In a recent paper published in the Journal of Medical Ethics, Le Morvan and Stock claim that the kantian ideal of treating people always as ends in themselves and never merely as a means is in direct and insurmountable conflict with the current medical practice of allowing practitioners at the bottom of their “learning curve” to “practise their skills” on patients. In this response, I take up the challenge they issue is and try to reconcile this conflict. The kantian ideal (...) offered in the paper is an incomplete characterisation of Kant’s moral philosophy, and the formula of humanity is considered in isolation without taking into account other salient kantian principles. I also suggest that their argument based on “necessary for the patient” assumes too narrow a reading of “necessary”. This reply is intended as an extension to, rather than a criticism of, their work. (shrink)

Most academic papers on ethics in pandemics concentrate on the duties of healthcare professionals. This paper will consider non-professional healthcare workers: do they have a moral obligation to work during an influenza pandemic? If so, is this an obligation that outweighs others they might have, e.g., as parents, and should such an obligation be backed up by the coercive power of law? This paper considers whether non-professional healthcare workers—porters, domestic service workers, catering staff, clerks, IT support workers, etc.—have an obligation (...) to work during an influenza pandemic. It uses data collected as part of a study looking at the attitudes of healthcare workers to working during a pandemic to suggest the philosophical arguments explored. These include: being in a position to do good, the ethics of work, competing obligations to family members and in particular to children and the obligations of citizens in a state of national emergency. We also look at whether compulsory measures are justified to support a national health service during a health emergency. We conclude that even if they are, compulsion should not be restricted to non-professionals who happen to be working in the health service at the time. Rather, compulsion involving a larger pool of people with the relevant skills and abilities is more equitable. (shrink)

Although task-unrelated thinking has been increasingly investigated in recent years, the content and correlates of everyday off-task thought in clinical d...

Medical student learning is dependent on an unwritten agreement between patients and the medical profession, in which students “practise” upon real patients in order that, when they are doctors, those same patients will benefit from the doctors’ skills. Given the increasing propensity for patients to refuse to take part in such learning, there is a danger that doctors will qualify without being truly competent. As patients, we must all ask ourselves, when asked to take part in medical teaching: if this (...) student/trainee doesn’t learn now, on me and under supervision, how will the person be truly competent next time, when this is for real, and the patient might be me or my loved one?We argue that a new and more explicit agreement is needed, in which the default should be that all patients are willing to help in the education of medical students, while we ensure that all such students are already competent in simulation before first practising upon real patients. (shrink)

This paper concludes a special feature of Sustainability Science that explores a broad range of social value theoretical traditions, such as religious studies, social psychology, indigenous knowledge, economics, sociology, and philosophy. We introduce a novel transdisciplinary conceptual framework that revolves around concepts of 'lenses' and 'tensions' to help navigate value diversity. First, we consider the notion of lenses: perspectives on value and valuation along diverse dimensions that describe what values focus on, how their sociality is envisioned, and what epistemic and (...) procedural assumptions are made. We characterise fourteen of such dimensions. This provides a foundation for exploration of seven areas of tension, between: (1) the values of individuals vs collectives; (2) values as discrete and held vs embedded and constructed; (3) value as static or changeable; (4) valuation as descriptive vs normative and transformative; (5) social vs relational values; (6) different rationalities and their relation to value integration; (7) degrees of acknowledgment of the role of power in navigating value conflicts. In doing so, we embrace the 'mess' of diversity, yet also provide a framework to organise this mess and support and encourage active transdisciplinary collaboration. We identify key research areas where such collaborations can be harnessed for sustainability transformation. Here it is crucial to understand how certain social value lenses are privileged over others and build capacity in decision-making for understanding and drawing on multiple value, epistemic and procedural lenses. (shrink)

