This paper examines the concept of ‘openness with patients’ from the stand-point of the limitations of biomedical ethics. Initially we review contemporary critiques of bioethics and, in particular, of principlism; we relate how other; somewhat neglected, forms of medical ethics can yield useful information and provide moral guidance.The main section of the paper then shows how a bioethical approach to openness misses the social context in our example, the viewpoints of patients; we present some of the increasing wealth of research (...) evidence which points towards patients wanting more information and a greater degree of openness.Finally we put forward that a principlist’s objection to active encouragement of openness might be based on the risk of infringing upon the ‘right not to know’. We reject this by arguing how rights can be trumped. (shrink)
This paper examines the concept of ‘openness with patients’ from the stand-point of the limitations of biomedical ethics. Initially we review contemporary critiques of bioethics and, in particular, of principlism; we relate how other; somewhat neglected, forms of medical ethics can yield useful information and provide moral guidance. The main section of the paper then shows how a bioethical approach to openness misses the social context in our example, the viewpoints of patients; we present some of the increasing wealth of (...) research evidence which points towards patients wanting more information and a greater degree of openness. (shrink)
In his new book, "The Romantic Conception of Life: Science and Philosophy in the Age of Goethe," Robert J. Richards argues that Charles Darwin's true evolutionary roots lie in the German Romantic biology that flourished around the beginning of the nineteenth century. It is argued that Richards is quite wrong in this claim and that Darwin's roots are in the British society within which he was born, educated, and lived.
Interest in philosophy of management continues to grow. Growth of the philosophy of management might result from the consideration of man's potential as viewed by two different men, an industrialist and a philosopher. James Finney Lincoln was president and board chairman of The Lincoln Electric Company for 37 years. During that time, and for 14 previous years when he was the firm's general manager, he developed a philosophy basic to a practice of business management that gained national and international attention. (...) Wilhelm von Humboldt was a very gifted person with many accomplishments including those as a Prussian statesman, a humanist, and a linguistics scholar. A comparison of both men's philosophies reveals the following: In each view man's potentiality was approached by the dynamic, on-going process of developing his latent abilities or powers. Both views stressed freedom as being critical to the development of man's latent abilities or powers. For Lincoln the individual must gain satisfaction from the recognition of developing his latent abilities. For Humboldt the individual must enjoy the 'freedom of developing himself.' Lincoln warned against custom as being a barrier to development since it places man in situations which are without variation, forcing him merely to follow precedent. Humboldt, in addition to freedom, stated that "a variety of situations" is essential for development. 2012 APA, all rights reserved). (shrink)
In this essay I elaborate a particular, and particularly important, morality: the morality of human rights. Next, I ask the ground-of-normativity question about the morality of human rights and go on to elaborate a religious response. Then, after explaining why one might be skeptical that there is a plausible secular response to the ground-of-normativity question, I comment critically on John Finnis's secular response. Finally, I consider what difference it makes if there is no plausible secular response to the ground-of-normativity question.
