Book reviewed in this article: Mama Might Be Better Off Dead: The Failure of Health Care in Urban America. By Laurie Kaye Abraham. Not All of Us Are Saints: A Doctor's Journey with the Poor. By David Hilfiker.

Or that the tragedy of man is due to the fact that he is a being who has forgotten the question: Who is Man?

This brief meditation on Maggie Nelson's The Argonauts reads it as elaborating a politics and ethics of vulnerability in both its thinking and its formal qualities, thereby showing us the radical aesthetic, personal and political potential of this state of apparent unguardedness. I consider, in turn, the text's treatment of emotional vulnerability, physical vulnerability, the vulnerability of gender and our vulnerability to gender, as well as the vulnerabilities of the apparently confessional writer and of the text itself.

The right not to know is a contested matter. This can be because the inversion of the normal framing of entitlement to information about one's own health is thought to be illogical and inconsistent with self-authorship and/or because the very idea of claiming a right not to know information is an inappropriate appeal to the discourse of rights that places impossible responsibilities on others. Notwithstanding, there has been a sustained increase in this kind of appeal in recent years fueled in (...) large part by the rise and rise of the importance of personal autonomy in health care ethics, and by domestic and international health law. The right not to know has been acknowledged in at least two important international legal instruments. For example, the UNESCO Universal Declaration on the Human Genome and Human Rights, Article 5c provides: “The right of every individual to decide whether or not to be informed of the results of genetic examination and the resulting consequences should be respected.”. (shrink)

This article argues for the importance of conceptual clarity in the debate about the so-called right not to know. This is vital both at the theoretical and the practical level. It is suggested that, unlike many formulations and attempts to give effect to this right, what is at stake is not merely an aspect of personal autonomy and therefore cannot and should not be reduced only to a question of individual choice. Rather, it is argued that the core interests that (...) can be protected by the right not to know are better conceived of as privacy interests rather than autonomy interests. This not only helps us to understand what is in play but also informs regulatory, professional, and legal responses to handling information and taking decisions about whether or not to disclose information to persons about themselves. The practical implications of this conceptualization are explored in the context of feedback policies in health-related research. (shrink)

This book is a comprehensive exposition of the Transcendental Deduction of the Categories in both editions of Kant’s Critique of Pure Reason.

The main research programs in quantum gravity tend to suggest in one way or another that most spacetime structures are not fundamental. At the same time, work in quantum foundations highlights fundamental features that are in tension with any straightforward space- time understanding. This paper aims to explore the little investigated but potentially fruitful links between these two fields.

This book is a groundbreaking history of balance, exploring how a new model of equilibrium emerged during the medieval period.

Is there something special about one’s attitude toward a prospective action when deciding or intending to do it? Philosophers often appeal to the idea of settling to distinguish intention from other attitudes toward some prospective action, such as expecting it, or desiring it. But 'settle' has become a term of art invoked in divergent ways. The first use of the term concerns the more immediate upshot of a decision on the psychology of the agent. Once a decision has been made (...) and an intention formed, the agent is settled on a course of action to pursue. She stops considering alternatives and attends to means for bringing it about. Decision and intention thus play a distinctive role in the agent’s psychology and practical reasoning. Call this intransitive settling. In contrast, the transitive use of the term involves the thought that when, for example, you decide and intend to attend a lecture tomorrow, what you’re settling goes beyond your psychology, to take in worldly matters such as your being at the lecture. If we take this idea seriously, as I think we should, it might seem that we are led to an implausible picture of the agent reaching outside the temporal order to determine in direct fashion some future state of affairs. We can avoid this consequence while maintaining a robust transitive conception of settling. This will require articulating how one can act directly on a prior intention, and appreciating the role of intention in preserving reasons for action. (shrink)

Discussion of uses of biomedical data often proceeds on the assumption that the data are generated and shared solely or largely within the health sector. However, this assumption must be challenged because increasingly large amounts of health and well-being data are being gathered and deployed in cross-sectoral contexts such as social media and through the internet of things and wearable devices. Cross-sectoral sharing of data thus refers to the generation, use and linkage of biomedical data beyond the health sector. This (...) paper considers the challenges that arise from this phenomenon. If we are to benefit fully, it is important to consider which ethical values are at stake and to reflect on ways to resolve emerging ethical issues across ecosystems where values, laws and cultures might be quite distinct. In considering such issues, this paper applies the deliberative balancing approach of the Ethics Framework for Big Data in Health and Research to the domain of cross-sectoral big data. Please refer to that article for more information on how this framework is to be used, including a full explanation of the key values involved and the balancing approach used in the case study at the end. (shrink)

Johann Georg Hamann fue el primer crítico de la Ilustración y también su primera víctima. Su pensamiento, enormemente complejo y articulado a través de algunas ideas adelantadas a su tiempo, fue rápidamente revestido de “irracionalismo” por la incapacidad hermenéutica de los círculos ilustrados del momento, lo que a posteriori tuvo como consecuencia un notable menosprecio hacia su obra por parte de la Historia de la Filosofía. El presente artículo pretende mostrar que las categorías usadas en su momento para definir el (...) pensamiento de Hamann son inadecuadas. Más concretamente, se intentará mostrar que la revisión de la Ilustración llevada a cabo por Hamann denota una actitud de “ilustrado radical” y no de “irracionalista”. (shrink)

