Background The field of bioethics has evolved over the past half-century, incorporating new domains of inquiry that signal developments in health research, clinical practice, public health in its broadest sense and more recently sensitivity to the interdependence of global health and the environment. These extensions of the reach of bioethics are a welcome response to the growth of global health as a field of vital interest and activity. Methods This paper provides a critical interpretive review of how the term “global (...) health ethics” has been used and defined in the literature to date to identify ethical issues that arise and need to be addressed when deliberating on and working to improve the discourse on ethical issues in health globally. Results Selected publications were analyzed by year of publication and geographical distribution, journal and field, level of engagement, and ethical framework. Of the literature selected, 151 articles were written by authors in high-income countries, as defined by the World Bank country classifications, 8 articles were written by authors in low- or middle-income countries, and 13 articles were collaborations between authors in HIC and LMIC. All of the articles selected except one from 1977 were published after 1998. Literature on global health ethics spiked considerably from the early 2000s, with the highest number in 2011. One hundred twenty-seven articles identified were published in academic journals, 1 document was an official training document, and 44 were chapters in published books. The dominant journals were the American Journal of Bioethics, Developing World Bioethics, and Bioethics. We coded the articles by level of engagement within the ethical domain at different levels: interpersonal, institutional, international, and structural. The ethical frameworks at use corresponded to four functional categories: those examining practical or narrowly applied ethical questions; those concerned with normative ethics; those examining an issue through a single philosophical tradition; and those comparing and contrasting insights from multiple ethical frameworks. Conclusions This critical interpretive review is intended to delineate the current contours and revitalize the conversation around the future charge of global health ethics scholarship. (shrink)

The field of bioethics has evolved over the past half-century, incorporating new domains of inquiry that signal developments in health research, clinical practice, public health in its broadest sense and more recently sensitivity to the interdependence of global health and the environment. These extensions of the reach of bioethics are a welcome response to the growth of global health as a field of vital interest and activity. This paper provides a critical interpretive review of how the term “global health ethics” (...) has been used and defined in the literature to date to identify ethical issues that arise and need to be addressed when deliberating on and working to improve the discourse on ethical issues in health globally. Selected publications were analyzed by year of publication and geographical distribution, journal and field, level of engagement, and ethical framework. Of the literature selected, 151 articles were written by authors in high-income countries, as defined by the World Bank country classifications, 8 articles were written by authors in low- or middle-income countries, and 13 articles were collaborations between authors in HIC and LMIC. All of the articles selected except one from 1977 were published after 1998. Literature on global health ethics spiked considerably from the early 2000s, with the highest number in 2011. One hundred twenty-seven articles identified were published in academic journals, 1 document was an official training document, and 44 were chapters in published books. The dominant journals were the American Journal of Bioethics, Developing World Bioethics, and Bioethics. We coded the articles by level of engagement within the ethical domain at different levels: interpersonal, institutional, international, and structural. The ethical frameworks at use corresponded to four functional categories: those examining practical or narrowly applied ethical questions; those concerned with normative ethics; those examining an issue through a single philosophical tradition; and those comparing and contrasting insights from multiple ethical frameworks. This critical interpretive review is intended to delineate the current contours and revitalize the conversation around the future charge of global health ethics scholarship. (shrink)

The field of bioethics has evolved over the past half-century, incorporating new domains of inquiry that signal developments in health research, clinical practice, public health in its broadest sense and more recently sensitivity to the interdependence of global health and the environment. These extensions of the reach of bioethics are a welcome response to the growth of global health as a field of vital interest and activity. This paper provides a critical interpretive review of how the term “global health ethics” (...) has been used and defined in the literature to date to identify ethical issues that arise and need to be addressed when deliberating on and working to improve the discourse on ethical issues in health globally. Selected publications were analyzed by year of publication and geographical distribution, journal and field, level of engagement, and ethical framework. Of the literature selected, 151 articles were written by authors in high-income countries, as defined by the World Bank country classifications, 8 articles were written by authors in low- or middle-income countries, and 13 articles were collaborations between authors in HIC and LMIC. All of the articles selected except one from 1977 were published after 1998. Literature on global health ethics spiked considerably from the early 2000s, with the highest number in 2011. One hundred twenty-seven articles identified were published in academic journals, 1 document was an official training document, and 44 were chapters in published books. The dominant journals were the American Journal of Bioethics, Developing World Bioethics, and Bioethics. We coded the articles by level of engagement within the ethical domain at different levels: interpersonal, institutional, international, and structural. The ethical frameworks at use corresponded to four functional categories: those examining practical or narrowly applied ethical questions; those concerned with normative ethics; those examining an issue through a single philosophical tradition; and those comparing and contrasting insights from multiple ethical frameworks. This critical interpretive review is intended to delineate the current contours and revitalize the conversation around the future charge of global health ethics scholarship. (shrink)

