Patient-reported outcomes are frequently used for medical decision making, at the levels of both individual patient care and healthcare policy. Evidence increasingly shows that PROs may be influenced by patients’ response shifts and dispositions. We identify how response shifts and dispositions may influence medical decisions on both the levels of individual patient care and health policy. We provide examples of these influences and analyse the consequences from the perspectives of ethical principles and theories of just distribution. If influences of response (...) shift and disposition on PROs and consequently medical decision making are not considered, patients may not receive optimal treatment and health insurance packages may include treatments that are not the most effective or cost-effective. We call on healthcare practitioners, researchers, policy makers, health insurers, and other stakeholders to critically reflect on why and how such patient reports are used. (shrink)

This book is aimed at both philosophers and scholars of American literature who wish to reexamine the philosophical depth of Melville’s writings. Contributions deal with various philosophical aspects of Melville’s work, including well-known texts such as Moby-Dick as well as lesser-known works such as Pierre, “The Encantadas,” and Clarel.

The essay constructs an ontological theory designed to capture the categories instantiated in those portions or levels of reality which are captured in our common sense conceptual scheme. It takes as its starting point an Aristotelian ontology of “substances” and “accidents”, which are treated via the instruments of mereology and topology. The theory recognizes not only individual parts of substances and accidents, including the internal and external boundaries of these, but also universal parts, such as the “humanity” which is an (...) essential part of both Tom and Dick, and also “individual relations”, such as Tom’s promise to Dick, or their current handshake. (shrink)

A plural referring expression (‘the Fs’ or ‘Tom, Dick and Harriet’) may be used to refer either distributively, saying something which applies to each of the Fs individually, or collectively, to the Fs taken as a single totality. Predicate Logic has to analyse both uses in terms of singular reference, treating them quite differently in so doing; but we think of such an expression as functioning in basically the same way in both kinds of use. This understanding can be (...) vindicated if we recognise that what a plural referring expression picks out is not either an aggregate simpliciter or a set, but a plurality– an aggregate taken relative to a principle for individuating its constituents; this admits of being seen either as many things or as one. In any given case, it is the nature of what is being said about the plurality which tells us whether the reference to it is to be taken as distributive, collective, or a combination of the two. Talk about pluralities is extensional. Augmenting Predicate Logic to accommodate the distinctive inference‐pattern associated with distributive plural reference is simple – and arguably necessary, to cope with cases in which distributive and collective reference are essentially combined (e.g., attributions of concerted action). (shrink)

We can often explain a person's action by citing some fact which prompted him to do what he did. For example:Tom quit his job because he was offered more money elsewhere;Dick took his daughter to the dentist because she had a toothache;Harry rushed out of the theater because it was on fire.In each case there are four elements which fit together in a characteristic pattern. The first is the fact that Tom has been offered more money, that Dick's (...) daughter has a toothache, or that the theater in which Harry is sitting is on fire. If the theater were not on fire, for example, then we would have to give a different sort of explanation of why Harry rushed out: we would have to say that he left because he thought it was on fire, not because it was on fire. I shall have more to say about this point later. The second is their knowledge of these facts. If Dick is unaware of the girl's toothache, he can hardly do anything on account of it; and of course the same goes for the other cases. The third element is the attitude which each agent has toward the existing state-of-affairs. Tom wants to earn more money; Dick loves his daughter and doesn't want her to suffer; and Harry, like the rest of us, doesn't want to be burned. Finally, there is the action which is being explained: Tom quits his job, Dick takes the girl to the dentist, and Harry rushes from the theater. (shrink)

People can support abstract reasoning by using mental models with spatial simulations. Such models are employed when people represent elements in terms of ordered dimensions (e.g. who is oldest, Tom, Dick, or Harry). We test and find that the process of forming and using such mental models can influence the liking of its elements (e.g. Tom, Dick, or Harry). The presumed internal structure of such models (linear-transitive array of elements), generates variations in processing ease (fluency) when using the (...) model in working memory (see the Symbolic Distance Effect, SDE). Specifically, processing of pairs where elements have larger distances along the order should be easier compared to pairs with smaller distances. Elements from easier pairs should be liked more than elements from difficult pairs (fluency being hedonically positive). Experiment 1 shows that unfamiliar ideographs are liked more when at wider distances and therefore easier to process. Experiment 2 replicates this effect with non-words. Experiment 3 rules out a non-spatial explanation of the effect while Experiments 4 offers a high-powered replication. Experiment 5 shows that the spatial effect spontaneously emerges after learning, even without a task that explicitly focuses on fluency. Experiment 6 employed a shorter array, but yielded no significant results. (shrink)

How wrong is it to deceive someone into sex by lying, say, about one's profession? The answer is seriously wrong when the liar's actual profession would be a deal breaker for the victim of the deception: this deception vitiates the victim's sexual consent, and it is seriously wrong to have sex with someone while lacking his or her consent.

