The concept of hysteria is traced from Hippocrates, where it was thought to be caused by a wandering uterus, through Galen and up to Freud. Throughout the history of medicine from the early Greeks up to the end of the nineteenth century, the definition and diagnosis of hysteria had a function similar to that found in the persecution of witchcraft: it sought to eradicate the outbursts of nonconforming and emotionally threatening conduct of women. At the beginning of the twentieth century, (...) however, the category virtually disappears from psychiatric nosologies. (shrink)

The current U.S. health care system, with both rising costs and demands, is unsustainable. The combination of a sense of individual entitlement to health care and limited acceptance of individual responsibility with respect to personal health has contributed to a system which overspends and underperforms. This sense of entitlement has its roots in a perceived right to health care. Beginning with the so-called moral right to health care, the issue of who provides health care has evolved as individual rights have (...) trumped societal rights. The concept of government providing some level of health care ranges from limited government intervention, a ‘negative right to health care’, to various forms of a ‘positive right to health care’. The latter ranges from a decent minimum level of care to the best possible health care with access for all. We clarify the concept of legal rights as an entitlement to health care and present distributive and social justice counter arguments to present health care as a privilege that can be provided/earned/altered/revoked by governments. We propose that unlike a ‘right’, which is unconditional, a ‘privilege’ has limitations. Going forward, expectations about what will be made available should be lowered while taking personal responsibility for one’s health must for elevated. To have access to health care in the future will mean some loss of personal rights and an increase in personal responsibility for gaining or maintaining one’s health. (shrink)

Although Christ’s atoning work on the cross is perhaps the most central tenet of Christianity, understanding precisely how the cross saves remains a theological mystery. We follow the Abelardian tradition and argue that Christ’s death on the cross acts as an example of God’s love for humanity and a means of drawing us back into communion with the triune God. However, our view avoids the standard objection to exemplar views—that they are Pelagian—by introducing an alternative conception of the problem of (...) sin, according to which Christ’s example of God’s love is in fact required for salvation and sanctification. (shrink)

Text visualization is the technique of using graphs and charts to examine text as data. Often, these do not represent a text directly and instead display an output based on word counts, word sequences, and so on. This technique can provide insights into important keywords in a text, provide an overview of textual content, or reveal trends and patterns within one text or across many texts. This paper describes recent development of and experiments with several tools for the Grub Street (...) Project to generate visualizations of eighteenth-century texts, especially in terms of the spatial relationships of words and entities on the pages of the original documents. Two examples are discussed in this article as test cases: Edward Ward’s The London Spy Compleat, in Eighteen Parts (1703) and Alexander Pope’s The Dunciad. With Notes Variorum (1729). (shrink)

Si le déploiement d’une compétence éthique en situation nécessite la capacité et la volonté de la personne à déceler et à résoudre les problèmes de nature éthique qu’il rencontre, je proposerai dans ce texte qu’il nécessite aussi, en raison de la part d’autonomie qu’il requiert, que la personne ait le pouvoir de déployer cette compétence. Or, alors que les deux premières conditions d’exercice dépendent de la personne, cette troisième condition, à laquelle je m’intéresserai plus particulièrement dans ce texte, lui est (...) pour sa part externe. Ainsi, je proposerai que c’est non seulement la personne, mais aussi un enchevêtrement d’éléments du contexte, de la situation et surtout, du réseau d’interactions dans lesquels une personne s’insère qui, parce qu’ils exercent sur elle des pouvoirs, détermineront si la personne aura la possibilité d’agir de façon compétente en situation éthique. Ainsi, s’intéresser à la compétence éthique impliquera nécessairement de s’intéresser à la question du pouvoir et à la façon dont s’exerceront les pouvoirs en situation – des pouvoirs sur ou des pouvoirs avec – puisque cela aura une influence déterminante sur le pouvoir de la personne de déployer sa compétence de façon effective en situation. (shrink)

Although we find Gangestad & Simpson's argument intriguing, we question some of its underlying assumptions, including: (1) that fluctuating asymmetry (FA) is consistently heritable; (2) that symmetry is driving the effects; (3) that use of parametric tests with FA is appropriate; and (4) that a short-term mating strategy produces more offspring than a long-term strategy.

