This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs.

"This book is a comprehensive attack on several of the views that have been most influential in the philosophy of psychology during the last two decades. Professor Baker argues that mentalistic notions should not be eliminated, and need not be explained in terms of other notions, in cognitive science.' The book is interesting and shows an honest concern for clear argumentation. It deserves a wide readership." --Tyler Burge, University of California at Los Angeles"This book is a provocative and relentlessly argued (...) treatment of a deep and important topic: the fate of intentionality. Baker's arguments oblige those who wish to defend the current conception of cognitive science to rethink the discipline. She has put the ball squarely in the physicalists' court. ... Despite the technical character of the topic, the book is wonderfully readable."--John Heil, Visiting Fellow, University of California, BerkeleyThis stimulating book critically examines a wide range of physicalistic conceptions of mind in the works of Jerry A. Fodor, Stephen P. Stich, Paul M. Churchland, Daniel C. Dennett, and others. Part I argues that intentional concepts cannot be reduced to nonintentional (and nonsemantic) concepts; Part II argues that intentional concepts are nevertheless indispensable to our cognitive enterprises and thus need no foundation in physicalism.As a sustained challenge to the prevailing interpretation of cognitive science, this timely book fills a large gap in the philosophical literature. It is sure to spark controversy, yet its clarity makes it attractive as a text in upper-level undergraduate and graduate courses in philosophy of mind and cognitive science. Saving Belief should be read byphilosophers, psychologists, and others interested in the philosophy of language, philosophy of mind, and cognitive science. (shrink)

My aim is twofold: first, to root out the metaphysical assumptions that generate the problem of mental causation and to show that they preclude its solution; second, to dissolve the problem of mental causation by motivating rejection of one of the metaphysical assumptions that give rise to it. There are three features of this metaphysical background picture that are important for our purposes. The first concerns the nature of reality: all reality depends on physical reality, where physical reality consists of (...) a network of events.1 The second concerns the nature of causation, and the third concerns the conception of behavior. I try to vindicate a robust idea of mental causation. (shrink)

This book is a study of Aristotle's metaphysics in which the central argument is that Aristotle's views on substance are a direct response to Plato's Theory of Forms. The claim is that Aristotle believes that many of Plato's views are tenable once one has rejected Plato's notion of separation. There have been many recent books on Aristotle's theory of substance. This one is distinct from previous books in several ways: firstly, it offers a completely new, coherent interpretation of Aristotle's claim (...) that substances are separate in which substances turn out to be specimens of natural kinds. Secondly, it covers a broad range of issues, including Aristotle's criticism of Plato, his views on numerical sameness and identity, his epistemology and his account of teleology. There is also a discussion of much of the recent literature on Aristotle. (shrink)

This article shows how attention to extended metaphors provides the basis for a substantive account of what it is to understand a metaphor. Offering an analysis of extended metaphors modeled on an analysis of co-referential anaphoric chains, this article presents an account of how contexts makes metaphors. The analysis introduces the concept of expressive commitment, commitment to the viability and value of particular modes of discourse. Unlike literal interpretation, metaphorical interpretation puts the expressive commitment in the forefront of the interpretive (...) process. The analogy between extended metaphors and anaphora provides a structure for describing what it is to interpret expressions metaphorically. It generates an account that explains the affinities and differences between extension and explication, and hence of the age-old problem of paraphrase. Further, the account allows for the open-endedness of metaphor without succumbing to the view that metaphor is non-cognitive. Finally, the account developed here underscores the role of expressive commitment in metaphorical interpretation. (shrink)

Apology is a necessary component of moral repair of damage done by wrongs against the person. Analyzing the role of apology in the aftermath of atrocity, with a focus on the genocide of the Tutsi in Rwanda, 1994, this article emphasizes the role of recognition failures in grave moral wrongs, the importance of speech acts that offer recognition, and building mutuality through recognition as a route to reconciliation. Understanding the US role in the international failure to stop the ’94 genocide (...) raises the question of how any response could mitigate a world-shattering wrong like genocide. With a focus on survivors, this article explains the concepts of recognition harm and spirit murder to illuminate what survivors experience and need. The third section develops a theory of apology as offering recognition to the victim of wrongdoing —through both the act of speaking-to and through its content. The article examines US President Bill Clinton’s 1998 apology to Rwandans, to understand it as an apology, and to see how it began reconciliation between Americans and Rwandans. The paper concludes with a brief discussion of the inter-related significance of apology and material reparations. (shrink)

