It was in the course of one particular clinical encounter that I came to realize the power of narrative, especially for expressing clinically presented ethical matters. In Husserlian terms, the mode of evidence proper to the unique and the singular is the very indirection that is the genius of story-telling. Moreover, the clinical consultant is unavoidably changed by his or her clinical involvement. The individuals whose situation is at issue have their own stories that need telling. Clinical ethics is in (...) this sense a way of helping patients, families, and, yes, health providers to discover and give voice to those stories. In this way, clinical ethics is an evoking of meaning. Kierkegaard understood this well: Indirect communication is the language for the unique and the otherwise inexpressible. (shrink)

The celebration of thirty years of publication of The Journal of Medicine and Philosophy provides an opportunity to reflect on how medical ethics has evolved over that period. The reshaping of the field has occurred in no small part because of the impact of branches of philosophy other than ethics. These have included influences from Kantian theory of respect for persons, personal identity theory, philosophy of biology, linguistic analysis of the concepts of health and disease, personhood theory, epistemology, and political (...) philosophy. More critically, medicine itself has begun to be reshaped. The most fundamental restructuring of medicine is currently occurring - stemming, in part, from the application of contemporary philosophy of science to the medical field. There is no journal more central to these critical events of the past three decades than The Journal of Medicine and Philosophy. (shrink)

The author argues that to explore what is distinctly Christian about Christian bioethics requires clarity about what is Christian. He distinguishes between the Christian (that which can be identified as authentically Christian), Christianity (the sum of that which is authentically Christian), and ecclesiastical traditions (the historic communities of faith and practice that are predicated upon both Christian and extra-Christian tradition) to critically assess what is to be declared Christian. In addition to exploring the role of New Testament scripture in identifying (...) the Christian, the author emphasizes the need to recognize the extent to which the content of Christianity is Hebraic and Jewish. (shrink)

Human experimentation can have different meanings: indeed, with the development of medical research, therapeutic acts have to be distinguished from acts of cognitive values. For each kind of acts, specific conditions of acceptability and specific protections of human beings have to be defined.Human experimentation must be envisaged at different levels to evaluate ethical aspects: its scientific value, the risks, benefits envisaged, the populations implicated, etc…The individual consent must be present too in the relationship between the subject and the doctors. In (...) fact, is a real consent possible?Instead to insist on problems in terms of medical research, one would have to insist perhaps more on the fact that the medical practice in general would have to answer more to ethical grounds and to scientific rules. It is the non scientific medicine which is immoral and dangerous, as well the medicine with financial interests, or also the medecine without experimentation.The main arguments must remain at the level of the dignity of the persons, autonomy and freedom of choice must remain the fundamental values. (shrink)

Value-freedom or value-neutrality is a well-known topic in the philosophy of science. But what about the value-neutrality of technology, medical or other? Is it too far-fetched to imagine technology as in some sense value-neutral — in view of its intimate connection with purposeful human action? No; unexpected perhaps, but less far-fetched than expected. If we try to conceive of technology as a cognitive possibility abstracted from each and every specific social context, we shall find three senses in which it may (...) be regarded as value-neutral: neutral vis-à-vis different possible uses and ends; neutral before action; neutral qua cognitive object, analogous to the cognitive core of science. The further meanings and implications of these three senses of value-neutrality are discussed.What is this exercise good for? The nature of technology is indeed worth pondering in its own right, not least from this rather unusual angle. But beyond that: as the possible meanings of value-neutrality are tried out, the radical nature of human responsibility for the social implementation of technology will be highlighted. (shrink)

