BackgroundDecision-making in out-of-hospital cardiac arrest should ideally include clinical and ethical factors. Little is known about the extent of ethical considerations and their influence on prehospital resuscitation. We aimed to determine the transparency in medical records regarding decision-making in prehospital resuscitation with a specific focus on ethically relevant information and consideration in resuscitation providers’ documentation.MethodsThis was a Danish nationwide retrospective observational study of out-of-hospital cardiac arrests from 2016 through 2018. After an initial screening using broadly defined inclusion criteria, two experienced (...) philosophers performed a qualitative content analysis of the included medical records according to a preliminary codebook. We identified ethically relevant content in free-text fields and categorised the information according to Beauchamp and Childress’ four basic bioethical principles: autonomy, non-maleficence, beneficence, and justice. ResultsOf 16,495 medical records, we identified 759 (4.6%) with potentially relevant information; 710 records (4.3%) contained ethically relevant information, whereas 49 did not. In general, the documentation was vague and unclear. We identified four kinds of ethically relevant information: patients’ wishes and perspectives on life; relatives’ wishes and perspectives on patients’ life; healthcare professionals’ opinions and perspectives on resuscitation; and do-not-resuscitate orders. We identified some “best practice” examples that included all perspectives of decision-making. ConclusionsThere is sparse and unclear evidence on ethically relevant information in the medical records documenting resuscitation after out-of-hospital cardiac arrests. However, the “best practice” examples show that providing sufficient documentation of decision-making is, in fact, feasible. To ensure transparency surrounding prehospital decisions in cardiac arrests, we believe that it is necessary to ensure more systematic documentation of decision-making in prehospital resuscitation. (shrink)

Why is there such a striking discrepancy between the flexibility, democracy and empowerment that the Bologna process aims for, and the superficial educational activities that it actually results in? Our answer is based on the ritual theory of the American anthropologist Roy Rappaport and the psychoanalytical framework of the Austrian philosopher Robert Pfaller. Interpreting schoolified education as a ritual, we argue that both the reform initiative and its ensuing educational activities should be interpreted as mainly productive of a certain appearance, (...) of compliance with prominent norms of modern society: the norms are articulated in policy documents and enacted in educational activity. We take schoolified education to be a normal ritual, in that this appearance is accepted ‘as if’ it corresponded with reality, while at the same time most people are aware (in a certain sense) of its superficial and ritualistic character. A twist, however, is added by the fact that modern society is distinctly anti-ritualistic, and therefore constantly tries to make education work ‘for real’. Drawing on Pfaller’s distinction between belief and faith, we show that this pursuit of de-ritualisation actually makes education progressively more formalised and coercive. (shrink)

Why is there such a striking discrepancy between the flexibility, democracy and empowerment that the Bologna process aims for, and the superficial educational activities that it actually results in? Our answer is based on the ritual theory of the American anthropologist Roy Rappaport and the psychoanalytical framework of the Austrian philosopher Robert Pfaller. Interpreting schoolified education as a ritual, we argue that both the reform initiative and its ensuing educational activities should be interpreted as mainly productive of a certain appearance, (...) of compliance with prominent norms of modern society: the norms are articulated in policy documents and enacted in educational activity. We take schoolified education to be a normal ritual, in that this appearance is accepted ‘as if’ it corresponded with reality, while at the same time most people are aware (in a certain sense) of its superficial and ritualistic character. A twist, however, is added by the fact that modern society is distinctly anti-ritualistic, and therefore constantly tries to make education work ‘for real’. Drawing on Pfaller’s distinction between belief and faith, we show that this pursuit of de-ritualisation actually makes education progressively more formalised and coercive. (shrink)

Understanding when it is acceptable to interrupt a joint activity is an important part of understanding what cooperation entails. Philosophical analyses have suggested that we should release our partner from a joint activity anytime the activity conflicts with fulfilling a moral obligation. To probe young children’s understanding of this aspect, we investigated whether 3-year-old children (N = 60) are sensitive to the legitimacy of motives (selfish condition vs. moral condition) leading agents to intentionally interrupt their joint activity. We measured whether (...) children protested or released their partner by scoring their reactions. Our results indicate that children did not manifest different reactions when the motive behind their partner leaving was moral than when the motive was selfish. However, our data showed a stable pattern: regardless of the partner’s motives, some 3-year-olds take initiatives to release their partners from joint activity, suggesting that measuring release is a valuable tool for investigating joint action. -/- . (shrink)

Outlines the etiological theory of normative functionality. Analysis of the autonomous system; Function of systems-oriented approaches; Specifications of system identity.

