Intuition is frequently used in medicine. Along with the use of existing medical rules, there is a separate channel that physicians rely on when making decisions: their intuition. To cope with the epistemic problem of using intuition, I use some clues from Wittgenstein's philosophy to illuminate the decision-making process in medicine. First, I point to a connection between intuition as functioning in medicine and Wittgenstein's notions of "seeing as" or noticing "aspects". Secondly, I use Wittgenstein notion of empirical regularities hardened (...) into rules to suggest that there are two stages that should be addressed in the analysis of medical practice: the first concerns the accumulation of cases and the second pertains to the setting a rule based on these cases. I argue further that the medical context is exceptional in that the two stages are intertwined and, and explain the consequences of this fact for the physician's work. Finally, inspired by Wittgenstein's rule-following conundrum, I argue that medicine is particularly prone to difficulties in applying a general rule to a specific case represented by an individual patient. Recourse to intuition is reflects the physicians' efforts to bridge this gap. (shrink)

Asymmetrical convergence is the increasing overlap between academic and industrial sectors, but with academia moving closer toward for-profit industrial norms than vice versa. Although this concept, developed by Kleinman and Vallas, is useful, processes of asymmetrical convergence in daily laboratory life are largely unexplored. Here, observations of three lab groups of chemical scientists in academic and industry contexts illustrate variation in interactions with ethics-related policies. Findings show more tension for academic science with business-based practices, such as the move toward greater (...) accountability, than for industrial science with academic practices. This asymmetry is evident in the process of purposive decoupling: for example, where academic scientists use humor to distance themselves from the performance of compliance in required reporting and top-down ethics training requirements. This distancing from meaningless requirements contrasts with mentoring around practices of professional behavior that are thought to matter. Convergence is evident in how safety policies seem more engaging than other kinds of policies. Yet, power structures shape engagement. Academic engagement often means rule following, and flows vertically from professor’s authority to student apprenticeship. Industry engagement includes collaborative problem solving and flows along a more horizontal peer structure where informal power is less visible. (shrink)

数理論理学の基本となる命題・述語論理から、チューリング機械・形式手法・ブール代数といった「少し先」の内容までを丁寧に解説。.

:One view of practical reasoning is that it involves the weighing of reasons. It is not clear, however, how the weights of reasons combine, especially given the logical and substantive relations among different reasons. Nor is it clear how the weighing of reasons relates to decision theoretic maximization of expected value. This paper constructs a formal model of reasons and their weight in order to shed light on these issues. The model informs philosophical debates about reasons, such as the question (...) of whether reasons or values are more fundamental and the opposing doctrines of atomism and holism about reasons. (shrink)

Objective: The purpose of this study was to demonstrate how educators involved in the teaching of bioethics to healthcare university students in Japan would cope with ethical disagreement in the classroom, and to identify factors influencing them.Methods: A cross sectional survey was conducted using self administered questionnaires mailed to a sample of university faculty in charge of bioethics curriculum for university healthcare students.Results: A total of 107 usable questionnaires were returned: a response rate of 61.5%. When facing ethical disagreement in (...) the classroom, coping behaviour differed depending on the topic of discussion, was influenced by educators’ individual clear ethical attitudes regarding the topic of discussion, and was independent of many respondents’ individual and social backgrounds. Among educators, it was commonly recognised that the purpose of bioethics education was to raise the level of awareness of ethical problems, to provide information about and knowledge of those issues, to raise students’ sensitivity to ethical problems, and to teach students methods of reasoning and logical argument. Yet, despite this, several respondents considered the purpose of bioethics education to be to influence students about normative ethical judgments. There was no clear relationship, however, between ways of coping with ethical disagreement and educators’ sense of the purpose of bioethics education.Conclusions: This descriptive study suggests that educators involved in bioethics education for healthcare university students in Japan coped in various ways with ethical disagreement. Further research concerning ethical disagreement in educational settings is needed to provide better bioethics education for healthcare students. (shrink)

