Applied Ethics

In order to demedicalize the ethics of pre-exposure prophylaxis as HIV prevention, I consider the social effects on men who have sex with men. The Centers for Disease Control and Prevention considers MSM to be the highest risk group for contracting HIV in the USA. The ethics of using PrEP as HIV prevention among MSM, however, has both a medical dimension and a social dimension. While the medical dimension of the ethics of PrEP includes concerns about side effects, drug resistance (...) and distribution, the social dimension of the ethics of PrEP includes concerns about stigmatization, sexual and romantic relationships and sexual freedom. The medical concerns of the ethics of PrEP may take precedence over the social concerns, but there is a growing body of literature that already addresses the medical concerns. Much less attention has been given to the social concerns of the ethics of PrEP, and in this article, I aim to fill this gap in the literature. Therefore, I focus on the often-overlooked social dimension of the ethics of PrEP to help understand the connection between the risks, relationships and communities of MSM using PrEP as HIV prevention. (shrink)

This book discusses political corruption and anticorruption as a matter of public ethics. It develops a normative account of political corruption as a relationally wrongful practice that consists in an unaccountable use of the power of office. Most current discussions of what political corruption is and why it is wrong have concentrated either on explaining and assessing it as a matter of an individual’s corrupt character and motives or as a dysfunction of institutional procedures. However, surprisingly little scholarly attention has (...) been devoted to discussing the relation between these two dimensions of political corruption. This book fills this gap by showing how appreciating the specificity of this phenomenon and the depth and breadth of its wrongness requires understanding the way political corruption is a failure of the role-based interactions between the occupants of institutional roles. Political corruption is thus a matter of public ethics because it is a problem inherent to the functioning of public institutions, understood as a system of interrelated embodied roles, and the conduct of the officeholders occupying those roles. By showing the common root of the corruption of public officials and institutional practices, the book points to the need for developing and maintaining an interactively just institutional system by upholding a public ethics of office accountability. (shrink)

Today, it is widely held that while authorization may be helpful in assuring that the other jus ad bellum criteria are met, legitimate authority is not itself a condition for just recourse to war....

Justifications for the environmental restoration of the Pumalín National Park, originally known as Pumalín Nature Sanctuary, in Chile can be analyzed from a philosophical and ethical point of view. The environmental stage to which the park should be restored is defined as a moral choice, rather than an ecological one, that is based on “climax” as an a priori value that supports and guides the main restoration actions carried out in the park. This climax is a pre-settling or pre-colonization condition. (...) Defined philosophically, climax is both an ethical and political value. For these actions, the ecosystem’s health can be treated the same as that of a human’s health: each society defines the criteria and the acme of health, as well as the valid efforts to restore it. (shrink)

The work of Hans Jonas’ has been largely overlooked by environmental philosophers. His Principle of Responsibility can help guide effective development of political institutions for environmental purposes. It is possible to use this principle to develop a deliberative and environmental conception of democracy. Some implications of the social contract framework of deliberative democracy show that Jonas’ conceptualization of responsibility leads to an environmental and deliberative conception of democracy by accommodating different citizens’ senses of the good in terms of an environmentally (...) conceived global governance. (shrink)

The aim of this paper is to focus on the idea of depth developed by Arne Næss, which is related both to his research methodology and some of its anthropological/cosmological implications. Far from being purely a psychological dimension, in Næss’s perspective, the subject of depth is a methodological and ontological issue that underpins and lays the framework for the deep ecology movement. We cannot interpret the question of “depth” without considering the “relational ontology” that he himself has developed in which (...) the “ecological self” is viewed as a “relational union within the total field.” Based on this point of view, I propose that we are able to reinterpret the history of the deep ecology movement and its future, while rereading its politics, from the issue of depth. (shrink)

“Act so that the effects of your action are compatible with the permanence of genuine human life on Earth.” How can we understand Jonas’ “maxim”? Is it too anthropocentric to be of any interest for an environmental ethic? Is is too limited to survival to have a moral signification in a truly human ethic? One can argue first that it is not so much anti-Kantian than that it challenges the current prevailing “presentism” and obliges us to take into consideration not (...) only future generations, but also the context in which one anticipates these future generations to be living. Therefore, we can distinguish two different interpretations of Jonas’ maxim: in a first stage, that of sustainable development, it was understood as taking into consideration not only the needs but also the rights of future generations; in a second stage, that of an Anthropocene and ecological transition, it means that making sense of humanity implies connecting human beings to the Earth and other living beings far from opposing them. (shrink)

Recent books promote Alexander Humboldt as an environmental hero, dismissing Humboldt’s partner in exploration, the botanist Aimé Bonpland, in a few inaccurate phrases: left Europe, went native somewhere in South America, did some farming. Bonpland’s writings and his forty years of regional development, botanical research, ethno-pharmacology, and environmental conservation in Argentina and Brazil present a better model for an environmental ethics than Humboldt’s climb to fame in Europe.

