The patient in this case does not have enough small bowel to be compatible with life. Given this prognosis the decisions to establish a DNR status and discontinue TPN are both appropriate. However, by not attempting an earlier extubation or withdrawing the hydration as well as the TPN, the attending physician set the stage for the ensuing disaster.

When the delivery of a baby at the edge of viability is imminent, gestational age is usually the primary indi­cator for resuscitation. However, four other variables—female sex, antenatal corticosteroid therapy, singleton birth, and increased birth weight—are also associated with better infant survival and neurologic outcome in intensive care, and the combination of all five variables provides a stronger prognostic tool. An ethical framework is provided here for use in determining whether proposed treatments are likely to defend the dignity and sanctity (...) of a fragile periviable life. The framework is based on the principle of ordinary/propor­tionate and extraordinary/disproportionate medical treatment. The author recommends using the most recent outcome data and this ethical framework together to make perinatal resuscitation decisions. Use of gestational age alone is insufficient and ethically immoral. National Catholic Bioethics Quarterly 14.3 : 429–439. (shrink)

Rather than focusing on political and legal debates surrounding attempts to determine if and when genocidal rape has taken place in a particular setting, this essay turns instead to a crucial, yet neglected area of inquiry: the moral significance of genocidal rape, and more specifically, the nature of the harms that constitute the culpable wrongdoing that genocidal rape represents. In contrast to standard philosophical accounts, which tend to employ an individualistic framework, this essay offers a situated understanding of harm that (...) features the importance of interdependence and relationality and that conceptualizes harms as embodied and contextual. The paper ultimately reveals what is distinctive about this particular crime of sexual violence by exploring the logic of genocidal rape: genocidal rape involves the harm of forced self-betrayal unleashed relationally, causing victims as representatives of their group to participate inadvertently in the destruction of that group. (shrink)

An interdisciplinary reappraisal of Lynn White, Jr.’s “The Historical Roots of Our Ecologic Crisis” reopens several issues, including the suggestion by Peter Harrison that White’s thesis was historical and that it is a mistake to regard it as theological. It also facilitates a comparison between “Roots” and White’s earlier book Medieval Technology and Social Change. In “Roots,” White discarded or de-emphasized numerous qualifications and nuances present in his earlier work so as to heighten the effect of certain rhetorical aphorisms and (...) to generalize their scope and bearing well beyond what the evidence could bear. The meaning of Genesis and other biblical books proves to be just as important in White’s thesis as their historical reception. In “Roots,” White presents, alongside other contentions, the claims that Christian doctrines have all along been both anthropocentric and despotic, especially in the West, and that this is where the real roots of the problems are to be found. These claims, however, conflict with most of the relevant evidence. An adequate reappraisal of White’s work needs to recognize that there is a cultural determinism parallel to the technological determinisms alleged by R. H. Hilton and P. H. Sawyer, to endorse Elspeth Whitney’s “single-cause” critique of links between religion and technological change in the Middle Ages, and to treat sympathetically Whitney’s claim that White and some of his eco-theological critics (despite their disagreements) have in common both their valorizing of individual beliefs and values and their neglect of economic and institutional factors. Nevertheless, our ecological problems need to be understood through explanations turning on beliefs and values as well as on economics and institutions. (shrink)

Though broadly philosophical reflections on nature and our place within it can be tracked to antiquity, the development of the field of environmental ethics as a distinct sub-discipline within contemporary academic philosophy has a far shorter history. Its landmark moments include the 1968 publication of Lynn White Jr’s influential critique of Christianity’s environmental record “The Historical Roots of Our Ecologic Crisis,” J. Baird Callicott’s teaching of the world’s first course in environmental ethics in 1971 at the University of Wisconsin-Stevens Point, (...) the pathfinding papers “Is There a Need for a New, an Environmental, Ethic?” and “The Shallow and the Deep, Long-Range Ecology Movement: A Summary” by the.. (shrink)

