: Faraday is often described as an experimentalist, but his work is a dialectical interplay of concrete objects, visual images, abstract, theoretically-informed visual models and metaphysical precepts. From phenomena described in terms of patterns formed by lines of force he created a general explanation of space-filling systems of force which obey both empirical laws and principles of conservation and economy. I argue that Faraday's articulation of situated experience via visual models into a theory capable of verbal expression owed much to (...) his strategy of moving—via conjectural visual models—between the phenomenology of particulars (often displayed as patterns) and the general features of dynamical phenomena which he depicted as structures. (shrink)

SummaryFaraday's concept of force is described by six assumptions. These specify a concept that is quite distinct from ‘mechanical’ conceptions of his contemporaries and interpreters. Analysis of the role of these assumptions clarifies Faraday's weighting of experimental evidence and shows how closely-linked Faraday's chemistry and physics were to his theology. It is argued that Faraday was unable to secularize his concept of force by breaking the ties between his physics and his theology of nature. Examination of his basic assumptions also (...) explains Faraday's failure to quantify his principle of conservation of force, his rejection of mechanical concepts of force and energy, and his early attempt to develop a wave-model for the conversion and transmission of electricity, magnetism, light and heat. (shrink)

I respond to the comments by Larry Hickman and Thomas Alexander about my book, A Search for Unity in Diversity: The “Permanent Hegelian Deposit” in the Philosophy of John Dewey . I focus on four issues: 1) Precisely how do I prefer to characterize Dewey’s debt to Hegel? 2) How do I justify my admittedly controversial reading of Dewey’s World War I criticisms of Hegel? 3) Where do I believe Dewey found ideas in Hegel that led him to articulate the (...) historical fallacy? 4) How do I respond to Alexander’s concern that I have underestimated the influence of William James’s Principles of Psychology (1890) on Dewey? (shrink)

The usual problems of measurement and its meaning are complicated and magnified when the object of study is in principle and in fact inaccessible. When a phenomenon occurs in a place where our instruments cannot reach, what can the relation between the instrument, its reading, and the phenomenon be? This essay asks how researchers have addressed questions about inaccessible processes of Earth's magnetic field on the surface, at the edge of space and under its surface. This case takes us (...) beyond simple contrasts of inductive and deductive methods, or field sciences versus basic sciences, to a messier, more nuanced view of inherently complex sciences. The article focuses on investigations of Earth's magnetism and electricity, but its perspectives are applicable to many areas of recent science. (shrink)

This book describes empirically ways to analyze and then to effectually utilize cognitive processes to advance discovery and invention in the sciences. It also explains how to teach these principles to students.

Paediatric research in low-income countries is essential to tackle high childhood mortality. As with all research, consent is an essential part of ethical practice for paediatric studies. Ethics guidelines recommend that parents or another proxy provide legal consent for children to participate, but that children should be involved in the decision through providing assent. However, there remain uncertainties about how to judge when children are ready to give assent and about appropriate assent processes. Malawi does not yet have detailed guidelines (...) on assent. Understanding perspectives among children and their parents can assist in developing contextually-appropriate assent guidance. Qualitative research was conducted with children and parents in three settings in Southern Malawi, to take account of any variations between socioeconomic and cultural contexts. In each setting, interviews were conducted with parents and their children who had participated in paediatric research to understand their experiences of assent and views on appropriate assent practice. Focus groups were also conducted with children and parents, to understand broader social perspectives. We found widespread support for involving children in decisions on research participation. Participants identified a range of factors that affect children’s capacity to give assent, including intellectual capacity, emotional development, life experience and cultural norms. Age was often mentioned as a consideration, but deemed an unreliable sole indicator of capacity to assent. In relation to appropriate assent processes, participants emphasised considerations such as supporting effective understanding and minimizing harms. Views on how to achieve these aims varied; for example, there were different ideas about the appropriate order in which to approach children and parents, and about whose decision to respect in the event of disagreement. Parents and children agreed about the value of involving children in decisions on research, and about the need to promote children’s decision-making capacity while respecting parents’ interests in children’s welfare. Developing practical guidance that meets these principles is challenging, particularly given the need for flexible approaches that suit different study types, children’s capacities and family environments. Further discussion within the Malawi research and ethics community will help develop contextually-appropriate guidelines. (shrink)

