When evaluating an innovative intervention in a randomised controlled trial , choosing an appropriate control intervention is necessary for a clinically meaningful result. An RCT reported in 2000 addressed the relative merits of two tidal volume ventilatory strategies, 6 ml/kg and 12 ml/kg , in patients with acute respiratory distress syndrome. Critics claim that the 12 ml/kg volume did not represent the clinical practice standard at that time, and that lower tidal volumes had been used in some patients prior to (...) randomisation. The trialists responded that current practice involved the use of a broad range of tidal volumes, including 12 ml/kg. Appropriate control interventions for RCTs can be ensured by: a systematic review of the relevant literature; a formal survey of expert clinicians; and publication of the proposed research protocol to solicit critical appraisal. A global survey of experts during the RCT’s design stage would have been of probative value in determining the appropriate control tidal volume. Hypothetical, but plausible, results of such a survey are presented and examined to demonstrate the value of this method. (shrink)

The prelims comprise: Introduction Controversial Choices Kinds of Normative Reasons for Action Limits on Respect for Autonomy Children and Controversial Choice Controversial Choices and the Duty to Strive Toward Perfection and Full Autonomy Acknowledgments Notes References.

When a new, brain-based definition of death was proposed fifty years ago, no one realized that the issue would remain unresolved for so long. Recently, six new controversies have added to the debate: whether there is a right to refuse apnea testing, which set of criteria should be chosen to measure the death of the brain, how the problem of erroneous testing should be handled, whether any of the current criteria sets accurately measures the death of the brain, whether standard (...) criteria include measurements of all brain functions, and how minorities who reject whole-brain-based definitions should be accommodated. These controversies leave little hope of consensus on how to define death for social and public policy purposes. Rather, there is persistent disagreement among proponents of three major groups of definitions of death: whole-brain, cardiocirculatory or somatic, and higher-brain. Given the persistence and reasonableness of each of these groups of definitions, public policy should permit individuals and their valid surrogates to choose among them. (shrink)

_Pathologies of Rational Choice Theory_, a book written by Donald Green and Ian Shapiro and published in 1994, excited much controversy among political scientists and promoted a dialogue among them that was printed in a double issue of the journal Critical Review in 1995. This new book reproduces thirteen essays from the journal written by senior scholars in the field, along with an introduction by the editor of the journal, Jeffrey Friedman, and a rejoinder to the essays by Green and (...) Shapiro. The scholars—who include John Ferejohn, Morris P. Fiorina, Stanley Kelley, Jr., Robert E. Lane, Peter C. Ordeshook, Norman Schofield, and Kenneth A. Shepsle—criticize, agree with, or build on the issues raised by Green and Shapiros critique. Together the essays provide an interesting and accessible way of focusing on competing approaches to the study of politics and the social sciences. (shrink)

A book for nurses, doctors and all who provide end of life care, this essential volume guides readers through the ethical complexities of such care, including current policy initiatives, and encourages debate and discussion on their controversial aspects. dived into two parts, it introduces and explains clinical decision making-processes about which there is broad consensus, in line with guidance documents issued by WHO, BMA, GMC, and similar bodies. The changing political and social context where 'patient choice' has become a (...) central idea, and the broadened scope of potients' best interests, have added to the complexity of decision-making in end of life care. The authors discuss issues widely encountered by GPs, nurses, and hospital clinicians. These include patient choice, consent, life-prolonging treatment, and symptom relief including sedation. Part rwo explores the more controversial current end of life care initiatives, such as advance care planning preferred place of care and death, euthanais and assited suicide, extended ideas of 'best interests', and the view that there are therapeutic duties to the relatives of Throughout their discussion the authors draw attention to loose ends and contradictions in some of the proposals. Examining the current policy of comsumerist choice, they reject its place in the health service, proposing a a realistic, fair, humane and widely adoptable system of end of life care. As knowledge of ethical theories is required in training courses, and the vocabulary of ethical theory is widespread in current discussions a substantial appendix on ethical theories and terms is available online. Written by the same authors as The Philosophy of Palliative Care: Critique and Reconstruction, which won the Medical Journalists' Association Specialits Book Award 2007, this new book for non-specialists is essential reading for all health care professionals involved in providing end of life care. (shrink)

Since its inauguration in 1932, the Whitney Biennial has fostered contemporary artistic innovation and diversity, becoming a highly anticipated event in the art world. The 2010 Biennial is curated by Francesco Bonami and Gary Carrion-Murayari and features works by approximately 55 artists working in a variety of media and practices. Uniquely, this catalogue serves as both a handsome accompaniment to the 2010 exhibition and an insightful exploration of the significance of this acclaimed and often controversial event throughout its history. (...) In addition to presenting full-colour reproductions of the selected artists' recent work, the curators have prepared a joint essay on the 2010 exhibition, and a group of writers contributed brief entries on the represented artists' techniques, influences and recent work. Exhibition: Whitney Museum of American Art, 25 February - 30 May 2010. (shrink)

