Identity is ordinarily taken to be a relation defined on all and only objects. This consensus is challenged by Agustín Rayo, who seeks to develop an analogue of the identity sign that can be flanked by sentences. This paper is a critical exploration of the attempted generalization. First the desired generalization is clarified and analyzed. Then it is argued that there is no notion of content that does the desired philosophical job, namely ensure that necessarily equivalent sentences coincide in this (...) kind of content, and such pairs of sentences consequently are on a par with respect to metaphysical explanations. (shrink)

Agustín Rayo’s The Construction of Logical Space offers an exciting and ambitious defense of a broadly Carnapian approach to metaphysics. This essay will focus on one of the main differences between Rayo’s and Carnap’s approaches. Carnap distinguished between analytic, a priori “meaning postulates”, and empirical claims, which were both synthetic and knowable only a posteriori. Like meaning postulates, they determine the boundaries of logical space. But Rayo is skeptical that the a priori/a posteriori or analytic/synthetic distinctions can do the work (...) Carnap wanted them to, so unlike meaning postulates, ‘just is’-statements aren’t assumed to be analytic or knowable a priori. This essay will concern the epistemology of ‘just is’-statements in Rayo’s picture. If not by a priori reflection, how can we determine which ones to accept? I’ll distinguish two competing strands in Rayo’s work. The less radical, Lewisian strand holds that the question of whether to accept a ‘just is’-statement can be addressed in a neutral, non-question-begging way, by a kind of cost-benefit analysis. The more radical, Kuhnian strand holds that there can be no ‘just is’-statement-independent, rational choice of which ‘just is’-statements to accept. I argue that Rayo faces strong internal pressure to adopt the Kuhnian picture. While it is possible for Rayo to resist these Kuhnian pressures, natural strategies for doing so leave his view more similar to Carnap’s than the above gloss suggested. (shrink)

This paper is an examination of evidential holism, a prominent position in epistemology and the philosophy of science which claims that experiments only ever confirm or refute entire theories. The position is historically associated with W.V. Quine, and it is at once both popular and notorious, as well as being largely under-described. But even though there’s no univocal statement of what holism is or what it does, philosophers have nevertheless made substantial assumptions about its content and its truth. Moreover they (...) have drawn controversial and important conclusions from these assumptions. In this paper I distinguish three types of evidential holism and argue that the most oft-cited and controversial thesis is entirely unmotivated. The other two theses are much overlooked, but are well-motivated and free from controversial implications. (shrink)

Global health is a concept which in recent years has evoked a lot of interest from both academics, politicians, celebrities, and the media. The term “global health” implies a globally shared responsibility to provide health as a public good through an expansive number of initiatives. This emerging era of consciousness about our international interdependence, regardless of a problem’s geographic location or type of disease, may be a good moment for exploring the strengths and weaknesses of an international law approach to (...) global health challenges: a global health convention.The most prominent global health initiatives are the Millennium Development Goals, the 2005 Paris Declaration Process on Aid Effectiveness on the need for alignment and coordination, and the 2008 Accra High Level Forum on Aid Effectiveness. These instruments have yet to prove their value, and the funds annually disbursed, approximately $25 billion in 2009, could have better effect if the negotiated principles from the PDP and the AHLF were followed. (shrink)

BackgroundHappiness is becoming increasingly relevant in recent research, including adolescents. Many studies are using the single-item measure for adolescent happiness, however, its validity is not well known. We aimed to examine the validity of this measure among adolescents in three countries from distinct European regions – Eastern, Southern, and Western.Materials and MethodsThe analysis included data from Health Behaviour in School-aged Children study from three countries and three last surveys. The total sample comprised 47,439 schoolchildren. For validity, the indicators reflecting subjective (...) health, life satisfaction, quality of life, well-being, social support, health complaints, bullying, and self-directed violence were assessed. The calculations were conducted in the total sample and by gender, age, survey year, and country.ResultsThe different indicators of concurrent and convergent validity revealed consistent correlations with happiness, with better well-being, health, and subjective perceptions being related to higher happiness. Meanwhile, health complaints, bullying behaviors, and self-directed violence were related to lower happiness. The subgroup differences were consistent across gender, age groups, countries, and survey rounds. The extent of differences was more expressed among girls.ConclusionThe single item for adolescent happiness measurement features a consistent pattern of validity concerning indicators of concurrent and convergent validity. Higher self-reported happiness is associated with better mental and physical health and well-being, and less expressed negative factors. In addition, among girls the correlations tend to be stronger than boys. (shrink)

This paper points out a tension between Agustín Rayo's criteria for singulartermhood and his explicit views on the status of Hybrid Identities, that is, identity statements that use singular terms from two different Systems of Representation, such as "7=Julius Caesar" or more suggestively "I am b" where "b" is a singular term referring to my brain. It argues that non-trivial Hybrid Identities are common and important in philosophy and elsewhere, and it suggests a friendly alternative that involves treating Hybrid (...) Identities on the model of Rayo's "Just Is" statements. The last section of the paper points out that even this friendly alternative has counterintuitive consequences when combined with the metaphysical conventionalism that Rayo finds attractive, when it comes to questions of personal identity over time. (shrink)

Is solidarity in bioethics or public health ethics necessary? If so, why? Is there room for a principle of obligatory solidarity in bioethics or in public health ethics? In the first part of this paper, I assess the meaning of the value of solidarity in ethics. In the second part, I propose insights into the republican interpretation of solidarity, or, more correctly, “civic” solidarity. This is crucial to be able to distinguish between different sources of, and justifications for, solidarity, some (...) legitimate and some not legitimate. In the third part of the paper, I apply the republican concept of civic solidarity to the field of bioethics and public health ethics. This is intended to show how civic republicanism can correct both liberal deficiencies and communitarian excesses in bioethics. Civic solidarity is essential to finding this middle way. It is a key concept, considering the challenges that we face as citizens, health professionals and patients. Finally, the paper concludes with a summary and a plan for further research in this area. (shrink)

As the global communication network matures, the systems and procedures for regulating the growing network and its use are being challenged. The general proliferation of services or the specific demand for electronic transactions require guidance and control which the market alone cannot supply. Meanwhile, traditional regulatory regimes remain far from global or coherent. This article distinguishes between coordination and regulation to clarify areas where government intervention is unnecessary and where indispensable. It explores the current patchwork of regulatory approaches, reviews different (...) regulatory areas and strategies, identifies trends, and highlights problem areas particular to electronic commerce and third party protection. (shrink)

