The functional role of mirror neurons has been assessed in many different ways. They have been regarded, inter alia, as the core mechanism of mind reading, the mechanism of language understanding, the mechanism of imitation. In this paper we will discuss the thesis according to which MNs are a conceptual mechanism. This hypothesis is attractive since it could accommodate in an apparently simple way all the above-mentioned interpretations. We shall take into consideration some reasons suggesting the conceptualist characterization of MNs, (...) as well as some possible replies. We shall figure out how an argument for the conceptualist hypothesis could be deployed, focusing on the notion of off-line processes, which turns out to be the crucial property necessary to ascribe concept possession. Our conclusion will be that, despite of there being some evidence for the conceptualist account, the issue cannot be definitely settled, because there are both experimental shortages and conceptual difficulties. In particular, there are three distinct senses in which MNs can be regarded as a conceptual mechanism, but we shall argue that only one of these interpretations can be defended. (shrink)

Resumo: A Kehre (viragem) no pensamento de Heidegger foi amplamente discutida e debatida. A introdução da noção de metontologia (Metontologie), em 1927, informou proveitosamente esse debate, uma vez que implica uma preocupação com o domínio ôntico, por parte de Heidegger, que não está presente em trabalhos anteriores. O fato de essa noção desaparecer logo após ser introduzida, porém, desafia sua contribuição para esse debate. Neste artigo, mostra-se que o desaparecimento da metontologia não significa o desaparecimento da preocupação de Heidegger com (...) o ôntico, mas o contrário. Começa-se apresentando a visão de Freeman de uma tensão entre o ôntico e o ontológico, no pensamento de Heidegger, em meados da década de 1920, que resulta na introdução da metontologia, em 1927. Mais tarde, evidencia-se que a explicação de McNeill para o desaparecimento da metontologia, como consequência da visão de Heidegger, de meados dos anos 30, de que a projeção a priori do ser é uma retirada do ser (Entzug des Seins), permite dizer que esse desaparecimento não acarreta uma repentina falta de preocupação de Heidegger com o ôntico. Ao considerar a análise de Heidegger de “o matemático”, em Die Frage nach dem Ding, finalmente, argumenta-se que a metontologia desaparece do pensamento de Heidegger, porque sua dependência da ontologia a impede de explicar sua crescente preocupação com o ôntico, de maneira adequada. (shrink)

Bioethics scholarship considering the possibility of gestating an embryo to full term in an artificial womb (ectogenesis) often overstates the capacities of current technologies and underestimates the barriers to the development of full ectogenesis. Moreover, this debate causes harm by (1) neglecting more immediate problems in the development of artificial wombs, (2) treating abortion as a “problem with a technological solution,” bolstering anti-abortion rhetoric, and (3) presuming the stability of women’s reproductive rights. The ectogenesis conversation must consider anticipated uses of (...) the technology (neonatal intensive care) and acknowledge the immediate context (recognizing abortion as essential healthcare and existing reproductive inequities). (shrink)

In The Grammar of Society, first published in 2006, Cristina Bicchieri examines social norms, such as fairness, cooperation, and reciprocity, in an effort to understand their nature and dynamics, the expectations that they generate, and how they evolve and change. Drawing on several intellectual traditions and methods, including those of social psychology, experimental economics and evolutionary game theory, Bicchieri provides an integrated account of how social norms emerge, why and when we follow them, and the situations where we are (...) most likely to focus on relevant norms. Examining the existence and survival of inefficient norms, she demonstrates how norms evolve in ways that depend upon the psychological dispositions of the individual and how such dispositions may impair social efficiency. By contrast, she also shows how certain psychological propensities may naturally lead individuals to evolve fairness norms that closely resemble those we follow in most modern societies. (shrink)

