The American Medical Association enacted its Code of Ethics in 1847, the first such national codification. In this volume, a distinguished group of experts from the fields of medicine, bioethics, and history of medicine reflect on the development of medical ethics in the United States, using historical analyses as a springboard for discussions of the problems of the present, including what the editors call "a sense of moral crisis precipitated by the shift from a system of fee-for-service medicine to a (...) system of fee-for-system medicine, better known as 'managed care.'" The authors begin with a look at how the medical profession began to consider ethical issues in the 1800s and subsequent developments in the 1900s. They then address the sociological, historical, ethical, and legal aspects of the practice of medicine. Later chapters discuss current and future challenges to medical ethics and professional values. Appendixes display various versions of the AMA's Code of Ethics as it has evolved over time. Contributors: George J. Annas, J.D., M.P.H., Arthur Isak Applbaum, Ph.D., Robert B. Baker, Ph.D., Chester R. Burns, M.D., Ph.D., Arthur L. Caplan, Ph.D., Alexander Morgan Capron, J.D., Christine K. Cassel, M.D., Linda L. Emanuel, M.D., Ph.D., Eliot L. Freidson, Ph.D., Albert R. Jonsen, Ph.D., Stephen R. Latham, J.D., Ph.D., Susan E. Lederer, Ph.D., Florencia Luna, Ph.D., Edmund D. Pellegrino, M.D., Charles E. Rosenberg, Ph.D., Mark Siegler, M.D., Rosemary A. Stevens, Ph.D., Robert M. Tenery, Jr., M.D., Robert M. Veatch, Ph.D., John Harley Warner, Ph.D., Paul Root Wolpe, Ph.D. (shrink)
In this article I examine several criticisms of the concept of vulnerability. Rather than rejecting the concept, however, I argue that a sufficiently rich understanding of vulnerability is essential to bioethics. The challenges of international research in developing countries require an understanding of how new vulnerabilities arise from conditions of economic, social and political exclusion. A serious shortcoming of current conceptions of vulnerability in research ethics is the tendency to treat vulnerability as a label fixed on a particular subpopulation. My (...) paper examines the role of this "label" metaphor in current statements of research ethics. In contrast to this prevailing "label" metaphor, my own positive account of vulnerability develops a dynamic way of understanding the structure of the concept of vulnerability based on the idea of "layers of vulnerability." I examine several cases involving women, as they are sometimes labeled as a vulnerable population and sometimes not. My analysis demonstrates the essential role of this revised concept of vulnerability in bioethics and research ethics. (shrink)
In this article, the authors focus on Argentina's activity in the developing field of regenerative medicine, specifically stem cell research. They take as a starting point a recent article by Shawn Harmon (published in this journal) who argues that attempts to regulate the practice in Argentina are morally incoherent. The authors try to show first, that there is no such ‘attempt to legislate’ on stem cell research in Argentina and this is due to a number of reasons that they explain. (...) Second, by examining the role played by different values, conflicting legal and moral views, and the influence of various actors, they attempt to show that the legislative silence regarding stem cell research may not necessarily be a manifestation of a legal/moral disconnection but rather a survival strategy for navigating the long and heated battle on the moral status of the embryo and the kind of treatment it deserves. (shrink)
El debate en torno a Aristipo de Cirene, cuya concepción de la felicidad coloca en el centro de la escena al placer, pone en tela de juicio las afirmaciones propias de aquellas éticas nucleadas bajo el epíteto de eudemonistas. Con el desplazamiento de la felicidad del sitial del fin, Aristipo reformula la dimensión ética tradicional: a través del ejercicio de la enkráteia, y lejos de caer en un relativismo subjetivista, intenta construir una ética que tenga como base un objetivismo gnoseológico. (...) Demostraremos, además, que al ejercicio de la enkráteia cirenaica subyace la noción de autosuficiencia (autárkeia) -entendida en términos aristotélicos- del individuo. Esto nos enfrentará, irremediablemente, a la noción aristotélica de felicidad (en estrecho vínculo con la noción de enkráteia), la cual no comporta una noción de autosuficiencia individual sino que restringe la posibilidad de la autárkeia a la autosuficiencia de la pólis. The debates on Aristippus of Cyrene, whose happiness' conception puts pleasure in the center of the scene, questions the claims of those ethical nucleated under the epithet "eudemonists". Through the shift of happiness from the shrine of the goal, Aristippus reformulates the traditional ethical dimension: by the enkráteia's exercising -and far from falling into a subjective relativism- he tries to build an ethic based on an epistemological objectivity. We are going to demonstrate also that the self-sufficiency concept (autárkeia) -speaking in Aristotelian terms- of individual underlies the exercise of Cyrenaic enkráteia. It will face us inevitably to the Aristotelian concept of happiness (in close connection with the enkráteia's concept), which doesn't involve a notion of individual self-sufficiency, but rather it restricts the possibility of autárkeia to the pólis' self-sufficiency. (shrink)