There has long been a debate on the possible similarity between some forms of Indian and Greek idealistic monism ( Advaita and Neoplatonism ). After a basic historical introduction to the debate, the text proposes that Paramādvaita , also known as Kashmiri Shaivism , is a more suitable comparandum for Neoplatonism than any other form of Advaita , suggested in the debate. Paramādvaita ’s dynamic view of reality summarized in the terms prakāśa-vimarśa or unmeṣa-nimeṣa , corresponds quite precisely to the (...) viewpoint of Neoplatonism , summarized in the similar bipolar terms such as prohodos-epistrophe . The context of the dynamic nature of reality doctrine is also quite similar ( svataḥsiddhatva, authypostasis ). My arguments are based on the texts of Plotinus and Proclus ( Neoplatonism ) and the texts of Abhinavagupta, Utpaladeva and Kṣemarāja ( Paramādvaita ) . Several parallel doctrines of both systems are further discussed: the doctrine of creative multilevel subjectivity , the doctrine of mutual omnipresence of all in all , the doctrine of creative multilevel speech , and some corresponding doctrines on aesthetic beauty and its important role in the Soul’s return towards its ultimate source. Some implications of the high degree of correspondence between both systems are considered at the end of the paper, for instance whether some similarities of compared systems might be explained on a structural basis, since both schools ware facing similar sceptical critique ( Mādhyamika, Hellenistic scepticism ). (shrink)

Work in Western modernity is production of more than is needed, and regardless of whether the surplus is regulated by the state or reinvested by individual entrepreneurs, the social space that modern work brings to being is inseparable from alienated labor. Paradoxically, work has been also the preferred means for curing alienation. A crucial component of political ideologies, work has played a central role in various totalitarianisms, their social ideas, and political organizations. Fascism, for example, posited work as the essence (...) of man, and with the vision of community in fusion, implemented work as a tool of self-appropriation, collective strength, and expulsion of otherness. Work retained its .. (shrink)

Summary As a divinatory device based on the numerical values of names, onomancy requires a system of letter-number equivalents. In Greek and the Semitic languages, a unique system is used, which consists of ascribing the first nine letters of the alphabet to the units (1–9), the following nine letters to the tens (10–90), and the remaining letters to the hundreds (100-). Given the structural similarities between those languages, the transfer of onomancy between Greek and Semitic cultures does not pose particular (...) problems. Difficulties arise when onomancy is translated into Latin, where there is no such system of letter-number equivalents. This article examines the various solutions put forward by the translators and authors of the earliest Latin onomantic texts of Arabic origin, the so-called Alchandreana. (shrink)

This paper describes a computer simulation of reading that is strongly driven by eye fixation data from human readers. The simulation, READER, is a natural language understanding system that reads a text word by word and whose processing cycles on each word have some correspondence with the human gaze duration on that word. READER operates within a newly developed information processing architecture, a Collaborative, Activation‐based, Production System (CAPS) that permits the modeling of the temporal properties of human comprehension. CAPS allows (...) for concurrent, collaborative execution of processes operating at different levels of analysis. As READER encounters each successive word, the word is operated on by processes at the levels of word encoding, lexical access, syntactic and semantic analysis, and referential and schema‐level processes. Like human readers, READER uses a strategy of immediacy of comprehension, attempting to interpret each word as soon as it is encountered, rather than unnecessarily buffering information. A major contribution of this simulation is its use of human performance characteristics in constraining and determining the model's mechanisms. (shrink)

The purpose of this paper is to present some of the findings (which were reported on more extensively in earlier work) regarding the visibility of gender issues in the literature on selected information and communication technologies (ICTs) with a view to make predictions about potential ethical issues that the application of these ICTs may bring about in the future. On the basis of the analysis of around 100 published sources, which dealt with various aspects of selected ICTs, conclusions have been (...) drawn regarding gender issues and concerns that the applications of these ICTs may cause. The authors' analysis is theoretically informed by critical discourse analysis (CDA) which assumes that texts, both written and spoken, as well as other forms of symbolic representations, are indicative of social practices. Of particular methodological relevance was the survey of methods of text and discourse analysis presented in Titscher et al and especially the application of keyword search as a way to measure the prominence of each investigated method. This approach to literature surveying proved very useful in selecting analytic material: only those published sources on the selected four ICTs have been included in the survey, for which the analysis of keywords, abstracts and indexes of terms indicated authors' interest in gender issues. Findings - First, ICTs such as affective computing, ambient intelligence, and artificial intelligence, have been found to have the potential of positively affecting gender power relations and thus positively affecting gender balance in the areas of labour market related to ICT across EU countries and worldwide. Second, more research on the relationship between gender and ICT design, application and representation is needed, so as to enhance a better understanding of ethical issues resulting from unequal participation of women and men in all aspects of ICT production and implementation, which in itself is an ethical dilemma with which both the ICT business and legislators have to grapple. The paper offers insight into the relationship between the level of attention devoted to particular ICTs by ICT researchers, as evidenced in the reviewed literature, and the likelihood of the application of a particular ICT in the future, which is looked at and assessed from a gender perspective. (shrink)

