When the benefits of surgery do not outweigh the harms or where they do not clearly do so, surgical interventions become morally contested. Cutting to the Core examines a number of such surgeries, including infant male circumcision and cutting the genitals of female children, the separation of conjoined twins, surgical sex assignment of intersex children and the surgical re-assignment of transsexuals, limb and face transplantation, cosmetic surgery, and placebo surgery.

The phenomenon of contract cheating presents, potentially, a serious threat to the quality and standards of Higher Education around the world. There have been suggestions, cited below, to tackle the problem using legal means, but we find that current laws are not fit for this purpose. In this article we present a proposal for a specific new law to target contract cheating, which could be enacted in most jurisdictions.We test our proposed new law against a number of issues that would (...) need to be considered before any legal approach could be successful; would changing the legal status of contract cheating make it less likely to happen? Could this be achieved in a specific way? If so, who should actually be prosecuted and what offence are they committing? Would it actually address the causes of contract cheating? We suggest some answers to these questions, but then also identify a number of unintended potential consequences. We therefore additionally consider whether a legal approach is possible or even desirable.We conclude that a legal approach to contract cheating is possible, and, on balance, appropriate. Using UK law as an example, we offer a specific suggestion to lawmakers, around the world, for how this might be achieved, and conclude that the most successful approach would be to focus largely on a law targeting the providers of contract cheating, in particular commercial services. (shrink)

Many strategies have been proposed to address the supply of bespoke essays and other assignments by companies often described as ‘Essay Mills’ with the act of supply and use being invariably described as ‘contract cheating’. These proposals increasingly refer to the law as a solution in common with other action. In this article, the lead author revisits work undertaken in 2016 as a result of recent legal and extra-legal developments to assess whether the UK Fraud Act (2006) might now be (...) used to tackle some of the activities of the companies involved, by comparing their common practises, and their Terms and Conditions, with the Act. It was previously found that all sites have disclaimers regarding the use of their products but there were some obvious contradictions in the activities of the sites which undermined those disclaimers, for example plagiarism-free guarantees for the work. In this article, we ask and consider the question whether this is still the case having regard to the impact of a change in the law by the UK supreme court and recent action of the UK Advertising Standards Authority. We also consider whether a call for a new offence to be created which specifically targets the undesirable behaviours of these companies is still justified. (shrink)

Very few parts of the world have legislation that prohibits the operation or the promotion of contract cheating services. This means that commercial companies providing such services can formally register and operate in most countries. If a student enters into an agreement with a contract cheating provider, what rights do they have to change their mind and what are the risks if they choose to do so? This paper examines the question through legal, institutional and societal lenses, showing that although (...) a student has the consumer rights to withdraw from a contract with an essay mill, they may also be putting their future at risk by doing so. Contract cheating providers are now embedded within many institutions, using sharp practices to connect with vulnerable customers, but are also perfectly placed to blackmail students or threaten to report them to their institution if they ask to cancel their order. The paper argues that, while not condoning the practice of contract cheating, supportive processes need to be in place to help students at risk as part of standard institutional duty of care. This must be backed up by institutional policy that considers academic integrity as a core value for all. (shrink)

Chapter 1 addresses some preliminary issues that it is important to think about in formulating arguments from evil. Chapter 2 is then concerned with the question of how an incompatibility argument from evil is best formulated, and with possible responses to such arguments. Chapter 3 then focuses on skeptical theism, and on the work that skeptical theists need to do if they are to defend their claim of having defeated incompatibility versions of the argument from evil. Finally, Chapter 4 discusses (...) evidential arguments from evil, and four different kinds of evidential argument are set out and critically examined. (shrink)

Michael Bergmann argues directly from our ignorance about actual and merely possible goods and evils and the broadly logical relations that hold betweenthem to the conclusion that “noseeum” arguments from evil against theism like William L. Rowe’s are unsuccessful. I critically discuss Bergmann’s argument in the first part of this paper. Bergmann also suggests that our ignorance about value and modality undermines the Humean argument from evil against theism that I defended in a 1989 paper. I explain in the (...) second part of this paper why this suggestion is false. (shrink)

