This paper provides a phenomenological account of the writing of a young woman diagnosed with schizophrenia. The method of interpretation is to put ourselves in the place of the author drawing upon a combination of sympathy, reason, common-sense, experience, and an intersubjective world, common to us all (Schutz, 1945: 536). The result is the recognition of the person as also capable of putting herself in the place of others so as to understand their behavior. This role-taking success identifies the limits (...) of the current sociological understanding of insanity's significance in social interaction as an instance of role-taking failure (Rosenberg, 1992).The very appearance of a piece of writing often permits one to recognize the presence of schizophrenia. The use of space may be quite bizarre. The varying margins betray the writer's changing mood. The letter may start at the bottom or side of the paper or very close to the top .. (shrink)

Why is there a felt asymmetry between cases in which agents defer to testifiers for certain moral beliefs, and cases in which agents defer on many other matters? One explanation influential in the literature is that having understanding of a proposition is both in tension with acquiring belief in the proposition by deferring to another's testimony and distinctively important when it comes to moral propositions, as compared with what we might think of as many ‘garden variety’ facts. My project in (...) this paper is to offer a new and more defensible version of this explanation. This will involve re-conceiving understanding as a richer state than it is commonly thought to be, requiring affective and motivational engagement with reasons as well as cognitive facility. I also offer a new explanation of the tension between understanding and deference to testimony. (shrink)

Subjectivist permissivism is aprima facieattractive view. That is, it's plausible to think that what's rational for people to believe on the basis of their evidence can vary if they have different frameworks or sets of epistemic standards. In this paper, I introduce an epistemic existentialist form of subjectivist permissivism, which I argue can better address “the arbitrariness objection” to subjectivist permissivism in general. According to the epistemic existentialist, it's not just that what's rational to believe on the basis of evidence (...) can vary according to agents’ frameworks, understood as passive aspects of individuals’ psychologies. Rather, what's rational to believe on the basis of evidence is sensitive to agents’ choices and active commitments (as are frameworks themselves). Here I draw on Chang's work on commitment and voluntarist reasons. The epistemic existentialist maintains that what's rational for us to believe on the basis of evidence is, at least in part,up to us. It can vary not only across individuals but for a single individual, over time, as she makes differing epistemic commitments. (shrink)

The orthodox view of anger takes desires for revenge or retribution to be central to the emotion. In this paper, I develop an empirically informed challenge to the retributive view of anger. In so doing, I argue that a distinct desire is central to anger: a desire for recognition. Desires for recognition aim at the targets of anger acknowledging the wrong they have committed, as opposed to aiming for their suffering. In light of the centrality of this desire for recognition, (...) I argue that the retributive view of anger should be abandoned. I consider and dismiss two types of moves that can be made on the part of a proponent of the orthodox view in response to my argument. I propose that a pluralist view, which allows for both retribution and recognition in anger, is to be preferred. (shrink)

In this paper, I argue against recent modifications of the Knowledge Condition on intentional action that weaken the condition. My contention is that the condition is best understood in the context of Anscombe’s Intention and, when so understood, can be maintained in its strongest form.

This paper articulates two constraints on an acceptable account of meaning: (i) accessibility: sameness of meaning affords an immediate appearance of de jure co-reference, (ii) flexibility: sameness of meaning tolerates open-ended variation in speakers' substantive understanding of the reference. Traditional accounts of meaning have trouble simultaneously satisfying both constraints. I suggest that relationally individuated meanings provide a promising way of avoiding this tension. On relational accounts, we bootstrap our way to de jure co-reference: the subjective appearance of de jure co-reference (...) helps make it the case that two token representations really do co-refer. (shrink)

In this paper, I analyse a specific kind of loneliness that can be experienced in the networked life, namely “extended loneliness”. I claim that loneliness—conceived of as stemming from a lack of satisfying relationships to others—can arise from an abundance of connections in the online sphere. Extended loneliness, in these cases, does not result from a lack of connections to other people. On the contrary, it consists in the complex affective experience of both lacking and longing for meaningful relationships while (...) being connected to many people online. The recursive interaction with a digital assistant in a smart flat is my key example for defining the contours of this specific kind of loneliness that emerges when hyperconnectivity becomes pervasive in the user’s daily-life. Drawing on Sherry Turkle’s work and employing the conceptual framework of the extended mind, I analyse the specific characteristics of extended loneliness and explore its phenomenology. (shrink)