One of the most striking phenomena of our time is the climate of uncertainty and confusion about fundamental norms and values. It has even been observed that the movement of modern science and technology has eroded the foundations from which norms could be derived. Meanwhile, in this time of confusion ethics is observed to be blossoming as never before in our universities. This paper addresses the question how assured we can be that a hefty dose of ethics in science and (...) the university is an appropriate medicine for the problems of the modern age. A roundabout route is taken. Our analysis begins not with the current problem of norms and values but with another characteristic feature of our century, namely the spiraling course of science and technology. Some initial critical reflections on the widespread view of the autonomy of science and technology suggest that in the technological society we face problems our theoretical toolkit is not outfitted to deal with. Traditionally, ethics has been concerned with the regulation of human action between individual human subjects. The need and possibilities for an ethics for collective human action or for an ethics on a systems level is indicated. It is concluded that today perhaps more than ever, science and the university have an important task to fulfill. (shrink)

The paper draws upon new conceptions of place, space, interaction and community in Geography and Media Studies to explore the possibilities of extending existing conceptions of care and caring from the context with which they are traditionally associated—face-to-face encounters within a shared physical locale. It proposes three structures of 'caring at a distance', all of which have a core element of mediated or distanciated interaction, and concludes that mass media and electronic networks play a significant role in extending the scope (...) of beneficence beyond our 'nearest and dearest' to embrace distant others. (shrink)

The paper draws upon new conceptions of place, space, interaction and community in Geography and Media Studies to explore the possibilities of extending existing conceptions of care and caring from the context with which they are traditionally associated—face-to-face encounters within a shared physical locale. It proposes three structures of ‘caring at a distance’, all of which have a core element of mediated or distanciated interaction, and concludes that mass media and electronic networks play a significant role in extending the scope (...) of beneficence beyond our ‘nearest and dearest’ to embrace distant others. (shrink)

In this article we examine four objections to the genetic modification of human beings: the freedom argument, the giftedness argument, the authenticity argument, and the uniqueness argument. We then demonstrate that each of these arguments against genetic modification assumes a strong version of genetic determinism. Since these strong deterministic assumptions are false, the arguments against genetic modification, which assume and depend upon these assumptions, are therefore unsound. Serious discussion of the morality of genetic modification, and the development of sound science (...) policy, should be driven by arguments that address the actual consequences of genetic modification for individuals and society, not by ones propped up by false or misleading biological assumptions. (shrink)

Regarding the epistemological borderlines between science and philosophy, this article approaches the human mind and ethics from biological and philosophical theories. For this purpose, the Darwinian theory of evolution by natural selection provides a scientific foundation to understand the human mind and ethics. However, not only Charles Darwin has studied mental faculties and ethics, this is also a topic researched by eminent contemporary paleontologists and biologists. Prior to modern biology, going back to Greek philosophy, philosophers have traditionally studied the human (...) mind and ethics, separating human beings and the rest of nature ontologically. Following modern biology, the philosopher Hans Jonas has developed a philosophical biology from the perspective of hermeneutical phenomenology to understand life. With the help of his hermeneutical phenomenology, Jonas has presented an ontological theory of organism-metabolism to understand the phenomenon of life from simple living beings to the human mind in relation to nature, based on the body. Recently, the evolutionary biologist Francisco Ayala has proposed a coherent scientific and philosophical theory about biological and cultural roots for ethics, considering the evolution of human mental and intellectual capacities and the three conditions for ethical behavior as a part of human intellectual capacity, which scientifically complements and informs Hans Jonas’s philosophical biology and ethics of responsibility. (shrink)

