Recent scientific approaches to aesthetics include evolutionary theories about the origin of art behavior, psychological investigations into human aesthetic experience and preferences, and neurophysiological explorations of the mechanisms underlying art experience. Critics of these approaches argue that they are ultimately irrelevant to a philosophical aesthetics because they cannot help us understand the distinctive conceptual basis and normativity of our art experience. This criticism may seem plausible given the piecemeal nature of these scientific approaches, but a more comprehensive naturalistic framework can (...) help us understand the conceptual basis and normativity of art. In particular, the ecology of art, an understanding of how individuals interact within particular environments, can help us understand the engineered art niches in which we create and experience art. Each niche is associated with a particular deme, or set of individuals that interact within that niche, and a set of cognitive, epistemic, and pedagogical technologies that form the conceptual basis of a niche-dependent normativity. This is to be contrasted with the niche-independent normativity revealed by many of the scientific approaches. This framework, and the conflicting streams of normativity it reveals, allows us to better understand conflicts in normativity and the implausibility of unequivocal and universal normative principles. (shrink)

On one standard philosophical position adopted by evolutionary naturalists, human ethical systems are nothing more than evolutionary adaptations that facilitate social behavior. Belief in an absolute moral foundation is therefore in error. But evolutionary naturalism, by its commitment to the basic valutional concept of fitness, reveals another, logical error: standard conceptions of value in terms of simple predication and properties are mistaken. Valuation has instead, a relational structure that makes reference to respects, subjects and environments. This relational nature is illustrated (...) by the analogy commonly drawn between value and color. Color perception, as recognized by the ecological concept, is relational and dependent on subject and environment. In a similar way, value is relational and dependent on subject and environment. This makes value subjective, but also objective in that it is grounded on facts about mattering. At bottom, values are complex relational facts. The view presented here, unlike other prominent relational and naturalistic conceptions of value, recognizes the full range of valuation in nature. The advantages of this relational conception are first, that it gets valuation right; second, it provides a framework to better explain and understand valuation in all its varieties and patterns. (shrink)

The physical basis of conscious experience is revealed by direct observation and analysis of any conscious experience. Human conscious experience has an invariant structural mode of organization based on the three types of space-time intervals (light-like, time-like, space-like). Sensory input activates the autonomic nervous system, endocrine system, and ascending reticular activating system to produce the awake conscious state. The dorsal and ventral frontoparietal attention networks are activated. Dorsal and ventral cortical functional streams carry “what”, “where”, and “when” information to the (...) medial temporal lobe for the encoding, storage, and recall of conscious experience (episodic memory). Hippocampal place cells and time cells encode events in space and time within spatiotemporal contexts conveyed by entorhinal cortex grid cells and ramping cells. Theta phase precession unifies the encoding of space and time in the hippocampus so that segments of space and time are encoded in the hippocampus. Theta travelling waves ensure that the instantaneous output of the hippocampus consists of topographically-organized segments of space and time, space-time intervals. By parsing spatiotemporal contexts into quantal units of where and when events occur (spacetime intervals), hippocampal neurons bridge, and thereby organize events, in a conceptual organization of events (conscious experience). Space-time intervals are extracted from the hippocampus by a prefrontal cortex-basal ganglia-thalamic-prefrontal cortex loop for the cognitive, affective, and motivational aspects of conscious experience. (shrink)

Disagreement is common: even informed, intelligent, and generally reasonable people often come to different conclusions when confronted with what seems to be the same evidence. Can the competing conclusions be reasonable? If not, what can we reasonably think about the situation? This volume examines the epistemology of disagreement. Philosophical questions about disagreement arise in various areas, notably politics, ethics, aesthetics, and the philosophy of religion: but this will be the first book focusing on the general epistemic issues arising from informed (...) disagreement. Ten leading philosophers offer specially written essays which together will offer a starting-point for future work on this topic. (shrink)

My main aim is to argue that most conceptions of doxastic agency do not respond to the skeptic’s challenge. I begin by considering some reasons for thinking that we are not doxastic agents. I then turn to a discussion of those who try to make sense of doxastic agency by appeal to belief’s reasons-responsive nature. What they end up calling agency is not robust enough to satisfy the challenge posed by the skeptics. To satisfy the skeptic, one needs to make (...) sense of the possibility of believing for nonevidential reasons. While this has been seen as an untenable view for both skeptics and anti-skeptics, I conclude by suggesting it is a position that has been too hastily dismissed. (shrink)

