Definitions of health and disease are of more than theoretical interest. Understanding what it means to be healthy has implications for choices in medical treatment, for ethically sound informed consent, and for accurate assessment of policies or programs. This deeper understanding can help us create more effective public policy for health and medicine. It is notable that such contentious legal initiatives as the Americans with Disability Act and the Patients' Bill of Rights fail to define adequately the medical terms on (...) which their effectiveness depends. In Ethics and the Metaphysics of Medicine, Kenneth Richman develops an "embedded instrumentalist" theory of health and applies it to practical problems in health care and medicine, addressing topics that range from the philosophy of science to knee surgery."Embedded instrumentalist" theories hold that health is a match between one's goals and one's ability to reach those goals, and that the relevant goals may vary from individual to individual. This captures the normative implications of the term health while avoiding problematic relativism. Richman's embedded instrumentalism differs from other theories of health in drawing a distinction between the health of individuals as biological organisms and the health of individuals as moral agents. This distinction illuminates many difficulties in patient-provider communication and helps us understand conflicts between promoting health and promoting ethically permissible behavior. After exploring, expanding, and defending this theory in the first part of the book, Richman examines its ethical implications, discussing such concerns as the connection between medical beneficence and respect for autonomy, patient-provider communication, living wills, and clinical education. (shrink)

Review of The New Hume Debate Revised Edition Edited By Rupert Read, Kenneth Richman: Pub: 2000 -/- '... The editors have done an excellent job of choosing and presenting some of the more important papers on this subject. The volume contains a useful bibliography and a citation index. ... There is also a helpful introduction, written by Richman, which provides a synopsis of the individual papers in this volume. A few important contributions are not included in the collection (...) ... Nevertheless, all the papers that are included are well worthwhile and serve the editors’ stated aim in their Preface, which is to offer “insights not only into the most difficult issues of the interpretation of some of Western philosophy’s most vital texts, but also into an absolutely central example of the relevance of the philosophical history of philosophy to contemporary philosophy, in . . . accessible form.” ' . (shrink)

A provocative case for the inherently political nature of language In The Politics of Language, David Beaver and Jason Stanley present a radical new approach to the theory of meaning, offering an account of communication in which political and social identity, affect, and shared practices play as important a role as information. This new view of language, they argue, has dramatic consequences for free speech, democracy, and a range of other areas in which speech plays a central role. Drawing (...) on a wealth of disciplines, The Politics of Language argues that the function of speech—whether in dialogue, larger group interactions, or mass communication—is to attune people to something, be it a shared reality, emotion, or identity. Reconceptualizing the central ideas of pragmatics and semantics, Beaver and Stanley apply their account to a range of phenomena that defy standard frameworks in linguistics and philosophy of language—from dog whistles and covert persuasion to echo chambers and genocidal speech. The authors use their framework to show that speech is inevitably political because all communication is imbued with the resonances of particular ideologies and their normative perspectives on reality. At a time when democracy is under attack, authoritarianism is on the rise, and diversity and equality are being demanded, The Politics of Language offers a powerful new vision of the language of politics, ideology, and protest. (shrink)

First published in 1995, The Visual Brain in Action remains a seminal publication in the cognitive sciences. For this new edition, a very substantial and illustrated epilogue has been added to the book in which Milner and Goodale review the key developments that support or challenge the views that were put forward in the first edition.

Only few philosophers are fortunate enough to start single-handedly a new topic in philosophy. The Oxford philosopher J. O. Urmson is one of them. But at the time he wrote his seminal article, ‘Saints and Heroes’ (1958), he was certainly not aware of it.

