The use of recent research on variations in medical practice to promote competitive market oriented cost containment strategies is critically examined. Research demonstrating widespread variations in physician practices for similar patient populations undermines the medical profession's claims about the scientific objectivity of medical practice and indicates the existence of widespread waste and inappropriate utilization of health care resources. Cost containment programs which rely on market-based care avoidance incentives, such as Medicare prospective payment or cost sharing plans, attempt to impact medical (...) practice variations by creating economic barriers between doctor and patient. An alternative interpretation of research on practice variations is presented, emphasizing containing costs while improving quality of care and achieving greater equity through planning and regulation of medical supply factors. (shrink)

To the Editor: Daniel Callahan is correct when, in “Rationing: Theory, Politics, and Passions”, he tells us that the combination of ever-rising medical costs and ever-increasing demand for expensive resources by physicians and their patients will—in the absence of any workable, generally acceptable mode of official rationing—lead to covert rationing. Or, more precisely, it will encourage us to extend the covert rationing that already exists, where those with more get more. As things stand now, (...) this is unavoidable. However.. (shrink)

Driven by interests in workforce planning and patient safety, a growing body of literature has begun to identify the reality and the prevalence of missed nursing care, also specified as care left undone, rationed care or unfinished care. Empirical studies and conceptual considerations have focused on structural issues such as staffing, as well as on outcome issues – missed care/unfinished care. Philosophical and ethical aspects of unfinished care are largely unexplored. Thus, while internationally studies highlight instances of covert (...) class='Hi'>rationing/missed care/care left undone – suggesting that nurses, in certain contexts, are actively engaged in rationing care – in terms of the nursing and nursing ethics literature, there appears to be a dearth of explicit decision-making frameworks within which to consider rationing of nursing care. In reality, the assumption of policy makers and health service managers is that nurses will continue to provide full care – despite reducing staffing levels and increased patient turnover, dependency and complexity of care. Often, it would appear that rationing/missed care/nursing care left undone is a direct response to overwhelming demands on the nursing resource in specific contexts. A discussion of resource allocation and rationing in nursing therefore seems timely. The aim of this discussion paper is to consider the ethical dimension of issues of resource allocation and rationing as they relate to nursing care and the distribution of the nursing resource. (shrink)

Rationing is the allocation of a good under conditions of scarcity, which necessarily implies that some who want and could be benefitted by that good will not receive it. One reflection of our ambivalence towards health care rationing is reflected in our resistance to having it distributed in a market like most other goods—most Americans reject ability to pay as the basis for distributing health care. They do not view health care as just another commodity to be distributed (...) by markets. Despite this widespread view, we are the only developed country without some form of universal health insurance, and so for the 46 million Americans without health insurance their access to health care often does depend on their ability to pay for it. Rationing largely remains a topic that the public, their elected leaders, and many health care professionals prefer to avoid. Ever-growing costs of health care will increasingly force the practice and issue of health care resource prioritization and rationing into the open for public, professional, and political attention. This paper explores some of the features of those practices and issues that make them especially ethically and politically difficult. Those issues will not be easily resolved, but avoiding them will not avoid the need or reality of rationing, it will only mean that it will go on covertly and unexamined. That will lead neither to better or more legitimate prioritization and rationing decisions. (shrink)

Neo-Humean instrumentalist theories of reasons for acting have been presented with a dilemma: either they are normatively trivial and, hence, inadequate as a normative theory or they covertly commit themselves to a noninstrumentalist normative principle. The claimed result is that no purely instrumentalist theory of reasons for acting can be normatively adequate. This dilemma dissolves when we understand what question neo-Humean instrumentalists are addressing. The dilemma presupposes that neo-Humeans are attempting to address the question of how to act, 'simpliciter'. Instead, (...) they are evaluating actions from the agent's normative perspective. (shrink)

