Using medical advances to enhance human athletic, aesthetic, and cognitive performance, rather than to treat disease, has been controversial. Little is known about physicians? experiences, views, and attitudes in this regard. We surveyed a national sample of physicians to determine how often they prescribe enhancements, their views on using medicine for enhancement, and whether they would be willing to prescribe a series of potential interventions that might be considered enhancements. We find that many physicians occasionally prescribe enhancements, but doctors hold (...) nuanced and ambiguous views of these issues. Most express concerns about the potential effects of enhancements on social equity, yet many also believe specific enhancements that are safe and effective should be available but not covered by insurance. These apparently contradictory views might reflect inherent tensions between the values of equity and liberty, which could make crafting coherent social policies on medical enhancements challenging. [Supplementary materials are available for this article. Go to the publisher's online edition of American Journal of Bioethics for the following free supplemental resource(s): An additional table (Table 5) referred to on p. 5]. (shrink)

Viewed this way, the texts yield striking examples of language and notation that are irreducibly ambiguous and productive because they are ambiguous.

Payment to recruit research subjects is a common practice but raises ethical concerns relating to the potential for coercion or undue influence. We conducted the first national study of IRB members and human subjects protection professionals to explore attitudes as to whether and why payment of research participants constitutes coercion or undue influence. Upon critical evaluation of the cogency of ethical concerns regarding payment, as reflected in our survey results, we found expansive or inconsistent views about coercion and undue influence (...) that may interfere with valuable research. In particular, respondents appear to believe that coercion and undue influence lie on a continuum; by contrast, we argue that they are wholly distinct: whereas undue influence is a cognitive distortion relating to assessment of risks and benefits, coercion is a threat of harm. Because payment is an offer, rather than a threat, payment is never coercive. (shrink)

ArgumentMost social scientists today think of data sharing as an ethical imperative essential to making social science more transparent, verifiable, and replicable. But what moved the architects of some of the U.S.’s first university-based social scientific research institutions, the University of Michigan’s Institute for Social Research, and its spin-off, the Inter-university Consortium for Political and Social Research, to share their data? Relying primarily on archived records, unpublished personal papers, and oral histories, I show that Angus Campbell, Warren Miller, Philip Converse, (...) and others understood sharing data not as an ethical imperative intrinsic to social science but as a useful means to the diverse ends of financial stability, scholarly and institutional autonomy, and epistemological reproduction. I conclude that data sharing must be evaluated not only on the basis of the scientific ideals its supporters affirm, but also on the professional objectives it serves. (shrink)

Super-substantivalism is the thesis that space is identical to matter; it is currently under discussion ? see Sklar (1977, 221?4), Earman (1989, 115?6) and Schaffer (2009) ? in contemporary philosophy of physics and metaphysics. Given this current interest, it is worth investigating the thesis in the history of philosophy. This paper examines the super-substantivalism of Samuel Alexander, an early twentieth century metaphysician primarily associated with (the movement now known as) British Emergentism. Alexander argues that spacetime is ontologically fundamental and it (...) gives rise to an ontological hierarchy of emergence, involving novel properties such as matter, life and mind. Alexander's super-substantivalism is interesting not just because of its historical importance but also because Alexander unusually attempts to explain why spacetime is identical to matter. This paper carefully unpacks that explanation and shows how Alexander is best read as conceiving of spacetime as a Spinozistic substance, worked upon by evolution. (shrink)

Daniel Sennert , a prominent physician and a prolific and influential writer, was both an atomist and an Aristotelian. He was influenced by a distinctive and now little known Aristotelian approach to matter and form, and this promoted his development over time of a hierarchical account of atoms, with elementary atoms and grades of molecules. The first section provides a study of Sennert's Aristotelian foundation. The final two sections consider, in turn, Sennert's development over time of an atomistic theory, and (...) the nature and significance for him of substantial forms. (shrink)

Despite frequent calls by players, managers and fans, FIFA's resistance to the implementation of goal-line technology (GLT) has been well documented in national print and online media as well as FIFA's own website. In 2010, FIFA president Sepp Blatter outlined eight reasons why GLT should not be used in football. The reasons given by FIFA can be broadly separated into three categories; those dealing with the nature and value of the game of football, those related to issues of justice, and (...) those concerned with the practical implementation of GLT. This paper intends to evaluate these eight reasons in order to assess whether there are, indeed, any good arguments against GLT in football. (shrink)

The question of authenticity centers in the lives of women of color to invite and restrict their representative roles. For this reason, Gayatri Chakravorty Spivak and Uma Narayan advocate responding with strategic essentialism. This paper argues against such a strategy and proposes an epistemic understanding of the question of authentic- ity. The question stems from a kernel of truth—the connection between experience and knowledge. But a coherence theory of knowledge better captures the sociality and the holism of experience and knowledge.