This paper aims at providing an epistemic defense of democracy based on John Dewey’s idea that democracies do not only find problems and provide solutions to them but they also articulate problems. According to this view, when citizens inquire about collective issues, they also partially shape them. This view contrasts with the standard account of democracy’s epistemic defense, according to which democracy’s is good at tracking and finding solutions that are independent of political will-formation and decision-making. It is also less (...) vulnerable to the criticisms that have been raised against the standard account. To show this, the paper develops a theory of expressive domination and argues that problem-articulation works best when it is inclusive and domination-free. It also shows that democratic conflict represents a fundamental element for problem-articulation. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Rhetoricians Identified:A Call to Interdisciplinary Action and How it Resonated in the Field of RhetoricChristine Isager and Sine Nørholm Just"I actually like this book a lot, but I am not sure how comfortable I am with liking it," wrote William Keith (1995, 488) in a review of the original 1993 edition of Steve Fuller's Philosophy, Rhetoric, and the End of Knowledge (PREK), in which rhetoric is invited to (...) participate in the interdisciplinary reconfiguration of Science and Technology Studies (STS). This hesitant enthusiasm aptly exemplifies how an interdisciplinary invitation is likely to make its addressees squirm as they watch their professional aims being defined and then redefined by a disciplinary outsider who points out a place for them in a novel disciplinary constellation. Moreover, and more specifically, Keith's comment exemplifies how PREK was received by rhetoricians. On the surface, the reviews were glowing. In Philosophy and Rhetoric as well as in Philosophy of the Social Sciences, Keith expressed certain doubts about Fuller's work, but still he described it as "important," "exceptional," "superb" (1996; 1995). In the Quarterly Journal of Speech, Kenneth S. Zagacki called PREK both "excellent" and "exciting" (1995), and he was backed by John Angus Campbell and Keith R. Benson a year later when the same journal included PREK in an omnibus review entitled "The Rhetorical Turn in Science Studies" (Campbell and Benson 1996). Like Alan Gross, who reviewed the book in College English together with a number of works on workplace writing (1994), Campbell and Benson placed PREK at the cutting edge of rhetorical theory.The initial excitement over PREK forms a sharp contrast to the quite negligible impact that the book has had on the field of rhetoric in the decade that has passed since it was first published. In this essay we will undertake a close reading of the book along with the five above-mentioned reviews, looking for an explanation of the peculiar fate that met Steve [End Page 248] Fuller's proposal in the rhetorical disciplinary context. Our conclusion is that on reading the book, rhetoricians felt so flattered by Fuller's confident handling of rhetoric that the task of introducing and applying rhetorical theory in STS seemed, on the whole, to have been done for them. Furthermore, Fuller's attempts to construct a rhetorical agency are subverted by his idiosyncratic, i.e., inimitable, professional approach, which is also reflected in his style of writing. At once presumptuous and colloquial, his rhetoric serves to impress and entertain, but it fails to engage his audience substantially and to enact the interpenetrative stance that was intended to be the hallmark of PREK and that continues to be the commendable chief concern of Steve Fuller and his fellow social epistemologists.Text-Intertext and IdentificationInterdisciplinary invitations or, rather, interdisciplinary inspirational works of science were originally described as a noteworthy rhetorical genre by Leah Ceccarelli (2001). Ceccarelli explores how claims to scientific unity have handled a primary constraint: their multiple audiences. Fuller explicitly positions PREK within the genre of interdisciplinary inspiration by asserting that "the success of this book... should be measured in terms of its ability to persuade philosophers, theoretical humanists and social scientists, STS practitioners, and rhetoricians of science to see each other as engaged in a common enterprise" (1993, xii-xiii). We will not, however, be examining PREK's ability to be strategically opaque (as Fuller puts it), polysemous(Ceccarelli's term), or otherwise adapted to address its multiple audiences. Instead, we focus solely on Fuller's address to rhetoricians and study how he identifies with this particular audience. Ceccarelli recognizes the importance of ethical appeal in interdisciplinary invitations by positing the establishment of both an authoritative and personal authorial persona as a generic criterion. We follow this lead and add a Burkean emphasis on identification.According to Kenneth Burke, identification is a prior condition for persuasion "precisely because there is division" (Burke 1969, 22). The speaker's success depends on his ability to imitate the ways of his audience and to create a common ground or perspective that makes collective action possible. Burke's work allows us to distinguish three rhetorical strategies of identification. The first strategy... (shrink)

By studying several cases of expert systems' use, a variety of difficulties were identified as directly depending on specific characteristics of experts and their tasks. This concerns more than the questions: “May experts be replaced by machines?” or “Is experts' knowledge explicable?”. The organisational structure of their work as well as the cyclic, non-plannable way of their task performing have further relevance. The paper introduces the concept of experts' systems to deal with diversities of their expertise and complexities of their (...) work. It draws a distinction between non-monotonic problem solving, exploration, medium and modification, and argues that these modes are not reducible to yet another improved input/output strategy or dialogue style but introduce additional functions supporting the human-computer interaction according to experts' needs. In the first few sections, the paper covers the theoretical and empirical results of our research, whereas Section 4 introduces our design suggestions for experts' systems. (shrink)

Islamic law employs a classification of acts that divides each into one of five categories, ranging from forbidden to obligatory. When the phonograph became a popular instrument at the end of the nineteenth century, the use of this new machine, which reproduced both the Quran being recited and the song of an unknown woman, had to be categorized. The present article presents the edition for the first time, with translation and analysis, of a fatwa on the permissibility of the phonograph, (...) issued in 1908 by the Meccan scholar ʿAbdallāh Muḥammad Ṣāliḥ al-Zawāwī. Fatwas on phonography by the Indonesian scholar Sayyid ʿUthmān and the later shaykh al-Azhar Muḥammad Bakhīt al-Muṭīʿī are also analyzed. Two European scholars who recorded Quranic phonography are paid attention as well: Christiaan Snouck Hurgronje and Gotthelf Bergsträsser. Their involvement with Quranic sound recording is placed within its historical context. Finally, a short impression is given of what survives of these early recordings. (shrink)

Le « discours philosophique suggestif » ou « style philosophique poétique » est à la fois un procédé d'écriture et un procédé d'exposition conceptuelle par lesquels le philosophe se fait l'émule du poète. Ce style, qui caractérise, selon Lavelle, les plus grands philosophes, est à distinguer du style philosophique « classique ». Celui-ci, abstrait et froid, ne parle qu'à notre intelligence alors que le style philosophique poétique interpelle en même temps notre sensibilité. Il incarne l'Être ou l'Absolu et a vocation (...) non seulement à nous le faire connaître, mais également à nous le faire aimer. The « suggestive philosophical discourse », otherwise « poetic philosophical style » is both a process of writing and a process of conceptual exposition by which the philosopher emulates the poet. This style, which characterizes, according to Louis Lavelle, the best philosophers, is to be distinguished from the « classical » philosophical style. The latter, being abstract and cold, addresses only to our intelligence while « poetic philosophical style » calls at the same time to our sensibility. It embodies the Being or the Absolute and has authority not only to make it known, but also loved. (shrink)

Background: Family members and healthcare providers play an integral role in a person’s assisted dying journey. Their own needs during the assisted dying journey are often, however, unrecognized and underrepresented in policies and guidelines. Circumstances under which people choose assisted dying, and relational contexts such as the sociopolitical environment, may influence the experiences of family members and healthcare providers. Ethical considerations: Ethics approval was not required to conduct this review. Aim: This scoping review aims to identify the relational influences on (...) the experiences of family members and healthcare providers of adults who underwent assisted dying and of those unable to access assisted dying due to the loss of capacity to consent. Methods: A literature search was conducted in four databases, including MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature and PsycINFO. The search retrieved 12,074 articles, a number narrowed down to 172 articles for full-text screening. Thirty-six articles met the established inclusion criteria. A feminist relational framework guided the data analysis. Results: Five key themes on the influences of family members’ and healthcare providers’ experiences throughout the assisted dying process were synthesized from the data. They include relationships as central to beginning the process, social and political influences on decision making, complex roles and responsibilities of family members and healthcare providers, a unique experience of death, and varying experiences following death. Conclusion: The feminist relational lens, used to guide analysis, shed light on the effect of the sociopolitical influences and the relationships among patients, families, and healthcare providers on each other’s experiences. Addressing the needs of the family members and healthcare providers is vital to improving the assisted dying process. Including families’ and healthcare providers’ needs within institutional policies and enhancing collaboration and communication among those involved could improve the overall experience. (shrink)

