This open access book is a systematic update of the philosophical and scientific foundations of the biopsychosocial model of health, disease and healthcare. First proposed by George Engel 40 years ago, the Biopsychosocial Model is much cited in healthcare settings worldwide, but has been increasingly criticised for being vague, lacking in content, and in need of reworking in the light of recent developments. The book confronts the rapid changes to psychological science, neuroscience, healthcare, and philosophy that have occurred since the (...) model was first proposed and addresses key issues such as the model’s scientific basis, clinical utility, and philosophical coherence. The authors conceptualise biology and the psychosocial as in the same ontological space, interlinked by systems of communication-based regulatory control which constitute a new kind of causation. These are distinguished from physical and chemical laws, most clearly because they can break down, thus providing the basis for difference between health and disease. This work offers an urgent update to the model’s scientific and philosophical foundations, providing a new and coherent account of causal interactions between the biological, the psychological and social. (shrink)

This article discusses the relation between prioritarian and egalitarian principles, whether and why we need to appeal to both kinds of principle, how prioritarians can answer various objections, especially those put forward by Michael Otsuka and Alex Voorhoeve, the moral difference between cases in which our acts could affect only one person or two or more people, veil of ignorance contractualism and utilitarianism, what prioritarians should claim about cases in which the effects of our acts are uncertain, the relative moral (...) importance of actual and expectable benefits, whether people should sometimes be given various chances of receiving benefits, and principles that appeal to competing claims. (shrink)

Shamans, healers, and doctors have always known that patients may improve even if no real therapy is administered. In the Charmides, Plato noted that to soothe a headache, one needed "a kind of leaf, which required to be accompanied by a charm, and if a person would repeat the charm at the same time he used the cure, he would be made whole; but that without the charm would be of no avail". Similarly, more than two millennia later, Thomas Jefferson (...) observed, "One of the most successful physicians I have even known has assured me that he used more bread pills, drops of colored water, and powder of hickory ashes, than of all other medication put together"; Jefferson famously labeled this... (shrink)

Is there one univocal or generic notion of ground? Monists answer yes, while pluralists answer no. Pluralists argue that monism cannot meet plausible constraints on an adequate theory of ground. My aim in this paper is to articulate a monist theory of ground that can satisfy the pluralist constraints in a way that leaves the pluralists with no reasons not to endorse the monist picture of ground. I do this by adopting a tripartite conception of ground and then showing that (...) it has the resources to vindicate monism while satisfying the pluralist constraints on a theory of ground. (shrink)

Many authors have proposed that grounding is closely related to metaphysical laws. However, we argue that no existing theory of metaphysical laws is sufficiently general. In this paper we develop a general theory of grounding laws, proposing that they are generative relations between pluralities of propositions and propositions. We develop the account in an essentialist language; this allows us to state precisely the sense in which grounding might be reduced to laws. We then put the theory to use in showing (...) how moral laws can play a role in grounding particular moral facts, in defending monism about ground, and in showing in what sense there is no gap between the grounds and the grounded. Finally, we make a novel proposal about what grounds facts about ground. (shrink)

The debate over safe spaces has traditionally been cast as a conflict between competing goals. On the one hand we have epistemic goals such as the pursuit of truth and the free exchange of ideas. O...

This paper identifies the phenomenon of conceptual competence injustice, a form of epistemic injustice that occurs when a marginalized epistemic agent makes a conceptual claim and is illegitimately regarded as having failed to grasp one or more of the concepts expressed in her testimony. The notion of a conceptual claim is given a deflationary account that is coextensive with the class of a priori knowable claims. This study reveals a form of oppression that severely hinders marginalized epistemic agents who seek (...) to create or communicate conceptual knowledge. Conceptual competence injustice is compared and contrasted with three other forms of epistemic injustice: testimonial injustice, hermeneutical injustice, and contributory injustice. The final section investigates a number of damaging effects that conceptual competence injustice has on marginalized persons pursuing a career in academic philosophy. (shrink)

There are two main views about the nature of personal identity. I shall briehy describe these views, say without argument which I believe to be true, and then discuss the implications of this view for one of the main conceptions of rationality. This conception I shall call "C1assical Prudence." I shall argue that, on what I believe to be the true view about personal identity, Classical Prudence is indefensible.

