Linnebo and Pettigrew present some objections to category theory as an autonomous foundation. They do a commendable job making clear several distinct senses of ‘autonomous’ as it occurs in the phrase ‘autonomous foundation’. Unfortunately, their paper seems to treat the ‘categorist’ perspective rather unfairly. Several infelicities of this sort were addressed by McLarty. In this note I address yet another apparent infelicity.

Formal symptoms of relevance usually concern the propositional variables shared between the antecedent and the consequent of provable conditionals. Among the most famous results about such symptoms are Belnap’s early results showing that for sublogics of the strong relevant logic R, provable conditionals share a signed variable between antecedent and consequent. For logics weaker than R stronger variable sharing results are available. In 1984, Ross Brady gave one well-known example of such a result. As a corollary to the main result (...) of the paper, we give a very simple proof of a related but strictly stronger result. (shrink)

Relevant logics infamously have the property that they only validate a conditional when some propositional variable is shared between its antecedent and consequent. This property has been strengthened in a variety of ways over the last half-century. Two of the more famous of these strengthenings are the strong variable sharing property and the depth relevance property. In this paper I demonstrate that an appropriate class of relevant logics has a property that might naturally be characterized as the supremum of these (...) two properties. I also show how to use this fact to demonstrate that these logics seem to be constructive in previously unknown ways. (shrink)

One finds, in Maxwell's writings on thermodynamics and statistical physics, a conception of the nature of these subjects that differs in interesting ways from the way that they are usually conceived. In particular, though—in agreement with the currently accepted view—Maxwell maintains that the second law of thermodynamics, as originally conceived, cannot be strictly true, the replacement he proposes is different from the version accepted by most physicists today. The modification of the second law accepted by most physicists is a probabilistic (...) one: although statistical fluctuations will result in occasional spontaneous differences in temperature or pressure, there is no way to predictably and reliably harness these to produce large violations of the original version of the second law. Maxwell advocates a version of the second law that is strictly weaker; the validity of even this probabilistic version is of limited scope, limited to situations in which we are dealing with large numbers of molecules en masse and have no ability to manipulate individual molecules. Connected with this is his concept of the thermodynamic concepts of heat, work, and entropy; on the Maxwellian view, these are concepts that must be relativized to the means we have available for gathering information about and manipulating physical systems. The Maxwellian view is one that deserves serious consideration in discussions of the foundation of statistical mechanics. It has relevance for the project of recovering thermodynamics from statistical mechanics because, in such a project, it matters which version of the second law we are trying to recover. (shrink)

A discussion of several tensions between Thomistic philosophy and modern Darwinian theory as well as several recent Thomistic criticisms of intelligent design.

We criticize the approach of covenantal epistemology to religious epistemology as articulated by Scott Oliphint from the perspective of phenomenal conservatism.

We criticize the proper functionalist approach to religious epistemology as articulated by Tyler McNabb from the perspective of phenomenal conservatism.

For some years now, Michael Bergmann has urged a dilemma against internalist theories of epistemic justification. For reasons I explain below, some epistemologists have thought that Michael Huemer’s principle of Phenomenal Conservatism can split the horns of Bergmann’s dilemma. Bergmann has recently argued, however, that PC must inevitably, like all other internalist views, fall prey to his dilemma. In this paper, I explain the nature of Bergmann’s dilemma and his reasons for thinking that PC cannot escape it before arguing that (...) he is mistaken: PC can indeed split its horns. (shrink)

We critique MacIntyre's traditions-based perspectivalist approach to religious epistemology as articulated by Erik Baldwin from the perspective of phenomenal conservatism.

In this chapter, Logan Paul Gage examines the only real attempt to disprove God’s existence by a New Atheist: Richard Dawkins’s “Ultimate 747 Gambit.” Central to Dawkins’s argument is the claim that God is more complex than what he is invoked to explain. Gage evaluates this claim using the main extant notions of simplicity in the literature. Gage concludes that on no reading does this claim survive scrutiny. Along the way, Dawkins claims that there are no good positive arguments (...) for God’s existence. Gage attempts to show that Dawkins’s argument depends upon distinctively philosophical assumptions that do not appear to withstand scrutiny. (shrink)

We criticize the classical evidentialist approach to religious epistemology as articulated by John DePoe from the perspective of phenomenal conservatism.

