Overtreatment is when medical or dental services are provided with a higher volume or cost than is appropriate. This study aimed to investigate how a group of dentists in Switzerland, a wealthy country known to have high standards of healthcare including dentistry, evaluated the meaning of unnecessary treatments from an ethical perspective and, assessed the expected frequency of different possible behaviors among their peers.

The essays both represent a variety of epistemological approaches, including those of the humanities, social studies, natural science, sociology, psychology, and engineering sciences and reflect a diversity of philosophical traditions such ...

Plato's dialogue the Timaeus-Critias presents two connected accounts, that of the story of Atlantis and its defeat by ancient Athens and that of the creation of the cosmos by a divine craftsman. This book offers a unified reading of the dialogue. It tackles a wide range of interpretative and philosophical issues. Topics discussed include the function of the famous Atlantis story, the notion of cosmology as 'myth' and as 'likely', and the role of God in Platonic cosmology. Other areas commented (...) upon are Plato's concepts of 'necessity' and 'teleology', the nature of the 'receptacle', the relationship between the soul and the body, the use of perception in cosmology, and the work's peculiar monologue form. The unifying theme is teleology: Plato's attempt to show the cosmos to be organised for the good. A central lesson which emerges is that the Timaeus is closer to Aristotle's physics than previously thought. (shrink)

In his opening speech, Timaeus (Timaeus27d5-29b1) argues that the cosmos must be the product of a craftsman looking to an eternal paradigm. Yet his premises seem at best to justify only that the world could have been made by such a craftsman. This paper seeks to clarify Timaeus’ justification for his stronger conclusion. It is argued that Timaeus sees a necessary role for craftsmanship as a cause that makes becoming like being.

This study juxtaposes Simone Weil's exposition of God's invitation to know and love the good through the divine signature of beauty stamped on the order of the world and Flannery O'Connor's depiction of a society whose oppressive order allows some characters to oppose outright a divine order or to live under the illusion that the divine invitation is irrelevant because they, in their egoism and materialist values, are the centre of the universe. An examination of O'Connor's and Weil's ideas on (...) order and beauty, grace and decreation, within the disorders of their contexts, reveals both writers' skills in pointing prophetically through disorder to divine order, thus, disclosing bridges of revelation. (shrink)

A teleological explanation is an explanation in terms of an end or a purpose. So saying that ‘X came about for the sake of Y’ is a teleological account of X. It is a striking feature of ancient Greek philosophy that many thinkers accepted that the world should be explained in this way. However, before Aristotle, teleological explanations of the cosmos were generally based on the idea that it had been created by a divine intelligence. If an intelligent power made (...) the world, then it makes sense that it did so with a purpose in mind, so grasping this purpose will help us understand the world. This is the pattern of teleological explanation that we find in the Presocratics and in Plato. However, with Aristotle teleology underwent a change: instead of thinking that the ends were explanatory because a mind had sought to bring them about, Aristotle took the ends to operate in natural beings independently of the efforts of any creative intelligence. Indeed, he thought that his predecessors had failed to understand what was distinctive of nature, namely, that its ends work from the inside of natural beings themselves. (shrink)

The notion of a capacity in the sense of a power to bring about or undergo change plays a key role in Aristotle’s theories about the natural world. However, in Metaphysics Θ Aristotle also extends ‘ capacity ’, and the corresponding concept of ‘activity’, to cases where we want to say that something is in capacity, or in activity, such and such but not, or not directly, in virtue of being capable of initiating or undergoing change. This paper seeks to (...) clarify and confirm a certain view of how Aristotle wishes us to see the relationship between the two uses of ‘ capacity ’ and ‘activity’. To that end, I consider also Aristotle’s employment of the terms in the De Anima, which sheds light on the key examples which direct the discussion in Metaph. Θ. (shrink)

This paper seeks to expand our understanding of initial trust by looking at how variation in risk influences the nature of trust and the process of initial trust formation. Four hypotheses were tested in two experiments involving participants with and without work experience. A first hypothesis suggested a positive relationship between a general propensity to trust and initial trust; a second hypothesis, a negative relationship between risk and initial trust; whereas a third hypothesis posited that risk would increase the importance (...) participants place on benevolence and integrity. A fourth hypothesis suggested that risk would have a positive and moderating influence on the effect of out-of-role behavior when presented after role-conformant in-role behavior. Findings are presented and discussed and practical implications suggested. (shrink)

The volume advances research in the philosophy of technology by introducing contributors who have an acute sense of how to get beyond or reframe the epistemic, ontological and normative limitations that currently limit the fields of philosophy of technology and science and technology studies.

