A Reformed understanding of sickness requires that connections be drawn between the structural effects of sin and the ways that sickness is experienced in people's lives. Such an understanding can be an important resource for the bioethicist, both the bioethicist who speaks from the Reformed tradition and the bioethicist who speaks to patients and caregivers who may assume that sin and sickness are connected, but may understand that linkage in overly simplistic ways.

Connected Lives examines the account of human nature that is implicit in an ethics of care, a picture of human lives that emphasizes interdependency, embodiment, and social connectedness. The book makes important connections to the picture of human life found in theorists of love such as St. Augustine and Emmanuel Levinas, and shows that when care theory is articulated clearly, it provides resources for thinking through some of the difficult moral issues we face in the contemporary world, issues such as (...) assisted reproduction and the new genetic technologies. (shrink)

In this paper I argue that Care theory has the resources to offer an insightful and original theoretical perspective on issues in medical ethics. The paper begins with a discussion of the sort of theory Care is, and argues that it closely resembles virtue theory. After a discussion of cammon features of Care theories, I respond to a few of the criticisme that have been levied against the theory. The final section of the paper is a discussion of the question (...) of neutrality in public moral discourse. Care theory is not a neutral theory with regard to questions of the nature of the good life for humans, but I argue that this should not preclude Care from playing a part in the public debate over policy decisions. (shrink)

Traditionally, healthcare workers have had the right to refuse to participate in abortions or physician-assisted suicide, but more recently there has been a movement in white Evangelical circles to expand these rights to include the refusal of any treatment at all to same-sex couples or their children, transgender individuals, or others who offend the provider’s moral sensibilities. Religious freedom of conscience exists in an uneasy tension with laws protecting equal rights in a liberal polity, and it is a particularly fraught (...) question in the context of medicine, where providers’ consciences must be balanced against patients’ rights to access appropriate care. This article examines the refusal of care to classes of people, usually classes defined by various sexual issues with which the caregivers disagree. This expands conscientious refusals from the traditional concept of responses to actions and instead directs it at specific types of people. The article draws on Reformed thought to argue that such refusals are not justified and are, in fact, both a profound misreading of Christian morality and a new and dangerously expansive account of the right to conscientious refusal in medicine. (shrink)

"The stories are powerful, sometimes heart-rending, sometimes lyrical, but always deeply personal. And there is some very good philosophizing as part of the bargain." —Merold Westphal How can the seemingly separate lives of philosopher, feminist, and follower of a religious tradition come together in one person’s life? How does religious commitment affect philosophy or feminism? How does feminism play out in religious or philosophical commitment? Wrestling with answers to these questions, women who balance philosophy, feminism, and faith write about their (...) lives. The voices gathered here from several different traditions—Catholic, Protestant, Quaker, Jewish, and Muslim—represent diverse ethnicities, races, and ages. The challenging and poignant reflections in Philosophy, Feminism, and Faith show how critical thought can successfully mesh with religious faith and social responsibility. (shrink)

The global migration of physicians and nurses produces serious shortages in the developing world, exemplifying one of the ways that global capitalism sets up dynamics of surplus extraction from periphery to global wealth centers. This paper focuses specifically on the Ghanaian situation, and argues that an ethics of care framework offers a way of approaching the problem productively. Recognizing the various commitments and relationships that tie us together allows for a response that protects individual freedom while responding to the need (...) to maintain adequate numbers of trained health-care workers. (shrink)

Christians, health care, and basic moral reasoning -- When life ends -- Chronic illness, suffering, and Christian responses -- Organ donation and heroic medicine -- Scarce resources and Christian compassion -- Abortion -- Assisted reproduction and embryo selection -- Embryo research and cloning -- What happened to the neighbors? global health care -- The global challenge of HIV/AIDS -- Concluding thoughts.