The role of certitude in our mental lives is, to put it mildly, controversial. Many current epistemologists (including epistemologists of religion) eschew certitude altogether. Given his emphasis on certitude, some have maintained that John Henry Newman was an infallibilist about knowledge. In this paper, we argue that a careful examination of his thought (especially as seen in the Grammar of Assent) reveals that he was an epistemic fallibilist. We first clarify what we mean by fallibilism and infallibilism. Second, we explain (...) why some have read Newman as an infallibilist. Third, we offer two arguments that Newman is at least a fallibilist in a weak sense. In particular, the paradox he seeks to resolve in the Grammar and his dispute with John Locke both indicate that he is at least a weak fallibilist. We close with a consideration of whether Newman is a fallibilist in a much stronger sense as well. (shrink)

The nature of the cognition-motor interface has been brought to prominence by Butterfill & Sinigaglia, who argue that the representations employed by the cognitive and motor systems should not be able to interact with each other. Here I argue that recent empirical evidence concerning the interface contradicts several of the assumptions incorporated in Butterfill & Sinigaglia’s account, and I seek to develop a theoretical picture that will allow us to explain the structure of the interface presented by this evidence. The (...) central idea is that neural plasticity incorporates metarepresentational rules for constructing representational systems and linking them. The structure of the cognition-motor interface is constructed flexibly during development and skill learning based on information processing demands. (shrink)

Abstractionism in the philosophy of mathematics aims at deriving large fragments of mathematics by combining abstraction principles (i.e. the abstract objects $\S e_1, \S e_2$, are identical if, and only if, an equivalence relation $Eq_\S$ holds between the entities $e_1, e_2$) with logic. Still, as highlighted in work on the semantics for relevant logics, there are different ways theories might be combined. In exactly what ways must logic and abstraction be combined in order to get interesting mathematics? In this paper, (...) we investigate the matter by deriving the axioms of second-order Peano Arithmetic from Frege's Basic Law V (the extension of $F$ is identical with the extension of $G$ if, and only if, $F$ and $G$ are extensionally equivalent) in the presence of a relevant higher-order logic. The results are interesting. Not only must we take on logic as true, and not only must we apply our logic to abstraction principles, but also we have to apply our theory of abstraction back to the logic in order to arrive at arithmetic. Thus, what Abstractionism gives us is not simply what we get from abstraction via logic, but also what we get from logic via abstraction. (shrink)

There is a natural story about what logic is that sees it as tied up with two operations: a ‘throw things into a bag’ operation and a ‘closure’ operation. In a pair of recent papers, Jc Beall has fleshed out the account of logic this leaves us with in more detail. Using Beall’s exposition as a guide, this paper points out some problems with taking the second operation to be closure in the usual sense. After pointing out these problems, I (...) then turn to fixing them in a restricted case and modulo a few simplifying assumptions. In a followup paper, the simplifications and restrictions will be removed. (shrink)

This essay shows how John Henry Newman reconciled the certitude of faith with a fallibilist epistemology. While Newman holds that many of our beliefs are held with certitude, he does not conceive of all certitude as Cartesian, apodictic certitude. In this way, he walks a middle road between rationalism and fideism.

In 1988, Kit Fine published a semantic theory for quantified relevant logics. He referred to this theory as stratified semantics. While it has received some attention in the literature, 1–20, 1992; Mares & Goldblatt, Journal of Symbolic Logic 71, 163–187, 2006), stratified semantics has overall received much less attention than it deserves. There are two plausible reasons for this. First, the only two dedicated treatments of stratified semantics available are, 27–59, 1988; Mares, Studia Logica 51, 1–20, 1992), both of which (...) are quite dense and technically challenging. Second, there are a number of prima facie reasons to be worried about stratified semantics. The purpose of this paper is to revitalize research on stratified semantics. I will do so by giving a ‘user friendly’ presentation of the semantics, and by giving reasons to think that the prima facie reasons to be worried about it are too simplistic. (shrink)

This essay argues that current theories of action fail to explain agentive control because they have left out a psychological capacity central to control: attention. This makes it impossible to give a complete account of the mental antecedents that generate action. By investigating attention, and in particular the intention-attention nexus, we can characterize the functional role of intention in an illuminating way, explicate agentive control so that we have a uniform explanation of basic cases of causal deviance in action as (...) well as other defects of agency, explain cases of skilled agency and sharpen questions about the role of thought in agency. This provides for a different orientation in the theory of action. (shrink)

