BackgroundFear of cancer recurrence is an important cause of suffering for cancer survivors, and both empirical evidence and theoretical models suggest that prognostic uncertainty plays a causal role in its development. However, the relationship between prognostic uncertainty and FCR is incompletely understood.ObjectiveTo explore the relationship between prognostic uncertainty and FCR among patients with ovarian cancer.DesignA qualitative study was conducted utilizing individual in-depth interviews with a convenience sample of patients with epithelial ovarian cancer who had completed first-line treatment with surgery and/or (...) chemotherapy. Semi-structured interviews explored participants’ understanding of their prognosis; experiences, preferences, and attitudes regarding prognostic information; and strategies for coping with prognostic uncertainty. Inductive qualitative analysis and line-by-line software-assisted coding of interview transcripts was conducted to identify key themes and generate theoretical insights on the relationship between prognostic uncertainty and FCR.ResultsThe study sample consisted of 21 participants, nearly all of whom reported experiencing significant FCR, which they traced to an awareness of the possibility of a bad outcome. Some participants valued and pursued prognostic information as a means of coping with this awareness, suggesting that prognostic uncertainty causes FCR. However, most participants acknowledged fundamental limits to both the certainty and value of prognostic information, and engaged in various strategies aimed not at reducing but constructing and maintaining prognostic uncertainty as a means of sustaining hope in the possibility of a good outcome. Participants’ comments suggested that prognostic uncertainty, fear, and hope are connected by complex, bi-directional causal pathways mediated by processes that allow patients to cope with, construct, and maintain their uncertainty. A provisional dual-process theoretical model was developed to capture these pathways.ConclusionAmong patients with OC, prognostic uncertainty is both a cause and an effect of FCR—a fear-inducing stimulus and a hope-sustaining response constructed and maintained through various strategies. More work is needed to elucidate the relationships between prognostic uncertainty, fear, and hope, to validate and refine our theoretical model, and to develop interventions to help patients with OC and other serious illnesses to achieve an optimal balance between these states. (shrink)

It is commonly asserted that Boethius defined free will as the judgment of the will or a rational choice. Accordingly, sin or evil is identified with ignorance or vice of the intellect, which prevents or distorts rational deliberation. However, Boethius adopted a more complex understanding of the self-motion of the soul and, consequently, articulated a more nuanced account of sin and the healing effects of Providence. Boethius treated human freedom as a complex including a natural motion, identified as the desire (...) for happiness, the determination of reason following the judgment of deliberation, and the sovereignty of the will over its own acts and, to some extent,over other acts of the soul. Sin, therefore, involves mistaken ideas about reality but also deformations in the affective orientation of the will to the world and in the exercise of the will’s control over the soul. (shrink)

People more frequently select norm-violating factors, relative to norm- conforming ones, as the cause of some outcome. Until recently, this abnormal-selection effect has been studied using retrospective vignette-based paradigms. We use a novel set of video stimuli to investigate this effect for prospective causal judgments—i.e., judgments about the cause of some future outcome. Four experiments show that people more frequently select norm- violating factors, relative to norm-conforming ones, as the cause of some future outcome. We show that the abnormal-selection effects (...) are not primarily explained by the perception of agency (Experiment 4). We discuss these results in relation to recent efforts to model causal judgment. (shrink)

Champions of the methodological movement of experimental philosophy have challenged the long-standing practice of relying on intuitive verdicts on cases in philosophical inquiry. They argue that th...

This article has been invited by The European Legacy editors as a response to Ayumu Tamura’s “Did Descartes Read Sextus’s Outlines of Pyrrhonism?” which continues the promising lines of enquiry he...

The book provides a practical guide to the application of Critical Realism (CR), an increasingly popular philosophy of social science, in empirical research projects. Each purpose-written chapter reviews major social science research methods and contains extended illustration of how to conduct inquiry using CR.

