One recurring criticism of the best interests standard concerns its vagueness, and thus the inadequate guidance it offers to care providers. The lack of an agreed definition of ‘best interests’, together with the fact that several suggested considerations adopted in legislation or professional guidelines for doctors do not obviously apply across different groups of persons, result in decisions being made in murky waters. In response, bioethicists have attempted to specify the best interests standard, to reduce the indeterminacy surrounding medical decisions. (...) In this paper, we discuss the bioethicists’ response in relation to the state's possible role in clarifying the best interests standard. We identify and characterise two clarificatory strategies employed by bioethicists —elaborative and enumerative—and argue that the state should adopt the latter. Beyond the practical difficulties of the former strategy, a state adoption of it would inevitably be prejudicial in a pluralistic society. Given the gravity of best interests decisions, and the delicate task of respecting citizens with different understandings of best interests, only the enumerative strategy is viable. We argue that this does not commit the state to silence in providing guidance to and supporting healthcare providers, nor does it facilitate the abuse of the vulnerable. Finally, we address two methodological worries about adopting this approach at the state level. The adoption of the enumerative strategy is not defeatist in attitude, nor does it eventually collapse into (a form of) the elaborative strategy. (shrink)

In the UK, current policies and services for people with mental disorders, including those with intellectual disabilities (ID), presume that these men and women can, do, and should, make decisions for themselves. The new Mental Capacity Act (England and Wales) 2005 (MCA) sets this presumption into statute, and codifies how decisions relating to health and welfare should be made for those adults judged unable to make one or more such decisions autonomously. The MCA uses a procedural checklist to guide this (...) process of substitute decision-making. The personal experiences of providing direct support to seven men and women with ID living in residential care, however, showed that substitute decision-making took two forms, depending on the type of decision to be made. The first process, ‘strategic substitute decision-making’, paralleled the MCA’s legal and ethical framework, whilst the second process, ‘relational substitute decision-making’, was markedly different from these statutory procedures. In this setting, ‘relational substitute decision-making’ underpinned everyday personal and social interventions connected with residents’ daily living, and was situated within a framework of interpersonal and interdependent care relationships. The implications of these findings for residential services and the implementation of the MCA are discussed. (shrink)

The idea of the Internet as Gutenberg 2.0—a true revolution in disseminating information—is now a routine part of how bioethics education works. The Internet has become indispensable as a channel for sharing teaching materials and connecting learners with a central platform that houses materials to support an online or hybrid curriculum or a traditional course. A newer idea in bioethics education reflects developments in web-based medical education more broadly and draws on design principles developed for the Internet. This approach to (...) online bioethics education requires thinking about web-based learning as an engaging, potentially immersive experience, about learners' expectations concerning web-based learning, and about differences between self-directed learning and teaching to support group learning. In clinician education in bioethics, the interrelated goals of ethical reflection and practice for professionals and of continuous quality improvement in health care are supported by a focus on real-world challenges and by encouraging the habits of self-directed learning. In this paper, we describe how an international, interdisciplinary team used a web-based framework to develop a health care ethics casebook whose content, design, and pedagogy were tailored to the needs and expectations of health care professionals and other audiences in Singapore; we also explain how they used this framework to make the casebook accessible nationwide and to support cross-cultural learning. (shrink)

Since the fundamental challenge that I laid at the doorstep of the pluralists was to defend, with nonderivative models, a strong notion of genic cause, it is fatal that Waters has failed to meet that challenge. Waters agrees with me that there is only a single cause operating in these models, but he argues for a notion of causal ‘parsing’ to sustain the viability of some form of pluralism. Waters and his colleagues have some very interesting and important ideas about (...) the sciences, involving pluralism and parsing or partitioning causes, but they are ideas in search of an example. He thinks he has found an example in the case of hierarchical and genic selection. I think he has not. (shrink)

Despite the increased prevalence of bioethics research that seeks to use empirical data to answer normative research questions, there is no consensus as to what an appropriate methodology for this would be. This review aims to search the literature, present and critically discuss published Empirical Bioethics methodologies.

