This book measures the current institutional and political realities surrounding globalization against philosophical ideals.

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 22 (2002) 139-147 [Access article in PDF] A Mahayana Theology of Salvation History John P. Keenan Middlebury College Salvation history is a Western theological strategy based on biblical ideas about how God acts in history to bring about the salvation/deliverance of God's people. It begins with the scriptural accounts of creation as the inception of God's plan. It moves to describe Israel's deliverance from slavery in Egypt (...) and goes on to depict the guidance the Lord Yahweh provides for his people throughout their journeys and despite their trials and reverses.Israel may be idealized in scripture as God's domain, sovereign among the nations, but in fact it was a small country sandwiched between the two superpowers of the day—Egypt and Assyria (or Babylon), and subject to the rise and fall of those empires. 1 The New Testament goes on to describe God's plan in sending his son Jesus to effect salvation and unite all people in him (Eph. 1:1-16). The passion, death, and resurrection of Jesus comprise the central drama, in which we all are invited to participate. The author of Luke/Acts gives an account of how God moves through the teachings and the life and death of Jesus to establish his Church and how that Church evolves from a small and marginal community to enter and permeate the very heart of the Empire at Rome. The story continues in postscriptural Christian history, from Constantine's vision at Milvian Bridge to the Christianization of Europe, and further to the missionary endeavors to convert all peoples to the path of the Gospel. In the twentieth century, Liberation theology is heir to these notions, insisting that conversion means not simply becoming Christian, but the furtherance of justice and peace among all peoples, even non-Christians.A Mahayana reading of this schema is not at first glance very promising. Mahayana knows nothing of God, much less of God acting in history. Nor, indeed, of history itself as a purposeful unfolding of events. Indian thought is known for its ahistoricity. No histories were produced in ancient India at all. No Herodotus, no Thucydides. The first Buddhist histories were written not in India but in Tibet, some thousand years after the birth of the Buddha Sakyamuni. Indian traditions in their focus on the eternal truth (sanatana dharma) turned away from the concrete flow of events and from any recording of their progression. [End Page 139]The task before us is challenging. To tackle it best, I will divide this essay into three parts, and thus attempt to argue for a Mahayana reading of salvation history. The first part will treat Mahayana philosophy and argue that despite its Indian lack of historical consciousness, it does possess the tools for writing history. Its teaching that all events are empty (sunyata) is coterminous with its teaching that all events arise in dependence upon a host of causes and conditions (pratitya-samutpada). In a word, emptiness itself entails a radical insight into the contingent and conventional historicity of events (dharmas). Beyond this, since all events are seen as empty of any abiding core essence, Mahayana deconstructs the very idea of an eternal world truth over and apart from the everyday world of events. It proclaims, rather, that to an awakened person, all is "worldly convention-only" (samvrti-matra). 2 This focus on the radical conventionality of events can serve, I would argue, as a needed corrective to a literalistic reading of salvation history. Looked at from this perspective, the story of the New Testament writers can perhaps become more apparent—how they are writing of God's design, purpose, and plan in order to counter the regnant patterns of Greek and Roman arrogance, and to substitute insight into the mystery of our being and of our being here.The second part of this article will address the Western doctrine of salvation history, focusing on the New Testament, particularly Pauline theology as expressed in one passage from Ephesians about how salvation is attained through Jesus as the unfolding plan of God's purpose... (shrink)

1 Evidence-based policy requires researchers to provide the answers to ecological questions that are of interest to policy makers. To find out what those questions are in the UK, representatives from 28 organizations involved in policy, together with scientists from 10 academic institutions, were asked to generate a list of questions from their organizations. 2 During a 2-day workshop the initial list of 1003 questions generated from consulting at least 654 policy makers and academics was used as a basis for (...) generating a short list of 100 questions of significant policy relevance. Short-listing was decided on the basis of the preferences of the representatives from the policy-led organizations. 3 The areas covered included most major issues of environmental concern in the UK, including agriculture, marine fisheries, climate change, ecosystem function and land management. 4 The most striking outcome was the preference for general questions rather than narrow ones. The reason is that policy is driven by broad issues rather than specific ones. In contrast, scientists are frequently best equipped to answer specific questions. This means that it may be necessary to extract the underpinning specific question before researchers can proceed. 5 Synthesis and applications. Greater communication between policy makers and scientists is required in order to ensure that applied ecologists are dealing with issues in a way that can feed into policy. It is particularly important that applied ecologists emphasize the generic value of their work wherever possible. (shrink)

