Background: In accordance with ethical guidelines for nurses, leaders for nurse services in general are responsible for facilitating professional development and ethical reflection and to use ethical guidelines as a management tool. Research describes a gap between employees’ and nurse leaders’ perceptions of priorities. Objective: The purpose of this article is to gain deeper insight into how nurses as leaders in somatic hospitals describe ethical challenges. Design and method: We conducted individual, quality interview with 10 nurse leaders, nine females and (...) one male nurse aged 34–64 years. We used a hermeneutical approach to analyse the data. Ethical considerations: The participants received oral and written information about the study. Participation in the study was voluntary, and the participants were given the opportunity to withdraw. All of them gave written consent. The Norwegian Centre for Research Data approved the research project. In addition, the head of the hospitals gave permission to conduct our study. Findings: Four main areas were identified: deficient ethical language, conflicting demands on nurse leaders regarding staff management, concerns regarding young nurses’ ethical consciousness and restricting factors on the creation of a climate of ethics. The nurse leaders experienced considerable pressure. An unexpected finding was the lack of – and even disregard for – an ethical language. Discussion and conclusion: It is crucial to recognise ethics in all types of nursing approaches and to make it explicit. Ethical language must be implemented in nursing education. It must be recognised and used in clinical practice. Recommendations: We recommend further research be conducted into how nurses understand the concept of ethics and how to incorporate ethical principles into clinical nursing and nurse leadership. (shrink)

Background: ICU patients’ family members are in a new, uncertain, and vulnerable situation due to the patient’s critical illness and complete dependence on the ICU nurses and physicians. Family members’ feeling of being cared for is closely linked to clinicians’ attitudes and behavior. Aim: To explore ICU nurses’ and physicians’ bedside interaction with critically ill ICU patients´ families and discuss this in light of the ethics of care. Research design: A qualitative study using participant observation, focus groups, and thematic narrative (...) analysis. Participants and research context: Data were gathered from July 2017 to August 2019, in four ICUs in Norway through 270 h of fieldwork and seven focus groups with ICU nurses and physicians. Ethical considerations: The Regional Committee for Medical and Health Research Ethics and the Norwegian Centre for Research Data approved the study. Findings: Quality of ICU family care depends on nurses’ and physicians’ attitudes, behavior, and personality traits. Three main themes were identified: being attentive, an active approach, and degree of tolerance. Discussion: The findings are discussed in light of the ethics of care and empirical research from the intensive care environment. Conclusions: This study shows that attentive, active, and tolerant clinicians represent a culture of ethical care that gives families greater freedom of action and active participation in patient care. Clinicians must not bear sole responsibility for this culture; it must have a firm basis in the hospital and ICU and be established through training, interprofessional reflection, and support of clinicians. (shrink)

Background:Research suggests that nurses generally do not participate in ethical decision-making in accordance with ethical guidelines for nurses. In addition to completing their training, nurses need to reflect on and use ethically grounded arguments and defined ethical values such as patient’s dignity in their clinical work.Objectives:The purpose of this article is to gain a deeper understanding of how nurses deal with ethical decision-making in daily practice. The chosen research question is “How do nurses participate in ethical decision-making for the patient?”Design (...) and method:We use Gadamer’s philosophical hermeneutics as well as Kvale and Brinkmann’s three levels of understanding in interpreting the data material. Nine registered nurses were interviewed.Ethical considerations:The Ombudsman of Norwegian Social Science Data and the head of the hospital approved the investigation. The participants received both oral and written information about the study and they gave their consent. We informed the participants that the participation was voluntary and that they were free to withdraw at any point in the course of the study. The requirement of anonymity and proper data storage was in accordance with the World Medical Association Declaration of Helsinki. The participants were assured that privacy, and confidentiality would be duly protected.Results:Four key themes emerged: confusion in relation to professional and operational expectations of role, ideal somnolence, inadequate argumentation skills, and compound pressure.Conclusion:Ethical ideals appear to be latent in the mindset of the participants; however, the main finding of this investigation is that nurses need to activate the ideals and apply them into practice. Furthermore, management needs to initiate professional reasoning and interdisciplinary discussions leading to common goals for patients. (shrink)

