The Doctrine of Double Effect Edited by Ezio Di Nucci (Universität Duisburg-Essen)

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  1. Peter Allmark, Mark Cobb, B. Jane Liddle & Angela Mary Tod (2010). Is the Doctrine of Double Effect Irrelevant in End-of-Life Decision Making? Nursing Philosophy 11 (3):170-177.
    In this paper, we consider three arguments for the irrelevance of the doctrine of double effect in end-of-life decision making. The third argument is our own and, to that extent, we seek to defend it. The first argument is that end-of-life decisions do not in fact shorten lives and that therefore there is no need for the doctrine in justification of these decisions. We reject this argument; some end-of-life decisions clearly shorten lives. The second is that the doctrine of double (...)
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  2. Robert D. Anderson (2010). T. A. Cavanaugh, Double-Effect Reasoning: Doing Good and Avoiding Evil. Journal of Value Inquiry 44 (1).
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  3. G. E. M. Anscombe (1958). Modern Moral Philosophy. Philosophy 33 (124):1 - 19.
    I will begin by stating three theses which I present in this paper. The first is that it is not profitable for us at present to do moral philosophy; that should be laid aside at any rate until we have an adequate philosophy of psychology, in which we are conspicuously lacking. The second is that the concepts of obligation, and duty — moral obligation and moral duty, that is to say — and of what is morally right and wrong, and (...)
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  4. Sophie Botros (2001). An Error About the Doctrine of Double Effect: A Response to Kaufman's Reply to Botros. Philosophy 76 (2):304-311.
    In replying to my article ‘An Error about the Doctrine of Double Effect’, Kaufman claims that the permission given by the four-condition Doctrine for certain mixed actions is merely complementary to an absolute prohibition—which he claims is the DDE's primary function. I point out again that in many cases this makes an appeal to the DDE's fourth condition not merely redundant but incoherent. Furthermore, his claim that I am a utilitarian maximizer, frustrated by a doctrine prohibiting intentional harms, however great (...)
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  5. Sophie Botros (1999). An Error About the Doctrine of Double Effect. Philosophy 74 (1):71-83.
    This paper claims as erroneous the current widespread representation of the Doctrine of Double Effect (DDE) as primarily condemning as intrinsically bad actions involving intentional harm. The DDE's Four Conditions are in fact used solely for justifying certain intrinsically good actions with both intended good and unintended bad effects. Though contemporary writers assign a minor justificatory role to the DDE this is incompatible with their attribution to it of a primary prohibitive role. Not only is the conduct cited by these (...)
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  6. Joseph M. Boyle Jr (1980). Toward Understanding the Principle of Double Effect. Ethics 90 (4):527-538.
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  7. Joseph Boyle (2004). Medical Ethics and Double Effect: The Case of Terminal Sedation. Theoretical Medicine and Bioethics 25 (1).
    The use of terminal sedation to control theintense discomfort of dying patients appearsboth to be an established practice inpalliative care and to run counter to the moraland legal norm that forbids health careprofessionals from intentionally killingpatients. This raises the worry that therequirements of established palliative care areincompatible with moral and legal opposition toeuthanasia. This paper explains how thedoctrine of double effect can be relied on todistinguish terminal sedation from euthanasia. The doctrine of double effect is rooted inCatholic moral casuistry, but (...)
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  8. T. A. Cavanaugh (2006). Double-Effect Reasoning: Doing Good and Avoiding Evil. Oxford University Press.
    T. A. Cavanaugh defends double-effect reasoning (DER), also known as the principle of double effect. DER plays a role in anti-consequentialist ethics (such as deontology), in hard cases in which one cannot realize a good without also causing a foreseen, but not intended, bad effect (for example, killing non-combatants when bombing a military target). This study is the first book-length account of the history and issues surrounding this controversial approach to hard cases. It will be indispensable in theoretical ethics, applied (...)
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  9. David K. Chan (2000). Intention and Responsibility in Double Effect Cases. Ethical Theory and Moral Practice 3 (4):405-434.
    I argue that the moral distinction in double effect cases rests on a difference not in intention as traditionally stated in the Doctrine of Double Effect (DDE), but in desire. The traditional DDE has difficulty ensuring that an agent intends the bad effect just in those cases where what he does is morally objectionable. I show firstly that the mental state of a rational agent who is certain that a side-effect will occur satisfies Bratman's criteria for intending that effect. I (...)
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  10. Timothy Chappell (2002). Two Distinctions That Do Make a Difference: The Action/Omission Distinction and the Principle of Double Effect. Philosophy 77 (2):211-233.