The inequitable distribution of domestic and caring labour in different-sex couples has been a longstanding feminist concern. Some have hoped that having both partners at home during the COVID-19 pandemic would usher in a new era of equitable work and caring distributions. Contrary to these hopes, old patterns seem to have persisted. Moreover, studies suggest this inequitable distribution often goes unnoticed by the male partner. This raises two questions. Why do women continue to shoulder a disproportionate amount of housework and (...) childcare despite economic and cultural gains? And why is there a widespread one-sided misrepresentation within different-sex couples about how domestic and caring work is distributed between the two partners? We answer these questions by appealing to affordance perception – the perception of possibilities for action in one's environment. We propose an important gender disparity in the perception of affordances for domestic tasks such as the dishwasher affording emptying, the floor affording sweeping and a mess affording tidying. We argue that this contributes not only to the inequitable distribution of domestic labour but to the frequent invisibility of that labour. We explore the consequences of this hypothesis for resistance and social change. (shrink)

This anthology represents all of the most important points of view on the most pressing topics in bioethics. Containing current essays and actual medical and legal cases written by outstanding scholars from around the globe, this book provides readers with diverse range of standpoints, including those of medical researchers and practitioners, legal exerts, and philosophers.

The no-free-lunch theorems promote a skeptical conclusion that all possible machine learning algorithms equally lack justification. But how could this leave room for a learning theory, that shows that some algorithms are better than others? Drawing parallels to the philosophy of induction, we point out that the no-free-lunch results presuppose a conception of learning algorithms as purely data-driven. On this conception, every algorithm must have an inherent inductive bias, that wants justification. We argue that many standard learning algorithms should rather (...) be understood as model-dependent: in each application they also require for input a model, representing a bias. Generic algorithms themselves, they can be given a model-relative justification. (shrink)

Pragmatism and the correspondence theory of truth are longtime foes. Nevertheless, there is an argument to be made that pragmatists must embrace truth as correspondence. I show that there is a distinctive pragmatic utility to taking truth to be correspondence, and I argue that it would be inconsistent for pragmatists to accept the utility of the belief that truth is correspondence while resisting the premise that this belief is correct. -/- In order to show how pragmatists can embrace truth as (...) correspondence, I develop a kind of alethic pluralism, which treats pragmatist truth as theoretically fundamental to truth as correspondence. This theoretical fundamentality of pragmatist truth allows the pragmatist to conditionally accept truth as correspondence for certain discourses without falling prey to the typical pragmatist objections to correspondence. This pluralist account of truth thus allows pragmatists to concede that, for certain domains of discourse, truth is correspondence, without thereby betraying their pragmatist principles. (shrink)

The question of whether we can perceive absences, in addition to ‘positives’, has received recent attention in the literature on the nature of vision and audition. The aim is to demonstrate that there can be objectless forms of perceptual consciousness; specifically, to show that such episodes can be distinguished from those in which there is merely no perception at all. The current article explores this question for the domain of olfaction, and argues that there can be experiences of the absence (...) of odours, in addition to positive smell perception. Doing so sheds light upon the structure and spatial content of olfaction. (shrink)

In the debate on the basis of moral equality, one conclusion achieves near consensus: that we must reject all accounts that ground equality in the possession of some psychological capacity (Psychological Capacity Accounts). This widely held view crystallises around three objections. The first is the Arbitrariness Objection, which holds that the threshold at which the possession of the relevant capacities places an individual within the required range is arbitrary. The second is the Variations Objection, which holds that there is rational (...) pressure to acknowledge that variations in psychological capacities between individuals are morally relevant. The third is the No Rational Agency Objection, according to which Psychological Capacity Accounts have unpalatable implications for our treatment of humans who do not possess the relevant capacities. We develop a Psychological Capacity Account based on the capacity for a conception of the good and offer a novel defence of the account against these objections. (shrink)

