This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs.

Derogatory terms (racist, sexist, ethnic, and homophobic epithets) are bully words with ontological force: they serve to establish and maintain a corrupt social system fuelled by distinctions designed to justify relations of dominance and subordination. No wonder they have occasioned public outcry and legal response. The inferential role analysis developed here helps move us away from thinking of the harms as being located in connotation (representing mere speaker bias) or denotation (holding that the terms fail to refer due to inaccurate (...) descriptive content). The issue is not bad attitudes or referential misfires. An inferential role semantic analysis of derogatory terms shows exactly what is at stake between those who argue that the terms should be eliminated (Absolutists) and those who claim they can be successfully rehabilitated (Reclaimers). The Reclaimer maintains, and the Absolutist denies, that certain contexts can detach the derogatory force from deeply derogatory terms. The article looks at these claims with respect to ‘nigger’ and ‘dyke,’ setting out the inferential role of each term and examining detachability potential. Explaining detachability in terms of linguistic commitments, this article also addresses the issue of whether such terms count as political discourse, and examines the implications of that issue. (shrink)

"This book is a comprehensive attack on several of the views that have been most influential in the philosophy of psychology during the last two decades. Professor Baker argues that mentalistic notions should not be eliminated, and need not be explained in terms of other notions, in cognitive science.' The book is interesting and shows an honest concern for clear argumentation. It deserves a wide readership." --Tyler Burge, University of California at Los Angeles"This book is a provocative and relentlessly argued (...) treatment of a deep and important topic: the fate of intentionality. Baker's arguments oblige those who wish to defend the current conception of cognitive science to rethink the discipline. She has put the ball squarely in the physicalists' court. ... Despite the technical character of the topic, the book is wonderfully readable."--John Heil, Visiting Fellow, University of California, BerkeleyThis stimulating book critically examines a wide range of physicalistic conceptions of mind in the works of Jerry A. Fodor, Stephen P. Stich, Paul M. Churchland, Daniel C. Dennett, and others. Part I argues that intentional concepts cannot be reduced to nonintentional (and nonsemantic) concepts; Part II argues that intentional concepts are nevertheless indispensable to our cognitive enterprises and thus need no foundation in physicalism.As a sustained challenge to the prevailing interpretation of cognitive science, this timely book fills a large gap in the philosophical literature. It is sure to spark controversy, yet its clarity makes it attractive as a text in upper-level undergraduate and graduate courses in philosophy of mind and cognitive science. Saving Belief should be read byphilosophers, psychologists, and others interested in the philosophy of language, philosophy of mind, and cognitive science. (shrink)

My aim is twofold: first, to root out the metaphysical assumptions that generate the problem of mental causation and to show that they preclude its solution; second, to dissolve the problem of mental causation by motivating rejection of one of the metaphysical assumptions that give rise to it. There are three features of this metaphysical background picture that are important for our purposes. The first concerns the nature of reality: all reality depends on physical reality, where physical reality consists of (...) a network of events.1 The second concerns the nature of causation, and the third concerns the conception of behavior. I try to vindicate a robust idea of mental causation. (shrink)

Some philosophers take personal identity to be a matter of self-narrative. I argue, to the contrary, that self-narrative views cannot stand alone as views of personal identity. First, I consider Dennett’s self-narrative view, according to which selves are fictional characters—abstractions, like centers of gravity—generated by brains. Neural activity is to be interpreted from the intentional stance as producing a story. I argue that this is implausible. The inadequacy is masked by Dennett’s ambiguous use of ‘us’: sometimes ‘us’ refers to real (...) human beings, and sometimes ‘us’ refers to selves or fictional characters. Second, I consider Schechtmann’s view that self-narratives create persons in order for there to be a self-narrative. Finally, I offer my own account of persons. (shrink)

The first-person perspective is a challenge to naturalism. Naturalistic theories are relentlessly third-personal. The first-person perspective is, well, first-personal; it is the perspective from which one thinks of oneself as oneself* without the aid of any third-person name, description, demonstrative or other referential device. The exercise of the capacity to think of oneself in this first-personal way is the necessary condition of all our self-knowledge, indeed of all our self-consciousness. As important as the first-person perspective is, many philosophers have not (...) appreciated the force of the data from the first-person perspective, and suppose that the first-person perspective presents no particular problems for the naturalizing philosopher. For example, Ned Block commented, “It is of course [phenomenal] consciousness rather than...self-consciousness that has seemed such a scientific mystery.” And David Chalmers says that self-consciousness is one of those psychological states that “pose no deep metaphysical enigmas.”. (shrink)