The Secret Symmetry of Maimonides and Freud presents the parallels between The Guide of the Perplexed and The Interpretation of Dreams, considering how Maimonides might be perceived as anticipating Freud's much later work. In this volume, Nathan M. Szajnberg suggests that humankind has secrets to hide and does so by using common mechanisms and embedding revealing hints for the benefit of the true reader. Using a psychoanalytic approach in tandem with literary criticism and an in-depth assessment of Judaica, Szajnberg (...) demonstrates the similarities between these two towering Jewish intellectual pillars. Using concepts of esoteric literature from the Torah and later texts, this book analyses their ideas on concealing and revealing to gain a renewed perspective on Freud's view of dreams. Throughout, Szajnberg articulates the challenges of reading translated works and how we can address the pitfalls in such translations. The book is a vital read for psychoanalysts in training and practice, as well as those interested in Judaica, the history of ideas and early Medieval studies. (shrink)

De Marco et al 1 argue that the standard account of medical ‘invasiveness’ (as ‘incision’ or ‘insertion’) fails to capture three aspects of its existing use, namely that invasiveness can come in degrees, often depends on features of alternative medical interventions and can be non-physical. They propose a new schematic account that suggests that medical interventions can possess ‘basic invasiveness’ (which can come in degrees and of which they suggest at least two types: physical and mental), and ‘threshold invasiveness’ which (...) can depend on the alternatives a specific intervention is being compared with. While we agree that the standard account of invasiveness fails to capture existing use and are supportive of their aim, here we express scepticism about the practical utility of De Marco et al ’s revised account. Our scepticism concerns the application of De Marco et al’s revised account in the narrow context of clinician–patient communication and deliberation about medical interventions within clinical practice, which we see as a crucial context for its use. While De Marco et al do not specify the contexts in which their revised account could be used, we assume from their discussion of treatment interventions (e.g. non-invasive prenatal testing, ventilation) and their comparison to ‘more or less invasive’ options, that at least one of the purposes in mind for …. (shrink)

In this candid autobiographical essay, Nathan Salmon recounts and assesses the impact of various philosophers and events on his philosophical development.

During his celebrated 1922 debate with Bergson, Einstein famously proclaimed: “the time of the philosopher does not exist, there remains only a psychological time that differs from the physicist’s.” Einstein’s dictum, I maintain, has been metabolized by the natural sciences, which typically presuppose, more or less explicitly, the existence of a single, univocal, temporal substratum, ultimately determined by physics. This reductionistic assumption pervades much biological and biomedical practice. The chronological age allotted to individuals is conceived as an objective quantity, allowing (...) one to straightforwardly assign and compare the biological age of organisms. This essay argues that the standard practice of assessing the age and aging of organisms against the backdrop of a physical conception of time is problematic. This becomes especially evident in light of recent discoveries of various levels of senescence underlying the development of individual organisms—a phenomenon known as ‘age mosaicism.’ The bottom line is that the study of age and aging requires a biological conception of time, as opposed to a physical one. Einstein clearly wasn’t wrong about his operationalization of time in relativity theory. Still time may be less monolithic than he surmised. (shrink)

This article provides an overview of the contributions to philosophy of Nigerian philosopher Sophie Bọ´sẹ`dé Olúwọlé. The first woman to earn a philosophy PhD in Nigeria, Olúwọlé headed the Department of Philosophy at the University of Lagos before retiring to found and run the Centre for African Culture and Development. She devoted her career to studying Yoruba philosophy, translating the ancient Yoruba Ifá canon, which embodies the teachings of Orunmila, a philosopher revered as an Óríṣá in the Ifá pantheon. Seeing (...) his works as examples of secular reasoning and argument, she compared Orunmila's and Socrates' philosophies and methods and explored similarities and differences between African and European philosophies. A champion of African oral traditions, Olúwọlé argued that songs, proverbs, liturgies, and stories are important sources of African responses to perennial philosophical questions as well as to contemporary issues, including feminism. She argued that the complementarity that ran throughout Yoruba philosophy guaranteed women's rights and status, and preserved an important role for women, youths, and foreigners in politics. (shrink)

