Intuitively, a question is indeterminate just in case it is unsettled, not merely epistemically, but metaphysically. We ordinarily ascribe indeterminacy by saying that there is no fact of the matter. We say for instance that there is no fact of the matter how many clouds exist. The distribution of water droplets in the sky would appear to settle that there are some clouds, but not how many. ;On the one hand, it seems obvious that certain questions are indeterminate. On the (...) other hand, it seems easy to reduce an arbitrary ascription of indeterminacy to absurdity: Suppose that it is indeterminate---that is, metaphysically unsettled---whether Jud is bald. Because it is true that Jud is bald only if it is metaphysically settled that he is bald, and because it is true that Jud is not bald only if it is metaphysically settled that he is not bald, it is not true that Jud is bald and not true that Jud is not bald. Because Jud is bald only if it is true that he is bald, and because Jud is not bald only if it is true that he is not bald, Jud is not bald and Jud is not not bald. This is a contradiction. Hence, our supposition is false. Moreover, because the issue of whether Jud is bald was chosen arbitrarily, the argument generalizes: indeterminacy is impossible. ;We are faced with a dilemma: take the anti-indeterminacy argument at face value and look for a way to explain away our pro-indeterminacy intuitions, or take our intuitions at face value and look for a way to reject the argument. Many philosophers are inclined toward the latter route, but I want to take the first step toward justifying the former. ;After emphasizing the costs of rejecting the preceding sort of argument, I show how five of the most salient phenomena that give rise to pro-indeterminacy intuitions can be accounted for without postulating genuine indeterminacy. I examine explicitly incomplete definitions, hidden relativity, vagueness, comparatives, and subjunctive conditionals. In each case I suggest a way to account for the phenomenon without postulating indeterminacy. (shrink)

When making substituted judgments for incapacitated patients, surrogates often struggle to guess what the patient would want if they had capacity. Surrogates may also agonize over having the (sole) responsibility of making such a determination. To address such concerns, a Patient Preference Predictor (PPP) has been proposed that would use an algorithm to infer the treatment preferences of individual patients from population-level data about the known preferences of people with similar demographic characteristics. However, critics have suggested that even if such (...) a PPP were more accurate, on average, than human surrogates in identifying patient preferences, the proposed algorithm would nevertheless fail to respect the patient’s (former) autonomy since it draws on the ‘wrong’ kind of data: namely, data that are not specific to the individual patient and which therefore may not reflect their actual values, or their reasons for having the preferences they do. Taking such criticisms on board, we here propose a new approach: the Personalized Patient Preference Predictor (P4). The P4 is based on recent advances in machine learning, which allow technologies including large language models to be more cheaply and efficiently ‘fine-tuned’ on person-specific data. The P4, unlike the PPP, would be able to infer an individual patient’s preferences from material (e.g., prior treatment decisions) that is in fact specific to them. Thus, we argue, in addition to being potentially more accurate at the individual level than the previously proposed PPP, the predictions of a P4 would also more directly reflect each patient’s own reasons and values. In this article, we review recent discoveries in artificial intelligence research that suggest a P4 is technically feasible, and argue that, if it is developed and appropriately deployed, it should assuage some of the main autonomy-based concerns of critics of the original PPP. We then consider various objections to our proposal and offer some tentative replies. (shrink)

On two standard views of vagueness, vagueness as to whether Harry is bald entails that nobody knows whether Harry is bald—either because vagueness is a type of missing truth, and so there is nothing to know, or because vagueness is a type of ignorance, and so even though there is a truth of the matter, nobody can know what that truth is. Vagueness as to whether Harry is bald does entail that nobody clearly knows that Harry is bald and that (...) nobody clearly knows that Harry is not bald. But it does not entail that nobody knows that Harry is bald or that nobody knows that Harry is not bald. Hence, the two standard views of vagueness are mistaken. (shrink)

On the dominant view of vagueness, if it is vague whether Harry is bald, then it is unsettled, not merely epistemically, but metaphysically, whether Harry is bald. In other words, vagueness is a type of indeterminacy. On the standard alternative, vagueness is a type of ignorance: if it is vague whether Harry is bald, then, even though it is metaphysically settled whether Harry is bald, we cannot know whether Harry is bald. On my view, vagueness is neither a type of (...) indeterminacy nor a type of ignorance. Rather, it is sui generis. (shrink)

