This article draws attention to a pattern of development within science and other intellectual research communities that has received virtually no mention. We propose that subsequent dominance of a research community by a figure responsible for significant innovation often delays progress in the field. During the period in which the revolutionary continues to influence research in a community, far too frequently the effect is to freeze progress within the limited directions which the revolutionary sanctions.

In this paper, I consider the problem of omission for the counterfactual comparative account of harm. A given event harms a person, on this account, when it makes her worse off than she would have been if it had not occurred. The problem arises because cases in which one person merely fails to benefit another intuitively seem harmless. The account, however, seems to imply that when one person fails to benefit another, the first thereby harms the second, since the second (...) person would have been better off if the first had benefited her. I argue that the cases of failing to benefit at issue are in fact cases of harming. They are cases of preventive harm. I also argue that we can explain away the intuition that no harm occurs in these cases, and that the relevant implication of the counterfactual comparative account is consistent with a variety of plausible views about the moral significance of harm. (shrink)

Given that a person's death is bad for her,whenis it bad? I defendsubsequentism, the view that things that are bad in the relevant way are bad after they occur. Some have objected to this view on the grounds that it requires us to compare the amount of well-being the victim would have enjoyed, had she not died, with the amount she receives while dead; however, we cannot assign any level of well-being, not even zero, to a dead person. In the (...) population ethics literature, many philosophers have argued along similar lines that bringing someone into existence can neither harm nor benefit her. Working within the comparative framework (on which harms make us worse off), I respond by proposing a good sense in which we can say that dead people, and actual people at alternatives in which they do not exist, have a well-being level of zero. (shrink)

According to Jerome Wakefield’s harmful dysfunction analysis of medical disorder, the inability of some internal part or mechanism to perform its natural function is necessary, but not sufficient, for disorder. HDA also requires that the part dysfunction be harmful to the individual. I consider several problems for HDA’s harm criterion in this article. Other accounts on which harm is necessary for disorder will suffer from all or almost all of these problems. Comparative accounts of harm imply that one is harmed (...) when one is made worse off, that is, worse off than one otherwise would have been. Non-comparative accounts imply that one is harmed when one is put into some kind of condition or state that is, in some way, bad in itself. I argue that whether harm is construed comparatively or non-comparatively, HDA’s harm criterion is problematic. I tentatively conclude that an analysis of medical disorder should not make use of the concept of harm. (shrink)

Jerome Wakefield’s harmful dysfunction analysis of medical disorder is an influential hybrid of naturalist and normative theories. In order to conclude that a condition is a disorder, according to the HDA, one must determine both that it results from a failure of a physical or psychological mechanism to perform its natural function and that it is harmful. In a recent issue of this journal, I argued that the HDA entails implausible judgments about which disorders there are and how they are (...) individuated. The same arguments apply to other views that incorporate a harm criterion. More recently, David G. Limbaugh has modified the HDA by providing a novel account of the way in which a disorder must be harmful. Here, I briefly review the relevant issues and then critically assess Limbaugh’s account. I argue in the end that Limbaugh’s revisions do not succeed in making accounts like the HDA more attractive. (shrink)

In this paper, I construct and defend an account of harm, specifically, all-things-considered overall harm. I start with a simple comparative account, on which an event harms a person provided that she would have been better off had it not occurred. The most significant problems for this account are overdetermination and preemption cases. However, a counterfactual comparative approach of some sort is needed to make sense of harm, or so I argue. I offer a counterfactual comparative theory that accounts nicely (...) for such cases, by taking claims about harm to be, potentially, irreducibly plural. In some cases, there are some events such that they are harmful, even if no one of them is such that it is harmful. I try to work out the details. (shrink)