While there are numerous doubts, controversies and lack of consensus on alternative definitions of human death, it is argued that it is more ethical to allow people to choose either cessation of cardio-respiratory function or loss of entire brain function as the definition of death based on their own views. This paper presents the law of organ transplantation in Japan, which allows people to decide whether brain death can be used to determine their death in agreement with their family. Arguably, (...) Japan could become a unique example of individual choice in the definition of death if the law is revised to allow individuals choose definition of death independently of their family. It suggests that such an approach is one of the reasonable policy options a country can adopt for legislation on issues related to the definition of death. (shrink)

Based upon the demarcation between Elementalism and Atomism Chemistry from the perspective of the long-term history of chemistry, the authors re-examine the Berthollet-Proust controversy on the three types of chemical compounds, pointing out that Berthollet proposed the law of indefinite proportions by deduction, while Proust proposed the law of definite proportions by induction. The controversy is beyond the framework of affinity chemistry and entail a synthesis of meta-chemical thinking and experiments. Proust’s discovery of the law of definite proportions not only (...) function as Bacon’s “instances of lamp” to invoke Dalton and other atomism chemists to envision atomism, but also served as a bridge linking the two meta-chemistries. John Dalton, the third choice, envisioned his atomism by abduction. The case study on “the Berthollet-Proust controversy and Dalton’s resolution” mandates a reinvestigation of the crucial role of the system of experiments and the evolution of chemistry according to the demarcation between the established branches of Elementalism and Atomism Chemistry. (shrink)

Darwin hypothesized that some animals, when selecting sexual partners, possess a genuine “sense of beauty” that cannot be accounted for by the logic of natural selection. This hypothesis has been notoriously controversial. In this chapter I propose that the concept of agency can be useful to operationalize the “sense of beauty”, and can help identify the conditions under which one can infer that animals are acting as (aesthetic) agents. Focusing on a case study of the behavior of the Pavo (...) cristatus, I identify the types of evidence that would allow for the inference of agency through aesthetic choice. (shrink)

Contemporary discussions of the positive relation between rational choice and moral theory are a special case of a much older tradition that seeks to show that mutual agreement upon certain moral rules works to the mutual advantage, or in the interests, of those who so agree. I make a few remarks about the history of discussions of the connection between morality and self-interest, after which I argue that the modern theory of rational choice can be naturally understood as a continuation (...) of this older tradition. I then go on to argue for a controversial three-fold thesis: (1) that grounding a theory of morality in terms of rational self-interest is the only epistemologically respectable way to proceed with the justification of moral principles; (2) that despite this, most of the contemporary explorations of rational choice foundations for moral principles do not work—that the models of rational choice to which they appeal yield less than the substantial results that they are intended to yield; but (3) that if one rethinks just what it means to be rational, one can find in fact a promising way to connect the two—specifically through the development of a theory of genuinely cooperative activity. (shrink)

This chapter reviews fundamental ethical controversy surrounding the ongoing effort to revise the Uniform Determination of Death Act in the United States. Instead of focusing on the process of the revision itself, the chapter explores the underlying ethical debate over brain death that has been ongoing for many decades and finally culminated in this revision. Three issues are focused: the requirement for consent and personal exemptions before applying brain death for the diagnosis of death; redefining the areas of the brain (...) that have ceased to function in the definition of brain death; and codifying the American Academy of Neurology as the authority to issue the standards of the diagnosis of brain death. The chapter concludes that allowing the personal choice of death determination gives a pragmatic compromise to the disputed definition and practice of diagnosing brain death. So long as all risks and imperfections of the diagnosis are accepted through the consenting process, there is nothing ethically objectionable to continuing the current practice of diagnosing brain death as a successful tool to facilitate heart-beating organ donation without violating the dead-donor rule. By contrast, precluding personal choice and imposing legal restrictions to consent and exemptions would further erode public trust. (shrink)

