Trust is taken to be one of the foundational values in the doctor-patient relationship, facilitating access to the benefits of health care and providing a guarantee against possible harms. Despite this foundational role, some doctors betray the trust of their patients. Trusting involves granting discretionary powers and makes the truster vulnerable to the trustee. Patients trust medical practitioners to act with goodwill and to act competently. Some patients carry pre-existing vulnerabilities, for reasons such as gender, poverty, age, ethnicity, or disability, (...) and these vulnerabilities can be exacerbated when such patients extend their trust to a doctor. Gender stereotypes reduce women's ability to challenge and thereby assess their doctor's competency. In addition, women are more likely to be distrusted by their doctors and have their experiences of medical symptoms discounted. In this paper, we analyze two extreme examples of breaches of medical trust that exploited the vulnerability of women in the health care system: the "unfortunate experiment" at the National Women's Hospital in New Zealand and the Harold Shipman murders of elderly patients in the United Kingdom, examining the potential role of gender in the outcomes with regard to trust. Major breaches of medical trust such as these typically lead to government inquiries, revisions of ethical guidelines, and substantive policy change in an effort to re-establish public and patient trust. We argue that the medical profession has an ethical obligation to put mechanisms in place to protect vulnerable patients from abuses of trust, to monitor colleagues' competence, and to be prepared to blow the whistle to protect patients who are not in a position to recognize misplaced trust. Such mechanisms will act disprosportionately to reduce harm to women as patients. (shrink)

Locke’s theory of consciousness is often appropriated as a forerunner of present-day Higher-Order Perception (HOP) theories, but not much is said about it beyond that. We offer an interpretation of Locke’s account of consciousness that portrays it as crucially different from current-day HOP theory, both in detail and in spirit. In this paper, it is argued that there are good historical and philosophical reasons to attribute to Locke the view not that conscious states are accompanied by higher-order perceptions, but rather (...) that conscious states constitute perceptions of themselves. (shrink)

Inclusion in research is a question of both scientific validity of research results and just distribution of the benefits of medical research within a community. Therefore, inappropriate exclusions from research can be regulated as a matter of science or a matter of ethics. In this paper we examine the definitions of appropriate/fair inclusion in the Australian and U.S. regulatory systems and discuss the processes for interpreting and implementing these normative standards. In the second part of the paper, we present original (...) results from the first study of sex-specific research in Australia. One hundred and thirteen published papers were examined: 35 percent were classified as inappropriate sex-specific research, where exclusion was not biologically necessary, and/or there was no justification for the exclusion of one sex. Our results indicate that a scientific approach to inclusion, rather than one grounded in ethical review, is likely to be more effective in achieving appropriate sex-specific research. In the absence of effective regulation, we will continue to see research that discriminates unfairly and perpetuates gender stereotyping. (shrink)

Moving away from the strong body of critique of pervasive ‘bad data’ practices by both governments and private actors in the globalized digital economy, this book aims to paint an alternative, more optimistic but still pragmatic picture of the datafied future. The authors examine and propose ‘good data’ practices, values and principles from an interdisciplinary, international perspective. From ideas of data sovereignty and justice, to manifestos for change and calls for activism, this collection opens a multifaceted conversation on the kinds (...) of futures we want to see, and presents concrete steps on how we can start realizing good data in practice. (shrink)

Growing ties to private industry have prompted many to question the impartiality of academic bioethicists who receive financial support from for-profit corporations in exchange for ethics-related services and research. To the extent that corporate sponsors may view bioethics as little more than a way to strengthen public relations or avoid potential controversy, close ties to industry may pose serious threats to professional independence. New sources of support from private industry may also divert bioethicists from pursuing topics of greater social importance, (...) such as the needs of medically underserved communities. To inform ongoing debates about the financing of bioethics and its transparency to those concerned about potential sources of bias, we examined funding disclosures appearing in original research reports in major bioethics journals. Reviewing research published over a 15-year period, we found little evidence that for-profit corporations are influencing bioethics research directly. Instead, we found evidence that a great number of organizations, both public and private, support bioethics research. These findings suggest that worries about the cooption of bioethics research by a few interested stakeholders are greatly overstated and undersupported by available data. (shrink)

Recent ideological positioning on the world stage has born a startling resemblance to a form of positioning within nursing theory – that of taking complex ideas, reducing them to a simplistic binary form, and uncritically adopting one half of that form. In some cases, this adoption of a binary position has led to a passionately held form of ‘othering’ that prohibits a healthy and critical engagement with ideas. As alluring as settling for the binary form may be – we argue (...) for holding binaries in tension as a catalyst for stimulating dialogue – reasoning and exploration of new ways of wrestling with the social and moral complexity of nursing. (shrink)

My chapter aims to advance the debate on a problem often raised by philosophers who are skeptical of implied narrators in movies. This is the concern that positing such elusive narrators gives rise to absurd imaginings (Gaut 2004: 242; Carroll 2006: 179-180). -/- Friends of the implied cinematic narrator reply that the questions critics raise about the workings of the implied cinematic narrator are "silly ones" to ask. -/- I examine how the "absurd imaginings" problem arises for all the central (...) arguments for the elusive cinematic narrator and discuss why the questions critics pose about this narrator are legitimate ones to ask. (shrink)

Presents an interpretation of David Hume's account of what a 'cause' is. This book emphasises on the connections between Hume's theories of cause, space and time, morals, and aesthetics.