I advance a pragmatic account of begging the question according to which a use of an argument begs the question just in case it is used as a statement of inference and it fails to state an inference the arguer or an addressee can perform given what they explicitly believe. Accordingly, what begs questions are uses of arguments as statements of inference, and the root cause of begging the question is an argument’s failure to state an inference performable (...) by the reasoners the arguer targets. In these ways, my account is distinguished from other pragmatic accounts. By taking the defect of a question-begging use of an argument to be its failure to state its purported inference, my account highlights in a unique way why question-begging is not an epistemic defect, and why it is not a fallacy, understood as a mistake in reasoning. These points have been made elsewhere, but I believe that their plausibility is enhanced by considering begging the question as nullifying the role of an argument as a statement of inference. Since question-begging uses of arguments fail to state their purported inferences, using an argument in a question-begging-way is not a ratiocinative mistake. This undermines accounts of begging the question that adopt an epistemic approach. (shrink)

Kierkegaard is often regarded as an opponent of metaphysics per se. However, he not only implicitly espouses metaphysical positions, but also his understanding of existence rests upon an explicit metaphysical differentiation between being qua actuality and being qua thought, which results in a difference between actuality (Virkelighed) and reality (Realitet). I begin by analyzing an apparent contradiction between two of Kierkegaard’s statements on the relations between being and thought, which leads me both to inquire into that distinction and to (...) retrace the roots of Kierkegaard’s account. Finally, I present Kierkegaard’s final positions and point out some of their existential consequences. (shrink)

Recent philosophy has seen a resurgence of the realist view of sensible qualities such as colour. The view holds that experienced qualities are properties of the objects in the physical environment, not mentally instantiated properties like qualia or merely intentional, illusory ones. Some suggest that this move rids us of the explanatory gap between physical properties and the qualitative features of consciousness. Others say it just relocates the problem of qualities to physical objects in the environment, given that such (...) qualities cannot be derived from the non-qualitative properties of objects, and it does not resolve the problem of consciousness either. I argue that such an outcome is welcome: if the physical world is full of explanatory gaps, then the mind–body explanatory gap is not so special. Moreover, the explanatory gaps regarding qualities of objects are less puzzling than the brain-qualia gap. In order to counter the usual worries concerning realism about objective qualities, I introduce ‘imperfect realism’ as an alternative to colour pluralism and complex reductionism, which accommodates realism in the face of widespread perceptual error. I conclude with a discussion of how this ‘multiple-gaps view’ sits better with a naturalistic framework compared to the Galilean-Cartesian account of qualities. (shrink)

For more than twenty years, Opinion 6.01 of the American Medical Association's Code of Medical Ethics has specified that “a physician's fee for medical services should be based on the value of the service provided by the physician to the patient.” In 1994, the AMA amended Opinion 6.01, adding a new statement that “a physician's fee should not be made contingent on the successful outcome of medical treatment.”We believe that the amendment is wholly indefensible. Therefore, in this essay, we argue (...) that the AMA should lift this prohibition and encourage the use of result-based compensation for medical services in appropriate circumstances.The 1994 amendment dramatically changed the significance and scope of Opinion 6.01. Result-based compensation arrangements clearly satisfy the original version of Opinion 6.01 because they base compensation on the “value of the services provided … to the patient.” Yet, it is equally clear that result-based compensation arrangements violate the amended version of Opinion 6.01 because they necessarily make compensation “contingent on the successful outcome of medical treatment.”. (shrink)

In Just Freedom, Pettit presents a powerful new statement and defense of the traditional “republican” conception of liberty or freedom. And he claims that freedom can serve as an ecumenical value with broad appeal, which we can put at the basis of a distinctively republican theory of justice. That is, Pettit argues that this “conception of freedom as non-domination allows us to see all issues of justice as issues, ultimately, of what freedom demands.” It is not, however, clear that (...) liberty is the only value that Pettit (a) actually appeals to and (b) should be appealing to. He seems to be as much a defender of relational equality and legal dignity as he is a defender of liberty. And he must either (it seems) make the implausible claim that the basic requirements of justice only apply to able-minded adults, or else admit that justice at bottom consists in something wider than just securing liberty as non-domination for all able-minded adults. For by his own admission, Pettit’s theory of justice as republican freedom “ignores issues of justice in relation to children and the intellectually disabled.” It would be better to say, therefore, that the promotion of freedom as non-domination constitutes one, but not the only, requirement of justice. (shrink)

Performative utterances such as ‘I promise you to φ’, issued under suitable conditions, have been claimed by Austin (1962) to constitute the enactment of something rather than the stating of something. They are thus not to be assessed in terms of truth and falsity. Subsequent theorists have typically contested half of this Austinian view, agreeing that a performative utterance such as ‘I promise you to φ’ is the enactment of a promise, but claiming that it is also a statement to (...) the effect that the promise is issued. I argue that speech-act-theoretically, uttering ‘I promise you to φ’ under suitable conditions is not also the statement that the promise is issued. This is compatible, however, with the fact that semantically, ‘I promise you to φ’ is true just in case my promise to you to φ is issued. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Just Results: Ethical Foundations for Policy AnalysisJames B. Sauer Just Results: Ethical Foundations for Policy Analysis. Ralph D. Ellis. Washington DC: Georgetown University Press, 1998.Editor's note:The following review was written by the late Jim Sauer, who selflessly managed the business of this journal’s forerunner, The Personalist Forum, from 1998 until 2004. Jim was a beloved member of the academic community, known far and wide for his (...) service, his humility, and the upright life he led. This review was written at a time when the journal was being published only sporadically. It was set aside when it should have been published, but it is a privilege to publish it now. In publishing the review, we honor this journal more than we honor Jim, because Jim was better than most of us.This book addresses one of the most significant problems in the field of public policy: how to incorporate qualitative social values into the traditional quantitative models used in policy making. Ellis’s practical argument that qualitative social value, what Ellis calls “the justice factor” (171), can be meaningfully incorporated into cost-benefit models is ambitious and innovative. He delivers admirably on his promise to provide “quantitative methods of measuring justice, so that it can become commensurable with utility in a coherent and rationally defensible decision principle” (2).The argument of the book is tightly organized and clearly presented as befits its relative brevity. Chapters 1and 2 set up the problem of the incommensurability of utility, justice, and procedural legitimacy. In the process, Ellis provides a succinct, articulate, and critical account of five “values systems” (ethical theories) that could easily be used in an introductory ethics class without obscuring the nuances of current debates well-known to philosophers. Ellis shows that at heart of the utility-justice debate there is an underexamined assumption of philosophers and policy analysts that values are incommensurate, which gives by default the field of policy formation to various forms of quantified utilitarianism. Because “happiness” is desired by all people (without prejudging what makes anyone happy) and since happiness can be quantified by reference to willingness to pay for what makes one happy, utilitarianism has commended itself as the only reliable way, adjudicating among values in the pluralistic public sphere. However, this view is not [End Page 127]without problems because there are cases where relatively trivial economic values trump more substantive, though admittedly qualitative, human values such as the right to life, access to basic goods to maintain life, and a reasonably salubrious environment.Ellis carefully examines the arguments for moral subjectivism upon which claims of incommensurability are based. He finds they are not sustainable because it can be demonstrated by rational argument and empirical evidence that there are (1) objectively true value statements and (2) a core of common intrinsic value claims regardless of value system that do not conflict. Thus, there is no incommensurable pluralism of value systems (55) because the divergent extrinsic values of different systems are meant to promote similar intrinsic values (56). So the meaningful conflict among value systems is not about whatshould be valued but howthe things people do value are to be equitably distributed. This debate is not intractable but is, in fact, what debate about policy is about. Whether or not a policy achieves an equitable distribution of value is a social outcome, so what is needed is a means of combining claims for justice with a justifiable and practical means of measuring the outcomes of justice achieved.Chapters 3 and 4 lay out in more detail the problems already set up and provide a method for addressing them. Ellis takes a standard “problems” approach to deal with utilitarianism and rights-based decision-making principles. These chapters, however, are rich because of the extensive literature and concrete cases that Ellis draws on. Ellis’s argument does not head toward an either-or choice between utility or justice as do some standard accounts. Consistent with his setup, he argues for the methodological possibility of weighing conflicting values against each other by giving utility and distributive justice their “appropriate place” in a comprehensive decision principle that he sketches out in chapter... (shrink)

