Results for 'Jacob M. Williams'

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  1.  20
    The Faith of a Modern Muslim Intellectual. The Religious Aspects and Implications of the Writings of Ahmad AminIslam and the Search for Social Order in Modern Egypt. A Biography of Muhammad Husayn Haykal.Jacob M. Landau, William Shepard & Charles D. Smith - 1986 - Journal of the American Oriental Society 106 (2):383.
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  2. Deep-Learning-Based Multivariate Pattern Analysis (dMVPA): A Tutorial and a Toolbox.Karl M. Kuntzelman, Jacob M. Williams, Phui Cheng Lim, Ashok Samal, Prahalada K. Rao & Matthew R. Johnson - 2021 - Frontiers in Human Neuroscience 15.
    In recent years, multivariate pattern analysis has been hugely beneficial for cognitive neuroscience by making new experiment designs possible and by increasing the inferential power of functional magnetic resonance imaging, electroencephalography, and other neuroimaging methodologies. In a similar time frame, “deep learning” has produced a parallel revolution in the field of machine learning and has been employed across a wide variety of applications. Traditional MVPA also uses a form of machine learning, but most commonly with much simpler techniques based on (...)
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  3.  14
    The Hopkins-Oxford Psychedelics Ethics (HOPE) Working Group Consensus Statement.Edward Jacobs, Brian D. Earp, Paul S. Appelbaum, Lori Bruce, Ksenia Cassidy, Yuria Celidwen, Katherine Cheung, Sean K. Clancy, Neşe Devenot, Jules Evans, Holly Fernandez Lynch, Phoebe Friesen, Albert Garcia Romeu, Neil Gehani, Molly Maloof, Olivia Marcus, Ole Martin Moen, Mayli Mertens, Sandeep M. Nayak, Tehseen Noorani, Kyle Patch, Sebastian Porsdam-Mann, Gokul Raj, Khaleel Rajwani, Keisha Ray, William Smith, Daniel Villiger, Neil Levy, Roger Crisp, Julian Savulescu, Ilina Singh & David B. Yaden - forthcoming - American Journal of Bioethics:1-7.
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  4.  15
    Demonizing the Queen of Sheba: Boundaries of Gender and Culture in Postbiblical Judaism and Medieval Islam.William M. Brinner & Jacob Lassner - 1996 - Journal of the American Oriental Society 116 (1):158.
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  5. Handbook of moral behavior and development.William M. Kurtines & Jacob L. Gewirtz (eds.) - 1991 - Hillsdale, N.J.: L. Erlbaum.
    The publication of this unique three-volume set represents the culmination of years of work by a large number of scholars, researchers, and professionals in the field of moral development. The literature on moral behavior and development has grown to the point where it is no longer possible to capture the “state of the art” in a single volume. This comprehensive multi-volume Handbook marks an important transition because it provides evidence that the field has emerged as an area of scholarly activity (...)
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  6.  44
    An Elegant Composition concerning Relief after Adversity.Roy P. Mottahedeh, Nissim ben Jacob ibn Shāhīn, William M. Brinner & Nissim ben Jacob ibn Shahin - 1983 - Journal of the American Oriental Society 103 (4):771.
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  7.  21
    Social Choice for AI Alignment: Dealing with Diverse Human Feedback.Vincent Conitzer, Rachel Freedman, Jobst Heitzig, Wesley H. Holliday, Bob M. Jacobs, Nathan Lambert, Milan Mosse, Eric Pacuit, Stuart Russell, Hailey Schoelkopf, Emanuel Tewolde & William S. Zwicker - manuscript
    Foundation models such as GPT-4 are fine-tuned to avoid unsafe or otherwise problematic behavior, so that, for example, they refuse to comply with requests for help with committing crimes or with producing racist text. One approach to fine-tuning, called reinforcement learning from human feedback, learns from humans' expressed preferences over multiple outputs. Another approach is constitutional AI, in which the input from humans is a list of high-level principles. But how do we deal with potentially diverging input from humans? How (...)
