Physicians and other health care providers owe ethical and legal duties to patients to maintain the secrecy of the information learned during the course of patient care. This obligation is fulfilled by limiting access to such information to only those involved in the patient's care-that is, to those within the “circle of confidentiality.” As a general rule, providers may only disclose to others with the written prior consent of the patient. Exceptions may be “ethically and legally justified because of overriding (...) social considerations,” when permitted or compelled by law. For example, eleven states permit providers to disclose identified records to approved researchers.’ Many states compel disclosure in cases where a patient threatens serious bodily harm to another; require reporting to health or law enforcement authorities of communicable diseases, gunshot or knife wounds, or child abuse; and mandate reporting of cancer or other health care cases to state registries. (shrink)

Physicians and other health care providers owe ethical and legal duties to patients to maintain the secrecy of the information learned during the course of patient care. This obligation is fulfilled by limiting access to such information to only those involved in the patient's care-that is, to those within the “circle of confidentiality.” As a general rule, providers may only disclose to others with the written prior consent of the patient. Exceptions may be “ethically and legally justified because of overriding (...) social considerations,” when permitted or compelled by law. For example, eleven states permit providers to disclose identified records to approved researchers.’ Many states compel disclosure in cases where a patient threatens serious bodily harm to another; require reporting to health or law enforcement authorities of communicable diseases, gunshot or knife wounds, or child abuse; and mandate reporting of cancer or other health care cases to state registries. (shrink)

Since male CEOs dominate corporate leadership, the literature on top management decision making suffers from an implicit masculine bias. Although research indicates that males and females are biologically and psychologically different, the leadership characteristics of female CEOs are largely unexplored. Two of these characteristics, risk aversion and ethical sensitivity, are tied to key accounting issues, such as conservatism in financial reporting and steadfast opposition to fraud. In this study, we examine the relationship between CEO gender and accounting conservatism, and find (...) a positive association between the two. Consistent with conventional wisdom, this association appears to be stronger in firms with high rather than low litigation and takeover risks. This study contributes to the ethics literature by highlighting the benefits of gender diversity in upholding the integrity of financial reporting. (shrink)

This article begins with a review of the literature on the ethics of tax evasion and identifies the three main views that have emerged over the centuries, namely always ethical, sometimes ethical, and never or almost never ethical. It then reports on the results of a survey of HK and U.S. university business students who were asked to express their opinions on the 15 statements covering the three main views. The data are then analyzed to determine which of the three (...) viewpoints is dominant among the sample population. Although it was found that HK scores were significantly different from the U.S. scores, both HK and U.S. respondents were opposed to the view that tax evasion is always or almost always ethical. The strongest arguments justifying tax evasion were in cases where the government was corrupt, the tax system was unfair and unaffordable. The weakest arguments for justifying tax evasion were in cases where there was a selfish motive. The underlying cultural differences are further explored in hope of accounting for differing perceptions of ethics of tax evasion. Policy implications for increasing people’s awareness of ethics on tax evasion are also highlighted. (shrink)

Governing boards utilize executive compensation contracts in an attempt to align executive actions with corporate goals. The objective is to ensure that executive performance provides value to the organization in terms of successful outcomes. A key performance criteria typically specified in CEO compensation contracts is earnings targets. However, using earnings as a performance evaluation may be problematic because some firms exhibit robust and sustained earnings over time (high earnings persistence), and other firms, such as high growth oriented firms, exhibit weak (...) or sometimes negative earnings over time (low earnings persistence). Our study reveals that the effect of high earnings persistence results in firms that focus more heavily on cash compensation (salary and bonus) rather than on equity compensation (stock options, etc.) to compensate executive performance. Additionally, for firms characterized by low earnings persistence, our study indicates that cash flows from operations act as a supplementary performance measure to accounting earnings, and become increasingly important as a means to justify executive cash compensation. (shrink)

Steroid‐hormone‐activated receptor proteins are among the best‐understood class of factors for altering gene transcription in cells. Steroid receptors are of major importance in maintaining normal human physiology by responding to circulating concentrations of steroid in the nM range. Nonetheless, most studies of steroid receptor action have been conducted using the supra‐physiological conditions of saturating concentrations (≥100 nM) of potent synthetic steroid agonists. Here we summarize the recent developments arising from experiments using two clinically relevant conditions: subsaturating concentrations of agonist (to (...) mimic the circulating concentrations in mammals) and saturating concentrations of antagonists (which are employed in endocrine therapies to block the actions of endogenous steroids). These studies have revealed new facets of steroid hormone action that could not be uncovered by conventional experiments with saturating concentrations of agonist steroids, such as a plethora of factors/conditions for the differential control of gene expression by physiological levels of steroid, a rational approach for examining the gene‐specific variations in partial agonist activity of antisteroids, and a dissociation of steroid potency and efficacy that implies the existence of separate, and possibly novel, mechanistic steps and cofactors. BioEssays 30:744–756, 2008. © 2008 Wiley Periodicals, Inc. (shrink)

