Sometimes it's better to be lucky than good. As new blood filled our young patient's veins, her breathing became regular and her pulse full. She was so far gone I would not have expected her to recover consciousness for a day, if at all, but within an hour, she began to wake up. We removed the breathing tube a couple of hours later— no ventilator ever needed.As life-sustaining technology becomes more widely available in fortunate parts of the developing world, benefits (...) come with complications. The temptation is to focus on the thing—the ventilator itself—as the crucial element and press to buy more, mistaking the problem for one of resource scarcity only. But we need a culturally relevant ethical framework to guide the use and withdrawal of ventilators and similar life-sustaining tools. Resource scarcity is only part of the problem. Buying additional ventilators only defers allocation decisions and entirely fails to address end-of-life suffering. It is unsustainable in Rwanda; it is a dubious solution anywhere. The intangible need for an ethical framework hides beneath apparent scarcity and, when this need is not addressed and luck runs out, one salvageable patient can die for want of a ventilator that serves only to prolong the suffering of another. (shrink)

An earthy smell seeps from the cinderblock room, and a fan in the corner rattles as it circulates the heat. My eyes cross trying to read the square black numbers on the thermometer. I feel achy and tired. I would not be so nervous about the result except that I have been caring for Ebola patients in West Africa.

The man had fallen in the hospital recovery room while attempting to put on his pants, readying himself to return home after an outpatient procedure. The case seemed so pedestrian at first. The emergency department charge nurse was annoyed; she called it a dump. “They’re sending a patient from the PACU to the ER!” she fumed. “Why can’t they take care of their own problems up there? Isn’t this a hospital?”I could relate to the gut aversion to having yet another (...) patient in an already busy emergency department. The case did not fit our usual model. Most patients arrive at the emergency department from outside the hospital, by private car or ambulance. It was tempting say that this was outside our scope of... (shrink)

Noah Rosenberg et al.'s 2002 article “Genetic Structure of Human Populations” reported that multivariate genomic analysis of a large cell line panel yielded reproducible groupings (clusters) suggestive of individuals' geographical origins. The paper has been repeatedly cited as evidence that traditional notions of race have a biological basis, a claim its authors do not make. Critics of this misinterpretation have often suggested that it follows from interpreters' personal biases skewing the reception of an objective piece of scientific writing. (...) I contend, however, that the article itself to some degree facilitates this misrepresentation. I analyze in detail several verbal and visual features of the original article that may predispose aspects of its racial interpretation; and, tracing the arguments of one philosopher and one popular science writer, I show how these features are absorbed, transformed into arguments for a biological basis of race, and re-attributed to the original. The essay demonstrates how even slight ambiguities can enable the misappropriation of scientific writing, unintentionally undermining the authors' stated circumspection on the relationship between cluster and race. (shrink)

This letter addresses the editorial decision to publish the article, “Research on group differences in intelligence: A defense of free inquiry” (Cofnas, 2020). Our letter points out several critical problems with Cofnas's article, which we believe should have either disqualified the manuscript upon submission or been addressed during the review process and resulted in substantial revisions.

We derive a probabilistic account of the vagueness and context-sensitivity of scalar adjectives from a Bayesian approach to communication and interpretation. We describe an iterated-reasoning architecture for pragmatic interpretation and illustrate it with a simple scalar implicature example. We then show how to enrich the apparatus to handle pragmatic reasoning about the values of free variables, explore its predictions about the interpretation of scalar adjectives, and show how this model implements Edgington’s Vagueness: a reader, 1997) account of the sorites paradox, (...) with variations. The Bayesian approach has a number of explanatory virtues: in particular, it does not require any special-purpose machinery for handling vagueness, and it is integrated with a promising new approach to pragmatics and other areas of cognitive science. (shrink)