This research explores current controversies within country dance communities and the implications of cultural and ethical issues related to representation of gender and race in a KOS for an ICH, while investigating the importance of context and the applicability of semantic approaches in the implementation of synonym rings. During development of a controlled vocabulary to represent dance concepts for country dance choreography, this study encountered and considered the importance of history and culture regarding synonymous and near-synonymous terms used to describe (...) dance roles and choreographic elements. A subset of names for the same choreographic concepts across four subdomains of country dance (English country dance, Scottish country dance, contra dance, and modern western square dance) were used as a case study. These concepts included traditionally gendered dance roles and choreographic terms with a racially pejorative history. Through the lens of existing research on ethical knowl­edge organization, this study focused on principles and methods of transparency, multivocality, cultural warrant, cultural hospitality, and intersectionality to conduct a domain analysis of country dance resources. The analysis revealed differing levels of engagement and distinction among dance practitioners and communities for their preferences to use different terms for the same concept. Various lexical, grammatical, affective, social, political, and cultural aspects also emerged as important contextual factors for the use and assignment of terms. As a result, this study proposes the use of semantic annotation to represent those contextual factors and to allow mechanisms of user choice in the design of a country dance knowl­edge organization system. Future research arising from this study would focus on expanding examination to other country dance genres and continued exploration of the use of semantic approaches to represent contextual factors in controlled vocabulary development. (shrink)

There is fierce controversy in the United States over whether parents should be able to choose their children's schools and/or curriculum. To discuss the pedagogical arguments inherent in this question, Todd Alan Price and Ruprecht Mattig begin with the classical concept of Bildung as developed by Wilhelm von Humboldt around 1800. Next, they compare Humboldt's ideas with the ideas of John Stuart Mill and Milton Friedman, who stand in the tradition of liberal thought, as Mill was strongly influenced by Humboldt (...) and Friedman, in turn, by Mill. Finally, they consider Friedman's role as a central figure in the school choice movement, and are thus able to trace a line of thought from Humboldt to actual controversies. Price and Mattig's analysis here shows that the liberalism of Humboldt, Mill, and Friedman revolves around diversity and choice in education. Moreover, it traces that in the process of translating, translocating, and transcontextualizing Humboldt's original thought through Mill to Friedman, the complexity of arguments about education and the role of parents and the state in a liberal society has been unduly reduced. The authors conclude the paper by proposing a principle for thinking about the relationship between different educational institutions in democracies. (shrink)

The practice of screening potential users of reproductive services is of profound social and political significance. Access screening is inconsistent with the principles of equality and self-determination, and violates individual and group human rights. Communities that strive to function in accord with those principles should not permit access screening, even screening that purports to be a benign exercise of professional discretion. Because reproductive choice is controversial, regulation by law may be required in most jurisdictions to provide effective protection for (...) reproductive rights. In Canada, for example, equal access can, and should be, guaranteed by federal regulations imposing strict conditions on the licences of fertility clinics. (shrink)

The present paper tries to analyse the way in which Judge William, in Sören Kierkegaard's work Either/Or, distinguishes between the aesthetic and the ethical way of life. Basically his distinctions seem to be that the ethicist is a seriously committed person (has inwardness) whereas the aestheticist is indifferent, and that the former accepts universal rules whereas the latter makes an exception for himself. ? In order to come from the aesthetic to the ethical stage one must, according to Judge William, (...) make a choice of oneself. We try to show that such a choice is only one among several factors implicit in his reasoning and that he does not at all consider it as a ?leap?, but as based upon reasons, though his reasons are mostly of an aesthetic nature. Far from seeing the Judge as a champion of choice, we maintain that the book primarily contains a plea for a certain personality ideal. This probably has to do with the fact that he does not seem to be in doubt as to what one ought to do, only as to how to become a person who does what he ought to do. We shall also argue that a choice of oneself, as a matter of fact, is neither necessary nor sufficient in order to bring a person within the ethical stage, as described by the Judge. ? A person who lives ethically does not, according to Judge William, necessarily act rightly, but his actions are either right or wrong, as opposed to the actions of the aestheticist which fall outside the domain of the ethical. In order to obtain a tenable distinction within his philosophy between ?being within the ethical stage? and ?acting ethically rightly? the first concept should be defined in terms of inwardness (serious commitment), the latter as inward conformity with certain universal rules. ? This idea of inwardness, probably the most original and fruitful contribution of ?Equilibrium?, seems to be based, however, like most of his ethical reasoning, on certain controversial assumptions about human nature. (shrink)

The miracle argument for scientific realism can be cast in two forms: according to the miraculous theory argument, realism is the only position which does not make the empirical successes of particular theories miraculous. According to the miraculous choice argument, realism is the only position which does not render the fact that empirically successful theories have been chosen a miracle. A vast literature discusses the miraculous theory argument, but the miraculous choice argument has been unjustifiably neglected. I raise two objections (...) to Richard Boyd's defense of the latter: (1) we have no miracle free account of the emergence of take-off theories and (2) the anti-realist can account for the non-miraculous choice of empirically successful theories by attributing mere empirical adequacy to background theory. I argue that the availability of extra-empirical criteria that are arguably truth conductive but not theory-laden suffices to answer (1), and the unavailability of extra-empirical criteria that are conductive to empirical adequacy but not necessarily to truth (and are also not theory-laden) constitutes to reply to (2). The prospects for a realist victory are at least somewhat promising, on a controversial assumption about the rate at which empirically successful theories emerge. (shrink)

