In their article, “Non-invasive prenatal testing for ‘non-medical’ traits: ensuring consistency in ethical decision-making,” Hilary Bowman-Smart and colleagues (2023) claim merely to lay out the gr...

Medicine needs our trust. We need to be able to rely on individual clinicians and researchers, and we need to be able to have confidence in hospitals and clinics. Yet the organization of our healthcare institutions is not designed to promote that trust. In fact, the structure of our medical institutions seems to undermine our faith.

Although medical centres have established boards, special committees, and offices for the review and redress of breaches in ethical behaviour, these mechanisms repeatedly prove themselves ineffective in addressing research misconduct within the institutions of academic medicine. As the authors see it, institutional design: systematically ignores serious ethical problems, makes whistleblowers into institutional enemies and punishes them, and thereby fails to provide an ethical environment.The authors present and discuss cases of academic medicine failing to address unethical behaviour in academic science and, (...) thereby, illustrate the scope and seriousness of the problem. The Olivieri/Apotex affair is just another instance of academic medicine’s dereliction in a case of scientific fraud and misconduct. Instead of vigorously supporting their faculty member in her efforts to honestly communicate her findings and to protect patients from the risks associated with the use of the study drug, the University of Toronto collaborated with the Apotex company’s “stalling tactics,” closed down Dr Olivieri’s laboratory, harassed her, and ultimately dismissed her.The authors argue that the incentives for addressing problematic behaviour have to be revised in order to effect a change in the current pattern of response that occurs in academic medicine. An externally imposed realignment of incentives could convert the perception of the whistleblower, from their present caste as the enemy within, into a new position, as valued friend of the institution. The authors explain how such a correction could encourage appropriate reactions to scientific misconduct from academic medicine. (shrink)

Those who read only the introductory section of “Physician Obligation in Disaster Preparedness and Response,” the statement from the AMA's Council on Ethical and Judicial Affairs, apparently an elaboration on CEJA Opinion 3-I-04, E-9.067, will find an expression of laudable professional responsibility in the face of a disaster. There the AMA authors explicitly acknowledge “that unique responsibilities beyond planning rest on the shoulders of the medical profession”. They also declare that, “physicians are needed to care for victims. In some instances, (...) this will require individual physicians to place their health or their lives at risk”. As the AMA authors note, these responsibilities have been accepted at least since the writing of Thomas Percival in 1803 and endorsed by the AMA in posting their 1847 code. The commitments are also asserted in the preamble of the AMA's most current Principles of Medical Ethics, which states that “a physician must recognize responsibility to patients, first and foremost,” and again in Principle VIII, which states that “[a] physician shall, when caring for a patient, regard responsibility to the patient as paramount”. (shrink)

As the possibility of cloning humans emerges on the horizon people are worrying about the morality of using the new technology. They are anxious about the ethical borders that might be crossed when duplicate humans can be produced by separating the cells of a newly fertilized human egg or, in the more distant future, by creating a zygote from an existing person's genetic material. They are apprehensive about eugenics, concerned about creating humans as sources of spare parts for others, uneasy (...) about producing humans without intending to allow them to live and develop, and uncomfortable about using duplicate humans as business ventures. (shrink)

Volumes have been written arguing the morality of abortion. A crucial premise in many of these arguments concerns the status of the fetus; specifically, that the fetus has or does not have a right to life. Opponents of abortion typically argue that fetuses are persons and hence have an inviolable right to life. Advocates of the right to abortion typically maintain that fetuses are not persons and hence have no right to life.

This tragic case raises two important ethical issues. One is the obvious problem of just allocation of scarce transplant organs. The other is the less obvious problem of the healthcare team's feelings of commitment to their patient. Together they present an unusual conflict for bioethics.

In this book, one of the world's preeminent philosophers takes issue with an idea that has found an all-too-prominent place in popular culture and philosophical ...

