Issues recognized as having ethical or moral components are becoming increasingly common, for society in general, the health care system and for general practitioner/family physicians in particular. Some of the peculiar problems for GP's relate to the provision of continuing, comprehensive, primary medical care to large numbers of individuals who provide extensive potential for conflict between all the involved elements: patients, physicians, families, consultants and societal attitudes. There is a need for more formal education programs.

In "How Do We Know It Is Now Now?" David Braddon-Mitchell (Analysis 2004) develops an objection to the thesis that the past is real but the future is not. He notes my response to this, namely that the past, although real, is lifeless and (a fortiori?) lacking in sentience. He argues, however, that this response, which I call 'the past is dead hypothesis', is not tenable if combined with 'special relativity'. My purpose in this reply is to argue that, on (...) the contrary, 'special relativity' supports the thesis that the future is unreal. (shrink)

The paper offers a mildly deflationary account of narrative, drawing attention to the minimal, thus easily satisfied, conditions of narrativity and showing that many of the more striking claims about narrative are either poorly supported or refer to distinct classes of narrative—usually literary or fictional—which provide a misleading paradigm for narration in general. An enquiry into structural, referential, pragmatic, and valuebased features of narrative helps circumscribe the limits of narration and the test case of the narrative definition of the self (...) is examined and shown to yield rather less that is often claimed. (shrink)

This paper investigates the tenability of wavefunction realism, according to which the quantum mechanical wavefunction is not just a convenient predictive tool, but is a real entity figuring in physical explanations of our measurement results. An apparent difficulty with this position is that the wavefunction exists in a many-dimensional configuration space, whereas the world appears to us to be three-dimensional. I consider the arguments that have been given for and against the tenability of wavefunction realism, and note that both the (...) proponents and the opponents assume that quantum mechanical configuration space is many-dimensional in exactly the same sense in which classical space is three-dimensional. I argue that this assumption is mistaken, and that configuration space can be taken as three-dimensional in a relevant sense. I conclude that wavefunction realism is far less problematic than it has been taken to be. Introduction Non-separability The instantaneous solution The dynamical solution Invariance What is configuration space, anyway? Conclusion. (shrink)

Singer and Dawson point out that two arguments against abortion, that the embryo is entitled to protection because from fertilization it is (1) a human being or (2) a potential human being, are also used by opponents of embryo experimentation. They focus on the second argument, evaluating the notion of potentiality as it applies to gametes, to the unimplanted embryo, to the implanted developing embryo, and to the embryo created by in vitro fertilization (IVF). They argue that there is a (...) crucial distinction between natural reproduction, in which all that is needed for the embryo to have a prospect of reaching its potential is for those involved to refrain from stopping it, and IVF, in which the embryo cannot develop into a person without a deliberate human act. Reproductive techniques necessitate our rethinking of established views about potentiality, and how it should be applied to the embryo in a laboratory. (KIE abstract). (shrink)

Libertarianism holds that agents initially fully own themselves and have moral powers to acquire property rights in external things under certain conditions. It is normally advocated as a theory of justice in the sense of the duties that we owe each other. So understood, it is silent about any impersonal duties (i.e., duties owed to no one) that we may have.

Attempts to clarify some issues about the use of hidden arguments to predicates of personal taste, and motivate an analysis which does not make use of such arguments.

Chris Heathwood requires the sentence 'Caesar was conscious when he crossed the Rubicon' to be made true in much the same way as 'Caesar was wet when he crossed the Rubicon'. Yet because the Growing Block theorist is committed to the zombiedom of the past,the former is not made true by past objects, although the latter is. Heathwood demands a uniform account of the grounding of truths and he will be given a uniform account. But we should exercise care in (...) deciding just what sort of uniformity is appropriate. As Russell so famously pointed out a century ago the subject/predicate form of a sentence can be misleading. Likewise although the two sentences 'Caesar is conscious' and 'Caesar is wet' have similar subject/predicate forms they have, I say, different kinds of truth-conditions and hence their past tense transformations also have different kinds of truth-conditions. The uniformity I endorse is that in both cases the grounds for the past tense transformation are the same as the grounds the present tense versions used to have when they were true. (shrink)

