Professor Arda Denkel argues here that objects are nothing more than bundles of properties. From this point of view he tackles some central questions of ontology: how is an object distinct from others; how does it remain the same while it changes through time? A second contention is that properties are particular entities restricted to the objects they inhabit. The appearance that they exist generally, in a multitude of things, is due to the way we conceptualize them. Other problems (...) dealt with include how objects bear similarities by belonging to the same kinds, and how change in them is caused. Denkel defends a thoroughgoing particularism and offers purely qualitative accounts of individuation, identity, essences and matter. Throughout, the main alternative positions are surveyed, and the relevant historical background is traced. (shrink)

Once we assume that objects are bundles of tropes, we want to know how the latter cohere. Are they held together by a substratum, are they linked by external relations or do they cling to one another by internal relations? This paper begins by exploring the reasons for eliminating the first two suggestions. Defending that the third option can be made plausible, it advances the following thesis: Maintaining that tropes are held in a compresence by appropriately qualified internal relations avoids (...) the consequence that such properties will be essential to the object. The specific targets of the second part of the paper include, first, a more precise description of the notion of a cohesive internal relation, and second, an explanation of how alteration is possible in an object the particular properties of which hold together by qualified internal relations. (shrink)

Bu çalışma Machiavelli’nin politik düşünceleri ile devlet aklı öğretisi arasında kurulan sürekliliği tartışmayı amaçlamaktadır. Machiavelli’nin teolojik ve aşkın meşruiyet unsurlarına gönderimde bulunmadan fiili güç ilişkilerini kavramaya yönelen politik öğretisi onu modern politikanın başlangıç figürü haline getirmektedir. Politikanın fiili gerçekliğiyle kavranarak ahlaki ve dinsel olan karşısında özerkleşmesi, insani etkinliği politik olanın merkezine taşımaktadır. Geleneksel yoruma göre Machiavelli’nin etik-politik görüşleriyle politikanın yapay ortaklığına dair bu vurgusu, devlet aklı kuramının klasik formülasyonunu oluşturmaktadır. Düşünürün vefatı sonrası öğretisinin bütünsel olarak Makyavelizm kavramına indirgenmesi bu kavrayışı (...) güçlendirmektedir. Ancak ahlaki ve dini olanın politika karşısında yadsınması anlamına gelen devlet aklının ilksel formları bu teorik zeminle örtüşmemektedir. On altıncı yüzyılda, devlet aklı kuramını kavramsal hale getiren Botero Machiavelli’nin öğretisiyle zıt perspektif ileri sürmektedir. Botero, Machiavelli’den farklı olarak politikanın, ahlak ve din karşısında özerkliğini sorunsallaştırır ve birbirleriyle uyumlu hale getirmeye çalışır. Çalışmamız bu doğrultuda ilk amaç olarak devlet aklı kuramının on altıncı yüzyıl bağlamında Machiavelli sonrası problematiklerini değerlendirmeyi amaçlamaktadır. İkinci bir amaç olarak bu çalışmada Machiavelli’nin devlet anlayışının, Makyavelizm ilkesi ve devlet aklı kuramıyla ilişkisi ele alınacaktır. Bu iki tartışma hattının serimlenmesi Machiavelli’nin politik öğretisinde ve yaşadığı dönem içerisinde devlet aklı kuramıyla ilgisinin düzeylerine işaret etmeye olanak sağlayacaktır. (shrink)

Once we assume that objects are bundles of tropes, we want to know how the latter cohere. Are they held together by a substratum, are they linked by external relations or do they cling to one another by internal relations? This paper begins by exploring the reasons for eliminating the first two suggestions. Defending that the third option can be made plausible, it advances the following thesis: Maintaining that tropes are held in a compresence by appropriately qualified internal relations avoids (...) the consequence that such properties will be essential to the object. The specific targets of the second part of the paper include, first, a more precise description of the notion of a cohesive internal relation, and second, an explanation of how alteration is possible in an object the particular properties of which hold together by qualified internal relations. (shrink)

Contains twenty-one of the papers presented at the 3rd Islam and Bioethics International Conference held April 14-16, 2010, in Manavgat, Antalya, Turkey.

