Combining phenomenological insights from Brentano and Sartre, but also drawing on recent work on consciousness by analytic philosophers, this book defends the view that conscious states are reflexive, and necessarily so, i.e., that they have a built-in, implicit awareness of their own occurrence, such that the subject of a conscious state has an immediate, non-objectual acquaintance with it. As part of this investigation, the book also explores the relationship between reflexivity and the phenomenal, or what-it-is-like, dimension of conscious experience, defending (...) the innovative thesis that phenomenal character is constituted by the implicit self-awareness built into every conscious state. This account stands in marked contrast to most influential extant theories of phenomenal character, including qualia theories, according to which phenomenal character is a matter of having phenomenal sensations, and representationalism, according to which phenomenal character is constituted by representational content. (shrink)

It is common parlance among philosophers who inquire into the nature of consciousness to speak of there being something it is like for the subject of a mental state to be in it. The popularity of the ‘what-it-is-like’ phrase stems, in part, from the assumption that it enables us to distinguish, in an intuitive and illuminating way, between conscious and unconscious mental states: conscious mental states, unlike unconscious mental states, are such that there is something it is like for their (...) subjects to be in them. The ‘what-it-is-like’ phrase, however, has not gone unopposed; some very clever philosophers have vigorously disputed it. Peter Hacker, for example, has argued that the phrase should be abandoned because it is ungrammatical, and Paul Snowdon has argued that it should be abandoned because the propositions expressed by its usage are either trivial or false. This paper mounts a case for the claim that neither of these conclusions is warranted. Against Hacker, it is argued that the arguments he produces for the ungrammaticality of the phrase are unpersuasive, and against Snowdon it is argued that he fails to consider a plausible and independently motivated interpretation of the phrase, and that, on this interpretation, the propositions expressed by its usage are non-trivially true. (shrink)

According to just war theory, a resort to war is justified only if it satisfies the right intention condition. This article offers a critical examination of this condition, defending the thesis that, despite its venerable history as part of the just war tradition, it ought to be jettisoned. When properly understood, it turns out to be an unnecessary element of jus ad bellum, adding nothing essential to our assessments of the justice of armed conflict.

One of the more refractory problems in contemporary discussions of consciousness is the problem of determining what a mental state's being conscious consists in. This paper defends the thesis that a mental state is conscious if and only if it has a certain reflexive character, i.e., if and only if it has a structure that includes an awareness of itself. Since this thesis finds one of its clearest expressions in the work of Brentano, it is his treatment of the thesis (...) on which I initially focus, though I subsequently bring in Sartre where he addresses himself to an important point not considered by Brentano. As part of this investigation, the paper also, more specifically, aims to exhibit as perspicuously as possible the relationship between self-awareness and the phenomenal, or 'what-it- is-like', dimension of conscious experience. I attempt to show, in particular, that the phenomenal character of at least perceptual consciousness can be fully explained in terms of self-awareness, i.e., in terms of a low-level or 'implicit' self-awareness that is built into every conscious perceptual state. (shrink)

In his seminal paper ‘Alternate Possibilities and Moral Responsibility’, Harry Frankfurt argues against the principle of alternate possibilities (PAP)—the principle that persons are morally responsible for what they have done only if they could have done otherwise—by presenting a case in which, apparently, a person is morally responsible for what he has done even though, due to the presence of a counterfactual intervener, he could not have done otherwise. According to a compelling (yet relatively under-discussed) response to Frankfurt’s attack on (...) PAP, Frankfurt has not succeeded in showing that the principle is false, since in the scenario he asks us to imagine the agent has an alternate possibility: he can (unwittingly) force the intervener’s hand by revising his decision to perform the action in question and thereby avoid performing the action himself. This response to Frankfurt has been objected to, however, on the grounds that the agent does not avoid performing the action since the intervener acts upon an involuntary prior sign. The goal of this article is to show that this objection fails. While it is true that the prior sign upon which the intervener acts is involuntary, it is a consequence of a change of mind that is voluntary. It follows that the agent does what is needed to avoid performing the action in question (in the counterfactual sequence). (shrink)

