This paper explores how transformative experience generates decision-making problems of particular seriousness in medical settings. Potentially transformative experiences are especially likely to be encountered in medicine, and the associated decisions are confronted jointly by patients and clinicians in the context of an imbalance of power and expertise. However in such scenarios the principle of informed consent, which plays a central role in guiding clinicians, is unequal to the task. We detail how the principle’s assumptions about autonomy, rationality and information handle (...) transformative experiences poorly, appealing to several difficult cases for medical decision-making to illustrate the resulting problem, and we consider how the existing literature on complications with consent fails to offer a resolution. We argue that recognition of the problem has a role to play in achieving a more effective response to transformative decisions. In Sect. 1 we introduce several representative cases of challenging patient decision-making that clinicians might face. In Sect. 2 we detail how transformative experience has been analysed in the recent literature, before outlining in Sect. 3 the theoretical basis of the principle of informed consent, which plays a central role in how clinicians are expected to support decision-making. In Sect. 4, having laid the groundwork for a clear description, we return to the cases given in Sect. 1 to confirm how their transformative nature presents a problem: either clinicians treat the decisions faced by these patients as ‘normal’, encouraging them to focus on information provision that patients may be unable to act on, or they treat them as transformative, in which case they lack the resources to recognise whether they are helping patients make (subjectively) good decisions. In Sect. 5 we argue that the existing literature does not offer any escape from this problem. We close in Sect. 6 by noting the significant impact that appreciating the problem of transformative experience could have on supporting transformative decisions in medicine and briefly suggesting how we might aim to develop new approaches to dealing with these. (shrink)

THE LOGIC OF SEMANTIC DIFFERENTIATION Apart from the studies to be reported here, there have been few, if any, systematic attempts to subject meaning to..

Much contemporary ontological inquiry takes place within the so-called ‘Quinean tradition’ but, given that some aspects of Quine’s project have been widely abandoned even by those who consider themselves Quineans, it is unclear what this amounts to. Fortunately recent work in metaontology has produced two relevant results here: a clearer characterisation of the metaontology uniting the aforementioned Quineans, most notably undertaken by Peter van Inwagen, and a raft of criticisms of that metaontology. In this paper I critique van Inwagen’s Quinean (...) metaontology, finding that certain challenges, supplemented by pressure to reflect more closely Quine’s work, should drive Quineans to adopt a stronger metaontology incorporating more of Quine’s radical views. I conclude that while van Inwagen’s Quineanism is problematic there are prospects for a viable, more wholeheartedly Quinean, metaontology. (shrink)

