Given the profound influence of social media and emerging evidence of its effects on human behavior and health, bioethicists have an important role to play in the development of professional standards of conduct for health professionals using social media and in the design of online systems themselves. In short, social media is a bioethics issue that has serious implications for medical practice, research, and public health. Here, we inventory several ethical issues across four areas at the intersection of social media (...) and health: the impact of social networking sites on the doctor‐patient relationship, the development of e‐health platforms to deliver care, the use of online data and algorithms to inform health research, and the broader public health consequences of widespread social media use. In doing so, we review discussions of these topics and emphasize the need for bioethics to focus more deeply on the ways online technology platforms are designed and implemented. We argue that bioethicists should turn their attention to the ways in which consumer engagement, bias, and profit maximization shape online content and, consequently, human behavior and health. We also offer a set of recommendations and suggest future directions for addressing ethical challenges in these domains. (shrink)

The shift away from paternalistic decision-making and toward patient-centered, shared decision-making has stemmed from the recognition that in order to practice medicine ethically, health care professionals must take seriously the values and preferences of their patients. At the same time, there is growing recognition that minor and seemingly irrelevant features of how choices are presented can substantially influence the decisions people make. Behavioral economists have identified striking ways in which trivial differences in the presentation of options can powerfully and predictably (...) affect people's choices. Choice-affecting features of the decision environment that do not restrict the range of choices or significantly alter the incentives have come to be known as “nudges.” Although some have criticized conscious efforts to influence choice, we believe that clinical nudges may often be morally justified. The most straightforward justification for nudge interventions is that they help people bypass their cognitive limitations—for example, the tendency to choose the first option presented even when that option is not the best for them—thereby allowing people to make choices that best align with their rational preferences or deeply held values. However, we argue that this justification is problematic. We argue that, if physicians wish to use nudges to shape their patients’ choices, the justification for doing so must appeal to an ethical and professional standard, not to patients’ preferences. We demonstrate how a standard with which clinicians and bioethicists already are quite familiar—the best-interest standard—offers a robust justification for the use of nudges. (shrink)

Incentive programs have been criticized due to concerns that extrinsic rewards can ‘crowd out’ intrinsic motivation, and also that such programs might exert a corrupting influence on those receiving the incentive. Jonathan Wolff has argued that while these worries are in some instances well grounded, incentives can also operate by liberating people from social pressures that stand in the way of their intrinsic motivations. We further develop Wolff's insight by articulating a framework for assessing such incentives and discussing several areas (...) of public health where incentives may play a positive role. In so doing, we describe the limitations of Wolff's thesis as well as the opportunities it presents. Finally, we suggest that there is an additional attractive feature of incentives that has been overlooked, which is their capacity to serve as ‘conversation makers’. By providing people an occasion to discuss reasons for and against various health behaviors, incentives have the potential not only to impact the health behavior of individuals but to affect cultural change at the population level. (shrink)

Volume 19, Issue 7, July 2019, Page 26-28.

Utilitarian objections to the consumption of factory-farmed products center primarily on the harms such farms cause to animals. One problem with the utilitarian case against the consumption of factory-farmed products is that the system of production is so vast and complex that no typical, individual consumer can, through her consumer behavior, make any difference to the welfare of animals. I grant for the sake of argument that this causal inefficacy objection is sound and go on to argue that the utilitarian (...) nevertheless has the resources to conclude that at least in some cases it is wrongful on utilitarian grounds for an individual to consume factory-farmed products. When a consumer who believes that factory farming is wrongful consumes the products of factory farms, she endorses wrongful practices, and by doing so she engages in a form of self-harm. Self harm, like harm to others, must be taken into consideration when a utilitarian agent deliberates about the permissibility of her proposed course of action. Therefore, the causal inefficacy objection, while powerful, is not decisive against utilitarian objections to consuming factory-farmed products. (shrink)

