Since the early 1980’s, with the clinical advent of in vitro fertilization resulting in so-called “test tube babies,” a wide array of ethical considerations and concerns regarding artificial womb technology (AWT) have been described. Recent breakthroughs in the development of extracorporeal neonatal life support by means of AWT have reinitiated ethical interest about this topic with a sense of urgency. Most of the recent ethical literature on the topic, however, pertains not to the more imminent scenario of a physiologically improved (...) method of neonatal care through AWT, but instead to the remote scenario of “complete ectogenesis” that imagines human gestation occurring entirely outside of the womb. This scoping review of the ethical literature on AWT spans from more abstract concerns about complete ectogenesis to more immediate concerns about the soon-to-be-expected clinical life support of what we term the fetal neonate or fetonate. Within an organizing framework of different stages of human gestational development, from conception to the viable premature infant, we discuss both already identified and newly emerging ethical considerations and concerns regarding AWT and the care of the fetonate. (shrink)

There is currently little empirical information about attitudes towards cognitive enhancement - the use of pharmaceutical drugs to enhance normal brain functioning. It is claimed this behaviour most commonly occurs in students to aid studying. We undertook a qualitative assessment of attitudes towards cognitive enhancement by conducting 19 semi-structured interviews with Australian university students. Most students considered cognitive enhancement to be unacceptable, in part because they believed it to be unethical but there was a lack of consensus on whether it (...) was similar or different to steroid use in sport. There was support for awareness campaigns and monitoring of cognitive enhancement use of pharmaceutical drugs. An understanding of student attitudes towards cognitive enhancement is important in formulating future policy. (shrink)

Professional sports with high rates of concussion have become increasingly concerned about the long-term effects of multiple head injuries. In this context, return-to-play decisions about concussion generate considerable ethical tensions for sports physicians. Team doctors clearly have an obligation to the welfare of their patient (the injured athlete) but they also have an obligation to their employer (the team), whose primary interest is typically success through winning. At times, a team’s interest in winning may not accord with the welfare of (...) an injured player, particularly when it comes to decisions about returning to play after injury. Australia’s two most popular professional football codes—rugby league and Australian Rules football—have adopted guidelines that prohibit concussed players from continuing to play on the same day. I suggest that conflicts of interest between doctors, patients, and teams may present a substantial obstacle to the proper adherence of concussion guidelines. Concussion management guidelines implemented by a sport’s governing body do not necessarily remove or resolve conflicts of interest in the doctor–patient–team triad. The instigation of a concussion exclusion rule appears to add a fourth party to this triad (the National Rugby League or the Australian Football League). In some instances, when conflicts of interest among stakeholders are ignored or insufficiently managed, they may facilitate attempts at circumventing concussion management guidelines to the detriment of player welfare. (shrink)

The United Nations Convention on the Rights of the Child risks harm to adolescents insofar as it encourages not only poor decision making by adolescents but also parenting styles that will have an adverse impact on the development of mature decision-making capacities in them. The empirical psychological and neurophysiological data weigh against augmenting and expression of the rights of children. Indeed, the data suggest grounds for expanding parental authority, not limiting its scope. At the very least, any adequate appreciation of (...) the moral claims regarding the authority of parents with respect to the decision-making capacity of adolescents needs to be set within an understanding of the psychological and neurophysiological facts regarding the development of adolescent decision-making capacity. (shrink)

Debates about the ethical and social implications of research that aims to extend human longevity by intervening in the ageing process have paid little attention to the attitudes of members of the general public. In the absence of empirical evidence, conflicting assumptions have been made about likely public attitudes towards life-extension. In light of recent calls for greater public involvement in such discussions, this target article presents findings from focus groups and individual interviews which investigated whether members of the general (...) public identify ethical issues surrounding life-extension, and if so, what these ethical issues are? In this study, while some participants were concerned primarily with the likely personal consequences of life-extension, for others the question of whether or not to pursue interventions to extend longevity, and how they should be implemented, clearly raised important ethical issues, many of which have been prominent in debates among bioethicists. (shrink)

