Philosophical orthodoxy has it that forgiveness is always discretionary—a gift we are free to extend to those who wrong us, but one that we are never morally required to offer. I dispute this orthodoxy, arguing that forgiveness is sometimes obligatory, even though wrongdoers can never demand or otherwise extract it from us. In particular, I argue that having accepted forgiveness in the past sometimes makes it obligatory to forgive one’s future wrongdoers. The obligation to forgive because one was forgiven (...) is grounded, not in a correlative right to forgiveness held by one’s wrongdoer, but in a moral norm of consistency that applies to how we accept and extend forgiveness. The resulting account sheds new light on the nature and scope of our discretion to forgive and on the possibility of obligations to others without correlative rights. (shrink)

Not all scientific explanations work by describing causal connections between events or the world's overall causal structure. In addition, mathematicians regard some proofs as explaining why the theorems being proved do in fact hold. This book proposes new philosophical accounts of many kinds of non-causal explanations in science and mathematics.

Many ethicists who have opposed euthanasia have nonetheless approved of the administration of palliative sedation (PS) under conditions where they have believed it is likely to hasten death. This reasoning typically reflects the doctrine of double effect (DDE), which prohibits causing evil intentionally but permits causing it merely foreseeably under some circumstances. In other ethical contexts, Frances Kamm has emphasized another distinction, namely the distinction between performing an action because one will thereby cause some consequence and performing an action (...) in order to (i.e. from an intention to) cause a consequence. Here I argue that it could be permissible to administer PS to a patient because one would thereby cause him to die rather than causing him to endure suffering that would be worse for him than death. However, I argue that the because/in order to distinction is ethically insignificant in this context. It is no worse, I argue, to act in order to cause a patient to die than it would be to act because one would thereby cause a patient to die. Thus, I conclude that death is not an unconditional evil for the purposes of DDE analysis, and that euthanasia can be permissible. (shrink)

Our beliefs about which actions we ought to perform clearly have an effect on what we do. But so-called “Humean” theories—holding that all motivation has its source in desire—insist on connecting such beliefs with an antecedent motive. Rationalists, on the other hand, allow normative beliefs a more independent role. I argue in favor of the rationalist view in two stages. First, I show that the Humean theory rules out some of the ways we ordinarily explain actions. This shifts the burden (...) of proof onto Humeans to motivate their more restrictive, revisionary account. Second, I show that they are unlikely to discharge this burden because the key arguments in favor of the Humean theory fail. I focus on some of the most potent and most recent lines of argument, which appeal to either parsimony, the teleological nature of motivation, or the structure of practical reasoning. (shrink)

Because Without Cause: Non-Causal Explanations in Science and Mathematics, by Lange Marc. Oxford: Oxford University Press, 2017. Pp. xxii + 489.

This essay is an analysis of the central arguments in Plato’s Crito. The dialogue shows, in a variety of ways, that the opinion of another person can have practical relevance in one’s deliberations about what to do – e.g. as an argument, as a piece of expert advice, as a threat. Especially important among these forms of practical relevance is the relevance of authoritative commands. In the dialogue, the Laws of Athens argue that Socrates must accept his sentence of death, (...) because he must regard the court’s verdict as a command from a practical authority – the city. The Laws’ arguments rely on special features of authority-reasons that many commentators have overlooked. This article explains why the Law’s arguments are unsuccessful. Finally, it is argued that Socrates’ description of ‘the many’ suggests that the city lacks the deliberative capacity necessary for possessing practical authority. (shrink)

R T Allen; ‘Because I Say So!’ Some Limitations Upon the Rationalisation of Authority, Journal of Philosophy of Education, Volume 21, Issue 1, 30 May 2006, Page.

In this book chapter in the Routledge Handbook of Food Ethics, I examine the moral responsibility that agents have for hunger resulting from climate change. I introduce the problem of global changes in food production and distribution due to climate change, explore how philosophical conceptions of vulnerability can help us to make sense of what happens to people who are or will be hungry because of climate change, and establish some obligations regarding vulnerability to hunger.