A common view among nontheists combines the de jure objection that theism is epistemically unacceptable with agnosticism about the de facto objection that theism is false. Following Plantinga, we can call this a “proper” de jure objection—a de jure objection that does not depend on any de facto objection. In his Warranted Christian Belief, Plantinga has produced a general argument against all proper de jure objections. Here I first show that this argument is logically fallacious (it makes subtle probabilistic fallacies (...) disguised by scope ambiguities), and proceed to lay the groundwork for the construction of actual proper de jure objections. (shrink)

This chapter defines "epistemology," introduces the key epistemological questions, and briefly outlines how the field has evolved over time. It serves as the introduction to the edited collection, Introduction to Philosophy: Epistemology (a volume in the Introduction to Philosophy open textbook series edited by Christina Hendricks).

Professor Brian Goodwin (1931-2007) was a visionary biologist, mathematician and philosopher. Understanding organisms as dynamics wholes, he worked to develop an alternate view to extreme Darwinism based solely on genetic factors. He was a pioneer in the field of theoretical biology.

On the dominant view of vagueness, if it is vague whether Harry is bald, then it is unsettled, not merely epistemically, but metaphysically, whether Harry is bald. In other words, vagueness is a type of indeterminacy. On the standard alternative, vagueness is a type of ignorance: if it is vague whether Harry is bald, then, even though it is metaphysically settled whether Harry is bald, we cannot know whether Harry is bald. On my view, vagueness is neither a type of (...) indeterminacy nor a type of ignorance. Rather, it is sui generis. (shrink)

The “scientific essentialist” doctrine asserts that the following are examples of a posteriori necessary identities: water is H2O; gold is the element with atomic number 79; and heat is the motion of molecules. Evidence in support of this assertion, however, is difficult to find. Both Hilary Putnam and Saul Kripke have argued convincingly for the existence of a posteriori necessities. Furthermore, Kripke has argued for the existence of a posteriori necessary identities in regard to a particular class of statements involving (...) proper names. Neither Kripke nor Putnam, however, has argued convincingly that sentences containing syntactically complex terms or descriptive phrases can express a posteriori necessary identities. I will argue by way of a hypothetical example that ‘water is H2O’ does not express a necessary identity. My argument is unique in that it attacks the relevant sufficiency claim needed to underwrite this putative necessary identity.1 That is, even if we grant that water is necessarily composed of H2O, we should not accept that H2O necessarily forms water. (shrink)

I argue that, unlike your brain, you are not composed of other things: you are simple. My argument centers on what I take to be an uncontroversial datum: for any pair of conscious beings, it is impossible for the pair itself to be conscious. Consider, for instance, the pair comprising you and me. You might pinch your arm and feel a pain. I might simultaneously pinch my arm and feel a qualitatively identical pain. But the pair we form would not (...) feel a thing.1 Pairs of people themselves are incapable of experience. Call this The Datum. What explains The Datum? I think the following exhaust the reasonable options. (1) Pairs of people lack a sufficient number of immediate parts. (2) Pairs of people lack immediate parts capable of standing in the right sorts of relations to each other and their environment. (3) Pairs of people lack immediate parts of the right nature. (4) Pairs of people are not structures (they are unstructured collections of their two immediate parts). (5) Some combination of (1) – (4). Finally, (6) pairs of people are not simple. (shrink)

A conditional takes the form ‘If A, then C’. On the truth-conditional view of conditionals, conditional statements state things with truth-conditions. On the suppositional view, conditional statements involve the expression of a supposition. I develop and defend a view on which conditional statements both state things with truth-conditions and express suppositions. On this view, something is fundamentally right about standard truth-conditional and standard suppositional views. Considerations in favor of conditional contents lead us to attribute truth-conditional contents to conditional statements; considerations (...) in favor of the suppositional view then lead us to an unexpected account of these contents. The resulting view has a number of benefits, including a unified treatment of conditional speech acts, a plausible account of our practice of ascribing truth-values to conditional statements, a simple explanation of the apparent equivalence between probabilities of conditionals and conditional probabilities, an intuitive treatment of ‘Gibbardian stand-offs’, a plausible logic of conditionals, and an explanation of why theorizing about conditionals has proved so difficult. (shrink)

