Integrating large language models (LLMs) like GPT-4 into medical ethics is a novel concept, and understanding the effectiveness of these models in aiding ethicists with decision-making can have significant implications for the healthcare sector. Thus, the objective of this study was to evaluate the performance of GPT-4 in responding to complex medical ethical vignettes and to gauge its utility and limitations for aiding medical ethicists. Using a mixed-methods, cross-sectional survey approach, a panel of six ethicists assessed LLM-generated responses to eight (...) ethical vignettes.The main outcomes measured were relevance, reasoning, depth, technical and non-technical clarity, as well as acceptability of GPT-4’s responses. The readability of the responses was also assessed. Of the six metrics evaluating the effectiveness of GPT-4’s responses, the overall mean score was 4.1/5. GPT-4 was rated highest in providing technical (4.7/5) and non-technical clarity (4.4/5), whereas the lowest rated metrics were depth (3.8/5) and acceptability (3.8/5). There was poor-to-moderate inter-rater reliability characterised by an intraclass coefficient of 0.54 (95% CI: 0.30 to 0.71). Based on panellist feedback, GPT-4 was able to identify and articulate key ethical issues but struggled to appreciate the nuanced aspects of ethical dilemmas and misapplied certain moral principles.This study reveals limitations in the ability of GPT-4 to appreciate the depth and nuanced acceptability of real-world ethical dilemmas, particularly those that require a thorough understanding of relational complexities and context-specific values. Ongoing evaluation of LLM capabilities within medical ethics remains paramount, and further refinement is needed before it can be used effectively in clinical settings. (shrink)

Our aim in this article is to define the difficulties that clinical ethics services encounter when they are asked to demonstrate the value a clinical ethics service (CES) could and should have for an institution and those it serves. The topic emerged out of numerous related presentations at the Un- Conference hosted by the Cleveland Clinic in August 2018 that identified challenges of articulating the value of clinical ethics work for hospital administrators. After a review these talks, it was apparent (...) that the field of clinical ethics may be at a crisis of sorts due to increased pressure to provide explicit measures to healthcare institutions to concretely demonstrate that CESs make a valuable difference in healthcare delivery. In this article, we grapple with how to satisfy the need for demonstrable value in a field in which metrics alone may not capture the scope of clinical ethics practice. We suggest that capturing the value of a CES has been difficult because the benefits of ethics consultation may be overt or attributable to the CES, but are often hidden due to the systems-level and process-oriented nature of clinical ethics work. Part of the difficulty in demonstrating the value of CESs is capturing and conveying all of the ways the integration of a CES throughout an institution positively affects patients, families, visitors, healthcare professionals, administrators, and the institution itself. Our aim is to (1) elucidate the multifaceted value added by a CES, including value that tends to be hidden and (2) suggest how to demonstrate value to others in a way that is not simplistic or reductionistic. (shrink)

This article discusses clinical ethics consultation (CEC), and thereby ethics support services in the Canadian context. Commonalities and differences between the three models of ethics support and CEC shared in this article are identified, set within the broader context of the Canadian healthcare system, accreditation, and professionalization of practicing healthcare ethicists.

What is the source of logical and mathematical truth? This book revitalizes conventionalism as an answer to this question. Conventionalism takes logical and mathematical truth to have their source in linguistic conventions. This was an extremely popular view in the early 20th century, but it was never worked out in detail and is now almost universally rejected in mainstream philosophical circles. Shadows of Syntax is the first book-length treatment and defense of a combined conventionalist theory of logic and mathematics. It (...) argues that our conventions, in the form of syntactic rules of language use, are perfectly suited to explain the truth, necessity, and a priority of logical and mathematical claims, as well as our logical and mathematical knowledge. (shrink)

A philosophical exploration of the nature, scope, and significance of ecofeminist theory and practice. This book presents the key issues, concepts, and arguments which motivate and sustain ecofeminism from a western philosophical perspective.