Under what conditions would an artificially intelligent system have wellbeing? Despite its obvious bearing on the ethics of human interactions with artificial systems, this question has received little attention. Because all major theories of wellbeing hold that an individual’s welfare level is partially determined by their mental life, we begin by considering whether artificial systems have mental states. We show that a wide range of theories of mental states, when combined with leading theories of wellbeing, predict that certain existing artificial (...) systems have wellbeing. While we do not claim to demonstrate conclusively that AI systems have wellbeing, we argue that our metaphysical and moral uncertainty about AI wellbeing requires us dramatically to reassess our relationship with the intelligent systems we create. (shrink)

I defend the view that an individual''s welfareis in one respect enhanced by the achievementof her goals, even when her goals are crazy,self-destructive, irrational or immoral. This``Unrestricted View'''' departs from familiartheories which take welfare to involve only theachievement of rational aims, or of goals whoseobjects are genuinely valuable, or of goalsthat are not grounded in bad reasons. I beginwith a series of examples, intended to showthat some of our intuitive judgments aboutwelfare incorporate distinctions that only theUnrestricted View can support. Then, (...) I show howthe view can be incorporated into a broadertheory of welfare in ways that do not produceimplausible consequences. This in hand, Ifinish by providing a more philosophicalstatement of the Unrestricted View and the casein its favor, and respond to some objections. (shrink)

This paper models knowledge in cases where an agent has multiple experiences over time. Using this model, we introduce a series of observations that undermine the pretheoretic idea that the evidential significance of experience depends on the extent to which that experience matches the world. On the basis of these observations, we model knowledge in terms of what is likely given the agent’s experience. An agent knows p when p is implied by her epistemic possibilities. A world is epistemically possible (...) when its probability given the agent’s experiences is not significantly lower than the probability of the actual world given that experience. (shrink)

There seems to be an important historical connexion between changes in the concept of evidence and that of the person capable of giving evidence. Michel Foucault urged that during the classical age the relationship between evidence and the person was reversed: scholasticism derived statements’ authority from that of their authors, while scientists now hold that matters of fact are the most impersonal of statements.1 In a similar vein, Ian Hacking defines a kind of evidence which ‘consists in one thing pointing (...) beyond itself’, and claims that until the early modern period ‘testimony and authority were primary, and things could count as evidence only insofar as they resembled the witness of observers and the authority of books’.2 This captures a rather familiar theme of the ideology of early modern natural philosophy. Nullius in verba was the Royal Society of London’s motto. Robert Boyle, doyen of the Society’s experimental philosophers, tried to build up the credit of laboratory objects at the expense of untrustworthy humans. He reckoned that ‘inanimate bodies … are not capable of prepossessions, or giving us partial informations’, while vulgar men may be influenced by predispositions, and so many other circumstances, that they may easily give occasion to mistakes’. So an inanimate body’s deeds could function as signs of some other state of affairs in a way that the stories of vulgar humans could not.3 1. See Michel Foucault, L’Ordre du discours: Leçon inaugurale au Collêge de France prononcée le 2 décembre 1970 .2. Ian Hacking, The Emergence of Probability: A Philosophical Study of Early Ideas about Probability, Induction and Statistical Inference , pp. 34, 33.3. Quoted in Steven Shapin and Simon Schaffer, Leviathan and the Air Pump , p. 218. See also Peter Dear, ‘Totius in verba:’ Rhetoric and Authority in the Early Royal Society’, Isis 76 : 145-61. Simon Schaffer lectures in history and philosophy at the University of Cambridge. He is the coauthor of Leviathan and the Air Pump: Hobbes, Boyle, and the Experimental Life and coauthors of The Uses of Experiment: Studies in the Natural Sciences. (shrink)