A number of philosophers, from Thomas Reid1 through C. A. J. Coady2, have argued that one is justified in relying on the testimony of others, and furthermore, that this should be taken as a basic epistemic presumption. If such a general presumption were not ultimately dependent on evidence for the reliability of other people, the ground for this presumption would be a priori. Such a presumption would then have a status like that which Roderick Chisholm claims for the epistemic principle (...) that we are justified in believing what our senses tell us. (shrink)

The main appeal of the currently popular "bootstrap" account of confirmation developed by Clark Glymour is that it seems to provide an account of evidential relevance. This account has, however, had severe problems; and Glymour has revised his original account in an attempt to solve them. I argue that this attempt fails completely, and that any similar modifications must also fail. If the problems can be solved, it will only be by radical revisions which involve jettisoning bootstrapping's basic approach to (...) theories. Finally, I argue that there is little reason to think that even such drastic modifications will lead to a satisfactory account of relevance. (shrink)

This paper defends the legitimacy of semantical responses to certain skeptical challenges, with a particular focus on Putnam’s treatment of a particular version of Brain-in-Vat skepticism. It argues that while Putnam’s argument does not provide a general reply to Brain-in-Vat skepticism, the general approach it exemplifies is actually crucial in replying to other skeptical challenges that are otherwise hard to rebut.

It is commonly acknowledged that, in order to test a theoretical hypothesis, one must, in Duhem' s phrase, rely on a "theoretical scaffolding" to connect the hypothesis with something measurable. Hypothesis-confirmation, on this view, becomes a three-place relation: evidence E will confirm hypothesis H only relative to some such scaffolding B. Thus the two leading logical approaches to qualitative confirmation--the hypothetico-deductive (H-D) account and Clark Glymour' s bootstrap account--analyze confirmation in relative terms. But this raises questions about the philosophical interpretation (...) of the technical conditions these accounts describe. What does it mean to say that E confirms H "relative to B"? How should we interpret the relation we are trying to analyze? (shrink)

Agents sometimes act for normative reasons—for reasons that objectively favor their actions. Jill, for instance, calls a doctor for the normative reason that Kate is injured. In this article I explore a dispositional approach to acting for a normative reason. I argue for the need of epistemic, motivational, and executional dispositional elements of a theory of acting for a normative reason. Dispositions play a mediating role between, on the one hand, the normative reason and its normative force, and the action (...) on the other hand. Thereby, they help to deal with problem cases such as cases of deviant causal chains and improper instrumental motivation. (shrink)

Sterelny's Thought in a Hostile World ([2003]) presents a complex, systematically structured theory of the evolution of cognition centered on a concept of decoupled representation. Taking Godfrey-Smith's ([1996]) analysis of the evolution of behavioral flexibility as a framework, the theory describes increasingly complex grades of representation beginning with simple detection and culminating with decoupled representation, said to be belief-like, and it characterizes selection forces that drive evolutionary transformations in these forms of representation. Sterelny's ultimate explanatory target is the evolution of (...) human agency. This paper develops a detailed analysis of the main cognitive aspects. It is argued that some of the major claims are not correct: decoupled representation as defined doesn't capture belief-like representation, and, properly understood, decoupled representation turns out to be ubiquitous among multicellular animals. However, some of the key ideas are right, or along the right lines, and suggestions are made for modifying and expanding the conceptual framework. (shrink)

How much should your confidence in your beliefs be shaken when you learn that others – perhaps ‘epistemic peers’ who seem as well-qualified as you are – hold beliefs contrary to yours? This article describes motivations that push different philosophers towards opposite answers to this question. It identifies a key theoretical principle that divides current writers on the epistemology of disagreement. It then examines arguments bearing on that principle, and on the wider issue. It ends by describing some outstanding questions (...) that thinking about this issue raises. (shrink)

Formally inclined epistemologists often theorize about ideally rational agents—agents who exemplify rational ideals, such as probabilistic coherence, that human beings could never fully realize. This approach can be defended against the well-known worry that abstracting from human cognitive imperfections deprives the approach of interest. But a different worry arises when we ask what an ideal agent should believe about her own cognitive perfection (even an agent who is in fact cognitively perfect might, it would seem, be uncertain of this fact). (...) Consideration of this question reveals an interesting feature of the structure of our epistemic ideals: for agents with limited information, our epistemic ideals turn out to conflict with one another. This suggests that we must revise the way we see ideal agents in epistemic theorizing. (shrink)

