Shoot From The Hip - Professional Intuition In Decision-Making -/- Why do eighty percent of decision-makers say that they use intuition often or very often in their decision-making? What is intuition? How does it function? How can we achieve becoming more intuitive? How can we apply it in understanding the world and making more ethical decisions?

Appeals to intuitions as evidence in philosophy are challenged by experimental philosophers and other critics. A common response to experimental philosophical criticisms is to hold that only professional philosophers? intuitions count as evidence in philosophy. This ?expert intuitions defence? is inadequate for two reasons. First, recent studies indicate significant variability in professional philosophers? intuitions. Second, the academic literature on professional intuitions gives us reasons to doubt that professional philosophers develop truth-apt intuitions. The onus falls on those (...) who mount the expert intuitions defence to meet these objections because it is implicitly being claimed that training and practice caused professional philosophers to acquire reliably accurate intuitions and we are owed an account of how this transformation takes place. A possible response to this situation is to attempt to reform philosophical practice to improve the quality of intuitions. Another possible response, advocated here, is to avoid appeals to intuitions as evidence. (shrink)

Experimental philosophers have empirically challenged the connection between intuition and philosophical expertise. This paper reviews these challenges alongside other research findings in cognitive science on expert performance and argues for three claims. First, evidence taken to challenge philosophical expertise may also be explained by the well-researched failures and limitations of genuine expertise. Second, studying the failures and limitations of experts across many fields provides a promising research program upon which to base a new model of philosophical expertise. Third, a (...) model of philosophical expertise based on the limitations of genuine experts may suggest a series of constraints on the reliability of professional philosophical intuition. Even when the experts all agree, they may well be mistaken. — Bertrand Russell, On the Value of Scepticism. (shrink)

Little is known about the aetiology of philosophical intuitions, in spite of their central role in analytic philosophy. This paper provides a psychological account of the intuitions that underlie philosophical practice, with a focus on intuitions that underlie the method of cases. I argue that many philosophical intuitions originate from spontaneous, early-developing, cognitive processes that also play a role in other cognitive domains. Additionally, they have a skilled, practiced, component. Philosophers are expert elicitors of intuitions in the dialectical context of (...) professional philosophy. If this analysis is correct, this should lead to a reassessment of experimental philosophical studies of expertise. (shrink)

The relationship between intuition and ethical decision-making has been researched extensively during the past two decades. This study aimed at exploring empirically observable associations between intuition and the moral intensity of ethical decision-making processes. A scenario-based quantitative approach was used to collect data from 157 practising professional spirit mediums. It was found that only collective universal intuition had a significant positive association with the moral intensity of ethical decision-making processes. Personal experience intuition and collective archetype (...) intuition were not significantly associated with moral intensity. This may explain why previous studies were unable to gauge the effects of intuition on ethical decision-making. The results suggest that a pure mind can improve one’s ability to make decisions. Thus, decision-makers would benefit by being more attuned to their sense of morality. (shrink)

The evidential value of moral intuitions has been challenged by psychological work showing that the intuitions of ordinary people are affected by distorting factors. One reply to this challenge, the expertise defence, claims that training in philosophical thinking confers enhanced reliability on the intuitions of professional philosophers. This defence is often expressed through analogy: since we do not allow doubts about folk judgments in domains like mathematics or physics to undermine the plausibility of judgments by experts in these domains, (...) we also should not do so in philosophy. In this paper I clarify the logic of the analogy strategy, and defend it against recent challenges by Jesper Ryberg. The discussion exposes an interesting divide: while Ryberg’s challenges may weaken analogies between morality and domains like mathematics, they do not affect analogies to other domains, such as physics. I conclude that the expertise defence can be supported by analogical means, though care is required in selecting an appropriate analog. I discuss implications of this conclusion for the expertise defence debate and for study of the moral domain itself. (shrink)

According to Joshua Alexander, philosophers use intuitions routinely as a form of evidence to test philosophical theories but experimental philosophy demonstrates that these intuitions are unreliable and unrepresentative.1 According to Herman Cappelen, philosophers never use intuitions as evidence (despite the vacuous sentential leader ‘intuitively’) and experimental philosophy lacks a rationale for its much-touted existence.2 That two books are diametrically opposed on methodology in philosophy is not noteworthy. But eyebrows might be raised at such contradictory accounts of the phenomenology of philosophical (...) inquiry. What is it that (analytic) philosophers do? Why is it so difficult to achieve consensus on the professional activities in which we engage? (shrink)

