Although decision‐making algorithms are not new to medicine, the availability of vast stores of medical data, gains in computing power, and breakthroughs in machine learning are accelerating the pace of their development, expanding the range of questions they can address, and increasing their predictive power. In many cases, however, the most powerful machine learning techniques purchase diagnostic or predictive accuracy at the expense of our ability to access “the knowledge within the machine.” Without an explanation in terms of reasons or (...) a rationale for particular decisions in individual cases, some commentators regard ceding medical decision‐making to black box systems as contravening the profound moral responsibilities of clinicians. I argue, however, that opaque decisions are more common in medicine than critics realize. Moreover, as Aristotle noted over two millennia ago, when our knowledge of causal systems is incomplete and precarious—as it often is in medicine—the ability to explain how results are produced can be less important than the ability to produce such results and empirically verify their accuracy. (shrink)

That biology provides explanations is not open to doubt. But how it does so must be a vexed question for those who deny that biology embodies laws or other generalizations with the sort of explanatory force that the philosophy of science recognizes. The most common response to this problem has involved redefining law so that those grammatically general statements which biologists invoke in explanations can be counted as laws. But this terminological innovation cannot identify the source of biology's explanatory power. (...) I argue that because biological science is historical, the problem of biological explanation can be assimilated to the parallel problem in the philosophy of history, and that the problem was solved by Carl Hempel. All we need to do is recognize that the only laws that biology—in all its compartments from the molecular onward—has or needs are the laws of natural selection. (shrink)

Saul Kripke’s much discussed Wittgenstein on Rules and Private Language has, I believe, been widely misinterpreted. The purpose of this note is to offer a correction. As it happens, on my reading of Kripke’s text Kripke’s Wittgenstein begins to look recognisably like Wittgenstein himself. But I shall not be concerned here with the question of whether Kripke’s Wittgenstein is Wittgenstein. My only aim is to correct the misinterpretation.

Recent debates over the use of sham surgery as a control for studies of fetal tissue transplantation for Parkinson’s disease have focused primarily on rival interpretations of the US federal regulations governing human-subjects research. Using the core ethical and methodological considerations that underwrite the equipoise requirement, we nd strong prima facie reasons against using sham surgery as a control in studies of cellular-based therapies for Parkinson’s disease and more broadly in clinical research. Additionally, we believe that these reasons can be (...) generalized to apply to the use of other placebo controls that carry signi cant risks of positive harms in and of themselves. As a result, our arguments are centrally relevant to the emerging drive to subject therapies with a surgical component to the same rigorous standards of evaluation as those governing the approval of new pharmaceuticals. (shrink)

Book synopsis: Our mental lives are entwined with the world. There are worldly things that we have beliefs about and things in the world we desire to have happen. We find some things fearsome and others likable. The puzzle of intentionality — how it is that our minds make contact with the world — is one of the oldest and most vexed issues facing philosophers. Many contemporary philosophers and cognitive scientists have been attracted to the idea that our minds represent (...) the world. This book explores an important assumption about representation, namely, that when we represent things in the world, we represent them as having properties, and in this way our representations have "propositional" structure. The contributors examine what the commitment to propositionalism amounts to; illuminate why one might find the thesis attractive ; and consider ways in which one might depart from propositionalism. The hope is that this will lead towards a more complete understanding of how the mind and world are connected. (shrink)

Our reply is in four parts. The first part, R1, addresses objections to our claim that there might be “unknowable” color facts. The second part, R2, discusses the use we make of opponent process theory. The third part, R3, examines the question of whether colors are causes. The fourth part, R4, takes up some issues concerning the content of visual experience.

Stephen Finlay’s book Confusion of Tongues is extraordinarily sophisticated, ambitious and thought-provoking. I highly commend it to those who haven’t read it yet. I will begin this commentary with a summary of which big-picture issues Finlay and I agree on and which we disagree on.

