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Double-effect reasoning: doing good and avoiding evil

New York: Oxford University Press (2006)

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  1. Voluntary euthanasia.Robert Young - 2008 - Stanford Encyclopedia of Philosophy.
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  • Doctrine of double effect.Alison McIntyre - 2008 - Stanford Encyclopedia of Philosophy.
    The doctrine (or principle) of double effect is often invoked to explain the permissibility of an action that causes a serious harm, such as the death of a human being, as a side effect of promoting some good end. According to the principle of double effect, sometimes it is permissible to cause a harm as a side effect (or “double effect”) of bringing about a good result even though it would not be permissible to cause such a harm as a (...)
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  • The accomplishment of plans: a new version of the principle of double effect.Alexander R. Pruss - 2013 - Philosophical Studies 165 (1):49-69.
    The classical principle of double effect offers permissibility conditions for actions foreseen to lead to evil outcomes. I shall argue that certain kinds of closeness cases, as well as general heuristic considerations about the order of explanation, lead us to replace the intensional concept of intention with the extensional concept of accomplishment in double effect.
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  • Psychopathy: Morally Incapacitated Persons.Heidi Maibom - 2017 - In Thomas Schramme & Steven Edwards (eds.), Handbook of the Philosophy of Medicine. Springer. pp. 1109-1129.
    After describing the disorder of psychopathy, I examine the theories and the evidence concerning the psychopaths’ deficient moral capacities. I first examine whether or not psychopaths can pass tests of moral knowledge. Most of the evidence suggests that they can. If there is a lack of moral understanding, then it has to be due to an incapacity that affects not their declarative knowledge of moral norms, but their deeper understanding of them. I then examine two suggestions: it is their deficient (...)
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  • Withdrawing critical care from patients in a triage situation.Joseph Tham, Louis Melahn & Michael Baggot - 2021 - Medicine, Health Care and Philosophy 24 (2):205-211.
    The advent of COVID-19 has been the occasion for a renewed interest in the principles governing triage when the number of critically ill patients exceeds the healthcare infrastructure’s capacity in a given location. Some scholars advocate that it would be morally acceptable in a crisis to withdraw resources like life support and ICU beds from one patient in favor of another, if, in the judgment of medical personnel, the other patient has a significantly better prognosis. The paper examines the arguments (...)
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  • The last low whispers of our dead: when is it ethically justifiable to render a patient unconscious until death?Daniel P. Sulmasy - 2018 - Theoretical Medicine and Bioethics 39 (3):233-263.
    A number of practices at the end of life can causally contribute to diminished consciousness in dying patients. Despite overlapping meanings and a confusing plethora of names in the published literature, this article distinguishes three types of clinically and ethically distinct practices: double-effect sedation, parsimonious direct sedation, and sedation to unconsciousness and death. After exploring the concept of suffering, the value of consciousness, the philosophy of therapy, the ethical importance of intention, and the rule of double effect, these three practices (...)
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  • The Secret to the Success of the Doctrine of Double Effect : Biased Framing, Inadequate Methodology, and Clever Distractions.Uwe Steinhoff - 2018 - The Journal of Ethics 22 (3-4):235-263.
    There are different formulations of the doctrine of double effect, and sometimes philosophers propose “revisions” or alternatives, like the means principle, for instance. To demonstrate that such principles are needed in the first place, one would have to compare cases in which all else is equal and show that the difference in intuitions, if any, can only be explained by the one remaining difference and thus by the principle in question. This is not the methodology defenders of the DDE and (...)
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  • The Secret to the Success of the Doctrine of Double Effect (and Related Principles): Biased Framing, Inadequate Methodology, and Clever Distractions.Uwe Steinhoff - 2018 - The Journal of Ethics 22 (3-4):235-263.
    There are different formulations of the doctrine of double effect (DDE), and sometimes philosophers propose “revisions” or alternatives, like the means principle, for instance. To demonstrate that such principles are needed in the first place, one would have to compare cases in which all else is equal and show that the difference in intuitions, if any, can only be explained by the one remaining difference and thus by the principle in question. This is not the methodology defenders of the DDE (...)