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  8.  33
    Predicting attitudinal and behavioral responses to COVID-19 pandemic using machine learning.Tomislav Pavlović, Flavio Azevedo, Koustav De, Julián C. Riaño-Moreno, Marina Maglić, Theofilos Gkinopoulos, Patricio Andreas Donnelly-Kehoe, César Payán-Gómez, Guanxiong Huang, Jaroslaw Kantorowicz, Michèle D. Birtel, Philipp Schönegger, Valerio Capraro, Hernando Santamaría-García, Meltem Yucel, Agustin Ibanez, Steve Rathje, Erik Wetter, Dragan Stanojević, Jan-Willem van Prooijen, Eugenia Hesse, Christian T. Elbaek, Renata Franc, Zoran Pavlović, Panagiotis Mitkidis, Aleksandra Cichocka, Michele Gelfand, Mark Alfano, Robert M. Ross, Hallgeir Sjåstad, John B. Nezlek, Aleksandra Cislak, Patricia Lockwood, Koen Abts, Elena Agadullina, David M. Amodio, Matthew A. J. Apps, John Jamir Benzon Aruta, Sahba Besharati, Alexander Bor, Becky Choma, William Cunningham, Waqas Ejaz, Harry Farmer, Andrej Findor, Biljana Gjoneska, Estrella Gualda, Toan L. D. Huynh, Mostak Ahamed Imran, Jacob Israelashvili & Elena Kantorowicz-Reznichenko - forthcoming - Proceedings of the National Academy of Sciences: Nexus.
    At the beginning of 2020, COVID-19 became a global problem. Despite all the efforts to emphasize the relevance of preventive measures, not everyone adhered to them. Thus, learning more about the characteristics determining attitudinal and behavioral responses to the pandemic is crucial to improving future interventions. In this study, we applied machine learning on the multi-national data collected by the International Collaboration on the Social and Moral Psychology of COVID-19 (N = 51,404) to test the predictive efficacy of constructs from (...)
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  9.  54
    Proceedings of the 4th World Conference on Research Integrity: Brazil, Rio de Janeiro. 31 May - 3 June 2015.Lex Bouter, Melissa S. Anderson, Ana Marusic, Sabine Kleinert, Susan Zimmerman, Paulo S. L. Beirão, Laura Beranzoli, Giuseppe Di Capua, Silvia Peppoloni, Maria Betânia de Freitas Marques, Adriana Sousa, Claudia Rech, Torunn Ellefsen, Adele Flakke Johannessen, Jacob Holen, Raymond Tait, Jillon Van der Wall, John Chibnall, James M. DuBois, Farida Lada, Jigisha Patel, Stephanie Harriman, Leila Posenato Garcia, Adriana Nascimento Sousa, Cláudia Maria Correia Borges Rech, Oliveira Patrocínio, Raphaela Dias Fernandes, Laressa Lima Amâncio, Anja Gillis, David Gallacher, David Malwitz, Tom Lavrijssen, Mariusz Lubomirski, Malini Dasgupta, Katie Speanburg, Elizabeth C. Moylan, Maria K. Kowalczuk, Nikolas Offenhauser, Markus Feufel, Niklas Keller, Volker Bähr, Diego Oliveira Guedes, Douglas Leonardo Gomes Filho, Vincent Larivière, Rodrigo Costas, Daniele Fanelli, Mark William Neff, Aline Carolina de Oliveira Machado Prata, Limbanazo Matandika, Sonia Maria Ramos de Vasconcelos & Karina de A. Rocha - 2016 - Research Integrity and Peer Review 1 (Suppl 1).
    Table of contentsI1 Proceedings of the 4th World Conference on Research IntegrityConcurrent Sessions:1. Countries' systems and policies to foster research integrityCS01.1 Second time around: Implementing and embedding a review of responsible conduct of research policy and practice in an Australian research-intensive universitySusan Patricia O'BrienCS01.2 Measures to promote research integrity in a university: the case of an Asian universityDanny Chan, Frederick Leung2. Examples of research integrity education programmes in different countriesCS02.1 Development of a state-run “cyber education program of research ethics” in (...)
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  10.  20
    Human Action in Thomas Aquinas, John Duns Scotus, and William of Ockham. By Thomas M. Osborne Jr.James M. Jacobs - 2015 - International Philosophical Quarterly 55 (3):387-390.
