Aristotle's Nicomachean Ethics is devoted to the topic of human happiness. Yet, although Aristotle's conception of happiness is central to his whole philosophical project, there is much controversy surrounding it. Hope May offers a new interpretation of Aristotle's account of happiness - one which incorporates Aristotle's views about the biological development of human beings. May argues that the relationship amongst the moral virtues, the intellectual virtues, and happiness, is best understood through the lens of developmentalism. On this view, happiness (...) emerges from the cultivation of a number of virtues that are developmentally related. May goes on to show how contemporary scholarship in psychology, ethical theory and legal philosophy signals a return to Aristotelian ethics. Specifically, May shows how a theory of motivation known as Self-Determination Theory and recent research on goal attainment have deep affinities to Aristotle's ethical theory. May argues that this recent work can ground a contemporary virtue theory that acknowledges the centrality of autonomy in a way that captures the fundamental tenets of Aristotle's ethics. (shrink)

This brief text assists students in understanding Socrates' philosophy and thinking so that they can more fully engage in useful, intelligent class dialogue and improve their understanding of course content. Part of the "Wadsworth Philosophers Series,", ON SOCRATES is written by a philosopher deeply versed in the philosophy of this key thinker. Like other books in the series, this concise book offers sufficient insight into the thinking of a notable philosopher better enabling students to engage in the reading and to (...) discuss the material in class and on paper. (shrink)

Aristotle's chief ethical work, the Nicomachean Ethics , has given rise to a number of lively scholarly debates. Chief among them, is the debate about Aristotle's conception of the human good or eudaimonia. Aristotle defines eudaimonia as activity of the soul in accordance with virtue . But several different kinds of psychic virtues are all discussed in the NE, viz., ethical virtue and sophia. Unfortunately, it is unclear whether Aristotle identifies eudaimonia with the combination of ethical virtue and sophia, or (...) whether he believes that eudaimonia consists in the activity of sophia alone. Inclusivists endorse the former alternative, whereas intellectualists endorse the latter. ;Aristotle's "function argument" ---the argument which leads Aristotle to conclude that eudaimonia is "activity of the soul in accordance with virtue"---has become the locus of the dispute between intellectualists and inclusivists. The present work focuses on this dispute. I argue that both intellectualist and inclusivist interpretations of Aristotle's conception of eudaimonia , are flawed. For both accounts ignore Aristotle's views about the biological development of human beings. As I will show, Aristotle's views about human development play a crucial role in the function argument. Once this fact is appreciated, we are able to see that ethical virtue is a developmental prerequisite for sophia, and hence that sophia cannot be actualized without ethical virtue. This conclusion challenges those intellectualists who claim that in some cases, ethical virtue and sophia can come into conflict with one another.1 These intellectualists conclude from this that eudaimonia consists in contemplative activity alone, and that ethical virtue is merely instrumentally valuable. On this view, ethical virtue is valuable only to the extent that it helps one to be a better contemplator. I reject this view and argue that ethical virtue is necessary for the development of sophia. Thus, eudaimonia is activity in accordance with ethical virtue and sophia, but these virtues are hierarchically related since ethical virtue is a developmental prerequisite of sophia. This is the primary conclusion of this work. ;1See Cooper , Kraut. (shrink)

Background:Suffering in a suicidal crisis includes feelings such as despair, loneliness, anxiety, fear, shame, guilt and hopelessness. This study highlights the experiences of patients in the aftermath of suicide attempts. The research question was, what do suicidal patients see as meaningful help in care and treatment situations?Methodology:The methodology is inspired by Gadamer’s hermeneutics, where the parts are understood in light of the whole, and the whole is understood in light of the parts. Qualitative interviews were employed.Participants and research context:A total (...) of 10 persons, 4 women and 6 men 21–52 years old, were informed and asked to participate by specialists in psychology at two emergency psychiatric wards and by one crisis resolution team. Nine of the participants had experienced one or more suicide attempts using drugs and alcohol. Forced hospitalization prevented one of the 10 participants from attempting suicide.Ethical considerations:Before the participants signed an informed consent form, the interviewer met all participants to provide the written information, talking about the interview. A meeting to terminate contact was arranged after the participants had read their own interviews.Findings:Three themes were generated by the methodology we applied: experiencing hope through encounters, experiencing hope through the atmosphere of wisdom and experiencing a ray of hope from taking back responsibility.Discussion:The findings are discussed in the light of Eriksson’s suffering theory and Lindström’s theory about psychiatric care, as well as earlier research and theories about suicidality.Conclusion:The study reinforces possibilities that hope in suicidal patients can be inspired in encounters with healthcare personnel and within caring cultures. Through dialogue and cooperation, patients’ safety and ability to cope with suffering is created and thereby the hope and will to struggle for life. (shrink)

There is a long history of medical research that involves intentionally infecting healthy people in order to study diseases and their treatments. Such research—what might be called “human challenge studies”—are an important strand of much current research—for example, in the development of vaccinations. The many international and national guidelines about the proper conduct of medical research do not specifically address human challenge studies. In this paper we review the guidelines on the risk of harm that healthy volunteers may be exposed (...) to in the course of medical research. We examine the ethical arguments that are implicit or explicit in these guidelines. We then ask whether there is reason for limiting such studies on grounds independent of risk of harm. We conclude that the major ethical concern with challenge studies is that of risk of harm and that the fact that a study is a challenge study is not a wrong in itself. (shrink)

This book examines the political perspective of French thinker and historian Jacques Ranci&ère. Ranci&ère argues that a democratic politics emerges out of people&’s acting under the presupposition of their own equality with those better situated in the social hierarchy. Todd May examines and extends this presupposition, offering a normative framework for understanding it, placing it in the current political context, and showing how it challenges traditional political philosophy and opens up neglected political paths. He demonstrates that the presupposition of equality (...) orients political action around those who act on their own behalf&—and those who act in solidarity with them&—rather than, as with the political theories of John Rawls, Robert Nozick, and Amartya Sen, those who distribute the social goods. As May argues, Ranci&ère&’s view offers both hope and perspective for those who seek to think about and engage in progressive political action. (shrink)

