This anthology of essays presents a sample of studies from recent philosophy of medicine addressing issues which attempt to answer very general (interdependent) questions: (a) what is a disease and what is health? (b) How do we (causally) explain diseases? (c) And how do we distinguish diseases, id est define classes of diseases and recognize that an instance X of disease belongs to a given class B? (d) How do we assess and choose cure/ therapy? The book is divided into (...) three sections: classification, disease, and evidence. In general, attention is focused on statistics in medicine and epidemiology, issues in psychiatry, and connecting medicine with evolutionary biology and genetics. Many authors position the theories that they address within their historical contexts. The nature of health and disease will be addressed in several essays that also touch upon very general questions about the definition of medicine and its status. Several chapters scrutinize classification because of its centrality within philosophical problems raised by medicine and its core position in the philosophical questioning of psychiatry. Specificities of medical explanation have recently come under a new light, particularly because of the rise of statistical methods, and several chapters investigate these methods in specific contexts such as epidemiology or meta-analysis of random testing. Taken together this collection addresses the question of how we gather, use and assess evidence for various medical theories. The rich assortment of disciplines featured also includes epidemiology, parasitology, and public health, while technical aspects such as the application of game theory to medical research and the misuse of the DSM in forensic psychiatry are also given an airing. The book addresses more than the construction of medical knowledge, however, adding cogent appraisal of the processes of decision making in medicine and the protocols used to justify therapeutic choices. (shrink)

In vitro fertilisation (IVF) daily practice reveals that couples are willing to take greater risks than doctors if there is a higher chance of pregnancy. Arising from this is a frequently addressed issue regarding the embryo transfer strategy: single or double embryo transfer? The dilemma is faced by patients, as well as physicians, who are caught between the possibility of no pregnancies at all and facing the prospect of iatrogenic twin gestation. How could the couple's preferences concerning how many children (...) they would like be taken into account in determining the number of embryos transferred? How should the physician exercise his medical responsibility towards his patients and the unborn child? An effective approach could be to enhance a couple’s autonomy by advocating a medical beneficence that incorporates patients’ values. This can be achieved through a case-by-case approach in a deliberative process of decision-making which includes real patient-centred communication. (shrink)

This collection of papers in epistemic logic is oriented towards applications to game theory and individual decision theory. Most of these papers were presented at the inaugural conference of the LOFT (Logic for the Theory and Games and Decisions) conference series, which took place in 1994 in Marseille. Among the notions dealt with are those of common knowledge and common belief, infinite hierarchies of beliefs and belief spaces, logical omniscience, positive and negative introspection, backward induction and rationalizable equilibria in game (...) theory. (shrink)

La pensée du jurisconsulte anglais Jeremy Bentham (1748-1832) se prête particulièrement bien à une approche interdisciplinaire telle que celle qui est menée dans le présent ouvrage. Si Bentham, en effet, a consacré l'essentiel de ses travaux à des projets de réforme de la société anglaise de son temps par le biais de la codification des lois, il n'a cessé d'enrichir cette réflexion par des emprunts faits à d'autres disciplines, dans lesquelles il était également passé maître, telles la morale, la psychologie, (...) la logique, la théorie du langage, l'économie ou la politique. Cette pensée, à la fois plurielle et ambiguë (est-elle conservatrice, réformiste, révolutionnaire ou utopique? est-elle descriptive, explicative ou normative?), révèle aujourd'hui son étonnante actualité. Il est peu de thèmes juridiques contemporains qui ne trouvent en effet leur place dans l'œuvre de Bentham : ainsi les questions de l'utilité, de la balance des intérêts, de la constitution d'une science du droit et d'une logique déontique; ainsi les concepts de système juridique, de codification, de déontologie, de contrôle social, d'opinion publique et de majorité politique. L'intérêt de cette " relecture " de la pensée de Bentham réside dès lors sans doute moins dans l'exégèse de ses multiples détours que dans la mise en lumière de ses ambiguïtés et de ses limites qui, pour une large part, sont aussi les nôtres. Parmi celles-ci, l'oscillation constante, déjà inscrite dans les textes benthamiens, entre deux figures de l'État moderne (État libéral et État-providence), n'est sans doute pas la moins actuelle. (shrink)