  11. Asymmetries in the Value of Existence.Jacob M. Nebel - 2019 - Philosophical Perspectives 33 (1):126-145.
    According to asymmetric comparativism, it is worse for a person to exist with a miserable life than not to exist, but it is not better for a person to exist with a happy life than not to exist. My aim in this paper is to explain how asymmetric comparativism could possibly be true. My account of asymmetric comparativism begins with a different asymmetry, regarding the (dis)value of early death. I offer an account of this early death asymmetry, appealing to the (...)
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  12. A fixed-population problem for the person-affecting restriction.Jacob M. Nebel - 2020 - Philosophical Studies 177 (9):2779-2787.
    According to the person-affecting restriction, one distribution of welfare can be better than another only if there is someone for whom it is better. Extant problems for the person-affecting restriction involve variable-population cases, such as the nonidentity problem, which are notoriously controversial and difficult to resolve. This paper develops a fixed-population problem for the person-affecting restriction. The problem reveals that, in the presence of incommensurable welfare levels, the person-affecting restriction is incompatible with minimal requirements of impartial beneficence even in fixed-population (...)
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  13. An Intrapersonal Addition Paradox.Jacob M. Nebel - 2019 - Ethics 129 (2):309-343.
    I present a new argument for the repugnant conclusion. The core of the argument is a risky, intrapersonal analogue of the mere addition paradox. The argument is important for three reasons. First, some solutions to Parfit’s original puzzle do not obviously generalize to the intrapersonal puzzle in a plausible way. Second, it raises independently important questions about how to make decisions under uncertainty for the sake of people whose existence might depend on what we do. And, third, it suggests various (...)
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  14. Hopes, Fears, and Other Grammatical Scarecrows.Jacob M. Nebel - 2019 - Philosophical Review 128 (1):63-105.
    The standard view of "believes" and other propositional attitude verbs is that such verbs express relations between agents and propositions. A sentence of the form “S believes that p” is true just in case S stands in the belief-relation to the proposition that p; this proposition is the referent of the complement clause "that p." On this view, we would expect the clausal complements of propositional attitude verbs to be freely intersubstitutable with their corresponding proposition descriptions—e.g., "the proposition that p"—as (...)
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  15. Normative Reasons as Reasons Why We Ought.Jacob M. Nebel - 2019 - Mind 128 (510):459-484.
    I defend the view that a reason for someone to do something is just a reason why she ought to do it. This simple view has been thought incompatible with the existence of reasons to do things that we may refrain from doing or even ought not to do. For it is widely assumed that there are reasons why we ought to do something only if we ought to do it. I present several counterexamples to this principle and reject some (...)
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  16. Sex rights for the disabled?Jacob M. Appel - 2010 - Journal of Medical Ethics 36 (3):152-154.
    The public discourse surrounding sex and severe disability over the past 40 years has largely focused on protecting vulnerable populations from abuse. However, health professionals and activists are increasingly recognising the inherent sexuality of disabled persons and attempting to find ways to accommodate their intimacy needs. This essay explores several ethical issues arising from such efforts.
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  17. Utils and Shmutils.Jacob M. Nebel - 2021 - Ethics 131 (3):571-599.
    Matthew Adler's Measuring Social Welfare is an introduction to the social welfare function (SWF) methodology. This essay questions some ideas at the core of the SWF methodology having to do with the relation between the SWF and the measure of well-being. The facts about individual well-being do not single out a particular scale on which well-being must be measured. As with physical quantities, there are multiple scales that can be used to represent the same information about well-being; no one scale (...)
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  18. Strong dictatorship via ratio-scale measurable utilities: a simpler proof.Jacob M. Nebel - forthcoming - Economic Theory Bulletin.
    Tsui and Weymark (Economic Theory, 1997) have shown that the only continuous social welfare orderings on the whole Euclidean space which satisfy the weak Pareto principle and are invariant to individual-specific similarity transformations of utilities are strongly dictatorial. Their proof relies on functional equation arguments which are quite complex. This note provides a simpler proof of their theorem.