An ethical theory is self-effacing if it tells us that sometimes, we should not be motivated by the considerations that justify our acts. In his influential paper 'The Schizophrenia of Modern Ethical Theories' [1976], Michael Stocker argues that consequentialist and deontological ethical theories must be self-effacing, if they are to be at all plausible. Stocker's argument is often taken to provide a reason to give up consequentialism and deontology in favour of virtue ethics. I argue that this assessment is a (...) mistake. Virtue ethics is self-effacing in just the same way as are the theories that Stocker attacks. Or, at the very least: if there is a way for virtue ethics to avoid self-effacement then there are ways for its rivals to avoid self-effacement too. Therefore, considerations of self-effacement provide no reason to prefer virtue ethics to its major rivals. (shrink)

An original study of the philosophical problems associated with inductive reasoning. Like most of the main questions in epistemology, the classical problem of induction arises from doubts about a mode of inference used to justify some of our most familiar and pervasive beliefs. The experience of each individual is limited and fragmentary, yet the scope of our beliefs is much wider; and it is the relation between belief and experience, in particular the belief that the future will in some respects (...) resemble the past and the unobserved the observed, which forms the subject of this book. Dr Blackburn's first aim is to state the problem of induction properly, to show that there does exist a genuine problem immune to the solutions in vogue at present, yet no tin principle insoluble. He gives an extended and original account of the concept of a reason and goes on to discuss prediction. In the end Dr Blackburn produces a rationale for belief in certain short-term predictions based on his reinterpretation of the classical principle of indifference. He claims that a justification for induction can be found along the lines he has suggested and must indeed be found there if anywhere. (shrink)

Welfarism is the view that morality is centrally concerned with the welfare or well-being of individuals. The division between welfarist and non-welfarist approaches underlies many important disagreements in ethics, but welfarism is neither consistently defined nor well understood. I survey the philosophical work on welfarism, and I offer a suggestion about how the view can be characterized and how it can be embedded in various kinds of moral theory. I also identify welfarism's major rivals, and its major attractions and weaknesses.

According to some, free will requires alternative possibilities. But not any old alternative possibility will do. Sometimes, being able to bring about an alternative does not bestow any control on an agent. In order to bestow control, and so be directly relevant qua alternative to grounding the agent's moral responsibility, alternatives need to be robust. Here, I investigate the nature of robust alternatives. I argue that Derk Pereboom's latest robustness criterion is too strong, and I suggest a different criterion based (...) on the idea that what agents need to be able to do is keep open the possibility of securing their blamelessness, rather than needing to directly ensure their own blamelessness at the time of decision. (shrink)

Empirical research on human–robot interaction has demonstrated how humans tend to react to social robots with empathic responses and moral behavior. How should we ethically evaluate such responses to robots? Are people wrong to treat non-sentient artefacts as moral patients since this rests on anthropomorphism and ‘over-identification’ —or correct since spontaneous moral intuition and behavior toward nonhumans is indicative for moral patienthood, such that social robots become our ‘Others’?. In this research paper, I weave extant HRI studies that demonstrate empathic (...) responses toward robots with the recent debate on moral status for robots, on which the ethical evaluation of moral behavior toward them is dependent. Patienthood for robots has standardly been thought to obtain on some intrinsic ground, such as being sentient, conscious, or having interest. But since these attempts neglect moral experience and are curbed by epistemic difficulties, I take inspiration from Coeckelbergh and Gunkel’s ‘relational approach’ to explore an alternative way of accounting for robot patienthood based on extrinsic premises. Based on the ethics of Danish theologian K. E. Løgstrup I argue that empathic responses can be interpreted as sovereign expressions of life and that these expressions benefit human subjects—even if they emerge from social interaction afforded by robots we have anthropomorphized. I ultimately develop an argument in defense of treating robots as moral patients. (shrink)

In this article I compare Ryle's notion of a thick description with Williams' notion of a thick concept so as to illuminate our understanding of both. In doing so I suggest lines of thought that show us that the notion of 'evaluation' in play in many people's writings should be broadened. Doing so will help to lessen the credibility of separationist notions of thick concepts.

Practical philosophy and ethics -- Practical tortise raising -- Truth, beauty, and goodness -- Dilemmas: dithering, plumping, and grief -- Group minds and expressive harm -- Trust, cooperation, and human psychology -- Must we weep for sentimentalism? -- Through thick and thin -- Perspectives, fictions, errors, play -- The steps from doing to saying -- Success semantics -- Wittgenstein's irrealism -- Circles, finks, smells, and biconditionals -- The absolute conception: Putnam vs. Williams -- Julius Caesar and George Berkeley play leapfrog (...) -- The majesty of reason -- Fiction and conviction. (shrink)