I aim to offer a practical response to skepticism. I begin by surveying a family of responses to skepticism that I term “dogmatic” and argue that they are problematically evasive; they do not address what I take to be a question that is central to many skeptics: Why am I justified in maintaining some beliefs that fail to meet ordinary standards of doxastic evaluation? I then turn to a discussion of these standards of evaluation and to the different kinds of (...) doxastic value to which they appeal. While there is something good about having a true belief and something bad about having a false one, I argue the value of true beliefs is not intrinsic or final. Truth and knowledge are valuable because they contribute to both individual and collective flourishing. But if contributing to flourishing is what ultimately provides truth with its value, then we have discovered another doxastic value. I call this kind of doxastic value “practical.” The practical response addresses the skeptic’s question by claiming that some beliefs can be justified by appealing to their practical, rather than alethic, value. In fleshing out this practical response I contrast it both with dogmatic responses as well as some seemingly similar “practical” alternatives, namely Crispin Wright’s appeals to entitlements and Susanna Rinard’s “pragmatic skepticism.” I end by addressing some objections. (shrink)

Miriam Schleifer McCormick delineates the limits, or at least one limit, of the ethics of mind. Many theorists, including McCormick herself, have argued that some states of mind are appropriate targets of certain reactive attitudes even if they cannot be directly controlled. McCormick now worries that the scope of agency can be widened too far so that no area of mind is beyond the reach of appropriate assessment and judgement. She begins with the intuition that there is, (...) or ought to be, a domain of the mind that is completely free of normative assessment, where you are safe to let your thoughts and images go wherever they take you without concern that you are doing anything wrong, where praise and shame do not apply. McCormick begins by offering an example of the kind of state she thinks should be beyond normative judgment; she argues that certain kinds of wakeful fantasies are on par with sleeping dreams. If one shares McCormick’s view that there is a “free” domain of the wakeful mind, then what she is doing can be seen as clarifying why such states exempt them from judgment. If one does not share this intuition, then what McCormick is doing can be seen as specifying what criteria would be needed for a kind of state (or domain) to be free in this sense. And then some may argue that no wakeful fantasies satisfy these criteria. McCormick addresses those arguments and argues that if the fantasies as characterized are appropriate targets of normative assessment, then it will be very difficult to exempt dreams of sleep, as well as other exercises of imagination. Of course, some people (like Augustine and surprisingly many others) will not mind this result. McCormick doesn’t think then that is the end of the discussion, stalemate and parting of intuitions, for she argues that a case can be made for the value of having a realm of imagination that is beyond the reach of any kind of judgment. (shrink)

It is proposed that our memory is made up of individual, unconnected Records, to each of which is attached a Heading. Retrieval of a Record can only be accomplished by addressing the attached Heading, the contents of which cannot itself be retrieved. Each Heading is made up of a mixture of content in more or less literal form and context, the latter including specification of environment and of internal states (e.g. drug states and mood). This view of memory allows an (...) easy account of a number of natural memory phenomena as well as a variety of laboratory findings such as the differences between recall and recognition. The theory further proposes that Headed Records can neither be deleted nor modified. Data apparently against such a hypothesis can be accounted for in terms of the retrieval process. (shrink)

The aim of this study is to identify the key terms and arguments of J. Lovelock՚s sustainable retreat concept and their analysis with emphasize on the consequences of this concept for political, social and environmental thinking. J. Lovelock points out that considering rapid and complex changes in global environment, marked by the term Anthropocene; we do not have enough time and sources to realize the sustainable development concept. For that reason, it is, according to him, necessary to formulate sustainable retreat (...) concept as a strategy which will allow to prepare for climate change in a way that not only a man as a biological specie, but also civilized society could survive. Even basic theses of this concept indicate a need to revalue majority political concepts, mainly concepts of sovereignty, citizenship, also the freedom of movement and residence, freedom of business and consume, which are fundamentals of neoliberal economic-political system. Retreat expects elaborated and organized migration to beforehand chosen and arranged areas. Opposite to retreat is mass escape chaos that reduces human relations to fight for survival. As J. Lovelock proposed in his sustainable retreat concept, relocating people from areas affected by climate changes to climate oases would mean that rich northern countries give up their current, in fact, isolationistic politics that refuses climate migrants. Therefore the sustainable retreat concept requires much greater competence and mainly willingness to cooperate not only on national, but also on international and global level more than humanity is able to do it currently. (shrink)