SummaryThis paper attempts to develop an interpretation of Kant's transcendental idealism which is based upon his critique of transcendental realism. It is argued that given Kant's transcendental distinction, all non‐ or pre‐critical philosophies, even Berkeleian phenomenalism are transcendentally realistic. This paradoxical result is used as the basis for an analysis of Kant's resolution of the mathematical antinomies, wherein this resolution is seen both as an “indirect proof” of transcendental idealism and as a refutation of transcendental realism. Finally, it is claimed (...) that Kant's idealism, at least insofar as it is established by means of a refutation of transcendental realism, is methodological rather than metaphysical, viz. it involves a claim about how the sensible world is to be considered in transcendental reflection, not a claim about the “real nature” of this world.RésuméCet article essaye de développer une interprétation de l'idéalisme transcendental de Kant, interprétation basée sur sa critique du réalisme transcendental. L'auteur montre que, si l'on accepte la distinction transcendentale de Kant, toutes les philosophies non critiques et précritiques sont transcendentalement réalistes, y compris le phénoménalisme de Berkeley. A partir de ce résultat paradoxal, il analyse la manière dont Kant résoud les antinomies mathématiques: cette résolution apparaît à la fois comme preuve indirecte de l'idéalisme transcendental et comme une réfutation du réalisme transcendental. L'auteur est finalement d'avis que l'idéalisme de Kant, du moins lorsqu'il est justifié par une réfutation du réalisme transcendental, est plus méthodologique que métaphysique, c'est‐à‐dire qu'il déclare comment le monde sensible doit être considéré dans la réflexion transcendentale et non quelle est la véritable nature de ce monde.ZusammenfassungEs wird versucht, eine Interpretation von Kants transzendentalem Idealismus zu entwickeln, die auf seiner Kritik am transzendentalen Realismus — verstanden als derjenige Standpunkt, der systematisch Erscheinung und Ding an sich verwechselt — beruht. Es wird argumentiert, dass — einmal Kants transzendentale Unterscheidung angenommen — aile früheren, vorkritischen Systeme der Philosophie einschliesslich Berkeleys Phänomenalismus transzendental realistisch sind. Dieses paradoxale Ergebnis wird als Basis für eine Analyse von Kants Auflösung der mathematischen Antinomien verwendet, wobei dièse Auflösung sowohl als ein indirekter Beweis für den transzendentalen Idealismus als auch als eine Widerlegung des transzendentalen Realismus gedeutet wird. Es wird schliesslich nahegelegt, dass Kants Idealismus, sofern wenigstens als er sich auf Widerlegung des transzendentalen Realismus abstützt, mehr ein rnethodologischer als ein metaphysischer Idealismus ist. Er statuiert eher über die Art, wie die Sinneswelt in einer transzendentalen Reflexion betrachtet werden soll, als über die Frage, wie die Welt wirklich beschaffen sei. (shrink)

SummaryThis paper attempts to develop an interpretation of Kant's transcendental idealism which is based upon his critique of transcendental realism . It is argued that given Kant's transcendental distinction, all non‐ or pre‐critical philosophies, even Berkeleian phenomenalism are transcendentally realistic. This paradoxical result is used as the basis for an analysis of Kant's resolution of the mathematical antinomies, wherein this resolution is seen both as an “indirect proof” of transcendental idealism and as a refutation of transcendental realism. Finally, it is (...) claimed that Kant's idealism, at least insofar as it is established by means of a refutation of transcendental realism, is methodological rather than metaphysical, viz. it involves a claim about how the sensible world is to be considered in transcendental reflection, not a claim about the “real nature” of this world.RésuméCet article essaye de développer une interprétation de l'idéalisme transcendental de Kant, interprétation basée sur sa critique du réalisme transcendental . L'auteur montre que, si l'on accepte la distinction transcendentale de Kant, toutes les philosophies non critiques et précritiques sont transcendentalement réalistes, y compris le phénoménalisme de Berkeley. A partir de ce résultat paradoxal, il analyse la manière dont Kant résoud les antinomies mathématiques: cette résolution apparaît à la fois comme preuve indirecte de l'idéalisme transcendental et comme une réfutation du réalisme transcendental. L'auteur est finalement d'avis que l'idéalisme de Kant, du moins lorsqu'il est justifié par une réfutation du réalisme transcendental, est plus méthodologique que métaphysique, c'est‐à‐dire qu'il déclare comment le monde sensible doit être considéré dans la réflexion transcendentale et non quelle est la véritable nature de ce monde.ZusammenfassungEs wird versucht, eine Interpretation von Kants transzendentalem Idealismus zu entwickeln, die auf seiner Kritik am transzendentalen Realismus — verstanden als derjenige Standpunkt, der systematisch Erscheinung und Ding an sich verwechselt — beruht. Es wird argumentiert, dass — einmal Kants transzendentale Unterscheidung angenommen — aile früheren, vorkritischen Systeme der Philosophie einschliesslich Berkeleys Phänomenalismus transzendental realistisch sind. Dieses paradoxale Ergebnis wird als Basis für eine Analyse von Kants Auflösung der mathematischen Antinomien verwendet, wobei dièse Auflösung sowohl als ein indirekter Beweis für den transzendentalen Idealismus als auch als eine Widerlegung des transzendentalen Realismus gedeutet wird. Es wird schliesslich nahegelegt, dass Kants Idealismus, sofern wenigstens als er sich auf Widerlegung des transzendentalen Realismus abstützt, mehr ein rnethodologischer als ein metaphysischer Idealismus ist. Er statuiert eher über die Art, wie die Sinneswelt in einer transzendentalen Reflexion betrachtet werden soll, als über die Frage, wie die Welt wirklich beschaffen sei. (shrink)

