Empathy is sometimes so hard to achieve that one may wonder if it is a virtue for caregivers at all. Perhaps a caregiver cannot always know how a patient feels, and perhaps that knowledge is sometimes too painful to possess. A nuanced understanding of what empathy entails and of the conditions for attaining it can help ground its possibility.

This paper considers the relationship between evidence and self-fulfilling beliefs—beliefs whose propositional contents will be true just in case—and because—an agent believes them. Following Grice, many philosophers hold that believing such propositions would involve an impermissible form of bootstrapping. This paper argues that such objections get their force from a popular but problematic function-model of theoretical deliberation, and that attending to the case of self-fulfilling belief can help us see why such a model is mistaken. The paper shows that on (...) a revised model of theoretical deliberation our evidence will problematically underdetermine any appropriate doxastic attitude: when belief in a proposition is self-fulfilling, our evidence is insufficient to support belief, disbelief, or even suspended judgment toward that proposition. (shrink)

Much liberal-democratic thought has concerned itself primarily – even exclusively – with coercive interference in citizens’ lives. But political actors do things – they engage in influential speech, they offer incentives, they mislead other actors, they disrupt the expected functioning of decision-making mechanisms etc. – that fall short of coercion, yet may nonetheless call for normative evaluation and public justification, precisely because they serve to purposively alter citizens’ beliefs, intentions and behaviour. With this article, I explicate a conception of political (...) manipulation to capture this sort of interference, and to distinguish individual manipulation from the manipulation of nonindividual agents like committees, institutions and states. The account, beyond being necessary for further work on the ethics of political manipulation, should prove useful to both normative thinkers interested in power, justice and the ethics of democratic decision-making, and empirical scholars in search of a conceptual apparatus to sharpen their investigations into the exercise of subtle forms of political power. (shrink)

Introduction: the paradox of Socrates, by G. Vlastos.--Our knowledge of Socrates, by A. R. Lacey.--Socrates in the Clouds, by K. J. Dover.--Elenchus, by R. Robinson.--Elenchus: direct and indirect, by R. Robinson.--Socratic definition, by R. Robinson.--Elenctic definitions, by G. Nakhnikian.--Socrates on the definition of piety: Euthyphro 10A-11B, by S. M. Cohen.--Socrates at work on virtue and knowledge in Plato's Laches, by G. Santas.--Virtues in action, by M. F. Burnyeat.--The Socratic denial of Akrasia, by J. J. Walsh.--Plato's Protagoras and explanations of weakness, (...) by G. Santas.--Socrates on disobeying the law, by A. D. Woozley.--Plato's earlier theory of forms, by R. E. Allen.--Selected bibliography (p. 336-339). (shrink)

_Objective:_ Recent research has indicated that sub-clinical narcissism may be related to positive outcomes in respect of mental and physical health, and is positively related to an extended lifespan. Research has also indicated narcissism levels may decline over the lifespan of an individual. The aims of the present study were to investigate these issues, exploring age-related differences in levels and outcomes of narcissism. Specifically, narcissism’s relationship with loneliness, a deleterious but pervasive state among older-age individuals, was assessed. _Methods:_ A total (...) of 100 middle-aged ( M AGE = 48.07; SD = 5.27; 53% female) and 100 older-aged participants ( M AGE = 70.89; SD = 5.97; 51% female) completed the 40-item Narcissistic Personality Inventory and the UCLA Loneliness Scale, Version 3. _Results:_ Older-age participants had significantly lower levels of narcissism, and significantly higher levels of loneliness than middle-aged participants. Age and narcissism significantly predicted self-reported loneliness levels, with narcissism moderating the relationship between age and loneliness. _Conclusion:_ This study supports existing work, indicating that a degree of narcissism is of benefit to psychological functioning in respect of age-related loneliness, and is found to be a protective factor in mental health. (shrink)