Rationing is the allocation of a good under conditions of scarcity, which necessarily implies that some who want and could be benefitted by that good will not receive it. One reflection of our ambivalence towards health care rationing is reflected in our resistance to having it distributed in a market like most other goods—most Americans reject ability to pay as the basis for distributing health care. They do not view health care as just another commodity to be distributed (...) by markets. Despite this widespread view, we are the only developed country without some form of universal health insurance, and so for the 46 million Americans without health insurance their access to health care often does depend on their ability to pay for it. Rationing largely remains a topic that the public, their elected leaders, and many health care professionals prefer to avoid. Ever-growing costs of health care will increasingly force the practice and issue of health care resource prioritization and rationing into the open for public, professional, and political attention. This paper explores some of the features of those practices and issues that make them especially ethically and politically difficult. Those issues will not be easily resolved, but avoiding them will not avoid the need or reality of rationing, it will only mean that it will go on covertly and unexamined. That will lead neither to better or more legitimate prioritization and rationing decisions. (shrink)

Cockfighting is an ancient sport that has deep roots in rural parts of the world and in certain areas of the United States. It also has great symbolic significance to its practitioners and aficionados as an affirmation of masculine identity in a increasingly complex and diverse era. Although the activity is illegal in most jurisdictions, it continues, generally in a covert setting. Because cockfighting is subject to criminal sanction and informal social disapproval, cockfighters have developed rationalizations which they use (...) among themselves and offer to outsiders. These rationalizations are complex; some are overtly religious in nature. Cockfighters do more than merely talk about their pastime - they actively engage in formal and informal lobbying to keep criminal penalties for their activity at a low level of severity. As the nation continues to urbanize, these lobbying efforts, while effective in the past, are gradually losing legislative support. For a number of reasons, the pastime is losing respectability and adherents and will probably be criminalized nationwide before the end of the century.Cockfighting is an ancient sport that has deep roots in rural parts of the world and in certain areas of the United States. It also has great symbolic significance to its practitioners and aficionados as an affirmation of masculine identity in a increasingly complex and diverse era. Although the activity is illegal in most jurisdictions, it continues, generally in a covert setting. Because cockfighting is subject to criminal sanction and informal social disapproval, cockfighters have developed rationalizations which they use among themselves and offer to outsiders. These rationalizations are complex; some are overtly religious in nature. Cockfighters do more than merely talk about their pastime - they actively engage in formal and informal lobbying to keep criminal penalties for their activity at a low level of severity. As the nation continues to urbanize, these lobbying efforts, while effective in the past, are gradually losing legislative support. For a number of reasons, the pastime is losing respectability and adherents and will probably be criminalized nationwide before the end of the century. (shrink)

The success or failure of an ineffective assistance of counsel claim turns largely on the testimony of trial counsel. It is therefore common for the government to communicate ex parte with trial co...

Self‐care, or self‐management, is presented in healthcare policy as a precursor to patient empowerment and improved patient outcomes. Alternatively, critiques of the self‐care agenda suggest that it represents an over‐reliance on individual autonomy and responsibility, without adequate support, whereby ‘self‐care’ is potentially unachievable and becomes ‘care left undone’. In this sense, self‐care contributes to a blame culture where ill‐health is attributed to personal behaviours or lack thereof. Furthermore, self‐care may represent a covert form of rationing, as the fiscal (...) means to enable effective self‐care and supplement, or replace, self‐care capacities, is not provided. This paper explores these arguments through a contemporary ethical analysis of the self‐care agenda. The terms self‐care and self‐management are used interchangeably throughout whereby self‐management is understood as a point in the wider self‐care continuum. (shrink)

It is a popular view thatpractical deliberation excludes foreknowledge of one's choice. Wolfgang Spohn and Isaac Levi have argued that not even a purely probabilistic self-predictionis available to thedeliberator, if one takes subjective probabilities to be conceptually linked to betting rates. It makes no sense to have a betting rate for an option, for one's willingness to bet on the option depends on the net gain from the bet, in combination with the option's antecedent utility, rather than on the offered (...) odds. And even apart from this consideration, assigning probabilities to the options among which one is choosing is futile since such probabilities could be of no possible use in choice. The paper subjects these arguments to critical examination and suggests that, appearances notwithstanding, practical deliberation need not crowd outself-prediction. (shrink)

