The development of any novel reproductive technology involving manipulation of human embryos is almost inevitably going to be controversial and evoke sincerely held, but diametrically opposing views. The plethora of scientific, ethical and legal issues that surround the clinical use of such techniques fuels this divergence of opinion. During the policy change that was required to allow the use of mitochondrial donation in the UK, many of these issues were intensely scrutinised by a variety of people and in multiple contexts. (...) This extensive process resulted in the publication of several reports that informed the recommendations made to government. We have been intrinsically involved in the development of mitochondrial donation, from refining the basic technique for use in human embryos through to clinical service delivery, and have taken the opportunity in this article to offer our own perspective on the issues it raises. (shrink)

In this chapter, we consider ethical and philosophical aspects of trust in the practice of medicine. We focus on trust within the patient-physician relationship, trust and professionalism, and trust in Western (allopathic) institutions of medicine and medical research. Philosophical approaches to trust contain important insights into medicine as an ethical and social practice. In what follows we explain several philosophical approaches and discuss their strengths and weaknesses in this context. We also highlight some relevant empirical work in the section on (...) trust in the institutions of medicine. It is hoped that the approaches discussed here can be extended to nursing and other topics in the philosophy of medicine. (shrink)

In the months after Donald Trump's election, Hannah Arendt's seminal work, The Origins of Totalitarianism crashed onto the Amazon bestseller lists. "Never has our future been more unpredictable," she had written in the preface to the first edition in 1951, "never have we depended so much on political forces that cannot be trusted to follow the rules of common sense and self-interest - forces that look like sheer insanity, if judged by the standards of other centuries." With an uncannily accurate (...) prescience, Arendt's dark history of her times seemed to be describing the insanity of our own. Arendt would've recognized the extremes of the twenty-first century from her own: the disenchantment with politics; the rise of conspiracy theories; self-censorship; powerlessness; tyranny and occupation, the climate catastrophe, the banality of evil. She had lived through it already. Born in the first decade of the last century, just before it lurched into war, she escaped Fascist Europe to make a new life for herself in America, where she became one its most influential-and controversial-public intellectuals. She wrote about power and terror, exile and love, and above all about freedom. Hannah Arendt wrote, and thought, in order to engage directly with the political chaos of her time. Questioning - thinking - was her first defence against tyranny. Her approach was to change the world by examining it unflinchingly, and not simply to criticise and protest. It is this defiance that attracts so many to her work today. (shrink)

This paper explores the role of moral uncertainty in explaining the morally disruptive character of new technologies. We argue that existing accounts of technomoral change do not fully explain its disruptiveness. This explanatory gap can be bridged by examining the epistemic dimensions of technomoral change, focusing on moral uncertainty and inquiry. To develop this account, we examine three historical cases: the introduction of the early pregnancy test, the contraception pill, and brain death. The resulting account highlights what we call “differential (...) disruption” and provides a resource for fields such as technology assessment, ethics of technology, and responsible innovation. (shrink)

A person presented with adequate but not conclusive evidence for a proposition is in a position voluntarily to acquire a belief in that proposition, or to suspend judgment about it. The availability of doxastic options in such cases grounds a moderate form of doxastic voluntarism not based on practical motives, and therefore distinct from pragmatism. In such cases, belief-acquisition or suspension of judgment meets standard conditions on willing: it can express stable character traits of the agent, it can be responsive (...) to reasons, and it is compatible with a subjective awareness of the available options. (shrink)

This paper develops a philosophical account of moral disruption. According to Robert Baker (2013), moral disruption is a process in which technological innovations undermine established moral norms without clearly leading to a new set of norms. Here I analyze this process in terms of moral uncertainty, formulating a philosophical account with two variants. On the Harm Account, such uncertainty is always harmful because it blocks our knowledge of our own and others’ moral obligations. On the Qualified Harm Account, there is (...) no harm in cases where moral uncertainty is related to innovation that is “for the best” in historical perspective, or where uncertainty is the expression of a deliberative virtue. The two accounts are compared by applying them to Baker’s historical case of the introduction of mechanical ventilation and organ transplantation technologies, as well as the present-day case of mass data practices in the health domain. (shrink)

