Nurses are positioned on healthcare's front line, intimately connected to individuals, families, and communities. How can they leverage this position to work for the common good? In Toward ward a Better World, Mark Lazenby, a philosopher and a nurse, presents a plan of action. He argues that nurses advance the good society when they fulfill fundamental obligations. Promoting equality, peace and respect, providing assistance and safety, and safeguarding the health of our planet are among these obligations. By acting (...) upon them, nurses become a force for social change in their communities. But through the collective power of more than 20 million nurses worldwide, nurses become a global force for making the world a better place--in the present and for the future. (shrink)

This commentary explores the morality of health care providers’ expressions of their religious practices in clinical context. Health care providers’ expressions of their religious practices in the clinic become immoral when they violate patients’ right to choose, a fundamental right of personhood.

This article offers an account of the information condition on morally valid consent in the context of sexual relations. The account is grounded in rights. It holds that a person has a sufficient amount of information to give morally valid consent if, and only if, she has all the information to which she has a claim-right. A person has a claim-right to a piece of information if, and only if, a. it concerns a deal-breaker for her; b. it does not (...) concern something that her partner has a strong interest in protecting from scrutiny, sufficient to generate a privilege-right; c.i. her partner is aware of the information to which her deal-breaker applies; or c.ii. her partner ought to be held responsible for the fact that he is not aware of the information to which her deal-breaker applies; and finally, d. she has not waived or forfeited her claim-right. Although we present this account in the context of sexual relations, we believe a virtue of the account is that it can be easily translated into other contexts. (shrink)

John Broome argues that when all claims cannot be perfectly fairly satisfied in outcome, the contribution to fairness from entering claims into a lottery, and so providing them some surrogate satisfaction, ought to be weighed against, and can outweigh, what fairness can be achieved directly in outcome. I argue that this is a mistake. Instead, I suggest that any contribution to fairness from entering claims into a lottery is lexically posterior to fairness in outcome.

In discussions of the complex and controversial problem of Spartan land-tenure,1 the mysterious ‘ρχαα μορα’ has assumed an importance out of all proportion to its prominence in the sources, for the actual phrase only occurs once in extant literature. It owes its importance to the fact that the reference to it has been used to support the theory that there were two categories of land in Sparta, a theory which in turn is held to explain how, when all Spartans supposedly (...) owned equal estates, there could nevertheless be rich ones and poor ones, as authors such as Herodotos, Thucydides, Xenophon, and Aristotle make clear. The answer, it is claimed, is that although all Spartans possessed an equal share of one category of land, they could own more or less of the other category.2. (shrink)

A Mystical Philosophy contributes to the contemporary resurgence of interest in Spirituality, but from a new direction. Revealing, in an original and provocative study, the mystical contents of the works of famous atheists Virginia Woolf and Iris Murdoch, Donna Lazenby shows how these thinkers' refusal to construe worldviews on available reductive models brought them to offer radically alternative pictures of life which maintain its mysteriousness, and promote a mystical way of knowing. This book makes a daring claim: that a (...) return to 'pure' experience is sufficient to demonstrate, for the contemporary imagination, the irreducibly mystical contents of everyday life: and, therefore, the enduring appropriateness of theological conversations. Lazenby reveals how these atheist thinkers offer crucial spiritual-intellectual advice for our times: a warning against reductive scientific and philosophical models that impoverish our understanding of our selves and the world, and a powerful endorsement of ways of knowing that give art, and a restored concept of contemplation, their consummative place. (shrink)

‘Hoplites are troops who take their name from their shields’. ‘The individual infantryman took his name, hoplites, from the hoplon or shield’. Such is the orthodox view. This paper will endeavour to show that its basis is inadequate. Rather, we shall argue, hoplites took their name from their arms and armour as a whole, their hopla in that all-encompassing sense; so that the original and essential meaning of the word hoplite was nothing more than ‘armed man’.