What is a human person, and what is the relation between a person and his or her body? In her third book on the philosophy of mind, Lynne Rudder Baker investigates what she terms the person/body problem and offers a detailed account of the relation between human persons and their bodies. Baker's argument is based on the 'Constitution View' of persons and bodies, which aims to show what distinguishes persons from all other beings and to show how we can (...) be fully material beings without being identical to our bodies. The Constitution View yields answers to the questions 'What am I most fundamentally?', 'What is a person?', and 'What is the relation between human persons and their bodies'? Baker argues that the complex mental property of first-person perspective enables one to conceive of one's body and mental states as one's own. (shrink)

"This book is a comprehensive attack on several of the views that have been most influential in the philosophy of psychology during the last two decades. Professor Baker argues that mentalistic notions should not be eliminated, and need not be explained in terms of other notions, in cognitive science.' The book is interesting and shows an honest concern for clear argumentation. It deserves a wide readership." --Tyler Burge, University of California at Los Angeles"This book is a provocative and relentlessly argued (...) treatment of a deep and important topic: the fate of intentionality. Baker's arguments oblige those who wish to defend the current conception of cognitive science to rethink the discipline. She has put the ball squarely in the physicalists' court. ... Despite the technical character of the topic, the book is wonderfully readable."--John Heil, Visiting Fellow, University of California, BerkeleyThis stimulating book critically examines a wide range of physicalistic conceptions of mind in the works of Jerry A. Fodor, Stephen P. Stich, Paul M. Churchland, Daniel C. Dennett, and others. Part I argues that intentional concepts cannot be reduced to nonintentional (and nonsemantic) concepts; Part II argues that intentional concepts are nevertheless indispensable to our cognitive enterprises and thus need no foundation in physicalism.As a sustained challenge to the prevailing interpretation of cognitive science, this timely book fills a large gap in the philosophical literature. It is sure to spark controversy, yet its clarity makes it attractive as a text in upper-level undergraduate and graduate courses in philosophy of mind and cognitive science. Saving Belief should be read byphilosophers, psychologists, and others interested in the philosophy of language, philosophy of mind, and cognitive science. (shrink)

The very rules of our language games contain mechanisms of disregard. Philosophy of language tends to treat speakers as peers with equal discursive authority, but this is rare in real, lived speech situations. This paper explores the mechanisms of discursive inclusion and exclusion governing our speech practices, with a special focus on the role of gender attribution in undermining women’s authority as speakers. Taking seriously the metaphor of language games, we must ask who gets in the game and whose moves (...) can score. To do this, I develop an eclectic analysis of language games using basic inferential role theory and the concept of a semantic index, and develop the distinction between positional authority and expertise authority, which often conflict for members of oppressed groups. Introducing the concepts of master switches and sub-switches that attach to the index and change scorekeeping practices, I argue that women’s gender status conflicts with our status as authoritative speakers because sex marking in semantics functions as a master switch—“the F-switch”—on the semantic index, which, once thrown, changes the very game. An advantage of using inferentialism for understanding disregard of women’s discursive authority is that it locates the problem in the sanctioned moves, in the deontic structure of norms and practices of scorekeeping, and not primarily in the individual intentions of particular people. (shrink)

Michel Foucault was the first to embed the roots of human sexuality in discipline and biopolitics, therefore revolutionizing our conception of sex and its relationship to society, economics, and culture. Yet over the past two decades, scholars have limited themselves to the study of Foucault's _History of Sexuality_, volume 1 paying lesser attention to his equally explosive _History of Madness_. In this earlier volume, Foucault recasts Western rationalism as a project that both produces and represses sexual deviants, calling out the (...) complicity of modern science and the exclusionary nature of family morality. By reclaiming these deft moves, Lynne Huffer teases out exciting new strands of Foucauldian thought. She then revisits the theorist's ethical work in light of these discoveries, divining an ethics of eros that sees sexuality as a lived experience we are repeatedly called on to remember. Throughout her study, Huffer weaves her own experiences together with Foucault's, sampling from unpublished interviews and other archived materials in order to intimately rework the problem of sexuality as a product of reason. (shrink)