Mental content and the problem of De Se belief -- Cognitive attitudes and content -- The doctrine of propositions -- The problem of De Se belief -- The property theory of content -- In favor of the property theory -- Perry's messy shopper and the argument from explanation -- Lewis's case of the two Gods -- Arguments from internalism and physicalism -- An inference to the best explanation -- Alternatives to the property theory -- The triadic view of belief -- (...) How the property theory and the triadic view are rivals -- Dyadic propositionalism reconsidered -- Arguments against the property theory -- Self-ascription and self-awareness -- Nonexistence and impossible contents -- Stalnaker's argument -- Propositionalist arguments from inference -- The property theory and De Re belief -- Lewis's account of De Re belief -- McKay's objection to Lewis -- Mistaken identity and the case of the shy secret admirer -- Some other worries and concluding remarks -- The property theory, rationality, and Kripke's puzzle about belief -- Kripke's puzzle about belief -- The puzzle argument -- A solution to the puzzle -- Puzzles with empty names and kind terms -- The property theory, twin earth, and belief about kinds -- Twin earth and two kinds of internalism -- The twin earth argument -- An internalist response (stage one) -- An internalist response (stage two) -- Self-ascription and belief about kinds. (shrink)

I respond here to an argument given recently in this journal by Erik Carlson, Jens Johansson, and Olle Risberg. The authors object to the counterfactual comparative account of harm. They argue that, on this account, an action that would harm the agent might leave her better off than would some alternative action that would benefit her, and they object to this implication. By appealing to group or plural harm, I argue that their objection fails.

This book offers a defense of the Property Theory of Content, according to which properties rather than propositions are the contents of our beliefs, desires, and other cognitive attitudes. New arguments for the theory are offered, objections are answered, and applications to problems in the philosophy of mind are discussed.

Falsehood can preclude knowledge in many ways. A false proposition cannot be known. A false ground can prevent knowledge of a truth, or so we argue, but not every false ground deprives its subject of knowledge. A falsehood that is not a ground for belief can also prevent knowledge of a truth. This paper provides a systematic account of just when falsehood precludes knowledge, and hence when it does not. We present the paper as an approach to the Gettier problem (...) and arrive at a relatively simple theory with virtues linked to several issues at the heart of contemporary epistemology. (shrink)

In English, we use the word "I" to express thoughts that we have about ourselves, and we use the reflexive pronouns "himself" and "herself" to attribute such thoughts to others. Philosophers and linguists call such thoughts, and the statements we use to express them, de se. De se thoughts and statements, although they appear often in our day-to-day lives, pose a series of challenging problems for both linguists and philosophers. This interdisciplinary volume examines the structure of de se thought, various (...) issues concerning the semantics and pragmatics of our discourse about it, and also what it reveals about how humans think about themselves and the world around them. (shrink)

In the past decade, three philosophers in particular have recently explored the relation between desert and intrinsic value. Fred Feldman argues that consequentialism need not give much weight – or indeed any weight at all – to the happiness of persons who undeservedly experience pleasure. He defends the claim that the intrinsic value of a state of affairs is determined by the “fit” between the amount of well-being that a person receives and the amount of well-being that the person deserves. (...) Shelly Kagan uses a similar claim to motivate the view that equality is not intrinsically valuable. Thomas Hurka argues that desert is a third-order value, which is a function of the relation between the second-order value of having a virtuous or vicious character and the first-order value of experiencing pleasure or pain. In this paper, we sketch a theory of desert as fittingness and defend a general account of the relation between desert, well-being, and intrinsic value. We then discuss various applications of our “geometry of desert,” including a solution to the problem of the Repugnant Conclusion. (shrink)

Falsehood can preclude knowledge in many ways. A false proposition cannot be known. A false ground can prevent knowledge of a truth, or so we argue, but not every false ground deprives its subject of knowledge. A falsehood that is not a ground for belief can also prevent knowledge of a truth. This paper provides a systematic account of just when falsehood precludes knowledge, and hence when it does not. We present the paper as an approach to the Gettier problem (...) and arrive at a relatively simple theory with virtues linked to several issues at the heart of contemporary epistemology. (shrink)

Neil Feit; Graduate Papers from the Joint Session 1995: On a Famous Counterexample to Leibniz's Law1, Proceedings of the Aristotelian Society, Volume 96, Issue.

