Over 90% of the organs transplanted in China before 2010 were procured from prisoners. Although Chinese officials announced in December 2014 that the country would completely cease using organs harvested from prisoners, no regulatory adjustments or changes in China’s organ donation laws followed. As a result, the use of prisoner organs remains legal in China if consent is obtained. We have collected and analysed available evidence on human rights violations in the organ procurement practice in China. We demonstrate that the (...) practice not only violates international ethics standards, it is also associated with a large scale neglect of fundamental human rights. This includes organ procurement without consent from prisoners or their families as well as procurement of organs from incompletely executed, still-living prisoners. The human rights critique of these practices will also address the specific situatedness of prisoners, often conditioned and traumatized by a cascade of human rights abuses in judicial structures. To end the unethical practice and the abuse associated with it, we suggest to inextricably bind the use of human organs procured in the Chinese transplant system to enacting Chinese legislation prohibiting the use of organs from executed prisoners and making explicit rules for law enforcement. Other than that, the international community must cease to abet the continuation of the present system by demanding an authoritative ban on the use of organs from executed Chinese prisoners. (shrink)

... the phenomenon of variable word order within a clause. Ross (), who was one of the first to discuss this phenomenon within the generative paradigm, ...

Organ donation after brain death has been practiced in China since 2003 in the absence of brain death legislation. Similar to international standards, China’s brain death diagnostic criteria include coma, absence of brainstem reflexes, and the lack of spontaneous respiration. The Chinese criteria require that the lack of spontaneous respiration must be verified with an apnea test by disconnecting the ventilator for 8 min to provoke spontaneous respiration. However, we have found publications in Chinese medical journals, in which the donors (...) were declared to be brain dead, yet without an apnea test. The organ procurement procedures started with initiating “intratracheal intubation for mechanical ventilation after brain death,” indicating that a brain death diagnosis was not performed. The purpose of the intubation was not to resuscitate the patient but rather was directly related to facilitating the explantation of organs. Moreover, it was unmistakably stated in two of these publications that the cardiac arrest was induced in these patients without brain death determination by cold St. Thomas cardioplegic solution or other cold myocardial protection solutions. This means that the condition of these donors neither met the criteria of brain death nor that of cardiac death. In other words, the “donor organs” may well have been procured in these cases from living human beings. Thus, brain death definition is abused in China by some individuals for organ harvesting, and a systematic investigation is needed to clarify the situation of organ donation after brain death in China. (shrink)

BackgroundIn December 2014, China announced that only voluntarily donated organs from citizens would be used for transplantation after January 1, 2015. Many medical professionals worldwide believe that China has stopped using organs from death-row prisoners.DiscussionIn the present article, we briefly review the historical development of organ procurement from death-row prisoners in China and comprehensively analyze the social-political background and the legal basis of the announcement. The announcement was not accompanied by any change in organ sourcing legislations or regulations. As a (...) fact, the use of prisoner organs remains legal in China. Even after January 2015, key Chinese transplant officials have repeatedly stated that death-row prisoners have the same right as regular citizens to “voluntarily donate” organs. This perpetuates an unethical organ procurement system in ongoing violation of international standards.ConclusionsOrgan sourcing from death-row prisoners has not stopped in China. The 2014 announcement refers to the intention to stop the use of organs illegally harvested without the consent of the prisoners. Prisoner organs procured with “consent” are now simply labelled as “voluntarily donations from citizens”. The semantic switch may whitewash sourcing from both death-row prisoners and prisoners of conscience. China can gain credibility only by enacting new legislation prohibiting use of prisoner organs and by making its organ sourcing system open to international inspections. Until international ethical standards are transparently met, sanctions should remain. (shrink)

The Transforming growth factor beta (TGF‐β) family of secreted proteins regulates a variety of key events in normal development and physiology. In mammals, this family, represented by 33 ligands, including TGF‐β, activins, nodal, bone morphogenetic proteins (BMPs), and growth and differentiation factors (GDFs), regulate biological processes as diverse as cell proliferation, differentiation, apoptosis, metabolism, homeostasis, immune response, wound repair, and endocrine functions. In Drosophila, only 7 members of this family are present, with 4 TGF‐β/BMP and 3 TGF‐β/activin ligands. Studies in (...) the fly have illustrated the role of TGF‐β/BMP ligands during embryogenesis and organ patterning, while the TGF‐β/activin ligands have been implicated in the control of wing growth and neuronal functions. In this review, we focus on the emerging roles of Drosophila TGF‐β/activins in inter‐organ communication via long‐distance regulation, especially in systemic lipid and carbohydrate homeostasis, and discuss findings relevant to metabolic diseases in humans. -/- . (shrink)

This topically organized, interdisciplinary anthology provides competing perspective on the claim that western culture faces a moral crisis. Using clearly written, accessible essays by well-known authors in philosophy, the social sciences, and the humanities, the book introduces students to a variety of perspectives on the current cultural debate about values that percolates beneath the surface of most of our social and political controversies.