Darwin's theory of evolution brought to an end the static view of nature. It was no longer possible to think of species as immortal, with secure places in nature. Fluctuation of population could no longer be thought of as occurring within definite limits which had been set at the time of creation. Nor was it any longer possible to generalize from the differential reproductive potentials, or from a few cases of mutualism between species, that everything in nature was “fitted to (...) produce general ends, and reciprocal uses.” 134 The appeal to “design” could no longer be substituted for answers to questions concerning animal demography. Instead, the dynamics of a population had to be viewed as the outcome of species' struggle against animate and inanimate factors in the environment. Both the members of a species and the environmental factors tend to vary randomly, and therefore neither evolution nor population dynamics could be fully understood alone. For this reason Darwin's linking of the two subjects was inevitable and not merely an historical accident. Since Darwin had shown that no automatic equilibrium existed, he demonstrated the importance of closer study of the causes of population dynamics and extinction. He also indicated that an understanding of population depends upon the development of a broad knowledge in ecology.Viewed from another direction, Darwin's work ended the early modern era of population studies by clarifying three interrelated problems which were important for understanding population: extinction, distribution, and the nature of species. The components of his answer had been discussed in the eighteenth century, but there had not existed enough evidence for the completion of the revolution in thought which had then begun. At the beginning of the nineteenth century, Playfair found the evidence for extinction conclusive, and, in spite of Lamarck, Curvier convinced the scientific world that there could no longer be any doubt about it. This was a step the importance of which, with his limited knowledge of biogeography and population, Cuvier could not have fully realized. Lamarck attempted, with his evolutionary theory, to circumvent the necessity for admitting extinction, but he overestimated the adaptability of organisms and in doing so he underestimated the importance of competition and the whole field of ecology. On the other hand, he was not willing to let questions such as the origin of species remain taboo to science. The origin of species was a biogeographical as well as a paleontological question. Humboldt correlated environment with the distribution of species and conveyed the impression that plant communities are subject to change. De Candolle, following the lead of Linnaeus and Humboldt, emphasized the ecological aspects of biogeography, not only the importance of habitat and range, clearly showing the ecological effects of competition. The entomologists Kirby and Spence took a faltering step toward understanding the relationship between population and ecological role, but they fell short of any significant new conclusions. Neither they nor Swainson could fully comprehend the new perspective of De Candolle.Lyell was able to bring together the evidence from these three lines of investigation and weave them into an important synthesis that almost accomplished that Darwin later did. Although opposing Lamarck's theory of evolution, Lyell had a dynamic view of ecology. He realized that population dynamics offered an important key to the understanding of biogeography. Since he knew that species become extinct, he investigated closely the factors which could either preserve or extinguish species. While explaining these factors, he described the interrelationships of species in greater detail than had ever been done before. Forbes continued to develop Lyell's ecological concepts, and his first-hand field experience enabled him to describe biotic communities more concretely than Lyell had.Having the advantages of Lyell's understanding and his own experience from a global voyage, Darwin could take the final step from the static to the dynamic concept of life. He had seen populations fluctuating and also fossil species in South America, and on the Galapagos Islands he had encountered a biogeographical problem that could not be credibly solved without the idea of evolution. However, the bare idea of evolution did not fully answer his questions. He sought physiological causes of extinction before he read Malthus and realized that De Candolle and Lyell had correctly emphasized the importance of competition. Darwin found that, in order to understand evolution, he needed to improve his understanding of ecology. He wanted to know when populations were most easily decimated, how extensive were competition and cooperation, what effects parasites have upon populations, and what changes occur in biotic communities when a species is either added or subtracted. He contributed to some extent to answering these questions. Though there remained much for others to do, there was now a new and more secure theoretical framework within which later studies could be interpreted. As Ernst Mayr has observed, Darwin's “consistent thinking in terms of population has had an impact on biological theory and practice which is second only to his sponsorship of natural selection as the mechanism of evolution.” 135. (shrink)

Much recent work in metaontology challenges the so-called ‘Quinean tradition’ in metaphysics. Especially prominently, Amie Thomasson argues for a highly permissive ontology over ontologies which eliminate many entities. I am concerned with disputing not her ontological claim, but the methodology behind her rejection of eliminativism – I focus on ordinary objects. Thomasson thinks that by endorsing the Quinean criterion of ontological commitment eliminativism goes wrong; a theory eschewing quantification over a kind may nonetheless be committed to its existence. I argue (...) that, contrary to Thomasson's claims, we should retain the Quinean criterion. Her arguments show that many eliminativist positions are flawed, but their flaws lie elsewhere: the Quinean criterion is innocent. Showing why reveals the importance of pragmatism in ontology. In §1 I compare Thomasson's account and the eliminativist views to which it stands in opposition. In §2 I re-construct Thomasson's reasons for rejecting the Quinean criterion. In §3 I defend the Quinean criterion, showing that the eliminativists’ flaws are not consequences of applying the Quinean criterion, before explaining the criterion's importance when properly understood. I conclude that Thomasson, though right to criticise the methodology of ordinary-object eliminativists, is wrong to identify the Quinean criterion as the source of their mistake. (shrink)