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  19. Rank-Weighted Utilitarianism and the Veil of Ignorance.Jacob M. Nebel - 2020 - Ethics 131 (1):87-106.
    Lara Buchak argues for a version of rank-weighted utilitarianism that assigns greater weight to the interests of the worse off. She argues that our distributive principles should be derived from the preferences of rational individuals behind a veil of ignorance, who ought to be risk averse. I argue that Buchak’s appeal to the veil of ignorance leads to a particular way of extending rank-weighted utilitarianism to the evaluation of uncertain prospects. This method recommends choices that violate the unanimous preferences of (...)
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  20. Extensive Measurement in Social Choice.Jacob M. Nebel - forthcoming - Theoretical Economics.
    Extensive measurement is the standard measurement-theoretic approach for constructing a ratio scale. It involves the comparison of objects that can be concatenated in an additively representable way. This paper studies the implications of extensively measurable welfare for social choice theory. We do this in two frameworks: an Arrovian framework with a fixed population and no interpersonal comparisons, and a generalized framework with variable populations and full interpersonal comparability. In each framework we use extensive measurement to introduce novel domain restrictions, independence (...)
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  21.  6
    The Pandemic of Invisible Victims in American Mental Health.Jacob M. Appel - 2024 - Hastings Center Report 54 (2):3-7.
    Although considerable attention has been devoted to the concepts of “visible” and “invisible” victims in general medical practice, especially in relation to resource allocation, far less consideration has been devoted to these concepts in behavioral health. Distinctive features of mental health care in the United States help explain this gap. This essay explores three specific ways in which the American mental health care system protects potentially “visible” individuals at the expense of “invisible victims” and otherwise fails to meet the needs (...)
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  22.  8
    How Hard It Is That We Have to Die.Jacob M. Appel - 2012 - Cambridge Quarterly of Healthcare Ethics 21 (4):527-536.
  23. The Case for Comparability.Cian Dorr, Jacob M. Nebel & Jake Zuehl - 2023 - Noûs 57 (2):414-453.
    We argue that all comparative expressions in natural language obey a principle that we call Comparability: if x and y are at least as F as themselves, then either x is at least as F as y or y is at least as F as x. This principle has been widely rejected among philosophers, especially by ethicists, and its falsity has been claimed to have important normative implications. We argue that Comparability is needed to explain the goodness of several patterns (...)
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  24.  16
    Trial by Triad: substituted judgment, mental illness and the right to die.Jacob M. Appel - 2022 - Journal of Medical Ethics 48 (6):358-361.
    Substituted judgment has increasingly become the accepted standard for rendering decisions for incapacitated adults in the USA. A broad exception exists with regard to patients with diminished capacity secondary to depressive disorders, as such patients’ previous wishes are generally not honoured when seeking to turn down life-preserving care or pursue aid-in-dying. The result is that physicians often force involuntary treatment on patients with poor medical prognoses and/or low quality of life as a result of their depressive symptoms when similarly situated (...)
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  25. Status Quo Bias, Rationality, and Conservatism about Value.Jacob M. Nebel - 2015 - Ethics 125 (2):449-476.
    Many economists and philosophers assume that status quo bias is necessarily irrational. I argue that, in some cases, status quo bias is fully rational. I discuss the rationality of status quo bias on both subjective and objective theories of the rationality of preferences. I argue that subjective theories cannot plausibly condemn this bias as irrational. I then discuss one kind of objective theory, which holds that a conservative bias toward existing things of value is rational. This account can fruitfully explain (...)
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  26. Totalism without Repugnance.Jacob M. Nebel - 2022 - In Jeff McMahan, Tim Campbell, James Goodrich & Ketan Ramakrishnan (eds.), Ethics and Existence: The Legacy of Derek Parfit. Oxford: Oxford University Press. pp. 200-231.
    Totalism is the view that one distribution of well-being is better than another just in case the one contains a greater sum of well-being than the other. Many philosophers, following Parfit, reject totalism on the grounds that it entails the repugnant conclusion: that, for any number of excellent lives, there is some number of lives that are barely worth living whose existence would be better. This paper develops a theory of welfare aggregation—the lexical-threshold view—that allows totalism to avoid the repugnant (...)