The first two sections of this paper are devoted respectively to the criticisms of my views raised by Stephen Engstrom and Andrews Reath at a symposium on Kant's Theory of Freedom held in Washington D.C. on 28 December 1992 under the auspices of the North American Kant Society. The third section contains my response to the remarks of Marcia Baron at a second symposium in Chicago on 24 April 1993 at the APA Western Division meetings. The fourth section deals with (...) some general criticisms of my treatment of Kant's theory of freedom and its connection with transcendental idealism that have been raised by Karl Ameriks, who was also a participant in the second symposium, in an earlier piece published in Inquiry and by Paul Guyer in a review. The paper as a whole is thus an attempt to reformulate and clarify some of the central claims of my book in light of the initial critical reaction. (shrink)

Cellular mechanisms whereby quiescent stem cells sense tissue injury and transition to an activated state are largely unknown. Quiescent skeletal muscle stem cells (MuSCs, also called satellite cells) have elaborate, heterogeneous projections that rapidly retract in response to muscle injury. They may therefore act as direct sensors of their niche environment. Retraction is driven by a Rac‐to‐Rho GTPase activity switch that promotes downstream MuSC activation events. These and other observations lead to several hypotheses: (1) projections are morphologically dynamic at quiescence, (...) providing a surveillance function for muscle damage; (2) quiescent projection dynamics are regulated by the relative balance of Rac and Rho activities promoted by niche‐derived cues; (3) projections, particularly their associated filopodia, sense tissue damage via changes to the biomechanical properties of the niche and/or detection of signaling cues released by damaged myofibers; and (4) the dynamic nature of projections results in a population of MuSCs with heterogeneous functional properties. These concepts may extend to other types of quiescent stem cells, as well as prove useful in translational research settings. (shrink)

