To address the burden of maternal morbidity and mortality in low‐ and middle‐income countries (LMICs), research with pregnant women in these settings is increasingly common. Pregnant women in LMIC‐context may experience vulnerability related to giving consent to participate in a clinical trial. To recognize possible layers of vulnerability this study aims to identify factors that influence the decision process towards clinical trial participation of pregnant women in an urban middle‐income setting. This qualitative research used participant observation, in‐depth interviews, and focus (...) group discussion with medical staff and pregnant women eligible for trial participation, at a regional hospital in Accra, Ghana. Besides lack of familiarity with modern scientific concepts, specific factors influencing the decision‐making process were identified. These include a wide power difference between health provider and patient, and a different perception of risk through externalization of responsibility of risk management within a religious context as well as a context shaped by authority. Also, therapeutic misconception was observed. The combination of these factors ensued women to rely on the opinion of the medical professional, rather than being guided by their own motivation to participation. Although being a (pregnant) woman per se should not render the label of being vulnerable, this study shows there are factors that influence the decision process of pregnant woman towards trial participation in a LMIC context that can result in vulnerability. The identification of context‐specific factors that can create vulnerability facilitates adaptation of the design and conduct of research in a culturally competent manner. (shrink)

So you want to publish some philosophy—preferably, good philosophy in a nice journal. -/- How do you do it?

Proceeding from the assumptions that forgiveness is at least sometimes elective and that it changes the normative relations between victims and wrongdoers, this paper argues that our practices of forgiveness are subject to an overlooked form of moral luck, forgiveness-luck. Forgiveness-luck is introduced via reflection on ‘differential forgiveness’, wherein of two equally culpable and remorseful agents, one is forgiven and the other not, and both justifiably so. In being forgiven—at least if forgiveness is normatively significant— one undergoes a positive alteration (...) in one’s moral status, i.e., a positive alteration in one’s permissions, obligations, or interpersonal reasons that is implied by one’s being the target of a positive moral responsibility-response. It is also illustrated how responsibility-responses other than forgiveness are candidate determinates of one’s moral status. As such, this paper outlines a capacious conception of moral luck, according to which moral statuses beyond blameworthiness (and praiseworthiness) are determinable by factors beyond one’s control. The capacious conception avoids rendering the existence of moral luck a trivial matter (as it preserves the distinction between moral luck and morally significant plain luck) and—at least if moral responsibility is understood in terms of accountability— preserves continuity with narrower conceptions of moral luck. (shrink)

Abstract: The 1960s saw the publication of many works in philosophy in which materialism (or physicalism) was a major theme even if not always endorsed. But how should we assess the ‘materialist sixties’? This paper argues that what is distinctive about the period is that it combines materialist metaphysics with materialist meta-philosophy, and, in so doing, solved a problem that dogged the discipline of philosophy since it assumed its modern form in the 19th century.

ABSTRACTThis article studies multi-stakeholder initiatives as spaces for both deliberation and contestation between constituencies with competing discourses and disputed values, beliefs, and preferences. We review different theoretical perspectives on MSIs, which see them mainly as spaces to find solutions to market problems, as spaces of conflict and bargaining, or as spaces of consensus. In contrast, we build on a contestatory deliberative perspective, which gives equal value to both contestation and consensus. We identify four types of internal contestation which can be (...) present in MSIs—procedural, inclusiveness, epistemic, and ultimate-goal—and argue that embracing contestation and engaging in ongoing revision of provisional agreements, criteria, and goals can enhance the democratic quality of MSIs. Finally, we explore the implications of this perspective for theorizing about the democratic quality in MSIs and about the role of corporations in transnational governance. (shrink)

Many philosophers of the last century thought all moral judgments can be expressed using a few basic concepts — what are today called ‘thin’ moral concepts such as ‘good,’ ‘bad,’ ‘right,’ and ‘wrong.’ This was the view, fi rst, of the non-naturalists whose work dominated the early part of the century, including Henry Sidgwick, G.E. Moore, W.D. Ross, and C.D. Broad. Some of them recognized only one basic concept, usually either ‘ought’ or ‘good’; others thought there were two. But they (...) all assumed that other moral concepts, including such ‘thick’ ones as the virtue-concepts ‘courageous’ and ‘kindly,’ can be reductively analyzed using one or more thin concepts and some more or less determinate.. (shrink)

