The number of diagnoses and the number of persons having diagnoses have increased substantially, and studies indicate that diagnoses are given or upheld even if they are unwarranted, that is, that they do not satisfy professionally accepted diagnostic criteria. In this article, the authors investigate the ethics of withholding and withdrawing unwarranted diagnoses. First, they investigate ethical aspects that make it difficult to withhold and to withdraw such diagnoses. Second, they scrutinize whether there (...) are psychological factors, both in persons/patients and healthcare professionals, making it difficult to withdraw and withhold unwarranted diagnoses. Lastly, they use recent elements of the withholding-versus-withdrawing treatment debate in medical ethics to investigate whether there are any differences between withholding and withdrawing treatment and withdrawing and withholding unwarranted diagnoses. The authors conclude that it is crucial to acknowledge and address all these issues to reduce and avoid unwarranted diagnoses. (shrink)

Abstract:A placebo is an intervention that is believed to lack specific pharmacological or physiological efficacy for a patient's condition. While placebo-controlled trials are considered the gold standard when it comes to researching and testing new pharmacological treatments, the use of placebos in clinical practice is more controversial. The focus of this case study is an undisclosed placebo trial used as an attempt to diagnose a patient's complex and unusual symptomology. In this case, the placebo was used not just as a (...) treatment, but as a diagnostic intervention in order to determine the best course of treatment for a patient. Could the deceptive use of a placebo be justified in clinical practice on the grounds of beneficence? (shrink)

A placebo is an intervention that is believed to lack specific pharmacological or physiological efficacy for a patient’s condition. While placebo-controlled trials are considered the gold standard when it comes to researching and testing new pharmacological treatments, the use of placebos in clinical practice is more controversial. The focus of this case study is an undisclosed placebo trial used as an attempt to diagnose a patient’s complex and unusual symptomology. In this case, the placebo was used not just as a (...) treatment, but as a diagnostic intervention in order to determine the best course of treatment for a patient. Could the deceptive use of a placebo be justified in clinical practice on the grounds of beneficence? (shrink)

This paper has two aims. The first is critical: it argues that our mainstream epistemology of disagreement does not have the resources to explain what goes wrong in cases of group-level epistemic injustice. The second is positive: we argue that a functionalist account of group belief and group justification delivers (1) an account of the epistemic peerhood relation between groups that accommodates minority and oppressed groups, and (2), furthermore, diagnoses the epistemic injustice cases correctly as cases of unwarranted (...) belief on the part of the oppressor group. (shrink)

This paper has two aims. The first is critical: it argues that our mainstream epistemology of disagreement does not have the resources to explain what goes wrong in cases of group-level epistemic injustice. The second is positive: we argue that a functionalist account of group belief and group justification delivers an account of the epistemic peerhood relation between groups that accommodates minority and oppressed groups, and diagnoses the epistemic injustice cases correctly as cases of unwarranted belief on the (...) part of the oppressor group. (shrink)

Artificial intelligence (AI) has attracted an increasing amount of attention, both positive and negative. Its potential applications in healthcare are indeed manifold and revolutionary, and within the realm of medical imaging and radiology (which will be the focus of this paper), significant increases in accuracy and speed, as well as significant savings in cost, stand to be gained through the adoption of this technology. Because of its novelty, a norm of keeping humans “in the loop” wherever AI mechanisms are deployed (...) has become synonymous with good ethical practice in some circles. It has been argued that keeping humans “in the loop” is important for reasons of safety, accountability, and the maintenance of institutional trust. However, as the application of machine learning for the detection of lumbar spinal stenosis (LSS) in this paper’s case study reveals, there are some scenarios where an insistence on keeping humans in the loop (or in other words, the resistance to automation) seems unwarranted and could possibly lead us to miss out on very real and important opportunities in healthcare—particularly in low-resource settings. It is important to acknowledge these opportunity costs of resisting automation in such contexts, where better options may be unavailable. Using an AI model based on convolutional neural networks developed by a team of researchers at NUH/NUS medical school in Singapore for automated detection and classification of the lumbar spinal canal, lateral recess, and neural foraminal narrowing in an MRI scan of the spine to diagnose LSS, we will aim to demonstrate that where certain criteria hold (e.g., the AI is as accurate or better than human experts, risks are low in the event of an error, the gain in wellbeing is significant, and the task being automated is not essentially or importantly human), it is both morally permissible and even desirable to kick the humans out of the loop. (shrink)

