Both Max Hallman and David E. Storey rightly argue that Nietzsche is critical of anthropocentrism in his later philosophy. However, both also claim that Nietzsche, in his early philosophy, is still held captive to an anthropocentric view, particularly in “Schopenhauer as Educator,” the third of his Untimely Meditations. Neither, however, explores Schopenhauer’s own nonanthropocentric, sentiocentric approach to ethics and its influence on the early Nietzsche. An exploration of this background and a closer reading of the essay and its larger contest (...) within the Untimely Meditations reveal that Nietzsche’s very first work in ethics advances not only a metaphysical nonanthropocentrism, but also nonanthropocentric axiological and ethical considerations, too. (shrink)

The study examined the influence of the Pond Report on the teaching of medical ethics in the London medical schools. A questionnaire was given to both medical students and college officers. All medical colleges reported that ethics was included in the curriculum. However, from students' replies, it seems that attendance of optional courses is low and that not all current final year medical students have had any formal teaching in medical ethics. Stronger guidelines are necessary to ensure appropriate ethical training (...) in London medical schools. (shrink)

Aim: Patients with advanced cancer need information about end-of-life treatment options in order to make informed decisions. Clinicians vary in the frequency with which they initiate these discussions.Patients and methods: As part of a long-term longitudinal study, patients with an expected 2-year survival of less than 50% who had advanced gastrointestinal or lung cancer or amyotrophic lateral sclerosis were interviewed. Each patient’s medical record was reviewed at enrollment and at 3 months for evidence of the discussion of patient wishes concerning (...) ventilator support, artificial nutrition and hydration , resuscitation and hospice care. A Kaplan–Meier analysis was also performed and 2-year survival calculated.Results: 60 cancer and 32 ALS patients were enrolled. ALS patients were more likely than cancer patients to have evidence of discussion about their wishes for ventilator support , ANH , DNR and hospice care . At 6 months, 91% of ALS patients were alive compared with 62% of cancer patients; at 2 years, 63% of ALS patients were alive compared with 23% of cancer patients .Conclusions: Cancer patients were less likely than ALS patients to have had documented advanced care planning discussions despite worse survival. This may reflect perceptions that ALS has a more predictable course, that advanced cancer has a greater number of treatment options, or differing views about hope. Nevertheless, cancer patients may be less adequately prepared for end-of-life decision-making. (shrink)

Reasoning about situations we take to be impossible is useful for a variety of theoretical purposes. Furthermore, using a device of impossible worlds when reasoning about the impossible is useful in the same sorts of ways that the device of possible worlds is useful when reasoning about the possible. This paper discusses some of the uses of impossible worlds and argues that commitment to them can and should be had without great metaphysical or logical cost. The paper then provides an (...) account of reasoning with impossible worlds, by treating such reasoning as reasoning employing counterpossible conditionals, and provides a semantics for the proposed treatment. (shrink)

Among those who adopt Aristotle’s definition of the human person as a rational animal, Patrick Lee and Germain Grisez argue that whole brain death is the death of the human person. Even if a living organism remains, it is no longer a human person. They argue this because they define natural kinds by their radical capacities. A human person is therefore a being with a capacity for rational acts, and an individual having suffered whole brain death no longer has any (...) such capacity. I present two objections to the radical capacities argument: first, that it fails in defining natural kinds, and second, that it misrepresents Aristotle. Aristotle defines natural kinds not by their capacities but by their functions. A brain-dead individual, I argue, is still a rational animal, but an unhealthy one that is unable to function. (shrink)

A lot of good philosophy is done in the armchair, but is nevertheless a posteriori. This paper clarifies and then defends that claim. Among the a posteriori activities done in the armchair are assembling and evaluating commonplaces; formulating theoretical alternatives; and integrating well-known past a posteriori discoveries. The activity that receives the most discussion, however, is the application of theoretical virtues to choose philosophical theories: the paper argues that much of this is properly seen as a posteriori.