I have attempted to clarify some of the pathways in the development of Darwin's thinking. The foregoing examples of influence by no means include all that can be found by comparing Darwin's writings with Humboldt's. However, the above examples seem adequate to show the nature and extent of this influence. It now seems clear that Humboldt not only, as had been previously known, inspired Darwin to make a voyage of exploration, but also provided him with his basic orientation concerning how (...) and what to observe and how to write about it. An important part of what Darwin assimilated from Humboldt was an appreciation of population analysis as a tool for assessing the state of societies and of the benefits and hardships which these societies can expect to receive from the living world around them.Darwin exhibited in his Journal of Researches a casual interest in the economic and political conditions of the countries he visited, but these considerations were much less important to him than to Humboldt. Instead, Darwin, with the assistance of Lyell's Principles of Geology, shifted from Humboldt's largely economic framework to a biological one built around the species question. This shift led Darwin away from a consideration of how the population biology of animals was related to man's economy to focus instead upon how population biology fitted into the economy of nature.Humboldt's Personal Narrative served very well as a model for Darwin's Journal of Researches, thereby helping Darwin gain scientific eminence. The Journal of Researches, like virtually all of Humboldt's writings, was a contribution to scientific orthodoxy. But Darwin had, along the way, acquired an urge to do more than just add his building blocks to the orthodox scientific edifice. He decided to rearrange those blocks of knowledge into a different structure, and for that task neither Humboldt's Personal Narrative nor any other of his works could serve as a model. Humboldt had lacked the confidence which Darwin needed that biogeography and the origin of species could be understood. Humboldt had not explored very far the possible connections between biology and geology. Nor had he provided a general synthetic account of population biology. Had he done so, he might have been more explicit about the extent of his endorsement of Malthus. But even if he had, Humboldt's strong orientation toward cooperation would probably have inhibited his recognition of the importance of competition in nature.Lyell, who had also benefited from reading Humboldt, gave Darwin insights that were lacking in Humboldt's Personal Narrative. Lyell admirably demonstrated how stratigraphy, paleontology, biogeography, and population biology could be interrelated, and his reasons for doing so were essentially the same as Darwin's. Lyell's understanding of biogeography and ecology came from the writings of Augustin-Pyramus de Candolle as much as from Humboldt's, and from the former Lyell derived an appreciation for the importance of competition and also a confidence that the mysteries of biogeography could be explained.117 Furthermore, Lyell's discussion of all these subjects and also of evolution in his Principles of Geology is a good synthetic argument that was the ideal model for Darwin's greatest book.Darwin, having become convinced that species change through time, was able to synthesize in his mind the contributions which he had derived from the writings of Humboldt and Lyell as they applied to the species question. When Darwin wrote his Journal of Researches there were two large gaps in his thinking about evolution that bothered him—the mechanism of evolution and the causes of extinction. It was only after reading Malthus in 1838 that he realized, as Lyell had more or less pointed out, how important was competition in nature. He now had the general outlines for his theory, and in the 1845 abridged edition of his Journal, now retitled The Voyage of the Beagle, he inserted a fuller discussion of competition in nature which showed his awareness of its importance as an ecological factor.118. (shrink)

Alongside the direct parallels and contrasts between traditional narrative fiction and games, there lie certain partial analogies that provide their own insights. This article begins by examining a direct parallel between narrative fiction and games—the role of fictional reliefs and reality checks in shaping aesthetic engagement—before arguing that from this a partial analogy can be developed stemming from a feature that distinguishes most games from most traditional fictions: the presence of rules. The relation between rules and fiction in games has (...) heretofore been acknowledged but not examined in detail, giving an impression of a tension that is constant. However, the paired concepts of formal reliefs and representation checks, once introduced, allow us to explain how rules and fiction interact to alter the ways in which players engage with games in a dynamic but limited way. (shrink)