Value Sensitive Design (VSD) is an established method for integrating values into technical design. It has been applied to different technologies and, more recently, to artificial intelligence (AI). We argue that AI poses a number of challenges specific to VSD that require a somewhat modified VSD approach. Machine learning (ML), in particular, poses two challenges. First, humans may not understand how an AI system learns certain things. This requires paying attention to values such as transparency, explicability, and accountability. Second, ML (...) may lead to AI systems adapting in ways that ‘disembody’ the values embedded in them. To address this, we propose a threefold modified VSD approach: 1) integrating a known set of VSD principles (AI4SG) as design norms from which more specific design requirements can be derived; 2) distinguishing between values that are promoted and respected by the design to ensure outcomes that not only do no harm but also contribute to good; and 3) extending the VSD process to encompass the whole life cycle of an AI technology in order to monitor unintended value consequences and redesign as needed. We illustrate our VSD for AI approach with an example use case of a SARS-CoV-2 contact tracing app. (shrink)

This article presents the promising framework for educational decision makers developed by Brighouse, Ladd, Loeb, and Swift. The framework consists of an account of the educational goods, distributional principles and independent values at stake in education, and a method for making policy decisions on the basis of these and solid social science. I present three criticisms of this approach. The first says that the derivation of educational goods proceeds on the basis of a too narrow conception of values. I suggest (...) that this foundation should consist of an overlapping consensus, rather than flourishing. The second criticism has to do with the way that the distributive principles are characterized. I argue that BLLS’s characterization of distributive principles should be complemented with accounts of what domains of social life these principles regulate and a specification of whether the distributive principles should be understood as applying over time or at specific instances. The final criticism is that BLLS’s conception of independent values focuses solely on values that constrain the pursuit of educational goods. I claim that this part of the framework should be revised to include aspects of values that also support this pursuit. I conclude arguing that the BLLS frameworks should be further developed rather than rejected. (shrink)

Some virtue ethicists are reluctant to consider principles and standards in business ethics. However, this is problematic. This paper argues that realistic Personalism can be integrated into virtue-based business ethics, giving it a more complete base. More specifically, two principles are proposed: the Personalist Principle (PP) and the Common Good Principle (CGP). The PP includes the Golden Rule and makes explicit the duty of respect, benevolence, and care for people, emphasizing human dignity and the innate rights of (...) every human being. The CGP entails cooperation to promote conditions which enhance the opportunity for the human flourishing of all people within a community. Both principles have practical implications for business ethics. (shrink)

What makes religion not only possible but necessary for a meaningful human life is the fact that human nature is meant for good but ends up being mired in evil. Religion's task is to solve this problem. We might portray reason as “bumping its head” on the inexorable limits of necessary ignorance when it attempts to answer the two questions: where does moral evil come from? and how can we overcome its powerful influence on us? Immanuel Kant regards (...) class='Hi'>good and evil as equal and opposite rational principles. Kant focuses on two key questions: (1) must an example of the archetype be fully human? and (2) could we also rightly regard such an archetype as divine? This chapter also examines the answers Kant proposes along with side comments he makes on various other issues in Christology. (shrink)