Theodore Sider’s recent book, “Writing the Book of the World”, employs a primitive notion of metaphysical structure in order to make sense of substantive metaphysics. But Sider and others who employ metaphysical primitives face serious epistemological challenges. In the first section I develop a specific form of this challenge for Sider’s own proposed epistemology for structure; the second section develops a general reliability challenge for Sider’s theory; and the third and final section argues for the rejection of Siderean structure in (...) the course of answering a transcendental argument against such rejection. (shrink)

Recently a number of works in meta-ontology have used a variant of J.H. Harris's collapse argument in the philosophy of logic as an argument against Eli Hirsch's quantifier variance. There have been several responses to the argument in the literature, but none of them have identified the central failing of the argument, viz., the argument has two readings: one on which it is sound but doesn't refute quantifier variance and another on which it is unsound. The central lesson I draw (...) is that arguments against quantifier variance must pay strict attention to issues of translation and interpretation. The paper also has a substantial appendix in which I prove the equivalence of plural mereological nihilism and standard first-order atomistic mereology; results of this kind are often appealed to in the literature on quantifier variance but without many details on the nature or proof of the result. (shrink)

In “Truth by Convention” W.V. Quine gave an influential argument against logical conventionalism. Even today his argument is often taken to decisively refute logical conventionalism. Here I break Quine’s arguments into two— the super-task argument and the regress argument—and argue that while these arguments together refute implausible explicit versions of conventionalism, they cannot be successfully mounted against a more plausible implicit version of conventionalism. Unlike some of his modern followers, Quine himself recognized this, but argued that implicit conventionalism was explanatorily (...) idle. Against this I show that pace Quine’s claim that implicit conventionalism has no content beyond the claim that logic is firmly accepted, implicit rules of inference can be used to distinguish the firmly accepted from the conventional. As part of my case, I argue that positing syntactic rules of inference as part of our linguistic competence follows from the same methodology that leads contemporary linguists and cognitive scientists to posit rules of phonology, morphology, and grammar. The upshot of my discussion is a diagnosis of the fallacy in Quine’s master critique of logical conventionalism and a re-opening of possibilities for an attractive conventionalist theory of logic. (shrink)

Unrestricted inferentialism holds both that any collection of inference rules can determine a meaning for an expression and meaning constituting rules are automatically valid. Prior's infamous tonk connective refuted unrestricted inferentialism, or so it is universally thought. This paper argues against this consensus. I start by formulating the metasemantic theses of inferentialism with more care than they have hitherto received; I then consider a tonk language — Tonklish — and argue that the unrestricted inferentialist's treatment of this language is only (...) problematic if it is mistakenly assumed that Tonklish can be homophonically translated into English. Next, I discuss the proper, non-homophonic, translation of Tonklish into English, rebut various objections, and consider several variants of Tonklish. The paper closes by highlighting the philosophical advantages that unrestricted inferentialism has over its competitors once the terrors of tonk have been tamed. (shrink)

Conventionalism about mathematics claims that mathematical truths are true by linguistic convention. This is often spelled out by appealing to facts concerning rules of inference and formal systems, but this leads to a problem: since the incompleteness theorems we’ve known that syntactic notions can be expressed using arithmetical sentences. There is serious prima facie tension here: how can mathematics be a matter of convention and syntax a matter of fact given the arithmetization of syntax? This challenge has been pressed in (...) the literature by Hilary Putnam and Peter Koellner. In this paper I sketch a conventionalist theory of mathematics, show that this conventionalist theory can meet the challenge just raised , and clarify the type of mathematical pluralism endorsed by the conventionalist by introducing the notion of a semantic counterpart. The paper’s aim is an improved understanding of conventionalism, pluralism, and the relationship between them. (shrink)

The Epicurean philosophical system has enjoyed much recent scrutiny, but the question of its philosophical ancestry remains largely neglected. It has often been thought that Epicurus owed only his physical theory of atomism to the fifth-century BC philosopher Democritus, but this study finds that there is much in his ethical thought which can be traced to Democritus. It also finds important influences on Epicurus in Democritus' fourth-century followers such as Anaxarchus and Pyrrho, and in Epicurus' disagreements with his own Democritean (...) teacher Nausiphanes. The result is not only a fascinating reconstruction of a lost tradition, but also an important contribution to the philosophical interpretation of Epicureanism, bearing especially on its ideal of tranquillity and on the relation of ethics to physics. (shrink)

