Contemporary reasoning about health is infused with the work products of experts, and expert reasoning about health itself is an active site for invention and design. Building on Toulmin’s largely undeveloped ideas on field-dependence, we argue that expert fields can develop new inference rules that, together with the backing they require, become accepted ways of drawing and defending conclusions. The new inference rules themselves function as warrants, and we introduce the term “warranting device” to refer to an assembly (...) of the rule plus whatever material, procedural, and institutional resources are required to assure its dependability. We present a case study on the Cochrane Review, a new method for synthesizing evidence across large numbers of scientific studies. After reviewing the evolution and current structure of the device, we discuss the distinctive kinds of critical questions that may be raised around Cochrane Reviews, both within the expert field and beyond. Although Toulmin’s theory of field-dependence is often criticized for its relativism, we find that, as a matter of practical fact, field-specific warrants do not enjoy immunity from external critique. On the contrary, they can be opened to evaluation and critique from any interested perspective. (shrink)

Good ethics start with good facts, as Tom Murray, past president of Hastings, often said when he was here, and that alone might be enough to declare that fields like genetic science and synthetic biology warrant their own subfields of ethics—“genethics” and “synthethics.” Perhaps getting clear on how genetic science might be used to improve human health requires such deep immersion in the genetic science that those studying the science's ethical implications are in effect in a subfield of ethics. A (...) further issue is whether the ethical questions about the scientific facts in a nascent field are new. (shrink)

The clinical introduction of medical devices often occurs with relatively little oversight, regulation and (long-term) follow-up. Some recent controversies underscore the weaknesses of the current regime, such as the complications surrounding the metal-on-metal hip implants and the scandal surrounding the global breast implant scare of silicone implants made by France's Poly Implant Prothese (PIP) Company. The absence of national registries hampered the collection of reliable information on the risks and harms of the PIP breast implants. To warrant long-term safety, a (...) case can be made for mandatory post-marketing surveillance by means of the establishment of compulsory registries. In this edition of Public Health Ethics, Schofield calls for debate on how such a registry system should be initiated and maintained and how it would relate to the ethical requirement of consent. Here we use breast implant registries as a case to discuss whether and when a so-called ‘thick opt-out’ would be an appropriate method to include people in medical device registries. We conclude that a thick opt-out procedure for medical device registries is only justifiable in cases where inclusion does not involve burdens (or very low), when it does not involve a sensitive subject and when the data are stored anonymously (or at least not directly linked to the medical record). Otherwise, inclusion should be sought by means of an opt-in. (shrink)

Psychologists have studied paranormal belief for over a century, but have been concerned with belief in the paranormal rather than disbelief. However, disbelief in the paranormal is a position in its own right and, for many, by no means a self-evident position. An avowal of disbelief is, therefore, a social phenomenon that may involve some interesting discursive work. This article examines the discourse of self-ascribed ‘sceptics’, and analyses how they warrant their expressed position when faced with an ostensibly paranormal event (...) for which they cannot provide a ‘normal’ explanation. We show how, for example, through the use of ‘definitely/something’ constructions, they appeal to an explanation that exists in principle, though the details are not available to them. Such devices can be seen as social and discursive forms of belief maintenance, in that they are designed to maintain a social position established through an avowal of belief. (shrink)

Brain reading technologies are rapidly being developed in a number of neuroscience fields. These technologies can record, process, and decode neural signals. This has been described as ‘mind reading technology’ in some instances, especially in popular media. Should the public at large, be concerned about this kind of technology? Can it really read minds? Concerns about mind-reading might include the thought that, in having one’s mind open to view, the possibility for free deliberation, and for self-conception, are eroded where one (...) isn’t at liberty to privately mull things over. Themes including privacy, cognitive liberty, and self-conception and expression appear to be areas of vital ethical concern. Overall, this article explores whether brain reading technologies are really mind reading technologies. If they are, ethical ways to deal with them must be developed. If they are not, researchers and technology developers need to find ways to describe them more accurately, in order to dispel unwarranted concerns and address appropriately those that are warranted. (shrink)

A background assumption of this paper is that the repertoire of inference schemes available to humanity is not fixed, but subject to change as new schemes are invented or refined and as old ones are obsolesced or abandoned. This is particularly visible in areas like health and environmental sciences, where enormous societal investment has been made in finding ways to reach more dependable conclusions. Computational modeling of argumentation, at least for the discourse in expert fields, will require the possibility of (...) modeling change in a stock of schemes that may be applied to generate conclusions from data. We examine Randomized Clinical Trial, an inference scheme established within medical science in the mid-20th Century, and show that its successful defense by means of practical reasoning allowed for its black-boxing as an inference scheme that generates (and warrants belief in) conclusions about the effects of medical treatments. Modeling the use of a scheme is well-understood; here we focus on modeling how the scheme comes to be established so that it is available for use. (shrink)

