From a twenty-first century partnership between bioethics and neuroscience, the modern field of neuroethics is emerging, and technologies enabling functional neuroimaging with unprecedented sensitivity have brought new ethical, social and legal issues to the forefront. Some issues, akin to those surrounding modern genetics, raise critical questions regarding prediction of disease, privacy and identity. However, with new and still-evolving insights into our neurobiology and previously unquantifiable features of profoundly personal behaviors such as social attitude, value and moral agency, the difficulty of (...) carefully and properly interpreting the relationship between brain findings and our own self-concept is unprecedented. Therefore, while the ethics of genetics provides a legitimate starting point - even a backbone - for tackling ethical issues in neuroimaging, they do not suffice. Drawing on recent neuroimaging findings and their plausible real-world applications, we argue that interpretation of neuroimaging data is a key epistemological and ethical challenge. This challenge is two-fold. First, at the scientific level, the sheer complexity of neuroscience research poses challenges for integration of knowledge and meaningful interpretation of data. Second, at the social and cultural level, we find that interpretations of imaging studies are bound by cultural and anthropological frameworks. In particular, the introduction of concepts of self and personhood in neuroimaging illustrates the interaction of interpretation levels and is a major reason why ethical reflection on genetics will only partially help settle neuroethical issues. Indeed, ethical interpretation of such findings will necessitate not only traditional bioethical input but also a wider perspective on the construction of scientific knowledge. (shrink)

In this engaging study, Sean Illing examines the impact of Fyodor Dostoevsky and Friedrich Nietzsche on the development of Albert Camus's political philosophy. It innovatively attempt to offer a substantive examination of Camus's dialogue with Nietzsche and Dostoevsky. The connections among these writers have been discussed in the general context of modern thought or via overlapping literary themes. This project emphasizes the political dimensions of these connections. In addition to re-interpreting Camus's political thought, the aim is to clarify Camus's struggle (...) with transcendence and to bring renewed attention to his unique understanding of the relationship between nihilism, ideology, and political violence in the twentieth century. The book focuses on Camus's dialogue with Nietzsche and Dostoevsky for three reasons. First, these are the thinkers with whom Camus is most engaged. Indeed, the problems and themes of Camus's work are largely defined by Dostoevsky and Nietzsche; a full account of this dialogue will therefore enhance our understanding of Camus while also reinforcing the enduring importance of Nietzsche and Dostoevsky. Second, it allows a recasting of Camus' political philosophy as both a synthesis of and a response to Nietzsche and Dostoevsky's projects. Finally, this approach allows for a reassessment of Camus's broader political significance, which I contend has been undervalued in the literature. Ultimately, I argue that Camus remains among the most important moral and political voices of the twentieth century. Although limited, his philosophy of revolt offers a humane portrait of justice and articulates a meaningful alternative to the extremes of ideological politics. (shrink)

Deep brain stimulation (DBS) represents a promising new frontier in medicine and neuroscience for managing disorders of mental health that represent an enormous burden of disease on our societies. The caution and significant restraint of leaders in the evolution of DBS today stand in sharp and refreshing contrast to previous episodes in history. In embracing the anticipatory and pragmatic problem-solving approach of neuroethics to clinical neuroscience, four significant paradoxes for DBS today come to the fore: caution and innovation, capacity and (...) allocation of resources, notions of wellness and disease, and the high-stakes/high-benefit imperative of communicating about science. Tackling these paradoxes is the focus of this article. (shrink)

The application of neuroimaging technology to the study of the injured brain has transformed how neuroscientists understand disorders of consciousness, such as the vegetative and minimally conscious states, and deepened our understanding of mechanisms of recovery. This scientific progress, and its potential clinical translation, provides an opportunity for ethical reflection. It was against this scientific backdrop that we convened a conference of leading investigators in neuroimaging, disorders of consciousness and neuroethics. Our goal was to develop an ethical frame to move (...) these investigative techniques into mature clinical tools. This paper presents the recommendations and analysis of a Working Meeting on Ethics, Neuroimaging and Limited States of Consciousness held at Stanford University during June 2007. It represents an interdisciplinary approach to the challenges posed by the emerging use of neuroimaging technologies to describe and characterize disorders of consciousness. (shrink)