In this article we outline and defend the concept of voluntary non-directed postmortem sperm donation. This approach offers a potential means of increasing the quantity and heterogeneity of donor sperm. This is pertinent given the present context of a donor sperm shortage in the UK. Beyond making the case that it is technically feasible for dead men to donate their sperm for use in reproduction, we argue that this is ethically permissible. The inability to access donor sperm and the suffering (...) this causes, we argue, justifies allowing access to sperm donated after death. Moreover, it is known that individuals and couples have desires for certain sperm donor characteristics which may not be fulfilled when numbers of sperm donors are low. Enacting these preferences contributes significantly to the well-being of intended parents, so we argue that this provides apro tantoreason for respecting them. Finally, we explore the benefits and possible disadvantages of such a system for the various parties affected. (shrink)

Recent years have witnessed an escalation in corporate social reporting (CSR) by UK companies (Gray, Kouhy and Lavers 1995). Whilst some elements of CSR reporting are required by law, much of it represents voluntary reporting. By investigating the non‐mandatory reporting of two aspects of social responsibility, corporate community involvement (CCI) and environmental impact, this paper seeks to explore why companies choose to make such disclosures. It specifically asks whether companies are primarily motivated by the strategic need to manage their reputation (...) and legitimacy rather than by the recognition of their ethical accountability, which is the stated purpose of reports produced by cutting edge companies (Clarke 1998). (shrink)

This paper is a contribution to our understanding of the technical concept of given in Greek mathematical texts. By working through mathematical arguments by Menaechmus, Euclid, Apollonius, Heron and Ptolemy, I elucidate the meaning of given in various mathematical practices. I next show how the concept of given is related to the terms discussed by Marinus in his philosophical discussion of Euclid’s Data. I will argue that what is given does not simply exist, but can be unproblematically assumed or produced (...) through some effective procedure. Arguments by givens are shown to be general claims about constructibility and computability. The claim that an object is given is related to our concept of an assignment—what is given is available in some uniquely determined, or determinable, way for future mathematical work. (shrink)

The paper is about H. Odera Oruka's Sage Philosophy project. Oruka interviewed rural sages of Kenya, saying that like Socrates, these wise elders had been philosophizing without writing anything down. Paulin Hountondji (at the time) criticized efforts of oral philosophizing, saying that Africa needed a written tradition of philosophizing. Some philosophers were representatives of an "individualist" position which says that philosophical ideas must be attributed to specific named individuals. Kwame Gyekye instead argued that anonymous community wisdom of Africans had indeed (...) been created by individuals, but individual names were not important to Africans at the time they created the wisdom. The paper then argues that hearing a certain bit of wise philosophy coming from a particular person in an interpersonal oral communication at a certain time and in a certain context can impress an idea upon this listener, commanding their attention in a way that a written text does not, due to the importance of presence in interpersonal communication. Respect for the speaker, and the way in which the speaker uses voice inflection and facial and bodily expressions while communicating all play a role in the message's reception. The paper does not argue that written philosophy or oral philosophy are superior to each other in all ways; rather, each has a strength that the other does not have. (shrink)

This paper uses the figure of the inbred laboratory mouse to reflect upon the management and mobilization of biological difference in the contemporary biosciences. Working through the concept of shifting experimental systems, the paper seeks to connect practices concerned with standardization and control in contemporary research with the emergent and stochastic qualities of biological life. Specifically, it reviews the importance of historical narratives of standardization in experimental systems based around model organisms, before identifying a tension in contemporary accounts of the (...) reproduction and differentiation of inbred mouse strains within them. Firstly, narratives of new strain development, foregrounding personal biography and chance discovery, attest to the contingency and situatedness of apparently universal biotechnological production. Secondly, discoveries of unexpected animal litters challenge efforts to standardize mouse phenotypes and control the reproduction of murine strains over space. The co-existence of these two narratives draws attention to the importance of and interplay between both chance and control, determination and emergence, and the making and moving of experimental life in biomedical research. The reception or denial of such biological excess reflects the distribution of agencies and the emerging spatialities of the global infrastructures of biotechnological development, with implications for future relations between animal lives and human becomings in experimental practices. (shrink)

The nursing community in the United States polarized in September 2020 between Dawn Wooten's whistleblowing about forced hysterectomies at an immigration center in Georgia and the American Nurses Association's refusal to endorse a presidential candidate despite the Trump administration's mounting failures to address the public health crisis posed by the COVID‐19 pandemic. This reveals a need for more attention to political aspects of health outcome inequities. As advocates for health equity, nurses can join in recent scholarship and activism concerning the (...) political determinants of health. In this paper, we examine recent work on the political determinants of health with an aim to add two things. First, we seek to build further on the notion of “political” determinants of health by distinguishing policy and governance structures from dynamics of politicization through appeal to critical disabilities studies. Second, we seek to apply this further nuanced approach to challenge rhetorical uses of “vulnerable populations,” where this phrase serves to misrecognize systemic institutionalized forces that actively exploit and marginalize people and groups. By refocusing attention to political systems organized around and perpetuating inequitable health outcomes, nurses and other health care professionals—as well as those whom they serve—can concentrate their effort and power to act on political determinants of health in bringing about more equitable health outcomes. (shrink)

Lecturer in social foundations of education and women's studies, Victoria College, Australia.