The question of how people change artworks is important for the metaphysics of art. It’s relatively easy for anyone to change a painting or sculpture, but who may change a literary or musical work is restricted and varies with context. Authors of novels and composers of symphonies often have a special power to change their artworks. Mary Shelley revised Frankenstein, and Tchaikovsky revised his Second Symphony. I cannot change these artworks. In other cases, such as those involving jazz standards and (...) folk songs, performers and ordinary folks have more power to change artworks. My preferred explanation of these facts is the created-abstract-simples view, according to which literary and musical works, unlike paintings and sculptures, are created abstract objects that have no parts. On this view, the way to change a literary or musical work is for an individual, empowered by social practices, to change rules about how a literary work should be published or a musical work should be performed. A. R. J. Fisher and Caterina Moruzzi object that the created-abstract-simples view doesn’t allow for literary and musical works to genuinely change, and Nemesio Garcia-Carríl Puy objects that the view doesn’t allow for these artworks to be repeatable. This paper clarifies the created-abstract-simples view and defends the view against these objections. -/- . (shrink)

In this article, I argue that if tacit knowledge of grammar is analyzable in functional‐computational terms, then it cannot ground linguistic meaning, structure, or sound. If to know or cognize a grammar is to be in a certain computational state playing a certain functional role, there can be no unique grammar cognized. Satisfying the functional conditions for cognizing a grammar G entails satisfying those for cognizing many grammars disagreeing with G about expressions' semantic, phonetic, and syntactic values. This threatens the (...) Chomskyan view that expressions have such values for speakers because they cognize grammars assigning them those values. For if this is true, semantics, syntax, and phonology must be indeterminate, thanks to the indeterminacy of grammar‐cognizing (qua functional‐computational state). So, the fact that a speaker cognizes a grammar cannot explain the determinate character of their language. (shrink)

The dynamical hypothesis states that cognitive systems are dynamical systems. While dynamical systems play an important role in many cognitive phenomena, the dynamical hypothesis as stated applies to every system and so fails both to specify what makes cognitive systems distinct and to distinguish between proposals regarding the nature of cognitive systems. To avoid this problem, I distinguish several different types of dynamical systems, outlining four dimensions along which dynamical systems can vary: total-state versus partial-state, internal versus external, macroscopic versus (...) microscopic, and systemic versus componential, and illustrate these with examples. I conclude with two illustrations of partial-state, internal, microscopic, componential dynamicism. (shrink)

To provide a theoretical basis for the common view that moral status comes in degrees, many philosophers endorse ‘two-factor’ accounts of the foundations of moral status. These accounts postulate one or more properties which endow individuals with moral status, and one or more other properties which increase the moral status of those who possess them. Critical assessment of two-factor accounts has focused on their implications, especially for humans who lack the properties thought to increase individuals’ moral status. Unfortunately, this approach (...) has led to an impasse. To try to break it, the present manuscript instead assesses the assumption on which two-factor accounts are based, namely, possession of one or more properties, what I call ‘moral status enhancing’ properties, increases their possessors’ moral status. I argue that two challenges, the problem of relevance and the need for a threshold, reveal that there are no moral status enhancing properties, hence, no degrees of moral status among those who matter morally. (shrink)

Volume 30, Issue 1, March 2024, Page 80-83.

The aim of this essay is to seek out the prototype of the last man in Dawn, Thoughts on the Presumptions of Morality (1881) and to present them in the light of the critique of prejudices as it is carried out in this work. In the third book, in particular, one can find an exact representation of the last man. Under the features of modern humanity and its prejudices, it is first and foremost the aporia of a certain type of (...) man that Nietzsche highlights before appealing to the arrival of the superman a few years later. (shrink)

Like the discipline of economics, the philosophy of education and educational studies are offshoots of moral philosophy. They investigate how best to realize the good as part of human existence. In...

O presente trabalho expõe de que forma a educação pode ser utilizada como ferramenta emancipatória para a superação do capital, tendo como base teórica o pensamento de István Mészáros. O principal objetivo dos que lutam contra a sociedade mercantil, a alienação e a intolerância, é a emancipação humana. Objetivo este alcançado quando o ser humano finalmente compreende, seja teoricamente ou na prática, todas as características de funcionamento de sua sociedade e de seu gênero, de tal forma que a luz científica (...) não seja algo que o cegue, mas que o faça ver onde seus olhos não alcançam. Tendo em vista o objetivo de transformar qualitativamente as condições objetivas da reprodução social, István Mészáros entende que há a necessidade de reconquistar o controle do capital enquanto estrutura, e não enquanto instância personificada do sistema capitalista e também transformar progressivamente as consciências. Considera-se então que para trabalhar as consciências, de acordo com o autor, fica evidente a relação entre educação e trabalho: uma vez que, cabe à educação elaborar tantas estratégias apropriadas, elaboradas e adequadas para transformar as condições objetivas de reprodução, como para a automudança consciente dos indivíduos chamados a concretizar a criação de uma ordem social metabólica radicalmente diferente, esta seria o socialismo. (shrink)

Tarzian and ASBH Core Competencies Update Task Force (2013) say that making ethics consultation accountable means examining the abilities and qualifications of health care ethics consultants (HCECs...