Ephecticism is the tendency towards suspension of belief. Epistemology often focuses on the error of believing when one ought to doubt. The converse error—doubting when one ought to believe—is relatively underexplored. This essay examines the errors of undue doubt. I draw on the relevant alternatives framework to diagnose and remedy undue doubts about rape accusations. Doubters tend to invoke standards for belief that are too demanding, for example, and underestimate how farfetched uneliminated error possibilities are. They mistake seeing how incriminating (...) evidence is compatible with innocence for a reason to withhold judgement. Rape accusations help illuminate the causes and normativity of doubt. I propose a novel kind of epistemic injustice, for example, wherein patterns of unwarranted attention to farfetched error possibilities can cause those error possibilities to become relevant. Widespread unreasonable doubt thus renders doubt reasonable and makes it harder to know rape accusations. Finally, I emphasise that doubt is typically a conservative force and I argue that the relevant alternatives framework helps defend against pernicious doubt-mongers. (shrink)

Some claim that digital phenotyping will revolutionize understanding of human psychology and experience and significantly promote human wellbeing. This paper investigates the nature of digital phenotyping in relation to its alleged promise. Unlike most of the literature to date on philosophy and digital phenotyping, which has focused on its ethical aspects, this paper focuses on its epistemic and methodological aspects. The paper advances a tetra-taxonomy involving four scenario types in which knowledge may be acquired from human “digitypes” by digital phenotyping. (...) These scenarios comprise two causal relations and a correlative and constitutive relation that can exist between information generated by digital systems/devices on the one hand and psychological or behavioral phenomena on the other. The paper describes several modes of inference involved in deriving knowledge within these scenarios. After this epistemic mapping, the paper analyzes the possible knowledge potential and limitations of digital phenotyping. It finds that digital phenotyping holds promise of delivering insight into conditions and states as well producing potentially new psychological categories. It also argues that care must be taken that digital phenotyping does not make unwarranted conclusions and is aware of potentially distorting effects in digital sensing and measurement. If digital phenotyping is to truly revolutionize knowledge of human life, it must deliver on a range of fronts, including making accurate forecasts and diagnoses of states and behaviors, providing causal explanations of these phenomena, and revealing important constituents of human conditions, psychology, and experience. (shrink)

Medicalization is frequently defined as a process by which some non-medical aspects of human life become to be considered as medical problems. Overdiagnosis, on the other hand, is most often defined as diagnosing a biomedical condition that in the absence of testing would not cause symptoms or death in the person’s lifetime. Medicalization and overdiagnosis are related concepts as both expand the extension of the concept of disease. They are both often used normatively to critique unwarranted or contested expansion (...) of medicine and to address health services that are considered to be unnecessary, futile, or even harmful. However, there are important differences between the concepts, as not all cases of overdiagnosis are medicalizations and not all cases of medicalizations are overdiagnosis. The objective of this article is to clarify the differences between medicalization and overdiagnosis. It will demonstrate how the subject matter of medicalization traditionally has been non-medical (social or cultural everyday life) phenomena, while the subject matter of overdiagnosis has been biological or biomolecular conditions or processes acknowledged being potentially harmful. They also refer to different types of uncertainty: medicalization is concerned with indeterminacy, while overdiagnosis is concerned with lack of prognostic knowledge. Medicalization is dealing with sickness (sick role) while overdiagnosis with disease. Despite these differences, medicalization and overdiagnosis are becoming more alike. Medicalization is expanding, encompassing the more “technical” aspects of overdiagnosis, while overdiagnosis is becoming more ideologized. Moreover, with new trends in modern medicine, such as P4 (preventive, predictive, personal, and participatory) medicine, medicalization will become all-encompassing, while overdiagnosis more or less may dissolve. In the end they may converge in some total “iatrogenization.” In doing so, the concepts may lose their precision and critical sting. (shrink)