We propose a Bayesian framework for the attribution of knowledge, and apply this framework to generate novel predictions about knowledge attribution for different types of “Gettier cases”, in which an agent is led to a justified true belief yet has made erroneous assumptions. We tested these predictions using a paradigm based on semantic integration. We coded the frequencies with which participants falsely recalled the word “thought” as “knew” (or a near synonym), yielding an implicit measure of conceptual activation. Our experiments (...) confirmed the predictions of our Bayesian account of knowledge attribution across three experiments. We found that Gettier cases due to counterfeit objects were not treated as knowledge (Experiment 1), but those due to intentionally-replaced evidence were (Experiment 2). Our findings are not well explained by an alternative account focused only on luck, because accidentally-replaced evidence activated the knowledge concept more strongly than did similar false belief cases (Experiment 3). We observed a consistent pattern of results across a number of different vignettes that varied the quality and type of evidence available to agents, the relative stakes involved, and surface details of content. Accordingly, the present findings establish basic phenomena surrounding people’s knowledge attributions in Gettier cases, and provide explanations of these phenomena within a Bayesian framework. (shrink)

This book investigates the impact of misinformation and the role of truth in political struggle. It develops a theory of objective truth for political controversy over topics such as racism and gender, based on the insights of intersectionality, the Black feminist theory of interlocking systems of oppression. Truth is defined using the tools of model theory and formal semantics, but the theory also captures how social power dynamics strongly influence the operation of the concept of truth within the social fabric. (...) Systemic ignorance, propagated through false speech and misinformation, sustains oppressive power structures and perpetuates systemic inequity. Truth tends to empower marginalized groups precisely because oppressive systems are maintained through systemic ignorance. If the truth sets people free, then power will work to obscure it. Hence, the rise of misinformation as a political weapon is a strategy of dominant power to undermine the political advancement of marginalized groups. (shrink)

It is widely acknowledged that low-income and minority communities in liberal democratic societies suffer a disproportionate burden of environmental hazards. Is “environmental injustice” a necessary feature of liberal societies or is its prevalence due to the failure of existing liberal democracies to live up to liberal principles of justice? One leading version of liberalism, John Rawls’ “justice as fairness,” can be “extended” to accommodate the concerns expressed by advocates of environmental justice. Moreover, Rawlsian environmental justice has some significant advantages over (...) existing conceptions of environmental justice. (shrink)

Torin Alter (2013) attempts to rescue phenomenal concepts and the knowledge argument from the critique of Ball 2009 by appealing to conceptual mastery. I show that Alter’s appeal fails, and describe general features of conceptual mastery that suggest that no such appeal could succeed.

This paper introduces the concept of linguistic hijacking, the phenomenon wherein politically significant terminology is co-opted by dominant groups in ways that further their dominance over marginalized groups. Here I focus on hijackings of the words “racist” and “racism.” The model of linguistic hijacking developed here, called the semantic corruption model, is inspired by Burge’s social externalism, in which deference plays a key role in determining the semantic properties of expressions. The model describes networks of deference relations, which support competing (...) meanings of, for example, “racist,” and postulates the existence of deference magnets that influence those networks over time. Linguistic hijacking functions to shift the semantic properties of crucial political terminology by causing changes in deference networks, spreading semantics that serve the interests of dominant groups, and weakening the influence of resistant deference networks. I consider an objection alleging the semantic corruption model gets the semantic data wrong because it entails those who hijack terms like “racist” speak truly, whereas it’s natural to see such hijacking misuses as false speech about racism. I then respond to this objection by invoking the framework of metalinguistic negotiation proposed by Plunkett and Sundell. (shrink)

This paper defends a conception of analysis on which analysis can be revisionary of ordinary or expert belief, without thereby changing meaning or replacing one concept with another. On this view, analyses play a role in determining not only what we will go on to mean, but also what we meant all along. The argument appeals to our epistemic engagement with revisionary theorising, focusing on Haslanger's ameliorative accounts of race and gender.

This paper argues that, with certain provisos, predicting one's future actions is incompatible with rationally deliberating about whether to perform those actions. It follows that fully rational omniscient agents are impossible, since an omniscient being could never rationally deliberate about what to do . Consequently, theories that explain practical reasons in terms of the choices of a perfectly rational omniscient agent must fail. The paper considers several ways of defending the possibility of an omniscient agent, and concludes that while some (...) of these may work, they are inconsistent with the aim of explaining practical normativity by appeal to such an agent. (shrink)