A device with four points is preserved in the arms repository of the Georgian National Museum which, despite its small size, played a fairly large role in classical and medieval warfare. The iron item, called tribolos, is done elaborately, in the form of four welded arrowheads. The tribolos consisted of four sharp points of equal length, one point of which always projected upward no matter how it fell on the ground, creating a hazard to humans and animals. Caltrops were (...) a kind of 'landmine' of the ancient world. Caltrops were first mentioned in the Classical period. Nevertheless, they turned into real military weapons only in Byzantine times. Their systematic and wide use by the Byzantines is noticeable. Caltrops held a significant place in Byzantine warfare. For its part, the caltrop discovered in Lechkhumi warrants the assumption that this specimen of Byzantine armament was known in Georgia and was perhaps actively used in battle. (shrink)

Medicines and medical devices containing animal-derived ingredients are frequently used on patients without their informed consent, despite a significant proportion of patients wanting to know if an animal-derived product is going to be used in their care. Here, I outline three arguments for why this practice is wrong. First, I argue that using animal-derived medical products on patients without their informed consent undermines respect for their autonomy. Second, it risks causing nontrivial psychological harm. Third, it is morally inconsistent to respect (...) patients’ dietary preferences and then use animal-derived medicines or medical devices on them without their informed consent. I then address several anticipated objections and conclude that the continued failure to address this issue is an ethical blind spot that warrants applying the principles of respect for autonomy and informed consent consistently. There are no data in this work. (shrink)

Increasing numbers of health organisations are offering some or all of their patients access to the visit notes housed in their electronic health records. In some countries, including Sweden and the USA, this innovation is advanced with patients using online portals to access their clinical records including the visit summaries written by clinicians. In many countries, patients can legally request copies of their records; however, open notes are different because this innovation offers patients rapid, real-time access via electronic devices. In (...) this brief report, we explore what open notes might mean for placebo use in clinical care. Survey research into patient access to their clinical notes shows that increased transparency enhances patients’ understanding about their medications and augments engagement with their care. We reflect on the consequences of access for placebo prescribing, particularly for the common practice of deceptive placebo use, in which patients are not aware they are being offered a placebo. In addition, we explore how open notes might facilitate placebo and nocebo effects among patients. Bridging placebo studies with medical ethics, we identify a range of empirical research gaps that now warrant further study. (shrink)

An under-examined aspect of human–robot interaction that warrants further exploration is whether robots should be permitted to influence a user’s behavior for that person’s own good. Yet an even more controversial practice could be on the horizon, which is allowing a robot to “nudge” a user’s behavior for the good of society. In this article, we examine the feasibility of creating companion robots that would seek to nurture a user’s empathy toward other human beings. As more and more computing devices (...) subtly and overtly influence human behavior, it is important to draw attention to whether it would be ethically appropriate for roboticists to pursue this type of design pathway. Our primary focus is on whether a companion robot could encourage humans to perform charitable acts; this design possibility illustrates the range of socially just actions that a robot could potentially elicit from a user and what the associated ethical concerns may be. (shrink)

The idea that religious belief is ‘almost inevitable’ is so forcefully argued by Justin Barrett that it can warrant justifiable concern – especially since he claims atheism is an unnatural handicap. In this article, I argue that religious belief in Homo sapiens isn’t inevitable – and that Barrett does agree when pushed. I describe the role played by a Hyperactive Agency Detection Device in the generation of belief in God as necessary but insufficient in explaining religious culture – I (...) distance myself from some common conceptions of HADD and the view I take of it is unorthodox. I point out that the conclusion to Barrett’s book, ‘Why Would Anyone Believe in God?’ is a fine example of the very hyperactive agency detection Barrett himself describes, and is therefore highly suspect. (shrink)

Brain–Computer Interface (BCI) technology is a promising research area in many domains. Brain activity can be interpreted through both invasive and non-invasive monitoring devices, allowing for novel, therapeutic solutions for individuals with disabilities and for other non-medical applications. However, a number of ethical issues have been identified from the use of BCI technology. In this paper, we review the academic discussion of the ethical implications of BCI technology in the last five years. We conclude that some emerging applications of BCI (...) technology—including commercial ventures that seek to meld human intelligence with AI—present new and unique ethical concerns. Further, we seek to understand how academic literature on the topic of BCIs addresses these novel concerns. Similar to prior work, we use a limited sample to identify trends and areas of concern or debate among researchers and ethicists. From our analysis, we identify two key areas of BCI ethics that warrant further research: the physical and psychological effects of BCI technology. Additionally, questions of BCI policy have not yet become a frequent point of discussion in the relevant literature on BCI ethics, and we argue this should be addressed in future work. We provide guiding questions that will help ethicists and policy makers grapple with the most important issues associated with BCI technology. (shrink)

