The so-called Trolley Problem was first discussed by Philippa Foot in 1967 as a way to test moral intuitions regarding the doctrine of double effect, Kantian principles and utilitarianism. Ever since, a great number of philosophers and psychologists have come up with alternative scenarios to further test intuitions and the relevance of conventional moral doctrines. Given that physicians routinely face moral decisions regarding life and death, the Trolley Problem should be considered of great importance in medical ethics. In this article, (...) five “classic” trolley scenarios are discussed: the driver diverting the trolley, a bystander pulling a lever to divert the trolley, a fat man being thrown from a bridge to stop the trolley, a bystander pulling a lever to divert a trolley so that a fat man may be run over, and a bystander pulling a lever so that a fat man falls off from a bridge to stop the trolley. As these scenarios are discussed, relevant moral differences amongst them are addressed, and some of the applications in medical ethics are discussed. The article concludes that Trolley scenarios are not the ultimate criterion to make ethical decisions in difficult ethical challenges in medicine cases but they do serve as an initial intuitive guide. (shrink)

Trolley dilemmas have been tested cross-culturally, but only recently have researchers begun to assess the effect of responding to such dilemmas in a foreign language. Previous studies have found a Moral Foreign Language Effect in trolley dilemmas, whereby subjects who respond to these dilemmas in a foreign language, tend to offer more utilitarian responses. The present study seeks to test whether the MFLE holds amongst native speakers of Arabic. Additionally, the present study seeks to test whether the use of visual (...) images has any effect on responses. For such purposes, four groups were compared: 1) participants responding to trolley dilemmas in English without visual images; 2) participants responding to trolley dilemmas in Arabic without visual images; 3) participants responding to trolley dilemmas in English with visual images; 4) participants responding to trolley dilemmas in Arabic with visual images. (shrink)

Although recent trends in politics and media make it appear that conspiracy theories are on the rise, in fact they have always been present, probably because they are sustained by natural dispositions of the human brain. This is also the case with medical conspiracy theories. This article reviews some of the most notorious health-related conspiracy theories. It then approaches the reasons why people believe these theories, using concepts from cognitive science. On the basis of that knowledge, the article makes normative (...) proposals for public health officials and health workers as a whole, to deal with conspiracy theories, in order to preserve some of the fundamental principles of medical ethics. (shrink)

In continuation with the New Thought movement that arose in the United States in the 19th Century, there is now a massive self-help industry that markets books and seminars. This industry has also extended to healthcare in the form of positive thinking, i.e., the idea that happy thoughts are essential for health. While some of these claims may seem reasonable and commonsensical, they are not free of problems. This article posits that positive thinking has some ethical underpinnings. Extreme positive thinking (...) may promote alternative forms of medicine that ultimately substitute effective treatment, and this is unethical. The emphasis on positive thinking for cancer patients may be too burdensome for them. Likewise, unrestricted positive thinking is not necessarily good for mental health. After considering the ethics of positive thinking, this article proposes a more realistic approach. (shrink)

As it has historically been the case with many pandemics, the Covid-19 experience will induce many philosophers to reconsider the value of medical practice. This should be a good opportunity to critically scrutinize the way medical research and medical interventions are carried out. For much of its history, medicine has been very inefficient. But, even in its contemporary forms, a review of common protocols in medical research and medical interventions reveal many shortcomings, especially related to methodological flaws, and more importantly, (...) conflicts of interests due to profit incentives. In the face of these problems, we propose a program of “gentle medicine”. This term, originally formulated by philosopher Jacob Stegenga, describes a form of medicine in which physicians intervene less than they currently do. As part of this general program, we advance a series of reform recommendations that could be enacted both by medical staff in their everyday practice, but also by public health officials and policymakers. (shrink)

Monogamy in Western countries has recently undergone criticisms, because it is perceived as an oppressive institution, adjacent to reactionary cultural values. In this article, I argue that monogamy is in fact a force of social progress and women’s empowerment. I point out that, given our natural tendencies, the most likely alternative to monogamy is polygyny. By its very nature, polygyny faces a numerical difficulty, to the extent that (given the equitable male to female ratio) when one man engages in romantic (...) or sexual relationships with multiple female partners, inequality and social conflict ensues. I present historical and sociological data that sustains the argument that polygyny is associated with greater inequality, violence, poverty and women’s vulnerability. Nevertheless, while monogamy can be considered a force of social progress, I argue that the State is not morally entitled to prosecute non-monogamous lifestyles, but there may still be non-coercive ways to promote monogamy. (shrink)