Both human research and animal research operate within established standards and procedures. Although the human research environment has been criticized for its sometimes inefficient and imperfect process, reported abuses of human subjects in research served as the impetus for the establishment of the Nuremberg Code, Declaration of Helsinki, and the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research and the resulting Belmont Report. No similar, comprehensive and principled effort has addressed the use of animals in (...) research. Although published policies regarding animal research provide relevant regulatory guidance, these policies have not emerged from the process of specifying consistent and reasoned ethical principles. The lack of a fundamental effort to explore the ethical issues and principles regarding the use of animals in research has led to unclear and disparate policies. Recent studies have increased our understanding of animal cognition and emotion, suggesting that animals' potential for experiencing a wide variety of harms, such as pain and fear, is greater than has been previously appreciated. Furthermore, relationships between methods of captivity and certain laboratory procedures and the resulting adverse physical, social and psychological effects have been established. In light of this information, current protections may need to be reconsidered and modified. This paper explores the historical convergence and divergence in the creation of human and animal research guidelines, as well as opportunities to align ethical frameworks with new scientific discoveries. (shrink)

The philosophy of perception currently considers how perception relates to action. Some distinctions may help, distinguishing object perception from perceptual recognition, and both from that-perception. Examples are seeing a man, recognising a man, and seeing that there is a man. Perceiving an object controls self-location by its recognising an object, which depends on memory of how it looks, controls looking for it and interacting with it, or not, and that-perceiving controls saying that an object exists. Perception controls action. Milner and (...) Goodale, Jacob and Jeannerod, and Noe are considered. (shrink)

The philosophy of perception currently considers how perception relates to action. Some distinctions may help, distinguishing object perception from perceptual recognition, and both from that-perception. Examples are seeing a man, recognising a man, and seeing that there is a man. Perceiving an object controls self-location by its recognising an object, which depends on memory of how it looks, controls looking for it and interacting with it, or not, and that-perceiving controls saying that an object exists. Perception controls action. Milner and (...) Goodale, Jacob and Jeannerod, and Noë are considered. (shrink)

This review essay critically examines Catherine Mills’s Biopolitics and Camisha Russell’s The Assisted Reproduction of Race. Although distinct works, the centrality of race and reproduction provides a point of connection and an opening into reframing contemporary debates within bioethics and biopolitics. In reviewing these books together I hope to show how biopolitical theory and critical philosophy of race can be useful in looking at bioethical problems from a new perspective that open up different kinds of analyses, especially around historically (...) embedded problems like institutional racism and the legacies of colonialism in healthcare. (shrink)

To reduce the spread of the human immunodeficiency virus (HIV), Granich et al. 1 ( 2009 ) have proposed a new strategy for universal voluntary HIV testing immediately followed by antiretroviral therapy. Although this proposal is likely to benefit the partners of those affected and thus promote public health, it is by no means clear that it benefits the infected people themselves and indeed it may be harmful. Since the proposal involves an intervention that is not clinically indicated, it falls (...) foul of the normal ethical standards of clinical medicine, which is to act in the best interests of patients. Neither is it a measure that would be imposed under the protection of public health law on people who are seen as representing such danger to others that significant restrictions in liberty are appropriate. Thus, the proposal represents a third category of public health measure. We argue that a coherent ethical framework including a robust process is appropriate to proposals of this kind and that medical research offers a useful model since some research, like this proposal, is motivated not by the interests of the individual participants but by the common good. We outline some possible elements of such an ethical framework. (shrink)

Background: Suicidality is a life-and-death struggle in deep loneliness and psychological pain. There is a lack of knowledge about what could help the suicidal patients’ struggle for continued life. The aim of this study was to develop a deeper understanding of suicidal patients in the aftermath of suicidal attempts. The research question was ‘What resources in the person himself or herself and his or her surroundings are crucial in a suicidal crisis to maintaining the will to live and hope (...) for life’? Methodology: The study has a hermeneutic approach and an explorative design. Data were collected using semi-structured interviews with 10 participants: men and women 21–52 years of age. The context was two emergency psychiatric units and one crisis resolution team. Ethical considerations: The participants signed an informed consent before the interviews were conducted. Findings: This article presents three themes: becoming aware of the desire to live, an experience of connectedness and someone who cares. Discussion: The suicidal person’s awareness of wishes, dreams, hopes and will, but also of their feelings in the aftermath of the suicide attempt, seemed to play a crucial role in a suicidal crisis. Experiences of connectedness remind the person of the responsibility in his or her own life and in the lives of others and seemed to strengthen the urge to go on. Private and professional relationships seem to be crucial in stimulating the desire and hope to go on living. Conclusion: Becoming aware of the desire to live, being connected to others and experiencing someone who cares is necessary for life. Both private and professional networks seemed to be important resources that could remind the suicidal person of his or her own dignity as part of being human. (shrink)

abstract The argument that scarce health care resources should be distributed so that patients in ‘need’ are given priority for treatment is rarely contested. In this paper, we argue that if need is to play a significant role in distributive decisions it is crucial that what is meant by need can be precisely articulated. Following a discussion of the general features of health care need, we propose three principal interpretations of need, each of which focuses on separate intuitions. Although this (...) account may not be a completely exhaustive reflection of what people mean when they refer to need, the three interpretations provide a starting‐point for further debate of what the concept means in its specific application. We discuss combined interpretations, the meaning of grading needs, and compare needs‐based priority setting to social welfare maximisation. (shrink)

I have been invited to reflect on “Discourse communities and the discourses of experience” a paper co-authored by Little, Jordens, and Sayers and discuss how their analysis of discourse communities has influenced the development of bioethics and consider its influence now and potential effects in the future. Their paper examines the way different discourse communities are shaped by different experiences and desires. The shared language and experiences can provide a sense of belonging and familiarity. These can be positive aspects of (...) a discourse community, but there are also risks restricting the voices and experiences that can be heard and recognized. In this essay I hope to weave together three threads: an analysis of Little, Jordens, and Sayer’s research on discourse communities; the narrative interview I conducted with Little about his own experiences in establishing a bioethics centre; and my own experience of the bioethical discourse community established by Little. (shrink)

