Objective: To evaluate one ethics rounds model by describing nurses’ and doctors’ experiences of the rounds. Methods: Philosopher-ethicist-led interprofessional team ethics rounds concerning dialysis patient care problems were applied at three Swedish hospitals. The philosophers were instructed to promote mutual understanding and stimulate ethical reflection, without giving any recommendations or solutions. Interviews with seven doctors and 11 nurses were conducted regarding their experiences from the rounds, which were then analysed using content analysis. Findings: The goal of the rounds was partly (...) fulfilled. Participants described both positive and negative experiences. Good rounds included stimulation to broadened thinking, a sense of connecting, strengthened confidence to act, insight into moral responsibility and emotional relief. Negative experiences were associated with a sense of unconcern and alienation, as well as frustration with the lack of solutions and a sense of resignation that change is not possible. The findings suggest that the ethics rounds above all met the need of a forum for crossing over professional boundaries. The philosophers seemed to play an important role in structuring and stimulating reasoned arguments. The nurses’ expectation that solutions to the ethical problems would be sought despite explicit instructions to the contrary was conspicuous. Conclusion: When assisting healthcare professionals to learn a way through ethical problems in patient care, a balance should be found between ethical analyses, conflict resolution and problem solving. A model based on the findings is presented. (shrink)

Objective: To evaluate whether ethics rounds stimulated ethical reflection. Methods: Philosopher-ethicist-led interprofessional team ethics rounds concerning dialysis patient care problems were applied at three Swedish hospitals. The philosophers were instructed to stimulate ethical reflection and promote mutual understanding between professions but not to offer solutions. Questionnaires directly before and after rounds were answered by 194 respondents. The analyses were primarily content analysis with Boyd’s framework but were also statistical in nature. Findings: Seventy-six per cent of the respondents reported a moderate (...) to high rating regarding new insights on ethical problem identification, but the ethics rounds did not seem to stimulate the ethical reflection that the respondents had expected (p<0.001). Dominant new insights did not seem to fit into traditional normative ethics but were instead interpreted as hermeneutic ethics. This was illustrated in the extended perspective on the patient and increased awareness of relations to other professions. Regarding insights into how to solve ethical problems, the request for further interprofessional dialogue dominated both before and after rounds. Conclusion: The findings show the need for interprofessional reflective ethical practice but a balance between ethical reflection and problem solving is suggested if known patients are discussed. Further research is needed to explore the most effective leadership for reflective ethical practice. (shrink)

Epistemic consequentialists maintain that the epistemically right (e.g., the justified) is to be understood in terms of conduciveness to the epistemic good (e.g., true belief). Given the wide variety of epistemological approaches that assume some form of epistemic consequentialism, and the controversies surrounding consequentialism in ethics, it is surprising that epistemic consequentialism remains largely uncontested. However, in a recent paper, Selim Berker has provided arguments that allegedly lead to a ‘rejection’ of epistemic consequentialism. In the present paper, it is shown (...) that reliabilism—the most prominent form of epistemic consequentialism, and one of Berker’s main targets—survives Berker’s arguments unscathed. (shrink)

An important issue in epistemology concerns the source of epistemic normativity. Epistemic consequentialism maintains that epistemic norms are genuine norms in virtue of the way in which they are conducive to epistemic value, whatever epistemic value may be. So, for example, the epistemic consequentialist might say that it is a norm that beliefs should be consistent, in that holding consistent beliefs is the best way to achieve the epistemic value of accuracy. Thus epistemic consequentialism is structurally similar to the family (...) of consequentialist views in ethics. Recently, philosophers from both formal epistemology and traditional epistemology have shown interest in such a view. In formal epistemology, there has been particular interest in thinking of epistemology as a kind of decision theory where instead of maximizing expected utility one maximizes expected epistemic utility. In traditional epistemology, there has been particular interest in various forms of reliabilism about justification and whether such views are analogous to—and so face similar problems to—versions of consequentialism in ethics. This volume presents some of the most recent work on these topics as well as others related to epistemic consequentialism, by authors that are sympathetic to the view and those who are critical of it. (shrink)

Recently, veritistic value monism, i.e. the idea that true belief is unique in being of fundamental epistemic value, has come under attack by pluralist philosophers arguing that it cannot account fully for the domain of epistemic value. However, the relevant arguments fail to establish any such thing. For one thing, there is a presumption of monism due to considerations about axiological parsimony. While such a presumption would be defeated by evidence that the relevant kind of monism cannot account fully for (...) the domain of epistemic value, an examination of the most promising pluralist counterexamples casts serious doubt upon the claim that there is any such evidence. (shrink)