The scientific knowledge needed to engage with policy issues like climate change, vaccination, and stem cell research often conflicts with our intuitive theories of the world. How resilient are our intuitive theories in the face of contradictory scientific knowledge? Here, we present evidence that intuitive theories in 10 domains of knowledge—astronomy, evolution, fractions, genetics, germs, matter, mechanics, physiology, thermodynamics, and waves—persist more than four decades beyond the acquisition of a mutually exclusive scientific theory. Participants were asked to verify two types (...) of scientific statements as quickly as possible: those that are consistent with intuition and those that involve the same conceptual relations but are inconsistent with intuition. Older adults were as accurate as younger adults at verifying both types of statements, but the lag in response times between intuition-consistent and intuition-inconsistent statements was significantly larger for older adults than for younger adults. This lag persisted even among professional scientists. Overall, these results suggest that the scientific literacy needed to engage with topics of global importance may be constrained by patterns of reasoning that emerge in childhood but persist long thereafter. (shrink)

This book is about the respective roles of intuition and reasoning in ethics. It responds to a number of well-known philosophers and psychologists, and proposes a new perspective – radical in its moderation. It examines in depth the work of the philosopher Joshua Greene and the psychologist Jonathan Haidt. With the so-called empirical turn in ethics, much work has been done to try to isolate the role of reason and intuition in forming our moral judgements, with Haidt and (...) Greene leading the research programmes and attracting much of the professional and public attention, and many others following. The current view – shared by both camps – is that intuition is largely the driver of our moral judgements – a view summed up in Haidt’s slogan ‘intuition first, strategic reasoning second’. Haidt believes we have to live with this and accept it. Greene does not: he contends that our intuitions, while suitable for the environments in which we evolved, are worthless in the modern, global, technological age, and to avoid ethical disaster we must learn to adopt reason as the arbiter of moral truth. This book steers a middle course between these two positions and is therefore of great interest to philosophers and psychologists alike. (shrink)

The Helping Professional's Guide to Ethics, Second Edition develops a comprehensive framework for ethics based on Bernard Gert's theory of common morality. Moving beyond codes of ethics, Bryan, Sanders, and Kaplan encourage students to develop a cohesive sense of ethical reasoning that both validates their moral intuition and challenges moral assumptions. Part I of the text introduces basic moral theory, provides an overview to moral development, and introduces the common morality framework. Part II focuses on common ethical issues (...) faced by helping professionals such as: confidentiality, competency, paternalism, informed consent, and dual relationships. Each chapter provides an overview of each concept and their ethical relevance for practice. Throughout the text, students put their critical thinking skills into practice to promote deep learning. Real-life cases bridge the gap between theory and practice, and discussion questions reinforce the concepts introduced in each chapter--from Publisher's Website. (shrink)

This text was conceived as an attempt to describe the organizational field of veterinary medicine of companion animals in Russia and its impact on the processes of formation of the profession of veterinarians of companion animals as a separate professional group. Having emerged in the early 1990s in Russia as a separate branch of veterinary medicine, veterinary medicine of companion aimals has gone from intuitive practices of treating dogs and cats to a complex organizational field with many actors. Despite (...) such rapid development, this area, unlike agricultural veterinary medicine, still considerably lacks strong institutional regulation. The profession of a veterinarian of companion animals does not live in the conventional continental model of professionalization for our region but it is market-oriented and develops through the veterinarians' own efforts while they do not exist outside veterinary clinics - their own organizational field. The article offers a description of this organizational field and analyzes the influence of its structure on the processes of professionalization of veterinarians of companion animals. (shrink)

If you are looking for an accessible introduction to the essential concepts that define the field of professional ethics, then this is the book for you. Richard Hugman's A-Z of Professional Ethics offers a winning combination of breadth and concision, expertly organised to make usage intuitive and easy. Its simple A-Z structure will help you appreciate the architecture of ethics and give you a vocabulary for ethical debate. Clever cross-referencing allows you to find your own routes through the (...) material as well as signposting interesting connections between different ideas. Unique to this book are its sensitivity to cross-cultural influences and its careful integration of different professional perspectives. These give it outstanding balance and coverage. A rich source of further references, it offers readers an invaluable guide to an increasingly extensive literature. Whatever your field of study or practice (social work, health care, or therapy), this book will prove an enduring source of clarity, insight and reflection. (shrink)

Reflective equilibrium has been criticized for various reasons ever since the publication of Rawls’ A Theory of Justice. Recent empirical research into moral decision-making poses new challenges to RE because it questions the reliability of moral intuitions. This research might discredit moral intuitionism in general and RE in particular insofar as it ascribes epistemic value to moral intuitions. These findings suggest, for instance, that moral intuitions vary with cultural background, gender or framing. If it could be shown that all or (...) certain kinds of moral intuitions are unreliable, this would diminish the plausibility of the claim that they provide good reasons to believe in the truth of their content, especially given the growing evidence that professional philosophers are just as biased and susceptible to distorting factors as lay people. In this paper I critically discuss three recent defenses of RE against this unreliable intuitions objection. Two of these defenses argue that the UIO misses its target, because RE does not depend on intuitions, or because the relevant considered judgments in RE are not intuitions. The third defense grants that RE depends on intuitions and that some Rawlsian considered judgments are intuitions. But it argues that the notion of considered judgments can be revised, and that wide reflective equilibrium has the means to adopt the criticism because it can use information about unreliable intuitions and exclude those from further consideration. I argue that the first two defenses do not succeed. The third defense is the most promising one. However, I argue that this defense also fails. In this defense, RE is not a distinctive moral epistemic theory: different versions of RE would be conceivable, all of which are deeply problematic. I conclude with a discussion of the broader philosophical implications of the UIO, specifically whether or not accepting the UIO would warrant skepticism regarding moral knowledge. (shrink)