Supply-side interventions such as prescription drug monitoring programs, “pill mill” laws, and dispensing limits have done little to quell the burgeoning opioid crisis. An increasingly popular demand-side alternative to these measures – now adopted by 38 jurisdictions in the USA and 7 provinces in Canada — is court-mandated involuntary commitment and treatment. In Massachusetts, for example, Part I, Chapter 123, Section 35 of the state's General Laws allows physicians, spouses, relatives, and police officers to petition a court to involuntarily commit (...) and treat a person whose alcohol or drug abuse poses a likelihood of serious harm. This paper explores the ethical underpinnings of this law as a case study for others. First, we highlight the procedural and substantive standards of Section 35 and evaluate the application of the law in practice, including the frequency with which it has been invoked and outcomes. We then use this background to inform an ethical critique of the law. Specifically, we argue that the infringement of autonomy and privacy associated with involuntary intervention under Section 35 is not currently justified on the grounds of a lack of evidenced benefits and a risk of significant of harm. Further ethical concerns also arise from a lack of standard of care provided under the Section 35 pathway. Based on this analysis, we advance four recommendations for change to mitigate these ethical shortcomings. (shrink)

Advances in neuroscience are changing how mental health issues such as addiction are understood and addressed as a brain disease. Although a brain disease model legitimizes addiction as a medical condition, it promotes neuro-essentialist thinking and categorical ideas of responsibility and free choice, and undermines the complexity involved in its emergence. We propose a “biopsychosocial systems” model where psychosocial factors complement and interact with neurogenetics. A systems approach addresses the complexity of addiction and approaches free choice and moral responsibility within (...) the biological, lived experience and sociohistorical context of the individual. We examine heroin-assisted treatment as an applied case example within our framework. We conclude with a discussion of the model and its implications for drug policy, research, addiction health care systems and delivery, and treatment of substance use problems. (shrink)

Mental health care providers increasingly confront challenges posed by the introduction of new neurotechnology into the clinic, but little is known about the impact of such capabilities on practice patterns and relationships with patients. To address this important gap, we sought providers’ perspectives on the potential clinical translation of functional neuroimaging for prediction and diagnosis of mental illness. We conducted 32 semi-structured telephone interviews with mental health care providers representing psychiatry, psychology, family medicine, and allied mental health. Our results suggest (...) that mental health providers have begun to re-conceptualize mental illness with a neuroscience gaze. They report an epistemic commitment to the value of a brain scan to provide a meaningful explanation of mental illness for their clients. If functional neuroimaging continues along its projected trajectory to translation, providers will ultimately have to negotiate its role in mental health. Their perspectives, therefore, enrich bioethical discourse surrounding neurotechnology and inform the translational pathway. (shrink)

The application of neuroimaging technology to the study of the injured brain has transformed how neuroscientists understand disorders of consciousness, such as the vegetative and minimally conscious states, and deepened our understanding of mechanisms of recovery. This scientific progress, and its potential clinical translation, provides an opportunity for ethical reflection. It was against this scientific backdrop that we convened a conference of leading investigators in neuroimaging, disorders of consciousness and neuroethics. Our goal was to develop an ethical frame to move (...) these investigative techniques into mature clinical tools. This paper presents the recommendations and analysis of a Working Meeting on Ethics, Neuroimaging and Limited States of Consciousness held at Stanford University during June 2007. It represents an interdisciplinary approach to the challenges posed by the emerging use of neuroimaging technologies to describe and characterize disorders of consciousness. (shrink)

I present a dilemma which depressive behavioral pathology poses for both Humean and non-Humean theories of motivation and value. Although the dilemma shows that neither theory can be considered adequate in its standard form, I argue that if the Humean theory is modified so as to embrace a richer notion of satisfaction than it currently does, it can solve the problem which depression poses for it and, thus, the dilemma can be avoided. Embracing a richer notion of satisfaction not only (...) solves this problem, it also extends the scope of the Humean theory in a potentially dramatic way, by extending the explanatory reach of moral psychology to issues often thought to fall outside its scope, namely, issues in moral psychopathology. (shrink)

This paper critically assesses the proposal that scientific realists do not need to search for a solution of the measurement problem in quantum mechanics, but should instead dismiss the problem as ill-posed. James Ladyman and Don Ross have sought to support this proposal with arguments drawn from their naturalized metaphysics and from a Bohr-inspired approach to quantum mechanics. I show that the first class of arguments is unsuccessful, because formulating the measurement problem does not depend on the metaphysical commitments which (...) are undermined by ontic structural realism, rainforest realism, or naturalism in general. The second class of arguments is problematic due to its refusal to provide an analysis of the term "measurement". It turns out that the proposed dissolution of the measurement problem is in conflict not only with traditional forms of scientific realism but even with the rather minimal realism that Ladyman and Ross themselves defend. (shrink)