In Morals by Agreement, David Gauthier tries to provide a justification of morality from morally neutral premises within the constraints of an instrumental conception of reason. But his reliance on this narrow conception of reason creates problems, for it suggests that moral motivation is self-interested. However, Gauthier holds that to act morally is to act for the sake of morality and others, not oneself. An individual who so acts has what he calls an affective capacity for morality. He attempts to (...) reconcile the tension between the self-interested account of moral behaviour and the affective capacity for morality by showing that the latter could develop from the former without violating the constraints of instrumental rationality. I argue, first, that his account is incomplete and assumes what it has to demonstrate; and, second, that this cannot be remedied with any plausibility. Finally, I argue that Gauthier covertly relies on a substantive claim about human good that is inconsistent with the instrumental conception of reason. (shrink)

This chapter provides a high-level introduction to the topic of propaganda. We survey a number of the most influential accounts of propaganda, from the earliest institutional studies in the 1920s to contemporary academic work. We propose that these accounts, as well as the various examples of propaganda which we discuss, all converge around a key feature: persuasion which bypasses audiences’ rational faculties. In practice, propaganda can take different forms, serve various interests, and produce a variety of effects. Propaganda can aim (...) to affect not only audiences’ beliefs and attitudes, but also their emotions and moods, and in turn how audiences subsequently reason or act. While propaganda is often thought of as false or misinformation, it can instead involve framing effects (“The war on drugs”), covert messaging (“There are Muslims among us”), emotionally charged slogans (“Make America Great Again”), or myths (“The American dream”). These forms of propaganda mislead audiences, not by introducing false information, but by making some beliefs and values, rather than others, salient. In fact, propaganda can even employ straightforwardly true claims (again, as in “There are Muslims among us”) and seemingly objective bureaucratic reports (“Crime has risen 4.2%”). To understand how these and other mechanisms enable propaganda to persuade by arational means, further study is needed. To that end, throughout the chapter we identify a number of places where the study of meaning and communication can help elucidate propaganda, as well as the places where propaganda issues challenges for the study of meaning. (shrink)

The Hungarian émigré Imre Lakatos earned a worldwide reputation through the influential philosophy of science debates involving Thomas Kuhn, Paul Feyerabend, and Sir Karl Popper. In _Imre Lakatos and the Guises of Reason_ John Kadvany shows that embedded in Lakatos’s English-language work is a remarkable historical philosophy rooted in his Hungarian past. Below the surface of his life as an Anglo-American philosopher of science and mathematics, Lakatos covertly introduced novel transformations of Hegelian and Marxist ideas about historiography, skepticism, criticism, and (...) rationality. Lakatos escaped Hungary following the failed 1956 Revolution. Before then, he had been an influential Communist intellectual and was imprisoned for years by the Stalinist regime. He also wrote a lost doctoral thesis in the philosophy of science and participated in what was criminal behavior in all but a legal sense. Kadvany argues that this intellectual and political past animates Lakatos’s English-language philosophy, and that, whether intended or not, Lakatos integrated a penetrating vision of Hegelian ideas with rigorous analysis of mathematical proofs and controversial histories of science. Including new applications of Lakatos’s ideas to the histories of mathematical logic and economics and providing lucid exegesis of many of Hegel’s basic ideas, _Imre Lakatos and the Guises of Reason_ is an exciting reconstruction of ideas and episodes from the history of philosophy, science, mathematics, and modern political history. (shrink)

.... The strategy I have defended involves drawing a distinction between those who can and cannot legitimately hold an agent responsible in circumstances when the agent is being covertly controlled (e.g. through implantation processes). What is intuitively unacceptable, I maintain, is that an agent should be held responsible or subject to reactive attitudes that come from another agent who is covertly controlling or manipulating him. This places some limits on who is entitled to take up the participant stance in relation (...) to agents who are rational self-controllers but nevertheless subject to covert control.26 In this way, what is compromised by conditions of covert control is not the responsibility of the agent as such. It is, rather, the participant stance of those other agents who covertly control him. Clearly it is possible to establish these specific limits on who can hold these agents responsible without denying that the agents themselves remain free and responsible. When we take this approach we will find that we are no longer faced with an unattractive choice between simply “biting the bullet” or having to “spit it out”. All we need to do is chew carefully, until there is nothing left that we find too hard to swallow. (shrink)