There has been a longstanding controversy in research as to whether moral judgment is the result of an analytical or an intuitive process. Today, researchers increasingly recognize that moral judgments can be the result of both intuition and analysis, and that the two paths can lead to different results. This raises the question as to which of the two processes leads to a better moral judgment. The article develops a typology of moral problems depending on their moral uncertainty and (...) moral equivocality and links the derived types with analysis and intuition effectiveness. The typology considers four types of moral problems: compliance problems (low uncertainty, low equivocality), professional ethics problems (high uncertainty, low equivocality), conformity problems (low uncertainty, high equivocality) and ethical dilemmas (high uncertainty, high equivocality). The article argues that compliance and professional ethics problems are best solved analytically, whereas intuition is assumed to be more suitable for conformity problems and ethical dilemmas. Moreover, the article shows that it is not sufficient to contrast intuition with analysis alone. The higher the moral uncertainty, the more important the interplay of intuition and analysis becomes in making moral judgments. (shrink)

In this paper, I argue that appeals to intuition in Analytic Philosophy are not compelling arguments because intuitions are not the sort of thing that has the power to rationally persuade other professional analytic philosophers. This conclusion follows from reasonable premises about the goal of Analytic Philosophy, which is rational persuasion by means of arguments, and the requirement that evidence for and/or against philosophical theses used by professional analytic philosophers be public (or transparent) in order to have (...) the power to rationally persuade other professional analytic philosophers. Since intuitions are not public (or transparent) evidence, it follows that appeals to intuition are not compelling arguments for and/or against philosophical theses because they lack the power to rationally persuade other professional analytic philosophers. (shrink)

One critique of experimental philosophy is that the intuitions of the philosophically untutored should be accorded little to no weight; instead, only the intuitions of professional philosophers should matter. In response to this critique, “experimentalists” often claim that the intuitions of professional philosophers are biased. In this paper, we explore this question of whose intuitions should be disqualified and why. Much of the literature on this issue focuses on the question of whether the intuitions of professional philosophers (...) are reliable. In contrast, we instead focus on the idea of “muddled” intuitions—i.e. intuitions that are misdirected and about notions other than the ones under discussion. We argue that the philosophically untutored are likely to have muddled intuitions and that professional philosophers are likely to have unmuddled intuitions. Although being umuddled does not, by itself, establish the reliability of the intuitions of professional philosophers, being muddled is enough to disqualify the intuitions of the philosophically untutored. We then turn to the charge that, despite being unmuddled, professional philosophers still have biased intuitions. To evaluate this charge, we switch focus from the general notion of biased intuition to the more specific notion of theory-laden intuition. We argue that there is prima facie evidence—in the form of the presence of conflicts of intuition—for thinking that at least some of the intuitions of professional philosophers are theory-laden. In summary, we conclude that that there is no clean and easy answer to the question of whose intuitions should matter. (shrink)

Despite negative effects on their health and social lives, many informal carers of people living with dementia claim to be acting in accordance with a moral obligation. Indeed, feelings of failure and shame are commonly reported by those who later give up their caring responsibilities, suggesting a widespread belief that professional dementia care, whether delivered in the person's own home or in an institutional setting, ought always to be a last resort. In this paper, however, I suggest that this (...) common intuition gets things the wrong way around. Adopting a relational egalitarian framework, I argue that the most serious injustices engendered by present‐day dementia care services are contingent on broader societal structures—they can thus be ameliorated relatively easily (if resource intensively) by changing those structures. Informal dementia care, on the other hand, carries similar risks of injustice and is much more resistant to structural reform. While there may be moral obligations to provide informal dementia care in present‐day societies, then, they arise because of the deficiencies of professional care, not the virtues of its informal counterpart. Though we may be far from achieving just care arrangements in most of our societies, we must never lose sight of the fact that, when we engage in morally permitted informal dementia care, we are exercising our last resort. (shrink)

There has been lively recent debate over the value of appeals to intuitions in philosophy. Some, especially ‘experimental philosophers’, have argued that such appeals can carry little or no evidential weight, and that standard analytic philosophy is consequently methodologically bankrupt. Various defences of intuitions, and analytic philosophy, have also been offered. In this paper I review the case against intuitions, in particular the claims that intuitions vary with culture, and are built by natural selection, and argue that much of their (...) force depends on assuming that the required sense of intuition is of a kind of human universal. In opposition to this view I argue that there is reason to regard intuitions of professional philosophers as parochial developmental achievements (so that cultural variation among non-professionals is irrelevant) and also the product of a training process that warrants ascribing some evidential weight to them. The argument made here is not anti-naturalistic, nor does it grant intuitions any special or trumping evidential status. Unlike some defences of analytic philosophy it does not depend on denying that philosophers appeal to intuitions at all. (shrink)