Artificial intelligence (AI) has garnered tremendous attention in health care, and many hope that AI can enhance our health system’s ability to care for people with chronic and degenerative conditions, including Parkinson’s Disease (PD). This paper reports the themes and lessons derived from a qualitative study with people living with PD, family caregivers, and health care providers regarding the ethical dimensions of using AI to monitor, assess, and predict PD symptoms and progression. Thematic analysis identified ethical concerns at four intersecting (...) levels: personal, interpersonal, professional/institutional, and societal levels. Reflecting on potential benefits of predictive algorithms that can continuously collect and process longitudinal data, participants expressed a desire for more timely, ongoing, and accurate information that could enhance management of day-to-day fluctuations and facilitate clinical and personal care as their disease progresses. Nonetheless, they voiced concerns about intersecting ethical questions around evolving illness identities, familial and professional care relationships, privacy, and data ownership/governance. The multi-layer analysis provides a helpful way to understand the ethics of using AI in monitoring and managing PD and other chronic/degenerative conditions. (shrink)

Grammatical theories of Scalar Implicatures make use of an exhaustivity operator exh, which asserts the conjunction of the prejacent with the negation of excludable alternatives. We present a new Grammatical theory of Scalar Implicatures according to which exh is replaced with pex, an operator that contributes its prejacent as asserted content, but the negation of scalar alternatives at a non-at-issue level of meaning. We show that by treating this non-at-issue level as a presupposition, this theory resolves a number of empirical (...) challenges faced by the old formulation of exh (as well as by standard neo-Gricean theories). The empirical challenges include projection of scalar implicatures from certain embedded environments (‘some under some’ sentences, some under negative factives), their restricted distribution under negation, and the existence of common ground-mismatching and oddness-inducing implicatures. We argue that these puzzles have a uniform solution given a pex-based Grammatical theory of implicatures and some independently motivated principles concerning presupposition projection, cancellation and accommodation. (shrink)

ObjectiveProcessing Speed, the ability to perceive and react fast to stimuli in the environment, has been shown to be impaired in children with attention deficit hyperactivity disorder. However, it is unclear whether PS can be improved following targeted treatments for ADHD. Here we examined potential changes in PS following application of transcranial electric stimulation combined with cognitive training in children with ADHD. Specifically, we examined changes in PS in the presence of different conditions of mental fatigue.MethodsWe used a randomized double-blind (...) active-controlled crossover study of 19 unmedicated children with ADHD. Participants received either anodal transcranial direct current stimulation over the left dorsolateral prefrontal cortex or transcranial random noise stimulation, while completing CT, and the administration order was counterbalanced. PS was assessed before and after treatment using the MOXO-CPT, which measures PS in the presence of various conditions of mental fatigue and cognitive load.ResultstRNS combined with CT yielded larger improvements in PS compared to tDCS combined with CT, mainly under condition of increased mental fatigue. Further improvements in PS were also seen in a 1-week follow up testing.ConclusionThis study provides initial support for the efficacy of tRNS combined with CT in improving PS in the presence of mental fatigue in pediatric ADHD. (shrink)

Continuous first-order logic has found interest among model theorists who wish to extend the classical analysis of “algebraic” structures to various natural classes of complete metric structures. With research in continuous first-order logic preoccupied with studying the model theory of this framework, we find a natural question calls for attention. Is there an interesting set of axioms yielding a completeness result?The primary purpose of this article is to show that a certain, interesting set of axioms does indeed yield a completeness (...) result for continuous first-order logic. In particular, we show that in continuous first-order logic a set of formulae is satisfiable if it is consistent. From this result it follows that continuous first-order logic also satisfies an approximated form of strong completeness, whereby Σ⊨φ only if Σ⊢φ∸ 2-n for all n < ω. This approximated form of strong completeness asserts that if Σ⊨φ, then proofs from Σ, being finite, can provide arbitrarily better approximations of the truth of φ.Additionally, we consider a different kind of question traditionally arising in model theory—that of decidability. When is the set of all consequences of a theory recursive? Say that a complete theory T is decidable if for every sentence φ, the value φT is a recursive real, and moreover, uniformly computable from φ. If T is incomplete, we say it is decidable if for every sentence φ the real number φT∘ is uniformly recursive from φ, where φT∘is the maximal value of φ consistent with T. As in classical first-order logic, it follows from the completeness theorem of continuous first-order logic that if a complete theory admits a recursive axiomatization then it is decidable. (shrink)

