Although the traditional physician ethic sees nothing objectionable about the doctor's influence over patients, superficial conceptions of the patient's right to self-determination imply that this influence may be manipulative. On the contrary, there are several different lines of argument which can reconcile self-determination with the physician's influence. Nevertheless, drawing the boundaries between legitimate methods of persuasion, and manipulation or coercion sometimes proves difficult.

: New genetic technologies continue to emerge that allow us to control the genetic endowment of future children. Increasingly the claim is made that it is morally "irresponsible" for parents to fail to use such technologies when they know their possible children are at risk for a serious genetic disorder. We believe such charges are often unwarranted. Our goal in this article is to offer a careful conceptual analysis of the language of irresponsibility in an effort to encourage more care (...) in its use. Two of our more important sub-claims are: A fair judgment of genetic irresponsibility necessarily requires a thick background description of the specific reproductive choice; and there is no necessary connection between an act's being morally wrong and its being irresponsible. These are distinct judgments requiring distinct justifications. (shrink)

This book contains the text of Thomas Kuhn's unfinished book, The Plurality of Worlds: An Evolutionary Theory of Scientific Development, which Kuhn himself described as "a return to the central claims of The Structure of Scientific Revolutions, and the problems that it raised but did not resolve." The Plurality of Worlds is preceded by two related texts that Kuhn publicly delivered but never published in English: his paper "Scientific Knowledge as a Historical Product" and his Shearman Memorial Lectures, "The (...) Presence of Past Science." The book opens with an introduction by the editor that describes the origins and structure of The Plurality of Worlds, and sheds light on its central philosophical problems. Kuhn's aims in his last writings are bold. He sets out to develop an empirically grounded theory of meaning that would allow him to make sense of both the possibility of historical understanding and the inevitability of incommensurability between past and present science. Moreover, he intends to show that incommensurability is fully compatible with a robust notion of a real world that science investigates, with the rationality of scientific belief change, and with the idea that scientific development is progressive. This is a must-read follow-up to The Structure of Scientific Revolutions, one of the most important books of the twentieth century. (shrink)

The aim of this article is to provide a systematic reconstruction and critique of what is taken to be a central ethical concern against the use of non-medical egg freezing. The concern can be captured in what we can call the individualisation argument. The argument states, very roughly, that women should not use NMEF as it is an individualistic and morally problematic solution to the social problems that women face, for instance, in the labour market. Instead of allowing or expecting (...) women to deal with them on an individual level, we should address them by challenging the patriarchal structures of the labour market—for example, by securing equal pay, or paid maternal leave, or ‘paid paternal [partner] leave and sick leave and affordable child care’. It will be made clear that there are several versions of this argument. The author will try to elaborate this claim, and it will be explained that the differences depend on the way in which bioethicists believe that individuals use of NMEF is morally problematic, compared with the alternative of securing social change for women in, say, the labour market. Finally, a critical discussion of three versions of the individualisation argument will follow, and it will be shown why all versions are on rather thin ice, or in other words, that they are implausible. (shrink)

Medical academics are increasingly bringing critical race theory (CRT) or its corollaries to their discourse, to their curricula, and to their analyses of health and medical treatment disparities. The author argues that this is an error. The author considers the history of CRT, its claims, and its current presence in the medical literature. He contends that CRT is inimical to usual academic modes of inquiry and has obscured rather than aided the analysis of social and medical treatment disparities. Remedies for (...) racism suggested by CRT advocates will not work and some of them will make things worse. Academic medicine should avoid the embrace of CRT and should maintain an allegiance to rigorous empirical inquiry and to treating patients not as essentialized ethnic group members but as individual human beings in need of care. (shrink)

This paper discusses ethnomethodology's program in relation to the phenomenological life-world analysis of Alfred Schutz. A recent publication of Garfinkel's early writings sheds new light on how he made use of phenomenological reflections in order to create a new sociological approach. Garfinkel used Schutz's life-world analysis as a source of inspiration, called for 'misreading' in the sense of an alternate reading and developed a new, empirical approach to the analysis of social order which he called 'ethnomethodology'. Ethnomethodologists usually acknowledge the (...) historical importance of Schutz but emphasize that Garfinkel succeeded to overcome the limitations of phenomenological analyses and moved beyond. This view has spread above all in the Anglosaxon countries. In German sociology, Schutz's life-world analysis still has a much stronger standing than ethnomethodology and is interpreted as a systematic whole. Following Luckmann, it is discussed as a protosociological foundation of the methodology of social sciences or, following Srubar, as a philosophical anthropology with two poles: a subjective and a social, pragmatic pole. Both versions claim to analyze the meaningful constitution of the social world, to serve as a foundation of sociological methodology and to provide guidelines for an `adequate' sociology. While Garfinkel used phenomenological concepts for sociological analysis, Luckmann clearly distinguishes the two: you either do phenomenology (protosociology) or you do sociology (a theoretically guided, empirical sociology of knowledge). This paper describes the present-day debate in German sociology and compares ethnomethodology's program with these interpretations of Schutz's life-world analysis. (shrink)

