This article presents the findings of qualitative research which explored, from the mothers’ perspective, the process of decision-making about mode of delivery for a subsequent birth after a previous Caesarean Section. In contradiction to the clinical literature, the majority of mothers in this study were strongly of the opinion that a vaginal birth after caesarean (VBAC) posed a higher risk than an elective caesarean (EC). From the mothers’ perspective, risk discussions were primarily valuable for gaining support for their pre-determined choice, (...) rather than obtaining information. The findings posit ethical concerns with regards to informed consent and professional obstetric practice at a time when there is a documented and worrying trend towards an increase in births by caesarean section (CS). (shrink)

In recent years, there have been a number of moral panics in Western societies about the existence of religious courts and tribunals in general and Shariah law in particular. In England and Wales, these concerns came to the fore following the 2008 lecture by the then Archbishop of Canterbury, Dr Rowan Williams, on ‘Civil Law and Religious Law in England’. In that lecture, Williams drew upon the work of the Canadian scholar Ayelet Shachar endorsing her concept of ‘transformative accommodation’. In (...) this article, we return to the work of Shachar in the light of our recent empirical study which examined the divorce jurisdiction of three religious tribunals in detail: a Jewish Beth Din; a matrimonial tribunal of the Roman Catholic Church; and a Muslim Shariah Council. We suggest that the focus upon Shachar’s concept of ‘transformative accommodation’ by Williams and subsequent commentators is unfortunate given that Shachar actually proposes ‘transformative accommodation’ as just one variant of what she refers to as ‘joint governance’ (albeit her preferred variant). We propose that the umbrella concept of ‘joint governance’ and its other variants can be developed in a way that could prove to be more useful than ‘transformative accommodation’. (shrink)

Guidelines advise that x-rays do not contribute to the clinical management of simple nasal fractures. However, in cases of simple nasal fracture secondary to assault, a facial x-ray may provide additional legal evidence should the victim wish to press charges, though there is no published guidance. We examine the ethical and medico-legal issues surrounding this controversial area.

This article reviews three recent books that enhance our understanding of the work of French feminist Luce Irigaray: Marine Lover of Friedrich Nietzsche and The Irigaray Reader, and Philosophy in the Feminine, a commentary on Irigaray's work by Margaret Whitford. The author emphasizes a dynamic reading of Irigaray's philosophy and integrates theoretical concepts with poetic/utopian passages from the works.

In his classic 1936 essay "On the Concept of Logical Consequence", Alfred Tarski used the notion of satisfaction to give a semantic characterization of the logical properties. Tarski is generally credited with introducing the model-theoretic characterization of the logical properties familiar to us today. However, in his book, The Concept of Logical Consequence, Etchemendy argues that Tarski's account is inadequate for quite a number of reasons, and is actually incompatible with the standard model-theoretic account. Many of his criticisms are meant (...) to apply to the model-theoretic account as well. In this paper, I discuss the following four critical charges that Etchemendy makes against Tarski and his account of the logical properties: (1) (a) Tarski's account of logical consequence diverges from the standard model-theoretic account at points where the latter account gets it right. (b) Tarski's account cannot be brought into line with the model-theoretic account, because the two are fundamentally incompatible. (2) There are simple counterexamples (enumerated by Etchemendy) which show that Tarski's account is wrong. (3) Tarski committed a modal fallacy when arguing that his account captures our pre-theoretical concept of logical consequence, and so obscured an essential weakness of the account. (4) Tarski's account depends on there being a distinction between the "logical terms" and the "non-logical terms" of a language, but (according to Etchemendy) there are very simple (even first-order) languages for which no such distinction can be made. Etchemendy's critique raises historical and philosophical questions about important foundational work. However, Etchemendy is mistaken about each of these central criticisms. In the course of justifying that claim, I give a sustained explication and defense of Tarski's account. Moreover, since I will argue that Tarski's account and the model theoretic account really do come to the same thing, my subsequent defense of Tarski's account against Etchemendy's other attacks doubles as a defense against criticisms that would apply equally to the familiar model-theoretic account of the logical properties. (shrink)

Animals can be used in many ways in science and scientific research. Given that society values sentient animals and that basic research is not goal oriented, the question is raised.

