The assessment of patients' decision-making capacity (DMC) has become an important area of clinical practice, and since it provides the gateway for a consideration of non-consensual treatment, has major ethical implications. Tests of DMC such as under the Mental Capacity Act (2005) for England and Wales aim at supporting autonomy and reducing unwarranted paternalism by being ‘procedural’, focusing on how the person arrived at a treatment decision. In practice, it is difficult, especially in problematic or borderline cases, to avoid a (...) consideration of beliefs and values; that is, of the substantive content of ideas rather than simple ‘cognitive’ or procedural abilities. However, little attention has been paid to how beliefs and values might be assessed in the clinical context and what kind of ‘objectivity’ is possible. We argue that key aspects of Donald Davidson's ideas of ‘Radical Interpretation’ and the ‘Principle of Charity’ provide useful guidance as to how clinicians might approach the question of whether an apparent disturbance in a person's thinking about beliefs or values undermines their DMC. A case example is provided, and a number of implications for clinical practice are discussed. (shrink)

Contractualism is a normative theory which characterizes principles of right in terms of the idea of mutual respect. In this theory, mutual respect is regarded as having deliberative priority over other values. This essay aims to examine how contractualists can provide a satisfactory justification for prioritizing mutual respect. I will argue that the ‘value of mutual respect argument,’ which is a justification commonly adopted by contractualists, is inadequate because an unconditional priority of mutual respect cannot be grounded on the desirability (...) of a relationship of mutual respect. Then I will suggest that a ‘consistency argument’ can provide a better justification of why the idea of mutual respect should have priority. Mutual respect is of special importance, not because it is highly desirable, but rather because it is required by an a priori guiding principle of consistency. Individuals become inconsistent if they ask others to respect them as reason-assessing individuals, while at the same time refusing to respect others in the same way. (shrink)

The principle of charity (“Charity”), in one form or other, is held by many and for various reasons. After cataloging discernible kinds of Charity, I focus on the most familiar versions as found in Davidson, Dennett, Devitt, Lewis, Putnam, Quine, Stich, and others. To begin with, I argue that such versions of Charity are untenable because beliefs cannot be counted, and even if they could be counted there is reason to believe that true beliefs need not outnumber false beliefs. Next (...) I rebut one of the arguments behind Charity, the intelligibility argument. If indeed beliefs are postulated simply as a way to make some system intelligible (predictable and explicable) then a number of theses ensue. First, it would be perfectly intelligible to ascribe mostly false beliefs to an intentional system, or even entirely false beliefs. Second, lower animals would have beliefs. Third, it would sometimes make sense to ascribe beliefs even to inanimate beings. And fourth, the resulting indeterminacy of belief-ascription would suggest a kind of irrealism about belief which may in turn be expressed by the slogan that rejects the container metaphor of the mind. (shrink)

Our conscious thought, at least at times, seems suffused with language. We may experience thinking as if we were “talking in our head”, thus using inner speech to verbalize, e.g., our premises, lemmas, and conclusions. I take inner speech to be part of a larger phenomenon I call inner semiotics, where inner semiotics involves the subjective experience of expressions in a semiotic (or symbol) system absent the overt articulation of the expressions. In this paper, I argue that inner semiotics allows (...) us to bootstrap our way into entertaining thoughts about exact numbers and quantities that we couldn't prior to our competence with a numeric code. I establish that our arithmetic thoughts literally occur as (internal ‘articulations’ of) expressions in a numeric code. However, a problem arises for my view: just as we can slip in overt speech, producing an utterance that deviates from what we mean to say, there is very good evidence that we can slip in inner speech as well. If our arithmetic thought occurs in a numeric code, it's far from clear how we determine when a covert utterance constitutes a slip. In closing, I provide an account of what makes an inner speech utterance a slip. (shrink)

This paper argues that group attitudes can be assessed in terms of standards of rationality and that group-level rationality need not be due to individual-level rationality. But it also argues that groups cannot be collective epistemic agents and are not collectively responsible for collective irrationality. I show that we do not need the concept of collective epistemic agency to explain how group-level irrationality can arise. Group-level irrationality arises because even rational individuals can fail to reason about how their attitudes will (...) combine with those of others. In some cases they are morally responsible for this failure, in others they are not. Moreover, the argument for collective epistemic agency is incoherent because reasons-for-groups are ipso facto reasons-for-individual. Instead of talking about reasons-for-groups, we should therefore distinguish between self-regarding reasons and group-regarding reasons. Both kinds of reasons are reasons-for-individuals. These conceptual considerations in favour of moderate individualism are strengthened by an analysis of our moral practice of responding to collective shortfalls of rationality and by the unpalatable moral implications of collectivism about epistemic agency. There is no need to change the subject. Groups can be rational or irrational, but they do not reason. (shrink)

Our linguistic communication is, in part, the exchange of truths. It is an empirical fact that in daily conversation we aim at truths, not falsehoods. This fact may lead us to assume that ordinary, assertion-based communication is the only possible communicative system for truth-apt information exchange, or at least has priority over any alternatives. This assumption is underwritten in three traditional doctrines: that assertion is a basic notion, in terms of which we define denial; that to predicate truth of a (...) sentence is to assert the content it expresses; and that one should, in the context of radical interpretation, try to maximize the truth of what foreigners believe or utter. However, I challenge this assumption via a thought experiment: imagine a language game in which everyone aims to exchange only falsehoods. I argue that information exchange is possible in this game, and so truth-guided communication and falsity-guided communication are conceptually on a par. As a consequence, we should reject the three doctrines, based as they are on the conceptual priority of assertion-based communication. (shrink)