Respect for Autonomy has been a mainstay of medical ethics since its enshrinement as one of the four principles of biomedical ethics by Beauchamp and Childress’ in the late 1970s. This paper traces the development of this modern concept from Antiquity to the present day, paying attention to its Enlightenment origins in Kant and Rousseau. The rapid C20th developments of bioethics and RFA are then considered in the context of the post-war period and American socio-political thought. The validity and utility (...) of the RFA are discussed in light of this philosophical-historical account. It is concluded that it is not necessary to embrace an ethic of autonomy in order to guard patients from coercion or paternalism, and that, on the contrary, the dominance of autonomy threatens to undermine those very things which have helped doctors come to view and respect their patients as persons. (shrink)

Increasing recognition of adverse events in health care is wide spread. Implementing improved system arrangements, which prevent adverse events taking place rather than focussing on individual culpability is increasingly being recognised as a more effective preventative strategy. But does such a perspective mean individual health practitioners remain accountable for their practice? This article explores the philosophical, psychological and professional contradictions inherent in attempting to understand where the responsibility for our actions lies and concludes by arguing that while the case for (...) the system approach to adverse event reduction is strong, the notion of individual professional culpability needs to be maintained. (shrink)

Past research on folk aesthetics has suggested that most people are subjectivists when it comes to aesthetic judgment. However, most people also make a distinction between good and bad aesthetic taste. To understand the extent to which these two observations conflict with one another, we need a better understanding of people's everyday concept of aesthetic taste. In this paper, we present the results of a study in which participants drawn from a representative sample of the US population were asked whether (...) they usually distinguish between good and bad taste, how they define them, and whether aesthetic taste can be improved. Those who answered positively to the first question were asked to provide their definition of good and bad taste, while those who answered positively to the third question were asked to detail by what means taste can be improved. Our results suggest that most people distinguish between good and bad taste, and think taste can be improved. People's definitions of good and bad taste were varied, and were torn between very subjectivist conceptions of taste and others that lent themselves to a more objectivist interpretation. Overall, our results suggest that the tension Hume observed in conceptions of aesthetic taste is still present today. (shrink)

Tournaments have been a good way to promote and market the martial art of Karate. However, there seems to be a growing phenomenon in these tournaments as some spectators have begun to neglect the proper attitude and values in watching and accepting the results in competitions. Many spectators seem to be concerned only with their favorites and the success that these competitors achieve. Unfavorable results towards the players they support have often led to undue criticisms and protests against tournament officials (...) and organizers. In this paper, the authors will hope to present that a good understanding and sincere appreciation of Friedrich Nietzsche’s concept of the Ubermensch and Immanuel Kant’s deontology could serve as a guide to help spectators adopt the proper values in accepting the outcome and results of Karate competitions. The authors believe that these concepts, if properly understood, could possibly lead to a change in spectator attitudes that may help in preserving the integrity of tournaments and contribute in promoting a competitive yet harmonious atmosphere in these Karate contests. (shrink)