In their recent book Philosophical Foundations of Neuroscience, Max Bennett and Peter Hacker attack neural materialism (NM), the view, roughly, that mental states (events, processes, etc.) are identical with neural states or material properties of neural states (events, processes, etc.). Specifically, in the penultimate chapter entitled “Reductionism,” they argue that NM is unintelligible, that “there is no sense to literally identifying neural states and configurations with psychological attributes.” This is a provocative claim indeed. If Bennett and Hacker are right, then (...) a sizeable number of philosophers, cognitive scientists, neuroscientists, etc., subscribe to a view that is not merely false, but strictly meaningless. In this article I show that Bennett and Hacker's arguments against NM, whether construed as arguments for the meaninglessness of or the falsity of the thesis, cannot withstand scrutiny: when laid bare they are found to rest upon highly dubious assumptions that either seriously mischaracterize or underestimate the resources of the thesis. (shrink)

This paper argues that Pascal's formulation of his famous wager argument licenses an inference about God's nature that ultimately vitiates the claim that wagering for God is in one's rational self-interest. In particular, it is argued that if we accept Pascal's premises, then we can infer that the god for whom Pascal encourages us to wager is irrational. But if God is irrational, then the prudentially rational course of action is to refrain from wagering for him.

According to a currently popular approach to the analysis of phenomenal character, the phenomenal character of an experience is entirely determined by, and is in fact identical with, the experience's representational content. Two underlying assumptions motivate this approach to phenomenal character: (1) that conscious experiences are diaphanous or transparent, in the sense that it is impossible to discern, via introspection, any intrinsic features of an experience of x that are not experienced as features of x, and (2) that the immediate (...) objects of consciousness are not objects per se, but rather properties. This paper explores these assumptions, advancing the thesis that each is rejectable on phenomenological grounds. (shrink)

This article defends two theses: that a mental state is conscious if and only if it has phenomenal character, i.e., if and only if there is something it is like for the subject to be in that state, and that all state consciousness involves self-consciousness, in the sense that a mental state is conscious if and only if its possessor is, in some suitable way, conscious of being in it. Though neither of these theses is novel, there is a dearth (...) of direct arguments for them in the scholarly literature and the relationship between them has so far gone underrecognized. This article attempts to remedy this lack, advancing the claim that if all conscious states have phenomenal character, then all state consciousness involves self-consciousness. (shrink)

Harry Frankfurt has famously argued against the principle of alternate possibilities by presenting a case in which, apparently, a person is morally responsible for what he has done even though he could not have done otherwise. A number of commentators have proposed dispositionalist responses to Frankfurt, arguing that he has not produced a counterexample to PAP because, contrary to appearances, the ability to do otherwise is indeed present but is a disposition that has been ‘masked’ or ‘finked’ by the presence (...) of a counterfactual controller. This article argues that this response to Frankfurt does not undercut his attack on PAP, since there are Frankfurt-style counterexamples to the principle—‘brain-malfunction’ cases—that evade the dispositionalist analysis. (shrink)

It is well known that, according to some, philosophical reflection on zombies (i.e., bodies without minds) poses a problem for physicalism. But what about ghosts, i.e., minds without bodies? Does philosophical reflection on them pose a problem for physicalism? Descartes, of course, thought so, and lately rumours have been surfacing that has was right after all, that ghosts pose a problem for both a priori and a posteriori physicalism, and for any kind of physicalism in between. This paper argues that (...) physicalists have nothing to fear from ghosts, since the central consideration employed to motivate ghostly arguments against physicalism--viz., that ghosts are conceivable--is false: ghosts aren't conceivable. (shrink)

Adverbialism, broadly construed, is the thesis that pains (and other sensations) are modes of awareness, and objectualism, broadly construed, is the thesis that pains are objects of awareness. Why are we inclined to say that pains are modes of awareness and yet also inclined to say that they are objects of awareness? Each inclination leads to an account of pain that seems to be incompatible with the other. If adverbialism is correct, it would seem that objectualism is mistaken (and vice (...) versa). And yet each inclination is sufficiently well grounded that neither seems reasonably rejectable. It will not do to present each theory with greater and greater sophistication on the assumption that if it is correct the other must be mistaken. What we must do is give an account of pain that shows how it is possible to retain the central insights of both adverbialism and objectualism. I propose to do that in this paper, mounting a case for the claim that the most plausible view of pain is one that combines adverbialism and objectualism. (shrink)

