BACKGROUND: A programmatic research effort investigated how lay people weigh information on hypothetical patients when making decisions regarding the allocation of scarce medical resources. This study is partly replicative and partly innovative, and looks particularly at whether overweight patients would be discriminated against in allocating resources. AIMS: This study aims to determine the importance given to specific patient characteristics when lay participants are asked to allocate scarce medical resources. SAMPLE: In all, 156 British adults (82 males, 73 females), aged 19 (...) to 84 years, took part. There were few students. METHOD: Participants completed a questionnaire requiring them to rank 16 hypothetical patients for access to a kidney dialysis machine.The demographic information presented regarding each hypothetical patient differed on four dimensions: gender, weight, mental health, and religiousness. RESULTS: There were significant main effects for gender, weight, and mental health; females, patients of normal weight, and the mentally well were ranked the highest priority for access to a kidney dialysis machine. Participants discriminated most regarding the weight of hypothetical patients. CONCLUSION: Different patient characteristics, unrelated to medical prognoses, particularly being overweight, may have an impact on decisions regarding the use of scarce medical resources. (shrink)

Studying the most ethical way to allocate scarce medical resources has been of interest within the last year, due to shortages associated with the COVID-19 pandemic. This study aimed to establish differences between what healthcare providers (HCP) and laypeople consider to be the most ethical way to prioritise the distribution of scarce resources. Healthcare providers ( n = 100) and laypeople ( n = 102) were asked to rank ethical principles from most to least ethical for the allocation of ICU (...) beds in a COVID-19 outbreak, COVID-19 vaccinations and organ transplantation, and the rankings from each scenario across the two groups were compared. Results indicated that HCPs preferred utilitarian principles informed by medical knowledge, such as ‘prognosis’, whereas laypeople preferred less situation-specific and prioritarian principles, such as ‘sickest first’, replicating pre-pandemic findings. Laypeople showed increased in-group agreement when ranking principles, potentially due to the collective experience of the pandemic. Demographic variables such as older age, identifying as Black, Asian or minority ethnic and greater experience with COVID-19, were also associated with a preference for ‘prognosis’. (shrink)

One of the currently popular dogmata of anti-consequentialism is that consequentialism doesn't respect, recognize, or in some important way account for what is referred to as the The charge is often made, but rarely explained in any detail, much less argued for. In this paper I explain what I take to be the most plausible interpretation of the separateness of persons charge. I argue that the charge itself can be deconstructed into at least two further objections to consequentialist theories. These (...) objections amount to (i) the rejection of axiological aggregation, and (ii) the rejection of deontic aggregation. Of these two objections, I argue that the first one, though often made, is untenable. I also argue that the second objection, in its various forms, relies on distinctions whose moral significance is vigorously denied by almost all consequentialist theorists. I thus argue that the separateness of persons objection poses no special threat to consequentialism. (shrink)

In this interview, James L. McClelland responds to questions regarding connectionist models of cognition, a theory inspired by information processing in the brain. McClelland explains the distinction between symbolic and non-symbolic processing for a better understanding of mental processes. He argues that connectionist models can perform the computations which we know the brain can perform. In addition, he responds to several general questions on the perspectives of computational models of cognition.

Healthcare Ethics, Law and Professionalism: Essays on the Works of Alastair V Campbell features 15 original essays on bioethics, and healthcare ethics specifically. The volume is in honour of Professor Alastair V Campbell, who was the founding editor of the internationally-renowned Journal of Medical Ethics, and the founding director of three internationally leading centres in bioethics, in Otago, New Zealand, Bristol, UK, and Singapore. Campbell was trained in theology and philosophy and throughout his career worked with colleagues from (...) various disciplines, including law and various branches of healthcare. The diversity of topics and depth of contributors' insights reflect the breadth and impact of Campbell's philosophical work and policy contributions to healthcare ethics. Throughout his long academic career, Campbell's emphasis on healthcare ethics being practice-oriented, yet driven by critical reflection, has shaped the field in vital ways. The chapters are authored by leading scholars in healthcare ethics and law. Directly engaging with Campbell's work and influence, the essays discuss essential questions in healthcare ethics relating to its methodology and teaching, its intersection with law and policy, medical professionalism, religion, and its translation in different cultural settings. Chapters also grapple with specific enduring topics, such as the doctor-patient relationship, justice in health and biomedical research, and treatment of the human body and the dead. (shrink)

