Background In Belgium, termination of pregnancy after the first trimester is exclusively allowed on medical grounds. When faced with fetal or maternal health complications during pregnancy, patients typically turn to obstetricians for guidance on the diagnosis, prognosis, and available options. Patients’ decisions and their actual access to termination of pregnancy can be profoundly influenced by the quality of this counselling and the willingness of professionals to present termination as an acceptable option. This paper aims to explore the factors influencing obstetricians’ (...) acceptance of TOP requests after the first trimester of pregnancy. We subsequently analyze these acceptance dynamics from a multidisciplinary angle, incorporating ethical perspectives and a socio-legal exploration into how the interviewed health professionals experience, interpret, and apply the law. Methods We conducted an interview study with 23 hospital obstetricians who had prior experience with termination of pregnancy decision-making beyond the first trimester in Flanders, Belgium. Interviews, on average, lasted 1h30 and followed a semi-structured format guided by a topic guide. The transcripts were coded with NVivo software and subsequently thematically analyzed by a multidisciplinary research team to provide a comprehensive understanding of obstetricians’ acceptance of termination of pregnancy after the first trimester. Results Obstetricians’ acceptance of termination of pregnancy after the first trimester mainly depends on the presence of compelling clinical factors. Secondary factors, including patient/couple preferences, institutional and collegial processes, timing and viability, technical considerations, obstetricians’ ethical and professional values, the wider background of the patient/couple, and perception of alternatives, could sway decisions in the absence of compelling clinical factors. Conclusions Secondary factors help sway obstetricians’ decisions in favor of or against termination of pregnancy after 12 weeks when a request is characterized by inconclusive clinical factors. The multifactorial acceptance dynamics of obstetricians illustrate the limits of a strong emphasis on fetal interest argumentation. Moreover, they exhibit a degree of divergence and complexity absent from the Belgian Abortion Law. The presented typology of factors could stimulate and guide debates on legal reform and the importance that should be attributed to various factors in professional decision-making on termination of pregnancy. (shrink)

Somewhat loose arguments that non-reductive physicalist realism is untenable. Anomalous monism makes the mental irrelevant, functionalism is compatible with species-specific reduction, and supervenience is weak or reductive.

This paper explores the fundamental ideas that have motivated the idea of emergence and the movement of emergentism. The concept of reduction, which lies at the heart of the emergence idea is explicated, and it is shown how the thesis that emergent properties are irreducible gives a unified account of emergence. The paper goes on to discuss two fundamental unresolved issues for emergentism. The first is that of giving a “positive” characterization of emergence; the second is to give a coherent (...) explanation of how “downward” causation, a central component of emergentism, is able to avoid the problem of overdetermination. (shrink)

Developing and motivating the notion of supervenience. Investigating the relationship to reducibility and definability (equivalence, under certain conditions), and to microphysical determination.

THIS PAPER CORRECTS AN ERROR IN MY EARLIER PAPER, "CONCEPTS OF SUPERVENIENCE" ("PHILOSOPHY AND PHENOMENOLOGICAL RESEARCH", VOLUME 45, 1984), AND PRESENTS FURTHER MATERIAL ON SUPERVENIENCE. THE ERROR IS THE CLAIM THAT "GLOBAL" SUPERVENIENCE ENTAILS "STRONG" SUPERVENIENCE. HOWEVER, IT IS ARGUED THAT THIS FAILURE OF ENTAILMENT ONLY GOES TO SHOW THE INADEQUACY OF GLOBAL SUPERVENIENCE AS AN EXPLICATION OF "DEPENDENCY" OR "DETERMINATION" RELATION, AND, IN PARTICULAR, THAT MATERIALISM FORMULATED IN TERMS OF GLOBAL SUPERVENIENCE APPEARS TOO WEAK. (IT IS POINTED OUT, AMONG (...) OTHER THINGS, THAT GLOBAL SUPERVENIENCE DOES NOT ENTAIL "WEAK" SUPERVENIENCE). A STRONGER FORM OF GLOBAL SUPERVENIENCE, BASED ON "SIMILARITY" RATHER THAN "INDISCERNIBILITY" BETWEEN WORLDS, IS FORMULATED AND BRIEFLY DISCUSSED. (shrink)

