Objective—To determine the objectivity, consistency and professional unanimity in the initiation, continuation and withdrawal of life-prolonging procedures in intensive care–to determine methods, time-scale for withdrawal and communication with both staff and relatives–to explore any professional unease about legality, morality or professional defensibility.Design—A structured questionnaire directed at clinical nurse managers for intensive care.Setting—All intensive care units in the Yorkshire region.Results—The survey reported a lack of consistency and objectivity in decision making in this area, with accompanying unease amongst staff.Conclusions—There is a (...) need to work towards more consistent care, both before and during admission, for the protection of the individual patient and to allow rational assessment of intensive care need. Comprehensive audit should lead to objective defensible decisions and facilitate informed choice. More open debate and better communication should minimise this issue as a source of stress amongst staff in intensive care. (shrink)

The work of Giorgio Agamben could perhaps best be described as an original extension of the onto-theological critique that has dominated much of the last century’s philosophical endeavors. For him, this fundamental critical perspective extends itself toward the deconstruction of traditional significations, including the boundaries said to exist between the human and the animal as well as between the human and the divine. By repeatedly unveiling these arbitrary divisions as being a result of the state of ‘original sin’ in which (...) we dwell, Agamben aims to advance philosophical discourse ‘beyond representation’ and toward a ‘pure’ encounter with the myriad of faces always ever present before us. In this sense, he works toward redefining ‘revelation’ as being little more than an exposure of our animality, something which indeed lies now unveiled at the real root of our being. This animality is in fact locateable beyond the separation of being into form and content, a division which is rather indebted to the onto-theological representations that have governed the discourse of being.By focusing instead on the manner in which paradigms could be said to operate over and against the rule of representations, he articulates a movement from particularity to particularity that resists the temptation to universalize our language on being. In this sense, then, the analogical logic of the paradigm, expressed always through the absolutely singular, exposes the beings which we all are before another, rather than violently condense any given being into a formal representation. By thus determining the contours of the paradigmatic expression, this essay intends to unite several ‘loose’ strands of Agamben’s thought in order to demonstrate the consequence of this line of inquiry: that the end of representation, often criticized as a form of political nihilism, is the only way in which to develop a justifiable ethics, one beyond the traditional binary divisions of subject and object, or of universal and particular. In the end, as Agamben illustrates repeatedly, there is only the ‘thingness’ that each thing is, and which must be safeguarded in its precarity, thus paving the way for an ethical discourse to appear.It is a final gesture toward the messianic, then, toward a religiously-inflected terminology which hovers over his entire oeuvre, that will ultimately guide Agamben’s ‘political’ project back toward its canonical moment most clearly identifiable within the Christian heritage. As his reading of Benjamin’s relationship to Saint Paul indicates, there is much to be discerned for him in the transition from Judaic law to Christian ‘forms of life’ . Rather than be content with a simple re-affirmation of Christian claims, however, Agamben deftly maneuvers his own position toward one of exposing the logic of Christianity as that which reveals a deep investment in a pantheistic worldview, one which theology can no longer afford to ignore. (shrink)

B C Hurst; Means, Ends, Content and Objectives in Curriculum Planning: a critique of Sockett and Hirst, Journal of Philosophy of Education, Volume 18, Issue 1.

B C Hurst; Means, Ends, Content and Objectives in Curriculum Planning: a critique of Sockett and Hirst, Journal of Philosophy of Education, Volume 18, Issue 1.

Background Nurses providing care to patients with end-of-life or terminal illnesses often encounter ethically challenging situations leading to moral distress. However, existing quantitative studies have examined moral distress using instruments that address general clinical situations rather than those specific to end-of-life care. Furthermore, qualitative studies have often been limited to participants from a single unit or those experiencing moral distress-induced circumstances. A comprehensive and integrated understanding of the overarching process of moral distress is vital to discern the unique circumstances surrounding (...) end-of-life care and its consequential impacts. Research objectives To explore the moral distress experiences of nurses who are frequently involved in caring for patients with end-of-life or terminal illnesses and apply it to two existing theories: the model of moral distress and the ecological model. Research design A qualitative descriptive approach was employed. Participants and research context Seven focus group interviews involving 30 nurses were performed. The subsequent transcriptions underwent rigorous content analysis. Ethical considerations We obtained Institutional Review Board approval from a university. Focus group interviews were conducted with nurses who agreed to participate and signed the consent form. Findings The moral distress-inducing factors and nurses’ perceived impact of moral distress were identified and categorized based on moral distress theories and ecological models. A total of 15 categories and 30 subcategories across the following 4 domains were derived: (1) intrapersonal, (2) interpersonal, (3) organizational, and (4) structural factors. Conclusions End-of-life-specific circumstances induced moral distress among nurses, with both negative and positive impacts identified. Effective organizational and policy support is essential to manage conflicts, form a healthy organizational culture, provide training, and prevent unnecessary expenses due to the negative consequences of moral distress. (shrink)

Malcolm Skilbeck; Curriculum Aims and Objectives: Taking a Means to an End, Journal of Philosophy of Education, Volume 6, Issue 1, 30 May 2006, Pages 62–72, htt.