I present a systematic interpretation of the foundational purpose of constructions in ancient Greek geometry. I argue that Greek geometers were committed to an operationalist foundational program, according to which all of mathematics—including its entire ontology and epistemology—is based entirely on concrete physical constructions. On this reading, key foundational aspects of Greek geometry are analogous to core tenets of 20th-century operationalist/positivist/constructivist/intuitionist philosophy of science and mathematics. Operationalism provides coherent answers to a range of traditional philosophical problems regarding classical mathematics, such (...) as the epistemic warrant and generality of diagrammatic reasoning, superposition, and the relation between constructivism and proof by contradiction. Alleged logical flaws in Euclid can be interpreted as sound operationalist reasoning. Operationalism also provides a compelling philosophical motivation for the otherwise inexplicable Greek obsession with cube duplication, angle trisection, and circle quadrature. Operationalism makes coherent sense of numerous specific choices made in this tradition, and suggests new interpretations of several solutions to these problems. In particular, I argue that: Archytas’s cube duplication was originally a single-motion machine; Diocles’s cissoid was originally traced by a linkage device; Greek conic section theory was thoroughly constructive, based on the conic compass; in a few cases, string-based constructions of conic sections were used instead; pointwise constructions of curves were rejected in foundational contexts by Greek mathematicians, with good reason. Operationalism enables us to view the classical geometrical tradition as a more unified and philosophically aware enterprise than has hitherto been recognised. (shrink)

An aging population is often taken to require a profound reorganization of the prevailing health care system. In particular, a more cost-effective care system is warranted and ICT-based home care is often considered a promising alternative. Modern health care devices admit a transfer of patients with rather complex care needs from institutions to the home care setting. With care recipients set up with health monitoring technologies at home, spouses and children are likely to become involved in the caring process and (...) informal caregivers may have to assist kin-persons with advanced care needs by means of sophisticated technology. This paper investigates some of the ethical implications of a near-future shift from institutional care to technology-assisted home care and the subsequent impact on the care recipient and formal- and informal care providers. (shrink)

Technological developments involving robotics and artificial intelligence devices are being employed evermore in elderly care and the healthcare sector more generally, raising ethical issues and practical questions warranting closer considerations of what we mean by “care” and, subsequently, how to design such software coherently with the chosen definition. This paper starts by critically examining the existing approaches to the ethical design of care robots provided by Aimee van Wynsberghe, who relies on the work on the ethics of care by (...) Joan Tronto. In doing so, it suggests an alternative to their non-principled approach, an alternative suited to tackling some of the issues raised by Tronto and van Wynsberghe, while allowing for the inclusion of two orientative principles. Our proposal centres on the principles of autonomy and vulnerability, whose joint adoption we deem able to constitute an original revision of a bottom-up approach in care ethics. Conclusively, the ethical framework introduced here integrates more traditional approaches in care ethics in view of enhancing the debate regarding the ethical design of care robots under a new lens. (shrink)

This paper defends a Hackingian approach to the scientific realism debate by arguing against mainstream realists’ and antirealists’ common claim that no experimental arguments for the reality of posited entities can be theory-independent. Opposing this claim, I argue that some experimental arguments can warrant belief in the existence of entities without depending on the truth of the theories that posit the entities and describe their properties and the theories that explain the interactions between the entities and the experimental devices. To (...) achieve this goal, I investigate Hacking’s case of electron spraying, the famous experiment of positioning atoms by means of a scanning tunnelling microscope, and some novel experiments that use Ashkin’s optical tweezers. By introducing the distinction between theoretical properties and ontic properties, I argue that we can build up some theory-independent criteria of reality on the basis of ontic properties. Manipulability is an ontic property and the manipulation criterion is thus a theory-independent one, which should be reexamined and used for those experimental cases along a local approach to the realism debate. Resisting the mainstream realists’ and antirealists’ objections, I contend that some experiments using optical tweezers can warrant belief in the existence of the experimented entities without depending on theories. (shrink)

Nurses and ethicists worry that the implementation of care at a distance or telecare will impoverish patient care by taking out ‘the heart’ of the clinical work. This means that telecare is feared to induce the neglect of patients, and to possibly hinder the development of a personal relation between nurse and patient. This study aims to analyse whether these worries are warranted by analysing Dutch care practices using telemonitoring in care for chronic patients in the Netherlands. How do clinical (...) practices of nursing change when telecare devices are introduced and what this means for notions and norms of good nursing? The paper concludes that at this point the practices studied do not warrant the fear of negligence and compromised relations. Quite the contrary; in the practices studied, telecare lead to more frequent and more specialised contacts between nurses and patients. The paper concludes by reflecting on the ethical implications of these changes. (shrink)

Did the impartiality of clinical trials play any role in their acceptance as regulatory standards for the safety and efficacy of drugs? According to the standard account of early British trials in the 1930s and 1940s, their impartiality was just rhetorical: the public demanded fair tests and statistical devices such as randomization created an appearance of neutrality. In fact, the design of the experiment was difficult to understand and the British authorities took advantage of it to promote their own particular (...) interests. I claim that this account is based on a poorly defined concept of experimental fairness . I present an alternative approach in which a test would be impartial if it incorporates warrants of non-manipulability. With this concept, I reconstruct the history of British trials showing that they were indeed fair and this fairness played a role in their acceptance as regulatory yardsticks. (shrink)

This discussion note points to some verbal imprecisions in the formulation of the Enhanced Indispensability Argument. The examination of the plausibility of alternative interpretations reveals that the argument’s minor premise should be understood as a particular, not a universal, statement. Interpretations of the major premise and the conclusion oscillate between de re and de dicto readings. The attempt to find an appropriate interpretation for the EIA leads to undesirable results. If assumed to be valid and sound, the argument warrants the (...) rationality of the belief in an unusual variant of Platonism. On the other hand, if taken as it stands, the argument is either invalid or is unsound or does not support the mathematical Platonism. Thus, the EIA in its present form cannot serve as a useful device for the Platonist. (shrink)