Thaddeus Metz defends the retributive theory of punishment against challenges mounted by some of the contributors to this collection. People, he thinks, ought to be censured in a way that is proportional to what they have done and for which they are responsible. Understanding does not conflict with judging. On the contrary, according to him, the more we understand, the better we are able to censure appropriately. Metz’s argument is Kantian insofar as he argues that ‘respect for persons [victims, responsible (...) wrongdoers and the community at large] requires condemning people proportionately to their responsible wrongdoing and hence that understanding a person merely indicates what would be proportionate, not that proportionality is unjustified’. His reason for thinking that Kantian respect requires retribution is that, as in non-retributive cases such as economic justice, compensatory justice, and justice in healthcare rationing, it requires imposing burdens on persons consequent to an awareness of their responsible choices. To use his slogan, ‘judging is apt because of understanding’. (shrink)

What we learn even from ancient Western culture is that humans are definitely human because of technology as what distinguishes them most. Thus, what we should ask ourselves as philosophers is not if we are human because of technology, but to what extent our human identity coincides with our technological capability and, if they do not coincide, to what extent the latter can exceed at least partly the former.As a case in point, I propose to use something extreme, (...) i.e. our attempt to technologically defeat our death: several biotechnology companies and publications share the objective of not dying. The basic idea is to think of death not as a metaphysical issue, but as an engineering problem, which, precisely as an engineering problem, can be (technologically) solved. But, even though it is true that being human means having the constitutive drive to transcend one’s own being human, and that human technological capability is the most used to do it, the question is if we have alternative ways of transcending our own being human that may even be more valuable than our technological capability to engineer death. I will argue in the affirmative by proposing to think of our capability to face our death by being existentially responsible for it as essential for the definition of our identity. In other words, I will argue that human identity can exceed technological capability – which means that humans, both individually and socially, can, and even should, decide to what extent the former can exceed the latter, especially at a time when the primary objective of technology seems to be the defeat of ageing and death as the removal of time from human identity. (shrink)

Marc Lange. Because Without Cause: Non-Causal Explanations in Science and Mathematics. Oxford Studies in the Philosophy of Science. Oxford University Press.

Jim Mackenzie; Because R. T. Allen says so, Journal of Philosophy of Education, Volume 22, Issue 1, 30 May 2006, Pages 107–113, https://doi.org/10.1111/j.1467-9.

Lange’s collection of expanded, mostly previously published essays, packed with numerous, beautiful examples of putatively non-causal explanations from biology, physics, and mathematics, challenges the increasingly ossified causal consensus about scientific explanation, and, in so doing, launches a new field of philosophic investigation. However, those who embraced causal monism about explanation have done so because appeal to causal factors sorts good from bad scientific explanations and because the explanatory force of good explanations seems to derive from revealing the relevant (...) causal (or ontic) structures. The taxonomic project of collecting examples and sorting their types is an essential starting place for a theory of non-causal explanation. But the title of Lange’s book requires something further: showing that the putative explanations are, in fact, explanatory and revealing the non-causal source of their explanatory power. This project is incomplete if there are examples of putative non-causal explanations that fit the form but that nobody would accept as explanatory (absent a radical revision of intuitions). Here we provide some reasons for thinking that there are such examples. (shrink)

Plato was the first feminist. In the Republic he puts forward the view that women are just the same as men, only not quite so good. It is a view which has often been expressed in recent years, and generates strong passions. Some of these have deep biological origins, which a philosopher can only hope to recognize and not to assuage. But much of the heat engendered is due to unnecessary friction between views which are certainly compatible and probably correct. (...) And here a philosopher can help. If we can divide the issues neatly, at the joints, then we need not quarrel with one another for saying something, probably true, because what is being maintained is misconstrued and taken to mean something else, probably false. (shrink)