In his widely influential statement of just war theory, Michael Walzer exempts conscripted soldiers from all responsibility for taking part in war, whether just or unjust (the thesis of the moral equality of soldiers). He endows the overwhelming majority of civilians with almost absolute immunity from military attack on the ground that they aren't responsible for the war their country is waging, whether just or unjust. I argue that Walzer is much too lenient on both soldiers and (...) civilians. Soldiers fighting for a just cause and soldiers fighting for an unjust one are not morally equal. A substantial proportion of civilians in a democracy are responsible, to a significant degree, for their country's unjust war. Moreover, under certain (admittedly rare) circumstances, some of them are legitimate targets of military attack. This has bearing on settling moral accounts in the wake of war and the issue of forgiving the wrongs done in its course: possible candidates for such forgiveness are much more numerous than is usually assumed. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Prophetic Evangelicals: Envisioning a Just and Peaceable Kingdom ed. by Bruce Ellis Benson, Malinga Elizabeth Berry, and Peter Goodwin Heltzel, and: Bearing True Witness: Truthfulness in Christian Practice by Craig HoveyGuenther “Gene” HaasReview of Prophetic Evangelicals: Envisioning a Just and Peaceable Kingdom EDITED BY BRUCE ELLIS BENSON, MALINGA ELIZABETH BERRY, AND PETER GOODWIN HELTZEL Grand Rapids, MI: Eerdmans, 2012. 225 pp. $35.00Review of Bearing True Witness: (...) Truthfulness in Christian Practice CRAIG HOVEY Grand Rapids, MI: Eerdmans, 2011. 258 pp. $27.00Christian thought and practice in North America—especially in the evangelical world—has undergone significant changes in recent years. Prophetic Evangelicals and Bearing True Witness deal with two areas where this is evident: first, the attention many evangelicals are now giving to social justice and peace and, second, their determination to witness to the truth about Christ in a manner consistent with the Christian gospel. Prophetic evangelicals is the name the editors apply to a new generation of evangelicals who believe that the gospel of Christ requires a commitment to proclaim and embody “the just and peaceable kingdom” (2). These evangelicals view Jesus as inaugurating “a new social order that is a radical alternative to the order of empire” (7).This trend among evangelicals to move beyond the preaching of the gospel in a narrow sense (over against the liberals’ emphasis on social justice) is the culmination of a trend that has been happening since the publication in 1947 of Carl Henry’s The Uneasy Conscience of Modern Fundamentalism. What is new about many younger evangelicals in recent decades is their embrace of the Anabaptist perspective on justice and peace. It is clear in the introductory and concluding chapters by the editors—with their appeals to John Howard Yoder and Stanley Hauerwas and their references to the “cultural captivity” of the church—that this is the trend they have in mind. One also reads hints of liberation theology in the editors’ references to the needs of the people being “holy” (12), to God’s being on the side of—and the gospel always being in favor of—the “least” (47), and to a critique of “the order of empire” (7). Of course, [End Page 221] non-Anabaptist evangelicals are also concerned with these themes as part of their commitment to justice and peace. But it is the distinctive emphasis of this book—with some exceptions among the contributors—that it highlights the ways Anabaptist evangelicals are prophetic.The chapters consist of expositions on the following biblical themes: creation, shalom, justice, kingdom, news, Mary, the cross, church, freedom, reconciliation, resurrection, and hope. The authors include a wide range of evangelicals: from a Kuyperian (Vincent Bacote on creation) to a committed Anabaptist (David Gushee on shalom), to postcolonial Christians (Gabriel Salguero on the cross, and Raymond Alfred on freedom). Although the term is slippery, the inclusion of two contributors raises the question about who the editors consider to be an “evangelical”: Helen Slessarov-Jamir (on justice) agrees with her students’ desire not to learn theology from “dead white men” (77) and embraces religious pluralism (85); Pamela Lightsey (on reconciliation) embraces liberalism and liberation theology and calls herself a “womanist theologian” (169).The chapters contain a diversity of contributions in length and quality. Some are good, short expositions of themes: creation (Bacote), kingdom (Christian Collins Winn), Mary—actually about suffering—(Ruth Padilla DeBorst), church (John Franke), and resurrection (Cherith Fee Nordling). Gushee’s chapter contains a good exposition of the Anabaptist view of shalom, along with typical sweeping statements about the “Constantinian compromise” and the evangelical compromise with the state (72). Two chapters deserve special recognition. Chris Boesel’s chapter, “News,” is an excellent account of the Christian call to justice as part of the full goodness of the gospel. He criticizes both liberal-progressive and evangelical-conservative assumptions about the church’s mission and calls for a “recovering evangelical faith” that pursues justice with repentance, humility, and a reliance on the Holy Spirit. Telford Work’s chapter, “Hope,” also articulates a perceptive critique of the activism of both the Christian Right and the Christian Left. Rejecting all alignments with worldly power, he calls on the... (shrink)

