In lieu of an abstract, here is a brief excerpt of the content:Cervantes in Italy:Christian Humanism and the Visual Impact of Renaissance RomeFernando CervantesToward the end of 1569, shortly after his twenty-second birthday, Miguel de Cervantes arrived in Rome to serve as chamberlain to the young monsignor Giulio de Acquaviva, soon to be made a cardinal by Pope Pius V.1 The event marked the beginning of a six-year sojourn about which surprisingly little is known with certainty. From scattered (...) semiautobiographical references we can infer that Cervantes traveled widely and that he developed a particular fondness for Italy. We know for sure that he fought bravely against the Turks at the battle of Lepanto in 1571, where he received wounds that rendered his left arm useless for the rest of his life, and that he remained in service as a soldier, based in Italy, until his ill-fated attempt to return to Spain in 1575. Ten years later, in the dedication of his pastoral romance La Galatea to Ascanio Colonna, he reminded his dedicatee that the reverence he had for him did not only stem from having served under his illustrious father, the famous general Marco Antonio Colonna, but also from the many things that he had heard Cardinal Acquaviva say, "like prophesies," about him in Rome. There follows a brief encomium about the "noble virtues," "magnificence," "goodness," and "Christianity" that sustain the "clear and generous line" of the Colonnas, known to all for the "virtuous and heroic deeds" that have been their mark since time immemorial.2 Some of Cervantes's best lyric poetry dates from these years. In it, as in the rest of his work, the unmistakable mark of Petrarch, Boccaccio, Sannazaro, Ariosto, and Bembo, to name but the most explicit ones, leaves us in little doubt about his genuine love of Italian literature.For good reasons, modern biographers have been loath to take these scattered [End Page 325] references too candidly. Can we, for example, assume that Cervantes had more than a very superficial acquaintance with the Colonnas and the Acquavivas? Could a writer still widely regarded as a self-taught, untutored mind realistically have attracted the favors of some of the most illustrious Roman and Neapolitan noble families? More pointedly, is it safe to take the varied and abundant observations about Italy scattered throughout his works as reliable reflections of his own personal experiences? After all, between the latter and the written page there is a time lag often approaching forty years. Add to this the weight of subsequent intellectual influences and of literary conventions, of novelistic invention and of the viewpoints of the characters themselves, and we are left on rather shaky ground. As Jean Canavaggio has remarked, it is not Cervantes the keen visual observer, but rather Cervantes the devoted reader of Boccaccio and the novellieri who brings Italy and Italian themes into his fiction. Even the memorable descriptions of Italian cities to be found in some of his novelas are rather formulaic passages, perfectly in tune with the rhetorical canons of the time.3Our topic, however, is not biography but intellectual history; and here we can afford to be more candid. There can be no doubt that many of Cervantes's descriptions have the unmistakable ring of genuine experience. Take Tomás Rodaja's arrival, "soaked, sleep-deprived and with bags under the eyes," in Genoa's "sheltered Mandraccio,"4 where he becomes acquainted withthe smoothness of the Trebbiano, the fullness of the Montefiascone, the strength of the Asperino, the generosity of the Greeks Candia and Soma, the grandeur of the one from the Five Vineyards, the sweetness and mellowness of the lady Vernaccia, the rustic touch of the Centola, while the lowly one from Rome dared not appear in the presence of such illustrious gentlemen.5Charmed by the gallantry of the Genoese, Rodaja leaves by land for Rome, "the queen of cities and mistress of the world." "Just as the size and ferocity of a lion can be gauged by its claws," Cervantes observed,so Rome's greatness became manifest by its broken marbles, its statues..., its fallen arches and ruined baths, its magnificent porticoes and large amphitheatres, its famous and sacred river whose waters... (shrink)