Modalists think that knowledge requires forming your belief in a “modally stable” way: using a method that wouldn't easily go wrong, or using a method that wouldn't have given you this belief had it been false. Recent Modalist projects from Justin Clarke-Doane and Dan Baras defend a principle they call “Modal Security,” roughly: if evidence undermines your belief, then it must give you a reason to doubt the safety or sensitivity of your belief. Another recent Modalist project from Carlotta Pavese (...) and Bob Beddor defends “Modal Virtue Epistemology”: knowledge is a belief that is maximally modally robust across “normal” worlds. We'll offer new objections to these recent Modalist projects. We will then argue for a rival view, Explanationism: knowing something is believing it because it's true. We will show how Explanationism offers a better account of undermining defeaters than Modalism, and a better account of knowledge. (shrink)

In an explanation ‘y because x’, because can be used to express an explanatory relation between an explanandum ‘y’ and an explanans ‘x’. But because can also be used to express the speaker’s reason for uttering ‘y’. This difference will be elucidated by connecting it with the distinction between the at-issue dimension and the speaker dimension of meaning. There are also internal relations between if and because that can help us find and analyse different uses of (...) because, and thus also different types of explanatory relations. (shrink)

In a recent article (‘ChatGPT is bullshit’), the authors argue that large language models (LLMs) like ChatGPT generate bullshit—a philosophical term coined by philosopher Harry Frankfurt that picks out convincing, but truth-insensitive content. The authors argue LLMs like ChatGPT are bullshitting machines. Here I defend a complementary account of why LLMs like ChatGPT produce bullshit: LLMs like ChatGPT are bullshit (partly) because people are bullshitters. Given that LLMs like ChatGPT predict and generate text based on large quantities of data (...) from human language users, LLMs like ChatGPT would naturally reflect that fact—bullshit in, bullshit out. This paper then explores the incentives for people to bullshit—to manage reputations, to signal their intelligence, and to participate in the marketplace for bullshit—along with why such incentives will likely motivate people to use LLMs like ChatGPT to better bullshit each other. (shrink)