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Betrayal of Substance: Death, Literature, and Sexual Difference in Hegel’s “Phenomenology of Spirit” by Mary C. RawlinsonShannon Hoff (bio)Mary C. Rawlinson, The Betrayal of Substance: Death, Literature, and Sexual Difference in Hegel’s “Phenomenology of Spirit” New York: University Press, 2021, 215 pp. ISBN 978-0-231-19905-6Mary rawlinson shows that to be genuinely receptive to a philosophical text one must be creative, and she brings the Phenomenology of Spirit (...) to life with her reading. It speaks of and to experience, and she makes it resound as such, matching its aptitude with her own rich descriptions of the character of experience. The reader is bound to learn a lot from her careful and vivid analyses of consciousness, self-consciousness, reason, and spirit, where she displays her power to digest a text that is almost impossibly unwieldy. Both students and scholars of Hegel’s philosophy will find satisfaction here: her book will spark understanding and excitement in inexperienced readers and hone approaches to complex issues of interpretation in experienced ones.Rawlinson opens The Betrayal of Substance with the provocative thesis that Hegel “writes with both hands” (xv). On the one hand, he affirms the abundance of difference in life by insisting on the material realization of the abstract concept, on the life of the singleton (her translation of das Einzelne) as the site of this realization, and on the difference intrinsic to identities (xiii). On the other hand, she says, he aims at a science of logic beyond phenomenology, where singularity has been erased and difference comprehended, such that “nothing is other to it”; this is “an unrelenting insistence on an absolute [End Page 225] detachment from life” (53). Rawlinson tracks this severance of concept and life throughout the Phenomenology: in the abandonment of sensuousness in sense-certainty; in the thing’s dissolution in perception; in “the ‘loss of reality’ of the play of forces”; in the struggle to the death, where self-consciousness “risks life absolutely” (66); in stoicism and skepticism, which “install an absolute difference between life and thought” (47). The life of the singleton is severed from the concept by the production (on the part of the unhappy consciousness) of “ethics, culture, morality, and religion as institutional infrastructures sustaining the self-transcendence of the singleton in the ‘we’ of a community” (66); by reason’s erasure of singularity in its accomplishment of a universal consciousness (68); by perpetual reference to the Bacchanalian revel, that “frenzy of the group that survives [the singleton’s] collapse” (xxx). (Indeed, one of the book’s contributions is its illumination of the prevalence of the image of the revel in Hegel’s text.)In response, Rawlinson asserts the need for a double reading of this double writing: (1) to affirm the capacious narrative that dislodges “ready-made abstractions” and engages the “thick richness of life,” because that is where the truth lies (xxix–xxx); and (2) to oppose Hegel’s “completion” of the phenomenological project and the departure from it to logic, and with it the erasure of the singleton. The book reflects the style of this double reading at each turn, in turns rebellious and appreciative, at ease with its own ambiguity toward Hegel. Rawlinson produces three central pieces of evidence for her critique, three “dangling threads [that] refuse to be woven into the completed fabric of absolute knowing[:] sexual difference, the mortality of the singleton,... and the differences of style in art and literature” (xv). Her critique of Hegel’s abandonment of life sets in relief the critical centrality of Hegel’s identification of maternal love as “the most dangerous force with which the state must contend” (68): this love is a clear instance of affirmation of the singleton over the “we” in which it is submerged. Finally, Rawlinson opposes the idea that truth is “the fully realized series of shapes of knowing and figures of truth” in which “science will have been the truth of phenomenology” with the hypothesis instead that “phenomenology will prove to have been the truth of science” (xliv).Itself beginning several times, The Betrayal of Substance thematizes Hegel’s multiple beginnings and the insight ref lected thereby... (shrink)