In this article I develop a big picture of the evolution of human cooperation, and contrast it to an alternative based on group selection. The crucial claim is that hominin history has seen two major transitions in cooperation, and hence poses two deep puzzles about the origins and stability of cooperation. The first is the transition from great ape social lives to the lives of Pleistocene cooperative foragers; the second is the stability of the social contract through the early Holocene (...) transition to complex hierarchical societies. The first of these transitions is driven, at least initially, by individual advantage: cooperation paid off for individual foragers, initially through mutualist interaction, then through reciprocation. This argument leads to a reanalysis of the role of violence and the nature of the freeriding threat to cooperation. But the conditions that select for cooperative individuals in the Pleistocene were eroded in the Pleistocene–Holocene transition. So we need an alternative account of the survival, and indeed the expansion, of cooperation in the Holocene. Group selection driven by intercommunal conflict really may well be central to this second transition. (shrink)

The aim of this Swedish study was to develop the concept of moral sensitivity in health care practice. This process began with an overview of relevant theories and perspectives on ethics with a focus on moral sensitivity and related concepts, in order to generate a theoretical framework. The second step was to construct a questionnaire based on this framework by generating a list of items from the theoretical framework. Nine items were finally selected as most appropriate and consistent with the (...) research team’s understanding of the concept of moral sensitivity. The items were worded as assumptions related to patient care. The questionnaire was distributed to two groups of health care personnel on two separate occasions and a total of 278 completed questionnaires were returned. A factor analysis identified three factors: sense of moral burden, moral strength and moral responsibility. These seem to be conceptually interrelated yet indicate that moral sensitivity may involve more dimensions than simply a cognitive capacity, particularly, feelings, sentiments, moral knowledge and skills. (shrink)

Keith DeRose has argued that the two main problems facing subject-sensitive invariantism come from the appropriateness of certain third-person denials of knowledge and the inappropriateness of now you know it, now you don't claims. I argue that proponents of SSI can adequately address both problems. First, I argue that the debate between contextualism and SSI has failed to account for an important pragmatic feature of third-person denials of knowledge. Appealing to these pragmatic features, I show that straightforward third-person denials are (...) inappropriate in the relevant cases. And while there are certain denials that are appropriate, they pose no problems for SSI. Next, I offer an explanation, compatible with SSI, of the oddity of now you know it, now you don't claims. To conclude, I discuss the intuitiveness of purism, whose rejection is the source of many problems for SSI. I propose to explain away the intuitiveness of purism as a side-effect of the narrow focus of previous epistemological inquiries. (shrink)

In this paper I argue, first, that human lifeways depend on cognitive capital that has typically been built over many generations. This process of gradual accumulation produces an adaptive fit between human agents and their environments; an adaptive fit that is the result of hidden‐hand, evolutionary mechanisms. To explain distinctive features of human life, we need to understand how cultures evolve. Second, I distinguish a range of different evolutionary models of culture. Third, I argue that none of meme‐based models, dual (...) inheritance models, nor Boyd and Richerson's models fully succeed in explaining this adaptive fit between agent and the world. I then briefly develop an alternative. Finally, I explore (in a preliminary way) constraints on cultural adaptation. The processes of cultural evolution sometimes built a fit between agents and their environment, but they do not always do so. Why is folk medicine, for example, so much less reliable than folk natural history? (shrink)

Once upon a time in evolutionary theory, everything happened for the best. Predators killed only the old or the sick. Pecking orders and other dominance hierarchies minimized wasteful conflict within the group. Male displays ensured that only the best and the fittest had mates. In the culmination of this tradition, Wynne-Edwards argued that many species have mechanisms that ensure groups do not over-exploit their resource base. The “central function” of territoriality in birds and other higher animals is “of limiting the (...) numbers of occupants per unit area of habitat”. Species with dominance hierarchies, species with lekking breeding systems, and species with communal breeding regulate their populations. These social mechanisms have population regulation as their “underlying primary function”. Wynne-Edwards argued that these mechanisms evolve through group selection. Populations without such mechanisms are apt to go extinct by eroding their own resource base. (shrink)

In this paper I develop three conceptions of the relationship between evolutionary and developmental biology. I further argue that: (a) the choice between them largely turns on as yet unresolved empirical considerations; (b) none of these conceptions demand a fundamental conceptual reevaluation of evolutionary biology; and (c) while developmental systems theorists have constructed an important and innovative alternative to the standard view of the genotype/phenotype relations, in considering the general issue of the relationship between evolutionary and developmental biology, we can (...) remain neutral on this debate. (shrink)

Two concepts of supervenience, "strong supervenience" and "weak supervenience," are characterized and contrasted, And their major properties established. Supervenience as commonly characterized by philosophers is shown to correspond to weak supervenience, Whereas the intended concept is often the stronger relation. Strong supervenience is applied to explicate the notion of "supervenient causation," and it is argued that macro-Causal relations can be understood as cases of supervenient causation, And that causal relations involving psychological events, Too, Can be so understood.