This article makes a case for wide reflective equilibrium in doing African epistemology. It argues that on the issue of formulating a viable theory of knowledge, such an approach is more promising than the extant dominant approaches, namely the method of ethno-epistemology and the method of particularistic studies. More specifically, wide reflective equilibrium articulates a proper balance between philosophy and culture and endows a theory of knowledge with multiple sources of normativity.

Wittgenstein is often associated with different forms of relativism. However, there is ambiguity and controversy about whether he defended relativistic views or not. This paper seeks to clarify this issue by disambiguating the notion of relativism and examining Wittgenstein's relevant texts in that light.

Mike accidentally knocked against a bottle. Seeing that the bottle was about to fall, Jack was just about to catch it when Peter accidentally knocked against him, making Jack unable to catch it. Jack did not grab the bottle, and it fell to the ground and spilled. In double-prevention cases like these, philosophers and nonphilosophers alike tend to judge that Mike knocking into the bottle caused the beer to spill and that Peter knocking into Jack did not cause the beer (...) to spill. This difference in causal judgment is a difficult puzzle for counterfactual theories of causal judgment; if each event had not happened, the outcome would not have, yet there is a difference in people’s causal judgments. In four experiments and three supplemental experiments, we confirm this difference in causal judgments. We also show that differences in people’s counterfactual thinking can explain this difference in their causal judgments and that recent counterfactual models of causal judgment can account for these patterns. We discuss these results in relation to work on counterfactual thinking and causal modeling. (shrink)

This paper argues for two interrelated claims. The first is that the most innovative contribution of Timothy Williamson, Herman Cappelen, and Max Deutsch in the debate about the epistemology of thought experiments is not the denial of intuition and the claim of the irrelevance of experimental philosophy but the claim of epistemological continuity and the rejection of philosophical exceptionalism. The second is that a better way of implementing the claim of epistemological continuity is not Deutsch and Cappelen’s argument view or (...) Williamson’s folk psychological view. This is so because while the argument view makes the basis of the relevant classificational judgement evidentially too demanding; the folk psychological view makes it too weak and error-prone to count as an adequate explanation. Drawing from a certain reading of Aristotle’s Nichomachean Ethics that flowers in Miranda Fricker and John McDowell, I argue for the reason-responsiveness view. Like the extant views, the reason-responsiveness view vindicates the claim of epistemological continuity. But unlike the extant views, it does not share those problematic features. Further, I show that the reason-responsiveness view offers a way for champions of the claim of epistemological continuity to resist Avner Baz’s objection to the claim of epistemological continuity and his objection to the philosophical use of thought experiments while taking on board some attractive elements of his view. (shrink)

The Southern Journal of Philosophy, Volume 60, Issue 2, Page 154-172, June 2022.

When comparing the roles of the lightning strike and the dry climate in causing the forest fire, one might think that the lightning strike is more of a cause than the dry climate, or one might think that the lightning strike completely caused the fire while the dry conditions did not cause it at all. Psychologists and philosophers have long debated whether such causal judgments are graded; that is, whether people treat some causes as stronger than others. To address this (...) debate, we first reanalyzed data from four recent studies. We found that causal judgments were actually multimodal: although most causal judgments made on a continuous scale were categorical, there was also some gradation. We then tested two competing explanations for this gradation: the confidence explanation, which states that people make graded causal judgments because they have varying degrees of belief in causal relations, and the strength explanation, which states that people make graded causal judgments because they believe that causation itself is graded. Experiment 1 tested the confidence explanation and showed that gradation in causal judgments was indeed moderated by confidence: people tended to make graded causal judgments when they were unconfident, but they tended to make more categorical causal judgments when they were confident. Experiment 2 tested the causal strength explanation and showed that although confidence still explained variation in causal judgments, it did not explain away the effects of normality, causal structure, or the number of candidate causes. Overall, we found that causal judgments were multimodal and that people make graded judgments both when they think a cause is weak and when they are uncertain about its causal role. (shrink)

There is a general consensus that Quine’s assault on analyticity and verificationism in ‘Two Dogma of Empiricism’ has been successful and that Carnap’s philosophical position has been vanquished. This paper so characterises Carnap’s position that it escapes Quine’s criticisms. It shows that the disagreement is not a first order dispute about analyticity or verificationism, but rather a deeper dispute about philosophical method.