    The paper outlines and explores a possible strategy for defending both the action/omission distinction (AOD) and the principle of double effect (PDE). The strategy is to argue that there are degrees of actionhood, and that we are in general less responsible for what has a lower degree of actionhood, because of that lower degree. Moreover, what we omit generally has a lower degree of actionhood than what we actively do, and what we do under known-but-not-intended descriptions generally has a lower (...)
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  11. William Cooney (1989). Affirmative Action and the Doctrine of Double Effect. Journal of Applied Philosophy 6 (2):201-204.
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  12. Jonathan Dancy (2000). Intention and Permissibility, II. Aristotelian Society Supplementary Volume 74 (1):319–338.
    [T. M. Scanlon] It is clearly impermissible to kill one person (or refrain from giving him treatment that he needs in order to survive) because his organs can be used to save five others who are in need of transplants. It has seemed to many that the explanation for this lies in the fact that in such cases we would be intending the death of the person whom we killed, or failed to save. What makes these actions impermissible, however, is (...)
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  13. Neil Francis Delaney (2008). Two Cheers for “Closeness”: Terror, Targeting and Double Effect. Philosophical Studies 137 (3):335 - 367.
    Philosophers from Hart to Lewis, Johnston and Bennett have expressed various degrees of reservation concerning the doctrine of double effect. A common concern is that, with regard to many activities that double effect is traditionally thought to prohibit, what might at first look to be a directly intended bad effect is really, on closer examination, a directly intended neutral effect that is closely connected to a foreseen bad effect. This essay examines the extent to which the commonsense concept of intention (...)
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  14. Neil Francis Delaney (2007). A Note on Intention and the Doctrine of Double Effect. Philosophical Studies 134 (2):103 - 110.
    The purpose of this note is to tidy up some matters concerning ascriptions of intention and the employment of the doctrine of double effect (henceforth DDE). I first argue that Jonathan Bennett’s efforts to show that DDE is a foolish doctrine are unsatisfactory. I then consider a puzzle of Mark Johnston’s that seems to pose a problem for the defender of DDE. I turn to possible solutions to the puzzle, criticize one, and then offer the one I find most appealing. (...)
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  15. Ezio Di Nucci (forthcoming). Self-Sacrifice and the Trolley Problem. Philosophical Psychology.
    Judith Jarvis Thomson has recently proposed a new argument for the thesis that killing the one in the Trolley Problem is not permissible. Her argument relies on the introduction of a new scenario in which the bystander may also sacrifice herself to save the five. Thomson argues that those not willing to sacrifice themselves if they could may not kill the one to save the five. Bryce Huebner and Marc Hauser have recently put Thomson’s argument to the empirical test by (...)
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  16. Antony Duff (1982). Intention, Responsibility and Double Effect. Philosophical Quarterly 32 (126):1-16.
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  17. John Martin Fischer, Mark Ravizza & David Copp (1993). Quinn on Double Effect: The Problem of "Closeness". Ethics 103 (4):707-725.
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  18. William J. FitzPatrick (2003). Acts, Intentions, and Moral Permissibility: In Defence of the Doctrine of Double Effect. Analysis 63 (280):317–321.
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  19. Iii Get Checked Abstract Thomas J. Bole (1991). The Theoretical Tenability of the Doctrine of Double Effect. Journal of Medicine and Philosophy 16 (5).
    The doctrine of double effect shows that for which the moral agent is responsible, by explicating the relationship between the act directly intended and the consequences of that act. I contend that this doctrine is necessary not only for natural law absolutism, but also for Donagan's Kantianism and for Quinn's revised construal of the doctrine, and even for consequentialism, as bioethical implications of the doctrine make clear. For those who do not accept this necessity, I contend that it is necessary (...)
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  20. Alison Hills (2007). Intentions, Foreseen Consequences and the Doctrine of Double Effect. Philosophical Studies 133 (2):257 - 283.
    The difficulty of distinguishing between the intended and the merely foreseen consequences of actions seems to many to be the most serious problem for the doctrine of double effect. It has led some to reject the doctrine altogether, and has left some of its defenders recasting it in entirely different terms. I argue that these responses are unnecessary. Using Bratman’s conception of intention, I distinguish the intended consequences of an action from the merely foreseen in a way that can be (...)
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  21. Alison Hills (2003). Defending Double Effect. Philosophical Studies 116 (2):133-152.
    According to the doctrine of double effect(DDE), there is a morally significantdifference between harm that is intended andharm that is merely foreseen and not intended.It is not difficult to explain why it is bad tointend harm as an end (you have a ``badattitude'' toward that harm) but it is hard toexplain why it is bad to intend harm as a meansto some good end. If you intend harm as a meansto some good end, you need not have a ``badattitude'' toward (...)