Human flourishing is the topic of an increasing number of books and articles in educational philosophy. Flourishing should be regarded as an ideal aim of education. If this is defended, the first step should be to elucidate what is meant by flourishing, and what exactly the concept entails. Listing formal criteria can facilitate reflection on the ideal of flourishing as an aim of education. We took Aristotelian eudaimonia as a prototype to construct two criteria for the concept of human flourishing: (...) human flourishing is regarded as intrinsically worthwhile and flourishing means ‘actualisation of human potential’. The second criterion has three sub-criteria: flourishing is about a whole life, it is a ‘dynamic state’ and flourishing presupposes there being objective goods. (shrink)

This paper is based on a literature review of articles discussing the teaching and learning of philosophy in primary and secondary schools. The purpose of this review was to address two research questions: What 'is 'philosophy? What does philosophy do? This paper addresses the first research question—What 'is' philosophy?—by gathering together the various understandings of the word ‘philosophy’ circulating in the literature. There are ten understandings of what philosophy 'is' that have arisen from the literature: philosophy as a foundational concept; (...) philosophy as thinking—a skill, a disposition, a practice; philosophy as method or process; philosophy as a tool or instrument; philosophy as a creative task; philosophy as inquiry; philosophy as search for truth; philosophy as non-dogmatic teaching and hence the emancipation of thought; philosophy as communal activity; philosophy as a way of life. These ten understandings have been consistent over time, from writing in the field in the 1970s through to the present day. Many commentators hold and work with multiple understandings of what philosophy 'is' in their writing. (shrink)

My aim is twofold: first, to root out the metaphysical assumptions that generate the problem of mental causation and to show that they preclude its solution; second, to dissolve the problem of mental causation by motivating rejection of one of the metaphysical assumptions that give rise to it. There are three features of this metaphysical background picture that are important for our purposes. The first concerns the nature of reality: all reality depends on physical reality, where physical reality consists of (...) a network of events.1 The second concerns the nature of causation, and the third concerns the conception of behavior. I try to vindicate a robust idea of mental causation. (shrink)

Science and its philosophical companion, Naturalism, represent reality in wholly nonpersonal terms. How, if at all, can a nonpersonal scheme accommodate the first-person perspective that we all enjoy? In this volume, Lynne Rudder Baker explores that question by considering both reductive and eliminative approaches to the first-person perspective. After finding both approaches wanting, she mounts an original constructive argument to show that a non-Cartesian first-person perspective belongs in the basic inventory of what exists. That is, the world that contains (...) us persons is irreducibly personal.After arguing for the irreducibilty and ineliminability of the first-person perspective, Baker develops a theory of this perspective. The first-person perspective has two stages, rudimentary and robust. Human infants and nonhuman animals with consciousness and intentionality have rudimentary first-person perspectives. In learning a language, a person acquires a robust first-person perspective: the capacity to conceive of oneself as oneself, in the first person. By developing an account of personal identity, Baker argues that her theory is coherent, and she shows various ways in which first-person perspectives contribute to reality. (shrink)

Metaphor is commonly taken to be an elliptical simile. This article offers a rational reconstruction of two types of simile theories of metaphor: reductive and non-reductive. Careful analysis shows the differences between these theories, but in the end, neither does the explanatory work it sets out to do. In assimilating metaphor to simile and simile to literal comparison, the reductive simile theory obscures what is most important to an account of metaphor: an account of what it is to interpret a (...) bit of discourse metaphorically. The reductive simile theory fails because the reduction to literal comparison fails. The non-reductive simile theory faces most of the same problems that undermine the simile theory, particularly problems generating a corresponding simile when the metaphor contains quantificational terms and other linguistic complexities. Analysis of the non-reductive simile theory highlights the troublesome assumption (inherent in all simile theories) that metaphor and simile play the same linguistic role: making or prompting us to make comparisons. In both guises, the simile theory mistakes the task of explaining what a metaphor means with how metaphor (in general) has meaning; it confuses explanation with explication. In diagnosing and arguing against the simile theory, this article sets out a framework for understanding the difference between literal and metaphorical interpretation. (shrink)

