This discussion aims to give a normative theoretical basis for a “best judgment” model of surrogate decision making rooted in a regulative ideal of love. Currently, there are two basic models of surrogate decision making for incompetent patients: the “substituted judgment” model and the “best interests” model. The former draws on the value of autonomy and responds with respect; the latter draws on the value of welfare and responds with beneficence. It can be difficult to determine which of these two (...) models is more appropriate for a given patient, and both approaches may seem inadequate for a surrogate who loves the patient. The proposed “best judgment” model effectively draws on the values incorporated in each of the traditional standards, but does so because these values are important to someone who loves a patient, since love responds to the patient as the specific person she is. (shrink)

This paper explores the philosophical aspects of a problem—clutter—that has gathered growing attention from social scientists, but not philosophers, in recent years. The central questions are: What role should things play as we go about the business of living? How can we modify our relationship to things to better reflect who we are—our values and the shape we want our lives to have? I offer an analysis of clutter in both objective and subjective terms, suggesting that the problem of clutter (...) lies on the subjective side. I then defend the claim that the problem stems from a mistaken sense of what kinds of action are appropriate with respect to things, given the attitudes called for by the recognition of value. My answer to the motivating questions, then, is that things can and should have personal value, and that once we recognize this, we are in a better position to see clearly the role they play in our identities and thus to respond appropriately to their value, thus preventing the experience of our stuff as clutter. (shrink)

ABSTRACT When misattributed paternity is discovered in the course of genetic testing, a genetic counselor is presented with a dilemma concerning whether to reveal this information to the clients. She is committed to treating the clients equally and enabling informed decision making, but disclosing the information may carry consequences for the woman that the counselor cannot judge in advance. A frequent suggestion aimed at avoiding this problem is to include the risk of discovering nonpaternity in the informed consent process for (...) counseling. In this paper I argue that such a move does not resolve the problem, because the conflict hinges on the interpretation of equality on which the counselor operates. Given the principles of genetic counseling, neither construal of equality yields a satisfactory solution to the conflict. In fact, I conclude that including nonpaternity in informed consent is not endorsed by either view, and we are still left with the question of what to do should nonpaternity be discovered. I suggest a compromise position concerning disclosure, involving revealing relevant genetic information but withholding nonpaternity when possible. (shrink)

Bioethics has made remarkable progress as a scholarly and applied field. A mere fledgling in the 1960s, it is now firmly established in hospitals, medical schools, and government agencies and boasts a number of professional associations and a handsome collection of journals.

The paper identifies the phenomenal rise of increasingly invasive forms of elective cosmetic surgery targeted primarily at women and explores its significance in the context of contemporary biotechnology. A Foucauldian analysis of the significance of the normalization of technologized women's bodies is argued for. Three "Paradoxes of Choice" affecting women who "elect" cosmetic surgery are examined. Finally, two utopian feminist political responses are discussed: a Response of Refusal and a Response of Appropriation.

Open Access: What if it doesn’t get better? Against more hopeful and optimistic views that it is not just ideal but possible to put an end to what John Rawls calls “the great evils of human history,” I aver that when it comes to evils caused by human beings, the situation is hopeless. We are better off with the heavy knowledge that evils recur than we are with idealizations of progress, perfection, and completeness; an appropriate ethic for living with such (...) heavy knowledge, which I call an ‘Imperfectionist Ethic,’ could include resisting evils, improving the lives of victims, and even enjoying ourselves. Better conceptions of the objects of hope, and the good life, inform a praxis-centered, nonideal ethic, supportive of sustained moral motivation, resilience, and even cheer. I connect elements of stoic and pessimistic philosophy in order to outline some normative recommendations for living with evils. A praxis-centered ethic would helpfully adjust our expectations from changing an uncontrollable future, to developing better skills for living in a world that exceeds our control. (shrink)

Open Access: Appreciating the relationship of the living to our dead is an aspect of human life that seems to be neglected in philosophy. I argue that living individuals can have ongoing, non-imaginary, valuable relationships with deceased loved ones. This is important to establish because arguments for such relationships better generate claims in applied ethics about our conduct with respect to our dead. In the first half of the paper I advance the narrower claim that psychological literature affirmative of “imaginal (...) relationships” with the dead is relevant to philosophical literature on metaphysical arguments for the dead as relata. The relevance of those psychological insights to philosophers’ metaphysical insights matters for understanding the value of relationships with deceased loved ones. In the second half of the paper I advance the wider claim that the importance of one’s most dearly held relationships with living individuals is best explained in terms of imaginal content, as well; in other words, some interpersonal relationships between the living are personally important because of their imaginal content. Once we appreciate this, it is clearer why recognizably real, imaginally informed relationships with the living are not necessarily cut off on the day someone dies, and permit the possibilities for ethical activities including forgiving the dead, honoring the dead, and carrying out their wishes after they are gone. (shrink)

This paper relates an empirical study demonstrating asymmetry in the concept of valuing.