The sense of touch informs us of the physical properties of our surroundings and is a critical aspect of communication. Before touches are perceived, mechanical signals are transmitted quickly and reliably from the skin's surface to mechano‐electrical transduction channels embedded within specialized sensory neurons. We are just beginning to understand how soft tissues participate in force transmission and how they are deformed. Here, we review empirical and theoretical studies of single molecules and molecular ensembles thought to be involved in mechanotransmission (...) and apply the concepts emerging from this work to the sense of touch. We focus on the nematode Caenorhabditis elegans as a well‐studied model for touch sensation in which mechanics can be studied on the molecular, cellular, and systems level. Finally, we conclude that force transmission is an emergent property of macromolecular cellular structures that mutually stabilize one another. (shrink)

My goal in this paper is to show that naturalists cannot reasonably endorse moral realism. My argument will come in two parts. The first part aims to show that any plausible and naturalistically acceptable argument in favor of belief in objective moral properties will appeal in part to simplicity considerations (broadly construed)—and this regardless of whether moral properties are reducible to non-moral properties. The second part argues for the conclusion that appeals to simplicity justify belief in moral properties only if (...) either those properties are not objective or something like theism is true. Thus, if my argument is sound, naturalists can reasonably accept moral realism only if they are prepared to accept something like theism. But, as will become clear, naturalists can reasonably accept theism or something like it only if belief in some such doctrine is justified by the methods of science. For present purposes, I’ll assume (what I think virtually every naturalist will grant) that belief in theism and relevantly similar doctrines is not justified by the methods of science. Thus, I will conclude that naturalists cannot reasonably accept moral realism. (shrink)

This study considers the hiddenness of God, and the problems it raises for belief and trust in GOd. Talk of divine hiddenness evokes a variety of phenomena--the relative paucity and ambiguity of the available evidence for God's existence, the elusiveness of God's comforting presence when we are afraid and in pain, the palpable and devastating experience of divine absence and abandonment, and more. Many of these phenomena are hard to reconcile with the idea, central to the Jewish and Christian scriptures, (...) that God is deeply lovingly concerned with the lives and emotional and spiritual well-being of human creatures; and the philosophical problem of divine hiddenness ranks alongside the problem of evil as one of the two most important and widely discussed reasons for disbelieving in God. -/- The central argument of the book is that the hiddenness problem, construed as an argument against the existence of God, rests on unwarranted assumptions and expectations about God's love and goodness. In challenging these assumptions, however, Michael C Rea also considers the question of why we should accept traditional positive characterizations of God's love rather than the negative ones suggested by the phenomena of divine hiddenness. In the final four chapters, Rea aims to address this question through discussion of God's widespread experiential availability, God's loving authorization of lament and protest, and the surprising ease of seeking and participating in a relationship with God. (shrink)

Many of the most well-known Protestant systematic theologies, particularly in the Reformed tradition, display (more or less) a common thematic division. There are prolegomena: questions about the nature of theology, the relationship between faith and reason, and (sometimes treated separately) the attributes of scripture and its role in faith and practice. There is the doctrine of God: divine attributes, Godʼs relationship to creation, etc. There is the doctrine of humanity: the nature and post-mortem survival of human persons, and the human (...) condition, including the Fall and human sinfulness. There are parts devoted to the person and work of Christ: most especially, the incarnation and atonement. There is discussion of questions in practical theology: the organization and function of the church, morality and politics. Other matters get discussed along the way as well. Most of these topics are ones which we contributors to this volume have been asked to address in our position statements. So I take my assignment to be, in effect, the production of a miniature sketch of a partial systematic theology. Even in miniature, this is a monumental task for a mere essay, and a daunting one for someone whose formal training lies outside of theology. The remarks that follow represent my best effort to articulate such views on these topics as I currently hold—albeit briefly and incompletely. I hope that the views hang together in a reasonably systematic way; but, as this is but a first effort at accomplishing a task of this sort, I wish to emphasize the programmatic nature of what I shall be saying. Since I am writing specifically as a representative of Protestantism (in all of its wide diversity), it seems fitting for me to structure my essay in accord with the thematic divisions just described. I begin with prolegomena, focusing primarily on faith and reason, and doctrines about scripture. The next three sections are devoted, respectively, to the doctrine of God, doctrine of humanity (in which I include doctrines about the person and work of Christ), and practical theology. (shrink)

