When the benefits of surgery do not outweigh the harms or where they do not clearly do so, surgical interventions become morally contested. Cutting to the Core examines a number of such surgeries, including infant male circumcision and cutting the genitals of female children, the separation of conjoined twins, surgical sex assignment of intersex children and the surgical re-assignment of transsexuals, limb and face transplantation, cosmetic surgery, and placebo surgery.

When a patient lacks sufficient capacity to make a certain treatment decision, whether because of deficits in their ability to make a judgement that reflects their values or to make a decision that reflects their judgement or both, the decision must be made by a surrogate. Often the best way to respect the patient’s autonomy, in such cases, is for the surrogate to make a ‘substituted’ judgement on behalf of the patient, which is the decision that best reflects the patient’s (...) values and identity-infused beliefs as they were when the patient last possessed capacity. It is by now well-known that there is troubling evidence that surrogates do only slightly better than chance at making accurate substituted judgements. The use of a patient preference predictor, an algorithm that predicts patient preferences based on characteristics like the patient’s age, gender, socioeconomic status and education level, could help. Rid and Wendler have done important work making a moral case for using the PPP.1 If it were shown to enhance accuracy, it is not at all obvious what objections there could be to its use. Yet several subtle criticisms of the PPP have emerged in the literature. In their feature article, Jardas, Wasserman and Wendler select six of the most prominent objections to the PPP in the literature and defend the PPP against them.2 Along the way they make significant contributions to broader issues concerning the proper uses of statistical evidence and limits on the kinds of preferences there can be reasons of autonomy to respect. Since I found the authors’ answers to the final two objections—that the PPP relies on naked statistical evidence and that it uses non-endorsed reasons—to be especially interesting and provocative, I will examine those answers and raise a few questions about …. (shrink)

The recent debate over the moral responsibility of psychopaths has centered on whether, or in what sense, they understand moral requirements. In this paper, I argue that even if they do understand what morality requires, the content of their actions is not of the right kind to justify full-blown blame. I advance two independent justifications of this claim. First, I argue that if the psychopath comes to know what morality requires via a route that does not involve a proper appreciation (...) of what it means to cause another harm or distress, the content of violations of rules against harm will be of a lower grade than the content of similar actions by normal individuals. Second, I argue that in order to intend a harm to a person—that is, to intend the distinctive kind of harm that can only befall a person—it is necessary to understand what personhood is and what makes it valuable. The psychopath's deficits with regard to mental time travel ensure that s/he cannot intend this kind of harm. (shrink)

Noninvasive, prenatal whole genome sequencing may be a technological reality in the near future, making available a vast array of genetic information early in pregnancy at no risk to the fetus or mother. Many worry that the timing, safety, and ease of the test will lead to informational overload and reproductive consumerism. The prevailing response among commentators has been to restrict conditions eligible for testing based on medical severity, which imposes disputed value judgments and devalues those living with eligible conditions. (...) To avoid these difficulties, we propose an unrestricted testing policy, under which prospective parents could obtain information on any variant of known significance after a careful informed consent process that uses an interactive decision aid to deliver a mandatory presentation on the purposes, techniques, and limitations of genomic testing, as well as optional resources for reflection and consultation. This process would encourage thoughtful, informed deliberation... (shrink)

Visual narratives like comics involve a range of complex cognitive operations in order to be understood. The Parallel Interfacing Narrative‐Semantics (PINS) Model integrates an emerging literature showing that comprehension of wordless image sequences balances two representational levels of semantic and narrative structure. The neurocognitive mechanisms that guide these processes are argued to overlap with other domains, such as language and music.

