The prevailing accounts of Aristotle's view of practical wisdom pay little attention to all the intellectual capacities discussed in Nicomachean Ethics Book 6. They also contrast the phronimos with the wicked, the continent or the incontinent, rather than with those who have 'natural virtue' (innate or habituated), and thereby they neglect the importance of experience, through which those capacities are acquired. When we consider them, we can see what sort of experience is needed and hence what sort aspirants (...) to full virtue should be trying to acquire. It turns out that much of the knowledge such experience yields is just plain worldly knowledge. But it is not to be despised on that account. The phronimos must meet a threshold of knowledge that he will, indeed, share with some of the wicked, but will have a superior version that goes beyond theirs. (shrink)

This essay treats the development of Foot’s efforts to produce a naturalistic theory of moral judgement from her early “Moral Beliefs” to her 2001 book Natural Goodness. Although she consistently attempts to isolate and defend a notion of goodness that is grounded in goodness in living things, she is not attempting to get ethics out of biology, especially not evolutionary biology: “species/life-form” in her and Thompson is the everyday concept not the specialised evolutionary theory one. She is just (...) making a claim about the conceptual structure, or grammar, of our moral evaluations of ourselves being the same as the structure of our evaluations of other living things. How then does she cope with the is-ought gap? She rethinks our practical reason just as a faculty like our sight and hearing, which can be, or fail to be, in good working order in a good, or defective, human being. Viewed this way, discriminating recognition of pleasure/the satisfaction of desire as a reason and recognition of self-interest as a reason, and following each when appropriate, are both involved in the faculty’s being in good working order. And so is the discriminating recognition and following of the reasons that pertain to the virtues. She is claiming and not denying that we are a very special sort of living thing. We are human rational agents and when we evaluate ourselves as such, which we do in moral judgements, everything undergoes a “sea change.” So she is espousing the sort of naturalism that McDowell describes as “the radical and satisfying alternative to subjectivism and supernaturalism,” not his other “natural-scientific” sort. (shrink)

Virtue ethics is perhaps the most important development within late twentieth-century moral philosophy. Rosalind Hursthouse, who has made notable contributions to this development, here presents a full exposition and defense of her neo-Aristotelian version of virtue ethics. She shows how virtue ethics can provide guidance for action, illuminate moral dilemmas, and bring out the moral significance of the emotions.

Philippa Foot is one of the most original and widely respected philosophers of our time; her work has exerted a lasting influence on the development of moral philosophy. In tribute to her, twelve leading philosophers from both sides of the Atlantic have contributed essays exploring the various topics in moral philosophy to which she has made a distinctive contribution--virtue ethics, naturalism, non-cognitivism, relativism, categorical requirements, and the role of rationality in morality.

In On Virtue Ethics I offered a criterion for a character trait's being a virtue according to which a virtuous character trait must conduce to, or at least not be inimical to, four ends, one of which is the continuance of the human species. I argue here that this does not commit me to homosexuality's being a vice, since homosexuality is not a character trait and hence not up for assessment as a virtue or a vice. Vegetarianism is not (...) up for such assessment either, for the same reason, but, as a practice, may well be required by the virtue of compassion, and sacrificing one's life for an animal or alien may be required by courage. The clause about the continuance of the human species in my criterion does not specify a foundational value, because, following McDowell, I reject foundationalism. (shrink)

Rosalind Hursthouse took her undergraduate degree in New Zealand and her B. Phil. and D. Phil. at Oxford. She taught in Oxford for six years before joining the Open University in 1975. As part of her work for the O.U. she has published Beginning Lives (Blackwell, 1987) on the morality of abortion; this generated Virtue theory and abortion, Philosophy and Public Affairs, 1991) which has already been reprinted five times. She has published numerous other articles on virtue (...) ethics, the most recent of which is virtue ethics and the emotions, in: Virtue Ethics, A Critical Reader, Daniel Statman (ed.) Edinburgh University Press, 1997. (shrink)

This essay explicates and evaluates the roles that fetal metaphysics and moral status play in Rosalind Hursthouse’s abortion ethics. It is motivated by Hursthouse’s puzzling claim in her widely anthologized paper Virtue Ethics and Abortion that fetal moral status and (by implication) its underlying metaphysics are in a way, fundamentally irrelevant to her position. The essay clarifies the roles that fetal ontology and moral status do in fact play in her abortion ethics. To (...) this end, it presents and then develops her fetal metaphysics of the potential and actual human being, which she merely adumbrates in her more extensive treatment of abortion ethics in her book Beginning Lives. The essay then evaluates her fetal ontology in light of relevant research on fetal neural and psychological development. It concludes that her implied view that the late-stage fetus is an actual human being is defensible. The essay then turns to the analysis of late-stage abortions in her paper and argues that it is importantly incomplete. (shrink)

Given that it relies on claims about human nature, has Aristotelian virtue ethics been undermined by evolutionary biology? There are at least four objections which are offered in support of the claim that this is so, and I argue that they all fail. The first two maintain that contemporary AVE relies on a concept of human nature which evolutionary biology has undercut and I show this is not so. In Part 2, I try to make it clear that Foot's (...) Aristotelian ethical naturalism, often construed as purporting to provide virtue ethics with a foundation, is not foundationalist and is not attempting to derive ethics from biology. In Part 3, I consider the other two objections. These do not make a misguided assumption about Aristotelian ethical naturalism's foundational aspirations, nor question AVE's use of the concept of human nature, but maintain that some of AVE's empirical assumptions about human nature may well be false, given the facts of our evolution. With respect to these, I argue that, as attempts to undermine AVE specifically, they fail, though they raise significant challenges to our ethical thought quite generally. (shrink)

This chapter contains sections titled: The Rise of Virtue Ethics Essential Features of Virtue Ethics Virtue Ethics Approaches to Bioethics Criticisms of Virtue Ethics Conclusion References Further reading.