The Reformation, it has been said, changed the course of history. Most people would agree. At the very least, agree or not, they would hold the proposition to be one worth considering. They would be unlikely to reject it out of hand as incapable of being either true or false because it had no meaning. For, of course, “everybody knows” what the Reformation was and, elaborating a little, we can make clear what we meant by changing the course of history. (...) Yet it is just statements of this sort that cause much methodological wrangling. Their controversial nature is due, in large part, to controversy over the status of such terms as “the Reformation” and, generally, group or macroscopic concepts. Since not only history, but sociology, political science, social psychology, and economics also widely use concepts referring to groups and their properties, rather than to individuals, the controversy has wide ramifications. And because there are, as it were, so many vested interests involved, the dispute also tends to acquire an ideological tone not altogether consonant with dispassionate inquiry. Bad temper and mutual recrimination in scientific discussion are generally a sign that ideological defenses are being shored up. Just possibly, a philosopher whose substantive concern in any empirical field is minimal may hope to be considered above the battle, as one who, having no private axe to grind, can be concerned only with clarifying the logical issues involved. In this hope, I wish to explore as systematically as possible the tangled web of issues woven about the status of group concepts and their relationship to those referring to individuals. Intertwined in this controversy are two different issues. One has to do with the nature of the terms or concepts of social science; the other with the nature of its laws and theories and their relationship in turn to those in other areas. The first issue is one of meaning, the second of reduction. Success in unsnarling the various strands of this web may alone help abate the fury of the controversy. (shrink)

Excerpt from Lincoln and Public Morality Finally, there were the problems related to the prosecution of the war and to the aims for which it was being fought. If this did not bear directly on such matters as graft and dishonesty, it was no less related to the basic problem of public morality. For it was not only desirable but perhaps even necessary for national survival to discuss honestly and forthrightly the war aims. The risks in misrepresentation or dishonesty were (...) formidable, and any leader who was unwilling to enunciate a position on the critical questions of the day was courting personal and national disaster. Lincoln had no intention of doing either. Too long, even before the secession crisis, he had spoken for Union above all, and if he was committee to an ideal of freedom for all it was to be achieved and maintained in an indestructible union. His unequivocal posi tion in this regard was, in a sense, a measure of his high public morality. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works. (shrink)

This special issue of Etikk i Praksis – Nordic Journal of Applied Ethics features four articles that address a number of urgent ethical issues that arise in the COVID-19 pandemic.

"The great value of the book lies in the manner in which May relates the expansionist urge to the "symbolic" differences emerging between the North and the South. The result is a balanced account that contributes to the efforts of historians to understand the causes of the Civil War."--Journal of American History "The most ambitious effort yet to relate the Caribbean question to the larger picture of southern economic and political anxieties, and to secession. The core of this superbly documented (...) book is a detailed description of expansionist ideology and activities during the 1850s."--Civil War History A path-breaking work when first published in 1973, The Southern Dream remains the standard work on attempts by the South to spread American slavery into the tropics--Cuba, Mexico, and Central America in particular--before the Civil War. Robert May shows that the South's expansionists had no more success than when they tried to extend slavery westward. As one after another of their plots failed, southern imperialists lost hope that their labor system might survive in the Union. Blaming northern Democrats and antislavery Republicans alike for their disappointed dreams, alienated southerners embraced secession as an alternative means to achieving the tropical slave empire that they craved. Had war not erupted at Fort Sumter, Confederates might have attempted to conquer the Caribbean basin. May's book serves as an important reminder that foreign policy cannot be divorced from the writing of American history, even in regard to seemingly domestic matters like the causes of the Civil War. Contending that America's Manifest Destiny became "sectionalized" in the 1850s, he explains why southerners considered Caribbean expansion so important and shows how southerners used their clout in Washington to initiate diplomatic schemes like the notorious Ostend Manifesto and presidential attempts to buy the slaveholding island of Cuba from Spain. He also describes southern filibustering plots against Latin American domains, such as the aborted designs on Mexico of the colorful Knights of the Golden Circle and the actual invasions of Central America by native Tennessean William Walker. Walker struck a major blow for the expansion of slavery when he legalized it during his occupation of Nicaragua. Most important, May relates how Caribbean plots affected American public opinion and ignited sectional friction in congressional debates. May argues that President-elect Abraham Lincoln might have saved the Union in the winter of 1860-61, had he agreed to last minute concessions facilitating slavery's future expansion towards the tropics. May's fascinating and often surprising account internationalized the causes of the Civil War. It should be read by anyone who wishes to understand the complex reasons why Americans came to blows with each other in 1861. This reprinting features a new preface by the author, which addresses the latest research on the Caribbean question. Robert E. May is professor of history at Purdue University. (shrink)

Much has been written recently about the Deleuzian concept of becoming. Most of that writing, especially in feminist criticism, has drawn from the later collaborations with Guattari. However, the concept of a becoming arises earlier and appears more consistently across the trajectory of Deleuze's work than the discussion of specific becomings might lead one to believe. In this paper, I trace the concept of becoming in Deleuze's work, and specifically in the earlier works. By doing so, I hope to (...) shed some light on the specific becomings that are the focus of the collaborative work with Guattari, and to deepen an understanding of the concept in general. (shrink)

This edited volume provides a biosemiotic analysis of the ecological relationship between food and medicine. Drawing on the origins of semiotics in medicine, this collection proposes innovative ways of considering aliments and treatments. Considering the ever-evolving character of our understanding of meaning-making in biology, and considering the keen popular interest in issues relating to food and medicines - fueled by an increasing body of interdisciplinary knowledge - the contributions here provide diverse insights and arguments into the larger ecology of organisms’ (...) engagement with and transformation through taking in matter. Bodies interpret molecules, enzymes, and alkaloids they intentionally and unintentionally come in contact with according to their pre-existing receptors. But their receptors are also changed by the experience. Once the body has identified a particular substance, it responds by initiating semiotic sequences and negotiations that fulfill vital functions for the organism at macro-, meso-, and micro-scales. -/- Human abilities to distill and extract the living world into highly refined foods and medicines, however, have created substances far more potent than their counterparts in our historical evolution. Many of these substances also lack certain accompanying proteins, enzymes, and alkaloids that otherwise aid digestion or protect against side-effects in active extracted chemicals. Human biology has yet to catch up with human inventions such as supernormal foods and medicines that may flood receptors, overwhelming the body’s normal satiation mechanisms. This volume discusses how biosemioticians can come to terms with these networks of meaning, providing a valuable and provocative compendium for semioticians, medical researchers and practitioners, sociologists, cultural theorists, bioethicists and scholars investigating the interdisciplinary questions stemming from food and medicine. (shrink)