Routine infant circumcision is one of the most common surgical procedures performed in the U.S. Despite its broad societal acceptance, the practice is not without controversy. The stories included in this symposium offer rich insight into the diverse set of attitudes, values, and beliefs related to the practice of circumcision. They additionally offer insight into the complex web of personal, interpersonal, and social dynamics that inform the circumcision choices parents make for their children, the reasons parents make them, and (...) how others can influence decisional choices. More broadly, these narratives raise important ethical questions mirrored today in broader contemporary bioethical and public discourse on the scope and limits of parental authority to make decisions for their children, power dynamics in medical decision making, and the ethics of healthcare activism. In this commentary, I discuss three sets of themes related to the ethics of circumcision running through the symposium narratives, comment on the ethical tensions and questions which emerge from each set of themes, gently problematize some of the rhetoric surrounding the ethical permissibility of circumcision, and gesture towards the future of bioethical inquiry on circumcision discourse. (shrink)

In this paper, I would like to discuss two recent attempts to incorporate groupdifferentiated rights and entitlements into a broadly liberal conception of distributive justice. The first is John Roemer’s “pragmatic theory of responsibility,” and the second is Will Kymlicka’s defense of minority rights in “multinational” states.1 Both arguments try to show that egalitarianism, far from requiring a “color-blind” system of institutions and laws that is insensitive to ethnic, linguistic or subcultural differences, may in fact mandate special types of rights, (...) entitlements, or compensatory arrangements for members of minority groups. These proposals are attractive because they attempt to ground these special rights without reference to controversial philosophical doctrines, but merely through appeal to the widely accepted political norm of equality. Furthermore, if either of these arguments were to succeed, it would allow liberals to avoid many of the difficulties that have often led proponents of “the politics of difference” or the “politics of recognition” to adopt an oppositional stance toward more traditional forms of liberalism.2.. (shrink)

We should react to deaf parents who choose to have a deaf child with compassion not condemnationThere has been a great deal of discussion during the past few years of the potential biotechnology offers to us to choose to have only perfect babies, and of the implications that might have, for instance for the disabled. What few people foresaw is that these same technologies could be deliberately used to ensure that children would be born with disabilities. That this is a (...) real possibility, and not merely the thought experiment of a philosopher, is brought home to us by the decision of an American lesbian couple to select a deaf sperm donor in order to maximise the chances that their children, Jehanne and Gauvin, would be deaf like them.1 Their choice has sparked controversy, not only among medical ethicists, but in the opinion pages of newspapers across the world. Ought parents be permitted to make such choices?If the parents of Jehanne and Gauvin have done anything wrong, it must consist in violating their child’s right to an open future—limiting its future potential for choice.2 But what does it mean to respect this right?From the moment a child is born, her parents are making choices for her, which will powerfully shape her future. They will decide what kind of education she will have, what religious experiences, from among what group she can select friends. Thereby, they profoundly mould the person she will be and the life she will have.When this activity is carried out within certain, ill-defined, limits, it is in no way objectionable. It is not merely a …. (shrink)

I shall argue that where a coercive public health policy is backed by a clear medical consensus, appropriately reconsidered in the light of claims of doubters, there is sometimes a moral obligation on the part of the public to defer to the experts. The argument will be geared to the continuing controversy in the UK over the safety of the measles/mumps/rubella (MMR) vaccine. vaccine.

Quantum mechanics unites epistemology and ontology: it brings human knowledge explicitly into physical theory, and ties this knowledge into brain dynamics in a causally efficacious way. This development in science provides the basis for a natural resolution of the dualist functionalist controversy, which arises within the classical approach to the mind brain system from the fact that the phenomenal aspects are not derivable from the principles of classical mechanics. A conceptually simple causal quantum mechanical theory of the mind/brain is described, (...) and used to examine the necessity and function of consciousness in brain process. (shrink)

Defending Life is arguably the most comprehensive defense of the pro-life position on abortion - morally, legally, and politically - that has ever been published in an academic monograph. It offers a detailed and critical analysis of Roe v. Wade and Planned Parenthood v. Casey as well as arguments by those who defend a Rawlsian case for abortion-choice, such as J. J. Thomson. The author defends the substance view of persons as the view with the most explanatory power. The substance (...) view entails that the unborn is a subject of moral rights from conception. While defending this view, the author responds to the arguments of thinkers such as Boonin, Dworkin, Stretton, Ford and Brody. He also critiques Thomson's famous violinist argument and its revisions by Boonin and McDonagh. Defending Life includes chapters critiquing arguments found in popular politics and the controversy over cloning and stem cell research. (shrink)

Biologists have proposed a variety of explanations for extravagant sexual displays, and controversies over explanations define the history of sexual selection research. Recently, Richard Prum has d...