Technology is a practically indispensible means for satisfying one’s basic interests in all central areas of human life including nutrition, habitation, health care, entertainment, transportation, and social interaction. It is impossible for any one person, even a well-trained scientist or engineer, to know enough about how technology works in these different areas to make a calculated choice about whether to rely on the vast majority of the technologies she/he in fact relies upon. Yet, there are substantial risks, uncertainties, and unforeseen (...) practical consequences associated with the use of technological artifacts and systems. The salience of technological failure (both catastrophic and mundane), as well as technology’s sometimes unforeseeable influence on our behavior, makes it relevant to wonder whether we are really justified as individuals in our practical reliance on technology. Of course, even if we are not justified, we might nonetheless continue in our technological reliance, since the alternatives might not be attractive or feasible. In this chapter I argue that a conception of trust in technological artifacts and systems is plausible and helps us understand what is at stake philosophically in our reliance on technology. Such an account also helps us understand the relationship between trust and technological risk and the ethical obligations of those who design, manufacture, and deploy technological artifacts. (shrink)

Some recent accounts of testimonial warrant base it on trust, and claim that doing so helps explain asymmetries between the intended recipient of testimony and other non-intended hearers, e.g. differences in their entitlement to challenge the speaker or to rebuke the speaker for lying. In this explanation ‘dependence-responsiveness’ is invoked as an essential feature of trust: the trustor believes the trustee to be motivationally responsive to the fact that the trustor is relying on the trustee. I argue that dependence-responsiveness is (...) not essential to trust and that the asymmetries, where genuine, can be better explained without reference to trust. (shrink)

Assurance theories of testimony attempt to explain what is distinctive about testimony as a form of epistemic warrant or justification. The most characteristic assurance theories hold that a distinctive subclass of assertion (acts of “telling”) involves a real commitment given by the speaker to the listener, somewhat like a promise to the effect that what is asserted is true. This chapter sympathetically explains what is attractive about such theories: instead of treating testimony as essentially similar to any other kind of (...) evidence, they instead make testimonial warrant depend on essential features of the speech act of testimony as a social practice. One such feature is “buck-passing,” the phenomenon that when I am challenged to defend a belief I acquired through testimony, I may respond by referring to the source of my testimony (and thereby “passing the buck”) rather than providing direct evidence for the truth of the content of the belief. The chapter concludes by posing a serious challenge to assurance theories, namely that the social practice of assurance insufficiently ensures the truth of beliefs formed on the basis of testimony, and thereby fails a crucial epistemological test as a legitimate source of beliefs. (shrink)

Trust should be able to explain cooperation, and its failure should help explain the emergence of cooperation-enabling institutions. This proposed methodological constraint on theorizing about trust, when satisfied, can then be used to differentiate theories of trust with some being able to explain cooperation more generally and effectively than others. Unrestricted views of trust, which take trust to be no more than the disposition to rely on others, fare well compared to restrictive views, which require the trusting person to have (...) some further attitude in addition to this disposition. The same methodological constraint also favours some restrictive views over others. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Bombs and Roses: The Writing of Anxiety in Henry Green’s CaughtLyndsey Stonebridge (bio)(The firemen saw each other’s faces. They saw the water below a dirty yellow towards the fire; the wharves on that far side low and black, those on the bank they were leaving a pretty rose.... They sat very still, beneath the immensity. For, against it, warehouses, small towers, puny steeples seemed alive with sparks from the (...) mile high pandemonium of flame reflected in the quaking sky. This fan, a roaring red gold, pulsed rose at the outside edge, the perimeter round which the heavens, set with stars before fading into utter blackness, were for a space a trembling green.)—Henry Green, CaughtWar, she thought, is sex.—Henry Green, CaughtRoses are not generally thought to be objects of anxiety. They are objects of desire, or better, objects that arrest desire by their invitation to aesthetic contemplation, but only for the phobic could a rose be said to be an occasion for dread. Writing during World War II, the British writer Henry Green (“a trembling green”) suggests otherwise. In this description of the London Blitz from his 1943 novel, Caught, everything comes up roses. 1 First among literary clichés, roses lend themselves to this kind of figurative estrangement (by virtue of which, in literature, a rose is in fact only very rarely a rose), and Green is by no means the only British writer in World War II to note that the fire and the rose are one. 2 In Caught, however, Green’s roses wreath desire and dread together so tightly that the psychoanalytic cliché—war is sex—snaps back into the tautology that Freud perhaps always intended.The idea that war could be sex was, of course, the scandal of Freud’s theory of the traumatic neurosis during World War I. As is well known, only a desexualized version of psychoanalysis was admitted into the field hospitals and the officer’s convalescent homes that sprang up in upper-class houses all over Britain. One of these was Green’s childhood home, which, he later said, like many of the overprivileged, opened up its doors to the wounded and traumatized in a calculated act of class preservation. 3 One does not have to [End Page 25] think too hard to appreciate why, for some at least, it was preferable to see these torn and shocked bodies as seized by a dreadful—but after all perfectly understandable—fear in the face of war, rather than gripped with a less comprehensible anxiety that carried with it a dangerous and potentially lethal sexual charge.The temptation to unsex trauma theory is still with us today. It is not quite that something has been occluded in contemporary debate and that this something is sexuality. It is more accurate to say that, from a psychoanalytic perspective, the agon of sexuality—and particularly of the drives—is right at the heart of trauma, and that this, especially in the recent alliance of psychoanalysis and history, causes a certain awkwardness. One of the strengths of contemporary trauma theory lies in its articulation of a nuanced and subtle historicity, read through both psychoanalysis and literature, which allows the humanities to reconnect with historical violence, without (supposedly) falling into the pitfalls of a naive historicism [see Caruth]. The awkwardness comes because sexual antagonism is both clearly historical (the violence is well documented) and structurally necessary to psychoanalytic theories of trauma. The two, the historical and the psychic, are clearly not analogues, but they remain stubbornly and infuriatingly intertwined. 4Faced with this theoretical tangle, two options present themselves. The first is to privilege historical trauma over sexual trauma. Psychoanalysis, hence, provides an account of the multiple difficulties of historical representation while escaping the age-old accusation of sexual determination. War, thus, is not (only) sex. For all its hermeneutic power, this new historiography runs the risk of producing a trauma theory without, paradoxically, a psychoanalysis (an Orphics without Eurydice). The second is to insist on the structural necessity of sexuality and, in particular, of sexual difference, not as the ahistorical referent that lurks beyond representation but, as Slavoj Zizek has... (shrink)