ABSTRACT In this paper we argue that sex‐selective abortion (SSA) cannot be morally justified and that it should be prohibited. We present two main arguments against SSA. First, we present reasons why the decision for a woman to seek SSA in cultures with strong son‐preference cannot be regarded as autonomous on either a narrow or a broad account of autonomy. Second, we identify serious harms associated with SSA including perpetuation of discrimination against women, disruption to social and familial networks, and (...) increased violence against women. For these reasons, SSA should be prohibited by law, and such laws should be enforced. Finally, we describe additional strategies for decreasing son‐preference. Some of these strategies rely upon highlighting the disadvantages of women becoming scarce, such as lack of brides and daughters‐in‐law to care for elderly parents. We should, however, be cautious not to perpetuate the view that the purpose of women is to be the consorts for, and carers of, men, and the providers of children. Arguments against SSA should be located within a concerted effort to ensure greater, deeper social and cultural equality between the sexes. (shrink)

The practice of placing men and women in the same hospital room (mixed gender rooms) has been prohibited in the UK National Health Service for over a decade. However, recent research demonstrates that the practice is common and increasing in a major New Zealand public hospital. Reports and complaints show that the practice also occurs in Australia. We argue that mixed gender rooms violate the fundamental human rights of personal security and dignity. The high rates of cognitive impairment, sensory impairment (...) and frailty in hospital wards exacerbates the risk for these violations and subsequent harm. We argue for the adoption of specific national policies prohibiting mixed gender rooms and public reporting of breaches. Importantly, these guidelines can be adopted without compromising the rights of gender minorities. In the long term, hospitals should be built with single occupancy rooms. (shrink)

This study examined how the level of meat consumption was related to two psychological factors, selfishness and animal-oriented empathy, and three motivations related to animal, health, and environmental issues. A sample of Australian adults between 18 and 80 (N = 497) was surveyed online via the Zoho Survey platform. Structural equation modelling was applied to the data, and the resulting models revealed that higher selfishness and lower empathy were associated with higher meat consumption for males but there was no association (...) between psychological factors and meat consumption for females. All three motivations were associated with both higher empathy and selfishness for males. For females, higher empathy was associated with higher health and animal motivations, while higher selfishness was associated with higher environmental motivation. Lastly, none of the three motivations were related to meat consumption for either gender. Thus, the results only partially supported the hypotheses that selfishness and empathy would influence meat consumption and motivations. Nevertheless, this study contributes to research on personality factors in relation to meat consumption and the link between masculinity and meat consumption. (shrink)

Este artigo propõe discutir as formas de representação da identidade dos brasileiros que viveram na cidade de Lagos, em 1888. A ideia é analisar as comemorações que saudaram a notícia da abolição da escravidão no Brasil. Estas festas foram realizadas por brasileiros estabelecidos em território lagosiano, duraram vários dias e ganharam as páginas de jornais como o Lagos Observer e a Government Gazette. Nestes periódicos é possível perceber que alguns dos signos de pertencimento à comunidade foram constituídos por indivíduos de (...) fora do grupo. Estes signos de pertencimento construídos sobre os brasileiros se diferenciavam daqueles formulados pelos próprios brasileiros estabelecidos na cidade. A distinção entre as duas elaborações discursivas registradas pela imprensa lagosiana serve de suporte para pensar as variações dos sentidos de ser brasileiro em Lagos no final do século XIX. Palavras-chave: ideologia da escravidão, Catolicismo africano, inquisição, Igreja Católica, Cabo Verde. (shrink)

RESUMEN: El presente artículo tiene por objetivo analizar desde una perspectiva feminista las similitudes y diferencias existentes entre los Tribunales Ad-hoc para Ruanda y la Antigua Yugoslavia relacionados con los crímenes relativos a violencia sexual y violación. Analizando los componentes que afectan la determinación de dichos crímenes como son el consentimiento y el contexto y su tipificación internacional: Genocidio y lesa humanidad. ABSTRACT: The present article aims to analyze from a feminist point of view the similarities and differences between the (...) Ad-hoc Tribunals for Rwanda and the former Yugoslavia related sexual violence and rape crimes. PALABRAS CLAVE: Ruanda, Ex-Yugoslavia, violencia sexual, lesa humanidad, genocidio, violación, consentimiento, contexto. KEYWORDS: Rwanda, Ex- Yugoslavia, sexual violence, crimes against humanity, genocide, rape, contentment, coercion, context. (shrink)

