This open access book is a systematic update of the philosophical and scientific foundations of the biopsychosocial model of health, disease and healthcare. First proposed by George Engel 40 years ago, the Biopsychosocial Model is much cited in healthcare settings worldwide, but has been increasingly criticised for being vague, lacking in content, and in need of reworking in the light of recent developments. The book confronts the rapid changes to psychological science, neuroscience, healthcare, and philosophy that have occurred since the (...) model was first proposed and addresses key issues such as the model’s scientific basis, clinical utility, and philosophical coherence. The authors conceptualise biology and the psychosocial as in the same ontological space, interlinked by systems of communication-based regulatory control which constitute a new kind of causation. These are distinguished from physical and chemical laws, most clearly because they can break down, thus providing the basis for difference between health and disease. This work offers an urgent update to the model’s scientific and philosophical foundations, providing a new and coherent account of causal interactions between the biological, the psychological and social. (shrink)

We can start with some science fiction. Here on Earth, I enter the Teletransporter. When I press some button, a machine destroys my body, while recording the exact states of all my cells. The information is sent by radio to Mars, where another machine makes, out of organic materials, a perfect copy of my body. The person who wakes up on Mars seems to remember living my life up to the moment when I pressed the button, and he is in (...) every other way just like me. Of those who have thought about such cases, some believe that it would be I who would wake up on Mars. They regard Teletransportation as merely the fastest way of travelling. Others believe that, if I chose to be Teletransported, I would be making a terrible mistake. On their view, the person who wakes up would be a mere Replica of me. (shrink)

Early discussions of ?climate justice? have been dominated by economists rather than political philosophers. More recently, analytical liberal political philosophers have joined the debate. However, the philosophical discussion of climate justice remains in its early stages. This paper considers one promising approach based on human rights, which has been advocated recently by several theorists, including Simon Caney, Henry Shue and Tim Hayward. A basic argument supporting the claim that anthropogenic climate change violates human rights is presented. Four objections to this (...) argument are examined: the ?future persons? objection; the ?risk? objection; the ?collective causation? objection; and the ?demandingness? objection. This critical examination leads to a more detailed specification and defence of the claim that anthropogenic climate change violates human rights. (shrink)

It is widely acknowledged that low-income and minority communities in liberal democratic societies suffer a disproportionate burden of environmental hazards. Is “environmental injustice” a necessary feature of liberal societies or is its prevalence due to the failure of existing liberal democracies to live up to liberal principles of justice? One leading version of liberalism, John Rawls’ “justice as fairness,” can be “extended” to accommodate the concerns expressed by advocates of environmental justice. Moreover, Rawlsian environmental justice has some significant advantages over (...) existing conceptions of environmental justice. (shrink)

What responsibilities does each of us have to reduce or limit our greenhouse gas emissions? Advocates of individual emissions reductions acknowledge that there are limits to what we can reasonably demand from individuals. Climate ethics has not yet systematically explored those limits. Instead, it has become popular to suggest that such judgements should be ‘context-sensitive’ but this does not tell us what role different contextual factors should play in our moral thinking. The current approach to theory development in climate ethics (...) is not likely to be the most effective way to fill this gap. In existing work, climate ethicists use hypothetical cases to consider what can be reasonably demanded of individuals in particular situations. In contrast, ‘climate ethics with an ethnographic sensibility’ uses qualitative social science methods to collect original data in which real individuals describe their own situations. These real-life cases are more realistic, more detailed and cover a broader range of circumstances than hypothetical cases. Normative analysis of real-life cases can help us to develop a more systematic understanding of the role that different contextual factors should play in determining individual climate responsibilities. It can also help us to avoid the twin dangers of ‘idealization’ and ‘special pleading’. (shrink)