In September 2008, 10 years after the untimely death of Pere Alberch (1954–1998), the 20th Altenberg Workshop in Theoretical Biology gathered a group of Pere’s students, col- laborators, and colleagues (Figure 1) to celebrate his contribu- tions to the origins of EvoDevo. Hosted by the Konrad Lorenz Institute for Evolution and Cognition Research (KLI) outside Vienna, the group met for two days of discussion. The meeting was organized in tandem with a congress held in May 2008 at the Cavanilles Institute (...) for Biodiversity and Evolutionary Biology (ICBiBE) in Valencia, Spain. The talks at the KLI were equal parts: nostalgic remembrance, excitement over new ways of thinking about old problems, and an unrepressed vitriol against the resurgence of reductionist thinking in EvoDevo. Here we highlight some of the key aspects of Pere’s life and work that informed and infused the talks. (shrink)

As biological organisms, we age and, eventually, die. However, age’s deteriorating effects may not be universal. Some theoretical entities, due to their synthetic composition, could exist independently from aging—artificial general intelligence (AGI). With adequate resource access, an AGI could theoretically be ageless and would be, in some sense, immortal. Yet, this need not be inevitable. Designers could imbue AGIs with artificial mortality via an internal shut-off point. The question, though, is, should they? Should researchers curtail an AGI’s potentially endless lifespan (...) by deliberately making it mortal? It is this question that this article explores. First, it considers what type of AGI is under discussion before outlining how such beings could be ageless. Then, after clarifying the type of immortality under discussion and arguing that imbuing an AGI with synthetic aging would be person-affecting, the article explores four core conundrums: (i) deliberately causing a morally significant being’s death; (ii) immortality’s associated harms; (iii) concerns about immortality’s unequal assignment; and (iv) the danger of immortal AGI overlords. The article concludes that while prudence requires we create an aging AGI, in the face of the material harm such an action would constitute, this is an insufficient reason to justify doing so. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:?;5. HUME AND SPINOZA It is strange that there has been so little interest in comparing two great philosophers, Hume and -Spinoza, who were both so important and influential in bringing about the decline of traditional religion. Jessop's bibliography indicates no interest in Hume and Spinoza up to the 1930 's. The Hume conferences of 1976, as far as I have been able to 2 determine, avoided the topic. (...) In one of the better new Hume volumes, Livingston and King, Hume, A Re-evaluation, 3 Spinoza is cited twice, and once incorrectly at that. On the other hand, in the massive new Spinoza volume edited by Siegfried Hessing, Speculum Spinozanun 1677-1977, Hume is mentioned four times, but only one of these has any real relevance to Hume's views vis-a-vis Spinoza's. Some discussion of Hume's comments, usually brief, occurs in the commentators. B. M. Laing, in David Hume, (London 1932), has just three short references to Spinoza. John Laird, in Hume's Philosophy of Human Nature, (London 1932) has a couple of cursory references to Spinoza, plus a bit more extended statement of Pierre Bay le" s critique of him. In H. H. Price, Hume's Theory of the External World, (Oxford 1940), there is one paragraph on Hume and Spinoza. In Norman Kemp Smith, The Philosophy of David Hume (London 1941), there are three references to Spinoza. Rachel Kydd, Reason and Conduct in Hume's Treatise (Oxford 194 6), has the greatest number of references to Spinoza. She was concerned to compare him with Hume on other matters than are dealt with in this paper, namely Spinoza's theory of reason and 9 the passions. In contrast, André Leroy, David Hume, (Paris 1953), has just one paragraph on Spinoza dealing with the immateriality of the soul; and Ernest C. Mossner, in his monumental Life of David Hume, (Austin 1954), has only one reference to Spinoza - James Beattie's denunciation of Hume, Hobbes, Malebranche, Leibniz and Spinoza. Lastly, in a fairly recent commentary by James Noxon, Spinoza is mentioned 66. three times, but not for anything in Hume's text. Noxon does point out (p. 75) that Spinoza is not mentioned in ] 2 Hume's correspondence. John H. Randall has offered an explanation for this neglect of Spinoza by Hume scholars, namely that "Hume stands for all time as the antithesis of Spinoza in his thought". In the England of Hume's day, Spinoza was little known, but still better known at the time than he was in France or England. Spinoza's Tractatus Theologico-Politicus 14 had been twice translated into English anonymously. He had been attacked by Bishop Stillingfleet, by John Evelyn, by Berkeley and several others. But Spinoza was not a major figure, except to the English Deists, and to Hume's early patron, the Chevalier Andrew Michael Ramsay. Most of the information known about Spinoza came from Pierre Bayle' s Historical and Critical Dictionary, where the article "Spinoza" is the longest in the Dictionary, about