Despite progress, discrimination in public health remains a problem. A significant aspect of this problem relates to how medical resources are allocated. The paradigm of quality-adjusted-life-year (QALY) dictates that medical resources should be allocated on the basis of units measured as length of life and quality of life that are expected after the implementation of a treatment. In this article, I discuss some of the ethical shortcomings of QALY, by focusing on some of its flawed moral aspects, as well as (...) the way it relates to discrimination on the basis of age, race, and disability status. I argue that while this approach seeks to maximize efficiency, it does not place sufficient value on the preservation of life itself. Even more concerning is the fact that the use of QALY disproportionately harms minorities. While QALY is a well-intentioned approach to the allocation of scarce healthcare resources, new alternatives must be sought. (shrink)

Xenotransplantation has great potential as an alternative to alleviate the shortage of organs for donation. However, given that the animal most suited for xenotransplantation is the pig, there are concerns that people in Muslim countries may be more hesitant to morally approve of these procedures. In this study, the moral approval of xenotransplantation was assessed in a group of 895 participants in Egypt. The results showed that religiosity itself does not predict moral approval of xenotransplantation, but religious identity does, as (...) Muslims are less likely to approve of xenotransplantation than Christians. However, the strongest predictor of moral approval of xenotransplantation was gender, with women displaying less approval. A partial mediating factor in this association was concern for animal welfare. Based on these results, some implications for public policy are discussed. (shrink)

Past life regression therapy is used by some physicians in cases with some mental diseases. Anxiety disorders, mood disorders, and gender dysphoria have all been treated using life regression therapy by some doctors on the assumption that they reflect problems in past lives. Although it is not supported by psychiatric associations, few medical associations have actually condemned it as unethical. In this article, I argue that past life regression therapy is unethical for two basic reasons. First, it is not evidence-based. (...) Past life regression is based on the reincarnation hypothesis, but this hypothesis is not supported by evidence, and in fact, it faces some insurmountable conceptual problems. If patients are not fully informed about these problems, they cannot provide an informed consent, and hence, the principle of autonomy is violated. Second, past life regression therapy has the great risk of implanting false memories in patients, and thus, causing significant harm. This is a violation of the principle of non-malfeasance, which is surely the most important principle in medical ethics. (shrink)

Trolley dilemmas have been used to justify the intuitive appeal of the doctrine of double effect. According to this doctrine, if a good action has a harmful side effect, it is morally acceptable to do it, provided the harmful effect is not intended. However, in some variants of the dilemma, most people are willing to forego this doctrine, thus making responses inconsistent. In this study, 404 university students from the United Arab Emirates (UAE) were presented with 4 versions of the (...) trolley dilemma. Results came out showing that higher levels of depressive symptoms predict greater consistency in adherence (or rejection) to the doctrine of double effect. Likewise, higher levels of depressive symptom predict utilitarian responses to trolley dilemmas. Anxiety symptoms had similar effects, but more moderate. Demographic variables (age, gender) were also assessed as predictors of responses and consistency to trolley scenarios, but no significant effects were found. (shrink)

Incest taboos are universal, but it is questionable whether consensual incest should continue to be illegal. The most common argument in favor of the illegalization of consensual incest appeals to genetic risks and the harm to potential offspring. In this article, we examine whether public health concern is a sufficient reason to illegalize consensual incest. We posit that indeed, incest represents a risk, but this is not reason enough to illegalize incest. For, other circumstances of sexual intercourse may lead to (...) similar risks, and yet, such practices are not illegal. While those practices may represent an added risk to public health, to forbid them as a way to improve the genetic pool would be akin to eugenic program, and that is morally objectionable. This does not imply that consensual incest ought to be legal, for there may be other good reasons to illegalize it. But they do not relate to public health and genetic risks, and consequently, medical practitioners and public health officials ought to avoid using their medical authority as a platform to make moral pronouncements. (shrink)

