The principle of respect for autonomy is increasingly under siege as a valuable component of healthcare ethics. Its critics charge that it has been elevated to a position out of proportion to its contribution, so that the individual's wishes and rights have come to dominate healthcare decisionmaking, while obligations and responsibilities are ignored or devalued. If we are to salvage respect for autonomy we must find a way to reconnect the individual and the community, rights and responsibilities, in the way (...) we think about, discuss, and make healthcare decisions. (shrink)

The people's right to know and press rights to gather and publish information remain dominant justifications for controversial media activities. Yet, the power of the media to set the agenda for public discourse in our country warrants a careful analysis of these rights, their corresponding responsibilities, and their moral limits. This article examines the right to know and press freedom from the perspective of their shared purpose, facilitation of informed decision making. This article also demonstrates moral justification of limits on (...) right to know and press freedom based on traditional ethics theories and media impact on public discourse. (shrink)

The American Medical Association has provided a list of patient responsibilities, said to be derived from patient autonomy, without providing any justification for this derivation. In this article, the virtue of moral responsibility is proposed as a way to justify these kinds of limits on respect for individual autonomy. The need for such limits is explained by examining the traditional principles of health care ethics. What is missing in health care decision making, and can be provided by the virtue of (...) moral responsibility, is a careful consideration of the impact of individual decisions on particular others and the community, as a whole. The concept of moral responsibility as a virtue is then developed and examples of its application to health care decision making are provided. Finally, the roles of both physicians and health care ethicists in promoting the morally responsible exercise of individual autonomy are explored. (shrink)

: The principle of respect for autonomy has come under increasing attack both within health care ethics, specifically, and as part of the more general communitarian challenge to predominantly liberal values. This paper will demonstrate the importance of respect for autonomy for the social practice of assigning moral responsibility and for the development of moral responsibility as a virtue. Guided by this virtue, the responsible exercise of autonomy may provide a much-needed connection between the individual and the community.

Understanding the philosophical foundations of the principle of respect for autonomy is essential for its proper application within medical ethics. The foundations provided by Immanuel Kant's principle of humanity and John Stuart Mill's principle of liberty share substantial areas of agreement including: the grounding of respect for autonomy in the capacity for rational agency, the restriction of this principle to rational agents, and the important distinction between influence and control. Their work helps to clarify the scope and role of the (...) principle of respect for autonomy in health care delivery; its implications for truth telling, informed consent, and confidentiality; and its relationship to other moral principles, such as beneficence and distributive justice. (shrink)

In this article I provide an overview of philosophical conceptions of privacy and suggest 3 models to assist with the ethical analysis of privacy invasion by the news media. The models are framed by respect for persons, the comparison of harms and benefits, and the transfer of power. After describing the models, I demonstrate how they can be applied to news reporting that invades the privacy of public figures.

Journal of Mass Media Ethics, Volume 27, Issue 2, Page 157-159, April-June.

The coverage of national tragedies by the news media has come under increasing criticism. Yet, we continue to watch, listen, and read. One approach to resolving this conflict is through an understanding and recognition of the contribution the news media make to public discourse and public grieving.Themes from communication studies, political theory, and contemporary ethics are all employed to develop a new perspective on this type of news coverage. The perspective taken here is based on the ritual view of communication, (...) according to which the purpose of communication is the maintenance of society and the representation of shared beliefs. The argument is made that the news media in these tragic situations have the responsibility of providing needed information, stimulating public discourse, bringing us together as a community of fellow-citizens, and telling stories that engage our emotions and lead us to re-evaluate our own values, attitudes, choices, and actions. Specific examples are provided from the September 11 attacks to demonstrate that in all of these ways the news media make a valuable contribution to public grieving by initiating and supporting the kind of public discourse that can meet human needs in the face of grief and loss. (shrink)

This paper approaches the topic of visual art in medical education from a philosophical perspective, drawing on arguments from epistemology, philosophy of science, aesthetics, and contemporary ethical theory. Several medical ethicists have noted that the traditional clinical paradigm may increase the epistemic and emotional distance between patient and physician in part by focusing on the physical body and medical technology. Some of these same writers recommend a new approach to patients based on empathy and increased attention to suffering. After reviewing (...) these arguments, supporting examples, and recommendations, I explain how visual art that expresses or symbolizes the emotional response to illness could be used to introduce an additional paradigm into medical education. This would be a paradigm based on empathetic attention to patients' emotional experiences in illness. My own argument is that this additional way of perceiving and relating to patients may reduce the distance between patient and physician and may allow physicians to better meet the ideal of treating the patient as a person. (shrink)

This collection of essays examines a relationship which has provoked much current debate, the relationship between ethical theory and applied ethics. As moral philosophers have increasingly focused their attention on ethical issues in the professions and public policy development, the relevance of ethical theory to these issues and the competence of moral philosophers to address them have both been questioned.