So-called “manipulation arguments” have played a significant role in recent debates between compatibilists and incompatibilists. Incompatibilists take such arguments to show that agents who lack ultimate control over their characters or actions are not free. Most compatibilists agree that manipulated agents are not free but think this is because certain of the agent’s psychological capacities have been compromised. Chandra Sekhar Sripada has conducted an interesting study in which he applies an array of statistical tools to subjects’ intuitive responses to a (...) manipulation case, and he insists that the results of his study provide compelling evidence that people favor compatibilist views of freedom. I argue that because the case that forms the centerpiece of his study is relevantly different from the sort of cases incompatibilists have developed and because he fails to build deterministic conditions into this case, Sripada’s data cannot help settle the disagreement between compatibilists and incompatibilists. (shrink)

Imagine a drug—let's call it Curebitt—that is safe, cheap, and very effective: take a pill once a day and you will be healthier. Curebitt's taste is so unpleasant, so bitter, however, that a significant proportion of patients cannot bring themselves to ingest the pill regularly. Now suppose that after some time, another drug, Curesweet, hits the market. This drug is clinically equivalent to Curebitt and costs the same, but it is much more palatable, so adherence rates for it are significantly (...) higher than for Curebitt. Should physicians continue prescribing Curebitt, now that Curesweet is available? No, prescribing the bitter pill puts patients at a greater risk of nonadherence and ultimately results in reduced clinical benefit for a significant proportion of patients, whereas prescribing Curesweet benefits more patients and increases the probability that any given patient's health will improve. The Curebitt versus Curesweet scenario draws our attention to how a physician can fail her patients by prescribing drugs with lower adherence rates when equivalent drugs with higher adherence rates are available. What does this fictional case tell us about the real world? A lot. We know that adherence rates vary with out‐of‐pocket costs. Name‐brand drugs carry higher out‐of‐pocket costs than their generic counterparts; as a result, when name‐brand drugs are prescribed rather than their generic counterparts, fewer patients receive health benefits. If prescribing Curebitt is unethical, then so is prescribing the name‐brand drug. (shrink)

Consistent with numerous electrophysiological studies, we recently reported that conscious perception is associated with a widely distributed modulation of the P3 component . We also showed that correct objective performance in the absence of subjective awareness is associated with a spatially more restricted modulation of the P3. The relatively late occurrence of the P3 along with lack of control for post-perceptual processes suggests that this component might reflect processes related to stimulus evaluation or confidence rather than to visual awareness or (...) objective performance. The main aim of the current study was to test this hypothesis. While EEG was recorded, participants performed a forced-choice localization task and reported their subjective perception of the target on a 3-level scale that also indexed their confidence. The results showed that our previous findings are replicated when confidence is controlled for. (shrink)

COVID-19 Lockdown was particularly challenging for most mothers of people with intellectual disabilities, including those with Rett syndrome, leading to feelings of abandonment from healthcare services of their children. Within those days, telerehabilitation has represented a valid alternative to support physical activity and treatment, supporting parents in structuring their children’s daily routine at home. This article aims to describe the well-being level of two groups of mothers of girls and women with RTT who were involved in a home-based remotely supervised (...) motor rehabilitation program, respectively, before and during the COVID-19 Italian lockdown. Forty participants with classic RTT were recruited before the lockdown and randomly assigned to two groups that performed the intervention immediately before and during the lockdown, respectively. The intervention included an individualized daily physical activity program carried out for 12 weeks by participants’ parents and fortnightly supervised throughout Skype contacts to plan, monitor, and accommodate individual activities in the participant’s life at home. The short form Caregivers Well-Being Scale was collected for the mothers in each group 12 weeks before intervention, at intervention initiation, immediately after intervention termination, as well as at 12 weeks after intervention termination. Mothers of participants in the Group 1 showed a stable level of well-being across all four evaluations with a slight improvement during the lockdown, without significant change. Similarly, the well-being level of mothers in the Group 2 showed a statistically significant increase in their well-being between T2 and T3 and its reduction to the pre-intervention level between T3 and T4. The results suggest that the lockdown did not negatively affect the participants’ mothers’ well-being, leading to its improvement. Moreover, the proposed intervention could have supported the mothers in managing the new daily routine at home, positively affecting maternal well-being. (shrink)

