Many believe that the ethical problems of donation after cardiocirculatory death (DCD) have been "worked out" and that it is unclear why DCD should be resisted. In this paper we will argue that DCD donors may not yet be dead, and therefore that organ donation during DCD may violate the dead donor rule. We first present a description of the process of DCD and the standard ethical rationale for the practice. We then present our concerns with DCD, including the following: (...) irreversibility of absent circulation has not occurred and the many attempts to claim it has have all failed; conflicts of interest at all steps in the DCD process, including the decision to withdraw life support before DCD, are simply unavoidable; potentially harmful premortem interventions to preserve organ utility are not justifiable, even with the help of the principle of double effect; claims that DCD conforms with the intent of the law and current accepted medical standards are misleading and inaccurate; and consensus statements by respected medical groups do not change these arguments due to their low quality including being plagued by conflict of interest. Moreover, some arguments in favor of DCD, while likely true, are "straw-man arguments," such as the great benefit of organ donation. The truth is that honesty and trustworthiness require that we face these problems instead of avoiding them. We believe that DCD is not ethically allowable because it abandons the dead donor rule, has unavoidable conflicts of interests, and implements premortem interventions which can hasten death. These important points have not been, but need to be fully disclosed to the public and incorporated into fully informed consent. These are tall orders, and require open public debate. Until this debate occurs, we call for a moratorium on the practice of DCD. (shrink)

Pediatric health care workers often perform, promote, and advocate use of public funds for animal research . We aim to determine whether HCW consider common arguments in support of AR convincing.

BackgroundTo determine whether the public and scientists consider common arguments in support of animal research convincing.MethodsAfter validation, the survey was sent to samples of public, Amazon Mechanical Turk, a Canadian city festival and children’s hospital), medical students, and scientists. We presented questions about common arguments to justify the moral permissibility of AR. Responses were compared using Chi-square with Bonferonni correction.ResultsThere were 1220 public [SSI, n = 586; AMT, n = 439; Festival, n = 195; Hospital n = 107], 194/331 medical (...) student, and 19/319 scientist [too few to report] responses. Most public respondents were <45 years, had some College/University education, and had never done AR. Most public and medical student respondents considered ‘benefits arguments’ sufficient to justify AR; however, most acknowledged that counterarguments suggesting alternative research methods may be available, or that it is unclear why the same ‘benefits arguments’ do not apply to using humans in research, significantly weakened ‘benefits arguments’. Almost all were not convinced of the moral permissibility of AR by ‘characteristics of non-human-animals arguments’, including that non-human-animals are not sentient, or are property. Most were not convinced of the moral permissibility of AR by ‘human exceptionalism’ arguments, including that humans have more advanced mental abilities, are of a special ‘kind’, can enter social contracts, or face a ‘lifeboat situation’. Counterarguments explained much of this, including that not all humans have these more advanced abilities [‘argument from species overlap’], and that the notion of ‘kind’ is arbitrary [e.g., why are we not of the ‘kind’ ‘sentient-animal’ or ‘subject-of-a-life’?]. Medical students were more supportive of AR at the end of the survey.ConclusionsResponses suggest that support for AR may not be based on cogent philosophical rationales, and more open debate is warranted. (shrink)

Health care workers often perform, promote, and advocate use of public funds for animal research ; therefore, an awareness of the empirical costs and benefits of animal research is an important issue for HCW. We aim to determine what health-care-workers consider should be acceptable standards of AR methodology and translation rate to humans.

The first annual Alchemy Lecture brings four deep and agile writers from different geographies and disciplines into vibrant conversation on a topic of urgent relevance: humans and borders. Borders, Human Itineraries, and All Our Relation captures and expands those conversations in insightful, passionate ways. Architect, artist, and urban theorist Dele Adeyemo (UK/Nigeria) calls attention to the complexity of Black infrastructures, questioning how "the environments that surround us condition the possibility of our being." Poet Natalie Diaz (US/Mojave/Akimel O'otham) writes: "Like (...) story, migration is the sensual movement of knowledge," and asks, "What is the language we need to live right now?" Philosopher Nadia Yala Kisukidi (France) suggests there is no diasporic life "without the dynamics of fabulation, where we pass down, from generation to generation, the stories of our ancestors who walked barefoot for many months." And cultural theorist Rinaldo Walcott (Canada) asks us to consider inheritances beyond white supremacist logics: "What might it mean to live a life, if we can't risk desiring and working towards utopia?" As each Alchemist considers the legacies of anticolonial struggle, the future of the planet, and the textures of Black and Indigenous life, their essays speak to each other in multiple ways, creating something startling and revelatory: a vision of the world as it is, and as it could be. (shrink)

Searches for the sources and means for a disciplined practical approach to exploring human experience.

