Out of 288 Hong Kong cancer patients, 92.3% include themselves in decision-making, 71% prefer joint decision-making: with family, with doctor, with doctor plus family, with family minus doctor, and with doctor minus family. <5% want decision-making by “doctor-alone” and <1% desire decision-making by “family-alone”. Harmony, communication and responsibility are reasons for family participation. Most patients prefer “specialist” for information, followed by “family”, “friends”, and “GP”. Trust in doctors and prospects for controlling/curing disease are important factors in decision-making. Patients want to (...) participate and be listened to rather than make decisions. Doctors should not disclose information to family without patients’ permission, nor withhold information from patient [End Page 109] on family’s request. Only 25% of patients have discussed post-competent treatment with others and 7% have heard of Advance Directive ; 24% refuse to discuss it. After AD has been explained to them, 66% remain reluctant to sign one, preferring to leave oral instructions or appoint family as proxy decision-makers. The family’s decision-making role increases when patients become incompetent. The top reason for signing AD is to receive preferred post-competent treatments, and for not signing it, difficulty with making a prospective decision. The implications of these findings will be discussed. (shrink)

Suppose someone is brought up as an orthodox Jew, and so only eats kosher, is very conservative sexually, etc. Suppose they then find out that this Judaism stuff is just all a big mistake. If they then regret all the shrimp they could have eaten, all the sex!, this makes perfect sense. Not so, however, if someone finds out that moral realism is false, and they now regret all the fun they could have had hurting people’s feeling, etc. Even if (...) this does make sense, there’s a strong disanalogy between the moral and the religious case. This asymmetry, on a realist picture of morality, calls for explanation. This chapter tries to explain it. The discussion engages some topics familiar from objections to Robust realism—the why-be-moral challenge, the status of de-dicto moral motivation, and whether and why we should care about the moral properties, robustly realistically understood. (shrink)

1. The Shmagency Challenge to Constitutivism In metaethics – and indeed, meta-normativity – constitutivism is a family of views that hope to ground normativity in norms, or standards, or motives, or aims that are constitutive of action and agency. And mostly because of the influential work of Christine Korsgaard and David Velleman, constitutivism seems to be gaining grounds in the current literature. The promises of constitutivism are significant. Perhaps chief among them are the hope to provide with some kind of (...) answer to the skeptic about morality or perhaps practical reason, and the hope to secure for practical reason a kind of objectivity that is consistent with its practical, motivationally engaged nature. The former philosophical motivation for constitutivism – most clearly present in much of Korsgaard’s relevant work[1] – relies on the fact that constitutive norms seem to be less mysterious than not-clearly-constitutive norms. There arguably is nothing mysterious about, say, the norms of certain reasonably-well-defined activities, like building a house, or playing chess. And challenges by the relevant skeptic – the one asking "Why should I make sure the house I’m building can shelter people from the weather?" or "Why should I not castle when my king is checked?" – seem very rare, barely intelligible, and anyway remarkably easy to cope with. We should explain to the misguided skeptic that if he doesn’t even try to build something that can protect people from the weather, he’s not in the business of building a house at all; that if she doesn’t even try to play by the rules of chess, she’s not in the business of playing chess at all; and so on. It would be nice, the constitutivist hope seems to go, if we had something equally powerful by way of a response to the skeptic asking "Why be moral?". The other main motivation for constitutivism – most clearly present in David Velleman’s relevant work[2] – starts from a commitment to some rather strong kind of existence-internalism about reasons: An agent has a reason to?, according to such views ), only if she can come to?, or at least to be motivated to?, by sound deliberation starting from her actual motivational set. (shrink)

In Geography and the Production of Space in Nineteenth-Century American Literature, Hsuan L. Hsu examines how literature represents different kinds of spaces ranging from the single-family home to the globe. He focuses on authors such as Charles Brockden Brown, Edgar Allan Poe, Herman Melville and Sarah Orne Jewett, who drew on literary tools such as rhetoric, setting, and point of view to mediate between individuals and different kinds of spaces. These authors used forms such as the regional sketch, the domestic (...) novel, and the detective story to re-examine how local spaces and communities would change when incorporated into global economic and political networks. Geography and the Production of Space in Nineteenth-Century American Literature is valuable reading for American literature scholars, and for all concerned with intersections between literature and geography"--Provided by publisher. (shrink)