What responsibilities does each of us have to reduce or limit our greenhouse gas emissions? Advocates of individual emissions reductions acknowledge that there are limits to what we can reasonably demand from individuals. Climate ethics has not yet systematically explored those limits. Instead, it has become popular to suggest that such judgements should be ‘context-sensitive’ but this does not tell us what role different contextual factors should play in our moral thinking. The current approach to theory development in climate ethics (...) is not likely to be the most effective way to fill this gap. In existing work, climate ethicists use hypothetical cases to consider what can be reasonably demanded of individuals in particular situations. In contrast, ‘climate ethics with an ethnographic sensibility’ uses qualitative social science methods to collect original data in which real individuals describe their own situations. These real-life cases are more realistic, more detailed and cover a broader range of circumstances than hypothetical cases. Normative analysis of real-life cases can help us to develop a more systematic understanding of the role that different contextual factors should play in determining individual climate responsibilities. It can also help us to avoid the twin dangers of ‘idealization’ and ‘special pleading’. (shrink)

The purpose of this paper is to present and discuss a puzzle involving accommodation. The puzzle is based on three assumptions. The first assumption is that accommodation takes place after an utterance. The second assumption is that accommodation can make a difference to the truth-value of an utterance even if the utterance is not about the future. The third assumption is that something that takes place after an utterance cannot make a difference to the truth-value of the utterance unless the (...) utterance is about the future. Since these assumptions are jointly inconsistent, one of them must be false. The question is which one we ought to reject. The majority of the discussion is devoted to discussing each of the options, and the tentative conclusion is that the most plausible strategy is to reject the third thesis. That amounts to saying that something that takes place after an utterance can make a difference to the truth-value of the utterance even if the utterance is not about the future. (shrink)

This paper considers whether the promotion of an environmental ethic in schools is compatible with the political liberal's commitment to ‘neutrality’. A new account of the implications of John Rawls's political liberalism for the ‘basic structure’ of education is developed. The prima facie incompatibility of political liberalism and the promotion of an environmental ethic is misleading. Rawls's political liberalism requires—as a matter of intergenerational justice—the promotion of the ‘sustainability virtues’. Moreover, it permits the promotion of ‘greener’ ideals.

When is a moral theory self-defeating? I suggest the following. There are certain things we ought to try to achieve. Call these our moral aims. Our moral theory would be self-defeating if we believed we ought to do what will cause our moral aims to be worse achieved. Is this ever true? If so, what does it show?

Venomous snakebite is a neglected tropical disease and disease of poverty, affecting hundreds of thousands of people annually. The only effective medical intervention for snakebite is antivenom, produced primarily using captive venomous snakes as a source of venom. This paper analyzes snakes’ welfare at venom labs within this global health context. I recommend significant changes to improve the welfare of captive snakes, particularly in light of recent ethological research and attention on snakes. These recommendations are broadly consequentialist, aiming to improve (...) the lives of the snakes and ensure that people have increased access to affordable antivenom. (shrink)

Knowledge of one's own states of mind is one of the varieties of self-knowledge. Do any nonhuman animals have the capacity for this variety of self-knowledge? The question is open to empirical inquiry, which is most often conducted with primate subjects. Research with a bottlenose dolphin gives some evidence for the capacity in a nonprimate taxon. I describe the research and evaluate the metacognitive interpretation of the dolphin's behaviour. The research exhibits some of the difficulties attached to the task of (...) eliciting behaviour that both attracts a higher-order interpretation while also resisting deflationary, lower-order interpretations. Lloyd Morgan's Canon, which prohibits inflationary interpretations of animal behaviour, has influenced many animal psychologists. There is one defensible version of the Canon, the version that warns specifically against unnecessary intentional ascent. The Canon on this interpretation seems at first to tell against a metacognitive interpretation of the data collected in the dolphin study. However, the model of metacognition that is in play in the dolphin studies is a functional model, one that does not implicate intentional ascent. I explore some interpretations of the dolphin's behaviour as metacognitive, in this sense. While this species of metacognitive interpretation breaks the connection with the more familiar theory of mind research using animal subjects, the interpretation also points in an interesting way towards issues concerning consciousness in dolphins. (shrink)

Byrne offers a novel interpretation of the idea that the mind is transparent to its possessor, and that one knows one’s own mind by looking out at the world. This paper argues that his attempts to extend this picture of self-knowledge force him to sacrifice the theoretical parsimony he presents as the primary virtue of his account. The paper concludes by discussing two general problems transparency accounts of self-knowledge must address.

