Patient counseling is a cornerstone of ethical pharmacy practice and high quality pharmaceutical care. Counseling promotes patient compliance with prescription regimens and prevents dangerous drug interactions and medication errors. Counseling also promotes informed consent and protects pharmacists against legal risks. However, economic, social, and technological changes in pharmacy practice often force community pharmacists to choose between their professional obligations to counsel patients and business objectives. State and federal legislatures have enacted laws that require pharmacists to counsel patients, but these laws (...) have had mixed results. This essay argues that community pharmacy's patient counseling conundrum can be solved through additional moral education and moral persuasion, not through additional legal mandates. (shrink)

I defend a one category ontology: an ontology that denies that we need more than one fundamental category to support the ontological structure of the world. Categorical fundamentality is understood in terms of the metaphysically prior, as that in which everything else in the world consists. One category ontologies are deeply appealing, because their ontological simplicity gives them an unmatched elegance and spareness. I’m a fan of a one category ontology that collapses the distinction between particular and property, replacing it (...) with a single fundamental category of intrinsic characters or qualities. We may describe the qualities as qualitative charactersor as modes, perhaps on the model of Aristotelian qualitative (nonsubstantial) kinds, and I will use the term “properties” interchangeably with “qualities”. The qualities are repeatable and reasonably sparse, although, as I discuss in section 2.6, there are empirical reasons that may suggest, depending on one’s preferred fundamental physical theory, that they include irreducibly intensive qualities. There are no uninstantiated qualities. I also assume that the fundamental qualitative natures are intrinsic, although physics may ultimately suggest that some of them are extrinsic. On my view, matter, concrete objects, abstract objects, and perhaps even spacetime are constructed from mereological fusions of qualities, so the world is simply a vast mixture of qualities, including polyadic properties (i.e., relations). This means that everything there is, including concrete objects like persons or stars, is a quality, a qualitative fusion, or a portion of the extended qualitative fusion that is the worldwhole. I call my view mereological bundle theory. (shrink)

The debate over the temporal arrow is a debate over what fundamental ontology is needed for the temporal asymmetry of the universe, which determines the fact that time seems to be oriented or directed from earlier to later. This temporal asymmetry underlies (or, as some might argue, is the same as) the asymmetrical fact that the past is fixed while the future is open, as well as the global asymmetries of counterfactual, causal and agential direction. I explore the metaphysics of (...) the temporal direction within the context of empirical work in psychology and cognitive science. I argue that, in our debate over the metaphysics of the temporal arrow, we need to explore some of the deep connections between our cognitive response to the world and our metaphysical theory of the temporal direction. (shrink)

I explore some of the ways that assumptions about the nature of substance shape metaphysical debates about the structure of Reality. Assumptions about the priority of substance play a role in an argument for monism, are embedded in certain pluralist metaphysical treatments of laws of nature, and are central to discussions of substantivalism and relationalism. I will then argue that we should reject such assumptions and collapse the categorical distinction between substance and property.

I argue that we can understand the de se by employing the subjective mode of presentation or, if one’s ontology permits it, by defending an abundant ontology of perspectival personal properties or facts. I do this in the context of a discussion of Cappelen and Dever’s recent criticisms of the de se. Then, I discuss the distinctive role of the first personal perspective in discussions about empathy, rational deference, and self-understanding, and develop a way to frame the problem of lacking (...) prospective access to your future self as a problem with your capacity to imaginatively empathize with your future selves. (shrink)

The self can be understood in objective metaphysical terms as a bundle of properties, as a substance, or as some other kind of entity on our metaphysical list of what there is. Such an approach explores the metaphysical nature of the self when regarded from a suitably impersonal, ontological perspective. It explores the nature and structure of the self in objective reality, that is, the nature and structure of the self from without. This is the objective self. I am taking (...) a different approach. In addition to objective reality, which is usually understood and explored from an impersonal, quasi-observational and metaphysically realist perspective, we can also explore the nature and structure of subjective reality. The nature and structure of subjective reality is defined by the nature and structure of first-personal, conscious experience. Subjective reality is as real as objective reality, and a metaphysical realist such as myself can endorse the existence of both kinds of ontology. The mental states that, as experienced from the first-personal or subjective perspective, capture the nature and structure of subjective reality, are included in objective reality. The questions to explore in a subjective ontology of the self concern the nature and structure of the self from the first-personal or subjective perspective, that is, the nature and structure of the self from within. This is the subjective self. (shrink)