Keith Lehrer described the case of Mr Truetemp, who has reliably formed true beliefs about the temperature. The beliefs are produced by the action of a device (a "tempucomp" ) which has been surgically implanted in Truetemp's skull without his knowledge. The case is designed as a counterexample to process reliabilism. This short paper explores the question whether virtue epistemology is able to deal with the Truetemp case. It is argued that virtue-theoretic considerations lead to the rejection of the (...) Truetemp case as a case of warranted belief or knowledge, which suggests that virtue epistemology has the resources to handle the case. -/- . (shrink)

In this paper I will offer a sketch of an account of knowledge which seeks to unify a number of disparate elements the inclusion of which I assume to be a desideratum of a theory of knowledge. The device I will utilize to achieve this unity-in-diversity is that of a functional property—a property multiply realizable in widely varying realization bases. The essential idea is that the property warrant is a functional property: that which epistemizes true belief, that which turns (...) mere true belief into knowledge. The ability of functional properties to be realized in diverse ways provides the flexibility to bring together all the items we want to fall under the concept knowledge . I will attempt to illustrate this for some key desiderata. ***Please note this is a draft shortened for APA purposes. The longer paper includes a defense of the propriety of the desiderata. (shrink)

The paper evaluates Christopher Hookway's claim that individual epistemic vice can enhance the value of collective epistemic virtue. I suggest that this claim can be defended on the grounds of a dynamic account of collective intentional properties that is supplemented by an account of a spontaneous ordering mechanism such as the "intangible hand". Both these accounts try to explain how individual traits integrate into collective traits by way of aggregation. In this respect, they are different from normative and summative accounts (...) of plural subjects. I argue that it is the repeatable and self-amplifying nature of character traits that calls for a dynamic account of collective virtues. With regard to epistemic virtues and their role in the acquisition of knowledge I hold that their dynamic and self-amplifying character warrants their reliability, since it is this character that bottoms out in repeated acts of epistemally correct behavior that constitute a 'responsible practice'. The successful appliance of the latter amplifies the attitude it origins from. If epistemic virtues construed along these lines are attributed to collectives, a dynamic aggregate account supplemented by an account of an "intan-gible hand" device might explain how an aggregate of virtuous efforts of individuals can not only absorb a certain amount of vice but be even enhanced by the 'spice' of some non-intentional epistemically vicious side effects of epistemically virtuous en- deavor. (shrink)

The Mexico-U.S. border is a space considered `smart´ due to the amount of surveillance technology used for national security purposes. The technological ecology consists of integrated fixed towers, remote video surveillance systems, mobile video surveillance systems, Predator B surveillance drones, mobile X-ray units, automated license plate readers, cell phone tracking towers, implanted motion sensors, biometric data collection, and DNA sampling (Aizeki et al. Citation2021). Whilst these instruments are usually linked to irregular border crossers, transborder commuters, who physically cross the border (...) every day, also experience the same surveillance regime. This paper discusses the technological ‘self-defense’ protocol I developed in 2019 when conducting transborder research for my doctoral thesis, which required intense border crossings across Mexico and the U.S. During the ten months of fieldwork, U.S. CBP had the capacity to search my personal device and belongings without a warrant, raising ethical concerns about data protection. As a result, the protocol developed to protect data and participants considered the ‘smart’ border as part of the methods designed that included encrypting information. In hyper-surveilled spaces, data protection represents a challenge for border researchers and the people involved in such a project. (shrink)

In this paper, we address the question of what current computers are from the point of view of human-computer interaction. In the early days of computing, the Turing machine (TM) has been the cornerstone of the understanding of computers. The TM defines what can be computed and how computation can be carried out. However, in the last decades, computers have evolved and increasingly become interactive systems, reacting in real-time to external events in an ongoing loop. We argue that the TM (...) does not provide a mechanistic explanation for interactive computing. The reason is that the fundamental phenomena relevant to interactive computing are out of the scope of classical computability theory. Part of the explanatory power of the TM relies on what we propose to call an execution model. An execution model belongs to a level of abstraction where it is possible to describe both the functional architecture and the execution in mechanistic terms. An updated execution model is warranted to provide the minimal mechanistic description for interactive computation as a counterpart of what the TM could explain regarding Church-Turing computation. It would support an explanation of the ubiquitous computing devices we know - those interacting with humans, e.g., through digital interfaces. We show that such a model is not available within interactive models of computation and that relevant abstractions and concerns are available in computer engineering but need to be identified and gathered. To fill this void, we propose to reflect on the level of abstraction required to support the mechanistic description of an interactive execution and propose some preliminary requirements. (shrink)

