The philosophy of science of Imre Lakatos suggests criteria for acceptability of work in the interdisciplinary area of theology and science: proposals must contribute to scientific (or theological) research programs that lead to prediction and discovery of novel facts. Lakatos's methodology also suggests four legitimate types of theology–and–science interaction: (1) heuristic use of theology in science; (2) incorporation of a theological assertion as an auxiliary hypothesis in a scientific research program, or (3) as the central theory of a (...) research program; and (4) hybrid theology–and–science programs with empirical data. Three recent Zygon articles illustrate these four types. (shrink)

Doctors routinely refuse donation offers from prospective living kidney donors with certain comorbidities such as diabetes or obesity out of concern for donor wellbeing. This refusal occurs despite the ongoing shortage of kidney transplants and the superior performance of living donor kidney transplants compared to those from deceased donors. In this paper, we argue that this paternalistic refusal by doctors is unjustified and that, within limits, there should be greater acceptance of such donations. We begin by describing possible weak and (...) strong paternalistic justifications of current conservative donor acceptance guidelines and practices. We then justify our position by outlining the frequently under-recognised benefits and the routinely overestimated harms of such donation, before discussing the need to respect the autonomy of willing donors with certain comorbidities. Finally, we respond to a number of possible objections to our proposal for more liberal kidney donor acceptance criteria. We use the situation in Australia as our case study, but our argument is applicable to comparable situations around the world. (shrink)

Which abstraction principles are acceptable? A variety of criteria have been proposed, in particular irenicity, stability, conservativeness, and unboundedness. This note charts their logical relations. This answers some open questions and corrects some old answers.

Mainstream moral theories deal with situations in which the outcome of each possible action is well-determined and knowable. In order to make ethics relevant for problems of risk and uncertainty, moral theories have to be extended so that they cover actions whose outcomes are not determinable beforehand. One approach to this extension problem is to develop methods for appraising probabilistic combinations of outcomes. This approach is investigated and shown not to solve the problem. An alternative approach is then developed. Its (...) starting-point is that everyone has a prima facie moral right not to be exposed to risk. However, this right can be overridden if the risk-exposure is part of an equitable system for risk-taking that works to the advantage of the individual risk-exposed person. (shrink)

In the study of reference assignment, the question of what pragmatic criteria are used to evaluate the resulting interpretation seems not yet to have been properly dealt with. This paper addresses the issue by examining factors which affect the acceptability of various cases of bridging reference. It demonstrates that even highly successful accounts of reference assignment which place major emphasis on accessibility factors, e.g. the accessibility of candidate referents and the accessibility of contextual assumptions, must nonetheless involve some (...) pragmatic criterion with which hearers can evaluate the resulting interpretation. Moreover, it argues that the pragmatic criterion used in reference assignment is not the truth-based one, which has been widely accepted, but the criterion of consistency with the principle of relevance proposed by Sperber and Wilson. Various accounts are tested against a wide range of examples on which I have conducted experimental tests with several sets of subjects. (shrink)

In the study of reference assignment, the question of what pragmatic criteria are used to evaluate the resulting interpretation seems not yet to have been properly dealt with. This paper addresses the issue by examining factors which affect the acceptability of various cases of bridging reference. It demonstrates that even highly successful accounts of reference assignment which place major emphasis on accessibility factors, e.g. the accessibility of candidate referents and the accessibility of contextual assumptions, must nonetheless involve some (...) pragmatic criterion with which hearers can evaluate the resulting interpretation. Moreover, it argues that the pragmatic criterion used in reference assignment is not the truth-based one, which has been widely accepted, but the criterion of consistency with the principle of relevance proposed by Sperber and Wilson. Various accounts are tested against a wide range of examples on which I have conducted experimental tests with several sets of subjects. (shrink)

The most promising contemporary form of epistemic scientific realism is based on the following intuition: Belief should be directed, not toward theories as wholes, but toward particular theoretical constituents that are responsible for, or deployed in, key successes. While the debate on deployment realism is quite fresh, a significant degree of confusion has already entered into it. Here I identify five criteria that have sidetracked that debate. Setting these distractions aside, I endeavor to redirect the attention of both realists (...) and non-realists to the fundamental intuition above. In more detail: I show that Stathis Psillos (1999) has offered an explicit criterion for picking out particular constituents, which, contrary to Kyle Stanford’s (2006a) criticisms, neither assumes the truth of theories nor requires hindsight. I contend, however, that, in Psillos’s case studies, Psillos has not successfully applied his explicit criterion. After clarifying the various alternative criteria at work (in those case studies and in a second line of criticism offered by Stanford), I argue that, irrespective of Stanford’s criticisms, the explicit criterion Psillos does offer is not an acceptable one. Nonetheless, the deployment realist’s fundamental intuition withstands all of these challenges. In closing, I point in a direction toward which I’ve elsewhere focused, suggesting that, despite the legitimacy and applicability of the deployment realist’s intuition, the historical threat that prompted it remains. (shrink)

We defend a view of the distinction between the normal and the pathological according to which that distinction has an objective, biological component. We accept that there is a normative component to the concept of disease, especially as applied to human beings. Nevertheless, an organism cannot be in a pathological state unless something has gone wrong for that organism from a purely biological point of view. Biology, we argue, recognises two sources of biological normativity, which jointly generate four “ways of (...) going wrong” from a biological perspective. These findings show why previous attempts to provide objective criteria for pathology have fallen short: Biological science recognizes a broader range of ways in which living things can do better or worse than has previously been recognized in the philosophy of medicine. (shrink)

