconsistency of attitude consist of having the same attitude type towards a pair of inconsistent contents (A-type inconsistency). We suggest that he is mistaken in this, offering a number of intuitive examples of pairs of distinct attitudes types with consistent contents which are intuitively inconsistent (B-type inconsistency). We further argue that, despite the virtues of Schroeder's elegant A-type expressivist semantics, B-type inconsistency is in many ways the more natural choice in developing (...) an expressivist account of moral discourse. We close by showing how to adapt ordinary formality-based accounts of logicality to define a B-type account of logical inconsistency and distinguish it from both semantic and pragmatic inconsistency. In sum, we provide a roadmap of how to develop a successful B-type expressivism. (shrink)

This paper attempts to specify the conditions under which a psychological explanation can undermine or debunk a set of beliefs. The focus will be on moral and religious beliefs, where a growing debate has emerged about the epistemic implications of cognitive science. Recent proposals by Joshua Greene and Paul Bloom will be taken as paradigmatic attempts to undermine beliefs with psychology. I will argue that a belief p may be undermined whenever: (i) p is evidentially based on an intuition which (...) (ii) can be explained by a psychological mechanism that is (iii) unreliable for the task of believing p; and (iv) any other evidence for belief p is based on rationalization. I will also consider and defend two equally valid arguments for establishing unreliability: the redundancy argument and the argument from irrelevant factors. With this more specific understanding of debunking arguments, it is possible to develop new replies to some objections to psychological debunking arguments from both ethics and philosophy of religion. (shrink)

There are many different oughts. There is a moral ought, a prudential ought, an epistemic ought, the legal ought, the ought of etiquette, and so on. These oughts can prescribe incompatible actions. What I morally ought to do may be different from what I self-interestedly ought to do. Philosophers have claimed that these conflicts are resolved by an authoritative ought, or by facts about what one ought to do simpliciter or all-things-considered. However, the only coherent notion of an ought simpliciter (...) has preposterous first-order normative commitments. It is more reasonable to reject the ought simpliciter in favor of the form of normative pluralism advocated in (Tiffany 2007). (shrink)

Introduction -- Creation and the other -- Originality and invention -- Inventive language and the literary event -- Singularity -- Reading and responding -- Performance -- Form, meaning, context -- Responsibility and ethics -- An everyday impossibility.

Challenging, with several powerful arguments, some of our deepest beliefs about rationality, morality, and personal identity, Parfit claims that we have a false view about our own nature. It is often rational to act against our own best interersts, he argues, and most of us have moral views that are self-defeating. We often act wrongly, although we know there will be no one with serious grounds for complaint, and when we consider future generations it is very hard to avoid conclusions (...) that most of us will find very disturbing. (shrink)

Traversing the fields of pedagogy, philosophy, and political theory, this book develops a marxist theory of education that will be useful for academics and activists alike. The second edition includes two additional chapters as well as a new preface and revisions throughout.

This chapter defends a view of semantics on which developing a semantic theory closely resembles developing a scale of measurement. The view helps explain how semantics has made so much progress despite deep disagreements about the target of semantic theorizing (e.g., between those who maintain that semantics is characterizing something psychological, and those who maintain that it is characterizing something social), how appeals to set-theoretic abstracta make sense despite Benacerraf-style worries and despite the fact that set-theoretic entities fit badly with (...) standard (e.g., causal) metasemantic views, and why the threat of radical context sensitivity does not undermine the semantic project. (shrink)

This is a major work in moral philosophy, the long-awaited follow-up to Parfit's 1984 classic Reasons and Persons, a landmark of twentieth-century philosophy. Parfit now presents a powerful new treatment of reasons and a critical examination of the most prominent systematic moral theories, leading to his own ground-breaking conclusion.

Thomas Reid (1710–96) is increasingly being seen as a highly significant philosopher and a central figure in the Scottish Enlightenment. This new edition of Reid's classic philosophical text in the philosophy of mind at long last gives scholars a complete, critically edited text of the Inquiry. The critical text is based on the fourth life-time edition (1785). A selection of related documents showing the development of Reid's thought, textual notes, bibliographical details of previous editions and a full introduction by the (...) editor makes this an important contribution to the study of this increasingly respected philosopher. -/- Key Features - Complete, critically edited text of the Inquiry accompanied by a judicious selection of manuscript evidence relating to its composition - Comprehensive Introduction providing an historical and philosophical account of the formation of the Inquiry - Detailed textual notes which include bibliographical details and allusions, translations, references to secondary literature and selected passages from Reid's manuscripts. (shrink)

This book presents an accessible and groundbreaking new look at the evolution of consciousness. It traces its origins back to early man's primordial emotions - those elicited from basic needs such as hunger and thirst.