Over the last century, there have been considerable variations in the frequency of use and types of diagrams used in mathematical publications. In order to track these changes, we developed a method enabling large-scale quantitative analysis of mathematical publications to investigate the number and types of diagrams published in three leading mathematical journals in the period from 1885 to 2015. The results show that diagrams were relatively common at the beginning of the period under investigation. However, beginning in 1910, they (...) were almost completely unused for about four decades before reappearing in the 1950s. The diagrams from the 1950s, however, were of a different type than those used earlier in the century. We see this change in publication practice as a clear indication that the formalist ideology has influenced mathematicians’ choice of representations. Although this could be seen as a minor stylistic aspect of mathematics, we argue that mathematicians’ representational practice is deeply connected to their cognitive practice and to the contentual development of the discipline. These changes in publication style therefore indicate more fundamental changes in the period under consideration. (shrink)

The view that the soul can exist separately from the body is commonly associated with dualism. Since Plato’s Phaedo (Phd.) argues that the soul is immortal and survives the death of the body, there seems to be reason to call Plato, in that dialogue at least, a ‘dualist’. Yet, as we know, there are many kinds of dualism, so we have thereby not said very much. Let me therefore start with some distinctions. First of all, we can distinguish between two (...) kinds of dualism which say that the soul is a different kind of substance from the body. On one version, call it ‘strong’ substance dualism, no properties of mind can also be properties of body. Mind is defined as a kind of thing that uniquely has a certain property or set of properties, say consciousness, just as body is defined by its unique properties, say spatial extension. This would seem to be Descartes’ view. On another version, call it ‘weak’ substance dualism, no essential or defining properties of mind are also properties of body. This leaves it open whether the mind and body may share some accidental or non-defining properties. Finally, there is an even weaker kind of dualism which we may call property dualism. According to this view, there are mental properties which are distinct from and irreducible to bodily properties.4 However, these mental properties may or not be properties of an underlying substance that also has bodily properties. In other words, the same thing may have both mental and bodily properties, so having mental properties is not enough to make something a different kind of substance. (shrink)

Regularity theories of causation are guided by the idea that causes are collectively sufficient for their effects. Following Mackie [1974], that idea is typically refined to distinguish collections that include redundant members from those that do not. Causes must be collectively sufficient for their effects without redundancy. While Mackie was surely right that the regularity theory must distinguish collections that are in some sense minimally sufficient for an effect from those that include unnecessary hangers-on, I believe that redundancy is the (...) wrong mark of that distinction. I propose a way to develop the regularity theory without it. Instead of distinguishing minimal from mere sufficiency in terms of redundancy, we should look to the influence that events have in the world. Causes, so construed, must have just enough collective influence to ensure that an effect occurs. I argue that such an account provides a uniform solution to the problem of epiphenomena and to a pair of related problems that aris.. (shrink)

This article analyses and discusses dilemmas, ambivalences and problematic issues related to research ethics. This is done firstly by making a distinction between procedural research ethics and particularistic research ethics. Such a distinction reflects a theoretical construction and generalization. In practice, there can be a very close correlation between the two types. In the following, the distinction will therefore be used as a starting point for the presentation of a pragmatic-dualist research ethics. The approach is dualist because it draws on (...) the presence of two independent, contrasting understandings, which are essentially different yet equal aspects of good research ethics; it is pragmatic because this dualism is structural and institutional by nature, and designed with an eye to what can realistically and expediently be done in practice. Thus the intention of the article is to both analyze and discuss two different understandings of research ethics and simultaneously qualify a research ethics that draws on both of these understandings. Furthermore, the intention is to visualize a different understanding of research ethics which others can address and elaborate on or qualify. Even at this point, this research ethic can be included in a catalogue of understandings of ethical research practice an can be exploited in ethical research practice. (shrink)