Background:Person-centred care is often described as an ideal way of preserving vulnerable persons’ wellbeing and dignity and an essential component of quality-care delivery. However, the staff find that making the care dignified is the most challenging issue, often because of effectivity, everyday stress and overload. In the interests of making the care more person-centred, systematic intervention involving ‘one-to-one contact’ (resident – carer) was trialled for 30 min twice a week over 12 months in two units in a nursing home in (...) Eastern Norway.Objectives:The aim of the study was to elicit healthcare staff’s experiences of implementing ‘one-to-one contact’ between residents and carers in nursing homes.Methods:The study has a grounded-theory inspired design. Two groups of health care staff were each interviewed three times. Data were collected over an 18-month period.Ethical considerations:The study was approved by the Data Protection Official for Research under the auspices of the Norwegian Social Science Data Services.Findings:The core category is ‘One-to-one contact’ at a nursing home is possible, but requires open-mindedness. The core category indicates that open-mindedness is required, since it does not take much for scepticism to take over and cause reversion to habitual practices. The category Expectant but Sceptical describes staff thoughts and experiences before the implementation phase got underway. The category Positive but Undecided describes staff experiences 6 months into the intervention and after 12 months.Conclusions:This study has revealed that systematic ‘one-to-one contact’ between resident and carer in nursing home is achievable, and that such a simple action might be an important step towards achieving more person-centred care as the resident is seen more as a person. However, in order to make a more person-centred and dignified approach to care constant attentiveness and awareness is required, as there were ongoing factors counteracting it. (shrink)

Introduction: Expressions of dignity as a clinical phenomenon in nursing homes as expressed by caregivers were investigated. A coherence could be detected between the concepts and phenomena of existence and dignity in relationships and caring culture as a context. A caring culture is interpreted by caregivers as the meaning-making of what is accepted or not in the ward culture. Background: The rationale for the connection between existence and dignity in relationships and caring culture is that suffering is a part of (...) existence, as well as compassion in relieving suffering, and ontological interdependency. Aim: To describe different expressions of dignity in relationships and existence in context of caring cultures from the perspective of the caregivers. Research design: The methodology and method are hermeneutic. The method used was to merge the theoretical preunderstanding as one horizon of understanding with empirical data. Participants and research context: Focus group interviews with caregivers in nursing homes. Ethical considerations: The principles of the Helsinki Declaration have been followed to, for example, preserve self-determination, integrity, dignity, confidentiality and privacy of the research persons. Findings: Data interpretation resulted in four themes: Encountering existential needs that promote dignity in a caring culture; To amplify dignity in relationships by the creative art of caring in a caring culture; Violation of dignity by ignorance or neglect in a non-caring culture and The ethic of words and appropriated ground values in a caring culture. Discussion: Dignity-promoting acts of caring, or dignity-depriving acts of non-caring are adequate to see from the perspective of dignity in relationships and existence and the caring culture. Conclusions: Dignity in relationships seems to touch the innermost existential life, as the existential life is dependent on confirmation from others. (shrink)

The overall purpose of this cross-country Nordic study was to gain further knowledge about maintaining and promoting dignity in nursing home residents. The purpose of this article is to present results pertaining to the following question: How is nursing home residents’ dignity maintained, promoted or deprived from the perspective of family caregivers? In this article, we focus only on indignity in care. This study took place at six different nursing home residences in Sweden, Denmark and Norway. Data collection methods in (...) this part of this study consisted of individual research interviews. Altogether, the sample consisted of 28 family caregivers of nursing home residents. The empirical material was interpreted using a hermeneutical approach. The overall theme that emerged was as follows: ‘A feeling of being abandoned’. The sub-themes are designated as follows: deprived of the feeling of belonging, deprived of dignity due to acts of omission, deprived of confirmation, deprived of dignity due to physical humiliation, deprived of dignity due to psychological humiliation and deprived of parts of life. (shrink)

