According to the mainstream position in the bioethical definition of death debate, death is to be equated with the cessation of an organism. Given such a perspective, some bioethicists uphold the position that brain-dead patients are dead, while others claim that they are alive. Regardless of the specific opinion on the status of brain-dead patients, the mere bioethical concept of death, according to many bioethicists, has the merit of being unanimous and univocal, as well as grounded in biology. In the (...) present article, we challenge such a thesis. We provide evidence that theoretical biology operates with a plurality of equally valid organismic concepts, which imply different conclusions regarding the organismal status of a brain-dead patient. Moreover, the theoretical biology concepts of an organism are very distant from the view on an organism that appears by way of bioethicists theorizing on death. We conclude that if death is to be understood as the cessation of an organism, there is no single correct answer to the question of whether a brain-dead patient is alive or dead. (shrink)

The mainstream concept of death—the biological one—identifies death with the cessation of an organism. In this article, I challenge the mainstream position, showing that there is no single well-established concept of an organism and no universal concept of death in biological terms. Moreover, some of the biological views on death, if applied in the context of bedside decisions, might imply unacceptable consequences. I argue the moral concept of death—one similar to that of Robert Veatch—overcomes such difficulties. The moral view identifies (...) death with the irreversible cessation of a patient’s moral status, that is, a state when she can no longer be harmed or wronged. The death of a patient takes place when she is no longer capable of regaining her consciousness. In this regard, the proposal elaborated herein resembles that of Veatch yet differs from Veatch’s original project since it is universal. In essence, it is applicable in the case of other living beings such as animals and plants, provided that they have some moral status. (shrink)

Singer claims that there are two ways of challenging the fact that brain-dead patients, from whom organs are usually retrieved, are in fact biologically alive. By means of the first, the so called dead donor rule may be abandoned, opening the way to lethal organ donation. In the second, it might be posited that terms such as “life” and “death” do not have any primary biological meaning and are applicable to persons instead of organisms. This second possibility permits one to (...) acknowledge that brain-dead patients are deceased because they are irreversibly unconscious. In the commentary which follows, I will argue that Singer’s second option is preferable since it provides a higher amount of organs available for transplant, and is better suited to the meaning of “death” which occurs in ordinary language. I will also defend such a concept of death against the objections raised by Michael Nair-Collins in the article Can the brain-dead be harmed or wronged? On the moral status of brain death and its implications for organ transplantation. (shrink)

In their insightful article, Brent Kious and Margaret Battin (2019) correctly identify an inconsistency between an involuntary psychiatric commitment for suicide prevention and physician aid in dying (PAD). They declare that it may be possible to resolve the problem by articulating “objective standards for evaluating the severity of others’ suffering,” but ultimately they admit that this task is beyond the scope of their article since the solution depends on “a deep and difficult” question about comparing the worseness of two possible (...) scenarios: letting someone die (who could have been helped) with not letting someone die (whose suffering could only be alleviated by death). In our commentary, we argue that creating such standards is more difficult than the authors assume because of the many types of deep uncertainties we have to deal with: (1) diagnostic, (2) motivational, and (3) existential. (shrink)

While agreeing with the main conclusion of Dominic Wilkinson and colleagues (Wilkinson, Butcherine, and Savulescu 2019), namely, that there is no moral difference between treatment withholding and withdrawal as such, we wish to criticize their approach on the basis that it treats the widespread acceptance of withdrawal aversion (WA) as a cognitive bias. Wilkinson and colleagues understand WA as “a nonrational preference for withholding (WH) treatment over withdrawal (WD) of treatment” (22). They treat WA as a manifestation of loss aversion (...) and refer to Kahneman and colleagues (1991), which defined this effect as follows: “the disutility of giving up an object is greater that the utility associated with acquiring it” (194). In a previous work, Wilkinson and Savulescu understood nonequivalence between treatment withholding and withdrawal as a reflection of slightly different, although related, phenomena: status quo bias or omission bias (Wilkinson and Savulescu 2012, 130–131). In neither of these two papers do they describe precisely the relation between these well-known psychological effects and WA, nor do they explain why they treat these effects as examples of nonrational preferences, despite the fact that these issues have been the subject of wide-ranging discussions on the intersection of psychology, economy, and philosophy. (shrink)