Kant entwickelt in der Kritik der Urteilskraft eine philosophische Ästhetik, eine Theorie der organischen Natur. Die beiden scheinbar heterogenen Gegenstandsbereiche sind durch das Prinzip der reflektierenden Urteilskraft, die Idee der Zweckmäßigkeit, verbunden, die der Mensch sowohl bei der Reflexion über die schönen Gegenstände der Natur und der Kunst als auch bei seiner Erforschung der organischen Natur zugrunde legt. Da sich alle Zwecke zuletzt auf den Endzweck des Menschen als moralisches Wesen beziehen, übersteigt die dritte „Kritik" schließlich die Bereiche von Kunst (...) und Natur und berührt Fragen der Moralphilosophie und der Moraltheologie. Zusätzlich entdeckt Kant im subjektiven Vermögen der Urteilskraft jenes Bindeglied unter den menschlichen Gemütskräften, das einen architektonischen Übergang zwischen den Naturbegriffen des Verstandes in der ersten und dem Freiheitsbegriff der Vernunft in der zweiten „Kritik" ermöglicht und die theoretische und die praktische Philosophie in einem einzigen philosophischen System vereinigt. Der vorliegende kooperative Kommentar bietet eine textnahe, fortlaufende Interpretation der „Kritik der Urteilskraft". Für die 3. Auflage anlässlich des 300. Jubiläums Immanuel Kants wurden alle Beiträge überarbeitet und auf den neuesten Forschungsstand gebracht. Mit Beiträgen von: K. Ameriks, J. Bojanowski, R. Brandt, G. Cunico, M. Foessel, E. Förster, C. Fricke, H. Ginsborg, P. Giordanetti, I. Goy, O. Höffe, A. Kablitz, G. Kohler, S. Mathisen, B. Recki, J. Rivera de Rosales, S. Roth und E. Watkins. (shrink)

The enigmatic sixteenth-century Swiss physician and natural philosopher Philippus Aureolus Theophrastus Bombastus von Hohenheim, called Paracelsus, is known for the almost superhuman energy with which he produced his innumerable writings, for his remarkable achievements in the development of science, and for his reputation as a visionary and alchemist. Little is known of his biography beyond his legendary achievements, and the details of his life have been filled in over the centuries by his admirers. This richly illustrated anthology presents in modernized (...) language a selection of the moral thought of a man who was not only a self-willed genius charged with the dynamism of an impetuous and turbulent age but also in many ways a humble seeker after truth, who deeply influenced C. G. Jung and his followers. (shrink)

A semejanza de nuestras modernas urbes, la Atenas del siglo V a. C. era una ciudad multicultural. Convivían en ella gentes de procedencias diversas, de distintas razas y lenguas, que profesaban cultos dispares. Este es, según lo expone Norbert Bilbeny, un dato fundamental para entender la filosofia de Sócrates, basada en el ejercicio sistemático, en la plaza pública, del diálogo y del disenso. Y es, al mismo tiempo, uno de los factores que explican la vigencia, al cabo de tantos (...) siglos, de un pensamiento que inquiere sobre las prácticas del hombre como ser moral. El presente ensayo dibuja con claridad las líneas maestras de una aventura intelectual que empieza en el autoconocimiento y desemboca en la política: la aventura de Sócrates, cuyas enseñanzas mantienen plena validez en el mundo de hoy. (shrink)

Le terme d'athéisme produit un sentiment trompeur de familiarité. Car l'athéisme ne s'arrête pas à la négation de Dieu et les Dieux ont cette propension à ressusciter sous d'autres formes, à quitter le royaume de la religion et de la théologie pour se réfugier dans le quotidien de nos vies. C'est ce que Marx dénomme la " religion quotidienne " qui déifie des réalités sociales et économiques comme la valeur, le capital, la marchandise, transformant celles-ci en puissances tutélaires et transcendantes (...) face auxquelles les hommes seraient à la fois impuissants et irrémédiablement soumis. Trois textes de Marx permettent ici de saisir le passage de l'opium du peuple au fétichisme de la marchandise, et le type de subversion politique que produit l'athéisme. Véritable " sport de combat ", l'athéisme consiste alors en une pensée de l'émancipation et de la démocratie par et pour un peuple qui se constitue par la critique toujours renouvelée des pouvoirs. Cette critique est le legs précieux de Marx : toutes les religions scellent la croyance que l'Histoire serait commandée par des forces sur lesquelles les hommes n'auraient pas de prise, et c'est pourquoi il faut les combattre. L'athéisme conséquent n'appelle pas à la réforme, mais à la révolution. (shrink)