Simone de Beauvoir's account of biology in The Second Sex offers a nuanced and well‐developed phenomenological account of the lived experience of sexual difference. It is an account of biology that recognizes the importance of embodiment for the experience of freedom, and also recognizes the ways that particular bodies shape those experiences. She provides clarity about why biology matters, and why the fact that it matters does not mean that it determines our sense of self or identity. Beauvoir's thought offers (...) important resources for contemporary scientific discussions of sex and sexuality, as can be seen by its close parallels to the view of sexual identity developed by Anne Fausto‐Sterling. It also offers an important vantage point for critiquing the simplistic, deterministic accounts of sex differences found in contemporary evolutionary psychology. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Being in Time: Selves and Narrators in Philosophy and LiteratureRuth GroenhoutBeing in Time: Selves and Narrators in Philosophy and Literature, by Genevieve Lloyd; 192 pp. New York: Routledge, 1993, $49.95 cloth, $19.95 paper.Philosophers have long been telling stories about temporal consciousness. Augustine explained it as an imperfect reflection of the eternal God in whose image persons are made; Kant explained it as the transcendental unity of apperception, assumed (...) in any act of understanding while always just out of range; Nietzsche explained it as eternal recurrence. These issues also appear in literary treatments of the self, particularly those by Proust and Woolf. In this book, Genevieve Lloyd compares a broad range of philosophical discussions to these two writers. [End Page 404]Being in Time argues for several fascinating conclusions, among them a rejection of the claim that modern and premodern philosophy implicitly assumed the existence of a unified subject. Although Proust and Woolf are often held up as paradigmatic of the fragmented self, which also plays a prominent role in Derrida, this is not a postmodern discovery, Lloyd claims; the unified subject has been problematic throughout the Western philosophical tradition. She concludes, nonetheless, that postmodern thought does represent a new departure, at least to the extent that it treats the fragmentation of self not as a problem to be solved, but as a fundamental feature of what it is to be human.Meanwhile, Being in Time also pursues a second theme: the relationship between philosophy and fictional narrative. Drawing on Ricoeur and Aristotle, Lloyd argues that the best way to understand philosophy is to approach it as a story that illuminates and explains the human self by means of metaphor. Literature and philosophy both involve the telling of stories that allow us to make sense of our world and our place in it.Does it follow that literature and philosophy are indistinguishable? They belong to the same family; each offers insight into the human condition, and does so through the medium of myth, story, narrative, or fiction. They are not identical twins, however, since philosophy uses stories and metaphors to draw connections among universals while literature tells its stories about universals by means of particulars. (Compare Hobbes’s State of Nature to Defoe’s Robinson Crusoe.) For Lloyd, though, it is a mistake to discard the narrative and literary aspects of a philosophical work in an effort to get at what might be considered its real point (namely, deductive arguments). The illuminating power of philosophy lies not in truncated arguments, but rather in the richer narratives, metaphors, and stories that are used to develop and explain them.Her claim for the unique nature of postmodern philosophy may not stand up to scrutiny—from Heraclitus through the skeptics and into the nominalist tradition of the Middle Ages, there has been a strand of Western thought that emphasizes the fragmentary, contingent nature of the self—but Lloyd’s claims for the family resemblance between literature and philosophy should be of interest to students of both subjects, particularly those concerned with the ways in which style, choice of metaphor, and narrative voice are relevant to philosophical study. The book makes an eloquent plea for reading philosophy instead of stripping its arguments of the narrative flesh with which they were originally endowed.Ruth GroenhoutSouthwest Missouri State UniversityCopyright © 1995 The Johns Hopkins University Press... (shrink)

The COVID-19 pandemic and its conflict with science denialism raises the question of how philosophers teaching bioethics should respond to debates concerning truth, scientific evidence, and medical treatment raised by their students. We suggest that philosophical responses to the spread of serious disinformation in the health care context can be effectively explored in bioethics courses through discussions of informed consent, patient autonomy, the nature of scientific evidence, and moral responsibly for one’s views in ways that are especially important in the (...) current pandemic era. Addressing these issues offers important epistemological grounding for students who will soon be making biomedical judgments and policies, as well as students who, like the rest of us, will be on the receiving end of those decisions. We argue that helping all of our students to understand the epistemological structures, and the moral consequences, of biomedicine and its detractors is a vital part of the professor’s responsibility. (shrink)