This article explores the problem of justice between age-groups. Specifically, it presents a challenge to a leading theory in this field, Norman Daniels' Prudential Lifespan Account. The challenge relates to a key assumption that underlies this theory, namely the assumption that all individuals live complete lives of equal length. Having identified the roles that this assumption plays, the article argues that the justifications Daniels offers for it are unsatisfactory and that this threatens the foundation of his position, undermining his claim (...) that ‘the fact that we all age’ makes age a special problem of distributive justice. This shows that the problem of justice between age-groups is not special in the way Daniels proposes; rather it involves the same irreducibly interpersonal distributive decisions as other problems of justice. The consequences of this argument are several-fold. Most importantly, it shows that the Rawlsian account of justice to which Daniels hopes to attach his theory to requires significantly greater benefits to be conferred on those in earlier age-groups relative to those in later age-group, not a distribution similar to simultaneous equality as Daniels proposes. (shrink)

Unethical acts and reported cases of corruption and commercial crimes in South African business are increasing. Literature studies showed that risk groups (for instance South African managers in affirmative action positions) are functioning in a stressful environment which can give rise to unethical acts. Results pointed out that high stress correlates substantially with: to claim credit for a subordinate's work; to fail to report a co-worker's violation of company policy, to offer potential clients fully paid holidays; and to purchase shares (...) upon hearing privileged company information. In the light of this a number of recommendations were made. (shrink)

In a series of recent articles, Matthew Clayton, Andrew Williams and Rasmus Sommer Hansen and Soren Flinch Midtgaard argue that a key virtue of Ronald Dworkin’s account of distributive justice, Equality of Resources, is that it provides a distribution that is continuous with the evaluations of the individuals whom it ranges over. The idea of continuity, or as Williams calls it the ‘continuity test’, limits distributive claims in at least one important way: one person cannot claim compensation from another when (...) she does not believe she is worse off than him. In this article, I challenge whether an account of distributive justice should be continuous with the evaluations of the individuals whom it ranges over. My argument is that continuity competes with another consideration, namely, correctness. An account of distributive justice should track who actually is disadvantaged, not whether individuals believe they are disadvantaged. In addition, I offer an account of how we can get closer to a correct account of who is disadvantaged based on two sources of evidence. (shrink)

This paper explores how luck egalitarianism fares in capturing our intuitions about the fairness of market-generated outcomes. Critics of luck egalitarianism have argued that it places no restrictions on what outcomes are acceptable, at least when all agents are equally situated before entering the market, and that this gives us a reason to reject it as an account of fairness. I will argue that luck egalitarianism does make specific judgements about which market-generated outcomes are compatible with maintaining a fair distribution. (...) In addition, I will argue that luck egalitarian prescriptions accord with our pre-theoretical intuitions about the (un)fairness of certain market-generated outcomes. Securing these points both speaks in favour of luck egalitarianism as an ethical principle and provides a framework within which to analyze the fairness of practical, real world cases. (shrink)

What level of government subsidy of higher education is justified, in what form, and for what reasons? We answer these questions by applying the hypothetical insurance approach, originally developed by Ronald Dworkin in his work on distributive justice. On this approach, when asking how to fund and deliver public services in a particular domain, we should seek to model what would be the outcome of a hypothetical insurance market: we stipulate that participants lack knowledge about their specific resources and risks, (...) and ask what insurance contracts they would take out to secure different types of benefit and protection in the domain in question. The great benefit of the hypothetical insurance approach is that it allows us to take apparently intractable questions about interpersonal distribution and transform them into questions about intrapersonal distributions: that is, questions about how an individual would choose to distribute risks and resources across the various lives that they might end up living, in light of their individual ambitions and preferences. Applying this approach to higher education, we argue that the UK model of higher education funding in which the costs of an individual's higher education are shared between general taxation and the individual herself, with the latter element to be paid retrospectively through an income-contingent state-backed loan, is vindicated as just. In particular, we argue that it is more just than alternatives such as a graduate tax, full funding through general taxation, and full privatisation. (shrink)