There seems to be some initial evidence that team captains are selected based on non-leadership factors such as team tenure, technical abilities, being the daughter of the club president, or playing position. This is concerning since players expect their ideal team captain to have superior motivational and social skills. Adding to this literature on captain selection, the present study investigates relationships between the reasons for which team captains are selected and their perceived leadership quality; and perceived acceptance. To accomplish this, (...) we recruited 450 coaches and 198 players from Flemish football and volleyball teams. Participants evaluated 41 reasons on the extent to which they played a role in the selection of their team captain. Additionally, participants rated their team captain’s leadership quality and level of acceptance. The results consistently indicated that captains who were selected for having good motivational and social competencies were given higher ratings on perceived leadership quality and acceptance by participants. In conclusion, athletes who are motivated, good at motivating others and have superior social skills tend to be better suited for captaincy than those selected based on non-leadership factors. (shrink)

Duncan Pritchard has recently defended a view he calls ‘epistemological disjunctivism’, largely inspired by John McDowell. I argue that Pritchard is right to associate the view with McDowell, and that McDowell’s ‘inference-blocking’ argument against the sceptic succeeds only if epistemological disjunctivism is accepted. However, Pritchard also recognises that epistemological disjunctivism appears to conflict with our belief that genuine and illusory experiences are indistinguishable (the ‘distinguishability problem’). Since the indistinguishability of experiences is the antecedent in the inference McDowell intends to block, (...) I suggest that his argument rests on an inconsistent set of premises. In support of this, I show that Pritchard’s response to the distinguishability problem is incompatible with the conclusion of the ‘inference-blocking’ argument, and that the response available in McDowell’s work relies on a mistaken conception of fallibility. Either McDowell must deny the sceptic’s premise that perceptual experiences are indistinguishable, or he must give up his conclusion that perceptual warrant can be indefeasible. (shrink)

When experimental philosophers carry out studies on thought experiments, some participants are excluded based on certain exclusion criteria, mirroring standard social science vignette methodology. This involves excluding people that do not pay attention or who miscomprehend the scenario presented in thought experiments. However, experimental philosophy studies sometimes exclude an alarmingly high number of participants. We argue that this threatens the external and internal validity of the conclusions being drawn and we show how a simple visualization of thought experiments can (...) reduce exclusion rates significantly. Furthermore, we argue that focus should not merely be on how many are excluded, but also why they are excluded, and we highlight the role of comprehension questions in this regard. Philosophical thought experiments often rely on the acceptance of certain key premises that may be regarded contestable, and asking comprehension questions involving such key assumptions could be problematic as that may result in some participants being inadvertently excluded from the study, potentially creating a selection bias. (shrink)

Purposeful infection of healthy volunteers with a microbial pathogen seems at odds with acceptable ethical standards, but is an important contemporary research avenue used to study infectious diseases and their treatments. Generally termed ‘controlled human infection studies’, this research is particularly useful for fast tracking the development of candidate vaccines and may provide unique insight into disease pathogenesis otherwise unavailable. However, scarce bioethical literature is currently available to assist researchers and research ethics committees in negotiating the distinct issues raised by (...) research involving purposefully infecting healthy volunteers. In this article, we present two separate challenge studies and highlight the ethical issues of human challenge studies as seen through a well-constructed framework. Beyond the same stringent ethical standards seen in other areas of medical research, we conclude that human challenge studies should also include: independent expert reviews, including systematic reviews; a publicly available rationale for the research; implementation of measures to protect the public from spread of infection beyond the research setting; and a new system for compensation for harm. We hope these additions may encourage safer and more ethical research practice and help to safeguard public confidence in this vital research alternative in years to come. (shrink)

Invariance criteria are widely accepted as a means to demarcate the logical vocabulary of a language. In previous work, I proposed a framework of “semantic constraints” for model theoretic consequence which does not rely on a strict distinction between logical and nonlogical terms, but rather on a range of constraints on models restricting the interpretations of terms in the language in different ways. In this paper I show how invariance criteria can be generalized so as to apply to (...) semantic constraints on models. Some obviously unpalatable semantic constraints turn out to be invariant under isomorphisms. I shall connect our discussion to known counterexamples to invariance criteria for logical terms, and so the generalization will also shed light on the current existing debate on logicality. I analyse the failure of invariance to fulfil its role as a criterion for logicality, and argue that invariance conditions should best be thought of as merely methodological meta-constraints restricting the ways the model-theoretic apparatus should be used. (shrink)

In Logical Self-Defense , Johnson and I introduced the criteria of acceptability, relevance and sufficiency as appropriate for the evaluation of arguments in the sense of reasons offered in support of a claim. These three criteria have been widely adopted, but each has been subjected to a number of criticisms; and also 30 years of research have intervened. How do these criteria stand up today? In this paper I argue that they still have a place in (...) argument analysis and evaluation, but in much-modified roles. (shrink)

When experimental philosophers carry out studies on thought experiments, some participants are excluded based on certain exclusion criteria, mirroring standard social science vignette methodology. This involves excluding people that do not pay attention or who miscomprehend the scenario presented in thought experiments. However, experimental philosophy studies sometimes exclude an alarmingly high number of participants. We argue that this threatens the external and internal validity of the conclusions being drawn and we show how a simple visualization of thought experiments can (...) reduce exclusion rates significantly. Furthermore, we argue that focus should not merely be on how many are excluded, but also why they are excluded, and we highlight the role of comprehension questions in this regard. Philosophical thought experiments often rely on the acceptance of certain key premises that may be regarded contestable, and asking comprehension questions involving such key assumptions could be problematic as that may result in some participants being inadvertently excluded from the study, potentially creating a selection bias. (shrink)