Recent corporate social initiatives (CSIs) have garnered criticisms from a wide range of audiences due to perceived inconsistencies. Some critics use the label “woke” when CSIs are perceived as inconsistent with the firm’s purpose. Other critics use the label “woke washing” when CSIs are perceived as inconsistent with the firm’s practices or values. I will argue that this derogatory use of woke is stigmatizing, leads to claims of hypocrisy, and can cause stakeholder backlash. I connect this process to our own (...) field by considering inconsistencies in our organizations and in our teaching that could garner similar criticisms. After describing the stigmatization process, I consider the moral implications of inconsistencies for CSIs and draw parallels to our field. I end by suggesting next steps for our field in response to the stigmatization of CSIs and to guard against the stigmatization of our own work. (shrink)

This book highlights Kant's fundamental contrast between the mechanistic and dynamical conceptions of matter, which is central to his views about the foundations of physics, and is best understood in terms of the contrast between objects of sensibility and things in themselves.

Uses the thought of Wang Yang-ming, John Dewey, and Alfred North Whitehead to explain a more coherent theory of knowledge.

Extensive historical sleuthing reveals that the word "bioethics" and the field of study it names experienced, in 1970/1971, a "bilocated birth" in Madison, Wisconsin, and in Washington, D.C. Van Rensselaer Potter, at the University of Wisconsin first coined the term; and André Hellegers, at Georgetown University, at the very least, latched onto the already-existing word "bioethics" and first used it in an institutional way to designate the focused area of inquiry that became an academic field of learning and a movement (...) regarding public policy and the life sciences. A further comparison of the Potter and the Hellegers/Georgetown understandings of bioethics and the relative acceptance of the two views will appear in the March 1995 issue of this journal. (shrink)

This anthology is the first such collection to focus on the exclusively philosophical aspects of ecological feminism. It addresses basic questions about the conceptual underpinnings of `women-nature' connections, and emphasises the importance of seeing sexism and the exploitation of the environment as parallel forms of domination. Ecological Feminism is enriched by the inclusion of essays which take differing views of the importance and nature of ecofeminism. It will be an invaluable resource for courses on women's studies, environmental studies and philosophy.

The earliest phase of philosophy in Europe saw the beginnings of cosmology and rational theology, metaphysics, epistemology, and ethical and political theory. It also saw the development of a wide range of radical and challenging ideas, from Thales' claim that magnets have souls and Parmenides' account of one unchanging existence to the development of an atomist theory of the physical world. This general account of the Presocratics introduces the major Greek philosophical thinkers from the sixth to the middle of the (...) fifth century B.C. It explores how we might reconstruct their views and understand the motivation and context for their work, and it highlights the ongoing philosophical interest of their often surprising claims. Separate chapters are devoted to each of the major Presocratic thinkers, including Xenophanes, Heraclitus, Parmenides, Anaxagoras, Empedocles, Leucippus, and Democritus. With a chronology and guide to further reading, this book is an ideal introduction for the student and general reader. _Copub: Acumen Publishing Limited_. (shrink)

Although post-traumatic stress disorder is now constituted by a set of characteristic symptoms, its roots lie in Post-Vietnam Syndrome, a label generated by a Vietnam-era advocacy movement that focused not on symptoms but on war’s traumatic context. When Post-Vietnam Syndrome was subsumed into the abstract, individualistic, symptom-centered language of DSM-III and rendered as PTSD, it not only lost this focus on context but also neglected the experiences of veterans who suffer from things done or witnessed, not primarily from what was (...) done to them, in war. This agent-related trauma has been rediscovered in contemporary work on moral injury, but moral injury too is increasingly subjected to the hegemony of the symptom. Focusing on symptoms, however, unhelpfully pathologizes and individualizes trauma, neglects traumatic context, and legitimates problematic therapeutic approaches. Trauma researchers and clinicians should decenter the language of symptoms and focus instead on context and on alternative accounts of trauma. (shrink)

Drawing from moral foundations theory, we show that differences in sensitivity to distinct moral norms help explain differences in the perceived fairness of punishing employees for off-duty deviance. We used an initial study to validate realistic examples of non-criminal behavior that were perceived as violating a specific moral foundation. Participants in the main study evaluated scenarios in which co-workers were fired for those behaviors, which took place outside of work but were revealed via social media. The extent to which participants (...) valued the norm violated by the co-worker positively predicted perceived fairness of the firing, and negatively predicted expressed intent to take retributive action against the responsible manager. This effect was moderated by the presence of a pre-existing organizational policy regarding off-duty conduct, which uniformly decreased negative reactions to the firing. Because social media now makes the revelation of an employee’s off-duty behavior to a broad audience increasingly likely, our results suggest the importance of developing an approach for responding to employee off-duty deviance while highlighting the relevance of moral pluralism to the study of third-party reactions. (shrink)

