Background: Family members are often required to act as substitute decision-makers when health care or research participation decisions must be made for an incapacitated relative. Yet most families are unable to accurately predict older adult preferences regarding future health care and willingness to engage in research studies. Discussion and documentation of preferences could improve proxies' abilities to decide for their loved ones. This trial assesses the efficacy of an advance planning intervention in improving the accuracy of substitute decision-making and increasing (...) the frequency of documented preferences for health care and research. It also investigates the financial impact on the healthcare system of improving substitute decision-making. Methods/DesignDyads (n = 240) comprising an older adult and his/her self-selected proxy are randomly allocated to the experimental or control group, after stratification for type of designated proxy and self-report of prior documentation of healthcare preferences. At baseline, clinical and research vignettes are used to elicit older adult preferences and assess the ability of their proxy to predict those preferences. Responses are elicited under four health states, ranging from the subject's current health state to severe dementia. For each state, we estimated the public costs of the healthcare services that would typically be provided to a patient under these scenarios. Experimental dyads are visited at home, twice, by a specially trained facilitator who communicates the dyad-specific results of the concordance assessment, helps older adults convey their wishes to their proxies, and offers assistance in completing a guide entitled My Preferences that we designed specifically for that purpose. In between these meetings, experimental dyads attend a group information session about My Preferences. Control dyads attend three monthly workshops aimed at promoting healthy behaviors. Concordance assessments are repeated at the end of the intervention and 6 months later to assess improvement in predictive accuracy and cost savings, if any. Copies of completed guides are made at the time of these assessments. DiscussionThis study will determine whether the tested intervention guides proxies in making decisions that concur with those of older adults, motivates the latter to record their wishes in writing, and yields savings for the healthcare system. Trial RegistrationISRCTN89993391. (shrink)

Negative Concord (NC) constructions such as the news anchor didn’t warn nobody about the floods (meaning “the news anchor warned nobody”), in which two syntactic negations contribute a single semantic one, are stigmatized in English, while their Negative Polarity Item (NPI) variants, such as the news anchor didn’t warn anybody about the floods, are prescriptively correct. Because acceptability is often equated with grammaticality, this pattern has led linguists to treat NC as ungrammatical in “Standard” or standardized English (SE). However, it (...) is possible that SE grammars do generate NC sentences, and their low incidence and acceptability is instead due to social factors. To explore this question, and the relationship between NC and NPI constructions, we compared the acceptability of overtly negative noun phrases (e.g., nobody ), NPIs (e.g., anybody), and bare plurals (e.g., people ), in negative contexts and in conditionals. Negative items were followed by a consequence which supported their single negative meaning, while conditional items were followed by a consequence compatible with the NPI and the bare plural but not the negative noun phrase. Acceptability ratings of the critical NC sentences were reliably lower than constructions with NPIs and bare plurals, but the consequences for all three of these sentence types were rated highly. This reflects an asymmetry in participants’ acceptance of NC and their readiness to interpret it in context. A follow-up study with only conditionals revealed that speakers can also find NPIs infelicitous in conditional contexts with consequences that are compatible with a negative interpretation of the NPI, and that negative arguments are felicitous in these same contexts. Taken together, the results support the hypothesis that speakers who do not accept NC have grammars that generate both NC and NPI constructions, and further, that these speakers have two underlying structures for any -NPIs in English. (shrink)

This essay addresses the question of the effect of Russell's paradox on Frege's distinctive brand of arithmetical realism. It is argued that the effect is not just to undermine Frege's specific account of numbers as extensions (courses of value) but more importantly to undermine his general means of explaining the object-directedness of arithmetical discourse. It is argued that contemporary neo-Fregean attempts to revive that explanation do not successfully avoid the central problem brought to light by the paradox. Along the way, (...) it is argued that the need to fend off an eliminative construal of arithmetic can help explain the so-called Caesar problem in the Grundlagen, and that the "syntactic priority thesis" is insufficient to establish the claim that numbers are objects. (shrink)

In Frege's Conception of Logic Patricia A. Blanchette explores the relationship between Gottlob Frege's understanding of conceptual analysis and his understanding of logic.