The South African business world is increasingly characterised by the absence of clear ethical norms and behaviour. However, changing business circumstances has made South African organizations ethically more vulnerable. Furthermore, new perspectives on the benefits of ethical behaviour make the implementation thereof essential. A theoretical model of ethical behaviour for generating an improved understanding of ethical behaviour in organizational context is discussed. This model is used as a basis for presenting practical suggestions on the implementation of ethical behaviour in organizational (...) context. (shrink)

BackgroundUse of modified texture diets—thickening of liquids and modifying the texture of foods—in the hope of preventing aspiration, pneumonia and choking, has become central to the current management of dysphagia. The effectiveness of this intervention has been questioned. We examine requirements for a valid informed consent process for this approach and whether the need for informed consent for this treatment is always understood or applied by practitioners.Main textValid informed consent requires provision of accurate and balanced information, and that agreement is (...) given freely by someone who knows they have a choice. Current evidence, including surveys of practitioners and patients in different settings, suggests that practice in this area is often inadequate. This may be due to patients’ communication difficulties but also poor communication—and no real attempt to obtain consent—by practitioners before people are ‘put on’ modified texture diets. Even where discussion occurs, recommendations may be influenced by professional misconceptions about the efficacy of this treatment, which in turn may poison the well for the informed consent process. Patients cannot make appropriate decisions for themselves if the information provided is flawed and unbalanced. The voluntariness of patients’ decisions is also questionable if they are told ‘you must’, when ‘you might consider’ is more appropriate. Where the decision-making capacity of patients is in question, inappropriate judgements and recommendations may be made by substitute decision makers and courts unless based on accurate information.ConclusionResearch is required to examine the informed consent processes in different settings, but there is ample reason to suggest that current practice in this area is suboptimal. Staff need to reflect on their current practice regarding use of modified texture diets with an awareness of the current evidence and through the ‘lens’ of informed consent. Education is required for staff to clarify the importance of, and requirements for, valid informed consent and for decision making that reflects people’s preferences and values. (shrink)

In this book, Balaguer demonstrates that there are no good arguments for or against mathematical platonism. He does this by establishing that both platonism and anti-platonism are defensible views. Introducing a form of platonism ("full-blooded platonism") that solves all problems traditionally associated with the view, he proceeds to defend anti-platonism (in particular, mathematical fictionalism) against various attacks, most notably the Quine-Putnam indispensability attack. He concludes by arguing that it is not simply that we do not currently have any good argument (...) for or against platonism, but that we could never have such an argument and, indeed, that there is no fact of the matter as to whether platonism is correct. (shrink)

Talk about Beliefs presents a new account of beliefs and of practices of reporting them that yields solutions to foundational problems in the philosophies of...

This book does three main things. First, it defends mathematical platonism against the main objections to that view (most notably, the epistemological objection and the multiple-reductions objection). Second, it defends anti-platonism (in particular, fictionalism) against the main objections to that view (most notably, the Quine-Putnam indispensability objection and the objection from objectivity). Third, it argues that there is no fact of the matter whether abstract mathematical objects exist and, hence, no fact of the matter whether platonism or anti-platonism is true.

I know that I could have been where you are right now and that you could have been where I am right now, but that neither of us could have been turnips or natural numbers. This knowledge of metaphysical modality stands in need of explanation. I will offer an account based on our knowledge of the natures, or essencess, of things. I will argue that essences need not be viewed as metaphysically bizarre entities; that we can conceptualise and refer to (...) essences; and that we can gain knowledge of them. We can know about which properties are, and which properties are not, essential to a given entity. This knowledge of essence offers a route to knowledge of the ways those entities must be or could be. (shrink)