Overdiagnosis and disease are related concepts. Widened conceptions of disease increase overdiagnosis and vice versa. This is partly because there is a close and complex relationship between disease and overdiagnosis. In order to address the problems with overdiagnosis, we may benefit from a closer understanding this relationship. Accordingly, the objective of this article is to elucidate the relationship between disease and overdiagnosis. To do so, the article starts with scrutinizing how overdiagnosis can explain the expansion of the concept of disease. (...) Then it investigates how definitions of disease address various challenges of overdiagnosis. The article specifically investigates recent attempts to clarify the relationship between the concepts of disease and overdiagnosis. Several shortcomings are identified and lead to a closer analysis of overdiagnosis in the diagnostic process. Contrary to recent contributions to the field, it is argued that cases of overdiagnosis are not cases of disease. They are non-verified labelling of disease. It is revealed how overdiagnosis establishes an unwarranted link between indicative phenomena, such as polyps or cell changes, and harm, and thereby generates a link to disease. One implication of this study is that we should stop attributing disease language to indicative phenomena. That is, we should stop calling it “cancer screening” when we are actually searching for polyps. Another implications is that we should strive for scientific progress in differentiating phenomena that are of negative value to us from those that are not. In overdiagnosis we diagnose something that is not disease: it is over-diagnosis. (shrink)

Overdiagnosis and disease are related concepts. Widened conceptions of disease increase overdiagnosis and vice versa. This is partly because there is a close and complex relationship between disease and overdiagnosis. In order to address the problems with overdiagnosis, we may benefit from a closer understanding this relationship. Accordingly, the objective of this article is to elucidate the relationship between disease and overdiagnosis. To do so, the article starts with scrutinizing how overdiagnosis can explain the expansion of the concept of disease. (...) Then it investigates how definitions of disease address various challenges of overdiagnosis. The article specifically investigates recent attempts to clarify the relationship between the concepts of disease and overdiagnosis. Several shortcomings are identified and lead to a closer analysis of overdiagnosis in the diagnostic process. Contrary to recent contributions to the field, it is argued that cases of overdiagnosis are not cases of disease. They are nonverified labelling of disease. It is revealed how overdiagnosis establishes an unwarranted link between indicative phenomena, such as polyps or cell changes, and harm, and thereby generates a link to disease. One implication of this study is that we should stop attributing disease language to indicative phenomena. That is, we should stop calling it "cancer screening" when we are actually searching for polyps. Another implications is that we should strive for scientific progress in differentiating phenomena that are of negative value to us from those that are not. In overdiagnosis we diagnose something that is not disease: it is over-diagnosis. (shrink)

This is a critical response to “Fragile objects: A visual essay,” by Chapman et al. published in the Journal of Bioethical Inquiry : 185-189). Whilst “Fragile objects” is evocative of the author’ experience in sitting with a man, who had been diagnosed with Alzheimer’s, I express concern that there are unwarranted and unsubstantiated conclusions drawn about Patrick’s phenomenological experience of dementia/Alzheimer’s.

This is a critical response to “Fragile objects: A visual essay,” by Chapman et al. published in the Journal of Bioethical Inquiry : 185-189). Whilst “Fragile objects” is evocative of the author’ experience in sitting with a man, who had been diagnosed with Alzheimer’s, I express concern that there are unwarranted and unsubstantiated conclusions drawn about Patrick’s phenomenological experience of dementia/Alzheimer’s.

This is a critical response to “Fragile objects: A visual essay,” by Chapman et al. published in the Journal of Bioethical Inquiry : 185-189). Whilst “Fragile objects” is evocative of the author’ experience in sitting with a man, who had been diagnosed with Alzheimer’s, I express concern that there are unwarranted and unsubstantiated conclusions drawn about Patrick’s phenomenological experience of dementia/Alzheimer’s.