Evidence suggests that psychedelics bring about their therapeutic outcomes in part through the subjective or qualitative effects they engender and how the individual interprets the resulting experiences. However, psychedelics are contraindicated for individuals who have been diagnosed with certain mental illnesses, on the grounds that these subjective effects may be disturbing or otherwise counter-therapeutic. Substantial resources are therefore currently being devoted to creating psychedelic substances that produce many of the same biological changes as psychedelics, but without their characteristic subjective effects. (...) In this article, we consider ethical issues arising from the prospect of such potential “nonsubjective” psychedelics. We are broadly supportive of efforts to produce such substances for both scientific and clinical reasons. However, we argue that such nonsubjective psychedelics should be reserved for those special cases in which the subjective effects of psychedelics are specifically contraindicated, whereas classic psychedelics that affect subjective experience should be considered the default and standard of care. After reviewing evidence regarding the subjective effects of psychedelics, we raise a number of ethical concerns around the prospect of withholding such typically positive, meaningful, and therapeutic experiences from most patients. (shrink)

An action is unratifiable when, on the assumption that one performs it, another option has higher expected utility. Unratifiable actions are often claimed to be somehow rationally defective. But in some cases where multiple options are unratifiable, one unratifiable option can still seem preferable to another. We should respond, I argue, by invoking a graded notion of ratifiability.

For many years essentialism was considered beyond the pale in philosophy, a relic of discredited Aristotelianism. This is no longer so. Kripke and Putnam have made belief in essential natures respectable once more. Harré and Madden have argued against Hume's theory of causation and developed an alternative theory based on the assumption that there are genuine causal powers in nature. Dretske, Tooley, Armstrong, Swoyer, and Carroll have all developed strong alternatives to Hume's theory of the laws of nature. And Shoemaker (...) has developed a thoroughly non-Humean theory of properties. The "new essentialism" has evolved from these beginnings and can now reasonably claim to be a metaphysic for a modern scientific understanding of the world - one that challenges the conception of the world as comprising passive entities whose interactions are to be explained by appeal to contingent laws of nature externally imposed. (shrink)

According to the traditional analysis of propositional knowledge (which derives from Plato's account in the Meno and Theaetetus), knowledge is justified true belief. This chapter develops the traditional analysis, introduces the famous Gettier and lottery problems, and provides an overview of prospective solutions. In closing, I briefly comment on the value of conceptual analysis, note how it has shaped the field, and assess the state of post-Gettier epistemology.

[Brian P. McLaughlin] In recent years, some philosophers have claimed that we can know a priori that certain external world skeptical hypotheses are false on the basis of a priori knowledge that we are in certain kinds of mental states, and a priori knowledge that those mental states are individuated by contingent environmental factors. Appealing to a distinction between weak and strong a priority, I argue that weakly a priori arguments of this sort would beg the question of whether (...) the skeptical hypothesis under assessment is true, and that the prospect of a sound strongly a priori argument of this sort seems dim. \\\ [David Owens] Contemporary discussion of scepticism focuses on the possibility that most or all of our beliefs might be false. I argue that the hypothesis of massive falsity and the associated 'problem of the external world' are inessential to the scepticisms of Descartes and Hume. What drives Cartesian and Humean scepticism is the demand for certainty: any possibility of error, however local, must be ruled out before we can claim either justified belief or knowledge. Contemporary philosophers have ignored this form of scepticism because they doubt that the demand for certainty can be motivated. But Descartes provides a sound motivation for this demand in the Meditations. (shrink)

A natural view of testimony holds that a source's statements provide one with evidence about what the source believes, which in turn provides one with evidence about what is true. But some theorists have gone further and developed a broadly analogous view of memory. According to this view, which this essay calls the “diary model,” one's memory ordinarily serves as a means for one's present self to gain evidence about one's past judgments, and in turn about the truth. This essay (...) rejects the diary model's analogy between memory and testimony from one's former self, arguing first that memory and a diary differ with respect to their psychological roles, and second that this psychological difference underwrites important downstream epistemic differences. The resulting view stands opposed to prominent discussions of memory and testimony, which either, like the diary model, treat memory by analogy to what we naively wish to say about testimony, or which instead attempt to extend to testimony the epistemically preservative role of memory. (shrink)

