In Spinoza’s metaphysics, we encounter many puzzling doctrines that appear to entangle metaphysical notions with cognitive, logical, and epistemic ones. According to him, a substance is that which can be conceived through itself and a mode is that which is conceived through another. Thus, metaphysical notions, substance and mode, are defined through a notion that is either cognitive or logical, being conceived through. He defines an attribute as that which an intellect perceives as constituting the essence of a substance. Intellectual (...) perception, something cognitive, is used to define an attribute, something metaphysical. And he claims that if something exists there is a reason why it exists and if something doesn’t exist there is also a reason why it doesn’t. Thus, a reason, something cognitive or epistemic, is necessary for existence or nonexistence. What are we to make of the intimate connections that Spinoza sees between metaphysical, cognitive, logical, and epistemic notions? Between being and reason? In this book, I argue for what might be called a realist interpretation: although Spinoza is confident that the order of being mirrors the order of reason, he believes that they are two orders, not one. There is inherence over and above conceptual dependence; there is causation in addition to causal explanation; the world has a nature that we can grasp and that our way of grasping it does not interpose an impenetrable conceptual veil between it and us. (shrink)

With the widespread use of vaccines in research and clinical settings, there is an urgent need to standardize vaccine representation, integrate information across diverse vaccine types, and support computer-assisted reasoning. Accordingly, we have since 2007 developed the community-based Vaccine Ontology (VO), which aligns with the Basic Formal Ontology and adheres to OBO Foundry principles. VO models ontologically vaccines, vaccine components, vaccine immune responses, vaccine investigation studies and other vaccine-related topics. VO represents more than 10,000 vaccines targeting 289 infectious pathogens and (...) cancers in humans and over 30 nonhuman animal species. VO provides mappings to external resources such as RxNorm, CVX, FDA, and USDA. Various VO use cases exist. VO facilitates vaccine standardization in resources such as the VIOLIN vaccine database, ImmPort, and the Vaccine Adjuvant Compendium (VAC). Semantic queries can be made to query VO. VO has been shown to enhance experimental and clinical vaccine data analysis and vaccine literature mining. Overall, VO standardizes vaccine modeling and representation and greatly supports vaccine AI research in the Semantic Web era. (shrink)

The Principle of Sufficient Reason is a powerful and controversial philosophical principle stipulating that everything must have a reason or cause. This simple demand for thoroughgoing intelligibility yields some of the boldest and most challenging theses in the history of metaphysics and epistemology. In this entry we begin with explaining the Principle, and then turn to the history of the debates around it. A section on recent discussions of the Principle will be added in the near future.

According to the experience requirement on well-being, differences in subjects’ levels of welfare or well-being require differences in the phenomenology of their experiences. I explain why the two existing arguments for this requirement are not successful. Then, I introduce a more promising argument for it: that unless we accept the requirement, we cannot plausibly explain why only sentient beings are welfare subjects. I argue, however, that because the right kind of theory of well-being can plausibly account for that apparent fact (...) about welfare subjects even if the requirement is false, this argument does not succeed. I tentatively conclude that no compelling case can be made for the requirement. (shrink)

Invariabilism is the view that the same theory of welfare is true of every welfare subject. Variabilism is the view that invariabilism is false. In light of how many welfare subjects there are and how greatly they differ in their natures and capacities, it is natural to suppose that variabilism is true. I argue that these considerations do not support variabilism and, indeed, that we should accept invariabilism. This has important implications: it eliminates many of the going theories of welfare (...) while making some of the remaining ones more attractive. (shrink)

This article reviews and develops an epistemological tradition in the philosophy of science, known as convergentism, which holds that inference methods should be assessed based on their ability to converge to the truth across a range of possible scenarios. Emphasis is placed on its historical origins in the work of C. S. Peirce and its recent developments in formal epistemology and data science (including statistics and machine learning). Comparisons are made with three other traditions: (1) explanationism, which holds that theory (...) choice should be guided by a theory's overall balance of explanatory virtues, such as simplicity and fit with data; (2) instrumentalism, which maintains that scientific inference should be driven by the goal of obtaining useful models rather than true theories; and (3) Bayesianism, which shifts the focus from all-or-nothing beliefs to degrees of belief. (shrink)

Subjectivism about welfare is the view that something is basically good for you if and only if, and to the extent that, you have the right kind of favorable attitude toward it under the right conditions. I make a presumptive case for the falsity of subjectivism by arguing against nearly every extant version of the view. My arguments share a common theme: theories of welfare should be tested for what they imply about newborn infants. Even if a theory is intended (...) to apply only to adults, the fact that it is false of newborns may give us sufficient reason to reject it. (shrink)

Theories of well-being purport to identify the features of lives, and of intervals within lives, in virtue of which some people are high in well-being and others are low in well-being. They also purport to identify the properties that make some events or states of affairs good for a person and other events or states of affairs bad for a person. This article surveys some of the main theories of well-being, with an emphasis on work published since the turn of (...) the century. (shrink)