This book defends a radical new theory of contingency as a physical phenomenon. Drawing on the many-worlds approach to quantum theory and cutting-edge metaphysics and philosophy of science, it argues that quantum theories are best understood as telling us about the space of genuine possibilities, rather than as telling us solely about actuality. When quantum physics is taken seriously in the way first proposed by Hugh Everett III, it provides the resources for a new systematic metaphysical framework encompassing possibility, necessity, (...) actuality, chance, counterfactuals, and a host of related modal notions. -/- Rationalist metaphysicians argue that the metaphysics of modality is strictly prior to any scientific investigation; metaphysics establishes which worlds are possible, and physics merely checks which of these worlds is actual. Naturalistic metaphysicians respond that science may discover new possibilities and new impossibilities. This book's quantum theory of contingency takes naturalistic metaphysics one step further, allowing that science may discover what it is to be possible. As electromagnetism revealed the nature of light, as acoustics revealed the nature of sound, as statistical mechanics revealed the nature of heat, so quantum physics reveals the nature of contingency. (shrink)

Alastair Norcross argues that the basic judgments of morality are essentially comparative: alternatives are judged to be better or worse than each other. Notions such as right and wrong are not part of the fundamental subject matter of moral theory, but are constructed in a context-relative fashion out of the basic comparative judgments.

There is a systematic and suggestive analogy between grounding and causation. In my view, this analogy is no coincidence. Grounding and causation are alike because grounding is a type of causation: metaphysical causation. In this paper I defend the identification of grounding with metaphysical causation, drawing on the causation literature to explore systematic connections between grounding and metaphysical dependence counterfactuals, and I outline a non-reductive counterfactual theory of grounding along interventionist lines.

The study of human intelligence was once dominated by symbolic approaches, but over the last 30 years an alternative approach has arisen. Symbols and processes that operate on them are often seen today as approximate characterizations of the emergent consequences of sub- or nonsymbolic processes, and a wide range of constructs in cognitive science can be understood as emergents. These include representational constructs (units, structures, rules), architectural constructs (central executive, declarative memory), and developmental processes and outcomes (stages, sensitive periods, neurocognitive (...) modules, developmental disorders). The greatest achievements of human cognition may be largely emergent phenomena. It remains a challenge for the future to learn more about how these greatest achievements arise and to emulate them in artificial systems. (shrink)

Dispositions can combine as vector sums. Recent authors on dispositions, such as George Molnar and Stephen Mumford, have responded to this feature of dispositions by introducing a distinction between effects and contributions to effects, and by identifying disposition-manifestations with the latter. But some have been sceptical of the reality or knowability of component vectors; Jennifer McKitrick (forthcoming) presses these concerns against the conception of manifestations as contributions to effects. In this paper, I aim to respond to McKitrick's arguments and to (...) defend the metaphysical and epistemological propriety of component vectors. My strategy appeals to varying kinematic frames of reference. By transforming to the appropriate non-inertial frame, component acceleration vectors can be transformed into resultant acceleration vectors, and in such frames they become directly observable. Being a component acceleration vector and being a resultant acceleration vector are both frame-dependent properties of properties; they are not to be thought of as intrinsic or fundamental properties of an acceleration vector, but as artefacts of our frame-dependent notation for representing vector quantities. To conclude the paper, I defend the view proposed against two styles of objection. The first objection resurrects scepticism about component vectors as scepticism about fundamental component vectors. The second objection questions the need for reference frames in the explanation by invoking a 'counterfactual' theory of contributions. (shrink)

By the 1880s it had become clear that the intellectual tide in Britain was turning against the idea of a minimal state. Under the influence of the New Idealists, the Liberal Party, once the champion of individual liberty, had changed into an organ for interventionist legislation. Challenging this movement was an assortment of anti-collectivists including Old Liberals, Tories, and radical individualists. Spearheading the defence of individualism was the 10th Earl of Wemyss, Francis Wemyss-Charteris-Douglas. Most famous for his role in the (...) formation of the Liberty and Property Defence League, Wemyss worked tirelessly in parliament to obstruct legislation deemed inimical to liberty, as well as to organise a mass educational effort to instruct the public about the errors of collectivist philosophy and policy. This paper examines the role Wemyss played within late Victorian individualism and considers how the melding of traditionalism and individualism provided an intellectual home for libertarianism on the Right. (shrink)

