Do continuing education (CE) mandates increase participation in ethics programs and enhance their perceived outcomes? In a study of 5,198 North American psychologists, significant differences were found between mandated and nonmandated psychologists in relation to their participation in ethics programs but not in the perceived outcomes associated with those trainings. Although 64.3% of those psychologists operating under ethics mandates reported completing at least one ethics training within the previous year, only 40.7% of those without such mandates reported doing likewise. Overall, (...) both groups tended to view their ethics training quite favorably in relation to its perceived outcomes, though they differed in relation to their endorsement of CE mandates. Results are discussed in relation to the ongoing development of evidence-based CE and its role in developing critical professional competencies. (shrink)

This article considers the various suggestions that have been put forward by German scholars to replace the traditional concept of intention, which the author has criticized elsewhere (Taylor 2004). The debate on this topic has become a minor academic industry in Germany, and should be better known as the English-speaking world struggles with its own concepts of intention. Despite the great amount of effort and ingenuity devoted to this topic in Germany, however, the author concludes that only one theory (...) of intention, that put forward by Professor Wolfgang Frisch, shows any substantial degree of promise. (shrink)

How have popular American films influenced film criticism and intellectual thinking. This book shows that critics, beginning in the 1940s, turned to the movies as raw material to be moulded into a more radical modernism.

Today we’re talking with Stuart Hameroff, Professor Emeritus at the Departments of Anesthesiology and Psychology, and Director of the Center for Consciousness Studies, at the University of Arizona. Dr Hameroff is best-known for his research on 'quantum consciousness', an alternative model to the accepted view of how consciousness arises. With Sir Roger Penrose, Dr Hameroff has proposed that consciousness arises at the quantum level within structures inside neurons, known as microtubules.

In his landmark article, “Two Dogmas of Empiricism,” W.V.O. Quine pushed analytical philosophy into its post-positivist phase by rejecting two central tenets of logical empiricism. The first dogma was the distinction between analytic and synthetic statements; the second was reductionism, or the belief that to each synthetic sentence there corresponds a set of experiences that will confirm or disconfirm it. But in both “Two Dogmas” and Word and Object, Quine stretches analytical philosophy to its limits. The problem is, ironically, his (...) adherence to two separate dogmas. The first stems from Quine’s empiricism: he insists that there is nothing more to meaning than the empirical method of discovering it. The second has been taken as the defining characteristic of analytical philosophy;2 it is the belief that a philosophical account of thought can only be attained through an account of language – the famed “linguistic turn.” I will argue that a philosophical account of language can only be attained given an account of thought,3 and that the philosophies of Kant and Davidson can help us construct such an account. (shrink)

The Governor of Victoria, having objected to two Bills passed by Parliament in the 1850s, received advice from the colonial government to refuse assent to them. These are the only occasions on which the Royal assent has been refused locally in Victoria, and one of the very few such incidents in Australian history. One of the Bills would have implied a statement that UK law of the day was incompatible with religious liberty, and thus raised sectarian and Imperial complications; the (...) other was a constitutional amendment passed without following the prescribed procedure. This article reconstructs the events and the public reaction, as far as possible; considers whether the Governor acted rightly; and concludes that the Crown should refuse assent if advised to do so by its Ministers, despite occasional views to the contrary. (shrink)

ABSTRACT With few exceptions, the effectiveness of continuing education mandates has been measured by self-report assessments of the professional psychologists who fulfill them. The present investigation provided a longitudinal look at the number of approved CE providers and the incidence of licensing board complaints across a succession of two-year cycles prior to, and following, the 2012 implementation of CE mandates in the State of Illinois. Findings showed a substantial increase in the number of CE providers across that time, though no (...) significant change in the incidence of licensing board complaints, suggesting that the increased availability of CE did not translate into lower complaint rates. Possible reasons for these findings are noted, and recommendations for future work are detailed in support of an evidence-based approach to CE that better articulates and aligns its objectives with its outcomes in an era of renewed accountability in the health professions. (shrink)