My aim in this study is not to praise Fischer's fine theory of moral responsibility, but to (try to) bury the “semi” in “semicompatibilism”. I think Fischer gives the Consequence Argument (CA) too much credit, and gives himself too little credit. In his book, The Metaphysics of Free Will, Fischer gave the CA as good a statement as it will ever get, and put his finger on what is wrong with it. Then he declared stalemate rather than victory. In my (...) view, Fischer’s view amounts to sophisticated compatibilism. It would be nice to be able to call it by its right name. In The Metaphysics of Free Will, Fischer develops his own version of Consequence Argument, which turns on two principles, one of which is the fixity of the past. FP: For any action Y, agent S and time t, if it is true that is S were to do Y at t, some fact about that past relative to t would not have been a fact, then S cannot at t do Y at t. I argue that the equipment needed to reject FP (and thereby defend the most plausible version of compatibilism) is needed to deal with the problem of fatalism. In addition, I argue that the rejection of FP is compatible with Fischer’s approach to Frankfurt cases and with his account of transfer principles. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:It's Not Always Just a RashAdam BossertI looked at the emergency department track board and saw a patient waiting for a provider who was "roomed" in a hallway stretcher with a chief complaint of a rash. I briefly considered his ultimate disposition, "He's probably fine. He can't be that sick if he was triaged as safe for the hallway." I was tired and close to the end of (...) an overnight shift and thought he would be a quick turnaround, likely discharged, since rashes are typically benign. I walked over to his stretcher after a quick chart biopsy that highlighted his mildly increased heart [End Page 24] rate on arrival as well as his history of polysubstance use and homelessness."Hey doc, I don't feel so good.""I'm sorry to hear that. What's specifically bothering you?""I am itching all over with these bumps. My skin is red, and I also think I'm withdrawing since I have body aches and chills."The interview continued.I discovered his last heroin use was approximately eight hours prior to arrival. I thought he was an ideal candidate for buprenorphine since he was actively withdrawing. I was recently licensed to prescribe this medication and excited to use my license for the first time. He declined the suggestion, however, preferring methadone instead. Buprenorphine can precipitate withdrawal if not given long enough after opioid use or if an incorrect dose is given; thus, many patients are hesitant to take it. He also stated he was predominantly here for his rash and did not want rehabilitation placement. I ordered our initiation methadone dose as well as a screening COVID-19 test and a urine drug screen test, which are both needed for rehabilitation placement in case he changed his mind.His rash was highly suspicious for scabies. He was covered with red bumps that spared only his face, some in linear distributions, and was actively scratching his arms and legs during the interview. I prefer oral ivermectin over topical permethrin for the homeless population simply for ease of administration, lower cost, and increased compliance. He received ivermectin for his scabies and knew he could return to the emergency department for a repeat dose if he was unable to fill a prescription.What happened next is, in my experience, an all-too-common scenario.The patient told me that the methadone is "doing nothing." I explained he could no longer take buprenorphine since he already received methadone, which only made him more frustrated. Unfortunately, I am restricted with the amount of methadone I can give in the emergency department, largely due to the drug's long half-life, and thus I was unable to give him more, let alone attempt titrating to his tolerance.Opioid withdrawal is not a life-threatening diagnosis; these patients are not typically admitted to the hospital. The management consists of initiating either methadone or buprenorphine, symptomatic treatment and then outpatient referral or rehabilitation placement. I explained the options to him, and he requested to be discharged since he was deferring rehabilitation. He was discharged. I was able to treat his rash but his chronic illness, opioid use disorder, was not controlled.I discharge a patient in opioid withdrawal or who has opioid use disorder almost every day, and I think most emergency medicine physicians would echo that statement. The disposition is not wrong from the perspective of the individual physician, but it feels like the system has failed these patients when I think of the frequency that they return and their baffling risk of overdose. The latter can be reduced by giving patients Narcan, the drug to reverse opioid overdose, upon discharge but this is just placing a bandage over the problem and not all emergency departments can fund this risk-reduction tool.I saw my patient's COVID-19 result return as I wrapped up my shift. It was positive. And, of course, he was in our department's hallway the whole time, only intermittently using his mask. I suddenly realized that while yes, he was withdrawing, he also may have had a symptomatic COVID-19 infection! I quickly reopened his chart, only to... (shrink)

In the current media landscape, it is becoming increasingly difficult for citizens to rely on trustworthy information, not least because reliable facts are mixed with dubious claims, unsubstantiated opinions, or outright lies. The ability to distinguish factual from other types of mediated information is becoming increasingly crucial, but we know little about how well-equipped citizens are to make these distinctions. In an original survey study conducted in ten European countries, we asked respondents whether they considered six different statements relating (...) to the European Union to be factual or opinion statements. Our results show that citizens have considerable difficulties in correctly identifying both factual information and opinions. Next to pre-existing judgements, we identify media-related, political, and sociodemographic factors that influence categorisation accuracy. We discuss our findings in relation to citizens’ perceptions of journalistic credibility and their information literacy as well as ongoing debates about the effectiveness of fact-checkers on social media. (shrink)

Just as the accuracy of scientific theories is best tested in extreme physical conditions, it is advisable to verify the accuracy of a recognized conception of language on its extreme parts. Mathematical statements meet this role, thanks to the notion of truth and proof. Michael Dummett’s anti-realism is an enterprise that has attempted on this basis to question the notion of the functioning of language-based primarily on the principle of bivalence, the truth-condition theory of meaning, and the notion (...) that the speaker must be able to demonstrate his knowledge of meaning publicly. In common language practice, one can observe assertions that we can neither verify nor refute in principle. On these so-called undecidable statements, Dummett tried to show that if we apply the traditional description to them, we inevitably reach paradoxical conclusions. Mathematical statements referring to an infinite number may be examples of these assertions. In the submitted paper, I will present Dummett’s position resulting primarily in a manifestation and acquisition argument, according to which it should not be possible to understand undecidable statements at all. In conclusion, however, I will show that his intention – despite many valuable comments – fails, i.e. that there is a way to avoid both arguments while preserving the realistic description of the language in general. Key words: anti-realism, mathematical statements, meaning, Michael Dummett, truth, truth-condition theory of meaning. (shrink)

The equal political liberties are among the basic first-principle liberties in John Rawls’s theory of Justice as fairness. Rawls insists, further, that the “fair value” of the political liberties must be guaranteed. Disavowing an interest in fair value is what disqualifies welfare-state capitalism as a possible realizer of Justice as fairness. Yet Rawls never gives a perspicuous statement of the reasoning in the original position for the fair-value guarantee. This article gathers up two distinct strands of Rawls’s argument, and presents (...) it in a straightforward sequence. Justice as fairness is contrasted to a competitor political conception of justice that is just like it but without the fair-value guarantee. A schema of the two-strand argument is presented in the Appendix. (shrink)

When Richard Lamm made the statement that old people have a duty to die, it was generally shouted down or ridiculed. The whole idea is just too preposterous to entertain. Or too threatening. In fact, a fairly common argument against legalizing physician-assisted suicide is that if it were legal, some people might somehow get the idea that they have a duty to die. These people could only be the victims of twisted moral reasoning or vicious social pressure. It goes (...) without saying that there is no duty to die. (shrink)

This chapter contains sections titled: Can a Material Thing Think? Tooley's Reply to the Evolutionary Argument against Naturalism.

