‘First. That on October 23, in the city of New York, your relator was arrested by divers persons claiming to be acting by authority of the government of the United States, and was by said persons conveyed to the United States immigration station at Ellis island, in the harbor of New York, and is now there imprisoned by the commissioner of immigration of the port of New York.

I argue that our best science supports the rationalist idea that, independent of reasoning, emotions aren’t integral to moral judgment. There’s ample evidence that ordinary moral cognition often involves conscious and unconscious reasoning about an action’s outcomes and the agent’s role in bringing them about. Emotions can aid in moral reasoning by, for example, drawing one’s attention to such information. However, there is no compelling evidence for the decidedly sentimentalist claim that mere feelings are causally necessary or sufficient for making (...) a moral judgment or for treating norms as distinctively moral. I conclude that, even if moral cognition is largely driven by automatic intuitions, these shouldn’t be mistaken for emotions or their non-cognitive components. Non-cognitive elements in our psychology may be required for normal moral development and motivation but not necessarily for mature moral judgment. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Conversion and Religious Identity in Buddhism and ChristianityJohn D'Arcy MayA Benedictine abbey that has been involved in exchanges with Buddhist monks since 1979 was an appropriate setting for serious discussion of double identity and change of identity between Buddhists and Christians. The European Network holds its conferences every two years, and after experiencing the Benedictine hospitality of St.Ottilien once again it was decided that every second conference should (...) be held here in the future, with the intervening ones in different centers throughout Europe. Br.Josef Götz OSB introduced the conference by telling the story of the intermonastic encounters with monks of the Soto, Rinzai, and Shingon traditions over the last twenty-five years at St. Ottilien. Participants in these agreed that they had never learned so much about their own traditions as when they were engaged in dialogue at a spiritual and experiential level with their monastic "others." One Zen monk told the Benedictines, "Working with your carpenter, I understand Christianity," and another asked for baptism in order to participate more fully in the liturgy.The situation in the Buddhist countries of Asia, however, is not necessarily so harmonious, as reports by Fr. Thomas Timpte OSB from Korea and Dr. Elizabeth Harris from Sri Lanka made clear. Just to hear about the religious situation in South Korea, the "great unknown" of East Asian Buddhism, was worthwhile. Though four traditions—Shamanism, Buddhism with elements of Daoism, Confucianism, and Christianity—coexist largely peacefully, the advent of Christianity caused tensions arising from both persecutions and conversions. Though many Koreans would find no contradiction in being both Confucianist (at least in a cultural sense) and Christian, Buddhism itself is coming to be seen as a cultural phenomenon, and those earnestly seeking peace of heart turn to Christianity. Almost half the members of [End Page 189] parliament are either Catholic or Protestant, though there is little evidence of Christian ethics in political practice. Nevertheless, Buddhism is now the fastest-growing religion, as Catholics in particular find themselves attracted to the temple environment, which is experienced as "a kind of homecoming." "Christian in the head, Shamanist in the belly, Buddhist in the heart," though a simplification, sums up the situation.In Sri Lanka, on the other hand, things are considerably more fraught, and with the passage of anticonversion legislation the conference theme of conversion and identity is a charged topic. Elizabeth Harris illustrated the lengths to which certain Christians are prepared to go to win converts, such as working the camps of tsunami survivors. Though British evangelical missionaries had originally been afforded remarkable hospitality by the Buddhists—even being invited to preach in temples —their insistence that if Christianity is right, Buddhism must be wrong polarized relations, and the great public debate of 1815 still sets a precedent. Thus even for contemporary Christian inheritors of the fusion of the European Enlightenment with evangelical Christianity, both the conviction of sin and rational argument assure the superiority of Christianity. In the ethnic conflict presently raging, the religions are "not innocent," with Tamils and Christians being conflated into the "other" against which Sinhalese antipathy is directed. This is all the more tragic in that most Sri Lankan Buddhists accept the traditional ethic of tolerance.Jørgen Skov Sørensen and Kajsa Ahlstrand illuminated the religious situation in Scandinavia from different perspectives. Sørensen reflected on the "soft boundaries" that actually exist in many pluralistic societies, something that puzzled both civil servants and missionaries even in colonial India. There is a danger that contemporary Christians will try to impose the same unambiguous boundaries on postmodern Europe as they did in their former colonies. Ahlstrand's report on an empirical study done in Sweden showed how unrealistic this is. Dual identity as both Buddhist and Christian was more common than complete identification with either, and 42 percent of those who identified completely with Christianity said they did not believe in God!The centerpiece of the conference was a vigorous debate between Paul Williams, a prominent British Buddhist and professor of Indian and Tibetan philosophy who announced his conversion to Catholicism in a provocative book, The Unexpected Way, and two protagonists who disagreed with his reasoning from... (shrink)

The principle of discrimination (or distinction, as it is sometimes called in legal circles) requires that soldiers treat civilians differently from fellow soldiers, generally not attacking the former except in extreme situations. The Geneva Conventions call for a clear separation of people into two camps: those who are protected from assault, including army medical personnel, injured soldiers, prisoners of war, and civilians on the one hand, and soldiers actively engaged in hostilities on the other hand. Since the Middle Ages, it (...) has been common to differentiate these people into two large groups, although there has not been wide agreement about which of the following groups were the most salient: civilians versus soldiers; noncombatants versus combatants; or the innocent versus the non-innocent (the guilty). In this chapter, I will argue that the principle of discrimination or distinction is most plausibly defended as an extension of the principle of humane treatment, and only on that basis is it to be seen as providing a nonutilitarian basis for deciding how to act during war. (shrink)

This issue provides readers the opportunity to broaden understanding of methods used in applied ethics. We hope you will be inspired to decide on which method, or a combination of different ones, to use towards achieving reflective balance that can enhance understanding of all considerations relevant to deciding what should be done. Like tools, methods are used because they are well suited to the task we seek to accomplish.