Self-consciousness, many philosophers agree, is essential to being a person. There is not so much agreement, however, about how to understand what self-consciousness is. Philosophers in the field of cognitive science tend to write off self-consciousness as unproblematic. According to such philosophers, the real difficulty for the cognitive scientist is phenomenal consciousness--the fact that we have states that feel a certain way. If we had a grip on phenomenal consciousness, they think, self-consciousness could be easily handled by functionalist models. For (...) example, recently Ned Block commented. (shrink)

According to the Constitution View of persons, a human person is wholly constituted by (but not identical to) a human organism. This view does justice both to our similarities to other animals and to our uniqueness. As a proponent of the Constitution View, I defend the thesis that the coming-into-existence of a human person is not simply a matter of the coming-into-existence of an organism, even if that organism ultimately comes to constitute a person. Marshalling some support from developmental psychology, (...) I give a broadly materialistic account of the coming-into-existence of a human person. I argue for the metaphysical superiority of the Constitution View to Biological Animalism, Thomistic Animalism, and other forms of Substance Dualism. I conclude by discussing the single implication of the Constitution View for thinking about abortion. Footnotesa Thanks to Gareth Matthews and Catherine E. Rudder for comments. I am also grateful to other contributors to this volume, especially Robert A. Wilson, Marya Schechtman, David Oderberg, Stephen Braude, and John Finnis. (shrink)

Throughout his illustrious career, Roderick Chisholm was concerned with the nature of persons. On his view, persons are what he called ‘entia per se.’ They exist per se, in their own right. I too have developed an account of persons—I call it the ‘Constitution View’—an account that is different in important ways from Chisholm’s. Here, however, I want to focus on a thesis that Chisholm and I agree on: that persons have ontological significance in virtue of being persons. Although I’ll (...) make the notion of ontological significance more precise later, the rough idea is that Fs (persons, or whatever) have ontological significance just in case a new F is a new thing and not just a change in some already-existing thing. (shrink)

The prevailing view of Christian philosophers today seems to be that Christianity requires a libertarian conception of free will. Focusing on Augustine’s mature anti-Pelagian works, I try to show that the prevailing view is in error. Specifically, I want to show that---on Augustine’s view of grace-a libertarian account of free will is irrelevant to salvation. On Augustine’s view, the grace of God through Christ is sufficient as weIl as necessary for salvation. Salvation is entirely in the hands of God, totally (...) independent of anything that any human being might do. And faith, the human response to salvation, is best understood in terms of a compatibilist account of freedom. (shrink)

Drawing on writers as diverse as Saul Kripke, Stanley Cavell, G. E. M. Anscombe, Jonathan Lear, and Bernard Williams, I offer an interpretation of Wittgenstein's key notion of a form of life that explains why Wittgenstein was so enigmatic about it. Then, I show how Hilary Putnam's criticism of Wittgenstein's philosophy of mathematics and Richard Rorty's support of (what he takes to be) Wittgenstein's legacy in the philosophy of mind both require mistaken assumptions about Wittgenstein's idea of a form of (...) life. Finally, I consider the extent to which the idea of a form of life is subject to Donald Davidson's critique of the idea of a conceptual scheme. (shrink)

Artifacts are objects intentionally made to serve a given purpose; natural objects come into being without human intervention. I shall argue that this difference does not signal any ontological deficiency in artifacts qua artifacts. After sketching my view of artifacts as ordinary objects, I’ll argue that ways of demarcating genuine substances do not draw a line with artifacts on one side and natural objects on the other. Finally, I’ll suggest that philosophers have downgraded artifacts because they think of metaphysics as (...) resting on a distinction between what is “mind­independent” and what is “mind­ dependent.” I’ll challenge the use of any such distinction as a foundation for metaphysics. (shrink)

The editor of this volume takes it to mean that a prior experience affects behavior without the individual's appreciation (ability to report) of this...