Mellor’s theory of time includes the doctrines that (a) objectively, time does not embody tense or temporal properties other than those contained in the B-series, (b) particular objects are endurers, and (c) objectively, time does not flow. I show that these theses cannot all be true together, and that one must be rejected. Since (a) is basic to Mellor’s approach, then assuming that he would not adopt a perdurantist ontology, it follows that he should give up (c). Denying (c), however, (...) is compatible with the essentials of his position. The falsity of (c) does not imply any version of the A-theory, and the B-theory can allow for the motion of diachronically identical entities through the dates over which their careers extend. (shrink)

What gives representation its democratic essence? The recent democratic theory literature, particularly spearheaded by Nadia Urbinati, defends representative mediation as a facilitator of ongoing democratic contestation and revision. While I agree with this agonistic defence, I take issue with how Urbinati construes it. For her, representative contestation works in the teleological sense of testing opinions over time and sublimating them into ideological forms as a safeguard against the threat of immediacy. This article locates the traces of such presentism within Urbinati’s (...) own teleological framework, which I see as compromising her commitment to the agonistic vein in representative politics. When our relationship to the future is imagined from such a teleological angle, I argue, the scope of our representative options becomes significantly narrowed down and the possibility of beginning anew looks quite slim. I develop this critique by tapping into Jacques Derrida’s affirmation of untimeliness. (shrink)

Prof. Berna Arda, is a graduate of Ankara University Faculty of Medicine 1987, has medical specialty and PhD degrees in History of Medicine and Ethics and, teaches at the Department of Medical Ethics and History of Medicine in Ankara University Faculty of Medicine, Ankara, Turkey. Her main research and publication fields are science ethics, human rights, woman and bioethics, medical law, ethics education and disease concept in history of medicine. She was a visiting scientist at Boston Children’s Hospital and (...) Harvard Medical School, between February - July 2015 and a guest professor at the University College of London, History of Medicine Center, between January and June 2008. She is the founder chairperson of Turkish Bioethics Society, Member of High Disciplinary Committee of Turkish Medical Association. Governor, Vice President and Executive Committee member of World Association for Medical Law, one of the founders and the first president of International Association for Education in Ethics. (shrink)

Publication ethics, an important subtopic of science ethics, deals with determination of the misconducts of science in performing research or in the dissemination of ideas, data and products. Science, the main features of which are secure, reliable and ethically obtained data, plays a major role in shaping the society. As long as science maintains its quality by being based on reliable and ethically obtained data, it will be possible to maintain its role in shaping the society. This article is devoted (...) to the presentation of opinions of PhD candidate students in health sciences in Ankara concerning publication ethics. The data obtained from 143 PhD students from the fields of medicine, dentistry, pharmacy and veterinary reveal limited but unique experiences. It also shows that plagiarism is one of the worst issues in the publication ethics from the perspective of these young academics. (shrink)

The current debate that surrounds the issue of patient rights and the transformation of health care, social insurance, and reimbursement systems has put the topic of patient responsibility on both the public and health care sectors' agenda. This climate of debate and transition provides an ideal time to rethink patient responsibilities, together with their underlying rationale, and to determine if they are properly represented when being called `patient' responsibilities. In this article we analyze the various types of patient responsibilities, identify (...) the underlying motivations behind their creation, and conclude upon their sensibleness and merit. The range of patient responsibilities that have been proposed and implemented can be reclassified and placed into one of four groups, which are more accurate descriptors of the nature of these responsibilities. We suggest that, within the framework of a free-market system, where health care services are provided based on the ability to pay for them, none of these can properly be justified as a patient responsibility. (shrink)

All prospective studies and purposes to improve cure and create a race that would be exempt of various diseases and disabilities are generally defined as eugenic procedures. They aim to create the "perfect" and "higher" human being by eliminating the "unhealthy" prospective persons. All of the supporting actions taken in order to enable the desired properties are called positive eugenic actions; the elimination of undesired properties are defined as negative eugenics. In addition, if such applications and approaches target the public (...) as a whole, they are defined as macro-eugenics. On the other hand, if they only aim at individuals and/or families, they are called micro-eugenics. As generally acknowledged, Galton re-introduced eugenic proposals, but their roots stretch as far back as Plato. Eugenic thoughts and developments were widely accepted in many different countries beginning with the end of the 19 th to the first half of the 20 th centuries. Initially, the view of negative eugenics that included compulsory sterilizations of handicapped, diseased and "lower" classes, resulted in tens of thousands being exterminated especially in the period of Nazi Germany. In the 1930s, the type of micro positive eugenics movement found a place within the pro-natalist policies of a number of countries. However, it was unsuccessful since the policy was not able to become effective enough and totally disappeared in the 1960s. It was no longer a fashionable movement and left a deep impression on public opinion after the long years of war. However, developments in genetics and its related fields have now enabled eugenic thoughts to reappear under the spotlight and this is creating new moral dilemmas from an ethical perspective. Content Type Journal Article Pages 20-26 Authors Güvercin CH, Medical Ethics and History of Medicine, Ankara University Health Sciences Institute, Turkey Arda B, School of Medicine, Ankara University, Turkey Journal Human Reproduction & Genetic Ethics Online ISSN 2043-0469 Print ISSN 1028-7825 Journal Volume Volume 14 Journal Issue Volume 14, Number 2 / 2008. (shrink)

