CQ: The Baby Bas Ross case stirred much public debate in The Netherlands since 1988 -a newborn infant with Down's syndrome whose parents refused to consent to a surgery that would have repaired an otherwise fatal congenital anomaly. Can you share your thoughts with us on this case?HD: I was the first ethicist to comment on this case because I was a friend of Dr. Molenaar, who was the final surgical decision maker for Baby Bas. A physician and I supported (...) his decision throughout the prosecution that followed. We also summarized the case in the N.T.V.G., the Dutch Magazine of Medicine. We argued In the article that parents should have the option to make nontreatment decisions. Moreover, In cases where the physician has to perform aggressive medical interventions, there certainly must be thorough and sound justification to ensure that the decision to Intervene Is in the best interest of the child.Heleen M. Dupuis, Ph.D., is Professor of Bioethics at the Leiden University School of Medicine, where she heads the Department of Metamedica and teaches in the Department of Philosophy. She is also a member of the Institutional Review Board/Ethics Committee of the Leiden University Hospital and a member of the Ethics Committee of the Royal Dutch Society of Medicine. (shrink)

Ethicists differ considerably in their reasons for using empirical data. This paper presents a brief overview of four traditional approaches to the use of empirical data: “the prescriptive applied ethicists,” “the theorists,” “the critical applied ethicists,” and “the particularists.” The main aim of this paper is to introduce a fifth approach of more recent date (i.e. “integrated empirical ethics”) and to offer some methodological directives for research in integrated empirical ethics. All five approaches are presented in a table for heuristic (...) purposes. The table consists of eight columns: “view on distinction descriptive-prescriptive sciences,” “location of moral authority,” “central goal(s),” “types of normativity,” “use of empirical data,” “method,” “interaction empirical data and moral theory,” and “cooperation with descriptive sciences.” Ethicists can use the table in order to identify their own approach. Reflection on these issues prior to starting research in empirical ethics should lead to harmonization of the different scientific disciplines and effective planning of the final research design. Integrated empirical ethics (IEE) refers to studies in which ethicists and descriptive scientists cooperate together continuously and intensively. Both disciplines try to integrate moral theory and empirical data in order to reach a normative conclusion with respect to a specific social practice. IEE is not wholly prescriptive or wholly descriptive since IEE assumes an interdepence between facts and values and between the empirical and the normative. The paper ends with three suggestions for consideration on some of the future challenges of integrated empirical ethics. (shrink)

The Christian church had its early development in the Hellenistic, Greco-Roman world and for that reason it can certainly be stated that the church was “Hellenized”. But how should we define this Hellenization? And what should be our judgement of it? The collection of essays entitled Hellenization revisited centers on an important theme.

The Christian church had its early development in the Hellenistic, Greco-Roman world and for that reason it can certainly be stated that the church was “Hellenized”. But how should we define this Hellenization? And what should be our judgement of it? The collection of essays entitled Hellenization revisited centers on an important theme.

AimVisual functions of the dorsal stream are considered vulnerable in children with early brain damage. Considering the recognition of objects in suboptimal representations a dorsal stream dysfunction, we examined whether children with early brain damage and impaired object recognition had either general or selective dorsal stream dysfunctions.MethodIn a group of children with early brain damage we evaluated the dorsal stream functioning. To determine whether these patients had an increased risk of a dorsal stream dysfunction we compared the percentage of patients (...) with impaired object recognition, assessed with the L94, with the estimated base rate. Then we evaluated the performance levels on motion perception, visual attention and visuomotor tasks in patients with and without object recognition abnormalities. A general dorsal stream dysfunction was considered present if a patient showed at least one abnormally low score in two out of three additional dorsal stream functions.ResultsSix of the eighteen patients with object recognition problems scored abnormally low on at least two additional dorsal stream functions. This was significantly higher than the base rate. The difference of 24.1% between the patients with and without object recognition problems was not significant. Of the patients with object recognition problems 72.2% had at least 1 dorsal weakness, whereas this was only the case in 27.3% of patients without object recognition problems. Compared to patients with normal object recognition, patients with object recognition problems scored significantly more abnormally low on motion perception and visual attention but did not differ on visuomotor skills.ConclusionChildren with object recognition problems seem at risk for other dorsal stream dysfunctions, but dysfunctions might be rather specific than general. Multiple functions/aspects should be evaluated in neuropsychological assessment of children at risk. (shrink)

In this article the various descriptions and interpretations ofprofessional autonomy, as have been given in the articles from Belgium,Italy and the UK are subjected to a further analysis. The implicit claimthat professional autonomy of physicians is beneficial for the health ofpatients is scrutinized and is proven to be untrue and invalid. Theconclusion is that professional autonomy is more directed at theinterests of physicians than of those of patients and deserves nospecial place in health care.

