The term "quality of life" has a long history in the bioethics literature. It is usually used in one of two contexts: in resource allocation discussions in the hope of arriving at an objective measure of the worth of an intervention; and in end-of-life discussions as a concept that can justify the forgoing of life-sustaining treatment. In both contexts, the term has valid uses as it is meant to measure the efficacy of a treatment. However, the term has the unfortunate (...) rhetorical problem that it often seems to be a judgment on the life of a human being. As such, it is highly inflammatory. We suggest that a return to a rhetoric that suggests a judgment on the treatment rather than the person is needed. (shrink)

This book aims to reinvigorate discussions of moral arguments for God's existence.

Quantum theory plays an increasingly significant role in contemporary early-universe cosmology, most notably in the inflationary origins of the fluctuation spectrum of the microwave background radiation. I consider the two main strategies for interpreting standard quantum mechanics in the light of cosmology. I argue that the conceptual difficulties of the approaches based around an irreducible role for measurement - already very severe - become intolerable in a cosmological context, whereas the approach based around Everett's original idea of treating quantum systems (...) as closed systems handles cosmological quantum theory satisfactorily. Contemporary cosmology, which indeed applies standard quantum theory without supplementation or modification, is thus committed - tacitly or explictly - to the Everett interpretation. (shrink)

Introduction / David F. Wright -- The natural ethic / Oliver O'Donovan -- Using the Bible in ethics / Howard Marshall -- From Christendom to pluralism / John Briggs -- Towards a theology of the state / Haddon Wilmer -- The challenge of Marxism / David Lyon -- Man in society / E. David Cook -- Human rights / John Gladwin -- Epilogue : tasks which await us / John Stott.

In this paper I defend epistemic circularity by arguing that the “No Self-Support” principle (NSS) is false. This principle, ultimately due to Fumerton ( 1995 ), states that one cannot acquire a justified belief in the reliability of a source of belief by trusting that very source. I argue that NSS has the skeptical consequence that the trustworthiness of all of our sources ultimately depends upon the trustworthiness of certain fundamental sources – sources that we cannot justifiably believe to be (...) reliable. This is a problem, I claim, because if the trustworthiness of all of our sources depends upon sources that we should not believe to be reliable, then a reflective individual should not trust any of his sources at all. The hidden cost of rejecting epistemic circularity is thus the unacceptable skeptical thesis that reflective individuals like you and I have no justified beliefs whatsoever. (shrink)

This chapter contains sections titled: Abstract Introduction The Tacit ‐ Agreement Approach to Morality as Social Construction Speaker Relativism What it Might Mean for Morality to be Constructed as Part of Human Culture Explaining Moral Commonalities and Differences Across Cultures Relativism and the Meaning of Moral Terms Explaining Intra ‐ Group Disagreement Why Fundamental Intragroup Disagreement Might Be Inevitable References.

This book uncovers the lost history of Christianity's encounters with Pythagorean ideas before the Renaissance. David Albertson skillfully examines ancient and medieval theologians, particularly Thierry of Chartres and Nicholas of Cusa, who successfully reconceived the Trinity and the Incarnation within the framework of Greek number theory. David Albertson challenges modern assumptions about the complex relationship between religion and science.

Figures of Thought looks at how mathematical works can be read as texts and examines their textual strategies. David Reed offers the first sustained and critical attempt to find a consistent argument or narrative thread in mathematical texts. Reed selects mathematicians from a range of historical periods and compares their approaches to organizing and arguing texts, using an extended commentary on Euclid's Elements as a central structuring framework. He develops fascinating interpretations of mathematicians' work throughout history, from Descartes to (...) Hilbert, Kronecker, Dedekind, Weil and Grothendieck. Reed traces the implications of this approach to the understanding of the history and development of mathematics. (shrink)