The Hare Psychopathy Checklist (PCL; Hare, Neumann, & Mokros 2018) scales are among the most widely used forensic assessment tools. Their perceived utility rests partly on their ability to assess stable personality traits indicative of a lack of conscience, which then facilitates behavioral predictions useful in forensic decisions. In this systematic review, we evaluate the empirical evidence behind 3 fundamental justifications for using the PCL scales in forensics, namely, that they are empirically predictive of (1) criminal behavior, (2) treatment outcomes, (...) and (3) a lack of conscience. We found the PCL scales can predict criminal behavior to a statistically significant degree, though with important limitations. We found no evidence of PCL psychopathy being predictive of treatment and rehabilitation outcomes. We found no evidence of PCL psychopathy being predictive of a lack of conscience. These findings disprove widespread beliefs about PCL psychopathy among forensic practitioners and questions the current and future role of the PCL scales in forensic settings. (shrink)

Sober 2011 argues that, contrary to Hume, some causal statements can be known a priori to be true—notably, some ‘would promote’ statements figuring in causal models of natural selection. We find Sober's argument unconvincing. We regard the Humean thesis as denying that causal explanations contain any a priori knowable statements specifying certain features of events to be causally relevant. We argue that not every ‘would promote’ statement is genuinely causal, and we suggest that Sober has not shown that his examples (...) of ‘would promote’ statements manage to achieve a priori status without sacrificing their causal character. (shrink)

Psychopathy has been theorized as a disorder of emotion, which impairs moral judgments. However, these theories are increasingly being abandoned as empirical studies show that psychopaths seem to make proper moral judgments. In this contribution, these findings are reassessed, and it is argued that prevalent emotion‐theories of psychopathy appear to operate with the unjustified assumption that psychopaths have no emotions, which leads to the hypothesis that psychopaths are completely unable to make moral judgments. An alternative and novel explanation is proposed, (...) theorizing psychopathy as a degree‐specific emotional deficiency, which causes degree‐specific differences in moral judgments. (shrink)

An oft-rehearsed objection to the claim that an intention can give one reasons is that if an intention could give us reasons that would allow an agent to bootstrap herself into having a reason where she previously lacked one. Such bootstrapping is utterly implausible. So, intentions to φ cannot be reasons to φ. Call this the bootstrapping objection against intentions being reasons. This essay considers four separate interpretations of this argument and finds they all fail to establish that non-akratic, nonevil, (...) and deliberatively sound intentions cannot be reasons. The first argument is the argument from evil intentions, the second is the argument from akratic intentions, the third is the argument from errors in deliberation, and the last is what I call the ‘wizardry’ argument. This ‘argument’, put forward most clearly by John Broome, claims that intentions are so insubstantial that were they on their own reasons for action, that would amount to creating something out of nothing and that is impossible. The essay argues that the claim that intentions are insubstantial is too strong a premise to put forward without argument. For there are other attitudes that are on their own sufficient to generate reasons, such as loving attitudes. The essay then argues that the bootstrapping objection’s status as dogma in the philosophy of action has led to insufficient attention being paid to the entirely reasonable question of whether intentions are sufficiently like other reason-giving attitudes, such as loving and valuing. It may turn out that, just as loving someone can give the loving person a reason to act in a certain, so too can intending to do something give someone a reason to act in a certain way, but we cannot effectively engage this question without first giving up our commitment to the bootstrapping objection as a central “insight” in philosophy of action. The essay concludes by proposing two research questions that are opened up by the abandonment of the bootstrapping objection as dogma, and proposes that we turn our philosophical attentions to those questions. (shrink)

We argue that there is significant evidence for reconsidering the possibility that moral judgment constitutes a distinctive category of judgment. We begin by reviewing evidence and arguments from neuroscience and philosophy that seem to indicate that a diversity of brain processes result in verdicts that we ordinarily consider “moral judgments”. We argue that if these findings are correct, this is plausible reason for doubting that all moral judgments necessarily share common features: if diverse brain processes give rise to what we (...) refer to as “moral judgments”, then we have reason to suspect that these judgments may have different features. After advancing this argument, we show that giving up the unity of moral judgment seems to effectively dissolve the internalism/externalism debate concerning motivation within the field of metaethics. (shrink)

Recent contributions in moral philosophy have raised questions concerning the prevalent assumption that moral judgments are typologically discrete, and thereby distinct from ordinary and/or other types of judgments. This paper adds to this discourse, surveying how attempts at defining what makes moral judgments distinct have serious shortcomings, and it is argued that any typological definition is likely to fail due to certain questionable assumptions about the nature of judgment itself. The paper concludes by raising questions for future investigations into the (...) nature of moral judgment. (shrink)

A version of this paper is forthcoming in Nous.