The fact that most of us are ignorant on politically relevant matters presents a problem for democracy. In light of this, some have suggested that we should impose epistemic constraints on democratic participation, and specifically that the franchise be restricted along competency lines – a suggestion that in turn runs the risk of violating a long-standing condition on political legitimacy to the effect that legitimate political arrangements cannot be open to reasonable objections. The present paper therefore outlines a way to (...) solve the problem of public ignorance without restricting the franchise. The proposal involves filtering the electoral input of a universal franchise through a statistical model that simulates what the public's political preferences would have been, had they been informed on politically relevant matters. The result is modelled democracy. A case is made that such democracy both solves the problem of public ignorance and satisfies the aforementioned condition on legitimacy. (shrink)

Truth monism is the idea that only true beliefs are of fundamental epistemic value. The present paper considers three objections to truth monism, and argues that, while the truth monist has plausible responses to the first two objections, the third objection suggests that truth monism should be reformulated. On this reformulation, which we refer to as accuracy monism, the fundamental epistemic goal is accuracy, where accuracy is a matter of “getting it right.” The idea then developed is that accuracy is (...) a genus with several species. Believing truly is a prominent species, but it is not the only one. Finally, it is argued that accuracy monism is equally good or better than both traditional truth monism and its main dialectical rival, value pluralism, when it comes to satisfying three important axiological desiderata. (shrink)

Epistemic consequentialists maintain that the epistemically right is to be understood in terms of conduciveness to the epistemic good. Given the wide variety of epistemological approaches that assume some form of epistemic consequentialism, and the controversies surrounding consequentialism in ethics, it is surprising that epistemic consequentialism remains largely uncontested. However, in a recent paper, Selim Berker has provided arguments that allegedly lead to a?rejection? of epistemic consequentialism. In the present paper, it is shown that reliabilism—the most prominent form of epistemic (...) consequentialism, and one of Berker?s main targets—survives Berker?s arguments unscathed. (shrink)

There is something very appealing about the idea that we are epistemic agents. One reason—if not the main reason—is that, while we are undoubtedly fallible creatures, us being epistemic agents that do things means that it might just be within our power to improve and thereby do better. One important way in which we would want to improve is in relation to our well-established tendency for cognitive bias. Still, the proper role of epistemic agency in us avoiding or correcting for (...) cognitive bias is highly limited. In fact, what we know from empirical psychology—particularly with respect to our tendencies for overconfidence—suggests that we cannot rely on ourselves for epistemic improvement, and have good reason to impose significant constraints on our ability to exercise such agency in ameliorative contexts. (shrink)

A common objection to deliberative democracy is that available evidence on public ignorance makes it unlikely that social deliberation among the public is a process likely to yield accurate outputs. The present paper considers—and ultimately rejects—two responses to this objection. The first response is that the correct conclusion to draw from the evidence is simply that we must work harder to ensure that the deliberative process improves the deliberators’ epistemic situation. The main problem for this response is that there are (...) non-deliberative alternatives—most prominently information markets—available that do a better job from an epistemic point of view than does social deliberation. So why keep bothering with deliberation? The second response attempts to answer this question by arguing that only socially deliberative practices can confer legitimacy on the resulting policies. In response to this, it is argued that information markets actually carry more promise than does social deliberation when it comes to offering the kinds of justifications that are relevant to legitimacy. (shrink)

The present paper argues that there are at least two equally plausible yet mutually incompatible answers to the question of what is of non-instrumental epistemic value. The hypothesis invoked to explain how this can be so—moderate epistemic expressivism—holds that (a) claims about epistemic value express nothing but commitments to particular goals of inquiry, and (b) there are at least two viable conceptions of those goals. It is shown that such expressivism survives recent arguments against a more radical form of epistemic (...) expressivism, as well as two further arguments, framed in terms of the two most promising attempts to ground claims about epistemic value in something other than commitments to particular conceptions of inquiry. While this does not establish that moderate epistemic expressivism is true, its ability to explain a significant but puzzling axiological datum, as well as withstand strong counterarguments, makes clear that it is a theory to be reckoned with. (shrink)

