The placebo effect is now generally defined widely as an individual’s response to the psychosocial context of a clinical treatment, as distinct from the treatment’s characteristic physiological effects. Some researchers, however, argue that such a wide definition leads to confusion and misleading implications. In response, they propose a narrow definition restricted to the therapeutic effects of deliberate placebo treatments. Within the framework of modern medicine, such a scope currently leaves one viable placebo treatment paradigm: the non-deceptive and non-concealed administration of (...) “placebo pills” or open-label placebo (OLP) treatment. In this paper, I consider how the placebo effect occurs in OLP. I argue that a traditional, belief-based account of OLP is paradoxical. Instead, I propose an account based on the non-doxastic attitude of pretence, understood within a fictionalist framework. (shrink)

One recurrent objection to the idea that the right kind of reasons for or against an attitude are object-given reasons for or against that attitude is that object-given reasons for or against belief and disbelief are incapable of explaining certain features of epistemic normativity. Prohibitive balancing, the behaviour of bare statistical evidence, information about future or easily available evidence, pragmatic and moral encroachment, as well as higher-order defeaters, are all said to be inexplicable in terms of those object-given reasons. In (...) this paper, I provide a rebuttal to all these challenges by drawing attention to the object-given reasons for and against the third doxastic state, namely the suspension of judgement. First, I introduce an original picture of how suspension relates to belief and disbelief – as ways of being decided – which yields a novel weighing model of the corresponding reasons. Second, I demonstrate that this new take on doxastic deliberation can accommodate all five features of epistemic normativity. Finally, I extend the weighing model to cover practical deliberation and the suspension of intentions. The resulting theory provides an explanation of why epistemic and practical normativity differ in certain respects in terms of a significant difference between doxastic and conative suspension. (shrink)

Just as the existence of practical akrasia has been treated as important evidence for the existence of our practical agency, the alleged absence of epistemic akrasia—cases in which a believer believes some proposition contrary to her considered judgments about what she has most reason to believe—has recently been marshaled as grounds for skepticism about the existence of similar forms of epistemic agency. In this paper, I defend the existence of epistemic agency against such objections. Rather than argue against the impossibility (...) of epistemic akrasia, I argue that the impossibility of epistemic akrasia is actuallycompatible withthe existence of epistemic agency. The crucial mistake, I argue, is that skeptics about epistemic agency are failing to distinguish carefully between differences in the structure of believing and acting and differences in the structure of normative reasons to believe and normative reasons to act. I show that once these ‘environmental’ differences are properly distinguished, we can see that absence of epistemic akrasia provides no reason to doubt that practical and epistemic agency are on a par with one another. (shrink)