Nanomedicine plays a prominent role among emerging technologies. The spectrum of potential applications is as broad as it is promising. It includes the use of nanoparticles and nanodevices for diagnostics, targeted drug delivery in the human body, the production of new therapeutic materials as well as nanorobots or nanoprotheses. Funding agencies are investing large sums in the development of this area, among them the European Commission, which has launched a large network for life-sciences related nanotechnology. At the same time government (...) agencies as well as the private sector are putting forward reports of working groups that have looked into the promises and risks of these developments. This paper will begin with an introduction to the central ethical themes as identified by selected reports from Europe and beyond. In a next step, it will analyse the most frequently invoked ethical concerns–risk assessment and management, the issues of human identity and enhancement, possible implications for civil liberties (e.g. nanodevices that might be used for covert surveillance), and concerns about equity and fair access. Although it seems that the main ethical issues are not unique to nanotechnologies, the conclusion will argue against shrugging them off as non-specific items that have been considered before in the context of other biomedical technologies, such as gene therapy or xenotransplantation. Rather, the paper will call on ethicists to help foster a rational, fair and participatory discourse on the different potential applications of nanotechnologies in medicine, which can form the basis for informed and responsible societal and political decisions. (shrink)

Kant claimed that human beings have no duties to animals because they are not autonomous ends in themselves. I argue that Kant was wrong to exclude animals from the realm of moral consideration. Animals, although they do not set their own ends and thus cannot be regarded as ends in themselves, do have ends that are given to them by nature. As beings with ends, they stand between mere things that have no ends, and rational beings that are ends in (...) themselves. I propose a broader version of Kant's kingdom of ends, in which rational beings respect the ends of all other beings that have them, including animals. The moral status of animals would still be dependent on the existence of rational beings, but our duty to take their ends into account would be a direct duty to them, rather than being a covert duty to human beings. (shrink)

In this chapter, mixed with moral psychology and ethics, I explore the topic of manipulation by analyzing “Orange Is The New Black” season two antagonist, Yvonne “Vee” Parker. I claim that Vee is a master manipulator. I begin by laying out several definitions and features of manipulation. Definitions include covert influence, non-rational influence, the effect of non-rational influence, and intentionally making someone or altering a situation to make someone succumb to weaknesses. Features include trust, deception, emotion, false belief, and (...) vulnerability. I argue that although philosophers (Anne Barnhill, Robert Noggle, and Colin McGinn) are divided on what manipulation is because not all definitions and features fit all cases, I claim that Vee’s actions fit them all. I then attempt to explore what is bad and possibly good about manipulation. I examine if excellence alone is what makes manipulation good or should we take into consideration the autonomy denied the listener, the vices employed, and the bad consequences that arise from manipulation. I conclude with offering up suggestions on how one can guard themselves against manipulators. (shrink)