This article considers reasons for and reasons against postulating substrata in ontology, and argues that the case against amounts to a refutation.

The randomised controlled trial (RCT) constitutes a quantitative, comparative, controlled study of a particular treatment, and provides invaluable evidence regarding its pharmacotherapeutic efficacy. These studies are generally predicated upon the ethical principle of clinical equipoise. However, this may be insufficient to justify withholding treatment from a control group while assessing drug therapy in a potentially fatal disease. Thus, the criteria for randomisation, informed consent methodology and timing, and consideration of treatment options in such a scenario remain the province of medical (...) ethics. This paper addresses the need for an RCT of ribavirin in the treatment of Crimean Congo haemorrhagic fever, and highlights underlying ethical concerns in light of the current medical, virological and ethical literature. (shrink)

In Turkey, there was no legal regulation of research on human beings until 1993. In that year “the amendment relating to drug researches” was issued. The main objectives of the regulation are to establish a central ethics committee and local ethics committees, and to provide administrative control.There are no compulsory clinical ethics lectures in the medical curriculum, so it is also proposed that research ethics committees play a central educational role by helping physicians to be aware of moral problems and (...) by contributing to the training of research teams. (shrink)

In this paper I will combat the claim that concrete matter can exist independently of objecthood. This view is a denial of the Aristotelian principles that only particular objects exist apart, and that as a condition of concreteness, matter must have acquired form. For, it propounds that matter can be concrete and general.

This article considers reasons for and reasons against postulating substrata in ontology, and argues that the case against amounts to a refutation.

Advances in medical technology and information have facilitated clinical practices that favourably affect the success rates of treatment for diseases. Regenerative medicine has been the focus of the recent medical agenda, to the extent of fundamentally changing treatment paradigms. Stem cell practices, their efficacy, and associated ethical concerns have been debated intensively in many countries. Stem cell research is carried out along with the treatment of patients. Thus, various groups affected by the practices inevitably participate in the discussions. In addition (...) to discussions based on avoiding any harm, providing benefits and respecting personal autonomy and justice, problems arise owing to the lack of legal regulations for stem cell research and practice. The dimensions of the problems vary in the developing countries, with widespread use of advanced medical technology but with lack of sources allocated for healthcare, dominance of paternalistic physician–patient relationships and failure to achieve a sufficient level of awareness of patients’ rights. This article discusses the current situation of stem cell practices within the context of regenerative medicine in Turkey and ethical concerns about some of the legal regulations, such as the Regulation for Umblical Cord Blood Banking and Guidelines for Non-embryonic Stem Cell Study for Non-clinical Purposes directing the research on this issue. (shrink)

Advances in medical technology and information have facilitated clinical practices that favourably affect the success rates of treatment for diseases. Regenerative medicine has been the focus of the recent medical agenda, to the extent of fundamentally changing treatment paradigms. Stem cell practices, their efficacy, and associated ethical concerns have been debated intensively in many countries. Stem cell research is carried out along with the treatment of patients. Thus, various groups affected by the practices inevitably participate in the discussions. In addition (...) to discussions based on avoiding any harm, providing benefits and respecting personal autonomy and justice, problems arise owing to the lack of legal regulations for stem cell research and practice. The dimensions of the problems vary in the developing countries, with widespread use of advanced medical technology but with lack of sources allocated for healthcare, dominance of paternalistic physician–patient relationships and failure to achieve a sufficient level of awareness of patients’ rights. This article discusses the current situation of stem cell practices within the context of regenerative medicine in Turkey and ethical concerns about some of the legal regulations, such as the Regulation for Umblical Cord Blood Banking and Guidelines for Non-embryonic Stem Cell Study for Non-clinical Purposes directing the research on this issue. (shrink)