In this paper, I explore the nature of strategic decision making. In particular, I am concerned with the interplay of rational reflection and intuitive insight in strategic contexts. I argue that it is in the very nature of strategic situations that they cannot be exhaustively analysed in terms of the available evidence, and that hence there always is an intuitive element to strategic decision making. I consider a variety of ways to explain the notion of intuition and conclude that (...) intuition and rationality ought not to be conceived as incompatible with one another. It follows, I claim, that the intuitive component of strategic thought allows for at least some degree of public accountability. (shrink)

This book develops a comprehensive framework for ethics in the helping professions based on bioethicist Bernard Gert's theory of common morality. The prevailing model of ethics education is built upon adherence to codes of ethics applied largely through the use of decision-making trees. While a firm understanding of a professions code of ethics and all relevant laws is essential to responsible practice, this approach to teaching ethics excludes the opportunity for students to acquire a holistic, and grounded understanding of moral (...) action. The framework proposed in this text moves beyond codes of ethics, and allows students to develop a cohesive sense of ethical reasoning that both validates their moral intuition and challenges moral assumptions. The theory of a common morality uses a systematic, step-by-step approach that readers and practitioners can apply to all questions of moral action and behaviour. While there is no such thing as a single right answer to any ethical question, by following this approach practitioners can confidently eliminate the bad decisions, allowing them to feel more secure in their decision and practice. (shrink)

COVID‐19 caused an imbalance between medical resources and the number of patients in Türkiye like in many countries. There was not pandemic‐triage system, and this situation led to decision making based on experience, intuition, and judgment of allocation of scarce resources. The research explains the guiding criteria that healthcare professionals used to prioritize the distribution of scarce medical resources during the COVID‐19 pandemic. The criteria preferred by 928 healthcare professionals were evaluated when preventive measures for COVID‐19 were reduced and (...) so the number of cases increased rapidly. The results indicate that Turkish healthcare professionals largely support the utilitarian approach, which focuses on medical benefit in pandemic. The main problem was that some criteria not approved in COVID‐19 triage guidelines were considered important by healthcare professionals. These criteria, which cause discrimination by preventing the provision of fair and equal medical care to patients, are a prominent issue in the study. (shrink)

Recent conceptualizations of auditors’ professional skepticism suggest the interplay between analytical and intuitive information processing. We conduct an in-depth empirical investigation to explore this relationship, drawing on 49 interviews with auditors from the Big Four audit firms in the UK. It reveals that auditors’ skepticism often emerges intuitively in response to interpersonal contexts, manifesting as feelings of discomfort. These intuitive responses guide subsequent, more deliberative processes of collecting and analyzing audit evidence. The research demonstrates that such intuitive feelings are (...) integral to auditors’ recognition of potential issues, thereby enhancing their cognitive evaluations. Additionally, the study explores how auditors’ skeptical judgments are continuously shaped by their social environments and the intuitions of other members of their audit teams. Ultimately, the findings affirm that the fusion of intuition and reasoning plays a crucial role in auditors’ practice of PS, with past practice experiences and social interactions enriching their intuitive assessments and contributing to developing their professional expertise. (shrink)

This study investigates what professional caregivers working in nursing homes consider to be a good life for residents suffering from dementia. Ten caregivers were interviewed; special attention was paid to the way in which they deal with conflicting values. Transcripts of the interviews were analysed qualitatively according to the method of grounded theory. The results were compared with those from a similar, earlier study on ideals found in mission statements of nursing homes. The concepts that were mentioned by most (...) interviewed participants as important for a good life were ‘peace and quiet’, ‘going along with subjective experience’ and ‘no enforcement: the way the resident wants it’. A considerable overlap was found between the interviews and the mission statements; however, when compared with the mission statements, the interviews put less emphasis on individuality and on giving meaning, and more on offering residents pleasant activities. When faced with conflicting values, caregivers tend to make pragmatic and more or less intuitive decisions. Although this has its merits, it may be desirable to stimulate conscious reflection regarding conflict between different values. (shrink)

The eclectic problem solving methodology used by the British Medical Association is described in this paper. It has grown from the daily need to respond to doctors’ practical queries and incorporates reference to law, traditional professional codes, and established BMA policies—all of which must be regularly assessed against the benchmark of contemporary societal expectations. The two Jehovah’s Witness scenarios are analysed, using this methodology and in both cases the four principles solution is found to concur with that of the (...) BMA’s approach. The author’s overall conclusion is that although the BMA resorts to a lengthier list of thins to consider, the solutions that emerge are often likely to coincide with the four principles approach. (shrink)