We may correctly say that Søren Kierkegaard is one of the most influential Christian-religious thinkers of the modern era, but are we equally justified in categorizing his writings as foundationally religious? This paper challenges a prevailing exclusive-theological interpretation that contends that Kierkegaard principally writes from a Christian dogmatic viewpoint. I argue that Kierkegaard’s religion is better understood as an outcome of his philosophical analysis of human nature. Conclusively, we should appreciate Kierkegaard first as a philosopher, whose aim is the explication (...) of human subjectivity, and not primarily as an orator of Christian orthodoxy. (shrink)

The psychiatric diagnosis of psychopathic personality—or psychopathy—signifies a patient stereotype with a callous lack of empathy and strong antisocial tendencies. Throughout the research record and psychiatric practices, diagnosed psychopaths have been predominantly seen as immune to psychiatric intervention and treatment, making the diagnosis a potentially strong discriminator for treatment amenability. In this contribution, the evidence in support of this proposition is critically analyzed. It is demonstrated that the untreatability perspective rests largely on erroneous, unscientific conclusions. Instead, recent research suggests that (...) practitioners should be more optimistic about the possibility of treating and rehabilitating diagnosed psychopaths. In light of this finding, concrete ethical challenges in the forensic practice surrounding the psychopathy diagnosis are discussed, adding to a growing body of research that expresses skepticism about the forensic utility of the diagnosis. (shrink)

In this paper, we consider Noël Carroll’s Content Theory (CT) (2015) and argue that a key problem with CT is that it can be interpreted in two distinct ways: as a descriptive theory of aesthetic experience and as a normative prescriptive theory. Although CT is presented as a descriptive theory of experience, much of what Carroll says implies that CT can also be understood as a theory about how one ought to look at artworks. We argue that when understood as (...) a descriptive theory, CT fails to qualify as a meaningful theory of aesthetic experience. We then interpret the theory prescriptively. Ultimately, this second interpretation is also found lacking: if the aim of the theory is to instruct one on how to view art, it is no longer an attempt to characterize the experience of art. We conclude by arguing that the main flaw in CT is its approach: we cannot meaningfully characterize an experience by enumerating the objects that supposedly cause said experience, and any theory that takes such an approach is likely to be unsuccessful. (shrink)

Combinatorial operations on sets are almost never well defined on Turing degrees, a fact so obvious that counterexamples are worth exhibiting. The case we focus on is the symmetric-difference operator; there are pairs of degrees for which the symmetric-difference operation is well defined. Some examples can be extracted from the literature, e.g. from the existence of nonzero degrees with strong minimal covers. We focus on the case of incomparable r.e. degrees for which the symmetric-difference operation is well defined.

Volume 23, Issue 3, September 2020, Page 214-233.

Mental health research faces a suite of unresolved challenges that have contributed to a stagnation of research efforts and treatment innovation. One such challenge is how to reliably and validly account for the subjective side of patient symptomatology, that is, the patient’s inner experiences or patient phenomenology. Providing a structured, standardised semantics for patient phenomenology would enable future research in novel directions. In this contribution, we aim at initiating a standardized approach to patient phenomenology by sketching a tentative formalisation within (...) the framework of an applied ontology, in the broader context of existing open-source Open Biomedical Ontologies resources such as the Mental Functioning Ontology. We further discuss a number of prevailing challenges and observations bearing on this task. (shrink)

Foucault's intellectual indebtedness to Nietzsche is apparent in his writing, yet the precise nature, extent, and nuances of that debt are seldom explored. Foucault himself seems sometimes to claim that his approach is essentially Nietzschean, and sometimes to insist that he amounts to a radical break with Nietzsche. This volume is the first of its kind, presenting the relationship between these two thinkers on elements of contemporary culture that they shared interests in, including the nature of life in the modern (...) world, philosophy as a way of life, and the ways in which we ought to read and write about other philosophers. The contributing authors are leading figures in Foucault and Nietzsche studies, and their contributions reflect the diversity of approaches possible in coming to terms with the Foucault-Nietzsche relationship. Specific points of comparison include Foucault and Nietzsche's differing understandings of the Death of God; art and aesthetics; power; writing and authorship; politics and society; the history of ideas; genealogy and archaeology; and the evolution of knowledge. (shrink)