This volume addresses the recent concern over the state of education in the U.S. today by tracing the history of educational theory from its classical roots to the reforms recommended by early and later liberals.

This paper challenges the traditional assumption that descriptive and prescriptive sciences are essentially distinct by presenting a study on the implicit normativity of the production and presentation of biomedical scientific facts within evidence-based medicine. This interdisciplinary study serves as an illustration of the potential worth of the concept of implicit normativity for bioethics in general and for integrated empirical ethics research in particular. It demonstrates how both the production and presentation of scientific information in an evidence-based decision-support contain implicit presuppositions (...) and values, which pre-structure the moral environment of the clinical process of decision-making. As a consequence, the evidence-based decision support did not only support the clinical decision-making process; it also transformed it in a morally significant way. This phenomenon undermines the assumption within much of the literature on patient autonomy that information disclosure is a conditional requirement before patient autonomy even starts; patient autonomy is already influenced during the production and presentation of information. These results imply an increased responsibility of those who produce and present evidence-based facts(i.e. scientists in general and physicians in particular). The insights of this study not only involve a different focus on both theory and practice of patient autonomy and informed consent, but they also call for a broader scope of morality than does traditional empirical research in bioethics. The concept of implicit normativity within integrated empirical ethics research calls for a strong cooperation between bioethicists and descriptive scientists, i.e., a cooperation that goes beyond the discipline-specific epistemic values and that takes place during all phases of the research process. (shrink)

The Dutch law states that a physician may perform euthanasia according to a written advance euthanasia directive when a patient is incompetent as long as all legal criteria of due care are met. This may also hold for patients with advanced dementia. We investigated the differing opinions of physicians and members of the general public on the acceptability of euthanasia in patients with advanced dementia.

The study of anarchism as a philosophical, political, and social movement has burgeoned both in the academy and in the global activist community in recent years. Taking advantage of this boom in anarchist scholarship, Nathan J. Jun and Shane Wahl have compiled twenty-six cutting-edge essays on this timely topic in New Perspectives on Anarchism.

De nos jours existe un extraordinaire engouement pour les sciences du cerveau qui captivent de plus en plus de penseurs. Des philosophes americains encouragent leurs pairs a s'initier aux neurosciences. Des hommes de science, conscients des enjeux metaphysiques inherents a leur domaine, invitent les philosophes a decouvrir les faits nouveaux apportes par les decouvertes sur le systeme nerveux. Il parait donc legitime que le philosophe soit concerne par les developpements recents des sciences du cerveau. Par la diversite des points de (...) vus et des perspectives, le present recueil souhaite contribuer a eclairer, dans la mesure du possible, quelques-unes des questions inherentes aux interactions entre la philosophie et les neurosciences. (shrink)

This study described the relationships between academic class and student moral sensitivity and reasoning and between curriculum design components for ethics education and student moral sensitivity and reasoning. The data were collected from freshman (n = 506) and senior students (n = 440) in eight baccalaureate nursing programs in South Korea by survey; the survey consisted of the Korean Moral Sensitivity Questionnaire and the Korean Defining Issues Test. The results showed that moral sensitivity scores in patient-oriented care and conflict were (...) higher in senior students than in freshman students. Furthermore, more hours of ethics content were associated with higher principled thinking scores of senior students. Nursing education in South Korea may have an impact on developing student moral sensitivity. Planned ethics content in nursing curricula is necessary to improve moral sensitivity and moral reasoning of students. (shrink)

Deep neural network (DNN) models of human-like vision are typically built by feeding blank slate DNN visual images as training data. However, the literature on human perception and perceptual learning suggests that developing DNNs that truly model human vision requires a shift in approach in which perception is not treated as a largely bottom-up process, but as an active, top-down-guided process.

