Revealing flaws in both 'green' and market-based approaches to environmental policy, O'Neill develops an Aristotolian account of well-being. He examines the implications for wider issues involving markets, civil society an.

The author draws on considerable research in this area to provide an overdue critical evaluation of the limits of the market, and future prospects for non-market socialism.

Deliberative or discursive models of democracy have recently enjoyed a revival in both political theory and policy practice. Against the picture of democracy as a procedure for aggregating and effectively meeting the given preference of individuals, deliberative theory offers a model of democracy as a forum through which judgements and preferences are formed and altered through reasoned dialogue between free and equal citizens. Much in the recent revival of deliberative democracy, especially that which comes through Habermas and Rawls, has Kantian (...) roots. Deliberative institutions are embodiments of the free public use of reason that Kant takes to define the enlightenment project. Within the Kantian model the public use of reason is incompatible with the use of rhetoric. While this paper rejects strong rhetorical criticisms of deliberative democracy which render all communication strategic, it argues that rhetorical studies of deliberation have highlighted features of deliberation which point to significant weaknesses in Kantian approaches to it. Two features are of particular importance: the role of testimony and judgements of credibility in deliberation; and the role of appeal to emotions in public discourse. Both from the Kantian perspective are potential sources of heteronomy. However, the appeal to testimony and emotion are features of public deliberation that cannot and should not be eliminated. For those committed to the enlightenment values that underlie the deliberative model of democracy the question is whether these rhetorical features of deliberation are incompatible with those values. The paper argues that they are compatible. It does so by defending an Aristotelian account of rhetoric in public deliberation which denies the Platonic contrast between reasoned discourse and rhetoric which the Kantian model inherits. (shrink)

ObjectivePatient involvement is used to describe the inclusion of patients as active participants in healthcare decision-making and research. This study aimed to investigate incoming year 1 medical (MBChB) students’ attitudes and opinions regarding patient involvement in this context.MethodsWe established a staff–student partnership to formulate the design of an online research survey, which included Likert scale questions and three short vignette scenarios designed to probe student attitudes towards patient involvement linked to existing legal precedent. Incoming year 1 medical students (n=333) were (...) invited to participate in the survey before formal teaching commenced.ResultsSurvey data (49 participants) indicate that students were broadly familiar with, and supportive of, patient involvement in medical treatment. There was least support for patient involvement in conducting (23.9%), contributing to (37.0%) or communicating research (32.6%), whereas there was unanimous support for patients choosing treatment from a selection of options (100%).ConclusionIncoming members of the medical profession demonstrate awareness of the need to actively involve patients in healthcare decision-making but are unfamiliar with the utility and value of such involvement in research. Further empirical studies are required to examine attitudes to patient involvement in healthcare. (shrink)

Holland argues that environmental deliberation should return to classical questions about the nature of the good life, understood as the worthwhile life. Holland's proposal contrasts with the revived hedonist conception of the good life which has been influential on environmentalism. The concept of the worthwhile life needs to be carefully distinguished from those of the happy life and the dutiful life. Holland's account of the worthwhile life captures the narrative dimension of human well-being which is revealed but inadequately addressed by (...) hedonic research. Environmental concerns are better understood from a non-hedonist perspective. An Aristotelian version of this perspective also offers the institutional focus which Holland suggests is required in environmental deliberation. (shrink)

This chapter contains sections titled: Meta‐ethics and normative ethics Intrinsic value Is the rejection of meta‐ethical realism compatible with an environmental ethic? Objective value and the flourishing of living things Human sensibilities and environmental values Environmental ethics through thick and thin.

Problems of representation lie at the centre of recent experiments in deliberative democracy. The problems are not primarily social scientific questions concerning the statistical representiveness of small-scale deliberative institutions but normative questions about their political and ethical legitimacy. Experiments in deliberative democracy often rely for their representative legitimacy on appeals to the presence of members of different groups. However, they often do so without clear sources of authorisation and accountability from those represented. The representation of nonhumans and future generations in (...) deliberative institutions is still more problematic. In the necessary absence of their authorisation, accountability, and presence, claims to speak on their behalf relies on epistemic claims, coupled with care. To highlight these problems is not to claim that small deliberative institutions are illegitimate but rather to point out the need for a clearer account of their role in democratic institutions and the proper sources of contestability of their outcomes. (shrink)

Presents three generations of German, French, and Anglo-American thinking on the Hegelian narrative of desire, recognition, and alienation in life, labor, and language.

