Discussion of real cases encountered by medical students has been advocated as a component of medical ethics education. Suggested benefits include: a focus on the actual problems that medical students confront; active learner involvement; and facilitation of an exploration of the meaning of their own values in relation to professional behaviour. However, the approach may also carry risks: students may focus too narrowly on particular clinical topics or show a preference for discussing legal problems that may appear to have clearer (...) solutions. Teaching may therefore omit areas generally considered to be important components of the curriculum. In this paper, the authors present an analysis of the moral problems raised by medical students in response to a request to describe ethically problematic cases they had encountered during two clinical attachments, for the purpose of educational discussion at case-based seminars. We discuss the problems raised and compare the content of the cases to the UK Consensus Statement on core content of learning. The authors also describe the approaches that the students used to undertake an initial analysis of the problems raised, and consider possible implications for the development of medical ethics education. (shrink)

Time-limited trials of intensive care have arisen in response to the increasing demand for intensive care treatment for patients with a low chance of surviving their critical illness, and the clinical uncertainty inherent in intensive care decision-making. Intensive care treatment is reported by most patients to be a significantly unpleasant experience. Therefore, patients who do not survive intensive care treatment are exposed to a negative dying experience. Time-limited trials of intensive care treatment in patients with a low chance of surviving (...) have both a small chance of benefiting this patient group and a high chance of harming them by depriving them of a good death. A ‘rule of rescue’ for the critically unwell does not justify time-limiting a trial of intensive care treatment and overlooks the experiential costs that intensive care patients face. Offering time-limited trials of intensive care to all patients, regardless of their chance of survival, overlooks the responsibility of resource-limited intensive care clinicians for suffering caused by their actions. A patient-specific risk–benefit analysis is vital when deciding whether to offer intensive care treatment, to ensure that time-limited trials of intensive care are not undertaken for patients who have a much higher chance of being harmed, rather than benefited by the treatment. The virtue ethics concept of human flourishing has the potential to offer additional ethical guidance to resource-limited clinicians facing these complex decisions, involving the balancing of a quantifiable survival benefit against the qualitative suffering that intensive care treatment may cause. (shrink)

ABSTRACT:The articles in the special issue ofBusiness Ethics Quarterly, “Normative Business Ethics in a Global Economy: New Directions on Donaldsonian Themes,” were written by a set of outstanding scholars: Margaret M. Blair, Joseph P. Gaspar, Nien-hê Hsieh, Peter L. Jennings, Marietta Peytcheva, Andreas Georg Scherer, Amy J. Sepinwall, Andrew Stark, Danielle E. Warren, and Manuel Velasquez. In this commentary I reply to my colleagues, arranging my reply around the following themes: 1) the corporate moral agent; 2) the idea of a (...) social contract for business; 3) managing ethics within corporations; and 4) values in business. I discuss each in turn. However, I reflect first on my idiosyncratic approach to business ethics. (shrink)

This chapter contains sections titled: Background: mapping the field of business ethics The evolution of social contract approaches to business ethics Integrative social contracts theory (ISCT) Remaining issues and promising research directions for contractarian business ethics.