The question "What is mental illness?" raises many issues in many contexts, personal, social, legal, and scientific. This chapter reviews mental health problems as they appear to the person with the problems, and to family and friends-before the person attends the clinic and is given a diagnosis-a time in which whether there really is a problem, as opposed to life's normal troubles and variations, is undecided, as also the nature of the problem, if such it be, and the related matter (...) what kind of expert advice should be sought. Once at the clinic, a diagnosis may be given-using criteria well-worked-out in the diagnostic manuals. The chapter discusses the conceptualizations of mental disorder in the diagnostic manuals, their rationale, and what can and cannot be reasonably expected of them. There are more position statements than definitions, and while they signal many dilemmas, they do not resolve them. Attempts to do so in the surrounding literature on the concept of mental illness are reviewed in the chapter, with conclusions favoring the features emphasized in the diagnostic manuals: distress and impairment. Finally the chapter considers how far the science may help draw boundaries around mental illness. (shrink)

In this paper, I argue that forgiveness is a morally appropriate response only when it is grounded in the wrongdoer’s demonstration of genuine remorse, their offer of a sincere apology, and, where appropriate, acts of recompense and behavioral change. I then respond to John Kleinig’s suggestion (in his paper “Forgiveness and Unconditionality”) that when an apology is not forthcoming, there are at least three additional grounds that, when motivated by virtues such as love and compassion, could nevertheless render “unconditional forgiveness” (...) a morally laudable option. I argue that such grounds could indeed constitute or result in laudable responses to wrongdoing, but only if they are not conceived of or described in terms of forgiveness. (shrink)

Is evidential pluralism possible when we move to the social sciences, and if so, to what degree? What are the analytical benefits? The answer put forward in this article is that there is a tradeoff between how serious social science methodologies take the study of mechanisms and the analytical benefits that flow from evidential pluralism. In the social sciences, there are a range of different approaches to studying mechanisms, differentiated by the degree to which the ‘process’ is unpacked theoretically, and (...) whether the approach takes seriously the particular nature of social phenomena and the epistemological consequences that flow from this, as in realist approaches to the study of mechanisms, or whether more neopositivist-based foundational assumptions are adopted. Depending on which approach to study mechanisms is used, evidential pluralism is either: easy but superficial, very productive but challenging, or almost impossible because of the fundamental differences between the types of claims being made and the forms of evidence used. (shrink)

The discovery of traces of a blood meal in the abdomen of a 50‐million‐year‐old mosquito reminds us of the insights that the chemistry of fossils can provide. Ancient DNA is the best known fossil molecule. It is less well known that new fossil targets and a growing database of ancient gene sequences are paralleled by discoveries on other classes of organic molecules. New analytical tools, such as the synchrotron, reveal traces of the original composition of arthropod cuticles that are more (...) than 400 my old. Pigments such as melanin are readily fossilized, surviving virtually unaltered for ∼200 my. Other biomarkers provide evidence of microbial processes in ancient sediments, and have been used to reveal the presence of demosponges, for example, more than 635 mya, long before their spicules appear in the fossil record. Ancient biomolecules are a powerful complement to fossil remains in revealing the history of life. (shrink)

It is estimated that there could be 200 million‘environmental refugees’ by the middle of this century. One major environmental cause of population displacement is likely to be global climate change. As the situation is likely to become more pressing, it is vital to consider now the rights of environmental refugees and the duties of the rest of the world. However, this is not an issue that has been addressed in mainstream theories of global justice. This paper considers the potential of (...) two leading liberal theories of international justice to address the particular issues raised by the plight of potential and actual environmental refugees. I argue that neither John Rawls’s ‘Law of Peoples’ approach nor Charles Beitz’s `cosmopolitanism' is capable of providing an adequate account of justice in this context. Beitz’s theory does have some advantages over Rawls’s approach but it fails to take proper account of the attachment that some people have to their own ‘home’. (shrink)

I respond to the 4 commentaries by Awais Aftab & Kristopher Nielsen, Hane Htut Maung, Diane O’Leary and Kathryn Tabb under 3 main headings: “What is the BPSM really?” & Why update it?; “Is our approach foundationally compromised?”, and finally, “Antagonists or fellow travellers?”.