Self-consciousness, many philosophers agree, is essential to being a person. There is not so much agreement, however, about how to understand what self-consciousness is. Philosophers in the field of cognitive science tend to write off self-consciousness as unproblematic. According to such philosophers, the real difficulty for the cognitive scientist is phenomenal consciousness--the fact that we have states that feel a certain way. If we had a grip on phenomenal consciousness, they think, self-consciousness could be easily handled by functionalist models. For (...) example, recently Ned Block commented. (shrink)

relation between, say, a lump of clay and a statue that it makes up, or between a red and white piece of metal and a stop sign, or between a person and her body? Assuming that there is a single relation between members of each of these pairs, is the relation “strict” identity, “contingent” identity or something else?1 Although this question has generated substantial controversy recently,2 I believe that there is philo- sophical gain to be had from thinking through the (...) issues from scratch. Many of the charges and countercharges are based on the following dichotomy: For any x and y that are related as the lump of clay is to the statue that it makes up, either x is identical to y, or x and y are separate entities, independent of each other. By giving up this dichotomy, we will be able to begin to make sense, I hope, of an intermediate unity relation that holds promise for solving a raft of philosophical problems, including the problem of how persons are related to their bodies.3 And if I am correct, then this relation—constitution without identity—is ubiquitous and interesting in its own right, apart from the light that it sheds on human persons. (shrink)

In a recent paper Asher and Pustejovsky propose a type theoretical approach to account for cases of copredication which had motivated Pustejovsky to introduce dot types in the Generative Lexicon. In this paper I will propose an alternative treatment to that given by Asher and Pustejovsky using type theory with records. I will suggest that using record types not only gives us a simple and intuitive account of dot types but also makes an important connection between copredication and the use (...) of hypothetical contexts in dynamic generalized quantifiers I have proposed in earlier work. More generally it allows us to preserve the intuitive feature structure based accounts of lexical analysis proposed in Pustejovsky’s original work on the Generative Lexicon while at the same time introducing functions and binding in the way that is necessary for giving formal accounts of compositional semantics. (shrink)

Education in the responsible conduct of research (RCR) in the United States has evolved over the past decade from targeting trainees to including educational efforts aimed at faculty and staff. In addition RCR education has become more focused as federal agencies have moved to recommend specific content and to mandate education in certain areas. RCR education has therefore become a research-compliance issue necessitating the development of policies and the commitment of resources to develop or expand systems for educating faculty and (...) staff and for assuring compliance. These changes implied the need to develop a program evaluation model that could be applied to institutional RCR education programs, which were expected to differ from traditional academic credit-bearing courses targeting trainees. Information gleaned from the examination of corporate compliance models was analyzed in order to create a program evaluation module that could be used to document and assess educational programs focused on teaching RCR. A programmed series of questions for each of the nine RCR content areas identified by the United States Office of Research Integrity was created based on a performance-monitoring evaluation model. The questions focus on educational goals, resources provided to support the educational efforts, educational content, content delivery, educational outcomes, compliance requirements and feedback. Answers collected in response to the questions could be used to both document and continually improve the quality of RCR educational programs through on-going formative assessment and feedback. (shrink)

Toxic speech inflicts individual and group harm, damaging the social fabric upon which we all depend. To understand and combat the harms of toxic speech, philosophers can learn from epidemiology, while epidemiologists can benefit from lessons of philosophy of language. In medicine and public health, research into remedies for toxins pushes in two directions: individual protections (personal actions, avoidances, preventive or reparative tonics) and collective action (specific policies or widespread “inoculations” through which we seek herd immunity). This paper is the (...) beginning of a project of identifying potential inoculations and antidotes to toxic speech. The essay brings a social practice theory of language, with special reliance on language‐games and inferential roles, into conversation with concepts from the study of biologic toxins. Some speech harms are acute while others are chronic and insidious; they have different methods of delivery, come in variable doses, and not everyone is equally susceptible to the power to harm. I argue that of the many kinds of challenges we might issue against toxic speech, challenging its expressive commitments has the greatest potential to stop the damage. The essay explores the different sorts of protections that inoculations and antidotes might offer against discursive toxins and sketches how to imagine these in the practices that govern our speech. The paper does not make policy recommendations, but an epidemiology of discursive toxicity reveals several kinds of “more speech” that might fight against “bad speech.”. (shrink)

In this article I consider the impact of euthanasia/physician-assisted suicide on the way we live and the relationships we have. I argue that embracing the practice of assisted dying is a deficient form of care that will erode the respectful and responsible human bonds that hold us all well in community.