The failure of post-war institutions to fully grasp the depth and permanence of the placeless condition in the twentieth-century is at least in part responsible for the re-emergence of camps, barbed wire, sunken boats, and separated children in our own. As Seyla Benhabib demonstrates brilliantly, none of key intellectual exiles at the center of her book believed that political thought could simply accommodate the age of the refugee: the terms under which it operated had to shift with the moving world. (...) I argue that there is an important kind of border poetics at work in these accounts of exile, migration and statelessness and within Benhabib’s analysis of the challenges that the placeless condition presents to the institutions of law and democracy today. This is no-coincidence. The modern history of placelessness required—and requires—a political imagination, and a language, that we are yet to fully appreciate or articulate. The wager of Benhabib’s book is how we might cultivate a poetics of exile which relinquishes claims to sweeping universalism whilst imagining the new forms we so urgently need to keep political life open to the differences and otherness that is its lifeblood. (shrink)

According to assurance views of testimonial justification, in virtue of the act of testifying a speaker provides an assurance of the truth of what she asserts to the addressee. This assurance provides a special justificatory force and a distinctive normative status to the addressee. It is thought to explain certain asymmetries between addressees and other unintended hearers (bystanders and eavesdroppers), such as the phenomenon that the addressee has a right to blame the speaker for conveying a falsehood but unintended hearers (...) do not, and the phenomenon that the addressee may deflect challenges to his testimonial belief to the speaker but unintended hearers may not. Here I argue that we can do a better job explaining the normative statuses associated with testimony by reference to epistemic norms of assertion and privacy norms. Following Sanford Goldberg, I argue that epistemic norms of assertion, according to which sincere assertion is appropriate only when the asserter possesses certain epistemic goods, can be ‘put to work’ to explain the normative statuses associated with testimony. When these norms are violated, they give hearers the right to blame the speaker, and they also explain why the speaker takes responsibility for the justification of the statement asserted. Norms of privacy, on the other hand, directly exclude eavesdroppers and bystanders from an informational exchange, implying that they have no standing to do many of the things, such as issue challenges or questions to the speaker, that would be normal for conversational participants. This explains asymmetries of normative status associated with testimony in a way logically independent of speaker assurance. (shrink)