Recent Russell scholarship has made clear the importance of Russell’s contributions to ethical theory. But his provocative two-page 1922 paper, “Is There an Absolute Good?”, anticipating by two decades what has come to be called “error theory”, is still little known and not fully understood by students of Russell’s ethics. In that little paper, never published in Russell’s lifetime, he criticizes the “absolutist” view of G. E. Moore; and, with the help of his own 1905 theory of descriptions, he exposes (...) what he takes to be the fallacy underlying Moore’s (and his own earlier) arguments regarding value judgments and puts forward a new analysis which preserves the “absolutist” meaning at the cost of rendering all value judgments false. This article attempts to: (1) make clear just what Russell was doing in his little paper and how to understand it in the evolution of his metaethical thinking, (2) defend his 1922 theory against some recent criticisms, and (3) suggest the most likely reasons why he so quickly abandoned his new theory. (shrink)

This paper concerns a key point of decision in Donald Davidson's early work in philosophy of language — a fateful decision that set him and the discourse in the area on the path of truth-theoretic semantics. The decision of moment is the one Davidson makes when, in the face of a certain barrier, he gives up on the idea of constructing an explicit meaning theory that would parallel Tarski's recursive way with truth theory. For Davidson there was little choice: he (...) tells us he does not see how to deal with the difficulty except in the radical way he proposes. But there is a way to give such a meaning theory — a meaning theory proper which, using classical logic only, meets a meaning-theoretic analogue of Convention T, satisfies Davidson’s three key desiderata for a theory of meaning, reflects linguistic competence, and avoids quantifying over meanings. The meaning theory sketched here uses Tarskian strategies, as Davidson proposed, but differs from Davidson's approach in not going by way of a truth theory for the target language. (shrink)

Famously, Saul Kripke proposes that there are contingent a priori truths, and has offered a number of examples to illustrate his claim. The most well-known example involves the standard meter bar in Paris. Purportedly, a certain agent knows a priori that the bar is one meter long. However, in response to a long-standing objection to such examples - the "existential complaint" - generally only modified examples having a conditional form are now considered candidates for the contingent a priori. Gareth Evans (...) argues that these conditionals must be understood free-logically, and on this basis argues against Keith Donnellan's analysis of the contingent a priori. I show Evans' argument mistaken. I also take issue with the existential complaint, and suggest a way of understanding Kripke's original examples that is not subject to it. My approach focuses the debate in its right place, and allows us to take Kripke's original examples seriously. (shrink)

Researchers and non-commercial institutions negotiate complex legislation and guidance when planning and conducting research studies. The documents and processes required differ across nations and their regulatory bodies and it can be challenging to conduct an international study, especially for non-commercial organisations. In this study, colleagues from Japan and the UK worked closely together focusing on the legislation, organisations, trial processes, ethics review and quality assurance frameworks of clinical trials in two countries, the UK, demonstrated on the model of practices in (...) the University of Bristol and University Hospital Bristol NHS Foundation Trust, and Japan, based on the model in Kyoto University Hospital. Although the ICH tripartite guidelines were developed with participation from both the EU and Japan the set-up and approval processes for clinical trials are different between the two countries while the expectations for quality assurance are similar. We will argue that the f... (shrink)

In his 1993 Nicod Lectures (The Elm & the Expert), Jerry Fodor proposed a solution to a certain version of the problem of 'inscrutability of reference', which problem poses a challenge to a certain naturalistic, computational approach to cognition which Fodor has favored. The problem is that a purely informational account of an agent's mental contents cannot discriminate meanings finely enough. Fodor proposes a strategy of solution which appeals to the inferential dispositions of agents to discriminate contents more finely. After (...) a brief exposition of the problem and Fodor's bid for solution, I employ three counterexamples to argue that Fodor's proposal cannot succeed. (shrink)

The aim of the paper is twofold: i) to give a logically explicit formulation of a slight generalization of Quine's master argument about de re modality—an argument which imposes important constraints on modal semantics, ii) to briefly present my favored account of modal locutions (especially locutions of the de re metaphysical flavor) and show how it successfully copes with Quine's argument. Though Quine made this argument so many years ago, it is still widely misunderstood, and so careful attention to detail (...) seems warranted. From what I have seen, philosophers' attitudes towards Quine's master argument fall into two kinds: i) there are those that think that the argument has no force, because it is based on some mistake (usually, something about definite descriptions), and ii) there are those that think that the argument poses some insuperable barrier to any kind of de re modality. Neither of these attitudes is justified. So, I hope to make plain along the way that a) the original version of Quine's argument is sound, b) there is a version of this same basic argument which imposes very definite constraints on any proposed account of de re "metaphysical" modality in particular, an c) there is an account that satisfies these constraints. Part 1 of the paper is concerned with laying out and discussing three versions of Quine's argument, in the service of establishing points (a) and (b). -/- In Part 2 of the paper, I briefly sketch what I take to be a very promising, and also very Quinean account of de re modality -- one that respects the constraint on modal semantics that Quine's argument reveals and comports well with the few positive remarks Quine makes, for example, in Word and Object regarding our use of modal locutions. This will put us in a position to see that the proposed account does not fly in the face of Quine's master argument. (shrink)