There is a growing body of global research demonstrating the significance of mental health to individuals’ overall happiness and productivity. The research evidence has encouraged governmental agencies in the United Arab Emirates (UAE) to divert more attention toward the provision and development of mental health services. As the sector grows, one of the first issues of concern is the adherence to a unified set of ethics of practice. The purpose of this paper is to present and discuss the existing ethical (...) codes of conduct relevant to the mental health profession in the unique context of the UAE. Specifically, this discussion will focus on the interaction of cultural factors with the ethical standards of confidentiality, informed consent, and multiple relationships. This paper provides an initial reference for researchers and practitioners to explore regional issues of ethical standards in mental health services. (shrink)

Neuroscience research has improved our understanding of the long term consequences of sports-related concussion, but ethical issues related to the prevention and management of concussion are an underdeveloped area of inquiry. This article exposes several examples of conflicts of interest that have arisen and been tolerated in the management of concussion in sport (particularly professional football codes) regarding the use of computerized neuropsychological (NP) tests for diagnosing concussion. Part 1 outlines how the recommendations of a series of global protocols for (...) dealing with sports-related concussions (the 1st, 2nd and 3rd Consensus Statements on Concussion in Sport) have endorsed the use of NP testing. The development of these protocols has involved experts who have links with companies that sell computerised NP tests for concussion management. Part 2 describes how some professional football leagues—in particular the National Football League (NFL), the Australian Football League (AFL) and the National Rugby League (NRL)—have mandated specific NP testing products. They have done so on the basis of these international guidelines and by engaging experts who have conflicts of interest with NP testing companies. These decisions have also been taken despite evidence that casts doubt on the reliability and validity of NP tests when used in these ways. (shrink)

Moral and legal notions engaged in clinical ethics should not only possess analytic clarity but a sound basis in empirical findings. The latter condition brings into question the expansion of the mature minor exception. The mature minor exception in the healthcare law of the United States has served to enable those under the legal age to consent to medical treatment. Although originally developed primarily for minors in emergency or quasi-emergency need for health care, it was expanded especially from the 1970s (...) in order to cover unemancipated minors older than 14 years. This expansion initially appeared plausible, given psychological data that showed the intellectual capacity of minors over 14 to recognize the causal connection between their choices and the consequences of their choices. However, subsequent psychological studies have shown that minors generally fail to have realistic affective and evaluative appreciations of the consequences of their decisions, because they tend to over-emphasize short-term benefits and underestimate long-term risks. Also, unlike most decisionmakers over 21, the decisions of minors are more often marked by the lack of adequate impulse control, all of which is reflected in the far higher involvement of adolescents in acts of violence, intentional injury, and serious automobile accidents. These effects are more evident in circumstances that elicit elevated affective responses. The advent of brain imaging has allowed the actual visualization of qualitative differences between how minors versus persons over the age of 21 generally assess risks and benefits and make decisions. In the case of most under the age of 21, subcortical systems fail adequately to be checked by the prefrontal systems that are involved in adult executive decisions. The neuroanatomical and psychological model developed by Casey, Jones, and Summerville offers an empirical insight into the qualitative differences in the neuroanatomical and neuropsychological bases of adolescent versus adult decision making. These and other data, as well as developing law bearing on the culpability of juvenile criminal offenders, argue for critically re-evaluating the expansion of the mature minor exception with regard to medical decision making, as well as in support of a rebuttable presumption in favor of treating minors as immature decisionmakers. The clinical ethics of adolescent medical decision making will need foundationally to be reconsidered. (shrink)

The Concussion in Sport Group guidelines have successfully brought the attention of brain injuries to the global medical and sport research communities, and has significantly impacted brain injury-related practices and rules of international sport. Despite being the global repository of state-of-the-art science, diagnostic tools and guides to clinical practice, the ensuing consensus statements remain the object of ethical and sociocultural criticism. The purpose of this paper is to bring to bear a broad range of multidisciplinary challenges to the processes and (...) products of sport-related concussion movement. We identify lacunae in scientific research and clinical guidance in relation to age, disability, gender and race. We also identify, through multidisciplinary and interdisciplinary analysis, a range of ethical problems resulting from conflicts of interest, processes of attributing expertise in sport-related concussion, unjustifiably narrow methodological control and insufficient athlete engagement in research and policy development. We argue that the sport and exercise medicine community need to augment the existing research and practice foci to understand these problems more holistically and, in turn, provide guidance and recommendations that help sport clinicians better care for brain-injured athletes. (shrink)

We review the various factors that limit adaptation by natural selection. Recent discussion of constraints on selection and, conversely, of the factors that enhance “evolvability”, have concentrated on the kinds of variation that can be produced. Here, we emphasise that adaptation depends on how the various evolutionary processes shape variation in populations. We survey the limits that population genetics places on adaptive evolution, and discuss the relationship between disparate literatures. BioEssays 22:1075–1084, 2000. © 2000 John Wiley & Sons, Inc.