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 24.1 (2004) 135-157 [Access article in PDF] "That We May Know Each Other": The Pluralist Hypothesis as a Research Program Paul O. Ingram Pacific Lutheran University When an African American Muslim named Siraj Wahaj served as the first Muslim "Chaplain of the Day" in the Unites States House of Representatives on 25 June 1991 he offered the following prayer, the first Muslim prayer in the in (...) the history of the House of Representatives: In the name of God, Most Gracious, Most merciful. Praise belongs to thee alone; O God, Lord and Creator of all the worlds. Praise belongs to Thee Who shaped us as and colored us in the wombs of our mothers; colored us black and white, brown, red, and yellow. Praise belongs to Thee who created us from males and females and made us into nations and tribes that we may know each other.1Siraj Wahaj's prayer is a direct reference to one of the most cited verses of the Qur'an: "Do you not know, O people, that I have made you into tribes and nations that you may know each other." Of course, "knowing each other" is an important goal in the practice of interreligious dialogue, but Muslims often move on to cite further Qur'anic advice about religious pluralism: "If God had so willed, He would have made you a single people," the verse reads, "But His plan is to test you in what He hath given you; so strive as in a race in all virtues."2 According to Siraj Wahaj and many like-minded American Muslims, Islam and pluralism go hand in hand and respect for the dignity for each person, no matter what religious or secular label he or she wears, rests on Islamic foundations. Of course, this interpretation of the Qur'an is rejected by radical communities within the House of Islam as well as by fundamentalist communities within Christian, Buddhist, Hindu, and Jewish traditions. Nor are the foundations of pluralism only found in the Qur'an; Buddhist, Jewish, Hindu, Christian, and aboriginal traditions support religious pluralism as well.This essay's thesis, what John Hick first posited as the "pluralist hypothesis," offers us the most coherent theoretical framework—minus Hick's Kantian epistemology—from which to interpret contemporary postmodern experiences of religious [End Page 135] diversity. Furthermore, I shall argue that the pluralist hypothesis constitutes a coherent history-of-religions research program from which to investigate and interpret the facts of religious diversity.3 In order to demonstrate the adequacy of my thesis and argument, I shall appropriate the philosopher of science Imre Lakatos's account of the methodology and structure of scientific research programs, guided by Nancy Murphy's application of Lakatos's work in the construction of theological research programs. But first, some preliminary clarifications about what I mean by "religious pluralism" and "religious diversity."4 The Structure of the Experience of Religious Pluralism In a recent book on the lives of four Catholic writers—Dorothy Day, Thomas Merton, Flannery O'Connor, and Walker Percy—Paul Elie provides one of the most accurate descriptions of the structure of postmodern experience of religious diversity in English print: We are all skeptics now, believer and unbeliever alike. There is no one faith, evident at all times and places. Every religion is one among many. The clear lines of orthodoxy are made crooked by our experience, and are complicated by our lives. Believer and unbeliever are in the same predicament, thrown back onto ourselves in complex circumstances, looking for a sign. As ever, religious belief makes its claim somewhere between revelation and projection, between holiness and human frailty, but the problem of proof, indeed the burden of belief, for so long upheld by society, is now back on the believer, where it should be.5Assuming that Elie's description is an accurate one, certain implications follow that will serve as working assumptions of this essay."Pluralism" is not just another name for "diversity." Diversity names the fact of the existence of differing... (shrink)