We report the results of an investigation of nurses’ and physicians’ sensitivity to ethical dimensions of clinical practice. The sample consisted of 113 physicians working in general medical settings, 665 psychiatrists, 150 nurses working in general medical settings, and 145 nurses working in psychiatry. The instrument used was the Moral Sensitivity Questionnaire (MSQ), a self-reporting Likert-type questionnaire consisting of 30 assumptions related to moral sensitivity in health care practice. Each of these assumptions was categorized into a theoretical dimension of moral (...) sensitivity: relational orientation, structuring moral meaning, expressing benevolence, modifying autonomy, experiencing moral conflict, and following the rules. Significant differences in responses were found between health care professionals from general medical settings and those working in psychiatry. The former agreed to a greater extent with the assumptions in the categories ‘meaning’ and ‘autonomy’ and to a lesser degree with the categories ‘benevolence’ and ‘conflict’. Moreover, those from the psychiatric sector agreed to a greater extent to the use of coercion if necessary. Significant differences were also found for some of the MSQ categories, between physicians and nurses, and between males and females. (shrink)

This research was focused on investigating why some consumers might support cause-related marketing campaigns for reasons other than personal benefit by examining the influence of moral emotions and cultural orientation. The authors investigated the extent to which moral emotions operate differently across a cultural variable (US versus Korea) and an individual difference variable (self-construal). A survey method was utilised. Data were collected from a convenience sample of US ( n = 180) and Korean ( n = 191) undergraduates. Moral emotions (...) significantly influenced purchase intention for a social-cause product. The influence of an ego-focused moral emotion (i.e., pride) on purchase intention was greater for US than Korean participants. The influence of another-focused moral emotion (i.e., guilt) on purchase intention was greater for high-interdependent participants than for low-interdependent participants. The findings of this research provide important and relevant implications to marketers and policy makers in developing persuasive messages and customer relationship programmes. (shrink)

This study reports the results of a study of Swedish psychiatrists’ responses to moral statements related to decision making in the psychiatric context. Use was made of the Moral Sensitivity Questionnaire, a modified instrument previously constructed from a theory of moral sensitivity. This Likert-type scale contains 30 items constructed from the following categories: interpersonal orientation, structuring moral meaning, benevolence, modifying autonomy, experiencing moral conflict, and trust in medical knowledge and principles of care. The purpose was to identify possible differences in (...) responses rather than to evaluate right or wrong responses. The analysis is based on 754 completed questionnaires. The results of the study showed some significant differences in the item and category levels; for example, male psychiatrists experienced more conflicts than female psychiatrists and agreed to a greater extent that medical knowledge was most important in deciding what was best for the patient. The results also showed that more female than male psychiatrists thought that the relationship with the patient was most important in psychiatric practice. (shrink)

This study explores the relationship between Hofstede’s cultural dimensions and public relations practitioners’ perceptions of corporate social respon- sibility in South Korea. The survey on Korean public relations practitioners revealed that, although Hofstede’s dimensions significantly affect public relations practitioners’ perceptions of CSR, social traditionalism values had more explanatory power than cultural dimensions in explaining CSR attitudes. The results suggest that practitioners’ fundamental ideas about the corporation’s role in society seem to be more important than their cultural values to understand public (...) relations practitioners’ CSR attitudes in Korea. (shrink)

David Nivison has argued that Mèngzǐ 孟子 postulates only one source of moral motivation, whereas Mèngzǐ’s rival thinkers such as Gàozǐ 告子 or the Mohist Yí Zhī 夷之 additionally postulate “maxims” or “doctrines” that are produced by some sort of moral reasoning. In this essay I critically examine this interpretation of Nivison’s, and alternatively argue that moral emotions in Mèngzǐ, basically understood as concern-based construals, are often an insufficient source of moral action, and an additional source of moral motivation, specifically (...) a conviction or judgment of what is the right thing to do in a certain situation in question, is often necessary for one to complete a moral action. This implies that Mèngzǐ should be interpreted to postulate two sources of moral motivation just as his rival thinkers do, namely moral emotion on one hand and judgment and practical reasoning on the other. (shrink)