Les textes rassemblés ici constituent les « Actes » du cinquième séminaire annuel de l?Unité de recherches Phénoménologie s , qui s?est tenu à l?Université de Liège du 2 au 6 mai 2011 et avait pour intitulé Entre phéno­ménologie et psychologie. Le problème de la passivité . Sans doute le thème de la passivité n?est-il pas neuf en phénoméno­logie. Très souvent, notamment dans le monde francophone, il a été brandi pour nuancer, voire contrecarrer, une certaine conception de la phénoméno­logie qui (...) se revendique de l?idéalisme transcendantal et insiste fortement sur l?activité rationnelle du sujet connaissant. On le sait ; les « actes » psychiques qui faisaient l?intentionalité de la conscience dans la tradition brentanienne (dont héritent encore les Recherches logiques ) ont, après le tournant transcendantal, été réinterprétés par Husserl dans le cadre de l? activité noétique de l? ego , laquelle « informe » la matière sensorielle du vécu et la constitue en véritable connaissance d?objets. Or, à l?encontre de ce modèle résolument inspiré de Kant et des néo-kantiens, on a souvent fait valoir que ce qui faisait la spécificité de la phénoménologie, c?était au contraire d?avoir pu penser, dans les textes postérieurs aux Idées directrices et sous la problématique générale de la passivité, une subjectivité incarnée, ancrée dans son Lebenswelt , influencée par ses habitus. (shrink)

Musical listening, looking at paintings and literary creation are activities that involve perceptual and cognitive activity and so are of interest to psychologists and other scientists of the mind. What sorts of interest should philosophers of the arts take in scientific approaches to such issues? Opinion currently ranges across a spectrum, with 'take no notice' at one end and 'abandon traditional philosophical methods' at the other. This collection of essays, originating in a Royal Institute of Philosophy conference at the Leeds (...) Art Gallery in 2012, represents many of the most interesting positions along that spectrum. Contributions address issues concerning aesthetic testimony, the processing and appreciation of poetry, the aesthetics of disgust, imagination, genre, evolutionary constraints on art appreciation, creativity, musical cognition and the limitations or productiveness of empirical enquiry for philosophical aesthetics. (shrink)

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Elizabeth Anderson claims that the prevailing culture of business is one of domination. “Most workplace governments in the United States are dictatorships, in which bosses.. don’t merely govern workers; they dominate them” (2017, p. xxii; italics in the original). If this diagnosis is correct, then the culture of business poses a significant threat to human liberty, as each year millions of people in the employ of businesses spend hundreds or thousands of hours on the job. This essay provides a further (...) argument supporting Anderson’s analysis, by extending her treatment of Adam Smith and drawing on his claim about the potentially mind-numbing effects on workers of extreme division of labor. Smith’s analysis, though consistent with Anderson’s, implies that the problem is more worrisome than she allows, and accordingly that Anderson’s own remedy might be insufficient. Our Anderson/Smith argument suggests that worker unfreedom might warrant more aggressive institutional remedy. (shrink)

In this paper I propose minimal criteria for a successful theory of the mechanisms of motivation, and argue that extant philosophical accounts fail to meet them. Further, I argue that a predictive processing framework gives us the theoretical power to meet these criteria, and thus ought to be preferred over existing theories. The argument proceeds as follows—motivational mental states are generally understood as mental states with the power to initiate, guide, and control action, though few existing theories of motivation explicitly (...) detail how they are meant to explain these functions. I survey two contemporary theories of motivational mental states, due to Wayne Wu and Bence Nanay, and argue that they fail to satisfactorily explain one or more of these functions. Nevertheless, I argue that together, they are capable of giving a strong account of the control function, which competing theories ought to preserve. I then go on to argue that what I call the ‘predictive theory’ of motivational mental states, which makes use of the notion of active inference, is able to explain all three of the key functions and preserves the central insights of Wu and Nanay on control. It thus represents a significant step forward in the contemporary debate. (shrink)

This paper argues that we ought to rethink the harm-reduction prioritization strategy that has shaped early responses to acute resource scarcity (particularly of intensive care unit beds) during the COVID-19 pandemic. Although some authors have claimed that “[t]here are no egalitarians in a pandemic,” it is noted here that many observers and commentators have been deeply concerned about how prioritization policies that proceed on the basis of survival probability may unjustly distribute the burden of mortality and morbidity, even while reducing (...) overall deaths. The paper further argues that there is a general case in favor of an egalitarian approach to medical rationing that has been missed in the ethical commentary so far; egalitarian approaches to resource rationing minimize wrongful harm. This claim is defended against some objections and the paper concludes by explaining why we should consider the possibility that avoiding wrongful harm is more important than avoiding harm simpliciter. (shrink)