Social anxiety disorders (SAD) are among the most prevalent mental disorders (lifetime prevalence: 7–12%), with high impact on the life of an affected social system and its individual social system members. We developed a manualized disorder-specific integrative systemic and family therapy (ISFT) for SAD, and evaluated its feasibility in a pilot randomized controlled trial (RCT). The ISFT is inspired by Helm Stierlin’s concept of related individuation developed during the early 1980s, which has since continued to be refined. It integrates solution-focused (...) language, social network diagnostics, and genogram work, as well as resource- and problem orientation for both case conceptualization and therapy planning. Post-Milan symptom prescription to fluidize the presented symptoms is one of the core interventions in the ISFT. Theoretically, the IFST is grounded in radical constructivism and “Cybern-Ethics,” multi-directional partiality, and a both/and attitude toward a disorder-specific vs. non-disorder-specific therapy approach. SAD is understood from the viewpoint of social systems theory, especially in adaptation to a socio-psycho-biological explanatory model of social anxiety. In a prospective multicenter, assessor-blind pilot RCT, we included 38 clients with SAD (ICD F40.1; Liebowitz Social Anxiety Scale, LSAS-SR > 30): 18 patients participated in the ISFT, and 20 patients in Cognitive Behavioral Therapy (CBT; age:M = 36 years,SD = 14). Within-group, simple-effect intention-to-treat analyses showed significant reduction in social anxiety (LSAS-SR; ISFT:d = 1.67; CBT:d = 1.04), while intention-to-treat mixed-design ANOVA demonstrated the advantage of ISFT (d = 0.81). Per-protocol analyses supported these results. The remission rate based on blind diagnosticians’ ratings was good to satisfactory (Structured Clinical Interview, SCID; 78% in ST, 45% in CBT,p = 0.083); this has yet to be verified in a subsequent confirmatory RCT. The article will present the ISFT rationale and manual, including a special focus on multi-person settings, and the central findings from our pilot RCT. (shrink)

Horizontal equity is the principle that similarly situated persons should be treated similarly. While the principle is often invoked in tax policy debates, I demonstrate that the principle lacks a firm normative foundation. The paper presents a thought experiment to argue that neither an entitlement to pre-tax income, nor the presence of effort in generating pre-tax income, can provide the necessary foundation for such a principle. Then, I explore whether a concern for equal treatment and avoiding statistical discrimination can support (...) horizontal equity even when there is no entitlement to pre-tax income. I show that tax discrimination can be objectionable, but because discrimination requires a relevant pre-tax benchmark, it follows that non-discrimination cannot support a general principle of horizontal equity without an entitlement to pre-tax income. In conclusion, despite the intuitive appeal of horizontal equity, I argue that its basis as a normative principle in tax policy is weak. (shrink)

Recently, the second author, Briseid, and Safarik introduced nonstandard Dialectica, a functional interpretation capable of eliminating instances of familiar principles of nonstandard arithmetic—including overspill, underspill, and generalizations to higher types—from proofs. We show that the properties of this interpretation are mirrored by first-order logic in a constructive sheaf model of nonstandard arithmetic due to Moerdijk, later developed by Palmgren, and draw some new connections between nonstandard principles and principles that are rejected by strict constructivism. Furthermore, we introduce a variant of (...) the Diller–Nahm interpretation with two different kinds of quantifiers, similar to Hernest’s light Dialectica interpretation, and show that one can obtain nonstandard Dialectica by weakening the computational content of the existential quantifiers—a process called herbrandization. We also define a constructive sheaf model mirroring this new functional interpretation, and show that the process of herbrandization has a clear meaning in terms of these sheaf models. (shrink)

Dispositional accounts of various phenomena have claimed that dispositions can be intrinsically masked. In cases of intrinsic masking, something has a disposition while also having an intrinsic property that would prevent that disposition from manifesting in the face of its stimulus. This paper develops a theory of disposition ascriptions capable of recognizing such dispositions. The theory is modeled on the view that dispositions are powers. I propose that having a disposition is a matter of exerting a corresponding kind of influence. (...) Unlike powers theories, however, the account largely falls silent on questions of fundamental metaphysics. It does not build dispositions into fundamental ontology, posit necessary connections between properties, or otherwise appeal to sui generis modality. (shrink)