[1] In twelve quite demanding chapters, outstanding scholars provide an overall view of the key issues of Scotus’s philosophical thought. To this a very concise introduction is added, concerning the life and works of John Duns (very good, especially the survey of works and the information on critical editions etc.). Throughout the book, I find the information clear and the difficult topics well explained. Moreover, the volume gives a quick entrance to the vast literature. Among the topics discussed are: ‘Metaphysics’ (...) (Peter King), ‘Universals and Individuation’ (Timothy Noone), ‘Modal Theory’ (Calvin Normore), ‘Natural Theology’ (James Ross & Todd Bates), ‘Philosophy of Mind’ (Richard Cross), ‘Cognition’ (Robert Pasnau), ‘Moral Dispositions’ (Bonnie Kent). What strikes the eye is the absence of important theological subjects: Trinity, Christology, sin and grace, to name a few. Since the cover text promises that ‘the essays in this volume systematically survey the full range of Scotus’ thought’, this omission is remarkable. It stems, I guess, from the strict philosophical scope of the series of the Cambridge Companions, but such a limitation should have been recognised explicitly: this companion provides, in fact, an introduction to John Duns’s philosophy—i.e., philosophy in our modern sense. Of course, this separation of philosophical from theological thought is not from Scotus. Most of his innovative ‘philosophical’ ideas are developed in a profoundly theological context! (shrink)

When it is asked if it is ‘possible’ for us to understand alien cultures, a contrast is implied with a certain conception of the understanding we have of our own culture. This contrast has certain parallels with the philosophical ‘problem of other minds’, in which a contrast is also drawn between understanding myself and others. Though these are different questions, they are related — in that somewhat parallel confusion about the notion of ‘understanding’ are involved in both. Our own culture (...) is not in principle transparent to our understanding; neither are other cultures in principle opaque. (shrink)

The expansion of research on deep brain stimulation (DBS) and adaptive DBS (aDBS) raises important neuroethics and policy questions related to data sharing. However, there has been little empirical research on the perspectives of experts developing these technologies. We conducted semi-structured, open-ended interviews with aDBS researchers regarding their data sharing practices and their perspectives on ethical and policy issues related to sharing. Researchers expressed support for and a commitment to sharing, with most saying that they were either sharing their data (...) or would share in the future and that doing so was important for advancing the field. However, those who are sharing reported a variety of sharing partners, suggesting heterogeneity in sharing practices and lack of the broad sharing that would reflect principles of open science. Researchers described several concerns and barriers related to sharing, including privacy and confidentiality, the usability of shared data by others, ownership and control of data (including potential commercialization), and limited resources for sharing. They also suggested potential solutions to these challenges, including additional safeguards to address privacy issues, standardization and transparency in analysis to address issues of data usability, professional norms and heightened cooperation to address issues of ownership and control, and streamlining of data transmission to address resource limitations. Researchers also offered a range of views on the sensitivity of neural activity data (NAD) and data related to mental health in the context of sharing. These findings are an important input to deliberations by researchers, policymakers, neuroethicists, and other stakeholders as they navigate ethics and policy questions related to aDBS research. (shrink)

The work encompasses analysis of philosophers and writers from ancient times through to the present day and examines such episodes as the Oklahoma City Federal ...