The current interest in and discussion of virtue ethics suggests that this approach to moral decisionmaking has several distinct advantages as applied to ethical issues in healthcare delivery. For the most part, calls to incorporate the virtues of the healthcare provider in discussions of these issues have sought to supplement rather than totally replace traditional ethical theories, such as the utilitarian focus on maximizing the best overall consequences and the Kantian concern to act on the duty of respect for persons. (...) Including virtue-based ethics in such discussions allows for a more eclectic view of what should be considered in resolving difficult moral problems. As many critics of the purely principle-based approach have noted, real moral dilemmas are usually quite messy and are not easily susceptible to satisfactory resolution solely on the basis of abstract moral theories or principles. (shrink)

This article contributes to the development of a professional responsibility theory of public relations ethics. Toward that end, we examine the roles of a public relations practitioner as a professional, an institutional advocate, and the public conscience of institutions served. In the article, we review previously suggested theories of public relations ethics and propose a new theory based on the public relations professional's dual obligations to serve client organizations and the public interest.

It is commonly supposed that evolutionary explanations of cognitive phenomena involve the assumption that the capacities to be explained are both innate and modular. This is understandable: independent selection of a trait requires that it be both heritable and largely decoupled from other ”nearby’ traits. Cognitive capacities realized as innate modules would certainly satisfy these contraints. A viable evolutionary cognitive psychology, however, requires neither extreme nativism nor modularity, though it is consistent with both. In this paper, we seek to show (...) that rather weak assumptions about innateness and modularity are consistent with evolutionary explanations of cognitive capacities. Evolutionary pressures can affect the degree to which the development of a capacity is canalized by biasing acquisition/learning in ways that favor development of concepts and capacities that proved adaptive to an organism’s ancestors. (shrink)

We argue that ritual is not a by-product as Boyer & Lienard (B&L) claim, but rather an evolved adaptation for social communication that facilitates non-agonistic social interactions among non-kin. We review the neurophysiological effects of ritual and propose neural structures and networks beyond the cortical-striato-pallidal-thalamic circuit (CSPT) likely to be implicated in ritual. The adaptationist approach to ritual offers a more parsimonious model for understanding these effects as well as the findings B&L present. (Published Online February 8 2007).

This paper considers religion in relation to four recurrent traits: belief systems incorporating supernatural agents and counterintuitive concepts, communal ritual, separation of the sacred and the profane, and adolescence as a preferred developmental period for religious transmission. These co-occurring traits are viewed as an adaptive complex that offers clues to the evolution of religion from its nonhuman ritual roots. We consider the critical element differentiating religious from non-human ritual to be the conditioned association of emotion and abstract symbols. We propose (...) neurophysiological mechanisms underlying such associations and argue that the brain plasticity of human adolescence constitutes an “experience expectant” developmental period for ritual conditioning of sacred symbols. We suggest that such symbols evolved to solve an ecological problem by extending communication and coordination of social relations across time and space. (shrink)

Parallels between the mathematics of tiling, which describes geometries of visual space, and neo-Riemannian theory, which describes geometries of musical space, make it possible to show that certain paradoxes featured in the visual artworks of M. C. Escher also appear in the pitch space modelled by the neo-Riemannian Tonnetz . This article makes these paradoxes visually apparent by constructing an embodied model of triadic pitch space in accordance with principles drawn from the mathematics of tiling, on the one hand, and (...) from cognitive science, on the other – specifically, the notion that our experience of pitch relationships is governed in part by the metaphorical projection of patterns abstracted from embodied experience known as image schemas. These paradoxes are illustrated with reference to passages drawn from four compositions to whose expressive character such paradoxes contribute: the fifteenth-century motet 'Absalon fili mi'; the finale of Haydn's String Quartet in G major, Op. 76 No. 1; Brahms's Intermezzo in B minor, Op. 119 No. 1; and Wagner's Parsifal. (shrink)