A moral Kantian approach can be developed to deal with the nonidentity problem with regard to environmental intergenerationl justice—at least in cases of depletion or risky policy. Being a duty-oriented moral theory, this approach allows both that people coming into existence in a nonidentity situation can be glad to exist while simultaneously taking into account depletion or risky policy, to which their existence is causally related, as possibly being morally wrong because of a violation of moral duties.

A short reconstruction of the method of casuistry in Medieval and early Modern moral theology.

Philosophers and scientists have emphasized how our responses to global crises are often alarmingly ineffective. For example, people often prioritize a few nearby victims over many victims abroad. We wanted to understand individual differences in responses to public health crises during the COVID19 pandemic. Two experiments investigated how compliance with public health recommendations depended on messaging, cognitive style, and prior philosophical beliefs (Total N = 998). One of the two experiments found that compliance with public health recommendations was slightly improved (...) by messaging about individual victims compared to messaging about statistical victims—i.e., "flatten the curve" graphs. However, both experiments found that beliefs about morality were more potent predictors of compliance than strategic messaging or reflective reasoning. In the second experiment, religiosity and beliefs about science were similarly predictive. This suggests that non-compliance with public health recommendations may not be a matter of ineffective messaging or reasoning, but philosophical differences. (shrink)

Every day around the country, patients are discharged from hospitals without difficulty, as the interests of the hospital and the patient tend to align: both the hospital and the patient want the patient to leave and go to a setting that will promote the patient’s continued recovery. In some cases, however, this usually routine process does not go quite as smoothly. Patients may not want to leave the hospital, or they may insist on an unsafe discharge plan. In other cases, (...) there may simply be no good place for the patient to go. These complex hospital discharge situations often involve ethical, legal, financial, and practical considerations, but the ethical issues inherent in these dilemmas have received only sporadic attention from clinical ethicists at best, leaving patients, providers, administrators, and caregivers unsure about what to do. When the ethical issues are in fact brought to light, analysis usually proceeds based on a consideration of the principles of autonomy, beneficence, nonmaleficence, and justice. However, principled analysis often fails to present patients and providers with a satisfactory solution, as the principles inevitably conflict. In this paper, I argue that difficult discharges are ethical dilemmas worthy of scholarly attention that goes beyond principlism, and I argue that providers and those involved in discharge planning ought to cultivate what philosopher Alasdair MacIntyre calls “virtues of acknowledged dependence” in order to care for these patients and their families. I first trace the current conversation about difficult discharge and show that the principled approach to resolving discharge dilemmas is not sufficient. I then argue that a new approach is needed, and to that end, I offer practical ways in which MacIntyre’s account of the virtues of acknowledged dependence may help patients, providers, and family members to navigate issues of difficult discharge. (shrink)

The growing interest in sustainable development in all sectors of the economy has fostered a noteworthy shift toward responsible management education. This emerging view underscores that business schools provide students with more than just managerial knowledge as they also develop students toward responsible management. Based on socialization theory, we show how this development occurs by studying RME as a process that relates to students’ values, attitudes and behavioral intentions. With data from a large international survey of business students from 21 (...) countries, our findings show that RME facilitates students’ self-transcendence, the development of conservation values and positive attitudes toward corporate social responsibility. Further, RME is positively related to students’ CSR behavioral intentions through the mediating role of values and attitudes. In sum, this study extends socialization theory to the higher education domain to show that business schools can affect students’ prosocial, ethical values and intentions, with implications for responsible management and RME. (shrink)

In light of the large burden of chronic disease and the low rates of long-term treatment adherence contributing to high rates of morbidity and mortality worldwide, this paper contributes to better understanding the particular kind of challenge that living with chronic illness and adhering to long-term treatment can imply. Both literature on the concept of chronic disease and the experience of illness suggest going outside specific diagnostic categories to better understand the problem of adherence. After introducing the distinction of a (...) thin understanding of chronicity—merely as long duration—and a thick one—chronicity in a phenomenological sense, this paper analyses academic literature on the experience of illness and specifies it to the case of chronic diseases, introducing an original conceptual framework describing some main challenges arising from the experience of chronic disease. The framework is organised in three dimensions: failing to recover as a failure to belong, being at a loss and breaking-up with oneself. This work suggests a particular subjective state in which struggling to follow long-term treatment may seem understandable and reasonable, offering a phenomenological perspective that feeds into the ethical problems arising in chronic diseases, and shedding light on how to increase adherence without reproducing patterns of disadvantage. (shrink)

We introduce the papers in this special issue by providing an overarching perspective on the variety in kinds of commons and the ethical issues stemming from their diversity. Despite a long history of local commons management, recent decades have witnessed a surge of scholarly interest in the concept of “the commons,” including a growing management literature. This swell was impelled especially by Garrett Hardin’s paper of 1968, and the body of work generated by Elinor Ostrom and her colleagues. However, the (...) term itself has come to be used in a variety of ways. To contextualize its ethical dimensions, we map a number of commons-related concepts such as common-pool resources, common property regime, excludability and subtractability, common-pool resource types and commons or “commoning” as a source of production. Following a brief summary of papers in this special issue, the essay concludes with an identification of implications for research, practice and policy. (shrink)

This article constitutes an attempt to demonstrate the complexity of factors affecting the legitimate acquisition and reasonable exercise by a political community of the right to war as specified i...