The article provides a critical overview of the Polish bioethics literature concerning the shortage of organs for transplantation. Problems related to this issue bear, to a considerable degree, on the attempt to answer the question how to increase the number of organs available in ethically acceptable ways. Polish authors have focused, in this respect, on the analysis and assessment of two solutions: an opt out system of acquiring organs and a system that allows the aquisition of organs on a “free (...) market”. Both solutions have been almost unanimously negatively assessed. Apart from the presentation and critique of the positions of Polish bioethicists on this matter, an important part of the text is constituted by a report from a debate, held at the national level, on the criteria and definition of death: for it is only from the deceased donors that unpaired bodily organs, such as heart, can be taken. (shrink)

In 2017, Michael Nair-Collins formulated his Transitivity Argument which claimed that brain-dead patients are alive according to a concept that defines death in terms of the loss of moral status. This article challenges Nair-Collins’ view in three steps. First, I elaborate on the concept of moral status, claiming that to understand this notion appropriately, one must grasp the distinction between direct and indirect duties. Second, I argue that his understanding of moral status implicit in the Transitivity Argument is faulty since (...) it is not based on a distinction between direct and indirect duties. Third, I show how this flaw in Nair-Collins’ argument is grounded in the more general problems between preference utilitarianism and desire fulfillment theory. Finally, I present the constructivist theory of moral status and the associated moral concept of death and explain how this concept challenges the Transitivity Argument. According to my view, brain death constitutes a valid criterion of death since brain death is incompatible with the preserved capacity to have affective attitudes and to value anything. (shrink)

ABSTRACT:According to the mainstream bioethical stance, death constitutes the termination of an organism. This essay argues that such an understanding of death is inappropriate in the usual context of determining death, since it also has a social bearing. There are two reasons to justify this argument. First, the mainstream bioethical definition generates an organismal superposition challenge, according to which a given patient in a single physiological state might be both alive and dead, like Schrödinger's cat. Therefore, there is no clear (...) answer as to whether organ retrieval from a brain-dead patient is an act of killing or not. Second, when combined with the dead donor rule, the mainstream position in the definition of death might lead to ethically unacceptable verdicts, since there is a discrepancy between terminating an organism and depriving someone of moral status. (shrink)

Biomedical sciences cannot answer the question who should be saved from death if not everyone can be. This is an ethical issue. However, we face exactly this question when deliberating on the criteria for organ allocation. The main aim of this article is to formulate a pluralistic theory of just distribution of organs, which incorporates the tenets of utilitarianism, egalitarianism and sufficientarianism. Each constituent theory adopts a different value as a criterion for organ allocation. For utilitarianism it is a health (...) benefit for the patient, for egalitarianism it is the ratio of deserts and health-related well being, for sufficientarianism what is important is that the candidate for a transplant be situated below the sufficientarian threshold. The article presents a proposal to reconcile these three competing theories. (shrink)

The following text is a voice in the discussion around normative problems of innovative therapies. It particularly refers to the meaning of the concept of innovation, also discussed in this issue in the article by Tomasz Rzepiński "Advanced therapy medicinal products (ATMP) as products of innovative biotechnologies.".

In the article I justify the acceptability of ex vivo transplantation and I provide the ethical evaluation of trafficking in human organs from the Kantian perspective. Firstly, I refer to passages of Kant's works, where he explicitly states that depriving oneself of one’s body parts for other purposes than self-preservation is not permitted. I explain that the negative ethical evaluation of the disposal of the body parts was given various justifications by Kant. Subsequently, I provide partial criticism of this justification, (...) resulting in the recognition of the admissibility of ex vivo transplantation. Secondly, I analyse the Kantian slippery-slope argument which, as some philosophers believe, supports banning trade in human organs. It turns out, however, that this argument has wider application, namely it applies to all forms of the instrumental treatment of the human body. Using a previously introduced distinction between organs of the first and the second order, I show that the slippery-slope argument is inconclusive. However, I propose a reinterpretation of this reasoning, which results in using this argument as an additional reason to support prohibiting trade in human organs. (shrink)

It is specific for biology that the scientist himself is an integral part of his subject of study. In the article the problem of the cognitive limitations of the scientist (as a representative of a certain species belonging to the biosphere) is considered.