The Ontology for Biomedical Investigations (OBI) is an ontology that provides terms with precisely defined meanings to describe all aspects of how investigations in the biological and medical domains are conducted. OBI re-uses ontologies that provide a representation of biomedical knowledge from the Open Biological and Biomedical Ontologies (OBO) project and adds the ability to describe how this knowledge was derived. We here describe the state of OBI and several applications that are using it, such as adding semantic expressivity to (...) existing databases, building data entry forms, and enabling interoperability between knowledge resources. OBI covers all phases of the investigation process, such as planning, execution and reporting. It represents information and material entities that participate in these processes, as well as roles and functions. Prior to OBI, it was not possible to use a single internally consistent resource that could be applied to multiple types of experiments for these applications. OBI has made this possible by creating terms for entities involved in biological and medical investigations and by importing parts of other biomedical ontologies such as GO, Chemical Entities of Biological Interest (ChEBI) and Phenotype Attribute and Trait Ontology (PATO) without altering their meaning. OBI is being used in a wide range of projects covering genomics, multi-omics, immunology, and catalogs of services. OBI has also spawned other ontologies (Information Artifact Ontology) and methods for importing parts of ontologies (Minimum information to reference an external ontology term (MIREOT)). The OBI project is an open cross-disciplinary collaborative effort, encompassing multiple research communities from around the globe. To date, OBI has created 2366 classes and 40 relations along with textual and formal definitions. The OBI Consortium maintains a web resource providing details on the people, policies, and issues being addressed in association with OBI. (shrink)

In a rapidly evolving Generative Artificial Intelligence (GenAI) landscape, researchers, policymakers, and publishers have to continuously redefine responsible research practices. To ensure guidance of GenAI use in research, core principles that remain stable despite technological advancement are needed. This article defines a list of principles guiding the responsible use of GenAI in research, regardless of use case and GenAI technology employed. To define this framework, we conducted an anonymised Delphi consensus procedure comprising a panel of 16 international and multidisciplinary experts (...) in AI, social sciences, law, ethics, and scientific publishing. After three rounds of independent rating and feedback, the panel reached consensus on eight sequentially ordered principles required for responsible GenAI usage: Regulations, Data Security, Quality Control, Originality, Bias Mitigation, Accountability, Transparency, and Broader Impact. For the clear reporting of adherence to these principles, we created a checklist allowing active implementation into the research process. With these efforts, we aim to guide everyday research, support the development of further specified regulations, policies, and guidelines, and promote discussion about GenAI use in research. (shrink)

Despite chatbots’ increasing popularity, firms often fail to fully achieve their benefits because of their underutilization. We argue that ethical concerns dealing with chatbot-related privacy and security may prevent firms from developing a culture of embracing chatbot use and fully integrating chatbots into their workflows. Our research draws upon the stimulus-organism-response theory (SOR) and a study by Floridi et al. (Minds and Machines, 28:689–707, 2018) on the ethical artificial intelligence framework to investigate how chatbot affordances can foster employees’ positive perceptions (...) of privacy protection and security, which may increase perceived ethics in beneficence and ultimately support recommendation intentions. To validate our proposed research model and provide a robust understanding of chatbot-related ethics, we conducted two studies following a mixed-methods design. We used Study 1 as the quantitative phase to collect survey data from full-time marketing employees, and the results provided strong support for our research model based on the relevant theory and literature. We used Study 2 as the qualitative phase to collect interview data to further validate our research model, and the results confirmed Study 1’s quantitative findings and provided complementary insights into the phenomenon of interest. Our studies contribute to the literature by providing initial insights into chatbot-related ethics through the exploration of chatbot affordances, security, and privacy protection as the antecedents and through depictions of how these variables foster employees’ perceived ethics in beneficence and recommendation intention. Our results can inform practitioners how to develop ethics involving chatbots and promote a chatbot-friendly culture such that firms can fully achieve chatbots’ benefits and can thus increase their competitive advantages in emerging chatbot marketing. (shrink)

Metaphysical rationalism, the doctrine which affirms the Principle of Sufficient Reason (the PSR), is out of favor today. The best argument against it is that it appears to lead to necessitarianism, the claim that all truths are necessarily true. Whatever the intuitive appeal of the PSR, the intuitive appeal of the claim that things could have been otherwise is greater. This problem did not go unnoticed by the great metaphysical rationalists Spinoza and Leibniz. Spinoza’s response was to embrace necessitarianism. Leibniz’s (...) response was to argue that, despite appearances, rationalism does not lead to necessitarianism. This paper examines the debate between these two rationalists and concludes that Leibniz has persuasive grounds for his opinion. This has significant implications both for the plausibility of the PSR and for our understanding of modality. (shrink)