The definitions and conceptualizations of health, and the management of healthcare have been challenged by the current global scenarios (e.g., new diseases, new geographical distribution of diseases, effects of climate change on health, etc.) and by the ongoing scholarship in humanities and science. In this paper we question the mainstream definition of health adopted by the WHO—‘a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ (WHO in Preamble to the constitution of (...) the World Health Organization as adopted by the international health conference, The World Health Organization, 1948)—and its role in providing tools to understand what health is in the contemporary context. More specifically, we argue that this context requires to take into account the role of the environment both in medical theory and in the healthcare practice. To do so, we analyse WHO documents dated 1984 and 1986 which define health as ‘coping with the environment’. We develop the idea of ‘coping with the environment’, by focusing on two cardinal concepts: adaptation in public health and adaptivity in philosophy of biology. We argue that the notions of adaptation and adaptivity can be of major benefit for the characterization of health, and have practical implications. We explore some of these implications by discussing two recent case studies of adaptivity in public health, which can be valuable to further develop adaptive strategies in the current pandemic scenario: community-centred care and microbiologically healthier buildings. (shrink)

Anti-individualists claim that concepts are individuated with an eye to purely external facts about a subject's environment about which she may be ignorant or mistaken. This paper offers a novel reason for thinking that anti-individualistic concepts are an ineliminable part of commonsense psychology. Our commitment to anti-individualism, I argue, is ultimately grounded in a rational epistemic agent's commitment to refining her own representational practices in the light of new and surprising information about her environment. Since anti-individualism is an implicit part (...) of responsible epistemic practices, we cannot abandon it without compromising our own epistemic agency. The story I tell about the regulation of one's own representational practices yields a new account of the identity conditions for anti-individualistic concepts. (shrink)

BackgroundClinical ethics support aims to support health care professionals in dealing with ethical issues in clinical practice. Although the prevalence of CES is increasing, it does meet challenges and pressing questions regarding implementation and organization. In this paper we present a specific way of organizing CES, which we have called integrative CES, and argue that this approach meets some of the challenges regarding implementation and organization.MethodsThis integrative approach was developed in an iterative process, combining actual experiences in a case study (...) in which we offered CES to a team that provides transgender health care and reflecting on the theoretical underpinnings of our work stemming from pragmatism, hermeneutics and organizational and educational sciences.ResultsIn this paper we describe five key characteristics of an integrative approach to CES; 1. Positioning CES more within care practices, 2. Involving new perspectives, 3. Creating co-ownership of CES, 4. Paying attention to follow up, and 5. Developing innovative CES activities through an emerging design.ConclusionsIn the discussion we compare this approach to the integrated approach to CES developed in the US and the hub and spokes strategy developed in Canada. Furthermore, we reflect on how an integrative approach to CES can help to handle some of the challenges of current CES. (shrink)

: Although "brain death" and the dead donor rule—i.e., patients must not be killed by organ retrieval—have been clinically and legally accepted in the U.S. as prerequisites to organ removal, there is little data about public attitudes and beliefs concerning these matters. To examine the public attitudes and beliefs about the determination of death and its relationship to organ transplantation, 1351 Ohio residents ≥18 years were randomly selected and surveyed using random digit dialing (RDD) sample frames. The RDD telephone survey (...) was conducted using computer-assisted telephone interviews. The survey instrument was developed from information provided by 12 focus groups and a pilot study of the questionnaire. Three scenarios based on hypothetical patients were presented: "brain dead," in a coma, or in a persistent vegetative state (PVS). Respondents provided personal assessments of whether the patient in each scenario was dead and their willingness to donate that patient's organs in these circumstances. More than 98 percent of respondents had heard of the term "brain death," but only one-third (33.7%) believed that someone who was "brain dead" was legally dead. The majority of respondents (86.2%) identified the "brain-dead" patient in the first scenario as dead, 57.2 percent identified the patient in a coma as dead (Scenario 2), and 34.1 percent identified the patient in a PVS as dead (Scenario 3). Nearly one-third (33.5%) were willing to donate the organs of patients they classified as alive for at least one scenario, in seeming violation of the dead donor rule. Most respondents were not willing to violate the dead donor rule, although a substantial minority was. However, the majority of respondents were unaware, misinformed, or held beliefs that were not congruent with current definitions of "brain death." This study highlights the need for more public dialogue and education about "brain death" and organ donation. (shrink)