This is a work of literary history in which the author reconstructs the epistolary network of a German philologist and philosopher named Gottfried Leibniz and his extended coterie of far-flung correspondents who exchanged information and insights, by way of letters, about the emergent study of historical linguistics, as a means of retracing the origins of the various peoples of Europe. This book contributes to our understanding of the so-called international Republic of Letters in the early-modern period of Europe and the (...) near East. (shrink)

Though Michel Foucault is one of the most important thinkers of the twentieth century, little is known about his early life. Even Foucault’s biographers have neglected this period, preferring instead to start the story when the future philosopher arrives in Paris. Becoming Foucault is a historical reconstruction of the world in which Foucault grew up: the small city of Poitiers, France, from the 1920s until the end of the Second World War. Beyond exploring previously unexamined aspects of Foucault’s childhood, including (...) his wartime ordeals, it proposes an original interpretation of Foucault’s oeuvre. Michael Behrent argues that Foucault, in addition to being a theorist of power, knowledge, and selfhood, was also a philosopher of experience. He was a thinker intent on making sense of the events that he lived through. Behrent identifies four specific experiences in Foucault’s childhood that exercised a decisive influence on him and that, in various ways, he later made the subject of his philosophy: his family’s deep connections to the medical profession; his upbringing in a bourgeois household; the German Occupation during World War II; and his Catholic education. Behrent not only reconstructs the specific nature of these experiences but also shows how reference to them surfaces in Foucault’s later work. In this way, the book both sheds light on a formative period in the philosopher’s life and offers a unique interpretation of key aspects of his thought. (shrink)

Abstract: In this article, I offer a proposal to clarify what I believe is the proper relation between value maximization and stakeholder theory, which I call enlightened value maximization. Enlightened value maximization utilizes much of the structure of stakeholder theory but accepts maximization of the long-run value of the firm as the criterion for making the requisite tradeoffs among its stakeholders, and specifies long-term value maximization or value seeking as the firm’s objective. This proposal therefore solves the problems that arise (...) from the multiple objectives that accompany traditional stakeholder theory. I also discuss the Balanced Scorecard, which is the managerial equivalent of stakeholder theory, explaining how this theory is flawed because it presents managers with a scorecard that gives no score—that is, no single-valued measure of how they have performed. Thus managers evaluated with such a system (which can easily have two dozen measures and provides no information on the tradeoffs between them) have no way to make principled or purposeful decisions. The solution is to define a true (single dimensional) score for measuring performance for the organization or division (and it must be consistent with the organization’s strategy), and as long as their score is defined properly, (and for lower levels in the organization it will generally not be value) this will enhance their contribution to the firm. (shrink)

Although there is a large literature on referentiality, going back to at least the nineteenth and early twentieth century, much of this early work is based on constructed data and most of it is on English. The chapters in this volume contribute to a growing body of work that examines referentiality through naturalistic data in context. Taking an interactional approach to (non)referentiality, contributors to this volume ask how participants talk in real time about persons and things as individuals or as (...) categories, and what distinguishes 'referential' from 'nonreferential', 'specific' from 'nonspecific', and 'generic' from 'nongeneric'. Crucially, we ask whether these distinctions even matter to participants in conversation, and if they do, what the evidence for that would be. Contributors investigate these issues using data from conversational interaction in a variety of social contexts - from close friends and family to more casual acquaintances, in service encounters, and between adults and children - and in a range of languages: English, Finnish, French, Indonesian, Japanese, and Mandarin. Collectively, the chapters develop insights showing that reference is often fluid, dynamic, and indeterminate, that referential indeterminacy is typically unproblematic for participants, that shifts in referentiality tend to be tied to specific social goals, and that reference and referentiality emerge dialogically and interactionally. (shrink)