The ongoing global economic and financial crisis has exposed the risks of considering market and business organizations only as instruments for creating economic wealth while paying little heed to their role in ethics and values. Catholic Social Teaching (CST) could provide a useful contribution in rethinking the role of values in business organizations and markets because CST puts forward an anthropological view that involves thinking of the marketplace as a community of persons with the aim of participating in the Common (...) Good (CG) of society. In the light of the CST tradition, and in particular Caritas in Veritate , this article investigates the thinking of some of the historical scholars of the Italian Economia Aziendale ( EA ), by focusing on the concept of azienda , in order to reinterpret in a more humanistic way the role of business organizations in society. By linking CST and EA , the dichotomy between for-profit and not-for-profit organizations and the stereotype of the so-called business amorality that has, for a long time, driven business managers can be transcended. The conclusions imply a forward-looking application of the ethical concepts embedded in the Italian science of EA. (shrink)

This chapter explains that the principle of personal good is a principle of separability in the dimension of people. Together with the coherence of good, it provides a basis for applying the separability theorem across the two dimensions of people and states of nature. This chapter starts by qualifying the principle of personal good in some ways, and explains the defence of the principle. One possible line of defence is metaphysical. It is to (...) argue that suprapersonal entities such as nations are simply aggregates of people, and therefore cannot possess a good of their own apart from the good of the people who make them up. The principle is intended to apply to probability‐relative goodness to the goodness of uncertain prospects. The chapter defends it as applied to outcomes, and then extends the argument to probability‐relative goodness. An argument is certainly needed to justify the principle of personal good for probability‐relative goodness. (shrink)

Although stakeholder theory is concerned with stakeholder engagement, substantive operational barometers of engagement are lacking in the literature. This theoretical paper attempts to strengthen the accountability aspect of normative stakeholder theory with a more robust notion of stakeholder engagement derived from the concept of good faith. Specifically, it draws from the labor relations field to argue that altered power dynamics are essential underpinnings of a viable stakeholder engagement mechanism. After describing the tenets of substantive engagement, the paper draws from (...) the labor relations and commercial law literatures to describe the characteristics of good faith as dialogue, negotiation, transparency, and totality of conduct; explains how they can be adapted and applied to the stakeholder context; and suggests the use of mediation and non-binding arbitration. The paper concludes by addressing anticipated objections and shortcomings and discussing implications for theory and research. (shrink)

John Rawls based his theory of justice, in the work of that name, on a ‘Kantian interpretation’ of the status of human beings as ‘free and equal’ persons. In his subsequent, ‘political rather than metaphysical’ expositions of his theory, the conception of citizens of democracies as ‘free and equal’ persons retained its foundational role. But Rawls appealed only to Kant’s moral philosophy, never to Kant’s own political philosophy as expounded in his 1797 Doctrine of Right in theMetaphysics of Morals. I (...) argue here that the structure of Kant’s political philosophy, with its categories of the innate right to freedom, private acquired right and public right, can clarify the relationship between Rawls’s two principles of justice and his scheme of basic liberties and primary goods. (shrink)

The country's leading libertarian scholar sets forth the essential principles for a legal system that best balances individual liberty versus the common good.

This article reports the findings of AI4People, an Atomium—EISMD initiative designed to lay the foundations for a “Good AI Society”. We introduce the core opportunities and risks of AI for society; present a synthesis of five ethical principles that should undergird its development and adoption; and offer 20 concrete recommendations—to assess, to develop, to incentivise, and to support good AI—which in some cases may be undertaken directly by national or supranational policy makers, while in others may be led (...) by other stakeholders. If adopted, these recommendations would serve as a firm foundation for the establishment of a Good AI Society. (shrink)