In Darwin’s Black Box, Michael J. Behe argues that, because certain biochemical systems are both irreducibly complex and very complex, it is extremely unlikely that they evolved gradually by Darwinian mechanisms, and so extremely likely that they were intelligently designed. I begin this paper by explaining Behe’s argument and defending it against the very common but clearly mistaken charge that it is just a rehash of William Paley’s design argument. Then I critically discuss a number of more serious objections (...) to the argument. I conclude that, while Behe successfully rules out some Darwinian paths to the biochemical systems he discusses, others remain open. Thus, his argument against Darwinian gradualism (and ipso facto his argument for intelligent design) is at best incomplete. (shrink)

In World Without Design, Michael Rea says that naturalists are disposed to take the methods of science, and those methods alone, as basic sources of evidence. Supernaturalists, he says, share with naturalists the disposition to trust the methods of science in the basic way---that is, in the absence of any epistemic reason to do so. But unlike naturalists, supernaturalists are also disposed to take religious experience as a basic source of evidence. I raise a number of objections to these (...) characterizations of naturalism and supernaturalism. First, they mistakenly presuppose both that the methods of science are all methods of inquiry and that the demarcation problem can be solved. Also, if they are correct, then both naturalism and supernaturalism are committed to an undesirable form of scientism. Finally, they overlook both the fact that most of the methods of science are not basic sources of evidence and the fact that the methods of science include the method of searching only for natural causes of natural phenomena. I close by proposing an alternative characterization of naturalism. (shrink)

1.1 The Concept of Evil The problem of evil, in the sense relevant here, concerns the question of the reasonableness of believing in the existence of a deity with certain characteristics. In most discussions, the deity is God, understood as an omnipotent, omniscient, and morally perfect person. But the problem of evil also arises, as Hume saw very clearly, for deities that are less than all-powerful, less than all-knowing, and less than morally perfect. What is the relevant concept of evil, (...) in this context? Here it is useful to distinguish between axiological concepts and deontological ones. First, there are judgments about whether certain states of affairs make the world better or worse, whether those states are good or bad, desirable or undesirable. Such normative concepts – of good and bad, or desirable and undesirable, states of affairs – are axiological concepts. Secondly, there are judgments about the rightness and wrongness of actions, about what one morally ought or ought not do, of what one’s duty is, of whether a certain action violates someone rights, and these concepts – of the rightness and wrongness of actions, of duties, of the rights of individuals, of what one should or should not do – are deontological concepts. Given this distinction, should the problem of evil be understood axiologically or deontologically? Often, and I think most commonly in this context, evils are equated with states of affairs that, all things considered, are bad or undesirable: they are states of affairs that make the world a worse place. But one can also interpret the problem of evil in a deontological fashion, equating evils with states of affairs that a person should have prevented, if he could have done so. Elsewhere (2008, 105-6), I have argued that the deontological interpretation is preferable. But for present purposes, either interpretation will be fine. 1.2 Evil and the Reasonableness of Belief in the Existence of God That many things in the world – tsunamis, earthquakes, the suffering of non-human animals and innocent children, human actions such as the carrying out of the Holocaust – certainly appear to be evil is not a controversial matter. But whether such things are really evils, all things considered, is disputed. Assume, however, that the world does continue genuine evils, and not merely apparent ones. How, then does the existence of such evils bear upon the reasonableness of belief in the existence of God? First, the existence of evils can be used to show that certain arguments for the existence of God cannot establish that conclusion, or even render it probable. For some arguments, of course, one need not appeal to evil to make that point. If someone argues for the existence of a first cause, or an unmoved mover, or a necessary being having its necessity of itself, and then claims that this is what everyone understands by the term “God”, one can point out that no reason has been offered for thinking that the entity in question is even a person, let alone omnipotent, omniscient, and perfectly good. By contrast, with the type of argument that Hume was concerned with when he discussed the problem of evil – namely, arguments from the existence of order in the world to the existence of a designer, or intelligent cause of that order – one does have a type of argument that, if sound, shows that there is a person who, even if not omnipotent and omniscient, is at least extremely powerful and very knowledgeable. But such arguments do not support for conclusions about the moral character of such a person, and so it is at this point that the existence of evils becomes crucial. For in providing a reason for holding that the one is not justified in attributing even moral goodness to such a being, let alone moral perfection, it supports the conclusion that that argument in question cannot be a successful argument for the existence of God. The existence of evils, then, can serve to block arguments for the existence of God. But a second, and very familiar possibility, is that the existence of evils can also provide the basis of arguments against the existence of God. A very important distinction here is between deductive, or logical incompatibility, versions of the argument from evil, and inductive, or evidential, or probabilistic versions of the argument. According to the former, there are facts about the existence of evils in the world that are logically incompatible with the existence of God. Thus, some have held that the mere existence of any evil whatsoever is incompatible with the existence of God; others, that that certain types of evil – such as natural evils – are incompatible with the existence of God; and others, that it is the amount of evil in the world, or the fact that some people suffer horrendous evils, that logically precludes the existence of God. Inductive (or evidential, or probabilistic) versions of the argument from evil, by contrast, do not claim that there are facts about the evils in the world that are logically incompatible with the existence of God. The claim is rather that there are facts about the evils found in the world that render the existence of God at the very least unlikely, and perhaps extremely so. 1.3 Hume’s Use of the Existence of Evils The preceding discussion suggests two very different ways in which Hume might be employing the existence of evils. First, he might be appealing to the existence of evils simply to undercut certain arguments for the existence of God. In particular, he might be appealing to evils to show that, whatever the merits of the argument from order to design may be, it can nether establish, nor render probable, the existence of a morally good deity. Secondly, Hume might be advancing a version of the argument from evil, and that in turn could take the form either of an argument that claims that facts about evil are logically incompatible with the existence of God, or of an argument that claims, more modestly, that the apparent evils found in the world render the existence of God unlikely. (shrink)