In Norms in the Wild, distinguished philosopher Cristina Bicchieri argues that when it comes to human behavior, social scientists place too much stress on rational deliberation. In fact, she says, many choices occur without much deliberation at all. Two people passing in a corridor automatically negotiate their shared space; cars at an intersection obey traffic signals; we choose clothing based on our instincts for what is considered appropriate. Bicchieri's theory of social norms accounts for these automatic components of coordination, (...) where individuals react automatically to cues that focus their attention on what the norm is in that situation. Social norms thus act as rules for making choices in a social world where people expect others -- often unconsciously -- to follow the same rule. Some norms enable seamless social co-operation, while others are less beneficial to human flourishing.Bicchieri is famous for her interdisciplinary work on game theory and most recently her work on social norms, and Norms in the Wild represents her latest challenge to many of the fundamental assumptions of the social sciences. Bicchieri's work has broad implications not only for understanding human behavior, but for changing it for better outcomes. People have a strongly conditioned preference for following social norms, but that also means that manipulating their expectations can cause major behavioral changes. Bicchieri has been working recently with UNICEF and other NGO's to explore the applicability of her views to issues of human rights around the world. Is it possible to change social expectations around forced marriage, genital mutilations, and public health practices like vaccinations and sanitation? If so, how? What tools might we use? This short book explores how social norms work, and how changing them - changing preferences, beliefs, and especially social expectations - can potentially improve lives all around the world. It will appeal to an unusually broad range of readers including philosophers, psychologists and others in behavioral sciences, and anyone involved in public policy or at NGOs. (shrink)

Preguntarse por la libertad es hacerlo a la razón y al corazón de nuestra vida. Reconocer el valor de ser, sentirse y vivir libre es reconocerse como humano y por ello aceptar el compromiso feliz e inexcusable del esfuerzo continuado. Una tarea para toda la vida. Es el tema de este libro. Para empezar, ingenuamente, puede plantearse así: ¿En qué consiste la libertad? ¿Existe realmente la libertad, ¿es algo que tengo antes de saberlo, algo que sólo adquiero al saber que (...) lo tengo o algo que para tenerlo debo renunciar a saber con precisión qué es? ¿Soy capaz de libertad o soy libertad y por ello capaz de ser humano? Y tantas, tantas: demasiadas preguntas.. En la primera parte se intenta una antropología a partir de la libertad, es decir considerando la libertad como diferencia específica del género humano. Cuestiones sobre la elección, lo voluntario e involuntario, la intención, el azar,?ayudarán a comprender qué es. En la segunda parte se presenta un breve repertorio de opciones libres argumentadas, destinadas a comprometer las abstracciones de la primera con la peripecia actual que vivimos y en la que somos. Se ofrecen algo así como unos "ejercicios de libertad". ". Es una incitación a continuar pensando y repensando. La filosofía nunca es para mí la cancelación definitiva que nos permite salir de dudas sino el acicate que nos arroja a ellas, permitiéndonos vivir con dignidad inteligente en la ausencia de certidumbres absolutas" (F.Savater). (shrink)

The New Evil Demon Problem presents a serious challenge to externalist theories of epistemic justification. In recent years, externalists have developed a number of strategies for responding to the problem. A popular line of response involves distinguishing between a belief’s being epistemically justified and a subject’s being epistemically blameless for holding it. The apparently problematic intuitions the New Evil Demon Problem elicits, proponents of this response claim, track the fact that the deceived subject is epistemically blameless for believing as she (...) does, not that she is justified for so believing. This general strategy—which I call the “unjustified-but-blameless maneuver”—is motivated, in part, by the assumption that the distinction between epistemic justification and blamelessness is merely an extension of the familiar distinction between moral justification and blamelessness. In this paper, I consider three ways of drawing the distinction between justification and blamelessness familiar from the moral domain: the first in terms of a connection with reactive attitudes, the second in terms of the distinction between wrongness and wronging, and the third in terms of reasons-responsiveness. All three ways of drawing the distinction, I argue, make it difficult to see how an analogous distinction in the epistemic domain could help externalists explain away the intuitions which underwrite the New Evil Demon Problem. Motivating the unjustified-but-blameless maneuver, I conclude, is a much less straightforward task than its proponents tend to assume. (shrink)

Les études réunies et publiés dans ce volume sont d'abord concentrées sur les problèmes relatifs à la nature de l'âme en général, notamment par le biais d'une confrontation avec des penseurs antérieurs a Aristote ou qui leur sont contemporains - spécialement Platon et Xenocrate.

The pandemic motivated nutrition and healthy living to maintain a healthy lifestyle. The objective is to analyze and describe the perspectives of post-pandemic lifestyles of university students, using the quantitative cross-sectional method with non-probabilistic sampling and survey that measures the nutritional level and level of physical activities, 1033 university students participated. The results showed that the measurement instrument in the Peruvian context is acceptable and that the level of lifestyle is moderate. In conclusion, nutritional policies and physical activities should be (...) considered in universities so that university students practice a healthy lifestyle and take care of their health. (shrink)

Digital competencies were part of online education and now when returning to the classroom what will happen or what we expect for the future in education. The objective is to analyze and describe the perspectives of the level of digital competence, the non-experimental descriptive quantitative methodology is used with 1987 university students. Resulting that the instrument adapted to the Peruvian version is adequate according to statistics such as Cronbach's Alpha. Concluding that the digital competences improved the academic quality and have (...) a good level. Society is waiting for the next step to know what is presented to us in education. (shrink)

Embora a relação entre subjectividade e tempo seja fulcral para a fenomenologia, é-o sempre com o intuito de fundamentar ontologicamente a consciência na sua verdade A grande originalidade de Levinas consiste em abandonar o plano do cogito e, consequentem.