The IMF, World Bank, and former colonial powers have put pressure on African countries to adopt multiparty democracy. Because of this pressure, many formerly one‐party states as well as some military dictatorships have embraced Western and Parliamentarian democratic forms. But does this mean that democracy has succeeded in Africa? Ernest Wamba‐dia‐Wamba of the University of Dar‐es‐Saalam and CODESRIA argues that embracing Western paradigms in an unthinking fashion will not bring real democracy, i.e. people's liberation. He advances criticisms of party politics (...) and statism, and suggests that African palaver and people's movements are a surer site of political action. In his criticisms of representative government he parallels the thoughts and criticism of Hannah Arendt. Arendt advocated a council system that shares many of the attributes of African palaver communities. By consulting the criticisms of Arendt and Wamba‐dia‐Wamba, we can see that an easy optimism about the multiparty system is unfounded. (shrink)

Spellman argues that Aristotle developed his views about substance in response to Plato’s theory of forms. In particular, she argues that Aristotelian substances are as much like Platonic forms as possible, minus the latter’s separation. Whether ASs are like PFs depends, of course, not only on what one takes ASs to be like, but also on what one takes PFs to be like; accordingly, Spellman provides accounts of both. She argues that ASs are what she calls specimens of natural kinds. (...) A specimen of a natural kind is not Socrates, but Socrates-qua-human-being: Socrates insofar as he is a human being. She argues that Socrates, and Socrates-qua-human-being are numerically the same, but not identical. They are not identical, because not everything true of Socrates is true of Socrates-qua-human-being. Socrates, for example, is snub-nosed, but Socrates-qua-human-being is not; for the latter has all and only the properties contained in the definition of human being. (shrink)

Recent years have seen an increased interest in black feminism. Whether thinking of the explosion of activism, the reprinting of classics such as Heart of the Race (Bryan, Dadzie and Scafe, 2018 [1985]) and Finding a Voice (Wilson, 1978) or the numerous journalistic or scholarly inquiries into black feminist formations in Britain in the 1970s–1990s, black feminism is a topic of interest once again. Sometimes it goes under other names: POC feminism, Womanism, Fugitive Feminism—each of which offers a specific inflection (...) of this thing I am calling black feminism. Given this context, my aim in this article is to consider how black feminism might be conceived—what kind of an object it is, but more importantly how it might be ‘used’ and utilised as a vibrant and well-honed tool in the armory with which we attempt to craft a politics of ethical freedom. I attempt to draw together work from the theoretical archive of black women’s writing with that of psychoanalyst Donald Winnicott and his theorisation of ‘object use’ and ‘play’, as foundation stones in the development of a capacity for ethical relating based on the detoxification of racism’s effects on ‘self’, ‘other’ and the intersubjective field that the space between these constitutes. In my mind, the piece is a ‘call’ hoping for a ‘response’, the chorus is ‘black feminism’. (shrink)

Some argue against coercive preventive measures on the grounds that they amount to cloaked forms of punishment. Others offer a qualified defence of such measures on the grounds that such measures have substantively different goals and purposes from punishment. Focusing on the case of civil preventive injunctions, I clear the ground and provide reasons for a third logical possibility: that coercive preventive measures are relevantly similar to punishment, but this does not itself give us a reason to oppose them. ‘Punishment’ (...) has a great deal of rhetorical force, and it thereby distracts us from the justificatory work that we need to do to specify proper restrictions on the state’s coercive powers. Whereas many commentators have proposed that legal theory provides grounds for challenging civil preventive orders, I argue for the opposite view. If we understand properly the function of civil preventive orders, we will endorse them at least in principle, and will come to rethink some central ideas in the grounding of the criminal justice processes. (shrink)