On an optimistic version of realist moral epistemology, a significant range of ordinary moral beliefs, construed in realist terms, constitute knowledge—or at least some weaker positive epistemic status, such as epistemic justification. The “debunking challenge” to this view grants prima facie justification but claims that it is “debunked” (i.e., defeated), yielding the final verdict that moral beliefs are ultima facie unjustified. Notable candidate “debunkers” (i.e., defeaters) include the so-called “evolutionary debunking arguments,” the “Benacerraf-Field Challenge,” and persistent moral disagreement among epistemic (...) peers. Such defeaters are best treated as higher-order evidence—viz., evidence contesting the merits of the first-order evidence on which moral beliefs are based. This chapter first develops a theory of higher-order defeat in general, which it then applies to debunking in particular. The result: the challenge fails entirely on epistemic grounds—regardless of whether or not its empirical and metaphysical presuppositions are correct. An advantage of this purely epistemic defense over alternative strategies is that the former extends even to laypersons who themselves lack the expertise necessary to formulate an adequate response. However, this leaves open the prospects for non-epistemological interpretations of debunking (e.g., moral or ontological). The chapter therefore concludes with brief suggestions in that direction. (shrink)

Milk, sand, plastic, uranium, wood, carbon, and oil are kinds of stuff. The sand in Hawaii, the uranium in North Korea, and the oil in Iraq are portions of stuff. Not everyone believes in portions of stuff.1 Those who do are likely to agree that, whatever their more specific natures, portions of stuff can at least be identified with mereological sums of their subportions.2 It seems after all trivial that a given portion of stuff just is all of its subportions (...) combined—not by a spatiotemporal or any other substantive unifying relation, but by a mere principle of summation, a principle requiring that, if some things exist, there exists the sum, or collection, of those things. (shrink)

This paper critically examines currently influential transparency accounts of our knowledge of our own beliefs that say that self-ascriptions of belief typically are arrived at by “looking outward” onto the world. For example, one version of the transparency account says that one self-ascribes beliefs via an inference from a premise to the conclusion that one believes that premise. This rule of inference reliably yields accurate self-ascriptions because you cannot infer a conclusion from a premise without believing the premise, and so (...) you cannot infer from a premise that you believe the premise unless you do believe it. I argue that this procedure cannot be a source of justification, however, because one can be justified in inferring from p that q only if p amounts to strong evidence that q is true. This is incompatible with the transparency account because p often is not very strong evidence that you believe that p. For example, unless you are a weather expert, the fact that it will rain is not very strong evidence that you believe it will rain. After showing how this intuitive problem can be made precise, I conclude with a broader lesson about the nature of inferential justification: that beliefs, when justified, must be underwritten by beliefs, when justified, must be underwritten by evidential relationships between the facts or propositions which those beliefs represent. (shrink)

David DeGrazia’s stated purposes for Taking Animals Seriously are to apply a coherentist methodology to animal ethics, to do the philosophical work necessary for discussing animal minds, and to fill in some of the gaps in the existing literature on animal ethics.

Huxley’s Explanatory Gap: There can be no explanation of how states of consciousness arise from interaction among a collection of physical things.

Graeme Forbes (2011) raises some problems for two-dimensional semantic theories. The problems concern nested environments: linguistic environments where sentences are nested under both modal and epistemic operators. Closely related problems involving nested environments have been raised by Scott Soames (2005) and Josh Dever (2007). Soames goes so far as to say that nested environments pose the “chief technical problem” for strong two-dimensionalism. We call the problem of handling nested environments within two-dimensional semantics “the nesting problem”. We show that the two-dimensional (...) semantics for attitude ascriptions developed in Chalmers (2011a) has no trouble accommodating certain forms of the nesting problem that involve factive verbs such as “know” or “establish”. A certain form of the nesting problem involving apriority and necessity operators does raise an interesting puzzle, but we show how a generalized version of the nesting problem arises independently of two-dimensional semantics—it arises, in fact, for anyone who accepts the contingent a priori. We, then, provide a two-dimensional treatment of the apriority operator that fits the two-dimensional treatment of attitude verbs and apply it to the generalized nesting problem. We conclude that two-dimensionalism is not seriously threatened by cases involving the nesting of epistemic and modal operators. (shrink)