Consider the following situation. It is the first day of school, and the new third-grade students file into the classroom to be shown to their seats for the coming year. As they enter, the third-grade teacher notices one small boy who is particularly unkempt. He looks to be in desperate need of bathing, and his clothes are dirty, torn and tight-fitting. During recess, the teacher pulls aside the boy's previous teacher and asks about his wretched condition. The other teacher informs (...) her that he always looks that way, even though the boy's family is quite wealthy. The reason he appears as he does, she continues, is that the family observes an odd practice according to which the children do not receive many important things – food, clothing, bathing, even shelter – unless they specifically request them. Since the boy, like many third-graders, has little interest in bathing and clean clothes, he just never asks for them. (shrink)
The idea that immoral behaviour can sometimes be admirable, and that moral behaviour can sometimes be less than admirable, has led several of its supporters to infer that moral considerations are not always overriding, contrary to what has been traditionally maintained. In this paper I shall challenge this inference. My purpose in doing so is to expose and acknowledge something that has been inadequately appreciated, namely, the moral aspect of nonmoral goods and evils. I hope thereby to show that, even (...) if immorality can be admirable, this poses no threat to morality. (shrink)
In Darwin’s Black Box, Michael J. Behe argues that, because certain biochemical systems are both irreducibly complex and very complex, it is extremely unlikely that they evolved gradually by Darwinian mechanisms, and so extremely likely that they were intelligently designed. I begin this paper by explaining Behe’s argument and defending it against the very common but clearly mistaken charge that it is just a rehash of William Paley’s design argument. Then I critically discuss a number of more serious objections (...) to the argument. I conclude that, while Behe successfully rules out some Darwinian paths to the biochemical systems he discusses, others remain open. Thus, his argument against Darwinian gradualism (and ipso facto his argument for intelligent design) is at best incomplete. (shrink)
Michael J. Zimmerman offers a conceptual analysis of the moral ‘ought’ that focuses on moral decision-making under uncertainty. His central case, originally presented by Frank Jackson, concerns a doctor who must choose among three treatments for a minor ailment. Her evidence suggests that drug B will partially cure her patient, that one of either drug A or C would cure him completely, but that the other drug would kill him. Accepting the intuition that the doctor ought to choose drug (...) B, Zimmerman argues that moral obligation consists in performing the action that is ‘prospectively best,’ that is ‘that which, from the moral point of view, it is most reasonable for the agent to choose’ given the evidence available to her at the time .Zimmerman defends his Prospective View of moral obligation against two main competitors in the long, first chapter of the book. According to the Objective View, a person ought to choose what is, in fact, the best option. The doctor ought to give her patient whichever drug will actually cure him. The fact that the doctor cannot know whether this is drug …. (shrink)
Michael J. Sandel: The Case Against Perfection: Ethics in the Age of Genetic Engineering Content Type Journal Article Category Book Review Pages 183-185 DOI 10.1007/s12376-009-0018-4 Authors Ilhan Ilkilic, Johannes Gutenberg University Mainz Medical Center Institute for History, Philosophy and Ethics of Medicine Am Pulverturm 13 55131 Mainz Germany Rainer Brömer, Johannes Gutenberg University Mainz Medical Center Institute for History, Philosophy and Ethics of Medicine Am Pulverturm 13 55131 Mainz Germany Journal Medicine Studies Online ISSN 1876-4541 Print ISSN 1876-4533 Journal (...) Volume Volume 1 Journal Issue Volume 1, Number 2. (shrink)
The Free Will Defence has been attacked as being unsound, implausible and, more recently, irrelevant. The first section of the paper returns to a discussion on the relevance of the Free Will Defence, arguing that the case for its irrelevance is inextricably impaled on the horns of a dilemma. In the second section it is shown that Free Will Theodicy, even in a form extended to include natural evil, need not be as implausible as it is sometimes portrayed for it (...) demands no more than that good, on the whole, outweighs evil, on the whole. Finally, some tempting objections to the strategy employed in this argument are considered and rejected, both on the grounds that they are untenable in themselves and on the paradoxical ground that, if valid, the objections would appear to rule out any creation. (shrink)
Joseph P. Fell, Vincent Colapietro, and Michael J. McGandy, eds., The Task of Criticism: Essays on Philosophy, History, and Community, ; and Michael J. McGandy, The Active Life: Miller's Metaphysics of Democracy.
A perfect being is a being which possesses all perfections essentially. A perfect being is essentially omniscient, essentially omnipotent, essentially perfectly good, and necessarily existing. In his excellent book “The Metaphysics of Perfect Beings” Michael J. Almeida investigates the following tough questions about perfect beings: What would a perfect being create? Which moral requirements would a perfect being (have to) fulfill when deciding what to create? Is there a minimum or a maximum amount of evil a perfect being would (...) allow to occur? Could a perfect being permit any instance of pointless and undeserved suffering of creatures? Does a perfect being have some freedom to choose what to create? Could a perfect being be just in sending some people eternally to heaven and some people eternally to hell? Almeida applies modern theories about vagueness, infinite values, possible world semantics and many universes to these questions. In this way Almeida investigates these questions in more detail and depth than they have been before and substantially advances the discussion of these issues. (shrink)
Hoppmann, Michael J.: Argumentative Verteidigung. Grundlegung zu einer modernen Statuslehre. [Argumentative Advocacy. Foundations of a Modern Stasis Theory.] Content Type Journal Article Pages 525-526 DOI 10.1007/s10503-010-9192-5 Authors Matthias Plötz, University of Amsterdam, Amsterdam, The Netherlands Journal Argumentation Online ISSN 1572-8374 Print ISSN 0920-427X Journal Volume Volume 24 Journal Issue Volume 24, Number 4.