It is widely held in contemporary philosophy of mind that states with underived representational content are ipso facto psychological states. This view—the Content View—underlies a number of interesting philosophical projects, such as the attempt to pick out a psychological level of explanation, to demarcate genuinely psychological from non-psychological states, and to limn the class of states with phenomenal character. The most detailed and influential theories of underived representation in philosophy are the tracking theories developed by Fodor, Dretske, Millikan and others. (...) Tracking theorists initially hoped to ‘naturalize’ underived representation by showing that although it is distinctively psychological it is not irreducibly so, yet they ended up developing theories of representation that by their own lights don’t pick out a distinctively psychological phenomenon at all. Burge sets out to develop a theory of underived representation that does pick out a distinctively psychological phenomenon. His theory promises to vindicate the Content View and the various philosophical projects that depend on it. In this paper I argue that Burge’s theory dementalizes representation for the same reason tracking theories do: These theories hold that representations are states with underived accuracy conditions, yet such states are found in all sorts of mindless systems, like plants. (shrink)

A privileged element of contemporary law, confession as a means of proof in criminal proceedings is the object of analysis in this research. Based on a bibliographic review, the study will seek to decompose and reorganize the object on two fronts, constructing a theoretical hypothesis that proposes to observe confession as an inquisitorial practice of an institution, but which also has a traceable genealogical depth in the modulations of subjectivation techniques. The notion of the care of the self that Michel (...) Foucault referred to unfolds in Christian ethics and asceticism, reorganizing the sense of care of the self and slowly, as Christian philosophy developed and the influence of the Catholic Church in the state grew, make the act of confession loaded with an institutional-subjective double, elements that allow Zaffaroni to observe the apparent neutrality of contemporary justice as a facade for an authoritarian state and adept at inquisitorial practices, especially in matters of criminal justice. (shrink)

In the literature on health, naturalism and normativism are typically characterized as espousing and rejecting, respectively, the view that health is objective and value-free. This article points out that there are two distinct dimensions of disagreement, regarding objectivity and value-ladenness, and thus arranges naturalism and normativism as diagonal opposites on a two-by-two matrix of possible positions. One of the remaining quadrants is occupied by value-dependent realism, holding that health facts are value-laden and objective. The remaining quadrant, which holds that they (...) are non-objective but value-free, is unexplored. The article endorses a view in the latter quadrant, namely, the view that health is a secondary property. The article argues that a secondary property framework provides the resources to respond to the deepest objections to a broadly Boorsean account of natural function, and so preserves the spirit, though not the letter, of that account. Treating health as a secondary property permits a naturalistic explanation—specifically, an evolutionary explanation—of the health concept, in terms of the assistance such a concept might have provided to the survival and reproduction of those organisms that had it. This provides the explanation, missing from Boorse's account, for the fact that function is determined with reference to the contribution to the goals of survival and reproduction, relative to the age of the sex of the species, rather than some other equally natural goals or reference classes. _1_ Introduction _2_ Two Ways to Disagree about Health _3_ Secondary Properties _4_ Health as a Secondary Property _5_ Conclusion. (shrink)

A linguistic theory is correct exactly to the extent that it is the explicit statement of a body of knowledge possessed by a designated language-user. This popular psychological conception of the goal of linguistic theorizing is commonly paired with a preference for idiolectal over social languages, where it seems to be in the nature of idiolects that the beliefs one holds about one’s own are ipso facto correct. Unfortunately, it is also plausible that the correctness of a genuine belief cannot (...) consist merely in that belief’s being held. This paper considers how best to eliminate this tension. (shrink)

In this paper I discuss the dialogues between 'Protagoras', Theodorus and Socrates in "Theaetetus" 161-171 and emphasise the importance for this passage of a dilemma which refutation is shown to pose for relativism at 161e-162a. I argue that the two speeches delivered on Protagoras' behalf contain material that is deeply Socratic and suggest that this feature of the speeches should be interpreted as part of Plato's philosophical case against relativism, reflecting the relativist's own inability to defend his theory from attempts (...) to refute it. I then discuss Theodorus' role in the refutation of Protagoras and argue that his voice is needed to get relativism disproved in the self-refutation argument of 171a-c. I conclude with a brief discussion of the image of Protagoras at 171d. (shrink)

Son of Athens -- Plato and Socrates -- The philosopher -- The teacher.

Positive logics are $\{ \wedge, \vee, \to \}$-fragments of intermediate logics. It is clear that the positive fragment of $Int$ is not structurally complete. We give a description of all hereditarily structurally complete positive logics, while the question whether there is a structurally complete positive logic which is not hereditarily structurally complete, remains open.