In this paper, I present an interpretation of the use of constructions in both the problems and theorems of Elements I–VI, in light of the concept of given as developed in the Data, that makes a distinction between the way that constructions are used in problems, problem-constructions, and the way that they are used in theorems and in the proofs of problems, proof-constructions. I begin by showing that the general structure of a problem is slightly different from that stated by (...) Proclus in his commentary on the Elements. I then give a reading of all five postulates, Elem. I.post.1–5, in terms of the concept of given. This is followed by a detailed exhibition of the syntax of problem-constructions, which shows that these are not practical instructions for using a straightedge and compass, but rather demonstrations of the existence of an effective procedure for introducing geometric objects, which procedure is reducible to operations of the postulates but not directly stated in terms of the postulates. Finally, I argue that theorems and the proofs of problems employ a wider range of constructive and semi- and non-constructive assumptions that those made possible by problems. (shrink)

Soon after taking power, three leaders of nonviolent African independence movements, Kwame Nkrumah of Ghana, Julius Nyerere of Tanzania, and Kenneth Kaunda of Zambia immediately turned to violent means to suppress internal opposition. The paper examines the reasons for the success of their Gandhian nonviolent tactics in ousting British colonial governments and argues that these new heads of state lost confidence in nonviolence due to a mixture of self-serving expediency, a lack of understanding of nonviolence's many different forms, and the (...) constraints of inheriting a state already dependent on the use of force. (shrink)

Hannah Arendt misrepresented Africans at the same time that she criticized the actions of those who harmed them. Arendt's 1951 work, The Origins of Totalitarianism aimed to show how Hitler's (and Stalin's) practices of totalitarian rule in Europe could be understood in the context of its predecessors, anti-Semitism and imperialism. As a middle stage in her argument, she focussed on the case of the Cape Colony in South Africa. Arendt's study includes: the distinctions she made between colonization and imperialism; her (...) comments on race-thinking and racism; and her evaluation of labor practices, or the lack of labor, among the indigenous Africans, the trekboers, and the gold diggers. While making some valuable points regarding each of these topics, she nevertheless on occasion repeats some of the popular misconceptions regarding Africa. In addition, she advocates a position regarding labor that calls indigenous African practices into question as much as the adventures of the colonizers. (shrink)

Our ability to think, argue and reason is determined by our ability to question. Questions are a vital component of critical thinking, yet we underestimate the role they play. Using Questions to Think puts questioning back in the spotlight. -/- Naming the parts of questions at the same time as we name parts of thought, this one-of-a-kind introduction allows us to see how questions relate to the definitions of propositions, premises, conclusions, and the validity of arguments. Why is this important? (...) Making the role of questions visible in thinking, reasoning, and dialogue, allows us to: -/- - Ask better questions - Improve our capability to understand an argument - Exercise vigilance in the act of questioning - Make explicit what you already know implicitly - Engage with ideas that contradict our own - See ideas in broader context -/- Breathing new life into our current approach to critical thinking, this practical, much-needed textbook moves us away from the traditional focus on formal argument and fallacy identification, combines the Kantian critique of reason with Hans-Georg Gadamer's hermeneutics and reminds us why thinking can only be understood as an answer to a question. (shrink)

I argue that Oruka’s sages, half of whom were described as arbiters and judges called upon to solve disputes, fulfill Plato’s ideal of a philosopher as a respected, wise thinker who works for the betterment of society. Although the sage has been sidelined in modern academia, even in Africa, Oruka suggests that twentieth-century rural Kenyan sages, with their devotion to community benefit and conversation about practical concerns, are role models for modern Western philosophy, because philosophers everywhere have a duty to (...) warn people about the implications of their actions. (shrink)

This paper is concerned with the conditions under which a person can be said to have told someone or predicted (the answer to a question like) ‘who came’.

According to our intuitions, certain generalizations are better confirmed by positive instances than others. In order to characterize the difference between these generalizations, I have proposed in [3] to investigate the generalizing behavior of living beings. Such an investigation makes it possible to classify into different categories the generalizations that are intuitively confirmed by their positive instances and those that are not intuitively confirmed by such instances. One important aspect of my treatment, however, has been shown to be unsatisfactory: sentences (...) that are logically equivalent may belong to different categories. In this paper, I shall first give a short summary of the relevant parts of my previous paper, and then I shall try to improve it in order to avoid the undesirable result. (shrink)

Working with interactional data, one sometimes observes that a type of behavior seems to be produced a great deal by one category of persons and not all that much by another category. But when put to the test of a straightforward count, the observation does not hold up: Category X does not after all do this thing significantly more often than Category Y does. It may then be that the apparent skewing of the behavior’s distribution across categories is the result (...) of selective observation; noticing with greater frequency those cases which conformed to some biased notion held by the observer of how these categories behave. But there seems to be another possibility. It may be that the observation has located, but only roughly and partially described, a complex of behaviors which the observation can then be seen to reflect, refer to, or constitute a ‘gloss’ for. (shrink)