No abstract

No abstract

PMCA version 3.0 is an updated publicly available algorithm that identifies children with C-CD, who have accessed tertiary hospital emergency department, day surgery, or inpatient care, with very good sensitivity and specificity when applied to hospital discharge data and with performance to earlier versions of PMCA.

Putative counterexamples to the Principle of Identity of Indiscernibles (PII) are notoriously inconclusive. I establish ground rules for debate in this area, offer a new response to such counterexamples for friends of the PII, but then argue that no response is entirely satisfactory. Finally, I undermine some positive arguments for PII.

The book articulates and defends a core notion of trustworthiness as avoiding unfulfilled commitments. This is motivated via accounts of both trust and distrust in terms of perceived commitment. Avoiding unfufilled commitments is crucial both to practical trustworthiness, and to trustworthiness in speech; on this picture, assertion involves promising to speak truthfully, and simultaneously either keeping that promise or breaking it. Both assertion and the incurring of practical commitments are governed by competence norms, as well as norms of sincerity. So what should we do if we want to be trustworthy? Two perspectives are important: we need to act in line with our existing commitments, but in addition we need to approach potential new commitments with care. We can become untrustworthy by taking on too many—or over-challenging—commitments, no matter how well-meaning we are. Considered narrowly, trustworthiness typically directs us away from new commitments, but this creates significant costs both for ourselves and for those around us. Moreover, we cannot always avoid new commitments, and encounter uncertainty about how we become committed. We face obstacles to being trustworthy, and trustworthiness can direct us to act in ways which are ungenerous, or otherwise unlikeable. Moreover, those of us who live in challenging personal circumstances, whether through material impoverishment, poor health, social exclusion, or power imbalances, face greater obstacles to being trustworthy. This is compounded by the fact that such circumstances—and their impact on the pursuit of trustworthiness—are not always visible to other people.