Abstract: William James argued that we ordinarily think of the objects that we can observe—things that belong to 'the world of sense'—as having an unquestioned reality. However, young children also assert the existence of entities that they cannot ordinarily observe. For example, they assert the existence of germs and souls. The belief in the existence of such unobservable entities is likely to be based on children's broader trust in other people's testimony about objects and situations that they cannot directly observe (...) for themselves. (shrink)

Contemporary social-scientific research seeks to identify specific causal mechanisms for outcomes of theoretical interest. Experiments that randomize populations to treatment and control conditions are the “gold standard” for causal inference. We identify, describe, and analyze the problem posed by transformative treatments. Such treatments radically change treated individuals in a way that creates a mismatch in populations, but this mismatch is not empirically detectable at the level of counterfactual dependence. In such cases, the identification of causal pathways is underdetermined in a (...) previously unrecognized way. Moreover, if the treatment is indeed transformative it breaks the inferential structure of the experimental design. Transformative treatments are not curiosities or “corner cases,” but are plausible mechanisms in a large class of events of theoretical interest, particularly ones where deliberate randomization is impractical and quasi-experimental designs are sought instead. They cast long-running debates about treatment and selection effects in a new light, and raise new methodological challenges. (shrink)

Ground-coupled heating-cooling systems (GCHCSs) exchange heat between the built environment and the subsurface using pipework buried in trenches or boreholes. If heat pumps in GCHCSs are powered by “green electricity,” they offer genuine carbon-free heating-cooling; for this reason, there has been a surge in the technology in recent years. Interference between adjoining installations is being reported, raising issues of sustainability in terms of performance, equitable sharing of natural resources, and localized ecological impacts. Using an analytical model for heat transport in (...) porous media, sensitivity analyses have been obtained for open-loop systems in typical hydro-geological settings for urban GSHCSs in the United Kingdom, revealing that breakthrough of injected water will likely lead to significant declines in system performance in less than 25 years for well spacings less than 300 m, unless injection rates are kept below 250 m3/d. Only by cooperatively planning will adjoining landowners in urban areas achieve large-scale sustainable system designs. (shrink)

Several philosophers have recently developed accounts of relative truth. Given that logical consequence is often characterized in terms of truth preservation, notions of truth are often associated with corresponding notions of logical consequence. Accordingly, in his Assessment Sensitivity: Relative Truth and Its Applications, John MacFarlane provides two different definitions of logical consequence that incorapte assessment context-sensitive truth. One motivation for adopting an assessment context-sensitive account of truth for judgements about taste is to explain how conflicting taste claims can be true (...) relative to different contexts of assessment. However, in the midst of dialogues in which conflicting taste claims are made, it is also possible for the participants in the dialogue to make conflicting claims about what inferences are and are not logically valid. This paper accomplishes two objectives. First, I argue that MacFarlane’s notions of logical consequence do not adequately account for important features of some dialogues in which conflicting logical claims are made. In particular, I argue that MacFarlane’s accounts of logical consequence do not explain how logical claims made about inferences in taste-discourse could be assessment context-sensitive. Second, I propose a consequence relation that can be incorporated into an assessment context-sensitive account of logical claims made about inferences in taste discourse. (shrink)