In lieu of an abstract, here is a brief excerpt of the content:The Background Theory of Delusion and Existential PhenomenologyRichard G. T. Gipps (bio) and John Rhodes (bio)KeywordsPhenomenology, psychological explanation, epistemology, schizophreniaSituating and Clarifying the PaperThe commentaries of Nassir Ghaemi and Giovanni Stanghellini help to sketch out the intellectual landscape of philosophical perspectives in psychiatry, and situate our paper within it. A happy convergence between the analytical philosophy perspective from which we were writing, and the existential–phenomenological paradigm described by (...) both authors, is the result. Stanghellini in particular carefully describes three main theories of existential deformations, tracing delusion formation back to either (i) a disturbance of meaning synthesis conceived as a dysfunction of a Husserlian consciousness, (ii) a disturbance of pre-reflective self-consciousness resulting in a kind of paralyzing hyperreflexivity, and (iii) (Stanghellini’s preferred model) a disturbance of embodiment. This final account views delusion as springing from a failure in the subject’s corporeal and praxical being-in-the-world. As the subject’s practical, pre-reflective grip on the world is loosened, so their minds become unconstrained by that understanding and practical rationality immanent within that grip, and thought, now unconstrained, starts to travel through delusional worlds. Stanghellini accordingly views our model as an example of a disembodiment theory, which allows it to overcome the disadvantages of the first two models, which may both, in their own ways, overvalue the rôle of (disturbances of) reflective consciousness in the formation (and delusional deformation) of everyday understanding.Being situated within a preexisting landscape has both its benefits and its disbenefits, the principle example of the latter being the potential assimilation of anything new to what has already been said. Thus, although we are grateful to our commentators for placing us on the larger historical and conceptual map, it may be helpful to briefly rehearse our motivations for drawing on the philosophical ideas of the Bedrock and Background in our theory of delusion. Our paper was primarily motivated by a concern that current, psychologically mainstream, cognitive models of delusion, although helpfully drawing our attention to common reasoning and perceptual deficits in the person with psychosis, fail to adequately account for what is delusional about delusions. It was, in [End Page 321] particular, to account for the certainty with which the deluded person clings to often quite extraordinary beliefs that we drew on the epistemological notion of the background. And although this epistemological notion fits quite neatly with ontological concerns regarding the embodied and praxical character of human existence, it is the particular epistemic rôle that it played in our theory—to do with the extraratiocinative constraint on judgement provided by the Background—that we wish to stress here.We return to this shortly, but first wish to comment briefly on two specific considerations raised by the commentaries. The first concerns Stanghellini’s claim that, for us, “when studying delusions, the focus should be on providing an adequate framework for understanding, rather than providing empirical hypotheses to be tested” (2008, 311–314). It seems to us, however, that both are equally important. What we wished to stress, however, was that empirical hypothesis testing may be led astray if it is not informed by an adequate framework for understanding. For example, most cognitive psychological experiments on delusions concern themselves with the individual’s ability to make appropriate guesses (e.g., regarding the color of beads in a bag), and their tendency to jump to conclusions; they do not concern themselves with the kinds of extraordinary conviction and certainty met with in delusion. The risk run by empirical researchers of cognitive factors in delusion is that a lack of a prior adequate theorization of delusion makes for accounts that are ultimately only of the formation, not of delusion in particular but rather of false or unusual beliefs more generally. An analytical approach, however, can help to explicate the ways in which the psychiatric concept of delusion fails to be adequately characterized by the quite general ‘external criteria’ of delusion (as Jaspers [1963] called them: falsity, stubbornness, uncommon), and aids in the construction of empirical hypotheses this time constrained by an understanding of the true ‘internal criteria’ of psychotic belief. Such an approach helps to spell out the... (shrink)

The twentieth century has witnessed an unprecedented 'crisis in the foundations of mathematics', featuring a world-famous paradox, a challenge to 'classical' mathematics from a world-famous mathematician, a new foundational school, and the profound incompleteness results of Kurt Gödel. In the same period, the cross-fertilization of mathematics and philosophy resulted in a new sort of 'mathematical philosophy', associated most notably with Bertrand Russell, W. V. Quine, and Gödel himself, and which remains at the focus of Anglo-Saxon philosophical discussion. The present collection (...) brings together in a convenient form the seminal articles in the philosophy of mathematics by these and other major thinkers. It is a substantially revised version of the edition first published in 1964 and includes a revised bibliography. The volume will be welcomed as a major work of reference at this level in the field. (shrink)