Sentences such as Olivia can take Logic or Algebra (‘♢∨-sentences’) are typically interpreted as entailing that Olivia can take Logic and can take Algebra. Given a standard semantics for modals and disjunction, those ‘Free choice’ (FC) readings are not predicted from the surface form of ♢∨-sentences. Yet the standard semantics is appropriate for the ‘double prohibition’ reading typically assigned to ¬♢∨-sentences like Olivia can’t take Logic or Algebra. Several extant approaches to FC can account for those two cases, but face (...) challenges when ♢∨, ¬♢∨ and related sentences appear embedded in certain environments. In this paper, we present a novel account of FC that builds on a ‘grammatical’ theory of scalar implicatures — proposed by Bassi et al. (2021) and Del Pinal (2021) — according to which covert exhaustification is a presupposition trigger such that the prejacent forms the assertive content while any excludable or includable alternatives are incorporated at the non-at issue, presuppositional level. Applied to ♢∨, ¬♢∨, and similar sentences, ‘presuppositional exhaustification’ predicts that their default interpretations have an assertive component (roughly, the classical interpretation of the prejacent) and a homogeneity presupposition which projects in standard ways. Those predictions, we then show, support a uniform account of the puzzling behavior of ♢∨, ¬♢∨, and related sentences when embedded under (negative) factives (Marty & Romoli 2020), disjunctions (Romoli & Santorio 2019), and in the scope of universal, existential (Bar-Lev & Fox 2020) and non-monotonic quantifiers (Gotzner et al. 2020). (shrink)

We give a general framework for the treatment of perturbations of types and structures in continuous logic, allowing to specify which parts of the logic may be perturbed. We prove that separable, elementarily equivalent structures which are approximately $aleph_0$-saturated up to arbitrarily small perturbations are isomorphic up to arbitrarily small perturbations. As a corollary, we obtain a Ryll-Nardzewski style characterisation of complete theories all of whose separable models are isomorphic up to arbitrarily small perturbations.

We present an adaptation of continuous first order logic to unbounded metric structures. This has the advantage of being closer in spirit to C. Ward Henson's logic for Banach space structures than the unit ball approach, as well as of applying in situations where the unit ball approach does not apply. We also introduce the process of single point emph{emboundment}, allowing to bring unbounded structures back into the setting of bounded continuous first order logic. Together with results from cite{BenYaacov:Perturbations} regarding (...) perturbations of bounded metric structures, we prove a Ryll-Nardzewski style characterisation of theories of Banach spaces which are separably categorical up to small perturbation of the norm. This last result is motivated by an unpublished result of Henson. (shrink)

In this project, we assessed 242 codes of media ethics from 94 countries across the globe, focusing on their treatment of moonlighting. The analysis included whether the codes dealt with moonlighting, whether geopolitical and geoeconomic characteristics affected the treatment of the issue, and whether the type of media organization was significant. Only about half the codes addressed moonlighting; Eastern European countries paid the greatest attention to moonlighting, and newspapers and chains were more likely than other media organizations to deal with (...) the issue. Overall, it appears that codes of ethics do not provide clear, strict, or consistent guidelines. (shrink)