_The Disordered Mind: An Introduction to Philosophy of Mind and Mental Illness, second edition_ examines and explains, from a philosophical standpoint, what mental disorder is: its reality, causes, consequences, and more. It is also an outstanding introduction to philosophy of mind from the perspective of mental disorder. Revised and updated throughout, this _second edition_ includes new discussions of grief and psychopathy, the problems of the psychophysical basis of disorder, the nature of selfhood, and clarification of the relation between rationality (...) and mental disorder. Each chapter explores a central question or problem about mental disorder, including: what is mental disorder and can it be distinguished from neurological disorder? what roles should reference to psychological, cultural, and social factors play in the medical/scientific understanding of mental disorder? what makes mental disorders undesirable? Are they diseases? mental disorder and the mind–body problem is mental disorder a breakdown of rationality? What is a rational mind? addiction, responsibility and compulsion ethical dilemmas posed by mental disorder, including questions of dignity and self-respect. Each topic is clearly explained and placed in a clinical and philosophical context. Mental disorders discussed include clinical depression, dissociative identity disorder, anxiety, religious delusions, and paranoia. Several non-mental neurological disorders that possess psychological symptoms are also examined, including Alzheimer’s disease, Down’s syndrome, and Tourette’s syndrome. Containing chapter summaries and suggestions for further reading at the end of each chapter, _The Disordered Mind, second edition_ is a superb introduction to the philosophy of mental disorder for students of philosophy, psychology, psychiatry, and related mental health professions. (shrink)

With advances in genetic technology, there are increasing concerns about the way in which genetic information may be abused, particularly in people at increased genetic risk of developing certain disorders. In a recent case in Hong Kong, the court ruled that it was unlawful for the civil service to discriminate in employment, for the sake of public safety, against people with a family history of mental illness. The plaintiffs showed no signs of any mental health problems and no genetic (...) testing was performed. This was the first case concerning genetic discrimination in common law jurisdictions, therefore the court's judgment has implications for how genetic discrimination cases may be considered in the future. The court considered it inappropriate to apply population statistics or lifetime risks to individuals while examining fitness for work. It recommended an individualised assessment of specific risks within the job, relative to other risks posed by that workplace. (shrink)

I examine various claims to the effect that Cantor's Continuum Hypothesis and other problems of higher set theory are ill-posed questions. The analysis takes into account the viability of the underlying philosophical views and recent mathematical developments.

In her recent article “The Ontology of Social Groups”, Thomasson (Synthese 196:4829–4845, 2019) argues that social groups can be characterized in terms of the norms that surround them. We show that according to Thomasson’s normativity-based criterion, the dead constitute a social group, since there are widespread and well-defined social norms as to how to treat the dead, such as the norm expressed in the title (“Speak no ill of the dead”). We argue that the example of the dead must not (...) be interpreted as a counterexample to this criterion, and that, rather, there are good reasons to think of the dead as a genuine social group. Furthermore, the dead as a social group exist, regardless of whether or not the dead (i.e. the members of this social group) exist as persons. This view is clearly incompatible with the idea that social groups can be explained by citing features of their members, which is why we take the case of the dead to pose a challenge for the thesis of individualism. We consider the ontological implications of this example and suggest that social groups ought to be seen as reifications of social norms. Another implication of taking the dead to be a social group is that the presence of external norms is sufficient for the existence of a social group, and therefore internal norms are not necessary. We defend this implication against some potential theoretical and moral problems. (shrink)

Caroline of Ansbach, wife of George II, occupied a crucial position in the public life of early 18th-century Britain. She was seen to exert considerable influence on the politics of the court and, as mother to the Hanoverian dynasty's next generation, she became an important emblem for the nation's political well-being. This paper examines how such emblematic significance was challenged and qualified when Caroline's body could no longer be portrayed as healthy and life giving. Using private memoirs and correspondence from (...) the time of her death in 1737, the paper explores the metaphorical potential of the queen's strangulated hernia, as well as the particular problems it posed for the public image of her dynasty. Through these investigations, the paper will comment upon the haphazard nature of public discussion in the early 18th century, and reveal the complex relationship between political speculation and medical diagnosis. (shrink)

In this article we argue that the worries about whether a consequentialist agent will be alienated from those who are special to her go deeper than has so far been appreciated. Rather than pointing to a problem with the consequentialist agent's motives or purposes, we argue that the problem facing a consequentialist agent in the case of friendship concerns the nature of the psychological disposition which such an agent would have and how this kind of disposition sits with those which (...) are commonly thought proper to relations of friendship. To the extent that we are right, then, the rejoinders which indirect consequentialists have offered to the problem of alienation are ill directed and so do not succeed in meeting the real problem. In articulating what we see as the source of the alienation problem which friendship poses for consequentialism, we also hope to clarify the general distinction between dispositions and motives and to show how certain kinds of guiding internalized normative dispositions help us to define and therefore distinguish between various types of relationships. Undertaking this task may also help to identify some of the crucial issues for an adequate moral psychology of friendship and its place in any plausible ethical theory. (shrink)