It is widely recognized that ‘global’ symmetries, such as the boost invariance of classical mechanics and special relativity, can give rise to direct empirical counterparts such as the Galileo-ship phenomenon. However, conventional wisdom holds that ‘local’ symmetries, such as the diffeomorphism invariance of general relativity and the gauge invariance of classical electromagnetism, have no such direct empirical counterparts. We argue against this conventional wisdom. We develop a framework for analysing the relationship between Galileo-ship empirical phenomena on the one hand, and (...) physical theories that model such phenomena on the other, that renders the relationship between theoretical and empirical symmetries transparent, and from which it follows that both global and local symmetries can give rise to Galileo-ship phenomena. In particular, we use this framework to exhibit an analogue of Galileo’s ship for the local gauge invariance of electromagnetism. 1 Introduction2 Analogues of Galileo’s Ship? Faraday’s Cage and t’Hooft’s Beam-Splitter2.1 Faraday’s cage2.2 t’Hooft’s beam-splitter3 A Framework for Symmetries I: Systems and Subsystems4 An Example: Coulombic Electrostatics5 A Framework for Symmetries II: The Relationship between Theoretical and Empirical Symmetries6 Newtonian Gravity7 Local Symmetries that Are Not Boundary-Preserving: Classical Electromagnetism and Faraday’s Cage8 Local Boundary-Preserving Symmetries: Klein-Gordon-Maxwell Gauge Theory and t’Hooft’s Beam-Splitter9 Summary10 Conclusions. (shrink)

It is a relatively rare, and very welcome, event when an original, brilliantly imaginative analytic philosopher takes a fresh look at earlier figures in the history of philosophy and proceeds to tell a story that ties in their work with his own. Analytic philosophy’s greatest disability remains its lack of historical resonance, and Hilary Putnam is one of the few who have worked hard to help it overcome this handicap. His discussion of the great American pragmatists has made it (...) possible for students to see past the dismissive attitudes that Russell and Ayer, for example, adopted toward James and Dewey. Advancing along lines sketched out some decades ago in Morton White’s prescient Toward Reunion in Philosophy, Putnam has helped us see in detail how Quinean skepticism about the language-fact and essence-accident dualisms ties in with James’s and Dewey’s skepticism about many other traditional dualisms. (shrink)

The present paper is an attempt to give an account of the analytic-synthetic distinction both inside and outside of physical theory. It is hoped that the paper is sufficiently nontechnical to be followed by a reader whose background in science is not extensive; but it has been necessary to consider problems connected with physical science (particularly the definition of 'kinetic energy,' and the conceptual problems connected with geometry) in order to bring out features of the analytic-synthetic distinction that seem to (...) me to be the most important. (shrink)

In July 2018, the Nuffield Council of Bioethics released its long-awaited report on heritable genome editing. The Nuffield report was notable for finding that HGE could be morally permissible, even in cases of human enhancement. In this paper, we summarise the findings of the Nuffield Council report, critically examine the guiding principles they endorse and suggest ways in which the guiding principles could be strengthened. While we support the approach taken by the Nuffield Council, we argue that detailed consideration of (...) the moral implications of genome editing yields much stronger conclusions than they draw. Rather than being merely ‘morally permissible’, many instances of genome editing will be moral imperatives. (shrink)

SummaryI discuss a simple case in which theories with different ontologies appear equally adequate in every way. . I contend that the appearance of equal adequacy is correct, and that what this shows is that the notion of “existence” has a variety of different but legitimate uses. I also argue that this provides a counterexample to the claim advanced by Davidson, that conceptual relativity is incoherent.RésuméJe discute un cas simple où des théories comportant des ontologies différentes apparaissent également adéquates à (...) tout point de vue. . Je prétends que ľapparence ?on;égale adéquation est correcte et ceci montre que la notion ?on;existence a plusieurs sens différents, mais également légitimes. Je montre aussi que cela constitue un contre‐exemple à la thèse avancée par Davidson, selon laquelle la relativité con‐ceptuelle est incoherénte.ZusammenfassungIch diskutiere einen einfachen Fall, wo Theorien mit verschiedenen Ontologien in jeder Beziehung als gleich adäquat erscheinen. . Ich behaupte, dass die Ansicht, wonach gleiche Adäquatheit bestehen soil, korrekt ist und dass entsprechend der Begriff der Existenz mehrere verschiedene Verwendungs‐weisen hat, die alle legitim sind. Ich argumentiere, dass damit ein Gegenbeispiel zu Davidsons Auffassung vorliegt, wonach die These der begrifflichen Relativität inkohärent sein soil. (shrink)