This paper critically discusses an argument that is sometimes pressed into service in the ethical debate about the use of assisted reproduction. The argument runs roughly as follows: we should prevent women from using assisted reproduction techniques, because women who want to use the technology have been socially coerced into desiring children - and indeed have thereby been harmed by the patriarchal society in which they live. I call this the argument from coercion. Having clarified this argument, I conclude that (...) although it addresses important issues, it is highly problematic for the following reasons. First, if women are being coerced to desire to use AR, we should eradicate the coercive elements in pro-natalist ideology, not access to AR. Second, the argument seems to have the absurd implication that we should prevent all woman, whether fertile or not, to try to have children. Third, it seems probable that women's welfare will be greater if we let well informed and decision-competent women decide for themselves whether they want to use AR. (shrink)

Pragmatism provoked both admiration and fear, as global changes brought into the twentieth century provoked a revisioning of the cultural narratives about who the citizen and child are and should be. In a new book edited by Thomas S. Popkewitz, scholars representing twelve nations provide original chapters to explore the epistemic features and cultural theses figured in Dewey's writings as they assembled in the discourses of public schooling. The significance of Dewey in the book is not about Dewey as (...) the messenger of pragmatism, but in locating different cultural, political, and educational terrains in which debates about modernity, the modern self, and the making of the citizen occurred. (shrink)

Significant contributions to debates in the philosophy of evidence-based medicine (EBM) have come from a variety of different philosophical quarters, yet mainstream discourse in the field has been largely devoid of contributions from scholars working in the pragmatist tradition. This is a particularly conspicuous omission, given pragmatism’s commitment to the melioristic view that philosophy both can, and should, be about the business of concretely bettering the human estate. Two exceptions to this oversight come from Brian Walsh and Maya Goldenberg. Unfortunately, (...) in both cases, the misapplication of pragmatist thinking leads to the mistaken view that EBM is committed to some form of pernicious objectivism. This article aims to revise these pragmatist critiques in order to bring them more consistently in line with pragmatist values and commitments. Doing so shows that EBM is defensible on pragmatist grounds against objectivist attacks. (shrink)

The significance of the plurality of the Copernican Revolution is the main thrust of this undergraduate text In this study of the Copernican Revolution, the ...

This keynote takes a fresh look at Schutz’s essay on “The Stranger” of 1944. After a brief reflection on the probably universal topos of the stranger, it discerns three different kinds of strangeness in that essay: 1. the otherness of the other and the inaccessibility of the other’s experiences; 2. the strangeness vs. familiarity of elements of knowledge; and 3. the social acceptance by the in-group. Then some methodological implications of Schutz’s approach are pondered, his somewhat hidden offer of an (...) alternative sociology and the postulate of adequacy. Subsequently, two critical issues are discussed: Schutz’s handling of values and value-relations and his complete omission of affects and emotions in spite of all the hardship the immigrants at that time suffered from. An outlook on future Schutzian research concludes the paper. (shrink)

Divided into three parts, this work is a record of the direction Kuhn was taking during the last two decades of his life. It consists of essays in which he refines the basic concepts set forth in "Structure"--Paradigm shifts, incommensurability, and the nature of scientific progress.