In the past decade, three philosophers in particular have recently explored the relation between desert and intrinsic value. Fred Feldman argues that consequentialism need not give much weight – or indeed any weight at all – to the happiness of persons who undeservedly experience pleasure. He defends the claim that the intrinsic value of a state of affairs is determined by the “fit” between the amount of well-being that a person receives and the amount of well-being that the person deserves. (...) Shelly Kagan uses a similar claim to motivate the view that equality is not intrinsically valuable. Thomas Hurka argues that desert is a third-order value, which is a function of the relation between the second-order value of having a virtuous or vicious character and the first-order value of experiencing pleasure or pain. In this paper, we sketch a theory of desert as fittingness and defend a general account of the relation between desert, well-being, and intrinsic value. We then discuss various applications of our “geometry of desert,” including a solution to the problem of the Repugnant Conclusion. In so doing, we explain, revise, and extend many of these authors’ central ideas. (shrink)

The author presents and defends a general view about belief, and certain attributions of belief, with the intention of providing a solution to Saul Kripke's puzzle about belief. According to the position developed in the paper, there are two senses in which one could be said to have contradictory beliefs. Just one of these senses threatens the rationality of the believer; but Kripke's puzzle concerns only the other one. The general solution is then extended to certain variants of Kripke's original (...) puzzle, which have to do with belief attributions containing empty names and kind terms. (shrink)

A number of philosophers continue to argue, inthe spirit of Keith Donnellans classic paperReference and Definite Descriptions, thatthere is more to the semantics of definitedescriptions than Russells theory predicts. If their arguments are correct, then a completesemantic theory for sentences that containdefinite descriptions will have to provide morethan one set of truth conditions. A unitaryRussellian analysis of sentences of the form`the F is G would not suffice. In this paper,I examine a recent line of argument for thisanti-Russellian conclusion.Unlike earlier Donnellan-style (...) arguments, thenew argument does not rely upon the mereexistence of referential uses of definitedescriptions or the possibility of conveyinginformation about an object by misdescribingit. I argue, however, that we ought to rejectthis new line of reasoning and rest contentwith a Russellian theory of definitedescriptions. (shrink)

I defend a cluster of views about names from fiction and myth. The views are based on two claims: first, proper names refer directly totheir bearers; and second, names from fiction and myth are genuinely empty, they simply do not refer. I argue that when such names are used in direct discourse, utterances containing them have truth values but do not express propositions. I also argue that it is a mistake to think that if an utterance of, for example, “Vulcan (...) is a planet” fails to express a proposition, then an utterance of “Le Verrier believed that Vulcan is a planet” cannot express a proposition. The argument applies to claims about fiction, such as “Sherlock Holmes is strong,” and claims about the attitudes of authors and auditors. The upshot is a semantics for fictional statements that provides a satisfying way for direct reference theorists to avoid taking fictional entities to be abstract objects and to accept the commonsense view that what is true in a fiction is ultimately a matter of what is pretended to be the case. (shrink)

The property theory of content takes the content of each cognitive attitude (each belief, desire, and so on) to be a property to which the subject of the attitude is related in the appropriate psychological way. This view is motivated by standard cases of de se belief and other attitudes. In this paper, I consider a couple of related objections to the property theory of content. Both objections have to do with the possible non-existence of the subject. More specifically, the (...) objections are based on attitudes, the contents of which entail the non-existence of their subjects, and also on attitudes that commit their subjects to preferences regarding situations in which the subjects do not exist. I show that the property theory can answer these objections adequately, and I argue that my answer to the objections is more plausible than other possible responses. (shrink)

A number of concerns have been raised about the possible future use of pharmaceuticals designed to enhance cognitive, affective, and motivational processes, particularly where the aim is to produce morally better decisions or behavior. In this article, we draw attention to what is arguably a more worrying possibility: that pharmaceuticals currently in widespread therapeutic use are already having unintended effects on these processes, and thus on moral decision making and morally significant behavior. We review current evidence on the moral effects (...) of three widely used drugs or drug types: propranolol, selective serotonin reuptake inhibitors, and drugs that effect oxytocin physiology. This evidence suggests that the alterations to moral decision making and behavior caused by these agents may have important and difficult-to-evaluate consequences, at least at the population level. We argue that the moral effects of these and other widely used pharmaceuticals warrant further empirical research and ethical analysis. (shrink)

This book focuses on the nature and importance of harm by providing a sustained defense of the counterfactual comparative account, in particular by extending the account to allow for a certain kind of plural or collective harm. According to the counterfactual comparative account, an event harms a person provided that she would have been better off had it not occurred. On the account defended in this book, there are cases in which some events harm a given individual even though none (...) of them by itself harms the individual. This account aims to solve the most serious problem facing the counterfactual comparative account, a problem involving cases of preemption. In such cases, an intuitively harmful event does not make the victim worse off, since if it had not occurred, another event would have had a similar adverse influence on the victim’s well-being. The book also contains discussion of various competing accounts of harm, and it replies to other challenges to the counterfactual comparative account. It argues, moreover, that an action that would harm a person does not thereby have a strong moral reason against it; if there is a strong moral reason against a harmful act, the reason is due primarily to some of the act’s other features. (shrink)