Hugh Sockett; Curriculum Aims and Objectives: Taking a Means to an End, Journal of Philosophy of Education, Volume 6, Issue 1, 30 May 2006, Pages 30–61, https:/.

ArgumentThe aim of this article is to make a case for the pertinence of a biographical approach to the history of scientific objects. I first lay out the rationale of that approach by revisiting and extending my earlier work on the topic. I consider the characteristics of scientific objects that motivate the biographical metaphor, and I indicate its virtues and limitations by bringing out the positive and negative analogies between biographies of scientific objects and ordinary biographies. I then point out (...) various ways in which scientific objects may pass away and argue that their demise should be conceptualized as a process. Finally, I sketch the history of the concept of “ether” in nineteenth and early twentieth century physics and suggest that it lends itself particularly well to a biographical treatment. To that effect, I discuss the identity, heuristic character, and recalcitrance of the ether and examine the reasons that may have led to its passing. (shrink)

Using this bit of dialogue from Oscar Wilde as introduction, we propose to demonstrate the pertinence of the hostess’ remark and to show that the “Fin de siècle” really did mark a certain “Fin du globe”, connoting as it does the decline of art, the end of an era and of the eras in which artistic experience, and even experience of the world, was realized in a specific style. It was indeed the end of what we will here call “globe (...) style”.For a long time the notion of style had a very general significance. The origin of the word can no doubt be traced back to the term stilus, designating the punch that monks used for writing, and also probably an Egyptian etymon signifying a pillar. Through metonymic extensions the name of the instrument (an instrument, nevertheless, used in a highly intellectual activity) and the name of the individual work (but a work of cultural and artistic nature) have been subject to generalization and ultimately designate the specific quality of a phenomenon. Obviously it was necessary that this phenomenon be confirmed and made official through imitation and tradition. As for generalization of the phenomenon of style, its scope has become almost unlimited, taking in all forms of creative activity whether artistic or not, and ultimately almost all beings as long as they have assumed a form hallowed by tradition. (shrink)

How might we change ourselves without ending our existence? What could we become, if we had access to an advanced form of bioengineering that allowed us dramatically to alter our genome? Could we remain in existence after ceasing to be alive? What is it to be human? Might we still exist after changing ourselves into something that is not human? What is the significance of human extinction? Steven Luper addresses these questions and more in this thought-provoking study. He defends an (...) animalist account, which says that we are organisms, but claims that we are also material objects. His book goes to the heart of the most complex questions about what we are and what we might become. Using case studies from the life sciences as well as thought experiments, Luper develops a new way of thinking about the nature of life and death, and whether and how human extinction matters. (shrink)

Critique currently leads a life akin to a zombie. It is torn between attempts to surpass it and radical gestures of its dismissal, while moderate forces dwell on the business of inventorying its history. Starting from critique’s historical turn on itself, this essay focuses on destabilization and self-questioning as its essential features. Regarding Adorno’s model, it seeks to locate critique’s focal point before it was split by surpassing and dismissal. This model is still challenging because it is situated at a (...) crossroads in critical thinking where the historical aspect of failure is tied to structural aspects of critique: resistance, disruption, and dissolution. It concerns a movement of critique that leads into delirium—without thereby abandoning its claim to objectivity. In the contemporary situation, where critique is at once generalized and dismissed, it is precisely the specific link of disrupting and claiming objectivity that challenges the universalized regime of opinion. (shrink)