In the article I argue for replacing the opt-out system of organ donation, currently applied in Poland, with the Active Donor Registration system. The basic idea of the ADR system is to send a special form to all adult citizens, which would give them an opportunity to consent or dissent to the removal of organs, or to delegate their decision to their next of kin. Granting priority to declared donors – an additional assumption of ADR – would make it possible (...) for them to acquire better access to transplantation if they ever contract a disease whose effective treatment will require transplantation. I highlight the basic assumptions of both systems and describe the functioning of the Polish opt-out regulations. I also analyze the statistical data illustrating the scale of organ shortage in Poland, and I present and criticize the basic ethical principles of evaluating organ procurement systems and compare the Polish system with the ADR system from the perspective of those principles. (shrink)

The present paper constitutes an introduction to a special issue of Diametros devoted to Setting Health-Care Priorities. What Ethical Theories Tell Us by Torbjörn Tännsjö. The book in question states that there are three moral theories which have valid implications in the field of the distribution of medical resources in a healthcare system: utilitarianism, the maximin/leximin view, and egalitarianism. A number of authors have contributed to this special issue with papers which challenge this thesis. Robert E. Goodin argues that, besides (...) general moral theories, some local principles of justice might be valid. Quinn Hiroshi Gibson states that Tännsjö should have considered the Rawlsian view on justice in its contractualist reading. Jay A. Zameska argues that his “revised lexical sufficientarianism” constitutes a more reliable moral view than prioritarianism. Finally, Lasse Nielsen points out that there is more to say about distributive justice than consequentialist theories can grasp. Moreover, he puts forward an argument in defense of prioritarianism. The final article in this issue constitutes Tännsjö’s replies to his critics. (shrink)

Contents: Leszek NOWAK, Marcin PAPRZYCKI: Introduction. ON THE NATURE OF SOCIAL SYSTEM. Ulrich K. PREUSS: Political Order and Democracy. Carl Schmitt and his Influence. Katarzyna PAPRZYCKA: A Paradox in Hobbes' Philosophy of Law. Stephen L. ESQUITH: Democratic Political Dialogue. Edward JELINSKI: Democracy in Polish Reformist Socialist Thought. Katarzyna PAPRZYCKA: The Master and Slave Configuration in Hegel's System. Maurice GODELIER: Lévi-Strauss, Marx and After. A reappraisal of structuralist and Marxist tools for analyzing social logics. Krzysztof NIEDZWIADEK: On the Structure of (...) Social System. Waldemar CZAJKOWSKI: Social Being and Its Reproduction. ON RATIONALITY AND CAPTIVITY. Marek ZIO??L??KOWSKI: Power and Knowledge. Leszek NOWAK: Two Inter-Human Limits to the Rationality of Man. Marcin PAPRZYCKI: The non-Christian Model of Man. An Attempt at a Psychoanalytic Explanation. Robert EGIERT: Toward the Sophisticated Rationalistic Model of Man. ON SOCIAL REVOLUTION. Leszek NOWAK: Revolution is an Opaque Progress but a Progress Nonetheless. Katarzyna PAPRZYCKA, Marcin PAPRZYCKI: How Do Enslaved People Make Revolutions? Grzegorz TOMCZAK: Is It Worth Winning a Revolution? Krzysztof BRZECHCZYN: Civil Loop and the Absorption of Elites. Richard C. MCCLEARY: What Makes Marxist Historical Materialism Objective? Grzegorz KOTLARSKI: Classes and Masses in Social Philosophy of Rosa Luxemburg. ON REAL SOCIALISM. Ernest GELLNER: The Civil and the Sacred. Witold MARCISZEWSKI: Economics and the Idea of Information. Why socialism must have collapsed? Leszek NOWAK, Katarzyna PAPRZYCKA, Marcin PAPRZYCKI: On Multilinearity of Socialism. Achim SIEGEL: The Overrepression Cycle in the Soviet Union. An Operationalization of a Theoretical Model. Krzysztof BRZECHCZYN: The State of the Teutonic Order as a Socialist Society. DISCUSSIONS. Richard MCCLEARLY: Socioanalysis and Philosophy. W??l??odzimierz HELLER: The Public and the Private in Hannah Arendt's Political Philosophy. Methodological Remarks. Krzysztof BRZECHCZYN: Unsuccessful Conquest and Successful Subordination. A contribution to the theory of intersocial relations. (shrink)