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 41.1 (2003) 128-129 [Access article in PDF] Robert Crocker, editor. Religion, Reason and Nature in Early Modern Europe. Dordrecht: Kluwer, 2001. Pp. xix + 228. Cloth, $77.00. By describing the early modern period as such, we thereby avow a continuity with it that ill squares with the following, insufficiently appreciated fact. The early modern counterparts of the largely atheistic American Philosophical Association, let's (...) say, were to an even greater degree theistic, and, moreover, theism affected their description and explanation of the world in a profound way—certainly more so than it does their few theistic descendents. This is true even of authors, like Hobbes and Spinoza, who might be read as leading to later atheism. The fact of early modern theism and its centrality in early modern philosophy and science are amply demonstrated in one after another of the eleven essays of this book.An emblematic figure is Robert Boyle, who figures as a main player in three of the essays, and is at least mentioned in five of the others. Lotte Mulligan, for example, investigates the role of "right reason" in Boyle's argument that religion is illuminated and made [End Page 128] plausible by metaphorically expressed analogies with natural philosophy, and conversely. The upshot is that only the "Christian Virtuoso," endowed with right reason whereby he is inspired to notice and express these analogies, was in a position to interpret the codes expressed both in the book of revelation and in the book of nature, one being incomplete without the other.Luisa Simonutti treats Boyle's engagement with the theological and scientific work of Spinoza through Spinoza's correspondence with Oldenburg. And G. A. J. Rogers deploys the work of Boyle, as well as of Locke, Newton, and the Cambridge Platonists, against the once-standard view (vide Butterfield) that "a major feature of the seventeenth-century was a secularization of knowledge." (Given just the other papers in this volume, this may seem like shooting fish in a barrel. Even so, perhaps one or two of the shots appear to miss. Newton seems proleptically to answer Hume's skepticism about induction by invoking, not divine simplicity, but an argument to the best explanation.)These papers overlap with two others, forming the core of the book. Sarah Hutton and Robert Crocker take on Cambridge Platonism. The former deals with Ralph Cudworth's rejection of Cartesian voluntarism in favor of an intellectualism of goodness and wisdom that grounds both the providential governance of the world and its intelligibility to human inquiry. The latter deals with Henry More's doctrine of the soul's pre-existence, a prima facie unlikely doctrine, but one that is less problematic, according to More, than the orthodox alternatives (creationism and traducianism).Three other papers fall outside this core, but their topics are no less relevant. Perhaps the most undeniable connection between the natural and the supernatural is to be found in Grotius, here studied by Jacqueline Lagree. Likely the most unexpected player will be the eccentric esprit fort, Cyrano de Bergerac. His work of nearly pure fantasy, in the Rabelaisian tradition, might well have made later, more serious heterodoxies possible. James E. Force provides a nice case study in Newton's reliance on what he took to be providentially guided comets as sources for the replenishment of otherwise declining celestial motion and matter (a line which, ironically, was picked up by Hume as a premise of an argument designed to undo the argument from design). Richard H. Popkin outlines three views of Judaism in the period. There is little connection with nature, but an important one with reason via a problem that exercised Cudworth and Newton: most peoples are polytheistic despite the clear monotheism of revelation. One theory had it that Judaism was the original, pure religion, which degenerated into various forms of paganism. But this degeneracy was soon read by the English deists such that originally there was a natural religion, of which Judaism and all others were a degeneration. Transmitted to the Enlightenment by Spinoza... (shrink)

Thomas Aquinas produced a voluminous body of work on moral theory, and much of that work is on virtue, particularly the status and value of the virtues as principles of virtuous acts, and the way in which a moral life can be organized around them schematically. Thomas Osborne presents Aquinas's account of virtue in its historical, philosophical and theological contexts, to show the reader what Aquinas himself wished to teach about virtue. His discussion makes the complexities of Aquinas's (...) moral thought accessible to readers despite the differences between Thomas's texts themselves, and the distance between our background assumptions and his. The book will be valuable for scholars and students in ethics, medieval philosophy, and theology. (shrink)

Abstract:Social contract is rapidly becoming one of the significant alternatives for analyzing ethical issues in business. Contractarian approaches emphasizing consent as a means of justifying principles can provide needed context for rendering normative judgements concerning economic behaviors. Current research issues include developing tests of consent for both hypothetical and extant social contracts, and empirically testing the assumptions of the major contractarian approaches. Open questions include exploring the relationship between contractarian business ethics and other approaches, such as stakeholder management and virtue (...) based ethics; and analysis of the intersection of contractarian approaches with the findings and assumptions of the field of moral psychology. Finally, the managerial utility of social contract based approaches needs to be explored with emphasis on identifying “translator” concepts. (shrink)

A critical but sympathetic treatment of Pierre Bayle.

the contrast and similarity between Rist and Macintyre can be better understood if we take into account their different interpretations of the Republic, especially their 1) descriptions of the primary problem faced by Plato, 2) their interpretation of Plato’s response to the problem, and 3) their evaluation of the contemporary relevance of the problem and his response. The differences and similarities between the views of MacIntyre and Rist on the Republic reflect much larger difference and similarities on the fundamental nature (...) of moral philosophy, the problem of relativism, and the importance of God for ethics. I have illustrated these similarities and differences in the context of their understanding of the problems faced by Plato, the nature and adequacy of his response, and the relevance of the response of later philosophical ethics. (shrink)

" Our various cultures are symbolic environments or "spiritual ecologies" within which the Human Eros can thrive. This is how we inhabit the earth. Encircling and sustaining our cultural existence is nature.