Gadamer claims that human beings are capable of understanding only ‘aspects’ of reality, yet he also holds that, through these aspects, we understand reality itself. In this sense he is an ‘aspectival realist.’ This paper considers two attempts to explain Gadamer’s aspectival realism: the ‘schematization’ reading defended by Charles Taylor, and the ‘holist’ reading of Brice Wachterhauser. I criticize these views on two fronts: that they are at odds with Gadamer’s texts, and that they fail to reconcile aspectivalism and (...) realism into a consistent philosophical position. I articulate an alternative reading that I call the ‘presentational’ account. At the heart of this account is the claim that, on Gadamer’s view, the ‘occasionality’ that characterizes language also characterizes being itself. I argue both that this interpretation fits Gadamer’s texts better than the views currently on offer in the literature and that it avoids the philosophical difficulties those views encounter. (shrink)

Many find it intuitive that having been manipulated undermines a person's free will. Some have objected to accounts of free will like Harry Frankfurt's (according to which free will depends only on an agent's psychological structure at the time of action) by arguing that it is possible for manipulated agents, who are intuitively unfree, to satisfy Frankfurt's allegedly sufficient conditions for freedom. Drawing resources from Greg Egan's "Reasons to Be Cheerful" as well as from stories of psychologically sophisticated artificial (...) intelligence (such as Isaac Asimov's "The Bicentennial Man"), I rebut this objection to "structuralist" accounts of free will, arguing that the very possibility of free will for persons like us requires that we admit that a person can be free even when lacking control over the character from which she acts. I conclude with some implications for the freedom and personhood of artificial intelligences. (shrink)

Something has been going wrong on many college campuses in the last few years. Speakers are shouted down. Students and professors say they are walking on eggshells and are afraid to speak honestly. Rates of anxiety, depression, and suicide are rising--on campus as well as nationally. How did this happen? First Amendment expert Greg Lukianoff and social psychologist Jonathan Haidt show how the new problems on campus have their origins in three terrible ideas that have become increasingly woven into (...) American childhood and education: What doesn't kill you makes you weaker; always trust your feelings; and life is a battle between good people and evil people. These three Great Untruths contradict basic psychological principles about well-being and ancient wisdom from many cultures. Embracing these untruths--and the resulting culture of safetyism--interferes with young people's social, emotional, and intellectual development. It makes it harder for them to become autonomous adults who are able to navigate the bumpy road of life. Lukianoff and Haidt investigate the many social trends that have intersected to promote the spread of these untruths. They explore changes in childhood such as the rise of fearful parenting, the decline of unsupervised, child-directed play, and the new world of social media that has engulfed teenagers in the last decade. They examine changes on campus, including the corporatization of universities and the emergence of new ideas about identity and justice. They situate the conflicts on campus within the context of America's rapidly rising political polarization and dysfunction. This is a book for anyone who is confused by what is happening on college campuses today, or has children, or is concerned about the growing inability of Americans to live, work, and cooperate across party lines. (shrink)

An advanced-level logic textbook that presents proof construction on equal footing with model building. Potentially relevant to students of mathematics and computer science as well.

Consequence is at the heart of logic, and an account of consequence offers a vital tool in the evaluation of arguments. This text presents what the authors term as 'logical pluralism' arguing that the notion of logical consequence doesn't pin down one deductive consequence relation; it allows for many of them.

The place of religion in society has changed profoundly in the last few centuries, particularly in the West. In what will be a defining book for our time, Taylor takes up the question of what these changes mean, and what, precisely, happens when a society becomes one in which faith is only one human possibility among others.

This classic, provocative introduction to classical metaphysical questions focuses on appreciating the problems, rather than attempting to proffer answers.

Charles Taylor has been one of the most original and influential figures in contemporary philosophy: his 'philosophical anthropology' spans an unusually wide range of theoretical interests and draws creatively on both Anglo-American and Continental traditions in philosophy. A selection of his published papers is presented here in two volumes, structured to indicate the direction and essential unity of the work. He starts from a polemical concern with behaviourism and other reductionist theories (particularly in psychology and the philosophy of language) (...) which aim to model the study of man on the natural sciences. This leads to a general critique of naturalism, its historical development and its importance for modern culture and consciousness; and that in turn points, forward to a positive account of human agency and the self, the constitutive role of language and value, and the scope of practical reason. The volumes jointly present some two decades of work on these fundamental themes, and convey strongly the tenacity, verve and versatility of the author in grappling with them. They will interest a very wide range of philosophers and students of the human sciences. (shrink)

