Background: The study aimed to explore the perception of mothers of adolescent girls and health service providers in urban slums toward HPV vaccination. Methodology: A cross-sectional mixed-method study in the slums of Rayer Bazaar, Kamlapur and Mohakhali was conducted. The quantitative part included a household survey of mothers (n=150) and service providers (n=30) through a semi-structured pre-tested questionnaire and qualitative interviews included in-depth interviews (IDI) with mothers (n=10) and key-informant interviews (KII) with service providers (n=10). Results: Around 96% of mothers (...) had never heard of HPV, and 98% were unaware that the virus's transmission could be halted. Only 3.3% of mothers were aware that HPV can cause cervical cancer, although, during IDI, it was seen that the majority of mothers said that cervical cancer is a communicable disease. Nearly 98% of mothers wanted their daughters to get vaccinated. Service providers had a good understanding of HPV, HPV vaccine, and cervical cancer. All service providers during KII agreed that if they had received adequate training on HPV vaccination and cervical cancer, they could have treated their patients better. Conclusion: The findings of this study have important implications for the design and advocacy of HPV immunization programs in Bangladesh. (shrink)

This paper concerns two points of intersection between de se attitudes and the study of natural language: attitude ascription and communication. I first survey some recent work on the semantics of de se attitude ascriptions, with particular attention to ascriptions that are true only if the subject of the ascription has the appropriate de se attitude. I then examine – and attempt to solve – some problems concerning the role of de se attitudes in linguistic communication.

We care not only about how people treat us, but also what they believe of us. If I believe that you’re a bad tipper given your race, I’ve wronged you. But, what if you are a bad tipper? It is commonly argued that the way racist beliefs wrong is that the racist believer either misrepresents reality, organizes facts in a misleading way that distorts the truth, or engages in fallacious reasoning. In this paper, I present a case that challenges this (...) orthodoxy: the case of the supposedly rational racist. We live in a world that has been, and continues to be, structured by racist attitudes and institutions. As a result, the evidence might be stacked in favour of racist beliefs. But, if there are racist beliefs that reflect reality and are rationally justified, what could be wrong with them? Moreover, how do I wrong you by believing what I epistemically ought believe given the evidence? To address this challenge, we must recognize that there are not only epistemic norms governing belief, but moral ones as well. This view, however, is at odds with the assumption that moral obligation requires a kind of voluntary control that we lack with regard to our beliefs. This background assumption motivates many philosophers to try to explain away the appearance that beliefs can wrong by locating the wrong elsewhere, e.g., in an agent’s actions. Further, even accounts that accept the thesis that racist beliefs can wrong restrict the class of beliefs that wrong to beliefs that are either false or the result of hot irrationality, e.g., the racist belief is a result of ill-will. In this paper I argue that although the these accounts will capture many of the wrongs associated with racist beliefs, they will be only partial explanations because they cannot explain the wrong committed by the supposedly rational racist. The challenge posed by the supposedly rational racist concerns our epistemic practices in a non-ideal world. The world is an unjust place, and there may be many morally objectionable beliefs it justifies. To address this challenge, we must seriously consider the thesis people wrong others in virtue of what they believe about them, and not just in virtue of what they do. (shrink)

In the Book of Common Prayer’s Rite II version of the Eucharist, the congregation confesses, “we have sinned against you in thought, word, and deed”. According to this confession we wrong God not just by what we do and what we say, but also by what we think. The idea that we can wrong someone not just by what we do, but by what think or what we believe, is a natural one. It is the kind of wrong we feel (...) when those we love believe the worst about us. And it is one of the salient wrongs of racism and sexism. Yet it is puzzling to many philosophers how we could wrong one another by virtue of what we believe about them. This paper defends the idea that we can morally wrong one another by what we believe about them from two such puzzles. The first puzzle concerns whether we have the right sort of control over our beliefs for them to be subject to moral evaluation. And the second concerns whether moral wrongs would come into conflict with the distinctively epistemic standards that govern belief. Our answer to both puzzles is that the distinctively epistemic standards governing belief are not independent of moral considerations. This account of moral encroachment explains how epistemic norms governing belief are sensitive to the moral requirements governing belief. (shrink)

This essay introduces a puzzle about the interaction between quantifiers and epistemic modals. The puzzle motivates the idea that whether an object satisfies an epistemically modalized predicate depends on the mode of presentation of the domain of quantification. I compare two ways of implementing this idea, one using counterpart theory, the other using Aloni's 'conceptual covers' theory, and then provides some evidence in favor of the former.