It's widely accepted that social facts about an individual's linguistic community can affect both the reference of her words and the concepts those words express. Theorists sympathetic to the internalist tradition have sought to accommodate these social dependence phenomena without altering their core theoretical commitments by positing deferential reference-fixing criteria. In this paper, we sketch a different explanation of social dependence phenomena, according to which all concepts are individuated in part by causal-historical relations linking token elements of thought.

Principles of distributive justice bind macro-level institutional agents, like the state. But what does justice require in non-ideal circumstances, where institutional agents are unjust or do not e...

Scientists typically use a variety of representations, including different kinds of figures, to present and defend hypotheses. In order to understand the justification of scientific hypotheses, it is essential to understand how visual representations contribute to scientific arguments. Since the logical understanding of arguments involves the truth or falsity of the representations involved, visual representations must have the capacity to bear truth in order to be genuine components of arguments. By drawing on Goodman's analysis of symbol systems, and on Tarski's (...) work on truth, I show that the figures used in science meet this criterion. (shrink)

Bringing together Luce Irigaray's early psychoanalytically orientated writings with her more recent and more explicitly political writings, Irigaray and Politics weaves together the ontological, political and ethical dimensions of Irigaray's philosophy of sexuate difference in imaginative ways.

In this paper, we argue that the affective experience that permeates the employment of Assistive Technology (AT) in special needs education is crucial for the integration of AT. “AT integration” generally means the fluid and automatic employment of AT for fulfilling certain tasks. Pritchard et al. ( 2021 ) have proposed a more specific conceptualisation of AT integration by saying that AT is integrated when it is part of the user’s cognitive character. By discussing their proposal, we argue that the (...) user’s affective experience is crucial for AT integration. To better appreciate the relevance of the affective experience in AT integration, we suggest shifting the perspective from the functionalist extended cognition framework, as Pritchard et al. ( 2021 ) propose, to affective scaffoldings. In doing so we focus on the feeling of agency as the key experience to consider for understanding what AT does to the agent. We will put forth the hermeneutical tool of “phenomenal transformation” to explain how and why AT as an affective scaffolding can support the fundamental “I can” of the experience. (shrink)

Taking Arthur Fine’s The Shaky Game as my inspiration, and the recent 25th anniversary of the publication of that work as the occasion to exercise that inspiration, I sketch an alternative to the “Naturalism” prevalent among philosophers of physics. Naturalism is a methodology eventuating in a metaphysics. The methodology is to seek the deep framework assumptions that make the best sense of science; the metaphysics is furnished by those assumptions and supported by their own support of science. The alternative presented (...) here, which I call “Locavoracity,” shares Naturalism’s commitment to making sense of science, but alters Naturalism’s methodology. The Locavore’s sense-making projects are piecemeal, rather than sweeping. The Locavore’s hypothesis is that the collection of local sense-making projects fails to issue a single overarching unifying framework deserving of the title “the metaphysics that makes the best sense of science.” I muster some examples supporting the Locavore hypothesis from the interpretation of quantum field theories. (shrink)