In this paper I attempt a moral justification of protecting wild species, ecosystems, and landscapes, a justification not directly grounded in appeals to human benefit. I begin with a description of anthropocentric and ecosystemic approaches to the valuing of nature and offer some empirical arguments in support of the ecosystemic view. I suggest that human beings have a genetic need for natural environments, and that the direct experience of wild nature is an intrinsic good. Theoretical coherence and scope is another (...) advantage of the ecological perspective over the anthropocentric view. Turning to moral psychology, I argue that human beings have a fundamental need to care for things outside themselves and that this need is suitably met, and human life enriched, by a transcending concern for the well-being of natural species, habitats, and ecosystems . These considerations are joined with the ecological point of view to yield the conclusion that a self-transcending concern for the welfare of wild species and their habitats enriches the quality of moral life. Persons with genuine reverence and respect for wild creatures and their habitats will enjoy greater fulfilment in their own lives and be better neighbors toeach other. (shrink)

This paper presents a novel view of the concept of cognitive enhancement by taking a population health perspective. We propose four main modifiable healthy lifestyle factors for optimal cognitive functioning across the population for which there is evidence of safety and efficacy. These include i) promoting adequate sleep, ii) increasing physical activity, iii) encouraging a healthy diet, including minimising consumption of stimulants, alcohol and other drugs including nicotine, iv) and promoting good mental health. We argue that it is not ethical (...) to promote or sanction the use of pharmaceutical drugs as putative cognitive enhancers without acknowledging the adverse effects on population cognitive health of failing to encourage the pursuit of healthy behaviours. We conclude with recommendations to increase the public health relevance of bioethical analyses of the cognitive enhancement debate. (shrink)

Adolescents present a puzzle. There are foundational unclarities about how they should be regarded as decision-makers. Although superficially adolescents may appear to have mature decisional capacity, their decision-making is in many ways unlike that of adults. Despite this seemingly obvious fact, a concern for the claims of autonomy has led to the development of the legal doctrine of the mature minor. This legal construct considers adolescents, as far as possible, as equivalent to adults for the purpose of medical decision-making. The (...) movement to support independent decision-making by adolescents through providing information to them and securing their consent apart from their parents is encouraged by those legal understandings that hold that unemancipated minors should generally be considered as possessing effective decisional capacity. Such legal structures, however, do not adequately take account of the wide variations in adolescent capacities, the immaturity of most adolescent decision-makers, or the important contributions made by parents to the development of their adolescents through parental partnering in the adolescent’s decision-making. The data available indicate that in general adolescents should be regarded as apprentice decision-makers who should make decisions in collaboration with their parents until at least the age of 18. Steps should not be taken pre-emptively to isolate adolescents from the guidance of their parents. As a general rule, what Piker has referred to as “collaborative paternalism” appears most likely both to protect adolescents from their own untoward choices, while also very importantly helping them with parental guidance to develop into mature decision-makers with the capacity to make medical choices on their own. (shrink)

Postmortem evidence of chronic traumatic encephalopathy (CTE) in the brains of American National Football League players who suffered concussions while playing have intensified concerns about the risks of concussion in sport.1 Concussions are frequently sustained by amateur and professional players of Australia’s three most popular football codes (Australian football, rugby league, and rugby union) and, to a lesser extent, other contact sports such as soccer. This raises major concerns about possible long-term neurological damage, cognitive impairment and mental health problems in (...) players of these sports. (shrink)

Do adolescents have the decisional capacity of adults? Or, are they in crucial ways still immature, that is, are they deficient decisionmakers? This questi.