Different opinions are expressed in the literature regarding when children and adolescents can start to make decisions to participate in research and give informed consent. Nurses are frequently involved in research, either as investigators or caregivers, and must therefore have a thorough understanding of consent and related issues. In this article the issues are explored from a Canadian perspective. The argument is put forward that adolescents may be capable of a greater involvement in the research consent process than is the (...) norm. Increasing adolescents’ involvement in research has the potential to enhance their growing autonomy and capabilities. Adolescents appreciate being treated with respect and dignity by adults. This can be achieved in an environment in which protection from harm does not also mean prevention from decision making. The use of empowering processes by nurses to enhance adolescent involvement will provide benefit to adolescents in their transition to adult levels of responsibility. (shrink)

In this essay, we provide an overview of how production systems can be re-engineered to improve the welfare of the animals involved. At least three potential options exist: engineering their environments to better fit the animals, engineering the animals themselves to better fit their environments, and eliminating the animals from the system by growing meat in vitro rather than on farms. The morality of consuming animal products and the conditions under which agricultural animals are maintained remain highly contentious, and when (...) concerns about animal welfare are coupled with concerns about sustainability and global food security, the problem of welfare in animal agriculture constitutes “a wicked problem,” because it is unlikely that any proposed solution will simultaneously address all the issues of concern. In the final section of this essay, we offer some observations on how debate over reforms in animal agriculture could proceed going forward. (shrink)

This paper considers religion in relation to four recurrent traits: belief systems incorporating supernatural agents and counterintuitive concepts, communal ritual, separation of the sacred and the profane, and adolescence as a preferred developmental period for religious transmission. These co-occurring traits are viewed as an adaptive complex that offers clues to the evolution of religion from its nonhuman ritual roots. We consider the critical element differentiating religious from non-human ritual to be the conditioned association of emotion and abstract symbols. We propose (...) neurophysiological mechanisms underlying such associations and argue that the brain plasticity of human adolescence constitutes an “experience expectant” developmental period for ritual conditioning of sacred symbols. We suggest that such symbols evolved to solve an ecological problem by extending communication and coordination of social relations across time and space. (shrink)

Rousseau is often portrayed as an educational and social reformer whose aim was to increase individual freedom. In this volume David Gauthier examines Rousseau's evolving notion of freedom, where he focuses on a single quest: can freedom and the independent self be regained? Rousseau's first answer is given in Emile, where he seeks to create a self-sufficient individual, neither materially nor psychologically enslaved to others. His second is in the Social Contract, where he seeks to create a citizen who (...) identifies totally with his community, experiencing his dependence on it only as a dependence on himself. Rousseau implicitly recognized the failure of these solutions. His third answer is one of the main themes of the Confessions and Reveries, where he is made for a love that merges the selves of the lovers into a single, psychologically sufficient unity that makes each 'better than free'. But is this response a chimaera? (shrink)

Loudness is the magnitude of the auditory sensation that a listener experiences when exposed to a sound. Several sound attributes are reported to affect loudness, such as the sound pressure level at the listener's ears and the spectral content. In addition to these physical attributes of the stimulus, some subjective attributes also appear to affect loudness. When presented with a sound, a listener interacts with an auditory object and can focus on several aspects of the latter. Loudness appears to differ (...) depending on how listeners apprehend this object, notably whether they focus on the sound that reaches their ears or that is produced by the source. The way listeners focus on the auditory object may depend on the stimulus itself. For instance, they might be more likely to focus on the sound emitted by the source if the latter is visible. The instructions given by the experimenters can also explicitly direct the listener's focus on the sound reaching the ears or emitted by the source. The present review aims at understanding how listeners focus on the auditory object depending on the stimuli and instructions they are provided with, and to describe how loudness depends on this focus. (shrink)

The current debate over systematicity concerns the formal conditions a scheme of mental representation must satisfy in order to explain the systematicity of thought.1 The systematicity of thought is assumed to be a pervasive property of minds, and can be characterized (roughly) as follows: anyone who can think T can think systematic variants of T, where the systematic variants of T are found by permuting T’s constituents. So, for example, it is an alleged fact that anyone who can think the (...) thought that John loves Mary can think the thought that Mary loves John, where the latter thought is a systematic variant of the former. (shrink)

In book two, Chapter eight of the essay, Locke claims that primary qualities, Unlike secondary qualities, Are really in objects and are resemblances of our ideas. The idioms of containment and of resemblance are explained as formulations of what jonathan bennett calls the analytic thesis and the causal thesis. It is argued that locke was concerned to distinguish primary qualities from what he calls secondary qualities because he thought the latter were not really qualities at all but mere powers and (...) hence not genuinely explanatory. (shrink)

