In search of human uniqueness Content Type Journal Article DOI 10.1007/s11016-010-9472-6 Authors Elsa Addessi, Istituto di Scienze e Tecnologie della Cognizione, Via Ulisse Aldrovandi, 16/b, 00197 Rome, Italy Journal Metascience Online ISSN 1467-9981 Print ISSN 0815-0796.

The use of platelet rich plasma as a novel treatment is discussed in the context of a qualitative research study comprising 38 interviews with sports medicine practitioners and other stakeholders working within the English Premier League during the 2013–16 seasons. Analysis of the data produced several overarching themes: conservatism versus experimentalism in medical attitudes; therapy perspectives divergence; conflicting versions of appropriate evidence; subcultures; community beliefs/practices; and negotiation of medical decision-making. The contested evidence base for the efficacy of PRP is presented (...) in the context of a broader professional shift towards evidence based medicine within sports medicine. Many of the participants while accepting this shift are still committed to casuistic practices where clinical judgment is flexible and does not recognize a context-free hierarchy of evidentiary standards to ethically justifiable practice. We also discuss a tendency in the data collected to consider the use of deceptive, placebo-like, practices among the clinician participants that challenge dominant understandings of informed consent in medical ethics. We conclude that the complex relation between evidence and ethics requires greater critical scrutiny for this emerging specialism within the medical community. (shrink)

It is often assumed that the central problem in a medical ethics issue is determining which course of action is morally correct. There are some aspects of ethical issues that will yield to such analysis. However, at the core of important medical moral problems is an irreducible dilemma in which all possible courses of action, including inaction, seem ethically unsatisfactory. When facing these issues ethical behaviour depends upon an individual's understanding and acceptance of this painful dilemma without recourse to external (...) moral authority. (shrink)

(No abstract is available for this citation).

As a first comment it should not be taken that we have any argument against the consistency of Mellor’s actualist version of the B-theory. Not only have we no argument; we hold that Mellor’s position is consistent. As far as logic goes we believe that you can translate A into B, and B into A. Mellor takes a quotation from our article as endorsing the policy of doing for time just what you do for modality, and vice versa, and it (...) is true that you can take our sentence that way. It is also true that we are sympathetic to an equal treatment of these two, but it is important to acknowledge that nothing in the logic forces you to do this. In particular, we agree with Mellor that practically no one treats space in an A-theory manner – even though it is logically consistent to do so. Our concern is solely with Mellor’s argument that a certain position in the temporal case is inconsistent where the analogous modal position is not. And our paper is addressed not so much to Mellor’s own position as to an A-theorist who wants to escape the consequences of Mellor’s argument by doing for time what Mellor does for modality. In fact, there is a position against which Mellor’s argument is successful. As far as we can tell the version we shall present is, if not precisely what Mellor has in mind, close to it, or at least sufficiently like it to illustrate his reply in a form in which we are able to comment on it. Mellor’s example is of Jim who …. (shrink)