John Campbell has claimed that the interventionist account of causation must be amended if it is to be applied to causation in psychology. The problem, he argues, is that it follows from the so-called ‘surgical’ constraint that intervening on psychological states requires the suspension of the agent’s rational autonomy. In this paper, I argue that the problem Campbell identifies is in fact an instance of a wider problem for interventionism, extending beyond psychology, which I call the problem of ‘abrupt transitions’. (...) I then defend a solution to the problem, which replaces the surgical constraint with a weaker constraint on interventions that nevertheless does all the work the surgical constraint was designed to do. I conclude by exploring some interesting consequences of this weaker constraint for causation in psychology. (shrink)

Three arguments for the thesis that sex is socially constructed are examined and rejected. No such argument could succeed, because sex is not socially constructed.

Have I made a mistake in my Anarchism, or has the editor of Liberty himself tripped? At any rate, I must challenge the Anarchism of one sentence in his otherwise masterful paper upon 'State Socialism and Anarchism.' If I am wrong, I stand open to conviction. It is this. 'They [Anarchists] look forward to a time...when the children born of these relations shall belong exclusively to the mothers until old enough to belong to themselves.'.

Despite the prevalence of externalization, much work in the ethics of immigration continues to assume that the admission of immigrants is determined by state immigration officials who decide whether to admit travelers at official crossings. This assumption neglects how decisions about entrance have been increasingly relocated abroad – to international waters, consular offices, airports, or foreign territories – often with non-governmental or private actors, as well as foreign governments functioning as intermediaries. Externalization poses a fundamental challenge to achieving just migration (...) policies. It reliably harms vulnerable people, prevents refugees from receiving protection, leads to human rights abuses, and dissipates blame and accountability, creating a serious lacuna in assigning moral responsibility. (shrink)

An idiolect, if there is such a thing, is a language that can be characterised exhaustively in terms of intrinsic properties of some single person at a time, a person whose idiolect it is at that time. The force of ‘intrinsic’ is that the characterisation ought not to turn on features of the person's wider linguistic community. Some think that this notion of an idiolect is unstable, and instead use ‘idiolect’ to describe a person's incomplete or erroneous grasp of their (...) language, where this latter is inherently social. Several important debates have featured discussion of individualistic, personal, or private languages. Some are considered in other entries (see the entries on the language of thought hypothesis, private language, and reference). This entry will concentrate on two influential and broadly idiolectal positions in the philosophy of language and linguistics: Noam Chomsky's preference for I-languages over E-languages (Section 2), and Donald Davidson's rejection of languages conceived as shared conventional structures that make communication possible (Section 3). David Lewis's claim that languages are a convention is a common target for both, and is outlined in an Appendix. The entry begins (Section 1) with some general remarks about the ontology of languages. Contents: 1. Idiolects and Language Individuation; 2. Chomsky on E-languages and I-languages; 2.1 The Origins of Chomsky's Distinction: Competence vs. Performance; 2.2 The Distinction Elaborated; 2.3 Why I-languages? Why Not E-languages?; 2.4 Criticisms of Chomsky's Preference for I-languages Over E-languages; 3. Davidson's Claim That There Are No Such Things As Languages; 3.1 What Davidson Aims to Show; 3.2 The Argument From Malaprops and Related Phenomena; 3.3 Reaction to Davidson's Argument; Bibliography; Other Internet Resources; Related Entries. (shrink)

Death and immortality played a central role in Greek and Roman thought, from Homer and early Greek philosophy to Marcus Aurelius. In this book A. G. Long explains the significance of death and immortality in ancient ethics, particularly Plato's dialogues, Stoicism and Epicureanism; he also shows how philosophical cosmology and theology caused immortality to be re-imagined. Ancient arguments and theories are related both to the original literary and theological contexts and to contemporary debates on the philosophy of death. The book (...) will be of major interest to scholars and students working on Greek and Roman philosophy, and to those wishing to explore ancient precursors of contemporary debates about death and its outcomes. (shrink)

The often poorly explained notion of gender identity, and the attendant cisgender/transgender distinction, are critically examined.