The COVID-19 pandemic and its conflict with science denialism raises the question of how philosophers teaching bioethics should respond to debates concerning truth, scientific evidence, and medical treatment raised by their students. We suggest that philosophical responses to the spread of serious disinformation in the health care context can be effectively explored in bioethics courses through discussions of informed consent, patient autonomy, the nature of scientific evidence, and moral responsibly for one’s views in ways that are especially important in the (...) current pandemic era. Addressing these issues offers important epistemological grounding for students who will soon be making biomedical judgments and policies, as well as students who, like the rest of us, will be on the receiving end of those decisions. We argue that helping all of our students to understand the epistemological structures, and the moral consequences, of biomedicine and its detractors is a vital part of the professor’s responsibility. (shrink)

" Biosemantics " was the title of a paper on mental representation originally printed in The Journal of Philosophy in 1989. It contained a much abbreviated version of the work on mental representation in Language Thought and Other Biological Categories. There I had presented a naturalist theory of intentional signs generally, including linguistic representations, graphs, charts and diagrams, road sign symbols, animal communications, the "chemical signals" that regulate the function of glands, and so forth. But the term " biosemantics " (...) has usually been applied only to the theory of mental representation. Let me first characterize a more general class of theories called "teleological theories of mental content" of which biosemantics is an example. Then I will discuss the details that distinguish biosemantics from other naturalistic teleological theories. (shrink)

What sorts of consideration can be normative reasons for action? If we systematize the wide variety of considerations that can be cited as normative reasons, do we find that there is a single kind of consideration that can always be a reason? Desire-based theorists think that the fact that you want something or would want it under certain evaluatively neutral conditions can always be your normative reason for action. Value-based theorists, by contrast, think that what plays that role are evaluative (...) facts (or the facts that subvene them) about what you want, such as the fact that having it would be good in some way. This paper argues that value-based theorists are wrong; if we try to find a single kind of consideration that can always be normative reason, we find that sometimes our reason is the fact that we want something and not any corresponding evaluative fact. (shrink)

The central aim of this book is to answer two questions: Are alternatives for choice ever incomparable? and, In what ways can items be compared? The arguments offered suggest that alternatives for choice no matter how different are never incomparable, and that the ways in which items can be compared are richer and more varied than commonly supposed. This work is the first book length treatment of the topics of incomparability, value, and practical reason.

A leading scholar in the psychology of thinking and reasoning argues that the counterfactual imagination—the creation of "if only" alternatives to ...

: This article considers what contribution the work of John Rawls can make to questions about animal ethics. It argues that there are more normative resources in A Theory of Justice for a concern with animal welfare than some of Rawls's critics acknowledge. However, the move from A Theory of Justice to Political Liberalism sees a depletion of normative resources in Rawlsian thought for addressing animal ethics. The article concludes by endorsing the implication of A Theory of Justice that we (...) look for ways other than rights discourse to respect and protect the well-being of animals. (shrink)

While it is uncontroversial to point to the liberal roots of feminism, a major issue in English-language feminist political thought over the last few decades has been whether feminism's association with liberalism should be relegated to the past. Can liberalism continue to serve feminist purposes? This book examines the positions of three contemporary feminists - Martha Nussbaum, Susan Moller Okin and Jean Hampton - who, notwithstanding decades of feminist critique, are unwilling to give up on liberalism. This book examines why, (...) and in what ways, each of these theorists believes that liberalism offers the normative and political resources for the improvement of women's situations. It also brings out and tries to explain and evaluate the differences among them, notwithstanding their shared allegiance to liberalism. In so doing, the books goes to the heart of recent debates in feminist and political theory. (shrink)