This essay takes competitive aeromodelling as a test case for certain contentious issues in philosophy of sport. More specifically, I look at the challenge it presents to prevailing ideas of what properly counts as ?sport?, which in turn have their source in other, more basic or deep-rooted preconceptions. Among them are a range of ?common-sense? beliefs about the properly (naturally) human, the mind/body relationship, the role (if any) of scientific-technological innovation as a means of performance enhancement, and ? most fundamentally (...) ? the distinction between nature and culture in so far as it bears on these questions. My approach is broadly deconstructionist in taking them as genuine questions and in pressing hard on those unresolved problems thrown up by any attempt to secure a definition of ?sport? that would pre-emptively exclude any kind of advanced technological adjunct (or Derridean ?supplement?) that seemed to lead outside and beyond the realm of ?natural? human powers, capacities and skills. On the other hand I acknowledge ? as against ?strong?-conventionalist (e.g. Wittgensteinian) approaches ? that the category ?sport? cannot be relativised or culturally contextualised to the point where it loses all determinate sense or normative significance. My main purpose here is to assess various claims and counter-claims by running them past a fairly detailed account of competitive aeromodelling ? or one particular branch thereof ? and the kinds of difficulty it creates not only for conservative, essentialist or naturalising definitions but also for that other reactive trend towards all-out cultural-relativist or social-constructivist doctrines. In addition, though far from incidentally, I want to make the case that this is indeed a sport on any reasonable, fair, or adequately informed reckoning and that its recognition as such might help to clarify certain obscure corners of current philosophical thinking about these issues. (shrink)

The recent crises of BSE and FMD in the United Kingdom have revealed widespread concerns on the part of farmers and consumers about government regulations and handling of animal movements, animal welfare, and food safety. Both crises raised issues of government accountability and the lack of openness in public debate. The issues of democratic process and decision-making were especially strong in relation to the mass slaughter policy of the government to control FMD. This article explores public disquiet about these matters, (...) as expressed through the reports of two public inquiries, and the perceived links between government decision-making and the needs of global agribusiness, to the detriment of family farms and animal welfare. In light of the growing evidence about the environmental and economic costs of agribusiness, the argument is made that strong programs of citizen action, such as the Devon Foot and Mouth Inquiry, that are grounded in an ethical stance on animal welfare can challenge the perspectives of central governments about concepts of cost, efficiency, and safety in agriculture. (shrink)

Zum Hirntod werden zwei Fragen erneut kontrovers diskutiert: erstens, ob der Hirntod mit dem Tod gleichzusetzen ist, zweitens, wie man den Hirntod sicher diagnostiziert. Neue empirische Erkenntnisse erfordern eine neue Auseinandersetzung mit diesen Fragen: Erstens haben zahlreiche Studien ein längeres Überleben und die Integration von Körperfunktionen von hirntoten Patienten nachgewiesen. Der President's Council on Bioethics hat im Dezember 2008 eingestanden, dass die bisher vertretene Begründung für das Hirntodkriterium, nämlich die Annahme des engen zeitlichen und kausalen Zusammenhangs des Hirntodes und der (...) Desintegration der körperlichen Funktionen, empirisch widerlegt sei. Trotzdem hält der Council am Hirntodkriterium fest, stützt es aber nun auf eine neue naturphilosophische statt empirische Begründung, die den lebenden Organismus über die aktive Auseinandersetzung mit der Welt als notwendiges Kriterium für Leben bestimmt. Diese naturphilosophische Begründung ist nicht falsifizierbar und scheint den Interessen der Transplantationsmedizin geschuldet. Zweitens geben Studien mit fMRT und PET an hirntoten Patienten Anlass, an der Reliabilität der üblichen Hirntoddiagnostik zu zweifeln. Aus ethischen Gründen sollte eine Hirntoddiagnostik auf dem Stand der besten verfügbaren Technologie gesetzlich vorgeschrieben werden, also zumindest die Angiographie, in Zweifelsfällen auch fMRT oder PET. (shrink)

What is or should be the place of the ethical dimension in a general enactive theory of sociality? How should such a dimension be understood and articulated within the more general picture of the enactive approach to social life? In this paper, building on Emmanuel Levinas’ philosophy, we argue that ethics should be understood as a distinct dimension of the complex and multidimensional phenomenon of sociality; a dimension of radical otherness that intertwines with but does not reduce to the intersubjective (...) dynamics of social life. In showing the particular place that the ethical dimension occupies in the general picture of sociality, we show, following Levinas, why sociality is more than intersubjectivity and how enactivism, if interested in a comprehensive account of ethics, would benefit from this insight. (shrink)