In this paper I assess the prospects for combining contemporary Everettian quantum mechanics (EQM) with branching-time semantics in the tradition of Kripke, Prior, Thomason and Belnap. I begin by outlining the salient features of ‘decoherence-based’ EQM, and of the ‘consistent histories’ formalism that is particularly apt for conceptual discussions in EQM. This formalism permits of both ‘branching worlds’ and ‘parallel worlds’ interpretations; the metaphysics of EQM is in this sense underdetermined by the physics. A prominent argument due to Lewis (On (...) the Plurality of Worlds, 1986 ) supports the non-branching interpretation. Belnap et al. (Facing the Future: Agents and Choices in Our Indeterministic World, 2001 ) refer to Lewis’ argument as the ‘Assertion problem’, and propose a pragmatic response to it. I argue that their response is unattractively ad hoc and complex, and that it prevents an Everettian who adopts branching-time semantics from making clear sense of objective probability. The upshot is that Everettians are better off without branching-time semantics. I conclude by discussing and rejecting an alternative possible motivation for branching time. (shrink)

This paper outlines a non-reductive counterfactual account of grounding along interventionist lines, and uses the account to argue that taking grounding seriously requires ascribing non-trivial truth-conditions to a range of counterpossible counterfactuals. This result allows for a diagnosis of a route to scepticism about grounding, as deriving at least in part from scepticism about non-trivial counterpossible truth and falsity.

Conservatives claim that all phenomenal properties are sensory. Liberals countenance non-sensory phenomenal properties such as what it’s like to perceive some high-level property, and what it’s like to think that p. A hallmark of phenomenal properties is that they present an explanatory gap, so to resolve the dispute we should consider whether experience has non-sensory properties that appear ‘gappy’. The classic tests for ‘gappiness’ are the invertibility test and the zombifiability test. I suggest that these tests yield conflicting results: non-sensory (...) properties lend themselves to zombie scenarios but not to inversion scenarios. Which test should we trust? Against Carruthers & Veillet (2011), I argue that invertibility is not a viable condition of phenomenality. In contrast, being zombifiable is credibly necessary and sufficient for phenomenality. I conclude that there are non-sensory properties of experience that are ‘gappy’ in the right way, and that liberalism is therefore the most plausible position. (shrink)

This article explores three ways in which physics may involve counterpossible reasoning. The first way arises when evaluating false theories: to say what the world would be like if the theory were true, we need to evaluate counterfactuals with physically impossible antecedents. The second way relates to the role of counterfactuals in characterizing causal structure: to say what causes what in physics, we need to make reference to physically impossible scenarios. The third way is novel: to model metaphysical dependence in (...) physics, we need to consider counterfactual consequences of metaphysical impossibilities. Physics accordingly bears substantial and surprising counterpossible commitments. (shrink)

Our successful engagement with the world is plausibly underwritten by our sensitivity to affordances in our immediate environment. The considerable literature on affordances focuses almost exclusively on affordances for bodily actions such as gripping, walking or eating. I propose that we are also sensitive to affordances for mental actions such as attending, imagining and counting. My case for this ‘Mental Affordance Hypothesis’ is motivated by a series of examples in which our sensitivity to mental affordances mirrors our sensitivity to bodily (...) affordances. Specifically, subjects perceive opportunities to perform a mental action and their doing so leads, under the right conditions, to the automatic preparation of that action. I conclude by sketching a mental affordance research program that would reinforce my case for the Mental Affordance Hypothesis and establish its ramifications for a number of debates across philosophy and psychology. (shrink)

Quantum physics is believed to be the fundamental theory underlying our understanding of the physical universe. However, it is based on concepts and principles that have always been difficult to understand and controversial in their interpretation. This book aims to explain these issues using a minimum of technical language and mathematics. After a brief introduction to the ideas of quantum physics, the problems of interpretation are identified and explained. The rest of the book surveys, describes and criticises a range of (...) suggestions that have been made with the aim of resolving these problems; these include the traditional, or 'Copenhagen' interpretation, the possible role of the conscious mind in measurement, and the postulate of parallel universes. This new edition has been revised throughout to take into account developments in this field over the past fifteen years, including the idea of 'consistent histories' to which a completely new chapter is devoted. (shrink)