Arguments that ordinary inanimate objects such as tables and chairs, sticks and stones, simply do not exist have become increasingly common and increasingly prominent. Some are based on demands for parsimony or for a non-arbitrary answer to the special composition question; others arise from prohibitions against causal redundancy, ontological vagueness, or co-location; and others still come from worries that a common sense ontology would be a rival to a scientific one. Until now, little has been done to address these arguments (...) in a unified and systematic way. Ordinary Objects is designed to fill this gap, demonstrating that the mistakes behind all of these superficially diverse eliminativist arguments may be traced to a common source. It aims to develop an ontology of ordinary objects subject to no such problems, providing perhaps the first sustained defense of a common sense ontology in two generations. The work done along the way addresses a number of major issues in philosophy of language and metaphysics, contributing to debates about analyticity, identity conditions, co-location and the grounding problem, vagueness, overdetermination, parsimony, and ontological commitment. In the end, the most important result of addressing these eliminativist arguments is not merely avoiding their conclusions; examining their failings also gives us reason to suspect that many apparent disputes in ontology are pseudo-debates. For it brings into question widely-held assumptions about which uses of metaphysical principles are appropriate, which metaphysical demands are answerable, and how we should go about addressing such fundamental questions as "What exists?". As a result, the work of Ordinary Objects promises to provide not only the route to a reflective understanding of our unreflective common-sense view, but also a better understanding of the proper methods and limits of metaphysics. (shrink)

Our study provides a review of argument-based scientific literature to address conscientious objections to end-of-life procedures. We also proposed a taxonomy based on this study that might facilitate clarification of this discussion at a basic level. The three clusters of our taxonomy include (1) nonconventional compatibilists that claim that conscientious objection against morally repugnant social conventions is compatible with professional obligation, (2) conventional compatibilists that suggest that conscientious objection against social convention is permissible under certain terms of compromise, and (3) (...) conventional incompatibilists that aver that conscientious objection is incompatible with the privileges and obligations of a health care provider. We conclude with three moments of reflective pause. The first pause reflects on the question of the health of a society's pluralism. The second pause results in suggested practice guidelines for conscientious objection to facilitate cooperation. The final pause reveals the need for further research to uncover a global perspective. (shrink)

Thomas claims that a human act is specified both by the object and the end, and that the exterior act is the interior act’s object. These claims are best understood in light of the De Malo’s explicit mature teaching that the exterior act can be essentially good or bad, and that it is both the proximate end and the object of the interior act. Since the interior act wills the end, it wills the apprehended exterior act as the formality under (...) which the whole act is willed. The interior and exterior acts do not form the one human act merely as cause and effect, but also as matter and form. These clarifications explain some problematic texts in the Summa Theologiae. (shrink)

In this book, Zalta attempts to lay the axiomatic foundations of metaphysics by developing and applying a (formal) theory of abstract objects. The cornerstones include a principle which presents precise conditions under which there are abstract objects and a principle which says when apparently distinct such objects are in fact identical. The principles are constructed out of a basic set of primitive notions, which are identified at the end of the Introduction, just before the theorizing begins. The main reason for (...) producing a theory which defines a logical space of abstract objects is that it may have a great deal of explanatory power. It is hoped that the data explained by means of the theory will be of interest to pure and applied metaphysicians, logicians and linguists, and pure and applied epistemologists. (shrink)

Objectivity has a history, and it is full of surprises. In Objectivity, Lorraine Daston and Peter Galison chart the emergence of objectivity in the mid-nineteenth-century sciences--and show how the concept differs from its alternatives, truth-to-nature and trained judgment. This is a story of lofty epistemic ideals fused with workaday practices in the making of scientific images. From the eighteenth through the early twenty-first centuries, the images that reveal the deepest commitments of the empirical sciences--from anatomy to crystallography--are those featured in (...) scientific atlases, the compendia that teach practitioners what is worth looking at and how to look at it. Galison and Daston use atlas images to uncover a hidden history of scientific objectivity and its rivals. Whether an atlas maker idealizes an image to capture the essentials in the name of truth-to-nature or refuses to erase even the most incidental detail in the name of objectivity or highlights patterns in the name of trained judgment is a decision enforced by an ethos as well as by an epistemology. As Daston and Galison argue, atlases shape the subjects as well as the objects of science. To pursue objectivity--or truth-to-nature or trained judgment--is simultaneously to cultivate a distinctive scientific self wherein knowing and knower converge. Moreover, the very point at which they visibly converge is in the very act of seeing not as a separate individual but as a member of a particular scientific community. Embedded in the atlas image, therefore, are the traces of consequential choices about knowledge, persona, and collective sight. Objectivity is a book addressed to anyone interested in the elusive and crucial notion of objectivity-- and in what it means to peer into the world scientifically. Lorraine Daston is Director at the Max Planck Institute for the History of Science in Berlin, Germany. She is the coauthor of Wonders and the Order of Nature, 1150-1750 and the editor of Things That Talk: Object Lessons from Art and Science. Peter Galison is Pellegrino University Professor of the History of Science and of Physics at Harvard University. He is the author of Einstein's Clocks, Poincaré's Maps: Empires of Time, How Experiments End, and Image and Logic: A Material Culture of Microphysics, and other books, and coeditor of The Architecture of Science. (shrink)

