Institute for Biomedical Ethics, Geneva University Medical School * Corresponding author: Médecins Sans Frontières (OCG), rue de Lausanne 78, CH-1211 Geneva 21, Switzerland. Tel.: +41 (0)22 849 89 29; Fax: +41 (0)22 849 84 88; Email: philippe_calain{at}hotmail.com ' + u + '@' + d + ' '//--> Abstract Outbreaks of filovirus (Ebola and Marburg) hemorrhagic fevers in Africa are typically the theater of rescue activities involving international experts and agencies tasked with reinforcing national authorities in clinical management, biological diagnosis, sanitation, (...) public health surveillance and coordination. These outbreaks can be seen as a paradigm for ethical issues posed by epidemic emergencies, through the convergence of such themes as: isolation and quarantine, privacy and confidentiality and the interpretation of ethical norms across different ethnocultural settings. With an emphasis on the boundaries between public health investigations and research, this article reviews specific challenges, past practices and current normative documents relevant to the application of ethical standards in the course of outbreaks of filovirus hemorrhagic fevers. Aside from commonly identified issues of informed consent and institutional review processes, we argue for more clarity over the specification of which communities are expected to share benefits, and we advocate for the use of collective definitions of duty to care and standard of care. We propose new elaborations around existing normative instruments, and we suggest some pathways toward more comprehensive approaches to the ethics of research in outbreak situations. CiteULike Connotea Del.icio.us What's this? (shrink)
The preceding article by Marc Bekoff reveals much about our current understanding of animal self-consciousness and its implications. It also reveals how much more there is to be said and considered. This response briefly examines animal self-consciousness from scientific, moral, and theological perspectives. As Bekoff emphasizes, self-consciousness is not one thing but many. Consequently, our moral relationship to animals is not simply one based on a graded hierarchy of abilities. Furthermore, the complexity of animal self-awareness can serve as stimulus (...) for thinking about issues of theodicy and soteriology in a broader sense. (shrink)
For scientific essentialists, the only logical possibilities of existence are the real (or metaphysical) ones, and such possibilities, they say, are relative to worlds. They are not a priori, and they cannot just be invented. Rather, they are discoverable only by the a posteriori methods of science. There are, however, many philosophers who think that real possibilities are knowable a priori, or that they can just be invented. Marc Lange [Lange 2004] thinks that they can be invented, and tries (...) to use his inventions to argue that the essentialist theory of counterfactual conditionals developed in Scientific Essentialism [Ellis 2001, hereafter SE] is flawed. (shrink)
Marc Lange’s new book on laws offers a restatement and development of the account he proposed in Natural Laws and Scientific Practice (Oxford University Press, 2000), henceforth NLSP, and the new material is helpfully summarized in the preface. Laws and Lawmakers presents the key idea from NLSP in a rather more reader-friendly manner – this idea being roughly that the difference between laws and accidents is that laws, unlike accidents, form a ‘stable’ set, i.e. a logically closed set of (...) truths such that they would all still hold under any counterfactual supposition consistent with the set. So, for example, the natural laws all still hold under counterfactual suppositions such as ‘had this match been struck …’, ‘had Bill Gates wanted to build a gold cube one mile across’ and so on; thus this set is stable. But the set of laws plus the accidental claim ‘there is no gold cube one mile across’ fails to hold under such counterfactual suppositions because had Bill Gates wanted to build a gold cube one mile across, such a cube might well have come into existence; thus this set is not stable. While the basic outline and defence of this idea is provided in Chapter 1, those wishing to delve into the intricate …. (shrink)
Abstract. The aim of this paper is to reconstruct the debate on Begriffstheorie between Ernst Cassirer, the Swe¬dish philosopher Konrad Marc-Wogau, and, virtually, Moritz Schlick. It took place during in the late thirties when Cassirer had immigrated to Sweden. While Cassirer argued for a rich “constitutive” theory of concepts, Marc-Wogau, and, in a different way, Schlick favored “austere” non-con¬sti¬¬tutive theories of concepts. Ironically, however, Cassirer used Schlick’s account as a weapon to counter Marc-Wogau’s criticism of his rich (...) con¬¬sti¬tu¬¬tive theory of concepts. With the help of modern Formal Concept Theory (FCT) it can be shown, however, that Marc-Wogau’s argument is flawed. (shrink)
