This study describes which clinical ethics approaches are available to support healthcare personnel in clinical practice in terms of their construction, functions and goals. Healthcare personnel frequently face ethically difficult situations in the course of their work and these issues cover a wide range of areas from prenatal care to end-of-life care. Although various forms of clinical ethics support have been developed, to our knowledge there is a lack of review studies describing which ethics support approaches are available, how they (...) are constructed and their goals in supporting healthcare personnel in clinical practice. This study engages in an integrative literature review. We searched for peer-reviewed academic articles written in English between 2000 and 2016 using specific Mesh terms and manual keywords in CINAHL, MEDLINE and Psych INFO databases. In total, 54 articles worldwide described clinical ethics support approaches that include clinical ethics consultation, clinical ethics committees, moral case deliberation, ethics rounds, ethics discussion groups, and ethics reflection groups. Clinical ethics consultation and clinical ethics committees have various roles and functions in different countries. They can provide healthcare personnel with advice and recommendations regarding the best course of action. Moral case deliberation, ethics rounds, ethics discussion groups and ethics reflection groups support the idea that group reflection increases insight into ethical issues. Clinical ethics support in the form of a “bottom-up” perspective might give healthcare personnel opportunities to think and reflect more than a “top-down” perspective. A “bottom-up” approach leaves the healthcare personnel with the moral responsibility for their choice of action in clinical practice, while a “top-down” approach risks removing such moral responsibility. (shrink)

Some philosophers argue that we are justified in rejecting skepticism because it is explanatorily inferior to more commonsense hypotheses about the world. Focusing on the work of Jonathan Vogel, I show that this “abductivist” or “inference to the best explanation” response rests on an impoverished explanatory framework which ignores the explanatory gap between an object's having certain properties and its appearing to have those properties. Once this gap is appreciated, I argue, the abductivist strategy is defeated.

Institutional investors are increasingly becoming active owners through voting their shares and engaging in dialogue with investee companies to improve corporate environmental, social and corporate governance (ESG) performance. This article applies a model of stakeholder salience to the shareholder context, analysing the attributes of power, legitimacy and urgency, to determine the factors that are likely to enhance shareholder salience. It is found that a strong business case and the values of the managers of investee companies are likely to be the (...) most important contributors to shareholder salience. (shrink)

Cheryl Misak (2000; 2008a; 2008b; Misak and Talisse 2014; Misak and Talisse 2021) has presented an argument for democracy based on her analysis of the writings of Charles Sanders Peirce: If we care about the truth of our beliefs – as everyone does, according to Misak – then we ought to support democratic norms and democratic political institutions. We argue in the present paper that Misak’s argument does not adequately justify a democratic political system. Her argument does, however, justify a (...) rational commitment to the standard liberal-democratic values of freedom of expression, freedom of association, and the like. We demonstrate as well that Misak’s argument for the democratic values withstands well-known objections against her argument for a democratic political system. We also show that weaker premises involving every agent’s commitment to pursuing their own subjective ends can get us to Misak’s conclusions regarding liberal values using reasoning otherwise similar to Misak’s in that our alternative premises also get us to the commitment to taking the experiences of others seriously. These weaker premises avoid objections raised against Misak’s Peircean view and are acceptable even to those who reject Misak’s idea, taken from her reading of Peirce, that truth is a constitutive norm of belief. (shrink)

The paper provides close commentary on an important but generally neglected passage in "Prior Analytics" B.21 where, in the course of solving a logical puzzle concerning our knowledge of universal statements, Aristotle offers his only explicit treatment of the Platonic doctrine of Recollection. I show how Aristotle defends his solution to the "Paradox of Knowing Universals", as we might call it, and why he introduces Recollection into his discussion of the puzzle. The reading I develop undermines the traditional view of (...) the passage and lends fresh insight into Aristotle's conception of Plato's particular version of innatism; more specifically, when understood as I recommend, the passage strongly suggests that, on Aristotle's view, Plato's theory of Recollection is specifically designed to explain our apprehension of universal truths. The reading I propose also enables us to see how the allegedly non-standard use of the technical term ἐπαγω³ή in B.21 can be understood in a perfectly straightforward fashion to refer to an inductive inference from singular statements to the universal truth they exemplify. Owing to this last point in particular, the paper carries serious consequences for our understanding of the purported doublet in the problematic opening chapter to the "Posterior Analytics" where Aristotle offers his only explicit attempt to solve Meno's Paradox. (shrink)