Abstract:The new push to move political issue activity from the federal to the state and local levels—a new New Federalism—has implications for the ethical and political legitimacy of business political activity. While business political activity at the federal level may be both less costly and less risky than when action shifts to states or localities, at the state or local level it is likely to be more visible, and individual firms may be perceived to have more power. Increased corporate power (...) raises questions about the legitimacy of firm involvement in the political process at the state and local levels. The issue of legitimacy is viewed in the context of the literature on political subcultures being used to study state economic development. (shrink)

One of Mill’s main arguments for free speech springs from taking disagreement as an epistemically valuable resource for fallible thinkers. Contemporary conciliationist treatments of disagreement spring from the same motivation, but end up seeing the epistemic implications of disagreement quite differently. Conciliationism also encounters complexities when transposed from the 2-person toy examples featured in the literature to the public disagreements among groups that give the issue much of its urgency. Group disagreements turn out to be in some ways more powerful (...) defeaters of rational belief, even when opposing groups are comparable in size and epistemic credentials. And conciliationism also shows us why determining the rational response to these disagreements can in certain cases (e.g. politics) be a particularly difficult and nuanced matter. (shrink)

Sterelny’s Thought in a Hostile World ([ 2003 ]) presents a complex, systematically structured theory of the evolution of cognition centered on a concept of decoupled representation. Taking Godfrey-Smith’s ([ 1996 ]) analysis of the evolution of behavioral flexibility as a framework, the theory describes increasingly complex grades of representation beginning with simple detection and culminating with decoupled representation, said to be belief-like, and it characterizes selection forces that drive evolutionary transformations in these forms of representation. Sterelny’s ultimate explanatory target (...) is the evolution of human agency. This paper develops a detailed analysis of the main cognitive aspects. It is argued that some of the major claims are not correct: decoupled representation as defined doesn’t capture belief-like representation, and, properly understood, decoupled representation turns out to be ubiquitous among multicellular animals. However, some of the key ideas are right, or along the right lines, and suggestions are made for modifying and expanding the conceptual framework. (shrink)

In his essay, ‘Heidegger's Categories in Sein und Zeit’, Robert Brandom argues that Heidegger, particularly in the notion of Zuhandenheit, anticipates his own normatively pragmatist conception of intentionality. He attempts to demonstrate this by marshalling short passages from right across the relevant sections of Sein und Zeit in such a way that they do seem to say what Brandom claims. But does one reach the same conclusion when one examines, more or less in sentence‐by‐sentence fashion, the large slab of text (...) in which Heidegger introduces the notion of Zuhandenheit? I believe not. First, however, let us look at how Brandom reads Heidegger, in particular, how he interprets the notion of Zuhandenheit, which, in contrast both to Macquarrie and Robinson and to Brandom, I shall translate as ready‐to‐handedness.1. (shrink)

Donald Campbell has long advocated a naturalist epistemology based on a general selection theory, with the scope of knowledge restricted to vicarious adaptive processes. But being a vicariant is problematic because it involves an unexplained epistemic relation. We argue that this relation is to be explicated organizationally in terms of the regulation of behavior and internal state by the vicariant, but that Campbell's selectionist approach can give no satisfactory account of it because it is opaque to organization. We show how (...) organizational constraints and capacities are crucial to understanding both evolution and cognition and conclude with a proposal for an enriched, generalized model of evolutionary epistemology that places high-order regulatory organization at the center. (shrink)

Summary Kant's critique of corpuscular theory created a tabula rasa situation in natural philosophy and opened up a vast new field of research, particularly related to the study of heat, light, electricity and magnetism. ?rsted introduced Kantian epistemology in Scandinavia and made friends with J. W. Ritter, an outstanding experimenter who was the first to make dynamical philosophy productive. The ?rsted?Ritter partnership aimed at the construction of a cosmology based on dynamical philosophy as well as galvanic interpretations of the Lichtenberg (...) and Chladni patterns. It is suggested that Kantian critique and dynamical cosmology provided the framework within which ?rsted and Ritter made their epochal discoveries as well as their bold speculations. Finally, it is argued that the Romantics widened the scope of natural philosophy itself. (shrink)