In a world with limited resources, allocation of resources to certain individuals and conditions inevitably means fewer resources allocated to other individuals and conditions. Should a patient's personal responsibility be relevant to decisions regarding allocation? In this project we combine the normative and the descriptive, conducting an empirical bioethical examination of how both Norwegian and British doctors think about principles of responsibility in allocating scarce healthcare resources. A large proportion of doctors in both countries supported including responsibility for illness in (...) prioritization decisions. This finding was more prominent in zero‐sum scenarios where allocation to one patient means that another patient is denied treatment. There was most support for incorporating prospective responsibility (through patient contracts), and low support for integrating responsibility into co‐payments (i.e. through requiring responsible patients to pay part of the costs of treatment). Finally, some behaviours were considered more appropriate grounds for deprioritization (smoking, alcohol, drug use)—potentially because of the certainty of impact and direct link to ill health. In zero‐sum situations, prognosis also influenced prioritization (but did not outweigh responsibility). Ethical implications are discussed. We argue that the role that responsibility constructs appear to play in doctors' decisions indicates a needs for more nuanced—and clear—policy. Such policy should account for the distinctions we draw between responsibility‐sensitive and prognostic justifications for deprioritization. (shrink)

Unintended negative outcomes on child behavior due to lockdown and home confinement following the corona virus disease pandemic needs highlighting to effectively address these issues in the current and future health crises. In this sub-study of the ODIN-study, the objectives were to determine whether the Danish lockdown and home confinement following the COVID-19 pandemic affected changes in emotional-behavioral functioning of pre-school-aged children using the validated Strength and Difficulties Questionnaire answered by parents shortly before lockdown and 3 weeks into lockdown, and (...) moreover, to examine whether baseline family and social characteristics could predict change in child emotional-behavioral functioning during lockdown. Parents of 40 children with a mean age of 5.0 completed the baseline questionnaire and the lockdown follow-up questionnaire. The SDQ-Total difficulties score and Prosocial Behavioral score changed significantly from pre- to lockdown [SDQ-TD mean: 6.0 and 7.9; P = 0.02, respectively and PSB mean: 8.5 and 7.9; P = 0.03, respectively]. Attending leisure time activities before lockdown was a predicting factor of changes to the worse in the children’s SDQ-TD scores, with a mean difference in SDQ-TD between those with and without activities of 3.16 ; P = 0.03. In conclusion, the study showed a modest decrease in child-emotional behavioral functioning during the COVID-19 lockdown, potentially due to parental stress. Although these results might not be generalizable due to small sample size and selected population, the results point to a need of a greater awareness of child mental wellbeing during a lockdown situation. (shrink)

Hatred: Understanding Our Most Dangerous Emotion The first in-depth philosophical analysis of personal hate and group hate, Hate: Understanding Our Most Dangerous Emotion explores how personal hatred can foster domestic violence and emotional abuse, how hate-proneness is a main contributor to the aggressive tendencies of borderlines, narcissists and psychopaths, how seemingly ordinary people embark on some of history's worst hate crimes, and how cohesive groups, subjected to spontaneous forces of group polarization, can develop extremist viewpoints of the sort that motivate (...) hate crimes, mass shootings, and terrorism. The book's first part explores hate in intimate relationships, looking for an answer to the question of why our intimate relationships can survive hate and resentment, but not disrespect or contempt. Berit "Brit" Brogaard shows that where contempt creates an irreparable power imbalance, hate is tied to fear, which our brains may reinterpret as thrill, attraction and excitement. But this can also make hate a dangerous emotion that convinces people to hang onto abusive relationships. When tied to vengeance and the dark triad of personality, hate is not only dangerous but also dehumanizing. Vengeance and the dark personalities are not essential to hate, however. Without them, hate can have more admirable ends. The book's second part explores the polarizing forces that can bias cohesive groups of like-minded individuals and contribute to what is effectively a hate crisis. Drawing on history, politics, legal theory, philosophy, and psychology, Brogaard shows how cultural myths about femininity, ethnic groups, and the land of opportunity perpetuate misogyny, white supremacy and anti-Semitism. But, she argues, politicians and policymakers have it in their power to address the hate crisis through legislation that preserves the original incentive behind the first-amendment right to free speech. (shrink)