Preregistration has been proposed as a useful method for making a publicly verifiable distinction between confirmatory hypothesis tests, which involve planned tests of ante hoc hypotheses, and exploratory hypothesis tests, which involve unplanned tests of post hoc hypotheses. This distinction is thought to be important because it has been proposed that confirmatory hypothesis tests provide more compelling results (less uncertain, less tentative, less open to bias) than exploratory hypothesis tests. In this article, we challenge this proposition and argue that there (...) are several advantages of exploratory hypothesis tests that can make their results more compelling than those of confirmatory hypothesis tests. We also consider some potential disadvantages of exploratory hypothesis tests and conclude that their advantages can outweigh the disadvantages. We conclude that exploratory hypothesis tests avoid researcher commitment and researcher prophecy biases, reduce the probability of data fraud, are more appropriate in the context of unplanned deviations, facilitate inference to the best explanation, and allow peer reviewers to make additional contributions at the data analysis stage. In contrast, confirmatory hypothesis tests may lead to an inappropriate level of confidence in research conclusions, less appropriate analyses in the context of unplanned deviations, and greater bias and errors in theoretical inferences. (shrink)

Should we give moral standing to machines? In this paper, I explore the implications of a relational approach to moral standing for thinking about machines, in particular autonomous, intelligent robots. I show how my version of this approach, which focuses on moral relations and on the conditions of possibility of moral status ascription, provides a way to take critical distance from what I call the “standard” approach to thinking about moral status and moral standing, which is based on properties. It (...) does not only overcome epistemological problems with the standard approach, but can also explain how we think about, experience, and act towards machines—including the gap that sometimes occurs between reasoning and experience. I also articulate the non-Cartesian orientation of my “relational” research program and specify the way it contributes to a different paradigm in thinking about moral standing and moral knowledge. (shrink)

This book does two things. First, it introduces a novel kind of non-factualist view, and it argues that we should endorse views of this kind in connection with a wide class of metaphysical questions, most notably, the abstract-object question and the composite-object question (so, more specifically, the book argues that there’s no fact of the matter whether there are any such things as abstract objects or composite objects—or material objects of any other kind). Second, the book explains how these non-factualist (...) views fit into a general anti-metaphysical view called neo-positivism, and it explains how we could argue that neo-positivism is true. Neo-positivism is (roughly) the view is that every metaphysical question decomposes into some subquestions—call them Q1, Q2, Q3, etc.—such that, for each of these subquestions, one of the following three anti-metaphysical views is true of it: non-factualism, or scientism, or metaphysically innocent modal-truth-ism. These three views can be defined (very roughly) as follows. Non-factualism about a question Q is the view that there’s no fact of the matter about the answer to Q. Scientism about Q is the view that Q is an ordinary empirical-scientific question about some contingent aspect of physical reality, and Q can’t be settled with an a priori philosophical argument. And metaphysically innocent modal-truth-ism about Q is the view that Q asks about the truth value of a modal sentence that’s metaphysically innocent in the sense that it doesn’t say anything about reality and, if it’s true, isn’t made true by reality. (shrink)

A response is given here to Benacerraf's 1973 argument that mathematical platonism is incompatible with a naturalistic epistemology. Unlike almost all previous platonist responses to Benacerraf, the response given here is positive rather than negative; that is, rather than trying to find a problem with Benacerraf's argument, I accept his challenge and meet it head on by constructing an epistemology of abstract (i.e., aspatial and atemporal) mathematical objects. Thus, I show that spatio-temporal creatures like ourselves can attain knowledge about mathematical (...) objects by simply explaininghow they can do this. My argument is based upon the adoption of a particular version of platonism — full-blooded platonism — which asserts that any mathematical object which possiblycould exist actuallydoes exist. (shrink)

This paper develops a novel version of mathematical fictionalism and defends it against three objections or worries, viz., (i) an objection based on the fact that there are obvious disanalogies between mathematics and fiction; (ii) a worry about whether fictionalism is consistent with the fact that certain mathematical sentences are objectively correct whereas others are incorrect; and (iii) a recent objection due to John Burgess concerning “hermeneuticism” and “revolutionism”.