The Neuroethics Affinity Group of the American Society for Bioethics and Humanities (ASBH) met for the third time in October 2007 to review progress in the field of neuroethics and consider high-impact priorities for the future. Closely aligned with ASBH's own goals of recruiting junior scholars to bioethics and mentoring them to successful careers, the Neuroethics Affinity Group placed a call for new ideas to be presented at the Group meeting, specifically by junior attendees. One group responded with the idea (...) to probe a new direction for neuroethics focused on the neuroscience of gender differences. In the spirit of full disclosure, two of the authors are a student (Chalfin) and fellow (Murphy) of the program I formerly directed at Stanford University. The third (Karkazis) is junior faculty there. The intellectual ownership of the ideas in the report below, however, are entirely theirs. Like lit torches in a juggling act, there are many directions this project can go. The report is a snapshot of these authors' first iteration of the concept of women's neuroethics. Many thanks are extended to participants of the ASBH Neuroethics Affinity Group meeting whose enthusiasm and feedback was immensely helpful in shaping the concept and moving it ahead. - Judy Illes, Editor AJOB-Neuroscience. (shrink)
Tibetan Buddhist writings frequently state that many of the things we perceive in the world are in fact illusory, as illusory as echoes or mirages. In Twelve Examples of Illusion , Jan Westerhoff offers an engaging look at a dozen illusions--including magic tricks, dreams, rainbows, and reflections in a mirror--showing how these phenomena can give us insight into reality. For instance, he offers a fascinating discussion of optical illusions, such as the wheel of fire (the "wheel" seen when a torch (...) is swung rapidly in a circle), discussing Tibetan explanations of this phenomenon as well as the findings of modern psychology, and significantly clarifying the idea that most phenomena--from chairs to trees--are similar illusions. The book uses a variety of crystal-clear examples drawn from a wide variety of fields, including contemporary philosophy and cognitive science, as well as the history of science, optics, artificial intelligence, geometry, economics, and literary theory. Throughout, Westerhoff makes both Buddhist philosophical ideas and the latest theories of mind and brain come alive for the general reader. -/- "This delightful book offers a rich and satisfying philosophical feast to anyone interested in the phenomenon of illusion itself or in the Buddhist analysis of the human condition. Westerhoff draws together classical Buddhist scholarship, contemporary cognitive science and his own judicious philosophical reflection in a serious but refreshingly accessible engagement with the Buddhist tradition in the exploration of the role of illusion in our cognitive and emotional lives." Jay L. Garfield, author of Fundamental Wisdom of the Middle Way: Nagarjuna's Mulamadhyamakakarika -/- "Jan Westerhoff creatively juxtaposes an important Buddhist study of illusion with fascinating modern researches on illusory experiences, using the latter to illuminate the former. The result is a revealing account of the pervasiveness of illusion in our cognitive experience and the very structure of our cognitive apparatus. It brings to life the Buddhist discussion of illusion, making it relevant to our everyday experience instead of being high-minded intellectual exercises only." -/- Tao Jiang, author of Contexts and Dialogue: Yogacara Buddhism and Modern Psychology on the Subliminal Mind -/- "The twelve similes for the illusory nature of this world are very profound, and Westerhoff does them wonderful justice in this excellent book." -/- Robert Thurman, Jey Tsong Khapa Professor of Buddhist Studies, Columbia University. (shrink)
Olympism is among other things a peaceful philosophy. This means in practice that the most important thing for a researcher who studies peace movement in the Olympic Games is to examine how peace movements have been developed in the Olympic Games. The development of peace movement would be verified by analyzing the torch relay, the opening ceremony, and the Olympic Truce Resolution, in particular. The purpose of this paper is to evaluate the validity of these peace movements in recent Olympic (...) Games and to clarify the problems arising from implementation of peace movement into the Olympic Games. (shrink)
In his 2002 Public Intellectuals: A Study of Decline, distinguished professor and legal theorist Richard Posner laid out for an academic audience his claim that intellectual engagement and conversation are increasingly the province of the academy and no longer torches carried by intellectual figureheads out into the public sphere. Two years later, in 2004, the best-selling Swiss writer Alain de Botton published a work of accessible nonfiction for a popular audience called Status Anxiety. In it, he argues that anxiety about (...) our status—our position in society—“possesses an exceptional capacity to inspire sorrow” (2004, ix). The two books—one from an elite academic calling fellow cognoscenti to engage the masses, the .. (shrink)