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  22. Robert Hoffman (1984). Intention, Double Effect, and Single Result. Philosophy and Phenomenological Research 44 (3):389-393.
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  23. Richard Hull (2000). Deconstructing the Doctrine of Double Effect. Ethical Theory and Moral Practice 3 (2):195-207.
    This paper examines the doctrine of double effect as it is typically applied. The difficulty of distinguishing between what we intend and what we foresee is highlighted. In particular, Warren Quinn's articulation of that distinction is examined and criticised. It is then proposed that the only credible way that we can be said to foresee that a harm will result and mean something other than that we intend it to result, is if we are not certain that that harm will (...)
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  24. Jeff Jordan (1990). The Doctrine of Double Effect and Affirmative Action. Journal of Applied Philosophy 7 (2):213-216.
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  25. Christopher Kaczor (2001). Moral Absolutism and Ectopic Pregnancy. Journal of Medicine and Philosophy 26 (1):61 – 74.
    If one accepts a version of absolutism that excludes the intentional killing of any innocent human person from conception to natural death, ectopic pregnancy poses vexing difficulties. Given that the embryonic life almost certainly will die anyway, how can one retain ones moral principle and yet adequately respond to a situation that gravely threatens the life of the mother and her future fertility? The four options of treatment most often discussed in the literature are non-intervention, salpingectomy (removal of tube with (...)
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  26. F. M. Kamm (1999). Physician‐Assisted Suicide, the Doctrine of Double Effect, and the Ground of Value. Ethics 109 (3):586-605.
    In this article, I shall present three arguments for thc pcrmissibility 0f physician-assisted suicide (PAS), and then examine several objections 0f 21 "K21nti2m" and non-Kantian nature against them. These are really 0bjcctions against certain types of suicide. I shall focus 0n active PAS (eg., when 21 patient takes 21 lethal drug given by E1 physician, in which case both thc physician and patient are active). I shall assume the patient is 21 competent, responsible, rational agent, who gives his being in (...)
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  27. Frances M. Kamm (1991). The Doctrine of Double Effect: Reflections on Theoretical and Practical Issues. Journal of Medicine and Philosophy 16 (5).
    The Doctrine of Double Effect and the Principle of Do No Harm raise important theoretical and practical issues, some of which are discussed by Boyle, Donagan, and Quinn. I argue that neither principle is correct, and some revisionist, and probably nonabsolutist, analysis of constraints on action and omission is necessary. In making these points, I examine several approaches to deflection of threat cases, discuss an argument for the permissibility of voluntary euthanasia, and present arguments relevant to medical contexts which justify (...)
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  28. Whitley R. P. Kaufman (2000). On a Purported Error About the Doctrine of Double Effect: A Reply to Sophie Botros. Philosophy 75 (2):283-295.
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  29. Martin Klein (2004). Voluntary Active Euthanasia and the Doctrine of Double Effect: A View From Germany. Health Care Analysis 12 (3):225-240.
    This paper discusses physician-assisted suicide (PAS) and voluntary active euthanasia (VAE), supplies a short history and argues in favour of permitting both once rigid criteria have been set and the cases retro-reviewed. I suggest that among these criteria should be that VAE should only be permitted with one more necessary criterion: that VAE should only be allowed when physician assisted suicide is not a possible option. If the patient is able to ingest and absorb the medication there is no reason (...)
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  30. Sanford S. Levy (1986). The Principle of Double Effect. Journal of Value Inquiry 20 (1).
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  31. S. Matthew Liao (2009). The Loop Case and Kamm's Doctrine of Triple Effect. Philosophical Studies 146 (2):223 - 231.
    Judith Jarvis Thomson’s Loop Case is particularly significant in normative ethics because it questions the validity of the intuitively plausible Doctrine of Double Effect, according to which there is a significant difference between harm that is intended and harm that is merely foreseen and not intended. Recently, Frances Kamm has argued that what she calls the Doctrine of Triple Effect (DTE), which draws a distinction between acting because-of and acting in-order-to, can account for our judgment about the Loop Case. In (...)
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  32. Judith Lichtenberg (1994). War, Innocence, and the Doctrine of Double Effect. Philosophical Studies 74 (3):347 - 368.
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  33. Kasper Lippert-Rasmussen (2010). Scanlon on the Doctrine of Double Effect. Social Theory and Practice 36 (4):541-564.
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  34. David R. Mapel (2001). Revising the Doctrine of Double Effect. Journal of Applied Philosophy 18 (3):257–272.
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  35. Lawrence Masek (2011). The Contralife Argument and the Principle of Double Effect. National Catholic Bioethics Quarterly 11 (1):83-97.