Since the publication of David Lewis’ Counterfactuals, the standard line on subjunctive conditionals with impossible antecedents (or counterpossibles) has been that they are vacuously true. That is, a conditional of the form ‘If p were the case, q would be the case’ is trivially true whenever the antecedent, p, is impossible. The primary justification is that Lewis’ semantics best approximates the English subjunctive conditional, and that a vacuous treatment of counterpossibles is a consequence of that very elegant theory. Another justification (...) derives from the classical lore than if an impossibility were true, then anything goes. In this paper we defend non-vacuism, the view that counterpossibles are sometimes non-vacuously true and sometimes non-vacuously false. We do so while retaining a Lewisian semantics, which is to say, the approach we favor does not require us to abandon classical logic or a similarity semantics. It does however require us to countenance impossible worlds. An impossible worlds treatment of counterpossibles is suggested (but not defended) by Lewis (Counterfactuals. Blackwell, Oxford, 1973), and developed by Nolan (Notre Dame J Formal Logic 38:325–527, 1997), Kment (Mind 115:261–310, 2006a: Philos Perspect 20:237–302, 2006b), and Vander Laan (In: Jackson F, Priest G (eds) Lewisian themes. Oxford University Press, Oxford, 2004). We follow this tradition, and develop an account of comparative similarity for impossible worlds. (shrink)

Does a factive conception of knowability figure in ordinary use? There is some reason to think so. ‘Knowable’ and related terms such as ‘discoverable’, ‘observable’, and ‘verifiable’ all seem to operate factively in ordinary discourse. Consider the following example, a dialog between colleagues A and B: A: We could be discovered. B: Discovered doing what? A: Someone might discover that we're having an affair. B: But we are not having an affair! A: I didn’t say that we were. A’s remarks (...) sound contradictory. In this context the factivity of ‘someone might discover that’ explains this fact. So there is some reason to believe that knowability and related modalities are factive in ordinary use. For factive treatments of knowability in the context of epistemic theories of truth, compare Tennant (2000: 829) and Wright (2001: 59-60, n. 17). (shrink)

Kit Fine (1994. “Essence and Modality”, Philosophical Perspectives 8: 1-16) argues that the standard modal account of essence as de re modality is ‘fundamentally misguided’ (p. 3). We agree with his critique and suggest an alternative counterfactual analysis of essence. As a corollary, our counterfactual account lends support to non-vacuism the thesis that counterpossibles (i.e., counterfactual conditionals with impossible antecedents) are not always vacuously true.

The article provides the state of the art on the debate about whether the logical form of ‘look’ statements commits us to any particular theory of perceptual experience. The debate began with Frank Jackson’s (1977) argument that ‘look’ statements commit us to a sense-datum theory of perception. Thinkers from different camps have since then offered various rejoinders to Jackson’s argument. Others have provided novel arguments from considerations of the semantics of ‘look’ to particular theories of perception. The article closes with (...) an argument of this sort for a representational theory of perceptual experience. (shrink)

I argue that David Lewis is too quick to deny the presentist the right to employ span operators. There is no reason why the presentist could not help herself to both primitive tensed slice operators and primitive span operators. She would then have another device available to eliminate ambiguities and explain why sentences with embedded contradictions may nevertheless be true.

I. Non-Trivial Counterpossibles On Lewis’ account, a subjunctive of the form ‘if it were the case that p, it would be the case that q’ (represented as ‘p → q’) is to be given the following rough meta-linguistic truth-conditions1.