*I am very pleased to be able to contribute this paper to a festschrift for Andrea Bonomi. This is not however, the paper I really wanted to write; I would have much rather have contributed a paper comparing the pianistic styles of Lennie Tristano and Bill Evans, which I think Andrea would have found much more fascinating than an essay devoted to an understanding of Frege’s thinking. But I do not totally despair. Andrea’s first paper published in English was entitled (...) “On the Concept of Logical Form in Frege,” so perhaps I can maintain some hope that this paper will appeal to lingering interests that Andrea wrote of in the past. I would like to thank Johannes Brandl, Ben Caplan, Bill Demopoulos, Bob Fiengo, Mark Kalderon, Patricia Marino, Gila Sher, Michael Thau, Dan Vest and especially Aldo Antonelli for very helpful discussion. (shrink)

But Williams had created a field of historical study, where his white counterparts had not. Single-handedly and without the blessing or approval of the academic community, Williams had called attention to the importance of including Afro-Americans in any acceptable and comprehensive history of the nation long before the historians of various groups of European-Americans or Asian-Americans had begun to advocate a similar treatment for their groups. And if Williams did not impress the white professional historians, he gave heart and encouragement (...) to future Afro-American historians. When the History of the Negro Troops appeared in 1887, nineteen-year-old W. E. B. Du Bois was a college senior at Fisk University and editor-in-chief of the student magazine, The Fisk Herald. In the columns of the Herald Du Bois wrote, "At last we have a historian; not merely a Negro historian, but a man who judged by his merits alone has written a splendid narrative. The Herald congratulates George W. Williams, and the race, which may justly be . . . [proud] of him."1 Many years later, Carter G. Woodson, the founder of the Association for the Study of Negro Life and History and of the Journal of Negro History, described Williams' History of the Negro Troops as "one of the most valuable accounts of the Civil War."2 With words like these from Du Bois and Woodson, on whose shoulders much of the second stage of Afro-American historiography would rest, it is not too much to say that George Washington Williams was responsible for the beginnings of Afro-American historiography. · 1. The Fisk Herald, January 1888, p. 8.· 2. Woodson's appraisal of Williams was found among his papers and made available to me by Dr. Charles H. Wesley when he was executive director of the Association for the Study of Negro Life and History, which had been founded by Woodson in 1915. John Hope Franklin, president-elect of the American Historical Society, has written a biography of George Washington Williams. He is the John Matthews Manly Distinguished Service Professor of History at the University of Chicago and the author of, among other works, From Slavery to Freedom: A History of Negro Americans and A Southern Odyssey: Travelers in the Antebellum North. (shrink)

In deliberative argument, in political discourse, in teaching, and in casual conversation, as rhetors we often hope that our attempts at interaction will have some effect on the participants in these discursive environments. The phenomena of stubbornness, however, would seem to suggest that, despite our efforts, there are times when rhetoric just doesn't work. This dissertation complicates this premise, and in so doing complicates common understandings of both stubbornness and rhetorical effect. As I argue, rhetorical effects exist within a (...) complex rhetoric system, within which they circulate and are interconnected with a diversity of other rhetorical and non-rhetorical elements. Using N. Katherine Hayles's concept of "making the cut," I argue that within such complex systems, stability and change are tangled up in an interdependent relationship; in short, in order for complexity to exist it must be constrained by contingent stabilities. These necessary stabilities mask the way that systems are always moving, and so we often do not see changes in the rhetoric systems we inhabit. In this sense, these changes are compensatory, and they work to maintain a stability that can manifest precisely as stubbornness. In delineating what I call a "rhetoric-systems" approach, this dissertation maps the stabilities and movements of several different rhetoric systems, and provides new insight into the complex and relational movement of rhetorical effect. Our use of this approach asks us to recognize the existence and value of certainty and stability, and then to pull back and recognize the existence of complexity and change. The approach integrates insights from systems theory into existing rhetorical theory, and in so doing models an interdisciplinary approach to public rhetorics and writing studies that is firmly grounded in rhetorical theory. (shrink)

Werkmeister's new book, The Basis and Structure of Knowledge is the second major attempt in recent years to defend the idealistic theory of knowledge. The first was Blanshard's Nature of Thought; and it is worth noticing that both authors, in undertaking the defense of a position long in the shadows, are well aware of contemporary developments in logic and technical philosophy. Werkmeister freely acknowledges his debt to Blanshard; yet his work differs in scope from the latter's in at least two (...) ways. Firstly, the more recent book is concerned largely with the epistemological analysis of meaning and truth and hardly at all with what an older generation called "philosophical psychology," while philosophical psychology fills all of the first and part of the second volume of Blanshard's work. In my opinion, this is all to the good. (That our generation inverts the error and too often indulges in psychological philosophy is another story!) Secondly, Werkmeister presents us with detailed analyses of scientific method, of the structure of scientific theories, and of mathematics, all three areas to which Blanshard pays virtually no attention. The First Part of Werkmeister's book treats of Language and Meaning; the Second of Truth and the World About Us, the Third of Formal Knowledge, and the Fourth Part deals with Empirical Knowledge. But there is a fundamental thesis that runs through all of this. The analysis of each of these four domains reveals, according to Werkmeister, that only a coherence theory of meaning and truth can adequately reflect the criteria actually used by science and commonsense. It is not my intention to rehearse here the familiar dialectic of the arguments for and against this doctrine; the less so, since Werkmeister himself gives a useful review of both sides of the controversy. Rather, I want to try to fix as precisely as possible, within the context of Werkmeister's discussion, the nature of the difference between coherence theories on the one hand and correspondence theories on the other. This difference has not always been too clearly stated; it even seems that recent developments in linguistic analysis have been the occasion for some new confusions on this very point. For coherence theorists who have recognized that philosophical semantics is a "formal" discipline now insist that "to say what a symbol means is not to relate it to an object, but to give it an interpretation in terms of other symbols," as Ayer2 has recently put it. This seems to contradict the "comparison with fact" feature of the traditional realistic formulations of the correspondence view. A superficial bystander could even believe that the correspondence theorists have given up their original position, since both sides now agree that truth is a matter of a relation between symbols. Such agreement, as I hope to show, is more apparent than real, for what is now at stake is the nature of that "intrasymbolic relation." And on this nature the two parties disagree. There is little doubt that Werkmeister's book appears at a moment more propitious for the advocacy of the coherence theory of truth than did Blanshard's. In the near decade that separates the two works the intellectual climate has become, for better or for worse, considerably more favorable to a reconsideration of, and possibly even a reconciliation with, some of the major tenets of rationalism. This is reflected in the current discussion regarding the contrary-to-fact conditional, the dissatisfaction with material implication, and the correlative concern for a more adequate analysis of the concept of a natural law. It is evident too in the revived enthusiasm for intensional logic and in the related interest in the modalities. As uncompromising an empiricist as C. L. Lewis, with whom, by the way, Werkmeister shares a common Kantian background, has introduced into his latest work a "congruence" theory of truth which, despite the substitution of a so-called "probability" inference for necessary inference, looks very much like the coherance criterion all over again. So Werkmeister's book should be welcome for its clear presentation of the relevant issues; and even those who disagree with him can admire the candor and forthrightness with which he champions what remains, despite vacillations, an essentially unpopular position. (shrink)

