Abstract: The paper provides a general account of value relations. It takes its departure in a special type of value relation, parity, which according to Ruth Chang is a form of evaluative comparability that differs from the three standard forms of comparability: betterness, worseness and equal goodness. Recently, Joshua Gert has suggested that the notion of parity can be accounted for if value comparisons are interpreted as normative assessments of preference. While Gert's basic idea is attractive, (...) the way he develops it is flawed: His modeling of values by intervals of permissible preference strengths is inadequate. Instead, I provide an alternative modeling in terms of intersections of rationally permissible preference orderings. This yields a general taxonomy of all binary value relations. The paper concludes with some implications of this approach for rational choice. (shrink)

In Rabinowicz, I considered how value relations can best be analysed in terms of fitting pro-attitudes. In the formal model of that paper, fitting pro-attitudes are represented by the class of permissible preference orderings on a domain of items that are being compared. As it turns out, this approach opens up for a multiplicity of different types of value relationships, along with the standard relations of ‘better’, ‘worse’, ‘equally as good as’ and ‘incomparable in value’. (...) Unfortunately, the approach is vulnerable to a number of objections. I believe these objections can be avoided if one re-interprets the underlying notion of preference: instead of treating preference as a ‘dyadic’ attitude directed towards a pair of items, we can think of it as a difference of degree between ‘monadic’ attitudes of favouring. Each such monadic attitude has just one item as its object. Given this re-interpretation, permissible preferences can be modelled by the class of permissible assignments of degrees of favouring to items in the domain. From this construction, we can then recover the old modelling in terms of the class of permissible preference orderings, but the previous objections to that model no longer apply. (shrink)

In Rabinowicz 2008, I considered how value relations can best be analyzed in terms of fitting pro-­‐attitudes. In the formal model presented in that paper fitting pro-­‐attitudes are represented by the class of permissible preference orderings on a domain of items that are being compared. As it turns out, this approach opens up for a multiplicity of different types of value relationships, along with the standard relations of "better", "worse", "equally as good as" and "incomparable in (...) value". Unfortunately, though, the approach is vulnerable to a number of objections. I believe these objections can be avoided if one re-interprets the underlying notion of preference: Instead of treating preference as a 'dyadic' attitude directed towards a pair of items, we can think of it as a difference of degree between 'monadic' attitudes of favouring. Each such monadic attitude has just one item as its object. Given this re-interpretation, permissible preferences can be modelled by the class of permissible assignments of degrees of favouring to items in the domain. From this construction, we can then recover the old modelling in terms of the class of permissible preference orderings, but the previous objections to that model no longer apply. Thus, what we get is the old wine in new and hopefully tighter barrels. (shrink)

Values related to culture, identity, community cohesion and sense of place have sometimes been downplayed in the climate change discourse. However, they have been suggested to be not only important to citizens but the values most vulnerable to climate change. Here we test four empirical consequences of the suggestion: at least 50% of the locations citizens' consider to be the most important locations in their municipality are chosen because they represent these values, locations representing these values have a high probability (...) of being damaged by climate change induced sea level rise, citizens for which these values are particularly strongly held less strongly believe in the local effects of climate change, and citizens for which these values are particularly strongly held less strongly believe that they have experienced the effects of climate change. The tests were made using survey data collected in 2014 from 326 citizens owning property in Höganäs municipality, Sweden, and included values elicited using a new methodology separating instrumental values from end values, and using the former as stepping stones to pinpoint the latter, that represent the true interests of the respondents. The results provide the first evidence that, albeit frequent, values related to culture, identity, community cohesion and sense of place are not the values most vulnerable to climate change. This in turn indicates a need to further investigate the vulnerability of these values to climate change, using a methodology that clearly distinguishes between instrumental and end values. (shrink)

I argue that there can be value relations without individual values to support them. The fact that an item is better than another item does not have to be explained by reference to the values of the individual items. Instead, value relations can be grounded directly and exhaustively in descriptive facts about their relata. I show that my suggestion fits well with plausible perspectives on the nature of values and reasons, respectively. One of them is the (...) fitting‐attitudes view, according to which facts about value and value relations are facts about reasons for attitudes. The other is the descriptive view, according to which facts about reasons for attitudes can be grounded directly and exhaustively in descriptive considerations. (shrink)