A recent project at the University of Denver Libraries used handwritten text recognition (HTR) software to create transcriptions of records from the Jewish Consumptives’ Relief Society (JCRS), a tuberculosis sanatorium located in Denver, Colorado from 1904 to 1954. Among a great many other potential uses, these type- and hand-written records give insight into the human experience of disease and epidemic, its treatment, its effect on cultures, and of Jewish immigration to and early life in the American West. Our intent is (...) to provide these transcripts as data so the text may be computationally analyzed, pursuant to a larger effort in developing capacity in services and infrastructure to support digital humanities as a library, and to contribute to the emerging HTR ecosystem in archival work. Just because we can, however, doesn’t always mean we should: the realities of publishing large datasets online that contain medical and personal histories of potentially vulnerable people and communities introduce serious ethical considerations. This paper both underscores the value of HTR and frames ethical considerations related to protecting data derived from it. It suggests a terms-of-use intervention perhaps valuable to similar projects, one that balances meeting the research needs of digital scholars with the care and respect of persons, their communities and inheritors, who lives produced the very data now valuable to those researchers. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:“Just Because You Can—Doesn’t Mean You Should”Mindy B. StatterAs Albert R. Jonsen stated, “The technological imperative begins to rule clinical decisions: if a technology exists, it must be applied. Patients... are moved to higher and higher levels of care, finally becoming enmeshed in a tangle of tubes that extinguish their identity and needs as persons.” In this case the conflict created by the parental demand for the utilization (...) of technology, extracorporeal support in a neonate will be explored.I was consulted in the care of a newborn with a right–sided congenital diaphragmatic hernia (CDH). In this anomaly the diaphragm, the muscular partition that separates the abdomen and the thorax, forms incompletely, and the viscera migrate up into the chest compressing the developing lung, shifting the medistinum and heart and compressing the contralateral lung. The resulting lung maldevelopment is termed pulmonary hypoplasia. The maldevelopment of the lungs in CDH is variable with the most severe forms resulting in neonatal death. This congenital anomaly is associated with 55% survivability; the poor prognosis is due to the pulmonary hypoplasia. In addition to pulmonary hypoplasia, there is the association of pulmonary hypertension with CDH. Pulmonary hypertension is a condition where the vascular resistance in the lung is high with reduced blood flow within the lung. The physiologic consequence of pulmonary hypertension is hypoxemia, oxygen deficiency in the blood, and reduced oxygen delivery to all organs. Unlike severe pulmonary hypoplasia, pulmonary hypertension is reversible. When an infant with CDH is born and deteriorates due to respiratory failure it can be difficult to determine whether the respiratory failiure is due to pulmonary hypoplasia or pulmonary hypertension. Extracorporeal membrane oxygenation (ECMO) is indicated in the management of reversible respiratory and, or cardiac failure. In the case of neonates with CDH, ECMO addressess the reversible component of the respiratory failure, the pulmonary hypertension. The respiratory failure due to severe pulmonary hypoplasia is not reversible; ECMO is not indicated. There are established criteria to guide the determination of which infant is a candidate for ECMO. Depending upon the ECMO center, the stringency can vary.In this case, the baby had significant respiratory failure with impairment in both oxygenation, hypoxia, and ventilation–the elimination of carbon dioxide, hypercapnea. The neonatologist spoke with the mother who stated that she wanted “everything done” including ECMO in the management [End Page 22] of her baby. When the neonatologist consulted me to put the baby on ECMO I expressed my concern that this infant had irreversible respiratory failure due to pulmonary hypoplasia. And simply from a technical aspect, I could not guarantee that ECMO would “work”. When an infant is “cannulated” for extracorporeal support, cannulas are inserted to allow for the drainage of blood into the ECMO circuit, the blood oxygenated and the carbon dioxide is cleared, and the blood is then returned to the infant. The majority of diaphragmatic hernias are on the left and when the CDH is on the right side, the right heart may be compressed by the viscera in the chest, and venous drainage into the ECMO circuit may be impaired. When this is encountered, the next step in the management algorithm is to fix the hernia–reduce and return the viscera within the chest to the abdomen and eliminate the visceral compression of the right heart. The neonatologist shared my concern and also reiterated that this baby’s mother wanted “everything done”. I had little uncertainty as to the etiology of the respiratory failure in this baby. In meeting the mother’s demands I then suggested that the hernia be repaired first, and if there was improvement in the hypoxia and hypercapnea, then give the baby the benefit of the doubt that there is a component of reversibility to the respiratory failure and then proceed with ECMO cannulation. The neonatologist agreed with this suggested plan.I then went to talk with the baby’s mother. I explained my concerns that based on the profound hypercapnea on the arterial blood gases that the baby’s respiratory failure was due to pulmonary hypoplasia and not reversible with extracorporeal support. She insisted that her baby be put on ECMO. I then explained the operative algorithm and... (shrink)

Rowland Stout presents a new philosophical account of human action which is radically and controversially different from all rival theories. He argues that intentional actions are unique among natural phenomena in that they happen because they should happen, and that they are to be explained in terms of objective facts rather than beliefs and intentions.

Bayesian probability has recently been proposed as a normative theory of argumentation. In this article, we provide a Bayesian formalisation of the ad Hitlerum argument, as a special case of the ad hominem argument. Across three experiments, we demonstrate that people's evaluation of the argument is sensitive to probabilistic factors deemed relevant on a Bayesian formalisation. Moreover, we provide the first parameter-free quantitative evidence in favour of the Bayesian approach to argumentation. Quantitative Bayesian prescriptions were derived from participants' stated subjective (...) probabilities (Experiments 1 and 2), as well as from frequency information explicitly provided in the experiment (Experiment 3). Participants' stated evaluations of the convincingness of the argument were well matched to these prescriptions. (shrink)

The paper proposes a unified analysis of the natural language connectives 'if', 'if … might', 'even if' (all of them with indicative and subjunctive mood), 'because' and 'though'. They are all interpreted as instances of universal (pro)conditionals, unconditionals, or counterconditionals. The paper imports the notion of relevance into the meaning of conditionals, viewing conditionals as close in meaning to explanations and statements about causal relations. The antecedent of a conditional is interpreted as being relevant for its consequent, thus avoiding (...) the general inference from A and B to 'If A, B'. The analysis is based on different variants of the Ramsey test (among them the 'Strong Ramsey Test') together with a fragment of the belief revision theory of Alchourrón, Gärdenfors and Makinson. (shrink)

I compare our idioms for quantifying into belief contexts to our idioms for quantifying into intention contexts. The latter is complicated by the fact that there is always a discrepancy between the action as intended and the action as performed. The article contains - this is written long after it appeared - an early version of a tracking or sensitivity analysis of the relation between a thought and its object.