ABSTRACT Moral hazards are ubiquitous. Green ones typically involve technological fixes: Environmentalists often see ‘technofixes’ as morally fraught because they absolve actors from taking more difficult steps toward systemic solutions. Carbon removal and especially solar geoengineering are only the latest example of such technologies. We here explore green moral hazards throughout American history. We argue that dismissing (solar) geoengineering on moral hazard grounds is often unproductive. Instead, especially those vehemently opposed to the technology should use it as an opportunity to (...) expand the attention paid to the underlying environmental problem in the first place, actively invoking its opposite: ‘inverse moral hazards’. (shrink)

Prescription opioid abuse (POA) is an escalating clinical and public health problem. Physician worries about iatrogenic addiction and whether patients are ‘drug seeking’, ‘abusing’ and ‘diverting’ prescription opioids exist against a backdrop of professional and legal consequences of prescribing that have created a climate of distrust in chronic pain management. One attempt to circumvent these worries is the use of opioid contracts that outline conditions patients must agree to in order to receive opioids. Opioid contracts have received some scholarly attention, (...) with trust and trustworthiness identified as key values and virtues. However, few articles have provided a critical account of trust and trustworthiness in this context, particularly when there exists disagreement about their role in terms of enhancing or detracting from the patient–physician relationship. This paper argues that opioid contracts represent a misleading appeal to patient–physician trust. Assuming the patient is untrustworthy may wrongfully undermine the credibility of the patient's testimony, which may exacerbate certain vulnerabilities of the person in pain. However, misplaced trust in certain patients may render the physician vulnerable to the potential harms of POA. If patients distrust their physician, or feel distrusted by them, this may destabilise the therapeutic relationship and compromise care. A process of epistemic humility may help cultivate mutual patient–physician trust. Epistemic humility is a collaborative effort between physicians and patients that recognises the role of patients’ subjective knowledge in enhancing physicians’ self-understanding of their theoretical and practice frameworks, values and assumptions about the motivations of certain patients who report chronic pain. (shrink)

I argue that to remove all backward-looking grounds and justification from the practice, as some theorists recommend, is to remove (not revise) moral responsibility. The most paradigmatic cases of moral responsibility must feature desert and retributive elements. So, moral responsibility must be (at least partially) backward-looking. When we hold people responsible, one reason we do so is that we believe that they deserve punishment or reward simply in virtue of the action for which we hold them responsible. None of this (...) rebuts responsibility skepticism. For instance, forward-looking theories might adopt Myisha Cherry's proposal: anger as love without blameworthiness. (shrink)