Identity criteria are used to confer ontological respectability: Only entities with clearly determined identity criteria are ontologically acceptable. From a logical point of view, identity criteria should mirror the identity relation in being reflexive, symmetrical, and transitive. However, this logical constraint is only rarely met. More precisely, in some cases, the relation representing the identity condition fails to be transitive. We consider the proposals given so far to give logical adequacy to inadequate identity conditions. We focus on (...) the most refined proposal and expand its formal framework by taking into account two further aspects that we consider essential in the application of identity criteria to obtain logical adequacy: contexts and granular levels. (shrink)

The acceptance or rejection of computer aids to clinical reasoning is determined not only by the preferences and prejudices of potential users, but also by whether the output generated by the computer aid represents sound clinical judgment. This paper deals with the issue of the appropriate criteria for evaluating the clinical ‘reasoning’ of computer aids. Evaluation of a computer aid should include an assessment of the accuracy or appropriateness of its conclusions and an assessment of the scope of its (...) considerations. In order to use a conclusion generated by a computer aid as a basis for clinical action, information must be available on the alternative conclusions that might have been drawn, the degree of confidence in each conclusion, and the consequences that may result from acting upon the wrong conclusion. If this information is not generated as part of the output of a computer aid, it may be obtained through the use of its explanation and display capabilities, if the aid has such capabilities. Explanation and display capabilities permit the examination of the operations of the computer aid. Examination of a computer's operations is also the most feasible means to evaluate the soundness of its ‘reasoning’. (shrink)

Several nation states have reasons to halt the import of genetically modified organisms. The current international trend towards a regime of free trade makes such bans problematic. Whether a nation state is deemed justified in banning a certain product is strongly connected to discussions about what are acceptable criteria for proof of risk. The determination of these criteria hinges upon considerations of individual and national autonomy. This paper compares two different points of view in the debate: the WTO (...) opposed to the UN. A distinction between internal and external autonomy explains the differences in approach between the UN and the WTO. The conclusion is reached that adequate respect for autonomy requires a certain amount of flexibility in the criteria for proof of risk. (shrink)

BackgroundThe brain death standard allowing a declaration of death based on neurological criteria is legally endorsed and routinely practiced in the West but not in Asia. In China, attempts to legalize the brain death standard have occurred several times without success. Cultural, religious, and philosophical factors have been proposed to explain this difference, but there is a lack of empirical studies to support this hypothesis.Methods476 medical providers from three academic hospitals in Hunan, China, completed a selfadministered survey including a (...) 12-question brain death clinical knowledge assessment and hypothetical vignettes describing brain dead patients.ResultsThe response rate was 95.2 %. Almost all of the providers had heard of the term “brain death.” More than half have encountered presumed brain dead patients. Two-thirds accepted brain death as an ethical standard to determine human death. The mean knowledge score was 8.50 ± 1.83 out of 12. When given the description of a brain dead patient, 50.7 % considered the patient dead, 51.9 % would withdraw life support, and 40.6 % would allow organ procurement. Both provider and patient characteristics contributed to the providers’ decisions. Ethical acceptance was the most important independent predictor for brain death acknowledgement, followed by high knowledge scores, and the belief that the soul lives in the brain. Religious faith and associated beliefs did not have a significant effect.ConclusionsNotwithstanding scarce official accounts, recognition of the brain death standard is not uncommon in China. Chinese medical providers can adequately define the medical characteristics of brain death and accept it in theory, but hesitate to apply it to practice in the vignettes. Legalization is paramount in providing the protection providers need to comfortably declare brain death. However the medical decision-making surrounding brain death is complex and the provider's past experiences and emotions may also influence the process. (shrink)

Resumen En este trabajo se exponen veintiuna tesis sobre la asignación de recursos escasos en tiempos de pandemia o crisis sanitaria. El autor parte de la base de que nunca se justifica tratar a una persona como un mero medio. A partir de este principio fundamental, y de otras exigencias de justicia, procura determinar cuáles son los límites a las consideraciones, por lo demás legítimas, de eficiencia o de utilidad. Esto le permite discernir qué criterios de distribución son moral mente (...) aceptables y cuáles no lo son. -/- This work presents twenty one theses on the allocation of scarce resources in times ofpandemic or health crisis. The author assumes that treating a person as a mere means is never justified. On the basis of this fundamental principle, and other requirements of justice, he seeks to determine what are the limits to considerations, otherwise legitímate, of efficiency or utility. This allows him to discern which distribution criteria are morally acceptable and which are not. (shrink)

Strategic Environmental Assessment, as a support to strategic planning, is a starting point in the creation of a sustainable concept of managing waste that is based on the principles of a circular economy. The role of SEA is to guide the planning process towards the goal of securing the best effects in relation to the quality of the living environment and the socio-economic aspects of development. SEA is also an instrument that can be used when making optimal decisions about spatial (...) development, which further contributes to its importance and role in the planning process. The implementation of SEA allows developers to establish the benefits and implications of the proposed spatial changes, taking into account the capacity of the space to sustain the planned development, and to determine the degree of acceptability of the proposed spatial changes. This paper presents a specific method used for impact assessment in SEA for the Agro-Waste Management Plan for Oplenac Vineyard. The specificity of this method is that it combines specific goals, indicators and criteria for assessing the effect of planning solutions formulated in the simulated AWMP for Oplenac Vineyard using a semi-quantitative expert method. The results of the paper indicate the possibility of using GIS tools to increase objectivity in the expert evaluation of planning solutions, particularly in relation to a group of criteria for assessing the spatial dispersion of the impacts. This reduces the subjectivity that is characteristic of all expert methods. The graphical presentation of the results in GIS technology and the use of matrices and graphs to present the results makes them easier to understand and creates a good basis for making optimal decisions on future activities concerning the elimination of waste from wineries and viticulture. The research was carried out within the framework of the NoAW project, which is supported by the European Commission through the Horizon2020 research and innovation program. (shrink)