According to the Judeo-Christian-Islamic theological tradition, or "classical theism," disembodiment (or non-physicality) and psychologicality are two of God’s necessary or essential attributes. This paper mounts a case for the thesis that these attributes are incompatible. More exactly, it provides compelling evidentiary support for the claim that, given the basic structure of consciousness, it is impossible for a psychological being to be disembodied (and vice versa). But if it is impossible for a psychological being to be disembodied (and vice versa), then, (...) since psychologicality and disembodiment are both essential to God under classical theism, the God of classical theism does not--and cannot--exist. (shrink)

Judith Thomson, David Lewis, and Ted Sider have each formulated different arguments that apparently pose problems for our ordinary claims of diachronic sameness, i.e., claims in which we assert that familiar, concrete objects survive (or persist) through time by enduring as numerically the same entity despite minor changes in their intrinsic or relational properties. In this paper, I show that all three arguments fail in a rather obvious way--they beg the question--and so even though there may be arguments that provide (...) grounds to fuss about whether our ordinary claims of diachronic sameness are defective, Thomson, Lewis, and Sider's arguments are not among them. (shrink)

Saul Kripke has famously argued that the central question of Wittgenstein's Philosophical Investigations, at least in relation to Wittgenstein's discussion of meaning, is the question: what facts determine that a speaker is following a particular rule? For example, assuming that language-use is a rule-governed activity, what facts determine that the rule a speaker is complying with in her current usage of a word is equivalent to the rule she complied with in her previous usage of the word? According to Kripke, (...) Wittgenstein articulates this problem most perspicuously in the form of a paradox, which may be regarded as a new form of philosophical scepticism. This paper takes another look at Kripke's development of the Wittgensteinian paradox, advancing the thesis that the paradox admits of a very natural straight solution, one that has not been pursued in the scholarly literature, and one that Kripke himself entertains and then quickly disqualifies. Specifically, it is argued that Kripke's hypothetical sceptic errs in his response to the objection that he operates with a faulty model of the instruction one is given regarding a particular term or expression. Once the correct model of instruction is taken into account, the argument loses its plausibility. (shrink)

According to reductive intentionalism, the phenomenal character of a conscious experience is constituted by the experience's intentional (or representational) content. The goal of this article is to show that a phenomenon in visual perception called change blindness poses a problem for this doctrine. It is argued, in particular, that phenomenal character is not sensitive, as it should be if reductive intentionalism is correct, to fine-grained variations in content. The standard anti-intentionalist strategy is to adduce putative cases in which phenomenal character (...) varies despite sameness of content. This paper explores an alternative anti-intentionalist tack, arguing, by way of a specific example involving change blindness, that content can vary despite sameness of phenomenal character. (shrink)

This paper sketches an evidential atheological argument that can be answered only if one of the central tenets of some theistic traditions is rejected, namely, that (propositional) belief in God is a necessary condition for salvation. The basic structure of the argument is as follows. Under theism, God is essentially omniscient, but no one can be both omniscient and irrational. So, if there is reason to hold that God is irrational, then it would follow that God doesn’t exist. And there (...) is reason to hold that God is irrational. To wit, God both hides and, according to some theistic traditions, requires belief. But it is irrational for God both to hide and require belief; therefore, God is irrational. Since a crucial – and controversial – premise in the argument is that it is irrational for God to both hide and require belief, a large part of the paper is devoted to defending that premise. (shrink)

According to the principle of alternate possibilities (PAP), a person is morally responsible for what she has done only if she could have done otherwise. David Widerker, a prominent and long-time defender of this principle against Harry Frankfurt’s famous attack on it, has recently had an unexpected about-face: PAP, Widerker now contends, is (probably) false. His rejection of PAP is a result, in large part, of his coming to believe that there are conceptually possible scenarios, what he calls ‘IRR-situations,’ in (...) which circumstances that nowise bring it about that an agent performs a particular action are precisely the circumstances that make it impossible for her to avoid performing that action. The circumstances that guarantee that the agent will perform the action turn out to be immaterial, since the agent in an IRR-situation is blameworthy because she would have performed the action even if, contrary to the specified facts, an alternative course of action had been available to her. The goal of this article is to show that Widerker’s report of PAP’s demise has been an exaggeration: careful scrutiny reveals that the kind of scenario that he believes refutes the principle—his ‘brain-malfunction’ scenario—is not an IRR-situation at all. (shrink)