Is the societal-level of analysis sufficient today to understand the values of those in the global workforce? Or are individual-level analyses more appropriate for assessing the influence of values on ethical behaviors across country workforces? Using multi-level analyses for a 48-society sample, we test the utility of both the societal-level and individual-level dimensions of collectivism and individualism values for predicting ethical behaviors of business professionals. Our values-based behavioral analysis indicates that values at the individual-level make a more significant contribution to (...) explaining variance in ethical behaviors than do values at the societal-level. Implicitly, our findings question the soundness of using societal-level values measures. Implications for international business research are discussed. (shrink)

The 2017 story of Charlie Gard is revisited. Upon the British High Court’s ruling in favor of the physicians that the infant should be allowed to die without the experimental treatment, the view of the public as well as the opinions of bioethicists and Catholic bishops are divided, interestingly along with a cultural line. American bioethicists and Catholic bishops tend to believe that the parents should have the final say while British/European bioethicists and Catholic bishops in general side with the (...) court’s decision. The paper explores the place of culture in bioethical reasoning between the UK/Europe and the US while claiming that cultural differences are more important than geopolitical or religious differences to understand the bioethical positions of a group. In addition, the authors introduce a decision-making program for handicapped neonates which is developed by the American Jesuit Bioethicist, Richard McCormick, and modified further by the contemporary American Jesuit Bioethicist, Peter A. Clark, in an attempt to see if the program’s normatizing categories can contribute to the culture-laden ethical discussions on Charlie’s case. However, it is admitted that the McCormick-Clark device is borne out of the American and Catholic theological context. (shrink)

Efforts by governments, firms, and patients to deliver pioneering drugs for critical health needs face a challenge of diminishing efficiency in developing those medicines. While multi-sectoral collaborations involving firms, researchers, patients, and policymakers are widely recognized as crucial for countering this decline, existing incentives to engage in drug development predominantly target drug manufacturers and thereby do little to stimulate collaborative innovation. In this mini review, we consider the unexplored potential within pharmaceutical regulations to create novel incentives to encourage a diverse (...) set of actors from the public and private spheres to engage in the kind of collaborative knowledge exchange requisite for fostering enhanced innovation in early drug development. (shrink)

This paper applies a virtue epistemology approach to using the Internet, as to improve our information-seeking behaviours. Virtue epistemology focusses on the cognitive character of agents and is less concerned with the nature of truth and epistemic justification as compared to traditional analytic epistemology. Due to this focus on cognitive character and agency, it is a fruitful but underexplored approach to using the Internet in an epistemically desirable way. Thus, the central question in this paper is: How to use the (...) Internet in an epistemically virtuous way? Using the work of Jason Baehr, it starts by outlining nine intellectual or epistemic virtues: curiosity, intellectual autonomy, intellectual humility, attentiveness, intellectual carefulness, intellectual thoroughness, open-mindedness, intellectual courage and intellectual tenacity. It then explores how we should deploy these virtues and avoid the corresponding vices when interacting with the Internet, particularly search engines. Whilst an epistemically virtuous use of the Internet will not guarantee that one will acquire true beliefs, understanding or even knowledge, it will strongly improve one’s information-seeking behaviours. The paper ends with arguing that teaching and assessing online intellectual virtues should be part of school and university curricula, perhaps embedded in critical thinking courses, or even better, as individual units. (shrink)