There have been calls for mandatory vaccination legislation to be introduced into the UK in order to tackle the national and international rise of vaccine-preventable disease. While some countries have had some success associated with mandatory vaccination programmes, the Royal College of Paediatrics and Child Health insist this is not a suitable option for the UK, a country which has seen historical opposition to vaccine mandates. There is a lack of comprehensive data to demonstrate a direct link between mandatory vaccination (...) legislation and increased uptake. While there are examples whereby there has been an improvement, some studies suggest that comparable results can be obtained by strongly recommending vaccinations instead. The RCPCH insist that healthcare workers are ideally placed to engage and inform parents to make every interaction a ‘vaccine opportunity’. This paper calls for a principled, rational approach to interpretations of autonomy which underpin parental informed consent. MacLean’s concept of mutual persuasion could be a vehicle to ensuring parents are suitably informed of both the material risks associated with vaccine choices and to consider the rationality of their decisions, while ultimately upholding parental autonomy. It is argued that this, alongside infrastructural improvement, could create a more sustainable, long-term improvement in childhood vaccination rates in the UK than mandatory vaccination. (shrink)

I / The Structures of Behavior MERLEAU-PONTY'S ANALYSIS of the structures of behavior proceeds by means of a critical confrontation of the realism of ...

This collection of essays on communicative theory and praxis from the eminent Merleau-Ponty scholar and translator John O'Neill explores the thesis that the human body is the exemplary ground of all other communicative processes.

There is a special problem with respect to our obligations to future generations which is that we can benefit or harm them but that they cannot benefit or harm us. Goodin summarizes the point well:No analysis of intergenerational justice that is cast even vaguely in terms of reciprocity can hope to succeed. The reason is the one which Addison… puts into the mouth of an Old Fellow of College, who when he was pressed by the Society to come into something (...) that might rebound to the good of their Successors, grew very peevish. ‘We are always doing’ says he, ‘something for Posterity, but I would fain see Posterity do something for us’. (shrink)

"Nature" and "wilderness" are central normative categories of environmentalism. Appeal to those categories has been subject to two lines of criticism: from constructivists who deny there is something called "nature" to be defended; from the environmental justice movement who point to the role of appeals to "nature" and "wilderness" in the appropriation of land of socially marginal populations. While these arguments often come together they are independent. This paper develops the second line of argument by placing recent appeals to "wilderness" (...) in the context of historical uses of the concept to justify the appropriation of land. However, it argues that the constructivist line is less defensible. The paper finishes by placing the debates around wilderness in the context of more general tensions between philosophical perspectives on the environment and the particular cultural perspectives of disciplines like anthropology, in particular the prima facie conflict between the aspirations of many philosophers for thin and cosmopolitan moral language that transcends local culture, and the aspirations of disciplines like anthropology to uncover a thick moral vocabulary that is local to particular cultures. (shrink)

This paper examines the epistemological arguments about markets and planning that emerged in a series of unpublished exchanges between Hayek and Neurath. The exchanges reveal problems for standard accounts of both the socialist calculation debates and logical empiricism. They also raise questions concerning the sources of ignorance and uncertainty in modern economies, and the role of market and non-market organisations in the distribution and coordination of limited knowledge, which remain relevant to contemporary debates in economics. Hayek had argued that Neurath's (...) work exemplified the errors of rationalism that underpinned the socialist project. In response Neurath highlighted assumptions about the limits of reason and predictability that the two theorists shared and attempted to turn those assumptions back against Hayek in a defence of the possibility of socialist planning. The paper critically compares Neurath's and Hayek's criticisms of rationalism and considers how far Neurath is successful in his attempt to employ Hayek's assumptions against Hayek himself. (Published Online April 18 2006) Footnotes1 I would like to thank the staff at the Vienna Circle Institute for their assistance in consulting their copy of the Neurath Nachlass. I owe a debt of gratitude to Thomas Uebel and David Archard for their comments on earlier versions of this paper. I would like to acknowledge the support of the Arts and Humanities Research Board and a Manchester University Hallsworth Fellowship in writing this paper. (shrink)

The development and applicability of complex numbers is often cited in defence of the formalist philosophy of mathematics. This view is rejected through an examination of hamilton's development of the notion of complex numbers as ordered pairs of reals, And his later development of the quaternion theory, Which subsequently formed the basis of vector analysis. Formalism, By protecting informal assumptions from critical scrutiny, Constrained rather than encouraged the development of mathematics.