three hundred pages in length. My suspicion, or hypothesis, is that Hume first became interested in Spinoza through Ramsay, and then learned what he knew about Spinoza from Bayle' s article. When the young David Hume went to France to write his A Treatise of Human Nature in 1734, he went first to see the Chevalier Ramsay, who entertained Hume for about two weeks. Ramsay was a leading Scottish Catholic, was the teacher of Bonnie Prince Charlie, a leading Scottish revolutionary, 18 as well as the Grand Master of the Free Masons. With Ramsay's eclectic views it is not odd that he had a serious interest in Spinoza's theory, and that he was composing answers to it. Ramsay advised Hume about his own book, and Hume felt he had to show Ramsay the Treatise before he 19 brought it back to England. In the Treatise there is a not too well studied section on Spinoza, Of the immateriality of the soul 20 (T240-45). In introducing Spinoza into the discussion of 67. the immateriality of the soul, Hume follows what was common practice in his day, namely to insult Spinoza and his theory... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:86 HISTORY OF PHILOSOPHY he solved the problem of his own existence, this picture of an erudite scholar systematically and unemotionally peeling off the foibles of the learned world as the only solution for the perplexing problems of the life, seems credible and direct. Since the essay presenting it is brilliantly written, with some of Bayle's own penetrating analyses, we can be sure that it will have its day (...) in court. Is it out of place to announce with this review that the Soc/$tg Arigdoise des science, lettres, e$ arts has purchased the house where Bayle was born at Carla-Bayle, and plans to make it into a monument-museumhonoring the philosopher? The house is in bad repair and there is a great need for funds; gifts of any size may be sent to the Socigtd, C.C.P. Toulouse 114-19, France. I presume that they are deductible. JoH~ B. WOLF University o] Illinois, Chicago Circle Entretiens sur les sciences. By Bernard Lamy. Edition critique pr~sent~e par FranCois Girbal & Pierre Clair. (u 5 of the series Le mouvement des idJes au XVII ~ si~cle) (Paris, 1966.Pp. 448. F 36.--) Father Bernard Lamy, 1640-1715, an Oratorian who was a contemporary of Malebranche, wrote his Entreticns sur les sciences not for the savants but for young gentlemen of the time who might have wanted to enter into the intellectual world. The work was first written be= tween 1676-80, and published by 1684. It developed through three stages in Lamy's lifetime, and was a popular exposition of modem learning throughout the eighteenth century. (It was last published in French in 1768, and in Spanish in 1800.) Drs. Clair and Girbal have provided a most useful edition of this minor classic, giving the variants from the different versions done by Lamy. The editors, who know the Oratorian and Jansenist currents of the time well, have included lots of informative notes. In these they have stressed the possible influence of Lamy's text on two of its important readers, Montesquieu and Rousseau, providing many clues to be followed out. The editors have also republished in their introduction the original review of Lamy's work by Pierre Bayle from the Nouvells de la R$publique des Lettres of August, 1684. The Entretien8 should be of interest to anyone concerned with late seventeenth-century thought. Although Lamy was not a particularly original thinker, his presentation of what was known provides an important picture of the world of learning of his time. Lamy was a Malebranchist first of all, tremendously impressed by the metaphysics and epistemology of his colleague, by the relevance of this philosophy to mathematical and scientific studies, and by the religious orientation of Malebranche's scientific thought. Lamy was also a Cartesian with re= gard to method and logic, greatly influenced by Amauld's and Nicole's Port-Royal Logic. But Lamy was also an eclectic who saw merit in the empirical work of his time, admiring Gassendi's efforts as well as those of Galileo, Boyle and of the Royal Society. For Lamy there should be no conflict between science and religion. A good deal of the Entreticns is devoted to explaining what mathematics and the sciences are about, and how they should be studied. Lamy was a great advocate and popularizer of the 'new science', the mechanistic approach from Galileo down to Malebranche and Newton. For him scientific study should lead to a better understanding of the Divine World. "Nous lotions la Science... lots qu'elle est plac6es dans une gme qui aime Dieu, qui est la v6rit6, & par consequent le v6ritable objet de la Science" (p. 47). In a world in which it is alleged that science was at war with religion, Lamy along with his hero Malebranche, and the philosophical Jansenists, sought not only for a harmony of the 'new science' and a Christian world view, but for the religious use of this science in a religious understanding of the world. Lamy's presentation, in an unexciting dialogue form, reveals many interesting facets of both his own outlook as well as of that of his contemporaries. Lamy's Cartesian methodology clearly shows the... (shrink)