In this article I take up a central question posed by the article jointly authored with Bill Winslade in this issue of JCE: What should be the role of clinical ethics consultants (CECs) in (what we call) an unsettled case: that is, a situation in which the range of allowable choices, among which the parties to a bioethical disagreement must select, cannot be clearly or completely specified? I argue here that CECs should, in such cases, guide the parties by presenting (...) their own reasoned conclusions about what the scope of allowable choices should be taken to include. Since this position challenges the received view that CECs must not express their own moral positions or conclusions in their role as ethicists, I try to defend my view of the CEC’s role in unsettled cases against several objections. (shrink)

Michael Hand argues that at least some moral standards can be robustly justified and that because of this educators can legitimately cultivate subscription to t.

In Computers Ltd, David Harel, best-selling author of Algorithmics, explains and illustrates one of the most fundamental, yet under-exposed facets of computers - their inherent limitations. Looking at the bad news that is proven, lasting, and robust, discussing limitations that no amounts of hardware, software, talents, or resources can overcome, the book presents a disturbing and provocative view of computing at the start of the 21st century.

In this dialogue between two interlocutors, the ontology of childhood is considered, first from the point of view of temporality, then power, then language, then from the perspective of philosophy, and inquires whether there is a specific philosophical and/or childlike dialectic of questioning and answering. The claim is made that both the philosopher and the artist carry a childlike way of questioning and acting on the world into adulthood. The discussion then moves to education, and considers the possibility of reconstructing (...) the latter beyond the Platonic notions of “formation,” reproduction, discipline and subjection, and evaluates the role of philosophical dialogue in a school setting as an agent of transformation. (shrink)

This book collects essays from the 2006 and 2007 International Philosophy Colloquia Evian, centred around a central problem in the philosophy of mind: the relationship between the human faculty of sensory experience and the faculty of conceptual reflection, that is self-consciousness. Containing articles by philosophers of eight nationalities, in three languages (English, French, German), and of "analytical" as well as "continental" provenance, it beautifully represents the spirit of the colloquia. Authors include Joshua Andresen (AU Beirut), Valérie Aucouturier (Kent U / (...) U Paris I), Karin de Boer (KU Leuven), Santiago Echeverri (U Genève), Roberto Farneti (LU Bolzano), Tim Henning (JLU Giessen), Felix Koch (Columbia U), Christophe Laudou (Madrid), David Lauer (FU Berlin), Jason Leddington (Bucknell U), Nicolas Monseu (UC Louvain), Soraya Nour (HU Berlin), Hans Bernhard Schmid (U Wien), Henning Tegtmeyer (U Leipzig). (shrink)

Whose values should count – those of patients or the general public – when adopting the quality-adjusted life year framework for healthcare decision making is a long-standing debate. Specific disciplines, such as economics, are not wedded to a particular side of the debate, and arguments for and against the use of patient values have been discussed at length in the literature. In 2012, Sinclair proposed an approach, grounded within patient preference theory, which sought to avoid a perceived unfair discrimination against (...) people with disabilities when using values from the general public. Key assumptions about general public values that beget this line of thinking were that ‘disabled states always tally with lower quality of life’, and the use of standardised instruments means that ‘you are forced into a fixed view of disability as a lower value state’. Drawing on recent contributions to the health economics literature, we contend that such assumptions are not inherent to the incorporation of general public values for the estimation of QALYs. In practice, whether health states of people with disabilities are of ‘lower value’ is, to some extent, a reflection of the health state descriptions that members of the public are asked to value. (shrink)