This paper concludes a special feature of Sustainability Science that explores a broad range of social value theoretical traditions, such as religious studies, social psychology, indigenous knowledge, economics, sociology, and philosophy. We introduce a novel transdisciplinary conceptual framework that revolves around concepts of ‘lenses’ and ‘tensions’ to help navigate value diversity. First, we consider the notion of lenses: perspectives on value and valuation along diverse dimensions that describe what values focus on, how their sociality is envisioned, and what epistemic and (...) procedural assumptions are made. We characterise fourteen of such dimensions. This provides a foundation for exploration of seven areas of tension, between: (1) the values of individuals vs collectives; (2) values as discrete and held vs embedded and constructed; (3) value as static or changeable; (4) valuation as descriptive vs normative and transformative; (5) social vs relational values; (6) different rationalities and their relation to value integration; (7) degrees of acknowledgment of the role of power in navigating value conflicts. In doing so, we embrace the ‘mess’ of diversity, yet also provide a framework to organise this mess and support and encourage active transdisciplinary collaboration. We identify key research areas where such collaborations can be harnessed for sustainability transformation. Here it is crucial to understand how certain social value lenses are privileged over others and build capacity in decision-making for understanding and drawing on multiple value, epistemic and procedural lenses. (shrink)

Healthcare workers are often assumed to have a duty to work, even if faced with personal risk. This is particularly so for professionals. However, the health service also depends on non-professionals, such as porters, cooks and cleaners. The duty to work is currently under scrutiny because of the ongoing challenge of responding to pandemic influenza, where an effective response depends on most uninfected HCWs continuing to work, despite personal risk. This paper reports findings of a survey of HCWs conducted across (...) three National Health Service trusts in the West Midlands, UK, to establish whether HCWs’ likelihood of working during a pandemic is associated with views about the duty to work. The sense that HCWs felt that they had a duty to work despite personal risk emerged strongly regardless of professional status. Besides a strong sense that everyone should pull together, all kinds of HCWs recognised a duty to work even in difficult circumstances, which correlated strongly with their stated likelihood of working. This suggests that HCWs’ decisions about whether or not they are prepared to work during a pandemic are closely linked to their sense of duty. However, respondents’ sense of the duty to work may conflict with their sense of duty to family, as well as other factors such as a perceived lack of reciprocity from their employers. Interestingly, nearly 25% of doctors did not consider that they had a duty to work where doing so would pose risks to themselves or their families. (shrink)

Even with Kientpointer's and Walton's valuable work, we do not yet have a complete theory of argument schemes. A complete theory of argument schemes should contain at least the following: its theoretical motivation, the denotation of "argument" or "ar gumentation" used in the theory, an analysis of the concept of an argument scheme, a theory of classification of argument schemes, a solution to the problem of identifying which scheme is correct, and an account of the grounds of the normativity or (...) normat ive argument schemes. The paper will supply these elements, worked out as fully as space permits. (shrink)