In “What you can’t expect when you’re expecting,” I argue that, if you don’t know what it’s like to be a parent, you cannot make this decision rationally—at least, not if your decision is based on what you think it would be like for you to become a parent. My argument hinges on the idea that becoming a parent is a transformative experience. This unique type of experience often transforms people in a deep and personal sense, and in the process, (...) changes their preferences. In section 1, I will explain transformative experience in terms of radical first-personal epistemic and self change. In section 2, I’ll explain the notion of subjective value that I use to develop the decision problem. In section 3, I will discuss the way we ordinarily combine our introspective assessments with testimony and evidence. In section 4, I will discuss the problems for rational decision-making. In section 5, I will explore the problem of first-personally transformed future selves. In section 6, I will engage with the main themes and arguments and ideas of the authors of the papers contributed to this volume. (shrink)

Developmental psychologists have often portrayed young children as stubborn autodidacts who ignore the testimony of others. Yet the basic design of the human cognitive system indicates an early ability to co-ordinate information derived from first-hand observation with information derived from testimony. There is no obvious tendency to favour the former over the latter. Indeed, young children are relatively poor at monitoring whether they learned something from observation or from testimony. Moreover, the processes by which children and adults understand and remember (...) a sequence of events appear to be similar, whether they witness that sequence or are told about it. Children’s early receptivity to testimony raises the question of whether and how children discern what testimony is reliable. Arguably, before the emergence of reflective judgement, children are equipped with a tacit filtering device. To be understood, any new piece of testimony typically needs to be consistent with, and integrated into, what is already known about the topic in question. Children’s impoverished knowledge base will make that integrative process relatively slow. Thus, children’s early ignorance may often save them from misplaced credulity.Author Keywords: Trust; Testimony; Sources ; Cognitive development; Situation model. (shrink)

The first major treatment of skepticism in Islam, this book explores the critical role of skeptical thinking in the development of theology in Islam. It examines the way key thinkers in classical Islam faced perplexing questions about the nature of God and his relation to the world, all the while walking a fine line between belief in God's message as revealed in the Qur'an, and the power of the mind to discover truths on its own. Skepticism in Classical Islam reveals (...) how doubt was actually an integral part of scholarly life at this time. Skepticism is by no means synonymous with atheism. It is, rather, the admission that one cannot convincingly demonstrate a truth claim with certainty, and Islam's scholars, like their counterparts elsewhere, acknowledged such impasses, only to be inspired to find new ways to resolve the conundrums they faced. Whilst their conundrums were unique, their admission of the limits of knowledge shares much with other scholarly traditions. Seeking to put Islam on the map of the broader study of the history of scepticism, this book will be of interest to scholars and students of Religion, History and Philosophy. (shrink)

The revival of religion is almost a matter of rhetoric. The work is difficult, perhaps impossible, but it at least reminds us that Our Lord asked us in His work to be not only as gentle as doves, but as wise as serpents.In this essay I argue that René Girard's project invites the difficult, perhaps impossible, work of inventing a revived Christian discourse.1 To suggest that Girard has left a rhetorical task may seem strange. Rhetoric, according to conventional wisdom, is (...) the art of making the unpalatable palatable. In the absence of true knowledge, rhetoric may do, but it is always the lesser option, an art for a fallen world. These common... (shrink)

I claim that Mill has a theory of poetry which he uses to reconcile nineteenth century associationist psychology, the tendency of the intellect to dissolve associations, and the need for educated members of society to desire utilitarian ends. The heart of the argument is that Mill thinks reading poetry encourages us to feel the feelings of others, and thus to develop pleasurable associations with the pleasurable feelings of others and painful associations with the painful feelings of others. Once the associations (...) are developed, they are supported and maintained by our natural capacity for sympathy and by external elements in society, and provide motivation for the pursuit of utilitarian ends. Further, the additional support causes the associations to be strengthened to the extent that they come to be seen as ‘natural and necessary’, and as such are immune from the dissolving force of the intellect. (shrink)

This article motivates a shift in certain strands of the debate over legitimate roles for nonepistemic values in scientific practice from investigating what is involved in taking cognitive attitudes like acceptance toward an empirical hypothesis to looking at a social understanding of assertion, the act of communicating that hypothesis. I argue that speech act theory’s account of assertion as a type of doing makes salient legitimate roles nonepistemic values can play in scientific practice. The article also shows how speech act (...) theory might provide a framework for fruitfully extending aspects of the social and pragmatic turns in the philosophy of science. (shrink)