Why is evolutionary theory controversial among members of the American public? We propose a novel explanation: allegiance to different criteria for belief. In one interview study, two online surveys, and one nationally representative phone poll, we found that evolutionists and creationists take different justifications for belief as legitimate. Those who accept evolution emphasize empirical evidence and scientific consensus. Creationists emphasize not only the Bible and religious authority, but also knowledge of the heart. These criteria for belief remain predictive (...) of views about evolution even when taking into account other related factors like religion, political affiliation, and education. Each view is supported by its own internally specified criteria for what constitutes a justified belief. Changing minds may thus require changing epistemic norms. (shrink)

Andrews et al. criticize Gould and colleagues for (1) failing to provide evidentiary criteria for accepting exaptationist alternatives to adaptationist explanations, and (2) seeing exaptations and spandrels as being far more frequent than adaptations in the evolutionary history of modern humans. I argue that the first of these criticisms is wrong, and the second reflects a bias for the classical version of Darwinian evolutionary theory, which Gould was trying to expand by proposing concepts like exaptation and spandrels.

Philosophy as a “way of life” is singularly unsatisfactory as a definition of the subject. Inspired by Kant, we examine six alternative formulations: philosophy may be seen as (1) a search for the conditions governing possible experience, (2) an attempt to derive ultimate categories of ontological or else psychological analysis, (3) the discovery (or erection) of synthetic a priori truths, coupled with making the notion of “S.A.P.” coherent, (4) resolving fundamental antinomies of thought, (5) finding, and/or explicating, the role of (...) regulative principles in human enterprises, (6) “reconstructing” the domain of other disciplines, as Kant does throughout the three Critiques. We conclude with a synoptic suggestion about philosophy as self-criticism (of propositions normally accepted unthinkingly), and ponder its implications for the status of the profession. (shrink)

Philosophy as a “way of life” is singularly unsatisfactory as a definition of the subject. Inspired by Kant, we examine six alternative formulations: philosophy may be seen as (1) a search for the conditions governing possible experience, (2) an attempt to derive ultimate categories of ontological or else psychological analysis, (3) the discovery (or erection) of synthetic a priori truths, coupled with making the notion of “S.A.P.” coherent, (4) resolving fundamental antinomies of thought, (5) finding, and/or explicating, the role of (...) regulative principles in human enterprises, (6) “reconstructing” the domain of other disciplines, as Kant does throughout the three Critiques. We conclude with a synoptic suggestion about philosophy as self-criticism (of propositions normally accepted unthinkingly), and ponder its implications for the status of the profession. (shrink)

Faced with what he saw as the danger to society in the ascendancy of natural science and decline in religion and morals, the great French sociologist Emile Durkheim sought the origins of both religion and science in their function in primitive societies as guarantors of social solidarity. In contrast to Frazer, Tylor, and other early anthropologists, he looked for the internal intelligibility of myth and ritual in social terms, rather than regarding them just as failed attempts to state objective truths (...) about the natural world of the same kind as those later arrived at by natural science. One does not have to accept Durkheim's ultimately atheistic identification of God with Society, nor the politically authoritarian consequences which have some-times been held to follow from this identification, to see that Durkheim has raised a set of issues of crucial importance for a discussion of science and the myths and doctrines of religion. For what he has done is to reintroduce a third factor into the perennial and by now rather frustrating dichotomy between science and religion, namely society and the sciences of man. It is some consequences of this approach that I want to explore in this paper. (shrink)

Advances in psychopharmacology raise the prospects of enhancing neurocognitive functions of humans by improving attention, memory, or mood. While general ethical reflections on psychopharmacological enhancement have been increasingly published in the last years, ethical criteria characterizing physicians’ role in neurocognitive enhancement and guiding their decision-making still remain highly unclear. Here it will be argued that also in the medical domain the use of cognition-enhancing drugs is not intrinsically unethical and that, in fact, physicians should assume an important role in (...) gating their usage. For finding normative orientation, concepts of disease, normality or medicine will not be helpful since—due to their cryptonormative nature—they rather hamper than allow targeted discussion and decision-making. As an alternative, the common and widely accepted bioethical criteria of beneficence, non-maleficence, autonomy and distributive justice allow a clinically applicable, highly differentiated context- and case-sensitive approach. By embedding decision-making in a participative physician–patient relationship extrinsic objections against neurocognitive enhancement (e.g. invalid perceptions about efficacy, benefit or risk; questionable voluntariness; restrained decision-making capacity) can be curtailed. (shrink)

In Recent years noncognitivist ethical theories have been supported by an argument which has come to be widely accepted among moral philosophers.1 According to this argument, an ethical term like ‘good’ has both a commending function and a describing function, but between these functions there is the important difference that the commending function alone is invariant while the describing function varies greatly. For many and different things may be called good—hammers, sunsets, paintings, missionaries, cannibals—but despite these differences in the descriptive (...) criteria for applying the word to objects, ‘good’ retains a common meaning in all these uses, for in each case the word is being used to commend. The conclusion drawn, then, is that because of its being the sole invariant or common feature of every use of ‘good’, the commendatory function rather than the varying descriptive function must be the primary meaning of ‘good’. I shall refer to this as the commendatory invariance argument. (shrink)

What sort of thing is film? Before we can answer this question, we’ll have to first determine which things count as “films” in the relevant sense and work out what we ought to look for in an acceptable answer. There is little consensus among philosophers of film on any stage of this process. Here I make the case for a particular understanding of “film” to investigate as well as a particular set of criteria to use in that investigation. I (...) then apply those criteria to a number of available candidate theories. In the end, I do not offer an answer to our question so much as an approach to it, along with some strategies for future research. (shrink)