The proponents of neo-Aristotelian ethical naturalism (henceforth “Aristotelian naturalism” for short) include Foot (2001), Geach (1956, 1977), Hursthouse (1999), McDowell (1995), MacIntyre (1999), Nussbaum (1993, 1995), and Thompson (1995); and also Anscombe because her work has influenced so many others. (Gaut [1997, 2002] should also be known as a significant contributor.) Their views are so unlike those of other proponents of ethical naturalism (see Naturalism, Ethical), and they occupy such an unfamiliar position in philosophy, that they are simultaneously criticized on (...) at least two quite different bases. Some say they are not trying to offer naturalism at all, because they avowedly employ a moralized conception of human nature; some say they are trying to offer naturalism insofar as they offer a biological foundation for ethics, but that either this has counterintuitive upshots or the biology is Aristotle's and thereby pre-Darwinian and not a proper naturalistic foundation at all. (shrink)

Philippa Foot (1920–2010) is widely regarded as one of the foremost Anglo-American moral philosophers of the twentieth century. Her published work, spanning 50 years, consisted entirely of essays until its culmination in her only monograph, Natural Goodness (2001). Although her work forms, by and large, a coherent whole, subsets of the essays relate to different areas of ethics, in each of which she made a substantial contribution. In applied ethics, most of the essays are on abortion (1967, (...) 1970, 1985). In the first one she famously introduced the trolley problem, one of many examples employed in a subtle discussion of the moral relevance of foreseen consequences involving the death of the innocent. The discussion involves the distinction between killing and letting die – a key feature in all the abortion essays, and also in “Euthanasia” (Foot 1977). (shrink)

The sort of ethical theory derived from Aristotle, variously described as virtue ethics, virtue-based ethics, or neo-Aristotelianism, is becoming better known, and is now quite widely recognized as at least a possible rival to deontological and utilitarian theories. With recognition has come criticism, of varying quality. In this article I shall discuss nine separate criticisms that I have frequently encountered, most of which seem to me to betray an inadequate grasp either of the structure of virtue theory or (...) of what would be involved in thinking about a real moral issue in its terms. In the first half I aim particularly to secure an understanding that will reveal that many of these criticisms are simply misplaced, and to articulate what I take to be the major criticism of virtue theory. I reject this criticism, but do not claim that it is necessarily misplaced. In the second half I aim to deepen that understanding and highlight the issues raised by the criticisms by illustrating what the theory looks like when it is applied to a particular issue, in this case, abortion. (shrink)

In this paper I present criticism of Rosalind Hursthouse’s neo-Aristotelian naturalistic virtue ethics as elaborated in her book On Virtue Ethics. I argue that her theory is vulnerable to the charge of partially collapsing into a form of consequentialism that falls prey to a powerful objection to that theory: the problem of instrumentally successful action (or, in Hursthouse’s case, the problem of instrumentally successful vice). I consider several possible responses from Hursthouse, and argue that they are (...) inadequate. As a result, Hursthouse must either accept the likelihood that highly morally counterintuitive traits can, for some persons or circumstances, be virtues; or she must defend the implausible notions that human nature and flourishing are more or less invariable. As both of these options are undesirable, it may be best to reject Hursthouse’s form of neo-Aristotelianism altogether. (shrink)

The sort of ethical theory derived from Aristotle, variously described as virtue ethics, virtue-based ethics, or neo-Aristotelianism, is becoming better known, and is now quite widely recognized as at least a possible rival to deontological and utilitarian theories. With recognition has come criticism, of varying quality. In this article I shall discuss nine separate criticisms that I have frequently encountered, most of which seem to me to betray an inadequate grasp either of the structure of virtue theory or (...) of what would be involved in thinking about a real moral issue in its terms. In the first half I aim particularly to secure an understanding that will reveal that many of these criticisms are simply misplaced, and to articulate what I take to be the major criticism of virtue theory. I reject this criticism, but do not claim that it is necessarily misplaced. In the second half I aim to deepen that understanding and highlight the issues raised by the criticisms by illustrating what the theory looks like when it is applied to a particular issue, in this case, abortion. (shrink)

Alderson critiques our recent book on the basis that it overlooks children’s own views about their medical treatment. In this response, we discuss the complexity of the paediatric clinical context and the value of diverse approaches to investigating paediatric ethics. Our book focuses on a specific problem: entrenched disagreements between doctors and parents about a child’s medical treatment in the context of a paediatric hospital. As clinical ethicists, our research question arose from clinicians’ concerns in practice: What (...) should a clinician do when he or she thinks that parents are choosing a treatment pathway that does not serve the child’s best interests? Alderson’s work, in contrast, focuses on the much broader issue of children’s role in decision-making about treatment and research. We argue that these different types of work are zooming in on different aspects of paediatric ethics, with its complex mix of agents, issues and relationships. Paediatric ethics overall needs a rich mix of approaches,... (shrink)

The prelims comprise: The Doctrine of the Mean outside Aristotle's Ethical Works The “Mean” in Action and Feeling The Central Doctrine of the Mean Virtue as a Mean Disposition and the Moral Education of the Passions Acknowledgments References Further reading.