IN THE FOREWORD of Zur Seinsfrage Heidegger distinguishes two questions of being. One he speaks of in the form of the participle, die Frage nach dem Seiendem als Seiendem, the question about being as being. This he identifies with the tradition of metaphysics which he repudiates as forgetful of the real question of being. "The answering of this question," he adds, "refers at the same time to an interpretation of be [des Seins] which remains in what is unasked [im Fraglosen] (...) and provides the ground and the basis for metaphysics." What is unasked in this first question of metaphysics has to be thought of as a second question which is spoken of in the form of the infinitive: die Frage nach dem Sein als Sein, the question about be as be. This is the question which Heidegger tried to raise at the beginning of Sein und Zeit and which remains for him as the task of thinking at the end of philosophy. It is a question which Heidegger was ultimately unable to answer but which he was also unable to put to rest. It is a question in which we are still floundering, caught up in what remains for us the question of metaphysics. It is time perhaps to see if the question has been rightly framed. (shrink)

Regardless of who you are or how you live your life, you disagree with millions of people on an enormous number of topics from politics, religion and morality to sport, culture and art. Unless you are delusional, you are aware that a great many of the people who disagree with you are just as smart and thoughtful as you are - in fact, you know that often they are smarter and more informed. But believing someone to be cleverer or more (...) knowledgeable about a particular topic usually won’t change your mind. Should it? This book is devoted to exploring this quandary - what should we do when we encounter disagreement, particularly when we believe someone is more of an authority on a subject than we are? The question is of enormous importance, both in the public arena and in our personal lives. Disagreement over marriages, beliefs, friendships and more causes immense personal strife. People with political power disagree about how to spend enormous amounts of money, about what laws to pass, or about wars to fight. If only we were better able to resolve our disagreements, we would probably save millions of lives and prevent millions of others from living in poverty. The first full-length text-book on this philosophical topic, Disagreement provides students with the tools they need to understand the burgeoning academic literature and its perspectives. Including case studies, sample questions and chapter summaries, this engaging and accessible book is the perfect starting point for students and anyone interested in thinking about the possibilities and problems of this fundamental philosophical debate. (shrink)

Gottlob Frege famously rejects the methodology for consistency and independence proofs offered by David Hilbert in the latter's Foundations of Geometry. The present essay defends against recent criticism the view that this rejection turns on Frege's understanding of logical entailment, on which the entailment relation is sensitive to the contents of non-logical terminology. The goals are (a) to clarify further Frege's understanding of logic and of the role of conceptual analysis in logical investigation, and (b) to point out the extent (...) to which his understanding of logic differs importantly from that of the model-theoretic tradition that grows out of Hilbert's work. (shrink)

Common‐sense morality seems to dictate that newborn babies strictly outrank non‐human animals on an ordered list of subjects of moral consideration. This is best described as the view that newborn babies have a higher moral status than any non‐human animal. In this article, I will argue that this common‐sense claim about the special moral status of newborn babies makes it hard to avoid the conclusion that fetuses, including pre‐conscious fetuses, also have a higher moral status than any non‐human animal—indeed, as (...) high as newborn babies. While this conclusion does not quite entail that abortion is generally seriously immoral, it does seem to follow that it would be no less difficult to justify (even relatively early) abortion than it would be to justify killing a newborn. (shrink)

This volume continues the examination of issues of life and death which F.M. Kamm began in Morality, Mortality, Volume I. Kamm continues her development of a non-consequentialist ethical theory and its application to practical ethical problems. She looks at the distinction between killing and letting die, and between intending and foreseeing, and also at the concepts of rights, prerogatives, and supererogation. She shows that a sophisticated non-consequentialist theory can be modelled which copes convincingly with practical ethical issues, and throws considerable (...) light on some of the key distinctions and concepts of ethical discourse. (shrink)

This paper examines the connection between model-theoretic truth and necessary truth. It is argued that though the model-theoretic truths of some standard languages are demonstrably ''''necessary'''' (in a precise sense), the widespread view of model-theoretic truth as providing a general guarantee of necessity is mistaken. Several arguments to the contrary are criticized.