In World Without Design: The Ontological Consequences of Naturalism, I argued that there is an important sense in which philosophilosophical naturalism’s current status as methodological orthodoxy is without rational foundation, and I argued that naturalists must give up two views that many of them are inclined to hold dear-realism about material objects and materialism. In the present article, I respond to objections raised by W. R. Carter, Austin Dacey, Paul Draper, and Andrew Melnyk in a symposium on World Without (...) Design sponsored in part by this journal. The objections I address fall into two main categories: objections against my characterization of naturalism, and objections against the main argument of the book, the argument for the conclusion that naturalists cannot justifiably accept realism about material objects. (shrink)

Scientific debates about the nature of light have nothing to do with the philosophical problem of evil if you focus on the subject matter of those debates, but quite a bit to do with it if you focus on the structure of the reasoning in those debates. Some theories of light have been shown to be improbable, at least other evidence held equal, by comparing them to incompatible theories, both with respect to how well they fit certain data and (at (...) least implicitly) with respect to how probable they are intrinsically. Similarly, (a popular form of) theism can be shown to be improbable, at least other evidence held equal, by comparing it to the incompatible theory that physical reality is the source of mental reality. This theory of “source physicalism” fits a variety of data about good and evil much better than theism does. Further, primarily because of its modesty, source physicalism is many times more probable intrinsically than theism. It follows that, other evidence held equal, theism is very probably false. (shrink)

Climate change is reshaping patterns of displacement around the world. Extreme weather events destroy homes, environmental degradation threatens the viability of livelihoods, sea level rise and coastal erosion force communities to relocate, and risks to food and resource security magnify the sources of political instability. Climate displacement—the displacement of people driven at least in part by the impacts of climate change—is a pressing moral challenge that is incumbent upon us to address. -/- This book develops a political theory of climate (...) displacement. Most work on climate displacement has tended to take an idealized ‘climate refugee’ as its focus. But focusing on the figure of the climate refugee obscures the complexity and heterogeneity of climate displacement. Instead, this book takes the empirical dynamics of climate displacement as its starting point. It examines the moral and political problems raised by the interaction of climate change and displacement in five domains: community relocation, territorial sovereignty, labour migration, refugee movement, and internal displacement. In each context, climate displacement raises distinct questions, which this book explores on their own terms. At the same time, this book treats climate displacement as a unified phenomenon by examining the overarching questions of responsibility and fairness that it raises. The result is an empirically grounded political theory that both maps the conceptual terrain of climate displacement and charts a course for meeting the moral challenge that it raises. (shrink)

The situation of internally displaced persons has long been a matter of international concern. This volume develops a distinctive research agenda for the political philosophy of internal displacement, and highlights the salience of the phenomenon for debates on migration, refugees, territorial rights, state sovereignty, and climate change.

