Reshef Agam-Segal

Objective: To identify factors that predict physicians’ intent to comply with the American Medical Association’s ethical guidelines on gifts from the pharmaceutical industry.Methods: A survey was designed and mailed in June 2004 to a random sample of 850 physicians in Florida, USA, excluding physicians with inactive licences, incomplete addresses, addresses in other states and pretest participants. Factor analysis extracted six factors: attitude towards following the guidelines, subjective norms , facilitating conditions , profession-specific precedents , individual-specific precedents and intent. Multivariate regression modelling was conducted.Results: Surveys were received from 213 physicians representing all specialties, with a net response rate of 25.5%. 62% of respondents were aware of the guidelines; 50% had read them. 48% thought that following the guidelines would increase physicians’ credibility and professional image; 68% agreed that it was important to do so. Intent to comply was positively associated with attitude, subjective norms, facilitators and sponsorship of continuing medical education events, while individual-specific precedents had a negative relationship with intent to comply. Predictors of intent were attitude, subjective norms, the interaction term , sponsorship of CME events and individual-specific precedents.Conclusions: Physicians are more likely to follow the AMA guidelines if they have positive attitudes towards the guidelines, greater subjective norms, fewer expectations of CME sponsorship and fewer individual-specific precedents. Physicians believing that important individuals or organisations expect them to comply with the guidelines are more likely to express intent, despite having fewer beliefs that positive outcomes would result through compliance

This article characterizes aspect-perception as a distinct form of judgment in Kant's sense: a distinct way in which the mind contacts world and applies concepts. First, aspect-perception involves a mode of thinking about things apart from any established routine of conceptualizing them. It is thus a form of concept application that is essentially reflection about language. Second, this mode of reflection has an experiential, sometimes perceptual, element: in aspect-perception, that is, we experience meanings—bodies of norms. Third, aspect-perception can be “preparatory”: it may help us to decide what linguistic norms to develop and how to conceptualize—make the world thinkable. Fourth, the article discusses the forms of justification for which aspect-perception allows—the necessity and normativity involved in employing this form of judgment

I defend the view that aspect-perception – seeing as a duck, or a face as courageous – typically involves concept-application. Seemingly obvious, this is contested by Avner Baz: ‘aspects may not aptly be identified with, or in terms of, empirical concepts […]’ – In opposition, I claim that they may. Indeed, in many cases there is no other way to identify aspects.I review the development in Baz’s view, from his early criticism of Stephen Mulhall, to his recent recruitment of the discussion about aspects to criticize John McDowell’s conceptualism, and his claim: ‘the dawning of Wittgensteinian aspects reveals our power to perceive unity and sense that are not aptly thought of as conceptual’.I accept many of Baz’s claims against Mulhall and McDowell. However, his arguments go too far. Aspect-perception, I argue, typically involves a special kind of application of concepts. Denying that is denying much of what is important and of interest in the phenomena of aspect. The world revealed in aspect-perception is not the conceptualized world of science; but it is also not the pre-conceptualized ‘phenomenal’ world which, according to Baz, we normally have in perception, and which he wants to bring into view.

In ethics, Wittgenstein, early and late, emphasized changes of attitude over questions about how to act. He once told his friend Rhees: “One of my sister’s characteristics is that whenever she hears of something awful that has happened, her impulse is to ask what one can do about it, what she can do to help or remedy. This is a tendency in her of which I disapprove.” Instead, he says elsewhere: “If life becomes hard to bear we think of improvements. But the most important & effective improvement, in our own attitude, hardly occurs to us […].” Such attitudinal changes involve a kind of clarity of thought for Wittgenstein, and his understanding of them can be explained in part by reference to his later discussion about aspect-perception. Moral problems can disappear in a way that resembles the disappearance of the rabbit-aspect of when the duck-aspect dawns. I compare moral clarification to logical-philosophical clarification. Both cases involve propositions that say nothing, but rather shed light on what other propositions say—tautologies, grammatical remarks, and philosophical elucidations on the one hand, clarificatory moral remarks like ‘think of her as someone’s daughter’ on the other. I argue that this gives a practical edge to Wittgenstein’s moral thought, a tool with which to think through moral difficulties.