In this paper, I begin by outlining some basic features of the version of virtue ethics I espouse, and then turn to exploring what light may be shed on our understanding and interpretation of Hume when he is viewed from that perspective.

The sort of ethical theory derived from Aristotle, variously described as virtue ethics, virtue-based ethics, or neo-Aristotelianism, is becoming better known, and is now quite widely recognized as at least a possible rival to deontological and utilitarian theories. With recognition has come criticism, of varying quality. In this article I shall discuss nine separate criticisms that I have frequently encountered, most of which seem to me to betray an inadequate grasp either of the structure of virtue theory or (...) of what would be involved in thinking about a real moral issue in its terms. In the first half I aim particularly to secure an understanding that will reveal that many of these criticisms are simply misplaced, and to articulate what I take to be the major criticism of virtue theory. I reject this criticism, but do not claim that it is necessarily misplaced. In the second half I aim to deepen that understanding and highlight the issues raised by the criticisms by illustrating what the theory looks like when it is applied to a particular issue, in this case, abortion. (shrink)

The continuing debate between utilitarians and deontologists often takes the form of disagreement over how particular moral dilemmas are to be resolved, but protagonists on both sides tend to overlook the possibility of resolving a dilemma “with remainder”, such as regret. The importance of “remainder” is also overlooked by critics of some “absolutist” ways of resolving or slipping between the horns of certain moral dilemmas. Moreover, deontologists, if not utilitarians, can be criticised for overlooking the possibility that, according to their (...) theory, some dilemmas may be irresolvable. Virtue ethics, with its concentration on the agent, readily accommodates both mention of “remainder” and irresolvable dilemmas, and yields a specification of “tragic” dilemmas which the other two theories might like to take on. (shrink)

Very soon after Philippa Foot’s death, there was a flood of newspaper obituaries and ‘posts’ on blogs referring to her as one of the greatest moral philosophers of the twentieth century. She was also, though very few of the writers were in a position to say so, a particularly loyal Somervillian. She read PPE at Somerville during the war, started teaching there after war work in London in 1947, became its first Philosophy Tutorial Fellow in 1949, Vice Principal in 1967, (...) and, although she resigned her Fellowship in 1969, she retained, as a Senior Research Fellow and then Honorary Fellow, very close links with the College and Somervillians, past and present, until the end. (shrink)

What motivates the benevolent or charitable agent is regard for another’s good or well-being, but talk about regard for others’ good or well- being is simply talk about benevolence or charity in different terms. Yet Hume clearly holds that the regard for another’s good is a motive to produce benevolent acts that is distinct from a sense of their benevolence. So what is the difference? ‘Well’, one might say, ‘intuitively, rights are very different from wellbeing.’ Yes indeed. And that, I (...) shall contend, is Hume’s point. My general contention is that Hume’s discussion of justice is in fact an attack on that concept of rights we think of as having motivated the American and French revolutions, a concept that is still (deplorably in my view) prevalent. I think the very fact that it is so prevalent and so sanctified by its position in the American Constitution has blinded most readers to the power and plausibility of Hume’s attack, which I shall try to defend. (shrink)

This chapter contains sections titled: References Further reading.

Aristotle (384–322 BC) was born in Stagira, Macedonia. He went to Athens and entered Plato's Academy when he was eighteen. He remained there until Plato's death in about 347 BC, when he left Athens to spend the next five years at Assos in Asia Minor and at Mytilene on the island of Lesbos, working on philosophy and biology. In 343 he was invited to return to Macedonia to tutor the son of Philip II of Macedonia, the future Alexander the Great. (...) This lasted three or four years. After a further period at Stagira, Aristotle returned to Athens where he opened a philosophical school at the Lyceum or Peripatos. On the death of Alexander in 323 there was anti-Macedonian feeling in Athens, and to avoid the same fate as Socrates, Aristotle took refuge in Chalcis on the island of Euboea, leaving the school in the charge of his pupil Theophrastus. He died the following year. (shrink)