Nietzsche’s Ecce homo, Notebooks and Letters: 1888-1889 / Translation by Daniel Fidel Ferrer. ©2023 Daniel Fidel Ferrer. All rights reserved. -/- Ecce homo: How One Becomes What One Is (Ecce homo: Wie man wird, was man ist). -/- Who should read Nietzsche? You can disagree with everything Nietzsche wrote and re-read Nietzsche to sharpen your attack. Philosophy. Not for use without adult supervision (required). Philosophy is a designated area for adults only. Read at your own risk. You have (...) the pleasure of reading and of course disagree with all philosophy. Warning philosophical ideas are present. Reading Nietzsche does not mean you will gain anything, in fact, you might lose your previous ideas. -/- Nietzsche does not call this book an autobiography (he has written many short autobiographical sketches before); but rather, uses the expression “I tell myself my life”. -/- Nietzsche was the past philosopher who wrote about our future, “The time is coming when the struggle for the domination of the earth will be waged - it will be waged in the name of basic philosophical doctrines.” KGWB/NF-1881, 11[273]. The world has seen plenty of wars and death, since 1881. The process of the domination of the earth and world is still on-going. -/- What is Nietzsche’s overall project with Ecce homo? -/- Main Leitmotifs in Ecce homo. -/- Christianity as the denial of the will to life, revaluation of all values (Umwerthung aller Werthe), Amor fati, Dionysus as a god and his philosophy (future project for Nietzsche), overthrowing idols, two worlds (“true world" finally became a fable) against Plato eternal world and forms, eternal recurrence or the eternal return of the same (Nietzsche heaviest thought, also his most abysmal thought “abgründlichsten Gedanken”), opposite and counterpart to type of person decadent (décadent), “I count the overcoming of pity among the noble virtues”, against the concept of God (Christian), overman or superman (Übermensch), Will to Power (Wille zur Macht), great politics, immoralist, morality of the Christian church, and Declaration of war (“Kriegserklärung”). -/- Table of Contents -/- Motto [page 3]. Epigraph [pages 4-6]. -/- Preface to the Translation of Ecce homo [pages 7-16] -/- Major Leitmotifs in Nietzsche [pages 17-24]. -/- Translations from Nietzsche’s German to English include. -/- 1). Ecce homo: How One Becomes What One Is (Ecce homo: Wie man wird, was man ist. [pages 25-113]. -/- 2). This poem was included in the first publications of Ecce homo (1908). Glory and Eternity (Ruhm und Ewigkeit). [pages 114-124]. -/- 3). These are all of Nietzsche’s last notebooks (complete) they are numbered 21, 22, 23, and 24. There are a total of 82 notes. Final notes by Nietzsche from the Nachlass (Nachlaß). Sometime in German called the Notizheft. Nietzsche’s notebooks that include some drafts for Ecce homo and other topics he was thinking during his last writings. Dating from October 1888 until early Janurary 1889. [pages 125-191]. -/- 4). Nietzsche’s Letters Regarding Ecce homo. Nietzsche’s letters starting at the end of October 1888 discussing Ecce homo. These are not always the complete letters but include all of the passages of Nietzsche discussing Ecce homo. Complete translation of the last letter Nietzsche wrote. Dated until BVN-1889. #1256. Letter to Jacob Burckhardt in Basel. Turin, about 6 January 1889. [pages 192-223]. -/- Bibliographies [pages 224-254]. -/- Nietzsche’s Philosophy Final Thoughts [pages 255-259]. -/- Enjoy reading Nietzsche's last book. (shrink)

��People spent 5 min before sleep at home writing their stream of thought as they suppressed thoughts of a target person, thought of the person, or wrote freely after mentioning the person. These presleep references generally prompted people to report increased dreaming about the person. However, suppression instructions were particularly likely to have this in- fluence, increasing dreaming about the person as measured both by participants’ self-ratings of their dreams and by raters’ coding of mentions of the person in written (...) dream reports. This effect was observed regardless of emotional attraction to the person. (shrink)

ABSTRACT A trivalent theory of indicative conditionals automatically enforces Stalnaker's thesis – the equation between probabilities of conditionals and conditional probabilities. This result holds because the trivalent semantics requires, for principled reasons, a modification of the ratio definition of conditional probability in order to accommodate the possibility of undefinedness. I explain how this modification is motivated and how it allows the trivalent semantics to avoid a number of well-known triviality results, in the process clarifying why these results hold for many (...) bivalent theories. In short, the slew of triviality results published in the last 40-odd years need not be viewed as an argument against Stalnaker's thesis: it can be construed instead as an argument for abandoning the bivalent requirement that indicative conditionals somehow be assigned a truth-value in worlds in which their antecedents are false. (shrink)

The global spread of corporate social responsibility (CSR) practices is widely explained in institutional-isomorphic terms: Corporations worldwide adopt CSR in reaction to isomorphic pressures exerted on them by a pro-CSR global environment, including normative calls for CSR, activist targeting, civil regulation frameworks, and educational activities. By contrast, this article considers the proactive agency of corporations in CSR diffusion, which is informed by nonmarket strategies that seek to instrumentally reshape the political and social environment of corporations. Applying a “channels-of-diffusion” perspective, we (...) show that in the initial phase of CSR’s transnational diffusion—as exemplified by the cases of Venezuela (1962-1967) and Britain (1977-1981)—CSR traveled through learning exchanges between business elite “exporters” and “importers” whose engagement in diffusion addressed crisis-enhanced political threats and opportunities in the receiving country. The focal agents established national CSR business associations, which disseminated among local corporations CSR practices adapted to confront the challenges at hand. We identify the features of such “business-led cross-national diffusions of CSR”; formulate propositions regarding their conditions, dynamics, and effects; and suggest that further research of this mode of diffusion would advance a more nuanced and balanced understanding of CSR’s globalization. (shrink)