The object lesson concerns the passage from the foundational aims for which various branches of modern logic were originally developed to the discovery of areas and problems for which logical methods are effective tools. The main point stressed here is that this passage did not consist of successive refinements, a gradual evolution by adaptation as it were, but required radical changes of direction, to be compared to evolution by migration. These conflicts are illustrated by reference to set theory, model theory, (...) recursion theory, and proof theory. At the end there is a brief autobiographical note, including the touchy point to what extent the original aims of logical foundations are adequate for the broad question of the heroic tradition in the philosophy of mathematics concerned with the nature of the latter or, in modern jargon, with the architecture of mathematics and our intuitive resonances to it. (shrink)

Worries about scientific objectivity seem never-ending. Social critics and philosophers of science have argued that invocations of objectivity are often little more than attempts to boost the status of a claim, while calls for value neutrality may be used to suppress otherwise valid dissenting positions. Objectivity is used sometimes to advance democratic agendas, at other times to block them; sometimes for increasing the growth of knowledge, at others to resist it. Sandra Harding is not ready to throw out objectivity quite (...) yet. For all of its problems, she contends that objectivity is too powerful a concept simply to abandon. In Objectivity and Diversity, Harding calls for a science that is both more epistemically adequate and socially just, a science that would ask: How are the lives of the most economically and politically vulnerable groups affected by a particular piece of research? Do they have a say in whether and how the research is done? Should empirically reliable systems of indigenous knowledge count as "real science"? Ultimately, Harding argues for a shift from the ideal of a neutral, disinterested science to one that prizes fairness and responsibility. (shrink)

This article examines different medieval explanations of the causes of moral goodness, principally the end of the agent and the object of the action. Special attention is given to Thomas Aquinas, who considers the end (that which is willed) to be not only the origin of moral goodness, but also its main criterion. Peter Abelard, whose ethics I argue to be non-subjectivist, had developed a similar theory, though the vocabulary he uses is not very refined. By contrast, for Albert and (...) Duns Scotus, the end is accidental to the moral act. The importance of this study is to shed light on the subjective and objective criteria by which to evaluate the morality of actions. (shrink)

Volume XVIII Special Issue: Gian-Carlo Rota and The End of Objectivity, 2019 Aim and Scope: The New Yearbook for Phenomenology and Phenomenological Philosophy provides an annual international forum for phenomenological research in the spirit of Husserl's groundbreaking work and the extension of this work by such figures as Scheler, Heidegger, Sartre, Levinas, Merleau-Ponty and Gadamer. Contributors: Gabriele Baratelli, Stefania Centrone, Giovanna C. Cifoletti, Jean-Marie Coquard, Steven Crowell, Deborah De Rosa, Daniele De Santis, Nicolas de Warren, Agnese Di Riccio, Aurélien Djian, (...) Yuval Dolev, Mirja Hartimo, Burt C. Hopkins, Talia Leven, Ah Hyun Moon, Luis Niel, Fabrizio Palombi, Mario Ariel González Porta, Gian-Carlo Rota, Michael Roubach, Franco Trabattoni and Michele Vagnetti. Submissions: Manuscripts, prepared for blind review, should be submitted to the Editors electronically via e-mail attachments. (shrink)

Doxastic involuntarism—the thesis that we lack direct voluntary control (in response to non-evidential reasons) over our belief states—is often touted as philosophical orthodoxy. I here offer a novel defense of doxastic voluntarism, centered around three key moves. First, I point out that belief has two central functional roles, but that discussions of voluntarism have largely ignored questions of control over belief's guidance function. Second, I propose that we can learn much about doxastic control by looking to cognitive scientific research on (...) control over other relevantly similar mental states. I draw on a mechanistic account of control of the guidance function for “emotion-type states,” and argue that these same cognitive control mechanisms can used to block doxastic guidance. This gives us an account of “back-end” doxastic control which can be deployed for reasons which are not the right kinds of reasons to support “front-end” belief formation—i.e., non-evidential reasons. Third, I argue that comprehensive, self-directed exercises of this kind of control can amount to an underappreciated kind of voluntarism. This form of voluntarism is available to any account of belief that takes guidance-instantiation to be at least partly constitutive of believing. Finally, I discuss objections to, and upshots of, the view. (shrink)