This book proposes a new interpretative key for reading and overcoming the binary of idealism and realism. It explores the way human consciousness unfolds through the relationship between the I and the world-a field of phenomenological investigation that cannot and must not remain closed within the limits of its own disciplinary boundaries. The book focuses on the question of realism in contemporary debates, ultimately dismantling prejudices and automatisms that one finds therein. It shows that at the root of the controversy (...) between realism and idealism there often lie equivocations of a semantic nature. By returning to the origins of modern phenomenology this study mines the Husserlian concept of transcendental idealism. Following this path, and neutralizing the extreme positions of an acritical idealism and a naïve realism, the book proposes a "transcendental realism": the horizon of a dynamic unity that embraces the process of cognition and that grounds the relation, and not the subordination, of subject and object. The close reading of this reciprocity offered here allows one to surpass the limits of the domain of knowing, leading one to fundamental questions about the ultimate sense of things and their origin. (shrink)

Las células madre embrionarias humanas son células pluripotentes con potenciales aplicaciones en medicina regenerativa e interés considerable en investigación y biotecnología. Sin embargo, dada la estrecha relación con principios morales y bioéticos, ha existido una considerable discusión sobre la posibilidad de patentar o no este tipo de células madre. En el presente artículo, se revisa la legislación europea en materia de propiedad industrial, y la tradición del sistema jurídico continental en el reconocimiento de la dignidad humana como principio fundamental y (...) su relación con la protección de invenciones biotecnológicas, centrados en la reciente sentencia del caso Brüstle v. Greenpeace e.V. (shrink)

La investigación moral emprendida por Hume se inscribe en el proyecto de abordar filosóficamente la naturaleza humana-"la capital"-de manera experimental, realizando una geografía mental a partir de la observación atenta y delicada de la vida humana como aparece en sus diarias ocupaciones, interacciones y placeres. Se trata de disponer de manera ordenada las fuerzas y la extensión del entendimiento, las pasiones, el gusto y el sentimiento. El ánimo que lo impulsa es doble: instruir a la humanidad, reduciendo así el poder (...) del dogmatismo y la superstición, y poner en movimiento la sensibilidad favorable a la virtud y condición de la felicidad. (shrink)

Neste texto analisamos blogs da Internet como espaços educativos nos quais se produzem/constroem as identidades juvenis de indivíduos que buscam se inserir no grupo cultural conhecido como nerd/geek. Inseridos nos Estudos Culturais, na sua vertente pós-moderna e pós-estruturalista, valemo-nos da noção de Representação Cultural para analisar como as identidades são constituídas com a escrita/leitura de blogs disponibilizados na web. Destacamos que a forma como se dá o agrupamento dos jovens que escrevem/leem os blogs é efêmera e espontânea, baseada no prazer (...) de estar junto, no consumo de alguns itens e no estabelecimento de alguns laços afetivos momentâneos. Tal compartilhamento tem semelhança com outras “tribos” urbanas deste início de século XXI. Destacamos, também, que não estamos associando a juventude a uma faixa etária particular, mas, isto sim, a um estilo de vida fortemente ligado ao lazer e ao consumo. Os blogs analisados, ao colocarem em circulação representações de identidades nerd/geek, contribuem para a produção discursiva dessas mesmas identidades em função dos modos como os/as integrantes desse grupo partilham formas de apropriar-se de saberes diversos, de utilizar equipamentos tecnológicos, de consumir produtos comerciais e textos midiáticos. (shrink)

Resumen: El presente trabajo explora el estatuto del arte en la filosofía de Spinoza, en el marco de la inversión copernicana que da origen a la estética y del barroco holandés. Si bien el pensamiento spinozista se inscribe en la conversión antropológica, en donde lo bello resulta ser un efecto en el sujeto y no una cualidad de los objetos, su comprensión del arte es inasimilable a la “estética” como ámbito diferenciado y autónomo que se consolida en el siglo XVIII, (...) y más bien concibe el arte integrado a la vida y a la experiencia común -a la vez que, en cuanto praxis de origen corporal al alcance de cualquiera, presenta puntos de contacto con las vanguardias históricas del siglo XX-. Spinoza, según se propone en este texto, concibe la producción de “obras de arte” menos como un hecho estético que como una actividad corporal éticamente orientada a la vida buena.: The present work explores the status of art in the philosophy of Spinoza, within the framework of the Copernican revolution that gives rise to aesthetics and the Dutch Baroque. Although the Spinozist thought is inscribed in the anthropological conversion by virtue of which beauty turns out to be an effect on the subject and not a property of objects, its understanding of art is unassimilable to "aesthetics" as a differentiated and autonomous area that it was consolidated in the eighteenth century, and rather conceived art integrated to life and common experience -at the same time, as praxis of bodily origin within the reach of anyone, presents points of contact with the historical avant-gardes of the twentieth century-. Spinoza conceives the production of "artworks" less as an aesthetic fact than as a body activity ethically oriented to the good life. (shrink)