The distinction has occasioned a long controversy between Carnap and W.V. Quine. The latter distinguishes two sorts of analytic statements: the logical truths, characterized by their remaining true under all reinterpretations of the descriptive terms; and the statements, which reduce to logical truths with the help of definitions or by substitution of synonyms for synonyms. In “Two Dogmas of Empiricism”, he directs his criticism mainly against the latter arguing that the explications so far provided move in a circle, (...) since, in the end, the concept of synonymy is explained in terms of analyticity. He reaches the conclusion that the only form of synonymy not exhibiting this deficiency is that introduced by explicit conventions. But according to him, this procedure is of no avail, because the philosophically interesting content of the general term “analytic in L” cannot be grasped with its help. Carnap’s suggestion of defining a new basic concept “analytic in L0” does not solve the problem since we could just as well designate this with a neutral word, say “K”, thus avoiding the illusion of an explanation. The attempt to define synonymy with the help of semantic rules fails in a similar way: it accomplishes nothing more than to place certain statements under the rubric “Semantic rules” — a notion which is no clearer than the explicandum. Carnap replies that his definition of “analytically true” is given with regard to artificial or formalized languages for which we can determine syntactic and semantic rules in such a way that the concept of truth, in Tarski’s sense, can be applied to them. Analytic statements other than logical truths will thus be distinguished by means of so-called meaning postulates which serve to make the truth-value of such statements independent of empirical matters. I share Carnap’s astonishment that Quine finds the term “semantic rule” unintelligible while formulating no complaint against similar notions such as that of a syntactically well-formed formula, or that of an axiom etc. It appears that he cannot be satisfied with rules, because he expects a theory which would give us an empirical, i.e., a behavioristic, criterion of analyticity for natural languages. His chief dissatisfaction seems to come from the fact that no clear explicandum has been put forward — in contrast, e.g., with the notion of truth, where we have a sufficiently clear pre-theoretical concept. Thus, according to him, there is nothing that could be clarified by an explication. (shrink)

The «extended mind thesis» sounds like a substantive thesis, the truth of which we should investigate. But actually the thesis a) turns about to be just a statement on where the demarcations for the «mental» are to be set (internal, external,…), i.e. it is about the «mark of the mental»; and b) the choice about the mark of the mental is a verbal choice, not a matter of scientific discovery. So, the «extended mind thesis » is a remark on (...) how its supporters or opponents want to use the word ‘mind’, not a thesis of cognitive science or philosophy. The upshot of the extended mind discussion should not be to draw the line further out, but to drop the demarcation project. (shrink)

During the inter war period, European Catholic authors exhibited two different approaches to the question of just war. One approach was articulated at the “Fribourg Conventus,” a 1931 meeting of French, Swiss, and German theologians, whose subsequent declaration (Conventus de bello, published in 1932) called for a reformulation of Catholic teaching based on the premise that the traditional just‐war doctrine had been superseded by developments in international law. A competing approach was articulated by the Dutch Jesuit Robert Regout, (...) who maintained that the just‐war doctrine could contribute to the formation of international law by providing a much‐needed normative foundation for the use of armed force by individual states in redress of their violated rights. After presenting these two approaches and explaining how they differ, this essay shows how the outlook of the Conventus de bello is reflected in subsequent papal statements on armed force—to the detriment of the traditional terminology of just war. (shrink)

It is certainly well accepted that formal models play a key role in scientific job. Its use goes from natural sciences like physics and even to social sciences like economics and politics. Using mathematics allows the researcher to consider more complicated scenarios involving several variables. Some models are developed to make predictions, others to describe a phenomena, or just to improve the explanation of events in the world. But what has all this to do with philosophy? The aim of (...) the present paper is to investigate debates on the role of formal models in a specific philosophical subject, precisely, the epistemology of rationality. Are we able to explain why models are needed in epistemological work? This answer will be addressed on the assumptions that epistemological theorizing is committed with normative statements. More specifically, epistemologists are concerned with normative questions about what rationality requires from epistemic agents. The first goal is to discuss some assumptions about the role of mathematical models in formal epistemology undertaking. And secondly, I will argue for the following two claims: formal models are useful tools for predicting consequences of normative assumption about what is intuitively required by rationality; and insofar rationality theory is normative in virtue of being instrumentalist and aiming at truth, formal models are means-end tools, therefore, for rationality, mathematical models are devices for maximizing truth in doxastic states. (shrink)

In contrast to standard possible worlds semantics, possible worlds in a two-dimensional semantic framework play two kinds of roles, rather than just one. This allows the framework to assign two kinds of intensions to expressions, rather than just one. Its fruitful use in explicating modal operators and the meanings of referential expressions like indexicals has led to two-dimensional accounts that seek to revive the Fregean conception of meaning, or more specifically the descriptivist view of reference, which has fallen (...) into disrepute due to intense criticisms, most famously, by Saul Kripk’s seminal work Naming and Necessity (1972). This entry provides a critical overview of the two most prominent of such accounts, proposed by Frank Jackson and David Chalmers. Unfortunately, there is not space to describe either account in detail, so I rely largely on brief descriptions and plenty of references to primary and secondary sources. More importantly, I rely on focusing on how the accounts explain the phenomenon of necessary a posteriori identity that Kripke’s well-known examples (such as ‘Hesperus is Phosphorus’) have brought to light. Focusing on and structuring our discussions around this phenomenon is by no means just an expository convenience. These cases are of central importance in themselves. They epitomize a large part of the contribution of Naming and Necessity to the theory of reference. This is why section 2 outlines Kripke’s critique of the Fregean theory of referential expressions and section 3 explains rigid designation and identity statements. Section 4 discusses rigidification and the notion of a world considered as actual, leading to the introduction of two-dimensional functions in Section 5. I discuss, finally, Frank Jackson’s and David Chalmers’ two-dimensionalism in Sections 6 and 7. Section 8 makes a few critical remarks on Jackson’s handling of the semantic argument. I conclude (Section 8) by discussing the important distinction between semantics and metasemantics. (shrink)