Objective: To analyse medical students’, graduate students’ and doctors’ and medical teachers’ perceptions of research contributions as criteria for authorship in relation to the authorship criteria defined by the International Committee of Medical Journal Editors .Design: Medical students with or without prior instruction on ICMJE criteria, graduate students/doctors and medical teachers rated the importance of 11 contributions as authorship qualifications. They also reported single contributions eligible for authorship, as well as acceptable combinations of two or three qualifying (...) contributions.Results: Conception and design, Analysis and interpretation and Drafting of article formed the most important cluster in all four groups. Students without prior instruction rated Critical revision and Final approval lower than the other three groups. “Final approval” was a part of the least important cluster in all groups except among students with instruction.Conclusions: Conception and design, Analysis and interpretation and Drafting of article were recognised as the most important of the ICMJE criteria by all participants. They can be considered independent of previous instruction or experience. Final approval and Critical revision should be actively taught as important authorship criteria to future scientists. (shrink)

It is widely thought that the acceptability of an abstraction principle is a feature of the cardinalities at which it is satisfiable. This view is called into question by a recent observation by Richard Heck. We show that a fix proposed by Heck fails but we analyze the interesting idea on which it is based, namely that an acceptable abstraction has to “generate” the objects that it requires. We also correct and complete the classification of proposed criteria for (...) acceptable abstraction. (shrink)

Nelson Goodman maintains that there is a plurality of internally consistent, equally privileged, well-made actual worlds constructed through the use of very special symbol systems—right or ultimately acceptable world versions. Using evidence from American Indian traditions, I will argue that Goodman’s criteria for ultimately acceptability are culturally biased against any non-Western world version—especially a Native version. I will then offer a culturally sensitive interpretation of Goodman’s criteria for ultimate acceptability that an American Indian world version satisfies, (...) and so is numbered among the internally consistent, equally privileged, well-made actual worlds. (shrink)

The neurological criteria for the determination of death remain controversial within secular and Catholic circles, even though they are widely accepted within the medical community. In Determining Death by Neurological Criteria, Matthew Hanley offers both a practical and a philosophical defense. Hanley shows that the criteria are often misapplied in clinical settings, leading to cases where persons declared dead apparently spontaneously revive. These instances are often connected to a rushed decision to retrieve donated organs, thus undermining the (...) trust of the public in organ donation. Hanley calls on health care institutions to take seriously their obligation to establish strict protocols for the determination of death, including who may conduct the examinations. From a broader perspective, Hanley considers how the criteria rely on a philosophical conception of the person as a living organism whose unity disintegrates at death. This view, he notes, corresponds to the Catholic conviction that the soul is the life-principle of the body, which departs at death, bringing about the destruction of the body-soul composite. The Vatican, recognizing that death is a medical judgment, has generally given its approval to the criteria. Hanley also reviews the many and various objections offered by detractors, including against the use of the apnea test, which is faulted as a practice that sometimes hastens death. The problem of the continued presence of certain vital functions within the deceased body of the brain dead is explored in detail, with reference to particular cases and to solutions proposed by leading physicians and bioethicists. Hanley likewise addresses the dilemma of having two separate standards for death, one neurological and the other cardiopulmonary. Given the possibility of resuscitation following loss of the cardio-circulatory system, he concludes that the neurological criteria must be the true standard. Stoppage of the heart leads swiftly to the final necrosis of the brain. -- Provided by publisher. (shrink)

In 1968 the authors of the so-called Harvard Report, proposed the recognition of an irreversible coma as a new criterion for death. The proposal was accepted by the medical, legal, religious and political circles in spite of the lack of any explanation why the irreversible coma combined with the absence of brainstem reflexes, including the respiratory reflex might be equated to death. Such an explanation was formulated in the President’s Commission Report published in 1981. This document stated, that the brain (...) is the central integrator of the body, therefore the destruction of the brain results in the lack of that integration and the death of the organism. Therefore, according to that document, the so-called “brain dead” patients are really, biologically dead; strictly speaking they are not any more biological organisms but collections of organs and tissues. Their death was masked by the use of the medical equipment, but it was a real, biological death. Thus, the explanation given by the President’s Commission Report constituted a biological rationale for the new concept of death, known as “brain death.” However, after the long discussion, this rationale was refuted because of the evidence given by many medical authorities, that the bodies of the “brain dead” and “brainstem dead” patients are alive. In the context of the discussion about the neurological criteria for death, some authors follow the idea of Plato, that human being is the soul or mind, and the body does not belong to the human essence. Therefore, the loss of consciousness, which may be identified with the mind, constitutes the loss of personhood and may be interpreted as human death. The other group stresses the Aristotelian and Thomistic concept that the body belongs to the essence of every living creature, including human. Therefore, as long as the body is alive, the human being is alive and we cannot call the given patient dead even if he is deeply comatose. Moreover, in spite of the opinions dominating in the mass-media, these patients should be considered not only alive but also may be conscious to some degree and their state can be reversible. Their brains are lacking the electrical functions, but the neuronal tissue is alive and that state is reversible for at least first 48 hours since the onset of coma; this phenomenon is called “global ischemic penumbra” and is responsible for the regularly happening events interpreted as miracles, when some of the “brain dead” or “brainstem dead” patients turn to be alive and come back to normal life. Therefore, the neurological criteria of death are still lacking generally accepted scientific basis and should not be used in medicine and in the legal systems as a basis for diagnosing comatose/having no brainstem reflexes/apneic patients dead. (shrink)

In this article the author shows that we must distinguish between criterion as a characteristic in a definition and as a norm for truth and ethical values. He shows that we must accept a hierarchy of such criteria, But that this hierarchy is not absolute. He also discusses and solves the 'paradox of the publican'.