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  27. The Good, the Bad, and the Transitivity of Better Than.Jacob M. Nebel - 2018 - Noûs 52 (4):874-899.
    The Rachels–Temkin spectrum arguments against the transitivity of better than involve good or bad experiences, lives, or outcomes that vary along multiple dimensions—e.g., duration and intensity of pleasure or pain. This paper presents variations on these arguments involving combinations of good and bad experiences, which have even more radical implications than the violation of transitivity. These variations force opponents of transitivity to conclude that something good is worse than something that isn’t good, on pain of rejecting the good altogether. That (...)
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  28.  30
    If it ducks like a quack: balancing physician freedom of expression and the public interest.Jacob M. Appel - 2022 - Journal of Medical Ethics 48 (7):430-433.
    Physicians expressing opinions on medical matters that run contrary to the consensus of experts pose a challenge to licensing bodies and regulatory authorities. While the right to express contrarian views feeds a robust marketplace of ideas that is essential for scientific progress, physicians advocating ineffective or dangerous cures, or actively opposing public health measures, pose a grave threat to societal welfare. Increasingly, a distinction has been made between professional speech that occurs during the physician-patient encounter and public speech that transpires (...)
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  29. The Sum of Well-Being.Jacob M. Nebel - 2023 - Mind 132 (528):1074–1104.
    Is well-being the kind of thing that can be summed across individuals? This paper takes a measurement-theoretic approach to answering this question. To make sense of adding well-being, we would need to identify some natural "concatenation" operation on the bearers of well-being that satisfies the axioms of extensive measurement and can therefore be represented by the arithmetic operation of addition. I explore various proposals along these lines, involving the concatenation of segments within lives over time, of entire lives led alongside (...)
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  30. Calibration dilemmas in the ethics of distribution.Jacob M. Nebel & H. Orri Stefánsson - 2023 - Economics and Philosophy 39 (1):67-98.
    This paper presents a new kind of problem in the ethics of distribution. The problem takes the form of several “calibration dilemmas,” in which intuitively reasonable aversion to small-stakes inequalities requires leading theories of distribution to recommend intuitively unreasonable aversion to large-stakes inequalities. We first lay out a series of such dilemmas for prioritarian theories. We then consider a widely endorsed family of egalitarian views and show that they are subject to even more forceful calibration dilemmas than prioritarian theories. Finally, (...)
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  31. A suicide right for the mentally ill? A swiss case opens a new debate.Jacob M. Appel - 2007 - Hastings Center Report 37 (3):21-23.
  32.  19
    Personal responsibility and transplant revisited: A case for assigning lower priority to American vaccine refusers.Jacob M. Appel - 2022 - Bioethics 36 (4):461-468.
    Priority for solid organ transplant generally does not consider the underlying cause of the need for transplantation. This paper argues that a distinctive set of factors justify assigning lower priority to willfully unvaccinated individuals who require transplant as a result of suffering from COVID‐19. These factors include the personal responsibility of the patients for their own condition and the public outrage likely to ensue if willfully unvaccinated patients receive organs at the expense of vaccinated ones. The paper then proposes a (...)
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  33. Aggregation Without Interpersonal Comparisons of Well‐Being.Jacob M. Nebel - 2022 - Philosophy and Phenomenological Research 105 (1):18-41.
    This paper is about the role of interpersonal comparisons in Harsanyi's aggregation theorem. Harsanyi interpreted his theorem to show that a broadly utilitarian theory of distribution must be true even if there are no interpersonal comparisons of well-being. How is this possible? The orthodox view is that it is not. Some argue that the interpersonal comparability of well-being is hidden in Harsanyi's premises. Others argue that it is a surprising conclusion of Harsanyi's theorem, which is not presupposed by any one (...)
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  34.  9
    Engagement without entanglement: a framework for non-sexual patient–physician boundaries.Jacob M. Appel - 2023 - Journal of Medical Ethics 49 (6):383-388.
    The integrity of the patient–physician relationship depends on maintaining professional boundaries. While ethicists and professional organisations have devoted significant consideration to the subject of sexual boundary transgressions, the subject of non-sexual boundaries, especially outside the mental health setting, has been largely neglected. While professional organisations may offer guidance on specific subjects, such as accepting gifts or treating relatives, as well as general guidance on transparency and conflict of interest, what is missing is a principle-based method that providers can use to (...)