Edited by the author of The Lonely Labyrinth, this anthology is a superb collection of Kierkegaard studies. It begins with two general statements of Kierkegaard’s thought: Louis Mackey’s previously published and tightly packed essay "The Poetry of Inwardness," and a chapter from Prof. Thompson’s newest book on Kierkegaard entitled "The Master of Irony." There is also Sartre’s essay "The Singular Universal" from Kierkegaard Vivant and an interesting historical essay by Richard Popkin which situates Kierkegaard in the history of modern skepticism (...) and shows his affinities with Hume. If there is a common theme to this collection it is the notion that Kierkegaard has persistently separated himself from the statements of his pseudonymous authors and that what has come to be known as "Kierkegaard’s philosophy" is really the product of Kierkegaard’s irony. Otherwise Kierkegaard’s entire literary effort becomes self-contradictory. The essays by Thompson, Crites and Allison are especially relevant in this regard. Editor Thompson has also done us the splendid service of updating the 1962 Kierkegaard Bibliografi with a supplement which includes all the literature in English for the years 1956-70. There is also a most helpful index locurum of the works of Kierkegaard cited in this anthology.—J.D.C. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 40.1 (2002) 125-126 [Access article in PDF] Book Review Newton and Religion: Context, Nature, and Influence James E. Force and Richard H. Popkin, editors. Newton and Religion: Context, Nature, and Influence. International Archives of the History of Ideas. Dordrecht: Kluwer Academic Publishers, 1999. Pp. xvii + 325. Cloth, $168.00. When James Force and Richard Popkin published their Essays on the Context, Nature, and (...) Influence of Isaac Newton's Theology in 1990, they launched a new sub-genre in Newton studies. Their seminal work opened up new scholarly vistas in the study of Newton's antitrinitarian theology, his millenarian prophetic hermeneutics, the relations between his theology and his natural philosophy, and the historical legacies of these until recently under-researched aspects of his thought. Force and Popkin have excelled particularly in leading the attack on the two variants of the "two-Newton" thesis: first, that Newton's theological and alchemical works were the result of a putative post-middle-aged madness or the meandering mind of an old man and, second, that Newton somehow disassociated his "pure" science from the problematic contaminations of alchemy and theology. This new volume of thirteen essays is the latest product of this effort to restore unity to Newton's life and thought.The first paper, by Deborah Harkness, outlines the work of the Elizabethan magus John Dee for the purpose of suggesting possible analogies with Newton. In the second essay, Allison Coudert seeks to update the Yates thesis: the proposal that modern science received an early and powerful stimulus from occult philosophy. Unlike Yates, who focused on Hermeticism, Coudert sees the main occult impetus to the rise of science in a renewed Gnosticism that emphasized the need to recover the original prisca sapientia (ancient wisdom). Coudert locates Newton in this latter tradition. In the third paper, James Bono sets out to revise and extend William Ashworth's 1990 study of the impact on the history of science of the "emblematic" world view. Bono seeks to show that Newton retained a commitment to the unity of the Books of Nature and Scripture, even while rejecting what he saw as the corruption and idolatry of man-made systems of symbols in favor of a program of discovering God's hand at work in creation.In the fourth and fifth papers, Justin Champion and Rob Iliffe detail aspects of Newton's engagement with Catholicism. Champion skillfully demonstrates how and why Newton appropriated what he saw as acceptable elements of the incipient textual criticism of the Catholic priest Richard Simon. Notwithstanding his use of this product of Catholic scholarship, Newton's virulent anti-Catholicism is detailed in a sophisticated account by Iliffe, who shows that it extended well beyond Newton's already explicated anti-papist prophetic exegesis.The sixth, seventh, and ninth essays examine Newton's study of history. In the sixth paper, Robert Markley shows how Newton deployed universal history in his quest to trace the origin and subsequent corruption of pure religion. Continuing the theme of religious apostasy, in the seventh essay Matt Goldish examines Newton's ecclesiastical history "Of the Church." Goldish describes how Newton's painstaking research uncovered the corruption of primitive religion by paganism, gnosticism, kabbalism, emanationist doctrines, and other such human interventions. The ninth paper by Kenneth Knoespel contains a study of Newton's ponderous and often impenetrable manuscript Theologiae gentilis origins philosophicae. Knoespel argues that this document helps illustrate Newton's belief that his Principia not so much represented a discovery of new knowledge as it embodied a recovery of ancient revealed truth.The eighth, tenth, and thirteenth papers feature accounts of Newton's prophetic exegesis and millenarian thought. The eighth and thirteenth papers, by Sarah Hutton and Reiner Smolinski respectively, make great strides in the understanding of the unity of Newton's theology by illustrating how crucial aspects of his heterodox doctrine helped shape his prophetic thought. Hutton focuses on the impact of Newton's Arian Christology on his exegesis of Revelation, while Smolinski relates Newton's mortalism and rejection of evil spirits to... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Surrender Versus Control:How Best Not to DrinkMark D. Rego (bio)Keywordsaddiction, Alcoholics Anonymous, will, St. AugustineI recall as a teenager noticing that some people modified nouns in, what sounded to me, a peculiar way. A friend's mother who was taking an automotive repair course said, " We're going to learn to fix the brakes next week." The same folks would also use the possessive for common nouns in phrases like: (...) "I'll be ready after I take my shower." Although not incorrect, I believe this type of usage reflected a different attitude about brakes, showers, and other things. These tended to be more hands-on people and thus, in my understanding at least, had a more particular relationship with things in their world than others for whom objects were examples of types of things.This brief vignette serves as an introduction to my qualified enthusiasm for the project taken up by Allison Mitchell in her paper, "Taking Mentality Seriously: A Philosophical Inquiry into the Language of Addiction and Recovery" (Mitchell, 2006). Indeed, as a practicing psychiatrist I would be hard pressed not to endorse the use of language as a key to deeper aspects of experience.My following remarks are mostly contra Mitchell's hypothesis, but before beginning I name one more reason I think this project is worthwhile. In spite of much research and recitations of the motto "treatment works," we do not presently have a reliable treatment for addiction. The linguistic portrait painted by Mitchell allows us to view our treatments in vivo and reflect upon what we see. (For the purpose of this commentary, I consider alcoholism and Alcoholics Anonymous [AA] as a general example of addiction and treatment.)Medication treatment remains almost inconsequential except when applied for comorbid psychiatric disorders rather than the primary addiction. Even then it rarely serves to undo some form of self-medication, but instead only offers an important leg up in battling the addiction.Research and much experience has shown AA to be the single best treatment for alcoholism (Vaillant and Hiller-Sturmhofel 1996). Some investigators have proposed underlying mechanisms for its efficacy (some, like "creating dependency" run very counter to Mitchell) (Vaillant 2005). AA's success is highly dependent upon attendance (McCrady et al. 2004), which can of course be a marker for getting better in the first place and not solely a cause of improvement (i.e., people who are doing better attend more meetings not vice- versa). Even within AA, the dropout rate is quite high (Martin et al. 1996). Workers in this area [End Page 223] have raised questions about AA's approach and have proposed other avenues to sobriety, including interpersonal, cognitive–behavioral, and relapse prevention programs (Witkiewitz and Marlatt 2005, 2004; O'Dwyer 2006). Lamentably, some very large studies failed to show any effective ability to match up alcoholics with a particular treatment modality (Church 2004; Read 2004).Given the lack of clarity with which we still work, I think an approach like Mitchell's is a welcome call for serious reflection. The limitations of a linguistic analysis place an unfortunate constriction on implications to be drawn.Mitchell's chief concern is that the language of recovery, as reflected in twelve-step programs, betrays and even fosters a degree of passivity, which leaves the addict without an adequate sense of agency and autonomy with which to combat addiction. From a more philosophical perspective, Mitchell believes this is due to an incomplete philosophical materialism; one that lacks "mentality" (i.e., the sense that part of our physical being is made up of mental activities such as emotions, motivations, beliefs, etc.). This attitude is manifest in a "pretheoretic conception of the self" that leaves the addict with a dearth of self-awareness as a mental agent of action and change.In place of the standard recovery model in use today, Mitchell suggests cultivating a sense of self that values and fosters engaged agency that is both capable of self-control and responsive to external obligations.A Few ConcernsFirst, I will offer a few concerns about premises at work within the paper. Then, I outline an attempt to make sense of the... (shrink)