In Rabinowicz 2008, I considered how value relations can best be analyzed in terms of fitting pro-­‐attitudes. In the formal model presented in that paper fitting pro-­‐attitudes are represented by the class of permissible preference orderings on a domain of items that are being compared. As it turns out, this approach opens up for a multiplicity of different types of value relationships, along with the standard relations of "better", "worse", "equally as good as" and "incomparable in (...) value". Unfortunately, though, the approach is vulnerable to a number of objections. I believe these objections can be avoided if one re-interprets the underlying notion of preference: Instead of treating preference as a 'dyadic' attitude directed towards a pair of items, we can think of it as a difference of degree between 'monadic' attitudes of favouring. Each such monadic attitude has just one item as its object. Given this re-interpretation, permissible preferences can be modelled by the class of permissible assignments of degrees of favouring to items in the domain. From this construction, we can then recover the old modelling in terms of the class of permissible preference orderings, but the previous objections to that model no longer apply. Thus, what we get is the old wine in new and hopefully tighter barrels. (shrink)

After some generalities about connections between functions and relations in Sections 1 and 2 recalls the possibility of taking the semantic values of ‐ary Boolean connectives as ‐ary relations among truth‐values rather than as ‐ary truth functions. Section 3, the bulk of the paper, looks at correlates of these truth‐value relations as applied to formulas, and explores in a preliminary way how their properties are related to the properties of “logical relations” among formulas such as (...) equivalence, implication (entailment) and contrariety (logical incompatibility), concentrating for illustrative purposes on binary logical relations such as those just listed. To avoid an excess of footnotes, some points have been deferred to an Appendix as “Longer Notes”. (shrink)

In the context of the widening trade gap between Japan and the U.S.A. and the increasing numbers of missions visiting Japan aimed at a better understanding of the Japanese market and Japanese business, topics such as Just in Time and TQC have received the most prominence, along with discussions of Japanese-style management and labor relations. The weakness of most discussions has been their inability to set these into the context of the highly complex Japanese value-system that runs through (...) both business and society. Once understood, it becomes apparent that there is a system of values and value-related strategies at work that have a re-inforcing effect in the directions of cooperation and efficiency. The paper will identify a number of these and indicate their areas of influence. Four are discussed: (1) the formation of corporate philosophy (2) management philosophy (3) corporate work ethic (4) supplier/customer relations. (shrink)

Business Ethics: A European Review, EarlyView.

Joshua Gert and Wlodek Rabinowicz have developed frameworks for value relations that are rich enough to allow for non-standard value relations such as parity. Yet their frameworks do not allow for any non-standard preference relations. In this paper, I shall defend a symmetry between values and preferences, namely, that for every value relation, there is a corresponding preference relation, and vice versa. I claim that if the arguments that there are non-standard value (...) class='Hi'>relations are cogent, these arguments, mutatis mutandis, also show that there are non-standard preference relations. Hence frameworks of Gert and Rabinowicz's type are either inadequate since there are cogent arguments for both non-standard value and preference relations and these frameworks deny this, or they lack support since the arguments for non-standard value relations are unconvincing. Instead, I propose a simpler framework that allows for both non-standard value and preference relations. (shrink)

According to Wlodek Rabinowicz's (2008) fitting-attitude analysis of value relations, two items are on a par if and only if it is both permissible to strictly prefer one to the other and permissible to have the opposite strict preference. Rabinowicz’s account is subject, however, to one important objection: if strict preferences involve betterness judgements, then his analysis contrasts with the intuitive understanding of parity. In this paper, I examine Rabinowicz’s three responses to this objection and argue that they (...) do not succeed. I then propose an alternative solution. I argue that the objection can be avoided if we ‘relativize’ Rabinowicz’s account and define parity in terms of opposite strict preferences between two items that are only relatively permissible, rather than permissible simpliciter. I argue that this account of parity can be defended if we take seriously the distinction between sufficient and decisive reason for a preference relation. I also show that, on the basis of this distinction, we can arrive at a more extensive taxonomy of value relations than the one proposed by Rabinowicz. (shrink)