Peter Geach famously holds that there is no such thing as absolute identity. There are rather, as Geach sees it, a variety of relative identity relations, each essentially connected with a particular monadic predicate. Though we can strictly and meaningfully say that an individual a is the same man as the individual b, or that a is the same statue as b, we cannot, on this view, strictly and meaningfully say that the individual a simply is b. It is difficult (...) to find anything like a persuasive argument for this doctrine in Geach's work. But one claim made by Geach is that his account of identity is the account most naturally aligned with Frege's widely admired treatment of cardinality. And though this claim of an affinity between Frege's and Geach's doctrines has been challenged, the challenge has been resisted. William Alston and Jonathan Bennett, indeed, go further than Geach to argue that Frege's doctrine implies Geach's. If Alston and Bennett are right, then those who favor a broadly Fregean treatment of cardinality have no choice but to adopt Geach's doctrine of relative identity. And because contemporary set-theoretic accounts of cardinality are essentially Fregean in all respects relevant to this issue (see §11 below), it follows from Alston and Bennett's claim that virtually every standard modern treatment of cardinality requires a 'relativized' treatment of identity. The purpose of this paper is to argue against the implication claimed by Alston and Bennett. Despite some superficial similarities between Frege's treatment of cardinality and Geach's treatment of identity, the two doctrines are fundamentally opposed. Frege's account of cardinality, and its set-theoretic descendants, are all inconsistent with the claim that identity is 'relative' in Geach's sense. (shrink)

The Perfection of the Universe gives an account of the idea of the universe and its perfection in Aquinas's philosophy, but at the same time it provides an example of how a cosmology can be developed in a teleological framework. Although this is the cosmology of one who was first and foremost a theologian, the book tries to show how it was articulated philosophically and in relation to a particular model of the universe. As a contribution to the history of (...) philosophy, and Thomistic studies in particular, it seeks to draw more attention to Aquinas's view of the world, which has been relatively neglected in favor of emphasis on his theory of knowledge and theory of being, and at the same time to show how it is integral to his very understanding of being. The book thereby brings out a dimension of rationality in Aquinas's philosophy that is often ignored, especially as it concerns creation as a whole and what Aquinas refers to as convenientia in this whole. The systematic nature of Aquinas's conception of the universe is highlighted by the author's attempt to reconstruct the movement of his thought. Thus Oliva Blanchette focuses not just on the universe or on perfection but on the perfection of the universe as a unified idea that recurs frequently in both the philosophy and the theology of Aquinas and that has its own philosophical dynamic both as a logic and as an actuality. In doing so, he endeavors to correct misconceptions about Aquinas's idea of the universe, such as that found in Lovejoy's Great Chain of Being, and to show how the idea stands up philosophically even while being connected with a scientific model of the universe now viewed as obsolete. (shrink)

Favela and Machery conclude from their studies that neuroscientists' and psychologists' concept of representation is both unclear and confused. Rather than advocating reform or elimination of the concept, they suggest that it can serve various theoretical purposes precisely because it is unclear and confused. I challenge their claim that the concept of representation, as used by neuroscientists and psychologists, is unclear and confused, and I propose an alternative explanation of why it might appear to be so.

In this article I am concerned with whether it could be morally significant to distinguish between doing something 'in order to bring about an effect' as opposed to 'doing something because we will bring about an effect'. For example, the Doctrine of Double Effect tells us that we should not act in order to bring about evil, but even if this is true is it perhaps permissible to act only because an evil will thus occur? I discuss these questions in (...) connection with a version of the so-called Trolley Problem known as the Loop Case. I also consider how these questions may bear on whether a rational agent must aim at an event which he believes is causally necessary to achieve an end he pursues. (shrink)

New paradigms in the psychology of reasoning have included a consideration for general contextual factors that may impact on the reasoning process, including individuals’ goals and motivations. We suggest that emotions are one such important contextual factor that influences reasoning. The classic literature on thinking and reasoning has typically ignored the possible influence of emotion, except to consider it a source of disruption. We review findings from studies where participants were asked to reason about personally relevant emotional experiences such as (...) sexual abuse, war, and terrorist attacks. While some findings are consistent with the view that incidental emotions have a deleterious effect on reasoning, a number of findings also suggest a beneficial impact of emotion. For instance, veterans reasoned more logically about combat-related syllogisms than structurally identical syllogisms with neutral contents; victims of sexual abuse reporting more negative emotions following the events also reasoned more logically on abuse-related contents, relative to neutral contents. This may be associated with integral emotions, when the affective reaction is relevant to the semantic contents reasoned about. We propose that the positive impact of integral emotions on reasoning can be explained by increased utility of problem content and increased utility of reasoning. (shrink)