Many diseases and disease symptoms still lack effective treatment. At the same time, certain controversial Schedule I drugs, such as heroin and cannabis, have been reputed to have considerable therapeutic potential for addressing significant medical problems. Yet, there is a paucity of U.S. clinical studies on the therapeutic uses of controlled drugs. For example, people living with HIV/aids experience a variety of disease- and medication-related symptoms. Their chronic pain is intense, frequent, and difficult to treat. Nevertheless, clinical trials of compassionate (...) management for their chronic symptoms, which should be a research priority, are stymied. Stakeholders’ Views on Barriers to Research on Controlled Substances Evelyn Rhodes, Michael Andreae, Tyler Bourgiose, Debbie Indyk, Rosamond Rhodes, and Henry Sacks We employed qualitative methods to develop an understanding of the barriers to research on potential therapeutic uses of Schedule I drugs so that they might be addressed. We elicited the perspectives of key stakeholder groups that would be involved in such studies: people living with HIV/aids, clinicians, and members of institutional review boards. As we identified obstacles to research, we found that all of the stakeholder groups arrived at the same conclusion, that clinical research on the therapeutic potential of these drugs is ethically required. (shrink)

Volume 19, Issue 6, June 2019, Page 19-21.

SummaryI discuss a simple case in which theories with different ontologies appear equally adequate in every way.. I contend that the appearance of equal adequacy is correct, and that what this shows is that the notion of “existence” has a variety of different but legitimate uses. I also argue that this provides a counterexample to the claim advanced by Davidson, that conceptual relativity is incoherent.RésuméJe discute un cas simple où des théories comportant des ontologies différentes apparaissent également adéquates à tout (...) point de vue.. Je prétends que ľapparence?on;égale adéquation est correcte et ceci montre que la notion?on;existence a plusieurs sens différents, mais également légitimes. Je montre aussi que cela constitue un contre‐exemple à la thèse avancée par Davidson, selon laquelle la relativité con‐ceptuelle est incoherénte.ZusammenfassungIch diskutiere einen einfachen Fall, wo Theorien mit verschiedenen Ontologien in jeder Beziehung als gleich adäquat erscheinen.. Ich behaupte, dass die Ansicht, wonach gleiche Adäquatheit bestehen soil, korrekt ist und dass entsprechend der Begriff der Existenz mehrere verschiedene Verwendungs‐weisen hat, die alle legitim sind. Ich argumentiere, dass damit ein Gegenbeispiel zu Davidsons Auffassung vorliegt, wonach die These der begrifflichen Relativität inkohärent sein soil. (shrink)

In this lecture I describe the path by which I was led to the “semantic externalism” for which I was honoured with the Rolf Schock Prize. Although my interest in linguistics goes back as far as my undergraduate days, it was conversations with Jerrold Katz and Jerry Fodor at MIT (where all three of us taught at the time) in the 1960s that first led to an effort by all three of us to develop semantic theories. My own direction was (...) a false one, by my present lights; at that time all three of us defended the “internalist” view that the meaning of a word is fixed by a “battery of semantical rules” implicitly known by each speaker. I describe how I was led to the realization that this could not be right, and finally to the views I defended in “The Meaning of ‘Meaning' ”. (shrink)

This case raises a number of complex ethical, legal, and practical issues, some of which cannot be resolved by a research ethics consultation. Sam is an adolescent who has end stage manifestations...

The following is a transcript of a discussion about the question between Richard Rorty, Hilary Putnam, and James Conant. The discussion was part of a series of discussions on more or less philosophical subjects broadcast on Chicago Public Radio. This discussion is anchored by Gretchen Helfrich. Two listeners (Chris and Edwin) also took part.

Research ethics committees ‘(RECs) members’ perceptions of their role in regard to the science of research proposals are discussed. Our study, which involved the interviewing of 20 participants from amongst the UK’s independent (Phase I) ethics committees, revealed that the members consider that it is the role of the REC to examine and approve the scientific adequacy of the research – and this notwithstanding the fact that a more competent body will already have done this and even when that other (...) body has the legal responsibility for this function. The problematic nature of this situation, tantamount to double jeopardy, is considered: it can delay research and so add to costs whilst offering no countervailing benefits, or the double jeopardy may be just the cost society imposes, through its RECs, on researchers as the price for research on human subjects. (shrink)

Covers the period from the beginning of Greek Philosophy to St. Augustine.