This paper discusses the relevance of supertask computation for the determinacy of arithmetic. Recent work in the philosophy of physics has made plausible the possibility of supertask computers, capable of running through infinitely many individual computations in a finite time. A natural thought is that, if supertask computers are possible, this implies that arithmetical truth is determinate. In this paper we argue, via a careful analysis of putative arguments from supertask computations to determinacy, that this natural thought is mistaken: supertasks (...) are of no help in explaining arithmetical determinacy. (shrink)

This book completes medical care by adding the comprehensive humanistic perspectives and philosophy of medicine.

When is it rational to commit suicide? More specifically, when is it rational for a Platonist to commit suicide, and more worryingly, is it ever not rational for a Platonist to commit suicide? If the Phaedo wants us to learn that the soul is immortal, and that philosophy is a preparation for a state better than incarnation, then why does it begin with a discussion defending the prohibition of suicide? In the course of that discussion, Socrates offers (but does not (...) necessarily endorse) two arguments for the prohibition of self-killing, at least in most circumstances, which have exerted a long and powerful influence over subsequent discussion of the topic, particularly in theist contexts. In the context of the Phaedo itself, however, this introductory conversation plays a crucial role in setting the agenda for the remainder of the dialogue and offering an initial discussion of the major concerns of the argument as a whole. In particular, the discussion of the nature of suicide is intimately bound up with Socrates¿ conception of true philosophy as a ¿preparation for death¿, the relationship between soul and body, and the immortality of the soul. My intention is to provide a reading of that passage (61e-69e) which asks whether the Phaedo can offer a philosophically satisfying distinction between suicide and philosophy and how it relates to other ancient philosophical attitudes to self-killing. I argue that Socrates does not think that being dead is always preferable to being alive, and that the religious views expressed in the passage are consistent with his general stance on the benevolence of the gods. (shrink)

Renouvier was among the first philosophers in France to break with the nineteenth-century inductivist tradition and defend the use of hypotheses in science. Earlier in the century, the humanistically-educated eclectic spiritualist philosophers who dominated French academic life had followed Reid in proscribing the use of hypotheses. Renouvier, who was educated in the sciences, took up the Comtean positivist alternative and developed it further. He began by defending hypotheses that anticipate laws governing the phenomena, but then eventually adopted a more liberal (...) attitude towards hypotheses that postulate unobservable entities and processes as well. He also came to the realization that, from an epistemological point of view, all of empirical science is hypothetical. Renouvier used the tentative character of scientific knowledge as a premise from which to critique those who would claim scientific status for their social philosophies, and maintained a distinction between normative philosophical and empirical scientific inquiries.Keywords: Charles Renouvier; Auguste Comte; Positivism; Hypothesis; Eclectic spiritualism. (shrink)

Republic IX 583c-585a presents something surprisingly unusual in ancient accounts of pleasure and pain: an argument in favour of the view that there are three relevant hedonic states: pleasure, pain, and an intermediate. The argument turns on the proposal that a person's evaluation of their current state may be misled by a comparison with a prior or subsequent state. The argument also refers to `pure' and anticipated pleasures. The brief remarks in the Republic may appear cursory or clumsy in comparison (...) with the Philebus , but this appearance is misleading. Rather, they are part of a neat dialectical argument against a potentially troubling set of opponents. Socrates' use of a topological analogy at 584d3-585a7 rounds off this section by clarifying and illustrating his position, preparing the ground for the final explanation of the pleasantness of the philosophical life at 585a-587c. (shrink)

Recognizing Justice For Citizens With Cognitive Disabilities engages with the most prominent liberal theories of justice today in revealing the path toward equal justice for citizens with cognitive disabilities.