Die Medikalisierung des Sterbens hat dazu geführt, dass ein „guter Tod“ zunehmend auch von medizinischen Interventionen erwartet wird. Die Möglichkeiten einer „terminalen Sedierung“ bis zum Tode werden von vielen als Ausweg angesehen, wenn bei unerträglichem Leid und aussichtsloser Prognose der Wunsch nach aktiver Sterbehilfe angesprochen wird. Durch eine Sedierung können zwar bei schwerstkranken Patienten schwerste therapierefraktäre Leidenszustände effektiv gelindert werden. Diese Therapieoption kann aber auch in der Absicht angewendet werden, den Todeseintritt medizinisch zu beschleunigen, so dass im Zusammenhang mit der (...) Euthanasiedebatte auch das Thema der terminalen Sedierung kontrovers diskutiert wird. Richtlinien zu Indikation, Technik und Dokumentation sind notwendig, um Stellenwert und Grenzen der terminalen Sedierung im Rahmen der palliativen Betreuung am Lebensende zu verdeutlichen und durch Transparenz Fehlentwicklungen zu vermeiden. (shrink)

Following the revival in the last decades of the concept of “organism”, scholarly literature in philosophy of science has shown growing historical interest in the theory of Immanuel Kant, one of the “fathers” of the concept of self-organisation. Yet some recent theoretical developments suggest that self-organisation alone cannot fully account for the all-important dimension of autonomy of the living. Autonomy appears to also have a genuine “interactive” dimension, which concerns the organism’s functional interactions with the environment and does not simply (...) derive from its internal organisation. Against this background, we focus on a family of natural philosophical approaches that historically have already strongly taken in account this aspect of autonomy, notably going beyond Kant’s perspective on self-organisation. We thus review Hegel, Plessner, and Jonas’ different perspectives on living beings, focussing in particular on four points: the distinction between organic and inorganic, the theory of biological organisation, the processuality of the living, and the “boundary” between inside and outside, through which the organism establishes its relationship to the environment. We, then, compare the three perspectives on these four points, and finally address the question of what advantages their contribution present—especially compared to Kant’s theory—with respect to the topic of organism’s autonomy. This could help—we hope—to better understand what is at the stake still today. (shrink)

The therapy/enhancement distinction is a controversial one in the philosophy of medicine, yet the idea of enhancement is rarely if ever questioned as a proper goal of sports medicine. This opens up latitude to those who may seek to use elite sport as a vehicle of legitimation for their nature-transcending ideology. Given recent claims by transhumanists to develop our human nature and powers with the aid of biotechnology, I sketch out two interpretations of the myth of Prometheus, in Hesiod and (...) Aeschylus, which can help frame the moral limits of sports medicine. By way of conclusion I assemble some banal reminders: We are mortal beings; our vulnerability to disease, injury and the waning of our powers, far from something we can overcome or eliminate, represent natural limits both for morality and medicine generally and sports medicine in particular. (shrink)

Modern technology presents new challenges and possibilities to the environment and life on earth. It is argued that ecology as the science of the earth as a whole cannot provide the means for making technical decisions pertaining to the environment. An alternative means is suggested in which modern technology provides the medium for communicating with nature, so that a dialogue, an intruding in and listening to nature, becomes the basis both for seeing modern technology in a new light and for (...) living with modern technology in a new way. Some theological ramifications are also explored. (shrink)

The possibility of in-breakings of God in science is discussed. A realist philosophy of science is used as a framework in which new paradigms are seen as providing ever better approximations to the true underlying structure of nature, which will be revealed in the eschaton. It is argued that ecology–the study of the earth as a whole–cannot be treated as a natural science because there can be no paradigms for understanding the earth as a whole. Instead technology is used as (...) a means for interacting with God through nature. (shrink)