My question is: does phenomenal consciousness have a critical role in explaining the way conscious perceptions achieve objective import? I approach it through developing a dilemma I label ‘Burge’s Challenge’, which is implicit in his approach to perceptual objectivity. It says, crudely: either endorse the general structure of his account of how objective perceptual import is achieved, and give up on a role for consciousness. Or, relinquish Caused Representation, and possibly defend a role for consciousness. Someone I call (...) Burge* holds we should embrace the first horn of the dilemma. A second response, roughly the relationalist approach, opts for the second horn. The third option, implicit in many current approaches to perceptual consciousness, is to reject the dilemma. The paper argues for a version of the second response. The key argument turns on the development of a sceptical challenge to justify the assumption that we perceive particular intrinsic property instantiations, rather than their structural equivalents. The suggestion will be that only the relationalist approach can meet it in the way we think it is met. If this is right, there is a prima facie case for taking relationalist responses to the dilemma seriously. I end with two objections to this response, which might be made by the real Burge in defence of opting for the first horn of the dilemma, and by phenomenal intentionalists in defence of rejecting the dilemma. I use discussion of these to highlight one of the main issues that should be pursued in order to make good the claim that we should embrace the horn of the dilemma that Burge* rejects. (shrink)

My goal in this paper is, to tentatively sketch and try defend some observations regarding the ontological dignity of object references, as they may be used from within in a formalized language. -/- Hence I try to explore, what properties objects are presupposed to have, in order to enter the universe of discourse of an interpreted formalized language. -/- First I review Frege′s analysis of the logical structure of truth value definite sentences of scientific colloquial language, to draw suggestions from (...) his saturated vs. unsaturated sentence components paradigm. -/- Next try investigate, in how far reference to non pure math objects might allow for a role as argument of a truth value function. Object kinds to be considered are: common sense objects, technical objects, humanities object kinds (social, psychical, ...), objects of art, ... , be they abstract, concrete, or in this respect mixed objects. -/- Then have a comment on the just referenced label abstract objects. -/- Next try to get an idea wrt the ontological significance of the fact, that pure math objects and functions in some important classical cases can be uniquely defined by means of categorical theories. Here, in the course of my argument, I have a little corollary wrt the standard model of first order Peano arithmetic, reducing the epistemological significance of the existence of the non standard models. -/- Next, wrt a special concept of a formalized empirical theory, I care for whether the impure math objects and mixed objects described here, and complying best with truth value function mapping, are also reliable candidates for the ontological commitment of such theories: and discuss an alternative, which reduces the ontological significance of the universe of discourse of the theories intended models. -/- In the end I sum up what is - from my point of view - the status quo, according to my respective findings. (shrink)

There have been many objections to the possibility oftime travel. But all the truly interesting ones concern the possibility of reversecausation. What is objectionable about reverse causation? I diagnose that the trulyinteresting objections are to a further possibility: that of causal loops. I raisedoubts about whether there must be causal loops if reverse causation obtains; but devote themajority of the paper to describing, and dispelling concerns about, various kinds ofcausal loop. In short, I argue that they are neither logically nor (...) physically impossible.The only possibly objectionable feature that all causal loops share is that coincidenceis required to explain them. Just how coincidental a loop will be varies: some arereally quite ordinary, and some are incredibly unlikely. I end by speculating thatthe tendency amongst physicists to avoid discussion of causal loops involving intentionalaction may have been unfortunate, since intentional action is an excellent way tonon-mysteriously bring about what otherwise would have been an unlikely coincidence. Hencecausal loops may be more likely in a world with beings like us, than in one without. (shrink)

The notion of ‘the end’ has long occupied philosophical thought. In light of the horrors of the twentieth century, some writers have gone so far as to declare the end of philosophy itself, emphasizing the impossibility of thinking after Auschwitz. In this book the distinguished philosopher Alain Badiou, in dialogue with Giovanbattista Tusa, argues that we must renounce ‘the pathos of completion’ and continue to think philosophically. To accept the atrocities of the twentieth century as marking the end of philosophy (...) is intolerable precisely because it buys into the totalizing doctrines of the perpetrators. Badiou contends that philosophical thinking is needed now more than ever to counter the totalizing effects of globalized capitalism, which prescribes no objective for human life other than integration into its system, giving rise to a widespread sense of hopelessness and nihilism. (shrink)

