A socialist health service in a non-socialist society may be forced to stress care and rescue rather than prevention, health maintenance or the promotion of better health and more equal health status. A socialist health service ought to be ‘integrated’. A socialist health service ought to provide universal and comprehensive care.

The classic formulation of causal decision theory (CDT) appeals to counterfactuals. It says that you should aim to choose an option that would have a good outcome, were you to choose it. However, this version of CDT faces trouble if the laws of nature are deterministic. After all, the standard theory of counterfactuals says that, if the laws are deterministic, then if anything—including the choice you make—were different in the present, either the laws would be violated or the distant past (...) would be changed. And as several authors have shown, it's easy to transform this upshot of the standard theory of counterfactuals into full-blown counterexamples to CDT. In response to these counterexamples, I argue here that the problem lies, not so much with CDT's guiding idea—that it's the expected causal consequences of your actions that matter for rational decision-making—but with the fact that the classic formulation of CDT doesn't pay sufficient attention to the context-sensitivity of counterfactuals. I develop a contextualist version of CDT which better accounts for this context-sensitivity. And I show that my theory avoids the problems faced by the classic formulation of CDT in determinstic worlds. (shrink)

A classic exposition of Kant's ethical thought.

This article argues that Maurice Blanchot is a significant presence in Bernard Stiegler's Technics and Time series. The article first sets out Stiegler's invocation of the Blanchotian ‘change of epoch’ in the first volume, which attempts to situate Blanchot within the horizon of technics. I argue Blanchot's disaster is a hidden element in Stiegler's play on the motifs of the star and catastrophe. The article then traces how these motifs emerge in the second and third volumes, in which the technical (...) forms of photography and cinema become more important and where the motifs are woven together through reference to works by Roland Barthes, D. W. Winnicott and Federico Fellini. Stiegler filters these references to apparently disparate figures through Blanchot's analyses of writing and temporality. Tracing both overt and unacknowledged references to Blanchot in Stiegler's text, I conclude that Stiegler's use of Blanchot destabilizes his conceptions of time and epochality. (shrink)

Jacques Lacan: The Basics provides a clear and succinct introduction to the work of Jacques Lacan, one of the key thinkers of the twentieth century. Lacan's ideas are applied in the study of the humanities, politics, and psychology as well as contemporary media and the arts, but their complexity makes them impenetrable to many. This book is unique in explaining the key concepts and context, from Lacan's understanding of psychoanalysis to drive and desire, in an accessible way without diluting them (...) beyond meaning. Examples from popular culture are used throughout to emphasise the ideas being discussed and a full glossary and list of resources for further reading encourages additional exploration. This engaging and accessible text is essential reading for all those interested in Lacan and his work, as well as students of psychology, psychoanalysis, literature, politics, cultural studies, film studies, and more. (shrink)

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work.This work is in the public domain in (...) the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work.As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

In this paper, I argue that a commitment to a very modest form of egalitarianism—equality between non-disabled human adults—implies fetal personhood. Since the most plausible bases for human value are in being human, or in a gradated property, and since the latter of which implies an inequality between non-disabled adult humans, I conclude that the most plausible basis for human equality is in being human—an attribute which fetuses have.

This essay represents the first formal attempt to identify themes of theosis within the Ethiopian Orthodox Tawāḥǝdo Church (EOTC). The first half explores four historical phases in the development of the doctrine of theosis: Ancient Pagan, Biblical, Patristic, and Medieval and Modern. It is argued that theosis finds strong support in the biblical corpus but that it is best to clarify which historical type one has in view due to its complex development. The second half of the paper considers themes (...) of theosis within three genres of Ethiopic literature: Hagiography, Liturgy, and National Epic. New discoveries and insights are leveraged in order to demonstrate that although theosis lacks a precise equivalent in Classical Ethiopic, the literature of the EOTC demonstrates a strong familiarity with the basic contours of the doctrine of deification. (shrink)

Following the debate in the UK House of Lords, in December 2012, uncertainty remains as to the manner in which human and non-human interspecies embryos are differentiated in law.

In a recent article, I argued that all humans are morally equal, and that this generates an argument against abortion. Here, I defend my argument against two objections from Räsänen: that it is possible to ground equal human value in the ability to flourish in a particular kind of way, and that being human is not, in fact, a binary property in the way needed for the argument to work. I show that this proposed criterion for grounding human value falls (...) prey to my original argument, and that Räsänen’s attempt to conceive of subhuman entities fails. (shrink)

In this paper, I explore one of the most important but least discussed components of an evidentialist case for or against theism: its intrinsic plausibility and simplicity as a theory aside from the evidence. This is a crucial consideration in any inductive framework, whether Inference to the Best Explanation, probabilism, or another. In the context of Bayesian reasoning, this corresponds to an assessment of theism's intrinsic probability. I offer a survey of how philosophers of science have attempted to evaluate the (...) intrinsic plausibility and simplicity of scientific theories more generally, before applying these considerations to the question of God's existence. (shrink)