In lieu of an abstract, here is a brief excerpt of the content:Christ's Human Nature and the Cry from the Cross:St. Thomas Aquinas on Psalm 22:2Philip Nolan O.P.Christ's cry from the Cross quoting Psalm 22 (Mark 15:34; Matt 27:46) has become a central focus for contemporary Christological debates.1 A number of modern thinkers have read this verse as expressing in Christ an experience of dereliction incompatible with traditional positions concerning divine impassibility Christ's beatific knowledge, and Trinitarian relations.2 Thomas Joseph (...) White has recently offered an insightful Thomistic critique of these interpretations: [End Page 1219]The final cry of Christ on the cross cannot be interpreted as a cry of either despair or of spiritual separation from God. By contrast, it must be understood theologically as a prayer of desire related to Christ's abandonment to the Father and his hope to introduce humanity into the eschatological gift of redemption.3In his work, White is concerned to engage with modern Christological themes using principles derived from the Thomistic tradition. For this reason, he articulates a rather original alternative to modern theologies of dereliction—especially those marked by divine kenoticism and Luther's theology of the Cross. In offering a view inspired by Thomistic principles, White presents his own creative retrieval of Aquinas's ideas concerning the cry from the Cross.At times, however, White's argument leaves somewhat obscure the literal meaning of the words of that cry: "My God, my God, why have you abandoned me?"4 For example, in pushing back against radical interpretations [End Page 1220] of dereliction, he shifts the language of "abandonment" from God's abandonment of Christ to Christ's abandonment to the Father. My argument in this article is that the textual commentaries on Psalm 225 by Augustine and Aquinas—material that White does not consider specifically—can provide an alternate and somewhat complementary Thomistic approach to the one White proposes, and one more soundly based on Aquinas's texts themselves.6 Christ's cry is a quote from this psalm, and Aquinas's commentary on Ps 22:27 develops the Augustinian interpretation of this verse in order to give greater emphasis to Christ's human nature. This emphasis helps to explain, in a classical way, what it can mean that Christ is abandoned. Thus, Aquinas's exegesis bolsters the orthodox response to contemporary revisionist theologians by providing a clear literal understanding of this contested biblical passage without applying an experience of damnation to Christ or denying classical positions concerning divine impassibility, Christ's beatific knowledge, and the nature of Trinitarian relations.To make this argument, I will first look at the rich tradition of reflection on the Christological meaning of the Psalms, and Psalm 22 in particular, inherited by Thomas. This tradition includes a series of psalm commentaries, conciliar documents, and a variety of other theological works. In this tradition, I argue, we see two primary interpretative approaches. The first is what I will call the Augustinian approach, which insists that Christ is speaking on the Cross for sinners and in the voice of sinners. The second interpretation places more weight on Christ's own voice and insists that he is speaking in a real way for himself—Christ in some way truly is abandoned by God. These interpretations need not and should not be read as contradictory. In fact, all the authorities I examine insist on the first approach. Differences emerge, however, in how they coordinate the latter interpretation with the former. I will discuss Thomas's synthesis of these interpretations, a synthesis that he grounds in the reality of Christ's human nature. Finally, I will suggest [End Page 1221] how a close reading of Thomas's mature treatment of Ps 22:2 supplements contemporary Thomist responses to modern Christological concerns and misguided interpretations of Christ's cry on the Cross.Thomas's Sources for Reading Psalm 22:2Thomas's primary source for understanding Ps 22:2 is Scripture itself Both Mark and Matthew report that Christ spoke the words of this psalm from the Cross, a fact which necessitates for Thomas a Christological interpretation of the psalm.8 Augustine links Ps 22:2 with passages in... (shrink)

An overview of hyperintensionality is provided. Hyperintensional languages have expressions with meanings that are more fine-grained than necessary equivalence. That is, the expressions may necessarily co-apply and yet be distinct in meaning. Adequately accounting for theories cast in hyperintensional languages is important in the philosophy of language; the philosophy of mind; metaphysics; and elsewhere. This entry presents a number of areas in which hyperintensionality is important; a range of approaches to theorising about hyperintensional matters; and a range of debates that (...) attention to hyperintensional constructions has generated. (shrink)