The end-state comfort effect refers to the consistent tendency of healthy adults to end their movements in a comfortable end posture. In children with and without developmental coordination disorder, the results of studies focusing on ESC planning have been inconclusive, which is likely to be due to differences in task constraints. The present pilot study focused on the question whether children with and without DCD were able to change their planning strategy and were more likely to plan for ESC when (...) demanded by complex object manipulations at the end of a task. To this end, we examined ESC planning in 18 children with and without DCD using the previously used sword-task and the newly developed hammer-task. In the sword-task, children had to insert a sword in a wooden block, which could be relatively easily completed with an uncomfortable end-posture. In the hammer-task, children had to strike down a nail in a wooden pounding bench, which required additional force and speed demands, making it relatively difficult to complete the movement with an uncomfortable end-posture. In line with our hypothesis, the results demonstrated that children with and without DCD were more likely to plan for ESC on the hammer-task compared with the sword-task. Thus, while children with and without DCD show inconsistent ESC planning on many previously used tasks, the present pilot study shows that many of them are able to take into account the end-state of their movements if demanded by task constraints. (shrink)

Objectives: The objective of this study is to estimate the proportion of different types of end‐of‐life decisions (ELDs) of physicians in the city of Hasselt (Flanders, Belgium). The question is addressed to what degree these ELD meet legal constraints and the ethical requirements for prudent practice. Methodology: All physicians of the city of Hasselt who signed at least one death certificate in 1996 (N=166) received an anonymous self‐administered mail questionnaire per death case (max. 5/doctor) Results: the response rate was (...) 55% (N=269). In 37.3% of all cases at least one ELD was made (16.5% non‐treatment decisions; 16% potential life‐shortening by intensifying the treatment of pain and symptoms; 4.8% administration, supply or prescription of lethal drugs). In 59.5% of the cases were an ELD was made that decision was legally questionable. Patient characteristics were clearly related to the type of ELD. There was no influence of physician characteristics, except for commitment to life‐stance. In 71.3% of the cases the ELD was in no way discussed with the patient. 8.1% of the ELD‐cases were in response to a direct request from the patient Conclusions: The incidences of ELDs in Hasselt are consistent with earlier findings. The study shows that religious commitment influences the behaviour of physicians at the end of their patients' life. The patient's and her family's entitlements to participation in the decision making process were rather poorly respected. (shrink)

One of the fundamental problems of epistemology is to say when the evidence in an agent’s possession justifies the beliefs she holds. In this paper and its prequel, we defend the Bayesian solution to this problem by appealing to the following fundamental norm: Accuracy An epistemic agent ought to minimize the inaccuracy of her partial beliefs. In the prequel, we made this norm mathematically precise; in this paper, we derive its consequences. We show that the two core tenets of Bayesianism (...) follow from the norm, while the characteristic claim of the Objectivist Bayesian follows from the norm along with an extra assumption. Finally, we consider Richard Jeffrey’s proposed generalization of conditionalization. We show not only that his rule cannot be derived from the norm, unless the requirement of Rigidity is imposed from the start, but further that the norm reveals it to be illegitimate. We end by deriving an alternative updating rule for those cases in which Jeffrey’s is usually supposed to apply. (shrink)

Objectives: The objective of this study is to estimate the proportion of different types of end‐of‐life decisions (ELDs) of physicians in the city of Hasselt (Flanders, Belgium). The question is addressed to what degree these ELD meet legal constraints and the ethical requirements for prudent practice.Methodology: All physicians of the city of Hasselt who signed at least one death certificate in 1996 (N=166) received an anonymous self‐administered mail questionnaire per death case (max. 5/doctor)Results: the response rate was 55% (N=269). (...) In 37.3% of all cases at least one ELD was made (16.5% non‐treatment decisions; 16% potential life‐shortening by intensifying the treatment of pain and symptoms; 4.8% administration, supply or prescription of lethal drugs). In 59.5% of the cases were an ELD was made that decision was legally questionable. Patient characteristics were clearly related to the type of ELD. There was no influence of physician characteristics, except for commitment to life‐stance. In 71.3% of the cases the ELD was in no way discussed with the patient. 8.1% of the ELD‐cases were in response to a direct request from the patientConclusions: The incidences of ELDs in Hasselt are consistent with earlier findings. The study shows that religious commitment influences the behaviour of physicians at the end of their patients' life. The patient's and her family's entitlements to participation in the decision making process were rather poorly respected. (shrink)