Regarding the identity of artifacts in time, four positions may be discerned: first, the view reducing the continuing identity of an object to the continuing identity of its parts; second, the more generally accepted position that spatiotemporal continuity under a kind is necessary; third, the claim that while continuity is not a necessary condition, the sameness of parts and the sameness of form are sufficient together; and fourth, the suggestion that continuity of form is a sufficient and non-defeasible condition for (...) reidentifying artifacts. Others such as Scaltsas believe that the different conditions claimed to be sufficient by the views mentioned are, in fact, only criteria of identity applicable in different circumstances, and that no sharply defined hierarchy can be said to hold between them. (shrink)

Aristotelian notions such as matter, form and substance should be used carefully; not only is the rich tradition in their background marked by variety of interpretation, even Aristotle's own use of these concepts is far from uniform. In his different works, matter, form and substance display contents that do not always agree. There is reason for believing that in the Metaphysics Zeta the notion of form embodies essence, and that accordingly something without essence does not qualify as substance. This cannot (...) be generalized or regarded as Aristotle's standard view, however, for in the Physics there are contexts in which the form is not conceived as essence. There, “the form or shape” is the arrangement of the substance's parts, or the object's shape, in addition to either all or some of its qualities. Outside the Metaphysics, substance, too, seems to be a less distinguished entity. In the Physics, and especially in the Categories, substance is anything capable of independent existence, any particular concrete thing that is a bearer of attributes. To the extent that our modern “object” corresponds to Aristotle's primary substance, it has a similar polysemy. While in some contexts it will mean an articulated object belonging to a specific kind, in others it will denote bodies without organized structure, that is, it will have as extension the particular bits and pieces that fill the world. A similar diversity applies to matter. When understood, for example, as a chunk out of which an artist casts her statue, matter is an object, a body, itself endowed with a boundary and a multitude of properties. But matter can be much simpler than that; it can be a plain homoeomere, a mere element, or as in prime matter, may lack every actual attribute. When in my “Matter and Objecthood” I criticized Henry Laycock's views propounded in “Some Questions of Ontology” I found comparable ambiguities transposed to contemporary discourse. In the paper just cited, Laycock examines the ontic status of matter, contrasting it with objects as particular concrete things; throughout his discussion no radical distinction is made between articulated objects and unorganized bodies. In my criticism I employed ‘object’ in the same inclusive sense. (shrink)

Interventions in medicine require multicenter clinical trialson a large rather than limited number of subjects from various genetic and cultural backgrounds. International guidelines to protect the rights and well-being of human subjects involved in clinical trialsarecriticizedforthe priority they place on Western cultural values. These discussions become manifest especially with regard to the content and methodology of the informed consent procedure. The ethical dilemma emerges from the argument that there are fundamental differences about the concept of respect for the autonomy of (...) individuals in different cultures and religions. Some communities prioritize the consent of community leaders or the head of family –usually men – over the voluntary and free consent of the individual. The aim of this work is to discuss this ethical dilemma to determine a base for a consensus that satisfies the sensibilities of different cultures without damaging the rights and autonomy of human subjects. (shrink)

In recent years, decision-making processes related to medical practices have undergone a change from physician paternalism towards patient autonomy. However, it has been put forward that this situation has changed into or strengthened the parent paternalism for children. Parental paternalism might bring along decisions of refusing the child’s treatment, in such a way to occasionally violate the health right of the child. Paternalistic attitude of parents may also cause physicians to direct towards defensive medicine practices and to display a tendency (...) of avoiding legal liability rather than the benefit of the patient. Coming to the decision of the parent on refusing the child’s treatment together defensive medicine approach of the physician and an environment, where the legal protection mechanisms for the child are not efficient enough, causes serious violations of health rights. International contracts and national law require the protection of the child’s best interest in all cases. In that case, parent’s decision on refusing treatment of the child should be restricted within the scope of the child’s best interest and healthy life right. (shrink)