For Malraux, modernity in art is not only about modern art; it is also about the birth of what he aptly terms “the first universal world of art.” This event was a consequence of the process of metamorphosis which is central to Malraux’s account of the relationship between art and time. The article explains this event, noting also that modern aesthetics has not provided an explanation.

"Derek Bok's "Our Underachieving Colleges" is readable, balanced, often wry, and wise. This book should be required reading for every curriculum committee and academic dean.

It has long been widely agreed that some concepts can be possessed only by those who have undergone a certain type of phenomenal experience. Orthodoxy among contemporary philosophers of mind has it that these phenomenal concepts provide the key to understanding many disputes between physicalists and their opponents, and in particular offer an explanation of Mary’s predicament in the situation exploited by Frank Jackson's knowledge argument. I reject the orthodox view; I deny that there are phenomenal concepts. My arguments exploit (...) the sort of considerations that are typically used to motivate externalism about mental content. Although physicalists often appeal to phenomenal concepts to defend their view against the knowledge argument, I argue that this is a mistake. The knowledge argument depends on phenomenal concepts; if there are no phenomenal concepts, then the knowledge argument fails. (shrink)

This paper discusses varieties of normative phenomena, ranging from morality, to epistemic justification, to the rules of chess. It canvases a number of distinctions among these different normative phenomena. The most significant distinction is between formal and authoritative normativity. The prior is the normativity exhibited by any standard one can meet or fail to meet. The latter is the sort of normativity associated with phenomena like the "all-things-considered" ought. The paper ends with a brief discussion of reasons for skepticism about (...) authoritative normativity. (shrink)

Physicalists about the mind are committed to claims about property identities. Following Kripke's well-known discussion, modal arguments have emerged as major threats to such claims. This paper argues that modal arguments can be resisted by adopting a counterpart theoretic account of modal claims, and in particular modal claims involving properties. Thus physicalists have a powerful motive to adopt non-Kripkean accounts of the metaphysics of modality and the semantics of modal expressions.

This open access book is a systematic update of the philosophical and scientific foundations of the biopsychosocial model of health, disease and healthcare. First proposed by George Engel 40 years ago, the Biopsychosocial Model is much cited in healthcare settings worldwide, but has been increasingly criticised for being vague, lacking in content, and in need of reworking in the light of recent developments. The book confronts the rapid changes to psychological science, neuroscience, healthcare, and philosophy that have occurred since the (...) model was first proposed and addresses key issues such as the model’s scientific basis, clinical utility, and philosophical coherence. The authors conceptualise biology and the psychosocial as in the same ontological space, interlinked by systems of communication-based regulatory control which constitute a new kind of causation. These are distinguished from physical and chemical laws, most clearly because they can break down, thus providing the basis for difference between health and disease. This work offers an urgent update to the model’s scientific and philosophical foundations, providing a new and coherent account of causal interactions between the biological, the psychological and social. (shrink)

Derek Parfit presents the third volume of On What Matters, his landmark work of moral philosophy. Parfit develops further his influential treatment of reasons, normativity, the meaning of moral discourse, and the status of morality. He engages with his critics, and shows the way to resolution of their differences.

ABSTRACT Contemporary relativists often see their view as contributing to a semantic/post-semantic account of linguistic data about disagreement and retraction. I offer an independently motivated metasemantic account of the same data, that also handles a number of cases and empirical results that are problematic for the relativist. The key idea is that the content of assertions and beliefs is determined in part by facts about other times, including times after the assertion is made or the belief is formed. On this (...) temporal externalist view, speaker behaviours such as retraction of previous assertions play a role in making it the case that a past utterance has a given meaning. (shrink)

Over the last quarter century, the dominant tendency in comparative cognitive psychology has been to emphasize the similarities between human and nonhuman minds and to downplay the differences as (Darwin 1871). In the present target article, we argue that Darwin was mistaken: the profound biological continuity between human and nonhuman animals masks an equally profound discontinuity between human and nonhuman minds. To wit, there is a significant discontinuity in the degree to which human and nonhuman animals are able to approximate (...) the higher-order, systematic, relational capabilities of a physical symbol system (PSS) (Newell 1980). We show that this symbolic-relational discontinuity pervades nearly every domain of cognition and runs much deeper than even the spectacular scaffolding provided by language or culture alone can explain. We propose a representational-level specification as to where human and nonhuman animals' abilities to approximate a PSS are similar and where they differ. We conclude by suggesting that recent symbolic-connectionist models of cognition shed new light on the mechanisms that underlie the gap between human and nonhuman minds. (shrink)