This paper analyses the phenomenology and epistemology of chatbots such as ChatGPT and Bard. The computational architecture underpinning these chatbots are large language models (LLMs), which are generative artificial intelligence (AI) systems trained on a massive dataset of text extracted from the Web. We conceptualise these LLMs as multifunctional computational cognitive artifacts, used for various cognitive tasks such as translating, summarizing, answering questions, information-seeking, and much more. Phenomenologically, LLMs can be experienced as a “quasi-other”; when that happens, users anthropomorphise them. (...) For most users, current LLMs are black boxes, i.e., for the most part, they lack data transparency and algorithmic transparency. They can, however, be phenomenologically and informationally transparent, in which case there is an interactional flow. Anthropomorphising and interactional flow can, in some users, create an attitude of (unwarranted) trust towards the output LLMs generate. We conclude this paper by drawing on the epistemology of trust and testimony to examine the epistemic implications of these dimensions. Whilst LLMs generally generate accurate responses, we observe two epistemic pitfalls. Ideally, users should be able to match the level of trust that they place in LLMs to the degree that LLMs are trustworthy. However, both their data and algorithmic opacity and their phenomenological and informational transparency can make it difficult for users to calibrate their trust correctly. The effects of these limitations are twofold: users may adopt unwarranted attitudes of trust towards the outputs of LLMs (which is particularly problematic when LLMs hallucinate), and the trustworthiness of LLMs may be undermined. (shrink)

Most models of generational succession in sexually reproducing populations necessarily move back and forth between genic and genotypic spaces. We show that transitions between and within these spaces are usually hidden by unstated assumptions about processes in these spaces. We also examine a widely endorsed claim regarding the mathematical equivalence of kin-, group-, individual-, and allelic-selection models made by Lee Dugatkin and Kern Reeve. We show that the claimed mathematical equivalence of the models does not hold. *Received January 2007; revised (...) April 2008. †To contact the authors, please write to: Elisabeth Lloyd, Department of History and Philosophy of Science, 130 Goodbody Hall, Indiana University, Bloomington, IN 47405; e-mail: [email protected]; Richard Lewontin, Department of Organismic and Evolutionary Biology, Harvard University, 26 Oxford Street, Cambridge, MA 02138; Marcus Feldman, Department of Biological Sciences, Stanford University, Stanford, CA 94305; e-mail: [email protected]. (shrink)

This work is the transcript of a theological dialogue I had with ChatGPT that spanned a couple of days. I began it merely out of curiosity over how ChatGPT might respond to questions and challenges I posed. As it progressed, I became increasingly impressed with the nuance, depth, and relevance of its responses. The dialogue became, for me, something of a contemplative exercise. I still don’t know quite how to understand the ability of generative A.I. to respond with such (apparent) (...) understanding and even insight. -/- I’ve decided to post this dialogue, not only because of the puzzle it poses concerning A.I, but even more, because I believe that the theological conclusions ‘we’ arrived at have real merit. -/- In the end, the theological views expressed here echo those that I’ve expressed in other works of mine, but the expression of these views are enhanced by the way ChatGPT picks up on them, rephrases them, elaborates upon them, and often places them in the context of the classical theological tradition. -/- I might add that I have been an A.I. skeptic for some time now, concerned over the potential dangers of A.I. in general. But this dialogue, anyway, reveals its potential use as a vehicle for reflection, even profound reflection. -/- . (shrink)

The goal of this paper is to develop a systematic taxonomy of cognitive artifacts, i.e., human-made, physical objects that functionally contribute to performing a cognitive task. First, I identify the target domain by conceptualizing the category of cognitive artifacts as a functional kind: a kind of artifact that is defined purely by its function. Next, on the basis of their informational properties, I develop a set of related subcategories in which cognitive artifacts with similar properties can be grouped. In this (...) taxonomy, I distinguish between three taxa, those of family, genus, and species. The family includes all cognitive artifacts without further specifying their informational properties. Two genera are then distinguished: representational and non-representational (or ecological) cognitive artifacts. These genera are further divided into species. In case of representational artifacts, these species are iconic, indexical, or symbolic. In case of ecological artifacts, these species are spatial or structural. Within species, token artifacts are identified. The proposed taxonomy is an important first step towards a better understanding of the range and variety of cognitive artifacts and is a helpful point of departure, both for conceptualizing how different artifacts augment or impair cognitive performance and how they transform and are integrated into our cognitive system and practices. (shrink)

This is a précis of my book for an author-meets-critics session forthcoming in Inquiry. The commenters are Daniel Drucker, Miriam Schleifer McCormick, and Mark Richard.

This paper argues that a popular account of intentions can be extended to beliefs. Beliefs are stable all-out states that allow for planning and coordination in a way that is tractable for cognitively limited creatures like human beings. Scepticism is expressed that there is really anything like credences as standardly understood.