'Brainjacking’ refers to the exercise of unauthorized control of another’s electronic brain implant. Whilst the possibility of hacking a Brain–Computer Interface (BCI) has already been proven in both experimental and real-life settings, there is reason to believe that it will soon be possible to interfere with the software settings of the Implanted Pulse Generators (IPGs) that play a central role in Deep Brain Stimulation (DBS) systems. Whilst brainjacking raises ethical concerns pertaining to privacy and physical or psychological harm, we claim (...) that the possibility of brainjacking DBS raises particularly profound concerns about individual autonomy, since the possibility of hacking such devices raises the prospect of third parties exerting influence over the neural circuits underpinning the subject’s cognitive, emotional and motivational states. However, although it seems natural to assume that brainjacking represents a profound threat to individual autonomy, we suggest that the implications of brainjacking for individual autonomy are complicated by the fact that technologies targeted by brainjacking often serve to enhance certain aspects of the user’s autonomy. The difficulty of ascertaining the implications of brainjacking DBS for individual autonomy is exacerbated by the varied understandings of autonomy in the neuroethical and philosophical literature. In this paper, we seek to bring some conceptual clarity to this area by mapping out some of the prominent views concerning the different dimension of autonomous agency, and the implications of brainjacking DBS for each dimension. Drawing on three hypothetical case studies, we show that there could plausibly be some circumstances in which brainjacking could potentially be carried out in ways that could serve to enhance certain dimensions of the target’s autonomy. Our analysis raises further questions about the power, scope, and necessity of obtaining prior consent in seeking to protect patient autonomy when directly interfering with their neural states, in particular in the context of self-regulating closed-loop stimulation devices. (shrink)

Background Several jurisdictions, including Singapore, Australia, New Zealand and most recently Ireland, have a public interest or public good criterion for granting waivers of consent in biomedical research using secondary health data or tissue. However, the concept of the public interest is not well defined in this context, which creates difficulties for institutions, institutional review boards and regulators trying to implement the criterion. Main text This paper clarifies how the public interest criterion can be defensibly deployed. We first explain the (...) ethical basis for requiring waivers to only be granted to studies meeting the public interest criterion, then explore how further criteria may be set to determine the extent to which a given study can legitimately claim to be in the public interest. We propose an approach that does not attempt to measure magnitude of benefit directly, but rather takes into account metrics that are more straightforward to apply. To ensure consistent and justifiable interpretation, research institutions and IRBs should also incorporate procedural features such as transparency and public engagement in determining which studies satisfy the public interest requirement. Conclusion The requirement of public interest for consent waivers in secondary biomedical research should be guided by well-defined criteria for systematic evaluation. Such a criteria and its application need to be periodically subject to intra-committee and intra-institution review, reflection, deliberation and amendment. (shrink)

Mechanistic and Humanistic Science -- Acquiring Knowledge of a Person as a Task for the Scientist -- The Cognitive Needs Under Conditions of Fear and of Courage -- Safety Science and Growth Science:Science as a Defense -- Prediction and Control of Persons? -- Experiential Knowledge and Spectator Knowledge -- Abstracting and Theorizing -- Comprehensive Science and Simpleward Science -- Suchness Meaning and Abstractness Meaning -- Taoistic Science and Controlling Science -- Interpersonal (I-Thou) Knowledge as a Paradigm for Science -- Value-Free (...) Science -- Stages, Levels, and Degrees of Knowledge -- The Desacralization and the Resacralization of Science. (shrink)

We attempt in this paper to define a new field of study for philosophy: philosophy of management. We briefly speculate why the interest some managers and management writers take in philosophy has been so little reciprocated and why it needs to be. Then we suggest the scope of this new branch of philosophy and how it relates to and overlaps with other branches. We summarise some key matters philosophers of management should concern themselves with and pursue one in some detail. (...) We conclude with an invitation. (shrink)

This article reports data collected from 385 performing arts professionals using the HEartS Professional Survey during the COVID-19 Lockdown 1.0 in the United Kingdom. Study 1 examined characteristics of performing arts professionals’ work and health, and investigated how these relate to standardized measures of wellbeing. Study 2 examined the effects of the lockdown on work and wellbeing in the respondents’ own words. Findings from Study 1 indicate a substantial reduction in work and income. 53% reported financial hardship, 85% reported increased (...) anxiety, and 63% reported being lonelier than before the crisis. 61% sought support on finances while only 45% did so on health and wellbeing. Multiple regression analyses, using the Mental Health Continuum-Short Form, Center for Epidemiologic Studies Depression Scale, Social Connectedness Scale, and Three-Item Loneliness Scale as outcome variables, indicate that perceived financial hardship was associated with lower wellbeing and higher depression and loneliness scores. Higher self-rated health was associated with higher wellbeing and lower depression scores. More physical activity before lockdown was associated with higher wellbeing and social connectedness scores, as well as lower loneliness scores, and an increase in physical activity during lockdown compared with before, as well as older age, were associated with higher wellbeing and social connectedness scores, and lower depression and loneliness scores. Thematic inductive analysis of 341 open responses in Study 2 identified five overarching themes characterizing the effects of Lockdown 1.0: lost or uncertain work and income, including canceled work, financial concerns, and uncertainties for the future; constraints of lockdown working, including challenges of working at home, struggles with online work and skill maintenance, and caring responsibilities; loss and vulnerability, including reduced social connections, lack of support, vulnerability, feelings of loss and grief, and concern for others; detrimental effects on health and wellbeing, including anxiety, low or unstable mood, poorer physical health, and lack of motivation; and professional and personal opportunities, including coping well or living more healthily, more time and less pressure, new possibilities and activities, enhanced social connections, and new skills. Lockdown 1.0 had profound effects on performing arts professionals, but our findings reveal some opportunities and compelling links between positive wellbeing and physical activity. (shrink)

An innovative literary analysis of Freud's "Wolf Man.".

Illustrates Plato’s theory of the philosopher-king in the context of medieval and Renaissance Jewish thought.

The individual informed consent model remains critical to the ethical conduct and regulation of research involving human beings. Parental informed consent process in a rural setting of northern Ghana was studied to describe comprehension and retention among parents as part of the evaluation of the existing informed consent process.