The ubiquity of inner awareness thesis states that all conscious states of normal adult humans are characterised by an inner awareness of that very state. UIA-Backers support this thesis while UIA-Skeptics reject it. At the heart of their dispute is a recalcitrant phenomenological disagreement. UIA-Backers claim that phenomenological investigation reveals ‘peripheral inner awareness’ to be a constant presence in their non-introspective experiences. UIA-Skeptics deny that their non-introspective experiences are characterised by inner awareness, and maintain that inner awareness is only gained (...) when they explicitly introspect. Each camp has put forward a range of arguments designed to resolve this dispute, but I argue that none of these arguments has genuine dialectical purchase. This leads me to develop a compromise position that trades on the contribution that affordances can make to our phenomenology. According to the Affordance Model of inner awareness, all conscious states of normal adult humans are characterised by an affordance of introspectability. In line with the UIA-Skeptic, non-introspective experiences are not characterised by inner awareness. But against the traditional UIASkeptic, non-introspective experiences are characterised by an awareness of the opportunity for introspection. On this view, our capacity to gain inner awareness of our current experience is a ubiquitous feature of our phenomenology. I show how the Affordance Model respects the driving phenomenological intuitions of both the UIA-Backers and the traditional UIA-Skeptics, and suggest that it is able to explain why neither camp achieves an accurate description of how inner awareness figures in their phenomenology. (shrink)

David Wallace has given a decision-theoretic argument for the Born Rule in the context of Everettian quantum mechanics. This approach promises to resolve some long-standing problems with probability in EQM, but it has faced plenty of resistance. One kind of objection charges that the requisite notion of decision-theoretic uncertainty is unavailable in the Everettian picture, so that the argument cannot gain any traction; another kind of objection grants the proof’s applicability and targets the premises. In this article I propose some (...) novel principles connecting the physics of EQM with the metaphysics of modality, and argue that in the resulting framework the incoherence problem does not arise. These principles also help to justify one of the most controversial premises of Wallace’s argument, ‘branching indifference’. Absent any a priori reason to align the metaphysics with the physics in some other way, the proposed principles can be adopted on grounds of theoretical utility. The upshot is that Everettians can, after all, make clear sense of objective probability. 1 Introduction2 Setup3 Individualism versus Collectivism4 The Ingredients of Indexicalism5 Indexicalism and Incoherence5.1 The trivialization problem5.2 The uncertainty problem6 Indexicalism and Branching Indifference6.1 Introducing branching indifference6.2 The pragmatic defence of branching indifference6.3 The non-existence defence of branching indifference6.4 The indexicalist defence of branching indifference7 Conclusion. (shrink)

Distinctions in fundamentality between different levels of description are central to the viability of contemporary decoherence-based Everettian quantum mechanics (EQM). This approach to quantum theory characteristically combines a determinate fundamental reality (one universal wave function) with an indeterminate emergent reality (multiple decoherent worlds). In this chapter I explore how the Everettian appeal to fundamentality and emergence can be understood within existing metaphysical frameworks, identify grounding and concept fundamentality as promising theoretical tools, and use them to characterize a system of explanatory (...) levels (with associated laws of nature) for EQM. This Everettian level structure encompasses and extends the ‘classical’ levels structure. The ‘classical’ levels of physics, chemistry, biology, etc. are recovered, but they are emergent in character and potentially variable across Everett worlds. EQM invokes an additional fundamental level, not present in the classical levels picture, and a novel potential role for self-location in interlevel metaphysics. When given a modal realist interpretation, EQM also makes trouble for supervenience-based approaches to levels. (shrink)

In ‘Quiddistic Knowledge’ (Schaffer in Philos Stud 123:1–32, 2005), Jonathan Schaffer argued influentially against the view that the laws of nature are metaphysically necessary. In this reply I aim to show how a coherent and well-motivated form of necessitarianism can withstand his critique. Modal necessitarianism—the view that the actual laws are the laws of all possible worlds—can do justice to some intuitive motivations for necessitarianism, and it has the resources to respond to all of Schaffer’s objections. It also has certain (...) advantages over contingentism in the domain of modal epistemology. I conclude that necessitarianism about laws remains a live option. (shrink)