The idea that fictions may educate us is an old one, as is the view that they distort the truth and mislead us. While there is a long tradition of passionate assertion in this debate, systematic arguments are a recent development, and the idea of empirically testing is particularly novel. Our aim in this chapter is to provide clarity about what is at stake in this debate, what the options are, and how empirical work does or might bear on its (...) resolution. We distinguish between merely influencing people’s opinions and providing genuine learning, where the latter requires that the source of the change in opinion should be reliable. Other important ideas here are the extent to which authors of fiction may be considered to provide testimony, or something like it, and the possibility of recognizing an unstated purpose in the project of the fictional work. We ask whether fictions can furnish us not merely with ideas but with reasons for believing them, perhaps by constituting thought experiments. We consider whether the focus should be on understanding rather than on knowledge, and whether fictions can inform us about the qualities of another’s experiences. We briefly describe some experimental work of recent decades and suggest that the evidence for learning from fiction is currently meagre. (shrink)

The Rhetorical Invention of Man examines how the category "Man" has dominated Western thinking since the sixteenth century. This category, a historical anomaly according to Michel Foucault and Jacques Derrida, has produced distortions in our ability to understand reality that do great harm to our health, morals, and environment.

A beautifully written, deeply provocative inquiry into the intersection between animal and disability liberation--the debut of an important new social critic How much of what we understand of ourselves as "human" depends on our physical and mental abilities--how we move (or cannot move) in and interact with the world? And how much does our definition of "human" depend on its difference from "animal"? Drawing on her own experiences as a disabled person, a disability activist, and an animal advocate, author Sunaura (...) Taylor persuades us to think deeply, and sometimes uncomfortably, about what divides the human from the animal, the disabled from the nondisabled--and what it might mean to break down those divisions, to claim the animal and the vulnerable in ourselves, in a process she calls "cripping animal ethics." Beasts of Burden suggests that issues of disability and animal justice--which have heretofore primarily been presented in opposition--are in fact deeply entangled. Fusing philosophy, memoir, and science--including factory farming, disability oppression, or our assumptions of human superiority over animals--Taylor draws attention to new worlds of experience and empathy that will open up important avenues of solidarity across species and ability. Beasts of Burden is a wonderfully engaging and elegantly written work, both philosophical and personal, by a brilliant debut author. (shrink)

The heroes and villains of the Star Wars saga are probably the most widely recognized fictional characters in the Western world. In particular, the saga is a celebration of friendship and family bonds. Though it is a story of conflict and warfare, grand political concerns about the fate of the galaxy are kept in the background, as the story focuses more on action and the relationships among the main characters. The overwhelming loyalty that the heroes of Star Wars feel for (...) friends and family is a traditional feature of heroes, from ancient history to today. Weighing the actions of fictional characters like Luke and his pals can help us reflect on how we should act in the real world. In some ways, the moral views of early philosophers move us too far toward civic duty and away from the traditional values of loyalty to friends and family. (shrink)

Contemporary philosopher Alvin Plantinga is best known for tackling the problem of evil and rationality of belief in God from a Calvinist perspective. Welty provides a Reformed intro and analysis.

Despite the modern trappings the values of the Sons of SAMCRO and their old ladies are even more traditional than those of mainstream society. The parallels between the culture depicted in Sons of Anarchy and the one depicted by Homer's epics make the show philosophically interesting, because moral philosophy in Greece began as a reaction against Homeric values. Just as the Sons bear the Reaper on their cuts, Homeric warriors often decorated their armor with violent images to make clear their (...) status as killers. Those who have drawn blood for the club wear the “Men of Mayhem” patch. There are many ways in which the Homeric heroes outstrip the brutality of SAMCRO. The parallels between SAMCRO's and Homer's conceptions of a good life show us both what is commendable and condemnable about life in the MC. (shrink)

Kantian disinterest is the view that aesthetic judgement is constituted (at least in part) by a form of perceptual contemplation that is divorced from concerns of practical action. That view, which continues to be defended to this day, is challenged here on the basis that it is unduly spectator-focussed, ignoring important facets of art-making and its motivations. Beauty moves us, not necessarily to tears or rapt contemplation, but to practical action; crucially, it may do so as part and parcel of (...) its appreciation. This claim is defended via reflection on (i) the art of photography, (ii) the concepts of ‘attentional salience’ and ‘experienced mandates’, and (iii) a virtue-based account of aesthetic value. (shrink)

This essay reads Helen Phillips’s extraordinary novel of motherhood, The Need (2019), alongside recent theorists of post-politics. Phillips’s novel is illuminating because it reveals how an adequate understanding of the post-political requires supplementing current accounts with the categories of gender and heterogeneous time. The Need subverts the postfeminist articulation of politics as an arena in which “feminism” is practicable only in preemptively curtailed and diminished form. It does so by cracking open the “reality” enforced by neoliberal motherhood to show how (...) its apparent solidity rests on the excision of alternate times—on a foreclosure of the temporal otherness that is the condition for historical change. (shrink)

Introduction to Hegel's thought for the student and general reader, emphasizing in particular his social and political thought and his continuing relevance to contemporary problems.