Johnson and Stricker published an opinion piece in the Journal of Medical Ethics presenting their perspective on the 2008 agreement between the Infectious Diseases Society of America (IDSA) and the Connecticut Attorney General with regard to the 2006 IDSA treatment guideline for Lyme disease. Their writings indicate that these authors hold unconventional views of a relatively common tick-transmitted bacterial infection caused by the spirochete Borrelia burgdorferi. Therefore, it should come as no surprise that their opinions would clash with the IDSA's (...) evidence-based guidelines for the diagnosis and treatment of Lyme disease. Their allegations of conflict of interest against the IDSA resemble those made against the National Institutes of Health, the Food and Drug Administration and the Centers for Disease Control and Prevention in 2000, which were found to be baseless. It is the responsibility of all physicians and medical scientists to stand up to antiscientific, baseless and unethical attacks on those who support an evidence-based approach to caring for patients. (shrink)

Counterfactual theories propose that people’s capacity for causal judgment depends on their ability to consider alternative possibilities: The lightning strike caused the forest fire because had it not struck, the forest fire would not have ensued. To accommodate a variety of psychological effects on causal judgment, a range of recent accounts have proposed that people probabilistically sample counterfactual alternatives from which they compute a graded measure of causal strength. While such models successfully describe the influence of the statistical normality (i.e., (...) the base rate) of the candidate and alternate causes on causal judgments, we show that they make further untested predictions about how normality influences people’s confidence in their causal judgments. In a large (N = 3,020) sample of participants in a causal judgment task, we found that normality indeed influences people’s confidence in their causal judgments and that these influences were predicted by a counterfactual sampling model in which people are more confident in a causal relationship when the effect of the cause is less variable among imagined counterfactual possibilities. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reply to Sandra Costen Kunz's "Respecting the Boundaries of Knowledge"Paul O. IngramI am gratified by Sandra Costen Kunz's application of my thoughts on boundary constraints and my call for a Buddhist-Christian-science "trilogue" to her work in spiritual formation within the context of Protestant theological education. Over the past fifteen years I have witnessed numerous examples of what process theologians call "creative transformation" in contemporary science-religion dialogue. To this (...) date, creative transformation has occurred mainly among Christian theologians involved in this particular dialogue. But Buddhists are now beginning to engage the natural sciences in serious conversation. Most of this conversation is with the neurosciences because of Buddhism's strong emphasis on meditation and the fact that the physical realities described in scientific theory imply that nature—from the level of quantum events to the larger-scale structures of the universe—is interdependent and "empty" of permanency. I have argued, as has Kunz, that the New Testament reflects this same view of existence. But it is also true that classical Christian theological tradition, which presupposes Aristotelian and Neo-Platonic substance categories, is in conflict with biblical anthropology and portrayals of God. Process theology, science-theology dialogue, and Buddhist-Christian dialogue have clarified the biblical foundations of Christian faith apart from classical theism, at least among Christian liberal theologians. In my view, it is now time to deepen the process of creative transformation occurring in Buddhist-Christian dialogue by including the natural sciences as a third dialogical partner.Kunz's essay is an example of possibilities of creative transformation and dialogical engagement with the sciences; in her case, the cognitive sciences and Buddhism. She notes that in similarity with most theologians, most scientists are caught up in a Cartesian mind-body dualism. The result is that scientific accounts of mental processes tend to reduce subjective experience to the physical processes occurring in regions of the brain coupled with ignoring what meditators actually say they are experiencing, which scientists sometimes hold to be epiphenomenal. Kunz does not accept this dualism because it not only misrepresents reality, it undercuts the disciplines of spiritual discernment. She argues that combining third-person cognitive [End Page 187] scientific accounts of subjective experiences with Buddhist or Christian first-person descriptions of what is experienced in the disciplines of meditation or contemplative prayer offers a more comprehensive, more accurate account of meditative and contemplative experience. B. Alan Wallace draws a similar conclusion in regard to Buddhist meditation.1Although acknowledging that Christians have much to learn from Buddhist "discernment practices," distinctively Christian forms of meditation are rooted in the conviction that God's nature as love proclaimed by the historical Jesus is active in any situation. Kunz notes that Christian processes of spiritual discernment engendered by centering and contemplative prayer can be described as "making decisions" that correspond to the sorts of decisions the historical Jesus is portrayed as making in the New Testament: unselfish decisions for the common good. This means that authentic Christian faith is experienced and lived at the boundaries of ordinary conventional concerns. Or, to paraphrase Dietrich Bonhoeffer (1906-1945), when God as Jesus experienced God calling a person, God calls that person to his or her death. Sometimes an actual death, but always to life lived at the boundaries beyond mere conventionality. As a Lutheran, I can only agree.Paul O. IngramPacific Lutheran University (Emeritus)note1. B. Alan Wallace, Hidden Dimensions: The Unification of Physics and Consciousness (New York: Columbia University Press, 2007). [End Page 188]Copyright © 2011 University of Hawai'i Press... (shrink)