This open issue of the Nordic Journal of Applied Ethics consists of four papers that discuss topics covering fetal diagnostics ethics, value conflicts in the use of artificial intelligence, abortion and population ethics.

This special issue addresses the legacy of the U.S. Public Health Service Syphilis Study on health reform, particularly the Affordable Care Act. This article offers readers a guide to the themes that emerge in this issue. These themes include individual consent interrelated to consequences in populations issues, need for better government oversight in research and health care, and the need for overhauling our bioethics training to develop a population-level, culturally driven approach to research bioethics. We hope the guidance offered (...) in this issue will help shape a new framework to bioethics that can be integrated into the foundation of health care reform. (shrink)

lawpubPublic International LawlawphiPhilosophy of LawIn this book we have tried to offer more than just a descriptive survey of the various ways that the concept of necessity is used in international law. We have offered a normative account that suggests how and when necessity should be deployed as a powerful concept to justify and excuse State action in various domains. However, that normative task could only be accomplished once a coherent descriptive mapping was performed. We considered the different and unique (...) elements of necessity in international law with the hope of elucidating a deeper structure for the concept. We identified at least three different senses of necessity: as a state of exception to generally applicable laws, as a constraint on government action, and as a license to engage in conduct that is otherwise consistent with generally applicable laws. Using these conceptual distinctions, we analyzed and ultimately criticized how necessity functions in diverse areas of international law. Although the same term is used in... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Eighth Conference of the European Network of Buddhist-Christian StudiesSt. Ottilien, Germany, 11–15 June 2009John D’Arcy MayWith a higher proportion of Buddhist participants from Europe, Asia, and the United States than ever before, the European Network of Buddhist-Christian Studies at its 2009 conference in the Benedictine Archabbey of St. Ottilien near Munich addressed the question of authority, both spiritual and temporal, in the two traditions. There seems to have been (...) little comparative study of this topic, and there were many surprises as the speakers were confronted with aspects they had not been aware of in their own traditions and in those of others.The conference began with intercultural music that drew on Christian and Buddhist themes. After this, Brother Josef Götz spoke about the Benedictine Archabbey of St. Ottilien, stressing its longstanding and enriching participation in intermonastic dialogue. Elizabeth Harris, the incoming president of the network, then introduced the theme. She pointed to contemporary literature in English that represented the crisis in authority in the West and stressed that this was compounded by the awareness that some of those with power to enforce authority in the world did not possess legitimacy. She then raised a series of questions connected with the different forms of authority to be discussed at the conference—from the balance between external and internal authority to the struggle with institutional authority for equality between men and women. She hoped for three outcomes from the conference: that participants would be able to explore what their own tradition said about authority; that they would give wisdom to each other on the theme, Buddhist to Christian and Christian to Buddhist; and that all would reflect on how they represented themselves to the wider society, both to those searching for religious authority and those rejecting all authority.Following up this theme of a contemporary crisis of authority, Rita Gross said that Buddhists, in the spirit of the teaching on impermanence (P. anicca), need to take seriously the historicity of their different traditions in order to develop a nonsectarian history of Buddhism that acknowledges the authenticity of the foundational Buddhism [End Page 189] of the first four hundred years. The Kālāmasutta (AN.I.188 –193), one of the discourses in the Pāli canon, which was cited again and again in the course of the discussion, urges the Buddhist to assess the trustworthiness of teachers and their teaching, but criteria such as “what the wise would accept” or whether a text is accepted by the saṅgha (community) raise the problem of determining what constitutes wisdom and the authenticity of a text, as noted by Shenpen Hookham and Zhiru Shi. Rita Gross remarked on the irony that many Western Buddhists, despite their rationalistic education, abandon critical discernment and prefer myths to history. This is regrettable, as Western Buddhists have their own contributions to make to the further development of Buddhism.Kajsa Ahlstrand, referring to the World Values Survey, pointed to changing attitudes toward obedience, disobedience, and rebellion. Disobedience is now seen as praiseworthy, whereas obedience could be harmful to one’s mental health. Obedience in this “new key” emphasizes rights over duties. One can thus identify varieties of Christianity that are “hard” or “soft,” “strong” or “mild,” in various combinations, which she illustrated using different cheeses (thereby causing some puzzlement among the Asian participants!). We were left with the question whether there is an unchanging essence of eternal truth in either tradition, which is beyond historical change and sociological conditioning, and the realization that both obedience and disobedience can go terribly wrong. As Rita Gross concluded, it is our attachment that is the problem, not the things we are attached to.Spiritual authority is central to both Buddhism and Christianity, but it can take very different forms. Shenpen Hookham maintained that for Buddhists spiritual authority resides in enlightened people, whether monastic or lay, and is the result of realization rather than learning. The visible monastic saṅgha merely “represents” the ariyasaṅgha (noble community) of the truly enlightened (though this was later contested). The authority to teach derives directly from the teacher’s spiritual attainments or his or her status as the... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Decision-Making as a Broader ConceptJacinta O. A. Tan (bio), Anne Stewart (bio), and Tony Hope (bio)KeywordsCompetence, decision-making, capacity, anorexia nervosa, autonomy, values, identityWe thank Demian Whiting for the thoughtful critique of aspects of our paper (Tan et al. 2006a). A primary aim of our research was to provide empirical grounds on which to stimulate discussion about the nature of decision-making capacity (DMC). Whiting criticizes in particular the concept (...) of 'pathological values' that we suggested might be relevant in the assessment of DMC and in the related issue of deciding when a patient's refusal of beneficial treatment should be overridden.Whiting's central concern is with DMC. Whiting argues that the absence of pathological values should not be a criterion for DMC. We are unclear whether he is also arguing that pathological values do not provide a reason of any kind for overriding treatment refusal. At the end of the paper he writes: "we cannot justify compulsory treatment of patients who have pathological values... on the grounds that these patients lack DMC" (2009, XX). This seems to leave open the possibility that we may be able to justify compulsory treatment of patients who have pathological values on grounds other than that they lack DMC. As we wrote in our response to the discussants of our original paper, "The primary issue for us is whether the reasons for refusal to which we draw attention provide grounds for overriding refusal, and if they do how they can be characterized in such a way as to avoid the ever-present danger of simply overriding autonomy in a patient's best interests" (Tan et al. 2006b, 300).In deciding on whether to use compulsory treatment, there are other relevant factors that may need to be considered, such as the seriousness of the decision, which determines the threshold for competence. However, in this response we consider three issues. First, we argue that the current concept of DMC is by no means so clear cut or generally agreed upon as Whiting implies, and that some of the lack of clarity relates to pathological values. Second, that the concept of DMC is itself dependent on accounts of autonomy, and that it is plausible that pathological values can affect autonomy. Third, we directly consider the question of whether a coherent account of pathological values might be given based on a concept of authenticity.The Current Criteria for DMCWhiting argues that the current criteria for DMC are correct and that an additional criterion along the lines of absence of pathological values should not be added. This argument assumes that there is a clear and agreed understanding of the current criteria. We believe this is not the case for three reasons.(i) Whiting begins his account of DMC by saying that it is normally taken to include: "(1) [End Page 345] understanding (and appreciation)" (2009, 341). Already there is an area of dispute, and the use of parentheses reflects this. The concept of 'appreciation' was developed by Grisso and Applebaum (Grisso, Appelbaum, and Hill-Fotouhi 1997). It is not included in either English common law development, for example (ReC), nor in the criteria specified in the Mental Capacity Act 2005. More important, Grisso and Appelbaum in their comment on our original paper (2006) argue that our work advances thinking about 'appreciation' rather than requiring that we add new elements. The implication is that they believe that what we have called pathological values are relevant to the assessment of capacity and are already included in an account of capacity that incorporates the criterion of 'appreciation.' In our response, we argued that pathological values are not entirely captured within the account of appreciation that Grisso and Appelbaum had previously given. We do not want to revisit that issue here, but the point of relevance is that on one view (that of Grisso and Appelbaum) pathological values are already included in the current criteria for DMC as part of the concept of appreciation, whereas on Whiting's view they are not.(ii) Even if there were agreement over the wording and concepts relevant to DMC there is a further important issue: how are those concepts... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:168 BOOK REVIEWS Santurri, on the basis of the overall argument he constructs, would certainly say that no genuine dilemma exists in this case. Obligations to God must be taken to trump all others, and so one is confronted neither with a conflict in the natural law nor between specific divine commands. Nonetheless, one is left, as in the point made above, with the question of what responsibilities are (...) incurred both by God and by human agents when moral obligations are set aside, if indeed they are, for religious ones? These questions need to be addressed for reasons additional to comprehensiveness. They are central to the project Santurri has undertaken, which as I take it is to show that the moral life is coherent and not self-frustrating. Now, there are at least two ways in which the moral life can founder. The first is the one Santurri so ably discusses. It might he that the moral universe is structured in such a way that one cannot avoid doing wrong in doing right. The second is suggested by the questions asked immediately above which he does not address. It may he that, in setting aside one obligation for another, additional obligations are engendered which might possibly make the living of the moral life after either self-defeating or exhausting or both. Perhaps moral or religious/moral tensions do not contain genuine dilem· mas, hut suppose they generate fearful moral debts that simply con· tinue to pile up? It is the mark of a good book to leave its readers with questions they did not have when first they picked it up. The questions I have just put are intended to suggest what a fertile field Santurri has begun to plow and what a fine job he has performed in doing so. The General Theological Seminary New York, N.Y. PHILIP TURNER Theologies of the Body: Humanist and Christian. By BENEDICT ASHLEY, O.P. Braintree, Mass: The Pope John XXIII Medical Moral Center, 1985. Pp. xii + 770. $20.95 (paper). This is one of those rare books which can truly he called a master· piece, the sort of book to which one can (and indeed must) return time and time again for instruction and enlightenment. To do justice to it in a short review is impossible, but I hope to call attention to the features that make it so exceptionally worthwhile and important. It is, first of all, a work of immense learning, packed with informa· tion and extensive documentation. The author's mastery of contem· BOOK REVIEWS 169 porary science and of the historical development of both philosophy and theology is amazing. But more than this, Ashley knows how to go to the heart of the matter, to sift the incidental from the essential. Serenely confident that the precious truths of Christian relevation are compatible with the truths that can he known through scientific and philosophic inquiry, Ashley offers readers a work that in very many ways can be described as a contemporary apologetic, one that shows the reasonableness and intelligibility of Catholic faith. For while the central focus of the book is on anthropology, on the meaning of the human person, its ultimate goal, so it seems to me, is to show the rea· sonableness and credibility of the Christian understanding of the human person as a bodily being, made in God's image and redeemed by the death and resurrection of the Word, who for love of humankind he· came flesh. The work is divided into four parts. Parts One and Two, " Science, the Body, and Humanist Theology" and "Christian Theologies of the Body," are, to a great extent, massively erudite discussions intended to prepare the way for the author's thoughtful and thought-provoking articulation of a philosophically sound account of the human person and of the human person's divine vocation in Parts Three and Four, " A Radical Process Interpretation of Science " and " A Process The· ology of the Body." In Part One Ashley first provides readers with a fascinating sum· mary of what modern science has to tell us about human beings as bodily entities. His conclusion is that modern science has by no means... (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.