In a recent article, I have explored the historical, mathematical, and philosophical issues related to the new theory of numerosities. The theory of numerosities provides a context in which to assign numerosities to infinite sets of natural numbers in such a way as to preserve the part-whole principle, namely if a set A is properly included in B then the numerosity of A is strictly less than the numerosity of B. Numerosities assignments differ from the standard assignment of size (...) provided by Cantor’s cardinality assignments. In this talk, I generalize some specific worries emerging from the theory of numerosities to a line of thought resulting in what I call a ‘good company’ objection to Hume’s Principle (HP). The talk has four main parts. The first takes a historical look at 19th-century attributions of equality of numbers in terms of one-one correlations and argues that there was no agreement as to how to extend such determinations to infinite sets of objects. This leads to the second part where I show that there are countably infinite many abstraction principles that are ‘good’, in the sense that they share the same virtues of HP and from which we can derive the axioms of second order arithmetic. The third part connects this material to a debate on Finite Hume Principle between Heck and MacBride and states the ‘good company’ objection. Finally, the last part gives a tentative taxonomy of possible neo-logicist responses to the ‘good company’ objection and makes a foray into the relevance of this material for the issue of cross-sortal identifications for abstractions. (shrink)

Rawls' Difference Principle asserts that a basic economic structure is just if it makes the worst off people as well off as is feasible. How well off someone is is to be measured by an ‘index’ of ‘primary social goods’. It is this index that gives content to the principle, and Rawls gives no adequate directions for constructing it. In this essay a version of the difference principle is proposed that fits much of what Rawls says, but (...) that makes use of no index. Instead of invoking an index of primary social goods, the principle formulated here invokes a partial ordering of prospects for opportunities. (shrink)

Good governance, first appeared in the nineties within the United Nations, the World Bank and International Monetary Fund refers to describe how public organizations best conduct public affairs and deliver public goods and services. Today, about three decades later good governance seems to be still popular since there are still many challenges ahead for many governments especially in less-developed and developing countries. Hence the notion of good governance was emerged as a normative commencement of the principles, values (...) and ethics to realise the acts of governance. Some thoughts on good governance and related topics advocated by three great ancient philosophers, who appear to be relevant at the present time are considered herein. One of the said philosophers is Kautilya (also known as Chanakya and Vishnugupta), who lived in India around 150AD. The others are the two great Greek philosophers Plato (427- 347BC) and Aristotle (384-322 BC), who stand with Socrates as the shapers of the whole intellectual tradition of the West. The thoughts are extracted from that detailed manual of state-craft and the science of living known as the Arthashastra written by one of classical India’s greatest minds Kautilya, Plato’s great work known as ‘The Republic’ and Aristotle’s treatise titled ‘The Politics”. The objective of this paper is to study the thoughts of ancient Greek philosophers who lived many centuries ago and their ideas are still relevant today. (shrink)

Good Clinical Practice is an international quality standard for conducting trials that involve participation of human subjects. Currently, the most widely accepted international document forming the base for GCP is the ICH Harmonised Tripartite Guideline for GCP, which defines in detail the responsibilities and obligations of parties engaged in clinical research. The purpose of this paper is to analyse how compliance with GCP provides protection of the trial subjects and assures quality and credibility of the data obtained.

The criteria for determining what it is to do good medical ethics are the quality of ethical analysis and ethical justifications for decisions and actions. Justifications for decisions and actions rely on ethical principles, be they the ‘famous four’ or subsidiary ethical principles relevant to specific contexts. Examples from clinical ethics, research ethics and public health ethics reveal that even when not stated explicitly, principles are involved in ethical justifications. Principles may come into conflict, however, and the resolution of (...) an ethical dilemma requires providing good reasons for preferring one principle over another. (shrink)