Leeuwenhoek's observations relating to animal population, though scattered through many letters written during a period of over forty years, when seen in toto, were important contributions to the subject now known as animal demography. He maintained enough contact with other scientists to have received encouragement and some helpful suggestions, but the language barrier and the novelty of doing microscopic work forced him to be resourceful, inventive, and original. His multifarious investigations impinged upon population biology before he discovered a direct interest (...) in it. He devised methods for estimating numbers of animalcules, and then he went on to estimate the population of the world. His interest in reproduction was an important avenue by which he approached the subject of reproductive capacity. Other important approaches were his studies of growth, longevity, and life histories. He discovered relationships between aspects of the life history, longevity, and reproductive capacity of several species of insects, notably calanders, scavenger flies, crane flies, aphids, and lice. An important feature of these investigations were the arithmetical calculations which he made of reproductive potentials. In spite of several limitations, these calculations were an important innovation to the study of animal population. In his later years, his investigations came more and more within the sphere of ecology. He made the first significant observations on food chains. It is especially interesting that fish were the subject of these observations, because it was not until the latter half of the nineteenth century that scientists realized that fish ultimately depend upon phytoplankton.These accomplishments did not pass unnoticed. Although Leeuwenhoek never synthesized his scattered observations concerning population, his originality and perception were appreciated by outstanding biologists of the eighteenth century. The important discussions of population biology by Réaumur, Buffon, and Bonnet all derived inspiration and assistance from the writings of Leeuwenhoek.73 This ingenious Fellow of the Royal Society, “by detecting through diligent application and scrutiny the mysteries of Nature and the secrets of natural philosophy,”74 became one of the founders of animal demography. (shrink)

W. V. Quine stands out as one of the foremost figures of twentieth-century analytic philosophy. This chapter aims to show that a significant part of his work’s enduring value lies in its contribution to metametaphysics, which will include showing how some more contentious aspects of Quine’s thought can be seen as indispensable to it; we will problematise the widespread belief that one can isolate basic elements of Quine’s metametaphysics without eroding their warrant. -/- §1 introduces the broad context. §2 examines (...) Quine’s most clearly metametaphysical work (and the desired backdrop for many analytic philosophers): ‘On what there is’. Finding the story incomplete here, we explore other elements of Quine’s corpus in turn. §3 analyses the nascent naturalism evident in ‘Two dogmas of empiricism’, §4 explores how the principle of charity becomes significant in Word & Object, and §5 shows how the eponymous principle of ‘Ontological relativity’ aims to defuse the puzzles of indeterminacy. In the process we will see how Quine’s concerns stemming from naturalism in general, and from the problems of indeterminacy in particular, make it hard to separate the basic picture from his more controversial fullblown approach – hard, that is, to avoid ontological relativity. This is bad news for those wishing to use Quine as a neutral backdrop to analytic metaphysical debate, but good news for those who value the distinctive philosophical tradition within which Quine’s work is a key development. (shrink)

Several recent discussions of metaphysics disavow existence-questions, claiming that they are metaphysically uninteresting because trivially settled in the affirmative by Moorean facts. This is often given as a reason to focus metaphysical debate instead on questions of grounding. I argue that the strategy employed to undermine existence-questions fails against its usual target: Quineanism. The Quinean can protest that the formulation given of their position is a straw man: properly understood, as a project of explication, Quinean metaphysics does not counsel us (...) to choose between obvious ordinary-language claims and absurd revisionist claims, even if appeal to Moorean facts is permitted. (shrink)

Motivation: Classical definitions of information, such as the Shannon information, are designed for open loop systems because they define information on a channel which has an input and an output. The main motivation of this paper is to present a closed loop information measure which is compatible with constructivist thinking. Design: Our information measure for a closed loop system reflects how additional sensor inputs are utilised to establish additional sensor-motor loops during learning. Our information measure is based on the assumption (...) that it is not optimal to stay reactive and that it is beneficial to become proactive through increased learning about the environment. Consequently our information measure gauges the utilisation of new sensor inputs to generate anticipatory actions. We call this information measure "predictive information" (PI). Findings: Our PI is zero if the organism uses only its reflex reactions. It grows when the organism is able to use other sensor inputs to preempt reflex reactions and is able to replace reflexes by anticipatory reactions. This has been demonstrated with a real robot that had to learn to avoid obstacles. Conclusion: PI is a new measure which is able to quantify anticipatory learning and, in contrast to the Shannon information, is calculated only at the inputs of an agent. This information measure has been successfully applied to a simple robot task but its application is neither limited to a certain task nor to a certain learning rule. (shrink)