In 2017, a Philadelphia research team revealed the closest thing to an artificial womb the world had ever seen. The ‘biobag’, if as successful as early animal testing suggests, will change the face of neonatal intensive care. At present, premature neonates born earlier than 22 weeks have no hope of survival. For some time, there have been no significant improvements in mortality rates or incidences of long-term complications for preterms at the viability threshold. Artificial womb technology, that might change these (...) odds, is eagerly anticipated for clinical application. We need to understand whether AWT is an extension of current intensive care or something entirely new. This question is central to determining when and how the biobag should be used on human subjects. This paper examines the science behind AWT and advances two principal claims. First, AWT is conceptually different from conventional intensive care. Identifying why AWT should be understood as distinct demonstrates how it raises different ethico-legal questions. Second, these questions should be formulated without the ‘human being growing in the AW’ being described with inherently value laden terminology. The ‘human being in an AW’ is neither a fetus nor a baby, and the ethical tethers associated with these terms could perpetuate misunderstanding and confusion. Thus, the term ‘gestateling’ should be adopted to refer to this new product of human reproduction: a developing human being gestating ex utero. While this paper does not attempt to solve all the ethical problems associated with AWT, it makes important clarifications that will enable better formulation of relevant ethical questions for future exploration. (shrink)

Dans Adv. math., X, 216-218, Sextus Empiricus rapporte une mystérieuse doctrine d' « Énésidème selon Héraclite » d'après laquelle le temps est identifié à un corps. L'hypothèse défendue ici est que cette formule exprime une théorie à usage dialectique et critique, construite par Énésidème afin d'inserer la thèse d' Héraclite dans un débat fictif où interviennent d'autres positions dogmatiques. Alors que la plupart des historiens de la philosophie nient l'authenticité héraclitéenne de ce témoignage, dans ses Leçons sur l'histoire de la (...) philosophie Hegel l'accepte sans réticence, aussi bien du point de vue historique que du point de vue théorique et y voit l'anticipation de sa propre notion du temps comme première forme du devenir. In Adv. Math., X, 216-218, Sextus Empiricus recalls a mysterious doctrine of a so-called « Enesidemus according to Heraclitus » according to which time is identified to a body. The hereby sustained hypothesis goes to saying that such a saying expresses some kind of theory meant to be used both dialectically and critically. It is said to have been erected by Enesidemes so as to be able to insert Heraclitus' thesis into a fictitious debate in which other dogmatic positions may interplay. Whereas most historians of philosophy deny the Heraclitean authenticity of such a testimony, Hegel, in his Lessons on the History of Philosophy, accepts it without any form of reticence, both on the historical point of view and on the theoretical point of view, thus viewing in it the foresight of his own concept of time as first form of the becoming. (shrink)

Throughout most of human history women have been defined by their biological role in reproduction, seen first and foremost as gestators, which has led to the reproductive system being subjected to outside interference. The womb was perceived as dangerous and an object which husbands, doctors and the state had a legitimate interest in controlling. In this article, we consider how notions of conflict surrounding the womb have endured over time. We demonstrate how concerns seemingly generated by the invisibility of reproduction (...) and the inaccessibility of the womb have translated into similar arguments for controlling women, as technology increases the accessibility of the female body and the womb. Developments in reproductive medicine, from in vitro fertilisation to surrogacy, have enabled women and men who would otherwise have been childless to become parents. Uterus transplants and ‘artificial wombs’ could provide additional alternatives to natural gestation. An era of ‘womb technology’ dawns. Some argue that such technology providing an alternative to ‘natural’ gestation could be a source of liberation for female persons because reproduction will no longer be something necessarily confined to the female body. ‘Womb technology’, however, also has the potential to exacerbate the labelling of the female body as a source of danger and an ‘imperfect’ site of gestation, thus replaying rudimentary and regressive arguments about controlling female behaviour. We argue that pernicious narratives about control, conflict and the womb must be addressed in the face of these technological developments. (shrink)