Recently, it has become popular to account for knowledge and other epistemic states in terms of epistemic virtues. The present paper focuses on an epistemic virtue relevant when deferring to others in testimonial contexts. It is argued that, while many virtue epistemologists will accept that epistemic virtue can be exhibited in cases involving epistemically motivated hearers, carefully vetting their testimonial sources for signs of untrustworthiness prior to deferring, anyone who accepts that also has to accept that an agent may exhibit (...) epistemic virtue in certain cases of blind deference, involving someone soaking up everything he or she is told without any hesitation. Moreover, in order to account for the kind of virtue involved in the relevant cases of blind deference, virtue epistemologists need to abandon a widespread commitment to personalism, i.e., the idea that virtue is possessed primarily on account of features internal to the psychology of the person, and accept that some virtues are social virtues, possessed in whole or in large part on account of the person being embedded in a reliable social environment. (shrink)

In Democracy for Realists, Christopher Achen and Larry Bartels argue that the depressingly well-established fact that people are woefully ignorant on politically relevant matters renders democratic ideals mere “fairy tales.” However, this iconoclasm stands in deep tension with the prescriptions they themselves end up offer-ing towards the end of the book, which coincide to a surprising extent with those that have been offered by democrats for decades. This is a problem because, if we take seriously the type of data that (...) Achen and Bartels rely on —data that should make us realists in the sense of the book’s title—it is not clear that democracy in any recognizable sense remains an option for the realist. (shrink)

The aim of this study was to describe nurses' conceptions of decision making with regard to life-sustaining treatment for dialysis patients. Semistructured interviews were conducted with 13 nurses caring for such patients at three hospitals. The interview material was subjected to qualitative content analysis. The nurses saw decision making as being characterized by uncertainty and by lack of communication and collaboration among all concerned. They described different ways of handling decision making, as well as insufficiency of physician—nurse collaboration, lack of (...) confidence in physicians, hindrances to patient participation, and ambivalence about the role of patients' next of kin. Future research should test models for facilitating communication and decision making so that decisions will emerge from collaboration of all concerned. Nurses' role in decision making also needs to be discussed. (shrink)

© 2013 The Editors of The Philosophical QuarterlyExperimental results on the variability and intra‐personal instability of philosophical intuitions have recently sparked a lively methodological debate about the reliability of the philosophical method. In his new book, Herman Cappelen argues that this entire debate is misguided. The reason is simple: philosophers don't rely on intuitions, so there is no reason for philosophers to worry about their reliability. Cappelen's case for this claim amounts to one of the most original and well‐argued contributions (...) to recent discussions about philosophical methodology. His book should be essential reading for anyone interested in the debate.Cappelen's book is in two parts, both centred on a claim he refers to as Centrality: ‘Contemporary analytic philosophers rely on intuitions as evidence for philosophical theories’. The first part rejects an argument attempting to support Centrality with reference to... (shrink)

It is a well-established fact that we tend to underestimate our susceptibility to cognitive bias on account of overconfidence, and thereby often fail to listen to intellectual advice aimed at reducing such bias. This is the problem of intellectual deference. The present paper considers this problem in contexts where educators attempt to teach students how to avoid bias for purposes of instilling epistemic virtues. It is argued that recent research in social psychology suggests that we can come to terms with (...) this problem in two steps, the second of which involves educators communicating their intellectual advice in a procedurally just manner. The components of the relevant form of procedural justice are specified and related to Miranda Fricker and David Coady’s notions of epistemic justice. Finally, a series of objections are considered and responded to. (shrink)

Critics have recently argued that reliabilists face trade-off problems, forcing them to condone intuitively unjustified beliefs when they generate lots of true belief further downstream. What these critics overlook is that reliabilism entails that there areside-constraintson belief-formation, on account of which there are some things you should not believe, even if doing so would have very good epistemic consequences. However, we argue that by embracing side-constraints the reliabilist faces a dilemma: she can either hold on to reliabilism, and with it (...) aforementioned side-constraints, but then needs to explain why we should allow the pursuit of justification to get in the way of the acquisition of true belief; or she can deny that there are side-constraints – and in effect give up on reliabilism. We'll suggest that anyone moved by the considerations that likely attract people to reliabilism in the first place – the idea the true belief is good, and as such should be promoted – should go for the second horn, and instead pursue a form ofepistemic utilitarianism. (shrink)