How can an agent's desire or will give him reasons for acting? Not long ago, this might have seemed a silly question, since it was widely believed that all reasons for acting are based in the agent's desires. The interesting question, it seemed, was not how what an agent wants could give him reasons, but how anything else could. In recent years, however, this earlier orthodoxy has increasingly appeared wrongheaded as a growing number of philosophers have come to stress the (...) action-guiding role of reasons in deliberation from the agent's point of view. What a deliberating agent has in view is rarely his own will or desires as such, even if taking something as a reason is intimately tied to desire. Someone who wants to escape a burning building does not evaluate her options by considering which is likeliest to realize what she wants or wills. She is focused, rather, on her desire's object: getting out alive. The fact that a successful route would realize something she wants is apt to strike her as beside the point or, at best, as a trivial bonus. (shrink)

This chapter investigates non-causal scientific explanations that work by describing how the explanandum involves stronger-than-physical necessity by virtue of certain facts (“constraints”) that possess some variety of necessity stronger than ordinary causal laws possess. In particular, the chapter offers an account of the order of explanatory priority in explanations by constraint. It examines several important examples of explanations by constraint, distinguishing their natural kinds. It gives an account of the sense in which constraints are modally stronger than ordinary causal laws (...) and an account of why certain deductions of constraints exclusively from other constraints possess explanatory power whereas others lack explanatory power. (shrink)

Computationalism aspires to provide a comprehensive theory of life and mind. It fails in this task because it lacks the conceptual tools to address the problem of meaning. I argue that a meaningful perspective is enacted by an individual with a potential that is intrinsic to biological existence: death. Life matters to such an individual because it must constantly create the conditions of its own existence, which is unique and irreplaceable. For that individual to actively adapt, rather than (...) to passively disintegrate, expresses a value inherent in its way of life, which is the ultimate source of more refined forms of normativity. This response to the problem of meaning will not satisfy those searching for a functionalist or logical solution, but on this view such a solution will not be forthcoming. As an intuition pump for this alternative perspective I introduce two ancient foreign worldviews that assign a constitutive role to death. Then I trace the emergence of a similar conception of mortality from the cybernetics era to the ongoing development of enactive cognitive science. Finally, I analyze why orthodox computationalism has failed to grasp the role of mortality in this constitutive way. (shrink)

This world contains horrendous evils. It is also partly populated by realistic, purpose‐driven optimists. In this chapter, I mount an ad hominem argument that it is unreasonable for people to strike the latter life posture apart from belief in God. I review nontheistic alternatives – life postures that qualify realism, dampen hopes, curtail on meaning‐making, or aim at getting beyond personality altogether. I conclude that my argument should have force with those who are robustly realistic, robustly optimistic, and firmly committed (...) to finding value in personal life. (shrink)

Hauser argues that his pocket calculator (Cal) has certain arithmetical abilities: it seems Cal calculates. That calculating is thinking seems equally untendentious. Yet these two claims together provide premises for a seemingly valid syllogism whose conclusion - Cal thinks - most would deny. He considers several ways to avoid this conclusion, and finds them mostly wanting. Either we ourselves can't be said to think or calculate if our calculation-like performances are judged by the standards proposed to rule out Cal; or (...) the standards- e.g., autonomy and self-consciousness- make it impossible to verify whether anything or anyone (save oneself) meets them. While appeals to the intentionality of thought or the unity of minds provide more credible lines of resistance, available accounts of intentionality and mental unity are insufficiently clear and warranted to provide very substantial arguments against Cal's title to be called a thinking thing. Indeed, considerations favoring granting that title are more formidable than is generally appreciated. Rapaport's comments suggest that, on a strong view of thinking, mere calculating is not thinking (and pocket calculators don't think), but on a weak, but unexciting, sense of thinking, pocket calculators do think. He closes with some observations on the implications of this conclusion. (shrink)

