This article argues that Judith Butler’s neglect of biopolitics in her reading of Michel Foucault’s work on sexuality leads her to propose a genealogy of gender ontology rather than conduct a genealogy of gender itself. Sex was not an effect of a cultural system for Foucault, but an apparatus of biopower that emerged in the eighteenth century for the administration of life. Butler, however, is interested in uncovering how something we call or identify as gender manifests itself in different times (...) and contexts, rather than asking what relations of power made necessary the emergence of gender as a discourse. After examining the theoretical configurations underpinning Butler’s engagement with Foucault’s Herculine Barbin, I suggest a more biopolitically informed reading of how the material body becomes captured by the discourses of sexuality and sex. Finally, the article sets out preliminary questions with which a more strictly Foucauldian genealogy of gender might be conducted. (shrink)

Within barely a year, two school shootings shook Finland. The school shootings shocked Finnish society, forcing media, academics and experts, police and politicians alike to search for reasons behind the violent incidents. Focusing their analysis on the two main Finnish newspapers, Helsingin Sanomat and Hufvudstadsbladet, authoritative sources of information for Finland’s two language communities, the authors maintain that the Finnish case contributes to research on school shootings by evidencing the intimate linkages between the state, gender and violence. The authors argue (...) that violence is to be understood through different discourses about the Finnish state. In particular, they discern three discourses about the state that produce gendered discourses of violence: the welfare state, the realist state and the neoliberal state. The authors conclude that these discourses produce different notions of rational and irrational violence thereby providing different legitimizations for male-embodied/masculine violence. (shrink)

Obtaining informed consent from patients prior to a medical or surgical procedure is a fundamental part of safe and ethical clinical practice. Currently, it is routine for a significant part of the consent process to be delegated to members of the clinical team not performing the procedure (eg, junior doctors). However, it is common for consent-taking delegates to lack sufficient time and clinical knowledge to adequately promote patient autonomy and informed decision-making. Such problems might be addressed in a number of (...) ways. One possible solution to this clinical dilemma is through the use of conversational artificial intelligence using large language models (LLMs). There is considerable interest in the potential benefits of such models in medicine. For delegated procedural consent, LLM could improve patients’ access to the relevant procedural information and therefore enhance informed decision-making.In this paper, we first outline a hypothetical example of delegation of consent to LLMs prior to surgery. We then discuss existing clinical guidelines for consent delegation and some of the ways in which current practice may fail to meet the ethical purposes of informed consent. We outline and discuss the ethical implications of delegating consent to LLMs in medicine concluding that at least in certain clinical situations, the benefits of LLMs potentially far outweigh those of current practices. (shrink)

Recently, Australia became the second jurisdiction worldwide to legalize the use of mitochondrial donation technology. The Mitochondrial Donation Law Reform (Maeve’s Law) Bill 2021 allows individuals with a family history of mitochondrial disease to access assisted reproductive techniques that prevent the inheritance of mitochondrial disease. Using inductive content analysis, we assessed submissions sent to the Senate Committee as part of a programme of scientific inquiry and public consultation that informed drafting of the Bill. These submissions discussed a range of bioethical (...) and legal considerations of central importance to the political debate. Significantly, submissions from those with a first-hand experience of mitochondrial disease, including clinicians and those with a family history of mitochondrial disease, were in strong support of this legislation. Those in support of the Bill commended the two-staged approach and rigorous licencing requirements as part of the Bill’s implementation strategy. Submissions which outlined arguments against the legislation either opposed the use of these techniques in general or opposed aspects of the implementation strategy in Australia. These findings offer a window into the ethical arguments and perspectives that matter most to those Australians who took part in the Senate inquiry into mitochondrial donation. The insights garnered from these submissions may be used to help refine policy and guidelines as the field progresses. (shrink)

In today’s evolving understanding of gender, questions arise about the future of the feminist movement. Using Simone de Beauvoir’s The Second Sex, Hugh Ryan's “Who's Afraid of Social Contagion,” and Ben Kesslen’s “How the Idea of a 'Transgender Contagion' Went Viral—and Caused Untold Harm,” this paper explores the concept of the Other to analyze social contagion and gender-based oppression. It argues that while feminism must adapt, its future lies in embracing the experiences of all classified as the Other. Through de (...) Beauvoir's work, historical definitions of gender, and social constructivism, this paper proposes a new idea for the future of feminism. (shrink)

