: In this chapter I argue that fanaticism is characterized by an orientation to value. I identify three distinctive features of this way of committing to one’s values. First, it is wholehearted. Second, it involves a perception that the values one has chosen are at risk of being rendered unintelligible. Third, the choice of the values to which the fanatic commits wholeheartedly is based on emotional appraisals or moral testimony rather than on reflection. I also argue that these appraisals are (...) often constituted by group-based emotions. Contra Katsafanas (2019), I show that fanaticism is not necessarily a rational failing or a moral pathology. However, fanaticism often exhibits these shortcomings because it is a product of affective polarization by means of emotional contagion. I support this claim by showing that polarizing processes tend to produce emotions that are not fitting. (shrink)

The study investigated the effects of three cultural variables – country of employment, race/ethnicity and religion – on managerial views of profit and 15 other business priorities. In total, 203 responses were obtained (120 randomly and 83 by quota) from executives and managers belonging to either of two race/ethnic groups (Caucasian and Chinese) and three religious denominations (Christian, Buddhist and Malay Muslim) located in three different countries (Australia, Singapore and Malaysia). Findings indicated that these three different cultural variables affected (to (...) varying degrees) the attitudes of managers towards profit and other related business concerns. Managers working in Malaysia, the Malay Muslims and Caucasians in particular, had the highest regard for profit whilst those employed in Australia were found, on the whole, to be the most (socially) considerate toward their employees, customers and environment. This study pointed to the need for cultural ethics as a complementary function in business. (shrink)

The exponential rise in transgender self-identification invites consideration of what constitutes an ethical response to transgender individuals’ claims about how best to promote their well-being. In this paper, we argue that ‘accepting’ a claim to medical transitioning in order to promote well-being would be in the person’s best interests iff at the point of request the individual is correct in their self-diagnosis as transgender (i.e., the distress felt to reside in the body does not result from another psychological and/or societal (...) problem) such that the medical interventions they are seeking will help them to realise their preferences. If we cannot assume this—and we suggest that we have reasonable grounds to question an unqualified acceptance in some cases—then ‘acceptance’ potentially works against best interests. We propose a distinction between ‘acceptance’ and respectful, in-depth exploration of an individual’s claims about what promotes their well-being. We discuss the ethical relevance of the unconscious mind to considerations of autonomy and consent in working with transgender individuals. An inquisitive stance, we suggest, supports autonomous choice about how to realise an embodied form that sustains well-being by allowing the individual to consider both conscious and unconscious factors shaping wishes and values, hence choices. (shrink)

Introduction: Parkinson's Disease is characterized by motor and non-motor symptoms, among which deficits in social cognition might affect ~20% of patients. This study aims to evaluate the role of social cognitive abilities in the perceived impact of COVID-19 emergency, and the effects of lockdown measures on patients' social network and caregivers' burden.Methods: Fourteen PD patients performed a neuropsychological battery including sociocognitive tasks before the introduction of COVID-19 restrictive measures. A structured interview through an online platform was performed in the last (...) 2 weeks of the first lockdown phase to assess patients' health status, perception of COVID-19 emergency, changes in caregivers' burden, and patients' social isolation. Non-parametric analyses were performed to evaluate the association between social skills and patients' COVID-19 perception, as well as the effects of restrictive measures.Results: At baseline evaluation, half of the PD patients showed sociocognitive dysfunctions, mainly on mentalizing abilities. Patients with impaired social cognition skills showed a significantly lower concern on the possible effects of COVID-19 on their health. Caregiver burden and patients' social network remained stable during the lockdown.Conclusion: These preliminary results underline that PD sociocognitive dysfunctions might affect patients' abilities to estimate the effects of COVID-19 infection. However, the lack of a significant increase in caregivers' burden and social isolation suggests, in our sample, a good coping to COVID-19 emergency. Since COVID-19 pandemic can have direct and indirect severe consequences in patients with PD, the development of educational and preventive programs is recommended. (shrink)

Let’s suppose that the Axial Period is a time in history that is a transition between the first time of the temporal subject and the second time of the temporal subject; that it is the second stage of meaning: a troubled time between a first stage of meaning, characterized by a spontaneously operative consciousness in ‘early’ culture, and a third stage of meaning constituted by at least a dominant authority of a luminous control of meaning and an explicit metaphysics in (...) a ‘later’ global culture. What this statement means we have now to uncover. (shrink)