This essay advances the following set of arguments: First, that we must take seriously Hobbes's claim in Behemoth that "the science of just & unjust" is a demonstrable science, accessible to those of even the meanest capacity. Second, that Leviathan is the work in which this science, intended as a serious project in civic education, is set out. Third, that Hobbes is prepared to accept, like Plato & Aristotle, "giving to each his own," as a preliminary definition of justice, (...) from which however, he draws some very un-Aristotelian conclusions. Fourth, that though in Hobbes's theory "just & unjust" are equivalent of "lawful & unlawful," this is far from being a simple statement of legal positivism, but rather the conclusion of a practical syllogism. Fifth, that the impediments to this demonstrable science of justice being universally accepted, on Hobbes's account, are twofold, explained in terms of religion & the role of preachers & educators produced by the universities, on the one hand, & by the activity of "democratical gentlemen" & classical republicans dominating parliament, on the other. Sixth, that Hobbes's account of the transition from jus to lex, specified in terms of a transition from the state of nature to that of civil society, although Epicurean in origin, is much closer to a conventional civil law position. Adapted from the source document. (shrink)

In a recent article, James Van Cleve joins a growing throng who have argued that Hilary Putnam's model-theoretic argument (and his "just more theory" response) begs the question against those who hold externalist theories of reference. Van Cleve has misinterpreted Putnam's argument. Putnam does not demand that the statements which make up the causal theory of reference must, themselves, do the reference-fixing. That would be question-begging. Rather, Putnam's argument is a "reductio", which can only be blocked with a (...) theory of reference that is both substantive and plausible. Putnam argues that there is no interpretation of "causality" that meets both conditions. (shrink)

This paper has a negative and a positive claim. The negative claim is that the Frege-Russell account of existence as a higher-order predicate is mistaken and should be abandoned, even with respect to general statements of existence such as “Flying mammals exist” (where statements of this sort are supposed to be best accommodated by the account). The Frege-Russell view seems to be supported by two ideas. First, the idea that existence is entirely expressed by the existential quantifier of (...) standard predicate logic. Second, the idea that the existential quantifier is a higher-order predicate, a predicate of predicates, not of individuals. I think that both ideas are wrong but will focus on the latter. By construing prima facie first-order statements such as “Flying Mammals exist” as higher-order predications such as “The Fregean Concept Flying Mammal maps at least one individual onto the True”, the Frege-Russell view commits one - merely on the basis of the meaning it assigns to the existence predicate – to abstract objects such as concepts (Gottlob Frege), or propositional functions (Bertrand Russell), or classes (Rudolf Carnap), or properties, kinds, and so on. This cannot be right, I think. The positive claim of the present paper is that, at least in the context of first-order discourse, the existence predicate is just what it seems to be: a bona fide first-order predicate (pace Kant, Hume, Frege, Russell and others). Three important ideas about existence are shared with the Frege-Russell conception of existence, though. (1) Being and existence are one and the same thing: there is no difference between “Unicorns are not”, or “There are no unicorns”, and “Unicorns do not exist”, or “There exist no unicorns”. (2) To be is to be the value of a bound variable, to belong to a domain of quantification (Willard Quine). (3) Anti-Meinongianism, the idea that there are no non-existent objects (Russell). However, we diverge from the Frege-Russell tradition with respect to the following claim. (4) The best concept of existence, in the sense of the one that is best understood and best enables us to formulate ontological disputes, is a purely logical first-level concept defined in terms of existential quantification and identity. First-order statements of existence and non-existence like “Flying Mammals exist” and “Unicorns do not exist” are accordingly taken at face value and analyzed in terms of a logical first-order predicate of existence, the predicate “is (identical to) something”. Reasons are given to prefer this notion of existence to other first-order non-logical notions that have been proposed in the literature, notions characterized in terms of predicates such as “is in space-time”, “is concrete”, “is causally efficacious”, “is actual”, “is real”, etc. (shrink)

In a recent article, Sabine Müller, Merlin Bittlinger, and Henrik Walter launch a sweeping attack against what they call the "personal identity debate" as it relates to patients treated with deep brain stimulation (DBS). In this critique offered by Müller et al., the so-called personal identity debate is said to: (a) be metaphysical in a problematic way, (b) constitute a threat to patients, and (c) use "vague" and "contradictory" statements from patients and their families as direct evidence for metaphysical (...) theories. In this response, I critically evaluate Müller et al.'s argument, with a special focus on these three just-mentioned aspects of their discussion. My conclusion is that Müller et al.'s overall argument is problematic. It overgeneralizes criticisms that may apply to some, but certainly not to all, contributions to what they call the personal identity-debate. Moreover, it rests on a problematic conception of what much of this debate is about. Nor is Müller et al.'s overall argument fair in its assessment of the methodology used by most participants in the debate. For these reasons, we should be skeptical of Müller et al.'s claim that the "personal identity debate" is a "threat to neurosurgical patients". (shrink)

The long ongoing and partly heated debate on the concept of disease has not led to any consensus on the status of this apparently essential concept for modern health care. The arguments range from claims that the disease concept is vague, slippery, elusive, or complex, and to statements that the concept is indefinable and unnecessary. The unsettled status of the concept of disease is challenging not only to health care where diagnosing, treating, and curing disease are core aims, but (...) also to the branch of philosophy that tries to clarify concepts. This article discusses three claims about the concept of disease: that it is vague, complex, and that it is indefinable. It investigates (a) what is meant by these claims (b) what their implications are, and (c) whether the claims are sound or not. It is argued that some of the arguments are flawed and miss important points about concept analysis. This does not mean, however, that disease is a clear concept with a crisp definition. It only rules out speculative claims that disease necessarily is vague, complex, and indefinable. It appears at least as hard to show that disease is indefinable as it is to define it. (shrink)

The long ongoing and partly heated debate on the concept of disease has not led to any consensus on the status of this apparently essential concept for modern health care. The arguments range from claims that the disease concept is vague, slippery, elusive, or complex, and to statements that the concept is indefinable and unnecessary. The unsettled status of the concept of disease is challenging not only to health care where diagnosing, treating, and curing disease are core aims, but (...) also to the branch of philosophy that tries to clarify concepts. This article discusses three claims about the concept of disease: that it is vague, complex, and that it is indefinable. It investigates what is meant by these claims, what their implications are, and whether the claims are sound or not. It is argued that some of the arguments are flawed and miss important points about concept analysis. This does not mean, however, that disease is a clear concept with a crisp definition. It only rules out speculative claims that disease necessarily is vague, complex, and indefinable. It appears at least as hard to show that disease is indefinable as it is to define it. (shrink)

It is hard to imagine two precepts that enjoy more uniform support among the international medical community than the ethical prohibitions against physician participation in capital punishment and torture. Yet the two articles in this issue of the Hastings Center Report challenge these sacred assumptions, arguing that the ethics of these issues are more complicated than they may seem, and that each deserves more nuanced consideration than it has received in the past.I have personally written in opposition to the participation (...) of physicians in capital punishment, and while I continue to support this view, I acknowledge that the arguments I used depended to some extent upon the consensus statements of medical .. (shrink)