A general conceptual framework for large-scale neocortical dynamics based on data from many laboratories is applied to a variety of experimental designs, spatial scales, and brain states. Partly distinct, but interacting local processes (e.g., neural networks) arise from functional segregation. Global processes arise from functional integration and can facilitate (top down) synchronous activity in remote cell groups that function simultaneously at several different spatial scales. Simultaneous local processes may help drive (bottom up) macroscopic global dynamics observed with electroencephalography (EEG) or (...) magnetoencephalography (MEG). A local/global dynamic theory that is consistent with EEG data and the proposed conceptual framework is outlined. This theory is neutral about properties of neural networks embedded in macroscopic fields, but its global component makes several qualitative and semiquantitative predictions about EEG measures of traveling and standing wave phenomena. A more general “metatheory” suggests what large-scale quantitative theories of neocortical dynamics may be like when more accurate treatment of local and nonlinear effects is achieved. The theory describes the dynamics of excitatory and inhibitory synaptic action fields. EEG and MEG provide large-scale estimates of modulation of these synaptic fields around background levels. Brain states are determined by neuromodulatory control parameters. Purely local states are dominated by local feedback gains and rise and decay times of postsynaptic potentials. Dominant local frequencies vary with brain region. Other states are purely global, with moderate to high coherence over large distances. Multiple global mode frequencies arise from a combination of delays in corticocortical axons and neocortical boundary conditions. Global frequencies are identical in all cortical regions, but most states involve dynamic interactions between local networks and the global system. EEG frequencies may involve a “matching” of local resonant frequencies with one or more of the many, closely spaced global frequencies. Key Words: binding problem; cell assemblies; coherence; EEG; limit cycles; neocortical dynamics; pacemakers; phase locking; spatial scale; standing waves; synchronization. Footnotes1 The relationship between the synaptic action fields proposed in the target article and cell assemblies is clarified with Figure R1 (p. 416) of the Response. (This figure was not available to Commentators. (shrink)

Multiscale dynamics, linear approximations, global boundary conditions, experimental verification, and global influences on local cell assemblies are considered in the context of Wright & Liley's work. W&L provide a nice introduction to these issues and a reasonable simulation of intermediate scale dynamics, but the model does not adequately simulate combined local and global processes.

I explore three points about the relationship between C.I. Lewis’s conceptual pragmatism and W.V. Quine’s naturalized epistemology inspired by Robert Sinclair’s Quine, Conceptual Pragmatism, and the Analytic-Synthetic Distinction. First, I highlight Lewis’s long-standing commitment to Platonism about meaning and its connection to his reflective philosophical method and rejection of a linguistic account of analyticity. Second, I consider Sinclair’s claim that “Lewis’s epistemology provides no indication concerning how, despite different sensory experiences, we still come to agree on what we are talking (...) about and what counts as evidence” (2022, 113). I find more hints, especially in Lewis’s account of how we verify that two people share meaning in common. However, some of the pragmatic and broadly empirical factors Lewis appeals to are not part of Quine’s naturalized epistemology. Finally, I relate these points to Quine’s (1953/1980) claim to advance a more “thorough pragmatism” than Lewis. Quine does not say much about action, value, and ethics, but these are central parts of Lewis’s conceptual pragmatism and a source of his reluctance to abandon those parts of his epistemology that Sinclair argues Quine found dispensable. (shrink)