A bounded formula is a pair consisting of a propositional formula φ in the first coordinate and a real number within the unit interval in the second coordinate, interpreted to express the lower-bound probability of φ. Converting conjunctive/disjunctive combinations of bounded formulas to a single bounded formula consisting of the conjunction/disjunction of the propositions occurring in the collection along with a newly calculated lower probability is called absorption. This paper introduces two inference rules for effecting conjunctive and disjunctive absorption and (...) compares the resulting logical system, called System Y, to axiom System P. Finally, we demonstrate how absorption resolves the lottery paradox and the paradox of the preference. (shrink)

Death is the destiny we all share, and this will not change. Yet the way we die, which had remained the same for many generations, has changed drastically in a relatively short time for those in developed countries with access to healthcare. For generations, if people were lucky enough to reach old age, not having died in infancy or childhood, in childbirth, in war, or by accident, they would take to bed, surrounded by loved ones who cared for them, and (...) fade into death. Most likely, they would have seen their parents and grandparents die the same way, and so this manner of dying would be familiar: it was part of the natural cycle of life. Now less than 25 per cent of Americans die at home, having reached much older ages than people would have dreamed of in past generations, often after surviving many illnesses and even diseases that would have been terminal for their grandparents. We are fortunate to live (and die) today, supported by myriad scientific, medical, and technological advancements, however we also face new problems as a result of the new way in which we die. We can no longer anticipate a peaceful waning at home with family. We know our lives will likely end in hospitals likely after we have endured grueling treatments to prolong life. We have to decide what decisions we want our loved ones, or care-givers, to make when we cannot choose for ourselves. We have to think about whether in any circumstances we would seek physician-assisted death. We know we face other questions as well, but we may not even know where to start. In the face of these decisions, we can feel daunted and afraid. The best remedy is information and planning. In this book, Gregory Eastwood - a physician who has cared for dying patients, served as an ethics consultant, and taught end of life issues to medical and other health profession students - draws from his substantial experience with patients and families to provide the information that will help us think clearly about the choices and issues we will face at the end of our own lives, and when faced with the deaths of our loved ones. With sensitivity and profound insight, Eastwood guides us through all the important questions about death and dying in straightforward, clear language, enhanced by real-life stories. Throughout, he shows us how we can take ownership of the way we want to die, when we must die, and feel more in control as death approaches. (shrink)

‘Unconscious bias happens by our brains making incredibly quick judgements and assessments without us realising. Biases are influenced by background, cultural environment and experiences and we may not be aware of these views and opinions, or of their full impact and implications. This article opposes this point of view by arguing that bias is not unconscious but is conscious and linked to Charles Mills’ ‘Racial Contract’ and its ‘epistemologies of ignorance’. These epistemologies emerge from what the Equality Challenge Unit calls (...) ‘our background, cultural environment and personal experience’. Asserting that racism stems from ‘unconscious bias’ diminishes white supremacy and maintains white innocence as a ‘will to forget’ institutional racism. In equality and diversity training ‘unconscious bias’ has become a performative act to move beyond racism through training to participate in a constructed ‘post-racial’ reality. The article argues that through decolonizing ‘unconscious bias’, ‘white fragility’ and ‘self-forgiveness’ we can begin to see hidden institutional whiteliness at the base of conscious bias. (shrink)

This issue of the Hastings Center Report features three articles exploring aspects of decision-making for others. In the first two, the focus is on the limits of surrogate decision-makers’ authority when the surrogates’ judgments about a patient's treatment conflict with the physicians’. If a physician decides that a patient will not benefit from CPR, for example, but the patient's surrogate insists on it, is the physician obliged to proceed with the procedure? Or can the physician, pointing to a duty to (...) provide good care to the patient and not to cause the patient to suffer, get a do-not-resuscitate order for the patient—even in the face of the surrogate's objections? These are the questions that animate the first article, in which a group of authors report on a policy implemented at Massachusetts General Hospital to help doctors who face this dilemma. The second article, by physician Jeffrey Berger, flips the questions. If a physician decides that a patient's intractable suffering requires palliative sedation, may the surrogate prevent it anyway? Or can the physician, pointing to a duty to alleviate the suffering, administer palliative sedation even in the face of the surrogate's objections? Such circumstances, says Berger, show the need for conceptual work delineating the limits of surrogates’ authority and practical work on mechanisms for doing so—protecting patients and giving physicians a clear route to follow. (shrink)