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  36. Lawrence Masek (2010). Intentions, Motives and the Doctrine of Double Effect. Philosophical Quarterly 60 (240):567-585.
    I defend the doctrine of double effect and a so-called ‘strict’ definition of intention: A intends an effect if and only if A has it as an end or believes that it is a state of affairs in the causal sequence that will result in A's end. Following Kamm's proposed ‘doctrine of triple effect’, I distinguish an intended effect from an effect that motivates an action, and show that this distinction is morally significant. I use several contrived cases as illustrations, (...)
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  37. Lawrence Masek (2010). On Some Proposals for Producing Human Stem Cells. National Catholic Bioethics Quarterly 10 (2):257-264.
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  38. Lawrence Masek (2006). Deadly Drugs and the Doctrine of Double Effect: A Reply to Tully. Journal of Business Ethics 68 (2):143-151.
    In a recent contribution to this journal, Patrick Tully criticizes my view that the doctrine of double effect does not prohibit a pharmaceutical company from selling a drug that has potentially fatal side-effects and that does not treat a life-threatening condition. Tully alleges my account is too permissive and makes the doctrine irrelevant to decisions about selling harmful products. In the following paper, I respond to Tully’s objections and show that he misinterprets my position and misstates some elements of the (...)
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  39. Lawrence Masek (2006). A Contralife Argument Against Altered Nuclear Transfer. National Catholic Bioethics Quarterly 6 (2):235-240.
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  40. Alison McIntyre, Doctrine of Double Effect. Stanford Encyclopedia of Philosophy.
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  41. Alison McIntyre (2001). Doing Away with Double Effect. Ethics 111 (2):219-255.
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  42. Jeff McMahan (1994). Revising the Doctrine of Double Effect. Journal of Applied Philosophy 11 (2):201-212.
    The Doctrine of Double Effect has been challenged by the claim that what an agent intends as a means may be limited to those effects that are precisely characterized by the descriptions under which the agent believes that they are minimally causally necessary for the production of other effects that the agent seeks to bring about. If based on so narrow a conception of an intended means, the traditional Doctrine of Double Effect becomes limitlessly permissive. In this paper I examine (...)
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  43. William N. Nelson (1991). Conceptions of Morality and the Doctrine of Double Effect. Journal of Medicine and Philosophy 16 (5).
    Whether one should accept a principle like DDE cannot be settled independent of one's more general moral theory. In this, I take it, I agree with Professor Boyle, though I do not think he has shown that DDE has a role only in his particular form of absolutism. Still, since his theory does require DDE, an important question is what the alternatives are – whether we must choose between this absolutism and either utilitarianism or intuitionism. A form of contractualism, the (...)
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  44. Justin Oakley & Dean Cocking (1994). Consequentialism, Moral Responsibility, and the Intention/ Foresight Distinction. Utilitas 6 (02):201-.
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  45. David S. Oderberg, The Doctrine of Double Effect.
    Few moral theorists would disagree that the fundamental principle of morality – perhaps of practical rationality itself – is “ Do good and avoid evil. ” Yet along with such an uncontroversial principle comes a major question: Can you fulfi l both halves satisfactorily across your life as a moral agent? We all have opportunities to perform acts that do good with no accompanying evil, but these are not as common as we might think. We can avoid evil by doing (...)
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  46. Michael Otsuka, Double-Effect, Triple-Effect, and the Trolley Problem.
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  47. Michael Otsuka (2008). Double Effect, Triple Effect and the Trolley Problem: Squaring the Circle in Looping Cases. Utilitas 20 (1):92-110.
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  48. A. Papanikitas (2009). Splitting Hairs Over the Definition of Murder: Thomas Aquinas and the Doctrine of Double Effect. Clinical Ethics 4 (4):211-212.
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  49. Alexander Pruss, 1. Double Effect.
    Suppose that one initiates a causal sequence leading to a basically evil state of affairs, but does not intend the evil effect, and the good effects of the action are proportionate to the bad. A state of affairs is a “basic evil” provided it is evil in virtue of itself and not in virtue of its connection with other states of affairs. The classic form of the Principle of Double Effect (PDE) can be taken to state that then the action (...)
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  50. Alexander Pruss, Love and Double Effect.
    Case 1 (transplant) . You are a surgeon doing an appendectomy on Fred, who is otherwise healthy. You know from his file that, just by chance, his heart, lungs, bone marrow, liver and two kidneys are a perfect match for fifteen patients in your hospital who need various organs or bone marrow, of both of which there is a severe shortage of these organs; Fred, however, has refused to donate anything. If the fifteen patients do not receive the transplants today, (...)
