ObjectiveHead and neck cancer treatments are known to significantly affect functionality and appearance, leading to an increased risk for body image disturbances. Yet, few longitudinal studies exist to examine body image in these patients. Based on a conceptual model, the current study aimed to determine, in patients newly diagnosed with HNC: the prevalence, level, and course of body image concerns; correlates of upon cancer diagnosis body image concerns; predictors of immediate post-treatment body image concerns; and association between body image concerns (...) and levels of anxiety, depression, suicidal ideation, support, and alcohol and drug misuse.MethodsTwo hundred and twenty-three, newly diagnosed with a primary HNC were assessed using structured clinical interviews and psychometric measures at three, and 6 months after diagnosis. Primary outcome was 3-month, as it was most salient to body image disturbance. Multiple linear regression analyses were conducted on the potential body image predictors, based on the model.ResultsSixty-eight percent of patients with HNC presented some level of body image concerns. Body image concerns at baseline and post-treatment were significantly related and significantly increased from pre- to post-treatment. Immediately post-treatment, 89% presented some level of body image concerns. Correlates of body image concerns in patients with HNC at baseline included: physical symptom burden, difficulties with communication and eating, coping with the cancer diagnosis using denial, suicidal ideation, and having had a past anxiety diagnosis. When controlling for sociodemographic and medical variables, body image concerns in patients with HNC in the immediate post-treatment were predicted by: baseline body image, physical symptom burden, and neuroticism.ConclusionThis longitudinal study helps identify patients more susceptible to experience body image disturbance following head and neck cancer. Clinicians ought to pay special attention to body image concerns upon cancer diagnosis, physical symptom burden, and neuroticism, and may want to target these factors in future preventive interventions. (shrink)

Margaret MacDonald (1907–56) was a central figure in the history of early analytic philosophy in Britain due to both her editorial work as well as her own writings. While her later work on aesthetics and political philosophy has recently received attention, her early writings in the 1930s present a coherent and, for its time, strikingly original blend of common-sense and scientific philosophy. In these papers, MacDonald tackles the central problems of philosophy of her day: verification, the problem of (...) induction, and the relationship between philosophical and scientific method. MacDonald’s philosophy of science starts from the principle that we should carefully analyse the elements of scientific practice (particularly its temporal features) and the ways that scientists describe that practice. That is, she applies the techniques of ordinary language philosophy to actual scientific language. MacDonald shows how ‘scientific common-sense’ is inconsistent with both of the dominant schools of philosophy of her day. Bringing MacDonald back into the story of analytic philosophy corrects the impression that in early analytic philosophy, there are fundamental dichotomies between the style of Moore and Wittgenstein, on the one hand, and the Vienna Circle on the other. (shrink)

I defend the principle of alternative possibilities against what are sometimes known as buffer cases, which are supposed by some to be counterexamples to the principle. I develop an existing problem with the claim that standard buffer cases are counterexamples to PAP, before responding to a recent attempt by Michael McKenna to modify the cases in a way that circumvents this problem. While McKenna’s strategy does avoid the problem, I argue that it faces a different difficulty. I conclude that buffer (...) cases pose no threat to PAP. (shrink)

A familiar Epicurean argument for the conclusion that death is not bad for those who die goes like this. The dead cannot experience anything, including being dead and its effects. But something is bad for an individual only if that person can experience it or its effects. Therefore, death is not bad for those who die. In this article, I consider several alleged counterexamples to this argument's second premise, along with some responses to them. The responses are not entirely without (...) merit, as we will see. However, I contend that even if none of the cases cited are straightforward counterexamples to the Epicurean premise, they can be used to challenge it indirectly. I conclude that this familiar Epicurean argument is unsound. (shrink)

Recently, Trenton Merricks has defended a libertarian view of human freedom. He claims that human persons have downward causal control of their constituent parts, and that downward causal control of this sort is sufficient for free will. In this paper I examine Merricks’s defense of free will, and argue that it is unsuccessful. I show that having downward causal control is not sufficient for for free will. In an Appendix I also argue that Merricks’s defense of free will, together with (...) assumptions implicit in his broader ontology, commit him to the implausible conclusion that determinism is incompatible with the existence of human persons. (shrink)