Counterfactual attitudes like imagining, dreaming, and wishing create a problem for the standard formal semantic theory of de re attitude ascriptions. I show how the problem can be avoided if we represent an agent's attitudinal possibilities using "multi-centered worlds", possible worlds with multiple distinguished individuals, each of which represents an individual with whom the agent is acquainted. I then present a compositional semantics for de re ascriptions according to which singular terms are "assignment-sensitive" expressions and attitude verbs are "assignment shifters".

This chapter asks two questions about the ethics of expectations: one about the nature of expectations, and one about the wrongs of expectations. On the first question, expectations involve a rich constellation of attitudes ranging from beliefs to also include imaginings, hopes, fears, and dreams. As a result, sometimes expectations act like predictions, like your expectation of rain tomorrow, sometimes prescriptions, like the expectation that your students will do the reading, sometimes like proleptic reasons like the hope that your mentee (...) will flourish, and sometimes expectations are peremptory in that they carry the force of moral law. Turning to the second question, given the multiple roles played by expectations it shouldn’t be surprising that there are also multiple ways expectations can be wrong to hold. Sometimes they wrong as beliefs do, e.g., doxastic wronging, and sometimes they result in alienation because of who holds that expectation of us. The upshot of this chapter is that getting clear on these potential ways expectations can wrong not only delivers an ethics of expectations that mirrors familiar discussions of the ethics of belief, but an ethics of expectations further opens the door for taking seriously an ethics of mental attitudes more generally. (shrink)

This paper is about an overlooked aspect—the cognitive or epistemic aspect—of the moral demand we place on one another to be treated well. We care not only how people act towards us and what they say of us, but also what they believe of us. That we can feel hurt by what others believe of us suggests both that beliefs can wrong and that there is something we epistemically owe to each other. This proposal, however, surprises many theorists who claim (...) it lacks both intuitive and theoretical support. This paper argues that the proposal has intuitive support and is not at odds with much contemporary theorizing about what we owe to each other. (shrink)

A discussion of Imogen Dickie's book "Fixing Reference.".

Historical patterns of discrimination seem to present us with conflicts between what morality requires and what we epistemically ought to believe. I will argue that these cases lend support to the following nagging suspicion: that the epistemic standards governing belief are not independent of moral considerations. We can resolve these seeming conflicts by adopting a framework wherein standards of evidence for our beliefs to count as justified can shift according to the moral stakes. On this account, believing a paradigmatically racist (...) belief reflects a failure to not only attend to the epistemic risk of being wrong, but also a failure to attend to the distinctively moral risk of wronging others given what we believe. (shrink)

The standard account of modal expressions in natural language analyzes them as quantifiers over a set of possible worlds determined by the evaluation world and an accessibility relation. A number of authors have recently argued for an alternative account according to which modals are analyzed as quantifying over a domain of possible worlds that is specified directly in the points of evaluation. But the new approach only handles the data motivating it if it is supplemented with a non-standard account of (...) attitude verbs and conditionals. It can be shown the the relational account handles the same data equally well if it too is supplemented with a non-standard account of such expressions. (shrink)

We care what people think of us. The thesis that beliefs wrong, although compelling, can sound ridiculous. The norms that properly govern belief are plausibly epistemic norms such as truth, accuracy, and evidence. Moral and prudential norms seem to play no role in settling the question of whether to believe p, and they are irrelevant to answering the question of what you should believe. This leaves us with the question: can we wrong one another by virtue of what we believe (...) about each other? Can beliefs wrong? In this introduction, I present a brief summary of the articles that make up this special issue. The aim is to direct readers to open avenues for future research by highlighting questions and challenges that are far from being settled. These papers shouldn’t be taken as the last word on the subject. Rather, they mark the beginning of a serious exploration into a set of questions that concern the morality of belief, i.e., doxastic morality. (shrink)

The deontic modal must has two surprising properties: an assertion of must p does not permit a denial of p, and must does not take past tense complements. I first consider an explanation of these phenomena that stays within Angelika Kratzer’s semantic framework for modals, and then offer some reasons for rejecting that explanation. I then propose an alternative account, according to which simple must sentences have the force of an imperative.