We demonstrate that many philosophers accept the following claim: When an aesthetic object is apprehended correctly, taking pleasure in said object is a reliable sign that the object is aesthetically successful. We undermine this position by showing that what grounds our pleasurable experience is opaque: In many cases, the experienced pleasure is attributable to factors that have little to do with the aesthetic object. The evidence appealed to is a form of Higher-Order Evidence (HOE) and we consider attempts to overcome (...) said evidence. We argue they are unsuccessful. We conclude by considering what this means for our practice of making aesthetic judgements. (shrink)

This chapter attempts to articulate a novel approach to thinking about urban politics and urban public policy. Building on the observation that all action requires reliance, the chapter argues that elements of the urban environment function as what we call reliance structures. These are the structures that allow agents to realize their intentions as actions. That is, reliance structures are constitutive features of the capacity for action, that is, for agency. The chapter then argues that the urban can be understood (...) as a network of reliance structures. It follows that the urban partially constitutes human agency—agential capacities are partially constituted by urban reliance systems. This is meant to be a substantive diagnostic tool for making sense of the ways that urban public policy can produce and reproduce forms of human agency and, ultimately, the way that the urban partially determines human freedom. (shrink)

In this paper, I defend Rudolf Carnap's Principle of Tolerance from an accusation, due to Michael Friedman, that it is self-defeating by prejudicing any debate towards the logically stronger theory. In particular, Friedman attempts to show that Carnap's reconstruction of the debate between classicists and intuitionists over the foundations of mathematics in his book The Logical Syntax of Language, is biased towards the classical standpoint since the metalanguage he constructs to adjudicate between the rival positions is fully classical. I argue (...) that this criticism is mistaken on two counts: (1) it fails to fully appreciate the freedom with regard to the construction of linguistic frameworks that Carnap intended his Principle to embody, and (2) Friedman's objection underestimates the extent to which the evaluation of a framework is task-relative. I conclude that Tolerance is not self-undermining in the way that Friedman claims it is. While this is a restricted conclusion -- and is not a vindication of Carnap's views on logic and mathematics tout court -- it nonetheless suggests that his tolerant perspective has been dismissed too quickly, even by his supporters. (shrink)

In [8], the third author defined a reducibility$\le _w^{\rm{*}}$that lets us compare the computing power of structures of any cardinality. In [6], the first two authors showed that the ordered field of reals${\cal R}$lies strictly above certain related structures. In the present paper, we show that$\left \equiv _w^{\rm{*}}{\cal R}$. More generally, for the weak-looking structure${\cal R}$ℚconsisting of the real numbers with just the ordering and constants naming the rationals, allo-minimal expansions of${\cal R}$ℚare equivalent to${\cal R}$. Using this, we show that (...) for any analytic functionf,$\left \equiv _w^{\rm{*}}{\cal R}$. $is noto-minimal.). (shrink)

The editors of this collection aim to fill a notable gap in the scholarship on Gilles Deleuze, pragmatism, and their reciprocal relations. This task is approached along two main lines, corresponding roughly to the volume’s two parts: on the one hand, by reconstructing Deleuze’s direct or potential engagements with classical pragmatism, while on the other hand by investigating the real or virtual exchanges between Deleuze’s rich philosophical production and most contemporary varieties of pragmatism. As the editors explain in their useful (...) stage-setting introduction to the volume, it is a telling fact that, despite Deleuze’s deep interest in pragmatism and an overlapping of concerns and themes, no work has yet... (shrink)

In his collection of essays, Law as a Leap of Faith, John Gardner lucidly develops a powerful account of legal positivism, primarily via a careful interrogation of H. L. A. Hart’s work, with a particular focus on Hart’s most important text, The Concept of Law. In this essay, I raise a question regarding the significance of legal subjects’ understanding of themselves as legal subjects. I claim that as Gardner fills out the picture of what it takes to have an ideal (...) legal system, we will find that there is no requirement that subjects have any understanding of themselves as legal subjects, much less an understanding either of what the law requires of them or of the legal status with respect to officials that the law gives them. In particular, I argue that Gardner’s account of the law is too focused on the perspective of officials, and leaves out the perspective of legal subjects. This manifests what I call a unidirectional legal optic: the view of the law is the view from a single perspective, namely the perspective of the official. This is not an accurate picture of the law and so should not be presented as the paradigmatic account of law. (shrink)