The main difficulty facing no-collapse theories of quantum mechanics in the Everettian tradition concerns the role of probability within a theory in which every possible outcome of a measurement actually occurs. The problem is two-fold: First, what do probability claims mean within such a theory? Second, what ensures that the probabilities attached to measurement outcomes match those of standard quantum mechanics? Deutsch has recently proposed a decision-theoretic solution to the second problem, according to which agents are rationally required to weight (...) the outcomes of measurements according to the standard quantum-mechanical probability measure. I show that this argument admits counterexamples, and hence fails to establish the standard probability weighting as a rational requirement. (shrink)

In 1956 J. L. Austin presented his famous distinction between performative and constative.1 Roughly, whereas in a constative utterance you report an already obtaining state of affairs—you say something—in a performative utterance you create something new: you do something.2 Paradigm examples of performatives were utterances by means of which actions such as baptizing, congratulating and greeting are performed.

The term ‘meaning holism’ has been used for a number of more or less closely interrelated ideas. According to one common view, meaning holism is the thesis that what a linguistic expression means depends on its relations to many or all other expressions within the same totality. Sometimes these relations are called ‘conceptual’ or ‘inferential’. A related idea is that what an expression means depends, mutually, on the meaning of the other expressions in the totality, or alternatively on some semantic (...) property of this totality itself. The totality in question may be the language to which the expressions belong, or a theory formulation in that language. (shrink)

This volume brings historians of science and social historians together to consider the role of "little tools"--such as tables, reports, questionnaires, dossiers, index cards--in establishing academic and bureaucratic claims to authority and objectivity. From at least the eighteenth century onward, our science and society have been planned, surveyed, examined, and judged according to particular techniques of collecting and storing knowledge. Recently, the seemingly self-evident nature of these mundane epistemic and administrative tools, as well as the prose in which they are (...) cast, has demanded historical examination. The essays gathered here, arranged in chronological order by subject from the late seventeenth to the late twentieth century, involve close readings of primary texts and analyses of academic and bureaucratic practices as parts of material culture. The first few essays, on the early modern period, largely point to the existence of a "juridico-theological" framework for establishing authority. Later essays demonstrate the eclipse of the role of authority per se in the modern period and the emergence of the notion of "objectivity." Most of the essays here concern the German cultural space as among the best exemplars of the academic and bureaucratic practices described above. The introduction to the volume, however, is framed at a general level the closing essays also extend the analyses beyond Germany to broader considerations on authority and objectivity in historical practice. The volume will interest scholars of European history and German studies as well as historians of science. Peter Becker is Professor of Central European History, European University Institute. William Clark is Lecturer in History and Philosophy of Science, Cambridge University. (shrink)

Our notion of normativity appears to combine, in a way difficult to understand but seemingly familiar from experience, elements of force and freedom. On the one hand, a normative claim is thought to have a kind of compelling authority; on the other hand, if our respecting it is to be an appropriate species of respect, it must not be coerced, automatic, or trivially guaranteed by definition. Both Hume and Kant, I argue, looked to aesthetic experience as a convincing example exhibiting (...) this marriage of force and freedom, as well as showing how our judgment can come to be properly attuned to the features that constitute value. This image of attunement carries over into their respective accounts of moral judgment. The seemingly radical difference between their moral theories may be traceable not to a different conception of normativity, but to a difference in their empirical psychological theories – a difference we can readily spot in their accounts of aesthetics. (shrink)

How do managers think about the relationship between the pursuit of economic success and ethical demands? This paper presents the main results of a qualitative-empirical study (Ulrich and Thielemann, 1992). The range of thinking patterns displayed by Swiss managers in this field of tension is elucidated and typologized. The results are then compared with those yielded by other studies on managerial ethics. Although the comparisons reveal essential parallels, the findings of previous investigations are interpreted in a considerably different manner. In (...) particular it is shown that, on the strength of a systematic conception of the fundamental problem of business ethics, the frequently heard assertion that the vast majority of managers are ethical opportunists must be revised. The internationally prevailing thinking pattern among managers does not prove to be ethical opportunism or even cynicism buteconomism, i.e. theethical conviction that economically appropriate actionin itself is ethically good as such. (shrink)