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  • “I Am Eating a Sandwich Now”: Intent and Foresight in the Twitter Age.Stacy Elizabeth Stevenson & Lee Anne Peck - 2011 - Journal of Mass Media Ethics 26 (1):56-65.
    Although the criteria of double effect is usually used with issues of warfare and human health, such as abortion and euthanasia, the authors suggest using T. A. Cavanaugh's version of double effect reasoning when deliberating about cases that deal with the social media. With the creation of a modified version of Cavanaugh's three criteria, both social media users and those who evaluate decisions in that medium will have an alternate ethical decision-making model to use. The authors show how one might (...)
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  • Bennett, intention and the DDE – The sophisticated bomber as pseudo-problem.Uwe Steinhoff - 2018 - Analysis 78 (1):73-80.
    Arguing against the doctrine of double effect, Bennett claims that the terror bomber only intends to make his victims appear dead. An obvious reply is that he intends to make them appear dead by killing them. I argue that the alleged refutations of this reply rest on a mistaken test question to determine what an agent intends, as Bennett's own test question confirms, and that Bennett is misled by confusing metaphorical death and literal death. Moreover, Bennett's argument is half-hearted anyway, (...)
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  • Ontological Classifications and Human Rationality in Bioethics.Alexandra T. Romanyshyn - 2019 - Journal of Medicine and Philosophy 44 (4):391-402.
    Metaphysics often has an important role in deciding ethical questions. Specifically, in the realm of bioethics, metaphysical questions such as the nature of persons, diseases, and properties in general can be crucial to determining what is right or wrong. In this article, I tie together various metaphysical themes that recur throughout the rest of the issue: rationality as an element of human nature, ontological classifications, and kinds of action. I will explain that each has ethical implications. Actions that contravene reason (...)
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  • The Danger of Double Effect.Philip A. Reed - 2012 - Christian Bioethics 18 (3):287-300.
    In this paper, I argue that the doctrine of double effect is disposed toward abuse. I try to identify two distinct sources of abuse of double effect: the conditions associated with standard formulations of double effect and the difficulty of fully understanding one’s own intentions in action. Both of these sources of abuse are exacerbated in complex circumstances, where double effect is most often employed. I raise this concern about abuse not as a criticism of double effect but rather as (...)
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  • Opioids, Double Effect, and the Prospects of Hastening Death.Philip A. Reed - 2021 - Journal of Medicine and Philosophy 46 (5):505-515.
    The relevance of double effect for end-of-life decision-making has been challenged recently by a number of scholars. The principal reason is that opioids such as morphine do not usually hasten death when administered to relieve pain at the end of life; therefore, no secondary “double” effect is brought about. In my article, I argue against this view, showing how the doctrine of double effect is relevant to the administration of opioids at the end of life. I contend that the prevailing (...)
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  • Artifacts, Intentions, and Contraceptives: The Problem with Having a Plan B for Plan B.Philip A. Reed - 2013 - Journal of Medicine and Philosophy 38 (6):jht051.
    Next SectionIt is commonly proposed that artifacts cannot be understood without reference to human intentions. This fact, I contend, has relevance to the use of artifacts in intentional action. I argue that because artifacts have intentions embedded into them antecedently, when we use artifacts we are sometimes compelled to intend descriptions of our actions that we might, for various reasons, be inclined to believe that we do not intend. I focus this argument to a specific set of artifacts, namely, medical (...)
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  • Double effect, all over again: The case of Sister Margaret McBride.Bernard G. Prusak - 2011 - Theoretical Medicine and Bioethics 32 (4):271-283.
    As media reports have made widely known, in November 2009, the ethics committee of St. Joseph’s Hospital in Phoenix, Arizona, permitted the abortion of an eleven-week-old fetus in order to save the life of its mother. This woman was suffering from acute pulmonary hypertension, which her doctors judged would prove fatal for both her and her previable child. The ethics committee believed abortion to be permitted in this case under the so-called principle of double effect, but Thomas J. Olmsted, the (...)