I aim to show that standard theories of counterfactuals are mistaken, not in detail, but in principle, and I aim to say what form a tenable theory must take. Standard theories entail a categorical interpretation of counterfactuals, on which to state that, if it were that A, it would be that C is to state something, not relative to any supposition or hypothesis, but categorically. On the rival suppositional interpretation, to state that, if it were that A, it would be (...) that C is to state that it would be that C relative to the supposition that it were that A. The two interpretations make incompatible predictions concerning the correct evaluation of counterfactuals. I argue that the suppositional interpretation makes the correct prediction. (shrink)

Background: Current practice relies on patient-designated and next-of-kin surrogates, in consultation with clinicians, to make treatment decisions for patients who lose the ability to make their own decisions. Yet there is a paucity of data on whether this approach is consistent with patients' preferences regarding who they want to make treatment decisions for them in the event of decisional incapacity. Methods: Self-administered survey of patients at a tertiary care center. Results: Overall, 1169 respondents completed the survey (response rate = 59.8%). (...) Of the 229 respondents who had previously designated a surrogate, 78.2% wanted their surrogate to make treatment decisions in the event of decisional incapacity, whereas 21.8% wanted their doctors to make treatment decisions. Of the 822 respondents who had not designated a surrogate, 66.1% wanted their family to make treatment decisions, whereas 33.9% wanted their doctors to make treatment decisions. The most common explanation provided for why respondents wanted their surrogate or family to make treatment decisions for them in the event of decisional incapacity was the belief that loved ones knew the patient's treatment preferences. Conclusions: Contrary to current practice, 33.9% of respondents who had not designated a surrogate and 21.8% of those who had designated a surrogate indicated that they wanted their doctors to make treatment decisions for them in the event of decisional incapacity. Moreover, many of those who wanted their surrogates or family members to make treatment decisions explained this preference by citing a belief that loved ones knew the patient's treatment preferences. This belief is undermined by prior research that suggests that surrogates and family members frequently are unable to predict which treatments their charges would want. Future research should assess these two concerns with current practice and, where necessary, identify approaches to address them. (shrink)

Taking a new look at the language of ‘religious experience’, the authors in this contribution take into review this aspect in the current theological discussion, and in the church pew, asking the question: Does George Lindbeck’s criticism of the experiential-expressive model of religion still have something to say to us? Firstly, Lindbeck is reviewed and recouped. Then, religious experience and its commodification are discussed, at the hand also of the heritage from Schleiermacher onwards on experience. Taking a position within the (...) post-modern, relativist, critical realist and pragmatist possibilities, a community-embedded sense of truth is concluded to without sacrificing the possibility of universalising claims. Is it possible, though, within the cultural reflex towards psychologised faith to retain a historically oriented depth? (shrink)

AtRepublic9, 583b1–587a2, Socrates argues that the pleasure of the philosophical life is the truest pleasure. I will call this the ‘true pleasure argument’. The true pleasure argument is divisible into two parts: 583b1–585a7 and 585a8–587a2. Each part contains a sub-argument, which I will call ‘the misperception argument’ and ‘the true filling argument’ respectively. In the misperception argument Socrates argues that it is characteristic of irrational men to misperceive as pleasant what in fact is a condition of neither having pleasure nor (...) being pained. In the true filling argument Socrates argues that in so far as pleasure entails somatic or psychic filling and there are more and less true fillings, there are more and less true pleasures. Philosophical filling is the truest filling and thus the truest pleasure. The misperception argument critically contributes to the true pleasure argument by clarifying what pleasure is not: merely an appearance or merely the absence of pain. The misperception argument thereby clears the ground for the constructive contribution of the true filling argument. (shrink)

This is a review article about John Searle's most recent book The Rediscovery of the Mind, which criticizes it for not going far enough in its departure from orthodox materialistic views of the brain and mind. It argues that Searle's two central propositions, consciousness is irreducible and consciousness cannot cause anything that cannot be explained by the causal behaviour of neurons, are incompatible; and suggests that it is reasonable and scientifically respectable to reject the latter rather than the former.