In §1 of this paper I will present the two criteria, which I will call respectively the coextensionality and the recognitional criteria of synonymy. An established tendency in the literature is to ascribe to Frege only the recognitional criterion, discounting the coextensionality criterion as inconsistent with some of his other views. My aim in the paper will be to contribute to the reversal of this tendency. First, I wish to show that the recognitional criterion is flawed in a (...) way that makes it unacceptable as a criterion of synonymy and that Frege was aware of this. I will argue, second, that in Frege’s writings a modified version of the coextensionality criterion finds better support than the recognitional criterion. And I will suggest, third, that although there is an inconsistency between some of Frege’s views and the coextensionality criterion, this inconsistency can be explained as a prominent feature of his philosophy, a tension inherent in his goals and views. Finally, in a brief appendix, I will focus on the way in which Frege applied the two criteria in the practice of linguistic analysis, and I will argue that, contrary to the accepted wisdom, within this practice the two criteria are compatible with each other. (shrink)

Most streams of Christianity have emphasized the unknowability of God, but they have also asserted that Christ is the criterion through whom we may have limited access to the depths of God, and through whose life and death we can formulate the doctrine of God as Triune. This standpoint, however, leads to certain complications regarding ‘translating’ the Christian message to adherents of other religious traditions, and in particular the question, ‘Why do you accept Christ as the criterion?’, is one that (...) Christian thinkers have attempted to answer in different ways. There are two influential responses to this query in recent Christian thought: an ‘evidentialist’ approach which gradually moves from a theistic metaphysics to a Christ-centred soteriology, and an ‘unapologetic’ standpoint which takes God's self-disclosure in Christ as the perspectival lens through which to view the world. The opposition between these two groups is primarily over the status of ‘natural theology’, that is, whether we may speak of a ‘natural’ reason, which human beings possess even outside the circle of the Christian revelation, and through which they may arrive at some minimalist understanding of the divine reality. I outline the status of ‘natural theology’ in these strands of contemporary Christian thought, from Barthian ‘Christomonism’ to post-liberal theology to Reformed epistemology, and suggest certain problems within these standpoints which indicate the need for an appropriately qualified ‘natural theology’. Most of the criticisms leveled against ‘natural theology’, whether from secular philosophers or from Christian theologians themselves, can be put in two groups: first, the arguments for God's existence are logically flawed, and, second, even if they succeed they do not point to the Triune God that Christians worship. In contrast to such an old-fashioned ‘natural theology’ which allegedly starts from premises self-evidently true for all rational agents and leads through an inexorable logic to God, the qualified version is an attempt to spell out the doctrinal beliefs of Christianity such as the existence of a personal God who interacts with human beings in different ways, and outline the reasons offered in defence of such statements. In other words, without denying that Christian doctrines operate at one level as the grammatical rules which structure the Christian discourse, such a natural theology insists on the importance of the question of whether these utterances are true, in the sense that they refer to an objective reality which is independent of the Christian life-world. Such a ‘natural theology’, as the discussion will emphasize, is not an optional extra but follows in fact from the internal logic of the Christian position on the universality of God's salvific reach. (shrink)

BackgroundHuman infection studies (HIS) are valuable in vaccine development. Deliberate infection, however, creates challenging questions, particularly in low and middle-income countries (LMICs) where HIS are new and ethical challenges may be heightened. Consultation with stakeholders is needed to support contextually appropriate and acceptable study design. We examined stakeholder perceptions about the acceptability and ethics of HIS in Malawi, to inform decisions about planned pneumococcal challenge research and wider understanding of HIS ethics in LMICs.MethodsWe conducted 6 deliberative focus groups and (...) 15 follow-up interviews with research staff, medical students, and community representatives from rural and urban Blantyre. We also conducted 5 key informant interviews with clinicians, ethics committee members, and district health government officials.ResultsStakeholders perceived HIS research to have potential population health benefits, but they also had concerns, particularly related to the safety of volunteers and negative community reactions. Acceptability depended on a range of conditions related to procedures for voluntary and informed consent, inclusion criteria, medical care or support, compensation, regulation, and robust community engagement. These conditions largely mirror those in existing guidelines for HIS and biomedical research in LMICs. Stakeholder perceptions pointed to potential tensions, for example, balancing equity, safety, and relevance in inclusion criteria.ConclusionsOur findings suggest HIS research could be acceptable in Malawi, provided certain conditions are in place. Ongoing assessment of participant experiences and stakeholder perceptions will be required to strengthen HIS research during development and roll-out. (shrink)