Participation trophies in youth sports have become controversial in the so-called “culture wars” of recent years in Western countries. Conservative professional athletes and media pundits deride participation trophies, as they perceive them as akin to equality of outcome and Communist ideology. However, this is a mischaracterization of participation trophies, as liberalism can also provide a philosophical basis for a defense of these trophies. In this article, I rely on John Rawls’ contractual theory to build a defense of participation trophies. These (...) prizes can serve as educational resources to teach young athletes about the dignity of losers in sports, and the need for taxation in order to sustain a safety net in society at large. (shrink)

This article is a libertarian critique of incest laws. On the basis of the libertarian “harm principle”, one must ask what exactly is the harm that incest brings forth. Traditionally, anthropologists have tried to rationalize the incest taboo in various theories, and lawmakers have used these principles as grounds for the criminalization of incest. These principles are the preservation of family structure, the enhancement of alliances and the avoidance of genetic risks. While I acknowledge that these rationalizations are plausible, I (...) argue that they are still not sufficient grounds for the preservation of incest laws, and consequently, there is an ethical need to reform them. (shrink)

In this in ter view, the pres ti gious an thro - pol o gist, his to rian and T.V. anaouncer, Alan Macfarlane com ments on some of the is sues that have been ad dressed in his writ ings. His main the o ret i cal con cern has been to study the pe cu - liar con di tions that gave rise to the mod e..

In this article, we consider three metaphysical theories of personal identity: the soul theory, the body theory, and the psychological theory. Clinical cases are discussed as they present conceptual problems for each of these theories. For the soul theory, the case of Phineas Gage, and cases of pedophilic behavior due to a brain tumor are discussed. For the body theory, hypothetical cases of cephalosomatic anastomosis and actual cases of dicephalic parapagus and craniopagus parasiticus are discussed. For the psychological theory, cases (...) of delusions and memory impairments are discussed. After a discussion of all these cases, we conclude that it is very difficult to unequivocally favor one of these theories, yet we argue that this discussion must be based not on abstract armchair speculation, but rather, consideration of real clinical cases. (shrink)

Many dubious disciplines have been removed from academic institutions, but theology is not one of them, as it is still taught in respectable universities. This article argues that theology does not deserve that special treatment. Theology has long pretended to be a science, but it can never be, because ultimately, theology is grounded on faith and authority, two tenets that run counter to the scientific method. Natural theology appeals to evidence and reason, but it also fails in its endeavor. More (...) recent theologians admit that their discipline is not science per se, but still consider it legitimate in its quest for meaning. There are also reasons to doubt this claim, as there is no need to appeal to the supernatural to find meaning. (shrink)

En este artículo se presentan dos perspectivas sobre uno de los más antiguos problemas planteados en la filosofía de la religión: si Dios es bueno y omnipotente, ¿cómo puede existir el mal? El filósofo alemán del siglo XVII, Gottfried Leibniz, ofreció una respuesta a este problema en su obra cumbre, Teodicea, argumentando que vivimos en el mejor de los mundos posibles. Un siglo después, Voltaire protestó contra la respuesta ofrecida por Leibniz, y la ridiculizó en su famosa novela, Cándido. Al (...) final, las críticas de Voltaire han sido lo suficientemente contundentes como para que justifiquemos que, antes de preguntarnos por qué Dios permite el mal, nos preguntemos qué podemos hacer nosotros para aliviar el mal. (shrink)

El problema de la teodicea ha sido una de las grandes preocupaciones del pensamiento religioso en Occidente: si Dios es absolutamente bueno y omnipotente, ¿cómo puede existir el mal en el mundo?, y ¿por qué sufren los virtuosos y gozan los impíos? En la Antigüedad, el Libro de Job intentó ofrecer una respuesta que perduró hasta tiempos modernos. En el siglo XVII, Leibniz ofreció una respuesta mucho más racionalizada, propia de los tiempos modernos. Joseph de Maistre, un contrarrevolucionario del siglo (...) XIX, hizo de la teodicea uno de sus temas centrales. El siguiente artículo es un estudio de la forma en que De Maistre aborda este tema. (shrink)