Self-consciousness, many philosophers agree, is essential to being a person. There is not so much agreement, however, about how to understand what self-consciousness is. Philosophers in the field of cognitive science tend to write off self-consciousness as unproblematic. According to such philosophers, the real difficulty for the cognitive scientist is phenomenal consciousness--the fact that we have states that feel a certain way. If we had a grip on phenomenal consciousness, they think, self-consciousness could be easily handled by functionalist models. For (...) example, recently Ned Block commented. (shrink)

An imperfect “politics of justice” seems to be inevitable in the aftermath of genocide. In Rwanda, this is especially true, given the scale of the atrocities, the breadth of participation, and the need to build a justice system from scratch while establishing security and restoring the rule of law. Official contexts for survivor testimony and corresponding perpetrator punishment are crucial for establishing shared norms and narratives, but these processes can destabilize social relations in important ways. Accordingly, without development, these justice (...) mechanisms can undermine social stability and emerging cohesion. The converse is also true: without official contexts of testimony and judgment, development is only material support, and has no recognitive force. Learning from Rwanda’s post-’94 transitional justice, broadly construed, I argue that without development, platforms for testimony and the meting out of punishment yield insufficient recognition and so undermine social stability and emerging cohesion. The converse is also true: without official contexts of testimony and judgment, development is only material support, and lacks crucial recognitive force. The crucial interdependence of development, which provides distributive justice, with criminal proceedings, which offer retributive and restorative justice, has the potential to secure a lasting and stable peace. (shrink)

Throughout his illustrious career, Roderick Chisholm was concerned with the nature of persons. On his view, persons are what he called ‘entia per se.’ They exist per se, in their own right. I too have developed an account of persons—I call it the ‘Constitution View’—an account that is different in important ways from Chisholm’s. Here, however, I want to focus on a thesis that Chisholm and I agree on: that persons have ontological significance in virtue of being persons. Although I’ll (...) make the notion of ontological significance more precise later, the rough idea is that Fs (persons, or whatever) have ontological significance just in case a new F is a new thing and not just a change in some already-existing thing. (shrink)

Drawing on my recent work using inferential role semantics and elements of speech act theory to analyze the role of derogatory terms (a.k.a. ‘hate speech’, or ‘slurs’) in the 1994 genocide of the Tutsi in Rwanda, as well as the role of certain kinds of reparative speech acts in post-genocide Rwanda, this paper highlights key pragmatist commitments that inform the methods and goals of this practical analysis of real world events. In “Genocidal Language Games”, I used conceptual tools from Wittgenstein, (...) Sellars, Lewis, and Brandom, with a nod to Searle’s concept of status-functions, to develop an analysis that helps to make sense of the view that a steady, deep, and widespread derogation of a group can at least partially constitute genocide, not only be an antecedent to it. In this paper, I sketch some of the tools and lessons of this project, with an eye to highlighting their pragmatist roots and the directions to which such real-world investigations lead. (shrink)

The editor of this volume takes it to mean that a prior experience affects behavior without the individual's appreciation (ability to report) of this...

A longitudinal study of 308 white -collar U.S. employees revealed that feelings of hope and gratitude increase concern for corporate social responsibility. In particular, employees with stronger hope and gratitude were found to have a greater sense of responsibility toward employee and societal issues; interestingly, employee hope and gratitude did not affect sense of responsibility toward economic and safety/quality issues. These findings offer an extension of research by Giacalone, Paul, and Jurkiewicz.