In applied ethics, debates about responsibility have been relentlessly individualistic and synchronic, even as recognition has increased in both philosophy and psychology that agency is distributed across time and individuals. I therefore warmly welcome Brown and Savulescu’s analysis of the conditions under which responsibility can be shared and extended. By carefully delineating how diachronic and dyadic responsibility interact with the long-established control and epistemic conditions, they lay the groundwork needed for identifying how responsibility may be inter-individual and intra-individual. Unsurprisingly, I (...) don’t agree with every aspect of their rich account. I strongly suspect that the privileged place the individual continues to occupy in their taxonomy is a residue of the kind of internalist intuitions which dominate WEIRD thinking.1 2 However, I won’t pursue this line of thought here. Instead, I apply Brown and Savulescu’s analysis. Moving beyond the programmatic level at which they develop their account, I will show how it provides a basis for excusing many individuals, focusing not on the dyadic level but the diachronic. Most of the …. (shrink)

I am to grateful to Geoff Keeling for his perceptive response1 to my paper.2 In this brief reply, I will argue that he does not succeed in his goal of showing that nudges to reason do not respect autonomy. At most, he establishes only that such nudges may threaten autonomy when used in certain ways and in certain circumstances. As I will show, this is not a conclusion that should give us grounds for particular concerns about nudges. Before turning to (...) this issue, let me correct some small issues of interpretation of my paper. Keeling takes me to be committed to three descriptive claims: that we have entered a post-truth era, that our problem with the rational assessment of evidence is explained by or stems from the backfire effect and that nudges to reason work by exploiting affective mechanisms. I am not committed to accepting any of these claims. …. (shrink)

According to the ego-depletion account of loss of self-control, self-control is, or depends on, a depletable resource. Advocates of this account have argued that what is depleted is actually glucose. However, there is experimental evidence that indicates that glucose replenishment is not necessary for regaining self-control, as well as theoretical reasons for thinking that it is not depleted by exercises of self-control. I suggest that glucose restores self-control not because it is a resource on which it relies, but because it (...) serves as a signal of environment quality. I suggest that the evidence is better explained by a rival opportunity costs model of self-control than by the ego-depletion account. (shrink)

This paper assessed whether belief in conspiracy theories was associated with a particularly cognitive style (worldview). The sample comprised 223 volunteers recruited via convenience sampling and included undergraduates, postgraduates, university employees and alumni. Respondents completed measures assessing a range of cognitive-perceptual factors (schizotypy, delusional ideation and hallucination proneness) and conspiratorial beliefs (general attitudes towards conspiracist thinking and endorsement of individual conspiracies). Positive symptoms of schizotypy, particularly the cognitive-perceptual factor, correlated positively with conspiracist beliefs. The best predictor of belief in conspiracies (...) was delusional ideation. Consistent with the notion of a coherent conspiratorial mindset, scores across conspiracy measures correlated strongly. Whilst findings supported the view that belief in conspiracies, within the sub-clinical population, was associated with a delusional thinking style, cognitive-perceptual factors in combination accounted for only 32% of the variance. (shrink)

I distinguish and assess three separate arguments utilized by the opponents of cochlear implants: that treating deafness as a medical condition is inappropriate since it is not a disability; that so treating it sends a message to the Deaf that they are of lesser worth; and that the use of such implants would signal the end of Deaf culture. I give some qualified support to the first and second claim, but find that the principal weight of the argument must be (...) borne by the third argument: that use of the cochlear implants is impermissible because Deaf culture is intrinsically valuable. I show that this claim is, in practice, incompatible with the claim that deafness is not a disability: that the significant disadvantages suffered by the hearing impaired can only be corrected by measures that would end Deaf culture. Since the potential recipients of cochlear implants are, in the main, the prelingually deaf children of hearing parents, the burden of banning the implants would be borne by people who are not members of Deaf culture, and who owe that culture nothing over and above what we all owe cultures in general. I conclude that we cannot ask the parents of these children to sacrifice the interests of their children for the sake of Deaf culture. (shrink)