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  35.  4
    Goldwater After Trump.Jacob M. Appel & Akaela Michels-Gualtieri - 2021 - Cambridge Quarterly of Healthcare Ethics 30 (4):651-661.
    The “Goldwater rule,” a policy adopted by the American Psychiatry Association in 1973, prohibits organization members from diagnosing or offering professional opinions regarding the mental health of public figures without both first-hand evaluation and authorization. Initially developed in response to a controversial survey of APA members during the 1964 Presidential election campaign, the ethics rule faced few large scale challenges until the election of Donald Trump in 2016. Since that time, a significant number of psychiatrists have either violated or criticized (...)
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  36.  15
    Substituted judgment for the never‐capacitated: Crossing Storar's bridge too far.Jacob M. Appel - 2021 - Bioethics 36 (2):225-231.
    Since several landmark legal decisions in the 1970s and 1980s, substituted judgment has become widely accepted as an approach to decision‐making for incapacitated patients that incorporates their autonomy and interests. Two notable exceptions have been cases involving minors and those involving cognitively or psychiatrically impaired individuals who never previously possessed the ability to contemplate the medical decisions involved in their care. While a best interest standard may have universal merit in pediatric cases, this paper argues that substituted judgement has been (...)
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  37.  34
    Medical Repatriation Does Not Justify Hospital Entanglement in Nonmedical Matters.Jacob M. Appel - 2012 - American Journal of Bioethics 12 (9):9-11.
    The American Journal of Bioethics, Volume 12, Issue 9, Page 9-11, September 2012.
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  38.  9
    The Idea of Deafness as Disability in Renaissance Germany.Jacob M. Baum - 2023 - Journal of the History of Ideas 84 (4):621-652.
    This essay assesses the degree to which the deaf were regarded as a disabled population in medical, religious, and legal thought during the Renaissance, chronologically identified with the period between approximately 1500 and 1650. The primary geographic focus rests on the German-speaking lands of central Europe. Analysis shows that the idea of deafness as a disability here was composite one, making connections between inability to hear and intellectual impairment, moral deficiency, and disease. This contrasts with recent findings elsewhere in Europe, (...)
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  39. Ethics without numbers.Jacob M. Nebel - 2024 - Philosophy and Phenomenological Research 108 (2):289-319.
    This paper develops and explores a new framework for theorizing about the measurement and aggregation of well-being. It is a qualitative variation on the framework of social welfare functionals developed by Amartya Sen. In Sen’s framework, a social or overall betterness ordering is assigned to each profile of real-valued utility functions. In the qualitative framework developed here, numerical utilities are replaced by the properties they are supposed to represent. This makes it possible to characterize the measurability and interpersonal comparability of (...)
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  40.  7
    Who says you're dead?: medical & ethical dilemmas for the curious and concerned.Jacob M. Appel - 2019 - Chapel Hill, North Carolina: Algonquin Books of Chapel Hill.
    “An original, compelling, and provocative exploration of ethical issues in our society, with thoughtful and balanced commentary. I have not seen anything like it.” —Alan Lightman, author of Einstein’s Dreams Drawing upon the author’s two decades teaching medical ethics, as well as his work as a practicing psychiatrist, this profound and addictive little book offers up challenging ethical dilemmas and asks readers, What would you do? A daughter gets tested to see if she’s a match to donate a kidney to (...)
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  41.  60
    “How Hard It Is That We Have to Die”.Jacob M. Appel - 2012 - Cambridge Quarterly of Healthcare Ethics 21 (4):527-536.
  42. Priority, Not Equality, for Possible People.Jacob M. Nebel - 2017 - Ethics 127 (4):896-911.
    How should we choose between uncertain prospects in which different possible people might exist at different levels of wellbeing? Alex Voorhoeve and Marc Fleurbaey offer an egalitarian answer to this question. I give some reasons to reject their answer and then sketch an alternative, which I call person-affecting prioritarianism.