_ Source: _Volume 63, Issue 1, pp 1 - 24 This article examines Diogenes of Apollonia’s doctrines of intellection and soul in relation to his material principle, air. It argues that for Diogenes both intellection and soul are not, as commonly thought, some sort of air, even though both intellection and soul are to be understood in terms of air and the system of τρόποι of air that he has set up. These new interpretations of intellection and soul yield insight (...) into Diogenes’ claims about the ordering activity of air as intellection and a renewed appreciation for his material monism. (shrink)

This unfortunately titled volume offers a collection of fourteen essays and two introductions, many of which stem from a 2014 conference, Aristotle and His Predecessors on Heat, Pneuma, and Soul, which is a more honest reflection of the contents, given its exclusion of the Stoics. Of the essays, eight are devoted to Aristotle, four to Presocratic natural philosophy, one to Plato, and one to the De Spiritu. The poor titling and somewhat oddly circumscribed selection of who and what receives attention, (...) however, do not detract from the quality of the contributions themselves, which is largely excellent.One highlight is Simon Trépanier's account of soul in Empedocles, the... (shrink)

This paper responds to Stroud's important The Significance of Philosophical Scepticism. The author defends a view in which statements in a natural language have truth-evaluable content only in concrete contexts. It is argued that just what counts as a concrete possibility that must be defeated before one can say that one knows something is a highly context-sensitive matter, and that Stroud's alternative to this context-sensitive account of the way the verb "know" functions seems to be either a semantics in which (...) knowledge claims (about the "external world") are trivially logically false or no intelligible semantics at all. (shrink)

This essay argues that African palaver ethics makes a vital contribution to the common good tradition in Catholic social ethics. It highlights the significance of solidarity in both Bénézet Bujo’s account of palaver ethics and David Hollenbach’s account of the common good. Yet it concedes that palaver ethics is not perfect as it does not adequately address the missing voices of women. Therefore, it calls for the ethical conversion of the palaver so as to duly recognize the voices of African (...) women and their various contributions to the common good. (shrink)

There are old and convincing arguments for intellectual liberty in all of its forms — freedom to think, to speak, to publish — based on assumptions that we who have been brought up in Western democratic countries take for granted. Two major arguments are particularly powerful. The first I shall call the Utilitarian argument which, in its simplest form, says that without intellectual liberty any Party and any government will harden into an exploiting class, a tyranny. The Kantian argument is (...) that, quite apart from its value to society, intellectual liberty — Kant calls it autonomy — is absolutely indispensable to the integrity of the person. In this paper I defend the Kantian approach. The philosophical-epistemological question "How do you know autonomy is a good thing?" remains unanswered. No further foundation can be given. (shrink)

There are old and convincing arguments for intellectual liberty in all of its forms — freedom to think, to speak, to publish — based on assumptions that we who have been brought up in Western democratic countries take for granted. Two major arguments are particularly powerful. The first I shall call the Utilitarian argument which, in its simplest form, says that without intellectual liberty any Party and any government will harden into an exploiting class, a tyranny. The Kantian argument is (...) that, quite apart from its value to society, intellectual liberty — Kant calls it autonomy — is absolutely indispensable to the integrity of the person. In this paper I defend the Kantian approach. The philosophical-epistemological question "How do you know autonomy is a good thing?" remains unanswered. No further foundation can be given. (shrink)

This chapter contains section titled: The Model‐theoretic Argument The “Second Argument” “Finished Science” Conceptual Relativity Sosa's “Non‐linguistic” Restatement Living with the Explosion The Last Option: Eliminativism Conclusion.

I cannot claim to be an “Analytical Thomist” for two reasons: first, I am a practicing Jew, and Thomism is a philosophical tradition within the Roman Catholic Church. But not only do I philosophize within a different religious tradition than Thomists do, there is also the fact that my own approach to philosophy is, I think, quite different. My purpose here, however, is not to reject Analytical Thomism, or even to criticize it, but rather to enter into a dialogue with (...) it. Thus, even if I do not put the remarks that follow in the form of questions, they are intended in a sense as a set of questions addressed to those who do consider themselves to be Analytical Thomists. (shrink)