Throughout 2019, retired athletes Martina Navratilova, Sharron Davies, Kelly Holmes and Paula Radcliffe all spoke publically about what they perceive to b...

This article analyses teaching reflection skills as a means to inculcate students’ capacity to contribute to justice. Arising out of understandings of professionalism, the rule of law, as well as m...

In their recent ‘The ethical case for non-directed postmortem sperm donation’, Hodson and Parker outline and defend the concept of voluntary non-directed postmortem sperm donation, the idea that men should be able to register their desire to donate their sperm after death for use by strangers since this would offer a potential means of increasing the quantity and heterogeneity of donor sperm. In this response, we raise some concerns about their proposal, focusing in particular on the fact that current methodologies (...) do not make for a reliable way of ensuring that sperm retrieved postmortem has a good chance of leading to conception, which is in turn likely to make potential recipients reluctant to use such sperm. These concerns add to the ethical doubts that attend aspects of the proposal, making the prospect of implementation of such a policy unlikely at best. (shrink)

This article provides an overview and analysis of recent work on the extended self, demonstrating that the boundaries of selves are fluid, shifting across biological, artifactual, and sociocultural structures. First, it distinguishes the notions of minimal self, person, and narrative self. Second, it surveys how philosophers, psychologists, and cognitive scientists argue that embodiment, cognition, emotion, consciousness, and moral character traits can be extended and what that implies for the boundaries of selves. It also reviews and responds to various criticisms and (...) counterarguments against the extended self. The main focus is on the link between the extended mind and extended self, which has received the most attention in recent literature. But accounts of the extended self developed independently of the extended mind are also briefly discussed. This article ends by drawing out some of the conceptual, methodological, and normative implications of the extended self and suggesting some directions for future research. (shrink)

In a survey on research misconduct, roughly 20% of the respondents admitted that they have submitted federal grant proposals that include scholars as research participants even though those scholars were not expected to contribute to the research effort. This manuscript argues that adding such false investigators is illegal, violating multiple federal statutes including the False Statements Act, the False Claims Act, and False, Fictitious, or Fraudulent Claims. Moreover, it is not only the offending academics and the false investigators that face (...) civil and criminal penalties because administrators may also be liable if they sign off on proposals and are in a position to know that false investigators might be included. Policy recommendations that should reduce the use of false investigators include changing institutional cultures, better training and oversight of the responsible conduct of research, and, most importantly, making all grant reviews double blind. (shrink)

In this special issue about the moral agenda after the corona crisis, I argue that the true utilitarian would not - as some have suggested - push for rapid relaxation of the lockdown "to save the economy", but rather press for more redistribution to help those whom the crisis hits the hardest. [Dutch].

This manuscript describes the institutional and clinical considerations that apply to the question of whether to mandate opioid dose reduction in patients who have received opioids long-term. It describes how a calamitous rise in addiction and overdose involving opioids has both led to a clinical recalibration by healthcare providers, and to strong incentives favoring forcible opioid reduction by policy making agencies. Neither the 2016 Guideline issued by the Centers for Disease Control and Prevention nor clinical evidence can justify or promote (...) such policies as safe or effective. (shrink)

This paper examines the lawsuits brought by state and local government entities against prescription opioid producers and sellers. It examines their potential liability as well as some of the defenses they might raise. The paper also discusses multidistrict litigation and government lawsuits in state court. It concludes that litigation is not the best solution to the opioid crisis.

Cannabis use in some individuals can meaningfully introduce de novo risk for the initiation of opioid use and development of opioid use disorder. These risks may be particularly high during adolescence when cannabis use may disrupt critical periods of neurodevelopment. Current research studying the combination of genetic and environmental factors involved in substance use disorders is poorly understood. More research is needed, particularly to identify which adolescents are most at risk and to develop effective interventions addressing contributing factors such as (...) trauma and psychiatric comorbidity. (shrink)

ABSTRACT This paper probes theories of justice underpinning the concept of equity to deconstruct the term and ascertain how best to equitably support refugee and asylum-seeking youth in U.S. schools. Building upon theories posited by John Rawls, Michael Sandel, and Amartya Sen, the paper aims to extend beyond ideal theory into a theoretical framework of equity with operationalizing potential. Recognizing refugee and asylum-seeking youth as part of the U.S. social contract and therefore bound to government support, the paper represents that (...) equitable education for these young people in our globalized world is essential from both a human rights and economic perspective. Such equitable education will only be achieved when universal minimum standards are offered to everyone and made inclusive, so that all are invited to fully participate as culturally respected learners and knowledge producers in academic spaces. (shrink)