In this paper I provide an account of two forms of intellectual arrogance which cause the epistemic practices of conversational turn-taking and assertion to malfunction. I detail some of the ethical and epistemic harms generated by intellectual arrogance, and explain its role in fostering the intellectual vices of timidity and servility in other agents. Finally, I show that arrogance produces ignorance by silencing others (both preventing them from speaking and causing their assertions to misfire) and by fostering self-delusion in the (...) arrogant themselves. (shrink)

After more than three centuries, Molyneux's question continues to challenge our understanding of cognition and perceptual systems. Locke, the original recipient of the question, approached it as a theoretical exercise relevant to long-standing philosophical issues, such as nativism, the possibility of common sensibles, and the empiricism-rationalism debate. However, philosophers were quick to adopt the experimentalist's stance as soon as they became aware of recoveries from congenital blindness through ophtalmic surgery. Such recoveries were widely reported to support empiricist positions, suggesting that (...) the question had found its empirical answer. Contrary to this common view, we argue that studies of patients recovering from early blindness through surgery cannot provide an answer. In fact, because of the very nature of such ophtalmological interventions it is impossible to test the question in the empirical conditions outlined by Molyneux. Thus we propose that Molyneux's question be treated as an early thought experiment of a specific kind. Although thought experiments of this kind cannot be turned into actual experimental conditions, they provide a conceptual restructuring of theories. Such restructuring in turn leads to new predictions that can then be tested by normal experiments. In accord with this interpretation, we show that Molyneux's question can be analyzed into a hierarchy of specific questions about vision in its phenomenal and sensory-motor components. Some of these questions do lead to actual experimental conditions that could be studied empirically. (shrink)

After more than three centuries, Molyneux's question continues to challenge our understanding of cognition and perceptual systems. Locke, the original recipient of the question, approached it as a theoretical exercise relevant to long-standing philosophical issues, such as nativism, the possibility of common sensibles, and the empiricism-rationalism debate. However, philosophers were quick to adopt the experimentalist's stance as soon as they became aware of recoveries from congenital blindness through ophtalmic surgery. Such recoveries were widely reported to support empiricist positions, suggesting that (...) the question had found its empirical answer. Contrary to this common view, we argue that studies of patients recovering from early blindness through surgery cannot provide an answer. In fact, because of the very nature of such ophtalmological interventions it is impossible to test the question in the empirical conditions outlined by Molyneux. Thus we propose that Molyneux's question be treated as an early thought experiment of a specific kind. Although thought experiments of this kind cannot be turned into actual experimental conditions, they provide a conceptual restructuring of theories. Such restructuring in turn leads to new predictions that can then be tested by “normal” experiments. In accord with this interpretation, we show that Molyneux's question can be analyzed into a hierarchy of specific questions about vision in its phenomenal and sensory-motor components. Some of these questions do lead to actual experimental conditions that could be studied empirically. (shrink)

The COVID-19 virus is severely testing the Italian healthcare system, as the requests for intensive treatment are greater than the real capacity of the system to receive patients. Given this emergency situation, it follows that citizens are limited in their freedom of movement in order to limit infection, and that in hospitals a significant number of critical situations must be faced. This brief contribution aims to offer a reflection on the public and clinical role of the bioethicist: a figure able (...) to promote dialogue between the world of medicine and the community, and to face ethical dilemmas even in emergent clinical settings. (shrink)

Alessandra Tanesini ABSTRACT: Arrogance has widespread negative consequences for epistemic practices. Arrogant people tend to intimidate and humiliate other agents, and to ignore or dismiss their views. They have a propensity to mansplain. They are also angry. In this paper I explain why anger is a common manifestation of arrogance in order to understand the...

In this paper I offer an original account of intellectual modesty and some of its surrounding vices: intellectual haughtiness, arrogance, servility and self-abasement. I argue that these vices are attitudes as social psychologists understand the notion. I also draw some of the educational implications of the account. In particular, I urge caution about the efficacy of direct instruction about virtue and of stimulating emulation through exposure to positive exemplars.