David Lewis may be regarded as an antiessentialist. The reason is that he is said to believe that individuals do not have essential properties independent of the ways they are represented. According to him, indeed, the properties that are determined to be essential to individuals are a matter of which similarity relations among individuals are salient, and salience, in turn, is a contextual matter also determined to some extent by the ways individuals are represented. Todd Buras argues that the acknowledgment (...) of natural properties in counterpart theoretic ontology affects Lewis’s theory with regard to essentialism. Buras’s reasoning is appealing. He claims that, since natural properties determine the existence of similarity relations among individuals that are salient independent of context, Lewis can no longer be claimed to be an antiessentialist. The aim of this paper is to argue, against Buras, that if counterpart theory was antiessentialist before natural properties were taken into account, then it remains so afterwards. (shrink)

The thesis of mental fragmentation has recently attracted increased attention as a way of explaining facts about mind and language. This volume provides an accessible introduction and essays on foundations and applications of fragmentation.

A large body of literature considers the ethico-legal and regulatory issues surrounding assisted conception. Surrogacy, however, within this body of literature is an odd-fit. It involves a unique demand of another person—a form of reproductive labour—that many other aspects of assisted conception, such as gamete donation do not involve. Surrogacy is a form of assisted gestation. The potential alternatives for individuals who want a genetically related child but who do not have the capacity to gestate are ever increasing: with the (...) advent of uterus transplantation, and the anticipated development of artificial placentas.In this paper, I highlight the pertinent conceptual differences between technologies assisting conception and those assisting gestation to demonstrate that distinct issues arise when assisted gestative technologies are used. I argue that there is utility in considering AGTs as a genus of technologies. These technologies perform the same function from the perspective of putative parents and might exist on a spectrum of alternatives when they become more available. Moreover, since many of the same or very similar ethical, social and legal issues are raised by surrogacy, UTx and ectogestation, analysis of these issues will be better contextualised by considering these technologies together. Many of the matters currently being highlighted for reform in the context of surrogacy will inevitably impact on how other forms of assisted gestation are governed. The conversation should be broadened; we should consider how far other emerging technologies might be accommodated in revised regulatory schemes. (shrink)

In this paper, we explore how the prospect of artificial placenta technology (nearing clinical trials in human subjects) should encourage further consideration of the loss experienced by individuals when their pregnancy ends unexpectedly. Discussions of pregnancy loss are intertwined with procreative loss, whereby the gestated entity has died when the pregnancy ends. However, we demonstrate how pregnancy loss can and does exist separate to procreative loss in circumstances where the gestated entity survives the premature ending of the pregnancy. In outlining (...) the value that can be attached to pregnancy beyond fetal-centric narratives, we illustrate how pregnancy loss, separate to procreative loss, can be experienced. This loss has already been recognised among parents who have experienced an unexpected early ending of their pregnancy, resulting in their child being cared for in neonatal intensive care unit. Artificial placentas, however, may exacerbate these feelings and make pregnancy loss (without procreative loss) more visible. We argue that pregnancy is an embodied state in which gestation is facilitated by the body but gestation itself should be recognised as a process—and one that could be separable from pregnancy. In demarcating the two, we explore the different ways in which pregnancy loss can be understood. Our objective in this paper goes beyond contributing to our philosophical understanding of pregnancy towards practical-orientated conclusions regarding the care pathways surrounding the artificial placenta. We make recommendations including the need for counselling and careful consideration of the language used when an artificial placenta is used. (shrink)

In a recent publication, I argued that there is a conceptual difference between artificial womb (AW) technology, capable of facilitating gestation ex utero, and neonatal intensive care, providing incubation to neonates born prematurely. One of the reasons I provided for this distinction was that the subjects of each process are different entities. The subject of the process of gestation ex utero is a unique human entity: a ‘gestateling’, rather than a fetus or a newborn preterm neonate. Nick Colgrove wrote a (...) response to my paper, claiming that my distinction between the subject of an AW and a newborn (in intensive care) was false. He claims that I have not accounted for the proper definition of ‘birth’ and that gestatelings are not a distinct product of human reproduction. Further, Colgrove posits that even if I can successfully distinguish gestatelings from preterms, such a distinction is morally irrelevant because the entities would have the same moral status. In this paper, I address the three challenges raised and defend the claim that gestatelings are unique entities. Moreover, I argue that moral status should not be considered ipso facto determinative in the debate about AWs. (shrink)