In lieu of an abstract, here is a brief excerpt of the content:Conversion and Religious Identity in Buddhism and ChristianityJohn D'Arcy MayA Benedictine abbey that has been involved in exchanges with Buddhist monks since 1979 was an appropriate setting for serious discussion of double identity and change of identity between Buddhists and Christians. The European Network holds its conferences every two years, and after experiencing the Benedictine hospitality of St.Ottilien once again it was decided that every second conference should (...) be held here in the future, with the intervening ones in different centers throughout Europe. Br.Josef Götz OSB introduced the conference by telling the story of the intermonastic encounters with monks of the Soto, Rinzai, and Shingon traditions over the last twenty-five years at St. Ottilien. Participants in these agreed that they had never learned so much about their own traditions as when they were engaged in dialogue at a spiritual and experiential level with their monastic "others." One Zen monk told the Benedictines, "Working with your carpenter, I understand Christianity," and another asked for baptism in order to participate more fully in the liturgy.The situation in the Buddhist countries of Asia, however, is not necessarily so harmonious, as reports by Fr. Thomas Timpte OSB from Korea and Dr. Elizabeth Harris from Sri Lanka made clear. Just to hear about the religious situation in South Korea, the "great unknown" of East Asian Buddhism, was worthwhile. Though four traditions—Shamanism, Buddhism with elements of Daoism, Confucianism, and Christianity—coexist largely peacefully, the advent of Christianity caused tensions arising from both persecutions and conversions. Though many Koreans would find no contradiction in being both Confucianist (at least in a cultural sense) and Christian, Buddhism itself is coming to be seen as a cultural phenomenon, and those earnestly seeking peace of heart turn to Christianity. Almost half the members of [End Page 189] parliament are either Catholic or Protestant, though there is little evidence of Christian ethics in political practice. Nevertheless, Buddhism is now the fastest-growing religion, as Catholics in particular find themselves attracted to the temple environment, which is experienced as "a kind of homecoming." "Christian in the head, Shamanist in the belly, Buddhist in the heart," though a simplification, sums up the situation.In Sri Lanka, on the other hand, things are considerably more fraught, and with the passage of anticonversion legislation the conference theme of conversion and identity is a charged topic. Elizabeth Harris illustrated the lengths to which certain Christians are prepared to go to win converts, such as working the camps of tsunami survivors. Though British evangelical missionaries had originally been afforded remarkable hospitality by the Buddhists—even being invited to preach in temples —their insistence that if Christianity is right, Buddhism must be wrong polarized relations, and the great public debate of 1815 still sets a precedent. Thus even for contemporary Christian inheritors of the fusion of the European Enlightenment with evangelical Christianity, both the conviction of sin and rational argument assure the superiority of Christianity. In the ethnic conflict presently raging, the religions are "not innocent," with Tamils and Christians being conflated into the "other" against which Sinhalese antipathy is directed. This is all the more tragic in that most Sri Lankan Buddhists accept the traditional ethic of tolerance.Jørgen Skov Sørensen and Kajsa Ahlstrand illuminated the religious situation in Scandinavia from different perspectives. Sørensen reflected on the "soft boundaries" that actually exist in many pluralistic societies, something that puzzled both civil servants and missionaries even in colonial India. There is a danger that contemporary Christians will try to impose the same unambiguous boundaries on postmodern Europe as they did in their former colonies. Ahlstrand's report on an empirical study done in Sweden showed how unrealistic this is. Dual identity as both Buddhist and Christian was more common than complete identification with either, and 42 percent of those who identified completely with Christianity said they did not believe in God!The centerpiece of the conference was a vigorous debate between Paul Williams, a prominent British Buddhist and professor of Indian and Tibetan philosophy who announced his conversion to Catholicism in a provocative book, The Unexpected Way, and two protagonists who disagreed with his reasoning from... (shrink)

BackgroundAt the start of 2021, oncologists lacked the necessary scientific knowledge to adapt their clinical practices optimally when faced with cancer patients refusing or reluctant to be vaccinated against COVID-19, despite the marked vulnerability of these patients to severe, and even fatal forms of this new viral infectious disease. Oncologists at Foch Hospital were confronted with this phenomenon, which was observed worldwide, in both the general population and the population of cancer patients.MethodsBetween April and November 2021, the Ethics and Oncology (...) Departments of Foch Hospital decided to investigate this subject, through an empirical and interdisciplinary study in bioethics. Our scientific objective was to try to identify and resolve the principal bio-ethical issues, with a view to improving clinical practices in oncology during future major pandemics of this kind, from a highly specific bio-ethical standpoint. We used a mainly qualitative methodological approach based on questionnaires and interviews.ResultsIn April 2021, 29 cancer patients refused or were reluctant to be vaccinated. Seventeen of these patients said that making vaccination mandatory would have helped them to accept vaccination. In October 2021, only 10 cancer patients continued to maintain their refusal. One of the main reasons for the decrease in refusals was probably the introduction of the “pass sanitaire” in July 2021, which rendered vaccination indispensable for many activities. However, even this was not sufficient to convince these 10 cancer patients.ConclusionWe identified a key bio-ethical issue, which we then tried to resolve: vaccination policy. We characterized a major tension between “the recommendation of anti-COVID-19 vaccination” and “free will”, and the duty to “protect each other”. Mandatory vaccination, at least in France, could resolve this tension, with positive effects on quality of life, or survival, in cancer patients initially refusing or reluctant to be vaccinated, but only if collective and individual scales are clearly distinguished. (shrink)

As this passage from a recent book on the psychology of decision-making indicates, deciding seems to be part of our daily lives. But what is it to decide to do something? It may be true, as some philosophers have claimed, that to decide to A is to perform a mental action of a certain kind – specifically, an action of forming an intention to A. (Henceforth, the verb ‘form’ in this context is to be understood as an action verb.) Even (...) if this is so, we are faced with pressing questions. Do we form all of our intentions? If not, how does forming an intention differ from other ways of acquiring one? Do we ever, in fact, form intentions, or do we rather merely acquire them in something like the way we acquire beliefs or desires? These are some of the questions that will occupy me here. My aim is to clarify the nature of deciding to act and to make a case for the occurrence of genuine acts of intention formation. (shrink)