In this article, we examine the shifting roles played by non-state actors in governing areas of limited statehood. In particular, we focus on the emergence of voluntary grassroots organizations in Palestine and describe how regimes of international development aid transformed these organizations into professional nongovernmental organizations (NGOs) that created new forms of colonial control. Based on in-depth interviews with 145 NGO members and key stakeholders and a historical analysis of limited statehood in Palestine, we found that social relations became disembedded (...) from the local context and re-embedded in new relations with international donor organizations resulting in a depoliticized public sphere. NGOization of the economy also resulted in new forms of exclusion and inclusion as well as contestations between a new class of urban middle-class professionals working in NGOs and the older generation of activists who were involved in grassroots organizations. Our findings have implications for business and human rights and governance in areas of limited statehood, in particular how private actors such as NGOs are able to exercise power in the economy. (shrink)

The aim of this study is to review the inquiry process used in scientific misconduct cases in the Ankara Chamber of Medicine between the years 1998 and 2012. The violations of the “Disciplinary Regulations of the Turkish Medical Association” have been examined by keeping the names of the people, institutions, associations and journals secret. In total, 31 files have been studied and 11 of these files have been identified as related to scientific misconduct. The methods of inquiry, the decisions about (...) the need for an investigation process, the types of scientific misconduct, and the adjudication processes have all been reported. Furthermore, the motives of researchers who made allegations, the study approaches of investigators, and the objections to the decisions about guilt and innocence have also been examined. Based on the findings obtained, the reasons for scientific misconduct and the distribution of responsibilities among the people in the inquiry process have been discussed. A major conclusion is the need to standardize the process of conducting inquiries about scientific misconduct cases for the regional chambers of medicine in Turkey. (shrink)

Artificial intelligence is among the fastest developing areas of advanced technology in medicine. The most important qualia of AI which makes it different from other advanced technology products is its ability to improve its original program and decision-making algorithms via deep learning abilities. This difference is the reason that AI technology stands out from the ethical issues of other advanced technology artifacts. The ethical issues of AI technology vary from privacy and confidentiality of personal data to ethical status and value (...) of AI entities in a wide spectrum, depending on their capability of deep learning and scope of the domains in which they operate. Developing ethical norms and guidelines for planning, development, production, and usage of AI technology has become an important issue to overcome these problems. In this respect three outstanding documents have been produced:1. The Montréal Declaration for Responsible Development of Artificial Intelligence2. Ethics Guidelines for Trustworthy AI3. Asilomar Artificial Intelligence PrinciplesIn this study, these three documents will be analyzed with respect to the ethical principles and values they involve, their perspectives for approaching ethical issues, and their prospects for ethical reasoning when one or more of these values and principles are in conflict. Then, the sufficiency of these guidelines for addressing current or prospective ethical issues emerging from the existence of AI technology in medicine will be evaluated. The discussion will be pursued in terms of the ambiguity of interlocutors and efficiency for working out ethical dilemmas occurring in practical life. (shrink)

A half century ago electronic fetal monitoring was rushed into clinical use with the promise that the secrets of fetal heart rate decelerations had been discovered and that the newly discovered knowledge would prevent cerebral palsy with just in time cesarean sections preventing babies from experiencing asphyxia, which was thought to be the primary cause of cerebral palsy. In the years since electronic fetal monitoring’s debut, it has been discovered that asphyxia is a rare cause of cerebral palsy. At the (...) same time electronic fetal monitoring use increased to 85% of all labors, the C-section rate increased to 33% without an attributable decrease in the rate of cerebral palsy. What went wrong with electronic fetal monitoring? The answer lies in a new analysis of the physiologic theories concerning fetal heart rate decelerations, demonstrating that the earlier electronic fetal monitoring theories were wrong. This revelation is only the latest evidence that electronic fetal monitoring use today... (shrink)

The particular dynamics of public health emergencies urge scientists and Ethics Committee (EC) members to change and adapt their operating procedures to function effectively. Despite having previous pandemic experiences, ethics committees were unprepared to adapt to COVID-19 pandemic challenges. This survey aims to learn and thoroughly discuss the most salient issues for ECs during the COVID-19 pandemic. The results indicate that the main problems faced by ECs were lack of/insufficient regulations, lack of data/experience/knowledge, sloppy review, poor research design, and poor (...) adaptation to quarantine measures. Coping with factors that threaten the autonomy and independence of ECs, the ethical dilemma regarding maximizing common good versus protecting the rights and well-being of study participants, comprehending the change in the context of vulnerable populations, and redefining the role of ECs to strengthen trust in science and vaccine confidence were outstanding issues. (shrink)