El siguiente artículo tiene como objetivo establecer una comparación entre las reflexiones sobre los indígenas en la obra de Diego de Avendaño y Bernardino de Sahagún. Partiendo de las concepciones de la antropología posmoderna, se considera que el interés por y la reconstrucción del Otro tienen prioridad en la época poscolonial. En este sentido, Avendaño es categorizado como un autor que, si bien emprender una defensa de los indígenas, mantiene poco interés por ellos, mientras que Sahagún, con su disposición etnológica, (...) revitaliza el encuentro con los nativos. (shrink)

El siguiente artículo tiene como objetivo establecer una comparación entre las reflexiones sobre los indígenas en la obra de Diego de Avendaño y Bernardino de Sahagún. Partiendo de las concepciones de la antropología posmoderna, se considera que el interés por y la reconstrucción del Otro tienen prioridad en la época poscolonial. En este sentido, Avendaño es categorizado como un autor que, si bien emprender una defensa de los indígenas, mantiene poco interés por ellos, mientras que Sahagún, con su disposición etnológica, (...) revitaliza el encuentro con los nativos.Palabras llave: Diego de Avendaño; Bernardino de Sahagún; antropología posmoderna.The objective of this article is to establish a comparison between Diego de Avendaño and Bernardino de Sahagún in reference to the indigenous population. Based on the conceptions of postmodern anthropology, the article considers that the interest in and the reconstruction of the other have priority in postcolonial times. In this theme, Avendaño is categorized as an author who, even though he defends natives, has little interest in them, while Sahagún, with his ethonological disposition, revitalizes encounters with the native population.Palabras llave: Diego de Avendaño; Bernardino de Sahagún; post-modern anthropology. (shrink)

Bullfighting debates in Spain are increasingly intense. Defenders of bullfighting as sport and as art, typically argue that many of the country’s most esteemed intellectual and artistic figures were bullfight enthusiasts. This is admittedly true, but by the same token Spain has a long tradition of anti-bullfighting thought. One prominent critic of bullfighting in the eighteenth century was Gaspar Melchor Jovellanos. Often considered the best representative of the Spanish Enlightenment, Jovellanos did not address bullfighting as a central concern. But, in (...) some writings, he did level important criticisms against this sort of spectacle. Defenders of bullfighting frequently argue that Jovellanos’ critique of bullfighting relies mostly on economic arguments. While it is true that Jovellanos offered economic reasons to oppose bullfighting, a closer reading of his works reveals that he had a larger concern with the violent nature of bullfighting, which cohered with his Enlightenment philosophy. (shrink)

Se evalúan los argumentos apologistas según los cuales hay evidencia histórica a favor de la resurrección de Jesús.

Immortality is the indefinite continuation of a person’s existence, even after death. In common parlance, immortality is virtually indistinguishable from afterlife, but philosophically speaking, they are not identical. Afterlife is the continuation of existence after death, regardless of whether or not that continuation is indefinite. Immortality implies a never-ending existence, regardless of whether or not the body dies (as a matter of fact, some hypothetical medical technologies offer the prospect of a bodily immortality, but not an afterlife). Immortality has been (...) one of mankind’s major concerns, and even though it has been traditionally mainly confined to religious traditions, it is also important to philosophy. Although a wide variety of cultures have believed in some sort of immortality, such beliefs may be reduced to basically three non-exclusive models: (1) the survival of the astral body resembling the physical body; (2) the immortality of the immaterial soul (that is an incorporeal existence); (3) resurrection of the body (or re-embodiment, in case the resurrected person does not keep the same body as at the moment of death). This article examines philosophical arguments for and against the prospect of immortality. A substantial part of the discussion on immortality touches upon the fundamental question in the philosophy of mind: do souls exist? Dualists believe souls do exist and survive the death of the body; materialists believe mental activity is nothing but cerebral activity and thus death brings the total end of a person’s existence. However, some immortalists believe that, even if immortal souls do not exist, immortality may still be achieved through resurrection. Discussions on immortality are also intimately related to discussions of personal identity because any account of immortality must address how the dead person could be identical to the original person that once lived. Traditionally, philosophers have considered three main criteria for personal identity: the soul criterion , the body criterion and the psychological criterion. Although empirical science has little to offer here, the field of parapsychology has attempted to offer empirical evidence in favor of an afterlife. More recently, secular futurists envision technologies that may suspend death indefinitely (such as Strategies for Engineered Negligible Senescence, and mind uploading), thus offering a prospect for a sort of bodily immortality. (shrink)