For over a decade neuroscience has uncovered that appropriate decision-making in daily life decisions results from a strong interplay between cognition and covert biases produced by emotional processes. This interplay is particularly important in social contexts: lesions in the pathways supporting these processes provoke serious impairments on social behavior. One important mechanism in social contexts is empathy, fundamental for appropriate social behavior. This paper presents arguments supporting this connection between cognition and emotion, in individual as well as in social (...) contexts. The central claim of this paper is that biologically inspired cognitive architectures ought to include these mechanisms. A taxonomy of computational models addressing emotions is presented, together with a brief survey of the research published in this area. The Prisoner Dilemma game is used as a case study exposing the trade-off between individual rationality and cooperative behavior. Experiments using a simple implementation of empathy and emotion expression, employing an Iterated Prisoner Dilemma setup, illustrate the emergence of a cooperative behavior mutually beneficial for both players. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Right Thing to DoJane RogersIn stark contrast to getting my graduate degree in bioethics in which I discovered that I am inclined to favor an ethics based on my religious beliefs, in nursing school I learned that I had to take my religion out of nursing care. As a bioethics student, I read in my textbook, Bioethics: A Systematic Approach, that “… just because an action is rationally (...) allowed does not mean that everyone agrees one ought to act in that way.” Yet often in nursing I found that we nurses knew what was best for our patients, even if they did not. At least, we believed that we did. This general paternalistic belief spread into every area of the care we gave except for one, and that was religion. [End Page 208]As student nurses, we learned to separate our religion from our care to focus on the patient’s religion or spiritual needs. Our patients should never know of our religious beliefs or even if we had a lack of them. We needed to be completely neutral on all religious issues and focus solely on the patient’s preference. If our patients needed spiritual care, we would find someone to provide it and we would incorporate it into the nursing plan of care. Providing care of the whole patient including their religious needs was the definition of a good nurse. Certainly I wanted to be a good nurse, so I swore I would always include the spiritual needs of my patients as part of my care, while never expressing my own.As fate would have it, as a new nurse I found myself overwhelmed running around just trying to give medications, admit and discharge patients, start IV’s, insert catheters, note doctor’s orders and get my charting done. My time was engaged in trying to calm confused and combative patients, running to grab an emesis basin for a patient to throw up in or answering the phone, so thinking about religion or spiritual care for my patients most of the time amounted to “God help me and my patients get through this shift.” My goal of being a good nurse was starting to look dismal as I realized I had no idea if I could find the time or means and ways to incorporate religion into the care I gave, or if it even mattered if I did.Fortuitously for me, most of my patients never mentioned religion, although at times they did leave some nonverbal clues. I could see a rosary laying on a bedside table or a bible or prayer book next to them in bed. While I would make sure their religious item was always within reach, I remained respectful yet distant in religious matters, never offering any spiritual care or assistance. I was quite accepting of my first Mormon patient wearing the garment under the traditional hospital gown. I was appalled when an unconscious Jehovah Witness patient was nearly given blood. When a minister or priest came to visit, I’d excuse myself quickly so that the work of their God could do what I could not or should not do. Occasionally I was asked by family members to call in a minister or a priest or chaplain and I did that with a great feeling of satisfaction as I was surely providing the spiritual care they requested.Eventually however I did start to indulge in highly spontaneous and random acts of religion. These were always done secretly. The patient or family must never know. Thinking it would help I once covertly gave a patient a special rosary I had with Lourdes water in it thinking it might heal him. I waited to see a miracle. It never came. Despite the absence of that miracle I was still hopeful that perhaps my prayers or another rosary could heal or at least help some of my patients. After all, as a nurse I witnessed lots of healings that astounded me. People I never thought would get better sometimes did anyway.Although I was cognizant that some healing was the direct result of superb medical intervention and excellent nursing care, there were always... (shrink)

In this dissertation, I examine the development of autonomy in the philosophical works of Kant, Nietzsche, and Heidegger. After outlining the centrality of this development to what I call, following Robert Pippin, "philosophical modernity," I show that the figure of genius described in Kant's third Critique becomes the model for the "aesthetic" versions of autonomy articulated by Nietzsche and Heidegger under the names of "sovereignty" and "authenticity" respectively. According to these more recent formulations, autonomy is not understood as rational self-legislation, (...) but as a quasi-artistic "self-creation." Moreover, in each of these versions of aesthetic autonomy, I claim that in spite of a disavowal of mimesis understood in a Platonic sense, an implicit reliance is placed upon the operations of a "higher" sense of mimesis, a mimesis of freedom, that enables autonomy to be exemplified and, paradoxically, "imitated." For Kant, this mimesis of freedom accounts for both the continuity and discontinuity of art-historical traditions. In Nietzsche and Heidegger, however, this covert deployment of mimesis has implications for our understanding of historicity more generally, and the relationship between history and modernity in particular. After showing what these implications are, I comment on the problems and limits of "aesthetic autonomy," especially when it is understood politically or collectively, and utterly decoupled from any moral constraints. (shrink)