My goal in this paper is to provide characterizations of matter, form and constituency in a way that avoids what I take to be the three main drawbacks of other hylomorphic theories: (i) commitment to the universal-particular distinction; (ii) commitment to a primitive or problematic notion of inherence or constituency; (iii) inability to identify viable candidates for matter and form in nature, or to characterize them in terms of primitives widely regarded to be intelligible.

This paper defends Mereological Universalism(the thesis that, for any set S of disjoint objects, there is an object that the members of S compose. Universalism is unpalatable to many philosophers because it entails that if there are such things as my left tennis shoe, W. V. Quine, and the Taj Mahal, then there is another object that those three things compose. This paper presents and criticizes Peter van Inwagen's argument against Universalism and then presents a new argument in favor of (...) Universalism. It turns out that the most reasonable way to resist the argument for Universalism is to deny the existence of artifacts; thus, if we believe in artifacts, we have no real choice other than to embrace Universalism. (shrink)

The arguments for redistribution of wealth, and for prohibiting certain transactions such as price-gouging, both are based in mistaken conceptions of exchange. This paper proposes a neologism, “euvoluntary” exchange, meaning both that the exchange is truly voluntary and that it benefits both parties to the transaction. The argument has two parts: First, all euvoluntary exchanges should be permitted, and there is no justification for redistribution of wealth if disparities result only from euvoluntary exchanges. Second, even exchanges that are not euvoluntary (...) should generally be permitted, because access to market exchange may be the only means by which people in desperate circumstances can improve their position. (shrink)

This article challenges conventional readings of Michel Foucault by examining his fascination with neoliberalism in the late 1970s. Foucault did not critique neoliberalism during this period; rather, he strategically endorsed it. The necessary cause for this approval lies in the broader rehabilitation of economic liberalism in France during the 1970s. The sufficient cause lies in Foucault's own intellectual development: drawing on his long-standing critique of the state as a model for conceptualizing power, Foucault concluded, during the 1970s, that economic liberalism, (...) rather than “discipline,” was modernity's paradigmatic power form. Moreover, this article seeks to clarify the relationship between Foucault's philosophical antihumanism and his assessment of liberalism. Rather than arguing that Foucault's antihumanism precluded a positive appraisal of liberalism, or that the apparent reorientation of his politics in a more liberal direction in the late 1970s entailed a partial retreat from antihumanism, this article contends that Foucault's brief, strategic, and contingent endorsement of liberalism was possible precisely because he saw no incompatibility between antihumanism and liberalism—but only liberalism of the economic variety. Economic liberalism alone, and not its political iteration, was compatible with the philosophical antihumanism that is the hallmark of Foucault's thought. (shrink)

This article characterizes the varieties of four - dimensionalism and provides a critical overview of the main arguments in support of it.

There are five individually plausible and jointly incompatible assumptions underlying four familiar puzzles about material constitution. The problem of material constitution just is the fact that these five assumptions are both plausible and incompatible. I will begin by providing a very general statement of the problem. I will present the five assumptions and provide a short argument showing how they conflict with one another. Then, in subsequent sections, I will go on to show how these assumptions underlie each of the (...) four puzzles. I will conclude by providing an exhaustive taxonomy of possible solutions to the problem. (shrink)