One objection to xenotransplantation is that it will require the large-scale breeding, raising and killing of genetically modified pigs. The pigs will need to be raised in designated pathogen-free facilities and undergo a range of medical tests before having their organs removed and being euthanised. As a result, they will have significantly shortened life expectancies, will experience pain and suffering and be subject to a degree of social and environmental deprivation. To minimise the impact of these factors, we propose the (...) following option for consideration—ethically defensible xenotransplantation should entail the use of genetic disenhancementifit becomes possible to do so and if that pain and suffering cannot be eliminated by other means. Despite not being a morally ideal ‘solution’, itismorally better to prevent unavoidable pain until a viable non-animal alternative becomes available. (shrink)

Background Euthanasia is a controversial practice in many countries. Since Spain’s Euthanasia Law came into effect on March 24, 2021, healthcare providers have faced a new challenge since they must inform patients, provide care, accompany them, and implement the law. It also represents a new stumbling block at universities, which must adapt to regulatory changes and educate future professionals accordingly. Little is known about the attitude of nursing students in Spain toward euthanasia since this law was implemented. Objective This study (...) aims to answer the following research questions: What is the attitude of nursing students toward euthanasia? What factors influence this attitude? Research design A cross-sectional study was conducted using an online questionnaire. Participants and research context The study population comprised all nursing students at a public university in Barcelona ( n = 444), Spain, during the 2022–2023 academic year. The validated Spanish version of the Euthanasia Attitude Scale was employed. A bivariate analysis was performed. Ethical considerations The university Ethics Committee (CEEAH 6247) approved this study. All participating students signed an informed consent form. Participation was voluntary, and data anonymity and confidentiality were guaranteed. Results Two hundred and forty-four nursing students responded to the questionnaire. The mean total score was 79.64. Participants with religious beliefs presented lower scores, indicating a more negative attitude toward euthanasia. Participants in their second, third, or fourth year of the nursing degree scored higher, demonstrating a more positive attitude. Conclusions The attitude of nursing students toward euthanasia was remarkably positive. Working on ethical content during the degree course and clinical practice are factors that help to develop a more positive attitude. In addition, nursing education should encourage professional aspects to prevail over religious beliefs in euthanasia situations. (shrink)

The past decade has seen a burgeoning of scholarly interest in conscientious objection in healthcare. While the literature to date has focused primarily on individual healthcare practitioners who object to participation in morally controversial procedures, in this article we consider a different albeit related issue, namely, whether publicly funded healthcare institutions should be required to provide morally controversial services such as abortions, emergency contraception, voluntary sterilizations, and voluntary euthanasia. Substantive debates about institutional responsibility have remained largely at the level of (...) first-order ethical debate over medical practices which institutions have refused to offer; in this article, we argue that more fundamental questions about the metaphysics of institutions provide a neglected avenue for understanding the basis of institutional conscientious objection. To do so, we articulate a metaphysical model of institutional conscience, and consider three well-known arguments for undermining institutional conscientious objection in light of this model. We show how our metaphysical analysis of institutions creates difficulties for justifying sanctions on institutions that conscientiously object. Thus, we argue, questions about the metaphysics of institutions are deserving of serious attention from both critics and defenders of institutional conscientious objection. (shrink)

In the paper, the role of a citizen, a public official, and an observer in the reproduction of bribery as a social norm are each analyzed. To make the analysis of this cellular-social form of corruption, three variables are incorporated: the agent’s perception of how widespread the corruption is, the agent’s available resources with which to act, and the role of moral values. Later, some scenarios of normalization and denormalization of corruption are explored, making different assumptions regarding the analysis and (...) assignment of agents to different roles in the interactions. What was found is that power relations among corrupt and non-corrupt agents are key for understanding the social reproduction of bribery, where inequality might facilitate the social reproduction of corruption. The role of the observer of the interaction of bribe-givers, bribe-takers, and bribe-resisting agents was also found to potentially tip the balance in the direction of normalization or denormalization of bribery. Hence, giving the observer tools to intervene in these interactions becomes essential to combat corruption. (shrink)