This article attempts to investigate the potential resonances between Paul Ricoeur’s and Julia Kristeva’s theories of otherness as applied to the study of poetry by the Northern-Irish poet Sinéad Morrissey. In all of her five poetry books she explores various forms of otherness and attempts to sketch them in verse. She confronts alterity in many ways, approaching such subjects as the relationship with the body and children, encounters with foreigners, and coming to terms with what is foreign within us. This (...) article engages primarily with her experiences of China, which she recorded in the long poem “China” from her third collection, The State of Prisons. Firstly, this article tackles the question of the body, which is interpreted on the basis of Morrissey’s “post-mortem” poems. Their reading prepares the ground for further explorations of otherness, which Morrissey locates at the very heart of human subjectivity. In this way, she also manages to establish a poetic framework for an ethical consideration of otherness. By investigating the working of the human psyche, Morrissey seems to go along the lines of Kristeva and Ricoeur, who claim that otherness is inextricably linked with the formation of human subjectivity. Taking a cue from their philosophical enquiries, the article also attempts to establish where Kristeva’s and Ricoeur’s philosophies overlap. (shrink)

Celem artykułu jest poszukiwanie takiej interpretacji obecności i działania Boga w świecie, jaka pozwoliłaby zharmonizować istotne prawdy wiary z naukowym obrazem świata, którego ewolucja jest rządzona przypadkiem i pozbawiona kierunku. Poszukiwanie to jest realizowane w kilku krokach. Odwołując się do różnych koncepcji celowości wskazuje się najpierw, że jeśli można mówić o tym, że świat ma taką cechę, to nie w sensie zmierzania w określonym kierunku, lecz w sensie celowości wewnętrznej: świat ze swej natury jest skierowany na Boga. Współcześnie o Bożej (...) celowości w świecie mówi się często w kategoriach ogólnego lub szczególnego działania Boga. Artykuł, podejmując tę kwestię zmierza do wniosku, że odróżnienie aspektu naturalnego od nadnaturalnego w danym zdarzeniu jest przypuszczalnie niemożliwe. Na jeden z powodów tej niemożliwości wskazuje tzw. zasada domknięcia przyczynowego, dlatego jest ona analizowana w kolejnym punkcie artykułu. Wskazuje się tutaj między innymi na konieczność zrewidowania niektórych klasycznych koncepcji cudu. W odniesieniu zaś do takich przełomowych zdarzeń z dziejów świata, jak powstanie życia czy pojawienie się człowieka, proponuje się hipotezę niedookreśloności celu stworzenia: Bóg może realizować swoje cele w świecie rządzonym przez autentyczny przypadek, jeśli cele te są rozumiane odpowiednio subtelnie. Na przykład, jeśli celem Boga jest pojawienie się w świecie istoty zdolnej do nawiązania z nim świadomego kontaktu, to istota taka niekoniecznie musiała przyjąć postać przedstawiciela gatunku Homo sapiens. Na koniec wskazuje się na panenteizm jako na właściwą, prawdziwie chrześcijańską wizję świata, który jest „losem i przeznaczeniem” samego Boga. W tej perspektywie, detale ewolucyjnego rozwoju świata przestają być religijnie istotne, a sama religia uwalnia się ostatecznie—po części pod wpływem współczesnej nauki—„od błędu i przesądu”. (shrink)