In an attempt to be rational and objective, and, possibly, to avoid the charge of moral relativism, ethicists seek to categorise and characterise ethical dilemmas. This approach is intended to minimise the effect of the confusing individuality of the context within which ethically challenging problems exist. Despite and I argue partly as a result of this attempt to be rational and objective, even when the logic of the argument is accepted—for example, by healthcare professionals—those same professionals might well respond by (...) stating that the conclusions are unacceptable to them. In this paper, I argue that an interpretative approach to ethical analysis, involving an examination of the ways in which ethical arguments are constructed and shared, can help ethicists to understand the origins of this gap between logic and intuition. I suggest that an argument will be persuasive either if the values underpinning the proposed argument accord with the reader’s values and worldview, or if the argument succeeds in persuading the reader to alter these. A failure either to appreciate or to acknowledge those things that give meaning to the lives of all the interested parties will make this objective far harder, if not impossible, to achieve. If, as a consequence, the narratives ethicists use to make their arguments seem to be about people living in different circumstances, and faced with different choices and challenges, from those the readers or listeners consider important or have to face in their own lives, then the argument is unlikely to seem either relevant or applicable to those people. The conclusion offered by the ethicist will be, for that individual, counterintuitive. Abortion, euthanasia and cadaveric organ donation are used as examples to support my argument. (shrink)

Background Among the myriad voices advocating diverging ideas of what general practice ought to be, none seem to adequately capture its ethical core. There is a paucity of attempts to integrate moral theory with empirical accounts of the embodied moral knowledge of GPs in order to inform a general normative theory of good general practice. In this article, we present an empirically grounded model of the professional morality of GPs, and discuss its implications in relation to ethical theories to (...) see whether it might be sustainable as a general practice ethic. Methods We observed and interviewed sixteen GPs and GP residents working in health care centres in four Swedish regions between 2015–2017. In keeping with Straussian Grounded Theory, sampling was initially purposeful and later theoretically guided, and data generation, analysis and theoretical integration proceeded in parallel. The focal concept of this article was refined through multidimensional property supplementation. Results The voice of the profession is one of four concepts in our emerging theory that attempt to capture various motives that affect GPs’ everyday moral decisionmaking. It reflects how GPs appreciate the situation by passing three professional–moral judgments: Shall I see what is before me, or take a bird’s-eye view? Shall I intervene, or stay my hand? And do I need to speak up, or should I rather shut up? By thus framing the problem, the GP narrows down the range of considerations, allowing them to focus on its morally most pertinent aspects. This process is best understood as a way of heeding Løgstrup’s ethical demand. Refracted through the lens of the GP’s professional understanding of life, the ethical demand gives rise to specific moral imperatives that may stand in opposition to the express wishes of the other, social norms, or the GP’s self-interest. Conclusions The voice of the profession makes sense of how GPs frame problematic situations in moral terms. It is coherent enough to be sustainable as a general practice ethic, and might be helpful in explaining why ethical decisions that GPs intuitively understand as justified, but for which social support is lacking, can nevertheless be legitimate. (shrink)

Research in experimental epistemology has revealed a great, yet unsolved mystery: why do ordinary evaluations of knowledge ascribing sentences involving stakes and error appear to diverge so systematically from the predictions professional epistemologists make about them? Two recent solutions to this mystery by Keith DeRose (2011) and N. Ángel Pinillos (2012) argue that these differences arise due to specific problems with the designs of past experimental studies. This paper presents two new experiments to directly test these responses. Results vindicate (...) previous findings by suggesting that (i) the solution to the mystery is not likely to be based on the empirical features these theorists identify, and (ii) that the salience of ascriber error continues to make the difference in folk ratings of third-person knowledge ascribing sentences. (shrink)

Despite the emphasis on moral intuition in the research literature, little attention has been given to the ways in which moral intuition can be educated within management settings (Dane & Pratt 2007). In this paper, I discuss an experiential learning approach that links Robin Hogarth’s (2001, 2008) work on the learning of intuition with Mary Gentile’s (2010) educational program on values-based leadership, Giving Voice To Values (GVV). Building on Hogarth’s proposal that intuitions are primarily acquired and thus (...) shaped by our experiences, GVV offers a pedagogical framework for reflective, experiential learning. Specific attention is given to the themes of learning environments, how these structures shape intuitions, and how students can identify these structures using the GVV emphasis on examination of past experiences. (shrink)

This text was conceived as an attempt to describe the organizational field of veterinary medicine of companion animals in Russia and its impact on the processes of formation of the profession of veterinarians of companion animals as a separate professional group. Having emerged in the early 1990s in Russia as a separate branch of veterinary medicine, veterinary medicine of companion aimals has gone from intuitive practices of treating dogs and cats to a complex organizational field with many actors. Despite (...) such rapid development, this area, unlike agricultural veterinary medicine, still considerably lacks strong institutional regulation. The profession of a veterinarian of companion animals does not live in the conventional continental model of professionalization for our region but it is market-oriented and develops through the veterinarians' own efforts while they do not exist outside veterinary clinics - their own organizational field. The article offers a description of this organizational field and analyzes the influence of its structure on the processes of professionalization of veterinarians of companion animals. (shrink)