Recent empirical work attempts to investigate how implicit biases target those facing intersectional oppression. This is welcome, since early work on implicit biases focused on single axes of discrimination, such as race, gender, or age. However, the success of such empirical work on how biases target those facing intersectional oppressions depends on adequate conceptualizations of intersectionality and empirical measures that are responsive to these conceptualizations. Surveying prominent recent empirical work, we identify failures in conceptualizations of intersectionality that inform the design (...) of empirical measures. These failures generate unsupported conclusions about the kinds of biases that those experiencing multiple oppressions face, and render proposed interventions to combat biases useless at best, harmful at worst. We also diagnose unwarranted assumptions about how stereotypes combine in complex concepts: first, that when “simple” social concepts combine the complex concepts inherit the associated stereotypes of their simpler constituent concepts; second that studies which focus on cognition about single social categories are investigating “simple” social concepts (cf. Goff and Khan 2013). We tease out recommendations to guide future investigations into biases that target those who experience multiple oppressions. (shrink)

This paper deals with two distinct topics; unwarranted questions and admittures. The traditional speech act analysis of questions needs revision, since among the felicity conditions of asking a question is believing that the question is warranted. Some questions are unwarranted according to my analysis. A question is unwarranted if the questioner is not standing in the right relation to the addressee, such that he can demand or expect a sincere answer. I use the idea of unwarranted (...) questions to show how conversational admittures can be generated. A conversational admitture is a non-intended admittance by the speaker of some state of affairs being believed by the speaker to be true. Under the assumption that the speaker is rational, the non-intended admittance is something that it is reasonable to credit the speaker with believing as an explanation of the speaker's unwillingness to be cooperative in a given conversation. In the last section I introduce what I call the Principle of Privacy, which tells us that we have a prima facie right to guard some of our thoughts, feelings, personal history, etc. I argue that the Principle of Privacy together with the ideas that there are unwarranted questions and conversational admittures, and the way unwarranted questions can be exploited to generate the latter, endows us with the right to lie in certain contexts. ; ; . (shrink)

Diagnosing the Diagnostic and Statistical Manual of Mental Disorders (Karnac, 2014) evaluates the latest edition of the D.S.M.The publication of D.S.M-5 in 2013 brought many changes. Diagnosing the Diagnostic and Statistical Manual of Mental Disorders asks whether the D.S.M.-5 classifies the right people in the right way. It is aimed at patients, mental health professionals, and academics with an interest in mental health. Issues addressed include: How is the D.S.M. affected by financial links with the pharmaceutical industry? To what extent (...) were and should patients involved in revising the classification? How are diagnoses added to the D.S.M.? Does medicalization threaten the idea that anyone is normal? What happens when changes to diagnostic criteria mean that people lose their diagnoses? How important will the D.S.M. be in the future? (shrink)

This chapter focuses on one of the common fallacies in Western philosophy, “unwarranted assumption”. Unwarranted assumptions are claims or beliefs that possess little to no supporting evidence, things we might take for granted as true, or just completely false ideas we inherited without reflection. When we reason using implicit assumptions or further propositions whose truth is uncertain or implausible, we commit the fallacy of unwarranted assumption and the truth of our conclusions is grossly affected. Prejudices and stereotypes (...) are some common ways in which we make unwarranted assumptions. The key to preventing this fallacy is evidence: warranted assumptions have evidence and ways of demonstrating their truth with certainty. It is best to not hold something as true or applicable without proof that it is true and applicable. This implies that we need to assess our ways of thinking and belief formation critically. (shrink)

Most writing on research ethics is about researcher treatment of participants. This essay considers a participant threat to researcher privacy and integrity. It is based partly upon a real-life sport research case, and discusses a participant request to know if the researcher supports a particular and popular football team. The researcher does support this team, but felt disinclined to answer truthfully, and so lied. It is argued, with the help of analogous cases, that the participant question is what Borge calls (...) ‘unwarranted’, despite the football fan culture of allegiance disclosure. It is further argued, again following Borge, that refusal of the question would have generated a conversational admitture, resulting in the participant truly believing what the researcher correctly believes he has no right to know. The researcher is therefore justified in lying. This justification is buttressed by Swanton's virtue ethical account of right action, according to which an action is right if it is ‘overall virtuous’ (OV), and that entails that it is the (a) best possible action in the circumstances. Here, actions which are typically right, such as truth-telling, are sometimes not, and may even on occasion be wrong-making qualities of actions. It is argued, however, that honesty retains a positive moral value and dishonesty a positive moral disvalue, and it is therefore to be regretted that the OV course of action involves lying. The researcher should therefore regret the OV lie, should ponder if he could have done anything to prevent the situation, and should consider what he can do to prevent its recurrence. A global prescription to protect researchers is probably out of reach, but one suggestion for this sort of case is that the researcher tells the participant at the outset, in appropriately hospitable tones, that he is unable to disclose anything of his own affections. (shrink)