This article uses the current post-truth crisis to level a charge against deflationism. It argues that a post-truth society rejects the normativity of truth, thereby deflating truth, by treating disagreements about, say, scientific facts, as mere disagreements of taste. To have substantive disagreements, the notion of truth at stake must be substantive as well. To ward off the perils of post-truth politics, truth must be taken to be more than what deflationists can account for. If we want our disagreements to (...) amount to more than mere differences of opinion, we should have an inflated notion of truth. The article concludes with putting this claim within the context of conceptual engineering. (shrink)

Traditionally, the sense of touch—alongside the senses of taste and smell—has been excluded from the aesthetic domain. These proximal modalities are thought to deliver only sensory pleasures, not the complex, world-directed perceptual states that characterize aesthetic experience. In this paper, I argue that this tradition fails to recognize the perceptual possibilities of haptic touch, which allows us to experience properties of the objects with which we make bodily contact, including their weight, shape, solidity, elasticity, and smoothness. These features, moreover, may (...) be indicative of how well-suited an object is for its function, and in feeling them we can thus feel the positive aesthetic quality of functional beauty. (shrink)

The ubiquity of inner awareness thesis states that all conscious states of normal adult humans are characterised by an inner awareness of that very state. UIA-Backers support this thesis while UIA-Skeptics reject it. At the heart of their dispute is a recalcitrant phenomenological disagreement. UIA-Backers claim that phenomenological investigation reveals ‘peripheral inner awareness’ to be a constant presence in their non-introspective experiences. UIA-Skeptics deny that their non-introspective experiences are characterised by inner awareness, and maintain that inner awareness is only gained (...) when they explicitly introspect. Each camp has put forward a range of arguments designed to resolve this dispute, but I argue that none of these arguments has genuine dialectical purchase. This leads me to develop a compromise position that trades on the contribution that affordances can make to our phenomenology. According to the Affordance Model of inner awareness, all conscious states of normal adult humans are characterised by an affordance of introspectability. In line with the UIA-Skeptic, non-introspective experiences are not characterised by inner awareness. But against the traditional UIASkeptic, non-introspective experiences are characterised by an awareness of the opportunity for introspection. On this view, our capacity to gain inner awareness of our current experience is a ubiquitous feature of our phenomenology. I show how the Affordance Model respects the driving phenomenological intuitions of both the UIA-Backers and the traditional UIA-Skeptics, and suggest that it is able to explain why neither camp achieves an accurate description of how inner awareness figures in their phenomenology. (shrink)

Computationalism aspires to provide a comprehensive theory of life and mind. It fails in this task because it lacks the conceptual tools to address the problem of meaning. I argue that a meaningful perspective is enacted by an individual with a potential that is intrinsic to biological existence: death. Life matters to such an individual because it must constantly create the conditions of its own existence, which is unique and irreplaceable. For that individual to actively adapt, rather than to passively (...) disintegrate, expresses a value inherent in its way of life, which is the ultimate source of more refined forms of normativity. This response to the problem of meaning will not satisfy those searching for a functionalist or logical solution, but on this view such a solution will not be forthcoming. As an intuition pump for this alternative perspective I introduce two ancient foreign worldviews that assign a constitutive role to death. Then I trace the emergence of a similar conception of mortality from the cybernetics era to the ongoing development of enactive cognitive science. Finally, I analyze why orthodox computationalism has failed to grasp the role of mortality in this constitutive way. (shrink)

Why is consent revocable? In other words, why must we respect someone's present dissent at the expense of her past consent? This essay argues against act-based explanations and in favor of a rule-based explanation. A rule prioritizing present consent will serve our interests the best, in light of our interests in having flexibility over our consent and in minimizing the possibility of error in people's judgments about whether we consent.

This paper presents affirmation as the central normative category of Nietzsche’s positive ethics. The paper argues in particular for two interpretive claims: first, that from Beyond Good and Evil onwards, we find a new variety of Nietzschean affirmation (‘natural affirmation’), which is crucial to the strategy of his later works; and second, for reasons internal to his own philosophical aims, Nietzsche’s new variety of affirmation is seriously flawed. The author argues for the second claim on the basis that Nietzsche himself (...) requires that affirmation not perform exactly the role he requires that it perform. The author contends that we are thus faced with a major challenge to Nietzsche’s late philosophical project—that (late) Nietzschean affirmation fails by Nietzsche’s own standards. (shrink)