The development and utility of genetically modified crops for smallholders around the world is controversial. Critical questions include what traits and crops are to be developed; how they can be adapted to smallholders’ ecological, social and economic contexts; which dissemination channels should be used to reach smallholders; and which policy environments will enable the greatest benefits for smallholders and the rural poor. A key question is how the voices of smallholders who have experience with or desire to use GM (...) technologies enter the larger debate. Africa has the greatest number of smallholders and poor with the least exposure to GM crops. Because of the well-established use of GM crops in South Africa by commercial farmers, we formed a community of practice involving smallholders, extension, researchers, non-profits and agribusiness in KwaZulu-Natal to examine the conditions under which GM crops are used by smallholders, how smallholders interact with GM technologies and what insights smallholders and other stakeholders can provide regarding these questions. One of the advantages of the CoP approach is that it brings stakeholders together in a non-hierarchical way that encourages new ways of thinking and new partnerships. Such interaction around a specific project can enhance the voice of smallholders in a variety of ways. In our project, smallholder participants have increased their knowledge and can make better decisions about GM technologies, which had been barriers for them. Notably, they have also improved their knowledge of maize production practices, accessed new practice networks, and met new researchers and resource providers. They are now being integrated into these networks in a way that should improve their livelihoods and make the wants and needs of smallholders better known. Such knowledge and experience has improved their voice in agriculture and rural development discussions. (shrink)

Significant controversy remains about what constitute correct self-locating beliefs in scenarios such as the Sleeping Beauty problem, with proponents on both the “halfer” and “thirder” sides. To attempt to settle the issue, one natural approach consists in creating decision variants of the problem, determining what actions the various candidate beliefs prescribe, and assessing whether these actions are reasonable when we step back. Dutch book arguments are a special case of this approach, but other Sleeping Beauty games have also been constructed (...) to make similar points. Building on a recent article :491–508, 2013), I show that in general we should be wary of such arguments, because unintuitive actions may result for reasons that are unrelated to the beliefs. On the other hand, I show that, when we restrict our attention to additive games, then a thirder will necessarily maximize her ex ante expected payout, but a halfer in some cases will not . I conclude that this does not necessarily settle the issue and speculate about what might. (shrink)

_ Source: _Page Count 19 In this paper, we tackle the contribution that history of science can make to the _problem of rule-choice_, i.e., the choice from among competing methodological rules. Taking our cue from Larry Laudan’s writings, we extensively discuss what we call _historicist naturalism_, i.e., the view that history of science plays a pivotal role in the justification of rules, since it is one source of the evidence required to settle methodological controversies. As we illustrate, there are cases (...) of rule-choice that depend on conceptual considerations alone, and in which history of science does not factor. Moreover, there are cases in which methodological change is prompted – and explained – by empirical information that is not historical in nature: as suggested by what we call _scientific naturalism_, the justification of methodological choices comes from our knowledge of the structure of the world, as expressed by our currently accepted scientific theories. As we argue, due to its backward-looking character, historicist naturalism does not satisfactorily deal with the case of newly introduced rules, for which no evidence concerning their past performance is available. In sum, we conclude, the contribution that history of science can make to rule-choice is more modest than Laudan suggests. (shrink)

The term probability can be used in two main senses. In the frequency interpretation it is a limiting ratio in a sequence of repeatable events. In the Bayesian view, probability is a mental construct representing uncertainty. This 2002 book is about these two types of probability and investigates how, despite being adopted by scientists and statisticians in the eighteenth and nineteenth centuries, Bayesianism was discredited as a theory of scientific inference during the 1920s and 1930s. Through the examination of a (...) dispute between two British scientists, the author argues that a choice between the two interpretations is not forced by pure logic or the mathematics of the situation, but depends on the experiences and aims of the individuals involved. The book should be of interest to students and scientists interested in statistics and probability theories and to general readers with an interest in the history, sociology and philosophy of science. (shrink)