The problem of closure for the traditional unstructured possible worlds model of attitudinal content is that it treats belief and other cognitive states as closed under entailment, despite apparent counterexamples showing that this is not a necessary property of such states. One solution to this problem, which has been proposed recently by several authors (Schaffer 2005; Yalcin 2018; Hoek forthcoming), is to restrict closure in an unstructured setting by treating propositional attitudes as question-sensitive. Here I argue that this line of (...) response is unsatisfying as it stands because the problem of closure is more general than is typically discussed. A version of the problem recurs for attitudes like wondering, entertaining, considering, and so on, which are directed at questions rather than propositions. For such questioning attitudes, the appeal to question-sensitivity is much less convincing as a solution to the problem of closure. (shrink)

It has been known for a few years that no more than Pi-1-1 comprehension is needed for the proof of "Frege's Theorem". One can at least imagine a view that would regard Pi-1-1 comprehension axioms as logical truths but deny that status to any that are more complex—a view that would, in particular, deny that full second-order logic deserves the name. Such a view would serve the purposes of neo-logicists. It is, in fact, no part of my view that, say, (...) Delta-3-1 comprehension axioms are not logical truths. What I am going to suggest, however, is that there is a special case to be made on behalf of Pi-1-1 comprehension. Making the case involves investigating extensions of first-order logic that do not rely upon the presence of second-order quantifiers. A formal system for so-called "ancestral logic" is developed, and it is then extended to yield what I call "Arché logic". (shrink)

In this paper I argue that a priori arguments fail to present any real problem for physicalism. They beg the question against physicalism in the sense that the argument will only seem compelling if one is already assuming that qualitative properties are nonphysical. To show this I will present the reverse-zombie and reverse-knowledge arguments. The only evidence against physicalism is a priori arguments, but there are also a priori arguments against dualism of exactly the same variety. Each of these parity (...) arguments has premises that are just as intuitively plausible, and it cannot be the case that both the traditional scenarios and the reverse-scenarios are all ideally conceivable. Given this one set must be merely prima facie conceivable and only empirical methods will tell us which is which. So, by the time a priori methodology will be of any use it will be too late. (shrink)

What we value, like, endorse, want, and prefer changes over the course of our lives. Richard Pettigrew presents a theory of rational decision making for agents who recognise that their values will change over time and whose decisions will affect those future times.

What does it mean to ‘give’ the value of a variable in an algebraic context, and how does giving the value of a variable differ from merely describing it? I argue that to answer this question, we need to examine the role that giving the value of a variable plays in problem-solving practice. I argue that four different features are required for a statement to count as giving the value of a variable in the context of solving an elementary algebra (...) problem: the variable must be in the scope opened by the problem statement; the values given must be in the range of the variable, which is determined by the problem; the statement giving the values must represent a complete solution; and it must be in a canonical form. This account helps us better understand elementary algebra itself, as well as the use of algebraic tools to analyze phenomena in natural language. (shrink)

A framework is developed for understanding what is “taken for granted” both in philosophy and in life generally, which may serve to orient philosophical inquiry and make it more effective. The framework takes in language and its development, as well as mathematics, logic, and the empirical sphere with particular reference to the exigencies of life. It is evaluated through consideration of seven philosophical issues concerned with such topics as solipsism, sense data as the route to knowledge, the possible reduction of (...) geometry to logic, and the existence and status of human rights. Various dichotomies and the notion of continuity are evidently highly strategic. (shrink)

In a recent publication in this journal, Asle Kiran and Peter-Paul Verbeek (hereafter K&V) argue that extension theory and the notion of trust it implies are flawed. In this commentary, I defend extension theory against their critique. I first briefly introduce extension theory, then reconstruct K&V’s five arguments against extension theory and demonstrate that four of their five arguments are misplaced.

Primarily a response to Paul Horwich's "Composition of Meanings", the paper attempts to refute his claim that compositionality—roughly, the idea that the meaning of a sentence is determined by the meanings of its parts and how they are there combined—imposes no substantial constraints on semantic theory or on our conception of the meanings of words or sentences. Show Abstract.