According to the Principle of Alternate Possibilities (PAP), a person is blameworthy for what he did only if he could have avoided doing it. This principle figures importantly in disputes about the relationship between determinism, divine foreknowledge, free will and moral responsibility, and has been the subject of considerable controversy for over forty years now. Proponents of the principle have devoted a good deal of energy and ingenuity to defending it against various objections. Surprisingly, however, they have devoted comparatively little (...) effort to developing positive arguments for it, and, with few exceptions, the arguments they have proposed have received little, if any, critical attention. My dissertation is intended to help fill this gap in the literature on PAP. There are three main arguments for PAP. I critically evaluate each of these arguments, arguing that they are all unsuccessful. Where, then, does that leave PAP? I suggest that, in the absence of any further compelling arguments for or against the principle, debate over it is likely to end in dialectical stalemate. I conclude by highlighting several implications of this suggestion for recent debates about the metaphysics of moral responsibility. (shrink)

Cet article traite de la sincérité de la foi chrétienne publique de John Toland (1670-1722) et la confronte à ses croyances privées peu orthodoxes : le public et le privé dans la pensée de Toland sont séparés depuis trop longtemps. L'une des conséquences de cette reconstruction des idées religieuses de Toland sera de suggérer que ses opinions religieuses (publiques ou privées) étaient intimement liées à un programme politique. La plupart des études historiques le concernant se sont penchées principalement sur les (...) aspects critiques de son attaque contre les intrigues sacerdotales du « papisme protestant » mais très peu de recherches ont été engagées sur l'idée de Toland comme « réformateur chrétien ». En explorant la définition précise que Toland donne du panthéisme et en la reliant à ses doctrines néostoïciennes sur la politique de la cité, le présent article propose une révision de la réflexion actuelle sur la signification de la vie publique de la foi chrétienne dans la polémique de la libre pensée. (shrink)

The consequence argument is among the most influential arguments for the conclusion that free will and determinism are incompatible. Recently, however, it has become increasingly clear that the argument fails to establish that particular incompatibilist conclusion. Even so, a version of the argument can be formulated that supports a different incompatibilist conclusion, according to which free will is incompatible with our behavior being predetermined by factors beyond our control. This conclusion, though not equivalent to the traditional incompatibilist thesis that determinism (...) strictly precludes free will, is something many incompatibilists have had in mind all along and, indeed, is arguably the more central incompatibilist position. The consequence argument thus remains philosophically important, even if, as several of its critics have argued, it can't be used to establish the strict incompatibility of free will and determinism. (shrink)

Here it is argued that in order for something someone “does” to count as a genuine action, the person needn’t have been able to refrain from doing it. If this is right, then two recent defenses of the principle of alternative possibilities, a version of which says that a person is morally responsible for what he has done only if he could have refrained from doing it, are unsuccessful.

There has been a great deal of critical discussion of Harry Frankfurt’s argument against the Principle of Alternative Possibilities (PAP), almost all of which has focused on whether the Frankfurt-style examples, which are designed to be counterexamples to PAP, can be given a coherent formulation. Recently, however, David Widerker has argued that even if Frankfurt-style examples can be given a coherent formulation, there is reason to believe that an agent in those examples could never be morally blameworthy for what she (...) has done. Therefore, such examples do not undermine a version of PAP restricted to blameworthiness. Widerker refers to his argument for this claim as the W-defense. I examine the W-defense in some detail, along with three recent replies to it by defenders of Frankfurt’s argument. I contend that each of these replies is problematic and, indeed, that two of them play directly into the hands of those seeking to defend PAP. I then develop my own reply to the W-defense by calling into question an assumption which is at the heart of that argument regarding the nature of moral blame. (shrink)

A New Work by Apuleius presents what may be the first lengthy Latin text from antiquity to be published in almost a century. The volume reveals that this new work is in fact the lost third book of Apuleius' De Platone et eius dogmate, and provides the key to understanding Apuleius' use and interpretation of Plato.