There is no doubt that custard apple diseases are among the important reasons that destroy the Custard Apple plant and its agricultural crops. This leads to obvious damage to these plants and they become inedible. Discovering these diseases is a good step to provide the appropriate and correct treatment. Determining the treatment with high accuracy depends on the method used to correctly diagnose the disease, expert systems can greatly help in avoiding damage to these plants. The expert system correctly (...) class='Hi'>diagnoses Custard Apple disease to make it easier for farmers to find the right treatment based on the appropriate diagnosis. Objectives: A specialized syllable language system was established for the diagnosis of Custard Apple plant disease. (shrink)

Diagnoses are central to the practice of medicine, where they serve a variety of functions for clinicians, patients, and society. They aid communication, explain symptoms, inform predictions, guide therapeutic interventions, legitimize sickness, and authorize access to resources. Insofar as psychiatry is a discipline whose practice is shaped by medical conventions, its diagnoses are sometimes presented as if they serve the same sorts of function as diagnoses in bodily medicine. However, there are philosophical problems that cast doubt on (...) whether the functions of psychiatric diagnoses can legitimately be considered to be equivalent to those of medical diagnoses. The aim of this chapter is to explicate some of these problems, particularly conceptual and epistemological problems pertaining to the roles of diagnoses as explanations. I begin with an overview of the various functions that medical diagnoses normally serve and suggest that many of these functions receive justificatory support from the explanatory roles of the diagnoses. I then present issues regarding the epistemic functions of psychiatric diagnoses and how these issues have featured in the arguments of prominent critics of psychiatry. (shrink)

For a long time, philosophers of science have expressed little interest in the so-called demarcation project that occupied the pioneers of their field, and most now concur that terms like “pseudoscience” cannot be defined in any meaningful way. However, recent years have witnessed a revival of philosophical interest in demarcation. In this paper, I argue that, though the demarcation problem of old leads to a dead-end, the concept of pseudoscience is not going away anytime soon, and deserves a fresh look. (...) My approach proposes to naturalize and down-size the concept, anchoring it in real-life doctrines and fields of inquiry. First, I argue against the definite article “the” in “the demarcation problem”, distinguishing between territorial and normative demarcation, and between different failures and shortcomings in science apart from pseudoscience. Next, I argue that pseudosciences can be fruitfully regarded as simulacra of science, doctrines that are not epistemically warranted but whose proponents try to create the impression that they are. In this element of imitation or mimicry, I argue, lies the clue to their common identity. Despite the huge variety of doctrines and beliefs gathered under the rubric of “pseudoscience”, and the wide range of defects from which they suffer, pseudosciences all engage in similar strategies to create an impression of epistemic warrant. The indirect, symptomatic approach defended here leads to a general characterization of pseudosciences in all domains of inquiry, and to a useful diagnostic tool. (shrink)

Termination of pregnancy (TOP) is offered in many countries, for foetuses prenatally diagnosed with congenital malformations that are deemed incompatible with life or that are associated with a high morbidity. In Lebanon, a middle income country where religion plays a focal role, the law prohibits any form of TOP unless it is the only means to save the mother's life. It is the contention of the authors of this article that even if the foetus is a person, if it were (...) medically revealed that there is a substantial risk that the newborn will suffer severe physical abnormalities that will cause it to be seriously handicapped; it is morally acceptable to terminate the pregnancy. Hence, TOP carried out for these indications is justified in the interest of the foetus and the child. Whatever the status of the foetus is, once born, it will become a full-fledged sentient being with all that this entails. When given the option of starting an existence, this person-to-be has the right to a minimum that allows him/her to enjoy a relatively good quality of life. Today, Lebanese obstetricians are confronted with the burden placed on them under the law to refuse TOP, or, when performing them, to forge records or deny having done them. This is why we strongly believe that the Lebanese policy on abortion should be amended. (shrink)