This essay applies to the morality of lying and other deception a sketch of a kind of virtues-based, input-driven, role-centered, patient-focused, ethical theory. Among the questions treated are: What is wrong with lying? Is it always and intrinsically immoral? Can it be correct, as some have vigorously maintained, that lying is morally wrong in some circumstances where other forms of deliberate dissimulation are not? If so, how can that be? And how can it be that lying to someone is immoral (...) when other, harsher ways of treating her are permissible? The essay examines several responses to the first question, and suggests that lying violates morality as an excessive departure from the role-derived virtues of charity and justice: the liar wills another person the evil of false belief precisely in the proposition for which the speaker offers her assurance and takes special responsibility in asserting. So conceived, lying is an especially egregious form of treachery and degrading manipulation of another person. Appeal is then made to the gravity inherent in lying so conceived to suggest ways of answering the other questions which would support the traditional Augustinian claim that lying is inherently impermissible and ineligible in circumstances where other forms of deliberate deception may not be, and even in situations where violent attack may be permissible.At the end, a taxonomy of more and less rigorist positions of lying is offered. A tentative proposal is made that, while consistent with the traditional Augustinian rigorist position that Iving is always immoral, nevertheless has some features that may slightly soften that view’s practical application. The proposed view does this in a way similar to that in which allowing moral dilemmas may soften it, for allowing dilemmas means there may be cases where an act of a type always immoral may still be more eligible than any alternative. However, it is maintained that the view here proposed need not countenance genuine dilemmas. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:EPILOGUE Robert J. Daly, SJ. Boston College April 2002 Iwill arrange my comments under four headings: (1) what we had hoped to accomplish; (2) what we actually did accomplish; (3) what we may have learned from this; (4) what this might now enable us to do in thefuture. This epilogueisbeingwritten in April, 2002,twenty-twomonths after the conference. To draw what good we can from this delay, writing at this distance (...) allows me to summarize and draw conclusions with, perhaps, a bit more balance. On the other hand, my listening again to the audio record in the course ofpreparing this publication has enabled me to relive something of the original experience. (1)As I indicated in the introduction, we had unrealistically hoped that, by the time ofthe conference, the five presenters, and perhaps also the twoprincipals inthe "Girard-Lonergan Conversation," wouldhavealready exchanged with each other not just first drafts, but even second drafts of their papers, and that the conference itself would then be invited to join a conversation that was already well under way. As it turned out, I couldn't muster the organizational skills and resources needed to achieve this. But reflecting after the fact, I can see that so carefully detailed a preparation might have been counterproductive. Carrying out our original plan might have been at the cost ofimposing more ofa Western analytic pattern on our discussion ofother traditions, and of!thus smothering from the outset some of the insight that did occur. We had also hoped that the opening "Girard-Lonergan Conversation" would provide an analytic resource for the rest of the meeting. But that did not happen to any great extent. (2)The proximate preparation for this conference began with a draft version ofmy paper being sent to the other major presenters. I opened with 194Robert J. Daly, SJ. a series of brief sketches of salient points in the often unhappy but also occasionally felicitous history ofChristianity on this theme ofviolence and institution. Then, after emphasizing the importance of distinguishing between the normative and the descriptive, I tried to make some sense, both rational and theological, of all this data, especially by reflecting on the influences and consequences ofthe belief in hell, on the one hand, and the hope of universal salvation, on the other. The next major religious theme was Judaism. Reuven Kimelman provided a detailed—and, for some, overwhelming—glimpse of the way the talmudic traditions deal with the theme of war and its restrictions. This highly text-oriented and interpretation-of-texts driven presentation seemed to many, at first, to be irrelevant to mimetic theory and to the need to be confronting actual violence. But, in the course of Sandor Goodhart's response, and in the course ofthe at times spirited discussion that followed, we began to understand that how one interprets texts and traditions, and how these are played off against each other, is indeed fundamental to the way Jews typically try to deal with the practical challenges of violence. Qamar-ul Huda's presentation on IsIamfocused stronglyonthe way the spiritual teachings of Islam—i.e., islam as a religion rather than Islam as a political or national institution—foster peace. The initial reaction was somewhat similarto the reaction to Kimelman's paper: disappointment that Huda was not talking more directly about contemporary Muslim extremist violence. But here, too, the discussion enabled us to catch a glimpse both of the inner spiritual resources of Islam, and of the limitations ofthe range of concerns that Westerners typically bring to the table. Francis Clooney, in his presentation ofHinduism, strongly emphasized the great variety in Hinduism, stressing that one cannot speak ofHinduism as such. Much of this variety comes from the several millennia of Hindu history, and from the complex relationships to Buddhism and Jainism which, themselves, are important parts of Hindu history, and also from the fact that only recently have Hindus, after centuries of Moslem or Colonial domination, once again returned to positions of political and military power. Finally, Christopher Ives's presentation on Buddhism, in a way similar to my presentation on Christianity, but more extensively or more consequently, pointed out the various ways in which Buddhism has been politically and... (shrink)