‘Relational value’ (RV) has intuitive credibility due to the shortcomings of existing axiological categories regarding recognizing the ethical relevance of people’s relations to nature. But RV is justified by arguments and analogies that do not hold up to closer scrutiny, which strengthens the assumption that RV is redundant. While RV may provide reasons for ethically considering some relations, much work remains to show that RV is a concept that does something existing axiological concepts cannot, beyond empirically describing (...) relations people have to environmental areas and places. (shrink)

This chapter considers how some international ethical matters might be approached differently in the English-speaking literature if values salient in sub-Saharan Africa were taken seriously. Specifically, after pointing out how indigenous values in this part of the world tend to prescribe relating communally, this chapter articulates a moral-philosophical interpretation of communal relationship and brings out what such an ethic entails for certain aspects of globalization, political power, foreign relations, and criminal justice. The chapter suggests that the implications of a (...) communal ethic are prima facie plausible and often prescribe changes to the status quo. Lacking the space to systematically defend communion as a fundamental value, the chapter nonetheless urges normative theorists of international politics not to neglect it, and it makes realistic recommendations for the African Union, trade organizations, diplomats, and other agents in a position to influence global policy. (Reprints some parts of 'Harmonizing Global Ethics in the Future' [Journal of Global Ethics, 2014], but with a strict focus on Africa's, excluding China's, ethical contributions to global matters.). (shrink)

A travel management programme allows an organisation to manage corporate travel expenditure, and through a well-formulated travel policy, to control its travel expenses. However, traveller non-compliance of the travel policy is an increasing area of concern with surveys conducted amongst travellers showing various reasons for non-compliance, both deliberate and unknowing. The purpose of this article is to look beyond the reasons and identify the underlying factors that influence travel policy compliance. Two broad categories of factors that lead to non-compliance are (...) distinguished: those related to the corporate travel policy as formulated and communicated by the organisation, referred to as corporate-related factors and including issues of corporate culture and business ethics; and those related to the person of the corporate traveller, referred as personal-related factors and including issues of personal ethics. This article makes a first attempt at identifying factors that have not previously been recognised in those industry or academic studies done on non-compliance or violation of the corporate travel policy. (shrink)

This paper explores the notion of 'relational values' from a phenomenological point of view. In the first place, it stresses that in order to make full sense of relational values, we need to approach them through a relational ontology that surpasses dualistic descriptions of the world structured around the subject and the object. With this aim, the paper turns to ecophenomenology's attempt to apprehend values from a first-person perspective embedded in the lifeworld, where our entanglement with other beings is not (...) a theoretical construction but a palpable reality. Overall, the article's main purpose is to show that, in our direct and raw experience, values do not appear as subjective judgments or as objective properties but as events in which we participate alongside other human and non-human beings. (shrink)

There has been a recent spate of publications on how we should evaluate change to ecological systems, some of which have introduced the concept of 'relational values'. Environmental ethicists have, with a few exceptions, not engaged with this debate. We survey the literature on relational values, noting that most advocates of the concept introduce relational values as an additional type of value, in addition to 'instrumental' and 'intrinsic' values. In this paper, we explore the idea that all environmental values (...) are ultimately relational. We explore how such an approach can be articulated, and discuss the implications of this concept for the future of environmental ethics and value studies. One key implication is to suggest a stronger role for empirical ethnography. (shrink)

In this paper I develop a framework for environmental philosophy on the ground of what I call a radical relationalism based on Whitehead’s thought. Accordingly, relations are ontologically prior to and constitutive of entities rather than being conceived as external link(ing) between them. On this ground an alternative, relational axiology can be developed that challenges the current environmental ethics debate and its dichotomy between intrinsic and instrumental values. In the last section, I show how such an axiology can become (...) an important ally for global environmental justice struggles and help support what the anthropologist Arturo Escobar calls a “decolonial view of nature.”. (shrink)