I examine error diagnosis (model-model disagreement) in climate model intercomparisons including its difficulties, fruitful examples, and prospects for streamlining error diagnosis. I suggest that features of climate model intercomparisons pose a more significant challenge for error diagnosis than do features of individual model construction and complexity. Such features of intercomparisons include, e.g., the number of models involved, how models from different institutions interrelate, and what scientists know about each model. By considering numerous examples in the climate modeling literature, I distill (...) general strategies (e.g., employing physical reasoning and using dimension reduction techniques) used to diagnose model error. Based on these examples, I argue that an error repertoire could be beneficial for improving error diagnosis in climate modeling, although constructing one faces several difficulties. Finally, I suggest that the practice of error diagnosis demonstrates that scientists have a tacit-yet-working understanding of their models which has been under-appreciated by some philosophers. (shrink)

Clarke and Beck import certain assumptions about the nature of numbers. Although these are widespread within research on number cognition, they are highly contentious among philosophers of mathematics. In this commentary, we isolate and critically evaluate one core assumption: the identity thesis.

Work in philosophy of religion exhibits at least four symptoms of poor health: it is too partisan, too polemical, too narrow in its focus, and too often evaluated using criteria that are theological or religious instead of philosophical. Our diagnosis is that, because of the emotional and psychosocial aspects of religion, many philosophers of religion suffer from cognitive biases and group influence. We support this diagnosis in two ways. First, we examine work in psychology on cognitive biases and their affective (...) triggers. This work supports the view that, while cognitive biases are no doubt a problem in all inquiry and in all areas ofphilosophy, they are particularly damaging to inquiry in philosophy of religion. Second, we examine work in social and evolutionary psychology on religious sociality and its attendant emotions. This work establishes that the coalitional features of religion are correlated with group bias, and we contend that this bias is also harmful to inquiry in philosophy of religion. We close by offering both a prognosis and recommendations for treatment. (shrink)

This article discusses the imbrication of racialising and sexualising scientific practices of gender testing and verification in elite athletics competition, and their intersection with social politics, using as a theoretical frame the feminist, anti-racist work of Hortense Spillers (2003), Judith Butler (1990, 1993a, 1993b, 2004) and Anne Fausto-Sterling (2000), among others. It traces the practice of sex-gender testing of ‘women’ at sanctioned International Association of Athletics Federations (IAAF) and International Olympic Committee (IOC) track and field competitions in order to contextualise (...) South African middle-distance runner Caster Semenya’s experiences at the 2009 Berlin World Championships and the subsequent spectacularisation of her body through the discursive practices of representation. (shrink)

Recent studies indicate that patients who are diagnosed with vegetative states may retain more awareness than their clinical assessments suggest. Disorders of consciousness traditionally have been diagnosed on the basis of outwardly observable behaviors alone, but new functional imaging studies have shown surprising levels of brain activity in some patients, indicating that even higher-level cognitive functions like language processing and visual imagery may be preserved. For example, one recently developed method purports to detect voluntary mental imagery solely on the basis (...) of neural response patterns observed with functional magnetic resonance imaging. This line of research has already led to some widely reported cases of patients who were discovered to have more brain activity than expected. In November 2009, Rom Houben, a Belgian man who was thought to be in a coma for 23 years, was diagnosed with locked-in syndrome through the use of neuroimaging; however, that assessment was later overturned by further testing. (shrink)

In this paper, we review recent neuroimaging investigations of disorders of consciousness and different disciplines' understanding of consciousness itself. We consider potential tests of consciousness, their legal significance, and how they map onto broader themes in U.S. statutory law pertaining to advance directives and surrogate decision-making. In the process, we outline a taxonomy of themes to illustrate and clarify the variance in state-law definitions of consciousness. Finally, we discuss broader scientific, ethical, and legal issues associated with the advent of neuroimaging (...) for disorders of consciousness and conclude with policy recommendations that could help to mitigate confusion in this realm. (shrink)

There is an increase in the use of in-door wireless networking solutions via Wi-Fi and this increase infiltrated and utilized Wi-Fi enable devices, as well as smart mobiles, games consoles, security systems, tablet PCs and smart TVs. Thus the demand on Wi-Fi connections increased rapidly. Rule Based System is an essential method in helping using the human expertise in many challenging fields. In this paper, a Rule Based System was designed and developed for diagnosing the wireless connection problems and attain (...) a precise decision about the cause of the problem. SL5 Object expert system language was used in developing the rule based system. An Evaluation of the rule based system was carried out to test its accuracy and the results were promising. (shrink)