It is almost universally believed that some infinite regresses are vicious, and also almost universally believed that some are benign. In this paper I argue that regresses can be vicious for several different sorts of reasons. Furthermore, I claim that some intuitively vicious regresses do not suffer from any of the particular aetiologies that guarantee viciousness to regresses, but are nevertheless so on the basis of considerations of parsimony. The difference between some apparently benign and some apparently vicious regresses, then, (...) turns out to be a matter of a more general assessment of costs and benefits, making viciousness of regresses in some cases less of a local matter than is usually thought. (shrink)

This encylopedia entry describes the "Canberra Plan" approach to conceptual analysis, a method closely related to the Ramsey-Carnap-Lewis approach to analysing the meaning of theoretical terms.

The cognition and information theoretic sciences have now been in existence for the better part of a century. In that time, their varied disciplines have undergone extensive maturation, honing their methods, constitutions, and evaluation techniques in the pursuit of academic rigor, while not losing sight of the practical influences that have served as their almost universal cornerstone. Meanwhile, this period has also been marked by increasing disparity and gradual distancing of the philosophical underpinnings upon which each field is founded, adding (...) strain to interdisciplinary collaborative efforts. This article presents an overview of select information-science-related cognition disciplines, and shows how the nascent Philosophy of Information can be adopted as a means of unifying these philosophical foundations in an empirically sound manner, without sacrificing general applicability. In addition, it demonstrates how PI is already rooted in the philosophies or epistemological views of several of the cognition disciplines, implicitly or otherwise. (shrink)

Early Tantric Medicine: Snakebite, Mantras, and Healing in the Gāruḍa Tantras. By Michael Slouber. New York: Oxford University Press, 2017. Pp. xii + 375. $125.

As is well known, Aristotelian natural philosophy, and many other systems of natural philosophy since, have relied heavily on teleology and teleological causation. Somehow, the purpose or end of an obj ect can be used to predict and explain what that object does: once you know that the end of an acorn is to become an oak, and a few things about what sorts of circumstances are conducive to the attainment of this end, you can predict a lot about the (...) sprouting of the acorn and the subsequent behaviour of the piece of vegetation that results. Once you know that a rock seeks to move towards the centre of the Earth, you gain some insight into why it falls when released, and why it deforms the carpet or foot that it lands on. Once you know that the rabbit seeks to preserve itself, you can predict it will run from the fox. And so on. There are at least three features of Aristotle’s teleology, and more generally of an Aristotelian frame of mind about teleology, that may induce suspicion. One is that an end can serve as a "cause": as well as the sort of causation we all recognize, efficient causation, there are other forms, one of which is teleological causation. However, this can look less odd if we think of causes as things that figure in "because" answers to "why" questions. Whether or not self-preservation, or the rabbit’s continued existence, or something similar, causes the rabbit to run, the reply "because it seeks to continue in existence" certainly makes sense as an answer, or part of an answer, to a question about why it ran from the fox. (At present we are only. (shrink)

Health communication is increasingly being held to higher moral standards. No longer do noble goals outweigh ethical concerns. This content analysis examines ethical frames and primes in health public service announcements so we may begin to address the most prevalent of the problematic ones and find more ethical alternatives. In this study, 80% of the PSAs conveyed messages that individuals were to blame. Negative emotion, such as fear, was the second most frequent frame. Stereotypes of women were the primes most (...) prevalent in the visuals, and visual and verbal messages were vastly different for some of these primes. The ethical implications of each are addressed. (shrink)