The aim of this chapter is to shed new light on the question of what newly sighted subjects are capable of seeing on the basis of previous experience with mind- independent, external objects and their properties through touch alone. This question is also known as "Molyneux’s question." Much of the empirically driven debate surrounding this question has been centered on the nature of the representational content of the subjects' visual experiences. It has generally been assumed that the meaning of "seeing" (...) deployed in these disputes is more or less clear and unproblematic, and therefore requires no analysis or clarification. In this chapter, we wish to challenge this assumption. We argue that getting clear on the meaning of "seeing" is the only feasible way to determine whether the empirical attempts to answer Molyneux’s question accurately capture what newly sighted subjects are in fact capable of seeing. Specifically, we show that the dominant interpretations of the empirical results from a recent study (Held et al., 2011) fail to take into account that seeing can be not only purely visual but also epistemic in that it requires background knowledge (such as what an object with a particular viewpoint-independent shape looks like from a particular perspective). (shrink)

Relativism offers a nifty way of accommodating most of our intuitions about epistemic modals, predicates of personal taste, color expressions, future contingents, and conditionals. But in spite of its manifest merits relativism is squarely at odds with epistemic value monism: the view that truth is the highest epistemic goal. I will call the argument from relativism to epistemic value pluralism the trivial argument for epistemic value pluralism. After formulating the argument, I will look at three possible ways to refute it. (...) I will then argue that two of these are unsuccessful, and defend the third, which involves denying that there are any genuinely relative truths. (shrink)

Memory has eluded a unified philosophical analysis for millennia because memory isn’t a single type of mental state. On a standard classification, procedural memory is memory of how to do things, semantic memory is memory of facts or fact-like propositions and episodic memory is memory of events in which you partook. Autobiographical memory is memory of what happened in your past in real-life cases. Empirical studies suggest that autobiographical memory is a construction of pieces of past experiences. This points to (...) a view of memory according to which we have no direct awareness of what happened in the past and hence no internal justification of what we seem to remember happened. Here I argue that a version of phenomenal dogmatism, the view that seemings can justify higher-order mental states immediately and fully in the absence of defeaters, is plausible for memories and that it bypasses a common route from a constructionist view of memory to skepticism about the past. (shrink)

There is no abstract for this chapter. The following is a summary. -/- We distinguish between, explicit, inadvertent, and habitual racist actions. We argue that while inadvertent bigots and habitual racists are inclined to (sincerely) deny that they committed a racially motivated action, they have different reasons for their denial. Inadvertent bigots are denying it because, however deeply they search, they are not going to find any such motive. Habitual racists, by contrast, may hold explicit egalitarian attitudes but they are (...) nonetheless implicitly racially motivated. There is thus an implicit stressful conflict between their covert racist intentions and their overt egalitarian attitudes. While they aren’t aware of the source of this distress, cognitive dissonance theory predicts that they nevertheless will engage in dissonance-reducing strategies. Specifically, we argue that habitual racists will be inclined to confabulate a description of the action in non-racial terms. (shrink)

This chapter examines an evidentialist ethics of belief, and W. K. Clifford’s proposal in particular. It argues that regardless of how one understands the notion of evidence, it is implausible that we could have a moral obligation to refrain from believing something whenever we lack sufficient evidence. Alternatively, this chapter argues that there are wide-scope conditional requirements on beliefs but that these requirements can be met without having sufficient evidence for the belief in question. It then argues that we are (...) epistemically, though not morally, required to form epistemically valuable beliefs. However, these beliefs, too, need not be beliefs for which we have sufficient evidence—epistemically good beliefs need not be based on sufficient evidence. (shrink)

The nature of the colors—what they are like, whether they are instantiated by objects or are projected by our minds, whether their nature is revealed to us in color perception, and whether there could be alien colors (e.g. reddish-green)—has been one of the central topics in philosophy for centuries. This entry focuses on the contemporary philosophical debate about the nature of the colors.

During the past decade, since the publication of Suzanne Collins's The Hunger Games,1 dystopian fiction for young adults has become an important contemporary genre.2 Like its adult counterpart, YA dystopian literature often engages with contemporary, global matters, including environmental destruction, societal inequality and segregation, and exploitation of the weak.3 Furthermore, many recent YA dystopias have featured strong female protagonists.4 These tenets are reflected in the two dystopian YA novels Exodus and Zenith,5 written by Scottish award-winning author of novels for children (...) and young adults Julie Bertagna, that are the subject of this article. Of particular pertinence is the novels'... (shrink)