Because we automatically categorize individuals into members of in- or outgroups based on their perceived similarity to us, our social identity creates limitations and bias in our thinking. I examine the ways in which banal nationalism, cultural identifications, and group membership influence our thinking, the assumptions we hold, and the intuitions we form. If our goal is to engage in ethics without borders—a laudable goal—then we must uncover the ways in which our thinking is limited and consider strategies to escape (...) or transcend such borders in our theoretical work and teaching. I offer two proposals using insights from cross-cultural psychology. First, I propose the acronym of WASPI as a description of the nonreflective assumptions held by many WEIRD university professors. Second, I offer a four-factor model of normative analysis as a concrete tool for our teaching and theoretical work. It is only through such processes of active and critical reflection that our goal of ethics without borders can succeed. (shrink)

I am grateful for these four wide-ranging and incisive commentaries on my paper discussing the ethical issues that arise when we consider the carbon footprint of inhalers.1 As I am unable to address every point raised, instead I focus on what I take to be the common thread running through these papers. Each response has something to say regarding the scope of healthcare’s responsibility to mitigate climate change. This can be explored at the intuitional or structural level, or at the (...) individual patient and practitioner level leading to a further issue of the relationship between these perspectives. Coverdale argues for broadening the scope of individual responsibilities regarding the climate.2 Discussing inhalers does not go far enough and doctors, argues Coverdale, are well placed to draw attention to the various behaviour changes patients can undertake both through role modelling and in the clinic. While Coverdale makes some excellent points, I have three worries about his proposal. One is relevance. Climate concerns may not always be pertinent in the clinical encounter; think of counselling a bereaved patient or somebody needing a fit note. Related to this is opportunity. General practitioners capacity to cover an inordinate amount in a 10 min consultation …. (shrink)

In 2014, American doctor Ian Crozier chose to travel to Sierra Leone to help fight the West African Ebola epidemic. He contracted Ebola himself and was evacuated to the US, where he received hospital treatment for 40 days. Crozier knowingly chose to expose himself to a risk of contracting Ebola, and thus appears to be at least somewhat morally responsible for his infection. Did this responsibility weaken his justice-based claim to publicly funded treatment? On one influential view—luck egalitarianism—the answer is (...) ‘yes’. Or so Albertsen and Thaysen suggest in this issue.1 According to luck egalitarianism, justice requires the elimination of inequalities between people, but only when the relative harm borne by those on the wrong end of the inequality is a matter of luck. Albertsen and Thaysen understand luck egalitarianism to entail that, when one is responsible for befalling a harm, one has no claim in justice to the mitigation of that harm. On this view, they suggest, Crozier’s claim to treatment would be similar to that of a reckless Alpine skier who is injured in a skiing accident, and would be weaker than that of those with a normal claim to treatment—those who bear no responsibility for their illness. Both of these implications seem implausible, however. Intuitively, Crozier’s claim to treatment is no weaker than those with normal claims, and certainly stronger than the reckless skier’s. Can luck egalitarianism be ‘adjusted or interpreted’ so as to avoid these implausible implications? The authors suggest that it can. Their innovation is to distinguish heroic doctors like Crozier from reckless skiers by invoking a distinction between being responsible for creating harm and for incurring harm. Their thought is that one creates harm when one brings harm on oneself without also preventing at least as much harm to others. Thus, the harm that …. (shrink)

In this paper it is explored the relationship between the practice of philosophy and the development of a sort of professional intuition through it. That is to say, this paper is broadly concerned with a very traditional metaphilosophical topic, namely, the sort of abilities a skillful philosopher must possess to excel at philosophizing. More precisely, it critically examines the long-held common place in philosophy according to which the competences acquired through philosophical training are related to applying concepts. Such (...) a view has given way to the idea that philosophers gain expert intuitions -provided by philosophical training- about using concepts. In this sense, it has been shown in experimental philosophy that philosophers holding this notion of the practice of philosophy might be under the illusion of expertise. For these reasons, we argue, based on the work of the psychologist Deanna Kuhn, that philosophical expertise, on a more positive account, might be related to the evaluation, construction, and rebuttal of arguments. With this in mind, we also explore the relationship between intuition and arguments in philosophy. (shrink)

The expression that professionals should be led by their moral or ethical compass is increasingly used by academics, policy makers, professionals, and educational institutes. Dutch universities of applied sciences (UAS), for example, explicitly aim to educate their students to become professionals equipped with a moral compass. This moral or ethical compass is a metaphor of which people intuitively grasp its meaning, but our literature review also shows that various interpretations are possible. We found three clusters of proposed ethical compasses expressing (...) its a) content, b) form, or c) use, which we present in this article. Thereafter, we evaluate which compass can meaningfully assist (young) professionals and, therefore, should be part of the aims and content of education provided by UAS. Based on this evaluation, we describe the possibilities and boundaries of UAS’ contribution to the development of their students’ ethical compass. (shrink)