Le Pere Xavier Tilliette est l'un des plus grands historiens contemporains de la philosophie. Il est l'auteur d'une monumentale etude en deux volumes sur Schelling... qui il avait d'ailleurs consacre plusieurs autres ouvrages. Il a egalement ecrit d'excellents livres sur d'autres grandes figures de la philosophie occidentale notamment Fichte, Merleau-Ponty, Lequier. Il est aussi et surtout le representant le plus connu d'un genre unique de la philosophie de la religion, celui qui traite des grands themes de la theologie chretienne (...) selon leurs dimensions proprement philosophiques. Rappelons simplement plusieurs travaux tres novateurs sur le Christ et la philosophie, mais aussi sur la philosophie et l'Eglise ou encore la philosophie et l'Eucharistie. Toutefois, Xavier Tilliette n'est pas seulement philosophe, il est aussi un grand erudit de l'histoire litteraire francaise, notamment de l'oeuvre de Paul Claudel. Apres deux Festschrift anterieures parues respectivement en Allemagne et en Italie, ce troisieme recueil publie en l'honneur du Pere Tilliette est edite en Belgique. Il contient trente contributions, plus de la moitie consacrees... l'histoire de la philosophie, avec un nombre eleve de textes sur Schelling. Les autres etudes, tres variees, tres originales, relevent de la philosophie de la religion, de la theologie philosophique et de l'histoire de la litterature. Ces travaux dont les auteurs, en provenance de huit pays et de trois continents, vont de jeunes erudits... peine trentenaires jusqu'aux contemporains de l'illustre jesuite, sont rediges en Francais, en Italien, en Allemand et en Anglais. Ils manifestent et illustrent la fecondite de l'oeuvre de ce disciple fervent des Peres de Lubac et Danielou, son rayonnement extraordinaire, les richesses multivalentes de ses deux-mille publications. (shrink)

Para completar la exposición de su propio pensamiento Xavier Zubiri dictó en 1968 un ciclo de conferencias titulado Estructura dinámica de la realidad. El texto de esas conferencias es el que ahora, forma este libro. En él analiza el momento dinámico de la realidad, lo que denomina su «dar de sí». Si en Sobre la esencia la realidad era definida como «de suyo», ahora se completaba esa definición afirmando que es, además un «dar de sí». De suyo, la realidad (...) da de sí. Tal podría ser el resumen más apretado de esta obra, que añade precisiones muy importantes a los libros ya publicados en esta misma colección. (shrink)

RESUMEN La formación de profesionales competentes y comprometidos con el ideal de justicia social y solidaridad humana es un reto para las universidades médicas en Cuba. El protagonismo estudiantil en este contexto contribuye a formar jóvenes autodeterminados, críticos, reflexivos, que se hagan cargo de su desarrollo profesional y participen de forma creadora en la transformación de la sociedad. Se realizó una investigación cualitativa en la Universidad de Ciencias Médicas de Camagüey, con el objetivo de valorar la visión que tienen los (...) líderes estudiantiles sobre el protagonismo estudiantil, los factores que lo limitan y acciones para perfeccionarlo. Se utilizaron las técnicas entrevista estructurada, entrevista grupal y observación participante a una muestra de once dirigentes estudiantiles. Se logró identificar que los dirigentes estudiantiles tienen una visión acertada sobre el protagonismo estudiantil y señalan factores que limitan el protagonismo, asociados a los propios estudiantes, los profesores, las autoridades universitarias y la institución. ABSTARCT The formation of competent and committed professionals with the ideal of social justice and human solidarity is a challenge for the medical universities in Cuba. The student-leading role in this context helps to form self-determined, critical, reflective young people, who take charge of his professional development and take part of creative form in the transformation of the society. A qualitative investigation was carried out in the University of Medical Sciences, with the objective to value the vision that the student leaders have on the student-leading role, the factors that limit it and actions to perfect it. There used the techniques structured interview, group interview and taking part observation to a sample of eleven student leaders. It was identified that the student leaders have an appropriate vision on the student-leading role and indicated factors that limit the leading role, associated with the proper students, the teachers, the university authorities and the institution. (shrink)