Political authority is the moral power to impose moral duties upon a perhaps unwilling citizenry. David Enoch has proposed that authority be understood as a matter of "robust" duty-giving. This paper argues that Enoch's conditions for attempted robust duty- or reason-giving are, along with his non-normative success condition, implausibly strong. Moreover, Enoch's attempt and normative- success conditions ignore two facts. The first is that success requires that citizens be tolerant of modest errors by the authority, which means that, in conditions (...) of modest error, performing as directed must have a non-instrumental, intrinsic value. The second is that an attempt to exercise authority involves an intention to trigger a moral principle endowing conforming performances with intrinsic value. The mystery of political authority is the mystery of how official directives could possibly suffice to endow conforming performances with intrinsic value. (shrink)

This collection invites us to think about how African-descended men are seen as both appealing and appalling, and exposed to eroticized hatred and violence and how some resist, accommodate, and capitalize on their eroticization. Drawing on James Baldwin and Frantz Fanon, the contributors examine the contradictions, paradoxes, and politico-psychosexual implications of Black men as objects of sexual desire, fear, and loathing. Kitossa and the contributing authors use Baldwin’s and Fanon’s cultural and psychoanalytic interpretations of Black masculinities to demonstrate their neglected (...) contributions to thinking about and beyond colonialist and Western gender and masculinity studies. This innovative and sophisticated work will be of interest to scholars and students of cultural and media studies, gender and masculinities studies, sociology, political science, history, and critical race and racialization. Foreword by Tommy J. Curry. Contributors: Katerina Deliovsky, Delroy Hall, Dennis O. Howard, Elishma Khokhar, Tamari Kitossa, Kemar McIntosh, Leroy F. Moore Jr., Watufani M. Poe, Satwinder Rehal, John G. Russell, Mohan Siddi. (shrink)

The aim of this study was to explore and describe how Flemish nurses experience their involvement in the care of hospitalized patients with dementia, particularly in relation to artificial nutrition or hydration (ANH). We interviewed 21 hospital nurses who were carefully selected from nine hospitals in different regions of Flanders. ‘Being touched by the vulnerability of the demented patient’ was the central experience of the nurses, having great impact on them professionally as well as personally. This feeling can be described (...) as encompassing the various stages of the care process: the nurses' initial meeting with the vulnerable patient; the intense decision-making process, during which the nurses experienced several intense emotions influenced by supporting or hindering contextual factors; and the final coping process, a time when nurses came to terms with this challenging experience. From our examination of this care process, it is obvious that nurses' involvement in ANH decision-making processes that concern patients with dementia is a difficult and ethically sensitive experience. On the one hand, the feeling of ‘being touched’ can imply strength, as it demonstrates that nurses are willing to provide good care. On the other hand, the feeling of ‘being touched’ can also imply weakness, as it makes nurses vulnerable to moral distress stemming from contextual influences. Therefore, nurses have to be supported as they carry out this ethically sensitive assignment. Practical implications are given. (shrink)

Morality can be painfully demanding so much so that we sometimes question the wisdom of complying with it. Indeed, according to H. A. Prichard, making this argument work is the central preoccupation of moral philosophy. But Prichard also believes that to the extent this is true, the whole subject of moral philosophy rests on a mistake. Moreover, the consensus is not only that we should call these things moral but also that we should be these things, which gives us a (...) clue to the word's meaning. When a person refers to an act by saying, “That's immoral” listeners normally understand the speaker to be saying there is reason not to do the act. This way of understanding the term's use may not fully capture the term's meaning, any more than a set of injunctions to be kind, honest, and peaceful fully covers morality's extension. (shrink)