Appealing to reason rather than religious belief, this book is the most comprehensive case against the choice of abortion yet published. This _Second Edition_ of _The Ethics of Abortion _critically evaluates all the major grounds for denying fetal personhood, including the views of those who defend not only abortion but also post-birth abortion. It also provides several justifications for the conclusion that all human beings, including those in utero, should be respected as persons. This (...) book also critiques the view that abortion is not wrong even if the human fetus is a person. _The Ethics of Abortion _examines hard cases for those who are prolife, such as abortion in cases of rape or in order to save the mother’s life, as well as hard cases for defenders of abortion, such as sex selection abortion and the rationale for being "personally opposed" but publically supportive of abortion. It concludes with a discussion of whether artificial wombs might end the abortion debate. Answering the arguments of defenders of abortion, this book provides reasoned justification for the view that all intentional abortions are ethically wrong and that doctors and nurses who object to abortion should not be forced to act against their consciences. Updates and Revisions to the Second Edition include: -A response to Alberto Giubilini’s and Francesca Minerva’s now famous 2012 article, "After-Birth Abortion" in the _Journal of Medical Ethics _ -Responses to new defenses of Judith Jarvis Thomson’s violinist argument -The addition of a new chapter on gradualist views of fetal moral worth, including Jeff McMahan’s Time-Relative Interest Account -The addition of a new chapter on the conscience protection for health care workers who are opposed to abortion -Responses to many critiques of the first edition, including those made by Donald Marquis, David DeGrazia, and William E. May. (shrink)

This book is a comprehensive and unique text and reference in medical ethics. By far the most inclusive set of primary documents and articles in the field ever published, it contains over 100 selections. Virtually all pieces appear in their entirety, and a significant number would be difficult to obtain elsewhere. The volume draws upon the literature of history, medicine, philosophical and religious ethics, economics, and sociology. A wide range of topics and issues are covered, such as (...) law and medicine, truth-telling by the physician, research, population policy, genetics, abortion, dying, and individual rights in medical care. The selections span the centuries, beginning with material from the works of Hippocrates, continuing through Thomas Percival, John Stuart Mill, and Claude Bernard, down to modern commentators like Henry K. Beecher, Walsh McDermott, David L. Bazelon, Paul Freund, H. L. A. Hart, John Rawls, Paul Ramsey, Richard McCormick, Rashi Fein, and Bernard Barber. The text has eight major divisions, beginning with sections on the ethical dimensions of the physician-patient relationship in history; the moral bases of medical ethics; and regulation, compulsion, and protection of the consumer in clinical medicine and public health. Each of these sections includes key essays that appear for the first time. All of the book's major divisions contain primary documents: codes such as the Hippocratic Oath, Medieval Law for the Regulation of Medicine, and the first as well as the most recent code of the American Medical Association; court decisions, including those on Karen Quinlan and on abortion in the United States and West Germany; government documents such as the statement of the National Commission on the Protection of Human Subjects, the Tuskegee Syphilis Report, the British Parliamentary debate on euthanasia, and the Council of Europe on rights of the sick and dying; and various published guidelines such as the Harvard Medical School brain death criteria, the American Hospital Association on patient's rights, and Pope Pius XII on the prolongation of life. Cases that illustrate moral dilemmas are provided for discussion purposes. Each section is preceded by a succinct editor's introduction. The documents and essays are of practical value for practitioners and students in medicine, law, ethics, and counselling, and for individual patients and groups concerned with medical care. Through encompassing divergent viewpoints, the essays and primary documents were selected to encourage humane practices and deepen understanding of the multiple traditions that shaped and do shape the development of medicine. (shrink)

This is a breakthrough work expanding the debate of the dilemmas of life and death in contemporary American society by carrying it beyond the insights of Western religious and philosophic thought to include ethical perspectives of the Hindu tradition. The topics covered are the timely ethical issues that concern both Americans and all people of the world — abortion, suicide, euthanasia, and the environment. A lively East-West dialogue probes the roots of each issue in its native setting, and the (...) fruit of this historical approach is a clear-cut analysis of up-to-date cases, giving their current status in terms of ethics, religion, philosophy, medicine, and law. Unlike traditional textbooks that concentrate on a theoretical analysis to the exclusion of practical issues, this book does justice to both theoretical and practical ethics. (shrink)

John Harris is one of the prominent philosophers and bioethicists of our time. He has published tens of books and hundreds of papers throughout his professional life. This paper aims to take a ‘deep-look’ at Harris' works to argue that it is possible to find some principles of Islamic ethics in Harrisian philosophy, namely in his major works, as well as in his personal life. This may be surprising, or thought of as a ‘big’ and ‘groundless’ claim, since John (...) Harris has nothing to do with any religion in his intellectual works. The major features of Harrisian philosophy could be defined as consequentialism or utilitarianism with liberal overtones. Despite some significant and fundamental differences in the application of principles (ie, abortion, euthanasia), the similarities between the major principles in Harrisian philosophy and Islamic ethics are greater at some points than the similarities between Islamic ethics and some other religious ethics (ie, Christian, Judaism). In this study I compare Harrisian teachings with major Islamic principles on ‘Responsibility’, ‘Side-effects and Double-effects’, ‘Equality’, ‘Vicious choice, guilt and innocence’, ‘Organ transplantation and property rights’ and ‘Advance directives’. (shrink)