Speech is a major vehicle for enacting and enforcing misogyny, so can counter-speech stop the harms of misogynist speech? This paper starts with a discussion of the nature of misogyny, from Dworkin, MacKinnon, and Frye, up to K. Manne’s new work, here emphasizing the ways that women are attacked or undermined through speech and images. Misogyny becomes toxic when it sharply and steadily limits the life prospects, including daily functioning, of the women it targets. To address the questions of counter-speech, (...) one first needs a robust account of language—it’s power, how it functions, whether it can actually be gainsaid. Once the speech act is issued, can its damage be un-done, or substantially mitigated? To answer this, one must understand the kinds of harms that language achieves, and the kinds of counter-speech available. That is, one needs an understanding of how the speech of misogyny functions, rooted in a theory of how language works. This article offers a brief account of language as a complex set of social practices, which includes the speech of law, and an account of the power and limits of counter-speech. I argue that it is unhelpful to think in terms of free speech vs. censorship. Speech is not completely free, and censorship is a blunt tool. Instead, we should look at the ways that discursive harms are enacted and what kinds of normative changes could minimize the frequency of assault, and which changes might minimize the power of misogyny. (shrink)

The likeness of sound between rhyming words is arbitrary, but words have meanings. Thus rhyme schemes carry an implicit meaning over against the explicit meaning of the lines in which they occur. The use of "death" and "breath" and other rhymes in Swinburne illustrates this duality, especially in his great sonnet addressed to Death. This prompts a discussion of the role of meter and rhyme in the physiology of dreams and memory, the human propensity to make rules, translations of Dante, (...) the comic rhymes of Noel Coward, and the real meaning of Seinfeld. (shrink)

Beginning with Aristotle, philosophers have taken artifacts to be ontologically deficient. This paper proposes a theory of artifacts, according to which artifacts are ontologically on a par with other material objects. I formulate a nonreductive theory that regards artifacts as constituted by - but not identical to - aggregates of particles. After setting out the theory, I rebut a number of arguments that disparage the ontological status of artifacts.

Apology is a necessary component of moral repair of damage done by wrongs against the person. Analyzing the role of apology in the aftermath of atrocity, with a focus on the genocide of the Tutsi in Rwanda, 1994, this article emphasizes the role of recognition failures in grave moral wrongs, the importance of speech acts that offer recognition, and building mutuality through recognition as a route to reconciliation. Understanding the US role in the international failure to stop the ’94 genocide (...) raises the question of how any response could mitigate a world-shattering wrong like genocide. With a focus on survivors, this article explains the concepts of recognition harm and spirit murder to illuminate what survivors experience and need. The third section develops a theory of apology as offering recognition to the victim of wrongdoing —through both the act of speaking-to and through its content. The article examines US President Bill Clinton’s 1998 apology to Rwandans, to understand it as an apology, and to see how it began reconciliation between Americans and Rwandans. The paper concludes with a brief discussion of the inter-related significance of apology and material reparations. (shrink)

A translation of Plato's dialogue on the nature of pleasure and its relation to thought and knowledge. It includes a cogent introduction, notes, and comprehensive bibliography.

The first-person perspective is a challenge to naturalism. Naturalistic theories are relentlessly third-personal. The first-person perspective is, well, first-personal; it is the perspective from which one thinks of oneself as oneself* without the aid of any third-person name, description, demonstrative or other referential device. The exercise of the capacity to think of oneself in this first-personal way is the necessary condition of all our self-knowledge, indeed of all our self-consciousness. As important as the first-person perspective is, many philosophers have not (...) appreciated the force of the data from the first-person perspective, and suppose that the first-person perspective presents no particular problems for the naturalizing philosopher. For example, Ned Block commented, “It is of course [phenomenal] consciousness rather than...self-consciousness that has seemed such a scientific mystery.” And David Chalmers says that self-consciousness is one of those psychological states that “pose no deep metaphysical enigmas.”. (shrink)