After reviewing the foundations of special relativity and the room left for rival theories, a set of nonrelativistic para-Lorentzian transformations is derived uniquely, based on (a) a weaker first principle, (b) the requirement that the transformations sought do not give rise to the clock “paradox” (in a refined version), and (c) the compliance of the transformations with the classical experiments of Michelson-Morley, Kennedy-Thorndike, and Ives-Stilwell. The corresponding dynamics is developed. Most of the experimental support of special relativity is reconsidered (...) in the light of the new theory. It is concluded that the relativity of simultaneity has so far not been tested. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Self Between: From Freud to the New Social Psychology of FranceAndrew J. McKennaThe Self Between: From Freud to the New Social Psychology of France, by Eugene Webb; ix & 268 pp. Seattle: University of Washington Press, 1993, $35.00.That psychology and sociology are one science is the fundamental premise guiding Eugene Webb’s The Self Between, which he defines early on as “a self constituted dynamically and continuously by (...) the relationships it finds itself involved i n.” The “new social psychology of France” designated by his subtitle is mostly the one inspired by René Girard’s mimetic model of human behavior, to which four of Webb’s seven chapters are specifically devoted.Girard’s idea, which he learned from our literary masterpieces, is that human desire is mimetic, that it imitates other desires in its choice of objects and in pursuit of their possession. As desires converge on a single object, the locus of conflict will be between subjects rather within their individual psyches, a consequence that motivates Girard’s ongoing critique of Freudian psychoanalysis.But Freud’s theories are everywhere disputed in this book, which reports reliably on the devastating critiques advanced by François Roustang, Marie Balmary, and Mikkel Borch-Jacobsen. Roustang has convincingly (and entertainingly) uncovered Freud’s blindness to the pathologies of transference and discipleship investing the foundation of psychoanalysis. A pattern of rivalry for recognition and preeminence guides Freud’s career in a way that is reenacted around Lacan. Balmary, somewhat a Lacanian her self, has turned psychoanalytic theory against Freud to explore his own family secrets, while severely questioning the master’s bid for a universal theory pursued via self-analysis amidst a period of emotional upheaval. And Borch-Jacobsen has shown how th e dynamics of hypnosis that Freud rejected early on were brought back as transference, while arguing for his own part that mimetic identification with the other, rather than any primordial drives, is what brings the subject into being. These informat ive chapters help bring us up to date on significant debates that have developed since Lacan drew the French intellectual world, and so many Americans after it, into the orbit of psychoanalysis.But by far the bulk of Webb’s attention goes to Girard’s work and to that of [End Page 191] scholars and practitioners who have sought to extend it further in the social sciences. Principle among them is Jean-Michel Oughourlian, whose Puppet of Desire (translated by Webb in 1991) demonstrates how the mimetic model plays out in psychotherapy, notably in the workings of hypnotism and somnambulism, in cases of demonic possession, and in obsessional neurosis. In each case, the subject is unwitt ingly captive of another’s desire in a way that produces behavioral anomalies and disorders that are nonetheless available to lucid, jargon-free diagnosis. What is appealing here is the deployment of a rational explanation for irrational behavior, once we grasp the paradoxical rationale of desire; equally appealing prospects of actual healing are outlined here and at the end of the book, where possibilities of freedom and responsibility are resurrected from a technical vocabulary that smothers them.Girard’s idea of the self as relation, as interdividuality, rather than as a discreet unit, has social and political dimensions to which we only find tantalizing allusions in his works. They have been pursued with acumen by such writers as André Orléan, Paul Dumouchel and especially Jean-Pierre Dupuy, who figures importantly among those aligning systems theory with theories of social and economic organization. Like Borch-Jacobsen and Roustang, Dupuy restores due attention to concep tions of crowd behavior outlined at the end of the last century by Tarde and Le Bon, whose best insights Freud studiously discarded.This is richly interdisciplinary work, strongly suggesting that we variously redraw and erase lines defining academic fields. Occam’s razor flicks often and decisively in these pages, which restore needed balance to the effects of some wild er French imports. Webb brings no new ideas of his own to this capable synthesis, but his accurate report will help guide researchers toward major recent developments in France around and mostly beyond Freudian psychoanalysis... (shrink)