This paper reflects on a simple, ingenious and celebrated result by Amartya Sen, ‘The Impossibility of a Paretian Liberal’ (1970). Sen’s result, sometimes called the 'Liberal Paradox', has attracted — particularly in the years soon after its publication — a vast literature, including responses and reflections from Sen himself. Much of the literature involves attempts to ‘escape’ the Liberal Paradox by proposing ways to avoid or resolve the problem it seems to identify. But despite the extensive attention, and perhaps a (...) sense among philosophers in related areas that the result is somehow relevant to liberalism or to political philosophy in general, it is still not clear why the result matters philosophically. I am sceptical about the significance of the Liberal Paradox: in this paper, I articulate various ways in which political philosophers might be urged to care about the Paradox, and argue that each of them is either implausible or of only moderate interest. (shrink)

Since the time of Charles Darwin, there has been concern that the theory of evolution provides fuel for skepticism. This paper presents new arguments that humanity's evolutionary origins are grounds for accepting that the universe is not as it appears to be to us. Firstly, it is argued that we should expect to have an incomplete capacity to comprehend the universe: both the mental limitations of all non-human life and the narrow interests of most humans provide evidence for this. Secondly, (...) it is argued that we should expect the universe as it appears to us to have nothing more than a relationship of correlation to the universe as it actually is: both simplicity and the huge number of ways in which the universe may be represented provide reason for evolution to produce such a correlative system. (shrink)

McCreery descriptively analyzes distinctions between kinds of violence, including nonviolence, as outlined by numerous philosophical theorists, arguing that a commonsense view of violence and nonviolence is based on paradigmatic cases. Beyond these what counts as kinds of violence and nonviolence is essentially contested due to political, ideological disagreements.

Volume 20, Issue 6, June 2020, Page 22-24.

Feminists today are re-imagining nature, biology, and matter in feminist thought and critically addressing new developments in biology, physics, neuroscience, epigenetics and other scientific disciplines. Mattering, edited by noted feminist scholar Victoria Pitts-Taylor, presents contemporary feminist perspectives on the materialist or ‘naturalizing’ turn in feminist theory, and also represents the newest wave of feminist engagement with science. The volume addresses the relationship between human corporeality and subjectivity, questions and redefines the boundaries of human/non-human and nature/culture, elaborates on the entanglements (...) of matter, knowledge, and practice, and addresses biological materialization as a complex and open process. This volume insists that feminist theory can take matter and biology seriously while also accounting for power, taking materialism as a point of departure to rethink key feminist issues. The contributors, an international group of feminist theorists, scientists and scholars, apply concepts in contemporary materialist feminism to examine an array of topics in science, biotechnology, biopolitics, and bioethics. These include neuralplasticity and the brain-machine interface; the use of biometrical identification technologies for transnational border control; epigenetics and the intergenerational transmission of the health effects of social stigma; ADHD and neuropharmacology; and randomized controlled trials of HIV drugs.A unique and interdisciplinary collection, Mattering presents in grounded, concrete terms the need for rethinking disciplinary boundaries and research methodologies in light of the shifts in feminist theorizing and transformations in the sciences. (shrink)

In the near future developments in non-invasive prenatal testing may soon provide couples with the opportunity to test for and diagnose a much broader range of heritable and congenital conditions than has previously been possible. Inevitably, this has prompted much ethical debate on the possible implications of NIPT for providing couples with opportunities for reproductive choice by way of routine prenatal screening. In view of the possibility to test for a significantly broader range of genetic conditions with NIPT, the European (...) Society of Human Genetics and American Society of Human Genetics recommend that, pending further debate, prenatal screening for reproductive choice should only be offered where concerning serious congenital conditions and childhood disorders. In support of this recommendation, the ESHG and ASHG discuss a number of ethical issues on which they prompt further debate: the informational privacy of the future child, the trivialization of abortion, the risk of information overload, and issues of distributive justice. This paper responds to this call with further reflection on each ethical issue and how it relates to the moral justification of providing couples with opportunities for meaningful reproductive choice. The paper concludes that whilst there may be good reasons for qualifying the scope of any unsolicited prenatal screening offer to serious congenital conditions and childhood disorders, if prenatal screening is justified for providing couples with opportunities for meaningful reproductive choice, then health services may have obligations to empower couples with the same opportunity where concerning other conditions. (shrink)