Constantineau tente donc de reconstruire la «politique étrangère» de Thucydide, Xénophon, Isocrate, Platon et Aristote. Il nous informe dans son introduction que l’unité des chapitres n’apparaîtra qu’à la conclusion où il proposera alors une «reconstruction générale» de la doctrine classique de la politique étrangère. Les différentes doctrines confondues en une seule apparaîtront, pense-t-il, comme une contribution à une doctrine unifiée et cohérente d’une politique étrangère internationale. Cette mise en garde est utile, car les chapitres sont disparates. Par ailleurs, la classification (...) des régimes politiques, qui constitue un axe majeur du projet, est à peine développée. L’auteur, qui présente son entreprise initialement comme une monographie sur la doctrine de la politique étrangère de Platon, consacre à Thucydide la moitié de son ouvrage et seulement un dixième à Platon. En outre, la majorité de ses affirmations relatives à Platon ont peu de rapport avec une «politique étrangère» à proprement parler. Cependant, cette critique ne remet pas en question la valeur de l’ouvrage. Constantineau offre de subtiles remarques concernant ces cinq théoriciens et sa conclusion spéculative est intéressante autant que brillante. (shrink)

Pline dit avoir vu Lucius Cossitius, de femme, changé en homme le jour de ses noces Pour Christophe Soulard En dénonçant l’inadéquation de leur genre à leur sexe, les trans- sexuels demandent non pas à changer de genre, ce qui paradoxalement leur paraît impossible, mais à changer de sexe. Afin de saisir un peu mieux de quoi il est question, voici le cas de Gérard, exposé dans les années soixante-dix, par le psychiatre Arthur Tatossian (1929-1995) : Gérard, 25 ans, peu (...) après une intervention c... (shrink)

Al netto di alcune eccezioni, non si può certo affermare che la concezione kantiana dell’organismo abbia rappresentato un modello frequente per le spiegazioni del funzionamento dell’organismo nella filosofia della biologia del ventesimo e del ventunesimo secolo. Tuttavia, il filosofo francese della biologia Philippe Huneman fa riferimento a questo tipo di concezione in alcune opere dedicate alla filosofia dell'organismo. Prendendo in analisi alcuni passaggi degli scritti del filosofo Gérard Lebrun, che fu il supervisore della tesi dottorale di Huneman, questo articolo (...) si propone di indagare le possibili influenze che la lettura di Kant proposta da Lebrun potrebbe aver avuto sulla biologia francese contemporanea, in particolare su Huneman. Kant; Lebrun; filosofia; biologia; organismo. (shrink)

Using photographs and testimonials, we will analyze details of the “miracle of the spinning sun” on October 13, 1917, at solar noon near Fatima. The phenomenon predicted ahead of time, occurred as the clouds cleared on what began as a rainy day. Various explanations have been presented but do not stand up to a comparative analysis of eyewitnesses, weather data, and photographs. This article aims to bring clarity to this event through the analysis of certified photographs and testimonies comparing them (...) to official meteorological and astronomical data. Our study confirms key points of the testimonials while focusing on objective data. The shadows and reflections reveal two soft light sources emerging from a rather dark background: one seen as a “pale sun”, and another overhead, fuzzy and as softly bright. The latter, likely being caused by a clear cloud, blurred the shadows of the weak “sun”. Strangely, the portions of clothing exposed to this “sun” dried quickly. This warm source, uncannily moonlike, was also able to cast distinct shadows on sloping surfaces and under objects. Eventually, these shadows will help us to estimate the height of the “sun” at ~30°, lower than the expected 42°. Therefore, the directly observed source could not have been the sun, and most probably not any physiological, psychological, or meteorological effect. (shrink)