The purpose of this note is to present a strong form of the liar paradox. It is strong because the logical resources needed to generate the paradox are weak, in each of two senses. First, few expressive resources required: conjunction, negation, and identity. In particular, this form of the liar does not need to make any use of the conditional. Second, few inferential resources are required. These are: (i) conjunction introduction; (ii) substitution of identicals; and (iii) the inference: From ¬(p (...) ∧ p), infer ¬ p. It is, interestingly enough, also essential to the argument that the ‘strong’ form of the diagonal lemma be used: the one that delivers a term λ such that we can prove: λ = ¬ T(⌈λ⌉); rather than just a sentence Λ for which we can prove: Λ ≡ ¬T(⌈Λ⌉). The truth-theoretic principles used to generate the paradox are these: ¬(S ∧ T(⌈¬S⌉); and ¬(¬S ∧ ¬T(⌈¬S⌉). These are classically equivalent to the two directions of the T-scheme, but they are intuitively weaker. The lesson I would like to draw is: There can be no consistent solution to the Liar paradox that does not involve abandoning truth-theoretic principles that should be every bit as dear to our hearts as the T-scheme. So we shall have to learn to live with the Liar, one way or another. (shrink)

What are the possible varieties of cognition-artifact relations, and which dimensions are relevant for exploring these varieties? This question is answered in two steps. First, three levels of functional and informational integration between human agent and cognitive artifact are distinguished. These levels are based on the degree of interactivity and direction of information flow, and range from monocausal and bicausal relations to continuous reciprocal causation. In these levels there is a hierarchy of integrative processes in which there is an increasing (...) degree of hybridization. Therefore, from a functional and informational level of abstraction, it becomes increasingly difficult to distinguish between agent and artifact in this hierarchy. Second, a multidimensional matrix for exploring cognition-artifact relations is sketched. The dimensions in the matrix include reliability, durability, trust, procedural and representational transparency, individualization, bandwidth, speed of information flow, distribution of computation, and cognitive and artifactual transformation. Together, these dimensions constitute a multidimensional space in which particular cognition-artifact relations can be located. The higher a particular cognition-artifact relation scores on these dimensions, the more integration and hybridization occurs, and the more tightly coupled the overall system is. It is then better, for explanatory reasons, to see agent and artifact as one cognitive system with a distributed informational architecture. (shrink)

Consensus statement by UK teachers of medical ethics and law.

The political philosophy originates from the reflections of crisis, risks and threats which society faces to. The author understands environmentalism as a tendency of current political philosophy which starts from the reflections of causes and possible effects of global environmental crisis as one of the most serious threats to the existential preconditions of current political system and global civilization at all. Considering the changes in social, technological and environmental starting conditions of the existence of economic-political system – that are consequences (...) of the transition from stable geologic-climate era of Holocene to unstable era of anthropocene – it is necessary to reconsider once more the basic premises, imperatives and conceptual frames of current economic-political system. The outlines of current economic-political system in philosophical frame were laid out by founders of modern political thinking while we can identify some of basic premises of environmentalism and also concepts relevant to the reflection of current threats and risks in some of their works. Author considers the concept of civil and human rights, the concept of natural state and the concept of social contract to be suitable for the reflection of the crisis of current economic-political system regarding environmentalism. Afterwards, the author formulates in what meanings are these concepts actual also for anthropocene. In conclusion, the author´s hypothesis is that the political philosophy of 21st century must reflect the environmental preconditions and limits of existence and forms of economic-political system and, at the same time, it must take into account that any economic and social activities have influence on the quality and sustainability of environment. (shrink)

Burke suggests that we should view society as a partnership between the past, the present, and the future. I defend this idea by outlining how we can understand the interests of the past and future people and the obligations that they have towards each other. I argue that we have forward-looking obligations to leave the world a decent place, and backward-looking obligations to respect the legacy of the past. The latter obligation requires an understanding of the role that traditions and (...) meta-traditions should (and should not) play in tying together societies—especially national societies—over time. (shrink)

