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)

Objectives The potential effects of exposure to repetitive subconcussive head impacts through routine participation in sport are not understood. To investigate the effects of repetitive subconcussive head impacts we studied boxers following customary training (sparring) using transcranial magnetic stimulation (TMS), decomposition electromyographic (EMG) and tests of memory. Methods Twenty amateur boxers performed three 3-min sparring bouts. Parameters of brain function and motor control were assessed prior to sparring and again immediately, 1 h and 24 h post-sparring. Twenty control participants were (...) assessed following mock-sparring. Results One hour after sparring boxers showed increased corticomotor inhibition, altered motor unit recruitment strategies, and decreased memory performance relative to controls, with values returning to baseline by the 24 h follow up. Conclusion Repetitive subconcussive head impacts associated with sparring resulted in acute and transient brain changes similar to those previously reported in soccer heading, providing convergent evidence that sport-related head impacts produce a GABAergic response. These acute changes in brain health are reminiscent of effects seen following brain injury, and suggest a potential mechanism underlying the damaging long-term effects of routine repetitive head impacts in sport. (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)

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)

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

This article reports the results of a study of attitudes of future business executives towards issues of social responsibility and business ethics. The 455 respondents, who were MBA students during 1985 at one dozen schools from various regions in the United States, were asked to respond to a series of open-ended and closed-ended questions. From the responses to the questions the authors were able to conclude that future executives display considerable sensitivity, though to varying degrees, towards ethical issues in business. (...) Women, in particular, tend to evince strong feelings regarding such issues. (shrink)

I will argue that a desert-based justification for treating a person in a certain way is a justification that holds this treatment to be justified simply by what the person is like and what he or she has done, independent of (1) the fact that treating the person in this way will have good effects (or that treating people like him or her in this way will have such effects); (2) the fact that this treatment is called for by some (...) (justified) institution or practice; or (3) the fact that the person could have avoided being subject to this treatment by choosing appropriately, and therefore cannot complain of it. I will explore the implications of this understanding of desert for the role of desert-based justifications of blame, punishment, and economic reward. (shrink)

Thomas Aquinas, John Duns Scotus, and William of Ockham disagree over how and whether virtues are specified by their objects. For Thomas, habits and acts are specified by their formal objects. For instance, the object of theft is something that belongs to someone else, and more particularly theft is distinct from robbery because theft is the open taking of another’s good, whereas robbery is open and violent. A habit such as a virtue or a vice shares or takes (...) the act’s object. For Scotus, although the same virtue or act cannot have objects which differ formally, different virtues and acts can have an object which is identical according to its formal ratio, in the way that the different theological virtues might even formally have God as their object. Ockham accepts Scotus’s view that charity and hope are two kinds of love, we will see how, unlike Scotus, he argues that these theological virtues differ on account of their immediate complex objects. The disagreement between these three figures raises important difficulties concerning what it even means to be a formal object. (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)

" 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 paper is reprinted in the book Machine Ethics, eds. M. Anderson and S. Anderson, Cambridge University Press, 2011.

Robert Innis has performed an immensely valuable service for scholars in the fields of American philosophy, aesthetics, and semiotics. Not only does his comprehensive view of Susanne K. Langer’s opus show us its development, but this is the only book in English devoted solely to Langer. I hope it may help retrieve her considerable philosophical achievement from the penumbral, fading status it has today. Not only does Innis give us a close discussion of Langer’s philosophy, but he also presents a (...) running argument that she should be embraced as an “American philosopher” and semiotician who shares themes with Dewey and Peirce. This is significant insofar as Langer held herself aloof from the work of both Dewey and . (shrink)

Dewey’s A Common Faith has been variously interpreted, both in terms of its relation to Dewey’s corpus and internally in terms of its leading ideas. I argue for its crucial relevance in understanding Dewey and undertake an analysis of the key idea of “religious experience” as an “attitude of existence.” This distinguishes religious experience from other types of qualitative experience and shows the unique place this concept has for Dewey.

ABSTRACT:Employing utilitarian criteria, Jones and Felps, in “Shareholder Wealth Maximization and Social Welfare: A Utilitarian Critique” (Business Ethics Quarterly23[2]: 207–38), examined the sequential logic leading from shareholder wealth maximization to maximal social welfare and uncovered several serious empirical and conceptual shortcomings. After rendering shareholder wealth maximization seriously compromised as an objective for corporate operations, they provided a set of criteria regarding what a replacement corporate objective would look like, but do not offer a specific alternative. In this article, we draw (...) on neo-utilitarian thought to advance a refined version of normative stakeholder theory that we believe addresses a major remaining criticism of extant versions, their lack of specificity. More particularly, we provide a single-valued objective function for the corporation—stakeholder happiness enhancement—that would allow managers to make principled choices between/among policy options when stakeholder interests conflict. (shrink)