. Undoubtedly, multinational corporations must play a significant role in the advancement of global ecological ethics. Our research offers a glimpse into the process of how goals of ecological sustainability in one multinational corporation can trickle down through the organization via the sustainability support behaviors of supervisors. We asked the question “How do supervisors in a multinational corporation internalize their corporation’s commitment to ecological sustainability and, in turn, behave in ways that convey this commitment to their subordinates?” In response, we (...) created a theoretical framework for supervisor sustainability support behavior based on Stern et al., Human Ecology Review 6(2), 81-97 (1999) value-belief-norm (VBN) theory. We then tested our framework by performing a survey-based field study of supervisors in a multinational pharmaceutical company that has publicly professed a goal of ecological sustainability. (shrink)

Definitions of the concept of mild cognitive impairment (MCI) and suggested therapies are controversial. There are no widely acknowledged therapies and the ethical implications and methodologic issues around identifying and defining people with MCI are important concerns. The psychosocial implications for the person being labeled as having MCI have not been widely explored. This paper addresses these issues and presents data from two contrasting case studies. Key analytical themes identified in the qualitative analysis include different views about the causes of (...) dementia ("normal aging" versus disease); fear and anxiety about dementia; how such factors influence presentation to health professionals; and the effect of a label of cognitive impairment on quality of life. Our conclusion is that the usefulness and justification for early identification of cognitive impairment in a situation that has not yet been recognized by those involved should be questioned. (shrink)

Beginning with Aristotle, philosophers have taken artifacts to be ontologically deficient. This paper proposes a theory of artifacts, according to which artifacts are ontologically on a par with other material objects. I formulate a nonreductive theory that regards artifacts as constituted by - but not identical to - aggregates of particles. After setting out the theory, I rebut a number of arguments that disparage the ontological status of artifacts.

What is this thing called ‘Commonsense Psychology’? The first matter to settle is what the issue is here. By ‘commonsense psychology,’ I mean primarily the systems of describing, explaining and predicting human thought and action in terms of beliefs, desires, hopes, fears, expectations, intentions and other so-called propositional attitudes. Although commonsense psychology encompasses more than propositional attitudes--e.g., emotions, traits and abilities are also within its purview--belief-desire reasoning forms the core of commonsense psychology. Commonsense psychology is what we use to explain (...) intentional action as ordinarily described--e.g., Jack went to the store because he wanted some ice cream. Commonsense psychology also is used to explain mental states--e.g., Jill feared that she would be late because she thought that the meeting began at 4:00. Commonsense psychology is the province of everyone; we all use it all the time. (shrink)

The first-person perspective is a challenge to naturalism. Naturalistic theories are relentlessly third-personal. The first-person perspective is, well, first-personal; it is the perspective from which one thinks of oneself as oneself* without the aid of any third-person name, description, demonstrative or other referential device. The exercise of the capacity to think of oneself in this first-personal way is the necessary condition of all our self-knowledge, indeed of all our self-consciousness. As important as the first-person perspective is, many philosophers have not (...) appreciated the force of the data from the first-person perspective, and suppose that the first-person perspective presents no particular problems for the naturalizing philosopher. For example, Ned Block commented, “It is of course [phenomenal] consciousness rather than...self-consciousness that has seemed such a scientific mystery.” And David Chalmers says that self-consciousness is one of those psychological states that “pose no deep metaphysical enigmas.”. (shrink)

The aim of this article is to show that human persons belong, ontologically, in social ontology. After setting out my views on ontology, I turn to persons and argue that they have first-person perspectives in two stages (rudimentary and robust) essentially. Then I argue that the robust stage of the first-person persective is social, in that it requires a language, and languages require linguistic communities. Then I extend the argument to cover the rudimentary stage of the first-person perspective as well. (...) I conclude by enumerating ways in which human persons differ from nonhuman animals. (shrink)

For John Ziman, 'the essence of the human condition' is the 'two-way, interactive character' of interpersonal relationships, and he argues that '[t]he bias towards atomic individualism not only bedevils the human and social sciences: it also distorts the whole philosophy of nature.' But in spite of his recognition of the importance of 'escap[ing] from the Cartesian cage' of the 'solipsist stance', Ziman himself has not entirely escaped the influence of a residual Cartesianism. This is evident in his tendency to over-intellectualize (...) the character of interactive relationships with talk of 'a theory of mind' and to imply that such relationships are only possible with other people like ourselves. Both of these ideas stem from the Cartesian position that knowledge starts from an introspective awareness of one's own mental states and that the mental states of others can only be inferred by analogy. Having first observed that my mental state x is accompanied by behaviour y, my observation of behaviour y in another is taken as an indication that he is experiencing mental state x. I will argue that our ability to understand the behaviour of others depends neither on a theory of mind nor on their being 'like us'. (shrink)