[Newspaper opinion] If you’re like most people, you’ve been taught that climate action is a sacrifice. Cutting emissions from fossil fuels, you’ve probably been told, is the economy-squeezing price we must pay for a livable planet. But our research explains why we should look at this issue through a different frame. -/- Frames help us think about complex issues. They suggest starting assumptions, problems to be solved and point towards possible solutions. Sacrifice frames begin with the assumption that climate action (...) is a burdensome cost. Given that assumption, it naturally follows that climate action is all about convincing people to make sacrifices. But scholars have criticized sacrifice frames for being bad at motivating action. Tell a person to sacrifice, and they’re likely to give you a list of reasons why they shouldn’t have to do it. -/- We suggest a different approach. Instead of explaining why you should sacrifice for the climate, we explain why climate action isn’t a sacrifice. We also suggest an alternative, more hopeful frame that fits with current science. [Open access]. (shrink)

The article responds to Richard Lauer’s (2019) “Is Social Ontology Prior to Social Scientific Methodology?” The article concurs that “social ontology matters” for the conduct of research and theory in social science. It argues, however, that neither of the interpretations of the status of social ontology offered by Lauer is satisfactory (either apriori philosophical realism or pragmatist anti-realism). The article argues for a naturalized, fallibilist, and realist interpretation of the claims of social ontology and presents the field of social ontology (...) as the most abstract edge of social-science theorizing, subject to broad empirical constraints. The approach taken is anti-foundationalist in both epistemology and metaphysics. Ontological theorizing is part of the extended scientific enterprise of understanding the social world. Claims about the nature of the social world are not different in kind from more specific sociological claims about social class or individual rationality, to be justified ultimately by the coherence and explanatory success of the theories they help to create. At the same time, it is justified to treat the claims of social ontology as provisionally true, which supports a realist interpretation of the findings of social ontology. (shrink)

This review critically assesses Niko Kolodny’s theory of social hierarchy and its importance as articulated in _The Pecking Order_ ( 2023 ). After summarizing Kolodny’s argument, I raise two critical challenges. First, I ask whether Kolodny leaves us without adequate account of why social hierarchies are, in themselves, objectionable. Second, I query whether Kolodny’s defense of representative democracy is decisive, and suggest that egalitarians should be open to alternative ways of mitigating the threat of hierarchy posed by political rule.

Concentrating on their treatment of folk psychology, this paper seeks to establish that, in the form advocated by its leading proponents, the Canberra project is presumptuous in certain key respects. Crucially, it presumes (1) that our everyday practices entail the existence of implicit folk theories; (2) that naturalists ought to be interested primarily in what such theories say; and (3) that the core content of such theories is adequately characterized by establishing what everyone finds intuitively obvious about the topics in (...) question. I argue these presumptions are a bad starting point for any naturalistic project and, more specifically, that in framing things in this way proponents of the Canberra plan have led us unnecessarily into philosophical quagmires. (shrink)

Classic serotonergic psychedelics are experiencing a clinical revival, which has also revived ethical debates about psychedelic-assisted therapy. A particular issue here is how to prepare and protect patients from the vulnerability that the psychedelic state creates. This article first examines how this vulnerability manifests itself, revealing that it results from an impairment of autonomy: psychedelics diminish decision-making capacity, reduce controllability, and limit resistance to external influences. It then analyzes the strengths and weaknesses of five safety measures proposed in the literature, (...) what aspect of the patient’s vulnerability they seek to reduce, and how they can be optimized. The analysis shows that while preparatory sessions, advance directives, and specific training and oversight are useful, starting with a lower dosage and no therapy is less so. Finally, the article presents a safety measure that has been overlooked in the literature but could be highly effective and feasible: bringing a close person to the psychedelic session. (shrink)

