Background: When infertility is diagnosed, physicians have the difficult task to break bad news. Their communication skills play a central role in improving patients' coping abilities and adherence to infertility treatments. However, specific guidelines and training courses on this topic are still lacking. The aim of the present study is to provide some practical advice for improving breaking bad news in infertility diagnosis through a systematic literature review of qualitative and quantitative studies. Methods: Electronic searches were performed in the MEDLINE, (...) Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, and Psychology and Behavioral Sciences Collection databases. All articles focusing on the communication of the diagnosis of infertility were included. The main findings of each included article were then summarized. Results: Literature search identified 11,838 references that were screened for eligibility. Full texts of 81 articles were retrieved, and their analysis led to the inclusion of 4 articles, which treated the theme of communication of infertility only partially. The main addressed aspects concerning the communication of the infertility diagnosis were the following: the value that patients give to healthcare professionals' communication skills; the importance of giving clear information on diagnostic procedures and treatments in order to decrease patients' anxiety; and the importance of involving both partners. Conclusions: This review pointed out that the communication of the infertility diagnosis is still underinvestigated. Specific guidelines are currently not available, but other protocols could be used. Taking into account the principal aspects of communication highlighted with this review, in this study, we suggested an adaptation of the original SPIKES protocol that could be used by healthcare professionals for the communication of the infertility status. (shrink)

At the core of evidentialism lies a very plausible claim: rational thinkers follow their evidence. While this seems to be a very intuitive, almost trivial, claim, providing a full and complete evidentialist theory is complicated. In this entry, I begin with elucidating what kind of theory evidentialists aim to provide us with. I will show that, in order to provide a complete evidentialist theory, we have to provide a lot of details on what evidence is and how it relates to (...) the proposition it’s evidence for, as well as the agent possessing such evidence. I then consider objections arising for the most popular answers one can give to such questions. I conclude by considering old and new challenges that arise for evidentialism, regardless of the specific version one endorses. (shrink)

Why can testimony alone be enough for findings of liability? Why statistical evidence alone can’t? These questions underpin the “Proof Paradox” (Redmayne 2008, Enoch et al. 2012). Many epistemologists have attempted to explain this paradox from a purely epistemic perspective. I call it the “Epistemic Project”. In this paper, I take a step back from this recent trend. Stemming from considerations about the nature and role of standards of proof, I define three requirements that any successful account in line with (...) the Epistemic Project should meet. I then consider three recent epistemic accounts on which the standard is met when the evidence rules out modal risk (Pritchard 2018), normic risk (Ebert et al. 2020), or relevant alternatives (Gardiner 2019 2020). I argue that none of these accounts meets all the requirements. Finally, I offer reasons to be pessimistic about the prospects of having a successful epistemic explanation of the paradox. I suggest the discussion on the proof paradox would benefit from undergoing a ‘value-turn’. (shrink)

In this paper, I focus on the Armchair Access Problem for E=K as presented by Nicholas Silins (2005), and I argue, contra Silins, that it does not represent a real threat to E=K. More precisely, I put forward two lines of response, both of which put pressure on the main assumption of the argument, namely, the Armchair Access thesis. The first line of response focuses on its scope, while the second line of response focuses on its nature. The second line (...) of response is the most interesting one, for it represents the framework within which I develop a novel account of second-order knowledge, one that involves evaluation of counterfactual conditionals and the employment of our imaginative capacities, i.e., an imagination-based account of second-order knowledge. The two lines of response are shown to be jointly compatible and mutually supportive. I then conclude that the Armchair Access Problem is not a challenge for E=K, yet it relies on the ambiguity of the notion of armchair knowledge underpinning the Armchair Access thesis. (shrink)

This paper reassesses the case against Evidential Externalism, the thesis that one's evidence fails to supervene on one's non-factive mental states, focusing on two objections to Externalism due by Nicholas Silins: the armchair access argument and the supervenience argument. It also examines Silins's attempt to undermine the force of one major source of motivation for Externalism, namely that the rival Internalist picture of evidence is implicated in some central arguments for scepticism. While Silins concludes that the case against Evidential Externalism (...) is surprisingly strong, reassessing the arguments supports the opposite conclusion; the objections to Externalism are weak, and for all Silins has shown it may well have unmatched advantages when it comes to resisting scepticism. (shrink)

In this paper, I consider the so-called Access Problem for Duncan Pritchard’s Epistemological Disjunctivism (2012). After reconstructing Pritchard’s own response to the Access Problem, I argue that in order to assess whether Pritchard’s response is a satisfying one, we first need an account of the notion of ‘Reflective Access’ that underpins Pritchard’s Epistemological Disjunctivism. I provide three interpretations of the notion of Reflective Access: a metaphysical interpretation, a folk interpretation, and an epistemic interpretation. I argue that none of these three (...) interpretations comes without problems. I conclude that, until we have a clear and unproblematic account of Reflective Access, the Access Problem remains a challenge for Pritchard’s Epistemological Disjunctivism. (shrink)

According to Probability 1 Infallibilism (henceforth, Infallibilism), if one knows that p, then the probability of p given one’s evidence is 1. Jessica Brown (2018, 2013) has recently argued that Infallibilism leads to scepticism unless the infallibilist also endorses the claim that if one knows that p, then p is part of one’s evidence for p. By doing that, however, the infalliblist has to explain why it is infelicitous to cite p as evidence for itself. And yet, the infallibilist doesn’t (...) seem to have a satisfying explanation available. Call this the Infelicity Challenge for Probability 1 Infallibilism. By exploiting the distinction between the justifying and the motivating role of evidence, in this paper, I argue that, contrary to first appearances, the Infelicity Challenge doesn’t arise for Probability 1 Infallibilism. However, after anticipating and resisting two objections to my argument, I show that we can identify a different version of infallibilism which seems to face a problem that is even more serious than the Infelicity Challenge. (shrink)