The Arabic version of the Enneads is the earliest datable text in which appears the term "anniyya", that features in Avicenna’s metaphysics and lies in the background of the Latin definition of the Causa prima as esse tantum, typical of the Liber de Causis. This paper examines some examples of the use of "to be" in the Arabic translation of the Enneads. It also discusses the description of the First Cause as ‘pure Being’ or ‘first Being’ in the Arabic Plotinus, (...) and compares it with the Divine Names of the pseudo-Dionysius. icona . (shrink)

Questo articolo presenta un quadro dei problemi che il frammento B85DK di Eraclito solleva e delle interpretazioni antiche e moderne che sono state suggerite. In particolare, è esaminata la testimonianza di Aristotele, la più antica e anche la più profonda e articolata. Una panoramica sui significati di thumos, punto centrale del frammento, mostra che per Aristotele questo concetto non si esaurisce nel pathos dell’ira. Il thumos è in primo luogo una dunamis, una facoltà dell’anima che rende possibile non solo il (...) pathos, l’affezione passeggera dell’ira, ma anche il coraggio, l’impulsività, l’affetto, il senso della libertà e dell’autorità. Questa nozione aristotelica, così ricca e polimorfica da sottrarsi a una traduzione unica esaustiva, proviene in realtà dalla sistematizzazione di un materiale molto antico, omerico e presocratico, legato ai proverbi. Eraclito stesso ne offre già una formulazione che sintetizza due aspetti che Aristotele accoglie e sottolinea: la forza irresistibile e inarrestabile dello slancio impulsivo naturale, una volta che sia stato innescato, e l'estrema conseguenza a cui puo' portare, e cioè la perdita della vita stessa. (shrink)

In his paper, ‘Twin pregnancy, fetal reduction and the ‘all or nothing problem’, Räsänen sets out to apply Horton’s ‘all or nothing’ problem to the ethics of multifetal pregnancy reduction from a twin to a singleton pregnancy. Horton’s problem involves the following scenario: imagine that two children are about to be crushed by a collapsing building. An observer would have three options: do nothing, save one child by allowing their arms to be crushed, or save both by allowing their arms (...) to be crushed. Horton offers two intuitively plausible claims: it is morally permissible not to save either child and it is morally impermissible to save only one of the children, which taken together lead to the problematic conclusion that if an observer does not save both children, then it is better to save neither than save only one. Räsänen applies this problem to the case of 2-to-1 MFPR, arguing ultimately that, in cases where there is no medical reason to reduce, the woman ought to bring both fetuses to term. We will argue that Räsänen does not provide adequate support for the claim, crucial to his argument, that aborting only one of the fetuses in a twin pregnancy is wrong, so the ‘all or nothing’ problem does not arise in this context. Furthermore, we argue that the scenario Räsänen presents is highly unrealistic because of the clinical realities of 2-to-1 MFPR, making his argument of limited use for real-life decision making in this area. (shrink)

We report the results of an experiment designed to determine the effects of psychological proximity—proxied by awareness of pain and friendship—on moral reasoning. Our study tests the hypotheses that a moral agent’s emphasis on justice decreases with proximity, while his/her emphasis on care increases. Our study further examines how personality, gender, and managerial status affect the importance of care and justice in moral reasoning. We find support for the main hypotheses. We also find that care should be split into two (...) components, one related to protection and the other to the preservation of relationships. Although gender does not affect moral reasoning directly, we find that it does so indirectly via personality, controlling for age, professional status, and professional background. We do not find a significant effect of managerial status on ethics of justice, but do find that holding a managerial position has a negative impact on ethics of care. Regarding personality, we detect significant positive effects of conscientiousness on ethics of justice and of neuroticism on ethics of care. (shrink)

This dissertation discusses friendship in relation to self-identity in the thought of Paul Ricoeur. Its main claim is that Ricoeur's notion of self-identity designates a hermeneutically mediated experience, and that this complex experience can only be illumined by a phenomenology that is sensitive to ethical aspects. Another finding is that, according to Ricoeur, whatever we do, say, or write, takes on the form of narrative experience. Finally, the dissertation shows that what looks like the force of the discourse, driving author (...) to reader, and readers to one another, is in fact the force of philia, and that the latter is a source that nourishes practical wisdom exercised in relations with others. The call to friendship is a call to esteem for the being-like-me, a call to recognize a likeness beyond question and doubt, which relates selfhood and alterity, sameness and difference. (shrink)