Rationalist accounts of self-knowledge are motivated in important part by the claim that only by looking to our reasons to discover our beliefs and desires are we active in relation to them and only thereby do we take responsibility for them. These kinds of account seem to predict that self-knowledge generated using third-personal methods or analogues of these methods will tend to undermine the capacity to exercise self-control. In this light, the insistence by treatment programs that addicts acknowledge that they (...) are addicts seems puzzling. I argue that because addicts—and perhaps ordinary akratics, to some extent at least, too—are vulnerable to losing control of their actions via losing control over their beliefs, advising them to look to their reasons for actions is counterproductive and facilitates loss of control. In contrast, an insistence on what I call impersonal self-knowledge, knowledge of some of one's states and dispositions generated by third-personal means, may help to reestablish control. (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)

To the extent that indeterminacy intervenes between our reasons for action and our decisions, intentions and actions, our freedom seems to be reduced, not enhanced. Free will becomes nothing more than the power to choose irrationally. In recognition of this problem, some recent libertarians have suggested that free will is paradigmatically manifested only in actions for which we have reasons for both or all the alternatives. In these circumstances, however we choose, we choose rationally. Against this kind of account, most (...) fully developed by Robert Kane, critics have pressed the demand for contrastive explanations. Kane has responded by arguing that the demand does not need to be met: responsibility for an action does not require that there be a contrastive explanation of that action. However, this response proves too much: it implies that agents are responsible not only for the actions they choose, but also for the counterfactual actions which were equally available to them. (shrink)

We compare Fregean theorizing about sets with the theorizing of an ontologically non-committal, natural-deduction based, inferentialist. The latter uses free Core logic, and confers meanings on logico-mathematical expressions by means of rules for introducing them in conclusions and eliminating them from major premises. Those expressions (such as the set-abstraction operator) that form singular terms have their rules framed so as to deal with canonical identity statements as their conclusions or major premises. We extend this treatment to pasigraphs as well, in (...) the case of set theory. These are defined expressions (such as ‘subset of’, or ‘power set of’) that are treated as basic in the lingua franca of informal set theory. Employing pasigraphs in accordance with their own natural-deduction rules enables one to ‘atomicize’ rigorous mathematical reasoning. (shrink)

It is a common complaint against moral philosophers that their abstract theorising bears little relation to the practical problems of everyday life. Professor Braithwaite believes that this criticism need not be inevitable. With the help of the Theory of Games he shows how arbitration is possible between two neighbours, a jazz trumpeter and a classical pianist, whose performances are a source of mutual discord. The solution of the problem in the lecture is geometrical, and is based on the formal analogy (...) between the logic of the situation and the geometry of a parabola. But an appendix provides the alternative algebraic treatment of a general two-person collaboration situation. (shrink)

The influence of virtue theory is spreading to the professions. I argue that journalists and educators would do well to refrain from placing too much faith in the power of the virtues to guide working journalists. Rather than focus on the character of the journalist, we would do better to concentrate on institutional constraints on unethical conduct. I urge this position in the light of the critique of virtue ethics advanced, especially, by Gilbert Harman (1999). Harman believed that the empirical (...) findings of psychologists show that character-based approaches to ethics are useless. I suspect that this rather overstates the case. Nevertheless, special features of journalism make virtue-centered approaches especially inappropriate, and we had best turn to alternatives. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Virtual Gallery*Neil Hertz Click for larger view View full resolutionPhotograph by Neil Hertz. Click for larger view View full resolutionPhotograph by Neil Hertz. Click for larger view View full resolutionPhotograph by Neil Hertz. Click for larger view View full resolutionPhotograph by Neil Hertz. Click for larger view View full resolutionPhotograph by Neil Hertz. Click for larger view View full resolutionPhotograph by Neil (...) Hertz. Click for larger view View full resolutionPhotograph by Neil Hertz. Click for larger view View full resolutionPhotograph by Neil Hertz. Click for larger view View full resolutionPhotograph by Neil Hertz.Footnotes* The photographs on the cover and back cover and pages 2, 14, 29, 43, 53, 66, and 80 were taken in Baltimore by Neil Hertz.Copyright © 1999 The Johns Hopkins University Press... (shrink)

Drawn sequences of images, like those in comics and picture stories, are a pervasive and fundamental way that humans have communicated for millennia. Yet, the study of visual narratives has only recently gained traction in Cognitive Science. Here we explore what has held back the study of the cognition of visual narratives, and why researchers should join in scholarship of this ubiquitous aspect of expression.