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  • Three Cheers for Double Effect.Dana Kay Nelkin & Samuel C. Rickless - 2014 - Philosophy and Phenomenological Research 89 (1):125-158.
    The doctrine of double effect, together with other moral principles that appeal to the intentions of moral agents, has come under attack from many directions in recent years, as have a variety of rationales that have been given in favor of it. In this paper, our aim is to develop, defend, and provide a new theoretical rationale for a secular version of the doctrine. Following Quinn (1989), we distinguish between Harmful Direct Agency and Harmful Indirect Agency. We propose the following (...)
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  • So Close, Yet So Far: Why Solutions to the Closeness Problem for the Doctrine of Double Effect Fall Short.Dana Kay Nelkin & Samuel C. Rickless - 2013 - Noûs 49 (2):376-409.
    According to the classical Doctrine of Double Effect, there is a morally significant difference between intending harm and merely foreseeing harm. Versions of DDE have been defended in a variety of creative ways, but there is one difficulty, the so-called “closeness problem”, that continues to bedevil all of them. The problem is that an agent's intention can always be identified in such a fine-grained way as to eliminate an intention to harm from almost any situation, including those that have been (...)
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  • A Challenge for New Defenders of the Doctrine of Double Effect.Mark McBride - 2010 - Journal of Ethics and Social Philosophy 4 (3):1-7.
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  • Intentions, Permissibility, and Choice.Anton Markoč - 2018 - Res Publica 24 (4):493-508.
    T. M. Scanlon has argued that the intentions with which one acts, or more specifically, one’s reasons for acting, are non-derivatively irrelevant to the moral permissibility of one’s actions. According to one of his arguments in favor of that thesis, it can be permissible to act for one reason rather than another only if one can choose to act for a reason but, since that choice is impossible since believing as will is impossible, one can be permitted to act but (...)
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  • An Eye for an Eye: Proportionality and Surveillance.Kevin Macnish - 2015 - Ethical Theory and Moral Practice 18 (3):529-548.
    It is often claimed that surveillance should be proportionate, but it is rarely made clear exactly what proportionate surveillance would look like beyond an intuitive sense of an act being excessive. I argue that surveillance should indeed be proportionate and draw on Thomas Hurka’s work on proportionality in war to inform the debate on surveillance. After distinguishing between the proportionality of surveillance per se, and surveillance as a particular act, I deal with objections to using proportionality as a legitimate ethical (...)
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  • Rethinking the Foundations of Just War Theory. [REVIEW]Kevin Lacourse & Peter Stone - 2020 - Ethical Theory and Moral Practice 23 (2):475-481.
    Kai Draper’s War and Individual Rights: The Foundations of Just War Theory seeks to “give birth to an alternative approach” to traditional just war theory. This review seeks to analyse and evaluate this alternative approach. Draper’s approach to just war theory differs from other approaches in three ways. First, it is “highly individualistic.” Second, Draper’s approach avoids reliance upon the principle of double effect. Third, this approach is “largely rights-based”—it seeks “to understand the ethics of war mostly by way of (...)
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  • Impure Agency and the Just War.Rosemary B. Kellison - 2015 - Journal of Religious Ethics 43 (2):317-341.
    Feminist critiques of intention challenge some aspects of traditional just war reasoning, including the criteria of right intention and discrimination. I take note of these challenges and propose some directions just war reasoners might take in response. First, right intention can be evaluated more accurately by judging what actors in war actually do than by attempting to uncover inward dispositions. Assessing whether agents in war have taken due care to minimize foreseeable collateral damage, avoided intentional targeting of noncombatants, corrected previous (...)
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  • A systematic approach to the disclosure of genomic findings in clinical practice and research: a proposed framework with colored matrix and decision-making pathways.Tomohide Ibuki, Shimon Tashiro, Keiichiro Yamamoto & Kenji Matsui - 2021 - BMC Medical Ethics 22 (1):1-16.