Androphilia refers to sexual attraction and arousal to adult males, whereas gynephilia refers to sexual attraction and arousal to adult females. In Independent Samoa, androphilic males, most of whom are effeminate or transgendered, are referred to as fa’afafine, which means “in the manner of a woman.” Previous research has established that fa’afafine report significantly higher avuncular tendencies relative to gynephilic men. We hypothesized that Samoan fa’afafine might adopt feminine gender role orientations with respect to childcare activity. If so, then the (...) fa’afafine’s femininity might be a proximate mechanism for promoting their elevated avuncular tendencies. Our analyses indicated that fa’afafine had significantly higher willingness to assist in the childcare of nieces and nephews than childless women, mothers, or men, none of whom differed from each other on this measure. Thus, femininity does not appear to explain the fa’afafine’s pattern of avuncular tendencies, nor the women’s pattern of materteral (i.e., aunt-like) tendencies, relative to gynephilic men. We discuss how the fa’afafine “third” gender status might influence the expression of their elevated avuncular tendencies. (shrink)

As you face a life-defining change, you might ask yourself: Who will I become? This can be understood as a question about the nature and character of your future life, asked from your first person, or subjective, perspective. The nature and character of your conscious, first person, lived experience is a defining constituent of what it is like to be you. Framed this way, knowing the nature of your future lived experience is a way of knowing your future self. In (...) this paper, I explore this way of understanding one’s self and its implications for understanding life-defining changes in high-stakes contexts. My exploration of this way of understanding one’s self highlights the role of experience in grasping perceptual truths, and the importance of imagination, empathy, and testimony in self-understanding and prediction. (shrink)

Causation is at once familiar and mysterious. Neither common sense nor extensive philosophical debate has led us to anything like agreement on the correct analysis of the concept of causation, or an account of the metaphysical nature of the causal relation. Causation: A User's Guide cuts a clear path through this confusing but vital landscape. L. A. Paul and Ned Hall guide the reader through the most important philosophical treatments of causation, negotiating the terrain by taking a set of (...) examples as landmarks. They clarify the central themes of the debate about causation, and cover questions about causation involving omissions or absences, preemption and other species of redundant causation, and the possibility that causation is not transitive. Along the way, Paul and Hall examine several contemporary proposals for analyzing the nature of causation and assess their merits and overall methodological cogency.The book is designed to be of value both to trained specialists and those coming to the problem of causation for the first time. It provides the reader with a broad and sophisticated view of the metaphysics of the causal relation. (shrink)

Summary of Transformative Experience by L.A. Paul and replies to symposiasts. Discussion of undefined values, preference change, authenticity, experiential value, collective minds, mind control.

I address two related questions: first, what is the best theory of how objects have de re modal properties? Second, what is the best defence of essentialism given the variability of our modal intuitions? I critically discuss several theories of how objects have their de re modal properties and address the most threatening antiessentialist objection to essentialism: the variability of our modal intuitions. Drawing on linguistic treatments of vagueness and ambiguity, I show how essentialists can accommodate the variability of modal (...) intuitions while holding that objects have their modal properties independently of contexts. (shrink)

Ibn Khaldun: An Intellectual Biography By IrwinRobert, xxi + 243 pp. Price HB £24.00. EAN 978–0691174662.

This book demonstrates how children's imagination makes a continuing contribution to their cognitive and emotional development.

Young children routinely display a naturalistic understanding of the world. When asked for explanations, they rarely invoke supernatural or religious explanations even when confronted by puzzling or unexpected phenomena. Nevertheless, depending on the surrounding culture, children are eventually prone to accept God as a creator, to believe in the power of prayer and to expect there to be an afterlife. A plausible interpretation of this dual stance is that children adopt two different cognitive routes to understanding: one grounded in empirical (...) observation and in trusted testimony about the observable world. Based on this route, children gradually build up a common-sense understanding of various natural domains, including the physical, the biological and the psychological. The second route is grounded in children’s early emerging ability to engage in shared pretense. As members of a religious community, children will routinely observe community members engage in activities, such as prayer, which cannot be readily understood in terms of their standard, common-sense framework. Nevertheless, children can charitably interpret prayer as special form of communication, directed at an imagined interlocutor. Cumulative exposure to such belief-based activities is likely to encourage children to transition from charitable interpreters of religious activities to participant believers. (shrink)