In this paper, we present an account of in virtue of what thinkers are justified in employing certain basic belief‐forming methods. The guiding idea is inspired by Reichenbach’s work on induction. There are certain projects in which thinkers are rationally required to engage. Thinkers are epistemically justified in employing a belief‐forming method that is indispensable for successfully engaging in such a project. We present a detailed account based on this intuitive thought, and address objections to it. We conclude by commenting (...) on the implications that our account may have for other important epistemological debates. (shrink)

David Enoch develops, argues for, and defends a strongly realist and objectivist view of ethics and normativity more broadly. This view--according to which there are perfectly objective, universal, moral and other normative truths that are not in any way reducible to other, natural truths--is familiar, but this book is the first in-detail development of the positive motivations for the view into reasonably precise arguments. And when the book turns to defend Robust Realism against traditional objections, it mobilizes the original (...) positive arguments for the view to help with fending off the objections. (shrink)

Background: Biological products are widely used in the treatment of burns, chronic wounds, and other forms of acute injury. However, the religious and ethical issues, including consent, arising from their use have never been addressed in the medical literature.Aims: This study was aimed to ascertain the views of religious leaders about the acceptability of biological products and to evaluate awareness among healthcare professionals about their constituents.Methods: The religious groups that make up about 75% of the United Kingdom population were identified (...) and a questionnaire on 11 biological products was sent to its leaders. Another questionnaire concerning 17 products was sent to 100 healthcare professionals working in seven specialist units in the UK.Results: All religious leaders replied, some after consultation with international bodies. Among them, 77% said that patients should be informed of the constituents of the biological products and consent obtained. Some leaders expressed concerns about particular products including the transmission of viral and prion diseases, cruelty to animals, and material derived from neonates. None of the healthcare professionals surveyed knew the constituents of all the products correctly.Conclusion: Ignoring religious sensitivities and neglecting consent in the usage of biological products could have very serious implications, including litigation. Hospitals and manufacturers should take immediate measures to enlighten healthcare professionals of the constituents of these products so that they can obtain informed consent from patients. (shrink)

Locality is a key concept not only in linguistic theorizing, but in explaining pattern of acquisition and patterns of recovery in garden path sentences, as well. If syntax relates sound and meaning over an infinite domain, syntactic dependencies and operations must be restricted in such a way to apply over limited, finite domains in order to be detectable at all. The theory of what these finite domains are and how they relate to the fundamentally unbounded nature of syntax is the (...) theory of locality. The papers in this collection all deal with the concept of locality in syntactic theory, and, more specifically, describe and analyze the various contributions Luigi Rizzi has made to this area over the past three and a half decades. The authors are all eminent linguists in generative syntax who have collaborated with Rizzi closely, and in eleven chapters, they explore locality in both pure syntax and psycholinguistics. This collection is essential reading for students and scholars of linguistic theory, generative syntax, and comparative syntax. (shrink)

In the literature, the term code-mixing/switching refers to instances of language mixing in which speakers/signers combine properties of two or more languages in their utterances. Such a linguistic behavior is typically discussed in the context of multilinguals, and experts commonly focus on the form of language mixing/switching and its cross-linguistic commonalities. Not much is known, however, about how the knowledge of code-mixing comes about. How come any speaker/signer having access to more than one externalization channel (spoken or signed) code-mixes spontaneously? (...) Likewise, why do both neurotypical speakers/signers and certain neuro-atypical speakers/signers produce structurally similar mixing types? This paper offers some answers to these questions arguing that the cognitive process underlying code-mixing is a basic property of the human learning device: recombination, a fully automated cognitive process. Recombination is innate: it allows learners to select relevant linguistic features from heterogeneous inputs, and recombine then into new syntactic objects as part of their mental grammars whose extensions, arguably individual idiolects, represents what Aboh (2015a, 2019a, b) characterizes as hybrid grammars. (shrink)

Under the stimulus of developing commercial economy and overseas trade, the social customs characterized by prevailing luxury and extravagance was gradually formed in Fujian Province from the mid-Ming Dynasty on. The transformation started from the material culture and later spread to people’s mental attitudes including the public ethics and human relations. Compared with what happened in the Jiangnan area, the change in Fujian Province was less profound and thorough, but it highly surpassed the North China society, where many sub-prefectures and (...) counties remained unchanged till the end of the Ming Dynasty. However, there were also some coastal or interior regions in Fujian which continuously maintained a simple and unspoiled social atmosphere for the unbalanced economic development. (shrink)