Case presentations, esthetics, insurance considerations, communicable diseases, referral questions, dental phobia, and legal concerns all play a role in doctor-patient relationships. These topics, and many others, are the subject of this one-of-a-kind resource, designed to show dental students and practitioners how to approach patient relationships.

I examine Bernard Williams’s forceful challenge that evolutionary science has done away with the sort of teleological worldview that is needed in order to make sense of an Aristotelian virtue ethic perspective. I also consider Rosalind Hursthouse’s response to Williams and argue that it is not sufficient. My main task is to show what is needed in order to meet Williams’s challenge. First, I argue that we need a deeper exploration of the first-personal evaluative standpoint from within our human form (...) of life than we find in Hursthouse’s ethical naturalist perspective. In particular, we need to recognize the important role of “strong evaluation” for identifying what is noblest and best about us as human beings, for this will enable us to address the “mixed bag” problem of human nature. Second, I argue—contra John McDowell’s quietism—that in order to make sense of such a normative account of human nature we must overcome Williams’s tragic cosmic outlook according to which human life is seen as ultimately without meaning and purpose. (shrink)

Widescopism, as I call it, holds that names are synonymous with descriptions that are required to take wide scope over modal adverbs. Scott Soames has recently argued that Widescopism is false. He identifies an argument that is valid but which, he claims, a defender of Widescopism must say has true premises and a false conclusion. I argue, first, that a defender of Widescopism need not in fact say that the target arguments conclusion is false. Soames argument that she must confuses, (...) I claim, modal adverbs and modal predicates. I then argue that even if she did reject the conclusion, she could nonetheless hold that the target arguments first premise is ambiguous as between a true reading, on which the argument is invalid, and a false reading, on which the argument is valid. I conclude that Soames argument against Widescopism fails. (shrink)

Although many of the issues surrounding innateness have received a good deal of attention lately, the basic concept of token innateness has been largely ignored. In the present paper, I try to correct this imbalance by offering an account of the innateness of token traits. I begin by explaining Stephen Stich's account of token innateness and offering a counterexample to that account. I then clarify why the contemporary biological approaches to innateness will not be able to resolve the problems that (...) beset Stich's account. From there, I develop an alternative understanding of the innateness of token traits, what I call a causal/explanatory account. The argument to be made is that token innateness is both a causal, and an explanatory, concept. After clarifying this understanding of innateness, and showing how it handles several counterexamples to other accounts, I end with some comments on what the causal/explanatory account suggests for our understanding of innateness in general. (shrink)

Arguments, claims, and discussions about the “level of description” of a theory are ubiquitous in cognitive science. Such talk is typically expressed more precisely in terms of the granularity of the theory, or in terms of Marr’s three levels. I argue that these ways of understanding levels of description are insufficient to capture the range of different types of theoretical commitments that one can have in cognitive science. When we understand these commitments as points in a multi-dimensional space, we find (...) that we must also reconsider our understanding of intertheoretic relations. In particular, we should understand cognitive theories as constraining one another, rather than reducing to one another. (shrink)

Delirium, a common syndrome in terminally ill people, presents specific challenges to a good death in end‐of‐life care. This paper examines the relational engagement between hospice nurses and their patients in a context of end‐of‐life delirium. Ethnographic fieldwork spanning 15 months was conducted at a freestanding residential hospice in eastern Canada. A shared value system was apparent within the nursing community of hospice; patients’ comfort and dignity were deemed most at stake and therefore commanded nurses’ primary attention. This overarching commitment (...) to comfort and dignity shaped all of nursing practice in this hospice, including practices related to end‐of‐life delirium. The findings of this study elaborate the ways in which hospice nurses interpreted and responded to the discomfort of their patients in delirium, as well as the efforts they made to understand their patients’ subjective experiences and to connect with them in supportive ways. In addition to what is already known about clinical assessment and treatment of delirium in palliative care settings, the findings of this study offer points of reflection for nurses anywhere who are contending with the relational challenges that delirium presents in end‐of‐life care. (shrink)