In barely the space of one generation, Athens was transformed from a conventional city-state into something completely new--a region-state on a scale previously unthinkable. This book sets out to answer a seemingly simple question: How and when did the Athenian state attain the anomalous size that gave it such influence in Greek politics and culture in the classical period? Many scholars argue that Athens's incorporation of Attica was a gradual development, largely completed some two hundred years before the classical era. (...) Anderson, however, suggests that it is not until the late sixth century that we see the first systematic attempts by the Athenian polis to integrate all of Attica. Anderson first takes issue with the prevailing view of Cleisthenes' landmark political reforms of 508-7 b.c., arguing that they were animated by a more comprehensive vision of regional political community in Attica. The Athenians' strengthened the state by establishing institutional mechanisms that would allow inhabitants of the Attic periphery to participate as never before in the life of the center. The creation of a suitable physical setting for the new order was accompanied by religious, military, and symbolic innovations. Regional participation in Athenian affairs was stimulated by encouraging the Attic populace to imagine themselves, for the first time ever, as members of a single, like-minded, self-governing political community. Greg Anderson is Assistant Professor of Classics and History, University of Illinois at Chicago. (shrink)

In early 2017, Nevada amended its Uniform Determination of Death Act, in order to clarify the neurologic criteria for the determination of death. The amendments stipulate that a determination of death is a clinical decision that does not require familial consent and that the appropriate standard for determining neurologic death is the American Academy of Neurology’s guidelines. Once a physician makes such a determination of death, the Nevada amendments require the withdrawal of life-sustaining treatment within twenty-four hours with limited exceptions. (...) Neurologists have generally supported Nevada’s amendments for clarifying the diagnostic standard and limiting the ability of family members to challenge it. However, it is more appropriate to view the Nevada amendments with concern. Even though the primary purpose of the UDDA is to ensure that all functions of a person’s entire brain have ceased, the AAN guidelines do not accurately assess this. In addition, by characterizing the determination of death as solely a clinical decision, the Nevada legislature has improperly ignored the doctrine of informed consent, as well as the beliefs of particular faiths and cultures that reject brain death. Rather than resolving controversies regarding brain death determinations, the Nevada amendments may instead instigate numerous constitutional challenges. (shrink)

Technological progress may eventually produce sophisticated robots with human-like traits that result in humans forming meaningful relationships with them. Such relationships would likely lead to a demand for human–artificial intelligence matrimony. U.S. Supreme Court decisions that expanded the definition of marriage to include interracial and same-sex couples, as well as those that have not extended marriage to polygamous relationships, provide guidance regarding the criteria that human–AI would have to meet to successfully assert a right to marry. Ultimately, robots will have (...) to possess certain characteristics of personhood to marry, including the capacity to contract and to engage in an intimate relationship. Alternatively, if AIs can simulate these abilities sufficiently, we may believe that they have these capacities. Even if AIs genuinely possess the capabilities necessary to enter into a marriage, it is social acceptance of intelligent non-humans as life partners that will likely influence legal development is this realm rather than personhood criteria. However, AIs are likely to face bias due to their “artificial” rather than biological nature. Yet, Peter Singer’s influential argument regarding speciesism in the context of animal rights implies that AIs with specific human-like qualities cannot be justifiably denied certain rights. (shrink)

In an attempt to address the theoretical gap between linguistics and philosophy, a group of semanticists, calling itself the Generic Group, has worked to develop a common view of genericity. Their research has resulted in this book, which consists of a substantive introduction and eleven original articles on important aspects of the interpretation of generic expressions. The introduction provides a clear overview of the issues and synthesizes the major analytical approaches to them. Taken together, the papers that follow reflect the (...) current state of the art in the semantics of generics, and afford insight into various generic phenomena. (shrink)

