Neuroimaging studies of brain-damaged patients diagnosed as in the vegetative state suggest that the patients might be conscious. This might seem to raise no new ethical questions given that in related disputes both sides agree that evidence for consciousness gives strong reason to preserve life. We question this assumption. We clarify the widely held but obscure principle that consciousness is morally significant. It is hard to apply this principle to difficult cases given that philosophers of mind distinguish between a range (...) of notions of consciousness and that is unclear which of these is assumed by the principle. We suggest that the morally relevant notion is that of phenomenal consciousness and then use our analysis to interpret cases of brain damage. We argue that enjoyment of consciousness might actually give stronger moral reasons not to preserve a patient's life and, indeed, that these might be stronger when patients retain significant cognitive function. (shrink)

Consciousness in experimental subjects is typically inferred from reports and other forms of voluntary behaviour. A wealth of everyday experience confirms that healthy subjects do not ordinarily behave in these ways unless they are conscious. Investigation of consciousness in vegetative state patients has been based on the search for neural evidence that such broad functional capacities are preserved in some vegetative state patients. We call this the standard approach. To date, the results of the standard approach have suggested that some (...) vegetative state patients might indeed be conscious, although they fall short of being demonstrative. The fact that some vegetative state patients show evidence of consciousness according to the standard approach is remarkable, for the standard approach to consciousness is rather conservative, and leaves open the pressing question of how to ascertain whether patients who fail such tests are conscious or not. We argue for a cluster-based ‘natural kind’ methodology that is adequate to that task, both as a replacement for the approach that currently informs research into the presence or absence of consciousness in vegetative state patients and as a methodology for the science of consciousness more generally. 1. Introduction2. The Vegetative State3. The Standard Approach4. The Natural Kind Methodology5. Is Consciousness a Special Case? 5.1 Is consciousness a natural kind?5.2 A special obstacle?6. Conclusion. (shrink)

In a recent paper, Gray, Knickman, and Wegner present three experiments which they take to show that people perceive patients in a persistent vegetative state to have less mentality than the dead. Following on from Gomes and Parrott, we provide evidence to show that participants' responses in the initial experiments are an artifact of the questions posed. Results from two experiments show that, once the questions have been clarified, people do not ascribe more mental capacity to the dead than to (...) PVS patients. There is no reason to think that people perceive PVS patients as more dead than dead. (shrink)

The main aim of this paper is that of providing a unified analysis for some interesting uses of quotation marks, including so-called scare quotes. The phenomena exemplified by the cases I discuss have remained relatively unexplored, notwithstanding a growing interest in the behavior of quotation marks. They are, however, of no lesser interest than other, more widely studied effectsachieved with the help of quotationmarks. In particular, as I argue in whatfollows, scare quotes and other similar instances bear interesting relations with (...) someimportant themes in the study of natural languages, such as questions regarding alleged devicesof conventional implicature, cases of so-called metalinguistic negation, and, moregenerally, problems pertaining to the distinction between semantic and pragmatic fieldsof inquiry.In Section 1, I begin with a description of some examples involvingthe uses of quotation marks I intend to discuss, and I hint at some desiderata fortheir analysis. In Section 2, I temporarily abandon quotation marks, and, inspired by therecent work of Stephen Neale and Kent Bach on alleged devices of conventional implicature,I present what I call the theory of message and attachment. In Sections 3 and 4,I return to my initial examples, I employ the theory of message and attachment in theiranalysis, and I discuss certain features regarding the behavior of negation in some related cases. (shrink)

BackgroundWhether patients in the vegetative state (VS), minimally conscious state (MCS) or the clinically related locked-in syndrome (LIS) should be kept alive is a matter of intense controversy. This study aimed to examine the moral attitudes of lay people to these questions, and the values and other factors that underlie these attitudes.MethodOne hundred ninety-nine US residents completed a survey using the online platform Mechanical Turk, comprising demographic questions, agreement with treatment withdrawal from each of the conditions, agreement with a series (...) of ethical principles and three personality tests.ResultsMore supported treatment withdrawal from VS (40.2 % agreed, 17.6 % disagreed) than MCS (20.6 %, 41.2 %) or LIS (25.3 %, 35.8 %). Agreement with treatment withdrawal was negatively correlated with religiosity (r = −0.272, P < 0.001), though showed no significant relationship with need for cognition or empathy, and only a partial association with utilitarian judgment in a standard moral dilemma. Support for treatment withdrawal was most strongly associated with endorsement of the importance of patient autonomy, dignity, suffering, best interests. Distributive justice was not given significant weight by most. Importantly, agreement with treatment withdrawal was noticeably higher when considered from a first as opposed to third person perspective for VS (Z = −6.056, P < 0.001), MCS (Z = −6.746, P < 0.001) and LIS (Z = −6.681, P < 0.001).ConclusionLay attitudes to withdrawal of treatment in brain damaged patients are largely shaped by values similar to those central to the secular ethical debate. Neither traditional values such as the sanctity of life nor utilitarian values relating to resource allocation seem to play a central role. Far greater weight is given to autonomy, which may explain why participants were far more willing to endorse withdrawal of treatment when the issue was presented in the first person, or in relation to a concrete case involving a patient’s explicit wishes. Surveys focusing on abstract cases presented in the third person may not provide an accurate picture of lay attitudes to these critical ethical questions. (shrink)

Most existing theories of quotation are restricted, sometimes implicitly, to certain aspects of quotation mark usage. In this paper, we have the somewhat ambitious aim of outlining an all-encompassing theory of quotation in (written) natural language. We first provide a naïve but neutral definition of quotation – quotation is everything between a pair of quotation marks – followed by a brief typology. Then, we develop an account of quotation which relies mainly on pragmatic mechanisms in order to explain what role (...) quotation marks play in achieving communicative ends of writers. Quotation marks, we argue, are best understood as minimal pragmatic markers that block the stereotypical interpretation of the expression they enclose. They thereby indicate that some alternative interpretation ought to be inferred. We then address some worries about our view in order to clarify the aim and scope of our proposal as well as some deep-rooted philosophical preconceptions about quotation. Finally, we present the results of a small corpus study which we consider a confirmation of the predictions our account makes. (shrink)