In What is Disease?, renowned philosophers and medical ethicists survey and elucidate the profoundly important concepts of disease and health. Christopher Boorse begins with an extensive reexamination of his seminal definition of disease as a value-free scientific concept. In responding to all those who criticized this view, which came to be called "naturalism" or "neutralism," Boorse clarifies and updates his landmark ideas on this crucial question. Other distinguished thinkers analyze, develop, and oftentimes defend competing, nonnaturalistic theories of disease, including discussions (...) of the relevance of these concepts to the question of "diseased" sexual orientation and to alternative medicine. What is Disease? brings concerned readers up-to-date in the debate over the proper definition of "disease," a concept of central importance not only for bioethicists, but also for those throughout clinical medicine, sociology, psychology, and law who deal with disease and its associated problems on an everyday basis. (shrink)

In the past few years an increasing number of colleges and universities have added courses in biomedical ethics to their curricula. To some extent, these additions serve to satisfy student demands for "relevance. " But it is also true that such changes reflect a deepening desire on the part of the academic community to deal effectively with a host of problems which must be solved if we are to have a health-care delivery system which is efficient, humane, and just. To (...) a large degree, these problems are the unique result of both rapidly changing moral values and dramatic advances in biomedical technology. The past decade has witnessed sudden and conspicuous controversy over the morality and legality of new practices relating to abortion, therapy for the mentally ill, experimentation using human subjects, forms of genetic interven tion, suicide, and euthanasia. Malpractice suits abound and astronomical fees for malpractice insurance threaten the very possibility of medical and health-care practice. Without the backing of a clear moral consensus, the law is frequently forced into resolving these conflicts only to see the moral issues involved still hotly debated and the validity of existing law further questioned. In the case of abortion, for example, the laws have changed radically, and the widely pub licized recent conviction of Dr. Edelin in Boston has done little to foster a moral consensus or even render the exact status of the law beyond reasonable question. (shrink)

Fully updated and revised, this contemporary classic discusses the powerful moral issues facing corporate America: conflicts of interest, payoffs, trade secrets, insider trading, product safety and product liability, hiring, drug testing, sexual harassment, diversity, reverse discrimination, employee productivity monitoring, Internet/computer privacy, worker safety, whistle-blowing, ethical decision-making, ethical accounting and advertising practices, environmental responsibility, down-sizing, and the conduct of multinational corporations. These are just some of the many topics raised in this versatile text. Enhanced by many new case studies, questions for (...) discussion, and valuable bibliographies, Business Ethics focuses on the issues that will confront decision-makers well into the new century. (shrink)

In Human Cloning a panel of distinguished philosophers, medical ethicists, religious thinkers, and social critics tackle the thorny problems raised by the now real possibility of human cloning. In their wide ranging reviews, the distinguished contributors critically examine the major arguments for and against human cloning, probe the implications of such a procedure for society, and critically evaluate the "Report and Recommendations of the National Bioethics Advisory Commission." The debate includes both religious and secular arguments, as well as an outline (...) of the history of the cloning debate and a discussion of human cloning's impact on our sense of self and our beliefs about the meaning of life. (shrink)

Despite repeated attempts to understand the cogito, its character still remains the subject of much dispute. I believe this state of affairs exists because commentators have not proceeded properly in their investigations. Descartes tells us that it is clear and distinct perception which “assures” him of his existence as a thinking thing. Yet when one turns to the literature, what one finds is that the two issues are not discussed in conjunction, but rather independently. I believe this is a mistake, (...) and that it counts heavily against existing interpretations of the cogito; they are unable to explain how clear and distinct perception “assures” Descartes of the truth of “I am a thinking thing.” In what follows I intend to provide such an explanation and, in the process, develop a new interpretation of the cogito. (shrink)

Peter Abelard (1079–1142 ce) was the most wide‐ranging philosopher of the twelfth century. He quickly established himself as a leading teacher of logic in and near Paris shortly after 1100. After his affair with Heloise, and his subsequent castration, Abelard became a monk, but he returned to teaching in the Paris schools until 1140, when his work was condemned by a Church Council at Sens. His logical writings were based around discussion of the “Old Logic”: Porphyry's Isagoge, aristotle'S Categories and (...) On Interpretation and boethius'S textbook on topical inference. They comprise a freestanding Dialectica (“Logic”; probably c.1116), a set of commentaries (known as the Logica [Ingredientibus], c. 1119) and a later (c. 1125) commentary on the Isagoge (Logica Nostrorum Petititoni Sociorum or Glossulae). In a work Abelard called his Theologia, issued in three main versions (between 1120 and c.1134), he attempted a logical analysis of trinitarian relations and explored the philosophical problems surrounding God's claims to omnipotence and omniscience. The Collationes (“Debates,” also known as “Dialogue between a Christian, a Philosopher and a Jew”; probably c.1130) present a rational investigation into the nature of the highest good, in which the Christian and the Philosopher (who seems to be modeled on a philosopher of pagan antiquity) are remarkably in agreement. The unfinished Scito teipsum (“Know thyself,” also known as the “Ethics”; c.1138) analyses moral action. (shrink)

In this essay I examine seven of the best-known attempts to define ‘sexual perversion’. I argue that if these definitions are meant to prescribe our use of ‘sexual perversion’, the definitions are really theoretical definitions, and none can be accepted because the arguments offered in support of the definitions are either incomplete or misdirected. Next, I argue that it is not possible to formulate a definition of ‘sexual perversion’ which captures our ordinary use of the term because common usage indicates (...) that ‘sexual perversion’ is a cluster term. Finally, I consider whether it is possible to develop and defend a theoretical definition of ‘sexual perversion’. I argue that to succeed in this task one must first demonstrate that a particular theory of human nature is true, and that this cannot be done because human nature is an essentially contested concept. (shrink)