Dans cet ouvrage, nous nous proposons de parcourir le Tractatus Theologico-Politicus de Spinoza afin de donner au lecteur philosophe tous les éléments susceptibles de l'aider à saisir la place des citations bibliques dans cette œuvre, ainsi que ses conséquences sur la pensée philosophique de l'auteur. D'autre part nous voulons montrer au lecteur hébraïsant l'utilisation que Spinoza a faite des sources bibliques au sens large, mais traditionnel. Nous utiliserons également la grammaire de l'Hébreu que Spinoza a laissé inachevée : Compendium Grammatices (...) Linguoe Hebroeoe, Abrégé de Grammaire Hébraïque, publié dans les Opera Posthuma, 1671. Nous tenterons une approche de son œuvre en dehors des luttes et des passions que son seul nom inspire, lui qui sa vie durant s'écartera par tous les moyens des combats de son époque afin de pouvoir accéder à la connaissance vraie qui seule apporte le bonheur. (shrink)

I challenge the usual approach of defining emergence in terms of properties of wholes “emerging” upon properties of parts. This approach indeed fails to meet the requirement of nontriviality, since it renders a bunch of ordinary properties emergent; however, by defining emergence as the incompressibility of a simulation process, we have an objective meaning of emergence because the difference between the processes satisfying the incompressibility criterion and the other processes does not depend on our cognitive abilities. Finally, this definition fulfills (...) the nontriviality and the scientific‐adequacy requirements better than the combinatorial approach, emergence here being a predicate of processes rather than of properties. †To contact the author, please write to: Institut d'Histoire et de Philosophie des Sciences et des Techniques (CNRS/Université Paris I Sorbonne), 13 rue du Four 75006, Paris; e‐mail: [email protected]. (shrink)

We propose two alternatives to Xu’s axiomatization of Chellas’s STIT. The first one simplifies its presentation, and also provides an alternative axiomatization of the deliberative STIT. The second one starts from the idea that the historic necessity operator can be defined as an abbreviation of operators of agency, and can thus be eliminated from the logic of Chellas’s STIT. The second axiomatization also allows us to establish that the problem of deciding the satisfiability of a STIT formula without temporal operators (...) is NP-complete in the single-agent case, and is NEXPTIME-complete in the multiagent case, both for the deliberative and Chellas’s STIT. (shrink)

The West African Ebola epidemic has set in motion a collective endeavour to conduct accelerated clinical trials, testing unproven but potentially lifesaving interventions in the course of a major public health crisis. This unprecedented effort was supported by the recommendations of an ad hoc ethics panel convened in August 2014 by the WHO. By considering why and on what conditions the exceptional circumstances of the Ebola epidemic justified the use of unproven interventions, the panel's recommendations have challenged conventional thinking about (...) therapeutic development and clinical research ethics. At the same time, unanswered ethical questions have emerged, in particular: the specification of exceptional circumstances, the specification of unproven interventions, the goals of interventional research in terms of individual versus collective interests, the place of adaptive trial designs and the exact meaning of compassionate use with unapproved interventions. Examination of these questions, in parallel with empirical data from research sites, will help build pragmatic foundations for disaster research ethics. Furthermore, the Ebola clinical trials signal an evolution in the current paradigms of therapeutic research, beyond the case of epidemic emergencies. (shrink)

Actions receive teleological descriptions and reason explanations. In some circumstances, these descriptions and explanations might appeal not just to the agent’s own purposes and reasons, but also to the purposes and reasons of others in her social surroundings. Some actions have a social teleology. I illustrate this phenomenon and I propose a concept of vicarious action to account for it. An agent acts vicariously when she acts in response to the demand of another agent who knew that her demand was (...) likely to succeed. I argue that vicariousness grounds the social teleology of the resulting actions. (shrink)

Public announcement logic is an extension of multiagent epistemic logic with dynamic operators to model the informational consequences of announcements to the entire group of agents. We propose an extension of public announcement logic with a dynamic modal operator that expresses what is true after any announcement: after which , does it hold that Kφ? We give various semantic results and show completeness for a Hilbert-style axiomatization of this logic. There is a natural generalization to a logic for arbitrary events.

