It should be clear by now the extent to which many features of Thorpe's interpretation of animal behavior and of the animal mind rested, at bottom, not simply on conventional scientific proofs but on interpretive inferences, which in turn rested on a willingress to make extensions of human experience to animals. This, in turn, rested on his view of evolution and his view of reality. And these were governed by his natural theology, which was the fundamental stratum of his (...) intellectual experience.Contrary to the scientific ethos, which restricts theory choice to scientific issues alone, Thorpe's career suggests that the actual reasons for theory choice among scientists often are not limited to science, but are multiple and may sometimes be difficult to discover. It is largely because Thorpe took a public part in the natural theology enterprise that we can know something about his religious beliefs and so can see their probable influence on his scientific decisions. Similar beliefs of other scientists are sometimes harder to get at. Most may be practically beyond discovery, for the ethos of science has discouraged public professions of personal belief in relation to scientific work.101 Yet does it seem plausible that, for example, the restriction of self-consciousness to humans by some scientists is a purely scientific decision?102 Surely not, any more than that the strong influence of natural theology on Thorpe's thought means that he was not a good scientist. His natural theology may have led him into incautious enthusiasms regarding the animal mind — such as the potential if unrealizable linguistic ability of chimpanzees — through a bias in favor of the continuity of emergents in a progressive evolutionary system, just as it led him to advocate animal consciousness long before the recent upsurge of interest, but the scientific integrity of his work overall is unimpeachable. And yet, that work is not comprehensible historically as science alone. Personal philosophy must not be discounted in writing the history of recent science. This somewhat obvious conclusion (obvious to historians of science) needs emphasis, for we are still prone to think that the sciences of our own time provide their own internal dynamic that is in itself sufficient to account for their content and development. (shrink)

In this paper I argue that it is morally important for doctors to trust patients. Doctors' trust of patients lays the foundation for medical relationships which support the exercise of patient autonomy, and which lead to an enriched understanding of patients' interests. Despite the moral and practical desirability of trust, distrust may occur for reasons relating to the nature of medicine, and the social and cultural context within which medical care is provided. Whilst it may not be possible to trust (...) at will, the conscious adoption of a trusting stance is both possible and warranted as the burdens of misplaced trust fall more heavily upon patients than doctors. (shrink)

This article examines the implicit promises of fairness in evidence based medicine , namely to avoid discrimination through objective processes, and to distribute effective treatments fairly. The relationship between EBM and vulnerable groups is examined. Several aspects of EBM are explored: the way evidence is created , and the way evidence is applied in clinical care and health policy. This analysis suggests that EBM turns our attention away from social and cultural factors that influence health and focuses on a narrow (...) biomedical and individualistic model of health. Those with the greatest burden of ill health are left disenfranchised, as there is little research that is relevant to them, there is poor access to treatments, and attention is diverted away from activities that might have a much greater impact on their health. (shrink)

On the surface Kant himself seems quite clear about who is deserving of respect: The morally relevant others are all “rational, free beings” or all “human beings.” It is clear, however, that Kant does not want to identify “human beings” in this sense with members of a particular biological species, for he is explicitly open to the idea that there might be non-biologically human rational beings. Thus, for example he is explicitly open to the possibility of extraterrestrial rational beings, who (...) would not be members of the same biological species as us, but who would, presumably be worthy of respect. And it would seem possible that there are members of our biological species who are not “human” in the morally relevant sense. Given these facts, a Kantian needs to give some account of how we are to recognize who or what counts as “human” in the morally relevant sense. I argue that to be “human” in the morally relevant sense is to have the capacity for morality, and that this involves: (a) the capacity to recognize others as ends rather than merely as means and (b) the capacity to enter into relations of ethical community with us. I defend a position I name moral reliabilism. According to this position: (a) We have a quasi-perceptual capacity to directly ascribe moral status to various bits of the world around us. I will argue that this capacity is best thought of in Gibsonian terms as a capacity to pick up on certain types of social affordances; morally relevant others have the capacity to engage in ethical interaction with us, and recognizing the humanity of others involves picking up on this capacity. Those beings who are “human” in the morally relevant sense, then, afford interaction based on mutual respect. (b) We should assume as a postulate of practical reason that this capacity is reliable (although fallible). (shrink)

The central idea behind this paper is the claim that Kant's moral idea of a realm of ends is modeled on the category of community examined in his theoretical works, and that understanding Kant's account of the category of community helps us understand certain features of the idea of a realm of ends, and in particular the fact that a member of a realm of ends must be an autonomous agent. For Kant the idea of a community is essentially the (...) idea of a multitude of individuals in interaction and in this paper I will attempt to show why Kant believes that only autonomous individuals can interact. (shrink)

This paper sketches an account of public health ethics drawing upon established scholarship in feminist ethics. Health inequities are one of the central problems in public health ethics; a feminist approach leads us to examine not only the connections between gender, disadvantage, and health, but also the distribution of power in the processes of public health, from policy making through to programme delivery. The complexity of public health demands investigation using multiple perspectives and an attention to detail that is capable (...) of identifying the health issues that are important to women, and investigating ways to address these issues. Finally, a feminist account of public health ethics embraces rather than avoids the inescapable political dimensions of public health. (shrink)