This paper begins by calling attention to a puzzling feature of our deep past: an apparent mis-match between morphological evolution in our lineage, including the expansion of our brain and neocortex, and changes in material culture. Three ideas might explain this mis-match. The apparent mis-match is an illusion: change in material culture is indeed driven by biological evolution, but of a kind difficult to identify in the fossil record; the mismatch is caused by the fact that material culture is sensitive (...) to the social and demographic environment, not just the native cognitive capacities of individual agents. Innovation and its uptake is more reliable in larger social worlds. The mis-match is made possible by adaptive phenotypic plasticity; in particular, cognitive plasticity. Just as material culture evolves through cumulative cultural learning, so too do cognitive skills, including ones which make innovations in, and the transmission of, material culture more efficient. This paper is targeted on the second of these ideas, and distinguishes three different versions of the view that increases in social scale support increases in the complexity of material culture. Those are: cultural selection is more efficient in larger social worlds; larger social worlds support more specialisation, which in turn supports a more complex material culture; cultural learning is more efficient in larger social worlds. The paper argues that the first two of these pathways are probably more important than the third in explaining otherwise puzzling features of the archaeological and ethnographic record. (shrink)

The main topic of this paper is the question of how supervenience can be understood as a relation between two families of properties each applicable to a distinct domain of individuals.

The acquisition of English noun and verb morphology is modeled using a single-system connectionist network. The network is trained to produce the plurals and past tense forms of a large corpus of monosyllabic English nouns and verbs. The developmental trajectory of network performance is analyzed in detail and is shown to mimic a number of important features of the acquisition of English noun and verb morphology in young children. These include an initial error-free period of performance on both nouns and (...) verbs followed by a period of intermittent over-regularization of irregular nouns and verbs. Errors in the model show evidence of phonological conditioning and frequency effects. Furthermore, the network demonstrates a strong tendency to regularize denominal verbs and deverbal nouns and masters the principles of voicing assimilation. Despite their incorporation into a single-system network, nouns and verbs exhibit some important differences in their profiles of acquisition. Most importantly, noun inflections are acquired earlier than verb inflections. The simulations generate several empirical predictions that can be used to evaluate further the suitability of this type of cognitive architecture in the domain of inflectional morphology. (shrink)

This paper explores the connections between inheritance systems, evolvability and modularity. I argue that the transmission of symbiotic micro-organisms is an inheritance system, and one that is evolutionarily significant because symbionts generate biologically crucial aspects of their hosts’ organisation through modular developmental pathways. More specifically, I develop and defend five theses.

In this article we defend the view that, on the All Affected Principle of voting rights, the weight of a person’s vote on a decision should be determined by and only by the degree to which that dec...

Who should have a right to participate in a polity’s decision-making? Although the answers to this ‘boundary problem’ in democratic theory remain controversial, it is widely believed that the enfranchisement of tourists and children is unacceptable. Yet, the two most prominent inclusion principles in the literature – Robert Goodin’s ‘all (possibly) affected interests’-principle and the ‘all subjected to law’-principle – both enfranchise those groups. Unsurprisingly, democratic theorists have therefore offered several reasons for nonetheless exempting tourists and children from the franchise. (...) In this paper, I argue that their attempts fail. None of the proposed rationales can do the job without having unacceptable implications for the voting rights of other groups. I then develop a new specification of the affected interests-view, one that avoids such problems. According to my life plan-principle, a person is entitled to participate in a polity’s decision-making if and only if its decisions will actually affect her autonomously chosen life plans, or prevent her from developing or revising plans of that kind. I show that this principle straightforwardly avoids enfranchising tourists and children, and thus improves upon its two prominent rivals. The paper ends by considering and rejecting two objections to my new principle. (shrink)

Jackson says that the form of physicalism that I recommend, with certain emendations he believes are necessary, turns out to be none other than the “Australian” type-type identity theory of J.J.C. Smart and others. About this, too, I have no serious disagreement, although Jackson’s claim appears to depend, at least in part, on a certain chosen reading of the texts involved. In fact, one point of similarity may be worth noting. As I take it, one special feature of the “Australian” (...) type identity theory is the claim that mental-physical identities are contingent, not necessary. Suppose M has a single physical realizer, P. On my account, the statement that M = P is not metaphysically or logically necessary. It is contingent since the statement that P realizes M is contingent. This is so because for P to realize M is for it to fulfill the causal specification that defines M, and what causal relations P actually enters into is a question that depends on the laws prevailing in a given world. Thus, P may be a realizer of M in this world but perhaps not in another in which different laws hold; in some worlds M may have no realizers at all. None of this is in violation of the idea that identities are necessary. For, according to me, if M has realizers, M is a functional property defined by a causal specification. This means that “M” is not a rigid designator, though it is, as we might call it, “nomologically rigid” or “semi-rigid”. (shrink)