The precautionary principle may offer an appropriate framework for conducting in‐depth participatory technology assessment (PTA)‐type evaluations. It also holds considerable promise for responsible research and innovation (RRI). The precautionary principle is made up of several different elements and principles. This chapter considers these components, noting from the outset that they relate essentially to scientific evaluation. Probabilities are not particularly helpful in the context of the precautionary principle due to the levels of uncertainty with regard to knowledge of phenomena. In this (...) context, various forms of scenarios, narratives and unjustified inferences are particularly relevant. The chapter also considers more precise ways of identifying decision pathways in uncertain situations, where there is a risk of causing serious and/or irreversible damage, to use the terms given in various definitions of the precautionary principle. This decision can be made using: a utility‐based criterion, right‐based criteria, technology‐based criteria, and hybrid criteria. (shrink)

In the western healthcare, shared decision making has become the orthodox approach to making healthcare choices as a way of promoting patient autonomy. Despite the fact that the autonomy paradigm is poorly suited to paediatric decision making, such an approach is enshrined in English common law. When reaching moral decisions, for instance when it is unclear whether treatment or non-treatment will serve a child’s best interests, shared decision making is particularly questionable because agreement does not ensure moral validity. With reference (...) to current common law and focusing on intensive care practice, this paper investigates what claims shared decision making may have to legitimacy in a paediatric intensive care setting. Drawing on key texts, I suggest these identify advantages to parents and clinicians but not to the child who is the subject of the decision. Without evidence that shared decision making increases the quality of the decision that is being made, it appears that a focus on the shared nature of a decision does not cohere with the principle that the best interests of the child should remain paramount. In the face of significant pressures toward the displacement of the child’s interests in a shared decision, advantages of a shared decision to decisional quality require elucidation. Although a number of arguments of this nature may have potential, should no such advantages be demonstrable we have cause to revise our commitment to either shared decision making or the paramountcy of the child in these circumstances. (shrink)

Suffering patients (when able), grieving families and compassionate physicians have always sought the least detrimental alternative while deciding care in the face of tragedy. Modern medical technology has brought great benefits to patients but has blurred traditional concepts of life and death and created new dilemmas for practising doctors. While this technology has given doctors great control over living and dying, their dominance in critical decision making is being challenged. More and more their decisions are liable to public and legal (...) scrutiny, intense publicity by the news media and exploitation by lobbyists with opposing aims. Increasing pressure of this kind may deflect the physician form his primary responsibility to patients and their families. For infants with gross malformations or a distressing terminal illness we believe that the parents and their doctors must be allowed primary decisional power even if the chosen course of action involves the death of the infant. Choices for death should be permitted but only after suitable family and professional consultation. Some general guidelines are suggested. As these situations are so varied and so complex, much latitude in decision-making should be expected and tolerated. (shrink)

This paper defends direct activism-the view that it is possible to form beliefs in a causally direct way. In particular, it addresses the charge that direct activism entails voluntarism-the thesis that we can form beliefs at will. It distinguishes weak and strong varieties of voluntarism and argues that, although direct activism may entail the weak variety, it does not entail the strong one. The paper goes on to argue that strong voluntarism is non-contingently false, sketching a new argument for that (...) conclusion. This argument does not tell against the weak form of voluntarism, however, and the final part of the paper argues that weak voluntarism, and consequently direct activism, remains a coherent and defensible position. (shrink)

We study the class of l-groups of the form C with X an essential P-space. Many such l-groups are non-projectable and their elementary theories may often be reduced to that of an associated Boolean algebra with distinguished ideal. In this paper we establish the decidability of the theories of two classes of such l-groups via corresponding results for the associated structures.

We give resource bounded versions of the Completeness Theorem for propositional and predicate logic. For example, it is well known that every computable consistent propositional theory has a computable complete consistent extension. We show that, when length is measured relative to the binary representation of natural numbers and formulas, every polynomial time decidable propositional theory has an exponential time (EXPTIME) complete consistent extension whereas there is a nondeterministic polynomial time (NP) decidable theory which has no polynomial time complete consistent extension (...) when length is measured relative to the binary representation of natural numbers and formulas. It is well known that a propositional theory is axiomatizable (respectively decidable) if and only if it may be represented as the set of infinite paths through a computable tree (respectively a computable tree with no dead ends). We show that any polynomial time decidable theory may be represented as the set of paths through a polynomial time decidable tree. On the other hand, the statement that every polynomial time decidable, relative to the tally representation of natural numbers and formulas, is equivalent to P = NP. For predicate logic, we develop a complexity theoretic version of the Henkin construction to prove a complexity theoretic version of the Completeness Theorem. Our results imply that that any polynomial space decidable theory △ possesses a polynomial space computable model which is exponential space decidable and thus △ has an exponential space complete consistent extension. Similar results are obtained for other notions of complexity. (shrink)

Three classes of decidable discrete linear orders with varying degrees of effectiveness are investigated. We consider how a classical order type may lie in relation to these three classes, and we characterize by their order types elements of these classes that have effective nontrivial self-embeddings.

This paper focuses on one objection to the use of reproductive genetic technologies (RGTs): the argument known as the expressivist objection. According to this argument, the choice to use reproductive genetic technologies to prevent the birth of individuals with disabilities is an expression of disvalue for existing people with disability. Many have been persuaded by this impassioned perspective. This paper shows that this argument is misguided and so does not constitute a sound objection to the use of RGTs to prevent (...) disability in future children. It first identifies some responses to the objection that may be sound but not completely convincing to proponents of the expressivist position. It then describes a thought experiment designed to demonstrate more clearly that choosing to use RGTs to prevent disability in future children does not convey a negative message about people who have disabilities. After describing a decision that clearly does not send such a message, the paper walks through a series of cases and shows how, despite differences that might seem to be morally relevant, each is morally equivalent to the previous one with respect to the extent that it expresses disvalue for such individuals. (shrink)