According to the ‘Evidential Internalists’, one’s evidence supervenes on one’s non-factive mental states. ‘Evidential Externalists’ deny that, and allow for external factors to determine what evidence one has. After clarifying what Evidential Internalism and Evidential Externalism entail, and what they are silent on, this chapter provides an opinionated overview of the main arguments and motivations behind Evidential Internalism and Evidential Externalism. It concludes that Evidential Externalism is a more promising view.

This paper opens the philosophical debate around the notion of Artificial General Intelligence (AGI) and its application in Large Language Models (LLMs). Through the lens of moral philosophy, the paper raises questions about these AI systems' capabilities and goals, the treatment of humans behind them, and the risk of perpetuating a monoculture through language.

Cet article montre comment la logique algorithmique d’un agent conversationnel peut aider l’organisation des connaissances au sein d’une organisation de l’administration publique française, notamment une collectivité territoriale. Par le bias d’une recherche sur le terrain, je cherche à montrer comment il existe deux différentes adoptions de la technologie de la part de l’administration publique : une complexifiante et une simplifiante.

The form of an action has a strong influence on the interaction between humans. According to their mood, people may perform the same gesture in different ways, such as gently or rudely. These aspects of social communication are named vitality forms by Daniel Stern, represent a mean to establish a direct and immediate connection with others. Indeed, the expression of different vitality forms enables us to communicate our affective states and at the same time the perception of these vitality forms (...) enables people around us to understand how we feel in that moment. In the last years of research, different fMRI studies have been carried out to investigate the neural correlates of vitality forms recognition and execution. Moreover, recent psychophysics studies conducted from our research group have demonstrated the presence of an affective contagion effect, during which vitality forms expressed by an agent affect the action perception and the motor response of the receiver. This means that vitality forms expressed by others can influence our mood positively or negatively, modulating as consequence our behavior. Note that vitality forms pervade our lives in a continuous manner and thus they are not expressed and perceived only during social interactions. For example, when we observe an artistic representation at the theatre, the dynamic postures of dancers, together with an alternation of acceleration and deceleration in their movements, communicate to us different affective states. Also when we are in a museum in front of a painting, lines, colors and shapes used by the artist can elicit in us different sensations and modify our attitude. In this view, with the aim to extend the concept of vitality forms from neuroscience and psychology to other disciplines of study, we dedicate part of this review to discuss how art, in all its forms, can be considered a pure expression of vitality forms. (shrink)

The alignment problem in the context of large language models must consider the plurality of human values in our world. Whilst there are many resonant and overlapping values amongst the world’s cultures, there are also many conflicting, yet equally valid, values. It is important to observe which cultural values a model exhibits, particularly when there is a value conflict between input prompts and generated outputs. We discuss how the co- creation of language and cultural value impacts large language models (LLMs). (...) We explore the constitution of the training data for GPT-3 and compare that to the world’s language and internet access demographics, as well as to reported statistical profiles of dominant values in some Nation-states. We stress tested GPT-3 with a range of value-rich texts representing several languages and nations; including some with values orthogonal to dominant US public opinion as reported by the World Values Survey. We observed when values embedded in the input text were mutated in the generated outputs and noted when these conflicting values were more aligned with reported dominant US values. Our discussion of these results uses a moral value pluralism (MVP) lens to better understand these value mutations. Finally, we provide recommendations for how our work may contribute to other current work in the field. (shrink)

With a Call for Essays, the special issue Multimodality sought contributions that accept not only the material but also the body-bound dependence of media perception and understanding. To this end, contributions were included that shed light on both the structural and signifying potential of artistic works through multimodal analysis. Particular attention was paid to contributions that clarify how the structural features - the modes - of the arts, their perception, and their signifying potential in terms of content are interrelated and (...) how they are to be understood in communicative and thus socioculturally relevant terms. Thus, in addition to neuroscientific contributions, those from cultural anthropology, art history, image and art studies, and literary studies were included. -/- Articles -/- 8 Martina Sauer and Christiane Wagner - Introduction -/- 11 Giada Lombardi and Giuseppe Di Cesare - From Neuroscience to Art: The Role of ‘Vitality Forms’ in the Investigation of Multimodality -/- 25 Martina Sauer - Abstract - Affective – Multimodal: Interaction between Medium and Perception of Moving Images from the Viewpoint of Cassirer’s, Langer’s and Krois’ Embodiment Theories -/- 49 Göran Sonesson - The Secrets of Plastic Language Revealed: Multimodality, Polysemiosis, and Iconicity -/- 71 Natalia Igl - Making Sense of the Material: Multisensory Reader Involvement in Contemporary Multimodal Novels -/- 87 J. Philippe Thompson - Art is All: Proust’s Life Lessons Through Perception and Art -/- 107 Hans Dieter Huber - Philippe Parreno and the Exhibition as a Multimodal Aesthetic Experience -/- 135 Jörg U. Lensing - The Performing Human Being in a Media Interaction Space: Multi- and intermodal productions by the Düsseldorf Theater der Klänge (Theatre of Sounds) . (shrink)