This paper discusses the views of 17 healthcare practitioners involved with transplantation on the ethics of live liver donations . Donations between emotionally related donor and recipients increased the acceptability of an LLD compared with those between strangers. Most healthcare professionals disapproved of altruistic stranger donations, considering them to entail an unacceptable degree of risk taking. Participants tended to emphasise the need to balance the harms of proceeding against those of not proceeding, rather than calculating the harm-to-benefits ratio of donor (...) versus recipient. Participants’ views suggested that a complex process of negotiation is required, which respects the autonomy of donor, recipient and HCP. Although they considered that, of the three, donor autonomy is of primary importance, they also placed considerable weight on their own autonomy. Our participants suggest that their opinions about acceptable risk taking were more objective than those of the recipient or donor and were therefore given greater weight. However, it was clear that more subjective values were also influential. Processes used in live kidney donation were thought to be a good model for LLD, but our participants stressed that there is a danger that patients may underestimate the risks involved in LLD if it is too closely associated with LKD. (shrink)

This book defends a form of ethical intuitionism, according to which (i) there are objective moral truths; (ii) we know some of these truths through a kind of immediate, intellectual awareness, or "intuition"; and (iii) our knowledge of moral truths gives us reasons for action independent of our desires. The author rebuts all the major objections to this theory and shows that the alternative theories about the nature of ethics all face grave difficulties.

Medical student learning is dependent on an unwritten agreement between patients and the medical profession, in which students “practise” upon real patients in order that, when they are doctors, those same patients will benefit from the doctors’ skills. Given the increasing propensity for patients to refuse to take part in such learning, there is a danger that doctors will qualify without being truly competent. As patients, we must all ask ourselves, when asked to take part in medical teaching: if this (...) student/trainee doesn’t learn now, on me and under supervision, how will the person be truly competent next time, when this is for real, and the patient might be me or my loved one?We argue that a new and more explicit agreement is needed, in which the default should be that all patients are willing to help in the education of medical students, while we ensure that all such students are already competent in simulation before first practising upon real patients. (shrink)

The first edition of The Scientific Background to Modern Philosophy took the dialogue of science and philosophy from Aristotle through to Newton. This second edition adds eight chapters, taking the dialogue through the Enlightenment and up to Darwin. This anthology is an attempt to help bridge the gap between the history of science and the history of philosophy.

Part I: The representation of life -- Can life be given a real definition? -- The representation of the living individual -- The representation of the life-form itself -- Part II: Naive action theory -- Types of practical explanation -- Naive explanation of action -- Action and time -- Part III: Practical generality -- Two tendencies in practical philosophy -- Practices and dispositions as sources of the goodness of individual actions -- Practice and disposition as sources of individual action.

In this article we distinguish between philosophical bioethics (PB), descriptive policy orientated bioethics (DPOB) and normative policy oriented bioethics (NPOB). We argue that finding an appropriate methodology for combining empirical data and moral theory depends on what the aims of the research endeavour are, and that, for the most part, this combination is only required for NPOB. After briefly discussing the debate around the is/ought problem, and suggesting that both sides of this debate are misunderstanding one another (i.e. one side (...) treats it as a conceptual problem, whilst the other treats it as an empirical claim), we outline and defend a methodological approach to NPOB based on work we have carried out on a project exploring the normative foundations of paternal rights and responsibilities. We suggest that given the prominent role already played by moral intuition in moral theory, one appropriate way to integrate empirical data and philosophical bioethics is to utilize empirically gathered lay intuition as the foundation for ethical reasoning in NPOB. The method we propose involves a modification of a long-established tradition on non-intervention in qualitative data gathering, combined with a form of reflective equilibrium where the demands of theory and data are given equal weight and a pragmatic compromise reached. (shrink)