Just like other experts, members of the professions develop their craft thanks to a deep internalisation of both complex cognitive structures and a mix of habits and intuitive understandings. These non-cognitive aspects of expertise can be what distinguishes the merely competent from the truly brilliant. Yet habits can also be what makes us blind to important features of the world we inhabit. In the life of a professional, these features include the vulnerability of those seeking her services, which in (...) turn grounds the professional's particular ethical responsibility. This book develops an in-depth account of habit to understand its impact upon the way moral decisions are made in a professional context. Its central thesis is the following: what most often stands in the way of a professional meeting her ethical responsibility is not so much stupidity (or character defects) but rather the deleterious aspects of habituation. This book calls for renewed attention to be paid to habits and their relationship to ethical agency. Mostly neglected in moral and legal theory, such an inquiry not only conditions an adequate understanding of the risks inherent in a legal system's institutional structure. It is also essential if we are to come to grips with the challenges raised by the professions' growing reliance upon automated systems."--Publisher description. (shrink)

Experimental philosophers have challenged friends of the expertise defense to show that the intuitive judgments of professional philosophers are different from the intuitive judgments of nonphilosophers, and the intuitive judgments of professional philosophers are better than the intuitive judgments of nonphilosophers, in ways that are relevant to the truth or falsity of such judgments. Friends of the expertise defense have responded by arguing that the burden of proof lies with experimental philosophers. This article sketches three arguments which show (...) that both and are probably false. If its arguments are cogent, then shifting the burden of proof is a futile move, since philosophical training makes no difference so far as making intuitive judgments in response to hypothetical cases is concerned. (shrink)

Recent empirical work appears to suggest that the moral intuitions of professional philosophers are just as vulnerable to distorting psychological factors as are those of ordinary people. This paper assesses these recent tests of the ‘expertise defense’ of philosophical intuition. I argue that the use of familiar cases and principles constitutes a methodological problem. Since these items are familiar to philosophers, but not ordinary people, the two subject groups do not confront identical cognitive tasks. Reflection on this point (...) shows that these findings do not threaten philosophical expertise—though we can draw lessons for more effective empirical tests. (shrink)

Healthcare professionals often need to make clinical decisions that carry profound ethical implications. As such, they require a tool that will make decision-making intuitive. While the discussion about the principles that should guide clinical ethics has been going on for over two thousand years, it does not seem that making such decisions is becoming any more straight forward. With an abundance of competing ethical systems and frameworks for their application in real life, the clinician is still often not sure how (...) to proceed in the face of ethical dilemmas, either due to a lack of background ethical knowledge or experience in applying it. This paper will discuss whether considering what one would expect one’s friend to do if one was the patient, or what would one think they would do for a friend if they were the patient, can be a helpful, more intuitive, tool for clinical decision-making that can produce outcomes that are congruent with major ethical systems. (shrink)

Many experimental philosophers are philosophers by training and professional affiliation, but some best work in experimental philosophy has been done by people who do not have advanced degrees in philosophy and do not teach in philosophy departments. This chapter explains that the experimental philosophy is the empirical investigation of philosophical intuitions, the factors that affect them, and the psychological and neurological mechanisms that underlie them. It explores what are philosophical intuitions, and why do experimental philosophers want to study them (...) using the methods of empirical science. The positive program in experimental philosophy shares the goal of the substantial part of traditional philosophy that is concerned with the analysis of important philosophical concepts. The negative program has implications for philosophical projects whose goal is conceptual analysis. There have been a number of responses to the challenge posed by experimental philosophy's negative program. The chapter also focuses on the expertise defense. (shrink)

This paper proposes an alternative approach towards ethical leadership. Recent research tells us that socioeconomic and cultural differences affect moral intuition, making it difficult to locate a guiding organizational principle. Nevertheless, in this paper I attempt to open an alternative path towards an ethics that might serve as a guide for leaders – especially leaders who are leading a highly professionalized workforce. Using the Chilean writer Roberto Bolaño and the French philosopher Gilles Deleuze as points of reference, I develop (...) an ethical form of leadership that is based on a continuous ‘poetic’ dialogue between creation and affirmation. The nature of this dialogue requires a leadership approach that plays both a courageous and imaginative role in liberating its workforce. Last, I develop a frame which provides the constituent principles of leading in the direction of an ethical organization. (shrink)