With a little help from British philosophers John Locke (1632–1704) and John Stuart Mill (1806–1873), the author believes people can recover from The Incredibles a treasure trove of ideas that can help them think more clearly about tolerance, individual freedoms, and cultural conformity in their own world of incredible differences. On Mill's view, the “only purpose for which power can be rightfully exercised over” a member of society (against her will) “is to prevent harm to others”. If people follow Mill, (...) they have a reasonable but not overly restrictive principle for guiding human life and conduct. There is room to hold unpopular opinions, publish unpopular views, and belong to unpopular groups – even if society disapproves. These things are to be tolerated unless they have as their purpose harming others. But the PREFER principle will not give people that. (shrink)

When is an indirect report of what a speaker meant correct? The question arises in the law. The Contract Law case of Spaulding v. Morse is a good example. Following their 1932 divorce, George Morse and Ruth Morse entered into a trust agreement in 1937 for the support of their minor son Richard. In that agreement, George promised to “pay to [Spaulding as] trustee in trust for his said minor son Richard the sum of twelve hundred dollars per (...) year, payable in equal monthly installments on the first day of each month until the entrance of Richard D. Morse into some college, university or higher institution of learning beyond the completion of the high school grades, and thereupon, instead of said payments, amounting to twelve hundred dollars yearly, he shall and will then pay to the trustee payments in the sum of twenty-two hundred dollars per year for a period of said higher education but not more than four years.” Richard graduated from high school on February 5, 1946 and, in the post-WWII continuation of the draft, was inducted into the army the following day. The question in the case is whether George, by the words of the trust agreement, meant that he would pay $1,200 per year for Richard’s support while he was in the army. Is that a correct indirect report of what George meant?The explanation I offer assumes Gricean analysis of speaker meaning, and it emphasizes the role of speaker meaning typically plays in solving coordination problems. A coordination problem is a situation “in which each person wants to participate in a group action but only if others also participate.” A classic example is a political protest: “each person might want to take part in an antigovernment protest but only if there are enough total protesters to make arrests and police repression unlikely.” Coordination problems arise in more mundane settings as well – in Spaulding v. Morse, for example. Ruth and George want to mutually agree on Richard’s support: Ruth wants to commit to an arrangement only if George does, and vice versa for George. In 1937, George and Ruth solved the problem through speaker meaning. By signing the trust agreement, George, with Ruth as his audience, meant that he obligated himself to a particular support agreement. When Ruth signed, she, with George as her audience, meant that she accepted the agreement. In general, parties often solve coordination problems through speaker meaning. If, for example, enough people can communicate their commitment to participate in the protest to enough people, the protest will take place.The account assigns a central role to the fact that speaker meaning facilitates coordination by creating relevant common knowledge. Common knowledge is “the recursive belief state in which A knows X, B knows X, A knows that B knows X, B knows that A knows X, ad infinitum.” Common knowledge facilitates coordination: “Actors coordinate when they have evidence for common knowledge, and refrain from coordinating when they do not.”. (shrink)

Gary Kates has written an admirable and original study, which also happens to be a very good read. In a series of ‘case studies’ of eighteenth-century books, Kates shows how a significant ‘sample’...