Bioethics, Volume 36, Issue 5, Page 535-546, June 2022.

For the Enlightenment, science represented an ideal of rational argument, behaviour and community against which could be judged the arbitrary power and authority of other spheres of human practice. This Enlightenment ideal runs through much liberal and socialist theory. However, the Enlightenment picture of science has appeared to many to be increasingly uncompelling. What explains the apparent decline of the Enlightenment vision? This book explores one neglected answer originally proposed by Husserl, that its decline is rooted in formalism, in the (...) view that all there is to theoretical science is the construction and mastery of formal systems. O'Neill demonstrates formalist accounts of mathematics and natural science to be inadequate, and then considers and rejects Husserl's views on the origin of the formalization of the sciences. The book concludes by arguing that the rise of a formalist view of the sciences is founded in the professionalization of modern science, and discusses the significance of this professionalization for the fate of the Enlightenment view of science. Worlds Without Content: Against Formalism tackles an important set of issues which have been neglected in recent philosophy of science, and in so doing highlights themes in Husserl's later works which have been ignored by most commentators. It will be of particular interest for philosophers of mathematics, science and social theory, and for historians of mathematics and philosophy. (shrink)

Objective: Ethical guidelines are designed to ensure benefits, protection and respect of participants in clinical research. Clinical trials must now be registered on open-access databases and provide details on ethical considerations. This systematic survey aimed to determine the extent to which recently registered clinical trials report the use of standard of care and post-trial obligations in trial registries, and whether trial characteristics vary according to setting. Methods: We selected global randomized trials registered on http://www.clinicaltrials.gov and http://www.controlled-trials.com. We searched for intervention (...) trials of HIV/AIDS, malaria, and tuberculosis from 9 October 2004, the date of the most recent version of the Helsinki Declaration, to 10 April 2007. Results: We collected data from 312 trials. Fifty-eight percent (58%, 95% CI = 53 to 64) of trial protocols report informed consent. Fifty-eight percent (58%, 95% CI = 53 to 64) of trials report active controls. Almost no trials (1%, 95% CI = 0.5 to 3) mention post-trial provisions. Most trials measure surrogate outcomes. Twenty percent (20%, 95% CI = 16 to 25) of trials measure patient-important outcomes, such as death; and the odds that these outcomes are in a low income country are five times greater than for a developed country (odds ratio (OR) 5.03, 95% CI = 2.70 to 9.35, p = < 0.001). Pharmaceutical companies are involved in 28% (CI = 23 to 33) of trials and measure surrogate outcomes more often than nonpharmaceutical companies (OR 2.45, 95% CI = 1.18 to 5.09, p = 0.31). Conclusion: We found a large discrepancy in the quality of reporting and approaches used in trials in developing settings compared to wealthier settings. (shrink)

In June 1993, conjoined twins Amy and Angela Lakeberg became the focus of national attention. They shared a complex six‐chambered heart and one liver; only one could survive separation surgery, and even her chances were slim. The medical challenge was great and the ethical challenges were even greater.

An articulate and passionate argument against the postmodern/postraditionalist abandonment of Marxist and phenomenological concepts of reason and commonsense. This is a major and accessible contribution to the debate on postmodernity.

This article is a close reading of Jacques Derrida's critique of Marcel Mauss's classic, The Gift, and its revision through Charles Baudelaire's `The Counterfeit Coin'. Derrida's rejection of any exchange/reciprocity relation in the gift as an immoral binding of free subjects strangely accommodates the current ideological crisis of the gift in welfare societies. Moreover, Derrida's textual substitution of Baudelaire for Mauss repeats the counterfeit practice on which his own aporia of the gift is based.

The subject of this paper is the integrity of nature over time—‘diachronic integrity’. The argument of the parer is that any serious attempt to address conservation problems—the kinds of problems faced by environmental managers the world over, needs to operate with an eye to some principle of diachronic integrity. Whilst acknowledging that applying the principle is largely a matter of experience and judgement, we argue that it applies equally both to human and to natural history.