This article shows how attention to extended metaphors provides the basis for a substantive account of what it is to understand a metaphor. Offering an analysis of extended metaphors modeled on an analysis of co-referential anaphoric chains, this article presents an account of how contexts makes metaphors. The analysis introduces the concept of expressive commitment, commitment to the viability and value of particular modes of discourse. Unlike literal interpretation, metaphorical interpretation puts the expressive commitment in the forefront of the interpretive (...) process. The analogy between extended metaphors and anaphora provides a structure for describing what it is to interpret expressions metaphorically. It generates an account that explains the affinities and differences between extension and explication, and hence of the age-old problem of paraphrase. Further, the account allows for the open-endedness of metaphor without succumbing to the view that metaphor is non-cognitive. Finally, the account developed here underscores the role of expressive commitment in metaphorical interpretation. (shrink)

. The extended‐mind thesis is the claim that mentality need not be situated just in the brain, or even within the boundaries of the skin. Some versions take “extended selves” be to relatively transitory couplings of biological organisms and external resources. First, I show how EM can be seen as an extension of traditional views of mind. Then, after voicing a couple of qualms about EM, I reject EM in favor of a more modest hypothesis that recognizes enduring subjects of (...) experience and agents with integrated bodies. Nonetheless, my modest hypothesis allows subpersonal states to have nonbiological parts that play essential roles in cognitive processing. I present empirical warrant for this modest hypothesis and show how it leaves room for science and religion to coexist. (shrink)

Pain assessment in fish is particularly challenging due toBioscience Building, Liverpool, L69 7ZB their evolutionary distance from humans, their lack of audible vocalization, and apparently expressionless demeanour. However, there are criteria that can be used to gauge whether pain perception occurs using carefully executed scientific approaches. Here, the standards for pain in fish are discussed and can be considered in three ways: neural detection and processing of pain; adverse responses to pain; and consciously experiencing pain. Many procedures that we subject (...) fish to cause tissue damage and may give rise to the sensation of pain. Fish are popular as pets, in animal exhibits, and as experimental models, but are also cultured or caught for food. There is little legislation for the protection of fish welfare. Many countries are now exploring the welfare cost to fish, and current practices may need to be reviewed with respect to the current evidence for fish perceiving pain. (shrink)

The capacity for telling stories is necessary for being moral agents. The minimal necessary features for moral agency involve the capacities necessary for articulation, and articulation is a key part of what we learn and practice through telling stories. Developing the interdependence between agency and articulation, this article offers an account of both categorical moral agency and a degree-of-sophistication account of agency. Central to these are three factors: a moral agent has (1) the capacity to represent, (2) a sense of (...) self (including a sense of self in relation to others), and (3) the normative capacity to make judgments marked by authority. Featuring an analysis of Toni Morrison’s “The Bluest Eye,” the article argues that Morrison portrays a moral sensibility emerging in the telling of the story, even in the absence of moral judgments within the text. Understanding the value of stories, fictional or factual, requires less attention to the moral value of the actions depicted within the story and more attention to the perspective and point of view developed in the narrative voice. Of most significance is the articulative process of the artist, the storyteller, the novelist, modeled for the reader, who must engage with that developing perspective. (shrink)

This article explores the cognitive and epistemic dimensions of a harm-centered theory of evil, as set out in Card’s The Atrocity Paradigm: A Theory of Evil. Examining testimony of both survivors and perpetrators of the 1994 Rwandan genocide helps to support, clarify, and extend Card’s view. Of particular concern are questions of recognizing evil as such, whether the demand to avoid evil sets too high a standard of control over oneself and one’s circumstances, and how to understand agency within evil (...) contexts. This article introduces the concept of ‘recognition harm’, which is an epistemic harm presupposed by and often constitutive of the kinds of intolerable harms that constitute evil, arguing that it is consistent with Card’s account. Finally, the article addresses to the application of the atrocity paradigm to chronic, enduring, systemic harms like sexism. (shrink)