The role of the major histocompatibility complex (MHC) in mate choice in humans is controversial. Nowadays, the availability of genetic variation data at genomic scales allows for a careful assessment of this question. In 2008, Chaix et al. reported evidence for MHC‐dependent mate choice among European American spouses from the HapMap 2 dataset. Recently, Derti et al. suggested that this observation was not robust. Furthermore, when Derti et al. applied similar analyses to the HapMap 3 European American samples, they (...) did not see a significant effect. Although some of the points raised by Derti et al. are relevant, we disagree with the reported absence of evidence for MHC‐dependent mate choice within the HapMap samples. More precisely, we show here that the MHC dissimilarity among HapMap 3 European American spouses is still extreme in comparison to the rest of the genome, even after multiple testing correction. This finding supports the hypothesis of MHC‐dependent mate choice in some human populations. (shrink)

The author of the article focuses on the matter of Wittgenstein's philosophy reception in France. The reception of Wittgenstein's philosophy was quite late and led to different, sometimes opposite interpretations of his thought, even among French analytical philosophers. Applying a sociological approach to the problem of reception, the author identifies factors that hindered the penetration of the ideas of analytical philosophy in France, including the powerful institutionalization of philosophy in France with its inherent traditionalism and conservatism, fully expressed national character (...) of French philosophy, as well as the extremely polemical character of French analytical philosophy, the transformation of the choice of this tradition of philosophizing into an ethical and political choice. These factors are illustrated by an analysis of Wittgenstein's conflicting interpretation of Jacques Bouveresse and Sandra Laugier. If the first creates an image of Wittgenstein as Anti-Husserl, blaming the phenomenologist for ignoring ordinary language, the second proposes a phenomenological reading of Wittgenstein's ideas using the philosophy of ordinary language. The article shows how opposing interpretations of Wittgenstein's philosophy reproduce the internal conflicts of the French philosophical field. (shrink)

The backward induction controversy in game theory flared up and then practically ended within a decade – the 1990s. The protagonists, however, did not converge on an agreement about the source of the controversy. Why was this the case, if opposing sides had access to the same modelling techniques and empirical facts? In this paper I offer an explanation for this controversy and its unsettled end. The answer is not to be found in the modelling claims made by the opposing (...) protagonists, but in the tacit metaphors they operate under. Aristotle defined metaphor as giving a 'thing a name that belongs to something else' (Poetica, 1457b). The meaning of metaphors has not changed much since then – in contrast to models which are comparatively new, and still not well-understood, scientific tools. The controversy of backward induction in game theory provides a test bed for the explanatory power of metaphors. This paper frames the controversy in terms of metaphor choice to provide a common framework for the protagonists. This results in the identification of three different domains – mathematical logic, game theory and the world – each connected to the other via different metaphors. The controversy around backward induction is placed in, and tentatively explained by, this framework. (shrink)