In the last published round of his debate with Walter Block on economic methodology,1 Bryan Caplan introduces Bayes’ Rule as ‘a cure for methodological schizofrenia’. Block had raised the question ‘Why do economists react so violently to empirical evidence against the conventional view of the minimum wage’s effect?’ and answered it with the suggestion that economists do so because they are covert praxeologists. This means that they base most of their economic arguments on conclusions derived from their a priori (...) understanding of human action, although, as methodologists, they prefer to maintain that their arguments are merely appropriately qualified generalisations of empirical observations. Against this, Caplan maintained that neoclassical economists are Bayesians with some strong prior beliefs, which lead them to ascribe low probability to any statement that goes against the strongly held consensus. Presumably, there is such a strongly held consensus with respect to the minimum wage effect. Caplan concluded that ‘[t]he Bayesian position stakes out a compelling middle ground between atheoretical positivism and praxeology. On the one hand, the Bayesian view emphasizes that few propositions are known with certainty, and that we should adjust our probabilities as new information comes in. On the other hand, the Bayesian view recognizes that the rational view is not an average of past empirical findings, much less a naïve faith in the last prominent study.’ Caplan’s references to Bayes should be considered carefully before we accept that Bayesianism makes for a middle ground—let alone a compelling one— between positivism and praxeology. The image of a middle ground may be soothing, but it is no more than a metaphor. Whether it makes sense in this context, is an altogether different matter. (shrink)

El 27 de septiembre de 1943, Hans-Georg Gadamer publicó un breve pero significativo ensayo en el periódico conservador Leipziger Neueste Nachrichten und Handels-Zeitung, titulado “Wissenschaft als Beruf. Über den Ruf und Beruf der Wissenschaft in unserer Zeit”. El artículo, que recuperaba en medio de la Segunda Guerra Mundial el problema del valor y posición de la ciencia y la filosofía, nunca fue reimpreso en su obra completa, ni en los diez tomos editados por la editorial Mohr Siebeck ni tampoco por (...) separado en libros o revistas. Debido a su relevancia filosófica, política e histórica, se ofrece aquí, en primer lugar, una introducción crítica al contexto y principales contenidos de este texto, especialmente por medio del análisis de su confrontación con la actualidad a través de referencias explícitas e implícitas a la conferencia Wissenschaft als Beruf de Max Weber de 1917. En segundo lugar, se ofrece aquí su primera traducción del alemán al castellano.// This article introduces the first Spanish translation of Hans-Georg Gadamer’s overlooked 1943 essay Wissenschaft als Beruf. Über den Ruf und Beruf der Wissenschaft in unserer Zeit. Engaging Max Weber’s seminal 1917 lecture Wissenschaft als Beruf, Gadamer criticizes the bureaucratization and instrumentalization of modern science, recovering the question of research’s value amidst World War II’s catastrophes and National Socialism’s totalitarian rule. Never reprinted in Gadamer’s complete works, the text articulates an early critique of technocratic rationalization, affirming science’s need to reclaim its originary mission. By analyzing Gadamer’s confrontation with the present through overt and covert references to Weber, the introduction situates the essay’s historical and intellectual backdrop, develops its core arguments and traces echoes in Gadamer’s later works addressing contemporary challenges. This first Spanish translation unveils a forgotten text where Gadamer confronts modern science’s distortion, calling for the recovery of its existential and cultural meaning. (shrink)

It has often been held that human beings have worth and dignity because they are rational. But "reason" has meant different things to different philosophers. I argue that given what is meant by reason (practical reason) in economics, Decision theory and much moral philosophy, It is doubtful that rationality entitles a being to any special status at all. Moreover, And more generally, All historical appeals to reason to ground such claims are covert appeals to some more specific set of (...) human capacities. The move from reason to rights, Then, Rests on certain assumptions about the good. (shrink)