The use of ultrasonic scans in pregnancy makes it possible to observe the fetus undisturbed in the womb. Dr Alessandra Piontelli has done what no one has done before: she observed eleven fetuses in the womb using ultrasound scans, and then observed their development at home from birth up to the age of four years. She includes a description of the psychoanalytic psychotherapy of one of the research children, and the psychoanalysis of five other very young children whose behaviour (...) in analysis suggested that they were deeply preoccupied with their experience in the womb. Dr Piontelli has discovered what many parents have always thought - that each fetus, like each newborn baby, is a highly individual creature. By drawing on her experience as a child psychotherapist and psychoanalyst as well as on her observational research, she is able to investigate issues relating to individuality, psychological birth and the influence of maternal emotions during pregnancy. Her findings demonstrate clearly how psychoanalytical evidence enhances, deepens and supports observational data on the remarkable behavioural and psychological continuities between pre-natal and post-natal life. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Why Is the Gorgias so Bitter?1Alessandra FussiMihi in oratoribus irridendis ipse esse orator summus videbatur.-Cicero, De Oratore 1.471. The hand of an apprentice?Commentators have often responded with uneasiness to Plato's Gorgias. E. R. Dodds speaks of the "disillusioned bitterness" of the criticisms leveled against Athenian politics and politicians and of the tragic tone of the dialogue's last part, which culminates in a prediction of Socrates' condemnation (1959, 19). F. (...) M. Cornford observes that the discussion between Socrates and Callicles "is marked by a bitterness of tone rarely found elsewhere in the dialogues" (1945, 21). A. E. Taylor is more explicitly irritated: "Personally-he writes-I cannot help feeling that, with all its moral splendor, the dialogue is too long: it 'drags.' The Plato of the Protagoras or Republic, as I feel, would have known how to secure the same effect with less expenditure of words; there is a diffuseness about our dialogue which betrays the hand of a prentice, though the prentice in this case is Plato" (1960, 103). Many readers of the Gorgias have a similar emotional response, yet the feeling that this is a bitter dialogue is never analyzed, accounted for, or adequately justified.While assessing various hypotheses on the date of composition of the Gorgias, Dodds speculates that its "disillusioned bitterness" may suggest that Plato wrote the dialogue right after Socrates' death and under the impact of the event. The Gorgias is so bitter, the reasoning goes, because Plato was enraged with the Athenians when he wrote it. Dodds goes on to discard the hypothesis of such an early date of composition, but he does not revise his view that this is indeed a bitter dialogue. Why, then, does the [End Page 39] Gorgias sound so bitter? Instead of relying on external factors, I suggest it would be more profitable to turn to the dialogue itself for an answer. After all, the impression of bitterness is a function of the emotional impact that the dialogue has on its readers. A well-constructed chain of arguments can hardly sound bitter. The Gorgias contains many arguments, but its emotional impact must lie elsewhere. So where?In the dialogue, Socrates is involved in three discussions of increasing length and complexity with interlocutors who, in one way or another, defend the power of rhetoric and the superiority of political life over philosophical life. The discussions cannot, however, be characterized as mere exercises in abstract reasoning, or urbane conversations on different views of the good life; the Gorgias is a "fighting dialogue," as indicates its opening sally, "to war and battle" (447a1).2 As the saying goes, these are fighting words, since Callicles is basically accusing Socrates of being a coward.Even if we abstract from the themes evoked in the Gorgias, it is difficult to ignore the peculiarity of its dramatic movement. First, we are plunged in medias res, with no clear indication as to the time and place of the dialogue's unfolding. We then proceed through a tour de force of conversations that begin, are immediately interrupted, start again, and continue through refutations, repeated interruptions, fits of anger, and bad temper. If we expected Socrates to win against his nonphilosophical interlocutors, we are sorely disappointed. The further the conversations proceed, the more they are infiltrated by anger and misunderstanding, and the more we come to feel that, though Socrates' interlocutors may well be silenced, they will remain unpersuaded. Indeed, toward the end of the dialogue, Callicles simply refuses to respond to Socrates, who is finally reduced to performing a monologue. The dialogue ends with a myth addressed to Callicles in the stated conviction that the young man will dismiss it as an old wives' tale (527a5-b3). The invocation of Callicles' name, which concludes the dialogue, is significantly and poignantly left hanging.Besides the points just mentioned, I think that several aspects of the dramatic setting contribute significantly to the dialogue's peculiar emotional impact on its readers. I will try to show this, first, by considering eight dramatic devices Plato uses in the Gorgias and, second, by contrasting these devices with their counterparts in the Protagoras. The two dialogues... (shrink)