This paper defends Mereological Universalism (the thesis that, for any set S of disjoint objects, there is an object that the members of S compose. Universalism is unpalatable to many philosophers because it entails that if there are such things as my left tennis shoe, W. V. Quine, and the Taj Mahal, then there is another object that those three things compose. This paper presents and criticizes Peter van Inwagen’s argument against Universalism and then presents a new argument in favor (...) of Universalism. It turns out that the most reasonable way to resist the argument for Universalism is to deny the existence of artifacts; thus, if we believe in artifacts, we have no real choice other than to embrace Universalism. (shrink)

A bronze statue is a lump of bronze – or so it might appear. But appearances are not always to be trusted, and this one is notoriously problematic. To see why, imagine a bronze statue (perhaps a statue of David) and ask yourself: Which lump of bronze is the statue? Presumably, it is the lump that makes up the statue (or, as we say, the lump that constitutes the statue). After all, why should the statue be any other lump of (...) bronze? But if that is right, if the statue is the lump of bronze that constitutes it, then why can the lump of bronze survive being melted down whereas the statue it constitutes cannot? It seems that in fact the bronze statue is not the lump of bronze that constitutes it, since the statue and the lump of bronze have different persistence conditions. But then is it some other lump of bronze? Is it a lump of bronze at all? These questions are troubling; they appear to have no easy answers. (shrink)

In debate about the nature of persistence over time, the view that material objects endure has played the role of "champion" and the view that they perdure has played the role of the "challenger." It has fallen to the perdurantists rather than the endurantists to motivate their view, to provide reasons for accepting it that override whatever initial presumption there is against it. Perdurantists have sought to discharge their burden in several ways. For example, perdurantism has been recommend on the (...) grounds that: (i) it solves several of the puzzles that raise the problem of material constitution; (ii) it is (at least) suggested by the special theory of relativity (hereafter "SR"); (iii) it is the only view that makes sense out of the possibility of intrinsic change; (iv) it is the only view consistent with the doctrine of Humean supervenience; and (v) it makes better sense than its competitor out of the possibility of fission. There are primary and most powerful claims that have been made on behalf of perdurantism. They are individually persuasive and together they constitute a formidable assault upon the hegemony of endurantism. Endurantists of course, have not been without reply. However, since endurantists typically respond to these claims one at a time and in different ways, it is easy to get the impression that perdurantism offers a single, neat solution to a host of problems whereas endurantism requires a patchwork of different strategies. But this impression is an illusion. In Rea 1995, I argued that though perdurantism does solve some of the puzzles that raise the problem of material constitution, it does not solve the problem of material constitution itself. Thus, the problem of material constitution really has no bearing on the debate between endurantists and perdurantists. In his paper, I will show that the same is true with respect to SR, the problem of intrinsic change, the doctrine of Humean supervenience, and the possibility of fission. In short, I will argue that none of (ii-v) is true and that therefore the doctrine of temporal parts stands unmotivated. (shrink)

In this paper, I present an Aristotelian solution to the problem of material constitution. The problem of material constitution arises whenever it appears that an object a and an object b share all of the same parts and yet are essentially related to their parts in different ways. (A familiar example: A lump of bronze constitutes a statue of Athena. The lump and the statue share all of the same parts, but it appears that the lump can, whereas the statue (...) cannot, survive radical rearrangements of those parts.) I argue that if we are prepared to follow Aristotle in making a distinction between numerical sameness and identity, we can solve the problem of material constitution without recourse to co-location or contingent identity and without repudiating any of the familiar objects of common sense (such as lumps and statues) or denying that these objects have the essential properties we ordinarily think that they have. (shrink)

In this paper I defend two conclusions: that time travel journeys to the past are not undertaken freely and, more generally, that nobody is free between the earliest arrival time and the latest departure time of a time travel journey to the past. Time travel to the past destroys freedom on a global scale.