Who has more rights-the mother or the fetus? Interdisciplinary in scope and character, this latest volume of Humana's classic series, Biomedical Ethics Reviews, focuses on the complex moral and legal problems involving human fetal life. Each article in Bioethics and the Fetus provides an up-to-date review of the literature and advances bioethical discussion in its field. The authors have avoided much of the technical jargon of philosophy and medicine in order to speak directly to a broad and general readership. Topics (...) include: • maternal-fetal conflict • the disposition of aborted fetuses • frozen embryos • creating children to save sibling's lives • fetal tissue transplantation • moral implications of fetal brain integration • the embryo as patient • prenatal diagnosis. Probing deeply into these thorny issues, Bioethics and the Fetus offers thought-provoking reading-and paves the ground for new insight-for a host of healthcare and other professionals, as well as concerned laypersons. (shrink)

The ontological argument appears in a multiplicity of forms. Over the past ten or twelve years, however, the philosophical community seems to have been concerned principally with those versions of the proof which claim that God is a necessary being. In contemporary literature, Professors Malcolm and Hartshorne have been the chief advocates of this view, both men holding that God must be conceived as a necessary being and that, as a result, his existence is able to be demonstrated a priori (...) . This claim has not gone unchallenged; indeed, numerous writers have argued that neither Malcolm nor Hartshorne has exercised due care in his use of ‘necessary’. That is, critics charge that the arguments of both men have only the appearance of validity, for in their reasonings the defenders of the a priori proof have tacitly assumed that God is a logically necessary being. Whether or not a being can be logically necessary, however, is a quaestio disputata . In fact, until recently the question was not in dispute at all—virtually all ‘competent judges’ agreed that only propositions could be spoken of as logically necessary, and thus that God must be defined as a physically or factually necessary being. But is the statement, ‘a physically necessary being exists’, logically true? Critics of the ontological argument think not; and in support of this view they offer analyses of ‘physical necessity’ which, they feel, not only give meaning to the phrase, but also show that a physically necessary being's existence can be proven only by some kind of a posteriori investigation. (shrink)

In virtually all the developed countries of the Western world, people are living longer and reproducing less. At the same time, costs for the care of the elderly and infirm continue to rise dramatically. Given these facts, it should come as no surprise that we are experi encing an ever-increasing concern with questions relating to the proper care and treatment of the aged. What responsibilities do soci eties have to their aging citizens? What duties, if any, do grown chil dren (...) owe their parents? What markers should we use to determine one's status as "elderly"? Does treatment of pain in aged patients present special medical and/or moral problems? How can the com peting claims of autonomy and optimal medical care be reconciled for elderly persons who require assisted living? When, if ever, should severely demented patients be included in nontherapeutic clinical tri als? These questions, and others of similar interest to those con cerned with the proper treatment of the aged, are discussed in depth in the articles included in this text. The essays in this volume of Biomedical Ethics Reviews fall loosely into two broad categories. The first four articles-those con tributed by Sheila M. Neysmith, Allyson Robichaud, Jennifer Jackson, and Susan McCarthy-raise general questions concerning the propri ety of Western society'S current mechanisms for dealing with and treat ing elderly citizens. The remaining four articles-those by Simon Woods and Max Elstein, Marshall B. (shrink)

In a recent article donald sievert argues: (a) that descartes expresses both doubt and certainty concerning his own existence, And (b) that this vacillation in descartes' thought occurs because descartes uses two different proofs of his own existence--One proof dubitable, The other not. In my article I argue that sievert's analysis must be rejected because: (1) it explains neither descartes' expressions of self-Doubt, Nor his expressions of self-Certainty, And (2) it is inconsistent.

Physician-Assisted Death is the eleventh volume of Biomedical Ethics Reviews. We, the editors, are pleased with the response to the series over the years and, as a result, are happy to continue into a second decade with the same general purpose and zeal. As in the past, contributors to projected volumes have been asked to summarize the nature of the literature, the prevailing attitudes and arguments, and then to advance the discussion in some way by staking out and arguing forcefully (...) for some basic position on the topic targeted for discussion. For the present volume on Physician-Assisted Death, we felt it wise to enlist the services of a guest editor, Dr. Gregg A. Kasting, a practicing physician with extensive clinical knowledge of the various problems and issues encountered in discussing physician assisted death. Dr. Kasting is also our student and just completing a graduate degree in philosophy with a specialty in biomedical ethics here at Georgia State University. Apart from a keen interest in the topic, Dr. Kasting has published good work in the area and has, in our opinion, done an excellent job in taking on the lion's share of editing this well-balanced and probing set of essays. We hope you will agree that this volume significantly advances the level of discussion on physician-assisted euthanasia. Incidentally, we wish to note that the essays in this volume were all finished and committed to press by January 1993. (shrink)

In order to ensure that corporations act in socially responsible ways. R. Freeman says that firms should be legally required to act in accordance with the directives of a moral theory which he developed especially for business – a theory which has come to be called "normative stakeholder theory" (NST). I argue that NST fails as a moral theory and that this failure indicates: (1) that we should abandon the quest to develop a special moral theory for use in business, (...) and (2) that we should not attempt to impose the use of any moral theory upon business, but rather should allow corporations to determine their moral responsibilities in any way they see fit. (shrink)