The speech act of inquiry is generally treated as a default kind of asking questions. The widespread norm states that one inquires whether p only if one does not know that p. However, the fact that inquiring is just one kind of asking questions has received little to no attention. Just as in the declarative mood we can perform not only assertions, but various other speech acts, like guesses or predictions, so in the interrogative mood we can also make various (...) speech act types. I propose a speech-act-theoretic account of a distinct kind of question that I label exam questions. According to the proposed account, one performs an exam question p only if (i) one has access to the answer to p, and (ii) one does not officially know whether the hearer knows the answer to p. Exam questions satisfy all the necessary requirements of being a distinct kind of speech act. Additionally, my proposal contributes to the recent expansion of the normative approach to a variety of speech acts. (shrink)

The article examines the figure of the spy—alongside themes related to espionage—as employed in two books by the Northern Irish writer Ciaran Carson : the volume of poems For All We Know and the novel Exchange Place. Carson’s oeuvre is permeated with the Troubles and he has been hailed one of key writers to convey the experience of living in a modern surveillance state. His depiction of Belfast thematizes questions of terrorism, the insecurity and anxiety it causes in everyday life, (...) as well as the unceasing games of appearances and the different ways of verifying or revising identities. In Carson’s later work, however, these aspects acquire greater philosophical depth as the author uses the themes of doubles, spies, and makeshift identities to discuss writing itself, the construction of subjectivity, and the dialogic relationship with the other. Taking a cue from Paul Ricoeur’s and Julia Kristeva’s conceptions of “oneself as another,” the article examines how Carson’s spy-figures can be read as metaphors for processes of self-discovery and identity-formation, tied to the notion of “self-othering.” Carson employs the figure of the spy—who juggles identities by “donning” different clothes or languages—to scrutinize how one ventures into the dangerous territory of writing, translation and love, as well as to reconsider notions of originality and self-mastery. Ultimately, Carson conceptualizes literature as specially marked by deceptions and metamorphoses, defining in these terms the human condition. (shrink)

According to the normative approach, speech acts are governed by certain norms. Interestingly, the same is true for classes of speech acts. This paper considers the normative treatment of constatives, consisting of such classes as assertives, predictives, suggestives, and more. The classical approach is to treat these classes of illocutions as species of constatives. Recently, however, Simion (Shifty Speech and Independent Thought: Epistemic Normativity in Context, Oxford University Press, 2021) has proposed that all constatives (i) are species of assertion, and (...) (ii) are governed by the knowledge norm. I defend the classical treatment of constatives and show that Simion’s conclusion is untenable. No taxonomy of speech acts can accommodate such a view. More importantly, we can test whether a particular speech act is an assertion or not. I propose five tests of assertion, the passing of which is a necessary condition for being an assertion. Some constative speech acts fail these tests. Thus, contrary to Simion, not all constatives can be regarded as species of assertion. (shrink)

I propose an analysis of lying with uninformative speech acts. The orthodox view states that lying is restricted to assertions. However, the growing case for non-assertoric lies made by presuppositions or conventional implicatures challenges this orthodoxy. So far, the only presuppositions to have been considered as lies were informative presuppositions. In fact, uninformative lies were not discussed in the philosophical literature. However, limiting the possibility of lying to informative speech acts is too restrictive. Firstly, I show that standard, uninformative presuppositions (...) can also be lies. Secondly, I extend this picture into uninformative lies made by declarative statements. To implement my proposal, I do not need a new definition of lying. Recently popular commitment-based definitions of lying are able to properly handle uninformative lies. (shrink)

Standard semantic theories predict that non-deictic readings for complex demonstratives should be much more widely available than they in fact are. If such readings are the result of a lexical ambiguity, as Kaplan (1977) and others suggest, we should expect them to be available wherever a definite description can be used. The same prediction follows from ‘hidden argument’ theories like the ones described by King (2001) and Elbourne (2005). Wolter (2006), however, has shown that complex demonstratives admit non-deictic interpretations only (...) when a precise set of structural constrains are met. In this paper, I argue that Wolter’s results, properly understood, upend the philosophical status quo. They fatally undermine the ambiguity theory and demand a fundamental rethinking of the hidden argument approach. (shrink)