In lieu of an abstract, here is a brief excerpt of the content:Kennedy Institute of Ethics Journal 16.4 (2006) 379-396MuseSearchJournalsThis JournalContents[Access article in PDF]Pharmacists and Conscientious Objection *In March 2005, a Wisconsin pharmacist's act of conscience garnered headlines across the United States. After a married woman with four children submitted a prescription for the morning-after pill, the pharmacist, Neil Noesen, not only refused to fill it, but also refused to transfer the prescription to another pharmacist or to return the prescription (...) to the customer. As more such incidents occurred, many states "... decided to consider and enact laws setting the bounds of pharmacists' and other health care workers' professional obligations" (III, Grady 2006, p. 327). Discussions of objector legislation, also referred to as "conscience clauses," "refusal clauses," and "abandonment laws" (III, Appel 2005, p. 279), are not limited to professional ethics, but also draw from philosophical, theological, and legal perspectives. The purpose of this Scope Note is to present a wide variety of viewpoints on the health provider's right to conscience.More than 40 years ago the development of "The Pill" as the first reliable method of birth control not only ushered in a feminist revolution, but also provided a new focus for concerns of conscience for those who were part of the anti-abortion movement based on religious belief in the sanctity of life. Similarly, in the past ten years, worldwide, and seven years (1999) since the emergency contraception "morning after" pill first became available as a prescription item, there has been an upsurge in the number of medical personnel who refuse to prescribe or dispense it on grounds of personal conscience, whether for religious reasons or not. Their actions bring into play issues of power and control for health care personnel and for patients—in this case women, which also raises women's rights issues. Ironically, studies in France, Sweden, and the United Kingdom have shown that emergency contraception does not reduce the abortion rate—it is too infrequently used (II, Glasier 2006).It is important to underline the difference between the "morning-after" pill or "Plan B," which is made up of two progestin pills containing levonorgestrel (a synthetic derivative of the female hormone progesterone), and RU-486 (Mifiprex [End Page 379] or mifipristone with misoprostol). Plan B, if taken within 72 hours post-coitus prevents implantation, and therefore pregnancy, by suppressing the output of luteinizing hormone, the hormone that triggers the ovulation process. Scientists have been unable to determine whether this action could destroy already fertilized eggs, but even if it does, it uses the same mechanism as occurs with the birth-control pill, that was developed some 45 years ago. By contrast, RU-486 acts up to 49 days after implantation by blocking the action of progesterone in order to terminate the pregnancy and as such is an abortifacient (II, US FDA 1).On 24 August 2006, the U.S. Food and Drug Administration announced approval of the Plan B pill for over-the-counter (OTC ) sales (II, US FDA 2). Although this action makes the drug more widely available, it remains to be seen whether pharmacists who are conscientious objectors and who refuse to dispense it also will refuse to provide it OTC.A survey article by Rebecca Dresser (II, 2005, p. 9) succinctly sums up the problem for conscientious objectors: "Because emergency contraception can act to block implantation of a fertilized egg, people who believe in protection of human life after conception find it morally objectionable."When conscientious objections are raised over abortion or birth control services performed, prescribed, or dispensed, they affect not only the health professionals—physicians, pharmacists, nurses, and health technicians—who may object, as well as their colleagues and/or managers, but also the consumers: the female patients who are then forced to reconsider or to seek an alternative supplier, as well as their spouses or partners. Alta Charo (II, 2005, p. 2473) makes the point that the patient needs to have access to a system of counseling and referral "so... (shrink)

What system of morals should rational people select as the best for society? Using a contemporary psychological theory of action and of motivation, Richard Brandt's Oxford lectures argue that the purpose of living should be to strive for the greatest good for the largest number of people. Brandt's discussions range from the concept of welfare to conflict between utilitarian moral codes and the dictates of self-interest.