This paper examines some of the metaphysical assumptions behind Aquinas’s denials that a human rational soul unites with matter at conception and that a human rational soul is capable of developing and arranging the organic parts of an embryo. The paper argues that Buridan does not share these assumptions and holds that a soul is capable of developing and arranging organic parts. It argues that, given hylomorphism about the nature of organisms, including human beings, Buridan’s view is philosophically superior to (...) Aquinas’s in several respects. Finally, the paper poses an apparent inconsistency between several of Buridan’s texts on this topic and attempts to show that the inconsistency is merely apparent. (shrink)

Aunque el Libro I de República parece un diálogo socrático estándar sobre un término moral como justicia, que culmina con un estado de aparente aporía, se termina afirmando que la justicia es como un estado del alma caracterizado por el conocimiento. El libro I termina siendo el preámbulo para mostrar que ser justo es mejor que ser injusto, y que la justicia es en y por sí misma beneficiosa sin relación con cualquier ‘recompensa o consecuencia’ que devenga para el individuo (...) justo (358b). Ello mueve a Adimanto y Glaucon a retar a Sócrates a que muestre cómo independientemente de cualquier otra consideración, el hombre verdaderamente justo está mejor que el verdaderamente injusto, aun cuando el hombre verdaderamente justo se halle en el máximo de dolor y su reputación de bueno haya sido destruida, y el hombre malo no esté sufriendo ningún dolor y disfrute de una reputación de absolutamente virtuoso. En el presente artículo se examina este argumento y la relación entre justicia y eudaimonía, como solución platónica al reto de los sofistas. La clave interpretativa consiste en examinar los sentidos en los que se entiende la noción de eudaimonía en el contexto del reto. Palabras clave: Platón; República; Sócrates; Justicia; EudaimoníaAlthough Republic’s Book I seems a standard Socratic dialogue on a moral term as justice, which culminates with a state of apparent aporia, it ends up asserting that justice is like a state of the soul characterized by knowledge. Book I ends up being the preamble to show that being just is better than being unjust, and that justice is in itself and by itself beneficial, regardless of any ‘reward or consequence’ to the just individual (358b). This leads Adeimantus and Glaucon to challenge Socrates to show how, regardless of any other consideration, the truly just man is better than the truly unjust one, even when the truly just man found himself in the highest pain and his reputation as a good man had been destroyed, while the mean man did not suffer any pain and enjoyed a reputation as an absolutely virtuous man. In this paper we examine this argument and the relation between justice and eudemonia, as a Platonic solution to the sophists’ challenge. The interpretative key consists in examining the senses in w ich the notion of eudemonia is understood in the context of the challenge. Keywords: Plato; Republic; Socrates; Justice; Eudaimonia. (shrink)

A critical but sympathetic treatment of Pierre Bayle.

Although previous ethical analyses of management buyouts have presented useful insights, they have been flawed in three major ways. First, they define the transaction too narrowly, emphasizing the going private aspect and ignoring the leveraged aspect. Leveraging alters the nature of the transaction substantially and warrants additional ethical analysis. Second, these previous analyses ignore the impact of buyouts on non-stockholder constituents of the firm, an omission which renders their implicit utilitarian approach incomplete. Third, these analyses do not include Rawlsian, libertarian, (...) or Kantian perspectives on ethics. This paper addresses these shortcomings and finds the ethical status of leveraged management buyouts to be highly suspect. (shrink)

Can computer systems ever be considered moral agents? This paper considers two factors that are explored in the recent philosophical literature. First, there are the important domains in which computers are allowed to act, made possible by their greater functional capacities. Second, there is the claim that these functional capacities appear to embody relevant human abilities, such as autonomy and responsibility. I argue that neither the first (Domain-Function) factor nor the second (Simulacrum) factor gets at the central issue in the (...) case for computer moral agency: whether they can have the kinds of intentional states that cause their decisions and actions. I give an account that builds on traditional action theory and allows us to conceive of computers as genuine moral agents in virtue of their own causally efficacious intentional states. These states can cause harm or benefit to moral patients, but do not depend on computer consciousness or intelligence. (shrink)

This 1990 collection explores one recurrent theme connecting philosophy and politics: the relation between the nature of man and the structure of society. It does so by concentrating on the topical issue of the market economy as an attempt to resolve the clash between individual autonomy and collective action. Beginning with a historical and personal recollection by Enoch Powell and a response by Robert Skidelsky, the volume then provides a forum for political theorists and philosophers to take issue on the (...) fundamental topics of markets and morals; liberal man; and equality and libertarianism. It succeeds equally as a stimulating textbook and a book for the general reader who wishes to understand the philosophical issues arising in a market economy. (shrink)