ABSTRACT There has been extensive debate among various disciplines about the nature and value of play. From these discussions it seems clear that play is a phenomenon with more than just one dimension: as a specific type of activity, as a form or structure, as an ontologically distinctive phenomenon, as a type of experience, or as a stance or an attitude towards a particular activity. This article focuses on the importance of the playful attitude in sport. It begins by attempting (...) to describe the underpinning features of a playful attitude, and its relation to Suits’ lusory attitude and the concept of gamification. Finally, it considers and critically evaluates the relationship between play and sport and the importance of the playful attitude in sporting activities. The purpose of this paper is a far deeper analysis of the playful attitude and its relationship to sport than has been previously provided, and a more precise definition as to what the playful attitude is. This will ultimately help to answer questions about the value of sport and how sport ought to be played. (shrink)

In Cohen’s vision of the just society, there would be no need for unequalizing incentives so as to benefit the least well-off; instead, people would be motivated by an egalitarian ethos to work hard and in the most socially productive jobs. As such, Cohen appears to offer a way to mitigate the trade-off of equality for efficiency that often characterizes theorizing about distributive justice. This article presents an egalitarian challenge to Cohen’s vision of the just society. I argue that a (...) society where all internalized the egalitarian ethos would be one lacking equal respect among its members, in which certain groups lacked the grounds of self-respect. Section 1 defends equal respect and a form of equality of self-respect as values with broad-based appeal to egalitarians, and argues that a particular form of hierarchy would undermine both equal respect and the grounds of self-respect. Sections 2 and 3 reveal that just such a hierarchy would emerge in a society in which all had internalized the egalitarian ethos, in the case of both carers and the untalented. Thus, Cohen’s proposed society is shown to fail to unite equality and efficiency. Instead, Cohen’s society would be characterized by a lack of equality. (shrink)

Guided by a hermeneutic-phenomenological methodology, this study focused on gaining an in- depth understanding of the use of marijuana by graduate students, a population which does not fit the usual profile of marijuana users addressed in the field literature, by exploring the experience of being a graduate student who uses marijuana. Semi-structured individual interviews were conducted with seven marijuana users attending a graduate programme of study, with elaboration and clarification of their initial description of their respective experiences dialogically prompted by (...) means of open-ended questions. Five interrelated themes emerged from the analysis of the transcribed interviews, with the central finding indicating that the experience of being a graduate student who uses marijuana involves a process of ongoing negotiation between, on the one hand, messages from society and academia, and, on the other, an inner sense of self and well-being. (shrink)

Play is a vital component of the social life and well-being of both children and adults. This book examines the concept of play and considers a variety of the related philosophical issues. It also includes meta-analyses from a range of philosophers and theorists, as well as an exploration of some key applied ethical considerations. The main objective of The Philosophy of Play is to provide a richer understanding of the concept and nature of play and its relation to human life (...) and values, and to build disciplinary and paradigmatic bridges between scholars of philosophy and scholars of play. Including specific chapters dedicated to children and play, and exploring the work of key thinkers such as Plato, Sartre, Wittgenstein, Gadamer, Deleuze and Nietzsche, this book is invaluable reading for any advanced student, researcher or practitioner with an interest in education, playwork, leisure studies, applied ethics or the philosophy of sport. (shrink)

Most research on the corporate philanthropy of organizations has focused on the external benefits of such initiatives for firms, such as benefits for firm reputation and opportunities. However, many firms justify their giving, in part, due to the positive impact it has on their employees. Little is known about the effectiveness of such efforts, or how they can be managed strategically to maximize impact. We hypothesize a main effect of office-level corporate philanthropy on average employee attitudes in that office, but (...) also investigate three strategies that offices may use to enhance this impact. Testing our hypotheses with 3 years of data on attitudes of an average of 14,577 employees in 53 offices we find support for the main effect, but mixed support for the specific strategies used to enhance impact. (shrink)

This essay interprets changes in how “the political” was employed by a group of political theorists connected to the University of California, Berkeley, from the late 1950s up to the present. Initially, the political names both what students of politics ought to study and invokes a way of studying meant to have broad appeal. In later uses, however, the political takes on an evanescent quality compared to the solid realm of generality represented in earlier work. Also, only from the 1970s (...) on is the political explicitly identified with democracy. Finally, later uses of the political no longer invoke a mode of study with broad appeal but one that even most self-described political theorists fail to practice. Though the changes the author analyzes in how the political was conceived are specific to the work of a small group of theorists, they suggest a more general story about the late twentieth-century development of political theory in the American academy. (shrink)

