Wilson et al. focus on one class of AGL tasks: the cognitively demanding task of detecting non‐adjacent dependencies (NADs) among items. They provide a typology of the different types of NADs in natural languages and in AGL tasks. A range of cues affect NAD learning, ranging from the variability and number of intervening elements to the presence of shared prosodic cues between the dependent items. These cues, important for humans to discover non‐adjacent dependencies, are also found to facilitate NAD learning (...) in several nonhuman animal species. (shrink)

Genetic testing for cancer susceptibility is an application of biotechnology that has the potential both to improve the psychosocial and physical wellbeing of the population and to cause significant psychosocia1 and physical harms. In spite of the uncertain value of genetic testing, it has captured the interest of biotechnology companies, researchers, health care providers, and the public. As more tests become feasible, pressure may increase to make the tests available and reimbursable. Both the benefits and harms of these tests lie (...) not as much in the tests themselves, as in their power to predict or alter the future. The value of the tests does not derive from the information per se, but from the ability to communicate effectively the information to patients and providers, and the behavioral responses of patients, providers, and others to this information. (shrink)

As sophisticated artificial intelligence software becomes more ubiquitously and more intimately integrated within domains of traditionally human endeavor, many are raising questions over how responsibility (be it moral, legal, or causal) can be understood for an AI’s actions or influence on an outcome. So called “responsibility gaps” occur whenever there exists an apparent chasm in the ordinary attribution of moral blame or responsibility when an AI automates physical or cognitive labor otherwise performed by human beings and commits an error. Healthcare (...) administration is an industry ripe for responsibility gaps produced by these kinds of AI. The moral stakes of healthcare are often life and death, and the demand for reducing clinical uncertainty while standardizing care incentivizes the development and integration of AI diagnosticians and prognosticators. In this paper, we argue that (1) responsibility gaps are generated by “black box” healthcare AI, (2) the presence of responsibility gaps (if unaddressed) creates serious moral problems, (3) a suitable solution is for relevant stakeholders to voluntarily responsibilize the gaps, taking on some moral responsibility for things they are not, strictly speaking, blameworthy for, and (4) should this solution be taken, black box healthcare AI will be permissible in the provision of healthcare. (shrink)

Philosophy of Medicine has for a long time been preoccupied with analyzing the concepts of health, disease and illness. Relatively speaking, the concept of medicine itself has received very little attention. This paper is a contribution to the relatively neglected debate about the nature of medicine. Building on the work of Alex Broadbent (Broadbent, 2018a, b), Chadwin Harris (Harris, 2018) and Thaddeus Metz (Metz, 2018), in this paper I question the persuasiveness of Broadbent’s account of the “core business” of medicine, (...) The Inquiry Thesis, and propose an alternative: a revised version of The Curative Thesis, which I coin The Best Available Intervention Thesis. Crudely, this suggests that Medicine is the sustained and organised effort to determine and prescribe the best available treatment (curative or preventative) for patients. (shrink)

Galasso (2024) provides a strong critique of precision medicine research initiatives regarding their potential for the exclusion of populations based on upstream and downstream factors with “Genomi...

I count myself privileged to respond to Kenneth Collins and Jerry Walls recent book on Roman Catholicism. I live in Fort Worth, TX, and I am a member of Wedgwood Baptist Church, which is one of more than 40,000 churches that together comprise the Southern Baptist Convention. I mention this so readers will know that my comments come from a conservative Evangelical Protestant perspective, and my thinking stems from a tradition that is decidedly not Roman Catholic. Having said this, I’m (...) much more sympathetic to Roman Catholicism than a great many Evangelicals, including Collins and Walls. I offer my criticisms of Rome, but I ask that readers not interpret me as someone who denies that the Roman Catholic Church counts as a Christian institution. In an effort to show good faith on this front, allow me to offer some defenses of Roman Catholicism against what I take to be over the top criticisms from some Protestant Evangelicals. (shrink)

Allusions to the Panathenaia 1 in the final scene of the Eumenides have been pointed out by a number of scholars.2 Headlam identified the red robes of the Eumenides with the cloaks worn by the Metics in the Panathenaic procession.3 In Athena's pronouncement at 1030–1.