Alan Carter correctly argues that Thomas Schwartz's 'future persons paradox' applies with equal force to utilitarianism, rights theory and Aristotelian ethics. His criticism of Rawls's 'justice between generations' is less successful, because of his failure (and perhaps Rawls's as well) to fully appreciate the hypothetical nature of the 'original position'. Carter's attempt to refute Schwartz's argument by focusing on the individuality of moral action fails, since it evades the essential point of Schwartz's argument. The best response to Schwartz is to (...) concede the essential validity of his argument and then to turn that argument into an ad absurdum refutation of his central premise,'the person affecting principle'. (shrink)

Concussion and Mild Traumatic Brain Injury affect millions of people worldwide. mTBI has been called the “signature injury” of the recent conflicts in Iraq and Afghanistan, affecting thousands of active duty service men and women, and veterans. Sport-related concussion represents a significant public health problem, with elite and professional athletes, and millions of youth and amateur athletes worldwide suffering concussions annually. These brain injuries have received scant attention from neuroethicists, and the focus of this special issue is on defining the (...) ethical considerations and developing and elucidating the neuroethical contributions to the discussion about concussion and mTBI. (shrink)

Neurodevices that collect neural (or brain activity) data have been characterised as having the ability to register the inner workings of human mentality. There are concerns that the proliferation of such devices in the consumer-directed realm may result in the mass processing and commercialisation of neural data (as has been the case with social media data) and even threaten the mental privacy of individuals. To prevent this, some argue that all raw neural data should be conceptualised and regulated as “medical (...) data” even if it is collected from consumer-directed devices in obviously non-clinical settings. In this paper, we argue that without a clearer formulation of what does and does not count as medical data, this approach might also uncritically enlarge the scope for medical influence and an unwarranted medicalisation of everyday aspects of mental life. Indeed, if we were to accept the position that all neural data is medical data because it offers insights into personally sensitive information (such a person’s thoughts, emotions, or intentions) then this could even unnecessarily expand the boundaries of medical data to other forms of data that otherwise seem to be non-clinical. If all brain data (neural activity data) is considered to be medical data even when collected from consumer-directed devices then we might unintentionally reduce meaningful distinctions between what is and what is not rightfully in the purview of medicine. (shrink)

Student engagement and making community happen is a policy manoeuvre that shapes the political subjectivity of the undergraduate student In Australia, making community happen as a practice of student engagement is described as one of the major challenges for policy and practice in research-led universities. Current efforts to meet this challenge, however, merely recode ethical citizenship to a different but nonetheless prescriptive code of conduct,which closes down thoughts of making community happen to a single unified mode of being by appealing (...) to a normalising practice authorised by expert knowledge. In contrast to this position, we use data gathered from undergraduate students’ observations of their university experience, which appeals to an ethico-politics that opens up the question of making community happen to non-normalising practices.Rather than a will to govern that shuts down debate, student discourse opens up thoughts of making community happen to new contestations and diversity over self-government in relation to others concerning questions of lifestyle choices and friendships. In this way,we argue that making community happen as a practice of student engagement is never fully actualised.While this challenge to the limits of student engagement and making community happen may be seen as a threat to our political existence, it is, nevertheless, a risk worth taking in the interest of student learning. (shrink)

Hydraulic fracturing ('fracking') has enabled the recovery of previously inaccessible resources and rendered new areas of the underground 'productive'. While a number of studies in the US and UK have examined public attitudes toward fracking and its various impacts, how people conceptualise the deep underground itself has received less attention. We argue that views on resources, risk and the deep underground raise important questions about how people perceive the desirability and viability of subterranean interventions. We conducted day-long deliberation workshops (two (...) in each country), facilitating discussions among diverse groups of people on prospective shale extraction in the US and UK. Themes that emerged in these conversations include seeing the Earth as a foundation; natural limits (a greater burden than the subsurface can withstand versus simply overuse of natural resources); and ideas about the fragility, instability and opacity of the deep underground. We find that concerns in both countries were not limited to specific, localised impacts but also addressed ecosystem links between surface and subsurface environments and broader questions about the use, identification and value of natural resources. (shrink)