Prussia's Edict on Religion of 1788 forbade sermons that undermined popular belief in the Holy Trinity and the Bible. Scholars have assumed that this act was counter-enlightened because it limited the free use of reason in public. An analysis of two court cases related to the edict reveals, however, that both the edict and its “enlightened” opponents within the state assumed that public expression should be disciplined. With respect to the enlightened bureaucratic elite that opposed the edict, it identifies two (...) factors that impelled them toward the disciplining of public communication: 1) German universities created an elite social group that assiduously cultivated its own intellectual sphere, and 2) having access to state power gave each member of the elite something to lose if the process of the Enlightenment proved politically or socially destabilizing. As a result, the fight over the Edict on Religion cannot be understood in terms of an Enlightenment/counter-Enlightenment dichotomy, but must be seen as a debate within the German elite about the level of social discipline that was sufficient for maintaining domestic tranquility. (shrink)
Vesicovaginal fistula was a catastrophic complication of childbirth among 19th century American women. The first consistently successful operation for this condition was developed by Dr J Marion Sims, an Alabama surgeon who carried out a series of experimental operations on black slave women between 1845 and 1849. Numerous modern authors have attacked Sims’s medical ethics, arguing that he manipulated the institution of slavery to perform ethically unacceptable human experiments on powerless, unconsenting women. This article reviews these allegations using primary historical (...) source material and concludes that the charges that have been made against Sims are largely without merit. Sims’s modern critics have discounted the enormous suffering experienced by fistula victims, have ignored the controversies that surrounded the introduction of anaesthesia into surgical practice in the middle of the 19th century, and have consistently misrepresented the historical record in their attacks on Sims. Although enslaved African American women certainly represented a “vulnerable population” in the 19th century American South, the evidence suggests that Sims’s original patients were willing participants in his surgical attempts to cure their affliction—a condition for which no other viable therapy existed at that time. (shrink)
Vesico-vaginal fistula (VVF) was a common ailment among American women in the 19th century. Prior to that time, no successful surgery had been developed for the cure of this condition until Dr J Marion Sims perfected a successful surgical technique in 1849. Dr Sims used female slaves as research subjects over a four-year period of experimentation (1845-1849). This paper discusses the controversy surrounding his use of powerless women and whether his actions were acceptable during that historical period.
In 2006, Michael Zimmerman published an underappreciated paper on the nature of moral obligation in which he argued that our moral obligations depend, not on the facts or our beliefs, but on the evidence available to us. Two years later, he published a lengthy book in which he argued more thoroughly for the same conclusion. In this book, Zimmerman returns to the central question of those works to respond to objections that have been brought against the views he presented (...) therein. This new book is the most thorough defense of what has come to be known as the Prospective View of moral obligation and as such is a must-read for those working in normative ethics narrowly construed. (shrink)
. In Moderating the Debate: Rationality and the Promise of American Education, Michael Feuer argues that insights from cognitive science and the theory of bounded rationality can help us understand why educational policy makers overreach in seeking optimal solutions to educational problems. In this essay, Emily Robertson argues that cognitive science is of limited help for two reasons. First, since the findings of the theory of bounded rationality are supposed to describe how we actually do make decisions under conditions (...) of uncertainty, it is unclear how those findings can help us explain why educational policy makers have apparently used different decision‐making strategies. Second, the idea that educational reform can be set right by being made the province of more fully rational policy makers neglects the public, value dimension of education, and thus obscures some of the true sources of overpromising. (shrink)