A Christian bioethic needs to place the medical approach to sickness, suffering, and death within the context of redemption and the renewal of humanity in the image of God. This can be done by accounting for the way in which the disruptions of the human life-world that attend the illness experience manifest the structure of the problem of evil and point toward an answer that transcends the individual and the medical community. Further, the disease-oriented approach to medicine, when understood in (...) the context of the analogia entis, can be taken as an analogy for a deeper spiritual healing, and can thus become a vehicle through which one can minister to the disruptions of a patient's life-world. An appreciation of the analogical structure of healing provides the basis for a Christian ethic of care. (shrink)

Mental causation comes in different shapes, but certainly one of the most conspicuous instances of mental causation is intentional action – when we do something because we want to do it. At least, most action theorists and philosophers of mind take it for granted that intentional action is an instance of mental causation, since they assume first that desires are mental and second that doing something because one wants to do it is to be accounted for causally. Yet, these philosophers (...) face a well-known problem: it may happen that our desires cause what is wanted without that being an instance of our intentionally doing what is wanted. Prima facie, what is wrong in these cases is that the causal path leading from desires to actions goes ‘wayward’ instead of taking the right track, apt for intentional action. Hence, action theorists have tried to specify the right tracks of action causation. But since this turned out to be an awfully tricky task, the idea came up that the whole enterprise may have been ill-advised from the beginning. As I shall argue, this suspicion is correct. Although the two assumptions leading to the problem of waywardness are true (if understood in the right way), the idea of causal paths connecting desires with actions is wrong and should be replaced by a quite different picture of the causal role of desires in agency: desires and other intentional attitudes are causal powers which are actualized in intentional agency. This alternative picture not only has the advantage of accounting for the notorious cases of waywardness, it also relieves some doubts concerning the conceivability of a causal influence of desires in a world of material causes. However, I shall confine myself to the problem of waywardness. My contribution has twelve sections. In section 1, I sketch a standard story about the way we influence the world, and I mention two well known problems discussed in the theory of action. Sections 2 and 3 present three cases of wayward causal chains that pose a third problem for the standard picture. I shall go on to discuss mainly two of them, cases of so-called basic versus non-basic waywardness (section 4) . To understand what is wayward in these cases one needs to understand the special function of ‘by’-sentences (section 5) and the causal role of intentional attitudes (sections 6-8). Sections 9-11 explain the idea that intentional attitudes are causal powers of agents. As it turns out, this accounts smoothly for the two prime examples, but leaves unaddressed a third kind of wayward causal chains. Section 12 closes with an attempt to extend the account to those cases, too, thereby connecting human agency with freedom. (shrink)

Many statistical problems, including some of the most important for physical applications, have long been regarded as underdetermined from the standpoint of a strict frequency definition of probability; yet they may appear wellposed or even overdetermined by the principles of maximum entropy and transformation groups. Furthermore, the distributions found by these methods turn out to have a definite frequency correspondence; the distribution obtained by invariance under a transformation group is by far the most likely to be observed experimentally, in (...) the sense that it requires by far the least “skill.” These properties are illustrated by analyzing the famous Bertrand paradox. On the viewpoint advocated here, Bertrand's problem turns out to be well posed after all, and the unique solution has been verified experimentally. We conclude that probability theory has a wider range of useful applications than would be supposed from the standpoint of the usual frequency definitions. (shrink)

OBJECTIVE: Questions have been posed about the competence of persons with serious mental illness to consent to participate in clinical research. This study compared competence-related abilities of hospitalized persons with schizophrenia with those of a comparison sample of persons from the community who had never had a psychiatric hospitalization. METHODS: The study participants were administered the MacArthur Competence Assessment Tool for Clinical Research (MacCAT-CR), a structured instrument designed to aid in the assessment of competence to consent to clinical research. The (...) scores of 27 persons who met DSM-IV criteria for schizophrenia who were long-stay patients on a state hospital research ward were compared with those of 24 individuals from the community who were of similar age, gender, race, and socioeconomic status. RESULTS: Significant differences were found between the patients and the community sample on three measures of competence-related abilities: understanding, reasoning, and appreciation. Degree of psychopathology and cognitive functioning were significantly negatively correlated with understanding and appreciation among the patients with schizophrenia. Length of hospitalization was significantly negatively correlated with all measures of decision-making capacities. CONCLUSIONS: The generally poor performance of the long-stay patients with chronic schizophrenia highlights the difficulties this group is likely to encounter in providing consent to research. However, variation across the sample points to the need for individualized assessment and for validated techniques for facilitating decision making in the face of decisional impairments. (shrink)