According to what I will call mitigating soft compatibilism, although the truth of determinism is consistent with free action and moral responsibility, determinism nevertheless mitigates praiseworthiness and blameworthiness. In this paper, I take a closer look at this novel brand of compatibilism. My principal aim in doing so is to further explicate the view and to explore ways in which it can be deployed in defense of the more general compatibilist thesis. I also discuss one of the most pressing challenges (...) facing a compatibilist view of this sort, and I offer some suggestions as to how proponents of the view might attempt to address that challenge. (shrink)

"Permanent Things reminds us that some of the century's most imaginative minds - G. K. Chesterton, T. S. Eliot, C. S. Lewis, Dorothy Sayers, and Evelyn Waugh - were profoundly at odds with the secularist spirit of the age, seeing progressive enlightenment as ushering in, not a millennium of perfect freedom, but a Waste Land whose inhabitants - Waugh's "vile bodies," Eliot's "hollow men," Lewis's "men without chests" - can find refuge from their boredom and anomie only in the ceaseless (...) acquisition of things or in the consoling illusions of pseudo religions - "distracted from distraction by distraction," as Eliot memorably put it." "How does one explain the desolation of a world which, though richly endowed with material comforts, is mentally and spiritually impoverished? The essayists here are united, as were their subjects, by a need to try to answer this question. Modern man's poverty of spirit, visible alike in so much of his art and architecture, his literature and philosophy and political science, reflects his loss of any good reasons for living - his loss of the Permanent Things." "The Christian writers whose work is eloquently interpreted in this book repay our attention for at least two reasons. First is their ability to sharpen our awareness of what, by any previous civilized standards, must be called the abnormal condition of modern man. For all the writers treated in this book, it was never enough to simply capture the spiritual aridity of modern life. It was also necessary to speak of a moral order that may yet be restored by the expressive power and beauty of the written word."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved. (shrink)

Frankfurt cases are supposed to provide us with counterexamples to the principle of alternative possibilities. Among the most well known responses to these cases is what John Fischer has dubbed the flicker of freedom strategy. Here we revisit a version of this strategy, which we refer to as the fine-grained response. Although a number of philosophers, including some who are otherwise unsympathetic to Frankfurt’s argument, have dismissed the fine grained response, we believe there is a good deal to be said (...) on its behalf. We argue, in particular, that reflection on certain cases involving omissions undermines the main objections to the response and also provides the groundwork for an argument in support of it. (shrink)

Against Mitchell et al.'s assertions, we argue that (1) the concordance between learning and awareness does not support any particular learning theory, (2) their propositional approach is at odds with examples of learned behaviours that contradict beliefs about causation, and (3) the relative virtues of the two approaches in terms of parsimony is more ambiguous than Mitchell et al. suggest.

In a fascinating article in The Journal of Ethics, Eleonore Stump contends that while the flicker of freedom defense is the best available strategy for defending the principle of alternative possibilities against the threat posed to that principle by the Frankfurt cases, the defense is ultimately unsuccessful. In this article I identify a number of difficulties with Stump’s criticism of the flicker strategy. Along the way, I also clarify various nuances of the strategy that often get overlooked, and I highlight (...) the advantages of one version of it in particular. (shrink)

Most documented extinctions of vertebrates in the last 400 years have been island endemics. In this paper, we focus on the need to develop a historical framework to establish conservation priorities for insular faunas and, in particular, to test the validity of nominal endemics. We use the example of the islands of the North Pacific Coast of North America, a region that includes approximately one-half of all mammals endemic to North American islands north of Mexico. Few of these endemics have (...) been re-evaluated since their original descriptions, although many of these islands have been heavily impacted by habitat conversion, species introductions, over-exploitation, and secondary ripple effects. Evidence from molecular genetics and paleontology suggests that many taxa arrived in the region since the last glacial advance. Some of these nominal endemics show minimal differentiation, while others comprise multiple evolutionary lineages. The NPC may also have played an important role in the in situ diversification of some taxa during the Pleistocene. Evidence, such as new fossil discoveries and numerous described endemics, lends support for refugia hypotheses. However, these ideas cannot be tested until a better understanding of geographic variation and the evolutionary relationships of the fauna and flora of the North Pacific Coast is developed. This framework would provide significant insight into the dynamic biogeographic history of the region and help prioritize conservation efforts. (shrink)