In Subjectivity and Selfhood Dan Zahavi presents the fruits of his thinking on a nexus of issues regarding the experiential structure of consciousness and its relation to selfhood. The central theme of the book is that the “notion of self is crucial for a proper understanding of consciousness, and consequently it is indispensable to a variety of disciplines such as philosophy of mind, social philosophy, psychiatry, developmental psychology, and cognitive neuroscience”. Proceeding, as in his previously published work, on the assumption (...) that the study of consciousness can benefit from insights to be found in phenomenology, Zahavi defends his thesis largely by way of an investigation of the work of an array of phenomenologists, including Heidegger, Sartre, and, most notably, Husserl. In what follows I will not comment on the full range of topics dealt with in Subjectivity and Selfhood—e.g., reflection and attention, self and other, theory of mind —but will instead focus on two of the book’s more prominent strands of argument: that all conscious states are tacitly self-aware, and that the self is to be understood as an “experiential dimension.”. (shrink)

Research in basic and clinical neuroscience of music conducted over the past decades has begun to uncover music’s high potential as a tool for rehabilitation. Advances in our understanding of how music engages parallel brain networks underpinning sensory and motor processes, arousal, reward, and affective regulation, have laid a sound neuroscientific foundation for the development of theory-driven music interventions that have been systematically tested in clinical settings. Of particular significance in the context of motor rehabilitation is the notion that musical (...) rhythms can entrain movement patterns in patients with movement-related disorders, serving as a continuous time reference that can help regulate movement timing and pace. To date, a significant number of clinical and experimental studies have tested the application of rhythm- and music-based interventions to improve motor functions following central nervous injury and/or degeneration. The goal of this review is to appraise the current state of knowledge on the effectiveness of music and rhythm to modulate movement spatiotemporal patterns and restore motor function. By organizing and providing a critical appraisal of a large body of research, we hope to provide a revised framework for future research on the effectiveness of rhythm- and music-based interventions to restore and train motor function. (shrink)

In _Media, Modernity and the Dynamic Plant_, Janet Janzen traces the motif of the “dynamic plant” through early 20th century German culture. In examples from film and literature, she demonstrates a shift in the perception of plants to living beings.

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)

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)

NEW YORK TIMES BESTSELLER • More than one million copies sold! Essentialism isn’t about getting more done in less time. It’s about getting only the right things done. “A timely, essential read for anyone who feels overcommitted, overloaded, or overworked.”—Adam Grant Have you ever: • found yourself stretched too thin? • simultaneously felt overworked and underutilized? • felt busy but not productive? • felt like your time is constantly being hijacked by other people’s agendas? If you answered yes to any (...) of these, the way out is the Way of the Essentialist. Essentialism is more than a time-management strategy or a productivity technique. It is a systematic discipline for discerning what is absolutely essential, then eliminating everything that is not, so we can make the highest possible contribution toward the things that really matter. By forcing us to apply more selective criteria for what is Essential, the disciplined pursuit of less empowers us to reclaim control of our own choices about where to spend our precious time and energy—instead of giving others the implicit permission to choose for us. Essentialism is not one more thing—it’s a whole new way of doing everything. It’s about doing less, but better, in every area of our lives. Essentialism is a movement whose time has come. (shrink)

Should organ transplants be given to patients who have waited the longest, or need it most urgently, or those whose survival prospects are the best? The rationing of health care is universal and inevitable, taking place in poor and affluent countries, in publicly funded and private health care systems. Someone must budget for as well as dispense health care whilst aging populations severely stretch the availability of resources. The Ethics of Health Care Rationing is a clear and much-needed introduction to (...) this increasingly important topic, considering and assessing the major ethical problems and dilemmas about the allocation, scarcity and rationing of health care. Beginning with a helpful overview of why rationing is an ethical problem, the authors examine the following key topics: What is the value of health? How can it be measured? What does it mean that a treatment is "good value for money"? What sort of distributive principles - utilitarian, egalitarian or prioritarian - should we rely on when thinking about health care rationing? Does rationing health care unfairly discriminate against the elderly and people with disabilities? Should patients be held responsible for their health? Why does the debate on responsibility for health lead to issues about socioeconomic status and social inequality? Throughout the book, examples from the US, UK and other countries are used to illustrate the ethical issues at stake. Additional features such as chapter summaries, annotated further reading and discussion questions make this an ideal starting point for students new to the subject, not only in philosophy but also in closely related fields such as politics, health economics, public health, medicine, nursing and social work. (shrink)

CD included with PDF files of the book and other materials. MP3 files of Author's lectures.