Wilson et al. focus on one class of AGL tasks: the cognitively demanding task of detecting non‐adjacent dependencies (NADs) among items. They provide a typology of the different types of NADs in natural languages and in AGL tasks. A range of cues affect NAD learning, ranging from the variability and number of intervening elements to the presence of shared prosodic cues between the dependent items. These cues, important for humans to discover non‐adjacent dependencies, are also found to facilitate NAD learning (...) in several nonhuman animal species. (shrink)

Many necessitarians about cause and law (Armstrong 1983; Mumford 2004; Bird 2007) have argued that Humeans are unable to justify their inductive inferences, as Humean laws are nothing but the sum of their instances. In this paper I argue against these necessitarian claims. I show that Armstrong is committed to the explanatory value of Humean laws (in the form of universally quantified statements), and that contra Armstrong, brute regularities often do have genuine explanatory value. I finish with a Humean attempt (...) at a probabilistic justification of induction, but this fails due to its assumption that the proportionality syllogism is justified. Although this attempt fails, I nonetheless show that the Humean is at least as justified in reasoning inductively as Armstrong. (shrink)

In the face of mounting criticism against advance directives, we describe how a novel, computer-based decision aid addresses some of these important concerns. This decision aid, Making Your Wishes Known: Planning Your Medical Future , translates an individual's values and goals into a meaningful advance directive that explicitly reflects their healthcare wishes and outlines a plan for how they wish to be treated. It does this by (1) educating users about advance care planning; (2) helping individuals identify, clarify, and prioritize (...) factors that influence their decision-making about future medical conditions; (3) explaining common end-of-life medical conditions and life-sustaining treatment; (4) helping users articulate a coherent set of wishes with regard to advance care planning—in the form of an advance directive readily interpretable by physicians; and (5) helping individuals both choose a spokesperson, and prepare to engage family, friends, and health care providers in discussions about advance care planning. (shrink)

Rapid advancements in artificial intelligence and machine learning (AI/ML) in healthcare raise pressing questions about how much users should trust AI/ML systems, particularly for high stakes clinical decision-making. Ensuring that user trust is properly calibrated to a tool’s computational capacities and limitations has both practical and ethical implications, given that overtrust or undertrust can influence over-reliance or under-reliance on algorithmic tools, with significant implications for patient safety and health outcomes. It is, thus, important to better understand how variability in trust (...) criteria across stakeholders, settings, tools and use cases may influence approaches to using AI/ML tools in real settings. As part of a 5-year, multi-institutional Agency for Health Care Research and Quality-funded study, we identify trust criteria for a survival prediction algorithm intended to support clinical decision-making for left ventricular assist device therapy, using semistructured interviews (n=40) with patients and physicians, analysed via thematic analysis. Findings suggest that physicians and patients share similar empirical considerations for trust, which were primarilyepistemicin nature, focused on accuracy and validity of AI/ML estimates. Trust evaluations considered the nature, integrity and relevance of training data rather than the computational nature of algorithms themselves, suggesting a need to distinguish ‘source’ from ‘functional’ explainability. To a lesser extent, trust criteria were also relational (endorsement from others) and sometimes based on personal beliefs and experience. We discuss implications for promoting appropriate and responsible trust calibration for clinical decision-making use AI/ML. (shrink)

An English language translation accompanies the original Greek text of Aristotle's book about the nature of the state, constitutions, revolutions, democracy, and oligarchy.

It is well known that the process of quantization—constructing a quantum theory out of a classical theory—is not in general a uniquely determined procedure. There are many inequivalent methods that lead to different choices for what to use as our quantum theory. In this paper, I show that by requiring a condition of continuity between classical and quantum physics, we constrain and inform the quantum theories that we end up with.

In this article, I examine the relationship between physical quantities and physical states in quantum theories. I argue against the claim made by Arageorgis that the approach to interpreting quantum theories known as Algebraic Imperialism allows for “too many states.” I prove a result establishing that the Algebraic Imperialist has very general resources that she can employ to change her abstract algebra of quantities in order to rule out unphysical states.