We study operator equations within the Turing machine based framework for computability in analysis. Is there an algorithm that maps pairs to solutions of Tx = u ? Here we consider the case when T is a bounded linear mapping between Hilbert spaces. We are in particular interested in computing the generalized inverse T†u, which is the standard concept of solution in the theory of inverse problems. Typically, T† is discontinuous and hence no computable mapping. However, we will use (...) effective versions of theorems from the theory of regularization to show that the mapping ↦ T†u is computable. We then go on to study the computability of average-case solutions with respect to Gaussian measures which have been considered in information based complexity. Here, T† is considered as an element of an L2-space. We define suitable representations for such spaces and use the results from the first part of the paper to show that ↦ T† is computable. (shrink)

Each year, millions of individuals in the United States are treated for a variety of serious medical conditions with prescription drugs whose therapeutic benefits are well known. The vast majority of these medications are used to treat medical and psychiatric illnesses. Generally, they are used as prescribed, and contribute to a better quality of life for persons suffering from debilitating or life-threatening disorders.The fact that a small portion of these medications is diverted by those who seek their psychoactive effects raises (...) the important policy issue: how to make drugs easily available for medical use while limiting access for purposes of abuse.Such a responsibility poses challenges very different from those of the so-called “war” on illicit drugs, because this control must be achieved without impeding patients’ access to medical care. A rational public policy would attempt to achieve a balance between the need to minimize abuse and the need to provide relief. (shrink)

Each year, millions of individuals in the United States are treated for a variety of serious medical conditions with prescription drugs whose therapeutic benefits are well known. The vast majority of these medications are used to treat medical and psychiatric illnesses. Generally, they are used as prescribed, and contribute to a better quality of life for persons suffering from debilitating or life-threatening disorders.The fact that a small portion of these medications is diverted by those who seek their psychoactive effects raises (...) the important policy issue: how to make drugs easily available for medical use while limiting access for purposes of abuse.Such a responsibility poses challenges very different from those of the so-called “war” on illicit drugs, because this control must be achieved without impeding patients’ access to medical care. A rational public policy would attempt to achieve a balance between the need to minimize abuse and the need to provide relief. (shrink)

The principle of indifference is supposed to suffice for the rational assignation of probabilities to possibilities. Bertrand advances a probability problem, now known as his paradox, to which the principle is supposed to apply; yet, just because the problem is ill‐posed in a technical sense, applying it leads to a contradiction. Examining an ambiguity in the notion of an ill‐posed problem shows that there are precisely two strategies for resolving the paradox: the distinction strategy and the well‐posing strategy. (...) The main contenders for resolving the paradox, Marinoff and Jaynes, offer solutions which exemplify these two strategies. I show that Marinoff’s attempt at the distinction strategy fails, and I offer a general refutation of this strategy. The situation for the well‐posing strategy is more complex. Careful formulation of the paradox within measure theory shows that one of Bertrand’s original three options can be ruled out but also shows that piecemeal attempts at the well‐posing strategy will not succeed. What is required is an appeal to general principle. I show that Jaynes’s use of such a principle, the symmetry requirement, fails to resolve the paradox; that a notion of metaindifference also fails; and that, while the well‐posing strategy may not be conclusively refutable, there is no reason to think that it can succeed. So the current situation is this. The failure of Marinoff’s and Jaynes’s solutions means that the paradox remains unresolved, and of the only two strategies for resolution, one is refuted and we have no reason to think the other will succeed. Consequently, Bertrand’s paradox continues to stand in refutation of the principle of indifference. (shrink)

This paper focuses on one matter that poses a problem for both human judges and standard probability frameworks, namely the assumption of a unique (privileged) and complete partition of the state-space of possible events. This is tantamount to assuming that we know all possible outcomes or alternatives in advance of making a decision, but it is clear that there are many practical situations in prediction, diagnosis, and decision-making where such partitions are contestable and/or incomplete. The paper begins by surveying the (...) impact of partitions on the choice of priors in formal probabilistic updating frameworks, and on human subjective probability judgements. That material is followed by an overview of strategies for dealing with partition dependence, including considerations of how a rational agent's preferences may determine the choice of a partition. (shrink)

It often seems incorrect to say that psychiatric conditions are diseases, and equally incorrect to say that they are not. This results in what would seem to be an unsatisfactory stalemate. The present essay examines the considerations that have brought us to such a stalemate in our discussions of autism. It argues that the stalemate in this particular case is a reflection of the fact that we need to find the logical space for a position that rejects both positive and (...) negative answers. It then suggests one way in which we might find such space, by applying Michael Dummett’s notion of semantic disharmony. (shrink)