There are good reasons for being dissatisfied with standard criticisms of the various arguments, all of which are referred to as being “The Ontological Argument”. While refutation by logical analogy is compelling, it merely teaches us that something is amiss. It does not specify the exact nature of the flaw. The first part of this paper examines and rejects several well-known attempts at refuting and clarifying the argument(s). The second part attempts to provide a principled uniform account of what is (...) wrong by treating the arguments as resting on definitions. Then, by bringing to bear Ajdukiewicz’s exhaustive classification of definitions, we arrive at a unified account of the flaw common to such arguments. In effect we have an explication of the dictum that one cannot define into existence. (shrink)

. The ‘common good’ spirituality of Louis-Joseph Lebret and his influence in the Constitution and development thinking in Brazil. Journal of Global Ethics: Vol. 17, Lebret and the Projects of Économie Humaine, Integral Human Development, and Development Ethics, Guest Editors Des Gasper and Lori Keleher, pp. 185-203.

This paper considers an important recent contribution by Miguel Hernán to the ongoing debate about causal inference in epidemiology. Hernán rejects the idea that there is an in-principle epistemic distinction between the results of randomized controlled trials and observational studies: both produce associations which we may be more or less confident interpreting as causal. However, Hernán maintains that trials have a semantic advantage. Observational studies that seek to estimate causal effect risk issuing meaningless statements instead. The POA proposes a solution (...) to this problem: improved restrictions on the meaningful use of causal language, in particular “causal effect”. This paper argues that new restrictions in fact fail their own standards of meaningfulness. The paper portrays the desire for a restrictive definition of causal language as positivistic, and argues that contemporary epidemiology should be more realistic in its approach to causation. In a realist context, restrictions on meaningfulness based on precision of definition are neither helpful nor necessary. Hernán’s favoured approach to causal language is saved from meaninglessness, along with the approaches he rejects. (shrink)

This paper argues that the consensus physicalist antireductionism in the philosophy of biology cannot accommodate the research strategy or indeed the recent findings of molecular developmental biology. After describing Wolperts programmatic claims on its behalf, and recent work by Gehring and others to identify the molecular determinants of development, the paper attempts to identify the relationship between evolutionary and developmental biology by reconciling two apparently conflicting accounts of bio-function – Wrights and Nagels (as elaborated by Cummins). Finally, the paper seeks (...) a way of defending the two central theses of physicalist antireductionism in the light of the research program of molecular developmental biology, by sharply reducing their metaphysical force. (shrink)

A number of imposing problems now have our best minds in thrall. These include questions regarding the unity or plurality of the races of Man, whether his creation ought to be dated thousands of years or thousands of centuries past, whether species are fixed, or rather undergo a slow, progressive transformation into new species, how supposedly eternal matter relates to the nothingness outside of it, and whether the idea of God is useless. These are just a few of the issues (...) now subject to learned debate. You need, however, have no fear that my address tonight has any pretensions toward resolving any one of these earnest questions. But in the neighborhood of such mysteries lies another question, more or less closely related, to which I may, perhaps, venture to direct your attention; for its complexities, which I have made the object of concerted and conscientious study, are accessible to experiment. This is the question of what we call "spontaneous generations." Mightn't matter, perhaps, organize itself? Or posed differently, mightn't creatures enter the world without parents, without forebears? This is the question I seek to resolve. (shrink)

This essay explores aesthetics, affect, and educational politics through the thought of Gilles Deleuze and Jacques Rancière. It contextualizes and contrasts the theoretical valences of their ethical and democratic projects through their shared critique of Kant. It then puts Rancière's notion of dissensus to work by exploring it in relation to a social movement and hunger strike organized for educational justice in Chicago's Little Village neighborhood. This serves as a context for understanding how educational provisions are linked to the aesthetic (...) distribution of perception within the neoliberal city. It also serves as a powerful example of how these orders of perception are resisted and subverted at the local level by aesthetic and affective means. Through the Little Village hunger strike the essay argues that while Rancière allows us to recognize the aesthetic dimensions of the political, he falls short in addressing tactical and/or affective considerations. The essay concludes by seeking to extend the critical efficacy of Rancière's dissensus through a rendering of tactical affect within Deleuzian metaphysics. (shrink)

I argue that any theory of moral obligation must be able to explain two things: why we cannot be thrust into a moral dilemma through no fault of our own, and why we can get into a moral dilemma through our own negligence. The most intuitive theory of moral obligation cannot do so. However, I offer a theory of moral obligation that satisfies both of these criteria, one that is founded on the principle that if you are required to do (...) something, then you would be blameworthy for failing to do it. I conclude by relating these results to the current literature on moral dilemmas. (shrink)