En este libro se han abordado algunos aspectos de la situación de Latinoamérica desde diversos enfoques. En ninguno de estos aspectos se ha pretendido ser exhaustivo, pero sí acercarse con una mirada crítica a los problemas que enfrenta Latinoamérica hoy, y que, en muchos sentidos, comprometen su futuro. Cuestiones tales como la multiculturalidad, la diversidad social, el resurgir del indigenismo, la construcción de los nuevos republicanismos y los procesos de revisión de las Constituciones democráticas, así como el desarrollo de una (...) ética pública, son extremos que afectan singularmente al desarrollo social y político de América Latina y son los temas tratados en este volumen. Sin embargo, no son estos los únicos problemas, también, emerge, con capacidad de generar conflicto, la integración panamericana que sigue, actualmente, vías diversas y contradictorias. Es obvio que estas contradicciones no contribuyen a favorecer el despliegue del liderazgo internacional de América Latina. De hecho, la integración y las formas de alcanzarla son terreno de controversia entre los diversos Estados latinoamericanos. Por otro lado, el mérito de este libro consiste en que todas las aportaciones se unen a la corriente crítica que, en la celebración del Bicentenario de las Independencias de Latinoamérica, se han esforzado por revisar dos procesos: el primero, la emancipación política de las nuevas naciones. Y en segundo lugar, el fracaso de esta emancipación con la aparición de la dependencia del subcontinente respecto de nuevos neoimperialismos, como sucede con el estadounidense. Además, se recogen aportaciones de autores que, si bien tienen en común su preocupación por reflexionar de modo crítico, parten de premisas no necesariamente coincidentes, poseen visiones diferentes y enfatizan cuestiones diversas. Ha contribuido a la diversidad de perspectivas el que los autores sean de continentes distintos y, por consiguiente, puedan afrontar los contextos sociales y políticos con miradas disímiles. (shrink)

El propósito de este artículo es fortalecer los vínculos entre las razones de justicia y las razones históricas para justificar el reconocimiento de ciertos derechos en favor de grupos culturalmente diferenciados. Intento con ello mostrar que a la lucha por la defensa de la preservación de ciertas culturas no es marginal, sino más bien esencial, el hecho de que dicha defensa provenga de una historia de exclusión. Acudiendo a ejemplos, en la primera parte del trabajo intentaré integrar algunos rasgos de (...) lo que Charles Taylor entiende por proceso de formación de la identidad al conjunto de etapas que, según Luis Villoro, dan lugar a la proyección de un modelo de justicia. En la segunda parte contaré algunos episodios del reciente proceso de recuperación territorial de la comunidad indígena U'wa en Colombia. El propósito de esta parte del trabajo es fortalecer el vínculo que establece Villoro entre las historias de exclusión y los procesos de consolidación de la justicia. A modo de conclusión y teniendo en cuenta la diferencia planteada por Ernst Tugendhat entre derechos generales y derechos especiales, mostraré en qué medida las historias tristes no dejan de constituirse en contenidos para la justicia una vez que la ley positiva ha consagrado una serie de derechos. (shrink)

Local food systems seem virtuous in the larger context of the neoliberalization of global food systems and increasing food insecurity. However, local food systems are critiqued for reproducing neoliberalism when they prioritize niche-market consumerism over enhancing access for poor people. Advocates, in contrast, insist local food systems contribute to an equitable political economy of food if they are place-based and inclusive. Local food systems must not, according to them, be condemned monolithically in light of their neoliberal tendencies, but evaluated instead (...) on a case-by-case basis regarding their potentially innovative solutions to food insecurity. We heed this call by investigating how a regionally-renowned local food system addresses food insecurity in an impoverished corner of rural Appalachia. Specifically, we use qualitative methods, including semi-structured interviews, participant observation, and document analysis, to evaluate the local food system in Athens County, Ohio. Our findings indicate that extra-local processes under neoliberalism, including austerity and economic marginalization, create a large-scale context of malign neglect in which local food security initiatives operate. Place-based strategies for food security, in response, emphasize producer profitability and consumer responsibility as solutions to extra-local constraints. These localized processes of benign neglect, however, reproduce stifling neoliberalisms within the Athens local food system, giving it a defensive stance that fails to promote innovative modes of inclusion despite its sustainable reputation. Malign and benign forms of neglect, working in creative tension, perpetuate a problematic paradox of food insecurity amidst a seemingly robust local food system as neoliberalization operating at a variety of scales remains unchallenged. (shrink)