I defend indirect perceptual realism against two recent and related charges to it offered by A. D. Smith and P. Snowdon, both stemming from demonstrative reference involving indirect perception. The needed aspects of the theory of demonstratives are not terribly new, but their connection to these objections has not been discussed. The groundwork for my solution emerges from considering normal cases of indirect perception (e.g., seeing something depicted on a television) and examining the role this indirectness plays in demonstrative assertions. (...) I argue that indirectness routinely if not typically plays a justificatory role in such judgements, and not a semantic one, and that the same can be said of such judgements when considered within the indirect realist framework. The denial of this, on my analysis, is essential to the criticisms of Snowdon and Smith. The discussion is extended to include scenarios involving the sorts of misconceptions Smith employs. (shrink)

Liberalism and ecologism are widely regarded as incompatible. Liberalism and (anthropocentric) environmentalism might be compatible but liberalism and (non-anthropocentric) ecologism are not. A liberal state cannot promote policies for ecological or ecocentric reasons. An individual cannot be both a liberal and a committed advocate of ecologism. This paper challenges these claims. It is argued that Rawls’s ‘political liberalism’ is compatible with ecologism and, in particular, the idea of ‘ecological justice’. A Rawlsian state can promote ecological justice. A committed political liberal (...) can also be a committed advocate of ecological justice. The argument is developed through a close textual examination of Rawls’s brief discussion of our duties to ‘animals and the rest of nature’. Rawls leaves far more scope for liberal ecologism than his critics have suggested. The proposed version of liberal ecologism is defended against charges of substantive and procedural bias toward humans and against nonhuman nature. Liberal ecologism may not be enough for some ecologists-especially ‘ecological constitutionalists’ seeking constitutional protection for nonhuman nature-but it is a serious and defensible political and moral theory. (shrink)

In our target article, we argued that there is a profound functional discontinuity between the cognitive abilities of modern humans and those of all other extant species. Unsurprisingly, our hypothesis elicited a wide range of responses from commentators. After responding to the commentaries, we conclude that our hypothesis lies closer to Darwin's views on the matter than to those of many of our contemporaries.

Climate change raises questions of justice. Some people are enjoying the benefits of energy use and other emissions-generating activities, but those activities are causing other people to suffer the burdens of climate change. Political philosophers have begun to pay more attention to the problem of “climate justice.” However, contributors to the literature have made quite different methodological assumptions about how we should develop a theory of climate justice and defend principles of climate justice. So far, there has been little systematic (...) or detailed discussion of these methodological issues. One way to approach these issues is by developing a methodological framework for thinking about climate justice, or more specifically, a five-stage framework, drawing on recent work on two issues: first, the distinction between “ideal” and “non-ideal” theory; and second, the distinction between “integrationist” and “isolationist” approaches to environmental and climate justice. This methodological framework can also be used to inform critical analysis of extant theories of climate justice, for example, through a critical discussion of two key features of the theory of climate justice developed by Simon Caney. (shrink)

Cultural relativism was the subject of a panel presentation at the 2005 meetings of the American Anthropological Association. In 2007, three of the four presentations were published in Anthropological Quarterly. The present article comprises what was presented in the fourth panel presentation, my own, plus a critical realist critique of the other three papers and the discussant's introduction of them. The critical realist method of immanent critique, applied here, reveals the gaps, contradictions and non-sequiturs of cultural relativism, and suggests that (...) the critical realist meta-philosophy of philosopher Roy Bhaskar, sociologist Margaret Archer, and others offers anthropologists a stronger theoretical paradigm from which to operate. (shrink)

In my paper “Moral Grounds for Forgiveness,” I argued that forgiveness is morally appropriate only when a sincere apology is received, thus ruling out the three grounds for unconditional forgiveness suggested by John Kleinig in his paper “Forgiveness and Unconditionality.” In response to his reply “Defending Unconditional Forgiveness,” I argue here that my terminology, once clarified, does not undermine my construal of resentment; that conditional forgiveness is just as discretionary as unconditional forgiveness; and that what we choose to take into (...) account when we forgive must be a morally appropriate grounding for that particular end, but that only a sincere apology could satisfy this condition. I end by conceding that the three grounds suggested by Kleinig nevertheless play an essential role in the process of (conditional) forgiveness insofar as they facilitate a willingness to forgive and an openness toward accepting an apology. (shrink)