The question of whether blindsight is a form of unconscious perception continues to spark fierce debate in philosophy and psychology. One side of the debate holds that while the visual information categorized in blindsight is not access-conscious, it is nonetheless a form of perception, albeit a form of unconscious perception. The opposition, by contrast, holds that blindsight is just a form of degraded conscious perception that makes the categorized information harder to access because it is degraded. In this chapter, we (...) address the opposition’s arguments for thinking that blindsight is a form of degraded conscious vision and then argue that the residual awareness found in blindsight is a form of non-perceptual awareness. To back this claim, we examine the residual visual abilities to detect and discriminate colour found in some blindsight patients and show that residual consciousness in blindsight is indirect and lacks the phenomenal character characteristic of conscious vision. (shrink)

It may seem that when you have an emotional response to a perceived object or event that makes it seem to you that the perceived source of the emotion possesses some evaluative property, then you thereby have prima facie, immediate justification for believing that the object or event possesses the evaluative property. Call this view ‘dogmatism about emotional justification’. We defend a view of the structure of emotional awareness according to which the objects of emotional awareness are derived from other (...) experiences such as bodily sensation, inner awareness, sensory perception, memory, and imagination. On this basis, we argue that dogmatism about emotional justification is an untenable position, regardless of whether the special feature of an immediate justifier that makes it an immediate justifier is its presentational phenomenology or its evidence insensitivity. (shrink)

Descriptions are phrases of the form ‘an F’, ‘the F’, ‘Fs’ and ‘the Fs’. They can be indefinite (e.g., ‘an F’ and ‘Fs’), definite (e.g. ‘the F’ and ‘the Fs’), singular (e.g., ‘an F’, ‘the F’) and plural (e.g., ‘the Fs’, ‘Fs’). In English plural indefinite descriptions lack an article and are for that reason also known as ‘bare plurals’.

Abstract Ernest Sosa has argued that the relevant alternatives theory of knowledge has yet to overcome serious difficulties. The most serious difficulty is that of providing criteria for when a rival alternative to a claim is relevant. Without such criteria, the theory is ad hoc. I argue that most other externalist theories of knowledge, including Sosa's own, fall victim to this criticism. At the end of the paper I make a suggestion as to why Sosa's objection might not be as (...) damaging as it at first seems. (shrink)

The paper starts out by distinguishing two closely related hypotheses about extended cognition. According to the strong hypothesis, there are no intrinsic representations in the brain. This is a version of the extended-mind view defended by Andy Clark and Richard Menary. On the weak hypothesis, there are intrinsic representations in the brain but some types of cognition, knowledge or memory are constituted by particular types of external devices or environmental factors that extend beyond the skull and perhaps beyond the skin. (...) This type of view was defended, for example, by Andy Clark and David Chalmers. After drawing this distinction and clarifying the notions of causal influence and constitution, I defend the second weaker hypothesis with respect to procedural knowledge and knowledge of action and show why this sort of view supports what we might call a ‘situationist-friendly virtue epistemology’. (shrink)

This article will be concerned with the phenomenon of vitality, which emerged as one of the main findings in a larger grounded theory study about life and death decisions in hospitals' neonatal units. Definite signs showing the new-born infant's energy and vigour contributed to the clinician's judgements about life expectancy and the continuation or termination of medical treatment. In this paper we will discuss the normative importance of vitality as a diagnostic cue and will argue that vitality, as a sign (...) perceived by doctors and nurses, has moral significance and represents a legitimate contribution to clinical decision-making in difficult cases where the child's life is at stake. We will argue that these clinical intuitions can be justified on a moral basis but only with certain qualifications that accounts for a certain objectivity and intersubjective reliability in the therapeutic judgements. (shrink)