Long histories and entrenched habits of inattention among advantaged groups mean that even minor challenge and concession can provoke subjective perceptions of victimization. How, in such conditions, might claims of structural injustice break through? Drawing on field work with practitioners across conflict mediation, therapy, education, and performance – four sectors that facilitate listening in fraught contexts yet are undertheorized in politics – this article makes the case that among the most overlooked and powerful resources for cultivating receptivity and responsiveness among (...) advantaged groups are the arts of listening. Practices of engagement across these sectors establish listening as potent rather than passive, given the extent to which it constitutes the field of encounter and shapes what emerges within it, both in terms of expression and, more significantly in this context, receptivity of those to whom one listens. Yet this also means that how one listens is a pivotal consideration – particularly when listening might serve to reinforce and normalize unjustly dominant positions. In contrast to progressive politics’ emphasis on finding more forceful forms of voice and conventional reliance on direct communicative practices, this article explores how specific comedic, theatrical, and embodied tactics can generate ‘oblique forms of listening’ potentially useful to social justice struggles. (shrink)

Stigma can influence the prevention and identification of fetal alcohol spectrum disorder, a leading cause of developmental delay in North America. Understanding the effects of public health practices and policies on stigma is imperative. We reviewed social science and biomedical literatures to understand the nature of stigma in FASD and its relevance from an ethics standpoint in matters of health practices and policies. We propose a descriptive model of stigma in FASD and note current knowledge gaps; discuss the ethical implications (...) of stigma based on two distinct criteria ; and describe two cases and the concerns associated with inadvertent stigmatization by public health initiatives for FASD. We recommend further empirical and ethical analyses to examine whether public health policies and practices inadvertently stigmatize and impact the success of public health initiatives and programs for FASD. (shrink)

In this paper, I discuss the recent discovery of alleged arsenic bacteria in Mono Lake, California, and the ensuing debate in the scientific community about the validity and significance of these results. By situating this case in the broader context of projects that search for anomalous life forms, I examine the methodology and upshots of challenging biochemical constraints on living things. I distinguish between a narrower and a broader sense in which we might challenge or change our knowledge of life (...) as the result of such a project, and discuss two different kinds of projects that differ in their potential to overhaul our knowledge of life. I argue that the arsenic bacteria case, while potentially illuminating, is the kind of constraint-challenging project that could not—in spite of what was said when it was presented to the public—change our knowledge of life in the deeper sense. (shrink)

Utilizing Maurice Merleau-Ponty’s work, I argue that the gestaltian framework’s co-determinacy of the theme and the horizon in seeing and experiencing the world serves as an encompassing epistemological framework with which to understand racism. Conclusions reached: as bias is unavoidably part of being in the world, defining racism as bias is superfluous; racism is sedimented into our very perceptions and experiences of the world and not solely a prejudice of thought; neutral perception of skin color is impossible. Phenomenology accounts for (...) the dynamic changes in expressions of racism and the interconnections of both race and sex for women of color. (shrink)

Bioethics, Volume 36, Issue 3, Page 298-304, March 2022.

The Cartesian method, construed as a way of organizing domains of knowledge according to the "order of reasons," was a powerful reductive tool. Descartes made significant strides in mathematics, physics, and metaphysics by relating certain complex items and problems back to more simple elements that served as starting points for his inquiries. But his reductive method also impoverished these domains in important ways, for it tended to restrict geometry to the study of straight line segments, physics to the study of (...) ambiguously constituted bits of matter in motion, and metaphysics to the study of the isolated, incorporeal knower. This book examines in detail the negative and positive impact of Descartes's method on his scientific and philosophical enterprises, exemplified by the Geometry, the Principles, the Treatise of Man, and the Meditations. (shrink)

Prologue -- The Greek stones speak : toward an archaeology of consciousness -- Singing the muses' song : myth, wisdom, and speech -- Physis, kosmos, logos : presocratic thought and the emergence of nature-consciousness -- Sophistical wisdom, Socratic wisdom, and the political life -- Civic wisdom, divine wisdom : Socrates, Plato, and two visions for the Athenian citizen -- Speculative wisdom, practical wisdom : Aristotle and the culmination of Hellenic thought -- Epilogue.