-/- Continuous first-order logic has found interest among model theorists who wish to extend the classical analysis of “algebraic” structures (such as fields, group, and graphs) to various natural classes of complete metric structures (such as probability algebras, Hilbert spaces, and Banach spaces). With research in continuous first-order logic preoccupied with studying the model theory of this framework, we find a natural question calls for attention. Is there an interesting set of axioms yielding a completeness result? -/- The primary purpose (...) of this article is to show that a certain, interesting set of axioms does indeed yield a completeness result for continuous first-order logic. In particular, we show that in continuous first-order logic a set of formulae is (completely) satisfiable if (and only if) it is consistent. From this result it follows that continuous first-order logic also satisfies an approximated form of strong completeness, whereby Σ⊧φ (if and) only if Σ⊢φ ∸2−n for all n < ω. This approximated form of strong completeness asserts that if Σ⊧φ, then proofs from Σ, being finite, can provide arbitrarily better approximations of the truth of φ. -/- Additionally, we consider a different kind of question traditionally arising in model theory—that of decidability. When is the set of all consequences of a theory (in a countable, recursive language) recursive? Say that a complete theory T is decidable if for every sentence φ, the value φ T is a recursive real, and moreover, uniformly computable from φ. If T is incomplete, we say it is decidable if for every sentence φ the real number φ T o is uniformly recursive from φ, where φ T o is the maximal value of φ consistent with T. As in classical first-order logic, it follows from the completeness theorem of continuous first-order logic that if a complete theory admits a recursive (or even recursively enumerable) axiomatization then it is decidable. (shrink)

Clinical ethics support, including ethics consultation, has become established in the field of medical practice throughout the world. This practice has been regarded as useful, most notably in the UK and the USA, in solving ethical problems encountered by both medical practitioners and those who receive medical treatment. In Japan, however, few services are available to respond to everyday clinical ethical issues, although a variety of difficult ethical problems arise daily in the medical field: termination of life support, euthanasia and (...) questions about patient autonomy. In light of these conditions, a group of 17 volunteer educators and researchers from the area of biomedical ethics, including the authors, have formed the Clinical Ethics Support and Education Project, and began providing Japan’s first small team clinical ethics consultation service in October, 2006. Members include scholars of biomedical ethics, scholars of philosophy and ethics, legal professionals and legal scholars, nurses and doctors, consisting of five women and 12 men. Consultation teams, made up of a small number of members, were organised each time a request for consultation was received. Over approximately 15 months (October 2006–December 2007), the programme received 22 consultation requests from medical practitioners and medical institutions, and three from the families of patients. In this paper, we will discuss the status of our consultation service and examples of consultation cases we have handled. In addition, we will examine the process of evaluating small team clinical ethics consultation services, as well as the strengths and weakness of such programmes. (shrink)

Artificial intelligence (AI) technologies in medicine are gradually changing biomedical research and patient care. High expectations and promises from novel AI applications aiming to positively impact society raise new ethical considerations for patients and caregivers who use these technologies. Based on a qualitative content analysis of semi-structured interviews and focus groups with healthcare professionals (HCPs), patients, and family members of patients with Parkinson’s Disease (PD), the present study investigates participant views on the comparative benefits and problems of using human versus (...) AI predictive computer vision health monitoring, as well as participants’ ethical concerns regarding these technologies. Participants presumed that AI monitoring would enhance information sharing and treatment, but voiced concerns about data ownership, data protection, commercialization of patient data, and privacy at home. They highlighted that privacy issues at home and data security issues are often linked and should be investigated together. Findings may help technologists, HCPs, and policymakers determine how to incorporate stakeholders’ intersecting but divergent concerns into developing and implementing AI PD monitoring tools. (shrink)

We point out how the "Fundamental Theorem of Stability Theory", namely the equivalence between the "non order property" and definability of types, proved by Shelah in the 1970s, is in fact an immediate consequence of Grothendieck's "Criteres de compacite" from 1952. The familiar forms for the defining formulae then follow using Mazur's Lemma regarding weak convergence in Banach spaces.

The Pareto principle is a normative principle about preferences that advocates concordance with unanimous preference. However, people have perspectives not just preferences. Evaluating preferences...