This book adds to the theoretical development of the emerging fields of experiential learning and outdoor education by examining the central concept, 'experience', and interrogating a central claim of experiential learning: whether, and if so how, a short-term singular experience can transform a participant's life as a whole and in a permanent way. While such a possibility has been corroborated by the personal testimonies of participants, and the activities of instructors over many years, the book argues that we must go (...) beyond this kind of 'evidence'. In comparing Anglophone and continental approaches and drawing on the work of Dewey, Dilthey and Merleau-Ponty in the philosophy of experience, Experiential Learning and Outdoor Education presents the first detailed review of the concept of 'experience' in European philosophy, as applied to outdoor experiential learning. A vital insight into the field, this is important reading for students and researchers working in the philosophy of sport, and pedagogical theory, especially in areas relating to the outdoors, but also to experiential education more generally."--Provided by publisher. (shrink)

Einstein, in his “Zur Elektrodynamik bewegter Körper”, gave a physical (operational) meaning to “time” of a remote event in describing “motion” by introducing the concept of “synchronous stationary clocks located at different places”. But with regard to “place” in describing motion, he assumed without analysis the concept of a system of co-ordinates.In the present paper, we propose a way of giving physical (operational) meaning to the concepts of “place” and “co-ordinate system”, and show how the observer can define both the (...) place and time of a remote event. Following Einstein, we consider another system “in uniform motion of translation relatively to the former”. Without assuming “the properties of homogeneity which we attribute to space and time”, we show that the definitions of space and time in the two systems are linearly related. We deduce some novel consequences of our approach regarding faster-than-light observers and particles, “one-way” and “two-way” velocities of light, symmetry, the “group property” of inertial reference frames, length contraction and time dilatation, and the “twin paradox”. Finally, we point out a flaw in Einstein’s argument in the “Electrodynamical Part” of his paper and show that the Lorentz force formula and Einstein’s formula for transformation of field quantities are mutually consistent. We show that for faster-than-light bodies, a simple modification of Planck’s formula for mass suffices. (Except for the reference to Planck’s formula, we restrict ourselves to Physics of 1905.). (shrink)

This paper discusses the predicament of Oscar Pistorius. He is a Paralympic gold medallist who wishes to participate in the Olympics in Beijing in 2008. Following a brief introductory section, the paper discusses the arguments that could be, and have been, deployed against his participation in the Olympics, should he make the qualifying time for his chosen event (400m). The next section discusses a more hypothetical argument based upon a specific understanding of the fair opportunity rule. According to this, there (...) may be a case for allowing Pistorius to compete even if he should fail to make the official qualifying time. The final part of the paper reviews the situation at the time of writing and offers some assessment of the strategy of the IAAF in responding to it. It is argued below that the proper focus for assessment of Pistorius's eligibility to compete should not be on whether his blades lead to his having an unfair advantage over his competitors, but instead should focus on whether what he does counts as running. (shrink)

This “current controversies” contribution describes the recent case of a severely disabled six year old girl who has been subjected to a range of medical interventions at the request of her parents and with the permission of a hospital clinical ethics committee. The interventions prescribed have become known as “the Ashley treatment” and involve the performance of invasive medical procedures (eg, hysterectomy) and oestrogen treatment. A central aim of the treatment is to restrict the growth of the child and thus (...) make it easier for her parents to care for her at home. The paper below discusses the main objections to the treatment. It concludes that the most serious concern raised by the case is that it may set a worrying precedent if the moral principle employed in justification of the treatment is applied again to endorse it in similar circumstances. Finally, it raises the possibility that that same moral principle may even be invoked to justify more radical interventions than those that were actually performed in the Ashley treatment. (shrink)

This article discusses the question of whether, as is often claimed, nursing is properly described as an art. Following critical remarks on the claims of Carper, Chinn and Watson, and Johnson, the account of art provided by RG Collingwood is described, with particular reference to his influential distinction between art and craft. The question of whether nursing is best described as an art or a craft is then discussed. The conclusion is advanced that nursing cannot properly be described as an (...) art, given acceptance of Collingwood’s influential definition of art. Moreover, it is shown that, due to difficulties inherent in specifying the ‘ends’ of nursing, nursing is only problematically described as a craft. (shrink)

The moral status accorded to an individual (or class of individuals) helps to account for the weight of the moral obligations considered due to an individual (or class of individuals). Strong arguments can be given to indicate that the moral status accorded, justly or unjustly, to individuals with intellectual disabilities is less than that accorded to those considered intellectually able. This paper suggests that such a view of the moral status of intellectually disabled individuals derives from individualism. Ontological and normative (...) components of individualism are identified. It is shown that individualistic, ontological criteria for personhood compromise the integrity of “dependent” individuals. And it is shown that the normative component of individualism further compromises the integrity of intellectually disabled individuals. An alternative view of the self is outlined in which dependence features centrally. It is tentatively suggested that such a view of the self may prove more congenial to enhancing the moral status of individuals with intellectual disabilities. (shrink)

Geoffrey Rose’s prevention paradox points to a tension between two prima facie plausible moral principles: that we should save the greater number and that weshould save the most at risk. This paper argues that a novel moral theory, ex-ante contractualism, captures our intuitions in many prevention paradox cases, regardless of our interpretation of probability claims. However, it goes on to show that it might be impossible to square ex-ante contractualism with all of our moral intuitions. It concludes that even if (...) ex-ante contractualism cannot furnish an entire ethics of risk, it does identify important considerations for any such theory. (shrink)