Jennifer Lackey’s case “Creationist Teacher,” in which students acquire knowledge of evolutionary theory from a teacher who does not herself believe the theory, has been discussed widely as a counterexample to so-called transmission theories of testimonial knowledge and justification. The case purports to show that a speaker need not herself have knowledge or justification in order to enable listeners to acquire knowledge or justification from her assertion. The original case has been criticized on the ground that it does not really (...) refute the transmission theory, because there is still somebody in a chain of testifiers—the person from whom the creationist teacher acquired what she testifies—who knows the truth of the testified statements. In this paper, we provide a kind of pattern for generating counterexample cases, one that avoids objections discussed by Peter Graham and others in relation to such cases. (shrink)

In Culture, Politics, and Governing, the study of contemporary ascetics provided me with a way to approach the practice of knowledge production and its intersection with cultural production that was able to take into account the institutionalization of authors and artists and the ways in which their practices were both governed and governing, often through valorization. Recently, I have worked to extend this framework to settings that are less obvious as sites for the production of governing knowledge: what Max Weber (...) and Foucault discussed as ascetics, generated through what Max Horkheimer and Theodor Adorno called the culture industry. The contemporary culture industry produces an art of living genre that encourages pecuniary subjects who treat the self as a site for the production of value from which to practice valorized ascetics. (shrink)

El presente artículo postula que la Metodología de los Programas de Investigación esclarece la racionalidad del conocimiento científico-social dando cuenta adecuada del carácter plural de las teorías. Cada programa de investigación progresa si desarrolla más contenido teórico y empírico que sus comp..

El artículo analiza el proyecto de una fenomenología de la sociedad y lo coteja con el marco lógico epistemológico de la metodología de los programas de investigación científica (Lakatos). En lo atinente examina el aporte fundacional de Edmund Husserl y explicita el giro neo-praxeológico que Alfred ..

Enth.: De legibus = Über die Gesetze ; Paradoxa stoicorum = Stoische Paradoxien.

Kleinian psychoanalysis has recently experienced a renaissance in academic and clinical circles. _Reading Melanie Klein_ responds to the upsurge of interest in her work by bringing together the most innovative and challenging essays on Kleinian thought from the last two decades. The book features material which appears here for the first time in English, and several newly written chapters. _Reading Melaine Klein_ recontextualizes Klein to the more well-known works of Freud and Lacan and disproves the long-held claim that her psychoanalysis (...) is both too normative and too conservative for critical consideration. The essays address Klein's distinctive readings of the unconscious and phantasy, her tenacious commitment to the death drive, her fecund notions of anxiety, projection and projective identification and, most famously, her challenge to Freud's Oedipus complex and theories of sexual difference. The authors demonstrate that not only is it possible to rethink the epistemological basis of Kleinian theory, rendering it as vital as those of Freud and Lacan, but also that her psychoanalysis can engage in powerful and productive dialogue with diverse disciplines such as politics, ethics and literary theory. This timely collection is an invaluable addition to the scholarship on Melaine Kein and catalyst for further debate not only within the psychoanalytic community but also across social, critical and cultural studies. (shrink)

The adoption of web-based telecare services has raised multifarious ethical concerns, but a traditional principle-based approach provides limited insight into how these concerns might be addressed and what, if anything, makes them problematic. We take an alternative approach, diagnosing some of the main concerns as arising from a core phenomenon of shifting trust relations that come about when the physician plays a less central role in the delivery of care, and new actors and entities are introduced. Correspondingly, we propose an (...) applied ethics of trust based on the idea that patients should be provided with good reasons to trust telecare services, which we call sound trust. On the basis of this approach, we propose several concrete strategies for safeguarding sound trust in telecare. (shrink)

Bernhard Nickel presents a theory of generic sentences and the kind-directed modes of thought they express. The theory closely integrates compositional semantics with metaphysics to solve the problem that generics pose: what do generics mean? Generic sentences are extremely simple, yet if there are patterns to be discerned in terms of which are true and which are false, these patterns are subtle and complex. Ravens are black, and lions have manes: statistical measures cannot do justice to the facts, but what (...) else is there that has a hope of giving us insight into what we are capturing across so many domains? Nickel argues that generics are the top of a fundamentally explanatory iceberg, and that this explanatory framework is deeply intertwined with the semantics of the language we use to express them. In providing an integrated semantic and metaphysical theory of generics, he aims to solve old puzzles and draw attention to new phenomena. (shrink)

This fully revised and extended edition of James Nickel's classic study explains and defends the conception of human rights found in the Universal Declaration of Human Rights and subsequent human rights treaties. Combining philosophical, legal, and political approaches, Nickel addresses questions about what human rights are, what their content should be, and whether and how they can be justified.