BackgroundIn the Netherlands, patients have the legal right to make a request for euthanasia to their physician. However, it is not clear what it means in a moral sense for a physician to receive a request for euthanasia. The aim of this study is to explore the moral values of physicians regarding requests for euthanasia. MethodsSemi-structured interviews were conducted with nine primary healthcare physicians involved in decision-making about euthanasia. The data were inductively analyzed which lead to the emergence of themes, (...) one of which was about values regarding end-of-life decisions.ResultsFour clusters of values related to euthanasia requests are described: values related to 1) the patient; 2) the family; 3) the physician; and 4) life and death. The data show that the participants value patient autonomy as a necessary but not sufficient condition for meeting a euthanasia request. A good relationship with the patient and the family are important. For the physician, the values physician autonomy, responsibility, understanding the patient and relief of suffering play a role. Life as an intrinsic good and a peaceful death are also important values.ConclusionThis study shows that next to patient autonomy and the relationship with the patient and the family, it is important for the participants to act in accordance with their professional values and to do justice to values related to life and death. The awareness of going against the intrinsic value of life is crucial, even if performing euthanasia may result in a feeling of relief or gratitude afterwards. (shrink)

ABSTRACTPhilosophers and scholars from other disciplines have long discussed the role of empathy in our moral lives. The distinct relational value of empathy, however, has been largely overlooked. This article aims to specify empathy’s distinct relational value: Empathy is both intrinsically and extrinsically valuable in virtue of the pleasant experiences we share with others, the harmony and meaning that empathy provides, the recognition, self-esteem, and self-trust it enhances, as well as trust in others, attachment, and affection it fosters. (...) Once we better understand in what ways empathy is a uniquely relational phenomenon, we can unveil its relevance to morality, which avoids the strictures of both partiality and impartiality. On the one hand, it is the relational value of empathy that grounds defeasible reasons to empathize insofar as empathy is morally called for by a particular relationship. On the other hand, it is precisely... (shrink)

The study draws attention to the transfer of management theories and practices from traditional capitalist countries such as the USA and UK to post-socialist countries that are currently experiencing radical change as they seek to introduce market reforms. It is highlighted that the efficacy of this transfer of management theories and practices is, in part, dependent upon the extent to which work-related attitudes and values vary between traditional capitalist and former socialist contexts. We highlight that practices such as Human Resource (...) Management (HRM) and Organization Development (OD) are inextricably associated with conceptions surrounding culture and society, as well as to variables such as job satisfaction and organisational commitment. The main aim of this study is to compare various attitudes and values of employees in traditional capitalist countries and post-socialist countries. On the basis of the findings of an attitudinal survey of (N = 5914) workers in 15 countries we conclude that certain aspects of the attitudes and values of workers in post-socialist countries and traditional capitalist countries differ significantly. Specifically, these differences were found in respect of context-related and job-related attitudes, and also in relation to the importance that the respondents attached to the subject of ethics more generally. The implications of the study are discussed particularly in relation to the transfer of management theory and practices between traditional capitalist and post-socialist contexts. (shrink)

The study reported in this article examines the relationships between nationality, gender, and religiosity and business ethics attitudes in four countries in the Asia-Pacific region. Using a survey approach, university business students in Australia, New Zealand, Hong Kong, and Singapore were asked about their attitudes regarding business-related ethicality using a six-item scale of ethicality that was reported in the literature. Business students are appropriate for this study as they are “future business leaders.” For nationality significant differences emerged for only two (...) of the six items. There was no significant difference in total ethicality, and the values were positive in all countries. In general, females were reported being more ethical than males, particularly in New Zealand and Singapore. For religiosity, overall, there was a significant difference in ethicality where those respondents reporting being “very religious” also reporting being more ethical. For individual countries, significance did emerge for Australia and New Zealand. (shrink)