Narratives are an integral part of human expression. In the graphic form, they range from cave paintings to Egyptian hieroglyphics, from the Bayeux Tapestry to modern day comic books (Kunzle, 1973; McCloud, 1993). Yet not much research has addressed the structure and comprehension of narrative images, for example, how do people create meaning out of sequential images? This piece helps fill the gap by presenting a theory of Narrative Grammar. We describe the basic narrative categories and their relationship to a (...) canonical narrative arc, followed by a discussion of complex structures that extend beyond the canonical schema. This demands that the canonical arc be reconsidered as a generative schema whereby any narrative category can be expanded into a node in a tree structure. Narrative “pacing” is interpreted as a reflection of various patterns of this embedding: conjunction, left-branching trees, center-embedded constituencies, and others. Following this, diagnostic methods are proposed for testing narrative categories and constituency. Finally, we outline the applicability of this theory beyond sequential images, such as to film and verbal discourse, and compare this theory with previous approaches to narrative and discourse. (shrink)

Dewey continues to offer arguments that remain powerful on the need to break down the divisions between ‘academic’ and ‘vocational’ in terms of his specific theory of knowledge. Dewey's writings are used to argue that a democratic curriculum needs to challenge such divisions to encompass the many forms of knowledge necessary in the contemporary classroom. Gandin and Apple's investigation of community participation (Orçamento Participativo or Participatory Budgeting) in the curriculum of the Citizen School in Porto Alegre, Brazil, will be explored (...) as an example of democratic structures informing educational planning. The work of Paul Hirst, Atli Harđarson and Chris Jane Brough is analysed regarding the issue of curriculum aims and student negotiation. Dewey's emphasis on learning as a collective enterprise will resonate here. Brough offers innovative research on student-centred curriculum integration that suggests even very young children are able to participate in debate over their own learning. Hirst and Harđarson provide contrasting views on the issue of curriculum aims—Hirst arguing that a curriculum cannot exist without definable aims while Harđarson challenges the very notion of settled aims if students are to be reflexive regarding their education. The article also refers to the work of Alexander on the use of dialogic questioning in the classroom. Such questioning, it is suggested, enhances and encourages collaborative forms of enquiry necessary for a democratic curriculum through discussion between teachers, students and other stakeholders. (shrink)

The present paper examined relationships between schizotypy (measured by the Oxford-Liverpool Inventory of Feelings and Experience; O-LIFE scale brief), belief in the paranormal (assessed via the Revised Paranormal Belief Scale; RPBS) and proneness to statistical bias (i.e., perception of randomness and susceptibility to conjunction fallacy). Participants were 254 volunteers recruited via convenience sampling. Probabilistic reasoning problems appeared framed within both standard and paranormal contexts. Analysis revealed positive correlations between the Unusual Experience (UnExp) subscale of O-LIFE and paranormal belief measures [RPBS (...) full scale, traditional paranormal beliefs (TPB) and new age philosophy]. Performance on standard problems correlated negatively with UnExp and belief in the paranormal (particularly the TPB dimension of the RPBS). Consideration of specific problem types revealed that perception of randomness associated more strongly with belief in the paranormal than conjunction; both problem types related similarly to UnExp. Structural equation modeling specified that belief in the paranormal mediated the indirect relationship between UnExp and statistical bias. For problems presented in a paranormal context a framing effect occurred. Whilst UnExp correlated positively with conjunction proneness (controlling for perception of randomness), there was no association between UnExp and perception of randomness (controlling for conjunction). (shrink)

Cushman argues that the function of rationalization is to attribute mental representations to ourselves, thereby making these representations available for future planning. I argue that such attribution is often not necessary and sometimes maladaptive. I suggest a different explanation of rationalization: making representations available to other agents, to facilitate cooperation, transmission, and the ratchet effect that underlies cumulative cultural evolution.