Anthropology is the study of humanness, and the tension between cultural particularity and human universals has always enlivened the sub-discipline of ethnology. For example, efforts to show that logic and emotion vary with culture raise meta-theoretical questions of ontology and epistemology. Since the Boazian and Malinowskian revolution, however, the trend has been to delineate humanness in terms suggested by a given people, avoiding the fraught terrain of species ontology. But just as there is a global ecology, so there is a (...) global culture, seen as the sum of human intelligibilia. Linking the two is the central human problem, which evolved consciousness must solve. Critical realism offers a meta-theoretical description of the human-world relation capable of grounding both particular and comparative discussions. This paper uses a critical realist anthropology of consciousness to indicate its ethnological potential. Then by applying the result to two contemporary ethnological statements, by Kirsten Hastrup and Tim Ingold, it explores the approach's practical utility. Essentially, there must be a reality that exists independently of human consciousness, for consciousness evolved. With it emerged morality, and a morally warranted anthropological task is to accurately describe the world's structure as it impinges on any cultural mode of knowing. (shrink)

Anthropology is the study of humanness, and the tension between cultural particularity and human universals has always enlivened the sub-discipline of ethnology. For example, efforts to show that logic and emotion vary with culture raise meta-theoretical questions of ontology and epistemology. Since the Boazian and Malinowskian revolution, however, the trend has been to delineate humanness in terms suggested by a given people, avoiding the fraught terrain of species ontology. But just as there is a global ecology, so there is a (...) global culture, seen as the sum of human intelligibilia. Linking the two is the central human problem, which evolved consciousness must solve. Critical realism offers a meta-theoretical description of the human-world relation capable of grounding both particular and comparative discussions. This paper uses a critical realist anthropology of consciousness to indicate its ethnological potential. Then by applying the result to two contemporary ethnological statements, by Kirsten Hastrup and Tim Ingold, it explores the approach's practical utility. Essentially, there must be a reality that exists independently of human consciousness, for consciousness evolved. With it emerged morality, and a morally warranted anthropological task is to accurately describe the world's structure as it impinges on any cultural mode of knowing. (shrink)

Intentionalism debates seek to uncover the relationship between the qualitative aspects of experience—phenomenal character—and the intentionality of the mind. They have been at or near center stage in the philosophy of mind for more than two decades, and in my view need to be reexamined. There are two core distinct intentionalism debates that are rarely distinguished (Sect. 1). Additionally, the characterization of spectrum inversion as involving inverted qualities and constant intentional content is mistaken (Sect. 3). These confusions can be witnessed (...) from an often-ignored and lonely perspective, that of the sense-datum theorist, and in particular of the projectivist (Sect. 2). In my view we have been so wary of sense-datum theory in recent years that we have failed to see that, even if false, it may permit perspectives on intentionalism issues difficult to occupy from other views. (shrink)

The environmental justice movement has made “justice” a key concept in environmental ethics. This chapter examines what “justice” offers to environmental ethics and argues that an ecologically aware theory of justice—or “justice on one planet”—is likely to be very different from the liberal conceptions of justice that dominate contemporary political theory. Three sets of environmental challenges to liberal theories are distinguished. The first emphasizes the importance of ongoing debates within liberalism about the currency, spatial scope, and temporal scope of justice. (...) The second relates to issues that have been at the center of debates between liberals and their critics, specifically, challenges to the distributive paradigm, individualism, and anthropocentrism. The third questions the liberal conception of the environment: as part of the economy, passive or controllable, infinitely divisible, always able to provide circumstances of moderate scarcity, and as property. “Justice on one planet” requires us to reconceptualize justice. (shrink)

Indirect realists maintain that our perceptions of the external world are mediated by our 'perceptions' of subjective intermediaries such as sensations. Multiple reference occurs when a word or an instance of it has more than one reference. I argue that, because indirect realists hold that speakers typically and unknowingly directly perceive something subjective and indirectly perceive something objective, the phenomenon of multiple reference is an important resource for their view. In particular, a challenge that A. D. Smith has recently put (...) forward for indirect realists can be overcome by appreciating how multiple reference is likely to arise when a projectivist variety of indirect realism is interpreted by speakers adhering to a naïve direct realism. (shrink)

This outstanding collection is designed to address the fundamental issues and principles underlying the task of Artificial Intelligence.