An attempt to vindicate Retributivism as a moral theory has been made by Professor Winch in the context of a discussion of punishment and reward as non-institutional concepts. His method is to divorce the concepts from the institutions of punishment and reward by considering them as they feature in the recipient's consciousness. It is in the area of the agent's awareness of his relation to his past actions that Retributivism can be made to flourish again and its moral content revealed. (...) I am in sympathy with Winch's attempt to reinstate the theory but, whatever the strengths of his position, there seem to be insuperable difficulties for the approach that takes the recipient's state of mind as having priority over the institutions. I shall examine Winch's argument in order to show that the Utilitarian theory cannot be so easily jettisoned and that the truth would seem to lie in a compatibilism between the two. (shrink)

Several recent papers have suggested that the pro-life view entails a radical, implausible thesis: that miscarriage is the biggest public health crisis in the history of our species and requires radical diversion of funds to combat. In this paper, I clarify the extent of the problem, showing that the number of miscarriages about which we can do anything morally significant is plausibly much lower than previously thought, then describing some of the work already being done on this topic. I then (...) briefly survey a range of reasons why abortion might be thought more serious and more worthy of prevention than miscarriage. Finally, I lay out my central argument: that reflection on the wrongness of killing reveals that the norms for ending life and failing to save life are different, in such a way that could justify the prioritization of anti-abortion advocacy over anti-miscarriage efforts. Such an account can also respond to similar problems posed to the pro-lifer, such as the question of whom to save in a “burning lab” type scenario. (shrink)

While the traditional Christian teaching opposing abortion has been relatively unanimous until the twentieth century, it has been claimed in more recent decades that certain Biblical passages support the view that the fetus, or unborn child, has a lesser moral status than a born child, in a way that might support the permissibility of abortion. In this paper, I address the foremost three texts used to argue this point: Genesis 2:7; Exodus 21:22–25; and Numbers 5:11–31. I argue that interpreting the (...) former in the literal way necessary to support abortion leads to untenable moral and exegetical conclusions, indeed straightforwardly contradicting other Biblical texts. I then demonstrate that the most plausible readings of the other passages—on textual and contextual grounds—do not support a lesser moral status, one of the passages plausibly even supporting full moral status, for the unborn child. (shrink)

In this paper we offer an argument against supererogation and in favour of moral perfectionism. We argue three primary points: 1) That the putative moral category is not generated by any of the main normative ethical systems, and it is difficult to find space for it in these systems at all; 2) That the primary support for supererogation is based on intuitions, which can be undercut by various other pieces of evidence; and 3) That there are better reasons to favour (...) perfectionism, including competing intuitions about the good-ought tie-up, and the epistemic preference for theoretical simplicity. (shrink)

The thesis that animals feel a morally relevant kind of pain is an incredibly popular one, but explaining the evidence for this belief is surprisingly challenging. Michael Murray has defended neo-Cartesianism, the view that animals may lack the ability to feel pain in a morally relevant sense. In this paper, I present the reasons for doubting that animals feel morally relevant pain. I then respond to critics of Murray’s position, arguing that the evidence proposed more recently is still largely unpersuasive. (...) I end by considering the implications for moral discourse and praxis. (shrink)

Eugene Mills has recently argued that human organisms cannot begin to exist at fertilization because the evidence suggests that egg cells persist through fertilization and simply turn into zygotes. He offers two main arguments for this conclusion: that ‘fertilized egg’ commits no conceptual fallacy, and that on the face of it, it looks as though egg cells survive fertilization when the process is watched through a microscope. We refute these arguments and offer several reasons of our own to think that (...) egg cells do not survive fertilization, appealing to various forms of essentialism regarding persons, fission cases, and a detailed discussion of the biological facts relevant to fertilization and genetics. We conclude that it is plausible, therefore, that human organisms begin to exist at fertilization – or, at the very least, that there are grounds for thinking that they existed as zygotes which do not apply to the prior egg cells. While this does not entail that human persons begin to exist at this point, it nevertheless has considerable significance for this latter question. (shrink)

This highly original book_ _explores the idea and potential of psychology in the context of ethical theory, and the idea of ethics in the context of psychology. In so doing, it not only interrogates how we come to understand ethics and notions of right behaviour, but also questions the discipline of psychology and how it functions in the 21 st century. Neill turns psychology inside out, controversially suggesting that psychology no longer exists as we know it. He proposes a rebirth (...) of psychology based on an intricate and detailed examination of _who_ we really are, and how we come to structure this idea of ourselves. Taking the idea of ethics seriously, Neill allows us to see psychology in a totally new light, addressing key points, such as: The inadequacy of psychology to address the question of ethics throughout history. Why thinking through the question of ethics necessarily brings us into confrontation with a question of psychology. What we actually do when we do psychology and how, via a serious consideration of ethics we might do this differently and better. Ethics and Psychology presents readers with a new and potentially productive understanding of both ethics and psychology and will appeal to anyone active within and critically engaged with the field. (shrink)

Lacan's return to Descartes -- The graph of desire -- Objet petit a and fantasy -- Guilt -- The law -- Judgement -- Misrecognising the other -- Loving thy neighbour -- Beyond difference -- Ethics and the other -- The impossibility of ethical examples -- Eating the book.