This essay examines the issue of questionably obtained information in journalism, defined as information obtained in violation of source expectations. The analysis combines Ross's theory of variable-weight duties and the case-based method of casuistry to specify the duties involved in journalist-source interaction and the sorts of circumstances that may justify weighting these duties differently. A three-part test is offered for determining when journalists have reasonable grounds for occasionally using questionably obtained information. These conservative guidelines for justifying exceptions guard against arbitrary (...) dismissal of legitimate source expectations. Meanwhile, several green light guidelines suggest strategies for preventing the problem of questionably obtained information. (shrink)

Realism is the claim that truth may transcend all possible verification. The familiar Dummettian argument against that modal claim is that there is no way to manifest an understanding of it in actual linguistic practice. The Dummettian anti-realist's provisional conclusion is that the modal claim must be false. ;The attack on truth-conditional semantics and on the principle of bivalence are familiar ingredients of the anti-realist negative programme. I agree that, whether mathematical formulae or ordinary sentences in the past tense are (...) concerned, we cannot manifest a knowledge of the truth-conditions of particular instances of 'It is possible that ' by deciding their truth. There is nevertheless a way to argue in favour of specific instances of the modal claim when s is a sentence in the past tense. The proposed argument does not appeal to the recognitional abilities which, in the standard anti-realist perspective, constitute grasp of meaning. It does not commit one to the endorsement of the principle of bivalence, although the principle implies the modal claim. ;Our understanding of the workings of nature, whether grounded on scientific theories or on common sense, implies the modal claim. Since we are only contingently connected to the evidence pro or con past events and since the existence of evidence is itself a contingent matter, sentences which say that those events occurred could be true whether or not we can, at any point in time, detect that they are true. The possibility that truths about past facts transcend all possible verification is a purely natural possibility, grounded on what we know of the workings of nature. ;This implies that decidable statements in the past tense are not immune to the realism vs. anti-realism debate. Although they do not transcend verifiability, they could transcend whatever our recognitional abilities, no matter how extended, would allow us to establish at any point in time, either in the past, right now, or in an indefinitely extensible future. (shrink)

The Australian state of Victoria introduced new legislation regulating medical treatment and associated decision-making in March 2018. In this article we provide an overview of the new Medical Treatment Planning and Decisions Act 2016 and compare it to the former Medical Treatment Act 1988. Most substantially, the new Act provides for persons with relevant decision-making capacity to make decisions in advance regarding their potential future medical care, to take effect in the event they themselves do not have decision-making capacity. Prima (...) facie, the new Act enshrines autonomy as the pre-eminent value underlying the state’s approach to medical treatment decision-making and associated surrogate decision-making. However, we contend that the intention of the Act may not accord with implementation of the Act to date if members of the community are not aware of the Act’s provisions or are not engaged in advance care planning. There is a need for further research, robust community advocacy, and wider engagement for the intention of the Act—the promotion of “precedent autonomy” in respect to surrogate medical treatment decision-making—to be fully realized. (shrink)

There is a biological controversy of long standing between proponents of the Wilsonian view that all organisms of a certain class have at least one part that is a cell and proponents of the contradictory, or Dobellian, view that some organisms in the same class have no parts that are cells. The controversy is considered from the standpoint of the methodology of explication. It is concluded that on the grounds of prevalent biological usage, precision, utility and generality the Wilsonian view (...) may be defended successfully against attacks that have been made upon it. (shrink)

Through most of the twentieth century, life scientists grew increasingly sceptical of the biological significance of folk classifications of people by race. New work on the human genome has raised the possibility of a resurgence of scientific interest in human races. This paper aims to show that the racial sceptics are right, while also granting that biological information associated with racial categories may be useful.

The combination of Fuzzy Logics and Description Logics has been investigated for at least two decades because such fuzzy DLs can be used to formalize imprecise concepts. In particular, tableau algorithms for crisp Description Logics have been extended to reason also with their fuzzy counterparts. It has turned out, however, that in the presence of general concept inclusion axioms this extension is less straightforward than thought. In fact, a number of tableau algorithms claimed to deal correctly with fuzzy DLs with (...) GCIs have recently been shown to be incorrect. In this paper, we concentrate on fuzzy \, the fuzzy extension of the well-known DL \. We present a terminating, sound, and complete tableau algorithm for fuzzy \ with arbitrary continuous t-norms. Unfortunately, in the presence of GCIs, this algorithm does not yield a decision procedure for consistency of fuzzy \ ontologies since it uses as a sub-procedure a solvability test for a finitely represented, but possibly infinite, system of inequations over the real interval [0,1], which are built using the t-norm. In general, it is not clear whether this solvability problem is decidable for such infinite systems of inequations. This may depend on the specific t-norm used. In fact, we also show in this paper that consistency of fuzzy \ ontologies with GCIs is undecidable for the product t-norm. This implies, of course, that for the infinite systems of inequations produced by the tableau algorithm for fuzzy \ with product t-norm, solvability is in general undecidable. We also give a brief overview of recently obtained decidability results for fuzzy \ w.r.t. other t-norms. (shrink)

ABSTRACT: Defending the distinction between believing and accepting a proposition, I argue that cases where agents allegedly exercise direct voluntary control over their beliefs are instances of agents exercising direct voluntary control over accepting a proposition. The upshot is that any decision to believe a proposition cannot result directly in one’s acquiring the belief. Accepting is an instrumental mental action the agent performs that may trigger belief. A model of the relationship between acceptance and belief is sketched and defended. The (...) consequences of the distinction between belief and acceptance, and the model of belief control sketched are then applied to the recent case made by Carl Ginet in defense of the conceptual and psychological possibility of agents exercising direct voluntary control over their beliefs. n. (shrink)

Who should decide how a machine will decide what to do when it is driving a car, performing a medical procedure, or, more generally, when it is facing any kind of morally laden decision? More and more, machines are making complex decisions with a considerable level of autonomy. We should be much more preoccupied by this problem than we currently are. After a series of preliminary remarks, this paper will go over four possible answers to the question raised above. First, (...) we may claim that it is the maker of a machine that gets to decide how it will behave in morally laden scenarios. Second, we may claim that the users of a machine should decide. Third, that decision may have to be made collectively or, fourth, by other machines built for this special purpose. The paper argues that each of these approaches suffers from its own shortcomings, and it concludes by showing, among other things, which approaches should be emphasized for different types of machines, situations, and/or morally laden decisions. (shrink)

The paper proposes a new definition of the conception of effectiveness . A good name for this version of effectiveness is discernibility. The definition is based on the fact that every computation may be reduced to the operation of discerning the fundamental symbols and concatenation of formulas. This approach to effectiveness allows us to formulate the proof of undecidability in such a way that arithmetization of the syntax may be replaced by the use of concatenation in metalogic.