Although several passages in Berkeley are related to the question whether two or more finite substances can simultaneously perceive numerically identical sensible ideas, it is only in TDHP (247–8) that he addresses the question explicitly and in some detail. Yet, Berkeley’s less than straightforward reply is notoriously difficult to pin down. Some commentators take Berkeley to be endorsing a clear‐cut positive reply, whereas others have him giving an emphatically negative one; others hold that for Berkeley there is no fact of (...) the matter that determines an answer one way or the other. I argue that all three readings find some justification at one point or another in the passage, and all hold a kernel of truth. Yet, none of them can be taken unrestrictedly because Philonous’s considered position is disjunctive: either there is no problem at all, or, if there is one (thus warranting a negative reply to the public status of sensible ideas), it makes equally against ‘materialism’ and immaterialism. I argue that the passage can be given an overall interpretation that explains why Berkeley is entitled to hold that there is some truth in each direction. I propose answers to the questions (a) why Berkeley thinks there may nevertheless be a problem after all, and (b) if so, why he can yet legitimately feel entitled to let it rest, that is, why he remains confident, within the philosophical context of his day, that his philosophy does not lead to solipsism. (shrink)

Richard Brandt is one of the most eminent and influential of contemporary moral philosophers. His work has been concerned with how to justify what is good or right not by reliance on intuitions or theories about what moral words mean but by the explanation of moral psychology and the description of what it is to value something, or to think it immoral. His approach thus stands in marked contrast to the influential theories of John Rawls. The essays reprinted in (...) this collection span a period of almost 30 years and include many classic pieces in metaethical and normative ethical theory. The collection is aimed at both those moral philosophers familiar with Brandt's work and at those philosophers who may be largely unfamiliar with his work. The latter group will be struck by the lucid unpretentious style and the cumulative weight of Brandt's contributions to topics that remain at the forefront of moral philosophy. (shrink)

The present volume is welcome for a dual reason; one that it marks the resumption, after a period of over twenty years, of the scholarly translations of St. Bonaventure, begun under Boehner; the second is the intrinsic value of the translation and lengthy introduction, almost a third of the book. Since the Saint Anthony Guild and Franciscan Herald Presses have published some of the shorter and more popular writings of the saint, it is fitting that the Franciscan Institute, noted for (...) its more technical philosophical and theological studies, should have chosen this series of disputed questions. They are undoubtedly one of Bonaventure's most mature and important writings, stemming from his days as the Franciscan regent master of theology at the University of Paris. The translator has already distinguished himself with a number of other articles and translations of the Seraphic Doctor. His scholarly and informative introduction falls into three chapters, one on the historical background, a second on the originality of Bonaventure's general trinitarian theology, and the third on the specific themes treated in this set of disputed questions. The first throws new light on the origin of the Dionysian and Richardian elements that separate Bonaventure's treatment of the trinity from that of Aquinas. Bonaventure became acquainted with pseudo-Dionysius and Richard of St. Victor through the Summa fratris Alexandri attributed to Alexander of Hales and the early Franciscan Masters at the Paris house of studies. Fontal plenitude, fecundity, and goodness, that figured largely in the Greek Fathers, are developed by Bonaventure in an original and personal way. The incompleteness of the Dionysian model is filled in by Richard's psychological analysis of love and his conception of personhood. Innascibility as the key characteristic of the Father is given a positive twist; it implies one who is first in an absolute sense as the summation of Parmenidean perfection and whose fontal plenitude is not only the source of the dual procession in the Trinity, but spills over into a richly diverse and continuing creation that bears in varying degrees the stamp of its triadic source. Man as microcosm mirrors this most of all, especially that man in whom the Logos, or macrocosm of archetypal ideas, became incarnate. It is only in treatment of the Son and his relationship to creation as exemplar cause that the distinctive influence of Augustine appears. In the final introductory chapter, the specific Trinitarian themes of unity, based on a dynamic rather than a static Aristotelian notion of deity, simplicity, infinity, eternity, immutability, necessity, and primacy are discussed and what emerges is a deeper appreciation of the synthetic genius of Bonaventure, who drew from such a myriad of sources, yet wove his material into a unique system in which philosophy functions not as a propadeutic to theology, but as an integral and essential part. For that reason the work is of far wider interest than an arcane theological study that only philosophers with a penchant for history might read with profit.--A.B.W. (shrink)