If there are true contradictions, where are they? In language or in the world? According to one important view, best represented by Jc Beall (2009), only the former. In this paper, we raise a problem for this view. In order to defend a “merely semantic” version of dialetheism (aka ‘glut theory’), Beall adopts transparent accounts of truth and falsity, which gives rise to “dialethic ascent” on which true contradictions are also, contradictorily, untrue contradictions. This is a consequence of trying to (...) restrict contradictions to language and keep them out of the world. However, in this paper, we show that this ascent carries over intensional contexts, so that, on this version of dialetheism, even if there are true contradictions, no one knows a true contradiction. This shows that contradictions have not been kept out of the world. We end by connecting this issue with the infamous ‘just true’ problem. (shrink)

Scientific psychology and neuroscience are taking increasingly precise and comprehensive pictures of the human mind, both in its physi- cal architecture and its functional processes. Meanwhile, each human mind has an abbreviated view of itself, a self-portrait that captures how it thinks it operates, and that therefore has been remarkably influential. The mind’s self-portrait has as a central feature the idea that thoughts cause actions, and that the self is thus an origin of the body’s actions. This self- portrait is (...) reached through a process of inference of apparent mental cau- sation, and it gives rise to the experience that we are consciously willing what we do. Evidence from several sources suggests that this self-portrait may often be a humble and misleading caricature of the mind’s opera- tion—but one that underlies the feeling of authorship and the acceptance of responsibility for action. (shrink)

In slapstick comedy, the worst thing that could happen usually does: The person with a sore toe manages to stub it, sometimes twice. Such errors also arise in daily life, and research traces the tendency to do precisely the worst thing to ironic processes of mental control. These monitoring processes keep us watchful for errors of thought, speech, and action and enable us to avoid the worst thing in most situations, but they also increase the likelihood of such errors when (...) we attempt to exert control under mental load (stress, time pressure, or distraction). Ironic errors in attention and memory occur with identifiable brain activity and prompt recurrent unwanted thoughts; attraction to forbidden desires; expression of objectionable social prejudices; production of movement errors; and rebounds of negative experiences such as anxiety, pain, and depression. Such ironies can be overcome when effective control strategies are deployed and mental load is minimized. (shrink)

Sauquillo González, Julián. La reforma constitucional. Sujetos y límites del poder constituyente. Tecnos, Madrid, 2018, 406 páginas.

The recent publication of the stenographer's transcript of Whitehead's guest lecture on “social ethics” has shed new light on the relation between his metaphysics and ethics. Instead of including ethics in his philosophy, Whitehead treats it as a distinct, specialized science that does not share in the universality of metaphysics. The present article argues that an analysis of his lecture shows that a nonindividualist Whiteheadian ethics is possible without rupturing the coherence of Whitehead's system or contradicting the ontological or subjectivist (...) principle. As part of a larger transition in Whitehead's thinking during the years 1925–1927, he reformulates the notion of the environment as inheritance and is therefore able to pose the question of the endurance of values at the level of society, which is the purview of ethics. Reconstructing the metaphysical background may provide a “stimulus to the imagination” for ethical debates today, especially in the field of environmental ethics. (shrink)

This collected volume is inspired by the work of Edward Halper and is historically focused with contributions from leading scholars in Ancient and Medieval philosophy. Though its chapters cover a diverse range of topics in epistemology, ethics, and political philosophy, the collection is unified by the contributors’ consideration of these topics in terms of the fundamental questions of metaphysics. The first section of the volume, “Knowing and Being,” is dedicated to the connection between metaphysics and epistemology and includes chapters on (...) Heraclitus, Plato, Aristotle, and the Ancient Daoists. The second section, “Goodness as Knowing How to Be,” addresses ethics as an outgrowth of human metaphysical concerns and includes chapters on Plato, Aristotle, and Maimonides. Contributors include William H. F. Altman, Luc Brisson, Ronna Burger, Miriam Byrd, Owen Goldin, Lenn Goodman, Mitchell Miller, Richard Parry, Richard Patterson, Nastassja Pugliese, John Rist, May Sim, Roslyn Weiss, and Chad Wiener. (shrink)