Toulmin’s (1958) model of argument was employed in the analysis of verbal protocols obtained during the solving of ill-structured problems. The participants were experts in the domain under study. For the analysis the Toulmin model was extended in order to enable description of lines of argument found in protocols as long as 10 paragraphs. Results included: (1) That while the protocol was comprised of a large number of specific arguments, the analysis provided for tracing a solver’s line of argument. (...) (2) On occasion datum and backing were difficult to distinguish. (3) Warrants essentially were not stated, although substantial backing was provided. However, as perhaps would be expected, the Toulmin model did not provide for delineation of components of the problem-solving process. A second analysis assuming a “higher level” problem-solving structure and a “lower level” argument structure produced an integrated problem-solving – argumentation structure depicting how reasoning is used in relation to particular task goals. Finally, at a more general level, problem solving was considered as a classical rhetorical structure. (shrink)

In recent years there has been considerable discussion and controversy concerning the concepts of mental health and mental illness. The controversy has centered around the problem of providing criteria for an adequate conception of mental health and illness, as well as difficulties in specifying a clear and workable system for the classification, understanding, and treatment of psychological and emotional disorders. In this paper I shall examine a cluster of these complex and important issues, focusing on attempts to define ‘mental health’ (...) and ‘mental illness’; diverse factors influencing the ascription of the predicates ‘is mentally ill’ and ‘is mentally healthy’; and some specific problems concerning these concepts as they appear in various theories of psychopathology. The approach here will be in the nature of a survey, directed at the specification of a number of problems—conceptual, methodological, and pragmatic—as they arise in various attempts to define and to provide criteria for applying the concepts of mental health and mental illness. (shrink)

Classical models of decision making deal fairly well with uncertainty, where settings are well-structured in terms of goals, alternatives, and consequences. Conversely, the typical ill-structured nature of strategy choices remains a challenge for extant models. Such cases can hardly build on the past, and their novelty makes the prediction of consequences a very difficult and poorly robust task. The weakness of the classical expected utility model in representing such problems has not been adequately solved by recent extensions. In this (...) paper we offer an explanatory coherence model for decision making in ill-structured problems. We model alternatives as sets of concurrent causal explanations of reality that act as justifications for action. According to these premises, choice is based on an evaluation of the internal coherence and the consistency of competing explanations of the available evidence. This model is psychologically grounded on causal inference and builds on the connectionist tradition of explanatory coherence. To illustrate the model, we consider the decision of investing in a new technology and we discuss how changes in the structure of alternatives may impact on the solution. We show how the final choice depends on collecting the relevant evidence, making the suitable hypotheses, and drawing the consistent causal explanations linking the two. (shrink)

As a committee of the National Academy of Engineering recognized, ethics education should foster the ability of students to analyze complex decision situations and ill-structured problems. Building on the NAE’s insights, we report about an innovative teaching approach that has two main features: first, it places the emphasis on deliberation and on self-directed, problem-based learning in small groups of students; and second, it focuses on understanding ill-structured problems. The first innovation is motivated by an abundance of scholarly research (...) that supports the value of deliberative learning practices. The second results from a critique of the traditional case-study approach in engineering ethics. A key problem with standard cases is that they are usually described in such a fashion that renders the ethical problem as being too obvious and simplistic. The practitioner, by contrast, may face problems that are ill-structured. In the collaborative learning environment described here, groups of students use interactive and web-based argument visualization software called “AGORA-net: Participate – Deliberate!”. The function of the software is to structure communication and problem solving in small groups. Students are confronted with the task of identifying possible stakeholder positions and reconstructing their legitimacy by constructing justifications for these positions in the form of graphically represented argument maps. The argument maps are then presented in class so that these stakeholder positions and their respective justifications become visible and can be brought into a reasoned dialogue. Argument mapping provides an opportunity for students to collaborate in teams and to develop critical thinking and argumentation skills. (shrink)

This article is a review of the literature on the subject of how nurses who provide palliative care are affected by ethical issues. Few publications focus directly on the moral experience of palliative care nurses, so the review was expanded to include the moral problems experienced by nurses in the care of the terminally ill patients. The concepts are first defined, and then the moral attitudes of nurses, the threats to their moral integrity, the moral problems that are (...) perceived by nurses, and the emotional consequences of these moral problems are considered in turn. The results show that the moral behaviour of nurses, which is theoretically grounded in commitment to care and to the patient, appears to be shaped by specific processes that lead to engagement or to mental and behavioural disengagement in morally difficult situations. Nurses often appear to fail to recognize the moral dimensions of the problems they experience and also to lack the skills they need to resolve moral problems adequately. Although the findings show that several elements that are beyond the control of nurses, owing to their lack of autonomy and authority, influence their moral experience, intrinsic factors such as feelings of insecurity and powerlessness have a profound effect on nurses’ perceptions and attitudes in the face of moral problems. The moral problems perceived by these nurses are related to end-of-life issues, communication with patients, the suffering of patients, and the appropriateness of the medical treatment. (shrink)