Résumé Avant de devenir l’un des pères fondateurs de l’école de Marbourg, Hermann Cohen avait rédigé un article dans lequel il cherchait à mettre en évidence les liens entre Heinrich Heine et le judaïsme. L’article révèle une double préoccupation : théologico-philosophique et politico-philosophique. Cohen affirmait que le panthéisme de Heine, inspiré de Spinoza, serait compatible avec le monothéisme juif, et que c’est ce panthéisme qui aurait mené Heine vers les « idées socialistes » que, comme Heine, il acceptait. Cohen changea (...) ensuite d’attitude envers Spinoza mais il demeura, sa vie durant, un grand admirateur de Heine, alors que Rosenzweig, qui pourtant se présenta comme l’héritier et le successeur de Cohen en pensée juive, développa une forte aversion contre le poète, ce qui ne peut être expliqué que si l’on prend en considération son propre engagement religieux. (shrink)

On désespère de trouver une théorie du pouvoir étatique chez Marx, mais il n’y a pas à désespérer de son absence. En effet son absence n’est pas le signe d’une insuffisance ou de son incapacité à comprendre le politique, mais elle est bien plutôt le résultat d’un déplacement dans la façon d’appréhender le pouvoir. Pour Marx le pouvoir est moins un problème d’origine que d’effet. La puissance d’un pouvoir se mesure à ses effets d’individuation. Marx est justement un grand penseur (...) du pouvoir car il court-circuite une théorie de l’État. Le pouvoir ne se montre pas dans la loi et le droit, mais sur les corps productifs que l’on discipline dans la grande industrie. L’analyse du capitalisme chez Marx repose sur une double définition du pouvoir : Comment créer des sujets conformes aux impératifs de la production capitalisme? C’est l’analyse de l’exploitation dans la production. Comment reproduire ce système? Comment faire accepter aux dominés la légitimité de leur domination. C’est tout le travail que Marx mène avec le fétichisme que l’on peut appeler la religion quotidienne du capitalisme. (shrink)

Falsification no longer is the cornerstone of philosophy of science; but it still looms widely that scientists ought to drop an explanatory hypothesis in view of negative results. We shall argue that, to the contrary, negative empirical results are unable to disqualify causally explanatory hypotheses—not because of the shielding effect of auxiliary assumptions but because of the fact that the causal irrelevance of a factor cannot empirically be established. This perspective is elaborated at a case study taken from the history (...) of plant physiology: the formaldehyde model of photosynthesis, which for about sixty years dominated the field—despite the fact that in these sixty years all the attempts to conclusively demonstrate even the presence of formaldehyde in plants failed. (shrink)

Die erste Rezeption Kants unmittelbar nach Erscheinen der Kritik der reinen Vernunft zahlt zu den folgenreichsten und spannendsten Etappen der neueren Philosophiegeschichte. Erstaunlicherweise ist sie noch immer weithin unerforscht. Dieser Band geht auf eine Fruhkantianismus-Ausstellung der Universitat Jena (1993) zuruck. Er hilft, das Quellenmaterial leichter zu erschliessen. Kapitel uber Ch. G. Schutz, C. Ch. E. Schmid, die Allgemeine Literatur-Zeitung, Reinhold, Schiller, Hufeland u.a. geben neue Einblicke in diese fruhe Etappe der Kantrezeption. An die hundert Abbildungen prasentieren teilweise vollig unbekanntes Quellenmaterial (...) von hohem Wert. The first reception of Kant directly after publication of the Critique of Pure Reason is one of the most momentous and fascinating stages in the recent history of philosophy. Surprisingly not much research has been done on this. This volume is the result of an exhibition of early Kantianism at the University of Jena in 1993. It helps to make the source material more easily accessible. Chapters on Ch. G. Schutz, C. Ch. E. Schmid, the Allgemeine Literatur-Zeitung, Reinhold, Schiller, Hufeland among others provide new insight into this early stage of Kant's reception. There are approximately 100 illustrations which present very valuable source material, some of which was previously completely unknown. (shrink)

All first-order Gödel logics G_V with globalization operator based on truth value sets V C [0,1] where 0 and 1 lie in the perfect kernel of V are axiomatized by Ciabattoni’s hypersequent calculus HGIF.