This article explores chemical skin bleaching practices in urban Ghana to demonstrate the ways that particular racialized understandings of meaning are deployed in a contemporary postcolonial African society. I argue that the processes of racialization indexed by skin bleaching in Ghana must be contextualized within global racial formations; specifically, they can only be understood by examining the interlinked local and global ideologies and practices of race. In elaborating this argument, the essay also engages with contemporary African diaspora theorization that tends (...) to foreground diasporic identity and experience at the expense of contemporary continental processes. By bringing a postcolonial African society into a dialogue about race, processes of racialization, and the interlinked transnational construction of black identities, this essay offers one way out of the ambivalent relationship that I believe diaspora theorization has with Africa. (shrink)

Background:Nursing as an ethical practice requires courage to be moral, taking tough stands for what is right, and living by one’s moral values. Nurses need moral courage in all areas and at all levels of nursing. Along with new interest in virtue ethics in healthcare, interest in moral courage as a virtue and a valued element of human morality has increased. Nevertheless, what the concept of moral courage means in nursing contexts remains ambiguous.Objective:This article is an analysis of the concept (...) of moral courage in nursing.Design:Rodgers’ evolutionary method of concept analysis provided the framework to conduct the analysis.Data sources:The literature search was carried out in September 2015 in six databases: PubMed, CINAHL, Scopus, Web of Science, PsycINFO, and The Philosopher’s Index. The following key words were used: “moral” OR “ethical” AND “courage” OR “strength” AND “nurs*” with no time limit. After applying inclusion and exclusion criteria, 31 studies were included in the final analysis.Ethical considerations:This study was conducted according to good scientific guidelines.Results:Seven core attributes of moral courage were identified: true presence, moral integrity, responsibility, honesty, advocacy, commitment and perseverance, and personal risk. Antecedents were ethical sensitivity, conscience, and experience. Consequences included personal and professional development and empowerment.Discussion and conclusion:This preliminary clarification warrants further exploring through theoretical and philosophical literature, expert opinions, and empirical research to gain validity and reliability for its application in nursing practice. (shrink)

The aim of this article is to discuss the role that victim groups and organizations may have in framing and supporting an accountability agenda, as well as their potential for endorsing a distributive justice agenda. The article explores two empirical cases where victims' rights have been introduced and applied by victim organizations to promote accountability—Colombia and Peru. It will be argued that if transitional justice in general and victim reparations in particular are to embark in a quest for distributive justice, (...) it cannot do so without considering victims as political actors, and putting forward demands in terms of victims’ rights. (shrink)

First published in 1877, this book analyses the laws that govern human relations with society and with the natural world.

Our examination explicates not only how Leibniz’s emphasis on force or power squares well with (and most probably largely stems from) his endorsement of certain central Aristotelian tenets, but also how the concept of force is incorporated into his mature idealist metaphysics. That metaphysics, in turn, generates some thorny problems with regard to the concept of passivity; and so we shall also ask whether and how Leibniz’s monadology, emphasizing the activity as much as it does, is able to encompass the (...) passivity of created substances. (shrink)

This chapter explores some key issues within Descartes’s theory of cognition. The starting-point is a recent interpretation, according to which Descartes is part of a tradition of theorizing about human cognition, beginning from the idea that we are in principle capable of articulating or grasping the basic order of reality. Earlier readings often take Descartes to question whether we have any cognitive access to reality at all. On the new reading, Descartes instead defends a robust conception of our cognitive relation (...) to reality—our cognition needs to be “determined by reality,” as John Carriero puts it. One important element of Carriero’s interpretation is that Descartes’s notion of idea is to be understood along the lines of the Aristotelian doctrine of formal identity between cognizer and cognized. Here it is argued that retaining the latter doctrine faces some difficulties, given the novel conception of the structure of reality defended by Descartes. This chapter proposes that he needs an alternative account of what it is for a cognizer to be determined by reality. Attending to some important differences between the innate idea of extension and that of God, the chapter concludes that Descartes may not have a fully worked-out account of his own. Considering some of the problems inherent in his views can, however, shed light on the, from our contemporary perspective, peculiar role both Spinoza and Leibniz give to God in accounting for cognition. (shrink)