The emergence of the ethics consultation as a means to resolve moral crises in clinical medicine has revealed the need for a worksheet that would facilitate intake and analysis. The author developed the Bioethics Consultation Form as an attempt to remedy this need. The form is arranged in an outline format and is a useful asset to ethics committee discussions and record keeping. The first section covers basic intake data concerning the patient's medical and personal information, advance directives, and values, (...) as well as the values of the physician and family. After the intake section is completed with the above data, the ethics consultant then turns to the analysis section. This second section allows for (1) the discussion of conflicting values, (2) the identification of priorities, and (3) the elucidation of ethical norms relevant to the case.The Bioethics Consultation Form was adopted by the Patient Care Advisory committee of the Franklin Square Hospital Center in Baltimore, Maryland in 1986. The methodology in the use of the form will be discussed. Further, the potential spectrum of consultative cases that can be analyzed using the form will be highlighted. (shrink)

It has always concentrated upon man, and usually the comparative approach has not been used to study the evolution of behaviour, but in the hope that ...

This article considers the extent to which Bayesian networks with imprecise probabilities, which are used in statistics and computer science for predictive purposes, can be used to represent causal structure. It is argued that the adequacy conditions for causal representation in the precise context—the Causal Markov Condition and Minimality—do not readily translate into the imprecise context. Crucial to this argument is the fact that the independence relation between random variables can be understood in several different ways when the joint probability (...) distribution over those variables is imprecise, none of which provides a compelling basis for the causal interpretation of imprecise Bayes nets. I conclude that there are serious limits to the use of imprecise Bayesian networks to represent causal structure. (shrink)

The situation in which we find ourselves—of potentially catastrophic global climate change—makes it clear why we need to move beyond a phenomenological approach to time to include evolutionary, historical, material, ecological and personal perspectives. This paper distinguishes ten different ways in which the complexity of time reveals itself to contemporary reflection. These patterns or shapes of time supply interpretive resources for the temporal phronesis needed to navigate the challenge of productively inheriting our many pasts, while thinking through and practically addressing (...) the uncertain future both of our species, and indeed the planet. (shrink)

I explore the debate about causal versus evidential decision theory, and its recent developments in the work of Andy Egan, through the method of some simple games based on agents' predictions of each other's actions. My main focus is on the requirement for rational agents to act in a way which is consistent over time and its implications for such games and their more realistic cousins.

An organisation which operates without a ‘self-concept’ of its goals, authorised roles, governance procedures regarding sharing information, decisional powers and procedures, and distribution of benefits, or without continuous audit of its impact on its end-users, other players in the practice, and the state, does so at some ethical risk. This paper argues that a quasi-personal model of the collective ethical agency of organisations and states is helpful in suggesting some of these key areas which are liable to need careful organisational (...) design and control by leadership groups if the organisation as a whole entity (directors, operators, enablers) steered by the board/CEO as ‘mind/will,’ is to identify its stakeholders - internal and external - and treat them well. Such a quasi-personal model is outlined (QPM) in which six suggested areas should be covered by the leadership group in ethical governance: goals, roles, decision procedures, execution/verification, relations with endusers and other players in the practice, and relations with the community and the state. The ethical conception presupposed is Neo-Aristotelian Virtue Ethics (NAVE). In subsequent papers the many advantages of QPM/NAVE which will be claimed are these: it comes with an analysis of justice which straddles individuals, families, communities, markets, and states; it offers a more coherent normative account of ‘stakeholder’ and the internal/external stakeholder distinction, by differentiating their descriptive, ethical, and causal relations to the firm as collective agent; and it suggests that business practice and business corporations are partly creatures of the state, and merely one kind of evolving and changeable institution, in a practice with a specific socio-political permit, (not the source of ethics, politics, and social policy). (shrink)