Moral distress has been covered extensively in the nursing literature and increasingly in the literature of other health professions. Cases that cause nurses’ moral distress that are mentioned most frequently are those concerned with prolonging the dying process. Given the standard of aggressive treatment that is typical in intensive care units (ICUs), much of the existing moral distress research focuses on the experiences of critical care nurses. However, moral distress does not automatically occur in all end-of-life circumstances, nor does every (...) critical care nurse suffer its damaging effects. What are the practices of these nurses? What specifically do they do to navigate around or through the distressing situations? The nursing literature is lacking an answer to these questions. This article reports a study that used narrative analysis to explore the reported practices of experienced critical care nurses who are skilled at and comfortable working with families and physicians regarding the withdrawal of aggressive treatment. A major finding was that these nurses did not report experiencing the dam-Moral Agency, Moral Imagination, and Moral Community: Antidotes to Moral Distress Terri Traudt, Joan Liaschenko, and Cynthia Peden-McAlpine Terri Traudt, MBC, MA, is a Communications Consultant specializing in bioethics at the Center for Bioethics at the University of Minnesota, in Minneapolis. [email protected] Joan Liaschenko, PhD, RN, FAAN, is a Professor at the Center for Bioethics and Nursing at the University of Minnesota. Cynthia Peden-McAlpine, PhD, ACNS, BC, is an Associate Professor in the School of Nursing at the University of Minnesota. © 2016 by The Journal of Clinical Ethics. All rights reserved. aging effects of moral distress as described in the nursing literature. The verbal communication and stated practices relevant to this finding are organized under three major themes: (1) moral agency, (2) moral imagination, and (3) moral community. Further, a total of eight subthemes are identified. The practices that constitute these themes and subthemes are further detailed and discussed in this article. Understanding these practices can help mitigate critical care nurses’ moral distress. (shrink)

To 'consequentialise' is to take a putatively non-consequentialist moral theory and show that it is actually just another form of consequentialism. Some have speculated that every moral theory can be consequentialised. If this were so, then consequentialism would be empty; it would have no substantive content. As I argue here, however, this is not so. Beginning with the core consequentialist commitment to 'maximising the good', I formulate a precise definition of consequentialism and demonstrate that, given this definition, several sorts of (...) moral theory resist consequentialisation. My strategy is to decompose consequentialism into three conditions, which I call 'agent neutrality', 'no moral dilemmas', and 'dominance', and then to exhibit some moral theories which violate each of these. (shrink)

In this book John Campbell shows that the general structural features of human thought can be seen as having their source in the distinctive ways in which we...

A fresh explication of the Thomist justification of self-defense casts off the hobbles of the principle of double effects to find a more secure footing in the historicaldevelopment of subjective natural rights by medieval jurists, and a straight-forward application to the latent threat of death in childbirth posed by non-consensual pregnancy. By articulating the implicit Thomistic right to defensive abortion in terms of conditional rights bestowed in Creation as correlative to particular natural law duties, justly proportionate limits to defensive abortion (...) are identified, and balanced against the forfeited or reserved natural rights variously imputed to conceptus and embryo in non-consensual pregnancies. Subsequently, the varieties of involuntary consent are examined from a Thomist perspective with a view to their relevance in justifying recourse to a rehabilitated practice of defensive abortion when free and full consent to impregnation and childbirth is absent. (shrink)

Prioritarianism is the view that we ought to give priority to benefiting those who are worse off. Sufficientism, on the other hand, is the view that we ought to give priority to benefiting those who are not sufficiently well off. This paper concerns the relative merits of these two views; in particular, it examines an argument advanced by Roger Crisp to the effect that sufficientism is the superior of the two. My aim is to show that Crisp's argument is unsound. (...) While I concede his objections against the particular prioritarian views that he considers, I propose a different version of prioritarianism that is invulnerable to those objections. (shrink)

Taking a fundamentally critical approach to the subject of business ethics, this book deals with the traditional material of ethics in business, as well as introducing and surveying some of the most interesting developments in critical ethical theory which have not yet been introduced to the mainstream. Including chapters on different philosophical approaches to ethics, this is a highly structured and clearly written textbook, the first book of its kind on this often neglected aspect of business.