Attention has become an important focal point of recent work in ethics and epistemology, yet philosophers continue to be noncommittal about what attention is. In this paper, I defend attention as selection for action in a weak form, namely that selection for action is sufficient for attention. I show that selection for action in this form is part of how we, the folk, experience it and how the cognitive scientist studies it. That is, selection for action pulls empirical and folk-psychology (...) together. Accordingly, philosophers who take seriously either source have reason to work with selection for action as their starting conception of attention. This conception provides a way to bridge empirical and philosophical concerns where attention is central. The theoretical advantages of selection for action have been obscured by the common opinion that it is easily refuted. I defend the position against many of the published objections and then deploy it to provide a foundation for the intuitive, but inchoate idea of attention being more or less, focusing on recent work in the ethics of attention. (shrink)

Elections are not the solution to political crisis, they’re the problem. In lively dialogue form, The Democracy Manifesto explains why elections are anti-democratic and should be replaced with government in which decision-makers are randomly selected from the population at large.

This paper presents a new semantics for the weak relevant logic DW that makes the role of the infamous Routley star more explicable. Central to this rewriting is combining aspects of both the American and Australian plan for understanding negations in relevance logics.

I present a version of Kit Fine's stratified semantics for the logic RWQ and define a natural family of related structures called RW hyperdoctrines. After proving that RWQ is sound with respect to RW hyperdoctrines, we show how to construct, for each stratified model, a hyperdoctrine that verifies precisely the same sentences. Completeness of RWQ for hyperdoctrinal semantics then follows from completeness for stratified semantics, which is proved in an appendix. By examining the base category of RW hyperdoctrines, we find (...) reason to be worried about the ontology of stratified models. (shrink)

In this essay, I describe my journey to Catholicism and explain one of the many reasons I became Catholic--namely, an argument from the canon of Scripture.

A brief introduction to the life and work of William Paley, including a discussion of the structure of his famous design argument.

What is the role of affect in moral epistemology? Sentimentalists assert that moral knowledge is rooted in knowledge of specific situational moral truths, which affect is a necessary means for attaining. Rationalists claim moral knowledge is rooted in moral principles, knowledge of which is acquired a priori through reason alone; affect is unnecessary. Note that in this way of framing the debate, the issue concerns solely moral knowledge. Recent epistemology, however, has also highlighted the importance of understanding as an epistemic (...) good separate from knowledge. As such, moral understanding might have value over and above mere moral knowledge. Some philosophers have pointed to the importance moral understanding possesses for reliably doing the right thing, justifying yourself to others, developing virtue, and performing morally worthy action. In this paper, I argue that the sentimentalist account of understanding both specific moral truths and moral principles has significant advantages over, and can ground, the rationalist alternative. (shrink)

In Movements of the Mind (MoM; Wu, 2023a), I give a theory of agency that uncovers its internal psychological structure, revealing how creatures with minds do things. While my focus is on things we do 'in our heads', mental actions, the theory concerns all forms of agency. The book also provides a theory of attention and its essential connection to action. It characterizes intention in action as a type of memory for work, drawing on empirical theories of working memory. Further, (...) it reveals the essential role of bias in action, providing an account of various psychological biases. The theory is then applied to three phenomena prominent in philosophical practice: implicit (better, automatic) bias, reasoning deductively, and introspection of conscious perceptual experience. (shrink)

Empirical work and philosophical analysis have led to widespread acceptance that vision for action, served by the cortical dorsal stream, is unconscious. I argue that the empirical argument for this claim is unsound. That argument relies on subjects’ introspective reports. Yet on biological grounds, in light of the theory of primate cortical vision, introspection has no access to dorsal stream mediated visual states. It is thus wrongly assumed that introspective reports speak to absent phenomenology in the dorsal stream. In light (...) of this, I consider a different conception of consciousness’s relation to agency in terms of access. While theoretical reasons suggest that the inaccessibility of the dorsal stream to conceptual report is evidence that it is unconscious, this position begs important questions. I propose a broader notion of access in respect of the guidance of intentional agency and not, narrowly, conceptual report (Note: this paper contradicts my earlier paper, "The Case for Zombie Agency"). (shrink)