I make a case for a non-Aristotelian reading of Kant’s moral philosophy. In particular, I distinguish between two activities called “self-legislation”: Aristotelian and Kantian. Aristotelian self-legislation is the activity of determining the organizing principle of our own practical life. Every action of ours takes part in this project, which is thus part of the principle of every action. In contrast, not all actions are acts of Kantian self-legislation. To legislate for ourselves in this sense is to be involved in an internal legal drama in which we demand of ourselves, by an internal force, to respect moral duties. Moral normativity, I argue, is thus separatedfrom practical normativity in general. Kant’s notion of self-legislation is part of an attempt to substantiate an absolute conception of morality: to substantiate the idea that our value is higher than that of other things, and yet incomparable. I argue that the notion of self-legislation cannot be part of such an account if understood the Aristotelian way.

I problematize the notion of self-legislation. I follow in Elizabeth Anscombe’s footsteps and suggest that on a plausible reading of Kant, he does not so much misidentify the sources of moral normativity, as fail to identify any such sources in the first place: The set of terms with which the Kantian is attempting to do so is confused. Interpreters today take Kant’s legal language to be merely metaphorical. The language of ‘self-legislation,’ in particular, is replaced by such interpreters with a language of ‘self-constitution.’ I challenge that, and claim that the language of legislation and judgment was, for Kant, more than a metaphor: The recognition of the moral law, he says, motivates us as if it were “the bidding of another person.” Legislation is typically remote in this way. It typically requires a distance between lawgiver and law-receiver—a distance that allows, for instance, for self-inspection and judgment. For Kant, these are the terms in which to explain the forms of the moral judgment and the sources of moral normativity. It is questionable, however, whether we can be remote from our own actions in the way required—whether we can observe our own actions. We cannot, for example, raise our hand and wonder how far it will go up. I develop this claim into an Anscombean challenge to Kant, and I call upon Kantians to take it seriously.

What do we aim at when we teach general introductory courses in moral philosophy? What should we aim at? In particular, should we focus on practice or theory? Should we make the study of ethics easy for the students, or should we alternatively aim at making the hardness of ethics attractive to them? This review discusses four recently published textbooks in ethics designed for beginners’ level courses. The books are different in organization and emphases. In each case, I have given a short overview of the book’s contents, its aims and methods. I have also made some assessment about the usefulness of each: the philosophical territory it covers, the philosophical approach it puts forward, and the amount of preparation-work it leaves with the teacher. My overview thus gives the necessary information, and creates for the teacher the occasion for reflecting on—leaves the teacher with the task of deciding—what and how they want to teach

Aspect-seeing, I claim, involves reflection on concepts. It involves letting oneself feel how it would be like to conceptualize something with a certain concept, without committing oneself to this conceptualization. I distinguish between two kinds of aspect-perception: 1. Preparatory: allows us to develop, criticize, and shape concepts. It involves bringing a concept to an object for the purpose of examining what would be the best way to conceptualize it. 2. Non-Preparatory: allows us to express the ingraspability of certain experiences. It involves bringing a concept to an object for the purpose of showing—per impossible—what it would take to properly capture one’s experience. I demonstrate the usefulness of the two kinds of aspect perception in making conceptual judgments, and in making moral and aesthetic judgments.

I problematize the notion of self-legislation. I follow in Elizabeth Anscombe’s footsteps and suggest that on a plausible reading of Kant, he does not so much misidentify the sources of moral normativity, as fail to identify any such sources in the first place: The set of terms with which the Kantian is attempting to do so is confused. Interpreters today take Kant’s legal language to be merely metaphorical. The language of ‘self-legislation,’ in particular, is replaced by such interpreters with a language of ‘self-constitution.’ I challenge that, and claim that the language of legislation and judgment was, for Kant, more than a metaphor: The recognition of the moral law, he says, motivates us as if it were “the bidding of another person.” Legislation is typically remote in this way. It typically requires a distance between lawgiver and law-receiver—a distance that allows, for instance, for self-inspection and judgment. For Kant, these are the terms in which to explain the forms of the moral judgment and the sources of moral normativity. It is questionable, however, whether we can be remote from our own actions in the way required—whether we can observe our own actions. We cannot, for example, raise our hand and wonder how far it will go up. I develop this claim into an Anscombean challenge to Kant, and I call upon Kantians to take it seriously.