Metaphysics is not often spoken of as a venue for dialogue about anything, let alone culture or religion, which are more readily associated with phenomenology or hermeneutics in contemporary thinking. This collection of essays, however, by the late Boston College philosopher Oliva Blanchette, maintains the absolute necessity of metaphysics as a prerequisite for examining any particular 'realm of being,' in all areas of human inquiry, from the particular sciences to historical cultures and religions. Blanchette proposes metaphysics as a (...) fundamental and necessary level of intelligence presupposed in any exercise of judgment, discourse, or dialogue, among rational beings. At the same time, he defends the idea that dialogue is the first and most fundamental form in which such reasoning takes place in human experience, on a radically intersubjective level through language. (shrink)

Representationalism, in its most widely accepted form, is the view that the human mind is an information-using system, and that human cognitive capacities are to be understood as representational capacities. This chapter distinguishes several distinct theses that go by the name "representationalism," focusing on the view that is most prevalent in cogntive science. It also discusses some objections to the view and attempts to clarify the role that representational content plays in cognitive models that make use of the notion of (...) representation. (shrink)

All contributions included in the present issue were originally presented at an ‘Author Meets Critics’ session organised by Richard Zach at the Pacific Meeting of the American Philosophical Association in San Diego in the Spring of 2014.

In the early years of the twentieth century, Gottlob Frege and David Hilbert, two titans of mathematical logic, engaged in a controversy regarding the correct understanding of the role of axioms in mathematical theories, and the correct way to demonstrate consistency and independence results for such axioms. The controversy touches on a number of difficult questions in logic and the philosophy of logic, and marks an important turning-point in the development of modern logic. This entry gives an overview of that (...) controversy and of its philosophical underpinnings. (shrink)

This paper defends the view that Frege’s reduction of arithmetic to logic would, if successful, have shown that arithmetical knowledge is analytic in essentially Kant’s sense. It is argued, as against Paul Benacerraf, that Frege’s apparent acceptance of multiple reductions is compatible with this epistemological thesis. The importance of this defense is that (a) it clarifies the role of proof, definition, and analysis in Frege’s logicist works; and (b) it demonstrates that the Fregean style of reduction is a valuable tool (...) for those who would investigate the nature of arithmetical knowledge. (shrink)

In The Gay Science, Friedrich Nietzsche argued that only a form of philosophizing that sprung from a deep commitment to the subject could ever hope for success. ‘All great problems,’ he wrote, ‘demand great love.’ He continued: It makes the most telling difference whether a thinker has a personal relationship to his problems and finds in them his destiny, his distress, and his greatest happiness, or an ‘impersonal’ one, meaning he is only able to touch them with the antennae of (...) cold, curious thought. In the latter case nothing will come of it, that much can be promised; for even if great problems should let themselves be grasped by them, they would not allow frogs and weaklings to hold on to them. Nietzsche went on to complain that, to his knowledge, no one had yet approached moral philosophy in this way: Why, then, have I never yet encountered anyone, not even in books, who approached morality in this personal way and who knew morality as a problem, and this problem as his own personal distress, torment, voluptuousness, and passion? Alex Voorhoeve run01.tex V1 - 07/29/2009 7:23am Page 16.. (shrink)

This work aims to reopen the fundamental question of being. It raises the question of being after the natural sciences and phenomenology have run their course and pursues it according to a method that is properly metaphysical as well as critical.

AimRapid eye movement (REM) sleep, non-rapid eye movement (NREM) sleep, and sleep spindles are all implicated in the consolidation of procedural memories. Relative contributions of sleep stages and sleep spindles were previously shown to depend on individual differences in task processing. However, no studies to our knowledge have focused on individual differences in experience with Vipassana meditation as related to sleep. Vipassana meditation is a form of mental training that enhances proprioceptive and somatic awareness and alters attentional style. The goal (...) of this study was to examine a potential role for Vipassana meditation experience in sleep-dependent procedural memory consolidation.MethodsGroups of Vipassana meditation practitioners (N = 22) and matched meditation-naïve controls (N = 20) slept for a daytime nap in the laboratory. Before and after the nap they completed a procedural task on the Wii Fit balance platform.ResultsMeditators performed slightly better on the task before the nap, but the two groups improved similarly after sleep. The groups showed different patterns of sleep-dependent procedural memory consolidation: in meditators, task learning was positively correlated with density of slow occipital spindles, while in controls task improvement was positively associated with time in REM sleep. Sleep efficiency and sleep architecture did not differ between groups. Meditation practitioners, however, had a lower density of occipital slow sleep spindles tha... (shrink)