Sometimes we disagree because of fundamental differences in what we treat as reasons for belief. Such are ‘deep disagreements'. Amongst the questions we might ask about deep disagreement is the epistemic normative one: how ought one to respond to disagreement, when that disagreement is deep. This paper addresses that question. According to the position developed, how one ought to respond to deep disagreement depends upon two things: (i) Whether one remains, in the context of disagreement, permitted to trust oneself in (...) following one's epistemic norms and in relation to that (ii) whether one has the shared stock of social-epistemic experiences with followers of one's rival's norms such that one could reasonably be expected to see their way of doing things as a genuine epistemic alternative to one's own. Section 1 introduces a model of deep disagreement such that deep disagreements occur when disputants disagree because they follow different epistemic norms. Section 2 surveys the possible theoretical stances to take towards the epistemic-normative question. Section 3 develops an account of what it is to follow an epistemic norm. Section 4 applies this conception of norm-following to the epistemic-normative question. Section 5 discusses two points of clarification. (shrink)

Imagine that you are a farmer living in Kenya. Though you work hard to sell your produce to foreign markets you find yourself unable to do so because affluent countries subsidize their own farmers and erect barriers to trade, like tariffs, thereby undercutting you in the marketplace. As a consequence of their actions you languish in poverty despite your very best efforts. Or, imagine that you are a peasant whose livelihood depends on working in the fields in Indonesia and you (...) are forcibly displaced from your land by a biofuels company because corrupt government officials have stolen the land and sold it to the company. Or, suppose that you work on the coast of Bangladesh but find that increasingly you are unable to cope with salination resulting from sealevel rise – a product of anthropogenic climate change. These, I believe, are cases of global injustice. My question is: What are those who bear the brunt of global injustice entitled to do to secure their, and other people’s, entitlements? Often people focus on the duties of the affluent to respect and uphold the rights of the disadvantaged. This is understandable. But there is a striking omission. Rarely do people analyze, or even mention, what those who lack their entitlements are entitled to do to secure their own rights. This is my focus in this paper. More specifically, I examine what agents are entitled to do to change the underlying social, economic and political practices and structures in a more just direction. (shrink)

Non-profit (NP) organizations present complex challenges in managing stakeholder relationships, particularly during times of environmental change. This places a premium on knowing which stakeholders really matter if an effective relationship marketing strategy is to be developed. This article presents the successful application of a model, which combines Mitchell’s theory of stakeholder saliency and Coviello’s framework of contemporary marketing practices in a leading NP organization in the U.K. A cooperative enquiry approach is used to explore stakeholder relationships, dominant marketing practices, and (...) to surface differing perceptions about the organization’s marketing strategy. Resolving these differences sets the scene for developing choices in marketing strategy for the future. (shrink)

Donald Davidson is unquestionably one of America's greatest living philosophers. His influence on Anglo-American philosophy over the last twenty years has been enormous, and his work is an unavoidable reference point in current debates in the philosophy of language and the philosophy of mind. This book offers a systematic and accessible introduction to Davidson's work. Evnine begins by discussing Davidson's contribution to the philosophy of mind, including his views on action, events and causation. He then examines Davidson's work in the (...) philosophy of language. The link between meaning and truth, radical interpretation, and semantic holism are considered in detail. The final chapters deal with the metaphysical aspects of Davidson's work and seek to assess his philosophical project as a whole. (shrink)

This paper outlines the ontology of problems in Deleuze’s magnum opus, Difference and Repetition. By ontology of problems I refer to the conceptualization of problems as a fundamentally ontological—not epistemological—subject. This problematic-being is the object of Ideas, which are at the core of Deleuzian ontology, as shown in the actualization of the virtual and its four aspects: differentiation [différentiation], individuation, dramatization, and differentiation [différenciation]. For this reason, a deeper comprehension of the ontology of problems serves as the most adequate prelude (...) for a sound approach to all of Deleuzian ontology. In addition, this article highlights the philosophical and scientific sources upon which Deleuze draws in order to build his ontology of problems. Of special note are his references to several metaphysicians of differential calculus and prominent mathematicians of the 19th and 20th centuries. (shrink)

This essay is an investigation into the sense of ‘able’ relevant to free will, where free will is understood as requiring the ability to do otherwise. I argue that van Inwagen's recent functional specification of the relevant sense of ‘able’ is flawed, and that explicating the powers involved in free will shall likely require paying detailed attention to the semantics and pragmatics of ‘can’ and ‘able’. Further, I argue that van Inwagen's promise-level ability requirement on free will is too strong. (...) I also argue that Mele's conjecture that the strength of the ability to perform the ‘alternative’ action be no higher than the strength of the ability exercised in performing an action is mistaken. I suggest there is an asymmetry in the strengths of the abilities which make up the n-way power that comprises free will, and that this looks to have some interesting consequences for the connection between the abilities required for free will and, e.g. the ‘up to us’ locution. (shrink)