Con la finalidad de fundamentar y reforzar su teoria de los bienes primários, J. Rawls introduce, en el §65 de Una teoria de la justicia, la idea de "principio aristotélico". Se discuten las dificultades que implica aceptar dicha noción, asi como las limitaciones de la idea de bien que subyace en dicho principio. Se busca mostrar que la concepción de bien que Rawls presenta alli padece de "insuficiencia moral" y se defiende la tesis de que su aproximación a la idea (...) de bien opaca la dimensión práctica de la racionalidad. In order to ground and reinforce his theory of primary goods, J. Rawls introduces the idea of the "Aristotelian principle" in §65 of A Theory of Justice. The article discusses the difficulties entailed by the acceptance of this notion, as well as the limitations of the idea of the good underlying that principle. The objective is to show that the conception of the good presented by Rawls is affected by "moral insufficiency" and to argue in support of the thesis that his approach to the idea of the good overshadows the practical dimension of rationality. A fim de fundamentar e reforçar sua teoria dos bens primários, J. Rawls introduz, no parágrafo 65 de Una teoría de la justicia, a ideia de "principio aristotélico". Discutemse as dificuldades que implica aceitar essa noção, bem como as limitações da ideia de bem que subjaz nesse principio. Pretendese mostrar que a concepção de bem que Rawls apresenta ali padece de "insuficiência moral". Além disso, defendese a tese de que sua aproximação à ideia de bem ofusca a dimensão prática da racionalidade. (shrink)

The principle of nemo iudex in causa sua is central to John Locke’s social contract theory: the state is justified largely due to the human need for an impartial system of criminal justice. In contemporary Anglo-American legal practice, the value of impartiality in criminal justice is accepted uncritically. At the same time, advocates of restorative justice frequently make reference to a crime victim’s right to have his or her voice heard in the criminal justice process without regard for impartiality (...) as potentially being morally valuable. In this article, I challenge the central place of impartiality in criminal justice on the grounds that it leads to a setup ill-suited to moral psychology. Though restorative justice advocates are not principled in their implicit rejection of impartiality and the nemo iudex principle, their preferred method of criminal justice conduces to crime victims’ being good judges in their own case. (shrink)

In Morals from Motives, Michael Slote proposed an agent-based approach to virtue ethics in which the morality of an action derives solely from the agent’s motives. Among the many objections that have been raised against Slote’s account, this article addresses two problems associated with the Kantian principle that ought implies can. These are the problems of “deficient” and “inferior” motivation. These problems arise because people cannot freely choose their motives. We cannot always choose to act from good motives; (...) nor can we always avoid acting from bad ones. Given this, Slote’s account implies that we sometimes cannot do what we ought to do, contrary to Kant’s principle. In this article, I propose an alternative agent-based account which, I argue, circumvents these problems. While people cannot choose their motives, they can choose their intentions. By characterizing virtuous action, as I do, in terms of good intentions rather than in terms of good motives, the conflict between what people can do and what they ought to do is resolved. (shrink)

The ‘Precautionary Principle’ provides a somewhat ill-defined guide, often of uncertain normative status, for those exercising administrative decision-making power in circumstances where that may create potential risks to human health or the environment. This paper seeks to explore to what extent the precautionary principle should have been and was in fact utilised by the Australian Therapeutic Goods Administration (TGA) in its decision to approve the marketing of sunscreens containing titanium dioxide (TiO2) and zinc oxide (ZnO) in nanoparticulate form. (...) In particular, this article assesses to what extent better application of that principle might have altered the TGA’s decision that TiO2 and ZnO ENPs in sunscreens do not require new safety testing, because they are considered to be functionally equivalent to their bulk counterparts. (shrink)