The “received wisdom” in contemporary analytic philosophy is that intuition talk is a fairly recent phenomenon, dating back to the 1960s. In this paper, we set out to test two interpretations of this “received wisdom.” The first is that intuition talk is just talk, without any methodological significance. The second is that intuition talk is methodologically significant; it shows that analytic philosophers appeal to intuition. We present empirical and contextual evidence, systematically mined from the JSTOR corpus and HathiTrust’s Digital Library, (...) which provide some empirical support for the second rather than the first hypothesis. Our data also suggest that appealing to intuition is a much older philosophical methodology than the “received wisdom” alleges. We then discuss the implications of our findings for the contemporary debate over philosophical methodology. (shrink)

A vagueza é comumente representada pela adoção de significados imprecisos na linguagem natural. Ela é analisada como um caso limítrofe e formalizada de diversas maneiras pelas suas teorias “clássicas”. Este trabalho propõe uma abordagem diferente do tema através da adoção do conceito de Racionalidade Soft ( Soft Rationality ), elaborado por Marcelo Dascal, e da sua interpretação como o uso da “semelhança” ao invés da “análise” para a compreensão dos termos da linguagem natural. Aqui será feita a sugestão de que (...) a Racionalidade Soft (branda), enquanto teoria sobre a vagueza, permanece no domínio da ‘intensionalidade’ ao invés de buscar uma explicação formalizada e ‘extensional’ para o tema. DOI:10.5007/1808-1711.2011v15n2p349. (shrink)

Vagueness is commonly presented as natural language imprecise meaning that is analyzed as borderline cases and formalized in various ways by ‘classical’ theories of vagueness. A different approach to vagueness is presented here, adopting Dascal’s notion of ‘soft rationality’ and interpreting it as the use of ‘similarity’ rather than ‘analysis’ for the understanding of natural language terms. Soft rationality is suggested as a theory of vagueness that remains within the realm of intensionality, rather than seeking a formalized extensional explanation to (...) vagueness. (shrink)

We prove from suitable large cardinal hypotheses that the least weakly compact cardinal can be unfoldable, weakly measurable and even nearly θ\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\theta}$$\end{document}-supercompact, for any desired θ\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\theta}$$\end{document}. In addition, we prove several global results showing how the entire class of weakly compactcardinals, a proper class, can be made to coincide with the class of unfoldable cardinals, with the class of weakly measurable cardinals or (...) with the class of nearly θκ\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\theta_\kappa}$$\end{document}-supercompact cardinals κ\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\kappa}$$\end{document}, for nearly any desired function κ↦θκ\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\kappa\mapsto\theta_\kappa}$$\end{document}. These results answer several questions that had been open in the literature and extend to these large cardinals the identity-crises phenomenon, first identified by Magidor with the strongly compact cardinals. (shrink)

Two linked studies explored whether students’ perceptions differentiate between teachers’ autonomy support and control when presenting mastery goals, and the outcomes of these two practices, in terms of students’ internalization of mastery goals and their behavioral engagement. In two phases, Study 1 sought to validate a new instrument assessing students’ perceptions of teachers’ autonomy support and control when presenting mastery goals. Study 2 demonstrated that at both within- and between-classroom levels, perceptions of teachers’ autonomy support for mastery goals were related (...) to students’ mastery goals’ endorsement and behavioral engagement. These relations were mediated by students’ autonomous reasons to pursue learning activities. Perceptions of teachers’ control predicted disengagement through controlled reasons for learning, but only at the within-classroom level. This research joins a growing body of work demonstrating that combining achievement goal theory with SDT can further our understanding of the underpinnings of achievement motivation. It suggests that if teachers want their students to endorse mastery goals, they need to use more autonomy supportive practices and less controlling ones. (shrink)