_Alessandra Lemma - Winner of the Levy-Goldfarb Award for Child Psychoanalysis!_ The contemporary relevance of psychoanalysis is being increasingly questioned; _Off the Couch_ challenges this view, demonstrating that psychoanalytic thinking and its applications are both innovative and relevant, in particular to the management and treatment of more disturbed and difficult to engage patient groups. Chapters address: clinical applications in diverse settings across the age range the relevance of psychoanalytic thinking to the practice of CBT, psychosomatics and general psychiatry the contribution (...) of psychoanalytic thinking to mental health policy and the politics of conflict and mediation. This book suggests that psychoanalysis has a vital position within the public health sector and discusses how it can be better utilised in the treatment of a range of mental health problems. It also highlights the role of empirical research in providing a robust evidence base. _Off the Couch_ will be essential reading for those practicing in the field of mental health and will also be useful for anyone involved in the development of mental health and public policies. It will ensure that practitioners and supervisors have a clear insight into how psychoanalysis can be applied in general healthcare. (shrink)

Today’s New APPS interview is with Alessandra Tanesini, Professor of Philosophy at Cardiff University. This is Part I; Part II will run next week. Thanks very much for doing this interview with us, Alessandra. Let’s start with your personal practice of philosophy. What are the pleasures and pains of philosophy...

The New APPS interview with Alessandra Tanesini, Professor of Philosophy at Cardiff University, will run in two parts. Part II is here; Part I was last week. Philosophy and other humanities are under increasing pressure to justify their existence in universities on short-term economic criteria, sometimes in number of majors...

We-thinking theories allow groups to deliberate as agents. They have been introduced into the economic domain for both theoretical and empirical reasons. Among the few scholars who have proposed formal approaches to illustrate how we-thinking arises, Bacharach offers one of the most developed theories from the game theoretic point of view. He presents a number of intuitions, not always mutually consistent and not fully developed. In this article, I propose a way to complete Bacharach’s theory, generalizing the interdependence hypothesis and (...) building on his intuition about vacillation. It is a simple model of vacillation between the I and we-modes of reasoning, as a way in which we-thinking can come to mind in the face of a decision problem. The vacillation model makes we-reasoning more easily usable in game theory. (shrink)

In this paper I argue that social networking sites (SNSs) are emotion technologies that promote a highly charged emotional environment where intrinsic emotion regulation is significantly weakened, and people's emotions are more strongly modulated by other people and by the technology itself. I show that these features of social media promote a simplistic emotional outlook which is an obstacle to the development and maintenance of virtue. In addition, I focus on the mechanisms that promote group-based anger and thus give rise (...) to affective polarisation. In the final section, after a discussion of the positive value of some forms of anger, I argue that SNSs should not be designed to prohibit or suppress anger, but that its encouragement should also be avoided. I conclude with a suggestion about how this might be achieved. (shrink)

While the current debate highlights an increasing deficit of civic engagement, new - and often less visible - forms of “participation” are beginning to be detected, such as those implemented by citizens with migratory background living at the physical and symbolic margins of Western towns. Our study, part of the project “Abitare insieme” (Living together) in Milan’s multicultural suburbs, was developed with a dual purpose: to analyze the relationship between citizens with a migratory background, active citizenship, and their place representations/belongings; (...) to experiment the co-construction of innovative spaces of speech for citizens, through their dialogical involvement in the research. In a framework of participatory research to enhance reflexivity and transformative practices, a survey was designed and administered. In this paper we will discuss the survey results, along with some methodological implication. The aim is to contribute to reinvent the “active citizenship” construct from a transformative, pedagogical, and intercultural perspective. (shrink)