This paper argues for a new understanding of Strawson’s distinction between personal, impersonal, and self-reactive attitudes. Many Strawsonians take these basic reactive attitude types to be distinguished by two factors. Is it the self or another who is treated with good- or ill-will? And is it the self or another who displays good- or ill-will? On this picture, when someone else wrongs me, my reactive attitude is personal; when someone else wrongs someone else, my reactive attitude is impersonal; and when (...) I wrong someone else, my attitude is self-reactive. Against this account, I argue that the basic reactive attitude types are better distinguished according to whether they express partial or impartial concern. This fits Strawson’s discussion in “Freedom and Resentment”, and it allows us to see an important point that the alternative approach obscures. Namely, while attitudes like resentment, gratitude, shame, and pride can arise as responses to our own treatment and behavior, they can also arise as third-party responses to the treatment and behavior of our family members, romantic partners, and close friends. Similarly, attitudes like moral indignation and disapprobation also have a wider scope than is often acknowledged; they can arise as responses to others’ treatment, but they can also arise as responses to our own treatment when we react impartially to circumstances involving ourselves. (shrink)

My aims are exegetical rather than critical: I offer a systematic account of Hursthouse's ethical naturalism with an emphasis on the normative authority of the four ends, and try to correct some misconceptions found in the literature. Specifically, I argue that the four ends function akin to Wittgensteinian hinge-propositions for our practice of ethical reasoning and as such form part of a description of the logical grammar of said practice.

Since the publication of Spivak's essay, the work has been revered, reviled, misread, and misappropriated. It has been cited, invoked, imitated, and critiqued. In these phenomenal essays, eight scholars take stock of this response.

Young children with cancer are treated with interventions that can have a high risk of compromising their reproductive potential. ‘Fertility preservation’ for children who have not yet reached puberty involves surgically removing and cryopreserving reproductive tissue prior to treatment in the expectation that strategies for the use of this tissue will be developed in the future. Fertility preservation for prepubertal children is ethically complex because the techniques largely lack proven efficacy for this age group. There is professional difference of opinion (...) about whether it is ethical to offer such ‘experimental’ procedures. The question addressed in this paper is: when, if ever, is it ethically justifiable to offer fertility preservation surgery to prepubertal children? We present the ethical concerns about prepubertal fertility preservation, drawing both on existing literature and our experience discussing this issue with clinicians in clinical ethics case consultations. We argue that offering the procedure is ethically justifiable in certain circumstances. For many children, the balance of benefits and burdens is such that the procedure is ethically permissible but not ethically required; when the procedure is medically safe, it is the parents’ decision to make, with appropriate information and guidance from the treating clinicians. We suggest that clinical ethics support processes are necessary to assist clinicians to engage with the ethical complexity of prepubertal fertility preservation and describe the framework that has been integrated into the pathway of care for patients and families attending the Royal Children’s Hospital in Melbourne, Australia. (shrink)

Young children with cancer are treated with interventions that can have a high risk of compromising their reproductive potential. ‘Fertility preservation’ for children who have not yet reached puberty involves surgically removing and cryopreserving reproductive tissue prior to treatment in the expectation that strategies for the use of this tissue will be developed in the future. Fertility preservation for prepubertal children is ethically complex because the techniques largely lack proven efficacy for this age group. There is professional difference of opinion (...) about whether it is ethical to offer such ‘experimental’ procedures. The question addressed in this paper is: when, if ever, is it ethically justifiable to offer fertility preservation surgery to prepubertal children? We present the ethical concerns about prepubertal fertility preservation, drawing both on existing literature and our experience discussing this issue with clinicians in clinical ethics case consultations. We argue that offering the procedure is ethically justifiable in certain circumstances. For many children, the balance of benefits and burdens is such that the procedure is ethically permissible but not ethically required; when the procedure is medically safe, it is the parents’ decision to make, with appropriate information and guidance from the treating clinicians. We suggest that clinical ethics support processes are necessary to assist clinicians to engage with the ethical complexity of prepubertal fertility preservation and describe the framework that has been integrated into the pathway of care for patients and families attending the Royal Children’s Hospital in Melbourne, Australia. (shrink)

This volume brings together twenty original essays on the changes and continuities in gender relations and intersecting politics of sexuality, race, class and location. The book is located in debates about contemporary culture at a moment of rapid technological change, global interconnectedness and the growing cultural dominance of neoliberalism and postfeminism. The collection traverses disciplines, spaces and approaches. It is marked by an extraordinarily wide focus, ranging from analyses of celebrity magazines and makeover shows to examinations of the experiences (...) of young female migrants, 'mail order brides' and young women who repudiate feminism. The contributions are united by their attempts to think through the ways in which experiences and representations of femininity are changing in the twenty-first century. Are we seeing new femininities? Are neoliberalism and postfeminism constructing new identities and subjectivities? What kinds of analytic tools and cultural politics are needed to critically engage with the current moment? This book will be of interest to everyone studying gender, media or cultural studies. (shrink)

The A to Z of Bertrand Russell's Philosophy offers a comprehensive, current guide to the many facets of Russell's work. Through its chronology, introductory essay, bibliography, and hundreds of cross-referenced dictionary entries on concepts, people, works, and technical terms, Russell's impact on philosophy and related fields is made accessible to the reader in this must-have reference.