Mental health care providers increasingly confront challenges posed by the introduction of new neurotechnology into the clinic, but little is known about the impact of such capabilities on practice patterns and relationships with patients. To address this important gap, we sought providers’ perspectives on the potential clinical translation of functional neuroimaging for prediction and diagnosis of mental illness. We conducted 32 semi-structured telephone interviews with mental health care providers representing psychiatry, psychology, family medicine, and allied mental health. Our results suggest (...) that mental health providers have begun to re-conceptualize mental illness with a neuroscience gaze. They report an epistemic commitment to the value of a brain scan to provide a meaningful explanation of mental illness for their clients. If functional neuroimaging continues along its projected trajectory to translation, providers will ultimately have to negotiate its role in mental health. Their perspectives, therefore, enrich bioethical discourse surrounding neurotechnology and inform the translational pathway. (shrink)

In this paper I defend a Quinean view on ontological commitment against some recent challenges. I outline the virtues and limitations of the Quinean approach before considering two different theories. Thomas Hofweber argues that commitment in natural language is ambiguous and that Quine’s canonical notation is incapable of representing the two functions of natural language quantifiers. Truthmaker theorists argue that Quine’s approach is based on a fallacious view of the relation between true sentences and the truthmaking domain (the world). In (...) response I argue that both objections are aimed at a particularly strong version of the Quinean approach, and that rather than abandon it we can use these challenges to understand its true value. (shrink)

Convinced that logic has a history and that its history always manages to surprise the philosophers, Claude Imbert has devoted much of her work to the study of the Stoic school and of the late-nineteenth-century German logician Gottlob Frege. In the fifth chapter of her book Pour une histoire de la logique, she examines the trajectory of Frege's awareness of what his new logic entails, in particular the way it subverts the project of Kant.

Convinced that logic has a history and that its history always manages to surprise the philosophers, Claude Imbert has devoted much of her work to the study of the Stoic school and of the late-nineteenth-century German logician Gottlob Frege. In the fifth chapter of her book Pour une histoire de la logique, she examines the trajectory of Frege's awareness of what his new logic entails, in particular the way it subverts the project of Kant.

This collection of new essays treats the historical, philosophical, and literary dimensions of Simone de Beauvoir's thought, and celebrates the 50th anniversary of her most influential book, The Second Sex. A team of distinguished philosophers and literary critics locate her work in the intellectual and political upheavals that marked Paris in the 1930s and 1940s; analyse her philosophical links to 17th-century rationalism, and to Kant, Hegel, Merleau-Ponty, Sartre, Simone Weil, and Heidegger; and study the connections between her philosophical and literary (...) writings. Above all, the collection tackles the relationship between theory and concrete situation with fresh insight and renewed urgency. (shrink)

With so much attention on the issue of voice in democratic theory, the inverse question of how people come to listen remains a marginal one. Recent scholarship in affect and neuroscience reveals that cognitive and verbal strategies, while privileged in democratic politics, are often insufficient to cultivate the receptivity that constitutes the most basic premise of democratic encounters. This article draws on this scholarship and a recent case of forum theatre to examine the conditions of receptivity and responsiveness, and identify (...) specific strategies that foster such conditions. It argues that the forms of encounter most effective in cultivating receptivity are those that move us via affective intensity within pointedly mediated contexts. It is this constellation of strategies—this strange marriage of immersion and mediation—that enabled this performance to surface latent memory, affect and bias, unsettle entrenched patterns of thought and behaviour, and provide the conditions for revisability. This case makes clear that to lie beyond the domain of cognitive and verbal processes is not to lie beyond potential intervention, and offers insight to how such receptivity might be achieved in political processes more broadly. (shrink)

Tree-chopping in the Aeneid has long been seen as a disturbingly violent symbol of the Trojans' colonization of Italy. The paper proposes a new reading of the poem which sees Aeneas as progressive extirpator not just of foreign rivals but also of his own Trojan relatives. Although the Romans had no family “trees” as such, their genealogical stemmata (“garlands”) had “branches” (rami) and “stock” (stirps), and their vocabulary of family relationships takes many of its metaphors from planting, adoption, and uprooting, (...) while plant life is often described in human metaphors. Imperial historians use the growth and collapse of trees to mark the rise and fall of dynasties; natural historians like Columella and Pliny use metaphors of adoption, abortion, and adultery to characterize the perversions of agriculture and horticulture. It is thus no coincidence that Aeneas' encounters with Hector, Priam, Deiphobus, and others often take place against a background of real or metaphorical trees (tree similes, headless or mutilated human trunks, ancient trees and woods). These encourage us to see an element of dynastic encroachment in scenes that look pious and peaceable but confirm Aeneas' ascendancy and claim to Trojan succession. The Polydorus episode in particular can be read not just as a grotesque interlude but as a nightmare about endlessly reproducing heirs; one loose strand from Priam's house is allowed to remain, while Virgil deals imperfectly with the problem of Aeneas' own successors. The paper ends by re-examining Virgil's account of grafting in Georgics 2 and arguing that it is viewed positively, perhaps in order to cast Augustus' adoption of heirs as a miracle solution. (shrink)