Hauser considers John Searle's attempt to distinguish acts from movements. On Searle's account, the difference between me raising my arm and my arm's just going up (e.g., if you forcibly raise it), is the causal involvement of my intention to raise my arm in the former, but not the latter, case. Yet, we distinguish a similar difference between a robot's raising its arm and its robot arm just going up (e.g., if you manually raise it). Either robots are rightly credited (...) with intentions or it's not intention that distinguishes action from mere movement. In either case acts are attributable to robots. Since the truth of such attributions depends not on the speaker's "intentional stance" but on "intrinsic" features of the things they are not merely figurative "as if" attributions. Gunderson allows that internally propelled programmed devices (Hauser Robots) do act but denies that they have the mental properties such acts seem to indicate. Rather, given our intuitive conviction that these machines lack consciousness, such performances evidence the dementalizability of acts.Hauser replies that the performances in question provide prima facie warrant for attributions of mental properties that considerations of consciousness are insufficient to override. (shrink)

Drawing on themes important in moral and political philosophy, much of the scholarship on the constitutional law of privacy in the United States distinguishes between privacy understood as a person's control over information and privacy understood as a person's ability to make autonomous decisions. For example, Katz v. United States established the framework for analyzing whether police activity constituted a “search” subject to the Fourth Amendment's requirement that the police either obtain a warrant before conducting a search or otherwise act (...) reasonably. The defendant was a professional gambler who knew enough about police techniques to use a public telephone to make his business calls. Police agents attached a listening device to the outside of the phone booth, and sought to use the recordings against the defendant. The Supreme Court agreed with the defendant that the Fourth Amendment had been violated. Justice John Marshall Harlan's influential concurring opinion asserted that a person's privacy, in the sense of control over information, depended on two factors: “that a person have exhibited an actual expectation of privacy and, second, that the expectation be one that society is prepared to recognize as ‘reasonable.’” Fourth Amendment cases like Katz involve informational control; they define the circumstances under which the government may acquire information from or about a person without first obtaining the person's agreement. In contrast, cases like Griswold v. Connecticut, which barred the state from making it a criminal offense to use contraceptives, and Roe v. Wade, which restricted the state's power to prohibit or regulate abortions, used the language of privacy rights to protect a much broader interest in autonomous decision-making. Seeing these cases and related ones through lenseees provided by moral and political philosophy, scholars have attempted to describe what a morally sound constitutional law of privacy would be, and the broadest sense, dworkinian. That is, they seek to provide an account of privacy with two characteristics: it is broadly consistent with the relevant constitutional decisions, and it is the most morally attractive account possible that satisfies the requirement of consistency with the decisions. (shrink)

Power consists in the capacity of A to command B, even against B's wishes, whether directly or indirectly. Questions to do with who possesses it and in what degree are obscured by inflationary shifts of definition (as where power encompasses action as such, or right action, or co?operation). These misjudged moves are generally marked by the assumption that democracy displaces power. But if democracy ultimately persists as a voting procedure, its object is to create power?holders. Democracy may endorse three electoral (...) principles: (a) majority rule, or (b) enhanced majority rule, or (c) unanimity. Its commonest electoral device is (a), but its strongest moral defence for (a) implicitly is (c), which legitimates forms of (d) veto and forms of minority rule. If (d) is fair, this need not follow from (a). Nor is (a) right in virtue of superior power. Democracy is commonly a combination of (a) plus (e) defence of individual and corporate rights. But this combination, while apt and convenient, is not incontestably coherent. Despite growing support for deliberation over election, if democracy must be impelled by (a), thus far does it sustain, not topple, power. If power persists more stably under democracies than elsewhere, sustained caution in regard to its supposed ?circularization? is fully warranted. (shrink)

In “Social Media, e‐Health, and Medical Ethics,” in this issue of the Hastings Center Report, Mélanie Terrasse, Moti Gorin, and Dominic Sisti address and suggest recommendations for several ethical issues central to the systematic ethical analysis of the effects of social media on clinical practice, health services research, and public health. The topic is as timely as it is important: social media data collected by device and web applications are constantly increasing and might have both individual and public health (...) benefits. The authors focus their analysis primarily on the health care context. Yet the implications of the intersection of social media data and research warrant focused consideration, as even the most thorough ethical analysis in the clinical context is not necessarily directly applicable in the research context. While many ethical issues are present in both settings, the research context poses new challenges and calls for consideration of distinct factors. In particular, because the legal framework is less protective in research, critical ethical analysis of the research‐specific issues and considerations is essential to the ethical conduct of research using social media data as well as to the design and operation of social media device and web applications themselves. (shrink)

In his review (Inquiry 32 [1989], pp. 343?69) of Paul Feyerabend's Farewell to Reason, Harvey Siegel makes a fairly simple point: Feyerabend provides a bad argument for a good cause. In particular, Siegel maintains that the argument suffers, first, from self?inflicted depreciation: having been rendered impotent by Feyerabend's views of objectivity and rationality, what claim to persuasion can his argument possibly hold? And second, the argument is said to be incoherent: instead of respecting and leaving alone diverse cultures and traditions (...) as required by his views, Feyerabend fails to honor the right of people in several ways by formulating from afar abstract principles of cultural autonomy. Having debunked the argument, what remains is at least a semblance of agreement when Siegel identifies a shared concern with the value of cultural diversity on a world?wide scale. In response to Siegel this paper argues: yes, in an important sense, Feyerabend's argument is admittedly impotent and admission of that is a mere matter of acuity and intellectual honesty; but no, the argument is not incoherent, nor is there even a shared concern with the preservation of traditions in non?Western cultures. In other words, misunderstanding runs deep: a rationalist's objective misapprehension of Feyerabend's rhetorical devices. From this criticism of Siegel's criticism an alternative account emerges. Farewell to Reason poses a simple, but deeply troubling question: do the success and the benefits of science and technology warrant or require a social arrangement which privileges the highly specialized development of certain human faculties at the expense of others? The response to Siegel concludes with a survey of more creative ways in which philosophy can and should take up Feyerabend's challenge. (shrink)