This book presents a major statement on the dominant philosophy of science by one of the world's leading metaphysicians. Brian Ellis's new book develops the metaphysics of scientific realism to the point where it begins to take on the characteristics of a first philosophy. As most people understand it, scientific realism is not yet such a theory. It is not sufficiently general, and has no plausible applications in fields other than the well-established sciences. Nevertheless, Ellis demonstrates that the original (...) arguments that led to scientific realism may be deployed more widely than they originally were to fill out a more complete picture of what there is. Ellis shows that realistic theories of quantum mechanics, time, causality and human freedom can all be developed satisfactorily, and moral theory can be recast to fit within this comprehensive metaphysical framework. (shrink)

In recent years, some philosophers have claimed that we can know a priori that certain external world skeptical hypotheses are false on the basis of a priori knowledge that we are in certain kinds of mental states, and a priori knowledge that those mental states are individuated by contingent environmental factors. Appealing to a distinction between weak and strong a priority, I argue that weakly a priori arguments of this sort would beg the question of whether the skeptical hypothesis under (...) assessment is true, and that the prospect of a sound strongly a priori argument of this sort seems dim. \\\ [David Owens] Contemporary discussion of scepticism focuses on the possibility that most or all of our beliefs might be false. I argue that the hypothesis of massive falsity and the associated 'problem of the external world' are inessential to the scepticisms of Descartes and Hume. What drives Cartesian and Humean scepticism is the demand for certainty: any possibility of error, however local, must be ruled out before we can claim either justified belief or knowledge. Contemporary philosophers have ignored this form of scepticism because they doubt that the demand for certainty can be motivated. But Descartes provides a sound motivation for this demand in the Meditations. (shrink)

A concise open-access textbook intended for an undergraduate audience, which brings together essential selections from Gandhi on nonviolence with supplementary materials, including: a preface; boxes providing examples, historical notes, extended explanations, and related philosophical work; overviews of post-Gandhian developments in nonviolence; diagrams, tables, and photos; discussion questions; reading and viewing suggestions; and a glossary.

The view that phenomenally conscious robots are on the horizon often rests on a certain philosophical view about consciousness, one we call “nomological behaviorism.” The view entails that, as a matter of nomological necessity, if a robot had exactly the same patterns of dispositions to peripheral behavior as a phenomenally conscious being, then the robot would be phenomenally conscious; indeed it would have all and only the states of phenomenal consciousness that the phenomenally conscious being in question has. We experimentally (...) investigate whether the folk think that certain (hypothetical) robots made of silicon and steel would have the same conscious states as certain familiar biological beings with the same patterns of dispositions to peripheral behavior as the robots. Our findings provide evidence that the folk largely reject the view that silicon-based robots would have the sensations that they, the folk, attribute to the biological beings in question. (shrink)

Higher-order evidence is, roughly, evidence of evidence. The idea is that evidence comes in levels. At the first, or lowest, evidential level is evidence of the familiar type—evidence concerning some proposition that is not itself about evidence. At a higher evidential level the evidence concerns some proposition about the evidence at a lower level. Only in relatively recent years has this less familiar type of evidence been explicitly identified as a subject of epistemological focus, and the work on it remains (...) relegated to a small circle of authors and a short stack of published articles—far disproportionate to the attention it deserves. It deserves to occupy center stage for several reasons. First, higher-order evidence frequently arises in a strikingly diverse range of epistemic contexts, including testimony, disagreement, empirical observation, introspection, and memory, among others. Second, in many of the contexts in which it arises, such evidence plays a crucial epistemic role. Third, the precise role it plays is complex, gives rise to a number of interesting epistemological puzzles, and for these reasons remains controversial and is not yet fully understood. As such, higher-order evidence merits systematic investigation. This thesis undertakes such an investigation. It aims to produce a thorough account of higher-order evidence—what it is, how it works, and its epistemic consequences. Chapter 1 serves as a general introduction to the topic and an overview of the existing literature, but primarily aims to further elucidate the concept of higher-order evidence and build a theoretical framework for later chapters. Chapter 2 develops an account of what I call “higher-order support”: the bearing higher-order evidence has, not on corresponding “lower-order evidence” (roughly, the evidence the higher-order evidence is about), but on corresponding “object-level propositions” (roughly, the propositions the higher-order evidence alleges the lower-order evidence to be about). Chapter 3 develops an account of “levels interaction”: the effect on overall support when the different evidential levels combine. Chapter 4 identifies important consequences of the theoretical results of the previous two chapters and applies the theory to four select cases of current epistemological controversy—testimony, memory, the closure of inquiry, and disagreement. (shrink)

