The significance of informed consent in research involving humans has been a topic of active debate in the last decade. Much of this debate, we submit, is predicated on an ideology of individualism. We draw on our experiences as anthropologists working in Western and non Western (Iban) health care settings to present ethnographic data derived from diverse scenes in which consent is gained. Employing classical anthropological ritual theory, we subject these observational data to comparative analysis. Our article argues that the (...) individualist assumptions underlying current bioethics guidelines do not have universal applicability, even in Western research settings. This is based on the recognition that the social world is constitutive of personhood in diverse forms, just one of which is individualistic. We submit that greater attention must be paid to the social relations the researcher inevitably engages in when conducting research involving other people, be this in the context of conventional medical research or anthropological field work. We propose, firstly, that the consenting process continues throughout the life of any research project, long after the signature has been secured, and secondly, that both group and individual dimensions of consent, and the sequence in which these dimensions are addressed, should be carefully considered in all cases where consent is sought. (shrink)

The emergence of controlled, Maastricht Category III, non-heart-beating organ donation programs has the potential to greatly increase the supply of donor solid organs by increasing the number of potential donors. Category III donation involves unconscious and dying intensive care patients whose organs become available for transplant after life-sustaining treatments are withdrawn, usually on grounds of futility. The shortfall in organs from heart-beating organ donation following brain death has prompted a surge of interest in NHBD. In a recent editorial, the British (...) Medical Journal described NHBD as representing “a challenge which the medical profession has to take up.”. (shrink)

The secondary literature shows little agreement regarding Socrates’ aims and methods. In this paper, I offer a hermeneutic for Socratic argumentation based on the logical works of Aristotle. In these works, especially Topics/Sophistical Refutations, Aristotle provides testimony for the competitive debates popular in certain intellectual circles. I believe that many of Plato’s dialogues belong to this genre, and in this paper, I will read the Protagoras as a representative of these verbal jousts. This reading adds another dimension to the tension (...) of the Protagoras: the namesake sophist prided himself on his performance in such debates, and we see that he is outwitted at his own game by Socrates. (shrink)

Over the last 300 years science has been quite successful at revealing the nature of physical reality. In so doing it has provided an epistemological basis for scientific discovery and technological innovation. But science has been decidedly less successful at guiding political debate. How do we conceive of the science-society relation in the 21st century? How does scientific research hook onto the world in a multi-faceted, pluralistic, and global age? This essay seeks to reframe our thinking about the broader impacts (...) of science by awakening an appreciation of the inescapably political and dimension of all knowledge, scientific or otherwise. (shrink)

We examine the problem of generating definite noun phrases that are appropriate referring expressions; that is, noun phrases that (a) successfully identify the intended referent to the hearer whilst (b) not conveying to him or her any false conversational implicatures (Grice, 1975). We review several possible computational interpretations of the conversational implicature maxims, with different computational costs, and argue that the simplest may be the best, because it seems to be closest to what human speakers do. We describe our recommended (...) algorithm in detail, along with a specification of the resources a host system must provide in order to make use of the algorithm, and an implementation used in the natural language generation component of the IDAS system. (shrink)

Consequentialism is the family of theories that holds that acts are morally right, wrong, or indifferent in virtue of their consequences. Less formally and more intuitively, right acts are those that produce good consequences. A consequentialist theory includes at least the following three elements: an account of the properties or states in virtue of which consequences make actions right, wrong, or indifferent; a deontic principle which specifies how or to what extent the properties or states must obtain in order for (...) an action to be right, wrong, or indifferent; and finally, a specification of what is in the domain of the deontic principle. For example, mental state and desire theories provide different accounts of the first element; maximizing and satisficing are distinct deontic principles; and Act and Rule Consequentialism specify different domains over which a deontic principle ranges. A wide range of alternative theories can be generated by modifying these three elements. For example, Hedonistic Act Utilitarianism which requires that each act maximize pleasure, and Perfectionist Lifetime Minimalism which requires that each life satisfy some minimal standard of perfection are both varieties of Consequentialsm. The conceptual space Consequentialism describes is vast, versions of Consequentialism vary radically in their plausibility, and few objections count against all versions of Consequentialism. (shrink)

Quine argued that any context allowing substitution of logical equivalents and coextensive terms is truth functional. We argue that Quine's proof for this claim is flawed.