In lieu of an abstract, here is a brief excerpt of the content:A RHETORIC OF MOTIVES: THOMAS ON OBLIGATION AS RATIONAL PERSUASION THOMAS s. HIBBS Thomas Aquinas College Santa Paula, California 'TIHE PROMINENCE of moral obligation in modern hies is l'ooted in an early modern claim, which reached uition in Kant, concerning the primacy of the right ov;er the good.1 Although Kant was not the first to make such a claim, his texts have had the most palpable (...) influence on modern moral discourse.2 Many contemporary moral philosophers, however, have!attempted to discredit the Kantian p11oject.3 In so doing, they often advance wlternative views 1 In his highly influential work, John Rawls comments on the importance of the g-0od and the right in contemporary moral philosophy, "The two main concepts of ethics are those of the right and the good.... The structure Df an ethical theory is... largely determined by how it defines and connects these two basic notions," A Theory of Justice (Cambridge: Harvard University Press, 1971), p. 24. 2 There are numerous precursors of Kant, both in the nascent rationalism of early modern science and -0£ late scholasticism and in the project of the "rationalization" of human life characteristic of classical Protestant moral thought. It was Nietzsche, of course, who saw Kant as a most heinous example of secularized Christianity. On the "rationalization" of the moral life in Protestantism, see Max Weber, Die protestantisohe Ethik und der Geist des Kapitalismus, in Gesammelte Aufsatze zur Religionssoziologie, Volume l (TU.bingen: Mohr, 1920), pp. 17-206. Given the convergence of these discursive fields in early modern thought and society, one might be inclined to see Kant as providing the theoretical foundations for the common moral consciousness. a I am thinking -0f Philippa Foot, "Virtues and Vices," and "Morality as a System of Hypothetical Imperatives," in Virtues and Vices and Other Essays in Moral Philosophy (Berkeley: University of California Press, 1978), pp. 1-18, 157-173; Bernard Williams, Ethics and the Limits of Philosophy (Cambridge: Cambridge University Press, 1983) and " Ought and Moral Obligation," in Moral Luck (Cambridge: Cambridge University Press, 1981), 293 ~94 THOMAS S. HIBBS characteristic of pre-modern moral philosophy, particularly of rthe 1 writings of Aristotle and Aquill!as. While consensus appears to have exnnerated Aristotle of the taint of Kantianism, the status of Tihomas's moral philosophy is still uncertain in the minds of many.4 Thomas's1 moral iphilosophy is, I believe, pre-modern. Throughout his writings he maintains the primaicy of the good ovier rthe right, the exact inverse of the Kantian position. By modern standards, Thomas's conception of obligation,seems impov;erished, almost naive. He devotes no independent treatise, or.for that matter no single quaestio, to the question of mom1l obligation. Francisco Suarez, one of Thomas's early modern oommenta.tors, found the latter's view to be muddled and unworkable. While Sua11ez criticizes Thomas's view, he fails to note that he 1and Thomas do not sha11e the same universe of discourse. What Suarez is after-a " theory of obligation "--is not extant in Thomas's texts. In fact, Suarez contributes to the deontological turn in the history of ethics. He pp. 114-123; Peter Geach, "Good and Evil," in Theories of Ethics, edited by Philippa Foot (New York: Oxford University Press, 1980), pp. 64-73; Elizabeth Anscombe, "Modern Moral Philosophy" in her Oolleoted Philosophical Papers. Volume 3, l!Jthios, Religion and Politios (Minneapolis: University of Minnesota Press, 1981), pp. 26-42; Alasdair Macintyre, "Hume on 'Is' and 'Ought'," in Against the Self-Images of the Age (Notre Dame: University of Notre Dame Press, 1978), pp. 109·129. While all are critical of Kant, none of these writers advocates a straightforward return to Aristotle or Thomas. Williams, in fact, is sceptical about the viability of Aristotelianism. This litany, moreover, of Kantian critics is not intended to give the impression that there is a consensus on the failure of Kant's project. There are formidable contemporary representatives of the Kantian school. See, for instance, William Frankena, Thinking About Morality (Ann Arbor: University of Michigan Press, 1980); Thomas Nagel, The Possibility of Altruism (Oxford : Clarendon Press, 1970); and Alan Donagan, The Theory of Morality (Chicago: The University of Chicago... (shrink)

To what extent is the scientist's endeavor qua scientist influenced by his philosophic image of himself? A preliminary and partial answer to this question is suggested by a study of eight physiological thinkers of the second half of the eighteenth century, a period during which biology was much influenced by the scientific and philosophical ideas of Isaac Newton. At this time, physiologists invoked certain "principles," "properties," and "powers" which were deemed useful as explanatory devices, even though they could not themselves (...) be explained. The use of these devices in physiology was often defended in terms of their supposed similarity to devices used in mathematics and Newtonian physics. The results of this practice are considered critically, partly in the light of current studies of scientific explanation. (shrink)