Some time ago, Joel Katzav and Brian Ellis debated the compatibility of dispositional essentialism with the principle of least action. Surprisingly, very little has been said on the matter since, even by the most naturalistically inclined metaphysicians. Here, we revisit the Katzav–Ellis arguments of 2004–05. We outline the two problems for the dispositionalist identified Katzav in his 2004 , and claim they are not as problematic for the dispositional essentialist at it first seems – but not for the reasons espoused (...) by Ellis. (shrink)

One implication of Bell’s theorem is that there cannot in general be hidden variable models for quantum mechanics that both are noncontextual and retain the structure of a classical probability space. Thus, some hidden variable programs aim to retain noncontextuality at the cost of using a generalization of the Kolmogorov probability axioms. We generalize a theorem of Feintzeig to show that such programs are committed to the existence of a finite null cover for some quantum mechanical experiments, i.e., a finite (...) collection of probability zero events whose disjunction exhausts the space of experimental possibilities. (shrink)

I argue that it is possible to give an interpretation of the classical ℏ→0 limit of quantum mechanics that results in a partial explanation of the success of classical mechanics. The interpretation...

Classical accounts of intertheoretic reduction involve two pieces: first, the new terms of the higher-level theory must be definable from the terms of the lower-level theory, and second, the claims of the higher-level theory must be deducible from the lower-level theory along with these definitions. The status of each of these pieces becomes controversial when the alleged reduction involves an infinite limit, as in statistical mechanics. Can one define features of or deduce the behavior of an infinite idealized system from (...) a theory describing only finite systems? In this paper, I change the subject in order to consider the motivations behind the definability and deducibility requirements. The classical accounts of intertheoretic reduction are appealing because when the definability and deducibility requirements are satisfied there is a sense in which the reduced theory is forced upon us by the reducing theory and the reduced theory contains no more information or structure than the reducing theory. I will show that, likewise, there is a precise sense in which in statistical mechanics the properties of infinite limiting systems are forced upon us by the properties of finite systems, and the properties of infinite systems contain no information beyond the properties of finite systems. (shrink)

Classical accounts of intertheoretic reduction involve two pieces: first, the new terms of the higher-level theory must be definable from the terms of the lower-level theory, and second, the claims of the higher-level theory must be deducible from the lower-level theory along with these definitions. The status of each of these pieces becomes controversial when the alleged reduction involves an infinite limit, as in statistical mechanics. Can one define features of or deduce the behavior of an infinite idealized system from (...) a theory describing only finite systems? In this paper, I change the subject in order to consider the motivations behind the definability and deducibility requirements. The classical accounts of intertheoretic reduction are appealing because when the definability and deducibility requirements are satisfied there is a sense in which the reduced theory is forced upon us by the reducing theory and the reduced theory contains no more information or structure than the reducing theory. I will show that, likewise, there is a precise sense in which in statistical mechanics the properties of infinite limiting systems are forced upon us by the properties of finite systems, and the properties of infinite systems contain no information beyond the properties of finite systems. (shrink)

We report on the development and initial validation of the Moralization of Everyday Life Scale, designed to measure variations in people's assignment of moral weight to commonplace behaviors. In Study 1, participants reported their judgments for a large number of potential moral infractions in everyday life; principal components analysis revealed 6 main dimensions of these judgments. In Study 2, scores on the 30-item MELS showed high reliability and distinctness from the Big 5 personality traits. In Study 3, scores on the (...) MELS were strongly correlated with scores on an early scale of moral judgments, suggesting convergent validity. (shrink)