In this paper, I discuss connections between self-directedness, integration and higher cognition. I present a model of self-directedness as a basis for approaching higher cognition from a situated cognition perspective. According to this model increases in sensorimotor complexity create pressure for integrative higher order control and learning processes for acquiring information about the context in which action occurs. This generates complex articulated abstractive information processing, which forms the major basis for higher cognition. I present evidence that indicates that the same (...) integrative characteristics found in lower cognitive process such as motor adaptation are present in a range of higher cognitive process, including conceptual learning. This account helps explain situated cognition phenomena in humans because the integrative processes by which the brain adapts to control interaction are relatively agnostic concerning the source of the structure participating in the process. Thus, from the perspective of the motor control system using a tool is not fundamentally different to simply controlling an arm. (shrink)

Biomedical research has brought to the fore the issue of which rights and duties we have to each other and society. Several scholars have advocated reframing the notion of participation, arguing that we have a moral duty to participate in research from which we all benefit. However, less attention has been paid to how we justify and defend the concept of self-determination and what the implications are in a biomedical setting. The author discusses the value and importance of self-determination on (...) the basis of the framework of the liberal-communitarian debate. Biobank research is used as an example of a project wherein, through our participation, we confirm our sense of belonging to society and acknowledge our mutual dependence on each other. We need a richer concept of self-determination that encompasses both liberal and communitarian insights in order to make sense of the value we attach to self-determination. (shrink)

[W. J. T.] Mitchell focuses on the exemplary status of the Wall of Fame in Sal’s Pizzeria, “an array of signed publicity photos of Italian-American stars in sports, movies, and popular music” . He argues that the Wall “exemplifies the central contradictions of public art” . “The Wall,” he writes, “is important to Sal not just because it displays famous Italians but because they are famous Americans … who have made it possible for Italians to think of themselves as Americans, (...) full-fledged members of the general public sphere” . For Buggin’ Out, the young black customer who angrily objects to the absence of photos of black people, the Wall “signifies exclusion from the public sphere” . Although the streets are saturated with images of “African-American heroes,” those “tokens of self-respect” are not enough for Buggin’ Out, who wants “the respect of whites, the acknowledgment that African-Americans are hyphenated Americans, too, just like Italians” . Mitchell astutely interprets the desired integration of the Wall as merely a symptom of a larger struggle for “full economic participation. As long as blacks do not own private property in this society,” he states, “they remain in something like the status of public art, mere ornaments to the public place, entertaining statues and abstract caricatures rather than full human beings” . By foregrounding the economic implications of the film, Mitchell has surely engaged one of the dominant goals of the man who formed Forty Acres and a Mule Productions and who recently opened the store called Spike’s Joint in New York City. Yet Mitchell’s sympathetic account belies the countercurrents that trouble the ostensible progressiveness of Spike Lee’s ambitious art. Jerome Christensen teaches in the English department at Johns Hopkins University. He is the author of books on Coleridge and Hume and one forthcoming on Byron. Currently, he is completing a study of the continued pertinence of the romantic turn of mind called Romantic Theory, Romantic Practice. (shrink)

Heidegger's central concern is the question of being (Seinsfrage). The paper reconstructs this question at least for the young (pre- Kehre) Heidegger in the light of two interconnected hypotheses: (1) the substantial content of the question of being can be identified by seeing it as a response to (Marburg) neo-Kantianism; and (2) this content centres around the claim that, pace the neo-Kantians, 'epistemological' concerns are grounded in 'ontological' ones, for which reason 'ontology' must precede 'epistemology' as a form of philosophical (...) inquiry. In section I the general position of (Marburg) neo-Kantianism is sketched. In section II the implications of the neo-Kantian position for the concepts of truth and reality, reason, and experience, are outlined; significant similarities to Sellars, Davidson, and Brandom are revealed. Finally, in section III Heidegger's analysis of everydayness is shown to yield a distinct critique of the neo-Kantian relativization of the concept of the real to the theoretically knowable. From this critique it emerges why Heidegger thinks that 'ontology' precedes 'epistemology'. The project of fundamental ontology marked by the question of being thus shows itself to be at least in part a response to the aporia of Marburg neo-Kantianism. (shrink)

I argue that the ‘aoristic’ operators, which are intended to describe the logic of vagueness, do not form a standard modal logic. I redefine the operators so that they do form a standard modal logic, provide a semantics of that logic, and argue that the logic is not as strong as standardly claimed.

