Objectivity is not the same thing as independence from the mind. Because the word ‘mind’ has been used to cover myriad things from pains to practices, care must be taken as to just what it is independence from which is in question. The gut notion of objectivity is captured in an anecdote from the life of Abraham Lincoln. Lincoln and a political colleague were discussing how to get a policy across and the colleague suggested labelling the policy in a certain (...) way; they happened to be near a donkey and their dialogue went like this: ‘Sir, how many legs does this donkey have?’ ‘Four, Mr. Lincoln’ ‘And how many tails has it?’ ‘Why, just one, Mr. Lincoln’ ‘Tell me, sir, what if we were to call the tail a leg; how many legs would the donkey then have?’ ‘Five, Mr. Lincoln’. ‘No, sir; for you cannot make a tail into a leg by calling it one’. (shrink)

In his seminal work Moral Notions , Julius Kovesi presents a novel account of concept formation. At the heart of this account is a distinction between what he terms the material element and the formal element of concepts. This paper elucidates his distinction in detail and contrasts it with other distinctions such as form-matter, universal-particular, genus-difference, necessary-sufficient, and open texture-closed texture. We situate Kovesi’s distinction within his general philosophical method, outlining his views on concept formation in general and explain how (...) his theory of concept formation is applied in moral philosophy. (shrink)

ABSTRACT Defining a nonpaternalistic yet achievable form of trust in medicine in an era of simultaneous patient empowerment and institutional control has been and remains an important task of bioethics. The ‘crisis of trust’ in medicine has been viewed mainly as the problem of getting patients to trust their health care providers, especially physicians. However, since paradigmatic cases of trust are mutual, bioethicists must pay more attention to physician trust in patients. A physician’s view of the reasonableness of trust in (...) a particular patient is affected not just by his or her relationship with that patient, but also by what is going on institutionally, professionally, legally, and politically with regard to a given treatment or intervention. Since general moral principles are insufficient in determining the moral value and reasonableness of trust in particular instances, I discuss in detail the role of trust and distrust in the specific case of treating patients with medications implicated in drug abuse. I conclude that it is important to become aware, first, of the clinical significance of physician trust and distrust in patients, and second, of the many factors which inform both of these moral attitudes. These two claims together suggest that a central, but overlooked, virtue of medical practice is reflective, context‐responsive trust in patients. (shrink)