Ces dernières années, l'expérience des frères et sœurs d'enfants atteints de maladies limitant l'espérance de vie a suscité une attention croissante. Cependant, leur conception du bien-être et des soins a reçu une attention limitée. Cet article présente les conclusions d'un projet mené auprès d'un petit groupe d'enfants dont les frères et sœurs sont atteints de maladies limitant l'espérance de vie. De manière originale, les frères et sœurs ont exploré les concepts de soins et de bien-être à travers une série de (...) dialogues philosophiques et d'activités artistiques complémentaires. Quatre thèmes principaux ont été au cœur de leur réflexion sur les soins et le bien-être : être soi-même, la vie est un tourbillon d'émotions, l'amour est complexe et l'union fait la force. Le message clé qui a guidé leur compréhension des soins et du bien-être est que l'amour est le moteur d'un comportement bienveillant et que nous devons prendre soin des autres, non pas parce qu'ils ont des besoins particuliers, mais parce que nous sommes humains. Comprendre comment les frères et sœurs d’enfants atteints de maladies limitant l’espérance de vie perçoivent les notions de soins et de bien-être permet de garantir que ce groupe sous-représenté est entendu et qu’en s’occupant d’eux, les familles et les autres personnes qui prennent soin d’eux sont mieux à même de répondre à leurs besoins en vue de leur permettre de bien vivre. (shrink)

Physicians make some medical decisions without disclosure to their patients. Nondisclosure is possible because these are silent decisions to refrain from screening, diagnostic or therapeutic interventions. Nondisclosure is ethically permissible when the usual presumption that the patient should be involved in decisions is defeated by considerations of clinical utility or patient emotional and physical well-being. Some silent decisions - not all - are ethically justified by this standard. Justified silent decisions are typically dependent on the physician's professional judgment, experience (...) and knowledge, and are not likely to be changed by patient preferences. We condemn the inappropriate exclusion of the patient from the decision-making process. However, if a test or treatment is unlikely to yield a net benefit, disclosure and discussion are at times unnecessary. Appropriate silent decisions are ethically justified by such considerations as patient benefit or economy of time. (shrink)

This paper looks at the genealogical challenge encapsulated in the schema “You just believe that because...” through the lens of hinge epistemology. It is claimed that hinges are typically held just because one has been brought up to believe them. It is further claimed that, while fitting into the YJBTB schema, hinges are rationally held when different de facto hinges are taken for granted merely because of one’s position in history. Moreover, they are rationally held if they (...) are de jure hinges, constitutive of epistemic rationality. By contrast, holding different de facto hinges, while aware that one’s reasons for them are either question-begging or no stronger than the ones in favor of incompatible ones, is not rational. The latter would be cases of “deep disagreement”—that is, disagreement that is in principle insoluble. Hence, the nature and epistemic significance of the genealogical challenge are clarified. (shrink)

Young children show competence in reasoning about how ownership affects object use. In the present experiments, we investigate how influential ownership is for young children by examining their explanations. In three experiments, we asked 3- to 5-year-olds to explain why it was acceptable or unacceptable for a person to use an object. In Experiments 1 and 2, older preschoolers referenced ownership more than alternative considerations when explaining why it was acceptable or unacceptable for a person to use an object, even (...) though ownership was not mentioned to them. In Experiment 3, ownership was mentioned to children. Here, younger preschoolers frequently referenced ownership when explaining unacceptability of using an object, but not when explaining why using it was acceptable. These findings suggest that ownership is influential in preschoolers' explanations about the acceptability of using objects, but that the scope of its influence increases with age. (shrink)

In China’s clinical settings, it is common for families to have the final say in informed consent when the patient has a terminal or critical illness, even when the patients are fully competent. This practice is different from the individual-based pattern in the majority of Western countries, which is grounded in respect for individual autonomy. One common justification of family-oriented informed consent (FOIC) is that Chinese patients prefer to have their families make decisions on their behalf, and this aligns with (...) China’s familial culture, which emphasises relational autonomy. However, recent empirical findings show that FOIC is not as widely supported by Chinese patients as is often assumed. In this study, semi-structured interviews were conducted with 13 Chinese patients, 14 family caregivers, and 9 health professionals in two megacities in northern China to explore their perceptions and attitudes of FOIC. Their experiences of and attitudes towards FOIC were explored. Many family and patient participants believed FOIC is a good way to preserve hope for patients and therefore supported the approach. However, when imagining themselves as patients, many of them preferred individual-based informed consent, citing a patient’s right and autonomy as the reasons. Healthcare professionals were conflicted on FOIC. They acknowledge the impact of familial culture but also mentioned practical factors that may equally contribute to FOIC. The interviews of this study and the literature indicate there are similarities between China and the West when it comes to family involvement in decision making which may have been overlooked or downplayed. The qualitative findings with participants reveal that there are other equally significant social-economic factors such as medical violence contributing to the prevalence of FOIC. Although FOIC is widespread in China, familial culture neither fully explains the practice nor provides an adequate justification for it. (shrink)