This paper aims to determine whether it is necessary to propose the extreme of putrefaction as the only unmistakable sign in diagnosing the death of the human organism, as David Oderberg does in a recent paper. To that end, we compare Oderberg’s claims to those of other authors who align with him in espousing the so-called theory of hylomorphism but who defend either a neurological or a circulatory-respiratory criterion for death. We then establish which interpretation of biological phenomena is the (...) most reasonable within the metaphysical framework of hylomorphism. In this regard, we hold that technology does not obscure the difference between life and death or confect metaphysically anomalous beings, such as living human bodies who are not organisms or animals of the human species who are informed by a vegetative soul, but instead demands a closer and more careful look at the “fuzzy area” between a healthy organism and a decaying corpse. In the light of hylomorphism, we conclude that neurological and circulatory-respiratory criteria are not good instruments for diagnosing death, since they can offer only probabilistic prognoses of death. Of the two, brain death is further away from the moment of death as it merely predicts cardiac arrest that will likely result in death. Putrefaction, the criterion that Oderberg proposes, is at the opposite end of the fuzzy area. This is undoubtedly a true diagnosis of death, but it is not necessary to wait for putrefaction proper—a relatively late stage of decomposition—to be sure that death has already occurred. Rather, early cadaveric phenomena demonstrate that the matter composing a body is subject to the basic forces governing all matter in its environment and has thus succumbed to the universal current of entropy, meaning that the entropy-resisting activity has ceased to constitute an organismal unity. When this unity is lost, there is no possibility of return. (shrink)

A diagnose médica, considerada de um ponto de vista semiótico, consiste num complexo processo dialógico entre médico e paciente. Ambos desempenham papéis essenciais no estabelecimento de hipóteses diagnósticas sugestivas. E isso por meio de um diagrama em que as categorias fenomenológicas, propostas por Peirce, funcionam como vetores caracterizando as diversas atividades e experiências que compõem o processo. O processo em sua inteireza é bastante longo, embora possa ser abreviado em razão ou da urgência de se determinar a conduta terapêutica ou (...) da precipitação de ao menos um dos participantes. A seqüência das atividades também pode mudar de direção dependendo do curso do diálogo, como acontece em todo processo dinâmico e não determinístico. (shrink)

Next SectionThis short paper argues that predictive expressions (will, gonna) are modals. In section 1, I provide three empirical arguments for a treatment of predictive expressions as modals: (i) they behave like modals in that they can occur in overt and covert conditionals in a way that non-modal operators cannot; (ii) they have morphological variants which show displacement behaviors, i.e., nonveridicality; (iii) like modals, they obviate the personal experience requirement on predicates of personal taste. In section 2, I specifically rebut (...) arguments by Kissine (2008) that will is not a modal. In section 3 I conclude. (shrink)

This paper builds a nine-step method for determining whether a straw man fallacy has been committed in a given case or not, by starting with some relatively easy textbook cases and moving to more realistic and harder cases. The paper shows how the type of argument associated with the fallacy can be proved to be a fallacy in a normative argumentation model, and then moves on to the practical task of building a hands-on method for applying the model to real (...) examples of argumentation. Insights from linguistic pragmatics are used to distinguish the different pragmatic processes involved in reconstructing what is said and what is meant by an utterance, and to differentiate strong and weak commitments. In particular, the process of interpretation is analyzed in terms of an abductive pattern of reasoning, based on co-textual and contextual information, and assessable through the instruments of argumentation theory. (shrink)

Sterner and Lidgard urge that philosophers of phylogenetics move beyond the “systematics wars”, referring to the 1960s–80s debates between numerical taxonomists, evolutionary taxonomists, and phylogenetic systematists. Indeed, philosophers would do well to move beyond those wars, and to focus even more recently than the parsimony versus likelihood debates of the 1980s–90s. In this paper I use integrated historical-philosophical analysis of those debates to clarify a contemporary dispute between proponents of coalescence-based methods and proponents of concatenation. My intent is to illuminate (...) the present state of the field of phylogenetics by tracing the use of one particular philosophical argument, “total evidence”, through several distinct scientific debates. (shrink)