The relationship between the photographic and optical images and time has been the subject of great deal of debate. Despite their differences, what many of these considerations have in common is their focus on the receiver, whether mechanical (the camera), biological (the eye–brain as the optical receiver), social or the memory and imagination of the observer. My aim here is to shift the emphasis from the receiver to the object or vista that is photographed or viewed and to explore how (...) the constraints implied by our modern understanding of the Universe, concerning space and time, impact on the way we perceive photographic and optical images. Viewed from this perspective, photographs can be treated as light projections of sections of the four-dimensional observable world onto two-dimensional spatial photographic or viewing surfaces. I shall show that despite the severe reduction that such projections imply, these modern considerations have the important consequence of bestowing a complex temporality upon optical images, including photographs. This realization dramatically changes the way we view photographs. I give examples of this rich temporality through considerations of terrestrial images – and more significantly images of the Sky, where these temporal effects are far more pronounced. (shrink)

As organizations take on grand challenges in gender equality, anti-racism, LGBTQ+ protections and workplace inclusion, many well-intentioned individuals from dominant groups (e.g., cisgender men, Caucasian, heterosexual) are stepping forward as allies toward underrepresented or marginalized group members (e.g., cisgender women, People of Color, LGBTQ+ identified employees). Past research and guidance assume an inevitable need for external motivation, reflected in the ‘business case’ for diversity and in top-down policies to drive equity and inclusion efforts. This qualitative study explored _internal_ motivations in (...) the form of morally motivated virtues of 25 peer-nominated exemplary allies serving in leadership positions. In-depth life/career story interviews were used to identify the virtues that supported their allyship journeys. Findings demonstrated that they tapped into several virtues that served distinct functions in a 4-stage allyship development process: Stage 1—Energizing psychological investment (compassion, fairness); Stage 2—Thinking through allyship-relevant complexities (intellectual humility, perspective-taking, wisdom); Stage 3—Initiating action (prudence, moral courage, honesty); Stage 4—Committing to allyship (perseverance, patience). We call this the ‘EThIC model of virtue-based allyship development.’ This study has implications for theory and research on a virtue-based approach to diversity, equity and inclusion. (shrink)

Foss's critique of van Fraassen's constructive empiricism is shown to be completely wide of the mark (Foss 1984, van Fraassen 1980). Foss misunderstands van Fraassen's use of the terms 'observable', 'phenomena', 'empirical adequacy', and 'epistemic community'. He misconstrues constructive empiricism as making knowledge, and perhaps existence, dependent on the observer. On the basis of this error, he attempts to reduce constructive empiricism to skepticism. None of his criticisms are to the point.

Drawing upon the expertise of film scholars from around the world, Puzzle Films investigates a number of films that sport complex storytelling--from Memento, ...

: It has been said that Kant's critical philosophy made it impossible to pursue either the Cartesian rationalist or the Lockean empiricist program of providing a foundation for the sciences (e.g., Guyer 1992). This claim does not hold true for much of nineteenth century French philosophy, especially the eclectic spiritualist tradition that begins with Victor Cousin (1792-1867) and Pierre Maine de Biran (1766-1824) and continues through Paul Janet (1823-99). This tradition assimilated Kant's transcendental apperception of the unity of experience to (...) Descartes's cogito. They then took this to be the method of a philosophical psychology that reveals the active self as substance or cause and thus provides the epistemological grounding for these categories. However, to dismiss these philosophers as simply confused or mistaken would be to overlook the historical role that their interpretations of Kant played in the subsequent development of philosophy and the social sciences in France. Specifically, Émile Durkheim's (1858-1917) sociological theory of the categories was deeply influenced by the eclectic spiritualist tradition and yet at the same time developed in reaction to it, as he thought that its psychological account of the categories failed to bring out their shared or universal character and the extent to which our conceptions of the categories are cultural products. (shrink)

The role of paleontology in evolutionary biology between the publication of The Origin of Species in 1859 and the Evolutionary Synthesis of the 1940s is frequently described as mostly misguided failure. However, a significant number of American and British PDPS invertebrate paleontologists of this period did devote considerable attention to evolution, and their evolutionary theories and conclusions were a good deal more diverse and nuanced than previous histories have suggested. This paper brings into focus a number of important but underrecognized (...) aspects of the history of paleontology within the history of biology, including that PDPS paleontologists were not all as theoretically backward as they have been portrayed; that the post-Synthesis narrative of the history of evolution should be continually reevaluated, in part to decouple historical understanding from the agendas of authors who have used history to advance particular views of evolution; and that there is a much richer story to be told about the history of evolutionary biology in both the pre- and post-Synthesis eras. (shrink)