I present two short arguments concerning the views named in the title. First, I argue that the Doctrine of Propositions, according to which the contents of our psychological attitudes are always propositions, is incompatible with Internalism, understood as a doctrine endorsing the intrinsic character of mental content. Second, I try to show that the Doctrine of Propositions is also incompatible with the claim that psychological properties supervene globally on physical properties (i.e., that there can be no mental difference without some (...) physical difference). The upshot is that the Doctrine of Propositions is inconsistent with each of two important supervenience principles. (shrink)

Infallibilism is the view that a belief cannot be at once warranted and false. In this essay we assess three nonpartisan arguments for infallibilism, arguments that do not depend on a prior commitment to some substantive theory of warrant. Three premises, one from each argument, are most significant: if a belief can be at once warranted and false, then the Gettier Problem cannot be solved; if a belief can be at once warranted and false, then its warrant can be transferred (...) to an accidentally true belief; if a belief can be at once warranted and false, then it can be warranted and accidentally true. We argue that each of these is either false or no more plausible than its denial. Along the way, we offer a solution to the Gettier Problem that is compatible with fallibilism. (shrink)

Response to commentary. We are grateful to Crockett and Craigie for their interesting remarks on our paper. We accept Crockett’s claim that there is a need for caution in drawing inferences about patient groups from work on healthy volunteers in the laboratory. However, we believe that the evidence we cited established a strong presumption that many of the patients who are routinely taking a medication, including many people properly prescribed the medication for a medical condition, have morally significant aspects of (...) their cognition and behavior modified in a way that is unintended and may sometimes be unwelcome. Crockett notes that in some cases the effects of long-term drug use may differ, sometimes markedly, from the effects of short-term use. However, if acute use of a drug affects a neural system involved in mediating moral cognition or behavior, this nevertheless provides some evidence that chronic use of the drug may affect that same system and thus have morally significant effects. It is also plausible, in some cases, that an acute moral effect would give rise to a chronic moral effect via cognitive mechanisms. ... (shrink)

A review of Death and Nonexistence, by Palle Yourgrau (Oxford University Press, 2019).

The most valuable player (MVP) of an athletic league is the single best individual player in the league. The MVP award is the institutional recognition of this person, and it is the highest annual award that a player can receive. Despite its widespread consideration and importance, we argue that the concept of the MVP is a fundamentally vague concept. In the context of professional sports, however, such a vague category is valuable in that it promotes the active discussion of different (...) types of excellence found within a specific sport and the weight to be assigned these types, thus leading to a gain for the discussants. (shrink)

A review of Death and Nonexistence, by Palle Yourgrau.

Gain or omission/termination of loss produces approach; while loss or omission/termination of gain produces withdrawal. Control of approach/withdrawal motivation is distinct from valuation of gain/loss and does not entail learning – making “reward” and “punishment” ambiguous. Approach-withdrawal goal conflict engages a neurally distinct Behavioural Inhibition System, which controls “anxiety” but not “fear”.

The continuing spread and development of electronic data interchange in health care settings is fuelling a significant global debate about the practicality, ethics, and legality of such a practice. The uncertainties implicit in this debate are particularly acute in the context of disease or population groups for whom multidisciplinary, multipleagency teamworking has become acknowledged as the “best practice” for providing effective and timely care or support. The greying of the population is a demographic phenomenon that will have a profound impact (...) on the health care system, social care agencies, and caregivers, and will require a greater degree of service coordination in order to meet the complex care needs of both care-receiver and caregiver. (shrink)

The continuing spread and development of electronic data interchange in health care settings is fuelling a significant global debate about the practicality, ethics, and legality of such a practice. The uncertainties implicit in this debate are particularly acute in the context of disease or population groups for whom multidisciplinary, multipleagency teamworking has become acknowledged as the “best practice” for providing effective and timely care or support. The greying of the population is a demographic phenomenon that will have a profound impact (...) on the health care system, social care agencies, and caregivers, and will require a greater degree of service coordination in order to meet the complex care needs of both care-receiver and caregiver. (shrink)