Philosophical inquiry strives to be the unencumbered exploration of ideas. That is, unlike scientific research which is subject to ethical oversight, it is commonly thought that it would either be inappropriate, or that it would undermine what philosophy fundamentally is, if philosophical research were subject to similar ethical oversight. Against this, I argue that philosophy is in need of a reckoning. Philosophical inquiry is a morally hazardous practice with its own risks. There are risks present in the methods we employ, (...) risks inherent in the content of the views under consideration, and risks to the subjects of our inquiry. Likely, there are more risks still. However, by starting with the identification of these three risks we can demonstrate not only why an ethics of practice is needed but also which avenues are the most promising for developing an ethics for philosophical practice. Although we might be in the business of asking questions, we do not absolve ourselves of responsibility for the risks that inquiry incurs. (shrink)

I argue that de se attitudes pose a special problem for philosophical theories of attitudes. Attitude contents are supposed to play a role in characterizing agreement and are also supposed to play a role in the explanation of action. De se attitudes reveal that no single type of object can play both roles.

Jeffrey King has recently argued: (i) that the semantic value of a sentence at a context is (or determines) a function from possible worlds to truth values, and (ii) that this undermines Jason Stanley's argument against the rigidity thesis, the claim that no rigid term has the same content as a non-rigid term. I show that King's main argument for (i) fails, and that Stanley's argument is consistent with the claim that the semantic value of a sentence at a context (...) is (or determines) a function from worlds to truth values. (shrink)

The problem of fake news and the spread of misinformation has garnered a lot of attention in recent years. The incentives and norms that give rise to the problem, however, are not unique to journalism. Insofar as academics and journalists are working towards the same goal, i.e., publication, they are both under pressures that pervert. This chapter has two aims. First, to integrate conversations in philosophy of science, epistemology, and metaphilosophy to draw out the publishing incentives that promote analogous problems (...) of fake news and misinformation in academic research communities more broadly. Second, to argue for a (partial) solution. This chapter argues that research communities benefit when authors believe what they argue for in print and it warns against attempts to loosen our publication norms to permit publishing without belief. (shrink)

This essay surveys some of the literature on "imagining oneself to be another," and offers a theory of the content of such imaginings.

In this paper, I argue that morality might bear on belief in at least two conceptually distinct ways. The first is that morality might bear on belief by bearing on questions of justification. The claim that it does is the doctrine of moral encroachment. The second, is that morality might bear on belief given the central role belief plays in mediating and thereby constituting our relationships with one another. The claim that it does is the doctrine of doxastic wronging. Though (...) conceptually distinct, the two doctrines overlap in important ways. This paper provides clarification on the relationship between the two, providing reasons throughout that we should accept both. (shrink)

This chapter is a survey of the ethics of belief. It begins with the debate as it first emerges in the foundational dispute between W. K. Clifford and William James. Then it surveys how the disagreements between Clifford and James have shaped the work of contemporary theorists, touching on topics such as pragmatism, whether we should believe against the evidence, pragmatic and moral encroachment, doxastic partiality, and doxastic wronging.

You shouldn’t have done it. But you did. Against your better judgment you scrolled to the end of an article concerning the state of race relations in America and you are now reading the comments. Amongst the slurs, the get-rich-quick schemes, and the threats of physical violence, there is one comment that catches your eye. Spencer argues that although it might be “unpopular” or “politically incorrect” to say this, the evidence supports believing that the black diner in his section will (...) tip poorly. He insists that the facts don’t lie. The facts aren’t racist. In denying his claim and in believing otherwise, it is you who engages in wishful thinking. It is you who believes against the evidence. You, not Spencer, are epistemically irrational. -/- My dissertation gives an account of the moral-epistemic norms governing belief that will help us answer Spencer and the challenge he poses. We live in a society that has been shaped by racist attitudes and institutions. Given the effects of structural racism, Spencer’s belief could have considerable evidential support. Spencer notes that it might make him unpopular, but he cares about the truth and he is willing to believe the unpopular thing. But, Spencer’s belief seems racist. Spencer asks, however, how could his belief be racist if his beliefs reflect reality and are rationally justified? Moreover, how could he wrong anyone by believing what he epistemically ought to believe given the evidence? In answer, I argue that beliefs can wrong. (shrink)