This is an extension of my earlier work, How in the World Are There Many Worlds and it's a lot more interesting! This paper explores personal identity and persistence through time in the many-worlds framework, governed by the Many Worlds Interpretation (MWI) of quantum mechanics (QM). First, I will motivate our consideration of the MWI in this context. Second, I will introduce endurantism, which is one answer to the puzzle concerning persistence through time. Third, I will explain the foundational physics (...) underlying the MWI that lends itself to branching worlds. In turn, I will explain what exactly a world amounts to in this picture. Then, I will present three views on personal identity and persistence through time: the bye-bye Betty view, the every-branch view, and the privileged branch view. I will argue that the privileged branch view is the most attractive of the bunch for determining the best candidate among close continuers. Finally, I will discuss knowledge, attitudes, and moral responsibility within the privileged branch view. (shrink)

It is still a live question in epistemology and philosophy of science as to what exactly evidence is. In my view, evidence consists in experiences called “seemings.” This view is a version of the phenomenal conception of evidence, the position that evidence consists in nonfactive mental states with propositional content. This conception is opposed by sense-data theorists, disjunctivists, and those who think evidence consists in physical objects or publicly observable states of affairs—call it the courtroom conception of evidence. Thomas Kelly (...) has recently argued that the phenomenal conception cannot play all the roles evidence plays and is thus inadequate. Having first explained the nature of seemings, in this essay I utilize Kelly’s own understanding of the four major roles of evidence and argue that the phenomenal conception can play each one. Experience is a good candidate for evidence. (shrink)

In this paper we introduce a novel way of building arithmetics whose background logic is R. The purpose of doing this is to point in the direction of a novel family of systems that could be candidates for being the infamous R#1/2 that Meyer suggested we look for.

Do self‐monitoring accounts, a dominant account of the positive symptoms of schizophrenia, explain auditory verbal hallucination? In this essay, I argue that the account fails to answer crucial questions any explanation of auditory verbal hallucination must address. Where the account provides a plausible answer, I make the case for an alternative explanation: auditory verbal hallucination is not the result of a failed control mechanism, namely failed self‐monitoring, but, rather, of the persistent automaticity of auditory experience of a voice. My argument (...) emphasizes the importance of careful examination of phenomenology as providing substantive constraints on causal models of the positive symptoms in schizophrenia. (shrink)

Much work on the sense of agency has focused either on abnormal cases, such as delusions of control, or on simple action tasks in the laboratory. Few studies address the nature of the sense of agency in complex natural settings, or the effect of skill on the sense of agency. Working from 2 case studies of mountain bike riding, we argue that the sense of agency in high-skill individuals incorporates awareness of multiple causal influences on action outcomes. This allows fine-grained (...) differentiation of the contributions of self and external factors to action outcomes. We further argue that the sense of agency incorporates prospective awareness of actions that are possible in a situation and awareness of the limits of control. These forms of sense of agency enable highly flexible, context-sensitive strategic control, and are likely to contribute to high interindividual variability in responses to complex tasks. (shrink)

In this paper, I will analyze Rawad El Skaf’s (2017 & 2021) account of thought experiments (TEs) in physics. I will argue that El Skaf’s account is strengthened by taking on Amy Kind’s (2016 & 2018) constraints-based approach to the imagination, which highlights the epistemic significance of imaginative processes. First, I will present El Skaf’s step-by-step structure of TEs wherein he discusses their form, content, and epistemic function. Second, I will explain a canonical TE in physics known as the clock-in-the-box. (...) In turn, I will lay out El Skaf’s analysis of the clock-in-the-box TE. Then, I will present Amy Kind’s constraints-based approach to the imagination. I will then offer three critiques of El Skaf’s account and suggest that each critique is resolved by applying a constraints-based approach to his view. Once the hybrid view is laid out, I will discuss incompatible constraints on the imagination, which I call the home and away constraints. I will argue that a thought experimenter (TEer) may overcome this incompatibility by transforming away constraints into home constraints via metaphor. Lastly, I will argue that physics TEs are special since it is an essential feature of theirs that they ask the TEer to consider incompatible constraints on the imagination. (shrink)

In this paper, I argue that visual attention is cognitively penetrated by intention. I present a detailed account of attention and its neural basis, drawing on a recent computational model of neural modulation during attention: divisive normalization. I argue that intention shifts computations during divisive normalization. The epistemic consequences of attentional bias are discussed.

A brief introduction to the life and key work of Rudolf Carnap with special attention to his work on inductive logic.