My paper is about two at least apparently conflicting stands in Leibniz's arguments concerning the nature of material things. The first strand is phenomenalist in character, connecting the ontological status of material things with harmony between the perceptions of monads. According to the other strand, material things are understood to be aggregates of monads. These descriptions are different, but it is difficult to decide whether they are incompatible or not. Could Leibniz coherently claim that material things are phenomena, mental things, (...) in some sense, and at the same time constituted by real substances? I consider Leibniz's view of relations, because this helps us to understand the move. Against R. Adams I argue that the interpretation of Leibnizian phenomena as intentional objects does not help either. My thesis is that it is possible to see the two strands as compatible only by taking the phenomenalist account as the primary and by interpreting the aggregate account as derivative. The result is an interpretation of Leibniz's theory of matter as fundamentally phenomenalistic. (shrink)

When making substituted judgments for incapacitated patients, surrogates often struggle to guess what the patient would want if they had capacity. Surrogates may also agonize over having the (sole) responsibility of making such a determination. To address such concerns, a Patient Preference Predictor (PPP) has been proposed that would use an algorithm to infer the treatment preferences of individual patients from population-level data about the known preferences of people with similar demographic characteristics. However, critics have suggested that even if such (...) a PPP were more accurate, on average, than human surrogates in identifying patient preferences, the proposed algorithm would nevertheless fail to respect the patient’s (former) autonomy since it draws on the ‘wrong’ kind of data: namely, data that are not specific to the individual patient and which therefore may not reflect their actual values, or their reasons for having the preferences they do. Taking such criticisms on board, we here propose a new approach: the Personalized Patient Preference Predictor (P4). The P4 is based on recent advances in machine learning, which allow technologies including large language models to be more cheaply and efficiently ‘fine-tuned’ on person-specific data. The P4, unlike the PPP, would be able to infer an individual patient’s preferences from material (e.g., prior treatment decisions) that is in fact specific to them. Thus, we argue, in addition to being potentially more accurate at the individual level than the previously proposed PPP, the predictions of a P4 would also more directly reflect each patient’s own reasons and values. In this article, we review recent discoveries in artificial intelligence research that suggest a P4 is technically feasible, and argue that, if it is developed and appropriately deployed, it should assuage some of the main autonomy-based concerns of critics of the original PPP. We then consider various objections to our proposal and offer some tentative replies. (shrink)

This paper reconsiders Leibniz’s conception of the nature of possible things and offers a novel interpretation of the actualization of possible substances. This requires analyzing a largely neglected notion, the reality of individual essences. Thus far scholars have tended to construe essences as representational items in God’s intellect. We acknowledge that finite essences have being in the divine intellect but insist that they are also grounded in the infinite essence of God, as limitations of it. Indeed, we show that it (...) is critical to understand that this dependence on God’s essence is prior to the dependence on God through divine ideas. Here it is crucial to distinguish questions concerning the ontological status of essences from questions concerning their reality. This yields a fresh view of Leibniz’s theory of creation, which takes seriously his claim that the same thing is first a mere possibility but after creation an actually existent substance. (shrink)

In this paper, we consider what is commonly referred to as Leibniz’s argument for primitive concepts. After presenting and criticizing (in sections 1 and 2) one recent rather straightforward way of interpreting this argument, by Paul Lodge and Stephen Puryear, which takes the argument to be merely about the structure of concepts, we offer an alternative way of looking at the argument. We think it is best seen as being fundamentally about the relation between thought and reality. In order to (...) prepare the ground for our reconstruction (which we present in section 5), we have to introduce his view of ideas or concepts (section 3), as well as some metaphysical principles concerning reality-dependence (section 4). (shrink)