The author presents an updated version of J.B. Conant's vision of the inclusion of hands-on experiences and self-contained historical case studies in introductory philosophy of science course. The experiential component is often neglected in philosophy of science courses. Students are usually given scientific facts, concepts, and practices as their formal introduction to the material, which prohibits them from engaging with the question of the nature of science in general. Student finish courses without adequate experience of the concepts or objects that (...) are essential for understanding the philosophical foundations of science. This paper outlines a series of pedagogical tools that highlight vital experiential components of the scientific enterprise, such as an emphasis on observation and the problem solving and creative aspects of scientific inquiry. The author contends that these components help confront common misconceptions on the nature of science which many students hold in introductory philosophy of science courses. These tools also help students engage with the scientific literature and incite discussion among students. (shrink)

We show the consistency, relative to a supercompact cardinal, of the least measurable cardinal being both strongly compact and fully Laver indestructible. We also show the consistency, relative to a supercompact cardinal, of the least strongly compact cardinal being somewhat supercompact yet not completely supercompact and having both its strong compactness and degree of supercompactness fully Laver indestructible.

The purpose of the study is to study the demographic situation in the Russian Federation using a system of general and particular statistical indicators, to identify the problems of socio-economic policy and suggest possible ways to solve them. The article examines various factors that influenced the demographic situation in Russia in 2000-2021; demographic problems, the consequences of which affect the socio-economic life of Russian society; the demographic situation that has arisen due to the epidemiological situation in our country. The scientific (...) novelty of the research consists in considering the influence of various factors, including pandemics, on the demographic processes in the Russian Federation. As a result of the study, possible measures were proposed to improve the socio-economic policy of the state. (shrink)

In this paper, I propose that the debate in epistemology concerning the nature and value of understanding can shed light on the role of scientific idealizations in producing scientific understanding. In philosophy of science, the received view seems to be that understanding is a species of knowledge. On this view, understanding is factive just as knowledge is, i.e., if S knows that p, then p is true. Epistemologists, however, distinguish between different kinds of understanding. Among epistemologists, there are those who (...) think that a certain kind of understanding—objectual understanding—is not factive, and those who think that objectual understanding is quasi-factive. Those who think that understanding is not factive argue that scientific idealizations constitute cognitive success, which we then consider as instances of understanding, and yet they are not true. This paper is an attempt to draw lessons from this debate as they pertain to the role of idealizations in producing scientific understanding. I argue that scientific understanding is quasi-factive. (shrink)

Description: The main purpose of writing this book is not only to explain, but also to interpret, the three phases of development of Buddhist thought in India, and how and in what manner it spread out to countries as far away from the land of its origin as Japan. Though the subject may be vast, a conscious effort has been made of explaining the complexity of Buddhist philosophical thought in as concise terms as possible. The first five hundred years, which (...) constitute the initial phase of development, is that of consolidation. The form of Buddhism that developed during this phase is at present known as Theravada, and is prevalent in countries that lie to the south of India. On account of this geographical location of Theravada countries, it is also known as the Southern Buddhism. The second phase of Buddhism is characterised by the emergence of Mahayana. All those religious features were brought into Buddhism with the inception of Mahayana that are constitutive of folk religiosity. One of the important religious elements that crept into the Buddhist fold was the doctrine of Bodhisattva. Henceforward it would be the Bodhisattva ideal that would catch the imagination of a Buddhist believer. At the philosophical level two most important schools were established, namely, the Madhyamika and the Yogacara-Vijnanavada. Great strides, in the realm of art, were also made, particularly in architecture, sculpture and painting. The final phase of development is represented by the emergence of Tantricism. At this phase of development archaic religious elements, in the shape of magic, became part and parcel of Buddhist practice. Thus begins the process of degeneration of the ideals that the Buddha had enunciated at the time of his Enlightenment. This story of rise and fall, of development and degeneration, tells its own story, which needs to be told in terms that are understandable. (shrink)

Historical and theoretical perspectives on Yoga and Tantrism.

On the concept of salvation in the Yoga school on Hindu philosophy and Tantric Buddhism.