Cover -- Half Title -- Title -- Copyright -- Original Title -- Original Copyright -- Contents -- Acknowledgments -- 1 The philosophical context -- 2 Structuralism -- 3 Semiology as a science of signs -- 4 S/Z -- 5 Marxism, language, and ideology -- 6 On the subject of Lacan -- 7 The critique of the sign -- 8 Conclusion -- Bibliography -- Index.

Artificial intelligence is increasingly being developed for use in medicine, including for diagnosis and in treatment decision making. The use of AI in medical treatment raises many ethical issues that are yet to be explored in depth by bioethicists. In this paper, I focus specifically on the relationship between the ethical ideal of shared decision making and AI systems that generate treatment recommendations, using the example of IBM’s Watson for Oncology. I argue that use of this type of system creates (...) both important risks and significant opportunities for promoting shared decision making. If value judgements are fixed and covert in AI systems, then we risk a shift back to more paternalistic medical care. However, if designed and used in an ethically informed way, AI could offer a potentially powerful way of supporting shared decision making. It could be used to incorporate explicit value reflection, promoting patient autonomy. In the context of medical treatment, we need value-flexible AI that can both respond to the values and treatment goals of individual patients and support clinicians to engage in shared decision making. (shrink)

This paper explores the role of ethics and responsibility as drivers of a transition to a more sustainable agri-food system, by drawing on an investigation of the governance of social sustainability in the UK’s conventional food supply. The paper investigates how and why various non-state actors in the conventional food supply construe certain social obligations as being part of the remit of the food supply; whether ethics plays a motivating role; and the extent to which their activities are (...) linked to sustainability. The paper uses data collected via two surveys of diverse entities in the conventional food supply, the first a survey of public-facing websites, the second a series of in-depth interviews. The entities ranged from primary producers, manufacturers and food service operators to consultancies, standard-setting organisations and advocacy groups. The study finds that actors view a variety of socially focused or socially beneficial activities as legitimate governance concerns for the conventional food supply, and that ethics plays a role in motivating or justifying these activities. However, the activities are inconsistently associated with sustainability, a finding that may undermine the use of sustainability programmes as tools for driving ethical agendas. Moreover, the dominant business framing of the conventional food supply means that ethical considerations are often expressed in terms of more instrumental priorities. Social sustainability or responsibility actions can be justified on moral grounds as ‘the right thing to do’ but usually have to be backed up in more pragmatic terms as a way of ‘doing well by doing good’. (shrink)

My thesis traces Russell's development of his theory of belief from 1913 to 1918 under the impact of his student, Ludwig Wittgenstein. ;In chapter one I focus on Russell's multiple relation theory of belief from 1910 to early 1913 and on Russell's view of perception as a relation between minds and objects. I show that, on Russell's theory, acts of believing or judging are intended to explain the different types of judgments and to account for how propositions acquire a complete (...) sense. I argue that Russell faces difficulties explaining the status of relations occurring in propositions which are believed, and that his account of how we perceive types of objects is in tension with his theory that beliefs are facts. ;In chapter two I examine Wittgenstein's influence on Russell's 1913 work, Theory of Knowledge. I argue that in Theory of Knowledge Russell responds to Wittgenstein's objections to his theory of judgment by proposing a theory of unnamable asymmetrical relations and unasserted mental relations. I further argue that Russell begins to see that, without postulating further judgments and thus entailing a vicious regress, his notion of perception cannot support an adequate account of distinctions between types of entities judged. I claim---with Sommerville and others---that Russell's "paralysis" in the face of Wittgenstein's criticisms in 1913 concerns his inability to explain judgment without explaining type distinctions and vice versa. ;In chapter three I examine the development of Russell's thought between 1914 and late 1918 in response to Wittgenstein. I suggest that in early 1918 Russell begins to accept Wittgenstein's claim that in belief-contexts, the proposition is a fact consisting of grammatical relations of words. I further claim that, unlike Wittgenstein, Russell explains all such relations by giving an account of our psychological needs and limitations. Finally I conjecture that Russell begins to be inclined to reject his relational conception of perception, and of belief as involving a subject, not only because he begins to take neutral monism more seriously, but also because of difficulties internal to his theory of perception, difficulties that Wittgenstein may have suggested to him. (shrink)

Clinical ethics has been developing in paediatric healthcare for several decades. However, information about how paediatricians use clinical ethics case consultation services is extremely limited. In this project, we analysed a large set of case records from the clinical ethics service of one paediatric hospital in Australia. We applied a paediatric-specific typology to the case referrals, based on the triadic doctor–patient–parent relationship. We reviewed the 184 cases referred to the service in the period 2005–2014, noting features including (...) the type of case, the referring department(s) and the patient9s age at referral. The two most common types of referral involved clinician uncertainty about the appropriate care pathway for the child (26% of total referrals) and situations where the child9s parents disagreed with the doctors’ recommendations for the child9s care (22% of total referrals). Referrals came from 28 different departments. Cancer, cardiology/cardiac surgery and general medicine referred the highest numbers of cases. The most common patient age groups were children under 1, and 14–15 years old. For three controversial areas of paediatric healthcare, clinicians had initiated processes of routine review of cases by the clinical ethics service. These insights into the way in which one very active paediatric clinical ethics service is used further our understanding of the work of paediatric clinical ethics, particularly the kinds of ethically challenging cases that paediatricians view as appropriate to refer for clinical ethics support. (shrink)