The central aim of the inquiry begun in this text is to reach a semantic characterisationof philosophical discourse, that is, to describe the »language«, or the code, ofphilosophy. This inquiry contains an examination of the views on the nature andpurpose of philosophy held by Immanuel Kant and Ludwig Wittgenstein, but manyother philosophers, semioticians, linguists and literary theorists are brought into thediscussion.In the first part of the text, the view is expressed that, with regard to the peculiarphenomena that characterize philosophy , (...) a theory of philosophy itself is needed, but such that would notitself be caught in the same kind of discourse. Then some methodological restrictionsare introduced: mainly, that the »philosophy« to be dealt with is the classicalcontinental philosophy, which is percieved as a body of texts. The aim of the inquiryis then formulated as the description of the code by which these texts are organized;the method of the inquiry is specified as a deductive-hypothetical one. In the end,an outline of a semantic theory is offered, as a basis for this description.The second part of the text starts the examination of Kant’s and Wittgenstein’sphilosophical views and their views on philosophy. Kant’s theory of knowledge ispresented as one which asserts the primary role of subjective a priori forms whichshape what we know as »reality«, and is therefore opposed to Wittgenstein’s picturetheory of language, where language simply mirrors what is given. The conclusion isreached, however, that both Kant and Wittgenstein propose a parallel dichotomybetween that which can be known/said, and the thing-in-itself or the mystical, andwith regard to this they both claim that the aims of philosophy as seen traditionallymust be reconcieved to a great extent.The inquiry is continued in an another article. (shrink)

Bermúdez identifies the “Interface Problem” as the central problem in the philosophy of psychology: how commonsensical psychological explanations can be integrated with lower-level explanations? In particular, since folk psychology is meant to provide causal explanations on a par with, say, neurobiological explanations, the question of how to understand the relation between the two layers arises naturally. Donald Davidson claimed that the interface problem is actually ill-posed and put forward his version of the “Autonomy Picture”, the view known as anomalous monism. (...) This work reviews Davidson’s proposal in the light of digital universes: we model the key claims of the theory using cellular automata and show that Davidson’s original version of the Autonomy Picture is immune to two arguments against autonomy. (shrink)

In this paper, I focus on a problem related to teleological theories of content namely, which notion of function makes content causally relevant? It has been claimed that some functional accounts of content make it causally irrelevant, or epiphenomenal; in which case, such notions of function could no longer act as the pillar of naturalized semantics. By looking closer at biological questions about behavior, I argue that past discussion has been oriented towards an ill-posed question. What I defend is a (...) Very Boring Hypothesis: depending on the representational phenomenon and the explanatory question, different aspects might be important, and it is difficult to say a priori which ones these might be. There are multiple facets to biological functionality and causality relevant for explaining representational phenomena, and ignoring them will lead to unmotivated simplifications. In addition, accounting for different facets of functionality helps dispense with intuition-based specifications of cognitive phenomena. (shrink)

We examine two very different approaches to formalising real computation, commonly referred to as “Computable Analysis” and “the BSS approach”. The main models of computation underlying these approaches—bit computation and BSS, respectively—have also been put forward as appropriate foundations for scientific computing. The two frameworks offer useful computability and complexity results about problems whose underlying domain is an uncountable space. Since typically the problems dealt with in physical sciences, applied mathematics, economics, and engineering are also defined in uncountable (...) domains, it is fitting that we choose between these two approaches a foundational framework for scientific computing. However, the models are incompatible as to their results. What is more, the BSS model is highly idealised and unrealistic; yet, it is the de facto implicit model in various areas of computational mathematics, with virtually no problems for the everyday practice. This paper serves three purposes. First, we attempt to delineate what the goal of developing foundations for scientific computing exactly is. We distinguish between two very different interpretations of that goal, and on the separate basis of each one, we put forward answers about the appropriateness of each framework. Second, we provide an account of the fruitfulness and wide use of BSS, despite its unrealistic assumptions. Third, according to one of our proposed interpretations of the scope of foundations, the target domain of both models is a certain mathematical structure. In a clear sense, then, we are using idealised models to study a purely mathematical structure. The third purpose is to point out and explain this intriguing phenomenon and attempt to make connections with the typical case of idealised models of empirical domains. (shrink)