Corporate misconduct receives significant attention in the business ethics literature. This paper studies how corporate misconduct is impacted by import penetration from China, which is largely exogenous to the U.S. product market. Using this natural experiment, we find that heightened Chinese import penetration curbs corporate misconduct of U.S. firms. The effect is more pronounced for firms with weaker corporate governance and firms more vulnerable to product market competition. The findings provide implications for firms facing increased import penetration. Firms may consider (...) improving corporate governance and exploring avenues for differentiation as potential strategies to cope with the competition. In addition, we address the exogeneity concern derived from the influence of Chinese value penetration. Furthermore, we find that competition-related policies such as tariff reduction and U.S. granting China Permanent Normal Trade Relations (PNTR) status also lower corporate misconduct. Our work adds to the debates on competition and corporate misconduct in a cross-country competitive landscape. (shrink)

Since the late 1990s, the Russian Orthodox Church and several mainline Western Protestant churches have been at odds over homosexuality to such an extent that it has turned into a church-dividing issue. This article aims to find new openings for the ecumenical dialogue by examining how the ROC’s negative attitude toward same-sex relations has been influenced by cultural and historic factors. The analysis focuses on the affective dimension of the ROC’s discourse on homosexuality in important social documents and public speeches. (...) The methodology applied is taken from affect studies. The rhetoric of the ecclesial texts recalls ‘shadows from the gulag’ and frightening memories of the chaos of the 1990s, and functions to create an imagined national, moral and religious community – the ‘Russian Christian civilization’ – which is characterized by masculine heterosexuality. Religious concepts tend to become subordinate to the affective politics of the discourse. In conclusion, the author proposes that ecumenical partners continue with a profound theological discussion on human sexuality in all its diversity and complexity, and clarify to each other how understandings of basic theological notions such as human dignity and freedom have also been shaped by formative historic experiences. Furthermore, ecclesiological debates should address, at a fundamental level, the relationship between Christian community and the freedom ‘to be different.’. (shrink)

Overzicht van de gewijzigde visie in de 20e-eeuwse filosofie op emoties.

Emotions are ”feelings of bodily changes’, according to William James. This definition was the starting point of a debate that has been going on for more than a century now. James’ approach soon seemed empirically falsified by experimental psychologists and it was seriously undermined by philosophers who called his views untenable, because he seemed to reduce emotions to non-cognitive sensations. But time and again James rose from his grave. Today we witness his revival in the work of ”neo-Jamesians’ like Jesse (...) Prinz and ”neo-phenomenologists’ like Matthew Ratcliffe. In this article the main reactions to James’ ”feelings of bodily changes’ are examined. My conclusion is that both his critics and his supporters have started from an incomplete interpretation of the theory. James’ pragmatically embedded psychology of emotion as the experience of a dynamic, bodily self has until today received insufficient philosophical attention. (shrink)

William James’s reputation in the field of emotion research is based on his early psychological writings where he defines emotions as ‘feelings of bodily changes’. In his later work, particularly in his study of mystic emotion, James comes up with what looks like a completely different approach. Here his focus is on positive feelings of inspiration and joy, but also on downbeat moods like melancholy and depression. He examines how these feeling states give meaning to an individual’s life. Theorists often (...) speculate about a gap between James’s early writings and his later work, and assume that the later James turned from an evolutionary-minded natural scientist into a metaphysical philosopher. In my paper, I follow Ratcliffe in his view that a sharply drawn line between the early and the late work is implausible and that James’s later study of mysticism fits nicely with his early psychology. Drawing on James, I show how in his later work, James develops a theory of embodied emotions that anticipates the role ascribed by twentieth century phenomenology to anxiety and other ‘bad moods’, as possibilities for philosophical reflection and self-understanding. (shrink)

This paper is an update of the documents we have concerning the Acts of the Christian martyrs, focused on three main aspects: 1) the kind of acts we know of and their classification from the point of view of their historic value; 2) the versions or editions of the texts that are most accepted by scholars; 3) the relevance of the different parts that make up these documents in order to discern the original text from passages that were rewritten or (...) underwent later variations. In this way, the article offers an exhaustive list of the documents for use in researching Christian martyrs in the Roman period. (shrink)