Many voices today call for a profound rethinking of European identity. If we wish to answer their call, however, it is necessary to start with a reconsideration of the notion of boundaries, particularly as they are at work in the Mediterranean region. The knowledge and cultural values of the Mediterranean may be the driving force able to overcome the impasse from which Europe seems unable to free itself. This volume focuses on the opportunity to employ Mediterranean knowledge and cultural values (...) as a stimulus for the review of European policies, in the interest of creating a solid bridge between different cultural legacies and over the daunting challenges of our shared future. This means being able to stay simul outside and inside the borders, within and beyond the un-limit; looking for an image of Europe which finally stops thinking about the Mediterranean as its internal vulnus, as its lesion and contamination. (shrink)

Developments in Non-Invasive Prenatal Testing (NIPT) and cell-free fetal DNA analysis raise the possibility that antenatal services may soon be able to support couples in non-invasively testing for, and diagnosing, an unprecedented range of genetic disorders and traits coded within their unborn child’s genome. Inevitably, this has prompted debate within the bioethics literature about what screening options should be offered to couples for the purpose of reproductive choice. In relation to this problem, the European Society of Human Genetics (ESHG) and (...) American Society of Human Genetics (ASHG) tentatively recommend that any expansion of this type of screening, as facilitated by NIPT, should be limited to serious congenital and childhood disorders. In support of this recommendation, the ESHG and ASHG cite considerations of distribution justice. Notably, however, an account of justice in the organization and provision of this type of screening which might substantiate this recommendation has yet to be developed. This paper attempts to redress this oversight through an investigation of Norman Daniels’ theory of Just health: meeting health needs fairly. In line with this aim, the paper examines what special moral importance (for Just health) screening for the purpose of reproductive choice might have where concerning serious congenital and childhood disorders in particular. The paper concludes that screening for reproductive choice where concerning serious congenital and childhood disorders may be important for providing women with fair opportunity to protect their health (by either having or not having an affected child). (shrink)

When we read On the Origin of Species, we cannot help but hear echoes of the Wealth of Nations. Darwin’s “economy of nature” features a “division of labour” that leads to complexity and productivity. We should not, however, analyze Darwin’s ethics through this lens. Darwin did not draw his economic ideas from Smith, nor did he base his ethics on an economic foundation. Darwin’s ethics rest on Smith’s notion—from the Theory of Moral Sentiments—of an innate human faculty of sympathy. Darwin (...) gave this notion an evolutionary interpretation, concluding that any species of social animals that develops a high enough level of intelligence will evolve moral principles. But the specific moral principles evolved by any particular species will vary, depending on that species’ particular evolutionary history. Darwin’s theory of moral sentiments thus diverged profoundly from Smith’s, while remaining in the same intellectual lineage. Although my reading of Darwin’s ethics departs from the dominant trend, it is not without precedent. A century ago, William James propounded a similar interpretation of Darwin. James’s interpretation has been largely forgotten, but he had Darwin right. It seems that James then developed his own moral philosophy on what he saw as a Darwinian foundation. It may be that James read Darwin’s evolutionary ethics through a pragmatic lens and so refashioned it, in his turn, into something again profoundly different from what Darwin had conceived, but again remaining in the same intellectual lineage. (shrink)

This article argues for a ban on the performance of medically unnecessary genital normalizing surgeries as part of assigning a binary sex/gender to infants with intersex conditions on the basis of autonomy, regardless of etiology. It does this via a dis/analogy with the classic case in bioethics of Jehovah Witness (JW) parents' inability to refuse life-saving blood transfusions for their minor children. Both cases address ethical medical practice in situations where parents are making irreversible medical decisions on the basis of (...) values strongly held, identity, and relationship-shaping values—such as religious beliefs or beliefs regarding the inherent value of binary sex/gender—amidst ethical pluralism. Furthermore, it takes seriously—as we must in the intersex case—that the restriction of parents' right to choose will likely result in serious harms to potentially large percentage of patients, their families, and their larger communities. I address the objection that parents' capacity to choose is restricted in the JW case on the basis of the harm principle or a duty to nonmaleficence, given that the result of parent choice would be death. I provide evidence that this is mistaken from how we treat epistemic uncertainty in the JW case and from cases in which clinicians are ethically obligated to restrict the autonomy of nonminor patients. I conclude that we restrict the parents' right to choose in the JW case—and should in the case of pediatric intersex surgery—to secure patient's future autonomy. (shrink)