In diesem Aufsatz wird das Problem der Inkompossibilität bei Leibniz diskutiert. Zwei mögliche Substanzen sind inkompossibel, wenn und nur wenn es nicht möglich ist, daß sie in einer gemeinsamen Welt existieren, d. h. es für Gott unmöglich ist, eine Welt zu erschaffen, in der beide Substanzen existieren. Der Begriff von Inkompossibilität ist nun jedoch aufgrund der völligen Unabhängigkeit der Substanzen voneinander in Gefahr, sich als gehaltlos zu erweisen. Unser Ausgangspunkt im Folgenden ist Hintikkas Analyse des Problems. Wir versuchen zu zeigen, (...) wie es für Leibniz möglich ist, in seiner Theorie der Individuation ohne Relationen auszukommen und sich auf sie dennoch zu stützen, um dem Begriff der Inkompossibilität Gehalt zu verleihen. Dazu bedienen wir uns auch der Ideen von Russell über die Quelle der Inkompossibilität bei Leibniz: Um ihre Herkunft aufzuspüren, müssen wir das Konzept von der Welt, welches Leibniz verwandt hat, noch beleuchten -unsere Lösung des Problems kann dann als eine Art Synthese der sogenannten analytischen und synthetischen Lösungen angesehen werden. (shrink)

We consider the so-called problem of the many, formulated by Peter Unger. It arises because ordinary material things do not have precise boundaries: it is always possible to find borderline parts of which it is not true to say either that they are parts or that they are not. Unger’s conclusion is that there are no ordinary things at all. We describe the solutions of Peter van Inwagen and David Lewis, and make some critical comments upon them. After that we (...) present our own suggestion which is based on ideas developed by Leibniz in connection with problems of unity and plurality. We suggest that what the problem of the many teaches us is that in order to understand what ordinary things are, we have to take seriously the Leibnizian-Kantian distinction between phenomena and things-in-themselves. (shrink)

Background:The ethics and value bases in healthcare are widely acknowledged. There is a need to improve and raise awareness of ethics in complex systems and in line with competing needs, different stakeholders and patients’ rights. Evidence-based strategies and interventions for the development of procedures and practice have been used to improve care and services. However, it is not known whether and to what extent ethics can be developed using interventions.Objectives:To examine ethics interventions conducted on healthcare professionals and healthcare students to (...) achieve ethics-related outcomes.Research design:A systematic review.Methods:Five electronic databases were searched: CINAHL, the Cochrane Library, Philosopher’s Index, PubMed and PsycINFO. We searched for published articles written in English without a time limit using the keywords: ethic* OR moral* AND intervention OR program OR pre-post OR quasi-experimental OR rct OR experimental AND nurse OR nursing OR health care. In the four-phased retrieval process, 23 full texts out of 4675 citations were included in the review. Data were analysed using conventional content analysis.Ethical consideration:This systematic review was conducted following good scientific practice in every phase.Findings:It is possible to affect the ethics of healthcare practices through professionals and students. All the interventions were educational in type. Many of the interventions were related to the ethical or moral sensitivity of the professionals, such as moral courage and empowerment. A few of the interventions focused on identifying ethical problems or research ethics.Conclusion:Patient-related outcomes followed by organisational outcomes can be improved by ethics interventions targeting professionals. Such outcomes are promising in developing ethical safety for healthcare patients and professionals. (shrink)

'Dire ou se dire : Il faut que je me repose, c'est formuler un désir, un sentiment que l'on considère, sans y réfléchir, comme l'expression d'un besoin élémentaire. Or, rien n'est plus faux. Le loisir a remplacé le repos. Il en occupe le temps. Il en envahit l'espace. On ne parle plus guère de repos mais de moment de détente ; ce qui revient à remplacer la fatigue par une tension, un mal-être, par exemple le 'burn-out'.' Alain Corbin tisse la (...) trame d'une histoire oubliée. Chercher la solitude, pour les uns, prier ou non pour les autres, se recueillir, se poser ou marcher... tant de façons de restaurer son être ont été imaginées et testées. Cette histoire est une invitation à vivre différemment notre rapport au travail, à la fatigue, au temps."--Page 4 of cover. (shrink)