BACKGROUND Patients with chronic pain face significant barriers in finding clinicians to manage long-term opioid therapy (LTOT). For patients on LTOT, it is increasingly common to have them sign opioid treatment agreements (OTAs). OTAs enumerate the risks of opioids, as informed consent documents would, but also the requirements that patients must meet to receive LTOT. While there has been an ongoing scholarly discussion about the practical and ethical implications of OTA use in the abstract, little is known about how clinicians (...) use them and if OTAs themselves modify clinician prescribing practices. OBJECTIVE To determine how clinicians use OTAs and the potential impacts of OTAs on opioid prescribing. DESIGN We conducted qualitative analysis of four focus groups of clinicians from a large Midwestern academic medical center. Groups were organized according to self-identified prescribing patterns: two groups for clinicians who identified as prescribers of LTOT, and two who did not. PARTICIPANTS 17 clinicians from General Internal Medicine, Family Medicine, and Palliative Care were recruited using purposive, convenience sampling. APPROACH Discussions were recorded, transcribed, and analyzed for themes using reflexive thematic analysis by a multidisciplinary team. KEY RESULTS Our analysis identified three main themes: (1) OTAs did not influence clinicians’ decisions whether to use LTOT generally but did shape clinical decision-making for individual patients; (2) clinicians feel OTAs intensify the power they have over patients, though this was not uniformly judged as harmful; (3) there is a potential misalignment between the intended purposes of OTAs and their implementation. CONCLUSION This study reveals a complicated relationship between OTAs and access to pain management. While OTAs seem not to impact the clinicians’ decisions about whether to use LTOT generally, they do sometimes influence prescribing decisions for individual patients. Clinicians shared complex views about OTAs’ purposes, which shows the need for more clarity about how OTAs could be used to promote shared decision-making, joint accountability, informed consent, and patient education. (shrink)

In a series of papers over the past twenty years, and in a new book, Igor Douven has argued that Bayesians are too quick to reject versions of inference to the best explanation that cannot be accommodated within their framework. In this paper, I survey their worries and attempt to answer them using a series of pragmatic and purely epistemic arguments that I take to show that Bayes’ Rule really is the only rational way to respond to your evidence.

The Book of Job is often read as the Bible's response to theodicy's 'problem of evil.' As a resolution to the logical difficulties of this problem, however, it is singularly unsatisfying. Job's ethical protest against God is never addressed at the level of the ethical. But suggested in Job's final encounter with God is the possibility of a spiritual resolution beyond the ethical. In this paper I examine the Book of Job as a response to the spiritual problem of despair; (...) despair engendered by the ethical problem of evil. My reading is informed by Kierkegaard's analysis of despair in The Sickness unto Death, and Stephen Mitchell's extraordinary translation of the Book of Job, as well as his insightful commentary. (shrink)

A personal reflection on the meaning of worship and the 'worthiness' of God.

A brief reflection on the deeper meaning of the Eastern "law of Karma.".

On what basis should we embrace a religious belief? In this article I argue that religious faith should be viewed, not as a conclusion we arrive at after reviewing the evidence, but as an existential decision we make through which we define ourselves.

This is a brief primer on elementary logic originally developed for an Applied Ethics course. I offer it here for any who might find it worthwhile or useful.

Longtermism is the view that the most urgent global priorities, and those to which we should devote the largest portion of our resources, are those that focus on (i) ensuring a long future for humanity, and perhaps sentient or intelligent life more generally, and (ii) improving the quality of the lives that inhabit that long future. While it is by no means the only one, the argument most commonly given for this conclusion is that these interventions have greater expected goodness (...) per unit of resource devoted to them than each of the other available interventions, including those that focus on the health and well-being of the current population. In this paper, I argue that, even if we grant the consequentialist ethics upon which this argument depends, and even if we grant one of the axiologies that are typically paired with that ethics to give the argument, we are not morally required to choose an option that maximises expected utility; indeed, we might not even be permitted to do so. Instead, I will argue, if the argument's consequentialism is correct, we should choose using a decision theory that is sensitive to risk, and allows us to give greater weight to worse-case outcomes than expected utility theory does. And, I will show, such decision theories do not always recommend longtermist interventions. Indeed, sometimes, they recommend exactly the opposite: sometimes, they recommend hastening human extinction. Many, though not all, will take this as a reductio of the consequentialism or the axiology of the argument. I remain agnostic on the conclusion we should draw. (shrink)