Recent accounts support the existence of two distinct feelings of guilt: altruistic guilt (AG), arising from the appraisal of not having been altruistic toward a victim and deontological guilt (DG), emerging from the appraisal of having violated an intuitive moral rule. Neuroimaging data has shown that the two guilt feelings trigger different neural networks, with DG selectively activating the insula, a brain area involved in the processing of disgust and self-reproach. Thus, insula activation could reflect the major involvement of self-reproach (...) in DG rather than in AG. However, only a few studies have empirically tested whether and how DG and AG differently affect decision making and none have compared enhanced self-worth. Here we asked three groups of participants, respectively, induced with either pride, DG or AG, to participate in a third-party version of the ultimatum game in which they were asked to decide on behalf of others to accept or reject economic offers with several degrees of fairness. Results revealed that only deontological participants had higher median acceptances of Moderately Unfair offers as compared to proud participants. However fairness judgments were not different between groups, suggesting that deontological participants’ moral standards had not decreased. Crucially, a higher increase in DG was associated with an increase in the odds of accepting 30:70 offers. The opposite effects that DG and pride exert on self-worth can account for these results. Specifically, proud participants felt entitled enough to take action in order to restore equity, while deontological participants followed the “Do not play God” principle, which limited their decisional autonomy, not allowing them to decide on behalf of others. (shrink)

According to Antoine Augustine Cournot, chance events are the result of the intersection between independent causal chains. This coincidental notion of chance is not a new one, but—as Cournot remarks—it comes from Saint Thomas Aquinas, Boethius, and more probably from Jean de La Placette. Such a conception of chance phenomena seems to be very important, not only because it is closely related to the Principle of Causality, but also since it grounds Cournot’s theory of objective probability. Starting from Martin’s work, (...) the main attempt of this survey is to endorse the idea that Cournot’s coincidental notion of hasard is objective, that is it is ontic and it does not depend—in some sense—on our degree of knowledge. In order to do that, a central role in the discussion will be given to the meaning of the independence between the intersecting causal chains and to Cournot’s conception of causation. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Why Is the Gorgias so Bitter?1Alessandra FussiMihi in oratoribus irridendis ipse esse orator summus videbatur.-Cicero, De Oratore 1.471. The hand of an apprentice?Commentators have often responded with uneasiness to Plato's Gorgias. E. R. Dodds speaks of the "disillusioned bitterness" of the criticisms leveled against Athenian politics and politicians and of the tragic tone of the dialogue's last part, which culminates in a prediction of Socrates' condemnation (1959, 19). F. (...) M. Cornford observes that the discussion between Socrates and Callicles "is marked by a bitterness of tone rarely found elsewhere in the dialogues" (1945, 21). A. E. Taylor is more explicitly irritated: "Personally-he writes-I cannot help feeling that, with all its moral splendor, the dialogue is too long: it 'drags.' The Plato of the Protagoras or Republic, as I feel, would have known how to secure the same effect with less expenditure of words; there is a diffuseness about our dialogue which betrays the hand of a prentice, though the prentice in this case is Plato" (1960, 103). Many readers of the Gorgias have a similar emotional response, yet the feeling that this is a bitter dialogue is never analyzed, accounted for, or adequately justified.While assessing various hypotheses on the date of composition of the Gorgias, Dodds speculates that its "disillusioned bitterness" may suggest that Plato wrote the dialogue right after Socrates' death and under the impact of the event. The Gorgias is so bitter, the reasoning goes, because Plato was enraged with the Athenians when he wrote it. Dodds goes on to discard the hypothesis of such an early date of composition, but he does not revise his view that this is indeed a bitter dialogue. Why, then, does the [End Page 39] Gorgias sound so bitter? Instead of relying on external factors, I suggest it would be more profitable to turn to the dialogue itself for an answer. After all, the impression of bitterness is a function of the emotional impact that the dialogue has on its readers. A well-constructed chain of arguments can hardly sound bitter. The Gorgias contains many arguments, but its emotional impact must lie elsewhere. So where?In the dialogue, Socrates is involved in three discussions of increasing length and complexity with interlocutors who, in one way or another, defend the power of rhetoric and the superiority of political life over philosophical life. The discussions cannot, however, be characterized as mere exercises in abstract reasoning, or urbane conversations on different views of the good life; the Gorgias is a "fighting dialogue," as indicates its opening sally, "to war and battle" (447a1).2 As the saying goes, these are fighting words, since Callicles is basically accusing Socrates of being a coward.Even if we abstract from the themes evoked in the Gorgias, it is difficult to ignore the peculiarity of its dramatic movement. First, we are plunged in medias res, with no clear indication as to the time and place of the dialogue's unfolding. We then proceed through a tour de force of conversations that begin, are immediately interrupted, start again, and continue through refutations, repeated interruptions, fits of anger, and bad temper. If we expected Socrates to win against his nonphilosophical interlocutors, we are sorely disappointed. The further the conversations proceed, the more they are infiltrated by anger and misunderstanding, and the more we come to feel that, though Socrates' interlocutors may well be silenced, they will remain unpersuaded. Indeed, toward the end of the dialogue, Callicles simply refuses to respond to Socrates, who is finally reduced to performing a monologue. The dialogue ends with a myth addressed to Callicles in the stated conviction that the young man will dismiss it as an old wives' tale (527a5-b3). The invocation of Callicles' name, which concludes the dialogue, is significantly and poignantly left hanging.Besides the points just mentioned, I think that several aspects of the dramatic setting contribute significantly to the dialogue's peculiar emotional impact on its readers. I will try to show this, first, by considering eight dramatic devices Plato uses in the Gorgias and, second, by contrasting these devices with their counterparts in the Protagoras. The two dialogues... (shrink)