Through the criminal justice system so-called dangerous offenders are, besides the offence that they are being convicted of and sentenced to, also punished for acts that they have not done but that they are believe to be likely to commit in the future. The aim of this paper is to critically discuss whether some adherents of retributivism give a plausible rationale for punishing offenders more harshly if they, all else being equal, by means of predictions are believed to be more (...) dangerous than other offenders. While consequentialism has no problem, at least in principle, with this use of predictions most retributivists have been opponents of punishing offenders on the basis of predictions. How can an offender deserve to be punished for something that he has not done? But some retributivists like Anthony Duff and Stephen Morse have argued in favor of punishing offenders who are considered to be dangerous in the future more harshly than non-dangerous offenders. After having reconstructed their arguments in detail, it will be argued that both Duff’s and Morse’s attempts to give a retributivistic justification have several shortcomings. (shrink)

The aim of this article is to articulate and critically discuss different answers to the following question: How should decision-makers deal with conflicts that arise when the values usually entailed in ethical guidelines – such as accuracy, privacy, non-discrimination and transparency – for the use of Artificial Intelligence clash with one another? To begin with, I focus on clarifying some of the general advantages of using such guidelines in an ethical analysis of the use of AI. Some disadvantages will also (...) be presented and critically discussed. Second, I will show that we need to distinguish between three kinds of conflict that can exist for ethical guidelines used in the moral assessment of AI. This section will be followed by a critical discussion of different answers to the question of how to handle what we shall call internal and external values conflicts. Finally, I will wrap up with a critical discussion of three different strategies to resolve what is called a ‘genuine value conflict’. These strategies are: the ‘accepting the existence of irresolvable conflict’ view, the ranking view, and value monism. This article defends the ‘accepting the existence of irresolvable conflict’ view. It also argues that even though the ranking view and value monism, from a merely theoretical point of view, are better equipped to solve genuine value conflicts among values in ethical guidelines for artificial intelligence, this is not the case in real-life decision-making. Keywords: AI; ethical guidelines; algorithm-based sentencing; value conflicts. (shrink)

Sports referees are not always as unbiased or impartial as they ideally should be. Studies have shown, for example, that in their decisions, referees seem to be biased against people of different r...

Two persons have been proposed as the author of the Summa Lamberti, a thireenth-century treatise on logic. Franco Alessio takes him to be the Auxerre Dominican Lambert of Ligny-le-Châtel, and he basis his claim on Dominican sources from the fourteenth to the nineteenth centuries. Recently, Alain de Libera has presented a counter-proposal: the author was Lambert of Lagny, a secular cleric at the time of the composition, who afterwards became a Dominican. This claim is based on the acta of the (...) counts of Champagne and a document of Pope Urban IV. I conclude that, given the present evidence, de Libera’s case rests on more historically sound data, but that to arrive at this conclusion one must impeach the Dominican sources (not done by de Libera) and take into consideration additional data from the research of Michèle Mulchahey on the introduction of logic into the Dominican curriculum. (shrink)

In this article several justifications of what I call ‘the claim from adoption’ are examined. The claim from adoption is that, instead of expending resources on bringing new children into the world using reproductive technology and then caring for these children, we ought to devote these resources to the adoption and care of existing destitute children.Arguments trading on the idea that resources should be directed to adoption instead of assisted reproduction because already existing people can benefit from such a use (...) of resources whereas we cannot benefit individuals by bringing them into existence are rejected. It is then argued that a utilitarian argument proposed by Christian Munthe that supports the claim from adoption in some situations should be rejected because the support it offers does not extend to certain situations in which it seems morally obvious that resources should be expended on adoption rather than assisted reproduction. A version of the Priority View improves upon Munthe’s utilitarianism by supporting the claim from adoption in the cases in which Munthe’s argument failed. Some allegedly counterintuitive implications of the Priority View are then discussed, and it is concluded that the Priority View is more plausible than utilitarianism.n a concluding section on policy issues it is argued that, even though the claim from adoption can be justified in a variety of situations, it does not follow that, in these situations, governments should direct resources away from assisted reproduction and towards adoption. (shrink)

Multidrug resistant organisms are a public health threat that have reduced the effectiveness of many available antibiotics. Antimicrobial stewardship programs have been tasked with reducing antibiotic use and therefore the emergence of MDROs. While fecal microbiota transplant has been proposed as therapy to reduce patient colonization of MDROs, this will require additional evidence to support an expansion of the current clinical indication for FMT. This article discusses the evidence and ethics of the expanded utilization of FMT by ASPs for reasons (...) other than severe recurrent or refractory Clostridioides difficile infection. (shrink)

Within each of these negational ranges two general facets of negation may be distinguished for analysis. I shall call them "free" and "bound." Negation, however, is never completely free nor completely bound, so "free" and "bound" shall refer to negation in a relative sense.