Sixteenth-century Christological debates sought to clarify the philosophical implications of the hypostatic union thesis formulated at Chalcedon. The genus maiesticatum, in particular, permitted that Christ’s created human nature could be said to possess divine attributes and powers. Other systematic regions like theological anthropology were implicated in this concept as well; the elevation of Christ’s human nature provided a conceptual framework for understanding the way divine indwelling might elevate human moral capacities in the elect. Medieval Scholastics after Lombard sought to clarify (...) what type of relation indwelling might be. Was it a hypostatic union as in Christology or something else? At the start of the sixteenth-century, Protestant reformers inherited this question. Their engagement with it demonstrates the systematic implications of Christological metaphysics and clarifies conceptual continuities and shifts that occurred across this historical moment of reform. (shrink)

Through the comparative study of non-Anglophone translations of Geoffrey Chaucer's The Canterbury Tales, we can achieve the progressive goals of Emily Apter's “translational transnationalism” and Edward Said's “cosmopolitan humanism.” Both translation and humanism were intrinsic to Chaucer's initial composition of the Tales, and in turn, both shaped Chaucer's later reception, often in ways that did a disservice to his reputation and his verse. In this essay, Candace Barrington argues that comparative translation provides a means whereby new modes of translation, (...) like Apter's, can promote a different version of humanism, like Said's; she demonstrates this process in a brief philological study of Nazmi Ağıl's Turkish translation of The Squire's Tale. While we can see the infusion of Turkish values and perspectives in the new text, we can also see that the Turkish reveals new insights into Chaucer's subtle and nuanced use of language. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Promise of Martin Luther's Political Theology: Freeing Luther from the Modern Political Narrative by Michael Richard LaffinCandace L. KohliThe Promise of Martin Luther's Political Theology: Freeing Luther from the Modern Political Narrative Michael Richard Laffin NEW YORK: BLOOMSBURY / T&T CLARK, 2016. 272 pp. $121.00Is Christianity antagonistic of the political, as Machiavelli, Rousseau, and Nietzsche have all claimed? Michael Laffin argues against this position for "the life-affirming, (...) this worldliness of Christianity" by pointing to the "theologically saturated politics of [Martin] Luther" as one historical possibility (4). In particular, Laffin elevates Luther's notion of the three estates, the locus of sanctification in Luther's thought, and the Reformer's doctrine of the "two ecclesiae" as concepts holding together the "this-worldly" dimension of life with the theological tension of the fall and redemption. In this way, Laffin identifies a truly political life lived in community and a thoroughly theological politics extending from faith in the justifying God (3). Laffin defends Luther against charges of violent individualism (contra John Milbank) and quietism (contra [End Page 202] Jennifer Herdt) by highlighting the importance of the theology of the Word for Luther's treatment of politia. Per Laffin, Luther understands the Word as Christ's radically incarnate presence that transforms this-worldly communities by sanctifying the Christian's affections, which are then lived out in political relationships (chaps. 1–3). The politia therefore becomes a place of encounter with God in which the re-created human heart commits acts of moral beauty that are distinctively Christian (chaps. 4–5).One strength of Laffin's argument is his thoroughgoing critique of the constructed narratives in contemporary political theology and philosophy that construe Luther as the harbinger of modernity's ills, as the inventor of the desocialized individual via his notion of faith and a proponent of quietistic authoritarianism in his elevation of human passivity in justification. By looking outside Luther's classic "political" texts, Laffin shows that careful study of Luther's broader writings on scripture, the sacraments, and ecclesiology actually reveal complex theological theories about the place of the political in realizing the good in human life and community. Both Laffin's critique of Milbank's ontology of violence and his assertion about human moral agency in the politia presuppose, however, that Luther's theological move from justification to sanctification includes the possibility for some kind of real, effectual change in the human person. This requires a metaphysical language capable of describing ontological change, something Laffin negates when he denies Luther's creative reliance on nominalism (39). Laffin wants to assume this ontological change that makes human moral agency possible but restricts himself from engaging the historical realities of Luther's intellectual life that make his assumptions plausible. Laffin's deft critique of Milbanks and Herdt would be strengthened by a more nuanced understanding of Luther's simultaneous critique and use of nominalist theology and philosophy for contemplating human action in both divine and political relations. Here real possibilities exist for showing how Luther used nominalist principles to construct a view of human moral agency for political relationships through the theological locus of sanctification (contra Herdt) by rehabilitating human persons in relation to God (contra Milbanks).Despite this critique, Laffin's book opens up new questions about the historical narratives surrounding the secularization thesis and exactly what we mean by "political theology." Advanced political philosophers, theologians, and Christian ethicists must now reckon with the possibilities he creates for rethinking Luther's place in this narrative and the Reformer's ongoing relevance in current discussions. Laffin prompts these audiences to reconsider the extent to which the political and the theological can and do hold each other in tension, as he shows that Luther does. [End Page 203]Candace L. KohliNorthwestern UniversityCopyright © 2018 Society of Christian Ethics... (shrink)