    BackgroundWhether and how to disclose genomic findings obtained in the course of genomic clinical practice and medical research has been a controversial global bioethical issue over the past two decades. Although several recommendations and judgment tools for the disclosure of genomic findings have been proposed, none are sufficiently systematic or inclusive or even consistent with each other. In order to approach the disclosure/non-disclosure practice in an ethical manner, optimal and easy-to-use tools for supporting the judgment of physicians/researchers in genomic medicine (...)
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  • The Double Effect Effect.Charles Foster, Jonathan Herring, Karen Melham & Tony Hope - 2011 - Cambridge Quarterly of Healthcare Ethics 20 (1):56-72.
    The “doctrine of double effect” has a pleasing ring to it. It is regarded by some as the cornerstone of any sound approach to end-of-life issues and by others as religious mumbo jumbo. Discussions about “the doctrine” often generate more heat than light. They are often conducted at cross-purposes and laced with footnotes from Leviticus.
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  • The Doctrine of Double Effect: Intention and Permissibility.William J. FitzPatrick - 2012 - Philosophy Compass 7 (3):183-196.
    The Doctrine of Double Effect (DDE) is an influential non-consequentialist principle positing a role for intention in affecting the moral permissibility of some actions. In particular, the DDE focuses on the intend/foresee distinction, the core claim being that it is sometimes permissible to bring about as a foreseen but unintended side-effect of one’s action some harm it would have been impermissible to aim at as a means or as an end, all else being equal. This article explores the meaning and (...)
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  • Protecting reasonable conscientious refusals in health care.Jason T. Eberl - 2019 - Theoretical Medicine and Bioethics 40 (6):565-581.
    Recently, debate over whether health care providers should have a protected right to conscientiously refuse to offer legal health care services—such as abortion, elective sterilization, aid in dying, or treatments for transgender patients—has grown exponentially. I advance a modified compromise view that bases respect for claims of conscientious refusal to provide specific health care services on a publicly defensible rationale. This view requires health care providers who refuse such services to disclose their availability by other providers, as well as to (...)
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  • Knowing, Anticipating, Even Facilitating but Still not Intending: Another Challenge to Double Effect Reasoning.S. Duckett - 2018 - Journal of Bioethical Inquiry 15 (1):33-37.
    A recent administrative law decision in Victoria, Australia, applied double effect reasoning in a novel way. Double effect reasoning has hitherto been used to legitimate treatments which may shorten life but where the intent of treatment is pain relief. The situation reviewed by the Victorian tribunal went further, supporting actions where a doctor agrees to provide pentobarbitone to a patient at some time in the future if the patient feels at that time that his pain is unbearable and he wants (...)
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  • Retracted article: Strategic bombing, causal beliefs, and double effect.Ezio Di Nucci - 2016 - Journal of Value Inquiry 50 (2):385-394.
    I argue against the Doctrine of Double Effect’s explanation of the moral difference between terror bombing and strategic bombing. I show that the standard thought-experiment of terror bombing and strategic bombing which dominates this debate is underdetermined with regards to the agents’ psychologies: (a) if Terror Bomber and Strategic Bomber have the same causal beliefs, then why does Terror Bomber set out to kill the children? It may then be this unwarranted and immoral choice and not the Doctrine of Double (...)
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  • Temporal indiscriminateness: The case of cluster bombs.T. A. Cavanaugh - 2010 - Science and Engineering Ethics 16 (1):135-145.
    This paper argues that the current stock of anti-personnel cluster bombs are temporally indiscriminate, and, therefore, unjust weapons. The paper introduces and explains the idea of temporal indiscriminateness. It argues that to honor non-combatant immunity—in addition to not targeting civilians—one must adequately target combatants. Due to their high dud rate, cluster submunitions fail to target combatants with sufficient temporal accuracy, and, thereby, result in avoidable serious harm to non-combatants. The paper concludes that non-combatant immunity and the principle of discrimination require (...)