Our subject is how the experience of Americans with a certain funding criterion, “broader impacts” may help in efforts to turn the European concept of Responsible Research and Innovation into a useful guide to funding Europe’s scientific and technical research. We believe this comparison may also be as enlightening for Americans concerned with revising research policy. We have organized our report around René Von Schomberg’s definition of RRI, since it seems both to cover what the European research group to which (...) we belong is interested in and to be the only widely accepted definition of RRI. According to Von Schomberg, RRI: “… is a transparent, interactive process by which societal actors and innovators become mutually responsive to each other with a view to the acceptability, sustainability and societal desirability of the innovation process and its marketable products .” While RRI seeks fundamental changes in the way research is conducted, Broader Impacts is more concerned with more peripheral aspects of research: widening participation of disadvantaged groups, recruiting the next generation of scientists, increasing the speed with which results are used, and so on. Nevertheless, an examination of the broadening of funding criteria over the last four decades suggests that National Science Foundation has been moving in the direction of RRI. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Incoherence of Determining Death by Neurological Criteria: A Commentary on Controversies in the Determination of Death, A White Paper by the President’s Council on Bioethics*Franklin G. Miller** (bio) and Robert D. Truog (bio)Traditionally the cessation of breathing and heart beat has marked the passage from life to death. Shortly after death was determined, the body became a cold corpse, suitable for burial or cremation. Two technological changes (...) in the second half of the twentieth century prompted calls for a new, or at least expanded, definition of death: the development of intensive care medicine, especially the use of mechanical ventilators, and the advent of successful transplantation of vital organs. Patients with profound neurological damage, leaving them incapable of breathing on their own and in an irreversible coma, could be maintained for some period of time with the aid of mechanical ventilation. The situation of these patients posed two ethical questions. Is it appropriate to stop life-sustaining treatment? If so, is it acceptable to retrieve vital organs for transplantation to save the lives of others before stopping treatment?In 1968, the Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death proposed that death could be determined on the basis of neurological criteria, thus providing a positive answer to these two questions (Ad Hoc Committee 1968). According to the position of this committee, patients diagnosed with the cessation of brain function are dead, despite the fact that they breathe and circulate blood with the aid of mechanical ventilation. [End Page 185] Because they are dead, it is appropriate, indeed imperative, to stop mechanical ventilation. And because they are dead, it becomes ethical to procure vital organs for transplantation before stopping what otherwise would be life-sustaining treatment. Remarkably, this innovative neurological determination of death became, with little debate or controversy, the established position in medical ethics and the law throughout the United States.The Harvard Committee articulated the diagnosis of “irreversible coma,” but merely asserted that this condition constituted death. No explanatory rationale was provided. It fell to the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research to provide an authoritative rationale in its 1981 report, Defining Death. The second paragraph of the report set the stage as follows: “The question addressed here is not inherently difficult or complicated. Simply, it is whether the law ought to recognize new means for establishing that the death of a human being has occurred” (President’s Commission 1981, p. 3). The Commission claimed that “death is a unitary phenomenon” (p. 7) and that the determination of death by neurological criteria, in terms of the absence of all brain function, is consistent with the traditional conception of death as the cessation of vital functioning of the organism as a whole. The key issue is the integrative functioning of the human organism, which ceases to exist, according to the Commission, when the whole brain, including higher cortical areas and the brain stem, fails to function. Although “brain-dead” patients do not appear to be dead—i.e., the reality of their death is “masked” by the activity of mechanical ventilation—the patient’s body has irreversibly lost all capacity for integrative functioning. In the words of the Commission: “When artificial means of support mask this loss of integration as measured by the old methods [cessation of respiration and heart beat], brain-oriented criteria and tests provide a new window on the same phenomenon” (p. 33). The President’s Commission was instrumental in developing and establishing “The Uniform Definition of Death Act”: “An individual who has sustained either (1) irreversible cessation of circulatory and respiratory functions, or (2) irreversible cessation of all functions of the entire brain, including the brain stem, is dead” (p. 2).Although the question posed by the President’s Commission was easy to articulate, the answer, over time, has proved complicated and controversial. The coherence and cogency of determining death by neurological criteria has been challenged. Various experts have demonstrated that “brain-dead” patients maintained on mechanical ventilation display a range of vital, integrative, functioning, which conflicts with the judgment that they are dead (Truog and... (shrink)

ACCORDING TO POPPER, SCIENTIFIC THEORIES ARE TO BE ACCEPTED IN SO FAR AS THEY ARE FALSIFIABLE AND IN SO FAR AS THEY HAVE BEEN CORROBORATED. THE CONCEPTS OF FALSIFIABILITY AND CORROBORATION ARE SUBMITTED TO DETAILED ANALYSIS. THE POINT OF ACCEPTING THEORIES, ACCORDING TO POPPER, IS TO OBTAIN THEORIES OF HIGH VERISIMILITUDE. HOWEVER THE BEST WE CAN DO IS TO OBTAIN THEORIES OF HIGH PROBABLE VERISIMILITUDE. POPPER’S CRITERIA FOR ACCEPTING THEORIES WILL ONLY LEAD TO THEORIES OF HIGH PROBABLE VERISIMILITUDE ON (...) NON-POPPERIAN ASSUMPTIONS ABOUT INDUCTION. (shrink)