Integration information theories posit that the integration of information is necessary and/or sufficient for consciousness. In this paper, we focus on three of the most prominent information integration theories: Information Integration Theory, Global Workspace Theory, and Attended Intermediate-Level Theory. We begin by explicating each theory and key concepts they utilize. We then argue that the current evidence indicates that the integration of information is neither necessary nor sufficient for consciousness. Unlike GWT and AIR, IIT maintains that conscious experience is both (...) necessary and sufficient for consciousness. We present empirical evidence indicating that simple features are experienced in the absence of feature integration and argue that it challenges IIT’s necessity claim. In addition, we challenge IIT’s sufficiency claim by presenting evidence from hemineglect cases and amodal completion indicating that contents may be integrated and yet fail to give rise to subjective experience. Moreover, we present empirical evidence from subjects with frontal lesions who are unable to carry out simple instructions and argue that they are irreconcilable with GWT. Lastly, we argue that empirical evidence indicating that patients with visual agnosia fail to identify objects they report being conscious of present a challenge to AIR’s necessity claim. (shrink)

I respond to three arguments aimed at establishing that natural kind properties — a kind of high-level properties — occur in the experiential content of visual perceptual experience: the argument from phenomenal difference, the argument from mandatory seeing, and the argument from associative agnosia. I conclude with a simple argument against the view that natural kind properties occur in the experiential content of visual experience.

Moral relativism provides a compelling explanation of linguistic data involving ordinary moral expressions like 'right' and 'wrong'. But it is a very radical view. Because relativism relativizes sentence truth to contexts of assessment it forces us to revise standard linguistic theory. If, however, no competing theory explains all of the evidence, perhaps it is time for a paradigm shift. However, I argue that a version of moral contextualism can account for the same data as relativism without relativizing sentence truth to (...) contexts of assessment. This version of moral contextualism is thus preferable to relativism on methodological grounds. (shrink)

According to the inferential view of language comprehension, we hear a speaker’s utterance and infer what was said, drawing on our competence in the syntax and semantics of the language together with background information. On the alternative perceptual view, fluent speakers have a non-inferential capacity to perceive the content of speech. On this view, when we hear a speaker’s utterance, the experience confers some degree of justification on our beliefs about what was said in the absence of defeaters. So, in (...) the absence of defeaters, we can come to know what was said merely on the basis of hearing the utterance. Several arguments have been offered against a pure perceptual view of language comprehension, among others, arguments pointing to its alleged difficulties accounting for homophones and the context-sensitivity of ordinary language. After responding to the arguments against the perceptual view of language comprehension, I provide a new argument in favor of the perceptual view by looking closer at the dependence of the justificatory qualities of experience on the notion of a defeater as well as the perceptual nature of language learning and language processing. (shrink)

Reductionists about knowledge-wh hold that "s knows-wh" (e.g. "John knows who stole his car") is reducible to "there is a proposition p such that s knows that p, and p answers the indirect question of the wh-clause." Anti-reductionists hold that "s knows-wh" is reducible to "s knows that p, as the true answer to the indirect question of the wh-clause." I argue that both of these positions are defective. I then offer a new analysis of knowledge-wh as a special kind (...) of de re knowledge. (shrink)

Attitude reports are reports about people’s states of mind. They are reports about what people think, believe, know, know a priori, imagine, hate, wish, fear, and the like. So, for example, I might report that s knows p, or that she imagines p, or that she hates p, where p specifies the content to which s is purportedly related. One lively current debate centers around the question of what sort of specification is involved when such attitude reports are successful. Some (...) hold that it is specification of the precise content of a mental state; others hold that it is specification of the content of a mental state only relative to a mode of presentation; yet others hold that it is merely a description or characterization of the content of a mental state. After providing a brief introduction to the traditional debate on attitude reports, this entry argues that for certain kinds of knowledge reports and for so-called de re attitude reports, descriptive theories emerge as the most plausible. The entry concludes with a discussion of how the characterizing relation between attitude reports and mental states might be construed. (shrink)

There is little doubt that we perceive the world as tensed—that is, as consisting of a past, present and future each with a different ontological status—and transient—that is, as involving a passage of time. We also have the ability to execute precisely timed behaviors that appear to depend upon making correct temporal judgments about which changes are truly present and which are not. A common claim made by scientists and philosophers is that our experiences of entities enduring through transient changes (...) are illusory and that our apparently accurately timed behaviors do not reflect dynamical time. We argue that our experiences of objects enduring through transient changes need not be thought of as illusory even if time is not dynamic at the fundamental level of reality. For, the dynamic properties we experience objects as having need not be fundamental properties. They could be weakly emergent from static, temporal properties. Temporal properties, on this view, are similar to ordinary properties like that of being solid, which are correctly experienced as properties of medium-sized material bodies even though they are not instantiated at the fundamental level of reality. (shrink)