Nonphilosophers, if they think of philosophy at all, wonder why people work in metaphysics. After all, metaphysics, as Auden once said of poetry, makes nothing happen.1 Yet some very intelligent people are driven to spend their lives exploring metaphysical theses. Part of what motivates metaphysicians is the appeal of grizzly puzzles (like the paradox of the heap or the puzzle of the ship of Theseus). But the main reason to work in metaphysics, for me at least, is to understand the (...) shared world that we all encounter and interact with. And the shared world that we all encounter includes us self-conscious beings and our experience. The world that we inhabit is unavoidably a temporal world: the signing of the Declaration of Independence is later than the Lisbon earthquake; the Cold War is in the past; your death is in the future. There is no getting away from time. (shrink)

Infants are unable to make their own decisions or express their own wishes about medical procedures and treatments. They rely on surrogates to make decisions for them. Who should be the decision-maker when an infant’s biological parents are also minors? In this paper, we analyse a case in which the biological mother is a child. The central questions raised by the case are whether minor parents should make medical decisions on behalf of an infant, and if so, what are the (...) limits to this decision-making authority? In particular, can they refuse treatment that might be considered best for the infant? We examine different ethical arguments to underpin parental decision-making authority; we argue that provided that minor parents are capable of fulfilling their parental duties, they should have a right to make medical decisions for their infant. We then examine the ethical limits to minor parents’ decision-making authority for their children. We argue that the restricted authority that teenagers are granted to make medical decisions for themselves looks very similar to the restricted autonomy of all parents. That is, they are permitted to make choices, but not harmful choices. Like all parents, minor parents must not abuse or neglect their children and must also promote their welfare. They have a moral right to make medical decisions for their infants within the same ‘zone of parental discretion’ that applies to adult parents. We conclude that adult and minor parents should have comparable decision-making authority for their infants. (shrink)

Ex-gay ministries, like many evangelical groups, advocate traditional gender ideologies. But their discourses and practices generate masculine ideals that are quite distinct from hegemonic ones. I argue that rather than simply reproducing hegemonic masculinity, ex-gay ministries attempt to realize godly masculinity, an ideal that differs significantly from hegemonic masculinity and is explicitly critical of it. I discuss three aspects of the godly masculine ideal—de-emphasizing heterosexual conquest, inclusive masculinity, and homo-intimacy—that work to subvert hegemonic masculinity and allow ministry members to critique (...) it while still advocating for innate gender distinction and hierarchy. I conclude by arguing that gender theorists need to be more precise in distinguishing conservative religious masculinities from hegemonic ones. (shrink)

Making sense of MacKinnon’s claim that pornography silences women requires attention to the discursive and interpretive frameworks that pornography establishes and promotes. Treating pornography as a form of hate speech is promising, but also limited. A close examination of a legal case, in which pornographic images were used to sexually harass, focuses on the hate speech analogy while illustrating the broad and lasting impact of such depictions when targeted at an individual. Applying the distinction between Absolutist and Reclaimer approaches to (...) hate speech and derogatory terms, the article concludes with a discussion of the possibility of creative development of discursive practices within a context that undermines the semantic authority of members of certain groups. (shrink)

About the Author James Elkins is E.C. Chadbourne Chair in the Department of Art History, Theory, and Criticism at the School of the Art Institute of Chicago. His many books include Pictures and Tears, How to Use Your Eyes, and What Painting Is, all published by Routledge. Michael Newman teaches in the Department of Art History, Theory, and Criticism at the School of the Art Institute of Chicago, and is Professor of Art Writing at Goldsmiths College in the University of (...) London. His publications include the books Richard Prince: Untitled (couple) and Jeff Wall, and he is co-editor with Jon Bird of Rewriting Conceptual Art. (shrink)

In response to recent corporate ethical and financial disasters there has been increased pressure on business schools to improve their teaching of corporate ethics. Accreditation bodies, such as the Association to Advance Collegiate Schools of Business (AACSB), now require member institutions to develop the ethical awareness of business students, either through a dedicated subject or an integrated coverage of ethics across the curriculum. This paper describes an institutional approach to the incorporation of a comprehensive multi-disciplinary ethics framework into the business (...) curriculum. We discuss important implications for the assessment of ethics within institutional assurance practices, and address critical issues related to the support of academics whenrequired to incorporate new ethics material within their subject which may be outside their field of expertise. As an example, the successful application of the framework within the marketing discipline is presented and discussed. (shrink)