This chapter explores whether it is possible to treat incompetent persons paternalistically. What is often seen to be wrong about acting paternalistically towards others is that one is treating these others as if they cannot make their own decisions about their own good. So how should one think about situations where one must make decisions on behalf of people who indeed cannot make their own decisions about their own good – especially if these people are still to some extent capable (...) of expressing their desires and concerns about what happens to them? This is often the case in the medical setting, when a patient has lost decisional capacity or has not developed such a capacity in the first place. Focusing on the medical setting, this chapter argues that insofar as someone has the component elements of agency, they can be the target of unjustified paternalism. The chapter first explores the ways in which patients may lack decisional capacity and whether such patients nevertheless retain a sense of agency that can be disrespected. It then examines whether, on some plausible accounts of paternalism, what constitutes disrespect towards the competent constitutes a similar disrespect to the agential capacities of the incompetent. (shrink)

We describe a decidable class of formulas in a first order timed logic that covers a good amount of properties of real-time distributed systems. Earlier we described a decidable class based on some finiteness properties, and sketched a decidable class in a weaker logic that captures periodicity properties, though without complete proof. The new feature of the decidable class presented here is to be able to treat parametric properties, in particular, properties that concern an arbitrary number of processes as compared (...) to the just mentioned class that could express only properties for a fixed, explicitly given number of processes. As before the properties may use non-trivial arithmetics. We also state another important feature of the class: if a verification formula is not true then our algorithm gives a quantifier-free description of all its counter-models of the complexity involved in the definition of the decidable class and that is quite representative. In conclusion we discuss theoretical and practical issues of the complexity and some open questions. (shrink)

There is wide agreement that communities in lower-income countries should benefit when they participate in multinational research. Debate now focuses on how and to what extent these communities should benefit. This debate has identified compelling reasons to reject the claim that whatever benefits a community agrees to accept are necessarily fair. Yet, those who conduct clinical research may conclude from this rejection that there is no reason to involve communities in the process of deciding how they benefit. Against this possibility, (...) the present manuscript argues that involving host communities in this process helps to promote four important goals: protecting host communities, respecting host communities, promoting transparency, and enhancing social value. (shrink)

The role normative ethics has in guiding action is unclear. Once moral theorists hoped that they could devise a decision procedure that would enable agents to solve difficult moral problems. Repeated attacks by anti-theorists seemingly dashed this hope. Although the dispute between moral theorists and anti-theorists rages no longer, no decisive victor has emerged. To determine how we ought to make moral decisions, I argue, we must first examine how we do decide in moral situations. Intuitionism correctly captures the essence (...) of the moral element in such situations, finding itself located somewhere between moral theory and anti-theory. In order that intuitionism may constitute an improvement over predecessors in normative ethics we must proceed with awareness of the limits imposed by the still dominant framework of modern moral theory. I argue that the deliberatively open system of intuitionism, interlocked in practice with prudential considerations, allows us to constructively move normative ethics beyond those limits. (shrink)

We study first-order logic with two variables FO² and establish a small substructure property. Similar to the small model property for FO² we obtain an exponential size bound on embedded substructures, relative to a fixed surrounding structure that may be infinite. We apply this technique to analyse the satisfiability problem for FO² under constraints that require several binary relations to be interpreted as equivalence relations. With a single equivalence relation, FO² has the finite model property and is complete for non-deterministic (...) exponential time, just as for plain FO² With two equivalence relations, FO² does not have the finite model property, but is shown to be decidable via a construction of regular models that admit finite descriptions even though they may necessarily be infinite. For three or more equivalence relations, FO² is undecidable. (shrink)

Whenever the government makes medical resource allocation choices, there will be opportunity costs associated with those choices: some patients will have treatment and live longer, while a different group of patients will die prematurely. Because of this, we have to make sure that the benefits we get from investing in treatment A are large enough to justify the benefits forgone from not investing in the next best alternative, treatment B. There has been an increase in spending and reallocation of resources (...) during the COVID-19 pandemic that may have been warranted given the urgency of the situation. However, these actions do not bypass the opportunity cost principle although they can appear to in the short term, since spending increases cannot continue indefinitely and there are patient groups who lose out when resources are redirected to pandemic services. Therefore, policy-makers must consider who bears the cost of the displaced healthcare resources. Failure to do so runs a risk of reducing overall population health while disproportionally worsening health in socially disadvantaged groups. We give the example of ethnic minorities in England who already had the worst health and, due to structural injustices, were hardest hit by the pandemic and may stand to lose the most when services are reallocated to meet the resource demands of the crisis. How can we prevent this form of health inequity? Our proposal is forward-looking: we suggest that the government should invest our resources wisely while taking issues of equity into account–that is, introduce cost–equity analysis. (shrink)

Adaptation by means of natural selection depends on the ability of populations to maintain variation in heritable traits. According to the Modern Synthesis this variation is sustained by mutations and genetic drift. Epigenetics, evodevo, niche construction and cultural factors have more recently been shown to contribute to heritable variation, however, leading an increasing number of biologists to call for an extended view of speciation and evolution. An additional common feature across the animal kingdom is learning, defined as the ability to (...) change behavior according to novel experiences or skills. Learning constitutes an additional source for phenotypic variation, and change in behavior may induce long lasting shifts in fitness, and hence favor evolutionary novelties. Based on published studies, I demonstrate how learning about food, mate choice and habitats has contributed substantially to speciation in the canonical story of Darwin’s finches on the Galapagos Islands. Learning cannot be reduced to genetics, because it demands decisions, which requires a subject. Evolutionary novelties may hence emerge both from shifts in allelic frequencies and from shifts in learned, subject driven behavior. The existence of two principally different sources of variation also prevents the Modern Synthesis from self-referring explanations. (shrink)