The project of explaining intentional phenomena in terms of nonintentional phenomena has become a central task in the philosophy of mind.' Since intentional phenomena like believing, desiring, intending have content essentially, the project is one of showing how semantic properties like content can be reconciled with nonsemantic properties like cause. As Jerry A. Fodor put it, The worry about representation is above all that the semantic (and/or the intentional) will prove permanently recalcitrant to integration in the natural order; for example (...) that the semantic/intentional properties of things will fail to supervene upon their physical properties.2. (shrink)

According to the Constitution View of persons, a human person is wholly constituted by (but not identical to) a human organism. This view does justice both to our similarities to other animals and to our uniqueness. As a proponent of the Constitution View, I defend the thesis that the coming-into-existence of a human person is not simply a matter of the coming-into-existence of an organism, even if that organism ultimately comes to constitute a person. Marshalling some support from developmental psychology, (...) I give a broadly materialistic account of the coming-into-existence of a human person. I argue for the metaphysical superiority of the Constitution View to Biological Animalism, Thomistic Animalism, and other forms of Substance Dualism. I conclude by discussing the single implication of the Constitution View for thinking about abortion. Footnotesa Thanks to Gareth Matthews and Catherine E. Rudder for comments. I am also grateful to other contributors to this volume, especially Robert A. Wilson, Marya Schechtman, David Oderberg, Stephen Braude, and John Finnis. (shrink)

Theories of the human person differ greatly in their ability to underwrite a metaphysics of resurrection. This paper compares and contrasts a number of such views in light of the Christian doctrine of resurrection. In a Christian framework, resurrection requires that the same person who exists on earth also exists in an afterlife, that a postmortem person be embodied, and that the existence of a postmortem person is brought about by a miracle. According to my view of persons (the Constitution (...) View), a human person is constituted by—but not identical to—a human organism. A person has a first-person perspective essentially, and an organism has interrelated biological functions essentially. I shall argue for the superiority the Constitution View as a metaphysical basis for resurrection. (shrink)

Some philosophers take personal identity to be a matter of self-narrative. I argue, to the contrary, that self-narrative views cannot stand alone as views of personal identity. First, I consider Dennett’s self-narrative view, according to which selves are fictional characters—abstractions, like centers of gravity—generated by brains. Neural activity is to be interpreted from the intentional stance as producing a story. I argue that this is implausible. The inadequacy is masked by Dennett’s ambiguous use of ‘us’: sometimes ‘us’ refers to real (...) human beings, and sometimes ‘us’ refers to selves or fictional characters. Second, I consider Schechtmann’s view that self-narratives create persons in order for there to be a self-narrative. Finally, I offer my own account of persons. (shrink)

This book explores how some word meanings are paradigmatically related to each other, for example, as opposites or synonyms, and how they relate to the mental organization of our vocabularies. Traditional approaches claim that such relationships are part of our lexical knowledge (our "dictionary" of mentally stored words) but Lynne Murphy argues that lexical relationships actually constitute our "metalinguistic" knowledge. The book draws on a century of previous research, including word association experiments, child language, and the use of synonyms (...) and antonyms in text. (shrink)

With all the attention given to the study of consciousness recently, the topic of self-consciousness has been relatively neglected. “It is of course [phenomenal] consciousness rather than...self-conscious that has seemed such a scientific mystery,” a prominent philosopher comments.1 Phenomenal consciousness concerns the aspect of a state that feels a certain way: roses smell like this; garlic tastes like that; middle C sounds like this, and so on. Although phenomenal consciousness is surely a fruitful area of scientific investigation, I hope to (...) demonstrate here that investigation of selfconsciousness offers its own rewards, ontologically speaking. (shrink)