Derogatory terms (racist, sexist, ethnic epithets) have long played various roles and achieved diverse ends in works of art. Focusing on basic aspects of an aesthetic object or work, this article examines the interpretive relation between point of view and content, asking how aesthetic contextualization shapes the impact of such terms. Can context, particularly aesthetic contexts, detach the derogatory force from powerful epithets and racist and sexist images? What would it be about aesthetic contexts that would make this possible? The (...) article puts into aesthetic contexts both Absolutist and Reclaimer views about the power of derogatory terms, applying an inferential role semantics, developed for language, to both words and images. The Reclaimer’s position, that derogation is a matter of pragmatics, of use, emphasizes the context-sensitivity of the term, that is matters who says it, to whom, when, where, and why. Understanding derogatory terms used as hate speech helps to make this position clear. The Absolutist’s position, that no contextual variations can detach the derogation from these deeply derogatory terms, is developed here through attention to subordinating images in pornography. The article argues that art may be able to achieve the deviant interpretations that the Reclaimer needs to undermine the derogations while maintaining sensitivity and awareness of the history of oppression. (shrink)

Many physicalists are committed to an austere dichotomy: either beliefs, desires and intentions are scientifically respectable or attributions of such attitudes are all false. One physicalist, Daniel Dennett, offers a third alternative, which seems to permit a kind of instrumentalism concerning attitudes. I argue that Dennett's attempt to reconcile an instrumentalistic account of attributions of attitudes with a thoroughgoing physicalism founders on unresolvable conflicts between his official theory and his actual treatment of key concepts. As a result, instrumentalism concerning attitudes (...) is exposed as inadequate to be a genuine alternative to the physicalist's dichotomy. (shrink)

Americans cherish the idea that good eventually triumphs over evil. After briefly arguing that a proper understanding of the moral harm of cruelty calls into question the credibility of popular American idioms of redemption, I argue that the epistemic dynamics of horror help account for the commanding grip of this rhetoric on the popular imagination, and I suggest that this idiom has morally problematic features that warrant the attention of feminists.

The project of explaining intentional phenomena in terms of nonintentional phenomena has become a central task in the philosophy of mind.' Since intentional phenomena like believing, desiring, intending have content essentially, the project is one of showing how semantic properties like content can be reconciled with nonsemantic properties like cause. As Jerry A. Fodor put it, The worry about representation is above all that the semantic (and/or the intentional) will prove permanently recalcitrant to integration in the natural order; for example (...) that the semantic/intentional properties of things will fail to supervene upon their physical properties.2. (shrink)

We run into instances of material constitution everywhere we turn. Material constitution is the relation that obtains between an octagonal piece of metal and a Stop sign, between strands of DNA molecules and genes, between pieces of paper and dollar bills, between stones and monuments, between lumps of clay and statues, between human persons and their bodies—the list is endless. Although there has been a great deal of controversy recently about the nature of material constitution, I want to enter the (...) fray by setting out and defending an explicit definition of what it is for an object x to constitute an object y at time t. (shrink)

This essay asks about the return to nature and “life itself” in contemporary feminist philosophy and theory, from the new materialisms to feminist science studies to environmental ethics and critical animal studies. Unlike traditional naturalisms, the contemporary turn to nature is explicitly posthumanist. Shifting their focus away from anti-essentialist critiques of woman-as-nature, these new feminist philosophies of nature have turned toward nonhuman animals, the cosmos, the climate, and life itself as objects of ethical concern. Drawing on Foucault, the essay probes (...) the ethical meanings of the term “life itself” invoked in many of these renaturalizing projects. Focusing especially on the archival matter that guides Foucault’s thinking, I suggest that we rethink “life itself” not as a transhistorical substance but as the unstable materiality of history. I then reframe Foucault’s archival, genealogical perspective through the lens of the Anthropocene and geological time. Reconceiving our archive as a fossil record, I suggest that Foucault has much to contribute to environmental challenges to human exceptionalism and the anthropogenic destruction of other species and ourselves. (shrink)