In liberal political theory, meaningful work is conceptualised as a preference in the market. Although this strategy avoids transgressing liberal neutrality, the subsequent constraint upon state intervention aimed at promoting the social and economic conditions for widespread meaningful work is normatively unsatisfactory. Instead, meaningful work can be understood to be a fundamental human need, which all persons require in order to satisfy their inescapable interests in freedom, autonomy, and dignity. To overcome the inadequate treatment of meaningful work by liberal political (...) theory, I situate the good of meaningful work within a liberal perfectionist framework, from which standpoint I develop a normative justification for making meaningful work the object of political action. To understand the content of meaningful work, I make use of Susan Wolf’s distinct value of meaningfulness, in which she brings together the dimensions of objectivity and subjectivity into the ‘bipartite value’ of meaningfulness (BVM) (Wolf, Meaning in life and why it matters, 2010). However, in order to be able to incorporate the BVM into our lives, we must become valuers, that is, co-creators of values and meanings. This demands that we acquire the relevant capabilities and status as co-authorities in the realm of value. I conclude that meaningful work is of first importance because it is a fundamental human need, and that society ought to be arranged to allow as many people as possible to experience their work as meaningful through the development of the relevant capabilities. (shrink)

Offers an analysis of three strongly contrasting primitive civilizations, showing how behavior is influenced by custom and tradition.

This article examines the attempts by John Rawls in the works published after Political Liberalism to engage with some of the feminist responses to his work. Rawls goes a long way toward addressing some of the major feministliberal concerns. Yet this has the unintended consequence of pushing justice as fairness in the direction of a more comprehensive, rather than a strictly political, form of liberalism. This does not seem to be a problem peculiar to Rawls: rather, any form of liberalism (...) hospitable to feminist concerns must be, at the very least, a partly comprehensive, rather than a strictly political, doctrine. (shrink)

This article considers the extent to which the debate about animal rights can be enriched by Richard Rorty’s theory of rights. Although Rorty’s work has enjoyed a lot of scholarly attention, commentators have not considered the implications of his arguments for animals. Nor have theorists of animal rights engaged his approach to rights. This paper argues that Rorty’s thinking holds a number of attractions for proponents of animal rights. It also considers some of its drawbacks. It is further argued that (...) Rorty’s thinking about rights avoids many of the problems that animal ethic of care theorists have found in rights discourse being applied to animals. Rorty’s work thus provides a valuable resource for bringing these two major strands within the animal ethics literature into closer theoretical kinship. (shrink)

Can quite different values be rationally weighed against one another? Can the value of one thing always be ranked as greater than, equal to, or less than the value of something else? If the answer to these questions is no, then in what areas do we find commensurability and comparability unavailable? And what are the implications for moral and legal decision making? This book struggles with these questions, and arrives at distinctly different answers.".

This Element offers the first detailed study of Catharine Trotter Cockburn's philosophy and covers her contributions to philosophical debates in epistemology, metaphysics, moral philosophy, and philosophy of religion. It examines not only Cockburn's view that sensation and reflection are the sources of knowledge, but also how she draws attention to the limitations of human understanding and how she approaches metaphysical debates through this lens. In the area of moral philosophy, this Element argues that it is helpful to take seriously Cockburn's (...) distinction between questions concerning the metaphysical foundation of morality and questions concerning the practice of morality. Moreover, this Element examines Cockburn's religious views and considers her understanding of the relation between morality and religion and her religious views concerning the resurrection and the afterlife. (shrink)

In virtue of what is something a reason for action? That is, what makes a consideration a reason to act? This is a metaphysical or meta-normative question about the grounding of reasons for action. The answer to the grounding question has been traditionally given in ‘pure’, univocal terms. This paper argues that there is good reason to understand the ground of practical normativity as a hybrid of traditional ‘pure’ views. The paper 1) surveys the three leading ‘pure’ answers to the (...) question of a normative ground, 2) examines one or two of the most difficult problems for each, proposing along the way a new objection to one, and 3) argues that a particular hybrid view about normative grounds –‘hybrid voluntarism’ – avoids each of the main problems faced by the three leading ‘pure’ views. (shrink)

If liberal theory is to move forward, it must take the political nature of family relations seriously. The beginnings of such a liberalism appear in Mary Wollstonecraft's work. Wollstonecraft's depiction of the family as a fundamentally political institution extends liberal values into the private sphere by promoting the ideal of marriage as friendship. However, while her model of marriage diminishes arbitrary power in family relations, she seems unable to incorporate enduring sexual relations between married partners.