Two-dimensional (2D) semantics is a formal framework that is used to characterize the meaning of certain linguistic expressions and the entailment relations among sentences containing them. 2D semantics has also been applied to thought contents. In contrast with standard possible worlds semantics, 2D semantics assigns extensions and truth-values to expressions relative to two possible world parameters, rather than just one. So a 2D semantic framework provides finer-grained semantic values than those available within standard possible world semantics, while using the same (...) basic model-theoretic resources. The 2D framework itself is just a formal tool. To develop a semantic theory for someone’s language, a proponent of 2D semantics must do three things: (i) explain what exactly the two possible world parameters represent, (ii) explain the rules for assigning 2D semantic values to a person’s words and sentences, and (iii) explain how 2D semantic values help in understanding the meanings of the person’s words and sentences. (shrink)

Our main focus in this paper is Herman Cappelen’s claim, defended in Fixing Language, that reference is radically inscrutable. We argue that Cappelen’s inscrutability thesis should be rejected. We also highlight how rejecting inscrutability undermines Cappelen’s most radical conclusions about conceptual engineering. In addition, we raise a worry about his positive account of topic continuity through inquiry and debate.

This article argues that every performance of habit‐driven action requires attention. I begin by revisiting the conception of habit‐driven actions as reducible to automatically performed responses to stimuli. On this conception, habitual actions are a counterexample to Wayne Wu's action‐centered theory of attention. Using the biased competition model of attention, and building on findings from affective cognitive neuroscience, I challenge this position. I claim that the performance of a habitual action requires experiential history to be exerting an influence that is (...) best understood as implicit selection‐biasing. It follows from this that habit‐driven action is compatible with Wu's theory. (shrink)

In this paper, I discuss the intrinsic value of truth from the perspective of the emotion studies in virtue epistemology. The strategy is the one that looks at epistemic emotions as driving forces towards truth as the most valuable epistemic good. But in doing so, a puzzle arises: how can the value of truth be intrinsic and instrumental? My answer lies in the difference established by Duncan Pritchard between epistemic value and the value of the epistemic applied to the case (...) of subjective motivations to knowing. I argue that the value of truth is intrinsic as epistemic value and that this is not only compatible with the idea that truth can have different kinds of instrumental values but also that the subjective value of truth, disclosed by epistemic emotions, can make the value of truth stronger if regulated within patterns of virtuous enquiry. (shrink)

The aim of the chapter is to discuss and evaluate the epistemic role of emotions in participatory sense-making, assuming 4Ecognition as background. I first ask why could emotions be beneficial for the collective processes of knowledge, especially discussing Battaly and arguing for a conceptualisation of emotions as socially extended motivations in virtue epistemology; then, I discuss participatory sense-making, both conceptually and phenomenologically, arguing for a fundamental role played by emotions in boosting epistemic cooperation and determining the quality of social bonds. (...) I advocate their specific function in epistemic cooperation. Epistemic cooperation is what brings about the generation of a shared meaning in participatory sense-making and thus, since emotions function as socially extended motivations, they boost the relationships among the agents, bonding them to the aims of their epistemic community. (shrink)

It would be nice if good old a priori conceptual analysis were possible. For many years conceptual analysis was out of fashion, in large part because of the excessive ambitions of verificationist theories of meaning._ _However, those days are over._ _A priori conceptual analysis is once again part of the philosophical mainstream._ _This renewed popularity, moreover, is well-founded. Modern philosophical analysts have exploited developments in philosophical semantics to formulate analyses which avoid the counterintuitive consequences of verificationism, while vindicating our ability (...) to know a priori precisely what it is our words and thoughts represent._ _Despite its apparent promise, however, I. (shrink)

The concept of paternalism is intricately tied to the concept of autonomy. It is commonly assumed that when paternalistic interventions are wrong, they are wrong because they impede individuals’ autonomy. Our aim in this paper is to show that the recent shift towards conceiving of autonomy relationally highlights a separate conceptual space for a nonpaternalistic kind of interpersonal intervention termed maternalism. We argue that maternalism makes a twofold contribution to the debate over the ethics of interpersonal action and decision-making. Descriptively, (...) it captures common experiences that, while not unusual in everyday life, are largely absent from the present discussion. Normatively, it describes a type of intervention with justification conditions distinct from the standard framework of paternalism. We explicate these contributions by describing six key differences between maternalism and paternalism, and conclude by anticipating and responding to potential objections. (shrink)