If the most familiar overlapping interpretation of Everettian quantum mechanics is correct, then each of us is constantly splitting into multiple people. This consequence gives rise to the quantum doomsday argument, which threatens to draw crippling epistemic consequences from EQM. However, a diverging interpretation of EQM undermines the quantum doomsday argument completely. This appears to tell in favour of the diverging interpretation. But it is surprising that a metaphysical question that is apparently underdetermined by the physics should be settled by (...) purely epistemological considerations; and I argue that the positive case for divergence based on the quantum doomsday effect is ultimately unsuccessful. I discuss how some influential treatments of Everettian confirmation handle the quantum doomsday puzzle, and suggest that it can most satisfyingly be resolved via a naturalistic approach to the metaphysics of modality. (shrink)

This paper explores the idea that popular narrative film can somehow contribute to our philosophical understanding. I identify a number of problems with this 'film as philosophy' thesis and argue that the capacity of film to contribute to philosophy is not as great as many authors think. Specifically, I argue that film can only offer genuinely distinctive insights into philosophical questions *about film* and explore Hitchcock's Rear Window as an example of this.

Many significant harms, such as the mass suffering of animals on factory farms, can only be prevented, or at least lessened, by the collective action of thousands, or in some cases millions, of individual agents. In the face of this, it can seem as if individuals are powerless to make a difference, and thus that they lack reasons, at least from the consequentialist perspective, to refrain from eating meat. This has become known as the “causal impotence” problem. The standard response (...) is to appeal to expected utility calculations. Recently, this response has been attacked, mostly on the grounds that the relevant causal mechanisms are more complex than its proponents are said to assume. In this paper, I argue that the attacks are unsuccessful, both at undermining specific expected utility calculations urged by me and Kagan, or even at showing that significantly different expected utility calculations wouldn’t justify the relevant behavior. (shrink)

In On the Plurality of Worlds (Lewis 1986), David Lewis imposes a condition on realist theories of modality which he calls ‘plenitude’. Lewis apparently assigns this condition considerable importance, and uses it to motivate his Humean principle of recombination, but he never says exactly what plenitude amounts to. This chapter first sets aside some obvious ways of reconstructing the plenitude criterion which do not fit with the textual evidence. An objection to modal realism due to John Divers and Joseph Melia (...) (Divers and Melia 2002) is diagnosed as equivocating between an overly-demanding plenitude constraint and a weaker constraint which fails to establish their conclusion. An alternative deflationary interpretation of the plenitude condition has it following from an application of standard theoretical virtues to a modal realist’s total theory; Lewis’ correspondence provides new evidence in support of this interpretation. The deflationary plenitude criterion also has broader application, beyond Lewisian modal realism. (shrink)

This chapter contains section titled: Introduction The Demandingness Objection Scalar Utilitarianism Wrongness as Blameworthiness Rightness and Goodness as Guides to Action.

Frances Kamm's aptly titled Intricate Ethics is a tour de force of what Peter Unger calls the ‘preservationist’ approach to ethical theory. Here is some of what she says about her methodology: Consider as many case-based judgments of yours as prove necessary. Do not ignore some case-based judgments, assuming they are errors, just because they conflict with simple or intuitively plausible principles that account for some subset of your case-based judgments. Work on the assumption that a different principle can account (...) for all of the judgments. Be prepared to be surprised at what this principle is . . . . I say, consider your case-based judgments, rather than a survey of everyone's judgments. This is because I believe that much more is accomplished when one person considers her judgments and then tries to analyze and justify their grounds than if we do mere surveys. (shrink)

The inequitable distribution of domestic and caring labour in different-sex couples has been a longstanding feminist concern. Some have hoped that having both partners at home during the COVID-19 pandemic would usher in a new era of equitable work and caring distributions. Contrary to these hopes, old patterns seem to have persisted. Moreover, studies suggest this inequitable distribution often goes unnoticed by the male partner. This raises two questions. Why do women continue to shoulder a disproportionate amount of housework and (...) childcare despite economic and cultural gains? And why is there a widespread one-sided misrepresentation within different-sex couples about how domestic and caring work is distributed between the two partners? We answer these questions by appealing to affordance perception – the perception of possibilities for action in one's environment. We propose an important gender disparity in the perception of affordances for domestic tasks such as the dishwasher affording emptying, the floor affording sweeping and a mess affording tidying. We argue that this contributes not only to the inequitable distribution of domestic labour but to the frequent invisibility of that labour. We explore the consequences of this hypothesis for resistance and social change. (shrink)