This paper revisits the Pasadena game (Nover and Háyek 2004), a St Petersburg-like game whose expectation is undefined. We discuss serveral respects in which the Pasadena game is even more troublesome for decision theory than the St Petersburg game. Colyvan (2006) argues that the decision problem of whether or not to play the Pasadena game is ‘ill-posed’. He goes on to advocate a ‘pluralism’ regarding decision rules, which embraces dominance reasoning as well as maximizing expected utility. We rebut Colyvan’s argument, (...) offering several considerations in favour of the Pasadena decision problem being well posed. To be sure, current decision theory, which is underpinned by various preference axioms, leaves indeterminate how one should value the Pasadena game. But we suggest that determinacy might be achieved by adding further preference axioms. We conclude by opening the door to a far greater plurality of decision rules. We suggest how the goal of unifying these rules might guide future research. (shrink)

What are the prospects for a cognitive science of meaning? As stated, we think this question is ill posed, for it invites the conflation of several importantly different semantic concepts. In this paper, we want to distinguish the sort of meaning that is an explanandum for cognitive science—something we are going to call meaning—from the sort of meaning that is an explanans in cognitive science—something we are not going to call meaning at all, but rather content. What we are going (...) to call meaning is paradigmatically a property of linguistic expressions or acts: what one’s utterance or sentence means, and what one means by it. What we are going to call content is a property of, among other things, mental representations and indicator signals. We will argue that it is a mistake to identify meaning with content, and that, once this is appreciated, some serious problems emerge for grounding meaning in the sorts of content that cognitive science is likely to provide. (shrink)

The very fact that the Gödel sentence $$\mathcal {G}$$ is independent of Peano Arithmetic fuels controversy over our access to the truth of $$\mathcal {G}$$. In particular, does the truth of $$\mathcal {G}$$ $$ ) precede the truth of its numerical instances $$\varphi $$, $$\varphi $$, $$\varphi, \ldots $$, as the so-called standard argument induces one to believe? This paper offers a shift in perspective on this old problem. We start by reassessing Michael Dummett’s 1963 argument which seems to speak (...) in favour of the priority of the truth of the numerical instances of $$\mathcal {G}$$ over the truth of $$\mathcal {G}$$ itself. In opposition to some recent criticisms of Dummett’s argument, we argue that the latter is not reducible to the standard one. We then point out its prototypical nature in the sense individuated by Jacques Herbrand. This shift in perspective brings us to the claim that the controversy over the priority between $$\mathcal {G}$$ and its numerical instances endures only because the problem is ultimately ill-posed. An encompassing moral about the epistemological mechanism of prototype proofs is also drawn. (shrink)

Although it has been largely neglected in contemporary philosophy , the problem of the criterion raises questions which must be addressed by any complete account of knowledge . But the problem of the criterion suffers not onl.

Cognition means different things to different psychologists depending on the position held on the mind-matter problem. Ecological psychologists reject the implied mind-matter dualism as an ill-posed theoretic problem because the assumed mind-matter incommensurability precludes a solution to the degrees of freedom problem. This fundamental problem was posed by both Nicolai Bernstein and James J. Gibson independently. It replaces mind-matter dualism with animal-environment duality -- a better posed scientific problem because commensurability is assured. Furthermore, when properly posed this way, a conservation (...) law is suggested that encompasses a psychology of transactional systems, a biology of self-actional systems, and a physics of interactional systems. For such a solution, a theory of cognition for goal-directed behaviour is needed. A sketch is supplied for how such a theory might be pursued in the spirit of the new physics of evolving complex systems. (shrink)

ABSTRACT What is the ethical significance of the suffering of nonhuman animals? For many, the answer is simple. Such suffering has clear moral significance: nonhuman animal suffering is suffering, suffering is something bad, and the fact that it is bad gives us reason to alleviate or prevent it. The practical problem that remains is how to do this most efficiently or effectively. I argue that this does not exhaust the ethical significance of certain evils, once we consider how the existence (...) of those evils may detract from the meaning of human life, even on fully “naturalistic” conceptions of meaning in life. I will draw a distinction between what I will call “spiritual” problems and “moral” problems and consider why moral philosophers may be well suited to addressing both problems, as long as the domain of the ethical is not taken to be exhausted by the domain of the moral. Finally, I will elaborate on why marking a distinction between these problems—the moral and the spiritual—may help illuminate some disagreements between Utilitarians and their opponents about the ethical significance of the suffering of nonhuman animals. (shrink)