Geoffrey Rose’s prevention paradox points to a tension between two prima facie plausible moral principles: that we should save the greater number and that weshould save the most at risk. This paper argues that a novel moral theory, ex-ante contractualism, captures our intuitions in many prevention paradox cases, regardless of our interpretation of probability claims. However, it goes on to show that it might be impossible to square ex-ante contractualism with all of our moral intuitions. It concludes that even if (...) ex-ante contractualism cannot furnish an entire ethics of risk, it does identify important considerations for any such theory. (shrink)

Current UK guidelines regarding clinical research on children permit research that is non-therapeutic from the perspective of that particular child. The guidelines permit research interventions that cause temporary pain, bruises or scars. It is argued here that such research conflicts with the Declaration of Helsinki according to which the interests of the research subject outweigh all other interests. Given this, in the context of clinical research, who is best placed to protect the child from this kind of exploitation? Is it (...) the medical researcher, the child’s parents or the nurse advocate? This article describes the problem, possible responses to it, and closes with a consideration of, and rejection of, a defence of current guidelines that claims moral parity between clinical research and clinical education. (shrink)

The practice of prenatal screening for disability is sometimes objected to because of the hurt and offence such practices may cause to people currently living with disabilities. This objection is commonly termed “the expressivist objection”. In response to the objection it is standardly claimed that disabilities are analogous to illnesses. And just as it would be implausible to suppose reduction of the incidence of illnesses such as flu sends a negative message to ill people, so it is not plausible to (...) suppose prevention of disability sends a negative message to disabled people. The expressivist objection hinges, however, upon a view of the relationship between disability and self identity which sees disability as part of the identity of the disabled person, in a way in which illnesses such as flu cannot be. This possibility is generally not considered in critiques of the expressivist objection. In this paper, an “identity claim” to the effect that disabilities can be identity constituting is accepted and the force of the expressivist argument is reconsidered in the light of its acceptance. It is concluded that even when such an identity claim is accepted, the expressivist objection is still not morally compelling. (shrink)

Persistence theories of causation – such as transference theory, conserved-quantity theory, and Douglas Ehring's theory – attempt to analyzecausation in terms of some persisting entityconnecting cause and effect. While mostpersistence accounts are intended as empiricaltheories, this article develops a persistenceanalysis of the concept of causation. The basic idea is that the central concept ofdirect causation can be analyzed in terms ofproperty acquisition. The analysis cohereswith our ordinary causal judgments andprovides a straightforward explanation of thedirection of causation. It also explains whybackwards (...) causation is conceptually problematic. (shrink)

This paper enquires into the nature and the extent of the obligations of nurses. It is argued that nurses appear to be obliged to undertake supererogatory acts if they take clause one of the United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) Code of Professional Conduct seriously (as, indeed, they are required to do). In the first part of the paper, the nature of nursing obligations is outlined, and then the groups and individuals to whom nurses have (...) obligations are identified. Following a brief discussion of the moral foundation of the nurse's obligations to her/his employer, a common conflict of obligations is identified. Then a distinction is drawn between ordinary and extraordinary moral standards. Appreciation of this is necessary for an understanding of the criterion of what constitutes a supererogatory act. By the definition of supererogatory acts proposed below, it is suggested that actions such as whistleblowing satisfy that definition. (shrink)