In a time when conservatives believe that the traditional family is under increasing fire, some think an appeal to Darwinian science may be the answer. I argue that these conservatives are wrong to maintain that Darwinian theory can serve as the intellectual foundation for the traditional conception of the family. Contra Larry Arnhart and James Q. Wilson, a Darwinian philosophy of nature simply lacks the stability the traditional family requires; it cannot support the traditional conception of human nature and the (...) normativity it was thought to contain. If conservatives are to maintain these traditional ideas, the theoretical foundation must lie elsewhere. (shrink)

Jc Beall has made several contributions to the theory of restricted quantification in relevant logics. This paper examines these contributions and proposes an alternative account of restricted universals. The alternative is not, however, a theory of relevant restricted universals in any real sense. It is, however, a theory of restricted universals phrased in the most plausible general quantificational theory for relevant logics—Kit Fine’s stratified semantics. The motivation both for choosing this semantic framework and for choosing the particular theory of restricted (...) quantification we use is because they are the best way of dealing with these topics from Beall’s theory-building theory picture of logic, establishing a second point of contact with Beall’s work. (shrink)

In this chapter, we argue for a phenomenal conservative perspective on religious epistemology and attempt to answer some common criticisms of this perspective.

This is an extension of my earlier work, The Coast is Not Clear. This paper offers an alternative view in the discussion of passive action between Harry Frankfurt (1978) and Alfred Mele (1997). First, I will describe Frankfurt’s noncausal account of action. Second, I will present counterexamples on behalf of Mele’s causal account. Then, I will introduce the Frankfurt-friendly View (FFV) which captures Frankfurt’s judgments about action while rejecting Frankfurt-style cases. I will explore what constitutes and explains actions in each (...) view. I will then analyze the counterexamples using Mele’s view and the FFV. Finally, I will explain the interpretive differences between the competing views. (Note that this work is not published and in its early draft stages.). (shrink)

Milner and Goodale's influential account of the primate cortical visual streams involves a division of consciousness between them, for it is the ventral stream that has the responsibility for visual consciousness. Hence, the dorsal visual stream is a ‘zombie’ stream. In this article, I argue that certain information carried by the dorsal stream likely plays a central role in the egocentric spatial content of experience, especially the experience of visual spatial constancy. Thus, the dorsal stream contributes to a pervasive feature (...) of consciousness. (shrink)

In his rich and provocative paper, Peter Carruthers announces two related theses: (a) a positive thesis that “central cognition is sensory based, depending on the activation and deployment of sensory images of various sorts” (Carruthers 2013) and (b) a negative thesis that the “central mind does not contain any workspace within which goals, decisions, intentions, or non-sensory judgments can be active” (Carruthers 2013). These are striking claims suggesting that a natural view about cognition, namely that explicit theoretical reasoning involves direct (...) operations over beliefs, is wrong. Our beliefs, on this natural view, interact with each other to yield new beliefs. If Carruthers is right, beliefs have only an indirect or mediated influence in cognition with sensory states playing the direct role. I think it an important feature of Carruthers’ discussion that he draws support from work on the neural circuits and mechanisms that subserve these processes. In what follows, I want to regis. (shrink)

This chapter will review selected aspects of the terrain of discussions about probabilities in statistical mechanics (with no pretensions to exhaustiveness, though the major issues will be touched upon), and will argue for a number of claims. None of the claims to be defended is entirely original, but all deserve emphasis. The first, and least controversial, is that probabilistic notions are needed to make sense of statistical mechanics. The reason for this is the same reason that convinced Maxwell, Gibbs, and (...) Boltzmann that probabilities would be needed, namely, that the second law of thermodynamics, which in its original formulation says that certain processes are impossible, must, on the kinetic theory, be replaced by a weaker formulation according to which what the original version deems impossible is merely improbable. Second is that we ought not take the standard measures invoked in equilibrium statistical mechanics as giving, in any sense, the correct probabilities about microstates of the system. We can settle for a much weaker claim: that the probabilities for outcomes of experiments yielded by the standard distributions are effectively the same as those yielded by any distribution that we should take as a representing probabilities over microstates. Lastly, (and most controversially): in asking about the status of probabilities in statistical mechanics, the familiar dichotomy between epistemic probabilities (credences, or degrees of belief) and ontic (physical) probabilities is insufficient; the concept of probability that is best suited to the needs of statistical mechanics is one that combines epistemic and physical considerations. (shrink)