Recent studies have proposed that the executive advantages associated with bilingualism may stem from language-switching frequency rather than from bilingualism per se (see for example, Prior & Gollan, 2011). Barbu, Gillet, Orban and Poncelet (2018) showed that high-frequency language switchers outperformed low-frequency switchers on a mental flexibility task but not on alertness or response inhibition tasks. The aim of the present study was to replicate these results as well as to compare proficient high and low-frequency bilingual language switchers to a (...) control group of monolingual participants. Two groups of proficient bilingual adults (30 high-frequency language switchers and 21 low-frequency language switchers) and a group of 28 monolinguals participated in the study. The results showed superior mental flexibility skills in high-frequency language switchers compared to low-frequency switchers and monolinguals; furthermore, the two latter groups showed no difference in mental flexibility skills. These results provide novel support for the hypothesis that the so-called bilingual advantage is, in fact, a result of language-switching habits. (shrink)

This paper argues that hypocritical blame renders blame inappropriate. Someone should not express her blame if she is guilty of the same thing for which she is blaming others, in the absence of an admission of fault. In failing to blame herself for the same violations of norms she condemns in another, the hypocrite evinces important moral faults, which undermine her right to blame. The hypocrite refuses or culpably fails to admit her own mistakes, while at the same time demands (...) that others admit theirs. The paper argues that this lack of reciprocity—expecting others to take morality seriously by apologizing for their faults, without one doing the same in return—is what makes hypocritical blame unfair. (shrink)

The aim of the present study was to investigate the effects of social intentions on action. Participants were requested to reach towards, grasp an object, and either pass it to another person or put it on a concave base . Movements’ kinematics was recorded using a three-dimensional motion analysis system. The results indicate that kinematics is sensitive to social intention. Movements performed for the ‘social’ condition were characterized by a kinematic pattern which differed from those obtained for the ‘single-agent’ condition. (...) Results are discussed in terms of a motor simulation hypothesis, which assumes that the same mechanisms underlying motor intention are sensitive to social intentions. (shrink)

In this commentary, I consider how Giulia Cavaliere’s arguments about the limited reach of the current justifications offered for full ectogenesis in the bioethical literature apply in the context of partial ectogenesis. I suggest that considering the extent to which partial ectogenesis is freedom or equality promoting is more urgent because of the more realistic prospect of artificial womb technology being utilised to facilitate partial gestation extra uterum as opposed to facilitating complete gestation from conception to term. I highlight concerns (...) about potentially harmful social narratives surrounding pregnancy and about the current legal framework surrounding gestation limiting access to technology in the advent of partial ectogenesis. I do not advocate that these concerns mean that we ought not develop artificial wombs, but like Cavaliere I suggest that we must be mindful of these concerns, and I posit that legal reform must accompany technological developments. Ectogenesis as a political perspective, through which we consider the value in social reproduction and the experiences of pregnant people, is useful to prevent political capture of this technology for regressive policies. Using this perspective to examine the law is also a useful tool to expose just how restrictive the law is in relation to gestation and female reproductive health. (shrink)

This article aims to show the consistency of Simone Weil’s political thought. To this end, I will analyze some of her main writings in which a tension is displayed between an accentuated political realism and a critical longing for a politics free from the subjection to force and the legitimation of the status quo. From this point of view, Weil’s thought can be understood as a form of political mysticism in which the images, notions, and symbols of mysticism serve the (...) purpose to innervate a renewed political rationality. (shrink)

In the United Kingdom the law and medical guidance is supportive of women making choices in childbirth. NICE guidelines are explicit that a competent woman’s informed request for MRCS should be respected. However, in reality pregnant women are routinely denied MRCS. In this paper I consider whether there is sufficient justification for restricting MRCS. The physical and emotive significance of childbirth as an event in a woman’s life cannot be understated. It is, therefore, concerning that women are having their wishes (...) ignored, and we must ascertain whether the denial of agency is justifiable. To answer this question I first demonstrate that access to MRCS is a lottery in the UK. Second, I argue that there is nothing unique about pregnancy that displaces the ethical norm of respecting patents’ sufficiently autonomous choices. Thus, the starting presumption is that all informed choices regarding MRCS should be respected. To ascertain whether any restriction of MRCS is justifiable the burden of proof must be placed on those who argue that MRCS is ethically impermissible. I argue that the most common justifications in the literature against MRCS are insufficient to displace the presumption in favour of autonomous choice in childbirth. I conclude that MRCS should be available to pregnant women, and we must strive to reduce the lottery in access to choice. (shrink)