Conflicts between bioethicists and disability theorists often arise over the permissibility of euthanasia and physician assisted suicide. Where mainstream bioethicists propose universalist guidelines that will direct action across a range of effectively disembodied situations, and take for granted that moral agency requires autonomy, feminist bioethicists demand a contextualisation of the circumstances under which moral decision making is conducted, and stress a more relational view of autonomy that does not require strict standards of independent agency. Nonetheless, neither traditional nor feminist perspectives (...) have fully engaged with the critique of disabled people that they are consistently subjected to discriminatory, even life-threatening, practice and policy in biomedical and health care. The paper revisits some of the issues that drive the often highly polarised debate between bioethicists and disability theorists around the question of end of life decisions involving disabled people. While many bioethicists have doubtless been indifferent to the difference that disability makes, I am also concerned that the very proper demand of disability activists and theorists to scrutinise all end of life decisions for signs of discrimination and even violence has segued into something damagingly restrictive that silences internal dissension and stifles external debate. Given that euthanasia and physician assisted suicide may be issues where conventional argument on either side will founder on deeply felt convictions, I make the radical move to speculate on an entirely different, quasi-Deleuzian, approach to the value of life in order to shake up entrenched positions, and begin to think differently. (shrink)

The topic of this article is Hilbert’s axiom of solvability, that is, his conviction of the solvability of every mathematical problem by means of a finite number of operations. The question of solvability is commonly identified with the decision problem. Given this identification, there is not the slightest doubt that Hilbert’s conviction was falsified by Gödel’s proof and by the negative results for the decision problem. On the other hand, Gödel’s theorems do offer a solution, albeit a negative one, in (...) the form of an impossibility proof. In this sense, Hilbert’s optimism may still be justified. Here I argue that Gödel’s theorems opened the door to proof theory and to the remarkably successful development of generalized as well as relativized realizations of Hilbert’s program. Thus, the fall of absolute certainty came hand in hand with the rise of partially secure and reliable foundations of mathematical knowledge. Not all was lost and much was gained. (shrink)

This paper focuses on contemporary Chinese theories of public moral justification and engages in the mainly descriptive project of introducing how, according to at least some contemporary Chinese theorists, we ought to decide which moral order shall figure as the common normative framework for our undertakings so that it can be considered to be publicly justified to all. Giving a closer reading of four Chinese theorists, it will become apparent that these accounts display an internal dynamic that shall allow us (...) to relate them so as to draw the rough outlines of a possible coherent account of public moral justification. In the centre of this account will figure a standpoint that may be coined as a “first-person plural standpoint”. (shrink)

In the case that triggered this round-table discussion there are three separate factors that contribute to moral uncertainty.1 First, the infant, baby T, is extremely premature with suspected brain injury and potentially poor prognosis. Second, the gestational mother is critically unwell herself and her outlook is guarded. Third, as linked commentaries make clear, the legal status of the intended parents is complex and ambiguous.2 3 Any of these factors on their own would be enough to generate ethical complexity and distress (...) in the neonatal intensive care unit. The combination of the three is likely to be highly stressful for all concerned.4 Commentaries on the case emphasise the complex legal questions and the potential need to involve the court. One resource that is not mentioned is the potential value of clinical ethics input in such a case. This is complementary to the need for legal advice. Its aim would be to help think through the specifically ethical, rather than legal questions. There are several things that I would aim to clarify if chairing a clinical ethics discussion on the case. First, it may be useful to draw on the concept of the …. (shrink)

In prior work [7] we considered networks of agents who have knowledge bases in first order logic, and report facts to their neighbors that are in their common languages and are provable from their knowledge bases, in order to help a decider verify a single sentence. In report complete networks, the signatures of the agents and the links between agents are rich enough to verify any deciderʼs sentence that can be proved from the combined knowledge base. This paper introduces a (...) more general setting where new observations may be added to knowledge bases and the decider must choose a sentence from a set of alternatives. We consider the question of when it is possible to prepare in advance a finite plan to generate reports within the network. We obtain conditions under which such a plan exists and is guaranteed to produce the right choice under any new observations. (shrink)

The work of general practitioners is infused by norms from several movements, of which evidence based medicine, patient-centredness, and virtue ethics are some of the most influential. Their precepts are not clearly reconcilable, and structural factors may limit their application. In this paper, we develop a conceptual framework that explains how GPs respond, across different fields of interaction in their daily work, to the pressure exerted by divergent norms. Data was generated from unstructured interviews with and observations of sixteen Swedish (...) GPs and family medicine residents between 2015 and 2017. Straussian Grounded Theory was used for analysis. We found that GPs’ maxims of action can be characterised in terms of dichotomous responses to demands from four distinct sets of norms, or “voices”: the situation, the self, the system, and the profession. From the interactions between these voices emerge sixteen clusters of maxims of action. Based on the common features of the maxims in each cluster, we have developed a conceptual framework that appears to be rich enough to capture the meaning of the ethical decisions that GPs make in their daily work, yet has a high enough level of abstraction to be helpful when discussing the factors that influence those decisions. Our four-dimensional model of GPs’ responses to norms is a first step toward a middle-range theory of quality from GPs’ perspective. It brings out the complexity of their practice, reveals tensions that easily remain invisible in more concrete accounts of their actions, and aids the transferability of substantive theories on GPs’ ethical decision making. By explaining the nature of the ethical conflicts that they experience, we provide some clues as to why efforts to improve quality by imposing additional norms on GPs may meet with varying degrees of success. (shrink)