A complete environmental ethic must include a theory of motivation to assure that the demands of that ethic are within the capacity of human beings. J. Baird Callicott has argued that these requisite sentiments may be found in the moral psychology of David Hume, enriched by the insights of Charles Darwin. I reply that, on the contrary, Humean moral sentiments are more likely to incline one toanthropocentrism than to Aldo Leopold’s land ethic, which is defended by Callicott. This mismatch becomes (...) more evident as Callicott attempts to enlist Humean moral sentiments in support of the Leopoldian “land community.” The disanalogies between human and natural communities, I argue, are too great to permit this application. The motivation we need to meet our duties as “citizens of the land community” must be of a nonmoral kind. I suggest that the necessary sentiments may be found in a genetically based “affirmation of nature” that has evolved out of our natural history as a species, shaped by the very forces and contexts that are now put in peril by our technology. (shrink)

Head injuries are an inherent risk of participating in the major collision sports played in Australia. Protocols introduced by the governing bodies of these sports are ostensibly designed to improve player safety but do not prevent players suffering from repeated concussions. There is evidence that repeated traumatic brain injuries increase the risk of developing a number of long term problems but scientific and popular debates have largely focused on whether there is a causal link between concussion and chronic traumatic encephalopathy. (...) We argue that the governing bodies of collision sports played in Australia have used uncertainty about CTE to justify a “wait and see” approach instead of attempting to prevent repeated head injuries. This stance is difficult to defend when these governing bodies claim to give a high priority to protecting player welfare. (shrink)

The radical contingencies attending human reproduction indicate that attempts to improve the living conditions of future generations result in generations populated by different individuals than would otherwise have been born. This remarkable consequence challenges the widespread belief that the present generation has responsibilities to its remote successors. I contend, first, that while the radical genetic contingency and epistemological indeterminacy of future persons obsolves us of obligations to act "in behalf of" them as individuals, this moral absolution does not entail a (...) permission to disregard entirely the remote consequences of our policies. Since relevant moral principles bind us to persons in general, not to particular individuals, we remain obligated to improve the life prospects of whatever individuals eventually come into being. Second, I suggest that by applying an analogous argument within the lives of persons rather than to the long history of civilization, we arrive at the morally repugnant result of negating long-term obligations to contemporary persons. Conversely, the condition of continuity which affords moral legitimacy of personal obligations among contemporaries likewise entails moral responsibility for the life conditions of distant generations. (shrink)

Alan Carter correctly argues that Thomas Schwartz's 'future persons paradox' applies with equal force to utilitarianism, rights theory and Aristotelian ethics. His criticism of Rawls's 'justice between generations' is less successful, because of his failure (and perhaps Rawls's as well) to fully appreciate the hypothetical nature of the 'original position'. Cater's attempt to refute Schwartz's argument by focusing on the individuality of moral action fails, since it evades the essential point of Schwartz's argument. The best response to Schwartz is to (...) concede the essential validity of his argument and then to turn that argument into an ad absurdum refutation of his central premise, 'the person affecting principle'. (shrink)

This chapter contains sections titled: The moral status of future persons The motivation problem Policy implications.

Darwin’s first two, relatively complete, explicit articulations of his theorizing on evolution were his Essay of 1844 and On the Origin of Species published in 1859. A comparative analysis concludes that they espoused radically different theories despite exhibiting a continuity of strategy, much common structure and the same key idea. Both were theories of evolution by means of natural selection. In 1844, organic adaptation was confined to occasional intervals initiated and controlled by de-stabilization events. The modified descendants rebalanced the particular (...) “plant and animal forms … unsettled by some alteration in their circumstances.” But by 1859, organic adaptation occurred continuously, potentially modifying the descendants of all organisms. Even natural selection, the persistent core of Darwin’s theorizing, does not prove to be a significant basis for theory similarity. Consequently, Darwin’s Origin theory cannot reasonably be considered as a mature version of the Essay. It is not a modification based on adjustments, further justifications and the integration of a Principle of Divergence. The Origin announced a new “scientific paradigm” while the Essay did little more than seemingly misconfigure the operation of a novel mechanism to extend varieties beyond their accepted bounds, and into the realm of possible new species. Two other collections of Darwin’s theorizing are briefly considered: his extensive notes of the late 1830s and his contributions to the famous meeting of 1 July 1858. For very different reasons, neither constitutes a challenge to the basis for this comparative study. It is concluded that, in addition to the much-debated social pressures, an unacknowledged further reason why Darwin did not publish his theorizing until 1859, could have been down to his perceptive technical judgement: wisely, he held back from rushing to publish demonstrably flawed theorizing. (shrink)