Edward W. Said’s Orientalism has attained canonical status as the key study of the cultural politics of western representation of the East, specifically the imaginative geographies underwriting constructions such as the Middle East and the Islamic world. The Ottoman Empire overlapped both European and exteriorized Oriental space during much of the period that Said dealt with, yet while the existence of the empire is referred to in Said’s study, the theoretical implications of that presence for his critique of Orientalist discourse (...) are not. The material presence of the Ottoman state, in the Arabic-speaking lands, but also crucially, and for a longer period, much of south-east Europe and Anatolia, highlights long-standing Oriental geopolitical and cultural agency in the face of unidirectional narratives of western encroachment. Attention to the specific discursive manoeuvres undertaken by the West to handle that disruptive, intrinsic Ottoman presence in Europe itself may add traction to the notion that the Orient was imagined as a radically exterior point of comparison. It is argued that the history of western representation of the Ottoman Empire constitutes a pre-Orientalist discourse, whose dual, perennial purpose is to make pragmatic accommodation for an Ottoman Oriental material presence in Europe yet never to fully acknowledge its discursive presence as being of Europe. I argue that by supplementing Said’s critique with a full consideration of the Ottoman legacy, a reformulation is possible that integrates the Islamic Orient as an intrinsic component of historically informed notions of European space, while dissolving notions of the absolute distinction of that latter construct from the wider milieus in which it is embedded. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Education in the Virtues: Tragic Emotions and the Artistic ImaginationDerek L. Penwell (bio)IntroductionThe profoundly thoughtful—not to mention extensive—character of the scholarship historically applied to the nature of the difference between Plato and Aristotle on the issue of the tragic emotions raises the obvious question: What new is there left to say? In this article I seek to hold together two separate issues that have occupied much of the scholarship (...) on this topic but that typically have not been considered together: (1) What is the moral value of the tragic emotions? and (2) If the tragic emotions are morally significant, how can we engage tragedy without viewing it instrumentally? By approaching the tragic emotions in this way, I hope to suggest an Aristotelian analysis of tragedy that appreciates tragedy's ability to expand our resources for confronting an often chaotic world, while at the same time avoiding the notion of art as merely useful in the pursuit of larger moral projects.Plato, in Republic X, offers his seminal critique of art and the artist in relationship to the ideal republic. In particular, poetry comes under harsh criticism for encouraging emotions, which, according to Plato, ought to be kept under strict control. In the end, Plato reluctantly declares that poets must be banished as a way of preserving the order and moral integrity of the republic. Poetry, if permitted, will make "pleasure and pain the twin kings in your city in place of established custom and the thing which has always been generally accepted as best—reason."1Aristotle challenges his old teacher, Plato, in his treatise on tragedy in the Poetics. To say that Aristotle challenges Plato, however, is not say that he confronts Plato directly; rather the scope of Aristotle's argument addresses the issue of poetry, which Plato had denounced in the Republic. Specifically, Aristotle calls into question Plato's account of the value of the emotions. [End Page 9] Whereas Plato contends that emotions are a potentially disruptive force, the power of which must always be controlled by reason, Aristotle maintains, as I will argue, that the cultivation of the appropriate emotional response (that is, the correct emotional response at the correct time) is essential to the development of virtue. Moreover, according to Aristotle's view, the cultivation of appropriate emotional response has implications not only for the development of individual virtue but also for the health of the body politic.I must be careful to point out that I am not attempting to elicit Aristotle's endorsement for a view that says reason is not somehow responsible for properly informing the emotions. Aristotle's position with respect to emotions—while different from Plato's in the belief that emotions can be educated—still identifies reason both as the faculty that differentiates us as a species as well as the faculty that occupies the primary place in establishing knowledge and directing action. My goal in the first section of this article is much more modest: I only wish to argue that an Aristotelian critique of Plato on emotions suggests the beginnings of a way of viewing emotions, such that emotions have a significant role to play in moral development.2However, the nature of Aristotle's argument in his implicit response to Plato raises the important question of whether the view of art he advances (in particular, of tragedy) is purely an instrumental one—a question to which I will attend in the second section. Does Aristotle understand art as a tool in the service of some higher good, such as moral education? Art, if this is the case, loses its integrity as an end in itself. Inasmuch as Aristotle believes that art is conducive to moral education, he is in danger of being charged with inhabiting the dubious aesthetic stance that art is always the means to some higher end. That is to say, it could be argued that the theory of art that Aristotle places on offer is what R. W. Beardsmore calls moralism3 and what Berys Gaut calls ethicism.4 Moralism at its most radical is the aesthetic position that finds art as merely a useful tool in dressing... (shrink)