David Lewis defends the thesis of the asymmetry of overdetermination: later affairs are seldom overdetermined by earlier affairs, but earlier affairs are usually overdetermined by later affairs. Recently, Carol Cleland has argued that since the distinctive methodologies of historical science and experimental science exploit different aspects of this asymmetry, the methodology of historical science is just as good, epistemically speaking, as that of experimental science. This paper shows, first, that Cleland's epistemological conclusion does not follow from the thesis of the (...) asymmetry of overdetermination, because overdetermination is compatible with epistemic underdetermination. The paper also shows, contra Cleland, that there is at least one interesting sense in which historical science is epistemically inferior to experimental science, after all, because local underdetermination problems are more widespread in historical than in experimental science. (shrink)

The purpose of this paper is to draw out a little noticed, but correct and important, consequence of David Lewis’s theory of how the values of contextual parameters are determined. According to Lewis, these values are often determined at least in part by accommodation; to a first approximation, the idea is that contextual parameters tend to take on the values they need to have in order for our utterances to be true. The little-noticed consequence of Lewis’s way of developing these (...) ideas is that what we say is determined in part by the way the conversation unfolds after our utterance. That is, Lewisian accommodation entails a non-standard form of externalism, according to which what we say is determined not only by factors internal to us at the time of our utterance, nor even by truths about our physical or social environment at the time of utterance or by our history, but also by truths about our future—truths about times after the time of our utterance. Seeing this consequence clearly lets us refine and improve upon Lewis’s account of when accommodation can occur. (shrink)

Given the importance of the Machiavellianism construct on informing a wide range of ethics research, we focus on gaining a better understanding of Machiavellianism within the whistle-blower context. In this regard, we examine the effect of Machiavellianism on whistle-blowing, focusing on the underlying mechanisms through which Machiavellianism affects whistle-blowing. Further, because individuals who are higher in Machiavellianism (high Machs) are expected to be less likely to report wrongdoing, we examine the ability of an organization’s ethical environment to increase whistle-blowing intentions (...) of high Machs. Results from a sample of 116 MBA students support our premise that Machiavellianism is negatively related to whistle-blowing. Further, we find that Machiavellianism has an indirect effect on whistle-blowing through perceived benefits and perceived responsibility. Finally, we find that a strong ethical environment, relative to a weak ethical environment, increases whistle-blowing intentions incrementally more for individuals who are higher in Machiavellianism. Taken together, these findings extend our understanding of how Machiavellianism and an organization’s ethical environment impact whistle-blowing. (shrink)

It is not unusual for the adjective ‘vulnerable’ to be applied to those in receipt of nursing practice without making clear what it is that persons thus described are actually vulnerable to. In this paper I argue that the way nursing has adopted the idea of vulnerability tends to imply that some people are in some way invulnerable. This is conceptually unsustainable and renders the idea of the vulnerable patient meaningless. The paper explores the meaning of vulnerability both in general (...) terms and in the context of nursing practice. It is argued that to be in receipt of nursing is to become, to a greater or lesser extent, more‐than‐ordinary vulnerable. Thus all patients are more‐than‐ordinarily vulnerable and this restricts their potential to flourish. Nurses are well placed to contribute to the flourishing of more‐than‐ordinarily vulnerable persons and my substantive claim is that this ‘protective’ function is indeed a legitimate and fundamental part of the role of nurses. (shrink)

A number of philosophers have offered quasi-perceptual theories of desire, according to which to desire something is roughly to “see” it as having value or providing reasons. These are offered as alternatives to the more traditional Humean Theory of Motivation, which denies that desires have a representational aspect. This paper examines the various considerations offered by advocates to motivate quasi-perceptualism. It argues that Humeanism is in fact able to explain the same data that the quasi-perceptualist can explain, and in one (...) case the Humean explanation is superior. Quasi-perceptual accounts of desire, the paper concludes, are for the most part unmotivated. (shrink)

The idea that experts (especially scientific experts) play a privileged role in determining the meanings of our words and the contents of our concepts has become commonplace since the work of Hilary Putnam, Tyler Burge, and others in the 1970s. But if experts have the power to determine what our words mean, they can do so responsibly or irresponsibly, from good motivations or bad, justly or unjustly, with good or bad effects. This paper distinguishes three families of metasemantic views based (...) on their attitudes towards bad behaviour by meaning-fixing experts, and draws a series of distinctions relevant for the normative evaluation of meaning-determining actions. (shrink)