In recent work, Michael Smith argues that particular desires are constitutive of ideal agency and draws on his dispositional account of reasons to establish the normative significance of those desires. In a sustained critique, Michael Bukowski objects that Smith’s recent arguments that particular desires are constitutive of ideal agency rely on indefensible premises and his dispositional account of reasons is unable to establish the normative significance of such desires. On the contrary, I argue not only that Smith has the resources (...) to respond to these objections but also that the form of Smith’s constitutivist explanation has unappreciated explanatory strengths. (shrink)

In the paper “An archeology of corruption in medicine”, Miles Little, Wendy Lipworth, and Ian Kerridge present an account of corruption and describe its prevalent forms in medicine. In presenting an individual-focused account of corruption found within “social entities”, Little et al. argue that these entities are corruptible by nature and that certain individuals are prone to take advantage of the corruptibility of social entities to pursue their own ends. The authors state that this is not preventable, so the way (...) to remedy corruption is via management and, where necessary, punishment. This commentary will briefly lay out the key features and functions of corruption as presented by Little et al., before providing a critical discussion that will focus on whether corruptibility is a necessary feature of social entities. I will propose that it is not a necessary feature, though it may frequently arise where individualistic values are unchecked. Corruption can be prevented within social entities by enhancing structures that direct toward virtue and which promote and reward cooperation instead of competition. (shrink)

When do probability distribution functions (PDFs) about future climate misrepresent uncertainty? How can we recognise when such misrepresentation occurs and thus avoid it in reasoning about or communicating our uncertainty? And when we should not use a PDF, what should we do instead? In this paper we address these three questions. We start by providing a classification of types of uncertainty and using this classification to illustrate when PDFs misrepresent our uncertainty in a way that may adversely affect decisions. We (...) then discuss when it is reasonable and appropriate to use a PDF to reason about or communicate uncertainty about climate. We consider two perspectives on this issue. On one, which we argue is preferable, available theory and evidence in climate science basically excludes using PDFs to represent our uncertainty. On the other, PDFs can legitimately be provided when resting on appropriate expert judgement and recognition of associated risks. Once we have specified the border between appropriate and inappropriate uses of PDFs, we explore alternatives to their use. We briefly describe two formal alternatives, namely imprecise probabilities and possibilistic distribution functions, as well as informal possibilistic alternatives. We suggest that the possibilistic alternatives are preferable. -/- . (shrink)

In this commentary on Brown and colleagues’ paper, entitled ‘Against Moral Responsibilisation of Health: Prudential Responsibility and Health Promotion’, I highlight the tension between individual responsibility—even when this is prudential and not moral—and systemic factors that impact people's health. Brown and colleagues and I agree that individuals are frequently held inappropriately responsible for health-related behaviours or diseases that have become associated with the so-called ‘lifestyle’ diseases. We further agree that health is an instrumental value to people, allowing them to achieve (...) their goals or plans. However, while Brown and colleagues argue that health promotion is justified in providing education campaigns that highlight the pragmatic reasons people have for improving their health-related behaviours, I argue that this amounts to the same inaction on systemic issues as holding individuals morally responsible. Further, without action on systemic issues such as the social determinants of health, some people lack the kinds of future-oriented pragmatic reasons that Brown and colleagues place at the centre of their argument. Rather, for some groups, the pragmatic thing is to enjoy current pleasures even if unhealthy, rather than to forego them for the sake of health in a mythical future. (shrink)

Three views of sustainability are juxtaposed with four views about who the members of the moral community are. These provide points of contact for understanding the moral issues in sustainability. Attention is drawn to the preferred epistemic methods of the differing factions arguing for sustainability. Criteria for defining membership in the moral community are explored; rationality and capacity for pain are rejected as consistent criteria. The criterion of having interests is shown to be most coherent for explaining why all living (...) humans belong to the moral community. This criterion allows inclusion of future generations as well, and extends to animals and plants membership in the moral community. Inferences are drawn that food sufficiency advocates hold only presently living persons to be full-fledged members of the moral community, but that this view is internally inconsistent. Stewards should agree that all living things are members of the moral community. A distinction between welfare interests and ulterior interests allows the steward to include the aims of those who argue for sustainability as community without committing some of their errors. Community advocates argue that essential values and virtues will be lost is the culture of agriculture is transformed. I argue that community advocates may fail to pass on our most important virtue — justice — without such a transformation. (shrink)