Resumen. El presente documento tiene como finalidad plasmar la importancia que tiene el tomar encuenta los deseos y necesidades de los espectadores para el éxito económico de las organizaciones deproducción cinematográfica mexicanas. Se establecen las funciones culturales y económicas quedeben considerar los directores y productores de las organizaciones aquí estudiadas. Por otro lado, seubica los diferentes grados de insatisfacción en los que cae un espectador al que no le agradó lapelícula. Se propone el concepto “Síndrome Lozano-Barragán”* para ubicar a aquellasorganizaciones (...) de producción cinematográfica que culpan a los espectadores que quedaroninsatisfechos, del fracaso en taquilla, además de argumentar que dichos espectadores no supieronentender la película o que no saben de la naturaleza de la misma. Por último, hacemos algunasrecomendaciones que pueden seguir las organizaciones de producción cinematográfica para evitareste síndrome e incrementar la satisfacción de los espectadores.Palabras Claves. Organizaciones de producción cinematográfica, industria cultural, síndrome Lozano-Barragán, espectadores, insatisfacción.. The main purpose of this document is to state the importance of taking into considerationthe desires and needs of the spectators by the Mexican film production organizations has for theireconomical success. It establishes the cultural and economic functions that filmmakers studied onthis document must consider. On the other hand, it locates the different degrees of the dissatisfactionin which a spectator can falls into when he or she doesn´t like the movie. We propose the “Lozano-Barragan syndrome”* concept, to distinguish those film production organizations that blame thedissatisfied spectator, for the box office failure, as well as, they argued that those spectators didn´tunderstand the movies or that they don´t understand the nature of it. Finally, we make somerecommendations that could de followed by the film production organizations to avoid this syndromeand increase the spectator satisfaction.Keywords. Film production organizations, cultural industry, Lozano-Barragan syndrome,spectators, dissatisfaction. (shrink)

This paper discusses the distinction between disability and handicap as it is proposed by the World Health Organization (WHO) in their publication International Classification of Impairments, Disabilities and Handicaps (WHO, 1993 (first published, 1980)). Following criticism of this an attempt to salvage the distinction by Nordenfelt (1993, 1983) is discussed. It is argued that neither the WHO nor Nordenfelt are successful in their attempts to preserve the distinction between disability and handicap in a theoretically wellmotivated manner. Contrary to the WHO, (...) it is argued that what they term ‘disabilities’ and ‘handicaps’ both have external causes. And contrary to Nordenfelt's position it is shown that “basic actions” do not provide a firm theoretical foundation for the concept of disability. Moreover, the criticisms of these two sets of views reveal that attempts to describe the phenomenon of disablement which focus on the individual suffer from a serious methodological shortcoming. (shrink)

In this article we examine ethical aspects of the involvement of children in clinical research, specifically those who are incapable of giving informed consent to participate. The topic is, of course, not a new one in medical ethics but there are some tensions in current guidelines that, in our view, need to be made explicit and which need to be responded to by the relevant official bodies. In particular, we focus on tensions between the World Medical Association Declaration of Helsinki, (...) and the guidance offered by the British Medical Association, the Royal College of Paediatrics and Child Health , and the Council for International Organizations of Medical Sciences. We conclude with a call for these organisations to make their guidance explicit in relation to the World Medical Association Declaration. (shrink)

The very idea of informative analysis gives rise to a well-known paradox. Yet a parallel puzzle, herein called the paradox of synonymy, arises for statements which do not express analyses. The paradox of synonymy has a straightforward metalinguistic solution: certain words are referring to themselves. Likewise, the paradox of analysis can be solved by recognizing that certain expressions in an analysis statement are referring to their own semantic structures.

This paper examines one particular justification for the screening and termination of embryos/fetuses which possess genetic features known to cause disability. The particular case is that put forward in several places by John Harris. He argues that the obligation to prevent needless suffering justifies the prevention of the births of disabled neonates. The paper begins by rehearsing Harris's case. Then, drawing upon claims advanced in a recent paper in the Journal of Medical Ethics, it is subjected to critical scrutiny, focusing (...) on Harris's “suffering claim” .1 It is argued that the suffering claim must be false if understood as an empirical claim. And, even if understood as a conceptual truth, it mistakenly assimilates the concepts of harm and suffering. Finally, again focusing on Harris's recent work in this area, his characterisation of disability as a “harmed condition” is shown not to apply in the case of at least some moderate forms of intellectual disability. (shrink)

In this paper the coherence of the precautionary principle as a guide to public health policy is considered. Two conditions that any account of the principle must meet are outlined, a condition of practicality and a condition of publicity. The principle is interpreted in terms of a tripartite division of the outcomes of action . Such a division of outcomes can be justified on either “consequentialist” or “deontological” grounds. In the second half of the paper, it is argued that the (...) precautionary principle is not necessarily opposed to risk–cost–benefit analysis, but, rather, should be interpreted as suggesting a lowering of our epistemic standards for assessing evidence that there is a link between some policy and “special bad” outcomes. This suggestion is defended against the claim that it mistakes the nature of statistical testing and against the charge that it is unscientific or antiscientific, and therefore irrational. (shrink)