Scenarios involving the introduction of artificially intelligent (AI) assistive technologies in health care practices raise several ethical issues. In this paper, I discuss four objections to introducing AI assistive technologies in health care practices as replacements of human care. I analyse them as demands for felt care, good care, private care, and real care. I argue that although these objections cannot stand as good reasons for a general and a priori rejection of AI assistive technologies as such or as replacements (...) of human care, they demand us to clarify what is at stake, to develop more comprehensive criteria for good care, and to rethink existing practices of care. In response to these challenges, I propose a (modified) capabilities approach to care and emphasize the inherent social dimension of care. I also discuss the demand for real care by introducing the ‘Care Experience Machine’ thought experiment. I conclude that if we set the standards of care too high when evaluating the introduction of AI assistive technologies in health care, we have to reject many of our existing, low-tech health care practices. (shrink)

Lange argues that some natural phenomena can be explained by appeal to mathematical, rather than natural, facts. In these “distinctively mathematical” explanations, the core explanatory facts are either modally stronger than facts about ordinary causal law or understood to be constitutive of the physical task or arrangement at issue. Craver and Povich argue that Lange’s account of DME fails to exclude certain “reversals”. Lange has replied that his account can avoid these directionality charges. Specifically, Lange argues that in legitimate DMEs, (...) but not in their “reversals,” the empirical fact appealed to in the explanation is “understood to be constitutive of the physical task or arrangement at issue” in the explanandum. I argue that Lange’s reply is unsatisfactory because it leaves the crucial notion of being “understood to be constitutive of the physical task or arrangement” obscure in ways that fail to block “reversals” except by an apparent ad hoc stipulation or by abandoning the reliance on understanding and instead accepting a strong realism about essence. (shrink)

Bundle theories identify material objects with bundles of properties. On the traditional approach, these are the properties possessed by that material object. That view faces a deep problem: it seems to say that all of an object’s properties are essential to it.Essential bundle theoryattempts to overcome this objection, by taking the bundle as a specification of the object’s essential properties only. In this paper, I show that essential bundle theory faces a variant of the objection. To avoid the problem, the (...) theory must accept the contingency of identity. I show how this can be achieved in a coherent and well-motivated way, a way that isn’t available to traditional bundle theories. (shrink)

Mathematical fictionalism (or as I'll call it, fictionalism) is best thought of as a reaction to mathematical platonism. Platonism is the view that (a) there exist abstract mathematical objects (i.e., nonspatiotemporal mathematical objects), and (b) our mathematical sentences and theories provide true descriptions of such objects. So, for instance, on the platonist view, the sentence ‘3 is prime’ provides a straightforward description of a certain object—namely, the number 3—in much the same way that the sentence ‘Mars is red’ provides a (...) description of Mars. But whereas Mars is a physical object, the number 3 is (according to platonism) an abstract object. And abstract objects, platonists tell us, are wholly nonphysical, nonmental, nonspatial, nontemporal, and noncausal. Thus, on this view, the number 3 exists independently of us and our thinking, but it does not exist in space or time, it is not a physical or mental object, and it does not enter into causal relations with other objects. This view has been endorsed by Plato, Frege (1884, 1893-1903, 1919), Gödel (1964), and in some of their writings, Russell (1912) and Quine (1948, 1951), not to mention numerous more recent philosophers of mathematics, e.g., Putnam (1971), Parsons (1971), Steiner (1975), Resnik (1997), Shapiro (1997), Hale (1987), Wright (1983), Katz (1998), Zalta (1988), and Colyvan (2001). (shrink)

The main task of this paper is to defend anti-platonism by providing an anti-platonist (in particular, a fictionalist) account of the indispensable applications of mathematics to empirical science.

Let libertarianism be the view that humans are capable of making decisions that are simultaneously undetermined and appropriately non-random. It’s often argued that this view is incoherent because indeterminacy entails randomness (of some appropriate kind). I argue here that the truth is just the opposite: the right kind of indeterminacy in our decisions actually entails appropriate non-randomness, so that libertarianism is coherent, and the question of whether it’s true reduces to the wide-open empirical question of whether certain of our decisions (...) (which I characterize here) are undetermined at the moment of choice. Moreover, the version of libertarianism developed here is entirely naturalistic and event-causal. (shrink)