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  43.  98
    May Doctors Refuse Infertility Treatments to Gay Patients?Jacob M. Appel - 2006 - Hastings Center Report 36 (4):20-21.
  44.  50
    Toward an Ethical Eugenics.Jacob M. Appel - 2012 - Jona’s Healthcare Law, Ethics, and Regulation 14 (1):7-13.
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  45.  32
    Unconventional harm reduction interventions for Minor-attracted persons.Jacob M. Appel - 2023 - Clinical Ethics 18 (2):183-191.
    Minor-attracted persons raise multiple ethical and legal challenges. Sexual contact between adults and children is justly prohibited on child welfare grounds. Advances in technology raise the prospect of interventions for minor-attracted persons that have the potential to reduce harm to children by diverting would-be offenders to other endeavors that nonetheless may generate moral disgust This essay examines three of these potential harm reduction technologies (sex robots, haptic devices and synthetic child pornography) and raises the possibility that their use can be (...)
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  46.  14
    Toxic: The Challenge of Involuntary Contraception in Incompetent Psychiatric Patients Treated with Teratogenic Medications.Jacob M. Appel, Bridget King & Jordan L. Schwartzberg - 2022 - Journal of Clinical Ethics 33 (1):29-35.
    Limitations on reproductive decision making, including forced sterilization and involuntary birth control, raise significant ethical challenges. In the United States, these issues are further complicated by a disturbing history of the abuse and victimization of vulnerable populations. One particularly fraught challenge is the risk of teratogenicity posed by moodstabilizing psychiatric medications in patients who are incapable of appreciating such dangers. Long-acting reversible contraception (LARC) offers an intervention to prevent pregnancy among individuals who receive such treatments, but at a cost to (...)
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  47.  11
    Rethinking Second Chances: When Rejected Liver Transplant Candidates Seek Reevaluation Elsewhere.Jacob M. Appel & Akhil Shenoy - 2023 - Journal of Clinical Ethics 34 (2):196-203.
    Liver transplantation offers a lifesaving treatment for patients suffering from end-stage liver failure, but not all candidates in the United States are eligible owing to center-specific criteria. When a patient is rejected at a transplantation center for medical, surgical, or psychosocial issues, they are often referred to other centers. We focus on this practice of reevaluation at a second center when the candidate was rejected for psychosocial reasons. We review the criteria used by health professionals to determine psychosocial eligibility and (...)
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  48.  56
    Castration Anxiety: Physicians, “Do No Harm,” and Chemical Sterilization Laws.Jacob M. Appel - 2012 - Journal of Bioethical Inquiry 9 (1):85-91.
    Chemical castration laws, such as one recently adopted in the U.S. State of Louisiana, raise challenging ethical concerns for physicians. Even if such interventions were to prove efficacious, which is far from certain, they would still raise troubling concerns regarding the degree of medical risk that may be imposed upon prisoners in the name of public safety as well as the appropriate role for physicians and other health care professionals in the administration of pharmaceuticals to competent prisoners over the inmates’ (...)
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  49.  18
    A Philosophy for Choosing Doctors.Jacob M. Appel - 2022 - Cambridge Quarterly of Healthcare Ethics 31 (3):407-410.
    This essay advocates for the wholesale reevaluation of the process used by American medical schools for selecting physicians, examining fundamental questions such as the purpose of physicians and the nature of meritocracy. It raises questions about the size of medical school classes, the specific academic requirements, and the inadequacy of current efforts to increase diversity. Ultimately, the essay argues for consideration of a range of reforms that will focus on the community-empowering aspects of medical admissions decisions.
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    Anything You Do Not Say Can Be Used against You: Volitional Refusal to Engage in Decisional Capacity Assessment.Jacob M. Appel - 2023 - Journal of Clinical Ethics 34 (2):204-210.
    The most widely accepted model of decisional capacity assessment requires that a patient communicate a clear and consistent choice to the evaluator. This approach works effectively when patients prove unable to express a choice owing to physical, psychological, or cognitive limitations. In contrast, the approach raises ethics concerns when applied to patients who volitionally refuse to communicate a choice. This article examines the ethical issues that arise in such cases and offers a rubric for addressing decisional capacity under such circumstances.
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