Liberals agree that free speech should be protected, where speech is understood broadly to include all forms of intentional communication, including actions and pictures, not merely the spoken or written word. A surprising view about free speech in some liberal and legal circles is that communications should be protected on free-speech grounds only if the communications are mentally mediated. By “mentally mediated communication” we mean speech which communicates its message in such a way that the message can be rationally evaluated (...) by hearers, and causes the hearers to believe it, when it does, through the mechanism of those hearers employing their rational capacity to judge that it is correct. The mental-mediation or persuasion principle, as it is sometimes called, has some important legal and public policy implications. It has been applied to argue that certain forms of expression, despite being forms of speech or expression, lack even a prima facie claim to protection on free speech grounds. -/- Our central aim is to show why the mental mediation principle is mistaken. Liberals should think that some speech which is not mentally mediated deserves protection for the very same reasons that speech which is mentally mediated is often thought to deserve protection. (shrink)

The study of landscape and place has become an increasingly fertile realm of inquiry in the humanities and social sciences. In this new book of essays, selected from presentations at the first annual meeting of the Society for Philosophy and Geography, scholars investigate the experiences and meanings that inscribe urban and suburban landscapes. Gary Backhaus and John Murungi bring philosophy and geography into a dialogue with a host of other disciplines to explore a fundamental dialectic: while our collective and personal (...) activity modifies the landscape, in turn, the landscape modifies human identities, and social and environmental relations. Whether proposing a peripatetic politics, conducting a sociological analysis of building security systems, or critically examining the formation of New York City's municipal parks, each essay sheds distinctive light on this fascinating and engaging aspect of contemporary environmental studies. (shrink)

One very popular kind of semantics for subjunctive conditionals is aclosest-worlds account along the lines of theories given by David Lewisand Robert Stalnaker. If we could give the same sort of semantics forindicative conditionals, we would have a more unified account of themeaning of ``if ... then ...'' statements, one with manyadvantages for explaining the behaviour of conditional sentences. Such atreatment of indicative conditionals, however, has faced a battery ofobjections. This paper outlines a closest-worlds account of indicativeconditionals that does better (...) than some of its cousins in explaining thebehaviour of such conditionals. The paper then discusses objectionsoffered by Dorothy Edgington and Frank Jackson to closest-worldsaccounts of indicative conditionals, and shows that these objections canbe met by the account outlined. (shrink)

RULE or restricted utilitarianism is frequently propounded and just as frequently criticized in the literature. Its various refinements initially involve conceptual adjustments such as clarifying the logical relations between some stateable rule of utility and other moral rules or the specification of a criterion for ranking rules in case of conflict and so forth. It soon becomes clear, comparatively speaking, that a cluster of problems involving justice, personal rights and the denotation of ‘intrinsic good’ cannot be resolved without extending rule (...) utilitarianism as a theory of right conduct and justification; thus the origin of the appellation ‘extended’ rule utilitarianism. In this paper I shall: render an interpreted model of rule utilitarianism that possesses all the logical features of alternative interpretations. Describe a style of argument for extending rule utilitarianism to incorporate a rule of distribution. Such an extension preserves the consistency of rule utilitarianism. Describe a second style of argument for extending rule utilitarianism to incorporate a rule of distribution. Such an extension does not preserve the consistency of rule utilitarianism. (shrink)