The diagnosis of death by neurological criteria (colloquially known as ‘brain death’) is accepted in some form in law and medical practice throughout the world, and has been endorsed in principle by the Catholic Church. However, the rationale for this acceptance has been challenged by the accumulation of evidence of integrated vital activity in bodies diagnosed dead by neurological criteria. This paper sets out 10 different Catholic responses to the current crisis of confidence and assesses them in relation (...) to a Catholic understanding of philosophical anthropology. Having considered each of these responses, none is found to provide good grounds for the moral certainty about death needed for current transplant practice to be ethically acceptable. Unless adequate grounds for the use of neurological criteria can be restored, current transplantation practice will have become what Pope John Paul II called a ‘furtive, but no less serious and real, form of euthanasia’. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Incoherence of Determining Death by Neurological Criteria: A Commentary on Controversies in the Determination of Death, A White Paper by the President’s Council on Bioethics*Franklin G. Miller** (bio) and Robert D. Truog (bio)Traditionally the cessation of breathing and heart beat has marked the passage from life to death. Shortly after death was determined, the body became a cold corpse, suitable for burial or cremation. Two technological changes (...) in the second half of the twentieth century prompted calls for a new, or at least expanded, definition of death: the development of intensive care medicine, especially the use of mechanical ventilators, and the advent of successful transplantation of vital organs. Patients with profound neurological damage, leaving them incapable of breathing on their own and in an irreversible coma, could be maintained for some period of time with the aid of mechanical ventilation. The situation of these patients posed two ethical questions. Is it appropriate to stop life-sustaining treatment? If so, is it acceptable to retrieve vital organs for transplantation to save the lives of others before stopping treatment?In 1968, the Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death proposed that death could be determined on the basis of neurological criteria, thus providing a positive answer to these two questions (Ad Hoc Committee 1968). According to the position of this committee, patients diagnosed with the cessation of brain function are dead, despite the fact that they breathe and circulate blood with the aid of mechanical ventilation. [End Page 185] Because they are dead, it is appropriate, indeed imperative, to stop mechanical ventilation. And because they are dead, it becomes ethical to procure vital organs for transplantation before stopping what otherwise would be life-sustaining treatment. Remarkably, this innovative neurological determination of death became, with little debate or controversy, the established position in medical ethics and the law throughout the United States.The Harvard Committee articulated the diagnosis of “irreversible coma,” but merely asserted that this condition constituted death. No explanatory rationale was provided. It fell to the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research to provide an authoritative rationale in its 1981 report, Defining Death. The second paragraph of the report set the stage as follows: “The question addressed here is not inherently difficult or complicated. Simply, it is whether the law ought to recognize new means for establishing that the death of a human being has occurred” (President’s Commission 1981, p. 3). The Commission claimed that “death is a unitary phenomenon” (p. 7) and that the determination of death by neurological criteria, in terms of the absence of all brain function, is consistent with the traditional conception of death as the cessation of vital functioning of the organism as a whole. The key issue is the integrative functioning of the human organism, which ceases to exist, according to the Commission, when the whole brain, including higher cortical areas and the brain stem, fails to function. Although “brain-dead” patients do not appear to be dead—i.e., the reality of their death is “masked” by the activity of mechanical ventilation—the patient’s body has irreversibly lost all capacity for integrative functioning. In the words of the Commission: “When artificial means of support mask this loss of integration as measured by the old methods [cessation of respiration and heart beat], brain-oriented criteria and tests provide a new window on the same phenomenon” (p. 33). The President’s Commission was instrumental in developing and establishing “The Uniform Definition of Death Act”: “An individual who has sustained either (1) irreversible cessation of circulatory and respiratory functions, or (2) irreversible cessation of all functions of the entire brain, including the brain stem, is dead” (p. 2).Although the question posed by the President’s Commission was easy to articulate, the answer, over time, has proved complicated and controversial. The coherence and cogency of determining death by neurological criteria has been challenged. Various experts have demonstrated that “brain-dead” patients maintained on mechanical ventilation display a range of vital, integrative, functioning, which conflicts with the judgment that they are dead (Truog and... (shrink)

In this paper the author first presents a critical account of some basic views of Habermas' Discourse Philosophy. He points out some difficulties inherent in notions such as valid justification in argumentation theory, in the notion of ideal form of discourses, and in consensus theory of truth. Secondly, he focuses on Habermas' conceptions of validity, acceptance and legitimacy of law from the perspective of neo‐institutionalism. In particular, (i) the author argues that Habermas' definition of legal validity is unclear and unrealistic; (...) (ii) the author stresses the distinction between acceptance and acceptability; (iii) Habermas presupposes harmony between sovereignty and human rights postulates, but the present author takes into account the possibility of conflicts between autonomous popular decisions and human rights which must be resolved by methods of discursive democracy; (iv) criteria for acceptance of law cannot be fixed by a stipulative definition, but are in social discussion; (v) legitimacy is not an objective feature of valid law and presupposes an evaluation based on our political convictions. (shrink)

Important revisions and additions to the contemporary objectives of acceptance rules result from construing a theory of warranted inductive inference to presuppose an account of adequate scientific explanations. We conceive the objects of acceptance rules to be the best of competing scientific explanations. Our primary interest is to show how to construct an analysis of competing explanations. Hence our specific investigation concerns the interrelations between the criteria of adequacy for scientific explanations and the definitions of the modes of competition (...) between explanations. (shrink)

High-quality arguments have strong and lasting persuasive effects, suggesting that people can distinguish high- from low-quality arguments. However, we know little of what norms people employ to make that distinction. Some studies have shown that, in evaluating arguments from consequences, people are more sensitive to differences with respect to the desirability of these consequences than to differences in the likelihood that these consequences will occur. This raises the question of whether people lack the criteria to distinguish high-quality from low-quality (...) arguments in support of such claims. In an experiment, 196 participants without any training in argument theory rated their acceptance of 30 claims about the likelihood that a certain outcome would result from a certain action. These claims were supported by an argument from authority, or from cause to effect, or from example. Arguments were systematically manipulated to violate nine specific criteria. For seven out of the nine criteria violation decreased acceptance of the claim supported. These findings show that people can use argument type specific criteria to distinguish high- from low-quality arguments. (shrink)

With no statutory definition of death, the accepted medical definition relies on brain stem death criteria as a definitive measure of diagnosing death. However, the use of brain stem death criteria in this way is precarious and causes widespread confusion amongst both medical and lay communities. Through critical analysis, this paper considers the insufficiencies of brain stem death. It concludes that brain stem death cannot be successfully equated with either biological death or the loss of integrated bodily function. (...) The overemphasis of the brain-stem and its consequences leaves the criteria open to significant philosophical critique. Further, in some circumstances, the use of brain stem death criteria causes substantial emotional conflict for families and relatives. Accordingly, a more holistic and comprehensive definition of death is required. (shrink)