Is society an organic whole with each of its many components working together like the organs in a body? Like organisms, societies are composed of many parts which seem to work together enhance their survival. Different people fulfill different, necessary role—subsistence, reproduction, coordination, and defense. Regular exchange of matter and energy guarantees that each component has the resources it needs. Norms, laws and customs regulate virtually every aspect of social interaction, who may marry who, how disputes are resolved, and how (...) verbs should be conjugated. Ritual and religion provide comfort to the sick and fearful, maintain a feeling of solidarity and belonging, and serve to preserve and transmit knowledge through time. Even the simplest human societies seem like complex machines designed for growth and survival. (shrink)

Uses Buddhist philosophy to discuss diversity as a value, one that can contribute to equity in a globalizing world.

Most arguments against the possibility of time travel use the same old, familiar objection: If I could travel back in time, then I could kill my earlier (i.e. younger) self. Since I do exist such an action would result in a contradiction. Therefore time travel is impossible. This is a statement of the Principal Paradox of Time Travel. Some philosophers have argued that such actions as attempting to kill one’s earlier self would always fail and that there is nothing especially (...) strange about such failures. Despite these arguments, the problem generally is not viewed as being solved in favour of time travel. The above objection to time travel is also used to dismiss a particular class of cosmological models as being unphysical. This paper provides a solution to the Principal Paradox by exploring both the logical and causal implications of time travel. (shrink)

Background: Some members of the general public feel that patients who cause their own organ failure through smoking, alcohol use, or drug use should not receive equal priority for scarce transplantable organs. This may reflect a belief that these patients (1) cause their own illness, (2) have poor transplant prognoses or, (3) are simply unworthy. We explore the role that social acceptability, personal responsibility, and prognosis play in people's judgments about transplant allocation. Methods: By random allocation, we presented 283 prospective (...) jurors in Philadelphia county with one of five questionnaire versions. In all questionnaires, subjects were asked to distribute transplantable hearts between patients with and without a history of three controversial behaviors (eating high fat diets against doctors’ advice, cigarette smoking, or intravenous drug use). Across the five questionnaire versions, we varied the relative prognosis of the transplant candidates and whether their behavior caused their primary organ Results: Subjects were significantly less willing to distribute organs to intravenous drug users than to cigarette smokers or people eating high fat diets (p le; 0.0005), even when intravenous drug users had better transplant outcomes than other patients. Subjects’ allocation decisions were influenced by transplant prognosis, but not by whether the behavior in question was causally responsible for the patients’ organ failure. Conclusion: People's unwillingness to give scarce transplantable organs to patients with controversial behaviors cannot be explained totally on the basis of those behaviors either causing their primary organ failure or making them have worse transplant prognoses. Instead, many people believe that such patients are simply less worthy of scarce transplantable organs. (shrink)

‘PHILOSOPHY, or the doctrine and discipline of ideas’, as S. T. Coleridge understood it, is the theme of this book. It considers the most vital and mature vein of Coleridge’s thought to be ‘the contemplation of ideas objectively, as existing powers’. A theory of ideas emerges in critical engagement with thinkers including Plato, Plotinus, Böhme, Kant, and Schelling. A commitment to the transcendence of reason, central to what he calls ‘the spiritual platonic old England’, distinguishes him from his German contemporaries. (...) The book also engages with Coleridge’s poetry, especially in a culminating chapter dedicated to the ‘Limbo’ sequence. This book pursues a theory of contemplation that draws from discussions of imagination and the ‘Ideas of Reason’ in Coleridge’s published texts and extensively from his unpublished works, fragments, letters, and notebooks. He posited a hierarchy of cognition from basic sense intuition to the apprehension of scientific, ethical, and theological ideas. The structure of the book follows this thesis, beginning with sense data, moving upwards into aesthetic experience, imagination, and reason, with final chapters on formal logic and poetry that constellate the contemplation of ideas. Coleridge’s Contemplative Philosophy is not just a work of intellectual history, it addresses a figure whose thinking is of continuing interest, arguing that contemplation of ideas and values has consequences for everyday morality and aesthetics, as well as metaphysics. The volume will be of interest to philosophers, intellectual historians, scholars of religion, and of literature. (shrink)