No consensus yet exists on how to handle incidental fnd-ings in human subjects research. Yet empirical studies document IFs in a wide range of research studies, where IFs are fndings beyond the aims of the study that are of potential health or reproductive importance to the individual research participant. This paper reports recommendations of a two-year project group funded by NIH to study how to manage IFs in genetic and genomic research, as well as imaging research. We conclude that researchers (...) have an obligation to address the possibility of discovering IFs in their protocol and communications with the IRB, and in their consent forms and communications with research participants. Researchers should establish a pathway for handling IFs and communicate that to the IRB and research participants. We recommend a pathway and categorize IFs into those that must be disclosed to research participants, those that may be disclosed, and those that should not be disclosed. (shrink)

Telling tales and reading have been a part of human activity for a very long time. We review in brief the anthropological evidence, then the emergence of the 'modern novel'. This explores in narratives the psychological reflections of the characters concerned with life circumstances including loss, abandonment, despair, illness, dying, and death. We report findings that the response of crying to a novel occurs as often as to music, not reported before: both 'move us'. We note what several critics and (...) authors imply about the imagined world of 'novel space' which emphasizes the active not passive nature of reading dramatic action, the latter being embedded and embodied within us. This touches on the mind–brain problem. We provide a brief introduction to neuroscientific work with brain imaging revealing how cerebral networks to do with theory of mind and brain structures that are the basis of our movements are involved with the very act of reading words and narratives. Emotional tearing is an exclusive attribute of Homo sapiens, and crying can have positive benefits for mental health. We argue that bibliotherapy needs greater attention than has been the case at present. We also suggest that telling tales and the 'modern novel' are closely allied to the development of the consciousness of Homo sapiens. (shrink)

In this dissertation I re-assert the significance of the ancient Greek aphorism - ‘know thyself’: I identify the individual human self as the starting point and ubiquitous preamble of all epistemology and ontology. I argue that the primary feature of the way we find ourselves living is as an individual conscious bodily subject and this is the locus or starting point of all our possible knowledge. Although we find ourselves as individual subjects of experience and action we are not isolated; (...) rather we are always already with others as part of a wider world. I therefore propose a proto-ontology of ‘me, others, and world’ with corresponding interlocking modes of ‘individuality, intersubjectivity, and interdependence’. I argue that our direct knowing-by-being of our selves reveals some further primary facts about ourselves in terms of unity, compositionality, temporality, judgment, agency, and teleology. I acknowledge the phenomenological concept of pre-reflective self-awareness as an expression of the universal individuality of experience. However while some phenomenologists want to confine this mineness to the way that experience occurs, I argue that this mineness points to a more substantial knowing of ourselves as bodily subjects or selves. I claim that this human centered starting point becomes relevant or critical when we try to construct - or claim to have knowledge of - universal metaphysical theories such as scientism, which purports to be able to give a complete physicalist scientific picture of the world that sees nothing special in our individual first person perspectives. I argue that purely third personal objective scientific metaphysical theories have a blind spot in accounting for consciousness, which is what makes possible any theory whatsoever. Also since the twentieth century the results of physical science itself, notably quantum physics, seem, on some interpretations, to point to a reality that is not independent of individual observers. To alleviate these problems, I argue for a re-ordering of the priority of self and science. I reject strong forms of scientific realism and scientism in favour of a view that understands science as just one form of our human exploration of our world. Our knowing-by-being of ourselves is existentially and epistemically prior to any third-person knowledge and reflects our human cosmic significance as sources of explanatory knowledge and judgment. However, because our experience of ourselves is from within a wider world we should not expect to have a complete ontological picture of everything. Our limited ontological knowledge leaves us in a situation of subject and object duality but this is not a matter of dividing the world; rather it is a matter of recognizing our own situation. This can be seen as limiting, in that we are not in a position to know everything: but a proper understanding of ourselves liberates us from universalist doctrines and allows us to know ourselves as a source of nature’s self understanding from within. (shrink)

Horace Ars Poetica 317–8 plays pointedly on the transition in the sense of μίμησις from imitation of life to imitation of a literary model, suggesting that the poet should ‘look back’ at times from the latter to the former.