In this paper, we conceptually explore the role of empathy as a connectedness organising mechanism. We expand ideas underlying positive organisational scholarship and examine leading-edge studies from neuroscience and quantum physics that give support to our claims. The perspective we propose has profound implications regarding how we organise and how we manage. First, we argue that empathy enhances connectedness through the unconscious sharing of neuro-pathways that dissolves the barriers between self and other. This sharing encourages the integration of affective and (...) cognitive consciousness which facilitates the ability to find common ground for solution building. Second, empathy enhances connectedness through altruistic action. In giving to others, feelings of joy and harmony are activated. This in turn allows personal freedom to be enriched and transcendence from the rational ego-self is reduced to develop a more expansive, integrated and enlightened state underlying connectedness. Finally, empathy enhances connectedness which results in sharing the quantum field of coherence where there is little separation between self and other. This means living beyond self-interest in a coherent world based upon interdependent wholeness rather than atomization and separation. Empathy allows us to find that state of coherent connectedness. (shrink)

Pre-reading language skills develop rapidly in early childhood and are related to brain structure and functional architecture in young children prior to formal education. However, the early neurobiological development that supports these skills is not well understood. Here we acquired anatomical, diffusion tensor imaging and resting state functional MRI from 35 children at 3.5 years of age. Children were assessed for pre-reading abilities using the NEPSY-II subtests 1 year later. We applied a data-driven linked independent component analysis to explore the (...) shared co-variation of gray and white matter measures. Two sources of structural variation at 3.5 years of age demonstrated relationships with Speeded Naming scores at 4.5 years of age. The first imaging component involved volumetric variability in reading-related cortical regions alongside microstructural features of the superior longitudinal fasciculus. The second component was dominated by cortical volumetric variations within the cerebellum and visual association area. In a subset of children with rs-fMRI data, we evaluated the inter-network functional connectivity of the left-lateralized fronto-parietal language network and its relationship with pre-reading measures. Higher functional connectivity between the FPL and the default mode and visual networks at 3.5 years significantly predicted better Phonological Processing scores at 4.5 years. Together, these results suggest that the integration of functional networks, as well as the co-development of white and gray matter brain structures in early childhood, support the emergence of pre-reading measures in preschool children. (shrink)

Central to Confucian teachings in the Analects is the ideal of self-cultivation—in particular that of the junzi 君子 (“gentleman” “nobleman”) ideal. At the same time that Confucius recommends that individuals follow such an ideal, he also places limits on who actually might attain it. By examining statements involving such terms as the junzi, the “petty man” ( xiao ren 小人), and the “masses” ( min 民, or zhong 眾), or common people, this essay highlights the sociopolitical and gender restrictions informing (...) one of the most basic, yet lofty, ethical goals of the text. A new means is also offered of discussing these socially delimited discrepancies in moral cultivation by referring to leading, or self-determining agency in association with junzi on the one hand, and to conformist agency for women and common people on the other. (shrink)

The Taiyi shengshui 太一生水 is one of only a few texts in the early Chinese corpus to present a detailed cosmogony, one that traces the beginnings of the cosmos back to a variety of spiritual and natural forces, such as the divinity Taiyi and water. My primary question in this chapter is not to ask what that cosmogony was, but why such a cosmogonic text might have been written in the first place. Why in particular did authors in Warring States (...) China deem it necessary to go all the way back to the very beginning of everything to try to situate their thought and recommendations for human action? By comparing the Taiyi shengshui to various other cosmogonies in the textual tradition, we arrive at interesting insights into both the overarching moral agenda of the text as well as its specific contributions to cosmological thinking in early China. (shrink)

Both feminists and Marxists have realized that it is necessary to avoid reductionism and recognize the intersections between gender, race, and class. But we donot have a methodology sufficient to develop this idea. I argue that Bertell Ollman’s book Dance of the Dialectic provides a way to think about intersectionality usingMarx’s methodology of abstraction and his theory of internal relations. As a relational abstraction, gender is intersectional. We may legitimately focus on it, as longas we treat it dialectically. We can (...) recognize that it is not homogeneous but stands in relations of identity and/or contradiction with other social relations. (shrink)

I rely on Nel Noddings’ analysis of receptivity as "an essential component of intellectual work," to argue that receptivity is a virtue of argumentation, practicing the principle of charity excellently for the sake of an author and their philosophical community. The deficiency of receptivity is epitomized by the philosopher who listens to attack. The excess of receptivity is the vice of insufficiently critical acceptance of an author regardless of the merits of an argument.

Open Access: I rely on Nel Noddings’ analysis of receptivity as "an essential component of intellectual work," to argue that receptivity is a virtue of argumentation, practicing the principle of charity excellently for the sake of an author and their philosophical community. The deficiency of receptivity is epitomized by the philosopher who listens to attack. The excess of receptivity is the vice of insufficiently critical acceptance of an author regardless of the merits of an argument.