After the parliamentary elections in Germany in September 2017, the Christian Democratic Union (CDU), the Christian Social Union (CSU), The Greens (Bündnis90/Die Grünen) and the Free Democratic Party (FDP) started to negotiate about forming a coalition government. But, surprising to many, the FDP decided to let these coalition talks collapse, and many commentators in Germany found it highly problematic for a political party to refuse to take responsibility in government. Interestingly, the question whether (or: when) democratic parties may legitimately (...) refuse to govern has so far been neglected in political theory and political philosophy. The article develops a general answer by discussing several possible reasons for thinking that it is sometimes wrong to refuse to govern and thereby engages both democratic theory and the recent literature on compromise. The resulting view is that parties have an ‘integrity prerogative’ that allows them to refuse to govern, except when there is no reasonable and stable alternative government coalition available. (shrink)

Career planning and career decision are important tasks for college students. The process may be affected by career stress, career exploration, and future work self, with some students facing career indecision. Combining both construction career and proactive motivation model, this study investigated the relationships between career stress, career exploration, future work self, career planning and career indecision among 1,012 Chinese college students using the Structure equation model to test the proposed mediation model. Results show that career stress negatively predicts career (...) planning, while career exploration positively predicts career planning. The mediating role of future work self has on career stress and career exploration's effects on both career planning and career indecision was verified. Moreover, the study also found future work self's positive effects on both career planning and career indecision in Chinese college students. Finally, the study's theoretical and practical significance and implications are discussed. (shrink)

BackgroundHealth decisions occur in a context with omnipresent social influences. Information concerning what other patients decide may present certain interventions as more desirable than others.ObjectivesTo explore how physicians refer to what other people decide in conversations about the relevancy of cardio-pulmonary resuscitation or do-not-attempt-resuscitation orders.MethodsWe recorded forty-three physician–patient admission interviews taking place in a hospital in French-speaking Switzerland, during which CPR is discussed. Data was analysed with conversation analysis.ResultsReference to what other people decide in regards to CPR is used five (...) times, through reported speech. The reference is generic, and employed as a resource to deal with trouble encountered with the patient’s preference, either because it is absent or potentially incompatible with the medical recommendation. In our data, it is a way for physicians to present decisional paths and to steer towards the relevancy of DNAR orders. By calling out to a sense of membership, it builds towards the patient embracing norms that are associated with a desirable or relevant social group.ConclusionsIntroducing DNAR decisions in terms of what other people opt for is a way for physicians to bring up the eventuality of allowing natural death in a less overt way. Formulating treatment choices in terms of what other people do has implications in terms of supporting autonomous and informed decision making, since it nudges patients towards conformity with what is presented as the most preferable choice on the basis of social norms. (shrink)

We consider one aspect of the problem of specification and verification of reactive real-time systems which involve operations and constraints concerning time. Time is continuous what is motivated by specifications of hybrid systems. Our goal is to try to find a framework that is based on applied first order logic that permits to represent the verification problem directly, completely and conservatively , and that is apt to describe interesting decidable classes, maybe showing way to feasible algorithms. To achieve this goal (...) we use a first order timed logic that is an extension of a decidable theory of reals with timed functions. This logic permits, on the one hand, to rewrite directly and completely requirements and, on the other hand, to describe executions of various timed algorithms—here we consider block Gurevich abstract state machines because of their theoretical clarity and sufficient expressive power. Then we describe one decidable class of the verification problem that is based on notions reflecting finiteness properties of systems of control. These notions may be of independent interest, as, in particular, they give a way to describe a limited usage of arithmetics preserving decidability that is not covered by existing model-theoretic approaches. As an example we consider the generalized railroad crossing problem that we analyze in its entirety. (shrink)

From the best-selling author of Traffic, a brilliant and entertaining exploration of our personal tastes--why we like the things we like, and what it says about us. Everyone knows his or her favorite color, the foods we most enjoy, and which season of House of Cards deserves the most stars on Netflix. But what does it really mean when we like something? How do we decide what's good? Is it something biological? What is the role of our personal experiences in (...) shaping our tastes? And how do businesses make use of this information? Comprehensively researched and singularly insightful, You May Also Like delves deep into psychology, marketing, and neuroscience to answer these complex and fascinating questions. From the tangled underpinnings of our food choices, to the dynamics of the pop charts and our playlists, to our nonstop procession of "thumbs" and "likes" and "stars," to our insecurity before unfamiliar works of art, the book explores how we form our preferences--and how they shape us. It explains how difficult it is, even for experts, to pinpoint exactly what makes something good or enjoyable, and how the success of companies such as Netflix, Spotify, and Yelp depends on the complicated task of predicting what we will enjoy. Like Traffic, this book takes us on a fascinating and consistently surprising intellectual journey that helps us better understand how we perceive and appreciate the world around us. (shrink)

With every new recursive relation R on a recursive model , we consider the images of R under all isomorphisms from to other recursive models. We call the set of Turing degrees of these images the degree spectrum of R on , and say that R is intrinsically r.e. if all the images are r.e. C. Ash and A. Nerode introduce an extra decidability condition on , expressed in terms of R. Assuming this decidability condition, they prove that R is (...) intrinsically r.e. if and only if a natural recursive-syntactic condition is satisfied. We show that, while a recursive non-intrinsically r.e. relation may have a two element degree spectrum, a non-intrinsically r.e. relation which satisfies the Ash–Nerode decidability condition has an infinite degree spectrum. We also study several related decidability conditions and their effects on the degree spectra, including some conditions which are sufficient to obtain every r.e. degree in a spectrum. (shrink)