A lot of philosophers engage in debates about what claims are “metaphysically necessary”, and a lot more assume with little argument that some classes of claims have the status of “metaphysical necessity”. I think we can usefully replace questions about metaphysical necessity with five other questions which each capture some of what people may have had in mind when talking about metaphysical necessity. This paper explains these five other questions, and then discusses the question “how much of metaphysics is metaphysically (...) necessary?”, and each of its five replacements. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Textualities: Between Hermeneutics and DeconstructionJames HatleyTextualities: Between Hermeneutics and Deconstruction, by Hugh J. Silverman; 269 pp. New York: Routledge, 1994, $16.95 paper.Especially indebted to the thought of Maurice Merleau-Ponty and Jacques Derrida, Silverman’s Textualities elaborates a practice of reading drawing on hermeneutics, semiology, and deconstruction. In “juxtaposing” hermeneutic and deconstructive approaches to reading, Silverman shows how these two modes of thought both interrogate and supplement one another. Silverman’s (...) approach to this daunting task revolves around his notion of “textuality.”Textuality is not easy to define. Silverman himself speaks of it as being a “meaning-structure” opened up in a text but not necessarily contiguous with it. “The text,” Silverman argues, “is what is read, but its textuality or textualities is how it is read” (p. 81). For example, insofar as one reads any text as an autobiography, one has become engaged in autobiographical textuality. The fact that one might read an autobiographical text, such as Nietzsche’s Ecce Homo, as a philosophical text as well suggests that a given text might be implicated in any number of textualities. For this reason, one cannot simply assign the text to a single genre as if this assignment defined the limits of the text’s meaning.Textualities emerge as the text a reader confronts elicits in the reader a certain competency to read. This competency, Silverman argues, originates neither in the self of the reader, nor in the reader’s world, nor in the codes or metalanguages constituting the semiological axes of the text. In this assertion, Silverman exceeds the hermeneutical practice of Ricoeur and Gadamer, both [End Page 262] of whom were anxious in some manner to ground the meaning of a text in its writer or “first” reader. According to Silverman, the competency to read a text only emerges insofar as the reader “gives expression to the text, which itself asserts the interpretation” (p. 79). The reader, inextricably caught up in a “middle voice,” both reads and is read by the text. Only in this “between” where neither hermeneutics nor semiology takes precedence, where neither world nor code makes a claim for the origin of the text’s meaning, can a competency to read occur.While Silverman’s language runs very abstract in the earlier, more theoretical section of his book, later sections fill out the notion of textuality by engaging in readings of a series of texts grouped around three selected textualities: autobiographical, visible/scriptive, and institutional. The texts chosen range from Thoreau’s Walden to Cezanne’s paintings, from Lévi-Strauss’s Tristes Tropiques to Blanchot’s essay, “Le ‘discours philosophique.’” In his treatment of each text, Silverman shows how a specific textuality is configured in terms of a series of “indecidables.” For instance, in Thoreau’s Walden, both fiction and nonfiction are at play in the text’s autobiographical textuality. Lying between fiction and nonfiction, Walden can be read juxtaposed against a series of other texts, such as Rousseau’s Confessions, or Montaigne’s Essays, in which the same “indecidability” is at play, although with a difference.Besides giving an account of textuality, Silverman’s book also functions as “a presentation and evaluation of continental philosophy from Heidegger and Merleau-Ponty to Foucault and Derrida” (p. 1). The first section engages in an interrogation of the phenomenological tradition, particularly insofar as it involves a theory of reading or interpreting texts. Silverman argues that descriptive phenomenology, the sort that has been appropriated by literary theorists such as Hirsch and Ingarden, cannot fully respond to the “richness, multiplicity, and even ambiguity of the literary object” (p. 14). Silverman is only interested in phenomenology insofar as it becomes an interpretive rather than descriptive practice. Thus, he emphasizes the thought of Heidegger and Merleau-Ponty at the expense of Husserl.Textualities is a complex and ambitious work. While it too easily dismisses Husserlian phenomenology and at times seems too schematic, it offers a comprehensive and original reading of continental philosophy and its praxes of reading.James HatleySalisbury State UniversityCopyright © 1996 The Johns Hopkins University Press... (shrink)

Despite its growing use over past decades, there has been relatively little public or scholarly discussion of life sentences that deny the possibility of parole. This essay outlines the labyrinthine legal and political developments that have rendered life imprisonment difficult to address—including the intertwined histories of the death penalty and civil death—and draws upon the life writing of those serving life to theorize a more distinct understanding of this punishment. Witnesses reveal how the possibility of life despite the impossibility of (...) parole punishes by subverting the goals of human growth and development. The potentiality of what can be done in the present grinds up against the futility of what could have been done and what could be done were release an option. Considered alongside the laws and court opinions and claims that characterize its convoluted development, these testimonies reveal this punishment’s role in the American imagination. Life without the possibility of parole reinforces and relies upon a vision that not simply some people are unable to change, but that anyone in a democracy—no matter their position—is some steps away from irretrievable exclusion. Permanent confinement denies a restorative vision of democracy: any effort to abolish or amend it must include the voices of those imprisoned. (shrink)