Introduction to Philosophy: Epistemology engages first-time philosophy readers on a guided tour through the core concepts, questions, methods, arguments, and theories of epistemology—the branch of philosophy devoted to the study of knowledge. After a brief overview of the field, the book progresses systematically while placing central ideas and thinkers in historical and contemporary context. The chapters cover the analysis of knowledge, the nature of epistemic justification, rationalism vs. empiricism, skepticism, the value of knowledge, the ethics of belief, Bayesian epistemology, social (...) epistemology, and feminist epistemologies. Along the way, instructors and students will encounter a wealth of additional resources and tools: chapter learning outcomes, key terms, images of philosophers and related art, useful diagrams and tables, boxes containing excerpts and other supplementary material, questions for reflection, suggestions for further reading, and a glossary. For an undergraduate survey epistemology course, Introduction to Philosophy: Epistemology is ideal when used as a main text paired with primary sources and scholarly articles. For an introductory philosophy course, select book chapters are best used in combination with chapters from other books in the Introduction to Philosophy open textbook series (edited by Christina Hendricks). (shrink)

Let us call a statement of the form ‘If A was, is, or will be the case, then C was, is, or will be the case’ an indicative conditional. And let us call a statement of the form ‘If A had been, were, or were to be the case, then C would have been, would be, or would come to be the case’ a subjunctive, or counterfactual, conditional.

If the reliability of a source of testimony is open to question, it seems epistemically illegitimate to verify the source’s reliability by appealing to that source’s own testimony. Is this because it is illegitimate to trust a questionable source’s testimony on any matter whatsoever? Or is there a distinctive problem with appealing to the source’s testimony on the matter of that source’s own reliability? After distinguishing between two kinds of epistemically illegitimate circularity—bootstrapping and self-verification—I argue for a qualified version of (...) the claim that there is nothing especially illegitimate about using a questionable source to evaluate its own reliability. Instead, it is illegitimate to appeal to a questionable source’s testimony on any matter whatsoever, with the matter of the source’s own reliability serving only as a special case. (shrink)

Many epistemologists hold that an agent can come to justifiably believe that p is true by seeing that it appears that p is true, without having any antecedent reason to believe that visual impressions are generally reliable. Certain reliabilists think this, at least if the agent’s vision is generally reliable. And it is a central tenet of dogmatism (as described by Pryor (2000) and Pryor (2004)) that this is possible. Against these positions it has been argued (e.g. by Cohen (2005) (...) and White (2006)) that this violates some principles from probabilistic learning theory. To see the problem, let’s note what the dogmatist thinks we can learn by paying attention to how things appear. (The reliabilist says the same things, but we’ll focus on the dogmatist.) Suppose an agent receives an appearance that p, and comes to believe that p. Letting Ap be the proposition that it appears to the agent that p, and → be the material implication, we can say that the agent learns that p, and hence is in a position to infer Ap → p, once they receive the evidence Ap.1 This is surprising, because we can prove the following. (shrink)

The proposed adoption of International Financial Reporting Standards (IFRS) in the United States has ignited a debate as to whether the principles‐based nature of these standards better serves the interests of investors. While it is argued that these principled‐based standards will encourage more transparent financial reporting than the current rules‐based U.S. standards, critics argue that IFRS will invite more aggressive financial reporting through the liberal exercising of professional judgment. This empirical study aims to understand what individual and organizational factors may (...) affect aggressiveness when making accounting judgments. In particular, we examine the influence that prior ethics training, codes of ethics and an individual's predominant moral reasoning schema have on adherence to company policy in an accounting‐related (depreciation) judgment. Results of the study show that respondents with prior ethics training are more likely to adhere to company accounting policy than those who have not had formal ethics education. Respondents presented with a company ethics code also were less aggressive in their accounting judgments than those who were not presented with a code prior to reading the scenario. Finally, decision aggressiveness was moderated by individuals who used conventional moral reasoning schemas. (shrink)