Artificial intelligence (AI) systems are increasingly adopted to make decisions in domains such as business, education, health care, and criminal justice. However, such algorithmic decision systems can have prevalent biases against marginalized social groups and undermine social justice. Explainable artificial intelligence (XAI) is a recent development aiming to make an AI system’s decision processes less opaque and to expose its problematic biases. This paper argues against technical XAI, according to which the detection and interpretation of algorithmic bias can be handled (...) more or less independently by technical experts who specialize in XAI methods. Drawing on resources from feminist epistemology, we show why technical XAI is mistaken. Specifically, we demonstrate that the proper detection of algorithmic bias requires relevant interpretive resources, which can only be made available, in practice, by actively involving a diverse group of stakeholders. Finally, we suggest how feminist theories can help shape integrated XAI: an inclusive social-epistemic process that facilitates the amelioration of algorithmic bias. (shrink)

abstract: Leibniz holds that there are no two perfectly similar things, a doctrine he calls the Principle of the Identity of Indiscernibles (the PII). What is his attitude toward its modal status? Most commentators hold that the principle is best understood as a necessary truth because it is allegedly entailed by doctrines such as the conceptual containment theory of truth, the Principle of Sufficient Reason (the PSR), and the denial of purely extrinsic denominations, which are arguably regarded by Leibniz as (...) necessary truths. In this paper, I argue against this consensus and show that (1) neither the conceptual containment theory of truth, nor the PSR, nor the denial of purely extrinsic denominations give Leibniz a good reason to hold that the PII is necessary; (2) Leibniz says that the PII is contingent in the correspondence with Clarke and not for dialectical reasons; and (3) the argument that Leibniz gives for the PII in §21 of his Fifth Letter to Clarke has been misunderstood; properly interpreted, it gives Leibniz a cogent argument rooted in some of his most important doctrines for the conclusion that the PII is a contingent truth. (shrink)

We endorse policymakers’ efforts to address the negative consequences of the attention economy’s technology but add that these approaches are often limited in their criticism of the systemic context of human attention. Starting from Buddhist philosophy, we advocate a broader approach: an ‘ecology of attending’ that centers on conceptualizing, designing, and using attention (1) in an embedded way and (2) focused on the alleviating of suffering. With ‘embedded’ we mean that attention is not a neutral, isolated mechanism but a meaning-engendering (...) part of an ‘ecology’ of bodily, sociotechnical and moral frameworks. With ‘focused on the alleviation of suffering’ we mean that we explicitly move away from the (often implicit) conception of attention as a tool for gratifying desires. We analyze existing inquiries in these directions and urge them to be intensified and integrated. As to the design and function of our technological environment, we propose three questions for further research: How can technology help to acknowledge us as ‘ecological’ beings, rather than as self-sufficient individuals? How can technology help to raise awareness of our moral framework? And how can technology increase the conditions for ‘attending’ to the alleviation of suffering, by substituting our covert self-driven moral framework with an ecologically attending one? We believe in the urgency of transforming the inhumane attention economy sociotechnical system into a humane ecology of attending, and in our ability to contribute to it. (shrink)

This paper concerns the extent to which uncertain propositional reasoning can track probabilistic reasoning, and addresses kinematic problems that extend the familiar Lottery paradox. An acceptance rule assigns to each Bayesian credal state p a propositional belief revision method B p , which specifies an initial belief state B p (T) that is revised to the new propositional belief state B(E) upon receipt of information E. An acceptance rule tracks Bayesian conditioning when B p (E) = B p|E (T), for (...) every E such that p(E) > 0; namely, when acceptance by propositional belief revision equals Bayesian conditioning followed by acceptance. Standard proposals for uncertain acceptance and belief revision do not track Bayesian conditioning. The "Lockean" rule that accepts propositions above a probability threshold is subject to the familiar lottery paradox (Kyburg 1961), and we show that it is also subject to new and more stubborn paradoxes when the tracking property is taken into account. Moreover, we show that the familiar AGM approach to belief revision (Harper, Synthese 30(1-2):221-262, 1975; Alchourrón et al., J Symb Log 50:510-530, 1985) cannot be realized in a sensible way by any uncertain acceptance rule that tracks Bayesian conditioning. Finally, we present a plausible, alternative approach that tracks Bayesian conditioning and avoids all of the paradoxes. It combines an odds-based acceptance rule proposed originally by Levi (1996) with a non-AGM belief revision method proposed originally by Shoham (1987). (shrink)