David Milner and Melvyn Goodale’s dissociation hypothesis is commonly taken to state that there are two functionally specialized cortical streams of visual processing originating in striate (V1) cortex: a dorsal, action-related “unconscious” stream and a ventral, perception-related “conscious” stream. As Milner and Goodale acknowledge, findings from blindsight studies suggest a more sophisticated picture that replaces the distinction between unconscious vision for action and conscious vision for perception with a tripartite division between unconscious vision for action, conscious vision for perception, and (...) unconscious vision for perception. The combination excluded by the tripartite division is the possibility of conscious vision for action. But are there good grounds for concluding that there is no conscious vision for action? There is now overwhelming evidence that illusions and perceived size can have a significant effect on action (Bruno & Franz, 2009; Dassonville & Bala, 2004; Franz & Gegenfurtner, 2008; McIntosh & Lashley, 2008). There is also suggestive evidence that any sophisticated visual behavior requires collaboration between the two visual streams at every stage of the process (Schenk & McIntosh, 2010). I nonetheless want to make a case for the tripartite division between unconscious vision for action, conscious vision for perception, and unconscious vision for perception. My aim here is not to refute the evidence showing that conscious vision can affect action but rather to argue (a) that we cannot gain cognitive access to action-guiding dorsal stream representations, and (b) that these representations do not correlate with phenomenal consciousness. This vindicates the semi-conservative view that the dissociation hypothesis is best understood as a tripartite division. (shrink)

Background We present and discuss the results of a Norwegian survey of medical doctors' views on potential ethical dilemmas in professional practice. Methods The study was conducted in 2015 as a postal questionnaire to a representative sample of 1612 doctors, among which 1261 responded. We provided a list of 41 potential ethical dilemmas and asked whether each was considered a dilemma, and whether the doctor would perform the task, if in a position to do so. Conceptually, dilemmas arise because of (...) tensions between two or more of four doctor roles: the patient’s advocate, a steward of societal interests, a member of a profession and a private individual. Results 27 of the potential dilemmas were considered dilemmas by at least 50% of the respondents. For more than half of the dilemmas, the anticipated course of action varied substantially within the professional group, with at least 20% choosing a different course than their colleagues, indicating low consensus in the profession. Conclusions Doctors experience a large range of ethical dilemmas, of which many have been given little attention by academic medical ethics. The less-discussed dilemmas are characterised by a low degree of consensus in the profession about how to handle them. There is a need for medical ethicists, medical education, postgraduate courses and clinical ethics support to address common dilemmas in clinical practice. Viewing dilemmas as role conflicts can be a fruitful approach to these discussions. (shrink)

Scott Soames has recently argued that traditional accounts of propositions as n-tuples or sets of objects and properties or functions from worlds to extensions cannot adequately explain how these abstract entities come to represent the world. Soames’ new cognitive theory solves this problem by taking propositions to be derived from agents representing the world to be a certain way. Agents represent the world to be a certain way, for example, when they engage in the cognitive act of predicating, or cognizing, (...) an act that takes place during cognitive events, such as perceiving, believing, judging and asserting. On the cognitive theory, propositions just are act types involving the act of predicating and certain other mental operations. This theory, Soames argues, solves not only the problem of how propositions come to represent but also a number of other difficulties for traditional theories, including the problem of de se propositions and the problems of accounting for how agents are capable of grasping propositions and how they come to stand in the relation of expression to sentences. I argue here that Soames’ particular version of the cognitive theory makes two problematic assumptions about cognitive operations and the contents of proper names. I then briefly examine what can count as evidence for the nature of the constituents of the cognitive operation types that produce propositions and argue that the common nature of cognitive operations and what they operate on ought to be determined empirically in cross-disciplinary work. I conclude by offering a semantics for cognitive act types that accommodates one type of empirical evidence. (shrink)