Corruption poisons corporations in America and around the world, and has devastating consequences for the entire social fabric. In this article, we focus on organizational corruption, described as the abuse of authority for personal benefit, and draw on Weber’s three ideal-types of legitimate authority to develop a theoretical model to better understand the antecedents of different types of organizational corruption. Specifically, we examine the types of business misconduct that organizational leaders are likely to engage in, contingent on their legitimate authority, (...) motives, and justifications. We conclude by suggesting managerial implications of our theoretical model and propose directions for future research. (shrink)

This paper examines Nietzsche's views on love and marriage in the works of his middle period. Contrary to the general consensus in the secondary literature regarding Nietzsche's ideas on these matters, it shows that he offers several positive reflections on love and marriage. Indeed, at times he accepts that friendship is possible between the genders and even models marriage on friendship. Modelling marriage on friendship creates an overlap between Nietzsche's thought and that of John Stuart Mill and Harriet Taylor. However, (...) it is argued here that, albeit for different reasons, none of these visions of marriage as friendship succeeds in fully accommodating sexuality. (shrink)

Ruth Boeker offers a new perspective on Locke’s account of persons and personal identity by considering it within the context of his broader philosophical project and the philosophical debates of his day. Her interpretation emphasizes the importance of the moral and religious dimensions of his view. By taking seriously Locke’s general approach to questions of identity, Boeker shows that we should consider his account of personhood separately from his account of personal identity over time. On this basis, she argues (...) that Locke endorses a moral account of personhood, according to which persons are subjects of accountability, and that his particular thinking about moral accountability explains why he regards sameness of consciousness as necessary for personal identity over time. In contrast to some Neo-Lockean views about personal identity, Boeker argues that Locke’s account of personal identity is not psychological per se, but rather his underlying moral, religious, metaphysical, and epistemic background beliefs are relevant for understanding why he argues for a consciousness-based account of personal identity. Taking his underlying background beliefs into consideration not only sheds light on why many of his early critics do not adopt Locke’s view, but also shows why his view cannot be as easily dismissed as some of his critics assume. -/- . (shrink)

One of the major purposes of this article is to show that friendship was one of Nietzsche's central concerns and that he shared Aristotle's belief that it takes higher and lower forms. Yet Nietzsche's interest in friendship is overlooked in much of the secondary literature. An important reason for this is that this interest is most evident in the works of his middle period, and these tend to be neglected in commentaries on Nietzsche. In the works of the middle period, (...) Nietzsche suggests that there is a close connection between friendship and selfhood, contending that an individual's friendships reflect something about his or her identity. Following Aristotle, he believes that friendship can make a significant contribution to self-knowledge and self-improvement, which are both closely associated with his notion of self-overcoming. Nietzsche encourages individuals to adopt an aesthetic approach to the self: they should refashion themselves by consolidating their strengths, minimising their weaknesses and developing themselves in new directions. The works of the middle period suggest, however, that not only can friendship foster self-overcoming, but that the talent for friendship is one of the marks of a higher human being. Recognising this requires some reconsideration of Nietzsche's putative individualism and the belief that he holds great individuals to be utterly independent and indifferent to the judgements of others. It also requires a revision of the common interpretation that he is unremittingly sceptical about pity and other forms of fellow-feeling. Yet while Nietzsche generalises about friendship in the works of the middle period and contrasts its superior and inferior forms, he remains sensitive to its particularity. He never adopts a wholly formulaic approach to this relationship, but recognises that difference and responsiveness to particularity are among its central characteristics. (shrink)

This book provides a clear, simple account of techniques involved in assisted reproduction and embryo research. It thoughtfully and provocatively explores controversies raised by developments in reproductive technology since the first IVF baby in 1978, such as 'saviour siblings', designer babies, reproductive cloning and embryo research.

