There has been a significant increase in the use of radiological services in the past 30 years. There are many reasons for this, but one has received little attention: the increased role of patient autonomy in healthcare. Patients demand x rays, CT scans, MRI, and positron emission tomography scans. The key question in this article is how a moral principle, such as respect for patient autonomy, can influence the extension of radiological services. A literature review reveals how patient autonomy is (...) acknowledged in radiology, and how it is used both to explain and to justify the increase in radiological examinations. Furthermore, it also shows how the premises favouring patients’ exercise of their autonomy are not always present, which makes patient autonomy subject to adverse side effects and even abuse. Patient autonomy can be used to reduce the professionals’ responsibility for radiological examinations , to increase the popularity of the profession , to increase the income of the professionals or their institutions, and to promote professional activity. Patient autonomy intended to reduce paternalism, to legitimise otherwise morally unjustifiable actions , and to protect patients, can easily be used as a moral means for opposite ends. These adverse effects are not peculiar to radiology. However, they emerge particularly clearly in explanations and justifications of the substantial increase in radiological services, as well as in debates on overuse of radiological services. (shrink)

Building upon Nancy Cartwright's discussion of models in How the Laws of Physics Lie, this paper addresses solid state research in transition metal oxides. Historical analysis reveals that in this domain models function both as the culmination of phenomenology and the commencement of theoretical explanation. Those solid state chemists who concentrate on the description of phenomena pertinent to specific elements or compounds assess models according to different standards than those who seek explanation grounded in approximate applications of the Schroedinger equation. (...) Accurate accounts of scientific debate in this field must include both perspectives. (shrink)

Delusions have traditionally been considered the hallmark of mental illness, and their conception, diagnosis and treatment raise many of the fundamental conceptual and practical questions of psychopathology. One of these fundamental questions is whether delusions are understandable. In this paper, we propose to consider the question of understandability of delusions from a philosophy of language perspective. For this purpose, we frame the question of how delusions can be understood as a question about the meaning of delusional utterances. Accordingly, we ask: (...) “what meaning(s) can delusional utterances possibly have?”. We argue that in the current literature, there is a standard approach to the meaning of delusional utterances, namely the descriptive account which assumes that a delusional utterance “p” means that p is the case. Drawing on Speech Act Theory, we argue that solely relying on the descriptive account disregards essential ways of how linguistic meaning is constituted. Further, we show that Speech Act Theory can prove a helpful addition to the theoretical and clinical “toolbox” used for attempting to understand delusional utterances. This, we believe, may address some of the theoretical and clinical shortcomings of using only the currently predominant descriptive account. (shrink)

Creationists who object to evolution in the science curriculum of public schools often cite Jonathan Well’s book Icons of Evolution in their support (Wells 2000). In the third chapter of his book Wells claims that neither paleontological nor molecular evidence supports the thesis that the history of life is an evolutionary process of descent from preexisting ancestors. We argue that Wells inappropriately relies upon ambiguities inherent in the term ‘Darwinian’ and the phrase ‘Darwin’s theory’. Furthermore, he does not accurately distinguish (...) between the overwhelming evidence that supports the thesis of common descent and controversies that pertain to causal mechanisms such as natural selection. We also argue that Wells’ attempts to undermine the evidence in support of common descent are flawed and his characterization of the relevant data is misleading. In particular, his assessment of the ‘Cambrian explosion’ does not do justice to the fossil record. Nor do his selective references to debate about molecular and paleontological phylogenies constitute a case against common descent. We conclude that the fossil and molecular evidence is more than sufficient to warrant science educators to present common descent as a well-established scientific fact. We also argue that diagrams depicting the ‘tree of life’ can be pedagogically useful as simplified representations of the history of life. (shrink)

Darcy's law is a phenomenological relationship for fluid flow rate that finds one of its principle applications in hydrology. Theoretical hydrologists rely upon a multiplicity of conceptual models to carry out approximate derivations of Darcy's law. These derivations provide structural explanations of the law; they require the application of fundamental principles, such as conservation of momentum, to idealized models of the porous media within which the flow occurs. In practice, recognition of the idealized conditions incorporated into models facilitates the empirical (...) clarification of the domain within which the law remains accurate. Structural explanations also contribute to the physical interpretation of phenomenological parameters. (shrink)

Theological synthesis of religious doctrine with evolutionary science is commonly referred to as theistic evolution. The influential Thomistic school of theology has played a complex role in Catholic contributions to this subject. In the present essay I explore this historical legacy and take stock of recent Thomistic contributions to theistic evolution. I also highlight some unresolved issues, particularly those associated with the concept of substantial form. I conclude that theistic evolution within a Thomistic framework is a potentially more promising agenda (...) for Catholic theology than an incorporation of intelligent design and progressive creation. (shrink)

Driven by the use cases of PubChemRDF and SCAIView, we have developed a first community-based clinical trial ontology (CTO) by following the OBO Foundry principles. CTO uses the Basic Formal Ontology (BFO) as the top level ontology and reuses many terms from existing ontologies. CTO has also defined many clinical trial-specific terms. The general CTO design pattern is based on the PICO framework together with two applications. First, the PubChemRDF use case demonstrates how a drug Gleevec is linked to multiple (...) clinical trials investigating Gleevec’s related chemical compounds. Second, the SCAIView text mining engine shows how the use of CTO terms in its search algorithm can identify publications referring to COVID-19-related clinical trials. Future opportunities and challenges are discussed. (shrink)