Alvin Plantinga’s evolutionary argument against naturalism argues that the probability of our possessing reliable cognitive faculties, given the truth of evolution and naturalism, is low, and that this provides a defeater for naturalism, if the naturalist in question holds to the general truths of evolutionary biology. Stephen Law has recently objected to Plantinga’s evolutionary argument against naturalism by suggesting that there exist conceptual constraints governing the content a belief can have given its relationships to other things, including behaviour . I (...) show that Law’s objection fails, since it offers an auxiliary hypothesis to naturalism which is itself improbable. I consider multiple variants of the CC thesis, demonstrating that each is improbable, and that any weaker version with greater prior probability is compromised by a failure to render the relevant datum – the reliability of our cognitive faculties – probable. Thus, Law’s objection to Plantinga’s argument fails. (shrink)

I have recently offered a defence of human equality, and consequently an argument against abortion. This has been objected to by Bozzo, on the grounds that my account of human equality is unclear and could be grounded in utilitarian or Kantian ethics, that my account struggles to ground the permissibility of therapeutic abortions, and that my proposed foundation for human equality itself is parasitic on a scalar property which generates the same difficulties I am attempting to solve. I provide an (...) account of human equality which cannot easily be grounded in utilitarianism or Kantianism, offer a variety of defences of therapeutic abortion consistent with treating the mother and child equally, and show that even if the value of humanness is ultimately grounded in a scalar quality, my argument succeeds. (shrink)

Human germline genome editing is increasingly being seen as acceptable provided certain conditions are satisfied. Accordingly, genetic modifications would take place on eggs or sperm (or their prec...

BackgroundFidelity of implementation reflects whether an intervention was implemented in clinical practice according to the originally developed manual and is a key aspect in understanding intervention effectiveness. To illustrate this process of developing a fidelity measure, this study uses the Mini-AFTERc, a brief psychological intervention aimed at managing breast cancer patients’ fear of cancer recurrence, as an example.ObjectivesTo illustrate the development of an FOI measure through applying this process to the Mini-AFTERc intervention, by including the design of a scoring system (...) and rating criteria; content validating the FOI measure using thematic framework analysis as a qualitative approach; testing consistency of the FOI measure using interrater reliability.MethodsThe FOI measure was developed, its scoring system modified and the rating criteria defined. Thematic framework analysis was conducted to content validate the FOI measure using nine intervention discussions between four specialist cancer nurses and four breast cancer patients, and one simulated breast cancer patient. Intraclass-correlation was conducted to assess interrater reliability.ResultsThe qualitative findings suggested that the Mini-AFTERc FOI measure has content validity as it was able to measure all five components of the Mini-AFTERc intervention. The interrater reliability suggested a moderate to excellent degree of reliability among three raters, rICC = 0.84, 95% CI [0.51, 0.96].ConclusionThe study has illustrated the steps that an FOI measure can be developed through a systematic approach applied to the Mini-AFTERc intervention. The FOI measure was found to have content validity and was consistently applied, independently, by three researchers familiar with the Mini-AFTERc intervention. Future studies should determine whether similar levels of interrater reliability can be obtained by distributing written and/or video instructions to researchers who are unfamiliar with the FOI measure, using a larger sample. Employing developed and validated FOI measures such as the one presented for the Mini-AFTERc would facilitate implementation of interventions in the FCR field in clinical practice as intended.Clinical Trial Registrationwww.ClinicalTrials.gov, identifier: NCT03763825. (shrink)

This book is crucial reading for anyone interested in the politics of abortion in the United States of America and around the world. This is perhaps ironic since, as Laura Hussey demonstrates...

In medical ethics, a large body of work exists on the virtues that enable good medical practice. Medical virtue ethics singles out a number of virtues of the good doctor for attention; among others, these include empathy, care, truthfulness, and justice. According to medical ethicists like Pellegrino and Thomasma, however, phronesis, or “practical wisdom,” occupies a special place among these virtues. For Pellegrino and Thomasma, phronesis is “indispensable” to good medical practice, because it coordinates all the different moral virtues that (...) the doctor must bring to ethical decisions as part of wise moral action.... (shrink)

The advantages and risks of a number of new genome modifying procedures seeking to create healthy or enhanced individuals, such as Maternal Spindle Transfer, Pronuclear Transfer, Cytoplasmic Transfer and Genome Editing, are currently being assessed from an ethical perspective, by national and international policy organizations. One important aspect being examined concerns the effects of these procedures on different kinds of identity. In other words, whether or not a procedure only modifies the qualities or properties of an existing human being, meaning (...) that merely the qualitative identity of this single individual is affected, or whether a procedure results in the creation of a new individual, meaning that a numerically distinct human being would have come into existence. In this article, the different identity arguments proposed, so far, are presented with respect to these novel reproductive procedures. An alternative view is then developed using the Origin Essentialism argument to indicate that any cha... (shrink)