Noradrenergic pathways are involved in mediating the central and peripheral effects of physiological arousal. The aim of the present study was to investigate the role of noradrenergic transmission in moral decision-making. We studied the effects in healthy volunteers of propranolol (a noradrenergic beta-adrenoceptor antagonist) on moral judgement in a set of moral dilemmas pitting utilitarian outcomes (e.g., saving five lives) against highly aversive harmful actions (e.g., killing an innocent person) in a double-blind, placebo-controlled, parallel group design. Propranolol (40 mg orally) (...) significantly reduced heart rate, but had no effect on self-reported mood. Importantly, propranolol made participants more likely to judge harmful actions as morally unacceptable, but only in dilemmas where harms were ‘up close and personal’. In addition, longer response times for such personal dilemmas were only found for the placebo group. Finally, judgments in personal dilemmas by the propranolol group were more decisive. These findings indicate that noradrenergic pathways play a role in responses to moral dilemmas, in line with recent work implicating emotion in moral decision-making. However, contrary to current theorising, these findings also suggest that aversion to harming is not driven by emotional arousal. Our findings are also of significant practical interest given that propranolol is a widely used drug in different settings, and is currently being considered as a potential treatment for post-traumatic stress disorder in military and rescue service personnel. (shrink)

In two of his great poems, “Ambulances” and “The Building,” Philip Larkin considers a deep fear about human individuality. The fear is that the human self is contingent and disjunctive, lacking any integrity or unity. The arrival of an ambulance on an urban curb and a visit to the hospital are the occasion of reflection on this form of human fragility. But more significant, the ambulance and the hospital are imagined as contexts in which the contingency of the human (...) individual is brought out and laid before us. (shrink)

OBJECTIVE: To describe the issues faced, and how they were addressed, by the University of Toronto Critical Care Medicine Program/Joint Centre for Bioethics Task Force on Appropriate Use of Life-Sustaining Treatment. The clinical problem addressed by the Task Force was dealing with requests by patients or substitute decision makers for life-sustaining treatment that their healthcare providers believe is inappropriate. DESIGN: Case study. SETTING: The University of Toronto Joint Centre for Bioethics/Critical Care Medicine Program Task Force on Appropriate Use of Life-Sustaining (...) Treatment. PARTICIPANTS: The 24-member Task Force included physician and nursing leaders from five critical care units, bioethicists, a legal scholar, a health administration expert, a social worker, and a hospital public relations professional. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Our specific lessons learned include a) a policy focus on process; b) use of a negotiation and mediation model, rather than a hospital ethics committee model, for this process; and c) the policy development process is itself a negotiation, so we recommend equal involvement of interested groups including patients, families, and the public. CONCLUSIONS: This article describes the key issues faced by the Task Force while developing its policy. It will provide a useful starting point for other groups developing policy on appropriate use of life-sustaining treatment. (shrink)

This article investigates the application of Philip Pettit's concept of freedom as non-domination to the issues of educational standards and the negotiated curriculum. The article will argue that freedom as non-domination shines a critical light on governmental practice in England over the past two decades. Joshua Cohen's proposal of an ideal deliberative procedure is offered as a potential mechanism for the facilitation of debating contestations between stakeholders over the curriculum. Cohen places particular importance on the participants being ‘formally and (...) substantively equal’ in the proceedings and being able to ‘recognize one another as having deliberative capacities’. It will be argued that formal and substantive equality between children and responsible adults is highly problematic due to the ‘considerable interference’ teachers and adults have to make in children's lives. However, the article does offer examples of children's deliberative capacities on the issue of the curriculum. (shrink)

A point of contention in recent discussions of the epistemic condition of moral responsibility is whether culpable ignorance must trace to akratic belief mismanagement. Neil Levy has recently defended an akrasia requirement by arguing that only an akratic agent has the capacity rationally to comply with epistemic expectations the violation of which contributes to her ignorance. In this paper I show that Levy’s argument is unsound. It is possible to have the relevant rational capacity in the absence of akrasia. (...) I also argue that the internalist account of rationality that does much of the work in his argument is problematic. (shrink)