Grzegorz W. Kolodko, one of the world's leading authorities on economics and development policy and a key architect of Poland's successful economic reforms, applies his far-reaching knowledge to the past and future of the world economy, introducing a framework for understanding our global situation that transcends any single discipline or paradigm. Deploying a novel mix of scientific evaluation and personal observation, Kolodko begins with a brief discussion of misinformation and its perpetuation in economics and politics. He criticizes the simplification (...) of complex economic and social issues and investigates the link between developments in the global economy and cultural change, scientific discoveries, and political fluctuations. Underscoring the necessity of conceptual and theoretical innovation in understanding our global economic situation, Kolodko offers a provocative study of globalization and the possibility of coming out ahead in an era of worldwide interdependence. Deeply critical of neoliberalism, which sought to transfer economic control exclusively to the private sector, Kolodko explores the virtues of social-economic development and the new rules of the economic game. He concludes with a look at our near and distant future, questioning whether we have a say in its making. (shrink)

Grzegorz W. Kolodko, one of the world's leading authorities on economics and development policy and a key architect of Poland's successful economic reforms, applies his far-reaching knowledge to the past and future of the world economy, introducing a framework for understanding our global situation that transcends any single discipline or paradigm. Deploying a novel mix of scientific evaluation and personal observation, Kolodko begins with a brief discussion of misinformation and its perpetuation in economics and politics. He criticizes the simplification (...) of complex economic and social issues and investigates the link between developments in the global economy and cultural change, scientific discoveries, and political fluctuations. Underscoring the necessity of conceptual and theoretical innovation in understanding our global economic situation, Kolodko offers a provocative study of globalization and the possibility of coming out ahead in an era of worldwide interdependence. Deeply critical of neoliberalism, which sought to transfer economic control exclusively to the private sector, Kolodko explores the virtues of social-economic development and the new rules of the economic game. He concludes with a look at our near and distant future, questioning whether we have a say in its making. (shrink)

Today in Europe we are witnessing a populist turn, we could even speak of a “populist moment” that signals the crisis of neoliberal democracy. According to Chantal Mouffe, “the populist moment” is the expression of a set of heterogeneous demands, which cannot be formulated in traditional right/left frontier. The battles of our time will be between right-wing and left-wing populism. Although the current state of liberal societies appears to favor the development of a Right project, Mouffe proves that just a (...) left-wing one can uphold any kind of radicalisation of democracy. The aim of this paper is to examine the reasons for the increasing success of populist parties in European countries and to consider whether the way the present crisis is manifesting is conducive to the growth of a populist narrative, especially in its right-wing variant. (shrink)

Stojnić et al. (2013, 2017) argue that the reference of demonstratives is fixed without any contribution from the extra-linguistic context. On their `prominence/coherence' theory, the reference of a demonstrative expression depends only on its context-independent linguistic meaning. Here, we argue that Stojnić et al.’s striking claims can be maintained in only the thinnest technical sense. Instead of eliminating appeals to the extra-linguistic context, we show how the prominence/coherence theory merely suppresses them. Then we ask why one might be tempted to (...) try and offer such a view. Since we are rather sympathetic to the motivations we find, we close by sketching a more plausible alternative. (shrink)

We investigate definable topological dynamics of groups definable in an o‐minimal expansion of the field of reals. Assuming that a definable group G admits a model‐theoretic analogue of Iwasawa decomposition, namely the compact‐torsion‐free decomposition, we give a description of minimal subflows and the Ellis group of its universal definable flow in terms of this decomposition. In particular, the Ellis group of this flow is isomorphic to. This provides a range of counterexamples to a question by Newelski whether the Ellis group (...) is isomorphic to. We further extend the results to universal topological covers of definable groups, interpreted in a two‐sorted structure containing the o‐minimal sort and a sort for an abelian group. (shrink)

We define a σ-ideal J D on the set of functions ω ω with the property that a real x ∈ ω ω is a Hechler real over V if and only if x omits all Borel sets in J D . In fact we define a topology D on ω ω related to Hechler forcing such that J D is the family of first category sets in D. We study cardinal invariants of the ideal J D.