Projects of radical life extension have been discussed amongst scientists for years. Some bioethicists express reservations about this endeavor. A common objection appeals to demography: if the human lifespan is dramatically expanded, humanity would face an overpopulation problem. In this essay, the authors reply to this objection. They posit that radical life extension is unlikely to lead to overpopulation because overpopulation is determined more by fertility rates than by longevity, and as a result of the advanced phases of industrialization, fertility (...) rates are likely to be reduced, and therefore, population size would become stable. However, they argue that although overpopulation is not a concern for the foreseeable future, it is still important to acknowledge its potential harms. Finally, they argue that even if overpopulation becomes a problem caused by radical life extension, there are plausible ways to solve it. (shrink)

Joseph de Maistre is usually portrayed as Edmund Burke’s French counterpart, as they both wrote important treatises against the French Revolution. Although Maistre did share many of Burke’s conservative political views, he was much more than a political thinker. He was above all a religious thinker who interpreted political events through the prism of a particular retributionist theology. According to this theology, God punishes evil deeds, not only in the afterlife, but also in this terrestrial life; and sometimes, he may (...) even use human tyrants as instruments of his wrath. This interpretation especially evident in Maistre’s Considerations sur la France, an early work in his philosophical career. In that book, Maistre interprets the French Revolution as divine punishment, and in that regard, his views bear some similarities to the Deuteronomist historian in the Hebrew Bible, who interpreted the destruction of Jerusalem and the Babylonian Exile, as divine punishment in retribution of Israel’s sins. (shrink)

Se evalúan algunos de los problemas conceptuales que enfrenta la doctrina de la resurrección.

This ar ti cle ex tends, from a philo soph i cal and an thro po log i cal point of view, the re cent dis - cus sions as to what is met a phoric. Lan guage phi - los o phers have con trib uted to the un der stand ing of the na ture and func tion of met a phors, but their com ments have been tra ..

Contrario a las corrientes "políticamente correctas" de la academia latinoamericana, este ensayo sostiene que la globalización no es un fenómeno que debamos lamentar enteramente. El discurso anti-globalización se ha convertido en una suerte de moda intelectual, cuestión aprovechada por muchos demagogos para ganar audiencia. Tomando en consideración la obra de Karl Jaspers, el ensayo propone que la globalización es una continuación del "tiempo-eje", una transformación de la cual sería una hipocresía lamentarse.

Este ensayo critica la postura del multiculturalismo, movimiento filosóficopolítico en boga que defiende la igualdad de las culturas, pero ésta no está implicada en la igualdad natural de los hombres, y el relativismo, que defiende la igualdad de las culturas, es problemático desde un punto de vista lógico. La noción misma de igualdad llevaría a la conclusión paradójica de que las sociedades igualitarias son superiores a las sociedades jerárquicas. Igualmente, amerita destacar la singularidad de Occidente respecto a otras culturas. Pero (...) el rechazo a la igualdad de las culturas, no excluye una forma limitada de multiculturalismo posible aún. (shrink)

Este ensayo critica la postura del multiculturalismo, movimiento filosófico-político en boga que defiende la igualdad de las culturas, pero ésta no está implicada en la igualdad natural de los hombres, y el relativismo, que defiende la igualdad de las culturas, es problemático desde un punto de vista lógico. La noción misma de igualdad llevaría a la conclusión paradójica de que las sociedades igualitarias son superiores a las sociedades jerárquicas. Igualmente, amerita destacar la singularidad de Occidente respecto a otras culturas. Pero (...) el rechazo a la igualdad de las culturas, no excluye una forma limitada de multiculturalismo posible aún.Palabras llave: Igualdad cultural; multiculturalismo; relativismo cultural.This essay critiques the position of multiculturalism, a philosophico-political movement which is in vogue nowadays and that defends cultural equality, but this equality is not implied in the natural equality of men, and relativism, which defends cultural equality, presents problems from a logical point of view. The notion of equality itself would lead to the paradoxical conclusion that societies which are egalitarian are superior to those hierarchical ones. In the same manner, it is valuable to outline West’s singularity with respect to other cultures. But to reject cultural equality does not exclude a limited form of multiculturalism.Palabras llave: Cultural equality; multiculturalism; cultural relativism. (shrink)