Analogien lassen sich aus unserem vernünftigen Nachdenken und Argumentieren kaum wegdenken. Ganz zurecht stellen sie eines der klassischen Themen der Argumentationstheorie dar. Doch wie genau sollte die argumentative Rolle von Analogien in Argumentrekonstruktionen dargestellt werden? Das ist die Leitfrage dieses Beitrags. Zunächst wird mit Michael Dummetts Schach-Analogie ein prominentes Beispiel dargestellt und eine genauere Charakterisierung des Analogiebegriffs vorgeschlagen. Danach wird die gängigste Rekonstruktionsform von Analogien diskutiert, das Analogieargument, und in einigen Punkten verfeinert. Vor diesem Hintergrund schlägt der Beitrag eine zweite, (...) alternative Rekonstruktionsform vor, in der zwei analoge Argumente an die Stelle eines einzelnen Analogiearguments treten. Nachdem diese beiden Rekonstruktionsformen an einem weiteren berühmten Beispiel vorgeführt wurden, an Peter Singers Teich-Analogie, wird diskutiert, wie sich diese beiden Varianten gegenseitig ergänzen und welche Stärken und Schwächen sie haben. Es zeigt sich, dass Analogien nicht nur in Form von Analogieargumenten einen zentralen Topos eines Einzelarguments darstellen. Darüber hinaus kann die Untersuchung analoger Argumente bereits selbst als argumentationstheoretische Topik verstanden werden. (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)

The coronavirus disease 2019 (COVID-19) pandemic has had profound effects on all aspects of society. Families were among those directly impacted by the first measures imposed by health authorities worldwide to contain the spread of the Sars-CoV-2 virus, where social distancing and mandatory quarantine were the main approaches implemented. Notably, little is yet known about how social distancing during COVID-19 has altered families' daily routines, particularly regarding music-related behaviors. The aim of this study was 2-fold: (i) to explore changes in (...) families' daily routine and caregivers' levels of well-being and stress during the COVID-19 outbreak in Brazil and (ii) to investigate whether musical behaviors of caregivers and the children under their care (aged from 3 to 6 years old) changed during social distancing. One hundred and eighty-eight caregivers residing in Brazil participated in an online cross-sectional study conducted between July and August 2020. Our findings suggest significant changes in families' dynamics during the COVID-19 outbreak, with parents (especially mothers) spending more time on childcare and a substantial decrease in caregiver's well-being. Regarding music-related behaviors, our results revealed considerable changes in caregivers' and children's musical activities at home during social distancing, including an increase in child-only musical behaviors and shared caregiver-child activities. Moreover, sociodemographic factors such as caregiver background and well-being as well as the child's disability status significantly influenced musical engagement at home during social distancing. This study captured some features of the home musical environment of middle-class families in Brazil in the first stages of social distancing restrictions during the pandemic and caregivers' role in providing an environment where musical experiences are nurtured. Further research is needed to better understand aspects such as the long-term impact of the changes of musical behaviors at home on musical parenting and families' well-being. (shrink)

I am grateful to Catharine Abell and Jonathan Gilmore for their comments and for the opportunity to think again about some important questions. Before I respond.

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)

According to classical and postclassical sources, the early Greek turannoi were, by definition, illegitimate rulers who overturned existing political arrangements and installed rogue monarchic regimes in their place. And on this one fundamental point at least, modern observers of archaic turannides seem to have little quarrel with their ancient informants. To this day, it remains axiomatic that Cypselus, Peisistratus, and the rest were autocrats who gained power by usurpation. Whatever their individual accomplishments, they were still, in a word, "tyrants." Relying (...) mostly on evidence from the contemporary literary and material records, my paper aims to challenge this time-honored conventional wisdom and restore the first turannoi to the political mainstream. (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 many societies, the aging of the population is becoming a major problem. This raises difficult issues for ethics and public policy. On what is known as the fair innings view, it is not impermissible to give lower priority to policies that primarily benefit the elderly. Philosophers have tried to justify this view on various grounds. In this article, I look at a consequentialist, a fairness-based, and a contractarian justification. I argue that all of them have implausible implications and fail (...) to correspond to our moral intuitions. I end by outlining a different kind of consequentialist justification that avoids those implications and corresponds better to our considered moral judgments. (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)

Some philosophers and disability advocates argue that disability is not bad for you. Rather than treated as a harm, it should be considered and even celebrated as just another manifestation of human diversity. Disability is mere difference. To most of us, these are extraordinary claims. Can they be defended?

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