Contemporary epistemology of religion may conveniently be treated as adebate over whether evidentialism applies to thebelief-component of religious faith, or whether we should insteadadopt a more permissive epistemology. Here evidentialism is theinitially plausible position that a belief is justified only if``it is proportioned to the evidence''. For example, supposea local weather forecaster has noticed that over the two hundred yearssince records began a wetter than average Winter is followed in 85% ofcases by a hotter than average Summer. Then, assuming for (...) simplicitythat the records are reliable, the forecaster is justified in believingwith less than full confidence that this Winter, which is wetter thanaverage, will be followed by a hotter than average Summer. Butevidentialism implies that it would not be justified to have fullbelief, that is belief with 100% confidence. Again, consider someonewho has a hunch that this Summer will be hotter than averagebut cannot justify that hunch further. Hunches are not consideredevidence, so the belief is not considered justified. If, however, thehuncher can cite a good track record of hunches about the weather thathave turned out correct then the belief would be consideredjustified. For although hunches are not considered evidence, memoriesabout past hunches are, as are the observations that corroborated thepast hunches. (shrink)

We describe anytime search procedures that (1) find disjoint subsets of recorded variables for which the members of each subset are d-separated by a single common unrecorded cause, if such exists; (2) return information about the causal relations among the latent factors so identified. We prove the procedure is point-wise consistent assuming (a) the causal relations can be represented by a directed acyclic graph (DAG) satisfying the Markov Assumption and the Faithfulness Assumption; (b) unrecorded variables are not caused by recorded (...) variables; and (c) dependencies are linear. We compare the procedure with standard approaches over a variety of simulated structures and sample sizes, and illustrate its practical value with brief studies of social science data sets. Finally, we consider generalizations for non-linear systems. Keywords: latent variable models, causality, graphical models.. (shrink)

Previous asymptotically correct algorithms for recovering causal structure from sample probabilities have been limited even in sparse graphs to a few variables. We describe an asymptotically correct algorithm whose complexity for fixed graph connectivity increases polynomially in the number of vertices, and may in practice recover sparse graphs with several hundred variables. From..

Peter Homans offers a new understanding of the origins of psychoanalysis and relates the psychoanalytic project as a whole to the sweep of Western culture, past and present. He argues that Freud's fundamental goal was the interpretation of culture and that, therefore, psychoanalysis is fundamentally a humanistic social science. To establish this claim, Homans looks back at Freud's self-analysis in light of the crucial years from 1906 to 1914 when the psychoanalytic movement was formed and shows how these experiences (...) culminated in Freud's cultural texts. By exploring the "culture of psychoanalysis," Homans seeks a better understanding of what a "psychoanalysis of culture" might be. Psychoanalysis, Homans shows, originated as a creative response to the withering away of traditional communities and their symbols in the aftermath of the industrial revolution. The loss of these attachments played a crucial role in the lives of the founders of psychoanalysis, especially Sigmund Freud but also Karl Abraham, Carl Jung, Otto Rank, and Ernest Jones. The personal, political, and religious losses that these figures experienced, the introspection that followed, and the psychological discovery that resulted are what Homans calls "the ability to mourn." Homans expands this historical analysis to construct a general model of psychological discovery: the loss of shared ideals and symbols can produce a deeper sense of self (psychological structure-building, or individuation) and can then lead to the creation of new forms of meaning and self-understanding. He shows how Freud, Jung, and other psychoanalysts began to extend their introspection outward, reinterpreting the meanings of Western art, history, and religion. In conclusion, Homans evaluates Freud's theory of culture and discusses the role that psychoanalysis might play in social and cultural criticism. Throughout the book, Homans makes use of the many histories, biographies, and psychobiographies that have been written about the origins of psychoanalysis, drawing them into a comprehensive sociocultural model. Rich in insights and highly original in approach, this work will interest psychoanalysts and students of Freud, sociologists concerned with modernity and psychoanalysis, and cultural critics in the fields of religion, anthropology, political science, and social history. (shrink)