Background Moral distress is a common challenge among professional nurses when caring for their patients, especially when they need to make rapid decisions. Therefore, leaving moral distress unconsidered may jeopardize patient quality of care, safety, and satisfaction. Aim To estimate moral distress among nurses. Methods This systematic review and meta-analysis conducted systematic search in Scopus, PubMed, ProQuest, ISI Web of Knowledge, and PsycInfo up to end of February 2022. Methodological quality of included studies was assessed using the Newcastle Ottawa checklist. (...) Data from included studies were pooled by meta-analysis with random effect model in STATA software version 14. The selected key measure was mean score of moral distress total score with its’ 95% Confidence Interval was reported. Subgroup analyses and meta-regressions were conducted to identify possible sources of heterogeneity and potentially influencing variables on moral distress. Funnel plots and Begg’s Tests were used to assess publication bias. The Jackknife method was used for sensitivity analysis. Ethical consideration The protocol of this project was registered in the PROSPERO database under decree code of CRD42021267773. Results Eighty-six manuscripts with 19,537 participants from 21 countries were included. The pooled estimated mean score of moral distress was 2.55 on a 0–10 scale [95% Confidence Interval: 2.27–2.84, I2: 98.4%, Tau2:0.94]. Publication bias and small study effect was ruled out. Moral distress significantly decreased in the COVID-19 pandemic versus before. Nurses working in developing countries experienced higher level of moral distress compared to their counterparts in developed countries. Nurses' workplace (e.g., hospital ward) was not linked to severity of moral disturbance. Conclusion The results of the study showed a low level of pooled estimated score for moral distress. Although the score of moral distress was not high, nurses working in developing countries reported higher levels of moral distress than those working in developed countries. Therefore, it is necessary that future studies focus on creating a supportive environment in hospitals and medical centers for nurses to reduce moral distress and improve healthcare. (shrink)

On phenomenological theories of pleasure, what makes an experience a pleasure is the way it feels. On attitudinal theories, what makes an experience a pleasure is its relationship to the favorable attitudes of the subject who is having it. I advance the debate between these theories in two ways. First, I argue that the main objection to phenomenological theories, the heterogeneity problem, is not compelling. While others have argued for this before, I identify an especially serious version of this problem (...) that resists existing solutions, and I explain why even this version of the problem does not undermine phenomenological theories. Second, I argue that a grand reconciliation can be effected between the two types of theory: it can be true both that pleasures are pleasures in virtue of the way they feel and that they are pleasures in virtue of how they are related to their subjects’ favorable attitudes, so long as the attitudes that are constitutively related to pleasures are ones that feel a certain way. Hybrid views of this sort have significant advantages over pure attitudinal or phenomenological views. (shrink)

Increasing concerns have been raised regarding artificial intelligence (AI) bias, and in response, efforts have been made to pursue AI fairness. In this paper, we argue that the idea of structural injustice serves as a helpful framework for clarifying the ethical concerns surrounding AI bias—including the nature of its moral problem and the responsibility for addressing it—and reconceptualizing the approach to pursuing AI fairness. Using AI in healthcare as a case study, we argue that AI bias is a form of (...) structural injustice that exists when AI systems interact with other social factors to exacerbate existing social inequalities, making some groups of people more vulnerable to undeserved burdens while conferring unearned benefits to others. The goal of AI fairness, understood this way, is about pursuing a more just social structure with the development and usage of AI systems when appropriate. We further argue that all participating agents in the unjust social structure associated with AI bias bear a shared responsibility to join collective action with the goal of reforming the social structure, and we provide a list of practical recommendations for agents in various social positions to contribute to this collective action. (shrink)

The experience machine was traditionally thought to refute hedonism about welfare. In recent years, however, the tide has turned: many philosophers have argued not merely that the experience machine doesn't rule out hedonism, but that it doesn't count against it at all. I argue for a moderate position between those two extremes: although the experience machine doesn't decisively rule out hedonism, it provides us with some reason to reject it. I also argue for a particular way of using the experience (...) machine to argue against hedonism – one that appeals directly to intuitions about the welfare values of experientially identical lives rather than to claims about what we value or claims about whether we would, or should, plug into the machine. The two issues are connected: the conviction that the experience machine leaves hedonism unscathed is partly due to neglect of the best way to use the experience machine. (shrink)

Evaluative studies of inductive inferences have been pursued extensively with mathematical rigor in many disciplines, such as statistics, econometrics, computer science, and formal epistemology. Attempts have been made in those disciplines to justify many different kinds of inductive inferences, to varying extents. But somehow those disciplines have said almost nothing to justify a most familiar kind of induction, an example of which is this: “We’ve seen this many ravens and they all are black, so all ravens are black.” This is (...) enumerative induction in itsfullstrength. For it does not settle with a weaker conclusion (such as “the ravens observed in the future will all be black”); nor does it proceed with any additional premise (such as the statistical IID assumption). The goal of this paper is to take some initial steps toward a justification for the full version of enumerative induction, against counterinduction, and against the skeptical policy. The idea is to explore various epistemic ideals, mathematically defined as different modes of convergence to the truth, and look for one that is weak enough to be achievable and strong enough to justify a norm that governs both the long run and the short run. So the proposal is learning-theoretic in essence, but a Bayesian version is developed as well. (shrink)