This paper explores the role of moral uncertainty in explaining the morally disruptive character of new technologies. We argue that existing accounts of technomoral change do not fully explain its disruptiveness. This explanatory gap can be bridged by examining the epistemic dimensions of technomoral change, focusing on moral uncertainty and inquiry. To develop this account, we examine three historical cases: the introduction of the early pregnancy test, the contraception pill, and brain death. The resulting account highlights what we call “differential (...) disruption” and provides a resource for fields such as technology assessment, ethics of technology, and responsible innovation. (shrink)

This paper develops a philosophical account of moral disruption. According to Robert Baker, moral disruption is a process in which technological innovations undermine established moral norms without clearly leading to a new set of norms. Here I analyze this process in terms of moral uncertainty, formulating a philosophical account with two variants. On the harm account, such uncertainty is always harmful because it blocks our knowledge of our own and others’ moral obligations. On the qualified harm account, there is no (...) harm in cases where moral uncertainty is related to innovation that is “for the best” in historical perspective or where uncertainty is the expression of a deliberative virtue. The two accounts are compared by applying them to Baker’s historical case of the introduction of mechanical ventilation and organ transplantation technologies, as well as the present-day case of mass data practices in the health domain. (shrink)

This article is a critical review of work on the concept of rights, Including the concept of human rights, From 1963 to 1978. Our focus is mainly on issues of the analysis of rights and human rights. We do not deal with the closely related issues bearing on the normative foundations of moral and human rights. Nor have we attempted much in the way of historical treatment of our topic. Section I surveys general characterizations of rights. In section ii, We (...) discuss treatments of the defeasibility of rights with special attention to the notion of a prima facie right. Section iii takes up attempts to give an account of human rights. Section iv provides a brief conclusion. A bibliography listing what we take to be the most important works in this area, Including everything cited, Concludes our essay. (shrink)

Based on a theoretical model of the mood-cognition interface, the prediction is derived and tested empirically that positive mood enhances constructive memory biases. After reading an ambiguous personality description, participants received a positive or negative mood treatment employing different films. Within each mood group, half of the participants were then questioned about the applicability of either desirable or undesirable personality traits to the target person. This questioning treatment was predicted to bias subsequent impression judgements in the evaluative direction of the (...) questioned attributes. As earlier research had shown that such a bias is stronger for negative than positive attributes (presumably because of the higher diagnosticity of negative attributes), a non-trivial test of the sup posed mood effect was possible. Positive mood should enhance constructive effects, but this should be most apparent for negative attributes. The empirical findings lend support to these predictions. Positive mood subjects' impression judgements were biased by the prior questioning even when they did not find the questioned attributes to be particularly applicable to the target person. By contrast, negative mood subjects' judgements were more consistent with their responses to the prior questioning and did not exhibit a constructive bias. (shrink)

This paper sets out an account of trust in AI as a relationship between clinicians, AI applications, and AI practitioners in which AI is given discretionary authority over medical questions by clinicians. Compared to other accounts in recent literature, this account more adequately explains the normative commitments created by practitioners when inviting clinicians’ trust in AI. To avoid committing to an account of trust in AI applications themselves, I sketch a reductive view on which discretionary authority is exercised by AI (...) practitioners through the vehicle of an AI application. I conclude with four critical questions based on the discretionary account to determine if trust in particular AI applications is sound, and a brief discussion of the possibility that the main roles of the physician could be replaced by AI. (shrink)

I contrast two approaches to the interpretation of generics such as ‘ravens are black:’ majority-based views, on which they are about what is the case most of the time, and inquiry-based views, on which they are about a feature we focus on in inquiry. I argue that majority-based views face far more systematic counterexamples than has previously been supposed. They cannot account for generics about kinds with multiple characteristic properties, such as ‘elephants live in Africa and Asia.’ I then go (...) on to sketch an inquiry-based view. (shrink)

A person sometimes forms moral beliefs by relying on another person''s moral testimony. In this paper I advance a cognitivist normative account of this phenomenon. I argue that for a person''s actions to be morally good, they must be based on a recognition of the moral reasons bearing on action. Morality requires people to act from an understanding of moral claims, and consequently to have an understanding of moral claims relevant to action. A person sometimes fails to meet this requirement (...) when she relies on another person''s moral testimony, and so there are moral limits on such reliance. (shrink)