Construed as a theory of justice, relational egalitarianism says that justice requires that people relate as equals. Construed as a theory of what makes democracy valuable, it says that democracy is a necessary, or constituent, part of the value of relating as equals. Typically, relational egalitarians want their theory to provide both an account of what justice requires and an account of what makes democracy valuable. We argue that relational egalitarians with this dual ambition face the justice-democracy dilemma: Understanding (...) social relations in such a way that renders relational egalitarianism plausible as an answer to what makes democracy valuable comes at the price of understanding social relations in a way that makes it less plausible as a theory of justice, and vice versa. We also argue that there is no easy way out of the dilemma and that relational egalitarians, who want relational equality to provide both accounts mentioned, may simply have to set their ambitions lower on behalf of relational equality. (shrink)

In some environmental circles, talk of relational values is very much in fashion. It is said that we must think in terms of such values if we are to understand how such things as canyons, mangroves, and coral reefs matter to people. But that is bad advice. Appeals to relational values are typically misleading in several respects. Granted, those who make such appeals often do so in order to make the important point that some values are neither intrinsic nor instrumental (...) in form, but that point can be made more clearly by referring to other concepts, such as that of constitutive value. To this objection, some may respond that appeals to relational value are nonetheless useful. However, as things stand, their usefulness remains unproven. (shrink)

Various measures related to individual values, ethical attitudes and moral reasoning exist and are being increasingly applied for research in business and professional ethics. The England Personal Values Questionnaire, the Rokeach Value Survey, and Rest's Defining Issues Test have received stronger support and application for management and organizational behavior research than other instruments, such as Gordon's Survey of Personal Values and Hogan's Survey of Ethical Attitudes. Beyond research usage, many of these measures offer potential for instructional purposes. Knowledge of (...) the characteristics and limitations of values and ethics-related measures allows business educators to make better selections of possible supplements to traditional instructional methods. (shrink)

The logic BN4 was defined by R.T. Brady in 1982. It can be considered as the 4-valued logic of the relevant conditional. E4 is a variant of BN4 that can be considered as the 4-valued logic of entailment. The aim of this paper is to define reduced general Routley-Meyer semantics for BN4 and E4. It is proved that BN4 and E4 are strongly sound and complete w.r.t. their respective semantics.

In The Ethics of Care, Virginia Held explores what values of care might fulfil normative criteria for evaluating the moral worth of relations. Held identifies seven potential values: attentiveness, empathy, mutual concern, sensitivity, responsiveness, taking responsibility, and trustworthiness. Though Held’s work is helpful as a starting point for conceptualizing some normative criteria, two problems need addressing. First, Held does not provide sufficient justification for why these potential values ought to be considered genuine values in the care ethical framework. Second, (...) Held overlooks two other potential values cited in the care literature: competence and respect. This paper builds upon Held’s work to offer a more coherent understanding of the values of care. It does so by scrutinizing and conceptually organizing the above nine potential values. Of these nine, only four are considered genuine values: attentiveness, mutual concern, responsiveness, and trustworthiness. It is concluded that good caring relations are those that exemplify the four values of care in their deliverance of caring practices. (shrink)

In this paper we suggest an interpretation of the concept of 'relational value' that could be useful in both environmental ethics and empirical analyses. We argue that relational valuing includes aspects of intrinsic and instrumental valuing. If relational values are attributed, objects are appreciated because the relationship with them contributes to the human flourishing component of well-being (instrumental aspect). At the same time, attributing relational value involves genuine esteem for the valued item (intrinsic aspect). We also introduce the (...) notions of mediating and indirect relational environmental values, attributed in relationships involving people as well as environmental objects. We close by proposing how our analysis can be used in empirical research. (shrink)

In this paper, we review two seemingly unrelated debates. In business ethics, the argument is about values: are they universal or emergent? In entrepreneurship, it is about opportunities – are they discovered or constructed? In reality, these debates are similar as they both overlook contingency. We draw insight from pragmatism to define contingency as possibility without necessity. We analyze real-life narratives and show how entrepreneurship and ethics emerge from our discussion as parallel streams of thought.