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  • Lifespan extension and the doctrine of double effect.Laura Capitaine, Katrien Devolder & Guido Pennings - 2013 - Theoretical Medicine and Bioethics 34 (3):207-226.
    Recent developments in biogerontology—the study of the biology of ageing—suggest that it may eventually be possible to intervene in the human ageing process. This, in turn, offers the prospect of significantly postponing the onset of age-related diseases. The biogerontological project, however, has met with strong resistance, especially by deontologists. They consider the act of intervening in the ageing process impermissible on the grounds that it would (most probably) bring about an extended maximum lifespan—a state of affairs that they deem intrinsically (...)
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  • Lethal Organ Donation: Would the Doctor Intend the Donor’s Death?Ben Bronner - 2019 - Journal of Medicine and Philosophy 44 (4):442-458.
    Lethal organ donation is a hypothetical procedure in which vital organs are removed from living donors, resulting in their death. An important objection to lethal organ donation is that it would infringe the prohibition on doctors intentionally causing the death of patients. I present a series of arguments intended to undermine this objection. In a case of lethal organ donation, the donor’s death is merely foreseen, and not intended.
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  • Is the doctrine of double effect irrelevant in end-of-life decision making?Peter Allmark, Mark Cobb, B. Jane Liddle & Angela Mary Tod - 2010 - Nursing Philosophy 11 (3):170-177.
    In this paper, we consider three arguments for the irrelevance of the doctrine of double effect in end-of-life decision making. The third argument is our own and, to that extent, we seek to defend it. The first argument is that end-of-life decisions do not in fact shorten lives and that therefore there is no need for the doctrine in justification of these decisions. We reject this argument; some end-of-life decisions clearly shorten lives. The second is that the doctrine of double (...)
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  • Mindlessness Bibliography.Ezio Di Nucci - 2013 - Cambridge Scholars Press.
    This file contains the Bibliography of my book Mindlessness.
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  • Mindlessness.Ezio Di Nucci - 2013 - Cambridge Scholars Press.
    Thinking is overrated: golfers perform best when distracted and under pressure; firefighters make the right calls without a clue as to why; and you are yourself ill advised to look at your steps as you go down the stairs, or to try and remember your pin number before typing it in. Just do it, mindlessly. Both empirical psychologists and the common man have long worked out that thinking is often a bad idea, but philosophers still hang on to an intellectualist (...)
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  • Bibliography on the Principle of Double Effect.Jörg Schroth - 2011 - Ethik Seite.
  • Don't Ask, Look! Linguistic Corpora as a Tool for Conceptual Analysis.Roland Bluhm - 2013 - In Migue Hoeltje, Thomas Spitzley & Wolfgang Spohn (eds.), Was dürfen wir glauben? Was sollen wir tun? Sektionsbeiträge des achten internationalen Kongresses der Gesellschaft für Analytische Philosophie e.V. DuEPublico. pp. 7-15.
    Ordinary Language Philosophy has largely fallen out of favour, and with it the belief in the primary importance of analyses of ordinary language for philosophical purposes. Still, in their various endeavours, philosophers not only from analytic but also from other backgrounds refer to the use and meaning of terms of interest in ordinary parlance. In doing so, they most commonly appeal to their own linguistic intuitions. Often, the appeal to individual intuitions is supplemented by reference to dictionaries. In recent times, (...)
     
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  • Technology as Terrorism: Police Control Technologies and Drone Warfare.Jessica Wolfendale - 2021 - In Scott Robbins, Alastair Reed, Seamus Miller & Adam Henschke (eds.), Counter-Terrorism, Ethics, and Technology: Emerging Challenges At The Frontiers Of Counter-Terrorism,. Springer. pp. 1-21.
    Debates about terrorism and technology often focus on the potential uses of technology by non-state terrorist actors and by states as forms of counterterrorism. Yet, little has been written about how technology shapes how we think about terrorism. In this chapter I argue that technology, and the language we use to talk about technology, constrains and shapes our understanding of the nature, scope, and impact of terrorism, particularly in relation to state terrorism. After exploring the ways in which technology shapes (...)
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