The discovery of traces of a blood meal in the abdomen of a 50‐million‐year‐old mosquito reminds us of the insights that the chemistry of fossils can provide. Ancient DNA is the best known fossil molecule. It is less well known that new fossil targets and a growing database of ancient gene sequences are paralleled by discoveries on other classes of organic molecules. New analytical tools, such as the synchrotron, reveal traces of the original composition of arthropod cuticles that are more (...) than 400 my old. Pigments such as melanin are readily fossilized, surviving virtually unaltered for ∼200 my. Other biomarkers provide evidence of microbial processes in ancient sediments, and have been used to reveal the presence of demosponges, for example, more than 635 mya, long before their spicules appear in the fossil record. Ancient biomolecules are a powerful complement to fossil remains in revealing the history of life. (shrink)

In this paper, I argue that forgiveness is a morally appropriate response only when it is grounded in the wrongdoer’s demonstration of genuine remorse, their offer of a sincere apology, and, where appropriate, acts of recompense and behavioral change. I then respond to John Kleinig’s suggestion (in his paper “Forgiveness and Unconditionality”) that when an apology is not forthcoming, there are at least three additional grounds that, when motivated by virtues such as love and compassion, could nevertheless render “unconditional forgiveness” (...) a morally laudable option. I argue that such grounds could indeed constitute or result in laudable responses to wrongdoing, but only if they are not conceived of or described in terms of forgiveness. (shrink)

Hybridization by introgression (“hybridization”) is a complex topic in conservation. Many conservation decision-makers are concerned about hybridization by introgression because it may threaten species persistence or local phenotypes, among other potential long-term problems. While attitudes have changed towards hybridization as a conservation threat, there are still concerns about hybridization as a problem, particularly if the hybridization was anthropogenically mediated. I propose that these concerns are overblown and that it is misguided to focus on whether hybridization is unintentionally human-mediated. I argue (...) that practitioners should still consider the effects of hybridization on conservation, but the reasons should concern the long-term environmental consequences, such as ecological function and social and cultural that hybridization has, rather than whether humans “caused” the hybrid. I propose a series of steps to think differently about these cases. (shrink)

This chapter presents a thorough analysis of Neurath’s physicalist syntacticism. It explores connections between syntacticism and other elements of Neurath’s philosophy such as the unity of science and the sociological imperative of empiricism. It also defends the intelligibility of syntacticism. Finally, the case is made that Neurath’s fear of semantics was warranted: logical empiricism was undermined to a large extent by the widespread acceptance of semantics.

Liberalism and ecologism are widely regarded as incompatible. Liberalism and (anthropocentric) environmentalism might be compatible but liberalism and (non-anthropocentric) ecologism are not. A liberal state cannot promote policies for ecological or ecocentric reasons. An individual cannot be both a liberal and a committed advocate of ecologism. This paper challenges these claims. It is argued that Rawls’s ‘political liberalism’ is compatible with ecologism and, in particular, the idea of ‘ecological justice’. A Rawlsian state can promote ecological justice. A committed political liberal (...) can also be a committed advocate of ecological justice. The argument is developed through a close textual examination of Rawls’s brief discussion of our duties to ‘animals and the rest of nature’. Rawls leaves far more scope for liberal ecologism than his critics have suggested. The proposed version of liberal ecologism is defended against charges of substantive and procedural bias toward humans and against nonhuman nature. Liberal ecologism may not be enough for some ecologists-especially ‘ecological constitutionalists’ seeking constitutional protection for nonhuman nature-but it is a serious and defensible political and moral theory. (shrink)

I defend indirect perceptual realism against two recent and related charges to it offered by A. D. Smith and P. Snowdon, both stemming from demonstrative reference involving indirect perception. The needed aspects of the theory of demonstratives are not terribly new, but their connection to these objections has not been discussed. The groundwork for my solution emerges from considering normal cases of indirect perception (e.g., seeing something depicted on a television) and examining the role this indirectness plays in demonstrative assertions. (...) I argue that indirectness routinely if not typically plays a justificatory role in such judgements, and not a semantic one, and that the same can be said of such judgements when considered within the indirect realist framework. The denial of this, on my analysis, is essential to the criticisms of Snowdon and Smith. The discussion is extended to include scenarios involving the sorts of misconceptions Smith employs. (shrink)

This article discusses socially responsible investing (SRI) and tobacco. SRI allows investors, both institutional and individual, to express their concerns and make their social and ethical stands known to the companies they invest in and patronize. The tobacco industry is active in every country on the globe and generates huge profits, while tobacco use is responsible for 4 million deaths every year.The authors explore past and current views on investment in tobacco, partly based on a survey conducted by the Tobacco (...) Free Initiative of the World Health Organization (WHO). There is clearly a trend toward divestment from tobacco for both ethical and financial reasons. Tobacco-free investments can be both ethically sound and financially profitable. (shrink)