Faith communities have always struggled with the questions of ethical method and cultural inclusivity. Accordingly, Ethical Issues that Matter enlarges the methodological discussion among ethicists and theologians by adopting the landscape of a mountain as a useful metaphor for racism. On a practical level, Ethical Issues that Matter is about the agonizing struggle to understand and to dismantle the mountain of racism in American society. According to the author, to do so would undoubtedly enhance the meaning and diversity of the (...) Christian moral life. (shrink)

I am writing a mediocre paper on a topic you are not particularly interested in. You don't have, it seems safe to assume, a (normative) reason to read my draft. I then ask whether you would be willing to have a look and tell me what you think. Suddenly you do have a (normative) reason to read my draft. What exactly happened here? Your having the reason to read my draft – indeed, the very fact that there is such a (...) reason – depends, it seems, on my having asked you to read it. By my asking, I managed to make it the case that you have such a reason, or to give you the reason to read the draft. What does such reason-giving consist in? And how is it that we can do it? In the next section, I distinguish between purely epistemic reason-giving, merely triggering reason-giving, and the kind of reason-giving I will be primarily interested in, the kind presumably involved in requests, which I call robust reasongiving. Then, in section 3, I try to characterize in some detail the intuitive or phenomenological data. I try, in other words, to clarify what it is we want an account of robust reason-giving to accommodate. But at the end of section 3 it remains entirely open whether any possible account in fact satisfies the desiderata elaborated in that section. In section 4 I thus proceed to inquire whether such an account is there to be found. I argue that the only plausible way of making sense of robust reason-. (shrink)

The practice of ‘diaspora missions’ is necessitated by the demographic change in the United Kingdom in the 21st century. In this paper, the ‘diaspora mission strategy’ is proposed in response to such demographic change.

The law views with suspicion statistical evidence, even evidence that is probabilistically on a par with direct, individual evidence that the law is in no way suspicious of. But it has proved remarkably hard to either justify this suspicion, or to debunk it. In this paper, we connect the discussion of statistical evidence to broader epistemological discussions of similar phenomena. We highlight Sensitivity – the requirement that a belief be counterfactually sensitive to the truth in a specific way – as (...) a way of epistemically explaining the legal suspicion towards statistical evidence. Still, we do not think of this as a satisfactory vindication of the reluctance to rely on statistical evidence. Knowledge – and Sensitivity, and indeed epistemology in general – are of little, if any, legal value. Instead, we tell an incentive-based story vindicating the suspicion towards statistical evidence. We conclude by showing that the epistemological story and the incentive-based story are closely and interestingly related, and by offering initial thoughts about the role of statistical evidence in morality. (shrink)

Metaethical—or, more generally, metanormative— realism faces a serious epistemological challenge. Realists owe us—very roughly speaking—an account of how it is that we can have epistemic access to the normative truths about which they are realists. This much is, it seems, uncontroversial among metaethicists, myself included. But this is as far as the agreement goes, for it is not clear—nor uncontroversial—how best to understand the challenge, what the best realist way of coping with it is, and how successful this attempt is. (...) In this paper I try, first, to present the challenge in its strongest version, and second, to show how realists—indeed, robust realists—can cope with it. The strongest version of the challenge is, I argue, that of explaining the correlation between our normative beliefs and the independent normative truths. And I suggest an evolutionary explanation as a way of solving it. (shrink)

How should you update your (degrees of) belief about a proposition when you find out that someone else — as reliable as you are in these matters — disagrees with you about its truth value? There are now several different answers to this question — the question of `peer disagreement' — in the literature, but none, I think, is plausible. Even more importantly, none of the answers in the literature places the peer-disagreement debate in its natural place among the most (...) general traditional concerns of normative epistemology. In this paper I try to do better. I start by emphasizing how we cannot and should not treat ourselves as `truthometers' — merely devices with a certain probability of tracking the truth. I argue that the truthometer view is the main motivation for the Equal Weight View in the context of peer disagreement. With this fact in mind, the discussion of peer disagreement becomes more complicated, sensitive to the justification of the relevant background degrees of belief (including the conditional ones), and to some of the most general points that arise in the context of discussions of scepticism. I argue that thus understood, peer disagreement is less special as an epistemic phenomenon than may be thought, and so that there is very little by way of positive theory that we can give about peer disagreement in general. (shrink)

The combination of this vindication of moral deference and diagnosis of its fishiness nicely accommodates, I argue, some related phenomena, like the (neglected) fact that our uneasiness with moral deference is actually a particular instance of uneasiness with opaque evidence in general when it comes to morality, and the (familiar) fact that the scope of this uneasiness is wider than the moral as it includes other normative domains.