BackgroundBesides balancing burdens and benefits of intensive care, ethical conflicts in the process of decision-making should also be recognised. This calls for an ethical analysis relevant to clinicians. The aim was to analyse ethically difficult situations in the process of deciding whether a patient is admitted to intensive care unit.MethodsAnalysis using the ‘Dilemma method’ and ‘wide reflective equilibrium’, on ethnographic data of 45 patient cases and 96 stakeholder interviews in six UK hospitals.Ethical analysisFour moral questions and associated value conflicts were (...) identified. Who should have the right to decide whether a patient needs to be reviewed? Conflicting perspectives on safety/security. Does the benefit to the patient of getting the decision right justify the cost to the patient of a delay in making the decision? Preventing longer-term suffering and understanding patient’s values conflicted with preventing short-term suffering and provision of security. To what extent should the intensivist gain others’ input? Professional independence versus a holistic approach to decision-making. Should the intensivist have an ongoing duty of care to patients not admitted to ICU? Short-term versus longer-term duty to protect patient safety. Safety and security were key values at stake in the ethical conflicts identified. The life-threatening nature of the situation meant that the principle of autonomy was overshadowed by the duty to protect patients from harm. The need to fairly balance obligations to the referred patient and to other patients was also recognised.ConclusionProactive decision-making including advance care planning and escalation of treatment decisions may support the inclusion of patient autonomy. However, our analysis invites binary choices, which may not sufficiently reflect reality. This calls for a complementary relational ethics analysis. (shrink)

Increasing numbers of decisions about everyday life are made using algorithms. By algorithms we mean predictive models captured from historical data using data mining. Such models often decide prices we pay, select ads we see and news we read online, match job descriptions and candidate CVs, decide who gets a loan, who goes through an extra airport security check, or who gets released on parole. Yet growing evidence suggests that decision making by algorithms may discriminate people, even if the computing (...) process is fair and well-intentioned. This happens due to biased or non-representative learning data in combination with inadvertent modeling procedures. From the regulatory perspective there are two tendencies in relation to this issue: to ensure that data-driven decision making is not discriminatory, and to restrict overall collecting and storing of private data to a necessary minimum. This paper shows that from the computing perspective these two goals are contradictory. We demonstrate empirically and theoretically with standard regression models that in order to make sure that decision models are non-discriminatory, for instance, with respect to race, the sensitive racial information needs to be used in the model building process. Of course, after the model is ready, race should not be required as an input variable for decision making. From the regulatory perspective this has an important implication: collecting sensitive personal data is necessary in order to guarantee fairness of algorithms, and law making needs to find sensible ways to allow using such data in the modeling process. (shrink)

BackgroundSome people with progressive neurological diseases find they need additional support with eating and drinking at mealtimes, and may require artificial nutrition and hydration. Decisions concerning artificial nutrition and hydration at the end of life are ethically complex, particularly if the individual lacks decision-making capacity. Decisions may concern issues of life and death: weighing the potential for increasing morbidity and prolonging suffering, with potentially shortening life. When individuals lack decision-making capacity, the standard processes of obtaining informed consent for medical interventions (...) are disrupted. Increasingly multi-professional groups are being utilised to make difficult ethical decisions within healthcare. This paper reports upon a service evaluation which examined decision-making within a UK hospital Feeding Issues Multi-Professional Team.MethodsA three month observation of a hospital-based multi-professional team concerning feeding issues, and a one year examination of their records. The key research questions are: a) How are decisions made concerning artificial nutrition for individuals at risk of lacking decision-making capacity? b) What are the key decision-making factors that are balanced? c) Who is involved in the decision-making process?ResultsDecision-making was not a singular decision, but rather involved many different steps. Discussions involving relatives and other clinicians, often took place outside of meetings. Topics of discussion varied but the outcome relied upon balancing the information along four interdependent axes: Risks, burdens and benefits; Treatment goals; Normative ethical values; Interested parties.ConclusionsDecision-making was a dynamic ongoing process with many people involved. The multiple points of decision-making, and the number of people involved with the decision-making process, mean the question of ‘who decides’ cannot be fully answered. There is a potential for anonymity of multiple decision-makers to arise. Decisions in real world clinical practice may not fit precisely into a model of decision-making. The findings from this service evaluation illustrate that within multi-professional team decision-making; decisions may contain elements of both substituted and supported decision-making, and may be better represented as existing upon a continuum. (shrink)

Informed consent is crucial in research, but potential participants may not all speak the same language, posing questions that have not been examined concerning decisions by institutional review boards and research ethics committees’ about the need for researchers to translate consent forms and other study materials. Sixty US IRBs were contacted, and leaders from 34 and an additional 12 members and administrators were interviewed. IRBs face a range of problems about translation of informed consent documents, questionnaires and manuals—what, when and (...) how to translate , why to do so and how to decide. Difficulties can arise about translation of specific words and of broader cultural concepts regarding processes of informed consent and research, especially in the developing world. In these decisions, IRBs weigh the need for autonomy and justice against practical concerns about costs to researchers. At times IRBs may have to compromise between these competing goals. These data, the first to examine when and how IRBs/RECs require researchers to translate materials, thus highlight a range of problems with which these committees struggle, suggesting a need for further normative and empirical investigation of these domains, and consideration of guidelines to help IRBs deal with these tensions. (shrink)

Abstract:In this paper I explore the topic of moral compromise in institutional settings and highlight how moral compromise may affirm, rather than undermine, personal integrity. Central to this relationship between moral compromise and integrity is a view of the self that is responsive to multiple commitments and grounded in an ethic of responsibility. I elaborate a number of virtues that are related to this notion of the self and highlight how these virtues may support the development of individuals who are (...) responsive and reasonable in moral discourse and discerning in establishing moral limits on compromise. I look at how moral regret is closely connected to moral compromise and emphasize its significance for reinforcing personal integrity. The paper closes with a discussion of the relevance of these topics to the field of business ethics. (shrink)

Evidence accumulation has been the core component in recent development of perceptual and value-based decision-making theories. Most studies have focused on the evaluation of evidence between alternative options. What remains largely unknown is the process that prepares evidence: how may the decision-maker sample different sources of information sequentially, if they can only sample one source at a time? Here we propose a normative framework in prescribing how different sources of information should be sampled proactively to facilitate the decision process: beliefs (...) for different noisy sources are updated in a Bayesian manner and participants can proactively allocate resource for sampling (i.e. saccades) among different sources to maximize the information gain in such process. We show that our framework can account for human participants’ actual choice and saccade behaviors in a two-alternative value-based decision-making task. Moreover, our framework makes novel predictions about the empirical eye movement patterns. (shrink)