In his essay "Consumers Need Information: Supplementing Teleosemantics with an Input Condition" (this issue) Nicholas Shea argues, with support from the work of Peter Godfrey-Smith (1996), that teleosemantics, as David Papinau and I have articulated it, cannot explain why "content attribution can be used to explain successful behavior." This failure is said to result from defining the intentional contents of representations by reference merely to historically normal conditions for success of their "outputs," that is, of their uses by interpreting or (...) consuming mechanisms, bypassing the more traditional focus, of those who would naturalize intentional content, on causal or informational inputs. Shea proposes to "add an input condition to teleosemantics," requiring that simple representations must carry "correlational information." I am grateful to Shea for his paper, as it presents me with an opportunity to clarify two fairly central features of my position on intentional content, one of which seems to have been overlooked in the literature (Millikan 1993a), the other of which I have stated previously only in a confusing way (Millikan 2004, Chapters 3-4). The first clarification concerns the general form that I take explanation by reference to intentional states to have. The second concerns my description of "locally recurrent natural information," why this kind of information is needed in place of Shea's "correlational information" to explain what feeds simple representational systems, and why no reference to natural information is needed to account for the success of behaviors by reference to the truth of representations that motivate them. (shrink)

This paper compares ethics in countries with different cultural dimensions based on empirical data from 12 countries. The results indicate that dimensions of national culture could serve as predictors of the ethical standards desired in a specific society. The author divided societal cultural practices into desired and undesired practices. According to this study, ethics could be seen as the means for achieving a desired state in a society: for reducing some societal characteristics and increasing others. Finally, a model of the (...) impact of cultural dimensions on desired ethical standards is proposed. (shrink)

This is the second edition of a highly successful and well-received textbook on the responsible conduct of biomedical and health science research. It is aimed at faculty and graduate students in health science and biomedical science programs. In addition those on National Institute of Health research grants, administrators at universities, academic health centers, and medical and graduate schools will find the book a useful resource. The structure of the book remains the same as the first edition. Each chapter offers an (...) overview together with important primary documents and case studies concerned with core ethical issues underlying responsible research. The major changes from the first edition include new chapters providing overviews of each topic, several new published articles added to the readings, revised case studies along with an essay on how they can be used, as well as further readings and web addresses that will serve as invaluable sources of reference. (shrink)

Rather than the art of putting forward logically valid arguments leading to Truth, argumentation is here viewed as the use of verbal means ensuring an agreement on what can be considered reasonable by a given group, on a more or less controversial matter. What is acceptable and plausible is always coconstructed by subjects engaging in verbal interaction. It is the dynamism of this exchange, realized not only in natural language, but also in a specific cultural framework, that has to be (...) accounted for. From this perspective, it is not enough to reconstruct patterns of reasoning. As logos is by definition both Reason and Language, abstract schemata have to be examined in their verbal realization in a given situation of discourse. Such an approach to arguments allows for a “thick” description taking into account their discursive and communicational aspects, as well as argumentation’s constitutive dialogism and its inscription in a set of common representations, opinions and beliefs (a doxa). This approach, exemplified by the analysis of a short text on stock options borrowed from the French newspaper Libération, is an attempt at establishing a dialogue between disciplines like argumentation theories, rhetorical criticism and discourse analysis. (shrink)

Charles Taylor is one of the most influential and prolific philosophers in the English-speaking world today. The breadth of his writings is unique, ranging from reflections on artificial intelligence to analyses of contemporary multicultural societies. This thought-provoking introduction to Taylor's work outlines his ideas in a coherent and accessible way without reducing their richness and depth. His contribution to many of the enduring debates within Western philosophy is examined and the arguments of his critics assessed. Taylor's reflections on the topics (...) of moral theory, selfhood, political theory and epistemology form the core chapters within the book. Ruth Abbey engages with the secondary literature on Taylor's work and suggests that some criticisms by contemporaries have been based on misinterpretations and suggests ways in which a better understanding of Taylor's work leads to different criticisms of it. The book serves as an ideal companion to Taylor's ideas for students of philosophy and political theory, and will be welcomed by the non-specialist looking for an authoritative guide to Taylor's large and challenging body of work. (shrink)

This paper is the introduction to the volume. It gives an argumentative view of the philosophical landscape concerning incommensurability and incomparability. It argues that incomparability, not incommensurability, is the important phenomenon on which philosophers should be focusing and that the arguments for the existence of incomparability are so far not compelling.