The argument from inductive risk claims that judgments about the moral severity of errors are relevant to decisions about what should count as sufficient evidence for accepting claims. While this idea has been explored in connection with evidence required for the approval of pharmaceuticals, the role of inductive risk in the post-approval process has been largely neglected. In this article, we examine the ethics of inductive risk in connection with revisions to the product monograph for OxyContin in Canada, which understates (...) the risks of addiction and abuse associated with this drug. Using the concept of inductive risk, we consider what evidence should have been sufficient for Health Canada to revise the product monograph for OxyContin. Given the stakes involved, we argue that a less strict standard of evidence would have been appropriate, yet HC in fact took the opposite course, insisting upon a higher standard of evidence than it normally requires. In addition to providing a novel perspective on the opioid crisis in Canada, this article contributes to existing philosophical work by demonstrating that inductive risks in the post-approval stage are important and linked to pre-approval inductive risks. (shrink)

We develop several aspects of local and global stability in continuous first order logic. In particular, we study type-definable groups and genericity.

Studies of public health decisions that have had harmful effects tend to disagree about what constitutes a public health error. Debates exist about whether public health errors must be culpable or not, as well as about what the criteria for judging public health errors should be.

Journal Name: Cognitive Linguistics Issue: Ahead of print.

We prove that for every simple theory $T$ (or even simple thick compact abstract theory) there is a (unique) compact abstract theory $T^fP$ whose saturated models are the lovely pairs of $T$. Independence-theoretic results that were proved in [Ben Yaacov, Pillay, Vassiliev - Lovely pairs of models] when $T^fP$ is a first order theory are proved for the general case: in particular $T^fP$ is simple and we characterise independence.

The notion of quasi-minimal structures was defined by B. Zil'ber as a natural generalization of minimal structures. Inspired by his work, we study here basic model theoretic properties of quasiminimal structures. Main result is the construction of ω-saturated quasi-minimal models under ω-stability assumption.

We study the following conjecture. Conjecture. Let T be an ω-stable theory with continuum many countable models. Then either i) T has continuum many complete extensions in L1(T), or ii) some complete extension of T in L1 has continuum many L1-types without parameters. By Shelah's proof of Vaught's conjecture for ω-stable theories, we know that there are seven types of ω-stable theory with continuum many countable models. We show that the conjecture is true for all but one of these seven (...) cases. In the last case we show the existence of continuum many L2-types. (shrink)

We study the following conjecture. Conjecture. Let $T$ be an $\omega$-stable theory with continuum many countable models. Then either i) $T$ has continuum many complete extensions in $L_1$, or ii) some complete extension of $T$ in $L_1$ has continuum many $L_1$-types without parameters. By Shelah's proof of Vaught's conjecture for $\omega$-stable theories, we know that there are seven types of $\omega$-stable theory with continuum many countable models. We show that the conjecture is true for all but one of these seven (...) cases. In the last case we show the existence of continuum many $L_2$-types. (shrink)

La présente étude souligne que l’idée de gouvernance de Bentham avait déjà été formulée dans les années 1780 et explique clairement que ses idées étaient cohérentes, en prenant en compte l’interprétation de Schofield concernant la radicalisation progressive de Bentham. Les premiers textes de Bentham, tels que Le Panoptique et Tactiques Politiques, comprenaient des éléments de publicité et de surveillance qui caractérisaient la théorie de la gouvernance basée sur le concept d’intérêt, et donnèrent lieu à des discussions clés qui conduisirent à (...) l’idée de démocratie représentative dans la période qui suivit. Basées sur Fragment sur le gouvernement et sur Introduction aux principes de la morale et de la législation dans les années 1770, diverses idées, dont la théorie de la « législation indirecte » de Bentham dans les années 1780, se concrétisèrent par son idée utilitariste de gouvernement. (shrink)

We show that is a quasi-minimal torsion-free divisible abelian group. After discussing the axiomatization of the theory of this structure, we present its ω-saturated quasi-minimal model.

If ${\mathfrak {F}}$ is a type-definable family of commensurable subsets, subgroups or subvector spaces in a metric structure, then there is an invariant subset, subgroup or subvector space commensurable with ${\mathfrak {F}}$. This in particular applies to type-definable or hyper-definable objects in a classical first-order structure.