Molecular clocks based upon amino acid sequences in proteins have played a major role in the clarification of evolutionary phylogenies. Creationist criticisms of these methods sometimes rely upon data that might initially seem to be paradoxical. For example, human cytochrome c differs from that of an alligator by 13 amino acids but differs by 14 amino acids from a much more closely related primate, Otolemur garnettii. The apparent anomaly is resolved by taking into consideration the variable substitution rate of cytochrome (...) c, particularly among primates. This paper traces some of the history of extensive research into the topic of rate heterogeneity in cytochrome c including data from cytochrome c pseudogenes. (shrink)

In this paper, I respond to Frank Hofmann’s reply to my (2022) argument against “evidential minimalism” (EM). According to defenders of EM, there is a close connection between evidence and normative reasons for belief: evidence is either itself, or (under certain “minimal” conditions) gives rise to, a normative reason for belief. In my (2022), I argued against EM by showing that there are cases where: (i) S possesses strong evidence E for the truth of p at time t, (ii) (...) all minimal conditions for the normativity of E are met at t, (iii) S doesn’t believe p at t, yet (iv) S isn’t criticizable on account of (i)-(iii) at t. I then appealed to a linking claim connecting criticizability with the existence of normative reasons for belief. Hofmann’s reply invokes a distinction between two different kinds of epistemic criticism: a strong and a weak form. I will argue that Hofmann’s distinction fails to save EM from my argument. (shrink)

Since the stone age humankind has created masterworks which possess a mysterious quality of solidity and grandeur or monumentality. A Paleolithic Venus and a still life by Cezanne both share this monumentality. Michelangelo likened monumentality to sculptural relief, Braque called monumentality 'space', and Hans Hoffman, himself one of the masters, called monumentality 'pictorial depth.' The masters agreed on the import of monumentality, but none of them left a clear explanation of it. In 1943 Earl Loran published his classic book on (...) Cezanne's pictorial structure but, as I demonstrate, his explanation was misleading. This book provide a clear explanation, as did an earlier book by Robert Casper. This book also traces some history of monumentality with reproductions. It also explains how some painters achieved monumentality and how a student can attempt it. Pictorial space is created in the tension between pairs of opposing planes. Opposing planes pull against each other, each containing the other, paradoxically, within the flat surface of the canvas. Sculpture also can be 'plastic': opposing masses pull against each other, each containing the other and creating tension in the space which lies between them. Painting has other aspects like subject matter, expression, style and technique but pictorial space does not depend on these. Monumentality moves us profoundly and apparently has done so since the Paleolith. Using patients' vignettes, I show that there are profound parallels between the structure of a monumental work of art and the structure of an evolving personality. In Winnicott's words, such a personality has 'depth ... an interior space to put beliefs in ... an inside ... a space where things can be held ... the capacity to accept paradox [to contain opposites] ... room and strength ... and originality and the acceptance of tradition as the basis for invention'. A monumental painting also meets this description. I argue that monumental art provides a visual portrait of an evolving personality just as myth, as Freud and Jung both showed, provides a narrative portrait of an evolving personality. An evolving personality is perhaps humankind's most important creation; an underlying purpose of both myth and art is to help us achieve it. I demonstrate in this book that monumental art represented the evolving personality since at least 35,000 BC. Thus to understand monumentality is to better understand the personality and its history. (shrink)

In the major French and German etymological dictionaries of Latin, there is some puzzlement over the semantics of exāmen: how can one word refer to a measurement or examination, but also to a swarm of bees? Walde and Hofmann suggest these two dis-parate meanings stem from the diverse meanings of the verb exigō (<*ex-agō, ‘to drive out’), from which exāmen derives. They claim these two senses of exāmen become two words in the Latin Sprachgefühl. Ernout and Meillet agree: there (...) is more than one exāmen in the Latins’ sentiment linguistique. I, too, agree. But this approach does not tell us why these terms derive from exigō, nor does it give any hint of an underlying concept which measurements and swarms of bees share, which makes a derivation from exigō appropriate to both. The present paper addresses this puzzle by reducing the two meanings of exāmen to one meaning of the parent term *ex-agō: ‘to drive out.’ In sum: a swarm of bees is a ‘driving out’ or outpouring, and a measurement or examination is a ‘driving out’ or setting out for scrutiny. This interpretation is moreover supported by semantically parallel uses of cognate terms in other Indo-European languages, notably Greek and Old Irish, and by semantic parallels in English and in the Slavic language family. Along the way, I touch upon a philosophical puzzle: at what point do evolving linguistic items with a common source become distinct from one another? (shrink)

Kant was well versed in many of the debates taking place in the life sciences during his day. One of the more central areas of contention concerned the proper means for discriminating between material bodies composed of organised parts (like clocks or automatons) and living material bodies composed of organised parts (like plants and animals). For many theorists, it seemed clear that the physically organised structure of a body was distinct from any vital forces responsible for the life processes or (...) metabolism at work within it. This was the approach taken by the chemist Georg Stahl (1659-1734), for example, who resisted attempts to provide a mechanical account of metabolism, arguing instead that only something like a physis or anima could explain a living body’s capacity for the movement of otherwise inert material parts. This was a position which Kant appears to have appreciated when, in discussing the issue in 1766, he exclaimed “I am convinced that Stahl, who is disposed to explain animal processes in organic terms, was frequently closer to the truth than [the mechanists] Hofmann or Boerhaave, to name but a few” (2:331). And indeed, by 1790 Kant would reach conclusions similar to Stahl’s regarding the manner by which we must reflectively judge animal processes to be operating, given that for Stahl the biological body was best taken to be a complex, self-organising system of material parts and a purposive force or physis responsible for their ongoing interrelation. (shrink)