This edition of G. E. Moore's notes taken at Wittgenstein's seminal Cambridge lectures in the early 1930s provides, for the first time, an almost verbatim record of those classes. The presentation of the notes is both accessible and faithful to their original manuscripts, and a comprehensive introduction and synoptic table of contents provide the reader with essential contextual information and summaries of the topics in each lecture. The lectures form an excellent introduction to Wittgenstein's middle-period thought, covering a broad range (...) of philosophical topics, ranging from core questions in the philosophy of language, mind, logic, and mathematics, to illuminating discussions of subjects on which Wittgenstein says very little elsewhere, including ethics, religion, aesthetics, psychoanalysis, and anthropology. The volume also includes a 1932 essay by Moore critiquing Wittgenstein's conception of grammar, together with Wittgenstein's response. A companion website offers access to images of the entire set of source manuscripts. (shrink)

The neuropsychoanalytic approach solves important aspects of how to use our understanding of the brain to treat patients. We describe the neurobiology underlying motivation for healthy behaviors and psychopathology. We have updated Freud’s original concepts of drive and instinct using neuropsychoanalysis in a way that conserves his insights while adding information that is of use in clinical treatment. Drive (Trieb) is a pressure to act on an internal stimulus. It has a motivational energic source, an aim, an object, and is (...) terminated by the satisfaction of a surge of serotonin. An instinct (Instinkt) is an inherited pattern of behavior that varies little from species to species. Drives are created by internal/ventral brain factors. Instincts require input from the outside that arrive through dorsal brain structures. In our model unpleasure is the experience of unsatisfied drives while pleasure if fueled by a propitious human environment. Motivational concepts can be used guide clinical work. Sometimes what had previously described psychoanalytically as, “Internal conflict,” can be characterized neurobiologically as conflicts between different motivational systems. These motivational systems inform treatment of anxiety and depression, addiction in general and specific problems of opioid use disorder. Our description of motivation in addictive illness shows that the term, “reward system,” is incorrect, eliminating a source of stigmatizing addiction by suggesting that it is hedonistic. Understanding that motivational systems that have both psychological and brain correlates can be a basis for treating various disorders. Over many papers the authors have described the biology of drives, instincts, unpleasure and pleasure. We will start with a summary of our work, then show its clinical application. (shrink)

This first-of-its-kind national survey of 485 psychiatrists in nine states and the District of Columbia finds substantial evidence of clinicians being uninformed, misinformed, and misinforming patients of their gun rights regarding involuntary commitments and voluntary inpatient admissions. A significant percentage of psychiatrists did not understand that an involuntary civil commitment triggered the loss of gun rights, and the majority of psychiatrists in states with prohibitors on voluntary admissions and emergency holds were unaware that patients would lose gun rights upon voluntary (...) admission or temporary commitment. Moreover, the survey found evidence that psychiatrists may use gun rights to negotiate “voluntary” commitments with patients: 15.9% of respondents reported telling patients they could preserve their gun rights by permitting themselves to be voluntarily admitted for treatment, in lieu of being involuntarily committed. The results raise questions of whether psychiatrists obtained full informed consent for voluntary patient admissions, and suggest that some medical providers in states with voluntary admission prohibitor laws may unwittingly deprive their patients of a constitutional right. The study calls into question the fairness of state prohibitor laws as policy, and — at minimum — indicates an urgent need for psychiatrist training on their state gun laws. (shrink)

According to a traditional Cartesian epistemology of perception, perception does not provide one with direct knowledge of the external world. Instead, your immediate perceptual evidence is limited to facts about your own visual experience, from which conclusions about the external world must be inferred. Cartesianism faces well-known skeptical challenges. But this chapter argues that any anti-Cartesian view strong enough to avoid these challenges must license a way of updating one’s beliefs in response to anticipated experiences that seems diachronically irrational. To (...) avoid this result, the anti-Cartesian must either license an unacceptable epistemic chauvinism, or else claim that merely reflecting on one’s experiences defeats perceptual justification. This leaves us with a puzzle: Although Cartesianism faces problems, avoiding them brings a new set of problems. (shrink)