This book considers the semantic and syntactic nature of indexicals - linguistic expressions, as in I, you, this, that, yesterday, tomorrow , whose reference shifts from utterance to utterance.There is a long-standing controversy as to whether the semantic reference point is already present as syntactic material or whether it is introduced post-syntactically by semantic rules of interpretation. Alessandra Giorgi resolves this controversy through an empirically grounded exploration of temporal indexicality, arguing that the speaker's temporal location is specified in the (...) syntactic structure. She supports her analysis with theoretical and empirical arguments based on data from English, Italian, Chinese, and Romanian. Professor Giorgi addresses some difficult and longstanding issues in the analysis of temporal phenomena - including the Italian imperfect indicative, the properties of the so-called future-in-the-past, and the properties of Free Indirect Discourse - and shows that her framework can account elegantly for all of them. Carefully argued, succinct, and clearly written her book will appeal widely to semanticists in linguistics and philosophy from graduate level upwards and to linguists interested in the syntax-semantics interface. (shrink)

In this new book, Alessandra Tanesini demonstrates that feminist thought has a lot to offer to the study of Wittgenstein's philosophical work, and that -at the same time-that work can inspire feminist reflection in new directions. In Wittgenstein, Tanesini offers a highly original interpretation of several themes in Wittgenstein's philosophy. She argues that when we look at his work through feminist eyes we discover that he is not primarily concerned with providing solutions to technical problems in the philosophy of (...) mind, mathematics, and language. Instead, his remarks on these topics are intended to offer insights about human finitude, the loneliness of the modern autonomous self, and our relations to other human beings. Thus, the modern conception of the individual emerges as the critical target of Wittgenstein's philosophical work, both early and late. This conception has also been one of the dominant concerns of contemporary feminist philosophy. In this book, Wittgenstein's insights are deployed to further feminist debates on issues such as identity, difference, the masculine character of the modern self. (shrink)

Logical metonymy resolution (begin a book begin reading a book or begin writing a book) has traditionally been explained either through complex lexical entries (qualia structures) or through the integration of the implicit event via post-lexical access to world knowledge. We propose that recent work within the words-as-cues paradigm can provide a more dynamic model of logical metonymy, accounting for early and dynamic integration of complex event information depending on previous contextual cues (agent and patient). We first present a self-paced (...) reading experiment on German subordinate sentences, where metonymic sentences and their paraphrased version differ only in the presence or absence of the clause-final target verb (Der Konditor begann die Glasur Der Konditor begann, die Glasur aufzutragen/The baker began the icing The baker began spreading the icing). Longer reading times at the target verb position in a high-typicality condition (baker + icing spread ) compared to a low-typicality (but still plausible) condition (child + icing spread) suggest that we make use of knowledge activated by lexical cues to build expectations about events. The early and dynamic integration of event knowledge in metonymy interpretation is bolstered by further evidence from a second experiment using the probe recognition paradigm. Presenting covert events as probes following a high-typicality or a low-typicality metonymic sentence (Der Konditor begann die Glasur AUFTRAGEN/The baker began the icing SPREAD), we obtain an analogous effect of typicality at 100 ms interstimulus interval. (shrink)

