Rapid changes in medical technology during the past twenty years have confronted traditional value systems with hitherto inconceivable dilemmas. questions of the sanctity and nature of human life have been foregrounded by debate on issues like abortion, euthanasia, and genetic engineering. opponents of these practices frequently employ variants of the slippery slope argument, and it is these arguments that are examined in detail in this book. it is concluded that, despite its apparent tendentiousness, the moral philosopher cannot ignore the slippery (...) slope argument and needs to apply it critically to understand contemporary questions in practical ethics. (shrink)

In ‘Choosing Ends’, Schmidtz defines a new kind of end to join the familiar categories of final, instrumental and constitutive ends: namely, maieutic ends. A maieutic end is an end which ‘gives birth to’ another end. For example, Kate wants to have a goal in life, in particular a career; so having a career is a maieutic end which ‘gives birth to’ her career in medicine. ….

The kind of temperance discussed is the virtue of moderation concerning the pleasures of eating and drinking. A person lacks this moderation if either his desire for such pleasures causes conflicts with his own standards of appropriate behaviour or the standards themselves attach too much importance to the pleasures concerned. Opinions vary about the proper status of these pleasures, but people surely value them too highly if they place them above their health or the moral duty not to cause unnecessary (...) suffering. Temperance concerns medicine because of its connection with health, ethics because it involves not only the good life for the individual but also the welfare of other creatures. (shrink)

This useful collection of papers derives from a conference on medical ethics held in Aberdeen.

Although the equally pervasive and abstract concept of space has generated a vast body of disciplines, time, and the related idea of "becoming" (transforming, ...

It is often said that human beings have the ability to plan and choose what to do, can think for themselves and have the freedom and the right to form their own opinions on moral questions. Such claims are sometimes expressed by saying that the human agent is autonomous. In this paper we shall try to disentangle various theses about the autonomy of the agent which the common claims do not always distinguish.

Elizabeth Telfer; XIII*—Friendship, Proceedings of the Aristotelian Society, Volume 71, Issue 1, 1 June 1971, Pages 223–242, https://doi.org/10.1093/aristotelia.

The importance of food in our individual lives raises moral questions from the debate over eating animals to the prominence of gourmet cookery in the popular media. Through philosophy, Elizabeth Telfer discusses issues including our obligations to those who are starving; the value of the pleasure of food; food as art; our duties to animals; and the moral virtues of hospitableness and temperance. Elizabeth Telfer shows how much traditional philosophy, from Plato to John Stuart Mill, has to say (...) to illuminate this everyday yet complex subject. (shrink)

Looking at the philosophical issues raised by food this short and accessible book questions the place food should have in our individual lives. It shows how traditional philosophy and its classic texts can illuminate an everyday subject.

Issues surrounding human embryos are poignant and profound. Should research be conducted on them? Should they be discarded? Should they be donated to infertile couples? The Warnock Report was a landmark in providing guidelines limiting experimentation on human embryos to the first 14 days after fertilization, at which time implantation of the embryo is complete and the primitive streak has appeared.2 However, these embryological features were not considered sufficiently distinctive to bestow upon this 14‐day period a separate classification. This situation (...) changed when, in 1986, Anne McLaren suggested the use of the terms ‘pre‐embryo’ or ‘conceptus' to designate “the entire product of the fertilized egg up to the end of the implantation stage” and the term ’embryo‘ for “that small part of the pre‐embryo or conceptus, first distinguishable at the primitive streak stage, that later develops into the foetus.”3 In this paper we look critically at the term ‘pre‐embryo’, and we shall present the case for an alternative set of terms, namely, embryo‐placenta and embryo‐fetus. We consider this latter to be biologically‐based terminology, that does not have any connotation of restricted moral value as the term pre‐embryo does for some. (shrink)

The development of T cells and B cells from pluripotent hematopoietic precursors occurs through a stepwise narrowing of developmental potential that ends in lineage commitment. During this process, lineage-specific genes are activated asynchronously, and lineage-inappropriate genes, although initially expressed, are asynchronously turned off. These complex gene expression events are the outcome of the changes in expression of multiple transcription factors with partially overlapping roles in early lymphocyte and myeloid cell development. Key transcription factors promoting B-cell development and candidates for this (...) role in T-cell development are discussed in terms of their possible modes of action in fate determination. We discuss how a robust, stable, cell-type–specific gene expression pattern may be established in part by the interplay between endogenous transcription factors and signals transduced by cytokine receptors, and in part by the network of effects of particular transcription factors on each other. BioEssays 21:726–742, 1999. © 1999 John Wiley & Sons, Inc. (shrink)

Elizabeth Telfer; XIII*—Friendship, Proceedings of the Aristotelian Society, Volume 71, Issue 1, 1 June 1971, Pages 223–242, https://doi.org/10.1093/aristotelia.

Elizabeth Telfer; III*—The Unity of the Moral Virtues in Aristotle's Nicomachean Ethics1, Proceedings of the Aristotelian Society, Volume 90, Issue 1, 1 June 19.

Elizabeth Telfer; III*—The Unity of the Moral Virtues in Aristotle's Nicomachean Ethics1, Proceedings of the Aristotelian Society, Volume 90, Issue 1, 1 June 19.

A patient is not always told when a student is performing a procedure for the first time. Withholding this information is a form of deception. It is justified on paternalistic grounds (it is in the patient's interest not to know), or on public policy grounds (given the choice, patients would refuse, thus compromising the training of future physicians). Using the spinal tap procedure (lumbar puncture) as a paradigm, 173 patients were surveyed to determine how they felt about first time procedures (...) by medical students, interns, and residents. The patients indicated that they would be willing to be the subject for a student's (52%), intern's (62%), or resident's (66%) first spinal tap. This paper reassesses the ethics of consent for first time procedures based on responses to this survey. (shrink)

Miss Telfer offers a new analysis, classifying health care into four systems, only one of which, the 'laissez-faire' type, is unlikely to be acceptable today. The other three systems are defined here as 'liberal humanitarian', 'liberal socialist' and 'pure socialist'. Each is analysed for its content and for the views of its protagonists and antagonists. On these issues no dogma is proclaimed as the author says she has sought to 'bring out some of the principles at issue in any (...) discussion of the rights and wrongs of socialized medicine'. This journal is surely the proper place for such a discussion as the worlds of the politician, of the economist, of the doctor and of the patient come to a point in the philosophies behind the aspect of medical ethics exemplified in the provision of medical services by the state. Miss Telfer also glances down the byways of the medicine of the market place. (shrink)