How ethical praxis is shaped by different contexts and situations has not been widely studied. We performed a follow-up study on stroke team members’ experiences of ethical problems and how the teams managed the situation when caring for patients faced with sudden and unexpected death from stroke. A number of ways for handling ethical problems emerged, which we have now explored further. Data were collected through a three-part form used as base for individual interviews with 15 stroke team members and (...) analyzed using both quantitative and qualitative content analysis. In the analysis, the approaches in the form were condensed into strategies, and the two different ways those strategies were preferred and used by the team members were shown. Hindrances perceived by the team members to impede them from working the preferred way were also revealed and grouped into eight categories. (shrink)

Electronic computers form an integral part of modern mathematical practice. Several high-profile results have been proven with techniques where computer calculations form an essential part of the proof. In the traditional philosophical literature, such proofs have been taken to constitute a posteriori knowledge. However, this traditional stance has recently been challenged by Mark McEvoy, who claims that computer calculations can constitute a priori mathematical proofs, even in cases where the calculations made by the computer are too numerous to be surveyed (...) by human agents. In this article we point out the deficits of the traditional literature that has called for McEvoy’s correction. We also explain why McEvoy’s defence of mathematical apriorism fails and we discuss how the debate over the epistemological status of computer-assisted mathematics contains several unfortunate conceptual reductions. (shrink)

In this chapter, we argue that trust can be better understood in relation to people’s attempts to deal with vulnerability in social interactions. Different situations afford different forms of adaptation that correspond to different forms of trust. We describe three forms of trust: trust as a decision, trust as a performance and trust as an uncontrollable force. We show how these different types of trust differ with respect to assumptions about trust, trustworthiness and agency as well as with respect to (...) the accompanying emotions and outline a tentative process model of trust. We conclude the chapter by reviewing the contribution of the suggested framework as well as indicating questions for further research. (shrink)

In the third chapter of LOT 2—"LOT Meets Frege's Problem "—Jerry Fodor argues that LOT provides a solution to "Frege's Problem," as well as to Kripke's Paderewski puzzle . I argue that most of what Fodor says in his discussion of Frege's problem is mistaken.

In this article, I will investigate the ways in which Ambient Intelligence, the technological paradigm of the near future proposed by the European Union and the electronics multinational Philips, will affect the ways in which individuals construct and express their identities. The Ambient Intelligence vision predicts a world in which technologies will deliver personalized services in a proactive fashion. I argue that this brings about a change in the way we interact with these technologies, which in turn has an effect (...) on the way we construct and express identities in relation to such technologies. In a world of Ambient Intelligence, I will argue in this article, technological artifacts may come to function as ‘reference collectivities’, comparable to human reference groups. Due to their proactivity, their level of autonomy and self-reliance and our personalized interactions with them, these technologies will come to function as ‘others’, rather than as ‘quasi-others’. (shrink)

Should public health authorities have access to your personal medical information without your permission? The usual justifications for requiring informed consent do not necessarily apply. That is not to say that consent may be avoided in all situations, just that the reasons for requiring consent in public health are different than for traditional medical treatment.

Suppose Jill utters the sentenceEverybody is wearing a hat,thereby meaning only that everybody she sees is wearing a hat. Did she thus say that everybody she sees is wearing a hat? That is, would the indirect discourse reportJill said that everybody she sees is wearing a hatbe true? Given that Jill obviously meant to be talking only about everybody she sees, and not everybody in the whole universe, conventional wisdom has it that those who would take as true clearly have (...) intuition on their side; whereas the view that would be false, and thatJill said that everybody in the whole universe is wearing a hatwould be true, is no less conventionally viewed as highly counterintuitive. I will argue that the conventional wisdom is wrong—upon closer and more careful examination, our intuitions actually favor over. To show this I will question not only the intuitive plausibility of particular indirect discourse reports, but also the intuitive plausibility of certain consequences of taking reports such as as true. (shrink)

Over the past year, I rarely worked in my campus office due to mitigation protocols to limit the spread of COVID-19 on our campus. When I returned in late spring, I was delighted to find two new bo...