Like all of Nagel's work, this is a book with a message: an apparently clear, simple message, forcefully presented and repeated. The message is that there is a limit to the extent to which we can "get outside" fundamental forms of thought, including logical, mathematical, scientific, and ethical thought. "Getting outside" means taking up a biological or psychological or sociological or economic or political view of ourselves as thinkers. It also inclines many people to talk of the contingency or subjectivity (...) or arbitrariness or "relativity" of our thoughts. Nagel believes that the standpoint is impossible, and the relativism it is apt to engender is self-refuting: "we cannot criticize some of our own claims of reason without employing reason at some point to formulate and support those criticisms". The general message is that first-order thoughts, the elementary certainties of mathematics, logic, science, and ethics, "dominate" any attempt to displace them. The book ends with the peroration: "Even if we distance ourselves from some of our thoughts and impulses, and regard them from outside, the process of trying to place ourselves in the world leads eventually to thoughts that we cannot think of as merely `ours'. If we think at all, we must think of ourselves, individually and collectively, as submitting to the order of reasons rather than creating it.". (shrink)

A mental state is luminous if, whenever an agent is in that state, they are in a position to know that they are. Following Timothy Williamson’s Knowledge and Its Limits, a wave of recent work has explored whether there are any non-trivial luminous mental states. A version of Williamson’s anti-luminosity appeals to a safety- theoretic principle connecting knowledge and confidence: if an agent knows p, then p is true in any nearby scenario where she has a similar level of confidence (...) in p. However, the relevant notion of confidence is relatively underexplored. This paper develops a precise theory of confidence: an agent’s degree of confidence in p is the objective chance they will rely on p in practical reasoning. This theory of confidence is then used to critically evaluate the anti-luminosity argument, leading to the surprising conclusion that although there are strong reasons for thinking that luminosity does not obtain, they are quite different from those the existing literature has considered. In particular, we show that once the notion of confidence is properly understood, the failure of luminosity follows from the assumption that knowledge requires high confidence, and does not require any kind of safety principle as a premise. (shrink)

In this paper I argue that there are different ways that an agent may be able to do otherwise and that therefore, when free will is understood as requiring that an agent be able to do otherwise, we face the following question: which way of being able to do otherwise is most relevant to free will? I answer this question by first discussing the nature of intrinsic dispositions and abilities, arguing that for each action type there is a spectrum of (...) intrinsic abilities. I suggest that recognising this allows us to articulate two ways in which an intrinsic ability is general (such that there are two kinds of non-general ability). And I argue that the abilities most relevant to free will need to be non-general in both of the ways identified. Along the way I show why these points threaten to undermine Vihvelin’s dispositionalist account of free will. (shrink)

The Derrida Dictionary is a comprehensive and accessible guide to the world of Jacques Derrida, the founder of deconstruction and one of the most important and influential European thinkers of the twentieth century. Meticulously researched and extensively cross-referenced, this unique book covers all his major works, ideas and influences and provides a firm grounding in the central themes of Derrida's thought. Students will discover a wealth of useful information, analysis and criticism. A-Z entries include clear definitions of all the key (...) terms used in Derrida's writings and detailed synopses of his key works. The Dictionary also includes entries on Derrida's major philosophical influences and those he engaged with, such as Kant, Hegel, Husserl, Freud, Heidegger, Foucault, Lacan and Levinas. It covers everything that is essential to a sound understanding of Derrida's philosophy, offering clear and accessible explanations of often complex terminology. The Derrida Dictionary is the ideal resource for anyone reading or studying Derrida, deconstruction or modern European philosophy more generally. (shrink)

I argue against Rawls's claim that the liberal principle of legitimacy would be selected in the original position in addition to a democratic principle. Since a religious democracy could satisfy the democratic principle, the parties in the original position would not exclude it as illegitimate.