Individuals with body integrity identity disorder seek to address a non-delusional incongruity between their body image and their physical embodiment, sometimes via the surgical amputation of healthy body parts. Opponents to the provision of therapeutic healthy-limb amputation in cases of BIID make appeals to the envisioned harms that such an intervention would cause, harms such as the creation of a lifelong physical disability where none existed before. However, this concept of harm is often based on a normative biomedical model of (...) health and disability, a model which conflates amputation with impairment, and impairment with a disability. This article challenges the prima facie harms assumed to be inherent in limb amputation and argues in favour of a potential treatment option for those with BIID. To do this, it employs the social model of disability as a means to separate the concept of impairment and disability and thereby separate the acute and chronic harms of the practice of therapeutic healthy-limb amputation. It will then argue that provided sufficient measures are put in place to ensure that those with atypical bodily constructions are not disadvantaged, the chronic harms of elective amputation would cease to be. (shrink)

Individuals with body integrity identity disorder seek to address a non-delusional incongruity between their body image and their physical embodiment, sometimes via the surgical amputation of healthy body parts. Opponents to the provision of therapeutic healthy-limb amputation in cases of BIID make appeals to the envisioned harms that such an intervention would cause, harms such as the creation of a lifelong physical disability where none existed before. However, this concept of harm is often based on a normative biomedical model of (...) health and disability, a model which conflates amputation with impairment, and impairment with a disability. This article challenges the prima facie harms assumed to be inherent in limb amputation and argues in favour of a potential treatment option for those with BIID. To do this, it employs the social model of disability as a means to separate the concept of impairment and disability and thereby separate the acute and chronic harms of the practice of therapeutic healthy-limb amputation. It will then argue that provided sufficient measures are put in place to ensure that those with atypical bodily constructions are not disadvantaged, the chronic harms of elective amputation would cease to be. (shrink)

Individuals with body integrity identity disorder seek to address a non-delusional incongruity between their body image and their physical embodiment, sometimes via the surgical amputation of healthy body parts. Opponents to the provision of therapeutic healthy-limb amputation in cases of BIID make appeals to the envisioned harms that such an intervention would cause, harms such as the creation of a lifelong physical disability where none existed before. However, this concept of harm is often based on a normative biomedical model of (...) health and disability, a model which conflates amputation with impairment, and impairment with a disability. This article challenges the prima facie harms assumed to be inherent in limb amputation and argues in favour of a potential treatment option for those with BIID. To do this, it employs the social model of disability as a means to separate the concept of impairment and disability and thereby separate the acute and chronic harms of the practice of therapeutic healthy-limb amputation. It will then argue that provided sufficient measures are put in place to ensure that those with atypical bodily constructions are not disadvantaged, the chronic harms of elective amputation would cease to be. (shrink)

Individuals with body integrity identity disorder seek to address a non-delusional incongruity between their body image and their physical embodiment, sometimes via the surgical amputation of healthy body parts. Opponents to the provision of therapeutic healthy-limb amputation in cases of BIID make appeals to the envisioned harms that such an intervention would cause, harms such as the creation of a lifelong physical disability where none existed before. However, this concept of harm is often based on a normative biomedical model of (...) health and disability, a model which conflates amputation with impairment, and impairment with a disability. This article challenges the prima facie harms assumed to be inherent in limb amputation and argues in favour of a potential treatment option for those with BIID. To do this, it employs the social model of disability as a means to separate the concept of impairment and disability and thereby separate the acute and chronic harms of the practice of therapeutic healthy-limb amputation. It will then argue that provided sufficient measures are put in place to ensure that those with atypical bodily constructions are not disadvantaged, the chronic harms of elective amputation would cease to be. (shrink)