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  51. Warren S. Quinn (1989). Actions, Intentions, and Consequences: The Doctrine of Double Effect. Philosophy and Public Affairs 18 (4):334-351.
    Stable URL: http://links.jstor.org/sici?sici=0048-3915%28198923%2918%3A4%3C334%3AAIACTD%3E2.0.CO%3B2-P..
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  52. Sophia Reibetanz (1998). A Problem for the Doctrine of Double Effect. Proceedings of the Aristotelian Society 98 (2):217–223.
    The Doctrine of Double Effect has been defended not only as a test of character but also as a criterion of wrongness for action. This paper criticises one attempt to justify the doctrine in the latter capacity. The justification, first proposed by Warren Quinn, traces the wrongness of intending harm as a means to the objectionable features of certain reasons for making this our intention. As I argue, however, some of the actions which seem to us to be permissible, and (...)
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  53. Norvin Richards (1984). Double Effect and Moral Character. Mind 93 (371):381-397.
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  54. T. M. Scanlon (2000). Intention and Permissibility, I. Aristotelian Society Supplementary Volume 74 (1):301–317.
    [T. M. Scanlon] It is clearly impermissible to kill one person (or refrain from giving him treatment that he needs in order to survive) because his organs can be used to save five others who are in need of transplants. It has seemed to many that the explanation for this lies in the fact that in such cases we would be intending the death of the person whom we killed, or failed to save. What makes these actions impermissible, however, is (...)
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  55. Thomas Scanlon (2008). Moral Dimensions: Permissibility, Meaning, Blame. Belknap Press of Harvard University Press.
    The illusory appeal of double effect -- The significance of intent -- Means and ends -- Blame.
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  56. Jörg Schroth, Bibliography on the Principle of Double Effect. Ethik Seite.
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  57. Joseph Shaw (2009). Double-Effect Reasoning: Doing Good and Avoiding Evil – T.A. Cavanaugh. Philosophical Quarterly 59 (234):186-190.
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  58. Rebecca Stangl (2009). Plan B and the Doctrine of Double Effect. Hastings Center Report 39 (4):21-25.
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  59. L. Tuckey & A. Slowther (2009). The Doctrine of Double Effect and End-of-Life Decisions. Clinical Ethics 4 (1):12-14.
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  60. Patrick A. Tully (2005). The Doctrine of Double Effect and the Question of Constraints on Business Decisions. Journal of Business Ethics 58 (1-3):51 - 63.
    . How does the doctrine of double effect apply to business decisions to sell products which may be harmful to consumers? Lawrence Masek believes that some authors have misapplied the doctrine to this type of decision and, as a consequence, have committed themselves to placing unwarranted constraints on businesses. Seeking to correct this mistake, Masek presents his account of how the doctrine applies here, an account which is rather permissive but which, he claims, nevertheless preserves the virtues of the doctrine. (...)
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  61. Ralph Wedgwood (2011). Defending Double Effect. Ratio 24 (4):384-401.
    This essay defends a version of the Doctrine of Double Effect (DDE) – the doctrine that there is normally a stronger reason against an act that has a bad state of affairs as one of its intended effects than against an otherwise similar act that has that bad state of affairs as an unintended effect. First, a precise account of this version of the DDE is given. Secondly, some suggestions are made about why we should believe the DDE, and about (...)
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  62. Ralph Wedgwood (2011). Scanlon on Double Effect. Philosophy and Phenomenological Research 83 (2):464-472.
    In this new book Moral Dimensions, T. M. Scanlon (2008) explores the ethical significance of the intentions and motives with which people act. According to Scanlon, these intentions and motives do not have any direct bearing on the permissibility of the act. Thus, Scanlon claims that the traditional Doctrine of Double Effect (DDE) is mistaken. However, the way in which someone is motivated to act has a direct bearing on what Scanlon calls the act's "meaning". One particularly important kind of (...)
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  63. Friedel Weinert (2000). The Comprehensibility of the World by Nicholas Maxwell Clarendon Press, Oxford, XV + 316pp. On a Purported Error About the Doctrine of Double Effect: A Reply to Sophie Botros. Philosophy 75 (2):296-312.
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  64. Roger Wertheimer (2010). Empowering Our Military Conscience. Ashgate.
    Responding to increasing global anxiety over the ethics education of military personnel, this volume illustrates the depth, rigour and critical acuity of ...
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  65. P. A. Woodward (1997). The Importance of the Proportionality Condition to the Doctrine of Double Effect: A Response to Fischer, Ravizza, and Copp. Journal of Social Philosophy 28 (2):140-152.
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