Are there dispositions which not only do not manifest, but which could not manifest? We argue that there are dispositions to Ф in circumstances C where C is impossible, and some where Ф is impossible. Furthermore, postulating these dispositions does useful theoretical work. This paper describes a number of cases of dispositions had by objects even though those dispositions are not possibly manifest, and argues for the importance of these dispositions.

What political problem can autobiography solve? This article examines the politics of Frederick Douglass’s antebellum personal narratives: his 1845 slave narrative, the Narrative of the Life of Frederick Douglass, an American Slave, and his 1855 autobiography, My Bondage and My Freedom, written at the opposite ends of Douglass’s transition from the abolitionist politics of William Lloyd Garrison and Wendell Phillips to Douglass’s defense of political action and the Constitution as anti-slavery. Placing the two texts alongside Douglass’s distinction “to narrate wrongs” (...) and “denouncing them,” I argue that Douglass writes My Bondage and My Freedom as a mode of denunciation: an autobiographical critique of injustice that balances analysis of collective oppression with advocacy for communal emancipation. Whereas to narrate wrongs encouraged readers to judge Douglass’s story alongside popular criteria of justice, to denounce wrongs is to implicate readers within the structures that create antebellum subjects on and off the plantation, by revealing the coercions and conditionings of society that make not simply slaves but slaveowners, sympathizers, and abolitionists. This article claims that autobiography is a distinct genre of political theory, one that challenges present relations between the individual and the collective by representing not simply its author but an expanded view of “the people.”. (shrink)

The Cove, a recent documentary on the harvesting and slaughter of dolphins in Taiji Japan, envisions this practice as a mode of blasphemy. While the reintroduction of a notion of blasphemy into the search for inter-species justice can illuminate the intensity of the evil one witnesses, one must be wary of this notion’s ethical, political and social implications. In place of a politics of outrage that is deployed by the film, an argument is made for a politics of expiation. In (...) a politics of expiation one begins one’s conversation with the alleged wrongdoer/blasphemer in penitential rather than accusatory witness. (shrink)

The Cove, a recent documentary on the harvesting and slaughter of dolphins in Taiji Japan, envisions this practice as a mode of blasphemy. While the reintroduction of a notion of blasphemy into the search for inter-species justice can illuminate the intensity of the evil one witnesses, one must be wary of this notion’s ethical, political and social implications. In place of a politics of outrage that is deployed by the film, an argument is made for a politics of expiation. In (...) a politics of expiation one begins one’s conversation with the alleged wrongdoer/blasphemer in penitential rather than accusatory witness. (shrink)

Kenneth Inada calls this last book in Nolan Pliny Jacobson’s trilogy on Buddhist philosophy and process thought "not only timely, but urgent." "The message contained in the book," he notes, "should be released immediately." Seizo Ohe, Japan’s most distinguished philosopher of science, captures the essence of that message when he cites Jacobson’s understanding that Buddhism is "a new global cultural movement in which Japan and America are going to have a common world-historical mission—respectively as the eastern and western ends (...) of the eastern and western branches of human civilization." Jacobson convincingly demonstrates that Buddhism and the Western philosophies of Heraclitus and of modern thinkers such as Dewey, Whitehead, and Hartshorne have developed a reason truer to authentic experience than the reason so prevalent in traditionally dominant Western philosophy. (shrink)

I argue that Graham Priest's story 'Sylvan's Box' has an attractive consistent reading. Priest's hope that this story can be used as an example of a non-trivial 'essentially inconsistent' story is thus threatened. I then make some observations about the role 'Sylvan's Box' might play in a theory of unreliable narrators.