Prudential value is the kind of value that something has when it is good for someone, in the sense that is conceptually tied to welfare or well‐being. Impersonal value is the kind of value that something has when it is good simply, absolutely, or “from the point of view of the universe.” According to the Moorean position on prudential value, the concept of prudential value can be analyzed in terms of that of impersonal value and is unintelligible if it is (...) not so analyzed. I answer some recent arguments for the Moorean position due to Kris McDaniel and Thomas Hurka, and I make a more comprehensive case than has thus far been made for rejecting that position. (shrink)

This paper calls for a paradigm shift in studying academic dependency, towards the paradigm of brokered dependency. Using Chinese academia as an example, I demonstrate how the neocolonial condition of academic dependency is always mediated through blockage-brokerage mechanisms. The two most salient blockage-brokerage mechanisms of dependency in the Chinese context are linguistic barrier and authoritarian malepistemization, and the effects of the latter consist of three layers: institutional, informational and incorporational. On top of their domestic impacts, those mechanisms jointly exacerbate spectacularized (...) postcoloniality in anglophone-hegemonic global academic publishing. The paradigm of brokered dependency not only represents a more nuanced approach to the study of academic dependency, but also underscores the fact that the dismantling of the neocolonial condition cannot be conceived and pursued in isolation from comprehending and confronting the authoritarian condition, especially when the latter pertains under the disguise of anticolonialism. (shrink)

As robots slip into more domains of human life - from the operating room to the bedroom - they take on our morally important tasks and decisions, as well as create new risks from psychological to physical. This book answers the urgent call to study their ethical, legal, and policy impacts.

Structural injustice exists when the influence of social structure exposes some groups of people to undeserved burdens while conferring unearned power to others. It has been argued that the responsibility for addressing structural injustices should be shared among those participating in the social structure and can only be discharged through collective action; however, the proper form of collective action does not happen easily. To address structural injustice effectively, we need to gain clarity on the practical challenges that are involved and (...) explore possible means of implementing shared responsibility. This chapter thus aims to contribute to the study of addressing structural injustice in the following two ways. First, building on previous studies, I categorize three forms of practical challenges that have been encountered by existing proposals for discharging shared responsibility for structural injustice. Second, I offer an alternative proposal, which I will refer to as the deliberative mini-public proposal, and argue that it has the potential to mobilize structural change and better overcome the identified practical challenges. (shrink)

Which entities should the desire theory of well-being deem basically good for you—good for you in the most fundamental way? On the object view, what is basically good for you when one of your desires is satisfied is the object of that desire. On the combo view, what is basically good for you when one of your desires is satisfied is the combination or conjunction of the object of that desire and the fact that you have that desire. I argue (...) that which of these views the desire theory accepts makes no difference to what it implies about anyone’s amount of well-being. Then, I consider the main arguments that have been given for the superiority of one or the other of those two views. Finding none of those arguments persuasive, I conclude that we lack good grounds for rejecting the initial impression that it would be natural to have about those views: that it does not matter which of them the desire theory accepts. (shrink)

So-called “traditional epistemology” and “Bayesian epistemology” share a word, but it may often seem that the enterprises hardly share a subject matter. They differ in their central concepts. They differ in their main concerns. They differ in their main theoretical moves. And they often differ in their methodology. However, in the last decade or so, there have been a number of attempts to build bridges between the two epistemologies. Indeed, many would say that there is just one branch of philosophy (...) here—epistemology. There is a common subject matter after all. In this paper, we begin by playing the role of a “bad cop,” emphasizing many apparent points of disconnection, and even conflict, between the approaches to epistemology. We then switch role, playing a “good cop” who insists that the approaches are engaged in common projects after all. We look at various ways in which the gaps between them have been bridged, and we consider the prospects for bridging them further. We conclude that this is an exciting time for epistemology, as the two traditions can learn, and have started learning, from each other. (shrink)

The call to make artificial intelligence (AI) more democratic, or to “democratize AI,” is sometimes framed as a promising response for mitigating algorithmic injustice or making AI more aligned with social justice. However, the notion of “democratizing AI” is elusive, as the phrase has been associated with multiple meanings and practices, and the extent to which it may help mitigate algorithmic injustice is still underexplored. In this paper, based on a socio-technical understanding of algorithmic injustice, I examine three notable notions (...) of democratizing AI and their associated measures—democratizing AI use, democratizing AI development, and democratizing AI governance—regarding their respective prospects and limits in response to algorithmic injustice. My examinations reveal that while some versions of democratizing AI bear the prospect of mitigating the concern of algorithmic injustice, others are somewhat limited and might even function to perpetuate unjust power hierarchies. This analysis thus urges a more fine-grained discussion on how to democratize AI and suggests that closer scrutiny of the power dynamics embedded in the socio-technical structure can help guide such explorations. (shrink)