In Manipulated Agents: A Window to Moral Responsibility, Alfred Mele invokes radical reversal cases in which one agent is covertly manipulated to be just like another agent in relevant respects to defend a version of the following “externalist” thesis: how agents acquire their springs of action, such as desires and beliefs, bears on whether they are morally responsible for their actions. I assess proposed rationales for the crucial verdict that agents in such cases are not responsible for their germane actions. (...) I argue for the superiority of Mele’s rationale and propose that these cases also support accepting an externalist constraint on other normative appraisals, such as those of practical rationality. Key words: Moral obligation; practical rationality; radical reversal cases; ultimate origination; zygote argument. (shrink)

The article begins with an overview of the historic moment of ?the end of the Cold War?, and of the paradoxically deepening moral, social, and environmental problems posed by the military system. It demonstrates that historical and contemporary analyses of defence and war have dogmatically presupposed the military paradigm, and have therefore failed to recognize the self?reproducing structure of covert premisses and inferences upon which it rests. In laying bare this underlying system of unreason, the analysis demonstrates that the (...) military paradigm's ultimately self?contradictory concepts of ?security? and ?defence? repose on unstated interests of social and political rule. Proposing new distinctions between pathological and life?enabling forms of war, and between guilty and innocent combatants, the argument develops alternative, non?military principles of war to guide rational and moral agency. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Fate of Eloquence in the Age of HumeVicki J. SappThe Fate of Eloquence in the Age of Hume, by Adam Potkay; xii & 253 pp. Ithaca: Cornell University Press, 1994, $36.95.With the memory still fresh of Jerome Christensen’s Practicing Enlightenment, I experienced no small anxiety on reading Adam Potkay’s first acknowledgment, to Prof. Christensen and his “provocative seminar” on Hume. I finished a third of The Fate (...) of Eloquence in the Age of Hume before the overt nod, when Potkay spotlights the essayist Hume’s appeal to a female readership: “Within this doux commerce, the figures of classical eloquence are entirely too priapic—too ‘swelling... monstrous and gigantic’—to be admitted” (p. 75). However, Hume’s self-castration wound is mercifully left unprobed, and the priapus doesn’t come up again until Potkay’s own prosopopoeia, “ancient eloquence’s priapic energy” (p. 158). Although he follows Christensen’s equation of polite letters with effeminacy, Potkay treats gender more materially than metaphorically. Although attending to his poststructuralist debts with such observations as “Hume, the unmoved mover, observes the spiritual implosion of one whose passions cannot, like his own, be alleviated through voyeurism” (p. 125), Potkay ultimately fulfills his promise to draw his insights from “a history of eighteenth-century reading and reception” (p. 22). In a clear prose he conveys his focused argument, about “the fate of eloquence” in the modern [End Page 244] reconfiguration of society, through a variety of illustrations; as a result, the book has broad appeal to readers interested in literary contexts of rhetoric, gender, and culture.Situating Hume as the center of shared interest and assumption, Potkay defines an “Age of Hume,” a constellation of writers responding to and producing a tension between an ideal of classical eloquence and modern codes of politeness. Boldly establishing this tension “as the characteristic theme of the era,” Potkay makes a compelling case for politeness as the primary means of class stratification for emergent capitalist society. (Paul Fussell has also applied an eighteenth-century literary mind to contemporary sociology in his Class: A Guide Through the American Status System.) In his epilogue, Potkay brings his thesis home, to the ironies of academic publishing elitism and the “peculiarly American commitment to civic equality.”Several ruling assumptions guide Potkay’s treatment of the eloquence/politeness dualism. Reading high-canon writers and moral philosophers, Potkay defines eighteenth-century Britain as an age “that does not want its passions inflamed” and suspects eloquence of aiming to seduce the masses with rhetorical figures and physical gesture. Equated with popular government, eloquence threatens to manipulate “our untutored responses”—passions unmediated by moral and social education—within an exclusively “masculine” political economy. Echoing Christensen, Potkay finds “a characteristic irony” of the new “sentimental commerce” in the “polite restraint of the sexual passions that covertly fuel it” (p. 147). Writers must adapt to the paradigm shift of a new commercial and literary economy which included a sentimental ideal of woman as social sovereign—a model of polite literacy and civility which Hume described in his initial piece, “Of Essay Writing.”Potkay diffuses his gender-based thesis over a broad political and philosophical perspective. Politeness redressed the conflict between masculine populism (Bolingbroke) and effeminate luxury (Walpole) and “served to compensate for virtue lost through commercial progress” (p. 194). Potkay points out the ultimately political association of eloquence with vulgarity: savages, children, and the insane speak a language “thought to abound in figures”—a convenient habit in those whom a ruling class would exclude from “mature, rational discourse” (p. 68). (Here, Potkay elides the more complex “woman” from the above marginalia, for immediate reasons of either obviousness or neatness.)On the philosophical front Hume variously affirmed and problematized a “topos of eloquence as error.” Treatise-lovers may regret that he simmered this passionately figurative text down into the duller and drier Enquiries in order to fulfill a polite—and commercial—demand for the replacement of oral with written culture, of emotional gesticulation with “rationality, abstraction, logic” (p. 63). Potkay’s arguments suggest a ruling irony in this paradigm-shift: the association of eloquence (masculine) with emotionalism and politeness (feminine) with rationality and... (shrink)