Philosophy of science has the potential to enhance scientific practice, science policy, and science education; moreover, recent research indicates that many philosophers of science think we ought to increase the broader impacts of our work. Yet, there is little to no empirical data on how we are supposed to have an impact. To address this problem, our research team interviewed 35 philosophers of science regarding the impact of their work in science-related domains. We found that face-to-face engagement with scientists and (...) other stakeholders was one of the most—if not the most—effective pathways to impact. Yet, working with non-philosophers and disseminating research outside philosophical venues is not what philosophers are typically trained or incentivized to do. Thus, there is a troublesome tension between the activities that are likely to lead to broader uptake of one’s work and those that are traditionally encouraged and rewarded in philosophy. We suggest several ways that philosophers of science, either as individuals or as a community, can navigate these tensions. (shrink)

The concept of interactional expertise – characterized by sociologists Harry Collins and Robert Evans as the ability to speak the language of a discipline without the corresponding ability to practice – can serve as a powerful way of breaking down expert/non-expert dichotomies and providing a role for new voices in specialist communities. However, in spite of the vast uptake of this concept and its potential to fruitfully address many important issues related to scientific expertise, there has been surprisingly little critical (...) analysis of it. We seek to remedy this situation by considering potential benefits of interactional expertise and the ways in which the current conception can – and cannot – realize those benefits. In particular, we argue that interactional expertise hasn’t reached its full potential for addressing who ought to be involved in scientific research and decision-making, largely owing to an unnecessarily restrictive way of operationalizing the concept. In its place, we offer a broader, more pluralistic account of interactional expertise – one that is in line with the original spirit of the concept, but also captures the diversity that we see as being an important aspect of interactional experts and the value they can bring to the table. (shrink)

We propose conscious awareness as a mechanism for creating “shared value”; a form of value that Porter describes as putting social and community needs before profit. We explore the mechanism empirically in an entrepreneurial context and find that spiritual practices increase conscious awareness which, in turn, shapes entrepreneurial intentions and venture characteristics focused on shared value.

This paper is dedicated to a discussion of Gilles Deleuze’s Coldness and Cruelty and its special place in French Sade studies. In this text, Deleuze famously argues against the notion of ‘sadomasochism’ as a unity. Sadism and masochism are, on his view, two entirely separate and incompatible ways of making use of pain and suffering in perversion. What is less known about Deleuze’s text is that he argues, against the current in French philosophy, psychiatry, and even intuition, that the essence (...) of sadism is a kind of thinking rather than a pleasure in causing pain to others. In this essay, we try to make sense of the idea that the sadist, at heart, is a metaphysician who thinks by means of suffering and indifference. Our paper also addresses the related concern about how to account for the properly sexual nature of this metaphysical perversion. We argue that the sexuality of thinking is rooted in pre-genital sexual life as described by Freud in his Three Essays on the Theory of Sexuality. (shrink)

In the case discussion, ‘Equity in Public Health Ethics: The Case of Menu Labelling Policy at the Local Level’ , Mah and Timming state that menu labelling would ‘place requirements for information disclosure on private sector food businesses, which, as a policy instrument, is arguably less intrusive than related activities such as requiring changes to the food content’. In this commentary on Mah and Timming’s case study, I focus on discussing how menu-labelling policy permits governments to avoid addressing the heart (...) of the problem, which is high-calorie, high-sodium restaurant food. Menu labelling policy does not address food content in a way that is meaningful for change, instead relying on individuals to change their behaviour given new information. Besides having questionable efficacy, this raises concerns about moralizing food choices. (shrink)

This collection of previously published essays by Cheshire Calhoun, with an original introduction, supplies an absorbing assemblage of some well-known and some lesser-known essays that hang together remarkably well. The overall effect is that of a robust and provocative approach to ethical theory. Calhoun builds a persuasive case for morality as an enterprise constituted as much by social practices as by abstract theorizing. Calhoun's is not merely the position that moral theory has feasibility constraints when applied. On the contrary, she (...) offers these essays as multiple viewing angles on her position that, "absent a social practice, there is no morality, although there might be moral knowledge" (13). Conventionally, we conceive of morality as a correct action guide, a theory that aims for accuracy in an attempt to "get it right," which we then carry into application in the world. Calhoun argues that our critically reflective aim of theorizing toward accuracy supervenes on -- and often unwittingly presumes -- the backdrop of a social practice of morality (17). (shrink)

Literary Forms of Argument in Early China examines the functions of rhetorical markers and devices as well as the patterns and larger modes structuring various styles of early Chinese argumentation. The nine contributors to the volume each present tight analyses of specific compositional or literary aspects of persuasion, hoping to demonstrate how an unabashed focus on the formal elements of philosophical writing might come to the aid of, or even more drastically alter and transform, philosophical interpretation. The volume includes essays (...) by the following nine scholars, who are at once a mixture of philologists, textual and literary specialists, and intellectual historians: Rudolph Wagner, Andrew Plaks, David... (shrink)