What is the relation between models, as used in model-theoretic semantics, and the “world” which models represent? More specifically, let us consider the question of whether a single individual, event, time or other element in a model might be used to represent more than one individual, event, time or other object in the real world.

Concentrating on the views of Christopher Stone, who advocates moral pluralism, and J. Baird Callicott, who criticizes Stone’s views, I argue that the debate has been confused by a conflation of three different positions, here called minimal, moderate, and extreme moral pluralism. Minimal pluralism is uncontroversial because all known moral theories are minimally pluralistic. Extreme pluralism is defective in the ways that Callicott alleges and, moreover, is inconsistent with integrity in the moral life. However, moderate pluralism of the sort that (...) I advance in Environmental Justice is distinct from extreme pluralism and free of its defects. It is also consistent with Callicott’s version of Aldo Leopold’s land ethic, which is itself moderately pluralistic. (shrink)

Physicists often appeal to the beauty of a theory as a way to judge its credibility, and the most prevalent component of this beauty is symmetry. This paper describes the role and structure of symmetry arguments in physics. It demonstrates that the epistemic authority of an appeal to symmetry is based on empirical evidence and is independent of any aesthetic judgment. Furthermore, symmetry in nature is not evidence of design. Just the opposite, symmetry indicates a lack of planning. It is (...) about nature's disregard for details. (shrink)

This paper is an attack on the Dummett-Prawitz view that the principle of bivalence has a crucial double significance, metaphysical and meaning theoretical. On the one hand it is said that holding bivalence valid is what characterizes a realistic view, i.e. a view in metaphysics, and on the other hand it is said that there are meaning theoretical arguments against its acceptability. I argue that these two aspects are incompatible. If the failure of validity of bivalence depends on properties of (...) linguistic meaning, then there are no metaphysical consequences to be drawn. The case for this view is straightforward as long as we are discussing a language different from our own. But it seems that the distinction between failure because of meaning and failure because of reality cannot be applied to our own language, simply because our own language is just what we use to represent reality. I argue that this impression is illusory. In order to draw a conclusion about reality, meaning must be connected with truth in a non-trivial way, and precisely this cannot be done in the language for which the meaning theory itself is correct. (shrink)

Theories of health and disease which oppose evaluative and descriptive claims or opt for one or the other in defining fundamental concepts err, it is argued, due to an oversimplified conception of both the science of medicine and the art of clinical judgment. The work of Georges Canguilhem on the biological dimensions of value and subjectivity is explored. I conclude that he avoids the falsehoods of (a) neutral, pure fact-based medical science, and (b) cultural, arbitrary notions of value.

In an effort to reduce risk and uncertainty, we hypothesize that investors avoid countries where high corruption exists. We investigate this issue by examining the relationship of levels of perceived corruption on Japanese Foreign Direct Investment (FDI) in both industrialized and emerging economies. The analysis presented utilizes a sample of 29,546 investments in 59 countries. Results suggest that in emerging nations, where comprehensive legal and regulatory frameworks do not exist to effectively curtail fraudulent activity, corruption serves to reduce FDI. Managers (...) need to consider the level of perceived corruption in their assessment of any market prior to potential investment. (shrink)

In this paper I defend two propositions. The first is that the concept of location is, initial impressions perhaps to the contrary, a formal concept and that it can be exhibited far beyond the obvious application of spatial location. The second is that there are two kinds of formal ontological analysis of phenomena with extended location, which I call concentration and dispersion. This opposition can be used to throw uniform light on several problems, including different analyses of change.