Opponents of the provision of therapeutic, healthy limb amputation in Body Integrity Identity Disorder cases argue that such surgeries stand in contrast to the goal of medical practice – that of health restoration and maintenance. This paper refutes such a conclusion via an appeal to the nuanced and reflective model of health proposed by Georges Canguilhem. The paper examines the conceptual entanglement of the statistically common with the normatively desirable, arguing that a healthy body can take multiple forms, including that (...) of an amputee, provided that such a form enables the continuing ability to initiate new norms of existence. It concludes that the practice of healthy limb amputation in cases of Body Integrity Identity Disorder is not only compatible with the goal of medicine but is potentially the only method of achieving this goal in the face of a complex and often mischaracterized disorder. (shrink)

This paper explores the impact that developments in the field of neuroprosthetics will have on the ethical viability of healthy limb amputation, specifically in cases of Body Integrity Identity Dis...

Interventions are medically necessary when they are vital in achieving the goal of medicine. However, with varying perspectives comes varying views on what interventions are (un)necessary and, thus, what potential treatment options are available for those suffering from the myriad of conditions, pathologies and disorders afflicting humanity. Medical necessity's teleological nature is perhaps best illustrated in cases where there is debate over using contentious medical interventions as a last resort. For example, whether it is appropriate for those suffering from body (...) integrity dysphoria to receive healthy limb amputations. This paper explores how one's perception of medicine's goal underpins whether interventions are necessary or unnecessary, using the controversial topic of therapeutic amputation as an example. By contrasting ‘classical’ amputations with their more contentious counterparts, it highlights how the idea of medical necessity influences and restrains clinical decision-making. The paper starts by giving an account of body integrity dysphoria, focusing on the debate concerning elective amputation's justifiability. It then introduces Georges Canguilhem's vitalist theory of health, paying particular attention to his emphasis on adaptability. Then, this paper uses his theory as a lens through which to evaluate the appropriateness of therapeutic amputation as a medically necessary procedure. Ultimately, the paper highlights how the label of medical necessity is withheld from potential therapeutic interventions because they fail to conform to pre-established ideas of medicine's purpose and that by doing so, potential harm befalls those who are left with no effective treatments and must look for solutions in the non-clinical world. (shrink)

Systems-oriented social epistemology, studies epistemic systems in which individuals work together to determine the epistemic status (true, justified, true beyond a reasonable doubt, e...

Richard Brandt is one of the most influential moral philosophers of the second half of the twentieth century. He is especially important in the field of ethics for his lucid and systematic exposition of utilitarianism. This new book represents in some ways a summation of his views and includes many useful applications of his theory. The focus of the book is how value judgments and moral belief can be justified. More generally, the book assesses different moral systems and theories (...) of justice, and considers specific problems such as the optimal level of charity and the moral tenability of the criminal law. This book will be essential reading for all professional philosophers concerned with ethics, and will prove helpful to students as well. (shrink)

In her paper, Robinson asserts that if one is convinced by the arguments assigning personhood according to a threshold criterion, one should also be open to the potential for a secondary personhood threshold, satisfied when one is pregnant, which confers temporary enhanced moral status. Rather than grounding such a claim on a fetus’s possession, or lack thereof, of personhood, Robinson argues that the pregnant person’s status as a ‘unique being’ is enough to satisfy the requirements of such an additional personhood (...) classification. 1 She justifies her claim via three arguments: (1) that the pregnant person is, in fact, more than a singular individual; (2) that pregnant people play a critical role in the human race’s continuation and (3) that the significant harms and burdens to which pregnant people have been exposed to historically and contemporary requires counterbalancing with enhanced protections. Unfortunately, despite Robinson’s best efforts, she does not... (shrink)

The relief of suffering is the great goal of medicine. That physicians give up on suffering when they can do nothing about the underlying condition is one of the contemporary criticisms of medicine. Yet even in irremediable suffering there is something noble, to which physicians should attend.