Scholars from the Global North have consistently facilitated research in the Global South, particularly with war-affected young people (Bragin et al. 2014) living in refugee camps (Cooper 2005). Th...

It is gratifying that thoughtful philosophers and bioethicists like Mahowald and Nelson are continuing to address the objections to prenatal testing that have been made by disability scholars and advocates. But it is frustrating to see those objections presented in ways that reflect the doubts of those who reject them more than the intentions of those who make them, in ways that make those objections appear censorious toward pregnant women and prospective parents or naïve about nonverbal expression. We recognize that (...) disability critics share the responsibility for these misunderstandings, that their objections to prenatal disability testing have not always been made as clearly or consistently as they might have been. We therefore welcome this opportunity for clarification and rebuttal. Briefly, we will argue against Mahowald that it is not apparent how prospective parents could have a duty to potential offspring requiring them to prevent the birth of any child expected to have a life worth living. And we will remind Nelson that our primary concern is with the perpetuation of stigma; that even if any reason for abortion can be framed in terms of a trait of the fetus to be aborted, only certain reasons for abortion are based on the rejection of future children because of stigmatized traits. (shrink)

In this article we assess the extant literature on women’s careers appearing in selected career, management and psychology journals from 1990 to the present to determine what is currently known about the state of women’s careers at the dawn of the 21st century. Based on this review, we identify four patterns that cumulatively contribute to the current state of the literature on women’s careers: women’s careers are embedded in women’s larger-life contexts, families and careers are central to women’s lives, women’s (...) career paths reflect a wide range and variety of patterns, and human and social capital are critical factors for women’s careers. We also identify paradoxes that highlight the disconnection between organizational practice and scholarly research associated with each of the identified patterns. Our overall conclusion is that male-defined constructions of work and career success continue to dominate organizational research and practice.We provide direction for a research agenda on women’s careers that addresses the development of integrative career theories relevant for women’s contemporary lives in hopes of providing fresh avenues for conceptualizing career success for women. Propositions are identified for more strongly connecting career scholarship to organizational practice in support of women’s continued career advancement. (shrink)

In this paper, I propose a solution to Fitch’s paradox that draws on ideas from Edgington (Mind 94:557–568, 1985), Rabinowicz and Segerberg (1994) and Kvanvig (Noûs 29:481–500, 1995). After examining the solution strategies of these authors, I will defend the view, initially proposed by Kvanvig, according to which the derivation of the paradox violates a crucial constraint on quantifier instantiation. The constraint states that non-rigid expressions cannot be substituted into modal positions. We will introduce a slightly modified syntax and semantics (...) that will help underline this point. Furthermore, we will prove results about the consistency of verificationism and the principle of non-omniscience by model-theoretical means. Namely, we prove there exists a model of these principles, and delineate certain constraints they pose on a structure in which they are true. (shrink)

This study examined variations in well-being as a function of the interaction between paranormal belief and psychopathology-related constructs. A United Kingdom-based, general sample of 4,402 respondents completed self-report measures assessing paranormal belief, psychopathology, and well-being. Latent profile analysis identified four distinct sub-groups: Profile 1, high Paranormal Belief and Psychopathology ; Profile 2, high Paranormal Belief and Unusual Experiences; moderate Psychopathology ; Profile 3, moderate Paranormal Belief and Psychopathology ; and Profile 4, low Paranormal Belief and Psychopathology. Multivariate analysis of variance (...) found that sub-groups with higher psychopathology scores reported lower well-being. Higher Paranormal Belief, however, was not necessarily associated with lower psychological adjustment and reduced well-being. These outcomes indicated that belief in the paranormal is not necessarily non-adaptive, and that further research is required to identify the conditions under which belief in the paranormal is maladaptive. (shrink)

Morin argues that ideographies are limited because graphic codes lack a capacity for proliferating standardization. However, natural graphic systems display rich standardization and can be placed in sequences using complex combinatorial structures. In contrast, ideographies are not natural, and their limitations lie in their attempts to artificially force a graphic system to behave like a writing system.