Anderson's theory is plausible and largely consistent with the data. However, it remains underspecified on several fronts, and we highlight areas for potential improvement. Reuse is described as duplicating a functional component, preserving one function and tinkering to add another function. This is a promising model, but Anderson neglects other reasonable alternatives and we highlight several. Evidence cited in support of reuse fails to uniquely support it among a broader set of multi-use theories. We suggest that a more stringent criterion (...) for direct support of reuse may be satisfied by focusing on previous adaptive functions (original use). (shrink)

I argue that God lacks the standing to blame or punish people for their sin if theological determinism is true, and that this is so even if sinners deserve both blame and punishment for sins God determines them to commit (and thus even if theological determinism is compatible with human free will and moral responsibility). I then respond to two recent objections to this conclusion, one by John Ross Churchill, the other by Patrick Todd. I conclude by noting several implications (...) of the position here defended. (shrink)

Arguments for the incompatibility of determinism and moral responsibility sometimes make use of various transfer of non-responsibility principles. These principles purport to specify conditions in which lack of moral responsibility is transmitted to the consequences of things for which people are not morally responsible. In this paper, after developing what I take to be the most serious objections to extant principles of this sort, I identify and defend a new transfer of non-responsibility principle that is immune to these and other (...) objections. This new principle says, roughly, that if you are not morally responsible for any of the circumstances that led to a particular outcome, and if you are not morally responsible for those circumstances leading to that outcome, then you are not morally responsible for the outcome either. After defending this principle against a number of objections, I use it to argue for the conclusion that no one is even partly morally responsible for anything, if determinism is true. (shrink)

The W-defense is among the most prominent arguments for the principle of alternative possibilities (PAP). Here I offer some considerations in support of the W-defense and respond to what I see as the most forceful objections to it to date. My response to these objections invokes the well-known flicker of freedom response to Frankfurt cases. I argue that the W-defense and the flicker response are mutually reinforcing and together yield a compelling defense of PAP.

It may seem that there is no need to review such a well-known book. This is the second edition of Peter Singer's text, Practical Ethics. The first edition has been widely used and influential; indeed for many it defines the field of applied ethics. The field is lucky; rarely is such popular work so carefully argued, so factually well informed and so well written. In addition, it is unusual for the author of a basic text to be so daring. Peter (...) Singer deserves credit for placing the interests of animals and famine victims on the agenda of applied ethics, and for making that agenda so prominent in public fora. But it behooves us to scrutinize carefully the power of definitive works as well. What sets the agenda is, for that very reason, more difficult to assess critically. (shrink)

Frankfurt cases are designed to be counterexamples to the principle of alternative possibilities, a version of which states that an agent is blameworthy for what she did only if there was an alternative course of action available to her at the time, the availability of which is relevant per se to an explanation of why the agent is blameworthy for her action. In this article, I argue that the buffer cases, which are among the most promising and influential Frankfurt cases (...) produced in recent years, are not counterexamples to PAP. While the agent in these examples may be blameworthy for what she did, I contend that there was an alternative course of action available to her at the time, the availability of which is relevant per se to an explanation of why the agent is blameworthy for her action. I then compare my objection to the buffer cases with a similar, though importantly different objection to them. Whatever merits this other objection may have, I contend that the one on offer here has important advantages over it. (shrink)

Our actions have causes, some of which are beyond our control. Of that there can be no serious doubt. Some worry that this fact undermines the commonsense view that we perform free actions for which we are morally responsible. My aim in this article is to show that such worries are unfounded and, consequently, that pure non-causal theories of free action, according to which free actions must be entirely uncaused, are false. My argument for this conclusion doesn’t presuppose the cogency (...) of existing objections to non-causal theories of free agency. (shrink)

