Two different conceptions of language dominate philosophical reflection on the nature of human language and of human linguistic powers. The first is the conception of language as a calculus of meaning, and of understanding as computational interpretation. This conception is rooted in the exigencies of function-theoretic logic. The notions pivotal to this conception are truth, truth-condition, sense and force, naming and describing (representation), and theory of meaning for natural languages. The alternative conception is an anthropological one, which conceives of language (...) above all as a form of human communicative behaviour, constituted by human practices and manifest in human action. The notions pivotal to this conception are practice, language-game, use and rule of use as given by explanations of meaning, understanding and criteria of understanding. The fundamental principles that inform each of these conceptions are explained. The radical flaws of calculus conceptions of language are laid bare. (shrink)

Rid and Wendler propose the development of a Patient Preference Predictor (PPP), an actuarial model for predicting incapacitated patient’s life-sustaining treatment preferences across a wide range of end-of-life scenarios. An actuarial approach to end-of-life decision making has enormous potential, but transferring the logic of actuarial prediction to end-of-life decision making raises several conceptual complexities and logistical problems that need further consideration. Actuarial models have proven effective in targeted prediction tasks, but no evidence supports their effectiveness in the kind of broad (...) spectrum prediction task that is the proposed goal of the PPP. We argue that a more focused approach, targeting specific medical conditions and generating treatment predictions based on the preferences of individuals with actual disease experience, is both more firmly grounded in past research and is a more prudent initial strategy for exploring the efficacy of actuarial prediction in end-of-life decision making. (shrink)

This essay focuses on the anger of Dhaniya, the female protagonist of Premchand's Godan. Rather than approaching it as a specifically feminist anger, it sees it more broadly as the anger of the oppressed, which signals hope that the conditions of oppression will change. Premchand is influenced by Karl Marx, and uses narrative emotion to tell the (Indian) story of labor and capital; this essay puts Panksepp's neurocognitive theory of anger in conversation with Marxist political theory, demonstrating how (...) Marx's thoughts on systemic economic injustices can elucidate the “social context” in which emotion systems (such as RAGE, PLAY, and CARE) are activated. (shrink)

The private language arguments exemplify the analogy: private ownership of experience; private knowledge of experience; private ostensive definition; the mereological fallacy; the 'beetle in the box'; and so on. The supposition that Wittgenstein's philosophy is primarily therapeutic obscures the extent to which therapy is only possible if one attains a grasp of the logical geography of the relevant part of the philosophical landscape. The analogy between clarifying and eradicating philosophical confusion and treating a disease is often linked to a related (...) analogy that Wittgenstein drew in five different contexts in the 1930s, namely between his methods in philosophy and the method of treating mental illness by psychoanalysis. The idea of a private language is incoherent precisely because it fails to distinguish imagining a justification for using a word and justifying the use of a word in one's imagination. (shrink)

What one has when one imagines something or when one sees something is not something which others, by contrast with oneself cannot see. For one does not see one's mental images or visual impressions. It makes sense to talk of oneself as having a visual impression or mental image only if it also makes sense to talk of someone else having the same impression or image. To talk of things being blurred at the edge of one's visual field (unlike talk (...) of images on a photograph being blurred), of conjuring up an image of something revolving, is to introduce a new way of speaking. Idealists and solipsists attack the normal form of expression as if the mere form stated how things are; whereas the only cogent case that can be made out in their favour is a recommendation to adopt a different form in which the very same facts are represented in different guise. (shrink)

For live-related kidney donation, the current UK guidance specifies that the donor has a right to know the recipient’s HIV status. This guidance may prevent some potential recipients from asking friends or family to donate, as they do not wish them to know they are HIV positive. Currently, it is felt necessary that the donor should know the HIV status of the recipient in order to give fully informed consent to the operation. However, the specific medical details are not required (...) in order to allow for donor informed consent. This consent requires knowledge of the general expectation for survival of a graft and the specific expectation for survival of this graft in the recipient; it does not require specific knowledge of the recipient’s medical condition. (shrink)