The assessment of patients' decision‐making capacity (DMC) has become an important area of clinical practice, and since it provides the gateway for a consideration of non‐consensual treatment, has major ethical implications. Tests of DMC such as under the Mental Capacity Act (2005) for England and Wales aim at supporting autonomy and reducing unwarranted paternalism by being ‘procedural’, focusing on how the person arrived at a treatment decision. In practice, it is difficult, especially in problematic or borderline cases, to avoid a (...) consideration of beliefs and values; that is, of the substantive content of ideas rather than simple ‘cognitive’ or procedural abilities. However, little attention has been paid to how beliefs and values might be assessed in the clinical context and what kind of ‘objectivity’ is possible. We argue that key aspects of Donald Davidson's ideas of ‘Radical Interpretation’ and the ‘Principle of Charity’ provide useful guidance as to how clinicians might approach the question of whether an apparent disturbance in a person's thinking about beliefs or values undermines their DMC. A case example is provided, and a number of implications for clinical practice are discussed. (shrink)

Genetic modification of crop plants is frequently described by its proponents as a continuation of the ancient process of domestication. While domestication, crop breeding, and GM all modify the genomes and phenotypes of plants, GM fundamentally differs from domestication in terms of the biological and sociopolitical processes by which change occurs, and the subsequent impacts on agrobiodiversity and seed sovereignty. We review the history of domestication, crop breeding, and GM, and show that crop breeding and GM are continuous with each (...) other in many important ways, but represent a momentous break from domestication because they move plant evolution off of farms and into centralized institutions. The social contexts in which these processes unfold dictate who holds rights to germplasm and agricultural knowledge, shape incentives to effect particular kinds of changes in our crops, and create or constrict biodiversity. Presenting GM as a continuation of domestication puts forward a false equivalency that fundamentally misrepresents how domestication, crop breeding, and GM occur. In doing so, this narrative diminishes public understanding of these important processes and obscures the effects of industrial agriculture on in situ biodiversity and the practice of farming. This misrepresentation is used in public-facing science communication by representatives of the biotechnology industry to silence meaningful debate on GM by convincing the public that it is the continuation of an age-old process that underlies all agricultural societies. (shrink)

Theories of collective intentions must distinguish genuinely collective intentions from coincidentally harmonized ones. Two apparently equally apt ways of doing so are the ‘neo-reductionism’ of Bacharach (2006) and Gold and Sugden (2007a) and the ‘non-reductionism’ of Searle (1990, 1995). Here, we present findings from theoretical linguistics that show that we is not a cognitive primitive, but is composed of notions of I and grouphood. The ramifications of this finding on the structure both of grammatical and lexical systems suggests that an (...) understanding of collective intentionality does not require a primitive we-intention, but the notion of grouphood implicit in team reasoning, coupled with the individual concept I. This, we argue, supports neo-reductionism but poses difficulties for non-reductionism. (shrink)

The ongoing debate within neuroethics concerning the degree to which neuromodulation such as deep brain stimulation (DBS) changes the personality, identity, and agency (PIA) of patients has paid relatively little attention to the perspectives of prospective patients. Even less attention has been given to pediatric populations. To understand patients’ views about identity changes due to DBS in obsessive-compulsive disorder (OCD), the authors conducted and analyzed semistructured interviews with adolescent patients with OCD and their parents/caregivers. Patients were asked about projected impacts (...) to PIA generally due to DBS. All patient respondents and half of caregivers reported that DBS would impact patient self-identity in significant ways. For example, many patients expressed how DBS could positively impact identity by allowing them to explore their identities free from OCD. Others voiced concerns that DBS-related resolution of OCD might negatively impact patient agency and authenticity. Half of patients expressed that DBS may positively facilitate social access through relieving symptoms, while half indicated that DBS could increase social stigma. These views give insights into how to approach decision-making and informed consent if DBS for OCD becomes available for adolescents. They also offer insights into adolescent experiences of disability identity and “normalcy” in the context of OCD. (shrink)