I explore the interrelations between the ontological and aesthetic issues raised by ready-mades such as Duchamp’s Fountain. I outline a hylomorphic metaphysics which has two central features. First, hylomorphically complex objects have matter to which they are not identical. Secondly, when such objects are artefacts (including artworks), it is essential to them that they are the products of creative work on their matter. Against this background, I suggest that ready-mades are of aesthetic interest because they pose a dilemma. Is there (...) really an object, a sculpture, that is distinct from its matter, a urinal, which object is created merely by the artist’s choice of the urinal? Or are we dealing with a case in which an artist passes off something, a urinal, as if it were a sculpture, even though it is not one? (shrink)

Vihvelin argues that Frankfurt-style cases should be divided into two kinds, according to when the trigger for the intention takes place: either prior to the agent's choice or after it. Most agree that only the former, which I call pre-decisional intervention, stands a chance of removing all of an agent's alternatives. Vihvelin notes that both sides in the dispute over whether there is a successful case of pre-decisional intervention assume that if there is a successful case, then it will be (...) a case where the agent has no alternative. Vihvelin thinks this is a mistake: agents subject to pre-decisional intervention still have alternatives, and the intricate discussion and development of ever more complex Frankfurt-style cases is beside the point. She argues for this by presenting a case, purportedly analogous to Frankfurt-style cases, where it is clear that there are alternatives available. Fischer has replied by disputing the analogy. In this paper I argue that Vihvelin is right to think the cases are analogous, but that both Fischer and Vihvelin are wrong to think that Vihvelin's parallel case is one where there are alternatives. Despite appearances, this is not the case, and I construct a Fischer-inspired argument to show this. (shrink)

Expressivism is the view that the function of normative sentences is not to represent a kind of fact, but to avow attitudes, prescribe behavior, or the like. The idea can be found in David Hume. In the 20th century, G.E. Moore’s Open Question Argument provided important support for the view. Elizabeth Anscombe introduced the notion of “direction of fit,” which helped distinguish expressivism from a kind of naive subjectivism. The central advantage of expressivism is that it easily explains the motivational (...) force of moral conviction. Its chief problem is it has difficulty explaining the “realist surface” of moralizing. Quasi-realism is a strategy for explaining the realist surface without abandoning the underlying ideas of expressivism. It aims to explain moral error as well as deal with the so-called Frege-Geach problem. This chapter explains quasi-realism, and evaluates it by comparison with its chief rivals: Aristotelian approaches, Kantian approaches, realist moral naturalism, and fictionalism. (shrink)

This paper uses the example of the COVID-19 pandemic to analyse the danger associated with insufficient epistemic pluralism in evidence-based public health policy. Drawing on certain elements in Paul Feyerabend’s political philosophy of science, it discusses reasons for implementing more pluralism as well as challenges to be tackled on the way forward.

Europe is inseparable from its history. That history has been extensively studied in terms of its political history, its economic history, its religious history, its literary and cultural history, and so on. Could there be a distinctively philosophical history of Europe? Not a history of philosophy in Europe, but a history of Europe that focuses on what, in its history and identity, ties it to philosophy. In the two volumes of Europe: A Philosophical History - The Promise of Modernity and (...) Beyond Modernity - Simon Glendinning takes up this question, telling the story of Europe's history as a philosophical history. In Part 1, The Promise of Modernity, Glendinning examines the conception of Europe that links it to ideas of rational Enlightenment and modernity. Tracking this self-understanding as it unfolds in the writings of Kant, Hegel and Marx, Glendinning explores the transition in Europe from a conception of its modernity that was philosophical and religious to one which was philosophical and scientific. While this transition profoundly altered Europe's own history, Glendinning shows how its self-confident core remained intact in this development. But not for long. This volume ends with an examination of the abrupt shattering of this confidence brought on by the first world-wide war of European origin - and the imminence of a second. The promise of modernity was in ruins. Nothing, for Europe, would ever be the same again. (shrink)

Counterfactualism is a useful process for historians as a thought-experiment because it offers grounds to challenge an unfortunate contemporary historical mindset of assumed, deterministic certainty. This article suggests that the methodological value of counterfactualism may be understood in terms of the three categories of common ahistorical errors that it may help to prevent: the assumptions of indispensability, causality, and inevitability. To support this claim, I survey a series of key counterfactual works and reflections on counterfactualism, arguing that the practice of (...) counterfactualism evolved as both cause and product of an evolving popular assumption of the plasticity of history and the importance of human agency within it. For these reasons, counterfactualism is of particular importance both historically and politically. I conclude that it is time for a methodological re-assessment of the uses of such thought-experiments in history, particularly in light of counterfactualism's developmental relatedness to cultural, technological, and analytical modernity. (shrink)

I highlight a tension within the moral error theoretic stance. Although I do not show that it is fatal, I believe the tension is problematic. In stating the tension I outline a conception of the common moral background against which it arises. I also discuss aspects of the similar error theories developed by John Mackie and Richard Joyce in order to show the tension at work.