Genetic testing for cancer susceptibility is an application of biotechnology that has the potential both to improve the psychosocial and physical wellbeing of the population and to cause significant psychosocia1 and physical harms. In spite of the uncertain value of genetic testing, it has captured the interest of biotechnology companies, researchers, health care providers, and the public. As more tests become feasible, pressure may increase to make the tests available and reimbursable. Both the benefits and harms of these tests lie (...) not as much in the tests themselves, as in their power to predict or alter the future. The value of the tests does not derive from the information per se, but from the ability to communicate effectively the information to patients and providers, and the behavioral responses of patients, providers, and others to this information. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:What Philosophy Can't Say About Literature:Stanley Cavell and EndgameBenjamin H. OgdenIn "Ending the Waiting Game," the philosopher of ordinary language Stanley Cavell attempts to say what Samuel Beckett's Endgame means by explaining what the characters in the play mean by what they say. Cavell attempts to do the very thing that the work says cannot be done, or mocks as foolish and misguided, or resists giving clues to how (...) it could ever be done: he tries to say just "how Beckett's objects mean at all, the original source of their conviction."1 This is not simply a reading tactic that Cavell thinks is well-suited to the difficult task of making sense of a difficult play. It is a demonstration of the theory of language (ordinary language philosophy) that Cavell defends and applies in his collection of essays Must We Mean What We Say?, of which "Ending the Waiting Game" is a chapter. Cavell's literary criticism is in the service of his philosophy. His work of criticism is in search of something that it must find (that is, something that it claims to have found even when it may not have); what it must find is a work of literature that demonstrates the utility and validity of ordinary language philosophy.If we are to take issue with Cavell for too strenuously transposing philosophy onto literature, then we must also know something of the philosophy he draws upon. Ordinary language philosophy traces its origins to Wittgenstein, and was popularized by J. L. Austin and Gilbert Ryle at Oxford in the 1940's. It is a branch of analytic philosophy that foregoes any attempt to create an "ideal philosophical language" of the sort Wittgenstein developed in his early Tractatus Logico-Philosophicus. Instead of seeing the abstractions and ambiguities of ordinary usage as something to be supplanted by a more logically rigorous system, ordinary language philosophers argue that debates over the meaning [End Page 126] of abstract terms come about precisely because words are removed from their ordinary context. For Cavell, the whole idea of an "ideal language" is absurd because, as anyone who has ever tried to learn a foreign language knows, every language has its own unique set of usages and idioms and unspoken rules. In order to speak a language properly, then, one cannot just know the dictionary or formal definitions of words (its "ideal" generative grammar), but must understand the "natural environment" in which phrases and words are logical or appropriate. Often these contexts (which determine the rules for "what we should say when" [p. 20]) invest words with meanings that you won't find in any dictionary, and cannot be catalogued in a grammatical or syntactical system.So, if one asks, "Did you dress that way voluntarily?" (p. 9), the word "voluntarily" takes on a meaning that is not included among its dictionary definitions (according to Cavell). Clearly, in asking whether you dress voluntarily one is not asking whether you have free-will to dress as you please, but is calling attention to the funny way you dress. In this case, successful communication is only possible if the one who is being questioned understands from context and the ordinary use of language precisely what is being asked. If he answers, "Of course I dressed voluntarily, I believe in free will," he will have misspoken, been incorrect. Clearly, he doesn't understand what the question must mean because the statement "MUST MEAN that my clothes are peculiar" (p. 9). For it to mean anything else would be a mistake and a misuse of language by the speaker, or a misunderstanding of language by the listener. To learn a language (which for Cavell means to become like a native speaker) is to learn the nature of the contingency between the explicit meaning of an expression and the occasion on which an expression is appropriate, and to be aware of what you must mean when you speak (what you cannot help but mean or imply by the language you use).What this means is that for Cavell reading literature becomes a process of readers "naturalizing ourselves to a new form of life, a new... (shrink)

In their article, ‘Responsibility, Second Opinions, and Peer-Disagreement—Ethical and Epistemological Challenges of Using AI in Clinical Diagnostic Contexts,’ Kempt and Nagel argue for a ‘rule of disagreement’ for the integration of diagnostic AI in healthcare contexts. The type of AI in question is a ‘decision support system’, the purpose of which is to augment human judgement and decision-making in the clinical context by automating or supplementing parts of the cognitive labor. Under the authors’ proposal, artificial decision support systems which produce (...) automated diagnoses should serve chiefly as confirmatory tools; so long as the physician and AI agree, the matter is settled, and the physician’s initial judgement is considered epistemically justified. If, however, the AI-DSS and physician disagree, then a second physician’s opinion is called on to resolve the dispute. While the cognitive labour of the decision is shared between the physicians and AI, the final decision remains at the discretion of the first physician, and with it the moral and legal culpability. The putative benefits of this approach are twofold: healthcare administration can improve diagnostic performance by introducing AI-DSS without the unintended byproduct of a responsibility gap, and assuming the physician and AI disagree less than the general rate of requested second opinions, and the AI’s diagnostic accuracy supersedes or at least …. (shrink)

I argue that philosophical issues concerning reductive explanations help constrain the construction of quantum theories with appropriate state spaces. I illustrate this general proposal with two examples of restricting attention to physical states in quantum theories: regular states and symmetry-invariant states. 1Introduction2Background2.1 Physical states2.2 Reductive explanations3The Proposed ‘Correspondence Principle’4Example: Regularity5Example: Symmetry-Invariance6Conclusion: Heuristics and Discovery.