Grandes plumes de la science-fiction française ayant participé en 2017 à une anthologie de nouvelles devenue « culte », Au Bal des actifs, Demain le travail, Alain Damasio, Catherine Dufour et Norbert Merjagnan défendent tous trois les principes d’un revenu universel contre la précarisation généralisée du travail salarié. Aujourd’hui plus que jamais, tous trois revendiquent le caractère émancipateur qu’aurait sa mise en place. C’est le message de cette conversation, navigant sans cesse entre dystopie et utopie, et au final pas (...) si pessimiste que ça…. (shrink)

The ArgumentThis paper argues that the New Science, which was seen as essentially a public enterprise, was moreover a major constituent of the public sphere in early modern era. In seventeenth-and eighteenth-century Western Europe the sphere of public experimentation, testing, and discussion related to the new science, manifested, itself as a highly diversified, contested, and complex social field.Two general problems arose in constructing this cultural public sphere: the selection of participants in the debate and the inclusion of a heterogenous public (...) in the experimental scene. National authorities employed diverse policies but none denied the necessity of public debate for testing the validity of experimentations. The public sphere had to create its own conditions of existence by imposing manifold regulations in order to make these public meetings possible and enjoyable. These regulations emphasized common interest and the moral code as the most basic condition for rhe sustenance of the public sphere, thus enhancing self-restraint, tolerance, and politeness on the part of both discussants and participants. The more inclusive and heterogenous the public sphere, the more these norms were required. Thus the sphere of public debate constituted by early modern science implied a civilizing process, quite different from and more encompassing than the one analyzed by Norbert Elias. (shrink)

Antonio Argandoña, Norbert Bilbeny, Victòria Camps, Miquel Calsina, Àngel Castiñeira, Cristian Palazzi, Ferran Requejo, Raimon Ribera, Begoña Román, Ferran Sàez, Miquel Seguró, Francesc Torralba, Josep Maria Vallès, Rosamund Thomas Ramon Llull Journal of Applied Ethics 2012 3(3):9-16.

As the need for more diversity in business ethics is becoming more pressing in our global world, we provide an historical study of a Fair Trade (FT) movement, born in rural Mexico. We first focus on the basic assumptions of its founders, which include a worker–priest, Frans van der Hoff, a group of native Indians and local farmers who formed a cooperative, and an NGO, Max Havelaar. We then review both the originalities and challenges of the FT movement and (...) its potential contributions to the current theories and practices in business ethics. (shrink)

Comment est né l'Etat moderne que d'aucuns disent en crise? Quel rôle a-t-il joué dans la relative pacification des sociétés occidentales au cours des cinq derniers siècles? Une théorie de la civilisation peut-elle comprendre et expliquer Auschwitz? L'œuvre de Norbert Elias s'est confrontée sans faux-semblants aux principaux défis légués par le XXe siècle aux sciences humaines. Atypique et longtemps méconnue, cette sociologie historique assume la tentative de penser ensemble, et dans la longue durée, l'évolution des structures psychiques des individus (...) et celle des structures sociales des entités qu'ils forment. Aujourd'hui, les conséquences de la mondialisation et les questions soulevées par l'intégration européenne lui offrent une actualité nouvelle. Les transformations affectant l'organisation politique des hommes n'ont certes aucune raison de s'arrêter aux frontières des Etats-nations, peut-être appelés à disparaître sous l'effet d'interdépendances devenues planétaires. Mais quand l'appartenance à l'humanité peine à créer du sens, peut-on éviter que la communauté ne se fonde sur un sentiment, par définition toujours exclusif d'un " autre "? La tâche du sociologue se voit alors redéfinie : mettre les problèmes en histoire afin de les mettre à distance. De même que sa mission : rapprocher les individus en leur faisant connaître et reconnaître les liens qui les unissent. C'est à la lumière de cette double ambition que se laisse décrypter la réflexion d'Elias. Une réflexion sur le devenir de la civilisation et de l'Etat aussi originale que contestée, et dont les enjeux politiques et épistémologiques ne sauraient être dissociés. (shrink)