In this article, responding to assertions that the principle of double effect has no place in legal analysis, I explore the overlap between double effect and negligence analysis. In both, questions of culpability arise in situations where a person acts with no intent to cause harm but where reasonable foreseeability of unintended harm exists. Under both analyses, the determination of whether such conduct is permissible involves a reasonability test that balances that foreseeable harm against the good intended by (...) the actor's conduct. In both, absent a finding that the foreseeable harm is unreasonable in light of that intended good, no liability will be imposed upon the actor. Even conceding, however, such general similarity between double effect and negligence analysis - disagreement over the proper interpretation of the reasonability criterion at play in negligence poses an additional challenge for the attempt to correlate negligence with double effect. Economic efficiency interpretations of negligence, for example, purportedly based on the Learned Hand Formula and the RESTATEMENT (SECOND) OF THE LAW OF TORTS, propose that culpability depends upon a utilitarian balancing of good effects of conduct (utility) versus its harmful foreseeable consequences (magnitude of risk of injury). Based on such an interpretation of negligence, however, contrasts between actors' states of mind, and normative differences between kinds of goods and harms, ultimately fade into the background and become irrelevant as essential conditions for properly assessing liability. This article elaborates and defends the view that double effect analysis lies at the heart of negligence theory. Part I elucidates in more detail the principle of double effect and describes its prima facie operation in negligence analysis. Part II considers and rejects the economic efficiency interpretation that has been offered as a theory of negligence, overcoming the challenge that such an interpretation presents for the effort to locate double effect analysis in the law. Part III illustrates and confirms the overlap between double effect and negligence by consideration of a series of case applications. The Article proposes that the weighing of conflicting values in double effect analysis and negligence is not achieved - as proposed by law and economics theory with respect to negligence - by imposing a consequentialist-utilitarian reduction of all value to a single concept of good and eliminating the relevance of traditional state of mind distinctions between intention and foreseeability. Instead, each mode of analysis recognizes that distinct culpability determinations flow naturally and plausibly from an appreciation of the traditional legal distinctions made between various types of goods and harms, and upon whether such goods and harms come about as result of an actor's intention or mere foreseeability. Keywords: Double effect, negligence, intention, foreseeability, choice, law and economics, utilitarianism, consequentialism, weighing of values. (shrink)

This article challenges the view most recently expounded by Emily Jackson that ‘decisional privacy’ ought to be respected in the realm of artificial reproduction (AR). On this view, it is considered an unjust infringement of individual liberty for the state to interfere with individual or group freedom artificially to produce a child. It is our contention that a proper evaluation of AR and of the relevance of welfare will be sensitive not only to the rights of ‘commissioning parties’ to AR (...) but also to public policy considerations. We argue that AR has implications for the common good, by involving matters of human reproduction, kinship, race, parenthood and identity. In this paper we challenge presuppositions concerning decisional privacy. We examine the essential commodification of human life implicit in AR and the systematicity that makes this possible. We address the objection that it is an ethically neutral way of having children and consider the problem of ‘existential debt’. After examining objections to the thesis that AR is illegitimate for reasons of public policy and the common good, we return to the issue of decisional privacy in the light of considerations concerning the legitimate role of the state in matters affecting human reproduction. (shrink)

Plato gradually reaches the concept of the “Good itself” in the most extensive dialogue (apart from The Laws). The dramaturgy of Republic was included in the pedagogical idea. Plato’s own brothers, Glaucon and Adeimantus, representatives of the aristoia, want to hear from Socrates logically based instruction on what is really good and why, regardless of the prevailing public opinion in Athenian society. They both know that the most valued asset is the wealth and political influence that the use (...) of force provides. Thanks to this, you can effectively appear to be the fairest among citizens, despite the fact that you are extremely unjust. Appearances are highly valued in social life. Only minds exceptionally open to dialectics seek the truth, not content with appearances. Socrates introduces listeners to the knowledge of “the Good itself”, the “form of the Good”, as the most perfect object of knowledge and at the same time the highest principle. The Good, identical with the “One”, “is” above substance (509b). (shrink)

Our aim is to draw a set of distinctions among types of goods which has significant implications for theories of distributive justice. We begin by providing a general account of two sets of properties--fungibility and nonfungibility, divisibility and indivisibility--and argue that goods can be distinguished according to these criteria. Further, we contend that these distinctions entail complications for structural principles of distributive justice (i.e., principles such as maximin that distribute payoffs to positions). As an example we consider James Fishkin’s discussion (...) of structural principles, arguing that Fishkin’s view that (i) value, structure, and assignment are independent holds only to the degree that the goods considered are fungible and divisible, (ii) structural principles face difficulties beyond those which Fishkin identifies and addresses with his principle of nontyranny, since structural principles cannot accommodate highly non¬fungible, indivisible goods, and (iii) these difficulties can be managed through the application of a value-sensitivity proviso. We then show that two important goods, medical care and advanced education, are highly nonfungible and indivisible and thus support the distinctions drawn earlier. Finally, we specify the nature of complementary contributions as well as coordination problems between structural principles and the value-sensitivity proviso in their application to distributive justice issues. -/- . (shrink)