One goal of this paper is to argue that autobiographical memories are extended and distributed across embodied brains and environmental resources. This is important because such distributed memories play a constitutive role in our narrative identity. So, some of the building blocks of our narrative identity are not brain-bound but extended and distributed. Recognising the distributed nature of memory and narrative identity, invites us to find treatments and strategies focusing on the environment in which dementia patients are situated. A second (...) goal of this paper is to suggest various of such strategies, including lifelogging technologies such as SenseCams, life story books, multimedia biographies, memory boxes, ambient intelligence systems, and virtual reality applications. Such technologies allow dementia patients to remember their personal past in a way that wouldn’t be possible by merely relying on their biological memory, in that way aiding in preserving their narrative identity and positively contributing to their sense of well-being. (shrink)

My aim in this paper is to identify the wrong that is done in all cases of testimonial injustice, if there is one. Miranda Fricker (2007) proposes one account of this distinctive wrong, and Gaile Pohlhaus Jr. (2014) offers another. I think neither works. Nor does an account based on giving due respect to the testifier's epistemic competence. Nor does an account based on exposing the testifier to substantial risk of harm. Rachel Fraser (2023) describes a further account, and the (...) proposal I favour is a slight amendment of this. (shrink)

Contemporary discussion of biological teleology has been dominated by a complacent orthodoxy. Responsibility for this shortcoming rests primarily, I think, with those who ought to have been challenging dogma but have remained silent, leaving the orthodox to grow soft, if happily. In this silence, champions of orthodoxy have declared a signal victory, proclaiming the dominance of their view as one of philosophy’s historic successes. But this declaration is premature at best—this would be neither the first nor probably the last time (...) that a narrow school of philosophy has declared the resolution of age-old problems only to have those problems rise from the ashes of their better selves when a broader view is articulated. I propose to challenge orthodoxy by undermining its fundamental assumption and to enlist the help of others in articulating a formidable heterodox alternative to contemporary dogma concerning biological teleology, perhaps on the model I sketch below. (shrink)

A reply to two responses to an earlier paper, "A Liar Paradox".

I discuss a puzzle that arises as an apparent tension between plausible theories of good guessing and intuitive constraints on rational inquiry. Clearly, our best guess at a question should reflect the likelihoods we assign to its possible answers. Your best guess is the answer you judge most likely. Additionally, it seems like a requirement of rational inquiry that our guesses be coherent. Thus, our best guess to a constituent (wh-) questions should cohere with our best guess to a polar (...) (yes/no) question whenever answers to the former entail answers to the latter. I argue that these requirements are in conflict and that a familiar form of contextualism doesn’t resolve the issue. The puzzle stands as a challenge to existing accounts of rational inquiry and question directed attitudes like guessing. (shrink)

Philosophers have been talking about brain states for almost 50 years and as of yet no one has articulated a theoretical account of what one is. In fact this issue has received almost no attention and cognitive scientists still use meaningless phrases like 'C-fiber firing' and 'neuronal activity' when theorizing about the relation of the mind to the brain. To date when theorists do discuss brain states they usually do so in the context of making some other argument with the (...) result being that any discussion of what brain states are has a distinct en passant flavor. In light of this it is a goal of mine to make brain states the center of attention by providing some general discussion of them. I briefly look at the argument of Bechtel and Mundale, as I think that they expose a common misconception philosophers had about brain states early on. I then turn to briefly examining Polger's argument, as I think he offers an intuitive account of what we expect brain states to be as well as a convincing argument against a common candidate for knowledge about brain states that is currently "on the scene." I then introduce a distinction between brain states and states of the brain: Particular brain states occur against background states of the brain. I argue that brain states are patterns of synchronous neural firing, which reflects the electrical face of the brain; states of the brain are the gating and modulating of neural activity and reflect the chemical face of the brain. (shrink)

Conservative assumptions in medical ethics risk immense harms during a pandemic. Public health institutions and public discourse alike have repeatedly privileged inaction over aggressive medical interventions to address the pandemic, perversely increasing population-wide risks while claiming to be guided by ‘caution’. This puzzling disconnect between rhetoric and reality is suggestive of an underlying philosophical confusion. In this paper, I argue that we have been misled by status quo bias—exaggerating the moral significance of the risks inherent in medical interventions, while systematically (...) neglecting the risks inherent in the status quo prospect of an out-of-control pandemic. By coming to appreciate the possibility and significance of status quo risk, we will be better prepared to respond appropriately when the next pandemic strikes. (shrink)