Questions about when to limit unhelpful treatments are often raised in general medicine but are less commonly considered in psychiatry. Here we describe a survey of U.S. psychiatrists intended to characterize their attitudes about the management of suicidal ideation in patients with severely treatment-refractory illness. Respondents (n = 212) received one of two cases describing a patient with suicidal ideation due to either borderline personality disorder or major depressive disorder. Both patients were described as receiving all guideline-based and plausible emerging (...) treatments. Respondents rated the expected helpfulness and likelihood of recommending each of four types of intervention: hospitalization, additional medication changes, additional neurostimulation, and additional psychotherapy. Across both cases, most respondents said they were likely to provide each intervention, except for additional neurostimulation in borderline personality disorder, while fewer thought each intervention would be helpful. Substantial minorities of respondents indicated that they would provide an intervention they did not think was likely to be helpful. Our results suggest that while most psychiatrists recognize the possibility that some patients are unlikely to be helped by available treatments, many would continue to offer such treatments. (shrink)

International law has recently recognized that sexual atrocities can be acts of genocide. This precedent was pioneered through a landmark lawsuit in New York against Radovan Karadžić, head of the Bosnian Serbs (Kadic v. Karadzic, 1993–2000), a case in which I played a central role. I argue that we may situate this development philosophically in relation to Hannah Arendt’s Eichmann in Jerusalem: A Report on the Banality of Evil. She aims to secure a better understanding of genocide than was achieved (...) at the Nuremberg Trials (1945) and at the Eichmann trial (1961). Arendt claims that these trials were limited by formalism because they applied familiar paradigms onto these new experiences in a manner that obscured what was distinctive about them and that demanded original thinking and a new paradigm. Nuremberg obscured genocide by miscasting it as a traditional “war crime,” a problem that the Jerusalem court exposed butcould have better clarified. Through a first-hand account, I show how we too had to secure a new paradigm by treating the facts on their own terms and coining the crime as “genocidal rape.” We had to wrest this paradigm from a prevailing approach that also formally applied the category of “war crimes” onto these experiences in a way that obscured them and interfered with justice. (shrink)

In this article I offer a defence of the use of deceptive placebos—inert treatments like sugar pills or saline injections—in clinical practice. In particular, I will defend what I call the ideal placebo case—where a doctor or nurse has good reason to believe that a deceptive placebo offers a patient’s best, or only, chance of some therapeutic benefit. Taking a Kantian approach to the question of clinical placebo use, I examine the Kantian prohibition on deception as interference with the will (...) of a rational agent, and argue that deception to promote the placebo effect can be carried out in a way that does not interfere with the patient’s will in the way prohibited by Kant. The deception involved in a placebo treatment is not carried out to interfere with or obstruct the function of the will, but merely to make possible a means to the patient’s ends that that would otherwise be unavailable. I will therefore argue that deception carried out in order to promote a therapeutic placebo effect can be done in a way that is consistent with respect for a patient’s autonomy, and may be a rare case of deception that is compatible with a Kantian ethical approach. (shrink)

Thirty-eight million Polo Mints are consumed every day, apparently without a second thought. However, could this humble little minty fella actually be the gateway to true knowledge about life, the Universe and everything? We have drawn on the inspiration of Sartre, the Dalai Lama, Tao Ti Ching, Heidegger and Mahayana Buddhism to find five reasons why the Polo Mint's inner emptiness, with its sweet minty after taste, can lead to contemplations of the ultimate truth.