Technological approaches are increasingly discussed as a solution for the provision of support in activities of daily living as well as in medical and nursing care for older people. The development and implementation of such assistive technologies for eldercare raise manifold ethical, legal, and social questions. The discussion of these questions is influenced by theoretical perspectives and approaches from medical and nursing ethics, especially the principlist framework of autonomy, non-maleficence, beneficence, and justice. Tying in with previous criticism, the present contribution (...) is taking these principles as a starting point and as a frame of reference to be critically re-examined. It thus aims to outline how existing ethical frameworks need to be extended or reconsidered to capture the ethical issues posed by technological developments regarding care for older people. In a first step, we provide a brief overview of assistive technologies in eldercare according to their purposes and functions. In the next step, we discuss how the questions and problems raised by new technologies in eldercare call for an expansion, re-interpretation, and revision of the principlist framework. We underline that the inclusion of ethical perspectives from engineering and computer science as well as a closer consideration of socio-political dimensions and fundamental anthropological and praxeological questions are needed. (shrink)

In Liberalism with Excellence, Matthew Kramer makes an argument for how excellence may enter in into liberalism, despite liberalism’s strong commitment to neutrality. Kramer seeks to challenge not only the uncompromising rejection of this position by liberals such a Jonathan Quong, but also the so-called “blended” approach of “soft-perfectionist” scholars such as Joseph Raz and George Sher. In this essay, I do not so much challenge Kramer’s approach as offer an alternative for accomplishing the same thing. Under my proposal, certain (...) forms of excellence and neutrality can both be accommodated as long as state support for the form of excellence at issue is proportional to the support for such a form of excellence within the relevant polity, competing forms of excellence are non-rivalrous, and no one is forced to embrace a form of excellence with which they disagree. My proposal is therefore not what Ronald Dworkin derogatively characterized as “a checkerboard solution.” Rather than allowing the state to support contrary moral positions at one and the same time, it is a solution that takes morally compatible but nevertheless competing conceptions of excellence seriously, and exhibits neutrality by giving them proportional rather than full support. This neither forces anyone to pursue the particular forms of excellence the state supports nor prevents them from pursuing some other form of excellence entirely or, if they wish, no form of excellence at all. (shrink)

Platonism is the view that there exist such things as abstract objects — where an abstract object is an object that does not exist in space or time and which is therefore entirely non-physical and nonmental. Platonism in this sense is a contemporary view. It is obviously related to the views of Plato in important ways, but it is not entirely clear that Plato endorsed this view, as it is defined here. In order to remain neutral on this question, the (...) term ‘platonism’ is spelled with a lower-case ‘p’. (See entry on Plato.) The most important figure in the development of modern platonism is Gottlob Frege (1884, 1892, 1893-1903, 1919). The view has also been endorsed by many others, including Kurt Gödel (1964), Bertrand Russell (1912), and W.V.O. Quine (1948, 1951). (shrink)

Can one fully succeed in performing illocutionary acts addressed to others if they do not understand what one is purportedly saying? Can one, for example, tell others something if they do not understand what one supposedly said? It is not uncommon for speech act theorist to claim that one cannot. I, in contrast, will be arguing that it is possible for a speaker to fully succeed in performing interpersonal illocutionary acts even if addressee understanding of what is said is not (...) produced, is not intended to be produced and is even intended not to be produced. (shrink)

Amidst the wealth of literature on the topic of moral distress in nursing, a single citation is ubiquitous, Andrew Jameton’s 1984 book Nursing practice. The definition Jameton formulated reads ‘... moral distress arises when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action’. Unfortunately, it appears that, despite the frequent use of Jameton’s definition of moral distress, the definition itself remains uncritically examined. It seems as if the context (...) of how moral distress arises (i.e. anger, frustration etc.) has been co-opted as its definition. This current work suggests that the current definition is not moral distress as defined by Jameton, but rather, in large part, nursing’s discomfort with moral subjectivity in end-of-life decision making. A critical examination of how the Catholic tradition’s normative ethical framework accounts for moral subjectivity in end-of-life decision making serves to aid nursing’s discomfort and as a starting point to recontextualize moral distress. (shrink)