Penance is often said to be a part of the process of making amends for wrongdoing. Here I clarify the nature of penance as a remedial action, highlighting the differences between it and more familiar corrective actions such as reparation and apology, and I offer an account of how penance contributes to the expiation of wrongdoing. In doing so, I reject a popular view according to which one does penance primarily by either punishing oneself or voluntarily submitting to punishment at (...) the hands of others. I contend that non‐punitive actions such gifts or acts of service are typically more conducive to achieving the reparative aims of penance. (shrink)

Libertarianism about free will conjoins the thesis that free will requires indeterminism with the thesis that we have free will. Here the claim that we have experiential evidence for the libertarian position is assessed. It is argued that, on a straightforward reading, the claim is false, for our experiences as agents don't support the claim that free will requires indeterminism. However, our experiences as agents may still have a role to play in an overall case for libertarianism, insofar as they (...) give us some (defeasible) reason to think that we have free will. This latter claim is defended against a pair of objections that have been leveled against it. (shrink)

Moving Beyond Theoria Towards Theosis focuses on the telos of man as understood in Plato's theoria, envisioned in the allegory of the cave, and early Christian reinterpretation of theoria as theosis. Central to this is the place of icons in the Orthodox Church.

ABSTRACT It’s often assumed, especially in discussions of free will and moral responsibility, that unavoidable actions are possible. In recent years, however, several philosophers have questioned that assumption. Their views are considered here, and the possibility of unavoidable actions is defended and then applied to issues in action theory and in the literature on moral responsibility.

Neuropalliative care developed to address the needs of patients living with life‐limiting neurologic disease. One critical consideration is that disease‐related changes to cognition, communication, and function challenge illness experiences and care practices. We conducted an ethnography to understand neuropalliative care as a phenomenon; how it was experienced, provided, conceptualized. Personhood served as our conceptual framework; with its long philosophical history and important place in nursing theory, we examined the extent to which it captured neuropalliative experiences and concerns. Personhood contextualized complex (...) losses, aligning the impact of functional and relational changes. Cognition, communication, and functional alterations stretched conceptions of personhood, insinuating it can be relational, fluid, adaptive. Although normative conceptions of personhood guided research and decision‐making, ethical considerations suggested personhood could be transformed, remade. We consider the implications of our findings through three themes. First, we examine how literature on illness experience fails to integrate the realities of people living with and dying from neurologic disease; we counter this by interrogating the concept of experience. Second, we turn to Ricoeur's work on recognition to illuminate relational conceptions of personhood to inform care practices. Finally, we reflect on how personhood can bridge the gap left by functional changes, enhance relational engagement, and promote dignity at the end of life. (shrink)

This book addresses a longstanding controversy concerning whether Frankfurt cases—thought experiments of a sort devised by Harry Frankfurt—are counterexamples to the principle of alternative possibilities (roughly, the principle that a person is morally responsible for what he did only if he could have avoided doing it). Frankfurt and many others contend that they are, but here it is argued that, far from being counterexamples to the principle, Frankfurt cases actually provide further confirmation of it, a conclusion that has important implications (...) for our understanding of free will and moral responsibility. (shrink)

The biological functions debate is a perennial topic in the philosophy of science. In the first full-length account of the nature and importance of biological functions for many years, Justin Garson presents an innovative new theory, the 'generalized selected effects theory of function', which seamlessly integrates evolutionary and developmental perspectives on biological functions. He develops the implications of the theory for contemporary debates in the philosophy of mind, the philosophy of medicine and psychiatry, the philosophy of biology, and biology (...) itself, addressing issues ranging from the nature of mental representation to our understanding of the function of the human genome. Clear, jargon-free, and engagingly written, with accessible examples and explanatory diagrams to illustrate the discussion, his book will be highly valuable for readers across philosophical and scientific disciplines. (shrink)

Self-knowledge is the focus of considerable attention from philosophers: Knowing Our Own Minds gives a much-needed overview of current work on the subject, bringing together new essays by leading figures. Knowledge of one's own sensations, desires, intentions, thoughts, beliefs, and other attitudes is characteristically different from other kinds of knowledge: it has greater immediacy, authority, and salience. The contributors examine philosophical questions raised by the distinctive character of self-knowledge, relating it to knowledge of other minds, to rationality and agency, externalist (...) theories of psychological content, and knowledge of language. Together these original, stimulating, and closely interlinked essays demonstrate the special relevance of self-knowledge to a broad range of issues in epistemology, philosophy of mind, and philosophy of language. (shrink)

Aim To ascertain the quantity and nature of gifts and items provided by the pharmaceutical industry in Australia to medical specialists and to consider whether these are appropriate in terms of justifiable ethical standards, empirical research and views expressed in the literature.