In recent years researchers have begun to investigate how the perceptual, motor and cognitive activities of two or more individuals become organized into coordinated action. In the first part of this introduction we identify three common threads among the ten papers of this special issue that exemplify this new line of research. First, all of the papers are grounded in the experimental study of online interactions between two or more individuals. Second, albeit at different levels of analysis, the contributions focus (...) on the mechanisms supporting joint action. Third, many of the papers investigate empirically the pre‐requisites for the highly sophisticated forms of joint action that are typical of humans. In the second part of the introduction, we summarize each of the papers, highlighting more specific connections among them. (shrink)

In my paper, I document a “travel” journey of concept formation and its concrete expression in law, which also constituted a literal travel journey across continents. Through poetic-hermeneutical approaches to language, guided by previously existing concepts stemming from experiences of the Holocaust, communism, and African-American feminist analyses of rape as an attack on a racial/ethnic group, a previously invisible domain of the human condition was charted. Throughout history, sexual atrocities have been committed within the context of wars, but their weaponisation (...) as acts of genocide remained unarticulated. This changed in the 1990s with Serbia-Yugoslavia’s genocidal wars against its neighbours (Editorial comment: The author uses the term Serbia-Yugoslavia to refer to the entity that succeeded the breakup of the Socialist Federal Republic of Yugoslavia after Croatia and Slovenia declared independence on June 25th, 1991. The SFRY up to that point consisted of the six republics Bosnia and Herzegovina, Croatia, Macedonia, Montenegro, Serbia (including the so-called autonomous regions of Kosovo and Vojvodina), and Slovenia. Further declarations of independence by Macedonia and Bosnia and Herzegovina on April 27, 1992, left only Serbia and Montenegro who the same day declared themselves to be the Federal Republic of Yugoslavia (FRY). In 2003, the Federal Republic of Yugoslavia was reconstituted as the State Union of Serbia and Montenegro, which existed until Montenegro and Serbia declared their independence (on June 3rd and June 5th, 2006, respectively)). I sketch the genesis of the concept of sexual atrocities as genocide in connection with my personal journey and how it guided legal prosecution of this “new” crime. My own travel-experience began with my association with Asja Armanda, and her discovery of coordinated mass rapes, when she came to the aid of survivors fleeing the Serbian attacks on Croatia, crimes she attempted to bring to international attention to prevent their expansion into Bosnia-Herzegovina and Kosovo. Testimonials reached me in the U.S. as well. I went to Croatia to join Armanda, where we named the crime “sexual atrocities as genocide.” On the basis of this new concept, we filed a lawsuit in New York against Bosnian Serb leader Radovan Karadžić, pioneering this crime’s recognition under international law. I conclude with philosophical questions that Putin’s similar genocidal attack on Ukraine raises today. (shrink)

In Eichmann in Jerusalem: A Report on the Banality of Evil, Hannah Arendt aims to secure a more adequate understanding of the new crime of genocide so that it can be prosecuted in a manner that better serves justice. She criticizes the Nuremberg Trials and, to a lesser extent, the Jerusalem trial of Nazi war criminal Adolf Eichmann for miscasting this unprecedented crime in terms of familiar concepts and thereby obscuring it. Arendt claims that this atrocity, instead, demanded original thinking (...) that emanated from a closer grappling with these new experiences. I argue that her criticism reflects Heideggerian phenomenology. This approach questions absolute concepts from a position more consciously planted in the world, which Heidegger considers the source of original thinking. However, Arendt extends this approach to the domain of ethics and law and confronts genocide instead of aligning with those who perpetrated it. (shrink)

The sexual abuse of women and girls, such as sexual harassment, battery, varieties of rape, prostitution, and pornography, is statistically pervasive in late modern society. Yet this fact does not register adequate ethical concern. I explore this gap in moral perception. I argue that sexual abuse is conceptually supported by an ontology of women that considers a lack of bodily integrity as natural and by a sex-specific idea of freedom that considers sexual violations as liberating. This conceptual framework is pernicious (...) because it supports abuse and interferes with our moral perception of harm, encouraging us to see harms as normal and as positive. I argue that Heidegger’s idea of philosophy and the resources of his epistemological and ontological project in Being and Time can help show the pernicious function of this conceptual framework and thus help us better understand this abuse. (shrink)

The sexual abuse of women and girls, such as sexual harassment, battery, varieties of rape, prostitution, and pornography, is statistically pervasive in late modern society. Yet this fact does not register adequate ethical concern. I explore this gap in moral perception. I argue that sexual abuse is conceptually supported by an ontology of women that considers a lack of bodily integrity as natural and by a sex-specific idea of freedom that considers sexual violations as liberating. This conceptual framework is pernicious (...) because it supports abuse and interferes with our moral perception of harm, encouraging us to see harms as normal and as positive. I argue that Heidegger’s idea of philosophy and the resources of his epistemological and ontological project in Being and Time can help show the pernicious function of this conceptual framework and thus help us better understand this abuse. (shrink)

