The four principles approach to biomedical ethics (4PBE) has, since the 1970s, been increasingly developed as a universal bioethics method. Despite its wide acceptance and popularity, the 4PBE has received many challenges to its cross-cultural plausibility. This paper first specifies the principles and characteristics of ancient Chinese medical ethics (ACME), then makes a comparison between ACME and the 4PBE with a view to testing out the 4PBE's cross-cultural plausibility when applied to one particular but very extensive and prominent cultural context. (...) The result shows that the concepts of respect for autonomy, non-maleficence, beneficence and justice are clearly identifiable in ACME. Yet, being influenced by certain socio-cultural factors, those applying the 4PBE in Chinese society may tend to adopt a "beneficence-oriented", rather than an "autonomy-oriented" approach, which, in general, is dissimilar to the practice of contemporary Western bioethics, where "autonomy often triumphs". (shrink)

L'A. étudie le récit d'Eunapius concernant le règne d'Arcadius à partir de la mort de Théodose en 395 jusqu'en 404. Eunapius de Sarde est un sophiste, un philosophe et un historien grec païen qui a vécu de 347 à environ 414 ; il est un exemple de la rédaction helléniste et son travail peut être classé dans la fiction historique. Il s'oppose aux changements politiques, sociaux, économiques et religieux du 4e siècle ainsi qu'aux régimes de Constantin et Théodose. Son héros (...) est Julien l'Apostat. (shrink)

I have argued in other work that emotion, attentional functions, and executive functions are three interpenetrant global state variables, essentially differential slices of the consciousness pie. This paper will outline the columnar architecture and connectivities of the PAG (periaqueductal gray), its role in organizing prototype states of emotion, and the re-entry of PAG with the extended reticular thalamic activating system (“ERTAS”). At the end we will outline some potential implications of these connectivities for possible functional correlates of PAG networks that (...) are just starting to be mapped. Overall, we will look at many lines of evidence that PAG should be conceptualized as a peri-reticular structure that has a foundational role in emotion, in generating the meaningful organization of behavior by the brain through prototype emotional states, and in allowing the various emotional systems to globally influence and tune both the forebrain and brainstem. Finally, we address implications of these concepts for what is currently understood about consciousness, underlining the need for somewhat more humility within consciousness studies about our current level of understanding of consciousness in the brain, combined with a deeper appreciation of the intrinsic connections between emotion and consciousness. One hopes that more concerted empirical interest in structures underneath the thalamus, combined with a deeper appreciation for the fundamental role that organismic and social value must have in bootstrapping awareness in the developing brain, would begin more widely to influence the fundamental lines of neuroscientific research in both emotion studies and consciousness studies. (shrink)

This paper examines whether the modern bioethical principles of respect for autonomy, beneficence, non-maleficence, and justice proposed by Beauchamp and Childress are existent in, compatible with, or acceptable to the leading Chinese moral philosophy—the ethics of Confucius. The author concludes that the moral values which the four prima facie principles uphold are expressly identifiable in Confucius’ teachings. However, Confucius’ emphasis on the filial piety, family values, the “love of gradation”, altruism of people, and the “role specified relation oriented ethics” will (...) inevitably influence the “specification” and application of these bioethical principles and hence tend to grant “beneficence” a favourable position that diminishes the respect for individual rights and autonomy. In contrast, the centrality of respect for autonomy and its stance of “first among equals” are more and more stressed in Western liberal viewpoints. Nevertheless, if the Confucian “doctrine of Mean” and a balanced “two dimensional personhood” approach are properly employed, this will require both theorists and clinicians, who are facing medical ethical dilemmas, of searching to attain due mean out of competing moral principles thus preventing “giving beneficence a priority” or “asserting autonomy must triumph”. (shrink)

The name of A. M. Gorky is known to the broad masses of the people of our country, to the laboring population of the countries of the socialist camp, and to all advanced and progressive mankind as that of one of the greatest builders of the new socialist culture and a tireless fighter for the bright ideals of mankind. By his writings of genius, his brilliant articles of literary criticism, his speeches and public affairs writing, and all his many-faceted activity, (...) both prior to the Great October Socialist Revolution and in the epoch of transition from capitalism to socialism, Gorky made a truly invaluable contribution to the treasury of world culture. He defined the place and role of culture in the life of modern society and broke new ground for the progressive development of culture in terms of the principles of socialism and communism. There is hardly a single problem of socialist culture, of its theory and practice, with which Gorky did not concern himself one way or another, and upon the handling of which, even if his contact with it was accidental, he did not lay the unique imprint of his genius. (shrink)

This comment calls attention to the nature of the Aristotelian and classical logics, and the difficulty of representing their judgments and inferences by means of Venn diagrams. The meaning of ‘all’ in the different calculi produces problems. A second problem is that the specification of existence in Venn diagrams for statements and arguments cannot be restricted to a single class, overlooked by Wiebe. This problem is further complicated by his adoption of classical (Renaissance) syllogistic, which is inconsistent. Aristotle’s term logic (...) is consistent. So also is the medieval extension, though the inclusion of singular premisses renders it less perspicuous though more flexible. (shrink)

This comment calls attention to the nature of the Aristotelian and classical logics, and the difficulty of representing their judgments and inferences by means of Venn diagrams. The meaning of ‘all’ in the different calculi produces problems. A second problem is that the specification of existence in Venn diagrams for statements and arguments cannot be restricted to a single class, overlooked by Wiebe. This problem is further complicated by his adoption of classical (Renaissance) syllogistic, which is inconsistent. Aristotle’s term logic (...) is consistent. So also is the medieval extension, though the inclusion of singular premisses renders it less perspicuous though more flexible. (shrink)

Children, because of age-related reasons, are a vulnerable population, and protecting their health is a social, scientific and emotional priority. The increased susceptibility of children and fetuses to environmental agents has been widely discussed by the scientific community. Children may experience different levels of chemical exposure than adults, and their sensitivity to chemical toxicities may be increased or decreased in comparison with adults. Such considerations also apply to unborn and newborn children. Therefore, research on children is necessary in both clinical (...) and environmental fields, to provide age-specific relevant data regarding the efficacy and safety of medical treatments, and regarding the assessment of risk from unintended environmental exposure. In this context, the stakeholders are many, including children and their parents, physicians and public health researchers, and the society as a whole, with its ethical, regulatory, administrative and political components. The important ethical issues are information of participants and consent to participate. Follow-up and protection of data should be discussed in the context of biobanks, where children obtain individual rights when they become adults. It is important to realise that there are highly variable practices within European countries, which may have, in the past, led to differences in practical aspects of research in children. A number of recommendations are provided for research with children and environmental health. Environmental research with children should be scientifically justified, with sound research questions and valid study protocols of sufficient statistical power, ensuring the autonomy of the child and his/her family at the time of the study and later in life, if data and samples are used for follow-up studies. When children are enrolled, we recommend a consent dyad, including parental informed consent and the child’s assent and/or informed consent from older minors. For evaluation of the studies including children, a paediatrician should always be involved in the research ethics committee. (shrink)