As the rising costs of lifestyle-related diseases place increasing strain on public healthcare systems, the individual’s role in disease may be proposed as a healthcare rationing criterion. Literature thus far has largely focused on retrospective responsibility in healthcare. The concept of prospective responsibility, in the form of a lifestyle contract, warrants further investigation. The responsibilisation in healthcare debate also needs to take into account innovative developments in mobile health technology, such as wearable biometric devices and mobile apps, which may change (...) how we hold others accountable for their lifestyles. Little is known about public attitudes towards lifestyle contracts and the use of mobile health technology to hold people responsible in the context of healthcare. This paper has two components. Firstly, it details empirical findings from a survey of 81 members of the United Kingdom general public on public attitudes towards individual responsibility and rationing healthcare, prospective and retrospective responsibility, and the acceptability of lifestyle contracts in the context of mobile health technology. Secondly, we draw on the empirical findings and propose a model of prospective intention-based lifestyle contracts, which is both more aligned with public intuitions and less ethically objectionable than more traditional, retrospective models of responsibility in healthcare. (shrink)

In his World Culture and the Black Experience Professor Ali Mazrui states that “by being left behind scientifically African languages gradually became incapable either of coping with or stimulating new areas of reflection and analysis”. He agrees with Professor Mohammed Hyder of Nairobi that “if a serious attempt were made to develop a ‘technical limb’ to Swahili, this would indeed be possible” by the simple device of writing redioaktivu for radioactive and thairodi for thyroid and so forth. He thinks, (...) however, that “the majority of African languages have too few speakers to warrant a serious undertaking to convert them into scientific and technological languages.” In any case such an attempt “would be an extreme form of cultural autarchy”. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Right HeartIngrid GouldI remarked to a friend, “We haven’t spoken since my arrest!” Alarm and confusion clouded his face, given my half-century of squeaky-clean living. “Cardiac arrest,” I clarified. “The fire department rebooted me.”An electrophysiologist diagnosed Arrhythmogenic Right Ventricular Dysplasia, prescribed medication, and implanted a defibrillator. For the next three-and-a-half years, he helped me live with a disease I didn’t know existed until he told me I had (...) it.The disease progressed—an ironic, disease-centric term since its advancement was to my detriment— prompting my cardiologist to recommend seeing someone who specialized in heart failure. I resisted the very idea of heart failure, a terrible term for a struggling organ, but took her advice and scheduled an appointment.The new cardiologist urged transplant testing, a lengthy process. I agreed, figuring that by the time I needed a new heart in 15–20 years, they’d be rolling off 3D printers.To record occasional transplant musings and inchoate fears and perhaps, over time, untangle them, I began journaling. I chronicled my passage through the echocardiogram, heart catheterization, 31 tubes of bloodwork, interviews with different clinical specialties, a pulmonary function test in a machine reminiscent of Star Trek’s Transporter, and more. Testing had barely begun when my medication stopped working—a Halloween shock.I began a harsher medication, underwent an ablation, and spent six weeks in a wearable defibrillator, a vest with abundant wires, and a purse-sized battery pack that made me resemble a character in [End Page 123] the Jetsons. This attire did not bring holiday comfort or joy to the TSA1 when I flew to visit my sister. As my R-waves faded to a whisper, I swapped the vest for a second implanted defibrillator, substantially more sensitive than the first.In early 2018, we learned I had qualified for transplant listing, though I wished to get as much mileage as possible from the original engine. My cardiologist warned, “There is no Plan B—no machine, device, or medication for the long-term. You will need a transplant.” He explained that since most cardiac patients have left-heart problems, companies develop products for the left side of the heart. My problem was on the right—a tiny market. He also cautioned that a patient needs to be sick enough to warrant transplant and well enough to remain a candidate, survive the surgery, and recover.Although clinically I was ready, I was not personally ready. I felt too good to trade an excellent quality of life for the promised miserable post-transplant year. The cardiologist wisely asked if I wanted to speak with another patient. When I requested someone beyond the dreaded first year, he put me in touch with two women who had received new hearts a few years earlier and befriended each other. They soon became my invaluable mentors and cherished friends. I will never forget seeing them stride into our first meeting and thinking, “They are beautiful! They look totally normal!”By May, climbing four flights of stairs took as much effort as five used to take. Tests confirmed further deterioration and suggested I had 7–13 months of declining health before my heart would give out completely. We chose a date for hospital admission, and I started telling people outside my immediate family. Most were flabbergasted, believing heart transplants were the last hope of the desperately ill. I did not look moribund, though, apparently, I was.The eight months after my first transplant appointment let me prepare psychologically to bid farewell to my heart—the metaphor for kindness, love, and bravery in our culture—and to welcome a new organ from a generous person less medically fortunate than I.In the hospital, I met others awaiting their hearts. A sudden intimacy arises when mortal choices catapult people into a medical realm suggestive of science fiction. Add the emotional intensity that accompanies knowing your extended life comes courtesy of a person who breathes no more on this earth and you wonder how an organ recipient integrates sorrow and gratitude.Two weeks after I was hospitalized, my cardiologist informed me the wait was over... (shrink)