This paper defends a global principle of equality of opportunity, which states that it is unfair if some have worse opportunities because of their national or civic identity. It begins by outlining the reasoning underpinning this principle. It then considers three objections to global equality of opportunity. The first argues that global equality of opportunity is an inappropriate ideal given the great cultural diversity that exists in the world. The second maintains that equality of opportunity applies only to people who (...) are interconnected in some way and infers from this that it should not be implemented at the global level. The third, inspired by Rawls's The Law of Peoples, maintains that it is inappropriate to thrust liberal ideals (like global equality of opportunity) on nonliberal peoples. Each of these challenges, I argue, is unpersuasive. (shrink)

Background Previous analyses of democracy and population health have focused on broad measures, such as life expectancy at birth and child and infant mortality, and have shown some contradictory results. We used a panel of data spanning 170 countries to assess the association between democracy and cause-specific mortality and explore the pathways connecting democratic rule to health gains. -/- Methods We extracted cause-specific mortality and HIV-free life expectancy estimates from the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (...) and information on regime type from the Varieties of Democracy project. These data cover 170 countries and 46 years. From the Financing Global Health database, we extracted gross domestic product (GDP) per capita, also covering 46 years, and Development Assistance for Health estimates starting from 1990 and domestic health spending estimates starting from 1995. We used a diverse set of empirical methods—synthetic control, within-country variance decomposition, structural equation models, and fixed-effects regression—which together provide a robust analysis of the association between democratisation and population health. -/- Findings HIV-free life expectancy at age 15 years improved significantly during the study period (1970–2015) in countries after they transitioned to democracy, on average by 3% after 10 years. Democratic experience explains 22·27% of the variance in mortality within a country from cardiovascular diseases, 16·53% for tuberculosis, and 17·78% for transport injuries, and a smaller percentage for other diseases included in the study. For cardiovascular diseases, transport injuries, cancers, cirrhosis, and other non-communicable diseases, democratic experience explains more of the variation in mortality than GDP. Over the past 20 years, the average country's increase in democratic experience had direct and indirect effects on reducing mortality from cardiovascular disease (−9·64%, 95% CI −6·38 to −12·90), other non-communicable diseases (−9·14%, −4·26 to −14·02), and tuberculosis (−8·93%, −2·08 to −15·77). Increases in a country's democratic experience were not correlated with GDP per capita between 1995 and 2015 (ρ=–0·1036; p=0·1826), but were correlated with declines in mortality from cardiovascular disease (ρ=–0·3873; p<0·0001) and increases in government health spending (ρ=0·4002; p<0·0001). Removal of free and fair elections from the democratic experience variable resulted in loss of association with age-standardised mortality from non-communicable diseases and injuries. -/- Interpretation When enforced by free and fair elections, democracies are more likely than autocracies to lead to health gains for causes of mortality (eg, cardiovascular diseases and transport injuries) that have not been heavily targeted by foreign aid and require health-care delivery infrastructure. International health agencies and donors might increasingly need to consider the implications of regime type in their efforts to maximise health gains, particularly in the context of ageing populations and the growing burden of non-communicable diseases. (shrink)

If science fiction is a genre, then attempts to think about the nature of science fiction will be affected by one’s understanding of what genres are. I shall examine two approaches to genre, one dominant but inadequate, the other better, but only occasionally making itself seen. I shall then discuss several important, interrelated issues, focusing particularly on science fiction : what it is for a work to belong to a genre, the semantics of genre names, the validity of attempts to (...) define genres, and the connections between genre and normativity. One important but neglected clue to the nature of genres lies in the kinds of disagreements they generate over the assignment of works to genres. I conclude by explaining why these disagreements tell us something about the nature of genres, and discussing in some detail two famous cases of disagreement about whether some work or works are science fiction. (shrink)

I argue that alternative-denoting expressions interact with their semantic context by taking scope. With an empirical focus on indefinites in English, I show how this approach improves on standard alternative-semantic architectures that use point-wise composition to subvert islands, as well as on in situ approaches to indefinites more generally. Unlike grammars based on point-wise composition, scope-based alternative management is thoroughly categorematic, doesn’t under-generate readings when multiple sources of alternatives occur on an island, and is compatible with standard treatments of binding. (...) Unlike all in situ treatments of indefinites, relying on a true scope mechanism prevents over-generation when an operator binds into an indefinite. My account relies only on function application, some mechanism for scope-taking, and two freely-applying type-shifters: the first is Karttunen’s :3–44, 1977. https://doi.org/10.1007/BF00351935) proto-question operator, aka Partee’s Studies in discourse representation theory and the theory of generalized quantifiers, Foris, Dordrecht, 1986) IDENT, and the second can be factored out of extant approaches to the semantics of questions in the tradition of Karttunen. These type-shifters form a decomposition of LIFT, the familiar function mapping values into scope-takers. Exceptional scope of alternative-generating expressions arises via scopal pied-piping: indefinites take scope over their island, which then itself takes scope. (shrink)