Kısa vadeli likidite sağlama ihtiyacının yanı sıra likidite fazlalığını kısa vadeli değerlendirme ihtiyacı finans kurumlarının ortak problemleridir. Konvansiyonel finans kurumları bu ihtiyaçlarının büyük kısmını repo-ters repo işlemleri ile karşılarken katılım finans kurumları ise faiz şüphesi nedeniyle repo-ters repo katılım bankacılığı ilkelerine uymadığı için bu ihtiyaçları karşılama konusunda problemler yaşamaktadır. Bu durum konvansiyonel finans kurumları ile rekabet halindeki katılım finans kurumları aleyhine işlemektedir. Bu makale repo işlemini ana hatlarıyla açıklayıp fıkhi boyutunu izah ettikten sonra Malezya’daki geri (...) alım vaadi ile satım, Türkiye’deki geri alım vaadi ile satım, organize teverruk, menkul kıymet rehinli karz sözleşmesi ve puantaj sistemi ile tekaruz anlaşması gibi halihazırda İslam dünyasında katılım finans kurumlarının repoya alternatif olarak uyguladıkları işlemleri ele almaktadır. Öte yandan bu çalışma kira sertifikalarının geri alım vaadi ile satımı, yatırım fonları, kira sertifikalarının alım satımı ile teverruk işlemi için katılım finans ilkelerine uygun bir pazar kurulması ve devlet destekli karz-ı hasen fonlarının kurulması gibi katılım finans kurumları adına repoya alternatif olarak düşünülen öneriler üzerinde yoğunlaşmaktadır. (shrink)

Money markets are at the heart of financialized capitalism, as those markets that provide the funding liquidity needed for credit creation and leveraged trading. How have these markets evolved, grown, and become critical for larger financial flows? To answer this question, I distinguish an early period of financial globalization marked by regulatory arbitrage, offshoring, deregulation, and informal trading practices from a period of regime-consolidation marked by formal institutionalization. Concentrating on repo markets as the key funding sources for market-based banking, (...) I demonstrate that new institutional arrangements for these markets were initiated by private sector associations, but supported and authorized by public authorities. Bond trader groups codified new contractual arrangements and these were validated via reforms of bankruptcy codes and changes in central banks’ policy frameworks in the United States and European Union. Through these modifications and re-articulations in institutional conditions, transactions and large exposures on money markets became routine affairs—for shadow banking actors like money market funds as well as for commercial banks. The article concludes by discussing the continuity of regime-consolidation efforts after the transatlantic financial crisis and hypothesizes that they reveal “neo-patrimonial” features. (shrink)

Il s’agit d’approfondir la comparaison de l’ « activité d’immobilité » [Χν≅ργεια 3κινησBας] au repos en Éthique à Nic. VII 15, 1154 b 21-31, et en cela de montrer en quoi ils sont identiques et en quoi ils sont différents. Le point de départ est que Aristote vise avant tout l’activité du premier moteur et qu’il a conçu tout d’abord l’ « activité d’immobilité » pour expliquer la continuité éternelle du mouvement du ciel. Cela conduit naturellement à la Physique où (...) le premier moteur et le repos sont définis. Le passage le plus important est certainement VI 8, 239 a 23 - b 4 où les deux sont également traités. Mais c’est aussi un des passages les plus litigieux, car la lecture proposée dans cet article n’est pas celle qui est proposée généralement par les traducteurs et commentateurs qui ne rattachent pas ce passage à ce qui précède, mais le considère comme une préfiguration du chapitre 9 où se trouvent exposés les problèmes de Zénon. Une grande part de l’article est consacrée à l’analyse de leur lecture, afin de redonner à ce passage la position clé qu’il mérite comme un jalon sur le chemin qui conduit à poser l’éternelle immobilité du premier moteur à la fin de la Physique. Ce passage est crucial, car Aristote y distingue l’activité du premier moteur immobile du repos en l’affirmant « dans l’instant » comme il l’avait fait d’ailleurs en Éthique à Nic. X 3, 1174 b 9 en distinguant l’ « activité d’immobilité » du mouvement. L’une des thèses avancées dans cet article est que seule l’instantanéité permet à cette activité d’être principe d’éternité. (shrink)

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