After the US Supreme Court’s reversal of Roe v. Wade, a number of states have immediately banned abortion. Pro-choice activists are responding by promoting medication abortions – a do-it-yourself form of abortion. Women can take pills at home to induce an abortion in the first few weeks of pregnancy. -/- The Biden Administration [1] has backed the abortion pill, too. Attorney-General Merrick B. Garland and Health and Human Services Secretary Xavier Becerra both issued statements endorsing it. -/- “We stand ready (...) to work with other arms of the federal government that seek to use their lawful authorities to protect and preserve access to reproductive care,” said the Attorney-General. “In particular, the F.D.A. has approved the use of the medication mifepristone. States may not ban mifepristone based on disagreement with the F.D.A.’s expert judgment about its safety and efficacy.” -/- As the New York Times [1] has noted, this sets the scene for legal battles. The obvious one is: will anti-abortion states prosecute medication abortions? -/- But – based on experience in the United Kingdom - the use of the abortion pill could give pro-life doctors headaches as well. -/- In the past year, UK has witnessed the saga of two Catholic doctors who have been brought in front of the professional regulator, the General Medical Council, after accusations of professional misconduct. Their crime? They had supplied abortion pill reversal (APR) treatment to women. Accusations of this misconduct have been brought forward by pro-choice organisations [2]. -/- The problem is that some women might panic when they discover that they are pregnant or are pressured to make a rash decision. They obtain abortion pills, often without seeing a doctor faceto- face, and soon after taking the first pill, they regret their decision. -/- Is it too late for them to save their pregnancy? Not necessarily. -/- A treatment developed in the US works about half the time. It involves the woman taking progesterone after the first abortion pill to counteract the abortifacient action of the drug. -/- Seventy-three women in the UK are reported to have taken a full APR course, of whom, 38 – more than half — successfully remained pregnant. Admittedly, the procedure is controversial [3], with pro-choice writers denouncing it as unproven, unscientific, and unethical. This has triggered some healthcare practitioners and scholars to analyse the commitments of the pro-choice movement to APR. In a recently published paper in The New Bioethics [4], two colleagues, Dominic Whitehouse and Steven Bow, and I argue that those espousing a pro-choice worldview should actually support abortion pill reversal and that the current evidence indicates that they should actually be doing it. -/- While some pro-choice activists might be happy simply to expand women’s reproductive choices, some might also want to ensure that these choices are safe and effective at achieving the desired outcome, which in principle includes maintaining a pregnancy. -/- We then review the scientific evidence with respect to the ability of APR to halt an abortion, look at the potential impact of APR on mental health, as well as its procedural safety. While highlighting that gold-standard evidence is lacking, we note that APR is associated with about two times higher rate of embryo survival compared to not completing the full early medical abortion course, that there is large agreement in the literature that women who are ambiguous about abortion are at risk of poorer mental health outcomes after abortion (and argue that women who request APR fall into this category), and highlight that there is no evidence that APR is more dangerous than abandoning an initiated early medical abortion. -/- The latter fact is important, as the results of the only randomised-controlled trial of APR have been at times misrepresented in the media [5.6], creating the impression that APR is not safe while most of the adverse effects occurred in the study group that did not receive APR. As our paper argues, with respect to APR the two UK doctors were “champions of women’s choice and should be congratulated, not condemned, by pro-choice advocates”. -/- While the cases against the two doctors have now been dropped (and there have even been accusations against a member of one of these pro-choice organisations that they pressurised a patient into complaining about one of the doctors and twisted the patient’s experience of the treatment [7]), we argue that it is important to set-up systems to facilitate the future provision of APR to protect both patients and healthcare staff. -/- Our conclusion is that, while being open to any change in evidence, those espousing a pro-choice outlook should “support calls for an APR framework that will protect women and the healthcare professionals caring for them” “and certainly not oppose” APR. -/- The debate over abortion pill reversal will be heading to the United States soon. It is quite possible that it will be denounced as dangerous misinformation. It’s not. But pro-life defenders should be prepared to defend their ground. -/- This article was first published by Mercatornet. (shrink)

The early controversies surrounding the axiom of choice are well known, as are the many results that followed concerning its dependence from, and equivalence to, other mathematical propositions. This paper focuses not on the logical status of the axiom but rather on showing why it fails in certain categories.

In the course of his chemical investigation of crude platina ore, William Hyde Wollaston in 1802 isolated and characterized the metal palladium. In early 1803, he chose to make known his discovery by offering small samples of the metal for sale through a small shop in London. In the notice advertising the properties of the new metal, no information was given as to its source nor to its discoverer. The unique properties of the metal, and the secrecy surrounding its discovery, (...) led the Irish chemist Richard Chenevix to question the elemental nature of the new metal. His hasty but extensive investigation of the chemical properties of palladium convinced him that it was no more than an alloy of platinum and mercury, and he denounced the discovery as fraudulent. The president of the Royal Society, Joseph Banks, was drawn into the resulting furore, and correspondence between him and Chenevix reveals involved plans to obtain the identity of the palladium discoverer. The controversy is viewed as a significant episode in the continuing debate in the chemical community over the operational definition of a chemical element, and although Chenevix's concern over the growth in the number of new elements was justified, his choice of palladium as a test case was an unfortunate one, for his claim that the metal was an alloy was found to be erroneous. Motives for the actions of both Chenevix and Wollaston are sought, and the judgement that their careers were damaged by the incident is questioned. (shrink)

This inquiry focuses on the problem of human freedom in the thought of Augustine and two of his early critics, John Cassian and Faustus of Riez. Two issues are of primary importance: the issue concerning the nature of free choice of will, and the issue concerning how free choice of will is to be reconciled with divine election. These issues arise as a result of a change that occurred in Augustine's thinking on human freedom in 396, the year that he (...) grasped the true significance of Paul's doctrine of divine election. To Augustine that doctrine entailed that the will's movement towards the Good was only possible if divine Good Itself worked within the fallen will to make it good. Cassian and Faustus, however, questioned how Augustine could affirm the reality of free choice of will when he insisted that the fallen moral agent lacked the natural ability to do good. ;In order to come to terms with this dilemma, this inquiry views Augustine's later doctrine of human freedom as a form of classical Christian compatibilism. Beginning with H. A. Wolfson's observation that in the Pelagian Controversy Augustine Christianized the pagan Stoic doctrine of fate, the study seeks to develop the implications of this observation in the context of the semi-Augustinian Controversy . Thus it attempts to carry out a task that Wolfson himself had intended to undertake but had never in fact been able to accomplish. ;In keeping with this objective, the inquiry develops Wolfson's claim by situating Augustine's response to the semi-Augustinians against the background of two key texts: Cicero's De fato and Augustine's De civitate dei . A careful study of these texts indicates not only a remarkable similarity between Chrysippus' and Augustine's solution to the problem of human freedom but also Augustine's own awareness of his indebtedness to the Stoics. With this background in mind, the inquiry proceeds, initially, to unravel Augustine's doctrine of human freedom and, subsequently, to view it in relation to Cassian's and Faustus' doctrine of human freedom. After drawing out the implications of these three doctrines of human freedom, a concluding chapter calls attention to the fact that Stoicism exerted a much more pervasive influence on the development of Augustine's doctrine of human freedom than has hitherto been suspected. (shrink)