The crisis in donor organ and tissue supply is one of the most difficult challenges for transplant today. New policy initiatives, such as the driver's license option and requiredrequest, have been implemented in many states, with other initiatives, such as mandatedchoice and presumedconsent, proposed in the hopes of ameliorating this crisis. At the same time, traditional acquisition of organs from human cadavers has been augmented by living human donors, and nonheartbeating human donors, as well as experimental animal and artificial sources. (...) Despite these efforts, the crisis persists and is perhaps most tragic when it threatens the lives of children, driving parents to sometimes desperate measures. Herein, we address one very controversial step some parents have taken to obtain matching tissue or organs for their needy children—that is, having a child, in part, for the purpose of organ or tissue procurement. (shrink)

This paper explores the ethical and conceptual implications of the findings from an empirical study (reported elsewhere) of decision-making capacity in anorexia nervosa. In the study, ten female patients aged thirteen to twenty-one years with a diagnosis of anorexia nervosa, and eight sets of parents, took part in semistructured interviews. The purpose of the interviews was to identify aspects of thinking that might be relevant to the issue of competence to refuse treatment. All the patient-participants were also tested using the (...) MacArthur Competence Assessment Tool—Treatment test of competence. This is a formalized, structured, interviewer-administered test of competence, which is a widely accepted clinical tool for determining capacity. The young women also completed five brief, self-administered questionnaires to assess their levels of psychopathology. The issues identified from the interviews are described under two headings: difficulties with thought processing and changes in values. The results suggest that competence to refuse treatment may be compromised in people with anorexia nervosa in ways that are not captured by traditional legal approaches. (shrink)

Using fMRI, we investigated how right temporal lobe gliomas affecting the posterior superior temporal sulcus alter neural processing observed during speech perception and production tasks. Behavioural language testing showed that three pre-operative neurosurgical patients with grade 2, grade 3 or grade 4 tumours had the same pattern of mild language impairment in the domains of object naming and written word comprehension. When matching heard words for semantic relatedness (a speech perception task), these patients showed under-activation in the tumour infiltrated right (...) superior temporal lobe compared to 61 neurotypical participants and 16 patients with tumours that preserved the right postero-superior temporal lobe, with enhanced activation within the (tumour-free) contralateral left superior temporal lobe. In contrast, when correctly naming objects (a speech production task), the patients with right postero-superior temporal lobe tumours showed higher activation than both control groups in the same right postero-superior temporal lobe region that was under-activated during auditory semantic matching. The task dependent pattern of under-activation during the auditory speech task and over-activation during object naming was also observed in eight stroke patients with right hemisphere infarcts that affected the right postero-superior temporal lobe compared to eight stroke patients with right hemisphere infarcts that spared it. These task-specific and site-specific cross-pathology effects highlight the importance of the right temporal lobe for language processing and motivate further study of how right temporal lobe tumours affect language performance and neural reorganisation. These findings may have important implications for surgical management of these patients, as knowledge of the regions showing functional reorganisation may help to avoid their inadvertent damage during neurosurgery. (shrink)

A shared goal amongst most educators, we argue, is to supplant students’ raw or “naive” intuitions with more refined intuitions about a particular domain. Educators want students, and people more generally, to recognize when ideas, frameworks, and processes don’t “look right”. When we know that something does not look right, sound right, or feel right, we investigate further. We seek to fill in the gaps between our knowledge and we attempt to learn new approaches for solving problems. Lifelong learning, in (...) other words, builds from a recognition of incoherence. We hope students will be more likely to recognize flawed reasoning or rhetorical appeals, even if they have long forgotten the details of logic, statistics, and argumentation. They have acquired a refined (one might even say “aesthetic”) sense of what is likely correct or incorrect; what is likely promising or empty. This sense is “aisthesis”. -/- Aisthesis is a marker of education. Although it doesn’t refer to particular sets of knowledge or particular skills in analyzing and evaluating problems, it provides a overarching framework that binds educators in both literature and science. Consequently, aisthesis provides a novel lens for pedagogy. Insofar as we are correct that education is about the cultivation of an aesthetic discrimination between good and bad work, aisthesis could be more explicitly targeted. Educators hope to instill in students an aisthetic sense of how to recognize when statements, issues, or artifacts are problematic and require further engagmeent. (shrink)

During this Advent season, I am in a forward-looking and hopeful mood. But that also involves looking back to a point in my life, not that many years ago, when hope took on a new meaning for me. I was reminded of this point in my life over the past few weeks as I studied the notoriously difficult philosopher Immanuel Kant with several philosophy majors and minors. In a rare moment of clarity, Kant once wrote that all important human (...) questions can be boiled down to these three: WHAT CAN I KNOW? WHAT OUGHT I TO DO? and WHAT MAY I HOPE FOR? The Advent and Christmas seasons focus on the last of these three questions. A major figure in the seasons’ stories is John the Baptist, Jesus’ relative who, from a prison cell, once sent his disciples to ask his cousin a “What may I hope for?” question. “Are you the one who is to come, or are we to wait for another?”. (shrink)

So wrote Mary McGrory, a perceptive columnist and long-time dove.[1] But Mayday was not designed to win accolades in the press; rather it was designed to help end the war, a different purpose. The demonstrators, Miss McGrory wrote, many of whom "had shaved and spruced up for Eugene McCarthy…hope that the people will eventually make the connection between a bad war and a bad demonstration and they think they've provided an additional reason for getting out. They've introduced the element (...) of blackmail into the situation. They know everyone wanted them to go away. All they ask is that people remember it was the war that brought them here.". (shrink)

The ability to gain knowledge from text in widely different subject matter areas is key to academic success and lifelong leaming. The process of attaining critical understanding of ideas in text requires a robust repertoire of leaming or study strategies, metacognitive knowledge for regulating their use, and willingness to apply them. Although much is known about the basic design of leaming environments to develop higher-order thinking skills and motivation to learn, educators have, in general, not changed their practices to reflect (...) new knowledge. The lack of procedures that are easy for teachers to administer and provide results that teachers may use in their classrooms for assessment of complex cognitive skill development is a major obstacle to widespread adoption of new approaches. This paper describes a new technology, referred to as HyLighter, and a pedagogically sound implementation of this technology, referred to as the Interaclive Annotation Model. This approach suggests a promising direction for improving the quality of instruction and promoting active reading (i.e., an approach to the development of leaming ability that combines reading with critical thinking and a range of learning-to-Iearn skills) for students in higher education across academic disciplines. (shrink)