Warrant is what fills the gap between mere true belief and knowledge. But a problem arises. Is there just one condition that satisfies this description? Suppose there isn’t: can anything interesting be said about warrant after all? Call this the uniqueness problem. In this paper, I solve the problem. I examine one plausible argument that there is no one condition filling the gap between mere true belief and knowledge. I then motivate and formulate revisions of the standard analysis of warrant. (...) Given these revisions, I argue that there is, after all, exactly one warrant condition. (shrink)

Epistemic warrant consists in the normal functioning of the belief-forming process when the process has forming true beliefs reliably as an etiological function. Evolution by natural selection is the most familiar source of etiological functions. . What then of learning? What then of Swampman? Though functions require history, natural selection is not the only source. Self-repair and trial-and-error learning are both sources. Warrant requires history, but not necessarily that much.

In this companion volume to Warrant: The Current Debate, Plantinga develops an original approach to the question of epistemic warrant; that is what turns true belief into knowledge. He argues that what is crucial to warrant is the proper functioning of one's cognitive faculties in the right kind of cognitive environment.

Let ‘warrant’ denote whatever precisely it is that makes the difference between knowledge and mere true belief. A current debate in epistemology asks whether warrant entails truth, i.e., whether (Infallibilism) S’s belief that p is warranted only if p is true. The arguments for infallibilism have come under considerable and, as of yet, unanswered objections. In this paper, I will defend infallibilism. In Part I, I advance a new argument for infallibilism; the basic outline is as follows. Suppose fallibilism is (...) true. An implication of fallibilism is that the property that makes the difference between knowledge and mere belief (which I dub ‘warrant*’) is the conjunctive property being warranted and true . I show that this implication of fallibilism conflicts with an uncontroversial thesis we have learned from reflection on Gettier cases: that nonaccidental truth is a constituent of warrant*. It follows that infallibilism is true. In the second part of the paper, I present and criticize a new argument against infallibilism. The argument states that there are plausible cases where, intuitively, the only thing that is keeping a belief from counting as knowledge is the falsity of that belief. Furthermore, it is plausible that such a belief is warranted and false. So, the argument goes, infallibilism is false. I show that this argument fails. (shrink)

I develop an approach to action and practical deliberation according to which the degree of epistemic warrant required for practical rationality varies with practical context. In some contexts of practical deliberation, very strong warrant is called for. In others, less will do. I set forth a warrant account, (WA), that captures this idea. I develop and defend (WA) by arguing that it is more promising than a competing knowledge account of action due to John Hawthorne and Jason Stanley. I argue (...) that cases of warranted false belief speak in favor of (WA) and against the knowledge account. Moreover, I note some problems with an “excuse maneuver” that proponents of the knowledge account frequently invoke in response to cases of warranted false belief. Finally, I argue that (WA) may provide a strict invariantist account of cases that have been thought to motivate interest-relative or subject-sensitive theories of knowledge and warrant. (shrink)

This is the third volume in Alvin Plantinga's trilogy on the notion of warrant, which he defines as that which distinguishes knowledge from true belief. In this volume, Plantinga examines warrant's role in theistic belief, tackling the questions of whether it is rational, reasonable, justifiable, and warranted to accept Christian belief and whether there is something epistemically unacceptable in doing so. He contends that Christian beliefs are warranted to the extent that they are formed by properly functioning cognitive faculties, thus, (...) insofar as they are warranted, Christian beliefs are knowledge if they are true. (shrink)

This paper defends the view that a belief to the effect that the believer is currently in some conscious state is "self-Warranted," in the sense that what warrants it is simply its being a belief of that sort. This position is compared with other views as to the epistemic status of such beliefs--That they are warranted by their truth and that they are warranted by an immediate awareness of their object. In the course of the discussion, Various modes of immediate (...) justification and various types of "epistemic immunities" are distinguished. It is contended that principles of justification are to be evaluated in terms of whether the beliefs they approve are likely to be correct. (shrink)

Plantinga examines the nature of epistemic warrant; whatever it is that when added to true belief yields knowledge. This volume surveys current contributions to the debate and paves the way for his owm positive proposal in Warrant and Proper Function.

Consider the argument: Circus-1 Men in clown suits are handing out tickets. So, probably: Circus-2 There’s a circus in town. So: Circus-3 There’s an entertainment venue in town. Presumably you’d be able to warrantedly believe Circus-2 on the basis of Circus-1. And we can suppose you’re reasonably certain that wherever there are circuses, there are entertainment venues. So you’d seem to be in a position to reasonably go on to infer Circus-3.