Phylogenetic trees are a crucial backbone for a wide breadth of biological research spanning systematics, organismal biology, ecology, and medicine. In 2015, the Open Tree of Life project published a first draft of a comprehensive tree of life, summarizing digitally available taxonomic and phylogenetic knowledge. This paper reviews, investigates, and addresses the following questions as a follow-up to that paper, from the perspective of researchers involved in building this summary of the tree of life: Is there a tree of life (...) and should we reconstruct it? Is available data sufficient to reconstruct the tree of life? Do we have access to phylogenetic inferences in usable form? Can we combine different phylogenetic estimates across the tree of life? And finally, what is the future of understanding the tree of life? A schematic of the process of building a unified tree of life. Inputs are published phylogenetic estimates and a unified taxonomy. These inputs are combined into a summary supertree containing ≈2 million taxa. The relationships among any subset of taxa may easily be accessed and used in downstream analyses. (shrink)

SummaryThis paper examines the role of health knowledge in the association between mothers' education and use of maternal and child health services in Ghana. The study uses data from a nationally representative sample of female respondents to the 2008 Ghana Demographic and Health Survey. Ordered probit regression models evaluate whether women's health knowledge helps to explain use of three specific maternal and child health services: antenatal care, giving birth with the supervision of a trained professional and complete child vaccination. The (...) analyses reveal that mothers' years of formal education are strongly associated with health knowledge; health knowledge helps explain the association between maternal education and use of health services; and, net of a set of stringent demographic and socioeconomic controls, mothers' health knowledge is a key factor associated with use of health services. (shrink)

The omen of the door and the eagle at Iliad 24.314–21 appears to have sparked scant scholarly interest, but deserves careful attention. The omen itself forms part of an analogy, for the eagle is likened in the size of its wingspan to a large, barred door. This simile might seem unremarkable, merely a convenient means of depicting great size, a casual juxtaposition of two ordinary nouns. The omen, on the whole, might be dismissed as nothing more than a conventional expression (...) of divine favor. But closer scrutiny will reveal that there is, in fact, nothing arbitrary or haphazard in the selection of the terms of the analogy. Appreciation of the elegance and subtlety of the simile in turn reveals the full import of the omen. (shrink)

Lower respiratory tract infections are a leading cause of paediatric morbidity and mortality worldwide. Children in low-income countries are disproportionately affected. This is in large part due to limitations in healthcare resources and medical technologies. Mechanical ventilation can be a life-saving therapy for many children with acute respiratory failure. The scarcity of functioning ventilators in low-income countries results in countless preventable deaths. Some hospitals have attempted to adapt to this scarcity by using hand-bag ventilation, as either a bridge to a (...) mechanical ventilator, or until clinical improvement occurs rendering mechanical ventilation no longer necessary. In instances of hand-bag ventilation, an endotracheal tube is first placed. Family members are then asked to play the role of a ventilator, manually compressing a bag repeatedly to inflate the child’s lungs. This approach is fraught with numerous ethical challenges. A careful examination of the data and a nuanced approach to the ethical considerations are imperative. Ethical arguments in support of and in opposition to allowing parental hand-bag ventilation are explored, including the best interests of the child, the child’s right to an open future, beneficence and parental protection, legitimising substandard care, and finally, contextual concerns. An algorithmic, potentially ethically permissible approach to parental participation in manual ventilation is proposed. (shrink)

The authors conducted a qualitative analysis of thirty-seven issues of The DDU Review, a newsletter produced by residents of the Dual Diagnosis Unit, a residential unit for people who had diagnoses of developmental disability and serious mental illness in the Central State Hospital. The analysis of the newsletters produced between September 1988 and June 1992 revealed three major themes: 1) the mundane; 2) good behavior; and 3) advocacy. Contrary to the authors’ expectations, the discourse of medicalization—such as relations with physicians, (...) diagnoses, and medications—receive little attention. Instead, the patient-journalists focus on prosaic aspects of institutional life. The patients used their writing as a form self-definition and advocacy. The authors argue that even though it is tempting to consider the patients’ emphasis on good behavior as evidence of institutional control, internalized discipline, and medicalization, a more nuanced interpretation, which focuses on how the patients’ understood their own experiences, is warranted. Researchers must also recognize the ways in which The DDU Review reveals the patient-journalists’ experience of an institutional life that includes non-medical staff, varied social relationships among patients, and negotiated freedoms. (shrink)