AbstractIn many cultures, interactions between humans and plants are rooted in what is called “relational values”—values that derive from relationships and entail reciprocity. In Mexico, biocultural diversity is mirrored in the knowledge and use of some 6500 plant species and the domestication of over 250 Mesoamerican native crop species. This research explores how different sets of values are attributed to plants and how these influence management strategies to maintain plant resources in wild and anthropogenic environments. We ran workshops in two (...) communities in a highly biodiverse region in western Mexico, to ascertain the values and management activities related to important plant resources. The relationship between values attributed to plants and management activities was examined through redundancy analysis. A total of 180 plant resources were mentioned during the workshops, with a broad spectrum of values attributed to them, including material, non-material, and regulatory dimensions. We divided plant management strategies into three general categories of increasing intensity and complexity. We found that participants in the Indigenous community value and manage more wild plant resources than people in the non-Indigenous community. We also identified relationships between plant resource values and the type of management performed; for example, more intensive forms of management, such as sowing seeds, were used for seasonal plants that had a food value. By valuing and managing different sets of plant resources from forest, agricultural plots, and home gardens, people enabled multi-functional landscapes to form, illustrating a key feature of relational values in agroecosystems, which promotes both conservation and domestication of plants. (shrink)

According to Wlodek Rabinowicz's fitting-attitude analysis of comparative value, it is possible to analyse both standard and non-standard value relations in terms of the standard preference relations and two levels of normativity. In a recent article, however, Johan Gustafsson has argued that Rabinowicz's analysis violates a principle of value–preference symmetry, according to which for any value relation, there is a corresponding preference relation. Gustafsson has proposed an alternative analysis which respects this principle and which (...) allegedly accounts for the idea that originally motivated Rabinowicz's analysis, namely, that in some cases different preference relations between a pair of items are equally permissible. The goal of my article is to show that the arguments offered by Gustafsson in favour of his account do not succeed. In particular, I argue that Gustafsson faces a dilemma: either he abandons the principle of value–preference symmetry or he cannot make conceptual room for multiple permissible preferences. (shrink)

This thesis explores whether the three standard value relations, “better than”, “worse than” and “equally as good”, exhaust the possibilities in which things can relate with respect to their value. Or more precisely, whether there are examples in which one of these relations is not instantiated. There are cases in which it is not obvious that one of these relations does obtain; these are referred to as “hard cases of comparison”. These hard cases of comparison (...) become interesting, since if it not the case that the standard three value relations obtains in these cases then the three standard relations do not exhaust the possibility of instantiated value relations. It is argued that for some of the hard cases of comparison, the standard relations determinately obtain. For some it is indeterminate, due to vagueness, which of the three relations obtains, but it is determinate that one of them obtains. Thereafter it is argued that the influential Collapsing Argument fails in ruling out other accounts of the hard cases of comparison. Since one cannot depend on the Collapsing Argument in order to conclude that all items are related by the standard three relations, the investigation continues. It is argued that none of the hard cases of comparison are cases of incomparability. Furthermore, none of them are cases of a fourth basic positive value relation such as “parity”. Consequently, for all the hard cases of comparison one of the standard value relations holds, although sometimes we do not know which one and sometimes it is indeterminate which one holds. This means that there is no reason to assume that one of the standard three value relations does not hold between items we are comparing. This is followed by a brief discussion about the normative consequences of this result. The thesis ends with four different appendices in which related topics are discussed. (shrink)

Aesthetic value is a kind of value that emerges out of a variety of relations with the world. My interest here is not in developing a theory of relational aesth.