Advance care planning (ACP) is a process that seeks to elicit patients’ goals, values, and preferences for future medical care. While most commonly employed in adult patients, pediatric ACP is becoming a standard of practice for adolescent and young adult patients with potentially life-limiting illnesses. The majority of research has focused on patients and their families; little attention has been paid to the perspectives of healthcare providers (HCPs) regarding their perspectives on the process and its potential benefits and limitations. Focus (...) groups were conducted with 15 physicians as part of a larger study of adolescent and young adult ACP in hematopoietic stem cell transplant (HSCT) patients. This study identified two categories important to the utility of ACP in pediatric HSCT patients; (1) the temporal context of ACP and decision making and (2) the limitations of pediatric ACP, with subcategories identified as (a) embodied and witnessed knowing, (b) the impact of clinical cascades—when the treatment of one organ system creates complications in another system that needs to be treated—and a creation of a “new normal” following complications of illness and its treatment in the pediatric intensive care unit (PICU), (c) the balancing of adolescents’ autonomy with their capacity to make informed medical decisions, and (d) the epistemological frames that differ between HCP and patients and their families. These findings support ACP in adolescent and young adult HSCT patients, with a number of implications for practice as this process becomes more common. (shrink)

Philosophical discussions of prioritarianism, the view that we ought to give priority to those who are worse off, have hitherto been almost exclusively focused on cases involving a fixed population. The aim of this paper is to extend the discussion of prioritarianism to encompass also variable populations. I argue that prioritarianism, in its simplest formulation, is not tenable in this area. However, I also propose several revised formulations that, so I argue, show more promise.

Campbell Brown is one of the most recent additions to our faculty. We thought we’d welcome him to the Department with some questions.

The ‘No Ought From Is’ principle (or ‘NOFI’) states that a valid argument cannot have both an ethical conclusion and non-ethical premises. Arthur Prior proposed several well-known counterexamples, including the following: Tea-drinking is common in England; therefore, either tea-drinking is common in England or all New Zealanders ought to be shot. My aim in this paper is to defend NOFI against Prior’s counterexamples. I propose two novel interpretations of NOFI and prove that both are true.

In this new edition are a detailed bibliography, index, and textual supplements, making it the perfect text for scholars and advanced students of Hume, ...

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 9.1 (2002) 35-39 [Access article in PDF] The Ownership of Thoughts John Campbell Keywords: schizophrenia, thought insertion, immunity to error through misidentification. SYDNEY SHOEMAKER FORMULATED a basic point about first-person, present-tense ascriptions of psychological states when he declared that they are, in general, immune to error through misidentification (Shoemaker 1984). Assuming Shoemaker's point to be correct, the puzzle it raises is this: how are (...) we to explain this datum? Why should it be that first-person, present-tense ascriptions of psychological states are immune to error through misidentification? One type of explanation is in terms of the meaning of the first person: that "I" just stands for whoever is the owner of these (demonstrated) psychological states (including any states being self-ascribed). I argued against this account of the first person in a number of places, and in favor of an alternative explanation of Shoemaker's datum. On the alternative explanation, the reason for the immunity is provided by an account of the ownership of psychological states, on which what makes a psychological state mine is the possibility of self-ascription of it by me (Campbell 1986, 1999a). Suppose we call this the Introspectionist explanation of the immunity to error through misidentification of present-tense self-ascriptions of psychological states. I do think, though, that the simple Introspectionist account is too simple an account of Shoemaker's datum (Campbell 1999a, 1999b). The reason is that there is a certain complexity in our notion of the ownership of a token thought. We cannot give a full account of our ordinary notion of the ownership of a thought simply in terms of the person who is capable of introspective knowledge of the thought. The reason is that there is another dimension to our ordinary notion of the ownership of a thought. We also think of the possessor of a thought as being the person who generated that very thought; we think of the owner of the thought as being the person who brought that particular token thought into existence, the person who formed it. Of course, that token thought may be a copying of someone else's idea; that other person may have influenced my formation of that particular thought. But the point remains that I play a special role in the production of my thoughts.Suppose we have a document bearing a signature and we ask, "Whose signature is that?" In this case we are asking about the authorship of the signature; we are asking who made those particular marks on that bit of paper. Of course, someone else can copy my signature, trying to make it look as if what they write was written by me. But for a particular piece of writing to be an authentic signature of mine, the thing has to be generated by me personally. I think it is helpful to bear in mind this aspect of the notion of the ownership of a signature, when we consider a certain complexity in the notion of the ownership of a thought—I mean, an occurrent, episodic [End Page 35] thought. There are, I am saying, two strands in the ordinary notion of the ownership of a thought, which we do not ordinarily have any reason to separate. First, there is the notion of the person who generated that particular thought, which we might think of on the model of the person who inscribed a particular signature. Of course, in generating a particular token thought, you may be subject to all sorts of influences. Perhaps your thought is derivative, largely shaped by others. Perhaps your thoughts are sometimes simply echoes of the things other people have said. Nonetheless, when we consider how your individual token thoughts are being brought about, you play a proximal role in their formation that no one else does. To give an analogy, suppose that I am taking notes at your dictation. Then there is a sense in which the contents of my notes are entirely determined by you. But there is also a sense in which the token sentences are being generated by... (shrink)