This paper examines the ethical implications of the Clean Development Mechanism, the United Nation’s climate change initiative that provides incentives to countries and firms in developed countries to motivate investments in greenhouse gas reduction projects in developing countries. Using the tenets of agency theory, we present a solid waste management project in El Salvador as an illustrative example of how the CDM can produce a disproportionately high social cost for the most marginalized populations in the developing world. We suggest that (...) the UN needs to reformulate the CDM so that it more effectively aligns the divergent goals of multiple actors and upholds the UN’s principles for sustainable development, including ethical firm-level behavior. By providing incentives for environmental, economic, and social value creation, the CDM would not only promote ethical norms for profit-seeking firms that participate in the program but also reinforce the UN’s twin pro-poor and environmental objectives. (shrink)

Maternal health has become a top global priority. In contrast to the decline of the maternal subject (Stephens, 2011), and despite previous evidence that maternal health has struggled to find a place on the global policy agenda (Shiffman and Smith, 2007), it is now clear that the promotion of health for mothers and children is a staple of both government and private donor commitments. On humanitarian grounds, it makes sense to focus on maternal health and survival in the Global South. (...) Death related to pregnancy or childbirth is a disheartening example of needless suffering. But beyond the initial impulse to reduce suffering, what motivates and/or requires action for addressing injustice in the form of distributional inequities for maternal and reproductive health? In this article, I make a case for the necessity and validity of transnational cooperation to address maternal mortality and morbidity in the Global South. The first component of my argument addresses the transnational elements of both global interconnectedness and responsibility to act. These elements are drawn from Iris Marion Young’s philosophical justification for North-South responsibility-taking. The second component of my argument adds the concept of affective solidarity to that of transnational responsibility. My argument in this section draws from Iris Marion Young’s earlier work on identity (Young, 1990) and embodiment (Young, 1984) and expands the analysis of affective solidarity as a form of both embodiment and political commitment in order to explain the mechanism for transnational connection and understanding. And the final component of my argument explains how both of these elements – transnational responsibility and affective solidarity – support a theory of transnational maternal feminism. (shrink)

Gender differences in aggression are highly variable; there is significant evidence that this variability is as much a function of social and cultural conditions as evolutionary processes. While some of these conditions may reflect resource scarcities as Campbell proposes, others are inconsistent with her perspective or are explained equally well by other perspectives.

Looks at accounts by Locke, Fodor, Dretske, and Millikan concerning the nature of mental representation, and discusses connectionism and representation.

Is unethical conduct necessarily irrational? Answering this question requires giving an account of practical reason, of practical good, and of the source or point of wrongdoing. By the time most contemporary philosophers have done the first two, they have lost sight of the third, chalking up bad action to rashness, weakness of will, or ignorance. In this book, Candace Vogler does all three, taking as her guides scholars who contemplated why some people perform evil deeds. In doing so, she (...) sets out to at once engage and redirect contemporary debates about ethics, practical reason, and normativity. -/- Staged as a limited defense of a standard view of practical reason (an ancestor of contemporary instrumentalist views), Vogler's essay develops Aquinas's remark about three ways an action might be desirable into an exhaustive system for categorizing reasons for acting. Drawing on Elizabeth Anscombe's pioneering work on intention, Vogler argues that one sort (means/end or calculative reasons for acting) sets the terms for all sound work on practical rationality. -/- She takes up Aquinas's work on evil throughout, arguing that he provides us with a systematic theory of immorality that takes seriously the goods at issue in wrongdoing and the reasons for unethical conduct. Vogler argues that, shorn of its theological context, this theory leaves us with no systematic, uncontroversial way of arguing that wrongdoing is necessarily contrary to reason. (shrink)

The purpose of this article is to advance a new understanding of gender as a routine accomplishment embedded in everyday interaction. To do so entails a critical assessment of existing perspectives on sex and gender and the introduction of important distinctions among sex, sex category, and gender. We argue that recognition of the analytical independence of these concepts is essential for understanding the interactional work involved in being a gendered person in society. The thrust of our remarks is toward theoretical (...) reconceptualization, but we consider fruitful directions for empirical research that are indicated by our formulation. (shrink)