Given a continuous and isometric action of a Polish group G on an adequate Polish topometric space $(X,\tau,\rho )$ and $x \in X$, we find a necessary and sufficient condition for $\overline {Gx}^{\rho }$ to be co-meagre; we also obtain a criterion that characterizes when such a point exists. This work completes a criterion established in earlier work of the authors.

We prove that the definition of supersimplicity in metric structures from [Ben Yaacov, Uncountable dense categoricity in cats] is equivalent to an textit{a priori} stronger variant. This stronger variant is then used to prove that if $T$ is a supersimple Hausdorff cat then so is its theory of lovely pairs.

For a locally compact group G, we show that it is possible to present the class of continuous unitary representations of G as an elementary class of metric structures, in the sense of continuous logic. More precisely, we show how nondegenerate ∗-representations of a general ∗-algebra A (with some mild assumptions) can be viewed as an elementary class, in a many-sorted language, and use the correspondence between continuous unitary representations of G and nondegenerate ∗-representations of L1(G). We relate the notion (...) of ultraproduct of logical structures, under this presentation, with other notions of ultraproduct of representations appearing in the literature, and we characterize property (T) for G in terms of the definability of the sets of fixed points of L1 functions on G. (shrink)

Ethics in public administration has been a subject of growing interest for both researchers and practitioners interested in the future of governance. This study examined the relationship between ethics and performance in local governance. We tested the effects over time of an ethics program on employees' perceptions (awareness of the code of ethics, ethical leadership, inclusion of employees in ethical decision making [EDM], ethical climate [EC], organizational commitment, and quality of work life [QWL]) and behavior (organizational citizenship behavior) in one (...) Israeli regional council. We conducted a longitudinal study of 108 employees, using data from a two-phase survey (before implementation of the ethics program and a year after) and objective assessments of employees' behavior through managers' evaluations. The main findings show that the ethics program was very effective, resulting in greater awareness of the code of ethics, increased inclusion of employees in EDM, and an improved EC. Furthermore, ethical leadership was positively related to employees' awareness of the code of ethics, increased inclusion of employees in EDM, an improvement in the EC, greater organizational commitment, and higher QWL. Implications and suggestions for future studies are discussed. (shrink)

This paper explores ethical issues raised by quadratic voting. We compare quadratic voting to majority voting from two ethical perspectives: the perspective of utilitarianism and that of democratic theory. From a utilitarian standpoint, the comparison is ambiguous: if voter preferences are independent of wealth, then quadratic voting out- performs majority voting, but if voter preferences are polarized by wealth, then majority voting may be superior. From the standpoint of democratic theory, we argue that assess- ments in terms of efficiency are (...) too narrow. Voting institutions and political institutions more generally face a legitimacy requirement. We argue that in the presence of inequalities of wealth, any vote buying mechanism, including quadratic voting, will have a difficult time meeting this requirement. (shrink)

No matter how far medicine advances, incurable disease will inevitably exist; and the dying patient's last resort will likewise look to medical research. In this report, we examine a case concerning the use of experimental medical therapy on a critically ill child. We discuss the ethical argument pertaining to the recommending of experimental medical therapy to the family of a dying patient.Under the circumstances of having to face the impending death of one's own child, parents of a terminally ill child (...) are extremely vulnerable to suggestion and often loose the ability to make a composed decision._Moreover, there exists the possibility of not only patients, but also medical staff and researchers, to fall into therapeutic misconception. Likewise, for the terminal patient and his/her family though, experimental medical therapy is often the only hope, which is, however, always accompanied by a factor of uncertainty and is considered to be merely an unapproximated gamble. The proposing of experimental medical therapy can result in being cruel by shattering the parent's expectations of saving their child._We examine the issues involved in proposing an experimental medical therapy to patients who are in dire need of a last hope; and conclude that, in times of emergency, we must take great consideration in recommending an experimental medical therapy as an "innovative treatment." In extreme circumstances where an individual's life is on the line, doing nothing can be quite trying; yet, what is right is not necessarily doing something, but rather making the right decision. (shrink)

We present a framework for model theoretic forcing in a non first order context, and present some applications of this framework to Banach space theory.