Science and the originality of life -- Christian facticity -- Grasping life as a topic -- Ruinance -- The retrieval of history -- Facticity and ontology -- Factical speaking -- Rhetoric -- Sophistry.

M. J. Levett's elegant translation of Plato's _Theaetetus_, first published in 1928, is here revised by Myles Burnyeat to reflect contemporary standards of accuracy while retaining the style, imagery, and idiomatic speech for which the Levett translation is unparalleled. Bernard William’s concise introduction, aimed at undergraduate students, illuminates the powerful argument of this complex dialogue, and illustrates its connections to contemporary metaphysical and epistemological concerns.

The Second World War put an end to America's historical isolationism. Three American thinkers -- Reinhold Niebuhr, Hans Morgenthau, and Kenneth Waltz -- developed a modern strategic framework that sought to introduce Americans to the harsher realities of international politics. Yet even as the United States began to embrace this new Realism, atomic weaponry threatened to make it absurd. This engrossing story of how the three chief architects of a powerful ideology struggled with the implications of their own creation offers (...) crucial context for contemporary debates about the resort to war and weapons of mass destruction. (shrink)

Moss (2018) argues that rational agents are best thought of not as having degrees of belief in various propositions but as having beliefs in probabilistic contents, or probabilistic beliefs. Probabilistic contents are sets of probability functions. Probabilistic belief states, in turn, are modeled by sets of probabilistic contents, or sets of sets of probability functions. We argue that this Mossean framework is of considerable interest quite independently of its role in Moss’ account of probabilistic knowledge or her semantics for epistemic (...) modals and probability operators. It is an extremely general model of uncertainty. Indeed, it is at least as general and expressively powerful as every other current imprecise probability framework, including lower probabilities, lower previsions, sets of probabilities, sets of desirable gambles, and choice functions. In addition, we partially answer an important question that Moss leaves open, viz., why should rational agents have consistent probabilistic beliefs? We show that an important subclass of Mossean believers avoid Dutch bookability iff they have consistent probabilistic beliefs. (shrink)

Despite tendencies to compete for a prime place in moral theory, neither virtue ethics nor the four principles approach should claim to be superior to, or logically prior to, the other. Together they provide a more adequate account of the moral life than either can offer on its own. The virtues of principlism are clarity, simplicity and (to some extent) universality. These are well illustrated by Ranaan Gillon’s masterly analysis of the cases he has provided. But the vices of this (...) approach are the converse of its virtues: neglect of emotional and personal factors, oversimplification of the issues, and excessive claims to universality. Virtue ethics offers a complementary approach, providing insights into moral character, offering a blend of reason and emotion, and paying attention to the context of decisions. The cases provided can be more adequately understood if we combine the approaches. Both should foster the virtues of humility and magnanimity. (shrink)

Are there natural kinds of things around which our theories cut? The essays in this volume offer reflections by a distinguished group of philosophers on a series of intertwined issues in the metaphysics and epistemology of classification.