There are various puzzles that set our intuitions about composition and identity against one another. Four that are particularly well known are the Growing Argument, the Ship of Theseus Puzzle, the Body-minus Argument, and Allan Gibbard’s puzzle about Lumpl and Goliath. Such puzzles have received a great deal of attention in the literature over the past thirty years, and there is an impressive and growing variety of solutions available for each of them. Surprisingly, however, no one has really discussed how (...) all of the different puzzles, and their solutions, are interrelated. On the surface, they seem to raise different problems; but clearly the puzzles are related somehow. They raise similar questions and generate similar sets of possible solutions. But, as yet, nothing has been said about how far the similarities extend. (shrink)

Recent discussions of cognitive enhancement often note that drugs and technologies that improve cognitive performance may do so at the risk of “cheapening” our resulting cognitive achievements Arguing about bioethics, Routledge, London, 2012; Harris in Bioethics 25:102–111, 2011). While there are several possible responses to this worry, we will highlight what we take to be one of the most promising—one which draws on a recent strand of thinking in social and virtue epistemology to construct an integrationist defence of cognitive enhancement.. (...) According to such a line, there is—despite initial appearances to the contrary—no genuine tension between using enhancements to attain our goals and achieving these goals in a valuable way provided the relevant enhancement is appropriately integrated into the agent’s cognitive architecture. In this paper, however, we show that the kind of integration recommended by such views will likely come at a high cost. More specifically, we highlight a dilemma for users of pharmacological cognitive enhancement: they can meet the conditions for cognitive integration at the significant risk of dangerous dependency, or remain free of such dependency while foregoing integration and the valuable achievements that such integration enables. After motivating and clarifying the import of this dilemma, we offer recommendations for how future cognitive enhancement research may offer potential routes for navigating past it. (shrink)

In debate about the nature of persistence over time, the view that material objects endure has played the role of “champion” and the view that they perdure has played the role of “challenger.” As in other contests, the champion’s job is merely to defend her title, whereas the challenger’s job is to prove herself worthy. I have no view about how these roles came to be assigned; but the historical fact is that perdurantists have traditionally borne the proverbial burden of (...) proof in this debate. It has fallen to the perdurantists rather than the endurantists to motivate their view, to provide reasons for accepting it that override whatever initial presumption there is against it. (shrink)

There is a tradition according to which Parmenides of Elea endorsed the following set of counterintuitive doctrines: (a) There exists exactly one material thing. (b) What exists does not change. (g) Nothing is generated or destroyed. (d) What exists is undivided. For convenience, I will use the label ‘Eleatic monism’ to refer to the conjunction of a–d.

Drawing in part on recent work by Eleonore Stump and Sarah Coakley, I shall argue that even if NO HUMAN GOOD is true, divine hiddenness does not cast doubt on DIVINE CONCERN. My argument will turn on three central claims: (a) that ABSENCE OF RELIGIOUS EXPERIENCE and INCONCLUSIVE EVIDENCE are better thought of as constituting divine silence rather than divine hiddenness, (b) that even if NO HUMAN GOOD is true, divine silence is compatible with DIVINE CONCERN so long as God (...) has provided a way for rational creatures to find him and to experience his presence despite the silence, and (c) that there is some reason to think that Biblical narratives and liturgical acts are vehicles by which we might find and experience the presence of God. Each of these claims will be defended, in turn, in the three sections that follow. (shrink)

In the first section, I characterize skeptical theism more fully. This is necessary in order to address some important misconceptions and mischaracterizations that appear in the essays by Maitzen, Wilks, and O’Connor. In the second section, I describe the most important objections they raise and group them into four “families” so as to facilitate an orderly series of responses. In the four sections that follow, I respond to the objections.

In a recent article in this journal, Achille Varzi (2009) argues that mereological universalism (U) entails mereological extensionalism (E). The thesis that U entails E (call it ‘T’) has important implications. For example, as is well known, T plays a crucial role in Peter van Inwagen’s argument against universalism (1990: 74–79). In what follows, I show that Varzi’s arguments for T rely on a tendentious assumption about parthood.