While the opposing paradigms of globalization and fragmentation compete in often bloody and destructive ways in the world today, this book convincingly reminds us of the importance of finding out more about the complex and changing ways in which we are connected. The authors demonstrate that the more we understand our connectedness and deal with its consequences, the less dependent and helpless we become. The critical, multidisciplinary perspectives they offer cover a wide range of subjects, from the world wide web (...) to medieval poetry, nations and gender, cancer narratives and money, emotion management and the financial markets, and the American civilizing process and the repression of shame. The contributions bear witness to Elias's innovative achievements while the authors continue his stunning explorations, extending them into other areas of the humanities and the sciences, and presenting their own wide-ranging and penetrating insights into our mutual dependence. Contributors are Jorge Arditi, Godfried Van Benthem Van Den Bergh, Reinhard Blomert, Stephen Guy-Bray, Thomas M. Kemple, Hermann Korte, Helmut Kuzmics, Stephen Mennell, Thomas Salumets, Thomas J. Scheff, Ulrich C. Teucher, Annette Treibel, and Cas Wouters. (shrink)

Sociologue hors normes, Norbert Elias, né en Allemagne en 1897, mort aux Pays-Bas en 1990, est considéré comme l'un des plus grands représentants de sa discipline. Son oeuvre n'a été introduite en France que dans les années 1970, mais bénéficie aujourd'hui d'une reconnaissance internationale et pluridisciplinaire. Pour introduire à cette oeuvre au croisement et de l'histoire, de l'anthropologie et de la psychologie et en restituer l'unité substantielle, Nathalie Heinich dégage d'abord les motifs sous-jacents aux grands travaux d'Elias sur le (...) processus de civilisation et ses choix : la contextualisation plutôt que la généralisation, les relations plutôt que les objets, la neutralité plutôt que le jugement de valeur. Comment penser avec Elias? C'est ce que propose cet ouvrage, à l'approche didactique. (shrink)

Burns, C. R. Introduction.--Antiquity: Margalith, D. The ideal doctor as depicted in ancient Hebrew writings. Edelstein, L. The Hippocratic oath. Edelstein, L. The professional ethics of the Greek physician. Michler, M. Medical ethics in Hippocratic bone surgery. Maas, P. L., Oliver, J. H. An ancient poem on the duties of a physician.--The medieval era: Levey, M. Medical deontology in ninth century Islam. Bar-Sela, A., Hoff, H. E. Isaac Israeli's fifty admonitions of the physicians. Rosner, F. The physician's prayer attributed (...) to Moses Maimonides. MacKinney, L. C. Medical ethics and etiquette in the early middle ages, the persistence of Hippocratic ideals. Welborn, M. C. The long tradition, a study in fourteenth-century medical deontology.--The modern period: Larkey, S. V. The Hippocratic oath in Elizabethan England. Pleadwell, F. L. Samuel Sorbiere and his Advice to a young physician. Clark, G. Bernard Mandeville, M.D., and eighteenth-century ethics. Burns, C. R. Thomas Percival, medical ethics or medical jurisprudence? Burns, C. R. Reciprocity in the development of Anglo-American medical ethics, 1765-1865. Williams, T. F. Cabot, Peabody, and the care of the patient. (shrink)

El presente trabajo conceptualiza la categoría de sufrimiento o dolor social desde un enfoque relacional y constructivista sobre la vida social y escolar. Particularmente, focalizamos en los desarrollos del psicoanálisis de Silvia Bleichmar, la sociología figuracional de Norbert Elias y el interaccionismo simbólico de David Le Breton. Sus perspectivas poseen una serie de puntos de confluencia: a) interpretan al sufrimiento como una emoción que imbrica procesos psico y sociogenéticos; b) conciben que el dolor remite a la relación entre cuerpo (...) y subjetividad; c) sostienen que el debilitamiento o la ausencia de lazos sociales significativos se encuentra en la base de las experiencias de padecimiento. (shrink)

As this book reveals, his vision was much more complex and interesting. He hoped that machines would release people from relentless and repetitive drudgery in order to achieve more creative pursuits.

The authors present a case study involving truth telling responsibilities in the setting of nonepileptic seizures. Specifically, over the course of several suspected nonepileptic seizures, a patient’s seizures stopped after he received a saline flush meant to precede the administration of anti-seizure medication. The patient and his surrogate believed he had received the medication each time, and the team wondered whether they should disclose the truth. Some worried that disclosure would reinforce the suspected psychogenic behavior, exacerbating the patient’s condition. In (...) this way, the case study presents a twist on the traditional truth telling archetype. While most truth telling cases center on navigating cultural differences or worries about emotional harm, this case presented concerns about medical harm in the form of exacerbating the patient’s condition. The authors describe the complex patient-family-team dynamic that preceded this ethical dilemma, describe the case, analyze the ethical issue, and describe the outcome. (shrink)