This book argues that Plato's Charmides presents a unitary but incomplete argument intended to lead its readers to substantive philosophical insights.

Thomas Alexander shows that the primary, guiding concern of Dewey's philosophy is his theory of aesthetic experience.

Conceptions of acceptability-based moral or political justification take it that authoritative acceptability constitutes, or contributes to, validity, or justification. There is no agreement as to what bar for authoritativeness such justification may employ. The paper engages the issue in relation to (i) the level of idealization that a bar for authoritativeness, ψ, imparts to a standard of acceptability-based justification, S, and (ii) the degree of discursive purchase of the discursive standing that S accords to people when it builds ψ. I (...) argue that (i) and (ii) are interdependent: high idealization values entail low discursive purchase, while high degrees of purchase require low idealization values. I then distinguish between alethic conceptions of justification that prioritize ends that commit to high idealization values, and recognitive conceptions that favour high discursive purchase. On this basis, I argue for a moderately recognitivist constraint on idealization. To render the recognitive discursive minimum available to relevant people at the site of justification, S should set ψ low enough so that it is a genuine option for actual people to reject relevant views in ways that S recognizes as authoritative. (shrink)

This paper explores the idea of robust discursive equality on which respect-based conceptions of justificatory reciprocity often draw. I distinguish between formal and substantive discursive equality and argue that if justificatory reciprocity requires that people be accorded formally equal discursive standing, robust discursive equality should not be construed as requiring standing that is equal substantively, or in terms of its discursive purchase. Still, robust discursive equality is purchase sensitive: it does not obtain when discursive standing is impermissibly unequal in purchase. (...) I then showcase different candidate conceptions of purchase justice, and draw conclusions about the substantive commitments of justificatory reciprocity. (shrink)

Moral and political forms of constructivism accord to people strong, “constitutive” forms of discursive standing and so build on, or express, a commitment to discursive respect. The paper explores dimensions of discursive respect, i.e., depth, scope, and purchase; it addresses tenuous interdependencies between them; on this basis, it identifies limitations of the idea of discursive respect and of constructivism. The task of locating discursive respect in the normative space defined by its three dimensions is partly, and importantly, an ethical task (...) that is beyond constructivism. Interdependencies between these dimensions call into question the possibility of a plausible and coherent form of discursive respect that is deep, inclusive in scope, and rich in purchase. This does not mean that we should reject discursive respect, or constructivism, for that matter. But it suggests that the task of reconciling the dimensions of discursive respect may not allow for widely shareable results. This task needs to be addressed on non-constructivist grounds. Accordingly, we have reasons to concede that constitutive forms of discursive standing are less fundamental in the order of justification than weaker, “derivative” forms, and this is so especially if we take constitutive standing to mark an important good. (shrink)

growing up in new mexico, I was passionate about geology, specifically paleontology. It led, in one adventure, to me being arrested by monks. While on a picnic with my parents at Jemez Springs, I had followed a beautiful Permian stratum, rich with crinoids and brachiopod shells, onto private land owned by The Servants of the Paraclete, a retreat for "whiskey priests."1 I was detained while one brother admonished me, kindly, and let me go, and even let me keep my specimens. (...) But the passion for the history of the earth and natural history in general remained. I was one of those kids who came late to the idea that what was taught at school and what I found of interest had any points of intersection, but I did come to... (shrink)

This book features two old philosophical friends engaged in lively personal and intellectual conversations. Wary of any dogmatism, their dialogues explore the Big Bang and the joy of grandchildren, value theory and terrorism, God and art, metaphor and meaning, while assessing the thought of Robert S. Hartman, Alfred North Whitehead, Charles Hartshorne, H. Richard Niebuhr, and others.