The network approach to psychopathology is becoming increasingly popular. The motivation for this approach is to provide a replacement for the problematic common cause perspective and the associated latent variable model, where symptoms are taken to be mere effects of a common cause (the disorder itself). The idea is that the latent variable model is plausible for medical diseases, but unrealistic for mental disorders, which should rather be conceptualized as networks of directly interacting symptoms. We argue that this rationale for (...) the network approach is misguided. Latent variable (or common cause) models are not inherently problematic, and there is not even a clear boundary where network models end and latent variable (or common cause) models begin. We also argue that focusing on this contrast has led to an unrealistic view of testing and finding support for the network approach, as well as an oversimplified picture of the relationship between medical diseases and mental disorders. As an alternative, we point out more essential contrasts, such as the contrast between dynamic and static modeling approaches, that can provide a better framework for conceptualizing mental disorders. Finally, we discuss several topics and open problems that need to be addressed in order to make the network approach more concrete and to move the field of psychological network research forward. (shrink)

European Journal of Philosophy, EarlyView.

Is religious faith consistent with being an intellectually virtuous thinker? In seeking to answer this question, one quickly finds others, each of which has been the focus of recent renewed attention by epistemologists: What is it to be an intellectually virtuous thinker? Must all reasonable belief be grounded in public evidence? Under what circumstances is a person rationally justified in believing something on trust, on the testimony of another, or because of the conclusions drawn by an intellectual authority? Can it (...) be reasonable to hold a belief on a topic over which there is significant, entrenched disagreement among informed inquirers, or should such disagreement lead all parties to modify or suspend their own judgments? Is there anything about faith that exempts it from measurement against such epistemic norms? And if we would so evaluate it, how exactly should we understand the intellectual commitments faith requires? The volume's introduction provides a roadmap of the central issues and controversies as currently discussed by philosophers. In fourteen new essays written to engage nonspecialists as well as philosophers working in religion and epistemology, a diverse and distinguished group of thinkers then consider the place of intellectual virtue in religious faith, exploring one or more of the specific issues noted above. (shrink)

All non-relational views of perceptual experience face Jackson's famous many-property problem. I argue that the original problem, and the existing responses to it, have focused too closely on the controversial terminology for which adverbialism is best known. We can also direct Jackson's many-property problem explicitly onto the adverbialist's metaphysics, generating a new challenge. The responses contemporary adverbialists and non-relationalists have made to the original objection are not successful against this challenge. We need a new non-relational account. I sketch an outline (...) of a new theory, and motivate the view by explaining how it can respond successfully to this additional challenge. -/- . (shrink)

Proponents of children's liberation (CL) argue that there are no morally relevant differences between children and adults. Consequently, special protective laws that limit children's freedom are unjustified, and should be abolished. Protectionists reject the premise of this argument, and hence also the conclusion. Proponents of CL mostly fix upon the capacity for instrumental reasoning as the criterion that should separate autonomous from non-autonomous individuals. I argue that most children are substantially worse at instrumental reasoning than most adults, and although drawing (...) a line between the two categories has an arbitrary element, outstanding exceptions on both sides can be justly accommodated. Furthermore, the capacity for instrumental reasoning is a necessary but not sufficient basis for equal rights. A morally decent society is more demanding of individuals than the skeptical or libertarian one that most plausibly grounds CL. To construct and live in such a society requires both prudence and morality. But there is evidence that children need protection and limits to develop these traits. So there are morally relevant differences between children and adults after all, and the argument from justice fails. The utilitarian arm of the argument also fails: because of these morally relevant differences, CL would have worse consequences than those envisioned by its supporters. Parents would lose important authority, and there would be more homeless children. Consequently, the gap between advantaged and disadvantaged persons would become larger and more irreversible. (shrink)

Publications in contemporary science journals often include figures like graphs, diagrams, photographs, and MRIs, which are presented as support for the hypothesis the author is defending. As a first step to explaining how figures contribute to confirmation, I present an account of visual representation and use examples to show how the visual format is involved in the support those figures provide the authors’ conclusions. I then show that attempts to explain what figures contribute to scientific arguments without analyzing them as (...) visual representations will not succeed. (shrink)