Objectives: To discover the current state of opinion and practice among doctors in Victoria, Australia, regarding end-of-life decisions and the legalisation of voluntary euthanasia. Longitudinal comparison with similar 1987 and 1993 studies.Design and participants: Cross-sectional postal survey of doctors in Victoria.Results: 53% of doctors in Victoria support the legalisation of voluntary euthanasia. Of doctors who have experienced requests from patients to hasten death, 35% have administered drugs with the intention of hastening death. There is substantial disagreement among doctors concerning the (...) definition of euthanasia.Conclusions: Disagreement among doctors concerning the meaning of the term euthanasia may contribute to misunderstanding in the debate over voluntary euthanasia. Among doctors in Victoria, support for the legalisation of voluntary euthanasia appears to have weakened slightly over the past 17 years. Opinion on this issue is sharply polarised. (shrink)

Evolutionary accounts of the origins of human morality may lead us to doubt the truth of our moral judgments. Sidgwick tried to vindicate ethics from this kind of external attack. However, he ended The Methods in despair over another problem—an apparent conflict between rational egoism and universal benevolence, which he called the “dualism of practical reason.” Drawing on Sidgwick, we show that one way of defending objectivity in ethics against Sharon Street’s recent evolutionary critique also puts us in a position (...) to support a bold claim: the dualism of practical reason can be resolved in favor of impartiality. (shrink)

When E. M. Forster published the novel Howards End in 1910, it was at the height of ‘the inheritance society’, and the gulf between rich and poor was great and problematic; a fact that Forster was very well aware of. Yet in spite of this, the main character in Howards End, Margaret Schlegel, is a financially independent rentier living off of the wealth of her ancestors, and her wealth increases when she is named the ‘spiritual heir’ of Ruth Wilcox and (...) thus inherits the house of Howards End. In this study, I argue that Forster shifts the focus from inherited money to inherited values in order to pardon a society of great inequality. Drawing on an aristocratic principle, Forster thus deals with inheritance as an inalienable and spiritual subject rather than as a legal and economic one. (shrink)

This paper briefly defends theses in Beall 2014 against objections advanced in Weber et al. 2014. The second part of the paper both defends and fortifies an objection to the ‘inclosure’ argument for glut theory, spelling an end to the inclosure strategy (or at least its application to the sorites).

Chapter 7 explores the question: Are there or could there be, possible but non‐existent objects? In the first half of the chapter, I critically assess the claim that an applied semantics for modal logic commits us to the claim that there are non‐existent possible objects. I conclude that it does commit us to there being some possible world distinct from the actual world that contains some object distinct from anything that exists in the actual world; but it does not, however, (...) commit us to the claim that there really are some things that do not exist. In the second half of the chapter, I develop a historically based argument for the conclusion that there are non‐existent possible objects, which I call the Classical Argument. Importantly, the Classical Argument presupposes that singular negative existentials are possible. I end the chapter by showing that certain objections to the possibility of singular negative existentials fail, and that such existentials are indeed possible. (shrink)

The argument of this article is framed by a debate between the principle of humanity and the principle of justice. Whereas the principle of humanity requires us to care about others and to want to help them meet their vital needs, and so to be partial towards those others, the principle of justice requires us to consider their needs without the intrusion of our subjective interests or emotions so that we can act with impartiality. I argue that a deep form (...) of caring lies behind both approaches and so unites them. In the course of the argument, I reject Michael Slote’s sentimentalist form of an ethics of care, and expound Thomas Nagel’s moral theory, which seems to lie at the opposite end of a spectrum ranging from moral sentiments to impersonal objectivity. Nevertheless, Nagel’s theory of normative realism provides unexpected support for the thesis that a deep and subjective form of caring lies at the base of even our most objective moral reasons. (shrink)

Many principles characterize educational justice in terms of the relationship between educational inputs, outputs and distributive standards. Such principles depend upon the causal pathway view of education. It is implicit in this view that the causally effective aspects of education can be understood as separate from the normative aspects of education. Yet this view relies on an impossible division of labor between empirical and normative work in educational research: it treats the causal roles that are understood and explained objectively through (...) empirical research as separate from the normative theorizing that informs the assessment of particular policies and practices. Such principles therefore rely on unreliable causal claims and are unable to make prescriptions about practices even according to their own conceptions of justice. Furthermore, such principles obscure other relevant considerations of justice that pertain to the internal processes of education and the structural relation of education to external social conditions. (shrink)

