Whose values should count – those of patients or the general public – when adopting the quality-adjusted life year framework for healthcare decision making is a long-standing debate. Specific disciplines, such as economics, are not wedded to a particular side of the debate, and arguments for and against the use of patient values have been discussed at length in the literature. In 2012, Sinclair proposed an approach, grounded within patient preference theory, which sought to avoid a perceived unfair discrimination against (...) people with disabilities when using values from the general public. Key assumptions about general public values that beget this line of thinking were that ‘disabled states always tally with lower quality of life’, and the use of standardised instruments means that ‘you are forced into a fixed view of disability as a lower value state’. Drawing on recent contributions to the health economics literature, we contend that such assumptions are not inherent to the incorporation of general public values for the estimation of QALYs. In practice, whether health states of people with disabilities are of ‘lower value’ is, to some extent, a reflection of the health state descriptions that members of the public are asked to value. (shrink)

The characterization of early token-based accounting using a concrete concept of number, later numerical notations an abstract one, has become well entrenched in the literature. After reviewing its history and assumptions, this article challenges the abstract–concrete distinction, presenting an alternative view of change in Ancient Near Eastern number concepts, wherein numbers are abstract from their inception and materially bound when most elaborated. The alternative draws on the chronological sequence of material counting technologies used in the Ancient Near East—fingers, tallies, (...) tokens, and numerical notations—as reconstructed through archaeological and textual evidence and as interpreted through Material Engagement Theory, an extended-mind framework in which materiality plays an active role (Malafouris 2013). (shrink)

Alberto Casullo ("Necessity, Certainty, and the A Priori", Canadian Journal of Philosophy 18, 1988) argues that arithmetical propositions could be disconfirmed by appeal to an invented scenario, wherein our standard counting procedures indicate that 2 + 2 != 4. Our best response to such a scenario would be, Casullo suggests, to accept the results of the counting procedures, and give up standard arithmetic. While Casullo's scenario avoids arguments against previous "disconfirming" scenarios, it founders on the assumption, common to (...) scenario and response, that arithmetic might be independent of standard counting procedures. Here I show, by attention to tallying as the simplest form of counting, that this assumption is incoherent: given standard counting procedures, then (on pain of irrationality) arithmetical theory follows. (shrink)

The Raymond Tallis Reader provides a comprehensive survey of the work of this passionate, perceptive, and often controversial thinker. Key selections from Tallis's major works are supplemented by Michael Grant's detailed introduction and linking commentary. From nihilism to Theorrhoea, from literary theory to the role of the unconscious, The Raymond Tallis Reader guides us through the panoptic sweep of Tallis's critical insights and reveals a way of thinking for the 21st century.

In a devastating critique Raymond Tallis exposes the exaggerated claims made for the ability of neuroscience and evolutionary theory to explain human consciousness, behaviour, culture and society. While readily acknowledging the astounding progress neuroscience has made in helping us understand how the brain works, Tallis directs his guns at neuroscience’s dark companion – "Neuromania" as he describes it – the belief that brain activity is not merely a necessary but a sufficient condition for human consciousness and that consequently our everyday (...) behaviour can be entirely understood in neural terms. With the formidable acuity and precision of both clinician and philosopher, Tallis dismantles the idea that "we are our brains", which has given rise to a plethora of neuro-prefixed pseudo-disciplines laying claim to explain everything from art and literature to criminality and religious belief, and shows it to be confused and fallacious, and an abuse of the prestige of science, one that sidesteps a whole range of mind–body problems. The belief that human beings can be understood essentially in biological terms is a serious obstacle, argues Tallis, to clear thinking about what human beings are and what they might become. To explain everyday behaviour in Darwinian terms and to identify human consciousness with the activity of the evolved brain denies human uniqueness, and by minimising the differences between us and our nearest animal kin, misrepresents what we are, offering a grotesquely simplified and degrading account of humanity. We are, shows Tallis, infinitely more interesting and complex than we appear in the mirror of biologism. Combative, fearless and always thought-provoking, _Aping Mankind _is an important book, one that scientists, cultural commentators and policy-makers cannot ignore. (shrink)

A little while back I touched on the ‘laws of nature’ in the course of a defence of free will. I argued that if we were entirely subject to such laws, then neither the experimental science by which they were discovered nor our capacity to exploit them through technology would be possible. Our undeniable ability to manipulate states of matter inside scientific laboratories in pursuit of knowledge of its general properties, and to apply that knowledge outside of the laboratories in (...) support of our agency, are perhaps the most striking expressions of the way in which we humans transcend the material world. But ‘the laws of nature’ deserve more attention than I gave them in that piece on free will. (shrink)

How to point : a primer for Martians -- What it takes to be a pointer -- Do animals get the point? -- People who don't point -- Pinning language to the world -- Pointing and power -- Assisted pointing and pointing by proxy -- The transcendent animal : pointing and the beyond.

In this beautifully written, personal meditation on life and living, Raymond Tallis reflects on the fundamental fact of existence: that it is finite. Inspired by E. M. Forster’s thought that “Death destroys a man but the idea of it saves him,” Tallis invites readers to look back upon their lives from a unique standpoint: one’s own future corpse. From this perspective, he shows, the world now vacated can be seen most clearly in all its richness and complexity. Tallis blends lyrical (...) reflection, humor, and the occasional philosophical argument as he explores his own postmortem recollections. He considers the biological processes and the senses that opened up his late world and the million-nooked space in which he passed his life. His inert, dispossessed body highlights his ceaseless activity in life, the mind-boggling inventory of his possessions, and the togetherness and apartness that characterized his relationships in the material and social worlds. Tallis also touches on the idea of a posthumous life in the memories of those who outlive him. Readers who accompany Tallis as he considers his life through death will appreciate with new intensity the precariousness and preciousness of life, for here he succeeds in his endeavor to make “the shining hour” shine more brightly. (shrink)

A philosophical examination and celebration of the human hand.