When advanced technologies of globalization that are closely associated with secular cosmopolitics are opportunistically employed by fundamentalist politico-theologies for their own particular purposes, an essential irresolution of territory, jurisdiction and programmatic projection is revealed. Where some may wish to identify an ideal correspondence between a global political sphere into which multiple differences might be adjudicated and the visual, geographic representation of a single planetary space, this conjunction is dubious and highly conditional. Instead multiple territorial projections and competing claims on space (...) are also generative of the very qualities of the spatial as a political medium altogether. For example, the well-publicized use of satellite-based mapping and telecommunications tools, such as Google Earth, by the terrorist group that attacked Mumbai in November 2008, raises several knotty and important questions about how contrary comprehensive images of the world can make use of one another in ways that undermine the ‘unitotality’ of global territory. It is not that Google and Jihad are ‘equivalent’ or even ‘translatable’, but rather because they are not, they are in practice interoperable. Instead links between urbanism, cosmography, and the socialization of planetary software networks demonstrate the centrality of design to the ongoing fashioning of the territory of territories, the geoscape. (shrink)

This new collection of philosophically rigorous essays critiques the interpretation of divine omniscience known as open theism, focusing primarily on philosophically motivated open theism and positing arguments that reject divine knowledge of future contingents in the face of the dilemma of freedom and foreknowledge. The sixteen new essays in this collection, written by some of the most renowned philosophers on the topic of divine providence, represent a philosophical attempt to seriously consider open theism. They cover a wide variety of issues, (...) including: the ontology of time, systematic metaphysics, perfect being theology, the Christian doctrine of the Incarnation, the problem of evil, and the nature of divine knowledge in general. _Philosophical Essays Against Open Theism _advances the discussion by wrestling against the assertions of open theism, and will be of interest to both proponents and opponents of this controversial issue. (shrink)

This paper considers states on the Weyl algebra of the canonical commutation relations over the phase space R^{2n}. We show that a state is regular iff its classical limit is a countably additive Borel probability measure on R^{2n}. It follows that one can "reduce" the state space of the Weyl algebra by altering the collection of quantum mechanical observables so that all states are ones whose classical limit is physical.

PurposeAdvance directives have been criticized for failing to help physicians make decisions consistent with patients’ wishes. This pilot study sought to determine if an interactive, computer-based decision aid that generates an advance directive can help physicians accurately translate patients’ wishes into treatment decisions.MethodsWe recruited 19 patient-participants who had each previously created an advance directive using a computer-based decision aid, and 14 physicians who had no prior knowledge of the patient-participants. For each advance directive, three physicians were randomly assigned to review (...) the advance directive and make five to six treatment decisions for each of six (potentially) end-of-life clinical scenarios.From the three individual physicians’ responses, a “consensus physician response” was generated for each treatment decision (total decisions = 32). This consensus response was shared with the patient whose advance directive had been reviewed, and she/he was then asked to indicate how well the physician translated his/her wishes into clinical decisions.ResultsPatient-participants agreed with the consensus physician responses 84 percent (508/608) of the time, including 82 percent agreement on whether to provide mechanical ventilation, and 75 percent on decisions about cardiopulmonary resuscitation (CPR).Across the six vignettes, patient-participants’ rating of how well physicians translated their advance directive into medical decisions was 8.4 (range = 6.5-10, where 1 = extremely poorly, and 10 = extremely well). Physicians’ overall rating of their confidence at accurately translating patients’ wishes into clinical decisions was 7.8 (range = 6.1-9.3, 1 = not at all confident, 10 = extremely confident).ConclusionFor simulated cases, a computer-based decision aid for advance care planning can help physicians more confidently make end-of-life decisions that patients will endorse. (shrink)

Within the field of medical ethics there is a startling amount of diversity regarding which issues and relationships are deemed relevant for ethical inquiry and analysis, what strategies are appropriate for examining and resolving ethical conflict, what should be the goals for medical ethics, even who should participate in that project. What I will try to make clear in this paper is that how we go about this process of doing medical ethics, of examining, reflecting, decisionmaking, and behaving, makes a (...) practical difference, and not just a philosophical one, in terms of the understandings we will reach about ethical matters. Without attempting to resolve any of the conflicts within or between different conceptions of doing ethics, I will try to articulate the differences in orientation, and particularly the tone and educational emphasis, that attend four major contemporary approaches to ethical inquiry and analysis: deductivism, principlism, modern casuistry, and feminist/relationist ethics. Keywords: casuistry, deductivism, ethics, feminism, principlism, relationism CiteULike Connotea Del.icio.us What's this? (shrink)