Ancient Stoics repeatedly stressed the monolithic unity of their philosophy. In this ground breaking "essay" Johnny Christensen takes their claim at face value: "It is a presupposition of the present essay that Stoic philosophy is a coherent and consistent system of thought", he says, and "The Stoic Philosopher is a man caught by the quest for unity. If this life is to make sense, all of it must be taken into account and somehow justified. Therefore Reality must be rational, (...) not random, and organically one". In four concise sections, Christensen lays out the core ideas of Stoicism and their interconnection, never losing himself in details. The exposition is philosophically penetrating and lucid at the same time. Originally published in 1962, when it was far too modern for its time, this small but exceedingly generous study constitutes the most holistic grasp of Stoicism to date. Offering a deep appreciation of, and insightful meditation on, Stoicism, this study is required reading for anyone interested in the history of philosophy. (shrink)

Many modern commentators on inertial phenomena hold (or just assume) that there is no "problem of inertia", on the grounds that either (a) no explanation is needed for such phenomena or (b) the explanation is already at hand. My purpose here is to comment on both views, defending the thesis that the problem is real and still unsolved.

A certain skeptical strategy involves a skeptical hypothesis that closely mirrors the structure of our standard theory of the world; this strategy insulates the skeptical argument from attacks based on standard criteria of theory choice. A standard reply to this strategy is to claim that proffered alternative is just the standard theory expressed in a different notation. But this reply does not succeed, given plausible assumptions about semantics. However, there is an alternative strategy--also semantical--which can deal with the problem, at (...) least in those cases where, intuitively, the skeptic's challenge should fail. (shrink)

The phenomenon of ‘innocent guilt’ regards cases where people feel guilty without being responsible for the wrongdoing or suffering at which the guilt is directed. The aim of this article is to develop a consistent account of innocent guilt and show how it may arise in the aftermath of conflicts. In order to do this, innocent guilt is contrasted with guilt and collective guilt, and the account is substantiated by drawing on the writings of Ludwig Wittgenstein and Emmanuel Levinas, who (...) both consider the phenomenon of innocent guilt a necessary element in the fundamental structure of the ethical subject. These thinkers, furthermore, show a connection between guilt and possible victims of wrongdoing, rather than between guilt and personal acts of wrongdoing. Innocent guilt may thus appear in the aftermath of conflicts as an ethical and emotional response to the fact of finding oneself in a post-conflict situation still marked by suffering. It thus reveals a fundamental need to contribute to the relieving of such suffering. (shrink)

The United States Securities and Exchange Commission recently began requiring mutual funds to make their proxy voting transparent so that investors can make better decisions about investing with the mutual fund and with the ultimate goal of improving corporate governance. We review the proxy voting records of major mutual funds to determine if transparency has changed the patterns of voting by mutual funds. Initial results show that support for management increased and support for social responsibility resolutions decreased after transparency was (...) required. (shrink)

Formal theories, as in logic and mathematics, are sets of sentences closed under logical consequence. Philosophical theories, like scientific theories, are often far less formal. There are many axiomatic theories of the truth predicate for certain formal languages; on analogy with these, some philosophers (most notably Paul Horwich) have proposed axiomatic theories of the property of truth. Though in many ways similar to logical theories, axiomatic theories of truth must be different in several nontrivial ways. I explore what an axiomatic (...) theory of truth would look like. Because Horwich’s is the most prominent, I examine his theory and argue that it fails as a theory of truth. Such a theory is adequate if, given a suitable base theory, every fact about truth is a consequence of the axioms of the theory. I show, using an argument analogous to Gödel’s incompleteness proofs, that no axiomatic theory of truth could ever be adequate. I also argue that a certain class of generalizations cannot be consequences of the theory. (shrink)

It appears to be a straightforward implication of distributed cognition principles that there is no integrated executive control system (e.g. Brooks 1991, Clark 1997). If distributed cognition is taken as a credible paradigm for cognitive science this in turn presents a challenge to volition because the concept of volition assumes integrated information processing and action control. For instance the process of forming a goal should integrate information about the available action options. If the goal is acted upon these processes should (...) control motor behavior. If there were no executive system then it would seem that processes of action selection and performance couldn’t be functionally integrated in the right way. The apparently centralized decision and action control processes of volition would be an illusion arising from the competitive and cooperative interaction of many relatively simple cognitive systems. Here I will make a case that this conclusion is not well-founded. Prima facie it is not clear that distributed organization can achieve coherent functional activity when there are many complex interacting systems, there is high potential for interference between systems, and there is a need for focus. Resolving conflict and providing focus are key reasons why executive systems have been proposed (Baddeley 1986, Norman and Shallice 1986, Posner and Raichle 1994). This chapter develops an extended theoretical argument based on this idea, according to which selective pressures operating in the evolution of cognition favor high order control organization with a ‘highest-order’ control system that performs executive functions. (shrink)