Genetic determinism labels the morally problematical claim that some socially significant traits, traits we care about, such as sexual orientation, gender roles, violence, alcoholism, mental illness, intelligence, are largely the results of the operation of genes and not much alterable by environment, learning or other human intervention. Genetic determinism does not require that genes literally fix these socially significant traits, but rather that they constrain them within narrow channels beyond human intervention. In this essay we analyze genetic determinism in light (...) of what is now known about the inborn error of metabolism phenylketonuria , which has for so long been the poster child ‘simple’ argument in favor of some form of genetic determinism. We demonstrate that this case proves the exact opposite of what it has been proposed to support and provides a strong refutation of genetic determinism in all its guises. (shrink)

Over 100 million Americans suffer from chronic pain, which causes more disability than any other medical condition in the United States at a cost of $560–$635 billion per year. Opioid analgesics are frequently used to treat CP. However, long term use of opioids can cause brain changes such as opioid-induced hyperalgesia that, over time, increase pain sensation. Also, opioids fail to treat complex psychological factors that worsen pain-related disability, including beliefs about and emotional responses to pain. Cognitive behavioral therapy can (...) be efficacious for CP. However, CBT generally does not focus on important factors needed for long-term functional improvement, including attainment of personal goals and the psychological flexibility to choose responses to pain. Acceptance and Commitment Therapy has been recognized as an effective, non-pharmacologic treatment for a variety of CP conditions. However, little is known about the neurologic mechanisms underlying ACT. We conducted an ACT intervention in women with chronic musculoskeletal pain. Functional magnetic resonance imaging data were collected pre- and post-ACT, and changes in functional connectivity were measured using Network-Based Statistics. Behavioral outcomes were measured using validated assessments such as the Acceptance and Action Questionnaire, the Chronic Pain Acceptance Questionnaire, the Center for Epidemiologic Studies Depression Scale, and the NIH Toolbox Neuro-QoLTM scales. Results suggest that, following the 4-week ACT intervention, participants exhibited reductions in brain activation within and between key networks including self-reflection, emotion, and cognitive control. These changes in connectivity strength were correlated with changes in behavioral outcomes including decreased depression and pain interference, and increased participation in social roles. This study is one of the first to demonstrate that improved function across the DMN, SN, and FPN may drive the positive outcomes associated with ACT. This study contributes to the emerging evidence supporting the use of neurophysiological indices to characterize treatment effects of alternative and complementary mind-body therapies. (shrink)

We summarize the recent progress made by probabilistic programming as a unifying formalism for the probabilistic, symbolic, and data-driven aspects of human cognition. We highlight differences with meta-learning in flexibility, statistical assumptions and inferences about cogniton. We suggest that the meta-learning approach could be further strengthened by considering Connectionist and Bayesian approaches, rather than exclusively one or the other.

Unfortunately, only after online first article publication, it was noticed that the first four sentences in footnote two were incorrect.

Among the most influential and well-known experiments of the 19th century was the generation and detection of electromagnetic radiation by Heinrich Hertz in 1887–1888, work that bears favorable comparison for experimental ingenuity and influence with that by Michael Faraday in the 1830s and 1840s. In what follows, we pursue issues raised by what Hertz did in his experimental space to produce and to detect what proved to be an extraordinarily subtle effect. Though he did provide evidence for the existence of (...) such radiation that other investigators found compelling, nevertheless Hertz’s data and the conclusions he drew from it ran counter to the claim of Maxwell’s electrodynamics that electric waves in air and wires travel at the same speed. Since subsequent experiments eventually suggested otherwise, the question arises of just what took place in Hertz’s. The difficulties attendant on designing, deploying, and interpreting novel apparatus go far in explaining his results, which were nevertheless sufficiently convincing that other investigators, and Hertz himself, soon took up the challenge of further investigation based on his initial designs. (shrink)