It has long been hypothesized that pretend play is beneficial to social and cognitive development. However, there is little evidence regarding the neural regions that are active while children engage in pretend play. We examined activation of prefrontal and posterior superior temporal sulcus (pSTS) regions using near-infrared spectroscopy while 42 four- to eight-year-old children freely played with dolls or tablet games with a social partner or by themselves. Social play activated right prefrontal regions more than solo play. Children engaged the (...) pSTS during solo doll play but not during solo tablet play, suggesting they were rehearsing social cognitive skills more with dolls. These findings suggest social play utilizes multiple neural regions and highlight how doll play can achieve similar patterns of activation, even when children play by themselves. Doll play may provide a unique opportunity for children to practice social interactions important for developing social emotional skills, such as empathy. (shrink)

The concept of hope plays a fascinating yet overlooked role in Kant's thought. Whilst his emphasis on reason and enlightened thought may be seen to leave little room for hope, it is a question that sits at the heart of his writings on religion and political philosophy. What May I Hope? introduces and assesses Kant's answers to this compelling question and also places hope in a contemporary philosophical context. Andrew Chignell begins by introducing accounts of (...) class='Hi'>hope before Kant, including those of Plato, Aristotle, St. Paul, Augustine and Aquinas. He then explains how Kant’s metaphysics provides the background to his account of hope before examining the relationship between belief and hope, in particular Kant’s argument that it is rational for human beings to hope not only that God exists but that we legitimately hope for political ends such as the ideal republic, the ‘kingdom of ends’ and peace. He also shows how hope motivates a theme at the centre of Kant’s work as a whole: that we progress towards enlightenment and autonomy. He then considers early criticisms of Kant’s theory of belief and faith in the work of Jacobi, Fichte, Schelling and Feuerbach before considering the two most important critics of Kant’s philosophy of hope, Hegel and Marx. He also examines the criticisms levelled against Kant by Kierkegaard, for whom faith is much more important than hope, and Schopenhauer, who in contrast promotes a philosophical hopelessness before considering pragmatists such as John Dewey and Richard Rorty who accorded an important place to hope. The final part of the book asks what we may hope for today. Chignell asks what place hope has in the face of inequality, human suffering and genocide and asks whether religion may promote false hope, leading us away from political action. (shrink)

Robert F. is an eighty-five-year-old who suffered a heart attack at home in a rural location some thirty minutes from any major hospital. By the time the paramedics arrived, he was unconscious and nonresponsive. After spontaneous return of circulation, they began their standard procedure of therapeutic hypothermia. Robert's core temperature was lowered using ice packs, and cold intravenous fluids were initiated. Soon afterward, Robert started to shiver when his body temperature reached 35.6° Celsius. He was then given a bolus of (...) vecuronium as a neuromuscular blockade, sedated, and intubated. He was also given a low-dose vasopressin for blood-pressure control. Shortly after Robert arrived in the emergency room, his daughter, his medical decision-maker, produced an advance directive documenting that her father has a do-not-resuscitate order, and she demanded that the breathing tube and any other life-sustaining treatments be withdrawn immediately. The medical staff is very reluctant to comply with this demand for immediate action. Until the neuromuscular blockade wears off, removing the ventilator will prevent Robert from breathing. Furthermore, it may take some time to reverse the therapeutic hypothermia procedure to the point that the patient is at normal temperature. In addition, therapeutic hypothermia itself often causes arrest, so the patient may need to be resuscitated again. Should the staff wait until the patient is warm or honor the decision of his daughter, who holds his medical power of attorney? (shrink)

본 논문은 칸트 도덕철학에서 최고선이 어떻게 실천적으로 가능한가에 대해 추적한다. 『순수이성비판』에서 칸트는 인간 이성의 관심이 “나는 무엇을 알 수 있는가?”, “나는 무엇을 행해야만 하는가?”, “나는 무엇을 희망해도 좋은가?”의 세 물음으로 통합된다고 설명한다. 그 중 최고선은 둘째 물음과 셋째 물음에 관련되어 있다. 왜냐하면 최고선은 행복해도 좋을 자격인 도덕성(덕)과, 그에 상응하는 행복의 필연적인 결합이기 때문이다. 그러나 칸트에 따르면 감성계에서는 도덕성과 행복이 이처럼 결합될 수 없다. 자연 법칙의 지배를 받는 감성계에서 도덕성에 비례하는 행복은 필연적으로 보장될 수 없기 때문이다. 그렇다면 최고선은 어떻게 실천적으로 가능한가? (...) 이 문제를 해결하기 위해 칸트는 『실천이성비판』에서 영혼불멸과 신의 현존을 요청한다. 그러나 칸트는 이미 『순수이성비판』에서 신, 영혼불멸, 자유 개념이 선험적 가상이자 이념이기 때문에 인간 인식의 한계를 넘어서 있음을 확증했다. 그렇다면 칸트는 이미 이론 이성의 차원에서는 증명 불가능한 것으로 증명한 신의 현존을 실천 이성과 관련해서 어떻게 요청하는가? 그리고 이러한 요청을 통해 그는 어떻게 최고선의 가능성을 실천적으로 확보하는가? 이 물음에 답하기 위해 본 논문은 먼저 『순수이성비판』에서 최고선이 어떻게 가능한지를 살펴본다(2장). 이러한 분석을 토대로『실천이성비판』에서 최고선의 실천적 가능성의 문제로 넘어간다. 실천이성은 최고선이라는 무제약자를 추구하는 과정에서 필연적으로 이율배반에 빠질 수밖에 없다(3장). 이러한 이율배반을 해결하기 위해서는 반드시 영혼불멸과 신의 현존을 요청해야만 한다(4장). 이러한 요청 개념을 통해 인간은 도덕성의 완성에 이르기 위해 불가피하게 종교로 이행하게 되며, 도덕적 신앙을 가진 인간은 결코 행복이 보장되지 않는 감성계에서도 도덕적으로 행동할 것을 결정할 수 있게 된다. (shrink)