Colour Relationalism asserts that colours are non-intrinsic or inherently relational properties of objects, properties that depend not only on a target object but in addition on some relation that object bears to other objects. The most powerful argument for Relationalism infers the inherently relational character of colour from cases in which one’s experience of a colour contextually depends on one’s experience of other colours. Experienced colour layering—say looking at grass through a tinted window and experiencing opaque green through transparent grey—demands (...) a contextual interdependency of one’s experience of one of these colours on one’s experience of the other. However, most if not all colour ontologies, and core perceptual experiential mechanisms like acquaintance and representation, can accommodate colour layering. It follows that experienced colour layering is consistent with colours being non-relational—this contextual interdependency of colours does not entail the constitutive dependency of one colour on the other. I utilize colour layering to examine the inference from the contextual to the constitutive interdependency of colours as it is employed in a well-known argument for Relationalism. I conclude that our justification for Relationalism is far weaker than Relationalists suggest. I first introduce readers to colour layering, then to Relationalism, and following this focus on the intersection of these topics. (shrink)

I respond to the 4 commentaries by Awais Aftab & Kristopher Nielsen, Hane Htut Maung, Diane O’Leary and Kathryn Tabb under 3 main headings: “What is the BPSM really?” & Why update it?; “Is our approach foundationally compromised?”, and finally, “Antagonists or fellow travellers?”.

Thomas Hoccleve wrote his Regement of Princes in 1411 and addressed it to the patronage of Henry, Prince of Wales, who was to succeed to the throne as Henry V two years later, on the death of his father, Henry IV. The Regement is a book of the governance of princes, drawn from the De regimine principum of Aegidius Romanus and from other similar works including the Secreta secretorum, which purports to be a compendium of Aristotle's advice on kingship to (...) Alexander the Great. Like these works, Hoccleve's Regement lays out a series of unexceptionable moral principles that should guide a prince's behavior: the prince is exhorted, for instance, to be prudent, just, liberal, and receptive to counsel. These recommendations are supported with citations from biblical and classical authorities and a wealth of narratives exemplary of kingly and unkingly conduct. Princes were to look in such books as in a mirror, and there see displayed the image of what they should truly be. They were “Mirrors for Princes.” Princes welcomed them and on occasion commissioned them, not because they specially desired to have instruction in the business of government from clerks, nor because they would much appreciate being told things they did not wish to hear, but because it was important that they should represent themselves as receptive to sage counsel. They are not simply political public relations exercises but, equally, they are not “books of instruction.”. (shrink)

Intentionalism debates seek to uncover the relationship between the qualitative aspects of experience—phenomenal character—and the intentionality of the mind. They have been at or near center stage in the philosophy of mind for more than two decades, and in my view need to be reexamined. There are two core distinct intentionalism debates that are rarely distinguished (Sect. 1). Additionally, the characterization of spectrum inversion as involving inverted qualities and constant intentional content is mistaken (Sect. 3). These confusions can be witnessed (...) from an often-ignored and lonely perspective, that of the sense-datum theorist, and in particular of the projectivist (Sect. 2). In my view we have been so wary of sense-datum theory in recent years that we have failed to see that, even if false, it may permit perspectives on intentionalism issues difficult to occupy from other views. (shrink)

In this paper I shall suggest that philosophy which bases itself firmly inlife is incompatible with idealism. The example of such a philosophy to be discussed is the later work of Wittgenstein, and I shall define in what sense this is ‘based in life’, with particular reference to his concept of ‘Lebensform’, or ‘life-form’. I shall understand idealism to be, in general terms, the doctrine that idea is the primary, or the only, category of being. Various kinds of idealism may (...) then be distinguished according to the precise definition each gives of ‘idea’, and of the category, if any, which is held to be less fundamental. Thus, in brief, in Platonic idealism, absolute immaterial being is ontologically prior to the changing world given to sense-experience; in the idealistic systems of more modern thought, mind is more fundamental than matter; or again, subject, or spirit, is more fundamental than object. While the various systems of idealism are properly classed together so far as they assign priority to the concept idea , it is clear that they differ in their interpretations of the concept. When one has in mind these differences, it is of course misconceived to speak of idealism as a single doctrine; nevertheless, it is plausible to suppose that philosophers have been led to apply the term ‘idealism’ to various systems despite their differences, because there is indeed a common tendency of thought to be found in them. The present paper takes this supposition as a working hypothesis, with the particular aim of establishing that philosophy based in life is incompatible with philosophy based in idea, whatever be reasonably meant by ‘idea’. In brief my argument will be this: that life is no idea. (shrink)