Sur un sujet fort peu abordé, la thèse implicite prévaut que les femmes sont exclues des armées des cités, parce que la fonction combattante n’est pas de leur ressort. Leur exclusion proviendrait de ce qu’elles ne sont pas citoyennes et participerait de ce déni du féminin, fondateur du politique en Grèce ancienne. Cette perspective est permise, à condition de s’en tenir à une définition restreinte de la citoyenneté et, par là, de circonscrire étroitement les limites de ce qu’il faut entendre (...) par l’armée de la cité. Or l’armée de la polis n’a jamais été confinée à une cour de caserne, y compris pour les hommes, ni son déploiement ramené au champ ouvert des seules batailles hoplitiques. La notion de fonction ou de sphère combattante permet, par ailleurs, de revenir sur la définition de la cité en armes et de ce qu’il faut entendre, en bien des contextes, défensifs en particulier, par une armée civique où les femmes ont leur place. (shrink)

Delphica 1 The building accounts of Delphi again and the reconstruction of the temple of Apollon in the 4th century BC Years of concerted effort with the architect E. Hansen have led to a reexamination of the accounts of Delphi relative to the reconstruction of the temple of Apollon in the 4th century BC. Seeking to determine avec precision certain procedures, such as the awarding of the works, has led to modified textual restitutions, notably concerning prices, as well as translations, (...) such as of the word syggrophos (specifications more frequently than contract). Principal suggestions regarding architectural matters. The selides were slabs destined for the geison. The angle pieces of this geison were in place when, starting in 338, they were replaced by larger elements. On the contrary, those of the frize of the sekos, which were replaced at the same time, had not been mounted. Moreover, the walls, constructed after the peristyle, did not carry the woodwork before 335, acquisition date of the cypress wood destined for this purpose. (shrink)

Review of MONTEL, S.; POLLINI, A. La question de l’espace au IVe siècle Avant J-C. dans le mondes grec et étrusco-italique: continuité, ruptures, reprises. Strasbourg, Presses Universitaires de Franche-Comté.

L’étude de la trentaine de monuments dédiés par des Delphiens permet d’en esquisser une lecture sociale et politique et de conclure que la société delphique a connu deux régimes successifs de l’offrande monumentale. Lors d’une première période (IVe-IIIe s. av. J.-C.), il ne semble pas y avoir de forte corrélation entre dédicace d’offrandes monumentales et exercice du pouvoir politique dans la cité. Au début du IIe s., alors même que la nature démocratique des institutions n’est plus contestable, le sommet de (...) la notabilité politique de Delphes décide de se mettre en scène à travers des monuments qui exaltent l’unité de la famille et l’excellence de ses membres. Le mouvement de concentration de l’exercice du pouvoir politique dans un milieu étroit lors de la seconde moitié du Ier s. av. J.-C. a pu s’appuyer sur des pratiques de distinction sociale déjà courantes depuis plus d’un siècle. (shrink)

This essay will criticize Peter Lamarque’s claim in The Opacity of Narrative that reading for ‘opacity’ is the way to read literature as literature. I will summarize the idea of ‘opacity’ and consider the plausibility of this claim through an examination of Lamarque’s related comments on translation. The argument for ‘opacity’, although it insists on the importance of attention to a work’s form in the apprehension of its content, involves, at the same time, a certain obliviousness to form, indicated in (...) the first instance by an unpersuasive conflation of lyric poetry and prose fiction. Through a comparison of opposing approaches to the translation of a novel written in verse, and an analysis of why the translation of poetry is generally understood to be more challenging than the translation of prose, I will argue that reading for ‘opacity’ does not adequately capture what it means to read literature as literature. (shrink)