David Alexander has argued that “weak inferential internalism” (WII), a position which amounts to a qualified endorsement of Richard Fumerton’s controversial “principle of inferential justification,” is subject to a fatal dilemma: Either it collapses into externalism or it must make an arbitrary epistemic distinction between persons who believe the same proposition for the same reasons. In this paper, I argue that the dilemma is a false one, for weak inferential internalism does not entail internalism simpliciter. Indeed, WII is compatible (...) with modest externalism, and so is consistent with what Armstrong calls “Type II justification,” the rejection of which leads to the arbitrary epistemic distinctions to which he rightly objects. (shrink)

Raw (pragmatic) and potential (theoretical) power is seen as the key to press freedom in various global settings. Because the locus of power determines the locus of freedom, the authors suggest a model to understand where the raw and potential power resides within a matrix consisting of the State, the Media Elite, the Journalists, or the People. Numerous questions concerning accountability and ethics are raised concerning the practical application of a model that purports to overcome cultural biases inherent in traditional (...) theories of press and society. (shrink)

In God and Mystery in Words David Brown uses the way in which poetry and drama have in the past opened people to the possibility of religious experience as a launch pad for advocating less wooden approaches to Christian worship today. So far from encouraging imagination and exploration, hymns and sermons now more commonly merely consolidate belief. Again, contemporary liturgy in both its music and its ceremonial fails to take seriously either current dramatic theory or the sociology of ritual. (...) Yet this was not always so. Imagery and hymns mattered, liturgial msic encouraged a sense of drama, sermons required rhetoric. In a characteristically stimulatling and inspiringly expansive study, that ranges from ancient Greek drama to modern poetry, from the meaning of the Logos to the history of vestments, David Brown pleads for a much wider focus on the kind of factors that aid experience of God. (shrink)

This is a comment on Tihamér Margitay’s “From Epistemology to Ontology,” where he criticizes Polanyi’s claim that there is a systematic correspondence between the levels of ontology and the levels of tacit knowing. Margitay contends that Polanyi supports this correspondence by appealing to a “purely ontological argument,” one which concludes that it is impossible to reduce machines to a singular, chemical-physical type, and criticizes this claim by pointing to industrial standards (machines that do reduce to singular physical-chemical type). I respond (...) to Margitay’s claim by distinguishing two different “purely ontological arguments” in Polanyi’s thought (one relying on the multi-realizability of a machine in different physical-chemical types, the other pointing to the inability of a purely physical-chemical ontology to account for the artificial shaping and functioning of machines). With these two arguments clarified, Margitay’s criticism by appealing to industrial standards loses much of its initial force. (shrink)

Mediterranean history, and the history of other closed seas, is seen here as the experience of those who traversed the sea and arrived as decentered aliens on the other side. Mainly these have been men, with merchants generally as pioneers who introduced the goods, ideas, and religion of one region to another. From antiquity onwards, port cities such as Carthage, Alexandria, Smyrna, and Livorno acted as links among the three continents facing the Mediterranean, and visitors from other lands were sometimes (...) free to roam, sometimes ghettoized. (shrink)

The target article skillfully evaluates data on mental disorders in relation to predictions from evolutionary genetic theories of neutral evolution, balancing selection, and polygenic mutation-selection balance, resulting in a negative outlook for the likelihood of success finding genes for mental disorders. Nevertheless, new conceptualizations, methods, and continued interactions across disciplines provide hope.

New genetic technologies can not only be used to ‘cure’ many significant healthcare conditions, but at least potentially they can be used in ways that either change the user’s identity significantly and/or cause a different person to come into existence. It might be argued that these technologies present a challenge for Luck Egalitarians – the essence of this challenge being the claim that, given a commitment towards luck neutralisation, a Luck Egalitarian ought to be committed to equalisation of talent using (...) this technology, which appears repugnant. In the present contribution I will argue that this challenge is not as powerful as it appears, and that Luck Egalitarianism has sufficient resources to resist a commitment to equalisation of talent of a repugnant kind. Furthermore it provides us a useful framework to consider the introduction of technologies of this nature. (shrink)