The purpose of this article is to tackle the way postmodernists have attacked science. Departing from the doctrine of relativism, postmodernists have long claimed that science does not deserve any priority over pseudoscientific or even anti-scientific approaches. Regrettably, in the 20th Century, some philosophers were part of this trend. Claude Levi Strauss’ views on rationality and irrationality, Ludwig Wittgenstein’s notion of “language games”, Paul Feyerabend’s epistemological anarchism, and Thomas Kuhn’s theories about paradigms and their incommensurability, are objects of critique in (...) this article. This article also defends some of Karl Popper’s views on the philosophy of science, and addresses the way some postmodernists have erroneously used Popper’s philosophy to advance their own views. (shrink)

The problem of evil is very old in philosophy (if God is omnipotent and benevolent, why does he allow evil in the world?), but it has not been sufficiently discussed in the context of sports. This article discusses how athletes and fans in sports relate to it. In sports, there are moral evils, such as cheating, trash talking and unjust retaliation. Theists have traditionally appealed to free will as a way to respond to the challenge of moral evil, but this (...) appeal is not without problems. In sports, there are also natural evils, such as injuries and the unfair distribution of natural talents. Theists also have traditional ways of responding to that, but again, it is not clear that these answers are fully satisfactory. (shrink)

Shaming is defended by some as a necessary measure of social control. But shaming is unjust to the extent that it is disproportionate, and largely counterproductive. While much progress has been made, people with disabilities are still frequently at the receiving end of shaming. This is manifest in disregard for accommodation requests, condescending attitudes and overall lack of empathy towards people with disabilities. These trends are also manifest in clinical settings. Medical staff and healthcare workers need to seriously consider this (...) state of affairs and embrace attitudinal changes and policies that contribute to a more welcoming atmosphere towards the disabled, and consequently curb the shaming to which they have been traditionally exposed. (shrink)

Este artículo es un estudio comparativo de la manera en que Aristóteles y Alexis de Tocqueville conciben a la familia dentro del contexto de la democracia antigua y moderna, respectivamente. Se elabora un recorrido por la institución de la familia y el matrimonio en Grecia y Roma, y sus vinculaciones con las ideas políticas de esas civilizaciones. Igualmente, se contrasta el entendimiento antiguo de la democracia con el de Tocqueville, y se analiza la vinculación que éste estableció entre el hogar (...) y la esfera pública en las democracias modernas.Palabras llave: Aristóteles; Alexis de Tocqueville; democracia antigua; democracia moderna; familia.This article is a comparative study of the way Aristotle and Alexis de Tocqueville conceive the institution of the family within the context of ancient and modern democracy, respectively. A survey through the institution of family and marriage in Greece and Rome is made, and their links with the political ideas of those civilizations. In the same manner, the article contrasts the ancient understanding of democracy with Tocqueville’s, and it analyzes the link that Tocqueville established between the domestic home and the public sphere in modern democracies.Palabras llave: Aristotle; Alexis de Tocqueville; ancient democracy; modern democracy; family. (shrink)

Este artículo es un estudio comparativo de la manera en que Aristóteles y Alexis de Tocqueville conciben a la familia dentro del contexto de la democracia antigua y moderna, respectivamente. Se elabora un recorrido por la institución de la familia y el matrimonio en Grecia y Roma, y sus vinculaciones con las ideas políticas de esas civilizaciones. Igualmente, se contrasta el entendimiento antiguo de la democracia con el de Tocqueville, y se analiza la vinculación que éste estableció entre el hogar (...) y la esfera pública en las democracias modernas. (shrink)

In 1989, Thomas Donaldson requested the California courts to allow physicians to hasten his death. Donaldson had been diagnosed with brain cancer, and he desired to die in order to cryonically preserve his brain, so as to stop its further deterioration. This case elicits an important question: is this a case of euthanasia? In this article, we examine the traditional criteria of death, and contrast it with the information-theoretic criterion. If this criterion is accepted, we posit that Donaldson’s case would (...) have been cryocide, but not euthanasia. We then examine if cryocide is an ethically feasible alternative to euthanasia. To do so, we rely on the ethical doctrine of double effect. (shrink)