The view that physical objects do not, in fact, possess colour properties is certainly the dominant position amongst scientists working on colour vision. It is also a reasonably popular view amongst philosophers. However, the recent philosophical debate about the metaphysical status of colour properties seems to have taken a more realist turn. In this article, I review the main philosophical views – eliminativism, physicalism, dispositionalism and primitivism – and describe the problems they face. I also examine how these views have (...) been classified and suggest that there may be less disparity between some of these positions than previously thought. (shrink)

Philosophers have understood propositional contents in many different ways, some of them imposing stricter demands on cognition than others. In this paper, I want to characterize a specific sub-type of propositional content that shares many core features with full-blown propositional contents while lacking others. I will call them modest propositional contents, and I will be especially interested in examining which behavioral patterns would justify their attribution to non-human animals. To accomplish these tasks, I will begin by contrasting modest propositional contents (...) with primitive feature-placing contents: a kind of content that, according to some philosophers, can explain the behavior of non-human animals. I will examine which cognitive abilities are involved in having mental states with each of these contents and which sorts of behavioral patterns would provide evidence that an animal has one of them or another. Finally, I will present some empirical evidence which strongly suggests that some non-human animals have mental states with modest propositional contents. (shrink)

Buddhist philosophers draw a distinction between two kinds of entities: ultimately real entities and conventionally real entities. Among Abhidharma Buddhist philosophers, who accept the fundamental existence of ultimately real entities, there is a debate over the existential status of conventionally real entities. The most prevalent interpretation of the general Abhidharma position is an anti-realist one: conventionally real entities do not exist. Here, however, I will argue that there is at least one Abhidharma philosopher who is not an anti-realist about conventionally (...) real entities. Saṅghabhadra, a fifth-century CE Indian Buddhist philosopher belonging to the Vaibhāṣika-Sarvāstivāda tradition of Abhidharma Buddhism, offers an account of conventionally real entities that takes them to be real. According to him, conventional entities exist, although in a derivative and degenerate way—a way that is supervenient on and grounded in what is ultimately real. Saṅghabhadra’s view substantiates, in his specific case, Kris McDaniel’s argument that Abhidharma accounts of conventional reality are profitably interpreted as the view that conventional entities exist but enjoy a mode of being that is distinct from the fundamental mode of being enjoyed by ultimately real entities. In what follows, I will argue that the pluralist framework that McDaniel lays out for understanding the mode of being that non-fundamental entities enjoy fits well with and makes the most sense of, the account of conventional entities offered by Saṅghabhadra. (shrink)

'This original discussion breaks new ground by thoroughly analyzing ethical and aesthetic values, centering on the concept of ecological integrity, that apply intrinsically to nature and that govern our rightful use of the environment. Those who have been waiting for an exciting account of the inherent structure and worth of ecological systems in relation to environmental policy will find it in this book.'-Mark Sagoff, Director of the Institute for Philosophy and Public Policy, University of Maryland at College Park.

Listening to music can be an intensely moving experience. Many people love music in part because of its power to alter or amplify their moods, and turn to music for inspiration, comfort, or therapy. It is a puzzle, then, why many of us spend so much time listening to sad music. If music can influence our moods, and assuming that most people would prefer to be happy not sad, why would we choose to listen to sad music? I revisit the (...) question of why we like sad music, drawing from work in both the philosophy and psychology of music, as well as work in the philosophy and science of affect. I argue to shift the focus of the question to music-induced moods, not emotions. This reframes the debate but does not dissolve the paradox. To understand what is appealing about the affective experience of listening to sad music I suggest we take into account the unique features of music-induced sad mood. I argue that sad mood and a certain sort of focused music listening are mutually reinforcing in ways that differ from other mood/music interactions. Sad mood and sad music are, in a sense, made for each other. (shrink)

According to David Chalmers and Frank Jackson, conceptual competence puts one in a position to have a priori knowledge of conditional claims of the form ‘If my environment is thus and so, then water = H2O’. The rationale for this position, I argue, rests on controversial semantic assumptions about the individuation of meanings or concepts. I sketch a new model of conceptual competence, which undermines the apriority of such conditionals.