Michael Devitt tells us that metaphysical realism has a kind of immunity from considerations concerning the nature of truth. Part of this immunity comes from Devitt’s insistence that realism is a metaphysical issue, not a semantic one. Most of Devitt’s critics have focused on this point, arguing that a proper understanding of the realism question necessarily involves semantic considerations :65–74, 1991; Miller in Synthese 136:191–217, 2003; Putnam in Comments on Michael Devitt’s ‘Hilary and Me’, in: Baghramian Reading Putnam. Taylor and (...) Francis, Hoboken, 2012; Taylor in Models, truth, and realism. Oxford University Press, New York, 2006). But Devitt also argues at length that semantic considerations should not lead us to give up on realism regardless of whether we admit that the correct characterization of realism is metaphysical in character or not. Devitt’s view hinges on the viability of a strategy which he calls Putting Metaphysics First, which essentially involves giving “a certain temporal and explanatory priority to metaphysical concerns”. Fully explicated, Devitt’s strategy is seen to be based on an epistemological naturalism in the vein of Quine. The main idea is that if we assume a naturalism according to which the only way to know anything is empirically through experience, then we will be able to establish a version of metaphysical realism early on in our investigations. According to Devitt, the empirical evidence for this realism is much stronger than the empirical evidence for the numerous semantical and epistemological views which are put forward in favor of antirealism. So, Devitt argues, we should hold on to the realism that we establish first and build our other theories on top of it. After detailing Devitt’s approach, I offer two objections. The first problem for Devitt is that in the process of putting metaphysics first, he puts epistemological naturalism first. This fact is in tension with his claim that epistemology is a weak starting place and a poor basis of theoretical revision. The second problem is that while our experiences of objects give us evidence that those objects exist, our experiences do not tell us that the objects exist mind-independently in all the ways required for metaphysical realism, or so I contend. Thus, I argue, even if we do put naturalized metaphysics first as Devitt recommends, realism is not secured as a starting point. (shrink)

The topic of this dissertation is what thought must be like in order for the laws and generalizations of psychology to be true. I address a number of contemporary problems in the philosophy of mind concerning the nature and structure of concepts and the ontological status of mental content. Drawing on empirical work in psychology, I develop a number of new conceptual tools for theorizing about concepts, including a counterpart model of concepts' role in linguistic communication, and a deflationary theory (...) of concepts' formal features. I also suggest some new answers to old problems, arguing, for example, that content realism is not hostage to a naturalized semantics. This dissertation can, as a whole, be read as a sympathetic re-evaluation of the language of thought hypothesis (LOT). LOT claims that thoughts are sentences in a mental language of computation, and are composed of meaningful, atomic symbols—concepts—which are individuated entirely by their formal features. Each chapter either defends various components of LOT from recent criticism, or fills in gaps in the theory. I begin the dissertation by introducing the language of thought project, and motivating and explaining each of its central components. In chapter 2, I discuss a recent competitor to atomism—neo-empiricism—and argue that it fails to meet several key desiderata on theories of concepts, and defend atomism from similar charges. In chapter 3, I argue against a view common to both philosophy and psychology: that concepts must be shareable. If true, atomism is in jeopardy. I find shareability to be unmotivated, and suggest an alternative counterpart model of concepts that does a better job of explaining the things shareability was supposed to explain. Chapter 4 takes up the question of what formal features are and how mental symbols are individuated. I develop a reductive account, arguing that formal features are certain sorts of physical properties and symbol types are sets of these properties. I turn to the topic of content in chapter 5, and defend a very strong version of content realism against recent criticism. (shrink)

The paper provides close commentary on an important but generally neglected passage in _Prior Analytics B.21 where, in the course of solving a logical puzzle concerning our knowledge of universal statements, Aristotle offers his only explicit treatment of the Platonic doctrine of 'recollection'. I show how Aristotle defends his solution to the "Paradox of Knowing Universals", as we might call it, and why he introduces recollection into his discussion of the puzzle. The reading I develop undermines the traditional view of (...) the passage and lends fresh insight into Aristotle's conception of Plato's particular version of innatism. (edited). (shrink)