Despite its small stature, "if" occupies a central place both in everyday language and the philosophical lexicon. In allowing us to talk about hypothetical situations, "if" raises a host of thorny philosophical puzzles about language and logic. Addressing them requires tools from linguistics, logic, probability theory, and metaphysics. Justin Khoo uses these tools to navigate a maze of interconnected issues about conditionals, some of which include: the nature of linguistic communication, the relationship between logical and natural languages, and the (...) relationship between different kinds of modality. According to Khoo's theory, conditionals form a unified class of expressions which share a common semantic core that encodes inferential dispositions. Thus, rather than represent the world, conditionals are devices used to communicate how we are disposed to infer. Khoo shows that this theory can be extended to predict the probabilities of conditionals, as well as how different kinds of conditionals differ both semantically and pragmatically. Khoo's book will make for a significant contribution to the literature on conditionals and should be of interest to philosophers, linguists, and computer scientists. (shrink)

As plagiarism is a notion specific to a particular culture and epoch, and is also understood in a variety of ways by individuals, particular attention must be paid to the putting of the phenomenological question, What is plagiarism in its appearing? Resolution of this issue leads us to locate students' perceptions and opinions within the lifeworld, and to seek an initially idiographic set of descriptions. Of twelve interview analyses, three are presented. A student who took an especially anxious line, his (...) morality having to do with the fear of being shamed were he to be accused of plagiarism in his work. A student who saw academic development as the movement from dependence on respected authors such that the novice's work is near plagiaristic, to autonomy and self-assured originality. A student whose degree involved painting and art history—disciplines with very distinct understandings of plagiarism. To combat plagiarism, then, one must not assume that students have a prior grasp of the unequivocal meaning of the notion, but must accept that a process of acculturation is required. (shrink)

The Ramseyan thesis that the probability of an indicative conditional is equal to the corresponding conditional probability of its consequent given its antecedent is both widely confirmed and subject to attested counterexamples (e.g., McGee 2000, Kaufmann 2004). This raises several puzzling questions. For instance, why are there interpretations of conditionals that violate this Ramseyan thesis in certain contexts, and why are they otherwise very rare? In this paper, I raise some challenges to Stefan Kaufmann's account of why the Ramseyan thesis (...) sometimes fails, and motivate my own theory. On my theory, the proposition expressed by an indicative conditional is partially determined by a background partition, and hence its probability depends on the choice of such a partition. I hold that this background partition is contextually determined, and in certain conditions is set by a salient question under discussion in the context. I show how the resulting theory offers compelling answers to the puzzling questions raised by failures of the Ramseyan thesis. (shrink)

Teleosemantics seeks to explain meaning and other intentional phenomena in terms of their function in the life of the species. This volume of new essays from an impressive line-up of well-known contributors offers a valuable summary of the current state of the teleosemantics debate.

Há um discurso teórico que denuncia a igualdade formal presente no ideal de Estado de Direito como um manto ideológico a serviço do conservadorismo. Por debaixo desse manto, as profundas desigualdades sociais e relações de opressão seriam legitimadas como se fossem simplesmente fruto da aplicação imparcial das regras jurídicas a que todos estariam igualmente submetidos. Embora essa crítica sirva quando direcionada ao modelo de Estado de Direito defendido por Hayek, que apresenta falsamente as regras oriundas dos costumes e dos precedentes (...) como isentas de posições políticas, ela não atinge da mesma maneira o modelo de Estado de Direito centrado na supremacia da legislação. Apesar de todas as limitações que podem ser reconhecidas no ideal de igualdade formal, a sua recusa parece antes permitir novas e mais graves formas de opressão do que as suprimir. (shrink)