It is commonly thought that subjectivists about welfare must claim that the favorable attitudes whose satisfaction is relevant to your well-being are those that you would have in idealized conditions (e.g. ones in which you are fully informed and rational). I argue that this is false. I introduce a non-idealizing subjectivist view, Same World Subjectivism, that accommodates the two main rationales for idealizing: those given by Peter Railton and David Sobel. I also explain why a recent argument from Dale Dorsey (...) fails to show that subjectivists must idealize. Because Same World Subjectivism is a plausible non-idealizing view, subjectivists about welfare needn't idealize. (shrink)

Backgrounds Moral distress significantly affects pediatric ICU nurses, leading to nurse burnout, increased turnover and reducing patient care quality. Despite its importance, there’s a notable gap in knowledge on how to manage it effectively. Aims This review aimed to systematically identify and analyze coping strategies and interventions targeting moral distress among pediatric nurses in ICU, uncovering research gap and future studies directions. Methods A scoping review was conducted followed framework by Levac, Colquhoun, and O'Brien and Arksey and O'Malley. Searches were (...) performed in 11 electrical databases, like PubMed and China Biology Medicine disc, within a timeframe of the database construction to November 2023, and performed literature screening and data extraction. Results Sixteen articles were ultimately included. Coping strategies adopted by pediatric ICUs nurses can be categorized into adaptive and maladaptive strategies, with the latter including passive acceptance, taking leave, and drinking, while the former involve pursuing interests outside of work, reflection and philosophizing, and communication. Nine articles described and evaluated the effectiveness of interventions for moral distress, categorizing them into individual and institutional levels. Individual-level interventions include Interprofessional Perspective-Taking, the PICU Resiliency Bundle, Ethics Education/Skills, and the Center for Caring. Institutional-level interventions encompasses Comprehensive Care Round, Goals of Care Conversations, Pediatric Ethics and Communication Excellence Rounds, Nursing Ethics Council, and Medical Ethical Decision-Making, though not all were effective in alleviating moral distress. Conclusions Nurses often use self-adjustment strategies for moral distress, institutional ethical support focusing on enhancing nurses’ moral resilience, promoting reflective thinking and improving communication remains crucial. Various interventions for moral distress are currently available, but nurse engagement is low and their effectiveness remained to be verified. Future studies should explore what aids or hinders these interventions. There’s also a need for large, multicenter trials and ongoing evaluations to create effective support systems for pediatric ICU nurses. (shrink)

Theories of well-being purport to identify the basic goods and bads whose presence in a person's life determines how well she is faring. Monism is the view that there is only one basic good and one basic bad. Pluralism is the view that there is either more than one basic good or more than one basic bad. In this paper, I give an argument for pluralism that is general in the sense that it does not purport to identify any basic (...) goods or bads. If I am right, then even if you cannot name a single basic good or bad, you can know that pluralism is true. (shrink)

Pluralistic theories of well-being might appear unable to accommodate just how important pleasure and pain are to well-being. Intuitively, there is a finite limit to how well your life can go for you if it goes badly enough hedonically (e.g. because you never feel any pleasure and you spend two years in unrelenting agony). But if there is some basic good distinct from pleasure, as any pluralistic theory must claim, then it seems that you could be made arbitrarily well off (...) by being given enough of that good even if your life is hedonically terrible. My aim is to defend pluralistic theories against this objection. After replying to the simplest version of it, I will answer a more sophisticated version of it that has recently been leveled by Theron Pummer. (shrink)

Although the idea that sexual violence is a “structural” problem is not new, the lack of specification as to what that entails blocks effective responses to it. This paper illustrates the concept of sexual violence as structural in the sense of containing a type of moral wrong called “structural wrong” and discusses its practical implications. First, I introduce a distinction between two types of moral wrongs—interactional wrongs and structural wrongs—and I argue that the moral problem of sexual violence includes both (...) types, each of which calls for a different set of moral responses. Second, drawing on Iris Marion Young’s social connection model of responsibility, I argue that recognizing the structural-wrong element of sexual violence does not reduce individual perpetrators’ responsibility for it. Instead, it implies that a broader group of agents are required to join collective actions to reform the social structure. I conclude by evaluating some preventive programs against sexual violence through the lens of structural wrongs and providing directions to advance them. (shrink)

Desire-satisfaction theories of welfare must answer the timing question: when do you benefit from the satisfaction of one of your desires? There are three existing views about this: the Time of Desire view, on which you benefit at just those times when you have the desire; the Time of Object view, on which you benefit just when the object of your desire obtains; and Concurrentism, on which you benefit just when you have the desire and its object obtains. This paper (...) introduces a new view, Asymmetrism, on which you sometimes benefit at the time of desire and sometimes benefit at the time of object. On this view, if the time at which you have a desire is later than the time at which its object obtains, then you benefit at the time of the desire. On the other hand, if the time of object is later than the time of desire, then you benefit at the time of object. Three arguments are given for the conclusion that Asymmetrism is superior to the Time of Desire and Time of Object views. It is argued that Asymmetrism and Concurrentism are the most credible answers to the timing question. (shrink)