When one considers one's own persistence over time from the first-person perspective, it seems as if facts about one's persistence are "further facts," over and above facts about physical and psychological continuity. But the idea that facts about one's persistence are further facts is objectionable on independent theoretical grounds: it conflicts with physicalism and requires us to posit hidden facts about our persistence. This essay shows how to resolve this conflict using the idea that imagining from the first-person point of (...) view is a guide to centered possibility, a type of possibility analyzed in terms of centered worlds. (shrink)

A challenge we face in a world that has been shaped by, and continues to be shaped by, racist attitudes and institutions is that the evidence is often stacked in favor of racist beliefs. As a result, we may find ourselves facing the following conflict: what if the evidence we have supports something we morally shouldn’t believe? For example, it is morally wrong to assume, solely on the basis of someone’s skin color, that they’re a staff member. But, what if (...) you’re in a context where, because of historical patterns of discrimination, someone’s skin color is a very good indicator that they’re a staff member? When this sort of normative conflict looms, a conflict between moral considerations on the one hand and what you epistemically ought to believe given the evidence on the other, what should we do? It might be unfair to assume that they’re a staff member, but to ignore the evidence would mean risking inaccurate beliefs. Some, notably Tamar Gendler (2011), have suggested that we simply face a tragic irresolvable dilemma. In this chapter, I consider how these cases of conflict arise and I canvass the viability of suggested resolutions of the conflict. In the end, I argue that there’s actually no conflict here. Moral considerations can change how we epistemically should respond to the evidence. (shrink)

In his book Mental Files , Francois Recanati develops a theory of mind and language based on the idea that Fregean senses should be identified with ‘mental files’, mental representations whose primary function is to store information about objects. I discuss three aspects of Recanati’s book. The first concerns his use of acquaintance relations in individuating mental files, and what this means for ‘file dynamics’. The second concerns his comments on a theory that I have elsewhere advocated, the ‘sequenced worlds’ (...) or ‘multi-centered worlds’ theory. The third concerns how the mental file approach handles non-doxastic attitudes like imagining. (shrink)

This essay examines the case for relativism about future contingents in light of a distinction between two ways of interpreting the ‘branching time’ framework. Focussing on MacFarlane (2014), we break the argument for relativism down into two steps. The first step is an argument for something MacFarlane calls the "Non-Determination Thesis", which is essentially the view that there is no unique actual future. The second step is an argument from the Non-Determination Thesis to relativism. I first argue that first step (...) of this argument fails. But despite that result, the second step is still of interest, since many philosophers have maintained something like the Non-Determination Thesis on alternative grounds. I then argue that whether the second step of the argument suc- ceeds depends on how the Non-Determination Thesis is motivated, and how the ‘branching time’ framework is interpreted in light of that moti- vation. If the branches in an intended branching time model are ersatz possible worlds, then the argument for relativism might go through; but if, instead, the branches are concrete parts of a ‘branching multiverse’, then the argument for relativism turns out to make implausible assumptions about the nature of personal identity over time. That argument can thus be rejected by rejecting those assumptions. One upshot of this is that the case for relativism about future contingents is much weaker than has been appreciated; a broader lesson is that philosophers who invoke the branching time framework need to pay close attention to different ways of interpreting it. (shrink)

Utterances of simple sentences containing taste predicates (e.g. "delicious", "fun", "frightening") typically imply that the speaker has had a particular sort of first-hand experience with the object of predication. For example, an utterance of "The carrot cake is delicious" would typically imply that the speaker had actually tasted the cake in question, and is not, for example, merely basing her judgment on the testimony of others. According to one approach, this acquaintance inference is essentially an implicature, one generated by the (...) Maxim of Quality together with a certain principle concerning the epistemology of taste (Ninan 2014). We first discuss some problems for this approach that arise in connection with disjunction and generalized quantifiers. Then, after stating a conjecture concerning which operators ‘obviate’ the acquaintance inference and which do not, we build on Anand & Korotkova (2018) and Willer & Kennedy (Forthcoming) by developing a theory that treats the acquaintance requirement as a presupposition, albeit one that can be obviated by certain operators. (shrink)

Simple sentences containing predicates like "tasty" and "beautiful" typically suggest that the speaker has first-hand knowledge of the item being evaluated. I consider two explanations of this acquaintance inference: a presuppositional approach and a pragmatic-epistemic approach. The presuppositional approach has a number of virtues, but runs into trouble because the acquaintance inference has a very different projection pattern from that of standard presuppositions. The pragmatic-epistemic approach accounts for the main data discussed in the paper, but faces challenges of its own.