In a recent article, 1 Riisfeldt attempts to show that the principle of double effect is unsound as an ethical principle and problematic in its application to palliative opioid and sedative use in end-of-life care. Specifically, he claims that routine, non-lethal opioid and sedative administration may be “intrinsically bad” by PDE’s standards, continuous deep palliative sedation should be treated as a bad effect akin to death for purposes of PDE, PDE cannot coherently be applied in cases where death “indirectly” furthers (...) an agent’s intended end of pain relief via medically appropriate palliative care, and application of PDE requires sacrificing common beliefs about the sanctity of human life. I respond by showing that Riisfeldt’s understanding of PDE is seriously mistaken: he misattributes Kantian and Millian reasoning to the principle and conflates acts’ intrinsic properties with their effects. Further, a corrected understanding of PDE can address Riisfeldt’s case-specific objections. (shrink)

Patients in Quebec can legally obtain medical assistance in dying (MAID) if they are able to give informed consent, have a serious and incurable illness, are at the end of their lives and are in a situation of unbearable suffering. Since the Supreme Court of Canada’s 2015 Carter decision, access to MAID, under certain conditions, has become a constitutional right. Quebec physicians are now likely to receive requests for MAID from their patients. The Quebec and Canadian laws recognize a physician’s (...) right to conscientious objection, but this right is contested both in the medical ethics literature and in the public sphere. This paper presents the results of a qualitative study conducted with twenty Quebec physicians who did not integrate MAID into their medical practice, either because they were opposed to or deeply ambivalent about MAID. The interviews aimed to explore the reasons – religious and secular – for opposition to or ambivalence towards MAID. The secular reasons given by participants were grouped into four main categories: 1) the ends of medicine and professional identity, 2) the philosophy of palliative medicine and resource allocation in palliative care, 3) benevolent paternalism, the “good death”, and the interests of future selves, 4) the risk of a slippery slope and the protection of vulnerable people. (shrink)

Ontic structural realists hold that structure is all there is, or at least all there is fundamentally. This thesis has proved to be puzzling: What exactly does it say about the relationship between objects and structures? In this article, I look at different ways of articulating ontic structural realism in terms of the relation between structures and objects. I show that objects cannot be reduced to structure, and argue that ontological dependence cannot be used to establish strong forms of structural (...) realism. At the end, I show how a weaker, but controversial, form of structural realism can be articulated on the basis of ontological dependence. (shrink)

The Doctrine of Double Effect [DDE] states roughly that it is harder to justify causing or allowing harm as a means to an end than it is to justify conduct that results in harm as a side effect. This chapter argues that a theory of deontological constraints on harming needs something like the DDE in order to avoid the charge that it reflects a narcissistic obsession with the cleanliness of our own hands. Unfortunately, the DDE is often interpreted as maintaining (...) that we must avoid acting with certain intentions, which, this chapter contends, embodies an equally narcissistic obsession with the purity of our own hearts. The chapter argues that the DDE is better interpreted as a denial of the Machiavellian idea that beneficial ends justify harmful means. On this view, the objective fact that our conduct will secure benefits for some individuals at the expense of other individuals weakens the extent to which those benefits count as reasons to engage in that conduct. The chapter argues that this version of the DDE provides a plausible, non-narcissistic foundation for deontological constraints. (shrink)

My question is: does phenomenal consciousness have a critical role in explaining the way conscious perceptions achieve objective import? I approach it through developing a dilemma I label ‘Burge’s Challenge’, which is implicit in his approach to perceptual objectivity. It says, crudely: either endorse the general structure of his account of how objective perceptual import is achieved, and give up on a role for consciousness. Or, relinquish Caused Representation, and possibly defend a role for consciousness. Someone I call (...) Burge* holds we should embrace the first horn of the dilemma. A second response, roughly the relationalist approach, opts for the second horn. The third option, implicit in many current approaches to perceptual consciousness, is to reject the dilemma. The paper argues for a version of the second response. The key argument turns on the development of a sceptical challenge to justify the assumption that we perceive particular intrinsic property instantiations, rather than their structural equivalents. The suggestion will be that only the relationalist approach can meet it in the way we think it is met. If this is right, there is a prima facie case for taking relationalist responses to the dilemma seriously. I end with two objections to this response, which might be made by the real Burge in defence of opting for the first horn of the dilemma, and by phenomenal intentionalists in defence of rejecting the dilemma. I use discussion of these to highlight one of the main issues that should be pursued in order to make good the claim that we should embrace the horn of the dilemma that Burge* rejects. (shrink)