Background: Individuals with psychopathic traits demonstrate an attenuated emotional response to aversive stimuli. However, recent evidence suggests heterogeneity in emotional reactivity among individuals with psychopathic or callous-unemotional (CU) traits, the emotional detachment dimension of psychopathy. We hypothesize that primary variants of psychopathy will respond with blunted affect to negatively valenced stimuli, whereas individuals marked with histories of childhood trauma/maltreatment exposure, known as secondary variants, will display heightened emotional reactivity. To test this hypothesis, the present study examined fear-potentiated startle between psychopathy (...) variants while viewing aversive, pleasant, and neutral scenes. Method: 238 incarcerated adolescent (M age = 16.8, SD = 1.11 years) boys completed a picture-startle paradigm and self-report questionnaires assessing CU traits, antisocial-aggressive behavior, and maltreatment. Results: Latent profile analyses identified four classes; primary variants (high CU traits, high aggression, low maltreatment; n = 46), secondary variants (high CU traits, high aggression, high maltreatment; n = 42), and two nonpsychopathic groups differentiated on maltreatment experience (n = 148). Findings from an ANOVA comparing identified groups on startle amplitude difference scores (i.e., aversive-neutral) suggested a main effect for group, F(3,196)=8.91, p<.001, η2 = .12. Primary variants of juvenile psychopathy displayed reduced startle potentiation to aversive images (threat and victim scenes), whereas secondary variants distinguished by high levels of childhood maltreatment did not. Conclusions: Findings add to a rapidly growing body of literature supporting the possibility of multiple developmental pathways to psychopathy (i.e., equifinality), and extend it by finding support for divergent potential biomarkers between primary and secondary psychopathy variants. (shrink)

In this paper, I have a twofold aim: First I wish to show to what extent the Husserlian Theory of Intersubjectivity can be relevant for contemporary empirical research and for ancestral wisdom traditions, both in their experiences and in their conceptual tools; and secondly I intend to rely on some empirical results and experiential mystical/practical reports in order to bring about some more refined phenomenological descriptions first provided by Husserl. The first aim will be the main concern here, while the (...) second will only be broached by way of initial steps towards further development. -/- I will proceed in two stages: in the first place I will give some evidence for Husserl's relevance by giving an account of his original conceptions of (a) egoic subjectivity, (b) genetic phenomenology, and (c) lived empathy. In the second place, my purpose is to indicate how much Husserl's view on infants/children, animals/ beasts, mad people/the insane and aliens/foreigners/strangers may be of some interest for scientific empirical conceptions and for practical paths of spiritual self-development. In so doing, I hope to be able (1) to confirm the accuracy of Husserl's own intuitions and analysis, and (2) to suggest some refinements in the way Husserl described such experiences. -/- Throughout this paper I will focus on two main Husserlian discoveries: (1) subjectivity is from the very start intersubjectivity; (2) infants, animals, the insane and aliens are subjects in a full sense, precisely because they are from the very beginning always already intersubjective subjects; besides, they are limit-subjectivities, who compel me in a kind of feedback to enlarge and to deepen my own subjectivity. (shrink)

First Published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.

Porter son attention sur l'attention, voilà l'urgence de notre humanisation contemporaine. Les sciences l'ont compris, qui depuis plus d'un siècle multiplient les travaux en psychologie et en neurosciences sur cette fonction complexe et globale qui forme un réseau intégré transversal où jouent mémoire, perception, veille, émotion et décision ; les techniques méditatives ont aussi leur rôle à jouer, s'adressant moins à notre intellect, comme les sciences, qu'à l'attitude fondamentale face à la vie. Elles nous proposent une clé en matière de (...) pratique de la présence à soi. Devant l'impact croissant des sciences et la visibilité actuelle des techniques méditatives, quel rôle jouera la phénoménologie? Contrairement aux autres approches philosophiques, elle possède ce plus de tenir en un regard ouvert sur le monde : par son retour à l'expérience, elle fait alliance avec la visée expérimentale des sciences et, par sa méthode de suspension, elle entre en contact avec une quête contemplative qui est prise de recul. Elle joue ainsi un rôle-charnière pour repenser l'attention en en faisant une expérience d'ouverture au monde davantage qu'un état mental interne. La phénoménologie apporte quelque chose d'inédit : une éthique de l'attention, qui réforme celle-ci en " vigilance ". (shrink)