Do biological species have essences? The debate over this question in philosophy of biology exhibits fundamental confusion both between and within authors. In What to Salvage from the Species Essentialism Debate, I argue that the best way forward is to drop the question and its terms in order to make progress on two issues: how to individuate species taxa; and how to make sense of changes in explanatory frameworks across the Darwinian historical divide. I further argue that a primary motivation (...) for anti-essentialism, biological variation, matters differently to each project. Anti-essentialism in the philosophy of biology has inspired influential rejections of the idea that there is such a thing as human nature. In More Bark than Bite, I show that the arguments are significantly weaker than supposed. Moreover, none of the weighty consequences thought to follow from any genuine sense in which there is no human nature, actually do follow. The evolution-based denial of human nature has little to contribute to inquiries into the human condition, both philosophical and scientific. Decisions about whether to undergo experiences that could change the very preference-base on which the choice is made are “transformative”. L. A. Paul argues that transformative decisions present a problem for standard decision theory when approached in a way that leans on evaluations of the experiential consequences of the choices. Her solution proposes that we approach such decisions by asking ourselves how much we value the kind of discovery involved in transformative experience. In Shifting Attention on Transformative Choice, I present two problems for her solution and offer an alternative. Transformative decisions may be rationally approached by asking ourselves how much we judge the activities on the other side of transformation to be worthwhile. This proposal helps make better sense of our relationship to experiential consequences of transformation, which is more flexible than Paul acknowledges. (shrink)

For lesbian, gay, bisexual, transgender, and queer youth, identity development is one of the most critical developmental task. LGBTQ youth are shown to be at risk for a variety of risk factors including depression and suicidal ideation and attempts due to how their identities are appraised in heteronormative societies. However, most LGBTQ educational psychology research have highlighted protective factors that are primarily relevant to support LGBTQ white-youth. One of the major developmental theories, Erikson’s stages of psychosocial development, has identified adolescence (...) as the period where identity development occurs. However, through an intersectional lens, identity development appears to encompass more than adolescence but also emerging adulthood, a developmental stage not accounted for by Erikson’s stages of psychosocial development. The primary goal of this study is to seek to understand and question Erikson’s stages of psychosocial development through an intersectional lens of an autoethnography of my LGBTQ experiences. An autoethnographic approach [diary entries, conversations, interview, social media websites and blogs, and drawing ] is used to understand my LGBTQ-person of color experiences of “coming out” or self-disclosure during my adolescence through emerging adulthood. Data was collected on April 2020 and spanned from 2006 through 2020 to account for the developmental period of adolescence and emerging adulthood. Thematic analysis revealed four themes across the two developmental periods: confusion and conflict between my gay and ethnic identity as a closeted adolescent, my first “coming out” as a gay adolescent and “it got better,” frustration arising from the internal conflict between my gay and POC identity as an emerging adult, and frustration arising from external experiences with the flaws of LGBTQ community inclusivity. Results reflected a continuous theme of identity exploration and struggle through both adolescence and emerging adulthood, highlighting the need for future research to replicate similar experiences from other intersectional individuals during emerging adulthood stage, a developmental stage that is considered in between Erikson’s adolescent and young adulthood developmental stage. (shrink)

There is a fairly widespread—and very infl uential—hope among philosophers interested in the status of normativity that the solution to our metaethical and, more generally, metanormative problems will emerge from the philosophy of action. In this essay, I will argue that these hopes are groundless. I will focus on the metanormative hope, but—as will become clear—showing that the solution to our metanormative problems will not come from what is constitutive of action will also devastate the hope of gaining significant insight (...) into first-order, normative truths by focusing on what is constitutive of action. (shrink)