Democracy is in trouble, and it is democracy’s own fault—that is Robert Talisse’s intriguing contention is his recent book, Overdoing Democracy: Why We Must Put Politics in its Place (2019). What gets democracy into trouble, according to Talisse, is the idea that a democratic form of government is intrinsically valuable, which in turn entails a deliberative conception of democracy that, in combination with the social-psychological fact of social sorting, leads to rampant polarization. According to Talisse, we therefore need to put (...) democracy in its place by resisting the expansive view of the scope of democracy and making room for non-political spaces of interaction, in which we can form civic friendships. However, in what follows, I argue that what Talisse has actually provided is an excellent reason for rejecting rather than merely mitigating the detrimental effects of the idea that democracy is intrinsically valuable. Specifically, we ought to stop fetishizing democracy and instead embrace an instrumentalist view of democracy as a social practice that is instituted and maintained for purposes external to itself. Once we do this, democracy no longer needs saving from itself. (shrink)

Recently, Ernest Sosa (2007) has proposed two novel solutions to the problem of dream skepticism. In the present paper, I argue that Sosa’s first solution falls prey to what I will refer to as the conditionality problem, i.e., the problem of only establishing a conditional—in this case, if x, then I am awake, x being a placeholder for a condition incompatible with dreaming—in a context where it also needs to be established that we can know that the antecedent holds, and (...) as such can infer the consequent, i.e., I am awake. Sosa’s second solution, in terms of so-called reflective knowledge, is shown to land him in the dilemma of either facing yet another conditionality problem, or violating an internalist constraint that he explicitly grants the skeptic with respect to what kind of factors can be legitimately invoked in our account of how we may know the relevant antecedent. For these reasons, I conclude that Sosa has not solved the problem of dream skepticism. (shrink)

It has become customary in the virtue epistemological literature to distinguish between responsibilist and reliabilist virtue theories. More recently, certain problems affecting the former have prompted epistemologists to suggest that this distinction in virtue theory maps on to a distinction in virtue, specifically between character and faculty virtue. I argue that we lack good reason to bifurcate virtue in this manner, and that this moreover counts in favor of the virtue reliabilist.

The financial sector has seen a transformation towards ‘sustainable’ finance particularly in Europe, driven also by unprecedented regulatory reforms. At the same time, many are sceptical about the real impact of these reforms, fearing that they are triggering a paradoxical financialisation of sustainability. Building on recent research on institutional logics and institutional fields formation, we examine changes in the EU regulatory dynamics as characterised by shifts in framing the relationship between sustainability and finance. Deploying a longitudinal approach, consisting of archival (...) data and semi-structured interviews, we explore the development of EU sustainable finance regulation as an extended, interactive and contested process. Specifically, we suggest that regulatory dynamics depend on the hybrid configuration of the social constituencies supporting sustainable finance reforms and on shifts in the overall prevalence of the financial logic in society. Our paper sheds light on the inherent contradictions and limitations of sustainable finance as a means for transformative sustainability reforms. (shrink)

Recent critiques of veritistic value monism, or the idea that true belief is unique in being of fundamental epistemic value, typically invoke a claim about the surplus value of knowledge over mere true belief, in turn traced back to Plato's Meno. However, to the extent Plato at all defends a surplus claim in the Meno, it differs from that figuring in contemporary discussions with respect to both its scope and the kind of value at issue, and is under closer scrutiny (...) fully compatible with veritistic value monism. Consequently, contrary to what seems to be supposed in the literature, the critics of monism have little to gain from turning to the Meno for support. (shrink)

Whether firms in transition economies undertake corporate social responsibility (CSR) is an important research topic in business ethics. Applying the middle-status conformity perspective, this study uses listed companies in the transition economy of China from 2010 to 2020 to assess the influence of social status on CSR conformity. The empirical findings revealed an inverted U-shaped relationship between social status and CSR conformity. That is, firms with low- or high-level status were less inclined to adopt CSR practices than the firms with (...) a more middling status. Moreover, performance expectation gaps strengthened, while managerial ability flattened, the aforementioned inverted U-shaped relationship. This study sheds new light on the complicated motives for firms in transition economies to adopt CSR practices and further substantiates the boundary conditions of the curvilinear relationship between social status and CSR conformity. (shrink)

The review argues that Lovett’s theory of domination suffers from a problem. Lovett is aware of the problem and bites a fairly large bullet in response to it. What he does not seem aware of is that the problem can be avoided by opting for an account of welfare that he unfortunately ignores, despite the fact that it would serve his purposes well.

