Small-scale research projects involving human subjects have been identified as being effective in developing critical appraisal skills in undergraduate students. In deciding whether to grant ethical approval to such projects, university research ethics committees must weigh the benefits of the research against the risk of harm or discomfort to the participants. As the learning objectives associated with student research can be met without the need for human subjects, the benefit associated with training new healthcare professionals cannot, in itself, justify such (...) risks. The outputs of research must be shared with the wider scientific community if it is to influence future practice. Our survey of 19 UK universities indicates that undergraduate dissertations associated with the disciplines of medicine, dentistry and pharmacy are not routinely retained in their library catalogues, thus closing a major avenue to the dissemination of their findings. If such research is unlikely to be published in a peer-reviewed journal, presented at a conference, or otherwise made available to other researchers, then the risks of harm, discomfort or inconvenience to participants are unlikely to be offset by societal benefits. Ethics committees should be satisfied that undergraduate research will be funnelled into further research that is likely to inform clinical practice before granting ethical approval. (shrink)

Emergency hormonal contraception (EHC) has been available from pharmacies in the UK without prescription for 11 years. In the Republic of Ireland this service was made available in 2011. In both jurisdictions the respective regulators have included ‘conscience clauses’, which allow pharmacists to opt out of providing EHC on religious or moral grounds providing certain criteria are met. In effect, conscientious objectors must refer patients to other providers who are willing to supply these medicines. Inclusion of such clauses leads to (...) a cycle of cognitive dissonance on behalf of both parties. Objectors convince themselves of the existence of a moral difference between supply of EHC and referral to another supplier, while the regulators must feign satisfaction that a form of regulation lacking universality will not lead to adverse consequences in the long term. We contend that whichever of these two parties truly believes in that which they purport to must act to end this unsatisfactory status quo. Either the regulators must compel all pharmacists to dispense emergency contraception to all suitable patients who request it, or a pharmacist must refuse either to supply EHC or to refer the patient to an alternative supplier and challenge any subsequent sanctions imposed by their regulator. (shrink)

A Rose Hill book. Includes bibliographical references (pages 297-302) and index.

THE ARGUMENT FROM design for the existence of God has been subject to assault on all flanks and is often thought to have lost all strategic importance in debates within philosophical theology. Yet it exhibits a remarkable resilience. Not only is it an argument of choice for ordinary believers, but its conclusions, if not its overt procedures, are presumed valid by all theists; one could hardly hold for the existence of a divine providence or plan governing created reality without drawing (...) on the intellectual capital of this argument. (shrink)

Une des façons de demander ce qu'est la philosophie est de demander simplement « qu'appelle-t-on penser ». Car en un sens, la philosophie n'est que la pensée prenant pleine conscience d'elle-même. Le fait que deux penseurs hautement originaux, suivant pourtant des chemins indépendants, révèlent de frappantes similitudes dans leur réponse à cette question, peut apparaître comme une confirmation de l'authenticité de leur pensée respective.

Not only that, but the very attempt to do so is impossible of attainment, for the human mind cannot, even in pure thought, reach the central observatory of the absolute looker-on, for the startlingly simple reason that it is only by participating in reality that it exists at all. A system is a spectacle which is there for a disengaged mind, a mind which is not itself enclosed within the panorama it beholds. For the human subject such a disengagement is (...) unthinkable. Where its possibility seems plausible --for pure reason--it is only because the systematizer neglects the one element which can never be included within his structure: his own act of thinking. Our thought does not lie open to our gaze-we cannot stand outside it and treat it as an object, and it is only the objectified which is systematizable. Because I am altogether engaged in being, no merely "objective" judgment upon it is possible. (shrink)

This study examines the manner in which Machiavelli undertakes to elaborate and to justify the notorious "realism" of his political science, which consists in a deliberate and rigorous critique of justice or moral goodness. Despite its overt appeal to the common good and republican devotion, the Discourses on Livy, I argue, supplies a pathway to the foundation of this realism: the work is addressed to "the young" who combine rare intelligence with moral and civic concern, and it is guided by (...) Machiavelli's concern to persuade such readers of the reasonableness of his amoral account of human affairs and the order of the world. Through his discourses on Livy's Romans Machiavelli undertakes to enlighten the young about the meaning of genuine virtu and the distance that allegedly separates it from the justice they currently embrace. ;An examination of Machiavelli's discussions of acquisitive necessity, domestic rule and foreign affairs in Books I and II reveals that the core of this enlightenment is a confrontation with what he understands to be the essentially pious foundation of the moral life: Machiavellian realism is a secular, and secularizing, enterprise. Machiavelli teaches those exceptional youth who are suited to become "princes" that the prosperous management of human affairs requires that the rulers of peoples abandon pious scruple and instead determine appropriate courses of action in accordance with necessities knowable through prudence or natural reason alone. However, by ascending in places to theoretical discussions about the "things of the world" , Machiavelli indicates his awareness that the adequacy of his political critique of piety ultimately depends upon his ability to demonstrate to the full satisfaction of reason the existence and sovereignty of Nature, understood as an order of impersonal necessity. Machiavelli's moral-political realism is thus shown to entail and to point towards a theoretical realism that confronts the claim that the world is ordered providentially under a just and omnipotent sovereign. (shrink)

Wittgenstein's move is admirably motivated and directed, but it suffers from basic flaws which involve it in as many problems as it has warded off. This paper will attempt to trace out some of these flaws, and also to suggest how they might have been avoided. In the process, it will invoke the aid of the ancient aphorist who seems in some ways to have been a kindred spirit of Wittgenstein, and who shares with him a stress upon the public (...) or the "common" as the key to overcoming philosophy's perplexities: Heraclitus of Ephesus. The sage who, wearied by the abstruseness of vain speculation and by the chatter of the marketplace, went off to play with the children in the temple of Artemis, may have some useful hints for the gardener in the Irish monastery, wearied by the hum of the idling engine forever "gunned" by the professional philosophers. (shrink)

In 2000, the United States Congress passed the Victims of Trafficking and Violence Protection Act requiring its State Department to issue annual Trafficking in Persons Reports (TIP Reports) describing “the nature and extent of severe forms of trafficking in persons” and assessing governmental efforts across the world to combat such trafficking against criteria established by US law. This article examines the opportunities and risks presented by the TIP Reports, tracing their evolution over the past decade and considering their impact on (...) the behavior of states. In looking to the future, the article focuses on how this influential unilateral compliance mechanism could improve its legitimacy, respond to negative impacts, and better contribute to the international legal regime around trafficking. (shrink)