Since Alasdair MacIntyre’s landmark book After Virtue, there has been renewed interest in the role of the virtues in the moral life and attention paid to reappropriating the Aristotelian notion of "practice." Recent reappropriations of the virtues and virtue theory in medical ethics have contributed to conceiving more adequately the nature of good medicine. I wish to explore some of these insights and the special relevance the notion of practice has in an account of good medicine. Yet, I also want (...) to suggest that much remains to be done. This renewed attention to the virtues needs to be supplemented by a similar reappropriation and transposition of the notion of nature in order to navigate successfully the Dardanelles of an ahistorical essentialism and the Bosphorus of a historical relativism. (shrink)

Of the truly great thinkers in the western tradition, Nietzsche is the most extreme and the most dangerous.1 Nietzsche of course repeatedly professed his own dangerousness, and predicted that his n...

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian-Science Dialogue at the BoundariesPaul O. IngramMuch of the discussion in current science-religion dialogue focuses on "limit" or "boundary" questions.1 In the natural sciences, boundary questions are questions that arise in scientific research that cannot be answered by scientific methods. Boundary questions arise because of (1) the intentional limit of scientific methods of investigation to extremely narrow bits of physical processes while ignoring wider bodies of experience, as well (...) as (2) the resulting incompetence of scientific methods when applied to aesthetic, moral, and religious experiences. Furthermore, scientific theoretical constructions are intentionally falsifiable. Often scientific theories themselves require further theoretical explanation. For example, Isaac Newton (1642-1727) proposed a theory of gravity as a general explanation of the motion of terrestrial objects—such as falling objects like apples—and of the orbits of planets in the solar system. But Newton was unable to offer an explanatory theory of gravity itself and was deeply troubled by the notion of "action at a distance," which he believed was intrinsically impossible. Albert Einstein's (1879-1955) general theory of relativity, although maintaining Newton's three laws of motion, fills in this gap in Newton's theory by explaining gravity as the warping of space occupied by objects such as planets, stars, and galaxies rather than action at a distance.In other words, boundary questions create methodological and conceptual constraints that often lead to deeper knowledge of the universe's physical structures. At the same time, boundary questions also tend to engender metaphysical questions along with scientific questions. For example, standard Big Bang theory about the origins of the universe imposes a temporal boundary that constrains what cosmologists can know about the universe. Why is there a universe at all? The standard response is that cosmologists can describe how the universe originated with a high degree of probability, but are ignorant, or at least agnostic, about why the universe exists. Here, a boundary question generated by the application of scientific methods in cosmology generates a metaphysical question cosmology is incapable of answering. Whenever this happens, an opening is created for science-religion dialogue in general, and a science-Buddhist-Christian "trilogue" in particular.But boundary questions are not limited to the natural sciences. Religious questions [End Page 165] incapable of solution through the application of theological or philosophical methods arise at the boundaries engendered by what Joseph Campbell (1904-1987) called "the universals of human experience," meaning experiences all human beings undergo no matter what their cultural or religious environments might be. For example, the experience of suffering raises the theodicy problem for classical Christian theism. How can a loving, omnipotent creator of the universe permit unmerited suffering? Here, the assertion of God's creative power and love creates a boundary question that cannot be resolved apart from rethinking the nature of God, as in process theology.Anxiety and confrontation with death, as well as experiences of beauty, joy, hunger, fear, hope, and anger, and the need for community are also examples of universals of human experience. Buddhists and Christians theoretically interpret the meaning of such experiences according to their particular texts, doctrinal formulations, and practice traditions. Similarly, the work done by scientists is influenced by their cultural contexts, although on a shorter-term basis than is the case with religions. As in the natural sciences, religious constructs are also theory laden, so that neither Christian theology nor Buddhist philosophy can claim complete knowledge. What, exactly, is the nature of God? What, exactly, is Awakening? The standard Christian and Buddhist responses are that God or Awakening are ultimately beyond human thought because both transcend anything human beings can imagine them to be, or not to be.Still, boundary constraints do not imply that significant and reliable knowledge is impossible in the sciences or in Buddhist or Christian thought. To conclude that scientists, Buddhists, or Christians cannot achieve complete knowledge via scientific method, the practice of Buddhist philosophy, or the practice of Christian theological reflection because of boundary constraints does not imply that the sciences have not amassed an incredible body of reliable knowledge about physical reality, or that Buddhists and Christians have not accumulated large bodies of reliable knowledge... (shrink)