Marc A. Hight has given us a well-researched, well-written, analytically rigorous and thoughtprovoking book about the development of idea ontology in the seventeenth and early eighteenth centuries. The book covers a great deal of material, some in significant depth, some not. The figures discussed include Descartes, Malebranche, Arnauld, Locke, Leibniz, Berkeley, and Hume. Some might think it a tall order for anyone to grapple with the central works of these figures on a subject as fundamental as the nature of (...) ideas. And while reading the book, I must admit to having had this thought a few times. Seventeen pages on Descartes’ theory of ideas, covering the development of his ontology of ideas, the distinction between formal reality and objective reality, the nature of mental representation, the contagion theory of causation, the doctrine of innate ideas as ungrounded dispositions, and the interactionism/occasionalism controversy? Wow. And yet Hight has done his homework. He knows the figures and the relevant interpretive controversies well, he focuses on many of the passages that are relevant to the book’s central thesis, and in the end offers us a compelling narrative as an alternative to what he identifies as “the traditional view of what transpired in the early modern period” (2). (shrink)
After reviewing the status of the concept of the phenomenon in Husserl’s phenomenology and the aim of successive attempts to reform, de-formalize, and to widen it, we show the difficulties of a method that, following the example of Jean-Luc Marion’s phenomenology, intends to connect the phenomenon directly to the revelation of an exteriority. We argue that, on the contrary, Marc Richir’s phenomenology, which strives to grasp the phenomenon as nothing-but-phenomenon, is more likely to capture the “meaning” of the phenomenological (...) , and hence to help us orient in the field of problems that phenomenology encounters without always knowing how to tackle them. Yet, this extension of the phenomenon’s domain does not thereby encompass everything: there may well be certain issues that require a phenomenology without phenomenon ; but the meaning of this cannot be determined before the complete reenvisioning of transcendental phenomenology. (shrink)
Health research initiatives worldwide are growing in scope and complexity, particularly as they move into the developing world. Expanding health research activity in low- and middle-income countries has resulted in a commensurate rise in the need for sound ethical review structures and functions in the form of Research Ethics Committees (RECs). Yet these seem to be lagging behind as a result of the enormous challenges facing these countries, including poor resource availability and lack of capacity. There is thus an urgent (...) need for ongoing capacity and resource development in these regions in general, and in Africa in particular. Similarly, there is a need for research and initiatives that can identify existing capacity and funding and indicate the areas where this needs to be developed.This discussion paper argues that the Mapping African Research Ethics Capacity (MARC) project is a timely initiative aimed at identifying existing capacity. MARC provides a platform and tool on the Council on Health Research for Development's (COHRED) Health Research website (HRWeb), which can be used by RECs and key stakeholders in health research in Africa to identify capacity, constraints and development needs. MARC intends to provide the first comprehensive interactive database of RECs in Africa, which will allow for the identification of key relationships and analyses of capacity. The potential of MARC lies in the mapping of current ethical review activity onto capacity needs. This paper serves as a starting point by providing a descriptive illustration of the current state of RECs in Africa. (shrink)
Theories of personal identity purport to specify truth conditions for sentences of the form 'x-at-ti is the same person as y-at-tj. Most philosophers nowadays agree that such truth conditions are to be stated in terms of psychological continuity. However; opinions vary as to how the notion of psychological continuity is to be understood. In a recent contribution to this journal, Slors offers an account in which psychological continuity is spelled out in terms of narrative connectedness between mental states.The present paper (...) argues that Slors' theory either is no theory of personal identity at all or is too weak.Towards the end of the paper, it is indicated how the problem uncovered for Slors' theory may be avoided. (shrink)
We have invented, discovered as we were shaping it, and set free from Marc Richir’s philosophy a fundamental element of comprehensibility regarding his phenomenology, which we have called ogkorhythm. The pertinence of this fundamental ogkorhythmic element is also to be found in its great problematic density, giving clarity to that which should be understood by space/time itself in contemporary French phenomenology and, in the context of this contribution, in the work of Max Loreau and Henri Maldiney. Our work mainly (...) concerns the analysis of notions of inherent volume in the work of the former and of rhythm in the work of the latter. Rhythm and volume whose meaning is, in part, derived in the light of ogkorhythm. (shrink)
Rhetoric and philosophy both constituted the main elements of literary education in the Greco-Roman world of the second century A.D. The present study deals with the relationship between both disciplines in Second Sophistic literature: Did ...