Numismatique François de Callatay et Caroline Mattheeuws, À propos d'une série exceptionnelle de grands bronzes thasiens (fin ive- début me siècle) p. 481-490 L'acquisition par le Cabinet des Médailles de Bruxelles d'un lot de trente-cinq grands bronzes thasiens aux types «Tête de Déméter/Bustes des Dioscures» permet d'affiner la connaissance de cette émission exceptionnelle. Tous les exemplaires sont contremarques et beaucoup présentent des traces de surfrappe. L'étude du style combinée à celle des poids permet de déceler une manipulation monétaire qui avait (...) échappé jusqu'à présent. Avant de réaliser cette émission en surfrappant une émission existante au type de l'Héraclès imberbe, on s'était d'abord servi de nouveaux flans d'un poids lourd (ca 13 g). L'étude du contexte archéologique confirme d'autre part pour ces bronzes, sans toutefois qu'il soit permis de les situer à l'année près, une datation à l'extrême fin du ive s. av. J.-C. (shrink)

ABSTRACT In this paper we set forth what we believe to be a relatively controversial argument, claiming that ‘bioethics’ needs to undergo a fundamental change in the way it is practised. This change, we argue, requires philosophical bioethicists to adopt reflexive practices when applying their analyses in public forums, acknowledging openly that bioethics is an embedded socio‐cultural practice, shaped by the ever‐changing intuitions of individual philosophers, which cannot be viewed as a detached intellectual endeavour. This said, we argue that in (...) order to manage the personal, social and cultural embeddedness of bioethics, philosophical bioethicists should openly acknowledge how their practices are constructed and should, in their writing, explicitly deal with issues of bias and conflict of interest, just as empirical scientists are required to do. (shrink)

What is poetry’s so-called ‘form-content unity’? In this paper, I argue that the idea of ‘form-content unity’, as derived from A. C. Bradley’s 1901 lecture, has been misconstrued by Peter Kivy, who believes that it is confused and vague. I argue that it has also been misconstrued, however, by the philosophers who find the idea insightful and instructive and present themselves as defending and developing it against Kivy’s criticisms. Crucially, Bradley’s argument emphasizes that hearing is necessary to any ‘poetic’ reading (...) of a metrical poem, but this focus on sound and metre tends to be ignored. A precision of terminology—particularly a reformulation of the paraphrase ‘form-content unity’—offers an improved understanding of Bradley’s claims. The lecture, I argue, properly understood, in fact supports the call for a shift of attention away from understanding poems as ‘form-content unities’ in the philosophy of poetry. (shrink)

In this monograph on Luce Irigay, Kelly Ives explores the French thinker's ideas on the politics of sexual difference.

In this chapter, we seek to offer a fresh perspective on whether or not doctors should be “licensed to kill”. As that phrase indicates, we metaphorically refer to the adventures of fictional spy James Bond, although we hope, in doing so, that readers will not think that we are belittling the serious topic with which the chapter is concerned. Having surveyed some of the familiar arguments for and against allowing medically-assisted dying, we advance a new proposal, which seeks to strike (...) a compromise between such arguments. Our exploratory model builds on an analogy with armed response police units as they operate in England, and specifically with situations in which such officers are found to have killed someone in the course of their duties. Rather than confer immunity prospectively (as proponents of assisted dying often seek) or deny immunity completely (as opponents insist), our policy would provide a potential retrospective excuse. (shrink)

In this paper, we present the first stage of an empirical bioethics project exploring the moral sources of paternal responsibilities and rights. In doing so, we present both (1) data on men's normative constructions of fatherhood and (2) the first of a two-stage methodological approach to empirical bioethics. Using data gathered from 12 focus groups run with UK men who have had a variety of different fathering experiences (n = 50), we examine men's perspectives on how paternal responsibilities and rights (...) are generated and the significance of the genetic connection within the father–child relationship. We do not attempt to explore men's experiences of fatherhood or their fathering practices; and neither is the analysis driven from a particular sociological perspective. Rather, we explore men's normative constructions of fatherhood in order to present accessible data that might be of significance to the philosophical/moral debate on the sources of paternal rights and responsibilities. (shrink)