The term 'covert mixed quotation' describes cases in which linguistic material is interpreted in the manner of mixed quotation — that is, used in addition to being mentioned — despite the superficial absence of any commonly recognized conventional devices indicating quotation. After developing a novel theory of mixed quotation, I show that positing covert mixed quotation allows us to give simple and unified treatments of a number of puzzling semantic phenomena, including the projective behavior of conventional implicature items (...) embedded in indirect speech reports and propositional attitude ascriptions, so-called 'c-monsters,' metalinguistic negation, metalinguistic negotiation, and 'in a sense' constructions. (shrink)

Research suggests that the explicit reasoning we offer to ourselves and to others is often rationalization, that we act instead on instincts, inclinations, stereotypes, emotions, neurobiology, habits, reactions, evolutionary pressures, unexamined principles, or justifications other than the ones we think we’re acting on, then we tell a post hoc story to justify our actions. This is troubling for views of moral progress according to which moral progress proceeds from our engagement with our own and others’ reasons. I consider an account (...) of rationalization, based on Robert Audi’s, to make clear that rationalization, unlike simple lying, can be sincere. Because it can be sincere, and because we also have a desire to be consistent with ourselves, I argue that rationalization sets us up for becoming better people over time, and that a similar case can be made to explain how moral progress among groups of people can proceed via rationalization. (shrink)

This book is a comprehensive, analytical study of the way the mind/body dichotomy has perpetuated social hierarchy on the basis of gender. It challenges the tradition of dualism and argues that the term “rational woman” is not a contradiction in terms. Having investigated the two major dualisms contained in the term “rational woman”, the author develops an argument for a new relational conception of all the terms involved in “rational woman”, emphasizing the relationship of interdependence of reason and emotion, man (...) and woman, rather than placing these terms in hierarchical and polarized opposition. (shrink)

The discussion about deep disagreement has gained significant momentum in the last several years. This discussion often relies on the intuition that deep disagreement is, in some sense, rationally irresolvable. In this paper, I will provide a theory of rationally irresolvable disagreement. Such a theory is interesting in its own right, since it conflicts with the view that rational attitudes and procedures are paradigmatic tools for resolving disagreement. Moreover, I will suggest replacing discussions about deep disagreement with an analysis of (...) rationally irresolvable disagreement, since this notion can be more clearly defined than deep disagreement and captures the basic intuitions underlying deep disagreement. I will first motivate this project by critically assessing the current debate about deep disagreement. I then detail the notions of rationality and resolvable disagreement which are crucial for a suitable theory of rationally irresolvable disagreement before sketching various instances of rationally irresolvable disagreement. Finally, I argue for replacing theories of deep disagreement with theories of rationally irresolvable disagreement, an approach that has significant advantages over existing theories of deep disagreement which focus on hinge propositions or fundamental epistemic principles. (shrink)

According to the author of "After Virtue, " to flourish, humans need to develop virtues of independent thought and acknowledged social dependence. This book presents the moral philosopher's comparison of humans to other animals and his exploration of the impact of these virtues.