As part of a recent attempt to extend the methods of formal semantics beyond language, it has been claimed that music has an abstract truth-conditional semantics, albeit one that has more in common with iconic semantics than with standard compositional semantics. After summarizing this approach and addressing a common objection, we argue that music semantics should be enriched in three directions by incorporating insights of other areas of Super Semantics. First, it has been claimed by Abusch 2013 that visual narratives (...) make use of discourse referents akin to those we find in language. We argue that a similar conclusion extends to music, and we highlight it by investigating ways in which orchestration and dance may make cross-referential dependencies more explicit. Second, we show that by bringing music semantics closer to the semantics of visual narratives, we can give an account of the semantics of mixed visual and musical sequences. Third, it has been claimed that co-speech gestures trigger characteristic conditionalized presuppositions, called ‘cosuppositions’, and that their semantic status derives from their parasitic character relative to words. We argue that the same conclusion extends to some instances of film and cartoon music: it may trigger cosuppositions that can be revealed by embedding film excerpts or gifs in sentences so as to test presupposition projection. We further argue that under special discourse conditions, pro-speech gestures and pro-speech music alike can trigger cosuppositions as well. These results suggest that new insights can be gained not just by extending the methods of semantics to new objects, but also by drawing new connections among them. (shrink)

Scientific breakthroughs rarely yield the potential to engage a foundational ethical question. Recent studies on direct reprogramming of human skin cells reported by the Yamanaka lab in Japan and the Thomson lab in Wisconsin suggest that scientists may have crossed both a scientific and an ethical threshold. The fascinating science of direct nuclear reprogramming highlights empirical data that may clarify the ontological status of cellular activity in the early stages of what could become a human fetus and justify ethical options (...) for research in this controversial field. The ontological and ethical implications that accrue here are connected with the biological or natural potentiality of these cells. (shrink)

We develop a formal semantic analysis of the alarm calls used by Campbell’s monkeys in the Tai forest and on Tiwai island —two sites that differ in the main predators that the monkeys are exposed to. Building on data discussed in Ouattara et al. :e7808, 2009a; PNAS 106: 22026–22031, 2009b and Arnold et al., we argue that on both sites alarm calls include the roots krak and hok, which can optionally be affixed with -oo, a kind of attenuating suffix; in (...) addition, sentences can start with boom boom, which indicates that the context is not one of predation. In line with Arnold et al., we show that the meaning of the roots is not quite the same in Tai and on Tiwai: krak often functions as a leopard alarm call in Tai, but as a general alarm call on Tiwai. We develop models based on a compositional semantics in which concatenation is interpreted as conjunction, roots have lexical meanings, -oo is an attenuating suffix, and an all-purpose alarm parameter is raised with each individual call. The first model accounts for the difference between Tai and Tiwai by way of different lexical entries for krak. The second model gives the same underspecified entry to krak in both locations, but it makes use of a competition mechanism akin to scalar implicatures. In Tai, strengthening yields a meaning equivalent to non-aerial dangerous predator and turns out to single out leopards. On Tiwai, strengthening yields a nearly contradictory meaning due to the absence of ground predators, and only the unstrengthened meaning is used. (shrink)

The problem of unification in a normal modal logic $L$ can be defined as follows: given a formula $\varphi$, determine whether there exists a substitution $\sigma$ such that $\sigma $ is in $L$. In this paper, we prove that for several non-symmetric non-transitive modal logics, there exists unifiable formulas that possess no minimal complete set of unifiers.

Note introductive au numéro thématique de ERRS 2020 11 1.