The paper challenges the view that public justification sits well with emancipatory and egalitarian intuitions. I distinguish between the depth, scope and the purchase of the discursive standing that such justification allocates, and situate within this matrix Rawls’s view of public justification. A standard objection to this view is that public justification should be more inclusive in scope. This is both plausible and problematic in emancipatory and egalitarian terms. If inclusive public justification allocates discursive standing that is rich in purchase, (...) as seems desirable in emancipatory terms, it may be unable to allocate equal standing to all relevant people. And if it is to allocate equal standing, then the equality of that standing should be construed in terms that allow for unequal discursive purchase. (shrink)

According to Rainer Forst, (i) moral and political claims must meet a requirement of reciprocal and general acceptability (RGA) while (ii) we are under a duty in engaged discursive practice to justify such claims to others, or be able to do so, on grounds that meet RGA. The paper critically engages this view. I argue that Forst builds a key component of RGA, i.e., reciprocity of reasons, on an idea of the reasonable that undermines both (i) and (ii): if RGA (...) builds on this idea, RGA is viciously regressive and a duty of justification to meet RGA fails to be agent transparent. This negative result opens the door for alternative conceptions of reciprocity and generality. I then suggest that a more promising conception of reciprocity and generality needs to build on an idea of the reasonable that helps to reconcile the emancipatory or protective aspirations of reciprocal and general justification with its egalitarian commitments. But this requires to downgrade RGA in the order of justification and to determine on prior, substantive grounds what level of discursive influence in reciprocal and general justification relevant agents ought to have. (shrink)

ABSTRACT:Since the dawn of capitalism, corporations have been regarded by the law as separate legal “persons.” Corporate “personhood” has nonetheless remained controversial, and our understanding of corporate personhood often influences our thinking about the social responsibilities of corporations. This essay, written in honor of Prof. Thomas Donaldson, explores the tension in recent decisions by the U.S. Supreme Court and the Delaware Chancery Court about what corporations are, whose interests they serve, and who gets to make decisions about what (...) they do. These decisions suggest that the law does not unequivocally support Donaldson’s vision of corporations as “moral” persons. (shrink)

According to the “internal” conception (Quong), political liberalism aims to be publicly justifiable only to people who are reasonable in a special sense specified and advocated by political liberalism itself. One advantage of the internal conception allegedly is that it enables liberalism to avoid perfectionism. The paper takes issue with this view. It argues that once the internal conception is duly pitched at its fundamental, metatheoretical level and placed in its proper discursive context, it emerges that it comes at the (...) cost of public dogma. The paper examines this problem and argues that a plausible response to this problem is to go beyond the internal conception and adopt a more inclusive, dynamic conception. But this calls for a form of perfectionism. Thus, the internal conception of political liberalism, far from showing how liberalism can be had without perfectionism, effectively calls for perfectionism as a remedy for its problems. (shrink)

Public justification in political liberalism is often conceptualized in light of Rawls’s view of its role in a hypothetical well-ordered society as an ideal or idealizing form of justification that applies a putatively reasonable conception of political justice to political matters. But Rawls implicates a different idea of public justification in his doctrine of general reflective equilibrium. The paper engages this second, more fundamental idea. Public justification in this second sense is actualist and fundamental. It is actualist in that it (...) fully enfranchises actual reasonable citizens. It is fundamental in that political liberalism qualifies conceptions of political justice as reasonable to begin with only if they can be accepted coherently by actual reasonable citizens. Together, these features invite the long-standing concern that actualist political liberalism is objectionably exclusionary. I argue that the exclusion objection, while plausible, is more problematic in own right than it seems if actualist and fundamental public justification hypotheticalizes and discursive respect is compatible with substantive discursive inequality. This leaves proponents and critics of political liberalism with deeper questions about the nature of permissible discursive inequality in public justification. (shrink)