In Democracy and the Claims of Nature, the leading thinkers in the fields of environmental, political, and social theory come together to discuss the tensions and sympathies of democratic ideals and environmental values. The prominent contributors reflect upon where we stand in our understanding of the relationship between democracy and the claims of nature. Democracy and the Claims of Nature bridges the gap between the often competing ideals of the two fields, leading to a greater understanding of each for the (...) other. (shrink)

The needs principle—that certain goods should be distributed according to need—has been central to much socialist and egalitarian thought. It is the principle which Marx famously takes to be that which is to govern the distribution of goods in the higher phase of communism. The principle is one that Marx himself took from the Blanquists. It had wider currency in the radical traditions of the nineteenth century. In the twentieth century it remained central to the mutualist form of socialism defended (...) by Tawney and Titmuss. The principle underlay the development and justification of the modern welfare state—thus the National Health Service is still founded upon the idea that the distribution of medical resources should be determined by medical need, not by ability to pay. One source of the power of the needs principle lies in the fact that it appears to be both a principle of justice and a principle of community or social solidarity. As a principle of justice it is offered as a corrective to the particular forms of unequal distributions of goods that can result from market transactions, and as a principle of community or social solidarity as a corrective to the possessive individualism taken to be the corollary of a market order. (shrink)

ABSTRACT Is a scientific attitude to the natural world an obstacle to an appreciation of its value? This paper argues that it is not. Following Aristotle and Marx, it maintains that, properly pursued, science has value because it enables us to contemplate that which is wonderful and beautiful. However, the paper concedes that, as actually practised, science can foster a vice described by Augustine as ‘the lust of the eyes’: knowledge is sought not to open us to the world, but (...) merely to satisfy the itch of curiosity. If scientific knowledge is thus pursued, no limits to the means to it nor to its objects are recognised. Those who thus seek knowledge fail to understand its value. (shrink)

Is there a relation between the increasing extension of markets and market norms to previously non-market goods, and the growth of environmental problems? This chapter explores two competing answers: market-endorsing positions that argue that a source of environmental problems lies in the absence of markets in environmental goods and that the extension of markets or market modes of valuation to environmental goods offers the most effective way of protecting them; market-skeptical positions that deny that the extension of markets will protect (...) environmental goods or more strongly that markets and increasing marketization are themselves a source of environmental problems. These positions offer distinct perspectives on market mimicking instruments in environmental policy making, such as cost-benefit analysis, and on the development of new markets, for example in emission rights and biodiversity offsets. The issues raised include questions about value commensurability, justice, epistemic limits to planning and markets, and environmental limits to growth. (shrink)

Otto Neurath (1882-1945) was a highly unorthodox thinker both in philosophy and economics. The contributions to this sparkling new book conclude that Neurath touched on many of the most critical problems of economic theory during its formative years as a modern discipline. His economics provide insights into the foundational problems of modern economics and should encourage contemporary economic theorists to critically reflect their own hidden presumptions.

Environmental problems driven by unsustainable consumption are lending new importance to an ancient question: are there bounds to the goods required for a happy or flourishing life? A standard assumption in recent economics is that there are no such bounds. Many further argue that markets, technological change, and resource substitution can deliver sustainability while allowing consumption of final goods by consumers to increase. This chapter criticizes this approach and considers two much older traditions, the Epicurean and Aristotelian, which do recognize (...) the existence of limits to the goods required for the good life. Their revival has been used to argue that consumption can be reduced without loss of well-being. This chapter argues that the promise found by environmentalists in the recent hedonic revival of the Epicurean tradition is misplaced, and that the Aristotelian tradition provides a richer account of why the future—and therefore consuming sustainably—matters to our well-being. (shrink)

ABSTRACT It is widely supposed by both its proponents and critics that communitarianism is committed to the defence of lies of nationhood: the nation forms a surviving communal attachment in a world in which the individual is otherwise denuded of ties of community. I argue in this paper that this assumption is mistaken. It depends on a romantic image of the nation which was constructed in the eighteenth and nineteenth centuries. That image hides the recent historical origins of the nation (...) and its foundation in the suppression of older allegiances or their later privatisation; it continues to disguise the illusory nature of the national community. The nation is not a surviving pre‐modern community to which individuals are attached as a bulwark against the impersonality of public life in modern society. Rather the nation is one of the main vehicles for the construction of the modern unencumbered self. Communitarians need not be committed to the defence of the specifically modem forms of public irrationality and immorality that nationalism embodies. (shrink)