People are often offended by beliefs, expect apologies for beliefs, apologize for their own beliefs. In many mundane cases, people are morally criticized for their beliefs. Intuitively, then, beliefs seem to sometimes wrong people. Recently, the philosophical literature has picked up on this theme, and has started to discuss it under the heading of doxastic wrongdoing. In this paper we argue that despite the strength of such initial intuitions, at the end of the day they have to be rejected. If (...) it can be ever truthfully asserted that beliefs wrong, this is always derivative – beliefs wrong only in virtue of other things (like evidence-gathering actions) wronging. We distinguish between modest and ambitious doxastic wrongdoing theories (the former deny, while the latter accept, the possibility of a morally wrong yet epistemically permissible belief); we argue that each of these options faces insurmountable problems; and we offer partly debunking explanations of the intuitions purportedly supporting doxastic wrongdoing. (shrink)

The starting point regarding consent has to be that it is both extremely important, and that it is often suspicious. In this article, the author tries to make sense of both of these claims, from a largely liberal perspective, tying consent, predictably, to the value of autonomy and distinguishing between autonomy as sovereignty and autonomy as nonalienation. The author then discusses adaptive preferences, claiming that they suffer from a rationality flaw but that it's not clear that this flaw matters morally (...) or politically. What matters is whether they suffer from an autonomy flaw. To answer this question, the author develops an account of autonomy failure, according to which a preference is nonautonomous if an injustice played an appropriate role in its causal history. The author then discusses the moral implications—and in an initial way, the political ones as well—of proclaiming a preference, or consent based on it, nonautonomous in this way. (shrink)

Specific moral facts seem to be grounded in relevant natural facts, together with relevant moral principles. This picture—according to which moral principles play a role in grounding specific moral facts—is a very natural one, and it may be especially attractive to non-naturalist, robust realists. A recent challenge from Selim Berker threatens this picture, though. Moral principles themselves seem to incorporate grounding claims, and it’s not clear that this can be reconciled with according the principles a grounding role. This chapter responds (...) to Berker’s Challenge, utilizing a grounding pluralism. In particular, it argues that distinguishing between normative and metaphysical grounding is the key to saving the natural picture. It also shows how such a distinction is one that you have a reason to endorse independently of this challenge, as it does important work elsewhere in moral philosophy. (shrink)

Statistical evidence—say, that 95% of your co-workers badmouth each other—can never render resenting your colleague appropriate, in the way that other evidence (say, the testimony of a reliable friend) can. The problem of statistical resentment is to explain why. We put the problem of statistical resentment in several wider contexts: The context of the problem of statistical evidence in legal theory; the epistemological context—with problems like the lottery paradox for knowledge, epistemic impurism and doxastic wrongdoing; and the context of a (...) wider set of examples of responses and attitudes that seem not to be appropriately groundable in statistical evidence. Regrettably, we do not come up with a fully general, fully adequate, fully unified account of all the phenomena discussed. But we give reasons to believe that no such account is forthcoming, and we sketch a somewhat messier account that may be the best that can be had here. (shrink)

Moral disagreement is widely held to pose a threat for metaethical realism and objectivity. In this paper I attempt to understand how it is that moral disagreement is supposed to present a problem for metaethical realism. I do this by going through several distinct (though often related) arguments from disagreement, carefully distinguishing between them, and critically evaluating their merits. My conclusions are rather skeptical: Some of the arguments I discuss fail rather clearly. Others supply with a challenge to realism, but (...) not one we have any reason to believe realism cannot address successfully. Others beg the question against the moral realist, and yet others raise serious objections to realism, but ones that—when carefully stated—can be seen not to be essentially related to moral disagreement. Arguments based on moral disagreement itself have almost no weight, I conclude, against moral realism. (shrink)

Hypothetical consent is puzzling. On the one hand, it seems to make a moral difference across a wide range of cases. On the other hand, there seem to be principled reasons to think that it cannot. In this article I put forward reasonably precise formulations of these general suspicions regarding hypothetical consent; I draw several distinctions regarding the ways in which hypothetical consent may make a moral difference; I distinguish between two autonomy-related concerns, nonalienation and sovereignty; and, utilizing these distinctions, (...) I show that—and in a preliminary way, when—the objections to the moral significance of hypothetical consent fail. (shrink)

In this paper, we develop an account of the justification thinkers have for employing certain basic belief-forming methods. The guiding idea is inspired by Reichenbach's work on induction. There are certain projects in which thinkers are rationally required to engage. Thinkers are epistemically justified in employing any belief-forming method such that "if it doesn't work, nothing will" for successfully engaging in such a project. We present a detailed account based on this intuitive thought and address objections to it. We conclude (...) by commenting on the implications that our account may have for other important epistemological issues and debates. (shrink)