Feminism is an antiauthoritarian movement that has sought to unmask many traditional “authorities” as ungrounded. Given this, it might seem as if feminists are required to abandon the concept of authority altogether. But, we argue, the exercise of authority enables us to coordinate our efforts to achieve larger social goods and, hence, should be preserved. Instead, what is needed and what we provide for here is a way to distinguish legitimate authority from objectionable authoritarianism.

Some philosophical considerations over Yann LeCun’s position paper “A Path Towards Autonomous Machine Intelligence”.

Why does cinema exert such power over our emotions? Many have wanted to answer by appeal to the idea that film sustains some illusion concerning the events it narrates. I compare three such views: that film sustains the illusion that those events are before us; that it sustains that illusion, but only partially; and that, though viewers are always fully aware of seeing pictures, those pictures are experienced as the moving photographic record of the narrated events. I identify these positions’ (...) successes and failures in explaining film’s emotional power, and various ways in which the issue between them might be tested further. (shrink)

This article explores the accounts of Canadian-trained health professionals working in humanitarian and development organizations who considered not treating a patient or group of patients because of resource limitations. In the narratives, not treating the patient(s) was sometimes understood as the right thing to do, and sometimes as wrong. In analyzing participants’ narratives we draw attention to how medications and equipment are represented. In one type of narrative, medications and equipment are represented primarily as scarce resources; in another, they (...) are represented as patient care. In the contexts respondents were working, medications and equipment were often both patient care interventions and scarce resources. The analytic point is that health professionals tend to emphasize one conceptualization over the other in coming to assert that not treating is right, or wrong. Rendering tacit ethical frameworks more explicit makes them available for reflection and debate. (shrink)

In the UK, the legal processes underpinning the procurement system for cadaveric organs for transplantation and research after death are under review. The review originated after media reports of hospitals, such as Alder Hey and Bristol, retaining organs after death without the full, informed consent of relatives. The organ procurement systems for research and transplantation are separate and distinct, but given that legal change will be applicable to both, some have argued now is the time to introduce alternative organ transplant (...) procurement systems such as presumed consent or incentive based schemes . Findings are reported in this paper from qualitative and quantitative research undertaken in Scotland in order to ascertain the public acceptability of different procurement systems. Nineteen in depth interviews carried out with donor families about their experiences of donating the organs of the deceased covered their views of organ retention, presumed consent, and financial incentives. This led onto a representative interview survey of 1009 members of the Scottish public. The originality of the triangulated qualitative and quantitative study offers exploration of alternative organ procurement systems from different “sides of the fence”. The findings suggest that the legal changes taking place are appropriate in clarifying the role of the family but can go further in strengthening the choice of the individual to donate. (shrink)

The inference that things do not matter because they will end is a source of despair for reflective people that features in literature, popular culture, and philosophy. Are there sound arguments in support of the inference? I first review three arguments that have been put forward in the existing philosophical literature and consider the objections that can be made against them. While the objections appear persuasive, these arguments do not exhaust the plausible justifications for the inference. Drawing on examples (...) from philosophy and literature, I introduce two previously undiscussed time-bias arguments in support of the inference that seem to be psychologically powerful. I conclude, however, that the time-bias arguments are also unsound. They involve an inconsistent shift between a temporally neutral and a temporally biased perspective on how the passage of time affects what matters. However the inconsistency is resolved, the conclusion does not follow. (shrink)

Carl Ginet has advanced an account of action explanation on which actions can be entirely uncaused and action explanations need not cite causal factors. Several objections have been raised against this view, and Ginet has recently defended the account. Here it is argued that Ginet’s defense fails to come to grips with the chief problems faced by his view.