This essay argues for a 'relationist' treatment of intentional identity sentences like (1) "Hob believes that a witch blighted Bob's mare and Nob believes that she killed Cob's sow" (Geach 1967). According to relationism, facts of the form "a believes that p and b believes that q" are not in general reducible to facts of the form "c believes that r". We first argue that extant, non-relationist treatments of intentional identity are unsatisfactory, and then go on to motivate and explore (...) a relationist alternative in some detail. We show that the general thesis of relationism can be directly motivated via cases already discussed in the literature, and then develop a particular version of relationism couched in the possible worlds framework. The resulting theory avoids the problems facing its non-relationist rivals, and yields a natural account of the truth-conditions of (1), truth-conditions which can be generated in a compositional manner by a version of dynamic semantics. The theory also helps us to cleanly separate semantic questions about intentional identity from metasemantic ones. (shrink)

If you’re familiar with Tolkien’s The Hobbit I don’t need to tell you that Mirkwood is a dangerous place. As bad as we might feel for Thorin and company as they try to navigate the forest and fall prey to its traps, we should feel worse for ourselves. Our world is also dangerous and difficult, but in a different way. Although it’s some comfort that the spiders of our world are smaller, it is easier to travel through Mirkwood than it (...) is to know what to believe. At least when it comes to navigating Mirkwood the directions are clear. (shrink)

This essay uses a puzzle about assertion and time to explore the pragmatics, semantics, and epistemology of future discourse. The puzzle concerns cases in which a subject is in a position to say, at an initial time t, that it will be that ϕ, but is not in a position to say, at a later time t′, that it is or was that ϕ, despite not losing or gaining any relevant evidence between t and t′. We consider a number of (...) approaches to the puzzle and defend the view that subjects in these cases lose knowledge simply by moving through time. (shrink)

This paper is about the relationship between two questions: the question of what the objects of assertion are and the question of how best to theorise about ‘shifty’ phenomena like modality and tense. I argue that the relationship between these two questions is less direct than is often supposed. I then explore the consequences of this for a number of debates in the philosophy of language.

According to one tradition in the philosophy of language and mind, the content of a psychological attitude can be characterized by a set of possibilities. On the classic version of this account, advocated by Hintikka (1962) and Stalnaker (1984) among others, the possibilities in question are possible worlds, ways the universe might be. Lewis (1979, 1983a) proposed an alternative to this account, according to which the possibilities in question are possible individuals or centered worlds, ways an individual might be. The (...) motivation for the centered worlds theory has primarily to do with self-locating – or de se – attitudes. The focus of this paper is on the less-discussed question of how other-locating – or de re – attitudes ought to be treated within this framework. Most advocates of what we might call the modal approach to attitudes, Stalnaker and Lewis included, offer some kind of descriptivist solution to the well-known problems that other-locating attitudes raise. There are intramural differences between Stalnaker, Lewis, and other modal theorists (e.g. two-dimensionalists) on a number of issues: on the precise nature of the descriptivism involved, how attitude content relates to the asserted content of the sentences we utter, and on the proper semantic treatment of attitude reports. I pass over these differences to focus on a problem common to these various approaches: all face a problem when it comes to characterizing the contents of counterfactual attitudes like imagining, dreaming, and wishing. (shrink)

Simple taste predications come with an `acquaintance requirement': they require the speaker to have had a certain kind of first-hand experience with the object of predication. For example, if I tell you that the crème caramel is delicious, you would ordinarily assume that I have actually tasted the crème caramel and am not simply relying on the testimony of others. The present essay argues in favor of a lightweight expressivist account of the acquaintance requirement. This account consists of a recursive (...) semantics and an account of assertion; it is compatible with a number of different accounts of truth and content, including contextualism, relativism, and purer forms of expressivism. The principal argument in favor of this account is that it correctly predicts a wide range of data concerning how the acquaintance requirement interacts with Boolean connectives, generalized quantifiers, epistemic modals, and attitude verbs. (shrink)

An explicit formal-ontological representation of entities existing at multiple levels of granularity is an urgent requirement for biomedical information processing. We discuss some fundamental principles which can form a basis for such a representation. We also comment on some of the implicit treatments of granularity in currently available ontologies and terminologies (GO, FMA, SNOMED CT).