A complete environmental ethic must include a theory of motivation to assure that the demands of that ethic are within the capacity of human beings. J. Baird Callicott has argued that these requisite sentiments may be found in the moral psychology of David Hume, enriched by the insights of Charles Darwin. I reply that, on the contrary, Humean moral sentiments are more likely to incline one toanthropocentrism than to Aldo Leopold’s land ethic, which is defended by Callicott. This mismatch becomes (...) more evident as Callicott attempts to enlist Humean moral sentiments in support of the Leopoldian “land community.” The disanalogies between human and natural communities, I argue, are too great to permit this application. The motivation we need to meet our duties as “citizens of the land community” must be of a nonmoral kind. I suggest that the necessary sentiments may be found in a genetically based “affirmation of nature” that has evolved out of our natural history as a species, shaped by the very forces and contexts that are now put in peril by our technology. (shrink)

The construction of digital simulacra in healthcare and medical research purportedly strives to virtually recreate some aspect of reality, whether that be a piece of human tissue, an entire organ,...

This outstanding collection is designed to address the fundamental issues and principles underlying the task of Artificial Intelligence.

Accompanying a series of visually and verbally challenging books for children, this manual provides teachers and parents with discussion plans, exercises and activities to guide children in an investigation of the philosophical ideas emerging from the storybooks.

Widows, women, and the bioethics of care must be understood within an authentic Christian ontology of gender. Men are men and women are women, and their being is ontologically marked in difference. There is an ontology of gender with important implications for the role of women in the family and the Church. The Christian Church has traditionally recognized a role for widows, deaconesses, and female monastics, which is not that of the liturgical priesthood, but one with a special relationship to (...) care and therefore with particular implications for health care and a Christian bioethics of care in the twenty-first century. In the shadow of early male mortality, women as wives should turn to support their husbands and as widows to support those in need. Widows, in becoming authentic Christian monastics, can bring into the world an icon of rightly ordered women providing rightly ordered Christian care for those in need. They can enter the moral vacuum created by misunderstandings of the place of women and the service vacuum created by a disappearance of religious nuns in Western health care facilities with a presence that is at one with the Church of the Fathers. (shrink)

In this paper I shall describe the symbolic search space paradigm which is the dominant model for most of AI. Coupled with the mechanisms of logic it yields the predominant methodology underlying expert systems which are the most successful application of AI technology to date. Human decision making, more precisely, expert human decision making is the function that expert systems aspire to emulate, if not surpass.Expert systems technology has not yet proved to be a decisive success — it appears to (...) fare better in some areas of human expertise than others. As a result subdomains of human expertise are variously categorised and we shall examine a few of the suggested classification schemes. A particular line of argument explored is one which maintains that certain types of human decision making, at least, are not adequately approximated by the symbolic search space paradigm of AI. Furthermore, attempts to project this inadequate model of human decision making via implementations of expert systems will be detrimental to both our image of ourselves and the future possibilities for AI software.Finally, we examine one possible route to the realization of AI, perhaps even practical applications of AI, that is a significant alternative to the model offered by the symbolic search space paradigm. (shrink)

In his magnum opus, Process and Reality, Alfred North Whitehead claims a special affinity to Oxford philosopher Francis Herbert Bradley. McHenry clarifies exactly how much of Whitehead's metaphysics is influenced by and accords with the main principles of Bradley's "absolute idealism." He argues that many of Whitehead's doctrines cannot be understood without an adequate understanding of Bradley, in terms of both affinities and contrasts. He evaluates the arguments between them and explores several important connections with William James, Josiah Royce, George (...) Santayana, Bertrand Russell, and Charles Hartshorne. (shrink)

At the forefront of international concerns about global legislation and regulation, a host of noted environmentalists and business ethicists examine ethical issues in consumption from the points of view of environmental sustainability, economic development, and free enterprise.