This paper offers an ethical framework for the development of robots as home companions that are intended to address the isolation and reduced physical functioning of frail older people with capacity, especially those living alone in a noninstitutional setting. Our ethical framework gives autonomy priority in a list of purposes served by assistive technology in general, and carebots in particular. It first introduces the notion of “presence” and draws a distinction between humanoid multi-function robots and non-humanoid robots to suggest that (...) the former provide a more sophisticated presence than the latter. It then looks at the difference between lower-tech assistive technological support for older people and its benefits, and contrasts these with what robots can offer. This provides some context for the ethical assessment of robotic assistive technology. We then consider what might need to be added to presence to produce care from a companion robot that deals with older people’s reduced functioning and isolation. Finally, we outline and explain our ethical framework. We discuss how it combines sometimes conflicting values that the design of a carebot might incorporate, if informed by an analysis of the different roles that can be served by a companion robot. (shrink)

Virtually all philosophers agree that for a belief to be epistemically justified, it must satisfy certain conditions. Perhaps it must be supported by evidence. Or perhaps it must be reliably formed. Or perhaps there are some other "good-making" features it must have. But does a belief's justification also require some sort of awareness of its good-making features? The answer to this question has been hotly contested in contemporary epistemology, creating a deep divide among its practitioners. Internalists, who tend to focus (...) on scientific or theoretical beliefs as the ideal, insist that such awareness is required for justification. Externalists, who think children's ordinary beliefs in obvious facts are paradigm cases of justified belief, say it isn't required. Michael Bergmann's book offers a decisive refutation of internalism and a sustained defense of externalism. (shrink)

Externalist theories of justification create the possibility of cases in which everything appears to one relevantly similar with respect to two propositions, yet one proposition is justified while the other is not. Internalists find this difficult to accept, because it seems irrational in such a case to affirm one proposition and not the other. The underlying internalist intuition supports a specific internalist theory, Phenomenal Conservatism, on which epistemic justification is conferred by appearances.

At the University of Sheffield during 2011 and 2012, a leading group of philosophers, psychologists, and others gathered to explore the nature and significance of implicit bias. The two volumes of Implicit Bias and Philosophy emerge from these workshops. Each volume philosophically examines core areas of psychological research on implicit bias as well as the ramifications of implicit bias for core areas of philosophy. Volume I: Metaphysics and Epistemology is comprised of two parts: “The Nature of Implicit Attitudes, Implicit Bias, (...) and Stereotype Threat,” and “Skepticism, Social Knowledge, and Rationality.” The first part contains chapters examining the relationship between implicit attitudes and “dual process” models of the mind; the role of affect in the formation and change of implicit associations; the unity (or disunity) of implicit attitudes; whether implicit biases are mental states at all; and whether performances on stereotype-relevant tasks are automatic and unconscious or intentional and strategic. The second part contains chapters examining implicit bias and skepticism; the effects of implicit bias on scientific research; the accessibility of social stereotypes in epistemic environments; the effects of implicit bias on the self-perception of members of stigmatized social groups as rational agents; the role of gender stereotypes in philosophy; and the role of heuristics in biased reasoning. (shrink)

In Europe, telecare is the use of remote monitoring technology to enable vulnerable people to live independently in their own homes. The technology includes electronic tags and sensors that transmit information about the user's location and patterns of behavior in the user's home to an external hub, where it can trigger an intervention in an emergency. Telecare users in the United Kingdom sometimes report their unease about being monitored by a ?Big Brother,? and the same kind of electronic tags that (...) alert telecare hubs to the movements of someone with dementia who is ?wandering? are worn by terrorist suspects who have been placed under house arrest. For these and other reasons, such as ordinary privacy concerns, telecare is sometimes regarded as an objectionable extension of a ?surveillance state.? In this article, we defend the use of telecare against the charge that it is Orwellian. In the United States, the conception of telecare primarily as telemedicine, and the fact that it is not typically a government responsibility, make a supposed connection with a surveillance state even more doubtful than in Europe. The main objection, we argue, to telecare is not its intrusiveness, but the danger of its deepening the isolation of those who use it. There are ways of organizing telecare so that the independence and privacy of users are enhanced, but personal isolation may be harder to address. As telecare is a means of reducing the cost of publicly provided social and health care, and the need to reduce public spending is growing, the correlative problem of isolation must be addressed alongside the goal of promoting independence. (shrink)

Bioethics, Volume 35, Issue 7, Page 623-633, September 2021.