Both Dummett and Tugendhat seem to conclude that Frege's thesis that truth values are objects which are signified by certain sentences is an assumption which was unjustified even for Frege. In this paper I wish to show that Frege's thesis was one of several assumptions which led Frege to a complex semantic theory for the first order predicate calculus which is surpassed only by Tarski's truth and satisfaction definitions. As such, this thesis receives its justification by being an essential part (...) of a theory which as far as Frege knew was an adequate semantic theory for his version of the first order predicate calculus. This justification, now, of course, would not support the view that there are these objects. The reason for this is that Tarski's truth definition gives us a way of providing a semantics for a class of sentences which properly includes the class of sentences for which Frege's semantics is adequate without the need to assume the existence of truth values as objects. (shrink)

Bertolt Brecht and Theodor W. Adorno stand for opposing modes and stances within an artistic modernism oriented toward radical social transformation. In his 1962 essay ‘Commitment’, Adorno advanced a biting critique of Brecht’s work and artistic position. Adorno’s arguments have often been dismissed but, surprisingly, are seldom closely engaged with. This paper assesses these two approaches that have been so central to twentieth-century debates in aesthetics: Brecht’s dialectical realism and Adorno’s sublime or dissonant modernism. It provides what still has been (...) missing: a close reading and immanent critique of Adorno’s case against Brecht. And it clarifies one methodological blind spot of Adorno’s formalist conceptualisation of autonomy: he fails to provide the detailed analysis of context that his own dialectical method immanently calls for. The paper shows how and why Brecht’s dialectical realism holds up under Adorno’s attack, and draws conclusions for contemporary artistic practice. (shrink)

Aim Genetic research representative of the population is crucial to understanding the underlying causes of many diseases. In a prospective evaluation of informed consent we assessed the willingness of individuals of different ethnicities, gender and drug dependence history to participate in genetic studies in which their genetic sample could be shared with a repository at the National Institutes of Health. Methods Potential subjects were recruited from the general population through the use of flyers and referrals from previous participants and clinicians (...) with knowledge of our study. They could consent to 11 separate choices so that they could specify how and with whom their genetic sample could be shared. Rates of affirmative consent were then analysed by gender, ethnicity and drug dependence history. Results Of 1416 volunteers enrolled, 99.7% gave affirmative informed consent for studies of addiction conducted in our laboratory. No significant difference was found for participation in genetic studies conducted in our laboratory by gender, ethnicity or drug dependence history. Over all 11 questions, individuals with a history of drug use were more likely to agree to consent to participate in our study than were healthy volunteers. Conclusion A high percentage of each category of gender, ethnicity and drug history, gave affirmative consent at all levels. The level of detail in and the amount of time spent reviewing the informed consent, and a relationship of trust with the clinical investigator may contribute to this outcome. (shrink)

For hundreds of millions of years before the recent emergence of reason, evolution elaborated a multiplicity of ways of knowing through feelings, which remain valid today. Each way of knowing, including reason, is mediated by a ‘mental organ’ which is a population of neurons bearing a particular neurotransmitter receptor (e.g. serotonin-7, histamine-1, alpha-2C). Each mental organ adds spice to our lives. Reason coevolved with a pre-existing affective domain, and is designed to be informed by affective input. When reason reigns at (...) the cost of losing touch with the other ways of knowing, we retain the ability to manipulate nature, but we do not understand its essence and cannot make wise judgements. (shrink)

What's new about globalization? -- Globalization and the social -- Beyond the nation-state? -- Virtual sociality -- Global inequalities and everyday life -- Global terrors.

The paper develops a view of interpretative cultural practice as a complex system of dynamically changing constituents which stand in definite relations to one another. These constituents are the Object of Interpretation (O), Result of Interpretation or interpretation itself (I), the Process of interpretation (P) and the interpreting Subject (S). It is argued that if such a view as this is adapted, ‘singularism’ as a norm for cultural practices necessarily gives way to ‘multiplism’. Singularism and multiplism are terms used by (...) Michael Krausz in Rightness and Reasons (1993). Krausz also talks of certain interpretative practices as imputational, in the sense that the object of interpretation changes, is ‘imputed upon’ during the course of the practice. This paper contends that all cultural practices are imputalional, for each such practice leaves its effect on the object. Not only does practice affect the object, but it affects the subject too The evolution of the subject, the self, through imputational interpretative cultural practices is explored as a major element in the making of a human individual. (shrink)