Ethical descriptivism is the view that all ethical properties are descriptive properties. Frank Jackson has proposed an argument for this view which begins with the premise that the ethical supervenes on the descriptive, any worlds that differ ethically must differ also descriptively. This paper observes that Jackson's argument has a curious structure, taking a linguistic detour between metaphysical starting and ending points, and raises some worries stemming from this. It then proposes an improved version of the argument, which avoids these (...) worries, and responds to some potential objections to this version of the argument. (shrink)

This paper identifies moore's use of a carefully selected group of propositions from common sense as a touchstone for philosophical credibility, As belonging to a tradition in metaphysics which is neither ambitiously constructive nor sceptically negative, But rather acts as a "whistle-Blowing" restraint. It traces the later disappearance of any common-Sensical touchstones, Then argues that two aspects of fodor's "modularity of mind" provide a basis for the return of a modest reliance on common-Sense knowledge as a point of reference. The (...) two aspects are the partial isolation of perception from the rest of our belief, And the existence of a naturally salient vocabulary of natural kinds. (shrink)

The Argument from Inferiority holds that our world cannot be the creation of an omnipotent and omnibenevolent being; for if it were, it would be the best of all possible worlds, which evidently it is not. We argue that this argument rests on an implausible principle concerning which worlds it is permissible for an omnipotent being to create: roughly, the principle that such a being ought not to create a non-best world. More specifically, we argue that this principle is plausible (...) only if we assume that there is a best element in the set of all possible worlds. However, as we show, there are conceivable scenarios in which that assumption does not hold. (shrink)

This special issue contains papers first presented at a conference that was held 14–16 May 2008 at the Centre for Philosophy and Political Economy at the University of Leicester. Each of the papers takes up ideas from the works of Jacques Derrida and seeks to apply these to questions of business, ethics and business ethics. The papers take up quite different parts of Derrida's works, from his work on the animal, narrative and story, the violence of codification and the limits (...) of responsibility to the aporias of decision. As a whole, the papers offer a dangerous gift to business ethics, of which the stakes are here laid bare – if business ethics is to shrug off its philosophical immaturity and take seriously the work of major European thinkers such as Derrida, then many of its assumed categories, concepts and practices will be shown to shudder and tremble, as it becomes possible to demonstrate how they, one by one, unhinge themselves. (shrink)

What kind of technology is the piano? It was once a distinctly everyday technology. In the bourgeois home of the nineteenth century it became an emblematic figure of gendered social life, its role shifting between visually pleasing piece of furniture, source of light entertainment, and expression of cultured upbringing. It performed this role unobtrusively, acting as a transparent mediator of social relations. To the composer of concert music it was, and sometimes still is, says Samuel Wilson, like the philosopher’s table: (...) “an assumed background on which one writes.” Like other instruments standard to Western art music, the piano was designed to facilitate the production of a consistent and refined timbre. More than most other such instruments, the piano also facilitated a kind of sonic neutrality. With its wide pitch range and smoothing of the percussive attack of its predecessor instruments, the piano presented composers with a technological means of approaching composition from a seemingly objective vantage point. It exemplified, in Heideggerian terms, the instrumentality of the instrument, serving as a mediator between idea and expression that apparently adds no character of its own. -/- This notion of the invisibility, or transparency, of the mediations that musical technologies such as the piano enact is one of my areas of concern here. So too is its inverse: when these mediations become visible or opaque. Transparency has been a topic of significant recent theoretical attention. Stefanos Geroulanos, for example, has detailed how the supposed transparency of intersubjective, epistemological, and social relations was a major point of critique in postwar French thought, where the supposition of transparency was taken to suppress how the world was “complex, layered, structured, filled with heterogeneity” – and, as I will stress here, contingency. The thinkers Geroulanos considers, from Jean-Paul Sartre through to Jean-François Lyotard, can be said to be united in their refusal to invisibilise mediatedness. From a starting point of conceiving of the piano as a technological artifact, and in particular from John Cage’s ‘prepared piano,’ I will explore how a similar concern has appeared in musical contexts, albeit not without the risk of reversion back into a logic of transparency. (shrink)

These essays provide the first interdisciplinary assessment of the links between the Anglo-Saxons and the Irish before 800. This overview of recent advances in the field ranges widely in scope, covering language and literature, legal traditions, ecclesiastical history, and the evidence of material culture, through art history and archaeology.