Written in a readable, accessible style, with plenty of up-to-date examples Psychoanalysis and Culture provides a brilliant introduction to key issues in the area of application of psychoanalytic theories to culture. The author argues that we cannot grasp the complexity of contemporary global issues without understanding some of the unconscious processes which underlie them. After introducing some major modern and postmodern psychoanalytic approaches, Minsky offers a broad-ranging critique of Lacan's theory of culture and the unconscious. She explores a range of (...) crucial and topical questions: how should we explain women's historical subordination and what is now often seen as a crisis in male identity? What constitutes 'masculinity' apart from power and control? How important is the father, actually and symbolically in children's development in the context of lone-parent families? Why is contemporary culture often still so violent and destructive? Why is consumer culture so attractive to so many and why is it so difficult to put limits on economic growth in the interests of preventing environmental disaster? This book will be of great interest to students and scholars in sociology, women's studies, cultural studies, psychology and history as well as psychoanalytic studies. It will also appeal to the general reader interested in the psychology of cultural change. (shrink)

This volume contains comprehensive and scholarly editions of three Anglo-Saxon saints' lives: Birinus of Dorchester-on-Thames, Kenelm of Winchcombe, and Rumwold of Buckingham. Rosalind Love provides the Latin texts, based on all known manuscript versions, with a facing-page English translation, together with full annotation and a historical introduction which sets these works in the context of the development of hagiographical literature. Dr Love traces the growth and changes in hagiographical writing, one of the most important genres of medieval literature and (...) essential to the understanding of the religious mentality of the Middle Ages, and shows how the eleventh century saw significant new directions emerge in the cult of the saints and the writing of saints' lives. (shrink)

Clinical ethics records offer bioethics researchers a rich source of cases that clinicians have identified as ethically complex. In this paper, we suggest that clinical ethics records can be used to point to types of cases that lack attention in the current bioethics literature, identifying new areas in need of more detailed bioethical work. We conducted an analysis of the clinical ethics records of one paediatric hospital in Australia, focusing specifically on conflicts between parents and health professionals (...) about a child’s medical treatment. We identified, analysed, and compared cases of this type from the clinical ethics records with cases of this type discussed in bioethics journals. While the cases from journals tended to describe situations involving imminent risk to the child’s life, a significant proportion of the clinical ethics records cases involved different stakes for the child involved. These included distress, poorer functional outcome, poorer psychosocial outcome, or increased risk of surgical complications. Our analysis suggests that one type of case that warrants more detailed ethics research is parental refusal of recommended treatment, where the refusal does not endanger the child’s life but rather some other aspect of the child’s well-being. (shrink)

In jurisdictions where voluntary assisted dying is legal, eligibility assessments, prescription and administration of a VAD substance are commonly performed by senior doctors. Junior doctors’ involvement is limited to a range of more peripheral aspects of patient care relating to VAD. In the Australian state of Victoria, where VAD has been legal since June 2019, all health professionals have a right under the legislation to conscientiously object to involvement in the VAD process, including provision of information about VAD. While this (...) protection appears categorical and straightforward, conscientious objection to VAD-related care is ethically complex for junior doctors for reasons that are specific to this group of clinicians. For junior doctors wishing to exercise a conscientious objection to VAD, their dependence on their senior colleagues for career progression creates unique risks and burdens. In a context where senior colleagues are supportive of VAD, the junior doctor’s subordinate position in the medical hierarchy exposes them to potential significant harms: compromising their moral integrity by participating, or compromising their career progression by objecting. In jurisdictions intending to provide all health professionals with meaningful conscientious objection protection in relation to VAD, strong specific support for junior doctors is needed through local institutional policies and culture. There are no data in this work. (shrink)

BackgroundIn June 2019, the Australian state of Victoria joined the growing number of jurisdictions around the world to have legalised some form of voluntary assisted dying. A discourse of safety was prominent during the implementation of the Victorian legislation.Main textIn this paper, we analyse the ethical relationship between legislative “safeguards” and equal access. Drawing primarily on Ruger’s model of equal access to health care services, we analyse the Victorian approach to voluntary assisted dying in terms of four dimensions: horizontal equity, (...) patient agency, high quality care, and supportive social norms. We argue that some provisions framed as safeguards in the legislation create significant barriers to equal access for eligible patients.ConclusionsWhile safety is undoubtedly ethically important, we caution against an overemphasis on safeguarding in voluntary assisted dying legislation given the implications for equal access. (shrink)

This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and (...) made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

This paper provides advice for the supervision of PhD students during the research ethics approval process written from the perspective of a PhD student. This advice is for supervisors – to be aware of the level of experience their student has regarding applying for ethical approval and conducting research with human participants; to ensure clarity as to whether the student or the supervisor has responsibility for the ethical storage of research materials after the end of the PhD; and finally, (...) and most important, to advise the student on the issues to cover in their ethics approval form, go through their completed form thoroughly, and meet them to discuss feedback. (shrink)