In this paper, I consider the pessimistic induction construed as a deductive argument (specifically, reductio ad absurdum) and as an inductive argument (specifically, inductive generalization). I argue that both formulations of the pessimistic induction are fallacious. I also consider another possible interpretation of the pessimistic induction, namely, as pointing to counterexamples to the scientific realist’s thesis that success is a reliable mark of (approximate) truth. I argue that this interpretation of the pessimistic induction fails, too. If this is correct, then (...) the pessimistic induction is an utter failure that should be abandoned by scientific anti-realists. (shrink)

A model in which strongness ofκ is indestructible under κ+ -weakly closed forcing notions satisfying the Prikry condition is constructed. This is applied to solve a question of Hajnal on the number of elements of {λ δ |2 δ <λ}.

There is an ongoing methodological debate in philosophy of science concerning the use of case studies as evidence for and/or against theories about science. In this paper, I aim to make a contribution to this debate by taking an empirical approach. I present the results of a systematic survey of the PhilSci-Archive, which suggest that a sizeable proportion of papers in philosophy of science contain appeals to case studies, as indicated by the occurrence of the indicator words “case study” and/or (...) “case studies.” These results are confirmed by data mined from the JSTOR database on research articles published in leading journals in the field: Philosophy of Science, the British Journal for the Philosophy of Science (BJPS), and the Journal for General Philosophy of Science (JGPS), as well as the Proceedings of the Biennial Meeting of the Philosophy of Science Association (PSA). The data also show upward trends in appeals to case studies in articles published in Philosophy of Science, the BJPS, and the JGPS. The empirical work I have done for this paper provides philosophers of science who are wary of the use of case studies as evidence for and/or against theories about science with a way to do philosophy of science that is informed by data rather than case studies. (shrink)

It is a common view among philosophers of science that theoretical virtues (also known as epistemic or cognitive values), such as simplicity and consistency, play an important role in scientific practice. In this article, I set out to study the role that theoretical virtues play in scientific practice empirically. I apply the methods of data science, such as text mining and corpus analysis, to study large corpora of scientific texts in order to uncover patterns of usage. These patterns of usage, (...) in turn, might shed some light on the role that theoretical virtues play in scientific practice. Overall, the results of this empirical study suggest that scientists invoke theoretical virtues explicitly, albeit rather infrequently, when they talk about models (less than 30%), theories (less than 20%), and hypotheses (less than 15%) in their published works. To the extent that they are mentioned in scientific publications, the results of this study suggest that accuracy, consistency, and simplicity are the theoretical virtues that scientists invoke more frequently than the other theoretical virtues tested in this study. Interestingly, however, depending on whether they talk about hypotheses, theories, or models, scientists may invoke one of those theoretical virtues more than the others. (shrink)

In this paper, I present the results of an experimental study on intuitions about moral obligation (ought) and ability (can). Many philosophers accept as an axiom the principle known as “Ought Implies Can” (OIC). If the truth of OIC is intuitive, such that it is accepted by many philosophers as an axiom, then we would expect people to judge that agents who are unable to perform an action are not morally obligated to perform that action. The results of my experimental (...) study show that participants were more inclined to judge that an agent ought to perform an action than that the agent can perform the action. Overall, participants said that an agent ought to perform an action even when they said that the agent cannot do it. I discuss the implications of these results for the debate over OIC. (shrink)

Experimental philosophers have challenged friends of the expertise defense to show that the intuitive judgments of professional philosophers are different from the intuitive judgments of nonphilosophers, and the intuitive judgments of professional philosophers are better than the intuitive judgments of nonphilosophers, in ways that are relevant to the truth or falsity of such judgments. Friends of the expertise defense have responded by arguing that the burden of proof lies with experimental philosophers. This article sketches three arguments which show that both (...) and are probably false. If its arguments are cogent, then shifting the burden of proof is a futile move, since philosophical training makes no difference so far as making intuitive judgments in response to hypothetical cases is concerned. (shrink)