We defend a set of acceptance rules that avoids the lottery paradox, that is closed under classical entailment, and that accepts uncertain propositions without ad hoc restrictions. We show that the rules we recommend provide a semantics that validates exactly Adams’ conditional logic and are exactly the rules that preserve a natural, logical structure over probabilistic credal states that we call probalogic. To motivate probalogic, we first expand classical logic to geo-logic, which fills the entire unit cube, and then we (...) project the upper surfaces of the geo-logical cube onto the plane of probabilistic credal states by means of standard, linear perspective, which may be interpreted as an extension of the classical principle of indifference. Finally, we apply the geometrical/logical methods developed in the paper to prove a series of trivialization theorems against question-invariance as a constraint on acceptance rules and against rational monotonicity as an axiom of conditional logic in situations of uncertainty. (shrink)

Many believe that normative reasons for action are necessarily connected with the promotion of certain states of affairs: on Humean views, for example, there is a reason for you to do something if and only if it would promote the object of one of your desires. But although promotion is widely invoked in discussions of reasons, its nature is a matter of controversy. I propose a simple account: to promote a state of affairs is to make it more likely to (...) obtain than it previously was. I argue that this view has been unfairly neglected, that it avoids serious problems faced by many other views, and that it is a contender for the correct theory of promotion. (shrink)

A subjective list theory of well-being is one that accepts both pluralism (the view that there is more than one basic good) and subjectivism (the view, roughly, that every basic good involves our favourable attitudes). Such theories have been neglected in discussions of welfare. I argue that this is a mistake. I introduce a subjective list theory called disjunctive desire satisfactionism, and I argue that it is superior to two prominent monistic subjectivist views: desire satisfactionism and subjective desire satisfactionism. In (...) the course of making this argument, I introduce a problem for desire satisfactionism: it cannot accommodate the fact that whenever someone experiences an attitudinal pleasure, his welfare is (other things equal) higher during the pleasure. Finally, I argue that any subjectivist about welfare should find disjunctive desire satisfactionism highly attractive. (shrink)

It has become commonplace to distinguish enumerative theories of welfare, which tell us which things are good for us, from explanatory theories, which tell us why the things that are good for us have that status. It has also been claimed that while hedonism and objective list theories are enumerative but not explanatory, desire satisfactionism is explanatory but not enumerative. In this paper, I argue that this is mistaken. When properly understood, every major theory of welfare is both enumerative and (...) explanatory. (shrink)

Dream experiences are heterogenous and involve a complex and varied phenomenology. While mental states like belief and desire can be easily characterised by their attitudes and contents, dreaming seems to involve a variety of attitudes, including beliefs, desires, and more. How do we make sense of dreaming itself as well as its relationship to the attitudes involved? We outline an attitudinal pluralism about dreaming. Attitudinal pluralism is the view that the dream self can adopt a variety of attitudes—beliefs, desires, hopes, (...) fears, etc.—towards the content of the dreamscape. On this view, there are multiple attitudes that the dream self can adopt within the simulated dream world. The best way to understand this pluralism is not by narrowly taking dreaming to just involve thinking itself, but rather by taking dreaming to involve a dream self experiencing thoughts within the dream. The attitudes belong to the dream self (the character one identifies with in the dream) not the dreamer per se (the sleeping subject). This attitudinal pluralism has consequences for thinking about the nature of dream experiences and the content of dream memories. First, the attitudes we experience as part of the dream world seem to go beyond mere phenomenology and may be part of the ontological structure of dream experiences. Second, accuracy in dream memories will involve recalling the various attitudes that one adopted while dreaming. Understood in this way, accuracy in dream memory requires a condition of authenticity, such that the dream memory represents not just the content of the dreamscape, but the way in which the dream subject experienced the dream world. Accurate dream memories will be authentic dream memories. (shrink)

Citizenship, such as corporate citizenship and organizational citizenship, has been an important issue in business management for decades. This study proposes a research model from the perspectives of social identity and resource allocation, by examining the influence of corporate citizenship on organizational citizenship behaviors (OCBs). In the model, OCBs are positively influenced by perceived legal citizenship and perceived ethical citizenship, while negatively influenced by perceived discretionary citizenship. Empirical testing using a survey of personnel from 18 large firms confirms most of (...) our hypothesized effects. Theoretical and managerial implications of our findings are discussed. (shrink)