If it works, I can use Putnam’s vat argument to show that I have not always been a brain-in-a-vat. It is widely thought that the vat argument is of no use against closure scepticism – that is, scepticism motivated by arguments that appeal to a closure principle. This is because, even if I can use the vat argument to show that I have not always been a BIV, I cannot use it to show that I was not recently envatted, and (...) it is thought that the claim that I am not justified in thinking that I was not recently envatted is all that the closure sceptic requires. In this paper I first argue that scenarios in which I have been recently envatted are inadequate for the sceptic’s purposes, and so the standard argument that the vat argument is of no use against closure scepticism fails. I then argue that it is not possible to revise the standard argument to meet my objection. I conclude that, if it works, I can use the vat argument as a defence against closure scepticism. (shrink)

In this paper I examine the genesis of Kant’s conception of a realm of ends, arguing that Kant first started to think of morality in terms of striving to be a member of a realm of ends, understood as an ideal community, in the early 1760s, and that he was influenced in this by his encounter with the Swedish mystic Emanuel Swedenborg. In 1766 Kant published Dreams of a Spirit Seer, a commentary on Swedenborg’s magnum opus, Heavenly Secrets. Most commentators (...) take Kant’s attitude towards Swedenborg to have been entirely negative, and argue that, at the most, Kant’s encounter with him had a purely negative impact on Kant’s development, inducing him to reject certain of his early metaphysical positions. I argue, in contrast, that Swedenborg had a positive influence on Kant’s development, particularly on his ethics, for Kant’s conception of a realm of ends is modeled on Swedenborg’s conception of heaven as a community of spirits governed by moral laws. (shrink)

Kant and Leibniz are interested in explaining how a number of individuals can come together and form a single unified composite substance. Leibniz does not have a convincing account of how this is possible. In his pre-critical writings and in his later metaphysics lectures, Kant is committed to the claim that the idea of a world is the idea of a real whole, and hence is the idea of a composite substance. This metaphysical idea is taken over into his ethical (...) writings and becomes the idea of a realm of ends. I explain why a realm of ends, should be thought of as both a unum per se and as a real whole. A realm of ends is a whole of individuals unified by laws they have given themselves, that is, it is a community of autonomous individuals. Only such a community can be thought of as a composite individual. Such a whole will be real rather than ideal because the source of the unity of the whole is intrinsic to the whole, for what gives unity to the realm are laws and the sources of the laws are the individual members of the whole. It will be a unum per se because both the laws and the individuals constituting the realm are incomplete without one another. If this reading is correct, this requires a fundamental reevaluation of Kant’s notion of autonomy. To be autonomous is not, primarily, to be understood in terms of ruling oneself, but instead must be thought of primarily in terms of being a generative source of laws for an ideal community. (shrink)

The Humean internalist finds Humean motivational theses and reasons internalism to be independently attractive. She therefore combines them, in the hope of creating a theory of reasons that is attractive for all of the reasons that each thesis is attractive. On this score, she succeeds. However, there is a drawback. Those who build a theory of reasons by combining Humean motivational theses and reasons internalism face a dilemma. If you combine these views, either you are committed to a theory of (...) reasons that allows all of a person’s reasons to simultaneously change, erratically and randomly, or you are committed to a theory of reasons that fixes a person’s reasons at birth, in which case they remain stable and unchanging over a lifetime. Neither alternative is attractive. Humean internalism cannot navigate a path between these two extremes, and this should worry the Humean internalist. (shrink)

De Interpretatione is among Aristotle's most influential and widely read writings; C. W. A. Whitaker presents the first systematic study of this work, and offers a radical new view of its aims, its structure, and its place in Aristotle's system. He shows that De Interpretatione is not a disjointed essay on ill-connected subjects, as traditionally thought, but a highly organized and systematic treatise on logic, argument, and dialectic.

Until about thirty years ago, the extent of disclosure about and consent-seeking for medical interventions was influenced by a beneficence model of professional behaviour. Informed consent shifted attention to a duty to respect the autonomy of patients. The new requirement arrived on the American scene in two separate contexts: for daily practice in 1957, and for clinical study in 1966. A confusing double standard has been established. 'Daily consent' is reviewed, if at all, only in retrospect. Doctors are merely exhorted (...) to obtain informed consent; they often minimise uncertainties about 'best' treatment and they feel duty-bound to provide patients with an unequivocal recommendation for action. 'Study consent' in a clinical trial is reviewed prospectively, and doctors are compelled by regulation to point out that there is insufficient evidence to make a rational choice between two compared treatments. It has been impossible to devise informed consent practices that satisfy, in full, the competing moral imperatives of respect for autonomy, concern for beneficence with emphasis on the value of health, and a vigil for justice. A way must be found to experiment with various discretionary approaches that would strike a realistic balance among competing interests. (shrink)

In recent years, British science policy has seen a significant shift ‘from deficit to dialogue’ in conceptualizing the relationship between science and the public. Academics in the interdisciplinary field of Science and Technology Studies (STS) have been influential as advocates of the new public engagement agenda. However, this participatory agenda has deeper roots in the political ideology of the Third Way. A framing of participation as a politics suited to post-Fordist conditions was put forward in the magazine Marxism Today in (...) the late 1980s, developed in the Demos thinktank in the 1990s, and influenced policy of the New Labour government. The encouragement of public participation and deliberation in relation to science and technology has been part of a broader implementation of participatory mechanisms under New Labour. This participatory program has been explicitly oriented toward producing forms of social consciousness and activity seen as essential to a viable knowledge economy and consumer society. STS arguments for public engagement in science have gained influence insofar as they have intersected with the Third Way politics of post-Fordism. (shrink)