Williams's famous thought experiment in "The Self and the Future" supports the Simple View of personal identity over time.

Kripke (1980) hypothesizes a link between rigidity and scope: a singular term is rigid over a space S of possibilities just in case it is scopeless with respect to modals that quantify over S. Kripke’s hypothesis works well when we consider the interaction of singular terms with metaphysical modals, but runs into trouble when we consider the interaction of singular terms with epistemic modals. After describing the trouble in detail, and considering one non-solution to it, I develop a novel version (...) of dynamic semantics that resolves the problem. (shrink)

This essay offers a proposal for how to understand the idea that there is a special connection between de se attitudes and the explanation of action.

Commentary on Philips et. al. "Knowledge Before Belief".

Arguments attempting to debunk moral beliefs, by showing they are unjustified, have tended to be global, targeting all moral beliefs or a large set of them. Popular debunking arguments point to various factors purportedly influencing moral beliefs, from evolutionary pressures, to automatic and emotionally-driven processes, to framing effects. We show that these sweeping arguments face a debunker’s dilemma: either the relevant factor is not a main basis for belief or it does not render the relevant beliefs unjustified. Empirical debunking arguments (...) in ethics can avoid this predicament, but only if they are refocused on highly selective classes of moral belief. Experimental data can combine with familiar consistency reasoning to reveal that like cases are not being treated alike. Selective debunking arguments are unlikely to yield sweeping sceptical conclusions, but they can lead to rational moral change. (shrink)

Discussion of Emar Maier's essay “Fictional Names in Psychologistic Semantics.”.

The Unified Medical Language System and the Gene Ontology are among the most widely used terminology resources in the biomedical domain. However, when we evaluate them in the light of simple principles for wellconstructed ontologies we find a number of characteristic inadequacies. Employing the theory of granular partitions, a new approach to the understanding of ontologies and of the relationships ontologies bear to instances in reality, we provide an application of this theory in relation to an example drawn from the (...) context of the pathophysiology of hypertension. This exercise is designed to demonstrate how, by taking ontological principles into account we can create more realistic biomedical ontologies which will also bring advantages in terms of efficiency and robustness of associated software applications. (shrink)

There are many commonalities between the framework of roleplaying games such as Dungeons & Dragons and the way in which we design classes and assignments. The professor (the dungeon master) selects a number of readings with some end goal in mind (the campaign). Along the way the students are expected to be active participants (roleplay) and the professor designs progressively harder assignments (quests) in order to test the students’ abilities and to promote learning and growth (leveling up). This structural analogy (...) prompted me to investigate how such a framework could be implemented more explicitly in a class, and in this chapter I describe how I did so. (shrink)

Can reasoning improve moral judgments and lead to moral progress? Pessimistic answers to this question are often based on caricatures of reasoning, weak scientific evidence, and flawed interpretations of solid evidence. In support of optimism, we discuss three forms of moral reasoning (principle reasoning, consistency reasoning, and social proof) that can spur progressive changes in attitudes and behavior on a variety of issues, such as charitable giving, gay rights, and meat consumption. We conclude that moral reasoning, particularly when embedded in (...) social networks with mutual trust and respect, is integral to moral progress. (shrink)

A central dispute in discussions of self-locating attitudes is whether attitude relations like believing and knowing are relations between an agent and properties (things that vary in truth value across individuals) or between an agent and propositions (things that do not so vary). Proponents of the proposition view have argued that the property view is unable to give an adequate account of relations like communication and agreement. We agree with this critique of the property view, and in this essay we (...) show that the problems facing the property view are much more serious than has been appreciated. We then develop and explore two versions of the proposition view. In each case, we show how facts about the self-ascription of properties may be determined by facts about propositional attitudes in conjunction with certain other facts. (shrink)