Death by neurological criteria (DNC) continues to stir global controversy. Philosophers and theologians contest its moral significance, clinicians and bioscientists debate its probative accuracy, a...

Several diagrams and tables from review articles during the Ox-Phos Controversy serve as an occasion to assess the nature of competition in models of theory choice in science. Many models follow "Super-Bowl" principles of polar, either-or, winner-take-all competition. A significant alternative highlighted by this episode, however, is the differentiation of domains. Incommensurability and the partial divergence of overlapping domains serve both as signals and context for shifting frameworks of competition. Appropriate strategies may thus help researchers diagnose the status of competition (...) and shape their research accordingly. (shrink)

The study of controversies is not only helpful for the further understanding of the subtleties of the theories involved, but it also contributes to the clarification of a series of issues related to the problem of theory choice. Discussions and disagreements — however heated — over two theories do not necessarily entail the features of what I would like to consider as controversies. This is especially so when there is a crucial experiment that can be performed in a relatively short (...) period. Controversies are disputes over theoretical issues, methodological questions, and not infrequently, philosophical positions. It is in this respect that controversies are also a quite suggestive probe into the conceptual framework of the various researches. (shrink)

This study is a fresh and original attempt to liberate the theory of criticism from the limitations of connoisseurship, and the assumptions of aesthetics from the difficulties and paradoxes of aesthetic relativism. It presents a picture of what rationality in the assessment of the arts would be like if one were expected to justify one's decisions in and about the arts. Kadish focuses upon the way in which competent and reasonable people express their differences, not upon the way they instruct (...) novices. Among good critics, the author proposes, differences are not managed as differences concerning matters of taste, nor would anyone presume otherwise were it not for a prior and gratuitous choice of a context of consumption for considering the arts. The author examines the hypothesis that differences of opinion in artistically relevant controversy are in a fundamental sense practical, that when critics of the arts differ seriously, proposals for the proper conduct of the arts and a procedure for interpretation of the arts are what is at issue. To understand the special logic of controversy in the arts Kadish compares that controversy with legally relevant and scientifically relevant controversies. Finally, the arts and criticism are found to be parts of a coherent enterprise the criteria of which are generated in an evolving practice, as are the criteria of law. This illuminating discourse is of continuing relevance to those interested in aesthetics. (shrink)

ABSTRACT In this paper I present results of a project that, in the context of critical discourse studies and the interdiscursive analysis of public policies, focused on representations in online journalism regarding public policies aimed at the homeless population. The research project was developed at the Pompeu Fabra University, Spain. Considering the main newspaper of the city of São Paulo, in its digital platform, we have compiled a comprehensive corpus of news about homeless situation published in a period of three (...) years. The choice to specifically address data from Folha de S Paulo is justified because it is the city with the largest homeless population in Brazil. Also, because our previous study has shown that this is the vehicle, among those studied, that publishes more news related to territorial issues, our focus of interest to investigate via the discursive categories of metaphor and representation of social actors. RESUMO Neste artigo, apresento resultados de um projeto que, no contexto dos estudos críticos do discurso e da análise interdiscursiva de políticas públicas, focalizou representações do jornalismo online sobre as políticas públicas voltadas para a população em situação de rua. O projeto de pesquisa “Representação de políticas públicas para população em situação de rua como gestão do território: metáforas espaciais na Folha de S Paulo” foi desenvolvido na Universidade Pompeu Fabra, Espanha. Considerando o principal jornal da cidade de São Paulo, em sua plataforma digital, compilamos um corpus abrangente de notícias sobre a situação de rua publicadas em um período de três anos. A escolha por abordar especificamente os dados da Folha de S Paulo se justifica por ser a cidade com maior população em situação de rua no Brasil. Também porque nosso estudo anterior mostrou que este é o veículo, entre os estudados, que mais publica notícias relacionadas a questões territoriais, que é agora nosso foco de investigação pelas categorias discursivas da metáfora e da representação de atores sociais. (shrink)