Interactions in service ecosystems, as opposed to the service dyad, have recently gained much attention from research. However, it is still unclear how they influence a customer’s experiential value and trigger desired prosocial behavior. The purpose of this study is to identify which elements of the multi-actor service ecosystem contribute to a customer’s experiential value and to investigate its relation to a customer’s interaction attitude and inter-customer helping behavior. The authors adopted a scale development procedure from the existing (...) literature. Service, brand, retail and tourism management research as well as expert feedback is used to generate a pool of 33 items. Exploratory and confirmatory factor analysis were conducted. The scale was validated based on more than 468 responses to a CASI at one of the world’s largest trade shows. Scale-development procedure was followed by structural equation modeling. CFA supports that experiential value in multi-actor ecosystems comprises five dimensions. The functional value of personnel, the perception of other customers’ appearance, the perception of other customers’ behavior, multisensory stimuli, and a customer’s enjoyment. Experiential value positively and directly relates to a customer’s interaction attitude and inter-customer helping behavior. Furthermore, the effect of experiential value on inter-customer helping behavior is partially mediated by interaction attitude. Managers interested in getting more out of interactions with customers will develop an understanding for the interplay between the physical environment and individuals within a multi-actor ecosystem. Social scientists and managers can use the scale to assess experiential value, encourage a customer’s interaction attitude and utilize the customers’ influence on their peers. This paper synthesizes insights from existing research on experiential value, from various fields, in one scale. This holistic approach is the first to simultaneously account for a customer’s interactions with the multisensory physical environment, personal interactions with employees and interactions between customers in a multi-actor service ecosystem. (shrink)

We consider the implications for the ethical evaluation of research programs of two fundamental changes in the revised research ethical guideline of the Council for International Organizations of Medical Sciences. The first is the extension of scope that follows from exchanging “biomedical” for “health‐related” research, and the second is the new evaluative basis of “social value,” which implies new ethical requirements of research. We use the example of antibiotic resistance interventions to explore the need to consider the instances of (...) what we term the pragmatic risks of such interventions to evaluate the social value of certain kinds of health‐related research. These (pragmatic) risks severely threaten the social value of interventions in every area where human and social responses significantly impact on their effectiveness. Thus, the social value of health‐related research needed to demonstrate its effectiveness depends on the extent and successful management of such risks. Research designed to take into account the management of pragmatic risks also gives rise to similar types of risks, and the potential for social value in light of those risks needs to be considered in ethical reviews based on the new guidelines. We argue that, to handle this new expanded task, the international system of research ethical review addressed by the guidelines needs institutional development. (shrink)

The four thoughtful commentaries on our feature article draw out interesting empirical and normative questions. The aim of our study was to examine the views of a sample of the general public about a set of cases of disputed treatment for severely impaired infants.1 We compared those views with legal determinations that treatment was or was not in the infants’ best interests, and with some published ethical frameworks for decisions. We deliberately did not draw explicit ethical conclusions from our survey (...) findings, both because of the acknowledged limitations of survey methodology, and because survey conclusions cannot, in themselves, yield answers about what the right threshold should be for providing or withholding treatment.2 In this brief response, we are going to address head-on the important ethical question raised within our survey – when life is worth living for an infant. We follow-up on the suggestion of two commentators that the presence or absence of “relational potential” might be ethically important to report in studies of the outcome of severely impaired infants,3 and to whether parental requests for treatment should be supported.4 The notion of “relational potential” was introduced by John Arras in a 1984 commentary.5 Arras was responding to the Baby Doe Regulations and a …. (shrink)

We reflect, using a vignette, on conceptual tensions and the value judgements that lie behind difficult decisions about whether or not the older person with dementia should return home or move into long-term care following hospital admission. The paper seeks, first, to expose some of the difficulties arising from the assessment of residence capacity, particularly around the nature of evaluative judgements and conceptual tensions inherent in the legal approach to capacity. Secondly, we consider the assessment of best interests around (...) place of residence, which demonstrates significant conceptual tensions. In addition, ‘best interests’ raise issues around the perception of risk and the perceptions of the family and crucially involve the notions of autonomy and trust. Finally, we not only gesture at some practical considerations based on insights from values-based medicine, but also make the suggestion that we require tighter functional assessments of residence capacity coupled with broader judgements about best interests. (shrink)

A engaging dialogue with the modern “axionoetic” proposals of A.N. Whitehead, Keith Ward, and John Leslie, arguing for the relational nature of ultimacy wherein Mind and Value, Possibility and Actuality, God and the World are affirmed as ultimate only in virtue of their relationality. This relationship Whitehead calls “mutual immanence.”.