The paper advances a non-orthodox reading of political liberalism’s view of political legitimacy, the view of public political justification that comes with it, and the idea of the reasonable at the heart of these views. Political liberalism entails that full discursive standing should be accorded only to people who are reasonable in a substantive sense. As the paper argues, this renders political liberalism dogmatic and exclusivist at the level of arguments for or against normative theories of justice. Against that background, (...) the paper considers aspects of a more plausible, deeper and more inclusive idea of public political justification that builds on a thinner, potentially cosmopolitan idea of the reasonable. The paper considers what content such an idea may have, and identifies a method of inclusive abstraction through which it may be enriched in content to render it fruitful for the purposes of a justification of principles of political justice. But the move toward more depth and inclusiveness faces constructivism with two challenges. First, inclusivism about the scope of political justification might not be able to avoid dogmatism unless it invokes perfectionist considerations. And second, the authority and appeal of a fruitfully rich idea of the reasonable depends on whether the addressees of political justification already value wide acceptability. (shrink)

Contrary to some recent self-styled “linguistic pragmatists” who seek to dispense with the purportedly obsolete term “experience”. this essay attempts to show that pragmatism cannot cogently dispense with experience, understanding that term in its Deweyan sense as “culture” and not some sort of mentalistic perception or state. Focusing on Robert Brandom’s recent Perspectives on Pragmatism, I show how the very assumptions that Dewey meant to call into question with his “instrumentalist turn” in 1903 are enshrined in Brandom’s “new and improved” (...) form of pragmatism. Judged in terms of its pragmatic consequences, Brandom’s linguistic pragmatism returns to the well trodden paths and problems of analytic philosophy and not the radical approach that Dewey’s “cultural naturalism” (Dewey’s name for his philosophy) offers. The fundamental issue is not, I contend, between types of pragmatism at all but between conceptions of human nature and what a human life is. John Stuart Mill once said of Bentham that, for an empiricist, he had really very little experience, especially of human nature. I am afraid that the same judgment here is passed on those wishing to dispense with experience and somehow retain pragmatism. (shrink)

Three-dimensionalists , sometimes referred to as endurantists, think that objects persist through time by being “wholly present” at every time they exist. But what is it for something to be wholly present at a time? It is surprisingly difficult to say. The threedimensionalist is free, of course, to take ‘is wholly present at’ as one of her theory’s primitives, but this is problematic for at least one reason: some philosophers claim not to understand her primitive. Clearly the three-dimensionalist would be (...) better off if she could state her theory in terms accessible to all. We think she can. What is needed is a definition of ‘is wholly present at’ that all can understand. in this paper, we offer one. (shrink)

Internalism about epistemic justification (henceforth, ‘internalism’) says that a belief B is epistemically justified for S only if S is aware of some good-making feature of B, some feature that makes for B’s having positive epistemic status: e.g., evidence for B. Externalists with respect to epistemic justification (‘externalists’) deny this awareness requirement. Michael Bergmann has recently put this dilemma against internalism: awareness admits of a strong and a weak construal; given the strong construal, internalism is subject to debilitating regress troubles; (...) given the weak construal, internalism is unmotivated; either way, internalism is in serious trouble. I argue for two claims in this article. First, Bergmann’s dilemma argument is unmotivated: he’s given no good reason for accepting one of its crucial premises. And second, Bergmann’s dilemma argument is unsound: the crucial premise in question is false. (shrink)

The paper argues that applications of the principle that “ought” implies “can” (OIC) depend on normative considerations even if the link between “ought” and “can” is logical in nature. Thus, we should reject a common, “factualist” conception of OIC and endorse weak “normativism”. Even if we use OIC as the rule ““cannot” therefore “not ought””, applying OIC is not a mere matter of facts and logic, as factualists claim, but often draws on “proto-ideals” of moral agency.

Rainer Forst’s constructivism argues that a right to justification provides a reasonably non-rejectable foundation of justice. With an exemplary focus on his attempt to ground human rights, I argue that this right cannot provide such a foundation. To accord to others such a right is to include them in the scope of discursive respect. But it is reasonably contested whether we should accord to others equal discursive respect. It follows that Forst’s constructivism cannot ground human rights, or justice, categorically. At (...) best, it can ground them hypothetically. This opens the door wide for ethical foundations of human rights. (shrink)

This volume comprises essays presented to Alvin Plantinga on the occasion of his 70th birthday.