Derek Parfit was one of the world’s leading philosophers. His _On What Matters_ was the most eagerly awaited book in philosophy for many years. _Reading Parfit: On What Matters _is an essential overview and assessment of volumes 1 and 2 of Parfit’s monumental work by a team of international contributors, and includes responses by Parfit himself. It discusses central features of Parfit’s book, including the structure and nature of reasons; the ideas underlying moral principles; Parfit’s discussions of consequentialism, contractualism and (...) Kantian deontology; and his metaethical ideas and arguments. Reading Parfit will be central reading for students of ethics and anyone seeking a deeper understanding of one of the most important works of philosophy published in the last fifty years. (shrink)

Derek Parfit was one of the world’s leading philosophers. His _On What Matters_ was the most eagerly awaited book in philosophy for many years. _Reading Parfit: On What Matters _is an essential overview and assessment of volumes 1 and 2 of Parfit’s monumental work by a team of international contributors, and includes responses by Parfit himself. It discusses central features of Parfit’s book, including the structure and nature of reasons; the ideas underlying moral principles; Parfit’s discussions of consequentialism, contractualism and (...) Kantian deontology; and his metaethical ideas and arguments. Reading Parfit will be central reading for students of ethics and anyone seeking a deeper understanding of one of the most important works of philosophy published in the last fifty years. (shrink)

In this paper it is argued that nurses should be holists whilst at the same time accepting that ‘holism’ is a contentious concept. One of the problems for a supporter of holism is that of which holism -- an attempt to outline the version of holism advocated is made by identifying only two versions of holism: The Strong theory and the Pragmatic theory of holism. By introducing this device it is hoped to avoid, if only by stipulation, some of the (...) more sophisticated nuances of holism drawn by other commentators. However despite a most judicious use of Ockham's Razor some detailed groundwork remains. In the first part of this paper a simple example is used which aims to articulate what are arguably some of the central issues within the holism debate. These issues are then placed within a wider philosophical context. The second part of the paper will offer definitions of Strong and Pragmatic holism. Drawing on specific examples from the nursing context it will be argued that the Pragmatic theory of holism is the theory of holism most compatible with nursing theory and practice. The methods employed in this paper are philosophical. Since the questions considered are conceptual rather than empirical requiring a discursive approach, utilising thought experiments and case implication to explore the issues. (shrink)

In this paper it is argued that nurses should be holists whilst at the same time accepting that ‘holism’ is a contentious concept. One of the problems for a supporter of holism is that of which holism -- an attempt to outline the version of holism advocated is made by identifying only two versions of holism: The Strong theory and the Pragmatic theory of holism. By introducing this device it is hoped to avoid, if only by stipulation, some of the (...) more sophisticated nuances of holism drawn by other commentators. However despite a most judicious use of Ockham's Razor some detailed groundwork remains. In the first part of this paper a simple example is used which aims to articulate what are arguably some of the central issues within the holism debate. These issues are then placed within a wider philosophical context. The second part of the paper will offer definitions of Strong and Pragmatic holism. Drawing on specific examples from the nursing context it will be argued that the Pragmatic theory of holism is the theory of holism most compatible with nursing theory and practice. The methods employed in this paper are philosophical. Since the questions considered are conceptual rather than empirical requiring a discursive approach, utilising thought experiments and case implication to explore the issues. (shrink)

This paper defends an egalitarian conception of global justice against two kinds of criticism. Many who defend egalitarian principles of justice do so on the basis that all humans are part of a common 'association' of some kind. In this paper I defend the humanity-centred approach which holds that persons should be included within the scope of distributive justice simply because they are fellow human beings. The paper has four substantive sections - the first addresses Andrea Sangiovanni's reciprocity-based argument for (...) the claim that egalitarian principles apply only within the state. The second responds to Michael Blake's coercion-based argument for the thesis that egalitarian principles apply only within the state. A third section draws attention to a general problem with associational accounts of distributive justice. Finally, I seek to show how a humanity-centred cosmopolitanism can accommodate the insights associated with an associational approach. (shrink)