Anaximander, the sixth-century BCE philosopher of Miletus, is often credited as being the instigator of both science and philosophy. The first recorded philosopher to posit the idea of the boundless cosmos, he was also the first to attempt to explain the origins of the world and humankind in rational terms. Anaximander's philosophy encompasses theories of justice, cosmogony, geometry, cosmology, zoology and meteorology. Anaximander: A Re-assessment draws together these wide-ranging threads into a single, coherent picture of the man, his worldview and (...) his legacy to the history of thought. Arguing that Anaximander's statements are both apodeictic and based on observation of the world around him, Andrew Gregory examines how Anaximander's theories can all be construed in such a way that they are consistent with and supportive of each other. This includes the tenet that the philosophical elements of Anaximander's thought (his account of the apeiron, the extant fragment) can be harmonised to support his views on the natural world. The work further explores how these theories relate to early Greek thought and in particular conceptions of theogony and meterology in Hesiod and Homer. (shrink)

Classical modal logics, based on the neighborhood semantics of Scott and Montague, provide a generalization of the familiar normal systems based on Kripke semantics. This paper defines AGM revision operators on several first-order monotonic modal correspondents, where each first-order correspondence language is defined by Marc Pauly’s version of the van Benthem characterization theorem for monotone modal logic. A revision problem expressed in a monotone modal system is translated into first-order logic, the revision is performed, and the new belief set is (...) translated back to the original modal system. An example is provided for the logic of Risky Knowledge that uses modal AGM contraction to construct counter-factual evidence sets in order to investigate robustness of a probability assignment given some evidence set. A proof of correctness is given. (shrink)

This book investigates the anti-Semitic foundations of Nazi curricula for elementary schools, with a focus on the subjects of biology, history, and literature. Gregory Paul Wegner argues that any study of Nazi society and its values must probe the education provided by the regime. Schools, according to Wegner, play a major role in advancing ideological justifications for mass murder, and in legitimizing a culture of ethnic and racial hatred. Using a variety of primary sources, Wegner provides a vivid account (...) of the development of Nazi education. (shrink)

To mark the 200th anniversary of the birth of Søren Kierkegaard, I review in this essay the relationship between Kierkegaard and the Catholic tradition. First, I look back to consider both Kierkegaard’s encounter with Catholicism and the influence of his work upon Catholics. Second, I look around to consider some of the recent work on Kierkegaard and Catholicism, especially Jack Mulder’s recent book, Kierkegaard and the Catholic Tradition, and the many articles that examine Kierkegaard’s relation to Catholicism in the multi-volume (...) Kierkegaard Research series edited by Jon Stewart. Finally, I look ahead to consider possible directions in which the conversation between Catholics and Kierkegaardians might continue. (shrink)

What are the boundaries of bioethics? Where does bioethics give way to other kinds of ethics—organizational ethics, environmental ethics, social ethics, or just ethics? According to one commonly cited account of the origin of bioethics, the field always had a relatively broad remit; it was supposed to be about the ethics of the life sciences in general. In the early days of bioethics, however, the topic that seemed most in need of critical attention was the encounter between experts in medicine (...) and the laity—doctors or medical researchers on the one hand and patients or medical research subjects on the other. Even given the narrow focal point, however, bioethics very naturally expanded.Much of the September‐October 2018 issue of the Hastings Center Report either argues or assumes that bioethics extends well beyond into social ethics. A special report published as a supplement to this issue pushes the point explicitly. (shrink)

Two disputes are waged simultaneously in the pages of this issue of the Report, but it might be easy to lose track of the second. The obvious dispute is about resource allocation in health policy: the question is whether limited health care resources should be spent on identified victims—people whose struggles with disease have made the news—when the same investment might provide more help if spent on a larger number of unknown, merely “statistical” people. The second, less easily noticed dispute (...) is about the challenge of crafting public policy when the arguments pro and con are not decisive. (shrink)

This issue of the Report, like many others, was assembled with an eye more to diversity of topics and themes than to commonality. But as also often happens, some topics and themes arise anyway. Two pieces in this issue discuss the disclosure of information that's uncovered in the course of genetic testing and try to develop some guidance for physicians and researchers. A third offers an historical look at changing practices.

Adam Slavny's Wrongs, Harms, and Compensation: Paying for Our Mistakes (OUP, 2023) is predicated on a break with a foundational assumption of most contemporary tort theory. It renounces all aspirat...