This paper contrasts individual and collective listening to music, with particular regard to the expressive qualities of music. In the first half of the paper a general model of joint attention is introduced. According to this model, perceiving together modifies the intrinsic structure of the perceptual task, and encourages a convergence of responses to a greater or lesser degree. The model is then applied to music, looking first at the silent listening situation typical to the classical concert hall, and second (...) the noisy listening situation typical to rock or jazz concerts. (shrink)

Bulk collection involves the mining of large data sets containing personal data, often for a security purpose. In 2013, Edward Snowden exposed large scale bulk collection on the part of the US National Security Agency as part of a secret counter-terrorism effort. This effort has mainly been criticised for its invasion of privacy. I argue that the right moral argument against it is not so much to do with intrusion, as ineffectiveness for its official purpose and the lack of oversight (...) by security cleared legislators. It also lends itself to government "domination" (in Pettit's sense) of those who are subject to it. (shrink)

This chapter discusses vagueness in ethics.

A particular family of imagination-based epistemologies of possibility promises to provide an account that overcomes problems raised by Kripkean a posteriori impossibilities. That is, they maintain that imagination plays a significant role in the epistemology of possibility. They claim that imagination consists of both linguistic and qualitative content, where the linguistic content is independently verified not to give rise to any impossibilities in the epistemically significant uses of imagination. However, I will argue that these accounts fail to provide a satisfactory (...) basis for an epistemology of possibility as they fall victim to, what I call, the problem of modally bad company. In particular, I will argue that there is a deep methodological problem that these accounts face: to deliver the significant epistemology of possibility that they promise, they have to rely on problematic prior knowledge of necessities. (shrink)

Pretense imagination is imagination understood as the ability to recreate rational belief revision. This kind of imagination is used in pretend-play, risk-assessment, etc. Some even claim that this kind of hypothetical belief revision can be grounds to justify new beliefs in conditionals, in particular conditionals that play a foundational role in the epistemology of modality. In this paper, I will argue that it cannot. I will first provide a very general theory of pretense imagination, which I formalise using tools from (...) dynamic epistemic logic. As a result, we can clearly see that pretense imagination episodes are build up out of two kinds of imaginative stages, so I will present an argument by cases. This argument shows that pretense imagination might indeed provide us with justification for believing certain conditionals. Despite this, I will argue that these arenotthe kind of conditionals that allow pretense imagination to play a foundational role in the epistemology of modality. (shrink)

We continue [4] and study sets in generic extensions by the Magidor forcing and by the Prikry forcing with non-normal ultrafilters.

Some of the early‐modern changes in the social framing of science, while often believed to be essential, are shown to be contingent. They contribute to the flawed public narrative around science today, and especially to the misconceptions around science and religion. Four are examined in detail, each of which contributes to the demise of the contemplative stance that science both requires and offers. They are: (1) a turn from an immersed subject to the pretense of a pure objectivity, (2) a (...) turn from imagination as a legitimate pathway to knowledge, (3) a turn from shared and participative science to a restricted professionalism, and (4) an overprosaic reading of the metaphor of the “Book of Nature.” All four, but especially the imperative to consider reading nature as poetry, and a deeper examination of the entanglements between poetry and theoretical science, draw unavoidably on theological ideas, and contribute to a developing “theology of science.”. (shrink)

We argue that abduction does not work in isolation from other inference mechanisms and illustrate this through an inference scheme designed to evaluate multiple hypotheses. We use game theory to relate the abductive system to actions that produce new information. To enable evaluation of the implications of this approach we have implemented the procedures used to calculate the impact of new information in a computer model. Experiments with this model display a number of features of collective belief-revision leading to consensus-formation, (...) such as the influence of bias and prejudice. The scheme of inferential calculations invokes a Peircian concept of ‘belief’ as the propensity to choose a particular course of action. (shrink)

In this paper, I argue for two principles to determine the temporal interpretation of modal sentences in English, given a theory in which modals are interpreted against double conversational backgrounds and an ontology in which possible worlds branch towards the future, The Disparity Principle requires that a modal sentence makes distinctions between worlds in the modal base. The Non- disparity Principle requires that a modal sentence does not make distinctions on the basis of facts settled at speech time. Selection of (...) the modal base will set these principles against each other, or allow for their cooperative interaction. For a root modal base, there is a conflict and disparity wins. The resulting interpretation is future. For a non-root modal base, the principles cooperate. Non-disparity determines a non-future interpretation and disparity requires the sentence to go beyond what is known by the speaker. (shrink)