Recent work on the quality assurance of the Gene Ontology (GO, Gene Ontology Consortium 2004) from the perspective of both linguistic and ontological organization has made it clear that GO lacks the kind of formalism needed to support logic-based reasoning. At the same time it is no less clear that GO has proven itself to be an excellent terminological resource that can serve to combine together a variety of biomedical database and information systems. Given the strengths of GO, it is (...) worth investigating whether, by overcoming some of its weaknesses from the point of view of formal-ontological principles, we might not be able to enhance a version of GO which can come even closer to serving the needs of the various communities of biomedical researchers and practitioners. It is accepted that clinical and bioinformatics need to find common ground if the results of data-intensive biomedical research are to be harvested to the full. It is also widely accepted that no single method will be sufficient to create the needed common framework. We believe that the principles-based approach to life-science data integration and knowledge representation must be one of the methods applied. Indeed in dealing with the ontological representation of carcinomas, and specifically of colon carcinomas, we have established that, had GO (and related biomedical ontologies) followed some of the basic formal-ontological principles we have identified (Smith et al. 2004, Ceusters et al. 2004), then the effort required to navigate successfully between clinical and bioinformatics systems would have been reduced. We point here to the sources of ontologically-related errors in GO, and also provide arguments as to why and how such errors need to be resolved. (shrink)

The powerful role that teachers can play in our development is the focus Binyamin, Jayusi, and Tamir’s chapter in this volume. They argue that teachers, in particular teachers that don’t share the same background as their students, can help counter the increasing polarization that characterizes our current era. In these critical notes I raise three challenges to their proposal. First, by exploring the mechanisms of polarization I demonstrate that polarization is not a problem unique to thick diversity or thick multiculturalism. (...) Second, the central premise of the authors’ proposal rests on the ability of greater contact to reduce prejudice. The contact hypothesis, however, has numerous backlash effects and unintended consequences that can increase prejudice rather than reduce prejudice. These backlash effects and unintended consequences raise serious doubts for the success of placing minority teachers in majority classrooms to reduce prejudice. Third, I raise concerns about how the proposal tokenizes minority teachers, the use of instrumental rationales for diversity, and the politics of deference and being-in-the-room privilege that also go unaddressed in their proposal. (shrink)

There are a number of existing classifications and staging schemes for carcinomas, one of the most frequently used being the TNM classification. Such classifications represent classes of entities which exist at various anatomical levels of granularity. We argue that in order to apply such representations to the Electronic Health Records one needs sound ontologies which take into consideration the diversity of the domains which are involved in clinical bioinformatics. Here we outline a formal theory for addressing these issues in a (...) way that the ontologies can be used to support inferences relating to entities which exist at different anatomical levels of granularity. Our case study is the colon carcinoma, one of the most common carcinomas prevalent within the European population. (shrink)

An important part of the Unified Medical Language System (UMLS) is its Semantic Network, consisting of 134 Semantic Types connected to each other by edges formed by one or more of 54 distinct Relation Types. This Network is however for many purposes overcomplex, and various groups have thus made attempts at simplification. Here we take this work further by simplifying the relations which involve the three Semantic Types – Diagnostic Procedure, Laboratory Procedure and Therapeutic or Preventive Procedure. We define operators (...) which can be used to generate terms instantiating types from this selected set when applied to terms designating certain other Semantic Types, including almost all the terms specifying clinical tasks. Usage of such operators thus provides a useful and economical way of specifying clinical tasks. The operators allow us to define a mapping between those types within the UMLS which do not represent clinical tasks and those which do. This mapping then provides a basis for an ontology of clinical tasks that can be used in the formulation of computer-interpretable clinical guideline models. (shrink)

Outcomes research in healthcare has been a topic much addressed in recent years. Efforts in this direction have been supplemented by work in the areas of guidelines for clinical practice and computer-interpretable workflow and careflow models.In what follows we present the outlines of a framework for understanding the relations between organizations, guidelines, individual patients and patient-related functions. The derived framework provides a means to extract the knowledge contained in the guideline text at different granularities, in ways that can help us (...) to assign tasks within the healthcare organization and to assess clinical performance in realizing the guideline. It does this in a way that preserves the flexibility of the organization in the adoption of the guidelines. (shrink)

Review of John MacFarlane's book, "Assessment Sensitivity: Relative Truth and Its Applications".