In this paper, we seek to re-conceptualize the ethical framework through which ethicists and medical professionals view the practice of live kidney donations. The ethics of organ donation has been understood primarily within the framework of individual rights and impartiality, but we show that the ethic of care captures the moral situation of live kidney donations in a more coherent and comprehensive way, and offers guidance for practitioners that is more attentive to the actual moral transactions among donors and recipients. (...) A final section offers guidelines for the practice of live kidney transplants that emerge from an ethic of care. (shrink)

Abstract.This article examines an orientation for thinking theologically and ethically about the cultural pattern of technology and a vision for living responsibly within it. Building upon and joining select insights of philosophers Hans Jonas and Albert Borgmann, I recommend the analytic and evaluative leverage to be gained through development of an integrative biocultural theological anthropology.

Proponents of human reproductive cloning do not dispute that cloning may lead to violations of clones' right to self-determination, or that these violations could cause psychological harms. But they proceed with their endorsement of human reproductive cloning by dismissing these psychological harms, mainly in two ways. The first tactic is to point out that to commit the genetic fallacy is indeed a mistake; the second is to invoke Parfit's non-identity problem. The argument of this paper is that neither approach succeeds (...) in removing our moral responsibility to consider and to prevent psychological harms to cloned individuals. In fact, the same commitment to personal liberty that generates the right to reproduce by means of cloning also creates the need to limit that right appropriately. Discussion of human reproductive cloning ought to involve a careful and balanced consideration of both the relevant aspects of personal liberty – the parents' right to reproductive freedom and the cloned child's right to self-determination. (shrink)

Late antique Gnosticism and Heidegger’s Existentialism are usually counted among the main theoretical targets of Hans Jonas’s philosophy of life and responsibility, since they are supposed to share the dualistic and nihilistic attitude the philosopher deemed most mistaken and pernicious. In particular, Gnosticism is commonly understood as the exact opposite of what Jonas strove to accomplish in his work. However, I think it is simplistic to relegate Gnosticism to a merely antagonistic role in the development of Jonas’s philosophy. My claim (...) is that Gnosticism, being a non-nihilistic form of dualism, might have been a relevant source of inspiration – although not the only one – for amending the flaws of Heidegger’s Existentialism. By taking a closer look at the essay Gnosticism, Existentialism, and Nihilism, this article aims to clarify the critical and constructive role that Gnosticism might have played in shaping some of the major traits of Jonas’s thought. The first part of this essay deals with Jonas’s ‘gnostic reading’ of Heidegger’s Existentialism and highlights the positive insights drawn from such interpretative strategy. The second part focuses on three main motives in Jonas’s philosophy that may be traced back to the gnostic narrative: value objectivity and vulnerability, human responsibility and involvement in the history of being, and the sense of belonging to a wider dimension capable of providing orientation and meaning to human life. (shrink)

Este trabajo comprende el principio de precaución como indicador de las tensiones en los estándares de gobierno. El principio de precaución no es una medida provisional y preventiva tomada por la falta de conocimientos y causado por la magnitud de los riesgos; no es una variante del análisis del riesgo. Antes bien, es un principio que genera reglas y normas orientadas a identificar espacios de incertidumbre y debatir acerca de lo que denominamos conocimiento relevante.

This paper addresses the question of 'What is technology?' in order to develop a framework for the assessment and regulation of technology. I suggest that technology is how we build our world, drawing on the distinctions between the world and the earth, and between the human activities of labour, work and action, made by Hannah Arendt. Arendt's thought has a number of implications for how we should think about and assess the world, and thus technology: the world should not be (...) judged instrumentally, but in terms of whether it provides a place for human action. A model of a possible framework for technology assessment is provided by the UK planning system. (shrink)

The Anthropocene is a term described by Earth Systems Science to capture the recent rupture in the history of the Earth where human action has acquired the power to alter the Earth System as a whole. While normative conclusions cannot be logically derived from this descriptive fact, this paper argues that law and philosophy ought to develop responses that are ordered around human beings. Rather than arguing for legal rights or extending rights to nature, this paper focuses on obligations. Drawing (...) on Hans Jonas, it argues that obligations are a more appropriate tool for cultivating human plurality, restraining human action and protecting future generations. (shrink)

(2000). Machines and meaning: Technological autonomy and social adaptation. World Futures: Vol. 55, Challenges of Evolution at the Turn of the Millennium: Part II: The Chllenges of Civilizational Transition, pp. 71-90.