Moral disengagement is the process by which individuals mitigate the consequences of their own violations of moral standards. Although MD is understood to be co-determined by culture norms, no study has yet explored the extent to which MD applied to safety at work fosters safety violations, nor the role of organizational culture as a predictor of JS-MD. The current study seeks to address this gap in the literature by examining individual- and organizational-level factors that explain why employees fail to report (...) workplace accidents. We tested a latent variable structural model positing organizational culture typologies as predictors of JS-MD, which in turn is expected to mediate the relationship with accident underreporting. Using data from 1033 employees in 28 Italian organizations, findings suggest that bureaucratic safety culture was related to lower levels of JS-MD, whereas technocratic safety culture was related to greater JS-MD. In turn, JS-MD positively predicted employee accident underreporting and fully mediated the relationship between culture and underreporting. Theoretical and practical implications are discussed in light of the increasing focus on underreporting as well as the adverse individual and organizational consequences of failing to report workplace accidents. (shrink)

Clinical ethics support for health care professionals and patients is increasingly seen as part of good health care. However, there is a key drawback to the way CES services are currently offered. They are often performed as isolated and one-off services whose ownership and impact are unclear. This paper describes the development of an integrative approach to CES at the Center of Expertise and Care for Gender Dysphoria at Amsterdam University Medical Center. We specifically aimed to integrate CES into daily (...) work processes at the CEGD. In this paper, we describe the CES services offered there in detail and elaborate on the 16 lessons we learned from the process of developing an integrative approach to CES. These learning points can inform and inspire CES professionals, who wish to bring about greater integration of CES services into clinical practice. (shrink)

The need to evaluate the performance of clinical ethics services is widely acknowledged although work in this area is more developed in the United States. In the USA many studies that assess clinical ethics services have utilized empirical methods and assessment criteria. The value of these approaches is thought to rest on their ability to measure the value of services in a demonstrable fashion. However, empirical measures tend to lack ethical content, making their contribution to developments in ethical governance unclear. (...) The steady increase of clinical ethics committees in the UK must be accompanied by efforts to evaluate their performance. As part of this evaluative work it is important to examine how the practice of clinical ethics committees can be informed by empirical measures. (shrink)

Prominent accounts of collective intentional activity explain the nature of social groups by virtue of a specific criterion: goal-directedness. In doing so, these accounts offer little in the way of determining whether there are any differences among social groups. In this paper, I propose a refined framework of collective intentional activity that can distinguish among social groups better than alternative accounts, and which has revisionary but nevertheless plausible implications for the nature of the family: specifically, that certain friendship relationships may (...) count as genuinely familial, and that we ought to count them as such. I argue that social groups are distinguished by what we can expect from one another within different kinds of social groups; specifically, that there is an important difference between reciprocity that is equivalent in performance and reciprocity that is equivalent in intention; familial groups are specifically guided by this latter kind of reciprocity. This more inclusive definition of familial groups may have important implications for how such groups are supported within a given society – for instance, by recognizing certain caring relations as essential for well-being and supporting them accordingly. (shrink)

I argue that our expectations for particular evil events, conditional on theism, ought to be informed by our empirical knowledge of history—that is, the history of what God, if God exists, has already allowed to happen. This point is under-appreciated in the literature. And yet if I’m right, this entails that most particular evil events are not evidence against theism. This is a limited but interesting consequence in debates over the evidential impact of evil.

In Constructing the World, Chalmers seeks to articulate and defend an important epistemic accessibility thesis, the Scrutability of Truth, which is crucial to Chalmers’ rationalist approach to meaning and modality. Chapters 3 and 4 of the book are devoted to persuading us that the move from weaker to stronger forms of Scrutability is intuitively plausible. In these comments, I want to question this move. The plausibility of strong forms of Scrutability hinges on controversial views about epistemic norms for answering ‘what (...) is x?’ questions that semantic externalists have good reason to reject. (shrink)