This special issue presents the results of a three‐day conference that was held between 27 and 29 October 2005 at the Centre for Philosophy and Political Economy at the University of Leicester. The papers in this issue approach the work of Emmanuel Levinas and respond to him in different ways. Some introduce his work, some apply it in various contexts, some propose to extend it, while others question it. The issue also includes, in English for the first time, a translation (...) of ‘Sociality and Money’, a text by Levinas that directly addresses the prospects for ethics in what he calls a ‘civilisation of money’. It is hoped that this text by Levinas will provide those unfamiliar with his writing something of an introduction to his work, and for readers familiar with Levinas it will provide access to a new text that concerns itself here explicitly with money and economic life. The editorial introduction seeks to provide some context for Levinas's work and its reception in philosophy and business ethics before overviewing the papers in the issue. (shrink)

Life, on a day to day basis, is a sequence of emotional states: hope, disappointment, irritation, anger, affection, envy, pride, embarrassment, joy, sadness and many more. We know intuitively that these states express deep things about our character and our view of the world. But what are emotions and why are they so important to us? In one of the most extensive investigations of the emotions ever published, Robert Roberts develops a novel conception of what emotions are and then applies (...) it to a large range of types of emotion and related phenomena. In so doing he lays the foundations for a deeper understanding of our evaluative judgments, our actions, our personal relationships and our fundamental well-being. Aimed principally at philosophers and psychologists, this book will certainly be accessible to readers in other disciplines such as religion and anthropology. (shrink)

This paper is an extension of McAlpin and follows the same conventions I used there, particularly for the citations of Kurux. My earlier monograph is, at this point, largely out-of-date, not so much wrong as bypassed by more complete sources and better argumentation. However, the portion on the velars, PED *k, is completely mistaken and is superseded by this article. The underlying assumption that we understood Proto-Dravidian phonology proved premature. The separation of the old velars into palatals, velars, and uvulars (...) has had a major impact on the comparative statements. This paper is restricted to the dorsal consonants and their immediate extensions. This is primarily because this information is new, but it also keeps the body of data small enough that a complete set of the data can be presented in a reasonably sized paper. (shrink)

Suppose we believe that a property F is coextensive with moral permissibility. F may be, for example, the property of having the best consequences, if we are Consequentialists, or that of conforming to a universalisable maxim, if we are Kantians, and so on. This may raise the following problem. It is plausible that permissibility is “closed under implication”: any act that is implied by a permissible act must itself be permissible. Yet, in some cases, F might not be closed under (...) implication. If that is so, then F cannot be coextensive with permissibility. Maximalism has been proposed as a solution to this problem. A “maximal” act is one not implied by any other act. Maximalism restricts the claim that F is coextensive with permissibility to maximal acts only. A non-maximal act may be permissible without being F if it is implied by a maximal act that is F. The general aim of this paper is to investigate these issues by considering the formal structure of acts, or the “act-implication” relation. Discussions of Maximalism have tended to assume implicitly that acts have structure of some sort, but there has been little careful attention given to this structure. I aim to show that, by thinking about structure, we can provide a stronger defence of Maximalism. (shrink)

For the Stoic hero, the man or woman of virtue, the conduct of life presents no serious problems. The life of the sage comprises a consistent and effortless flow of actions, all conforming to virtue and all undertaken for the sake of their place in a virtuous life. The Stoic sage has advanced to a point where a life of courage and wisdom, justice and temperance comes easily and naturally, without struggle and without repinings.

Should we allow grave harm to befall one individual so as to prevent minor harms befalling sufficiently many other individuals? This is a question of aggregation. Can many small harms ‘add up’, so that, collectively, they morally outweigh a greater harm? The ‘Close Enough View’ supports a moderate position: aggregation is permissible when, and only when, the conflicting harms are sufficiently similar, or ‘close enough’, to each other. This paper surveys a range of formally precise interpretations of this view, and (...) reveals some of the problems they face. It also proposes a novel interpretation which avoids these problems. (shrink)