To what extent can we rely on others for information without such reliance becoming epistemically problematic? In this paper, this question is addressed in terms of a specific form of reliance: cognitive outsourcing. Cognitive outsourcing involves handing over (outsourcing) one’s information collection and processing (the cognitive) to others. The specific question that will be asked about such outsourcing is if there is an epistemic problem about cognitive outsourcing as such. To ask if there is an epistemic problem with x for (...) S is to ask if x is a problem for S’s ability to acquire true belief and avoid false belief. To ask if there is a problem for S with x as such is to ask if it is impossible to solve the problem for S while leaving x as is. I argue that, if we consider the five most plausible candidate epistemic problems raised by cognitive outsourcing—i.e., unreliability, gullibility, irrationality, dependency, and lack of epistemic autonomy—we see for each candidate that it is either not an epistemic problem, or not a problem about cognitive outsourcing as such. (shrink)

The present study is concerned the viability of the primary method in contemporary philosophy, i.e., conceptual analysis. Starting out by tracing the roots of this methodology to Platonic philosophy, the study questions whether such a methodology makes sense when divorced from Platonic philosophy, and develops a framework for a kind of analysis that is more in keeping with recent psychological research on categorization. Finally, it is shown that this kind of analysis can be applied to the concept of justification in (...) a manner that furthers the epistemological goal of providing intellectual guidance. (shrink)

The present paper revisits the main methodological problems with conceptual analysis and considers two attempts to rectify them in terms of prototypes and reflective equilibria, respectively. Finding both wanting for the purposes of epistemological analysis, a naturalistic alternative is then sketched that explores the positive implications of aforementioned problems for the demarcation of the respective roles of intuitions and empirical investigation within three epistemological domains, viz., the evaluation of epistemological hypotheses, the amelioration of epistemic practices, and the construction of a (...) theory of epistemic value. (shrink)

As has been noted by Alvin Goldman, there are some very interesting similarities between his Veritistic Social Epistemology (VSE) and Sandra Harding's Feminist Standpoint Theory (FST). In the present paper, it is argued that these similarities are so significant as to motivate an incorporation of FST into VSE, considering that (i) a substantial common ground can be found; (ii) the claims that go beyond this common ground are logically compatible; and (Hi) the generality of VSE not only does justice to (...) the inclusive ambition of FST, but even solves a well-discussed problem for the latter. (shrink)

Descartes’ epistemologies of meditation and sense imply that we cannot know anything about the mind-body union, either in the Cartesian sense of having scientia or, more interestingly, in terms of any other concept of knowledge available to Descartes. After considering the implications of this conclusion for what we may know about mind-body interaction, it becomes clear that, on Descartes’ view, we at best can be said to know that mind-body interaction, if it does in fact take place, does not violate (...) a set of causal principles, without knowing how mind and body interact, or even if they interact at all. (This article is the winner of the 2010 Rockefeller Prize awarded by the American Philosophical Association.). (shrink)

As has been noted by Alvin Goldman, there are some very interesting similarities between his Veritistic Social Epistemology (VSE) and Sandra Harding's Feminist Standpoint Theory (FST). In the present paper, it is argued that these similarities are so significant as to motivate an incorporation of FST into VSE, considering that (i) a substantial common ground can be found; (ii) the claims that go beyond this common ground are logically compatible; and (iii) the generality of VSE not only does justice to (...) the inclusive ambition of FST, but even solves a well-discussed problem for the latter. (shrink)

We often fail to defer to sources who know what they’re talking about. When doing so consistently, we fail to manifest a virtue of deference. This is because epistemic virtues are dispositions that promote epistemic goals, and knowledge is an epistemic goal. The present paper makes two points about how to instill this virtue. First, virtues of deference can be instilled by promoting compliance with requests on the part of good sources to be listened to, since listening is conducive to (...) believing. Second, recent research in social psychology on the relationship between justice and compliance suggests that one way to promote compliance with such requests is by having the relevant sources manifest a virtue of their own, namely that of procedural justice, which involves as a crucial component being prepared to listen. (shrink)

Online bullshit consists in online claims offered by speakers misrepresenting themselves as being concerned about the truth or falsity of what they’re saying. I’ll argue that if some practice is epistemically detrimental, we have pro tanto reason to censor it; a practice of OB is epistemically detrimental; and we thereby have pro tanto reason to censor such a practice. After having considered, and rejected, the three most promising arguments to the effect that is either false, or the reasons involved tend (...) to be defeated, I defend, and finally conclude by inferring. (shrink)