Notini et al 1 offer a timely addition in the wake of a significant increase in young people identifying as transgender and gender diverse. The authors focus specifically on the case of 18-year-old Phoenix’s request for ongoing puberty suppression to affirm a non-binary gender identity. A central issue raised by Phoenix’s predicament, and that I suggest we can extend to ethical consideration of requests for other types of medical intervention by binary and non-binary TGD individuals, is whether we should ‘affirm’ (...) the claims made by TGD young people about what promotes their well-being. As a clinician working with TGD young people who have undergone a range of medical interventions to align their bodies with their gender identity, my starting presumption is that it is important to respect what people think will help them: there are some TGD young people for whom, all things considered, medical interventions to affirm gender identity promote their well-being. Well-being has become an important conceptual currency in ethical debates and lies at the core of the authors’ analysis of Phoenix’s case. While the authors do not ground their argument in favour of OPS in a specific theory of well-being, welfarist considerations 2 appear to underpin …. (shrink)

Notini _et al_ 1 offer a timely addition in the wake of a significant increase in young people identifying as transgender and gender diverse. The authors focus specifically on the case of 18-year-old Phoenix’s request for ongoing puberty suppression to affirm a non-binary gender identity. A central issue raised by Phoenix’s predicament, and that I suggest we can extend to ethical consideration of requests for other types of medical intervention by binary and non-binary TGD individuals, is whether we should ‘affirm’ (...) the claims made by TGD young people about what promotes their well-being. As a clinician working with TGD young people who have undergone a range of medical interventions to align their bodies with their gender identity, my starting presumption is that it is important to respect what people think will help them: there are some TGD... (shrink)

Clinical ethics consultation, as an activity that may be provided by clinical ethics committees and consultants, is nowadays a well-established practice in North America. Although it has been increasingly implemented in Europe and elsewhere, no agreement can be found among scholars and practitioners on the appropriate role or approach the consultant should play when ethically problematic cases involving conflicts and uncertainties come up. In particular, there is no consensus on the acceptability of consultants making recommendations, offering moral advice upon request, (...) and expressing personal opinions. We translate these issues into the question of whether the consultant should be neutral when performing an ethics consultation. We argue that the notion of neutrality 1) functions as a hermeneutical key to review the history of CEC as a whole; 2) may be enlightened by a precise assessment of the nature and goals of CEC; 3) refers to the normative dimension of CEC. Here, we distinguish four different meanings of neutrality: a neutral stance toward the parties involved in clinical decision making, toward the arguments offered to frame the discussion, toward the values and norms involved in the case, and toward the outcome of decision making, that is to say the final decision and action that will be implemented. Lastly, we suggest a non-authoritarian way to intend the term “recommendation” in the context of clinical ethics consultation. (shrink)

This article investigates infrastructure spending from a biopolitical perspective and rethinks its connections to emerging regimes of securitization. Starting with a study of the organization and contestation of the G8/G20 summits in Toronto in June 2010, the analysis moves through the shifty territory of a governmental logic that is reconfiguring the body politics of civic participation, as well as the ways in which discourses on economic growth, property and public safety intertwine in the aftermath of the 2008 global financial crisis. (...) The case of Toronto shows significant changes to recent security practices, control techniques and funding arrangements. Rather than ‘war on terror’, ‘austerity and crisis’ are the new keywords sustaining current governmental rationality and the criminalization of dissent, which are no longer funded by defence budgets but by economic stimuli packages. This new rationality, while still relying on fear as an affective mode to mobilize masses, has exchanged a set of discourses on the clash of cultures or civilization for one on sacrifice. Following Foucault’s work on the government of populations and security, it is now possible to talk about ‘a sacrifice series’ to describe the series of elements that connect military or economic logics of securitization. (shrink)