We perceive the objective world through a subjective perceptual veil. Various perceived properties, particularly “secondary qualities” like colours and tastes, are mind-dependent. Although mind-dependent, our knowledge of many facts about the perceptual veil is immediate and secure. These are well-known facets of sense-datum theory. My aim is to carve out a conception of sense-datum theory that does not require the immediate and secure knowledge of a wealth of facts about experienced sense-data (§1). Such a theory is of value on its (...) own, given well-known challenges to epistemic foundationalism. Beyond this such a theory helps demonstrate how sense-datum theory can accommodate challenging perceptual phenomena like shape and size constancies (§3). These ideas are bridged by the roots of perceptual ambiguity (§2). In brief, tapering acquaintance knowledge creates space for perceptual representation to resolve the ambiguities in presented objects seemingly inherent in scenarios involving perceptual constancies. Thus, I offer a two-factor (acquaintance-representation) sense-datum theory to meet the challenge posed by constancies. Following Smith (2002), from whom this challenge is drawn, my focus is on shape and size constancies. Other constancies, notably colour constancy, are treated elsewhere (Brown 2014). (shrink)

Gramsci recognised the inestimable historical contribution of Muslim and Arab civilisations, writing on these in his newspaper articles, his pre-prison letters and the Prison Notebooks. The Islamic world contemporary with him was largely rural, with the masses heavily influenced by religion, analogous in some ways to Italy whose economy was still largely oriented towards a peasantry among whom the Vatican played a leading role. In addition to factors such as the politics-religion nexus, what Gramsci was also analysing, without saying as (...) much explicitly, was the upheaval caused by the disintegration and dismemberment of the Ottoman Empire, and the inter-imperialist rivalries over the spoils and the construction of new states from its ruins. Here he draws attention to the first hesitant and contradictory anticolonial stances being adopted among the traditional leaders, as well recognising the basis for more popularly-based movements. In both Catholic countries and, as Gramsci knew especially from the experience of his Comintern work, in parts of the Muslim world, these movements could at times assume a left and politically radical orientation. What emerges is a picture of conflicting hegemonies involving principally religion, class, the political ambivalence of many religious leaders, and a burgeoning nationalism contraposed to the supra-nationalist claims of religion. But the factor underlying everything is the potential of the masses who, if awakened from torpor and detached from European colonialism, were judged capable of rupturing previous imperially-determined equilibria. (shrink)

In his paper, “The Relevance of Rawls’ Principle of Justice for Research on Cognitively Impaired Patients” (Theoretical Medicine and Bioethics 23 (2002):45–53), Giovanni Maio has developed a thought-provoking argument for the permissibility of non-therapeutic research on cognitively impaired patients. Maio argues that his conclusion follows from the acceptance of John Rawls’s principles of justice, specifically, Rawls’s “liberty principle” Maio has misinterpreted Rawls’s “libertyprinciple” – correctly interpreted it does notsupport non-therapeutic research on cognitivelyimpaired patients. Three other ‘Rawlsian’ arguments are suggested by (...) Maio’s discussion –two “self-respect” arguments and a “presumed consent” argument – but none of them are convincing. However, an alternative argument developed from Rawls’s discussion of “justice in health care” in his most recent book, Justice as Fairness: A Restatement, may justify certain kinds of non-therapeutic research on some cognitively impaired patients in special circumstances. We should not expect anything more permissive from a liberal theory of justice. (shrink)