RÉSUMÉ: Je maintiens dans cet essai que l'argument développé par Thomas Hurka sur la base de son perfectionnisme aristotélicien en faveur d'une forme modérée de perfectionnisme d'État échoue. Je tente de démontrer que son perfectionnisme sousdétermine les types d'activités que l'État aurait à promouvoir afin de réaliser les valeurs perfectionnistes qu'il défend. Je soutiens également que Hurka opère avec une conception caricaturale de la doctrine de la neutralité libérale. Selon lui, l'État libéral serait réduit à l'inaction par cette notion. Je (...) démontre que l'État libéral peut promouvoir les biens et les activités qui font partie d'une «conception libérale du bien» tout en respectant l'exigence de neutralité. Ces biens et ces activités sont ceux que recoupent déjà les conceptions raisonnables de la vie bonne, ainsi que ceux qui sont présupposés, que cela soit pour des raisons empiriques ou conceptuelles, par de telles conceptions raisonnables. (shrink)

On a Dreyfusian account performers choke when they reflect upon and interfere with established routines of purely embodied expertise. This basic explanation of choking remains popular even today and apparently enjoys empirical support. Its driving insight can be understood through the lens of diverse philosophical visions of the embodied basis of expertise. These range from accounts of embodied cognition that are ultra conservative with respect to representational theories of cognition to those that are more radically embodied. This paper provides an (...) account of the acquisition of embodied expertise, and explanation of the choking effect, from the most radically enactive, embodied perspective, spelling out some of its practical implications and addressing some possible philosophical challenges. Specifically, we propose: an explanation of how skills can be acquired on the basis of ecological dynamics; and a non-linear pedagogy that takes into account how contentful representations might scaffold skill acquisition from a radically enactive perspective. (shrink)

In her work Horrendous Evils and the Goodness of God, Marilyn McCord Adams offers an account of the problem of evil that deals with the interaction between certain types of evil and the human capacity for meaning production. This paper attempts to consider certain implications of her presuppositions and, in so doing, to uncover several challenges to her broader project entailed by said implications. More specifically, this paper considers, within the context of Adams’ broader project, the status of perpetrators of (...) horrendous evils with respect to their ability to conceive of said evils, evils that destroy meaning-making capacities in their victims and evils that twist and subvert the meaning-making processes of their victims or observers. (shrink)

Conventional wisdom holds two seemingly opposed beliefs. One is that communities are often much better than individuals at dealing with certain situations or solving certain problems. The other is that crowds are usually, and some say always, at best as intelligent as their least intelligent members and at worst even less. Consistency would seem to be easily re-established by distinguishing between advanced, sophisticated social organizations which afford the supporting communities a high level of collective performance, and primitive, mob-like structures which (...) pull the group towards the lower end of the achievement scale. But this reconciliation meets with some objections. The most familiar ones concern the mixed record of elaborate social systems, which are said to occasionally or even, according to some accounts, systematically produce wrong decisions, poor assessments, disastrous plans, counterproductive measures, etc. A more recent set of objections rests on cases where ‘crowds’, i,e, groups not organized in a sophisticated way, produce good results, in fact, results which better those of most, or even all, members of the group. Such cases are collected in James Surowiecki’s book The Wisdom of Crowds, which argues more generally in favor of an ‘order out of chaos’ view of collective thinking: whether sophisticated or simple, social organizations for the production of knowledge or problem-solving can benefit from the absence of certain individualistc constraints which are traditionally thought to foster excellence in cognitive tasks. This flavor of paradox is enhanced by Surowiecki’s choice of phrase: at the surface level, ‘wisdom of crowds’ conflicts with the well-entrenched cliché of the folly1 of crowds; but at a deeper level, Surowiecki seems to appeal to one frequent connotation of ‘wisdom’ which is precisely its paradoxical character. Whether Surowiecki actually intended to exploit this.. (shrink)