La surprise est une question qui n’a semble-t-il guère sollicité l’attention des philosophes. Trop ordinaire, trop anecdotique : minimale. À y regarder de plus près, on découvre qu’une foule d’auteurs issus de traditions philosophiques différentes voire opposées s’y sont intéressés, qu’il s’agisse d’Aristote, de Descartes, de Smith, de Peirce, Dewey, Heidegger, Ricœur ou Maldiney, sans compter certaines formules saisissantes des cognitivistes comme Davidson ou Dennett. Bref, il y a un problèm...

The recent introduction of the concepts of tenderness, vulnerability, and parental care in the field of moral emotions has brought us closer to an understanding of the underlying mechanisms, but has not yet resulted in a systematic evolutionary and proximate analysis. Applying such an analysis, the present article proposes a hypothetical care mechanism that produces different motivational states or moral emotions in response to individuals perceived as vulnerable. The mechanism consists of a care system automatically triggered by vulnerability cues, a (...) system for defense and aggression, and a process of causally attributing changes in the vulnerable object’s well-being. The mechanism may also be useful in explaining moral responses in domains other than harm prevention. (shrink)

The goal of this paper is to explain the evolution of life through the evolution of cellular and supra-cellular closures, two distinct ways of strict delimitation against the surroundings. Such closures are a necessary precondition of organisation, semiosis, and agency. We argue that in addition to the basic, first-order, cellular closures, which have been in existence without interruption since the dawn of life, there also exist second-order closures (cell communities), which are dynamic and often formed ad hoc. Moreover, a living (...) entity may belong simultaneously to different kinds of such second-order closures. It is these second-order closures which organise cellular (and higher-order) communities and form the core of the bonds that hold the biosphere together. In second-order closures, there exist countless crisscrossing pathways leading to manifold interpretations of particular situations. We provide examples of such relationships and point to an elaborate network connecting all denizens of the biosphere. (shrink)

Context: The topic of my article, fragility, is a theme that has been little broached in philosophy and phenomenology, except by Ricœur, in the fifties, and recently Chrétien. I aim to bring it ….

This paper discusses the impact of East Asian philosophical ideas on the origins and development of martial arts. The article argues that the ideas of Daoist philosophy were developed into ‘soft styles’ or ‘internal schools’ that are based on the doctrine of ‘wuwei’ (action through non-action, effortless action) which follows the path of Yin. These styles are in opposition to ‘external’ or ‘hard styles’ of martial arts that follow the path of Yang. Daoist philosophy of ‘ziran’ (naturalness, spontaneity) influenced ‘animal’ (...) or ‘imitation styles’ and the paradigm of natural, unplanned, and unforced combat movements. The influence of Buddhism on martial arts is found in techniques of mental tranquillity training for the extreme conditions of combat. The work also shows the significance of Confucianism for the formation of a code of honor for warriors, which includes the ethics of duty and respect. (shrink)

Parole coupée, bouche bée, yeux grands ouverts, sourcils levés... Plutôt que langagière, l'expression de la surprise serait d'abord le fait du corps. On se propose dans cet ouvrage d'interroger de manière critique, voire de contrebalancer cette tendance habituelle à ranger l'expérience de la surprise du côté du silence et de l'indicible : au lieu de faire signe vers les éventuelles limites du langage et des différentes langues naturelles, la surprise ne fait-elle pas plutôt ressortir la richesse des ressources du langage (...) et la plasticité du fonctionnement des langues? Comment se dit donc la surprise? Dans quelle mesure son expression varie-t-elle d'une langue à l'autre? Le dire de la surprise est-il en lui-même un agir, à son tour producteur d'effets? Ces interrogations nous ont invités à réfléchir tant au lexique de la surprise qu'aux formes d'expression au moyen desquelles la surprise peut être non seulement exprimée mais aussi décrite, racontée, ou bien encore rationalisée, dans la langue courante, dans la logique comme dans la littérature. (shrink)