I argue that the typical Wittgensteinian method of philosophical investigation cannot help elucidate the grammar of aspect-seeing. In the typical Wittgensteinian method, we examine meaning in use: We practice language, and note the logical ramifications. I argue that the effectiveness of this method is hindered in the case of aspect-seeing by the fact that aspect-seeing involves an aberrant activity of seeing: Whereas it is normally nonsense to say that we choose what to see (decide to see the White House red, for instance), it is possible to see aspects at will—e.g. to decide to see Jastrow’s duck-rabbit as a duck. I suggest an alternative method of investigation, one that reflects on language from a disengaged standpoint: a method that allows us to entertain a form of conceptualization of an object but does not commit us to adopting that way—namely, that does not involve us in a use of the object according to the norms that govern that conceptualization. This method, I argue, fits the s ubject matter of aspect-perception, since aspect-perception itself involves such a disengaged form of reflection.

Interpreters today often take Kant’s practical philosophy to share some of the basic insights of Aristotle’s. Such, for instance, is the main tone of Christine Korsgaard’s reading. I make a case for a different, non-Aristotelian, reading of Kant’s moral philosophy. In particular, I distinguish between two senses of self-legislation: Aristotelian and Kantian. Aristotelian self-legislation is a general project we are involved in as humans, and in which we determine the organizing principle of our practical life. Every action of ours takes part in this project of self-determination, and the project is thus part of the principle of every action. As opposed to that, not all actions are acts of Kantian self-legislation. To legislate for ourselves is to be involved in an internal drama of legislation. It is to be bound to respect moral duties by a force that is akin to a force of nature, and is yet internal. Moral normativity is thus separated from practical normativity in general.

This book offers a radical reappraisal of the nature and significance of Wittgenstein’s thought about ethics from a variety of different perspectives. The book includes essays on Wittgenstein’s early remarks on ethics in the _Tractatus Logico-Philosophicus,_ on his 1929 "Lecture on Ethics", and on various aspects of Wittgenstein’s later views on ethics in the _Philosophical Investigations_ and elsewhere. Together, the essays in this volume provide a comprehensive assessment of Wittgenstein’s moral thought throughout his work, its continuity and development between his early and later work, and its connections with other aspects of his thought. Featuring fourteen original contributions written by internationally renowned Wittgenstein scholars, _Wittgenstein’s Moral Thought _opens up a new understanding of ethics that diverges from prevailing views prominent in contemporary discussions of the subject.

I explore the idea of language reaching its limits by distinguishing two kinds of limits language may have: The first are “Boundaries” which lie on the edges of language, and distinguish what makes sense from what does not. These, I claim, are suitable in making theoretical generalizations. The second are “Contours,” which lie within language, and allow for contrasting and comparing meanings and shades of meanings that we capture in language. These are more suitable for characterizations of particulars, and for literary use. I claim that failure to draw this distinction is responsible for confusions in Sabina Lovibond’s and Richard Rorty’s views of moral thought and language.

Inducing aspect-experiences – the sudden seeing of something anew, as when a face suddenly strikes us as familiar – can be used as a philosophical method. In seeing aspects, I argue, we let ourselves experience what it would be like to conceptualize something in a particular way, apart from any conceptual routine. We can use that experience to examine our ways of conceptualizing things, and re-evaluate the ways we make sense of them. I claim that we are not always passive with regard to these experiences, and explain how we can actively induce them. I distinguish this method from other standard Wittgensteinian philosophical methods

Does language limit the moral thoughts we can have? To answer that, I distinguish between two kinds of limits: Boundaries or barriers fence things out. Identification and erection of linguistic barriers, defines, diagnoses, or places restrictions on what language can in principle grasp or be, and often involves abstraction from actual linguistic behavior. This is typically preformed by remarks I call ‘theses’; Contours or outlines give real-life portrayals. Drawing the contours of a linguistic activity involves a certain attention to reality: to detail and particularity, and we typically draw contours by using remarks I call ‘helpers’. I examine the possibility that confusion can be diagnosed in Sabina Lovibond's attempt to apply the idea that moral language has necessary boundaries, and explain the alternative of drawing linguistic contours. I then examine Richard Rorty's position according to which the fact that we can shape our language indicates that the boundaries of language do not encompass all possible sense, and compare Rorty's discussion with Sarah Bachelard's discussion of euthanasia. My claim here is that trying to improve on the language we have might be part of drawing its contours, rather than redefining its boundaries. The discussion reveals a difference between two kinds of contour drawing, and thus between two kinds of helpers: ones that help to draw the contours of the actuality of linguistic activities, and ones that help to draw the contours of their potentiality. Finally, I argue that the value of drawing contours instead of barriers is that the former better reveal the fact that we care about our ways of making sense.