Joseph Beuys, Andy Warhol, Yves Klein, and Marcel Duchamp form an unlikely quartet, but they each played a singular role in shaping a new avant-garde for the 1960s and beyond. Each of them staged brash, even shocking, events and produced works that challenged the way the mainstream art world operated and thought about itself. Distinguished philosopher Thierry de Duve binds these artists through another connection: the mapping of the aesthetic field onto political economy. Karl Marx provides the red thread tying (...) together these four beautifully written essays in which de Duve treats each artist as a distinct, characteristic figure in that mapping. He sees in Beuys, who imagined a new economic system where creativity, not money, was the true capital, the incarnation of the last of the proletarians; he carries forward Warhol’s desire to be a machine of mass production and draws the consequences for aesthetic theory; he calls Klein, who staked a claim on pictorial space as if it were a commodity, “The dead dealer”; and he reads Duchamp as the witty financier who holds the secret of artistic exchange value. Throughout, de Duve expresses his view that the mapping of the aesthetic field onto political economy is a phenomenon that should be seen as central to modernity in art. Even more, de Duve shows that Marx—though perhaps no longer the “Marxist” Marx of yore—can still help us resist the current disenchantment with modernity’s many unmet promises. An intriguing look at these four influential artists, _Sewn in the Sweatshops of Marx_ is an absorbing investigation into the many intertwined relationships between the economic and artistic realms. (shrink)

Applied Ethics focuses the central concepts of traditional morality from the companion book Moral Theory - rights, justice, the good, virtue, and the fundamental value of human life - on a number of pressing contemporary problems, including abortion, euthanasia, animals, capital punishment, and war.

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 41.2 (2003) 281-282 [Access article in PDF] Matthew B. Ostrow. Wittgenstein's Tractatus: A Dialectical Interpretation. New York: Cambridge University Press, 2002. Pp. xi + 175. Paper, $20.00. This contribution to the new readings of the early Wittgenstein presents in detail how one might read the Tractatus as a sustained attack on Frege's and Russell's philosophical and logical conceptions while at the same time (...) presuming Wittgenstein to have always been in some sense a "late Wittgensteinian," that is, already embarked on the therapeutic task of setting down "the way of release" from philosophical confusion and "ensnarement of thought" (1). Taking seriously the passage in the Tractatus (6.54) in which Wittgenstein assesses his "elucidations" as "nonsensical," Ostrow places himself among those readers who infer that straightforward theory-making was not Wittgenstein's aim, but differs from them in his original and challenging account of how the propositions of the Tractatus are nonsense.Wittgenstein, Ostrow contends, employed such (apparent) doctrines as the picture theory, the showing doctrine, the notion of tautology, and so forth dialectically, that is, as self-detonating attempts to expose philosophical nonsense in situ which were not themselves intended to be argued pro or con as philosophical assertions or theories. Wittgenstein's purpose in speaking in the Tractatus in avowedly though not patently nonsensical ways is, the author argues, to encourage us instead to see philosophical nonsensicality as "given in and through" the process of making such philosophical assertions, and in seeing how they "change their character, how they undermine their initial presentation as straightforward truth claims" (12). Thus the "central notions" and propositions in the Tractatus, according to Ostrow, "only have their life in relation to the philosophical temptations that the book aims to eradicate" (43).Such a reading involves the author (and his readers) in a task that is both detailed and delicate. Ostrow's work is detailed because he reads Wittgenstein as engaged in a systematic attempt to expose philosophical theories as nonsense case-by-particular-case, that is, by "working through philosophy from the inside, without making appeal to any kind of fixed criteria of sense and nonsense" (99). It is for this reason that Wittgenstein's articulation of the many structures in the Tractatus is necessary, and Ostrow's work, which he views as largely descriptive, must trace the same path.Ostrow's task is a delicate one because he must explore the themes in Wittgenstein's Tractatus (pictures, significant propositions, logical propositions, etc.) without appearing to contradict his position that the Tractatus offers no general doctrines meant to be taken as they stand. Thus, for instance, when Ostrow argues that for Wittgenstein pictorial form is constituted by a picture's application to reality and not an independent entity, he must remind the reader that he is not attributing to Wittgenstein a doctrine of "constitution of form" offered up as a philosophical alternative. Just as we are not to make pictorial form and its emergence in the Tractatus into a substantive theory in its own right but rather see it as having a role only in Wittgenstein's battle to expose such shibboleths (44), so too for all other parts of the Tractarian structure. Thus Wittgenstein's apparent explanation of the [End Page 281] possibility of depiction in terms of isomorphism is said to aim at showing that as an explanation, "talk of an isomorphism is empty" (39); Wittgenstein's show/say distinction is taken as a foil used to expose the logician's desire to get at essence (42), and so forth. Even the notion of tautology is, according to Ostrow, "as dialectical a move as any other," not one "put forth as a self-standing claim, an attempt to offer an overarching characterization of truth" (105).This book engages in its daunting task very ably and in fluid, confident prose. The author is clearly aware of the various challenges he is likely to meet and suggests ways of doing battle with them. To cite one case, Ostrow examines Wittgenstein's later comments on his... (shrink)