Many countries or jurisdictions have legally banned human cloning or are in the process of doing so. In some countries, including France and Singapore, reproductive cloning of humans is a criminal offence. In 2005, the United Nations adopted a ‘Declaration on Human Cloning’, which calls for a universal ban on human cloning. The debate on human reproductive cloning seems to have drawn to a close. However, since reproductive cloning of mammals has become routine in several countries, there is reason to (...) believe that at some point in the future, humans will be cloned too. Moreover, even if reproductive cloning will not be possible in the near future, cloning for research and therapeutic purposes is likely to be. -/- This entry describes the most important areas of disagreement regarding the ethics of cloning. I will focus on human cloning (as opposed to animal cloning), since human cloning has been the focus of the cloning debate. (shrink)

It is sometimes asserted that Hans Jonas would have formulated the precautionary principle because of his awareness of the involuntary consequences of human activity as well as his profound respect for nature. Returning to the origins of the arguments regarding his contribution to 20th century ecological thought, I identify two principal themes in the philosophical enterprise of the German-born American Jewish philosopher. One is a critique of technology and a practical philosophy, i.e. an ethics, regarding mankind and nature. The other (...) is linked to the phenomenology of life and the fundamental ontology of its evolution according to a specific view. In line with this genealogy, I discuss the initial assertion that Jonas’ thinking actually articulates the precautionary principle. Qualifying the two kinds of precaution we are dealing with, I finally offer an analysis of their differences in a strong sustainability framework from the point of view of epistemology. (shrink)

Experimental design is one aspect of a scientific method. A well-designed, properly conducted experiment aims to control variables in order to isolate and manipulate causal effects and thereby maximize internal validity, support causal inferences, and guarantee reliable results. Traditionally employed in the natural sciences, experimental design has become an important part of research in the social and behavioral sciences. Experimental methods are also endorsed as the most reliable guides to policy effectiveness. Through a discussion of some of the central concepts (...) associated with experimental design, including controlled variation and randomization, this chapter will provide a summary of key ethical issues that tend to arise in experimental contexts. In addition, by exploring assumptions about the nature of causation and by analyzing features of causal relationships, systems, and inferences in social contexts, this chapter will summarize the ways in which experimental design can undermine the integrity of not only social and behavioral research but policies implemented on the basis of such research. (shrink)

The aim of this paper is to offer some philosophical remarks concerning the concept of moral application in applied ethics. In doing so, I argue in favour of a philosophical approach towards applied ethics as a unitary form of moral experience. In fact every form of applied ethics, no matter how specific, moves from a problem of application and tries to fill a gap between moral theory and practice. This essential unity of applied ethics as a moral phenomenon is of (...) great philosophical interest, since it belongs to the core problem from which moral thinking itself originates. For this reason, what applied ethics may reveal to a philosophical inquiry could provide valuable insight into the nature of moral experience itself. This is why it is important to reflect on what applied ethics is and whether the way in which application is usually framed be ts the properties of moral experience or not. In the first section I submit some preliminary remarks concerning the theoretical requirements to any philosophical approach to applied ethics. In the second section I present how application is commonly understood in the applied ethics debate by discussing the deductive and the procedural models of application. Both models, however, draw upon a technological conception of application which fails to t the structure of moral experience. Finally, I brie y sketch out the main features and the future tasks of what seems to me to be the most promising approach to the issue, i.e., the hermeneutic concept of application. (shrink)