David Lewis’s arguments against magical ersatzism are notoriously puzzling. Untangling different strands in those arguments is useful for bringing out what he thought was wrong with not just one style of theory about possible worlds, but with much of the contemporary metaphysics of abstract objects. After setting out what I take Lewis’s arguments to be and how best to resist them, I consider the application of those arguments to general theories of properties and relations. The constraints Lewis motivates turn out (...) to yield an argument for concretism about possible individuals that is quite different from the better-known Lewisian arguments for that position. The discussion also touches on the puzzling question of whether things are the way they are because of the properties they have, or are the properties and relations the way they are because of the things that have them. (shrink)

John Paley has rightly observed that, while spirituality is widely discussed in the nursing literature, the discussions are uncritical and unproblematic. In an effort ‘to reconfigure the spirituality‐in‐nursing debate, and to position it where it belongs: in the literature on health psychology and social psychology, and not in a disciplinary cul‐de‐sac labelled “unfathomable mystery” ’, Paley has proposed an alternative, reductionist approach to spirituality. In this paper, I identify two critiques developed by Paley: one political, the other ‘logical’. Paley's political (...) critique claims the concept of ‘spirituality’ has been appropriated by nursing theorists as part of an attempt to accrue professional power and jurisdiction over occupational territory. I suggest that Paley's analysis masks his own exclusivist, secularizing jurisdictional claim made at the expense of spirituality. Paley's so‐called ‘logical’ critique is motivated by an intention to ‘determine what the “spirituality” terrain looks like from the naturalistic point of view’. However, noting a number of inconsistencies, I challenge his ‘logical move’ as a naïve attack on a straw man. In place of Paley's reductionism, I propose my own alternative alternative and argue (after Foucault) that ‘spirituality’ is a discourse, a non‐reductionist attempt, in a post‐religious society, to speak about the human condition open to the unknown. I conclude with a definition and a description of empirically congruent spirituality. (shrink)

BackgroundThe coronavirus 2019 pandemic placed unprecedented pressures on healthcare services and magnified ethical dilemmas related to how resources should be allocated. These resources include, among others, personal protective equipment, personnel, life-saving equipment, and vaccines. Decision-makers have therefore sought ethical decision-making tools so that resources are distributed both swiftly and equitably. To support the development of such a decision-making tool, a systematic review of the literature on relevant ethical values and principles was undertaken. The aim of this review was to identify (...) ethical values and principles in the literature which relate to the equitable allocation of resources in response to an acute public health threat, such as a pandemic.MethodsA rapid systematic review was conducted using MEDLINE, EMBASE, Google Scholar, LitCOVID and relevant reference lists. The time period of the search was January 2000 to 6th April 2020, and the search was restricted to human studies. January 2000 was selected as a start date as the aim was to capture ethical values and principles within acute public health threat situations. No restrictions were made with regard to language. Ethical values and principles were extracted and examined thematically.ResultsA total of 1,618 articles were identified. After screening and application of eligibility criteria, 169 papers were included in the thematic synthesis. The most commonly mentioned ethical values and principles were: Equity, reciprocity, transparency, justice, duty to care, liberty, utility, stewardship, trust and proportionality. In some cases, ethical principles were conflicting, for example, Protection of the Public from Harm and Liberty.ConclusionsAllocation of resources in response to acute public health threats is challenging and must be simultaneously guided by many ethical principles and values. Ethical decision-making strategies and the prioritisation of different principles and values needs to be discussed with the public in order to prepare for future public health threats. An evidence-based tool to guide decision-makers in making difficult decisions is required. The equitable allocation of resources in response to an acute public health threat is challenging, and many ethical principles may be applied simultaneously. An evidence-based tool to support difficult decisions would be helpful to guide decision-makers. (shrink)

Nolan reviews three works describing the influence of ethics on modern international relations, namely Code of Peace: Ethics and Security in the World of the Warlord States ; The Age of Rights ; and Morality and American Foreign Policy: The Role of Ethics in International Affairs.