Does the biography of a philosopher have any relevance to assessing their philosophy? After considering and rejecting three distinct treatments of this question, a different answer is articulated here. Distinguishing between the content and approach of a philosophical text, this article argues that biography is relevant to assessing the approach of the text in three ways: in its socio-historical context, its philosophical context, and its personal context in the life of the philosopher. Such a strategy offers new ways of comparing (...) very different texts and assessing them in terms of the aims of the philosopher writing them. (shrink)

Measuring neuronal activity with electrophysiological methods may be useful in detecting neurological dysfunctions, such as mild traumatic brain injury (mTBI). This approach may be particularly valuable for rapid detection in at-risk populations including military service members and athletes. Electrophysiological methods, such as quantitative electroencephalography (qEEG) and recording event-related potentials (ERPs) may be promising; however, the field is nascent and significant controversy exists on the efficacy and accuracy of the approaches as diagnostic tools. For example, the specific measures derived from an (...) electroencephalogram (EEG) that are most suitable as markers of dysfunction have not been clearly established. A study was conducted to summarize and evaluate the statistical rigor of evidence on the overall utility of qEEG as an mTBI detection tool. The analysis evaluated qEEG measures/parameters that may be most suitable as fieldable diagnostic tools, identified other types of EEG measures and analysis methods of promise, recommended specific measures and analysis methods for further development as mTBI detection tools, identified research gaps in the field, and recommended future research and development thrust areas. The qEEG study group formed the following conclusions: 1. Individual qEEG measures provide limited diagnostic utility for mTBI. However, many measures can be important features of qEEG discriminant functions, which do show significant promise as mTBI detection tools. 2. ERPs offer utility in mTBI detection. In fact, evidence indicates that ERPs can identify abnormalities in cases where EEGs alone are nondisclosing. 3. The standard mathematical procedures used in the characterization of mTBI EEGs should be expanded to incorporate newer methods of analysis including nonlinear dynamical analysis, complexity measures, analysis of causal interactions, graph theory and information dynamics. 4. and 5. are too long to include here. (shrink)

Recent theorizing about the nature of the cognitive impairment in autism suggests that autistic individuals display abnormally weak central coherence, the capacity to integrate information in order to make sense of one’s environment. Our article shows the relevance of computational models of coherence to the understanding of weak central coherence. Using a theory of coherence as constraint satisfaction, we show how weak coherence can be simulated ina a connectionist network that has unusually high inhibition compared to excitation. This connectionist model (...) simulates autistic behaviour on both the false belief task and the homograph task. (shrink)