The prevailing view of Christian philosophers today seems to be that Christianity requires a libertarian conception of free will. Focusing on Augustine’s mature anti-Pelagian works, I try to show that the prevailing view is in error. Specifically, I want to show that---on Augustine’s view of grace-a libertarian account of free will is irrelevant to salvation. On Augustine’s view, the grace of God through Christ is sufficient as weIl as necessary for salvation. Salvation is entirely in the hands of God, totally (...) independent of anything that any human being might do. And faith, the human response to salvation, is best understood in terms of a compatibilist account of freedom. (shrink)

The expression ‘nonreductive materialism’ refers to a variety of positions whose roots lie in attempts to solve the mind-body problem. Proponents of nonreductive materialism hold that the mental is ontologically part of the material world; yet, mental properties are causally efficacious without being reducible to physical properties.s After setting out a minimal schema for nonreductive materialism (NRM) as an ontological position, I’ll canvass some classical arguments in favor of (NRM).1 Then, I’ll discuss the major challenge facing any construal of (NRM): (...) the problem of mental causation, pressed by Jaegwon Kim. Finally, I’ll offer a new solution to the problem of mental causation. (shrink)

Arguments about temporal becoming often get nowhere. One reason for the impasse lies in the fact that the issue has been formulated as a choice between science on the one hand and common sense (or ordinary language) on the other as the primary source of ontological commitment.' Often' proponents of attributing temporal becoming to the physical universe look to everyday temporal concepts, find them infested with notions involving temporal becoming and conclude that becoming is a basic feature of the physical (...) world. Their opponents may look to physical science, find no reference to temporal becoming and conclude that becoming is not part of the extramental universe.2 Thus construed, the issue of temporal becoming is not directly amenable to argument. This stalemate will be broken, however, if I accomplish my aim: to (re)formulate the question of temporal becoming so that it is subject to adjudication; to show how objections to the thesis of the mind-dependence of becoming can fruitfully be seen (and in a sense unified) as attacks on a single argument for the thesis, an argument from physics; and to defend the con'elusion of the argument from physics from heretofore unanswered objections. The question of the status of temporal becoming is the question of the status of past, present and future.' Events which are at one time in the future, are said to become present and subsequently to recede into the past. Since past and future can be defined as 'earlier than now' and 'later than.. (shrink)

Although prominent Christian theologians and philosophers have assumed the truth of mind/body dualism, I want to raise the question of whether the Christian ought to be a mind/body dualist. First, I sketch a picture of mind, and of human persons, that is not a form of mind/body dualism. Then, I argue that the nondualistic picture is compatible with a major traditional Christian doctrine, the doctrine of the resurrection of the dead. Finally, I suggest that if a Christian need not be (...) a mind/body dualist, then she should not be a mind/body dualist. (shrink)

The gender dynamics of militarism have traditionally been seen as straightforward, given the cultural mythologies of warfare and the disciplining of ‘masculinity’ that occurs in the training and use of men's capacity for violence in the armed services. However, women's relation to both war and peace has been varied and complex. It is women who have often been most prominent in working for peace, although there are no necessary links between women and opposition to militarism. In addition, more women than (...) ever are serving in many of today's armies, with feminists rather uncertain on how to relate to this phenomenon. In this article, I explore some of the complexities of applying gender analyses to militarism and peace work in sites of conflict today, looking most closely at the Israeli feminist group, New Profile, and their insistence upon the costs of the militarized nature of Israeli society. They expose the very permeable boundaries between the military and civil society, as violence seeps into the fears and practices of everyday life in Israel. I place their work in the context of broader feminist analysis offered by researchers such as Cynthia Enloe and Cynthia Cockburn, who have for decades been writing about the ‘masculinist’ postures and practices of warfare, as well as the situation of women caught up in them. Finally, I suggest that rethinking the gendered nature of warfare must also encompass the costs of war to men, whose fundamental vulnerability to psychological abuse and physical injury is often downplayed, whether in mainstream accounts of warfare or in more specific gender analysis. Feminists need to pay careful attention to masculinity and its fragmentations in addressing the topic of gender, war and militarism. (shrink)