This paper considers the connection between automaticity, control and agency. Indeed, recent philosophical and psychological works play up the incompatibility of automaticity and agency. Specifically, there is a threat of automaticity, for automaticity eliminates agency. Such conclusions stem from a tension between two thoughts: that automaticity pervades agency and yet automaticity rules out control. I provide an analysis of the notions of automaticity and control that maintains a simple connection: automaticity entails the absence of control. An appropriate analysis, however, shows (...) that actions are forms of control and pervasively automatic even if automaticity implies the absence of control. Consequences are drawn for the theory of mental agency and the psychological concepts of automaticity and control. (shrink)

In this paper, we provide a semantics for a range of positive substructural logics, including both logics with and logics without modal connectives. The semantics is novel insofar as it is meant to explicitly capture the computational flavor of these logics, and to do so in a way that builds in both nondeterministic and nonconcurrent computational processes.

Consider the set of inferences that are acceptable to use in all our theory building endeavors. Call this set of inferences the universal theory building toolkit, or just ’the toolkit’ for short. It is clear that the toolkit is tightly connected to logic in a variety of ways. Beall, for example, has argued that logic just is the toolkit. This paper avoids making a stand on that issue and instead investigates reasons for thinking that, logic or not, the toolkit is (...) substructural. It is presented as a dialogue for the simple reason that it summarizes a range of dialogues on this subject that the author has had with various folks over the past few years. The method I use to investigate the toolkit is inspired in both philosophical and technical details by Alasdair Urquhart’s work on semantics for relevance logics from the early 1970s. (shrink)

ABSTRACTTime-consciousness has long been a focus of research in phenomenology and phenomenological psychology. We advance and extend this tradition of research by focusing on the character of temporal experience under conditions of mania. Symptom scales and diagnostic criteria for mania are peppered with temporally inflected language: increased rate of speech, racing thoughts, flight-of-ideas, hyperactivity. But what is the underlying structure of temporal experience in manic episodes? We tackle this question using a strategically hybrid approach. We recover and reconstruct three hypotheses (...) regarding manic temporality that were advanced and modeled by two pioneers of clinical phenomenology: Eugène Minkowski and Ludwig Binswanger. We then test, critique, and refine these hypotheses using heterophenomenological methods in an interview-based study of persons with a history of bipolar and a current diagnosis of acute mania. Our conclusions support a central hypothesis due to Minkowski... (shrink)

Recent authors, emphasizing Newman’s distaste for natural theology—especially William Paley’s design argument—have urged us to follow Newman’s lead and reject design arguments. But I argue that Newman’s own argument for God’s existence (his argument from conscience) fails without a supplementary design argument or similar reason to think our faculties are truth-oriented. In other words, Newman appears to need the kind of argument he explicitly rejects. Finding Newman’s rejection of natural theology to stem primarily from factors other than worries about cogency, (...) however, I further argue that there is little reason not to pursue design arguments in order to save the argument from conscience. (shrink)

A brief review of John Polkinghorne's 2011 book Science and Religion in Quest of Truth (Yale University Press).

Wayne Martin and colleagues argue that decisions about patients’ best interests must sometimes take into account the interests of others Doctors often find themselves in circumstances where they must make decisions on behalf of an incapacitated patient. As a matter of both ethics and law, such decisions must be taken in the best interests of the patient, but uncertainty remains about what is meant by best interests, especially in relation to the interests of others. Should the interests of others (...) enter into a determination of the patient’s best interests? We believe that they should and argue against a recent trend to focus solely on the patient. It only takes a moment’s reflection to appreciate that the interests of one person are often wrapped up with the interests of others. A patient has an interest in recovering from her illness, but so do her family, employer, care providers, etc. Sometimes these various interests can be independently specified, but in other cases they are inextricably intertwined. Suppose that I am a single parent whose overriding interest is to ensure the wellbeing of my children. In that case the proper specification of my best interest is a function of theirs; I simply cannot determine the one without considering the other. This can create an ethical problem in medical decision making. In circumstances where medical staff must make a decision in the best interests of an incapacitated patient, to what extent can or should they take account of the interests of other people whose lives are affected by the outcome? These ethical issues have taken on a concrete legal shape in the UK with the implementation of the Mental Capacity Act 2005, which specifies that, “An act done, or decision made, under this Act for or on behalf of a person who lacks capacity …. (shrink)