Monotheistic conceptions of an afterlife raise a philosophical question: In virtue of what is a postmortem person the same person who lived and died? Four standard answers are surveyed and criticized: sameness of soul, sameness of body or brain, sameness of soul-body composite, sameness of memories. The discussion of these answers to the question of personal identity is followed by a development of my own view, the Constitution View. According to the Constitution View, you are a person in virtue of (...) having a first-person perspective, and a postmortem person is you if and only if that person has the same first-person perspective. The Christian doctrine of resurrection has three features: a postmortem person is embodied; a postmortem person is identical to some premortem person; and the postmortem person owes existence to a miracle. I show how the Constitution View accommodates these three features. (shrink)

Although language has long been regarded as a primarily arbitrary system, sound symbolism, or non-arbitrary correspondences between the sound of a word and its meaning, also exists in natural language. Previous research suggests that listeners are sensitive to sound symbolism. However, little is known about the specificity of these mappings. This study investigated whether sound symbolic properties correspond to specific meanings, or whether these properties generalize across semantic dimensions. In three experiments, native English-speaking adults heard sound symbolic foreign words for (...) dimensional adjective pairs and for each foreign word, selected a translation among English antonyms that either matched or mismatched with the correct meaning dimension. Listeners agreed more reliably on the English translation for matched relative to mismatched dimensions, though reliable cross-dimensional mappings did occur. These findings suggest that although sound symbolic properties generalize to meanings that may share overlapping semantic features, sound symbolic mappings offer semantic specificity. (shrink)

Definitions of the concept of mild cognitive impairment (MCI) and suggested therapies are controversial. There are no widely acknowledged therapies and the ethical implications and methodologic issues around identifying and defining people with MCI are important concerns. The psychosocial implications for the person being labeled as having MCI have not been widely explored. This paper addresses these issues and presents data from two contrasting case studies. Key analytical themes identified in the qualitative analysis include different views about the causes of (...) dementia ("normal aging" versus disease); fear and anxiety about dementia; how such factors influence presentation to health professionals; and the effect of a label of cognitive impairment on quality of life. Our conclusion is that the usefulness and justification for early identification of cognitive impairment in a situation that has not yet been recognized by those involved should be questioned. (shrink)

After centuries of reflection, the issue of human freedom remains vital largely because of its connection to moral responsibility. When I ask—What is human freedom?—I mean to be asking what kind of freedom is required for moral responsibility? Questions about moral responsibility are intimately connected to questions about social policy and justice; so, the issue of moral responsibility—of desert, of whether or not anyone is ever really praiseworthy or blameworthy—has practical as well as theoretical significance.

Amie Thomasson has won well-deserved praise for her book, Ordinary Objects. She defends a commonsense world view and gives us “reason to think that there are fundamental particles, plants and animals, sticks and stones, tables and chairs, and even marriages and mortgages.” (p. 181) Ordinary objects comprise a vast array of things—natural objects both scientific and commonsensical, artifacts, organisms, abstract social objects.

This essay examines the Foucauldian foundations of queer theory in the work of Eve Kosofsky Sedgwick. The essay argues that Sedgwick’s increasing disappointment with Foucault’s critique of the repressive hypothesis is in part produced by the slippery rhetoric of The History of Sexuality, Vol. 1: An Introduction . Specifically, Foucault’s use of free indirect discourse in that volume destabilizes both the theory of repression and the critique Foucault mounts against it, thereby rendering ambiguous any political promise his critique might seem (...) to offer. Returning to the fraught relation between Foucault and Sedgwick, the essay concludes by reading Foucault and Sedgwick together through the lens of a reparative ethics in which the felt experience of knowing the world is also an experiment in new ways of living. (shrink)

It is no news that you and I are agents as well as persons. Agency and personhood are surely connected, but it is not obvious just how they are connected. I believe that being a person and being an agent are intimately linked by what I call a ‘first-person perspective’: All persons and all agents have first-person perspectives. Even so, the connection between personhood and agency is not altogether straightforward. There are different kinds of agents, and there are different kinds (...) of first-person perspectives. On the one hand, all persons are agents, but not all agents are persons; on the other hand, all moral agents are persons, but not all persons are moral agents. (shrink)