In this engaging and spirited text, Michael Lynch argues that truth does matter, in both our personal and political lives. He explains that the growing cynicism over truth stems in large part from our confusion over what truth is.

We created Justice: The Game, an educational, role-immersion game designed to be used in philosophy courses. We seek to describe Justice in sufficent detail so that it is understandable to readers not already familiar with role-immersion pedagogy. We hope some instructors will be sufficiently interested in using the game. In addition to describing the game we also evaluate it, thereby highlighting the pedagogical potential of role-immersion games designed to teach political philosophy. We analyze the game by drawing on our observations (...) as designers and playtesters of Justice, along with feedback from students obtained in focus-groups conducted shortly after playtesting ended. We present evidence that Justice, compared to conventional instructional methods alone, plausibly enhances student learning of philosophical skills and content by requiring them to practice those skills and put their content-area knowledge to use in a highly-motivating and engaging context. (shrink)

Dignity plays a central role in current thinking about law and human rights, but there is sharp disagreement about its meaning. Combining conceptual precision with a broad historical background, Michael Rosen puts these controversies in context and offers a novel, constructive proposal. “Penetrating and sprightly...Rosen rightly emphasizes the centrality of Catholicism in the modern history of human dignity. His command of the history is impressive...Rosen is a wonderful guide to the recent German constitutional thinking about human dignity...[Rosen] is in (...) general an urbane and witty companion, achieving his aim of accessibly written philosophy.” —Samuel Moyn, The Nation “[An] elegant, interesting and lucid exploration of the concept of dignity...Drawing on classical, liberal and Catholic traditions, Rosen hopes to rehabilitate dignity to its rightful place near the centre of moral thought...Rosen's admirable book deserves wide attention from political theorists, jurisprudes and political philosophers.” —Simon Blackburn, Times Higher Education “Dignity deserves to be widely read, not only for its intrinsic interest, but also as a corrective to the habit of discussing such topics in abstraction from their social context. Whether or not one agrees with Rosen's arguments, there can be no doubt he has widened our horizons.” —Rae Langton, Times Literary Supplement. (shrink)

COVID-19 continues to dominate 2020 and is likely to be a feature of our lives for some time to come. Given this, how should health systems respond ethically to the persistent challenges of responding to the ongoing impact of the pandemic? Relatedly, what ethical values should underpin the resetting of health services after the initial wave, knowing that local spikes and further waves now seem inevitable? In this editorial, we outline some of the ethical challenges confronting those running health services (...) as they try to resume non-COVID-related services, and the downstream ethical implications these have for healthcare professionals’ day-to-day decision making. This is a phase of recovery, resumption and renewal; a form of reset for health services.1 This reset phase will define the ‘new normal' for healthcare delivery, and it offers an opportunity to reimagine and change services for the better. There are difficulties, however, healthcare systems are already weakened by austerity and the first wave of COVID-19 and remain under stress as the pandemic continues. The reset period is operating alongside, rather than at the end, of the pandemic and this creates difficult ethical choices. ### Balancing the greater good with individual care Pandemics—and public health emergencies more generally—reinforce approaches to ethics that emphasise or derive from the interests of communities, rather than those grounded in the claims of the autonomous individual. The response has been to draw on more public health focused ethics, ‘if demand outstrips the ability to deliver to existing standards, more strictly utilitarian considerations will have to be applied, and decisions about how to meet the individual's need will give way to decisions about how to maximise overall benefit’.2 Alongside this, effective …. (shrink)

Michael G. Titelbaum presents a new Bayesian framework for modeling rational degrees of belief—the first of its kind to represent rational requirements on agents who undergo certainty loss.

edition (unseen), $12.95. traditions, bringing into being new modes of understanding. Paper Anthropology, and particularly ethnography, is torn between two quests, one to capture the diversity of social life and the other to discover universal principles structuring that diversity. Jackson examines these quests within the context of ethnographic fieldwork, focusing on the relationship between ethnographers and the people they study. He is concerned with defining the anthropological project as something more than the projection of the anthropologist's traditions and concerns onto (...) an alien culture. Rather, he would have the project open a genuine dialogue between people from different cultures or Annotation copyrighted by Book News, Inc., Portland, OR. (shrink)