Certain sorts of disputes about principles of distributive justice that have occupied a great deal of attention in recent political philosophy turn out to be fundamentally unresolvable, when they are conducted in ignorance of whether an important subclass of basic social goods exists within any particular society. I employ the folktale ‘Stone Soup’ to illustrate how such distributional goods might come into existence. Using the debate about John Rawls’s Difference Principle as an example, I argue that a proper appreciation (...) for the axiological status of these goods shows that disputes about principles (at least as these have been conducted within the Rawlsian tradition) should be relegated to a subsidiary status relative to other, more fundamental concerns about the ethics of economic distribution. (shrink)

In Metaphysics Λ7 1072b30–1073a3, Aristotle introduces a Speusippean theory according to which ‘what is most beautiful and best is not en archēi’. Through a detailed analysis of the passage, I argue that Aristotle’s refutation of Speusippus’ thesis is favoured by the introduction of the seed example, which conflates both ontological and temporal priority. The elements gathered from the analysis of Aristotle’s polemical strategy will support a broader conclusion: Speusippus’ reason not to characterise his principle(s) as (the) good is (...) related to the problematic relationship Forms and sensibles had within Plato’s account, or, in other words, participation. (shrink)

BackgroundCompetent end-of-life care is an essential component of total health care provision, but evidence suggests that it is often deficient. This study aimed to evaluate the knowledge and attitudes about key end-of-life issues and principles of good death among doctors in clinical settings.MethodsA cross-sectional study was conducted among allopathic medical doctors working in in-ward clinical settings of tertiary care hospitals in Sri Lanka using a self-administered questionnaire with open- and close-ended questions as well as hypothetical clinical scenarios. Univariate and (...) logistic regression analysis were used to identify the independent factors associated with knowledge and attitudes.ResultsOf the responders who had not been a caregiver for a terminally ill relative (n = 390), 57.9% were men with a mean age of 36.5 years (SD = 8.2). Compared to undergraduate (65.6%; n = 256), only 27.4% (n = 107) had received end-of-life care training at postgraduate level. Only 65.9% of doctors favoured disclosing terminal prognosis to patients; 27.7% of doctors were aware of advance directives; 14.6% were aware of the correct time of death when certifying brain death; 70.3% felt more comfortable in withholding than withdrawing life-sustaining treatment; 61.3% were aware of do-not-attempt cardiopulmonary resuscitation (DNACPR) decisions while 26.7% felt reluctant to administer it; 15.1% thought that all life-sustaining therapy should be withdrawn with a DNACPR decision; and only17.9% were able to name the four principles of medical ethics while 57.9% could not name a single. Participants scored a mean of 9.2 (SD = 3.9) of a maximum 14 points when tested on principles of a ‘good death’. Doctors who had pursued postgraduate studies were more likely to be aware of breaking bad news (adjusted-Odds-Ratio:1.99; 95%CI = 1.19–3.32), advance directives (adjusted-OR: 4.15; 95%CI = 2.49–6.94), aware of certifying the correct time of death (adjusted-OR:2.37; 95%CI = 1.33–4.2) and less reluctant to make DNACPR decisions (adjusted-OR:1.74; 95%CI = 1.13–2.68). Doctors who had worked in ICU were more comfortable withholding than withdrawing treatment (adjusted-OR:1.99; 95%CI = 1.2–3.31).ConclusionsKnowledge and attitudes about end-of-life care, good death and principles of medical ethics among doctors in Sri Lanka were suboptimal. Structured training of end-of-life care needs to be integrated within curricula and in-service training. (shrink)