Extensive discussions of practical wisdom are relatively rare in the philosophical literature these days. This is strange given the theoretical and practical importance of wisdom and, indeed, the etymology of the word "philosophy." In this paper, we remedy this inattention by proposing a methodology for developing a theory of wisdom and using this methodology to outline a viable theory. The methodology we favor is a version of wide reflective equilibrium. We begin with psychological research on folk intuitions about wisdom, which (...) helps us to avoid problems caused by reliance on the possibly idiosyncratic intuitions of professional philosophers. The folk theory is then elaborated in light of theoretical desiderata and further empirical research on human cognitive capacities. The resulting view emphasizes policies that the wise person adopts in order to cope with the many obstacles to making good choices. (shrink)

Professionals often believe that they must “exercise judgment” in making decisions critical to other people’s lives. The relative superiority of statistical prediction rules to intuitive judgment for combining incomparable sources of information to predict important human outcomes leads us to question this personal input belief. Some professionals hence use SPR’s to “educate” intuitive judgment, rather than replace it. In psychology in particular, such amalgamation is not justified. If a well‐validated SPR that is superior to professional judgment exists in a (...) relevant decision making context, professionals should use it, totally absenting themselves from the prediction. (shrink)

This paper explores the underrepresentation of women and minorities in academic philosophy. Specifically, it focuses on why, given the relatively even male/female ratio at undergraduate level, women are underrepresented at every level above this. It addresses some of the misconceptions and myths surrounding women in philosophy, including those surrounding the discussion of the different‐intuition hypothesis. It also explores the ways in which feminist research in philosophy is subject to marginalisation as a result of systematic exclusionary practices typical of the (...) dominant culture of justification within traditional philosophy. It argues for the necessity of an intersectional approach, and the importance of taking seriously the psychological and sociological analysis of underrepresentation, in order to improve both the experience and the representation of women and other minorities at all levels of professional philosophy, as well as of the discipline as a whole. (shrink)

Recent empirical studies of philosophers by Eric Schwitzgebel and others have seriously called into question whether professional ethicists have any useful expertise with thought experiments, given that their intuitions appear to be no more reliable than those of lay subjects. Drawing on such results, sceptics like Edouard Machery argue that normative ethics as it is currently practiced is deeply problematic. In this paper, I present two main arguments in defense of the standard methodology of normative ethics. First, there is (...) strong reason to believe that expertise with thought experiments requires considering scenarios in their proper theoretical context and in parallel with other pertinent situations, so that we should not expect philosophers to be better than lay folk at responding to decontextualized cases. Second, skeptical views underestimate the epistemic benefits of the actual practices of post-processing initial verdicts both at individual and social levels. Contrary to a mythical conception of ‘the method of cases’, philosophers are frequently sensitive to the quality of intuitive evidence, reject and revise their verdicts on the basis of independently supported principles or interpersonal criticism, and defer to recognized specialists. (shrink)

New and experienced psychotherapists alike can find themselves overwhelmed by an ethical quandary where there doesn't seem to be an easy solution. This book presents positive ethics as a means to overcome such ethical challenges. The positive approach focuses on not just avoiding negative consequences, but reaching the best possible outcomes for both the psychotherapist and the client. The authors outline a clear decision-making process that is based on three practical strategies: the ethics acculturation model to help therapists incorporate personal (...) ethics into their professional roles, the quality enhancement model for dealing with high-risk patients who are potentially harmful, and ethical choice-making strategies to make the most ethical decision in a situation where two ethical principles conflict. Throughout the decision-making process, psychotherapists are encouraged to follow four basic guidelines: Focus on overarching ethical principles Consider intuitive, emotional, and other nonrational factors Accept that some problems have elusive solutions Solicit input from colleagues and consultation groups Numerous vignettes illustrate how to apply positive ethics to many different ethical challenges that psychotherapists will likely encounter in practice. (shrink)

Background: Reliance on moral principles and professional codes has given nurses direction for ethical decision-making. However, rational models do not capture the emotion and reality of human choice. Intuitive response must be considered. Research purpose: Supporting intuition as an important ethical decision-making tool for nurses, the aim of this study was to determine relationships between intuition, years of worked nursing experience, and perceived ethical decision-making ability. A secondary aim explored the relationships between rational thought to years of (...) worked nursing experience and perceived ethical decision-making ability. Research design and context: A non-experimental, correlational research design was used. The Rational Experiential Inventory measured intuition and rational thought. The Clinical Decision Making in Nursing Scale measured perceived ethical decision-making ability. Pearson’s r was the statistical method used to analyze three primary and two secondary research questions. Participants: A sample of 182 emergency nurses was recruited electronically through the Emergency Nurses Association. Participants were self-selected. Ethical considerations: Approval to conduct this study was obtained by the Adelphi University Institutional Review Board. Findings: A relationship between intuition and perceived ethical decision-making ability ( r =.252, p =.001) was a significant finding in this study. Discussion: This study is one of the first of this nature to make a connection between intuition and nurses’ ethical decision-making ability. Conclusion: This investigation contributes to a broader understanding of the different thought processes used by emergency nurses to make ethical decisions. (shrink)