In this paper we focus on transmission and failure of transmission of warrant. We identify three individually necessary and jointly sufficient conditions for transmission of warrant, and we show that their satisfaction grounds a number of interesting epistemic phenomena that have not been sufficiently appreciated in the literature. We then scrutinise Wright’s analysis of transmission failure and improve on extant readings of it. Nonetheless, we present a Bayesian counterexample that shows that Wright’s analysis is partially incoherent with our analysis of (...) warrant transmission and prima facie defective. We conclude exploring three alternative lines of reply: developing a more satisfactory account of transmission failure, which we outline; dismissing the Bayesian counterexample by rejecting some of its assumptions; reinterpreting Wright’s analysis to make it immune to the counterexample. (shrink)

According to a Moorean response to skepticism, the standards for knowledge are invariantly comparatively low, and we can know across contexts all that we ordinarily take ourselves to know. It is incumbent upon the Moorean to defend his position by explaining how, in contexts in which S seems to lack knowledge, S can nevertheless have knowledge. The explanation proposed here relies on a warranted-assertability maneuver: Because we are warranted in asserting that S doesn’t know that p, it can seem that (...) S does in fact lack that piece of knowledge. Moreover, this warranted-assertability maneuver is unique and better than similar maneuvers because it makes use of H. P. Grice’s general conversational rule of Quantity—“Do not make your contribution more informative than is required”—in explaining why we are warranted in asserting that S doesn’t know that p. (shrink)

Alvin Plantinga theorizes about an epistemic property he calls "warrant," defined as that which makes the difference "between knowledge and mere true belief." I show that, given this account, Plantinga can have no justification for claiming that a false belief is warranted nor for claiming that warrant comes in degrees.

This paper advances the debate over the question whether false beliefs may nevertheless have warrant, the property that yields knowledge when conjoined with true belief. The paper’s first main part—which spans Sections 2–4—assesses the best argument for Warrant Infallibilism, the view that only true beliefs can have warrant. I show that this argument’s key premise conflicts with an extremely plausible claim about warrant. Sections 5–6 constitute the paper’s second main part. Section 5 presents an overlooked puzzle about warrant, and uses (...) that puzzle to generate a new argument for Warrant Fallibilism, the view that false beliefs can have warrant. Section 6 evaluates this pro-Fallibilism argument, finding ultimately that it defeats itself in a surprising way. I conclude that neither Infallibilism nor Fallibilism should now constrain theorizing about warrant. (shrink)

Alvin Plantinga’s theory of knowledge, as developed in his Warrant trilogy, has shaped the debates surrounding many areas in epistemology in profound ways. Plantinga has received his share of criticism, however, particularly in his treatment of belief in God as being “properly basic”. There has also been much confusion surrounding his notions of warrant and proper function, to which Plantinga has responded numerous times. Many critics remain unsatisfied, while others have developed alternative understandings of warrant in order to rescue Plantinga’s (...) theory from certain objections. The most promising of such attempts fall under the broad category of “virtue epistemology” or a “virtue-theoretic” approach. The work being done in virtue epistemology is still in its early stages and a consensus on what actually constitutes virtue epistemology has yet to be reached. While some have attempted to structure an entire theory of knowledge based on the virtues possessed by the knower, others have focused more on the role of epistemic virtues as an attempt to supplement existing theories, including Plantinga’s. In this paper, I will offer an analysis of what such an attempt might look like and evaluate the potential success of broadening Plantinga’s original model. -/- My proposal is that certain features of a virtue-theoretic approach (also referred to as “agent-reliabilism”) could improve Plantinga’s model in significant ways. Not only would such a broadened approach be better equipped to handle common objections, but it would also be better suited to contribute an enhanced understanding of the task of epistemology, one that seeks to discover multiple epistemic goods other than what has been traditionally confined to the realm of knowledge. I conclude by applying this approach to Plantinga’s treatment of theistic belief in Warranted Christian Belief and by articulating a few of the ways in which epistemic virtues can increase the degree of warrant enjoyed by such belief. (shrink)

We perceive relevance by virtue of inference habits, which may be expressed as Pierce's leading principles or as Toulmin's warrants. Hence relevance in a descriptive sense is a ternary relation between two statements and a set of inference rules. For a normative sense, the warrants must be properly backed. Different types of warrant to empirical generalizations, we introduce L.J. Cohen's notion of inductive support. A to empirical generalizations, we introduce L.J. Cohen's notion of inductive support. A generalization H is supported (...) by evidence E to degree i/in iff E indicates that H passes canonical test i, where there are n canonical tests. In a canonical test, one or more relevant variables, factors which may falsify H, are varied. H passes a test if it is not falsified. The tests are cumulative. Degree of support is relative to the canonical test, and may be modeled as relative to a point in a dialectical situation. A value of a variable at which H is falsified is a rebutting value. A is normatively relevant to B with respect to W iff sup[associated generalization(W), E] = i/n and for j > i, there is a presumption that the values of j are non-rebuting. (shrink)