This paper focuses on the potential of “equitech”—AI technology that improves equity. Recently, interventions have been developed to reduce the harm of implicit bias, the automatic form of stereotype or prejudice that contributes to injustice. However, these interventions—some of which are assisted by AI-related technology—have significant limitations, including unintended negative consequences and general inefficacy. To overcome these limitations, we propose a two-dimensional framework to assess current AI-assisted interventions and explore promising new ones. We begin by using the case of human (...) resource recruitment as a focal point to show that existing approaches have exploited only a subset of the available solution space. We then demonstrate how our framework facilitates the discovery of new approaches. The first dimension of this framework helps us systematically consider the analytic information, intervention implementation, and modes of human-machine interaction made available by advancements in AI-related technology. The second dimension enables the identification and incorporation of insights from recent research on implicit bias intervention. We argue that a design strategy that combines complementary interventions can further enhance the effectiveness of interventions by targeting the various interacting cognitive systems that underlie implicit bias. We end with a discussion of how our cognitive interventions framework can have positive downstream effects for structural problems. (shrink)

Otsuka (2023) argues for a correspondence between data science and traditional epistemology: Bayesian statistics is internalist; classical (frequentist) statistics is externalist, owing to its reliabilist nature; model selection is pragmatist; and machine learning is a version of virtue epistemology. Where he sees diversity, I see an opportunity for unity. In this article, I argue that classical statistics, model selection, and machine learning share a foundation that is reliabilist in an unconventional sense that aligns with internalism. Hence a unification under internalist (...) reliabilism. (shrink)

Abstract: The growing debate over zetetic responsibility—our duty to inquire or inquire further—has split into two main camps: the epistemic camp, which treats it as a distinctive form of epistemic normativity, and the practical camp, which argues it is wholly practical. This paper contends that both views are incomplete. Zetetic normativity is pluralistic, grounded in practical, socio-epistemic, and genuinely epistemic reasons. Through an analysis of cases—including high-stakes decisions, social-epistemic roles, and situations involving salient or opaque evidence—I show that obligations to (...) inquire arise from varied sources. To unify these, I advance a Zetetic Transmission Principle: if an agent has final reason to adopt a settled attitude toward a question, and inquiry serves as a means to that end, then they have a corresponding reason to inquire, matching the nature and strength of the final reason. This framework not only addresses objections such as overgeneralization and normative clashes but also clarifies the structure and source of zetetic obligations. In doing so, it offers a more nuanced and comprehensive theory of why, when, and in what form we ought to inquire. (shrink)

This paper presents the principal findings from a three-year research project funded by the US National Science Foundation on ethics of human enhancement technologies. To help untangle this ongoing debate, we have organized the discussion as a list of questions and answers, starting with background issues and moving to specific concerns, including: freedom & autonomy, health & safety, fairness & equity, societal disruption, and human dignity. Each question-and-answer pair is largely self-contained, allowing the reader to skip to those issues of (...) interest without affecting continuity. (shrink)

Cover Date: July 2006.Source Info: 115(3), 317-354. Language: English. Journal Announcement: 41-2. Subject: ACTION; CAUSATION; METAPHYSICS; REPRESENTATION; TELEOLOGY. Subject Person: SPINOZA, BENEDICT DE (BARUCH). Update Code: 20130315.

Background Relational autonomy is an alternative concept of autonomy in which an individual is recognized as embedded into society and influenced by relational factors. Social context, including social location, political structure, and social forces, significantly influence an agent to develop and exercise autonomy skills. The relational approach has been applied in clinical practice to identify relational factors impacting patient autonomy and decision-making, yet there is a knowledge gap in how these factors influence the demonstration of relational autonomy in the context (...) of medical decisions of adults. Objective The present study targeted the existing knowledge of what and how relational factors impact individuals making medical decisions using the theoretical framework of relational autonomy. Methods A meta-synthesis study was utilized. Four electronic databases, including Embase, OVID Medline, CINAHL, and PubMed, were searched, along with gray literature and reference lists, to identify relevant studies. Results 23 studies reporting 21 qualitative and two mixed-method studies were reviewed. Four themes emerged from the qualitative findings: (1) supportive relationships facilitate an individual’s relational autonomy; (2) obtaining comprehensive information from broader sources helps individuals exercise relational autonomy; (3) undue family pressure impedes the exercising of patient relational autonomy; and (4) healthcare providers’ dominant voice hampers the demonstration of relational autonomy. Conclusions Applying relational autonomy to assist adults in making well-considered decisions is essential. The meta-synthesis suggests establishing a supportive relationship between individuals, healthcare providers, and family. A supportive relationship will allow healthcare providers to make judgments in line with an individual’s values and wishes with the aim of promoting relational autonomy. Advance care planning was proposed as the effective solution to obtain a consensus between individuals and their families while respecting an individual’s values and preferences. Furthermore, it is considered crucial for healthcare providers to appreciate an individual's values and incorporate their preferences into recommendations. (shrink)