As the subtitle suggests, the book is organized around the themes of judgment, inference and truth. Material for the first two topics is largely taken from the second edition of Bradley's Principles of Logic. The discussion of his conception of truth relies on essays written in reply to various authors. In general, the book is to be welcomed by students of Bradley for its remarkably clear and unpretentious exposition of central themes in these difficult topics.Much of the book is taken (...) up with discussion of the views of Bradley's precursors and contemporaries in British and German idealism, material that is important for understanding Bradley's own views. Hegel scholars may cringe, however, at the oft-repeated claim, stated without qualification, that Hegel regarded thought and reality as identical. Allard argues that Hegel must maintain this because his view of deductive inference required that objects be self-determining, and self-determining objects require the identity of thought and being. The argument is particularly puzzling in the light of the fact that Bradley's view of inference also requires the self-development of its objects, although he denied that thought and reality are identical. (shrink)

The aim of this article is to present and critically investigate a type of argument against legalising assisted dying on request (ADR) for patients who are terminally ill and experiencing suffering. This type of argument has several variants. These—which we call ‘autonomy-based arguments’ against legalising ADR—invoke different specifications of the premise that we ought not to respect requests for assistance in dying made by terminally ill and suffering patients because the basic conditions of autonomy cannot be met in scenarios where (...) such requests are made. Specifically, it is argued either (1) that as a result of pain, anxiety or desperation, terminally ill patients are not competent decision makers or (2) that legalisation of ADR would lead to social pressure or in other ways change the patient's context of choice in ways that make such requests nonautonomous. We argue that these types of arguments are problematic in light both of empirical studies and the fact that we usually judge that it is morally right to respect the wishes and decisions of dying people even if they suffer. (shrink)

Nihilism, American style -- The quest for evil -- The negative zone : suburban familial malaise in American beauty, Revolutionary road, and Mad men -- Normal nihilism as comic : Seinfeld, Trainspotting, and Pulp fiction -- Romanticism and nihilism -- Defense against the dark arts : from Se7en to the Dark knight and Harry Potter -- God got involved : sacred quests and overcoming nihilism -- Feels like the movies.

Opponents of physician-assisted suicide (PAS) maintain that physician withdrawal-of-life-sustaining-treatment cannot be morally equated to voluntary active euthanasia. PAS opponents generally distinguish these two kinds of act by positing a possible moral distinction between killing and allowing-to-die, ceteris paribus. While that distinction continues to be widely accepted in the public discourse, it has been more controversial among philosophers. Some ethicist PAS advocates are so certain that the distinction is invalid that they describe PAS opponents who hold to the distinction as in (...) the grip of ‘moral fictions’. The author contends that such a diagnosis is too hasty. The possibility of a moral distinction between active euthanasia and allowing-to-die has not been closed off by the argumentative strategies employed by these PAS advocates, including the contrasting cases strategy and the assimilation of doing and allowing to a common sense notion of causation. The philosophical debate over the doing/allowing distinction remains inconclusive, but physicians and others who rely upon that distinction in thinking about the ethics of end-of-life care need not give up on it in response to these arguments. (shrink)

Thomas S. Kuhn acuno la expresion tension esencial para aludir al conflicto entre las tendencias conservadora y revolucionaria en la ciencia. Estas dan lugar respectivamente a la ciencia normal, que trata de salvar al paradigma dominante de las refutaciones, y a la extraordinaria, que responde a las dificultades sustituyendo las viejas teorias por otras radicalmente novedosas. La actitud adoptada en cada momento no esta dictada por normas de racionalidad, sino por la psicologia y la sociologia de los cientificos y (...) sus comunidades. Al conceder una funcion central a la psicosociologia en la explicacion del desarrollo cientifico, Kuhn creo la alta tension hoy omnipresente entre racionalidad e irracionalidad, objetividad y subjetividad, universalismo y relativismo, realismo e idealismo. Este homenaje a la obra de Kuhn recoge diversas contribuciones a las principales caras de esta tension, desde la perspectiva de la filosofia, la sociologia, la psicologia y la historia de la ciencia. (shrink)