In this article we defend the inferential view of scientific models and idealisation. Models are seen as “inferential prostheses” (instruments for surrogative reasoning) construed by means of an idealisation-concretisation process, which we essentially understand as a kind of counterfactual deformation procedure (also analysed in inferential terms). The value of scientific representation is understood in terms not only of the success of the inferential outcomes arrived at with its help, but also of the heuristic power of representation and their capacity to (...) correct and improve our models. This provides us with an argument against Sugden’s account of credible models: the likelihood or realisticness (their “credibility”) is not always a good measure of their acceptability. As opposed to “credibility” we propose the notion of “enlightening”, which is the capacity of giving us understanding in the sense of an inferential ability. (shrink)

Pourquoi parle-t-on si facilement de l'âme d'un violon, d'une poutre, d'un canon et avec plus d'embarras, de l'âme humaine? Le mot "âme" a des résonances qui pour beaucoup paraissent suspectes. Nombre de nos contemporains pensent ou préfèrent se passer de la notion d'âme qu'ils jugent désuète, mythique ou trop chargée de religieux. Et s'il y avait une relation étroite entre le refoulement du religieux et celui de l'âme? se demande Xavier Lacroix. De même que le religieux est porteur d'une (...) signification qui lui est propre, de même la notion d'âme est-elle porteuse d'une signification qui va plus loin que les notions modernes par lesquelles on croit la remplacer. En vérité, le terme d'âme est irremplaçable. Nous n'en avons pas fini avec lui, qui implique la raison et la foi, le bon sens et la Révélation. (shrink)

This book introduces profound reflections of Xavier Zubiri on the history of philosophy to English-speaking audiences. The book discusses the transcendental in Western philosophy and how a firm grasp of it reveals underlying unity, but also fundamental problems that Zubiri believed require a complete rethinking of certain theories.

Entre 1927 y 1933 Walter Benjamin escribió guiones radiofónicos que fueron transmitidos en Radio Berlín y Radio Fráncfort, y que él mismo actuó y narró al aire, o bien, dirigió y participó en su producción. Aunque el propio Benjamin veía con cierto desdén esas colaboraciones, y de forma similar lo han hecho los estudiosos de su obra —en buena medida por dirigirse al público infantil—, estos trabajos resultan en particular relevantes porque concretan los postulados teóricos del filósofo berlinés en términos (...) de forma y contenido. Este artículo busca mostrar la coherencia entre el trabajo que Benjamin realizó para la radio y su obra filosófica; explorar aquellas piezas radiofónicas para destacar su filo crítico y la manera en que manifiestan la búsqueda presente en Benjamin desde sus escritos de juventud: el despertar del sueño de la modernidad capitalista. (shrink)

On sait que sur la question des pensées imperceptibles, Nicole, bientôt suivi par le bénédictin François Lamy, heurte l’opinion d’Arnauld. L’opposition d’Arnauld à Nicole touchant la question de la grâce est bien connue. C’est plutôt de l’originalité philosophique de Nicole qu’il s’agira dans ce travail. En tirant Nicole de « l’ombre d’Arnauld et de Pascal » et en lui faisant crédit d’une consistance spéculative propre, on retrouvera la finesse de sa psychologie, mais on découvrira également l’esquisse d’une subtile anthropologie.

Insurance is pervasive in many social settings. As a cooperative device based on risk pooling, it serves to attenuate the adverse consequences of various risks by offering policyholders coverage against the losses implied by adverse events in exchange for the payment of premiums. In the insurance industry, the concept of actuarial fairness serves to establish what could be adequate, fair premiums. Accordingly, premiums paid by policyholders should match as closely as possible their risk exposure. Such premiums are the product of (...) the probabilities of losses and the expected losses. This article presents a discussion of the fairness of actuarial fairness through three steps: defining the concept based on its formulation within the insurance industry; determining in which sense it may be about fairness; and raising some objections to the actual fairness of actuarial fairness. The necessity of a normative evaluation of actuarial fairness is justified by the influence of the concept on the current reforms of public insurance systems and the fact that it highlights the question of the repartition of the gains and burdens of social cooperation. (shrink)

Xavier Landes | : Happiness has become a central theme in public debates. Happiness indicators illustrate this importance. This article offers a typology of the main challenges conveyed by the elaboration of happiness indicators, where happiness can be understood as hedonia, subjective well-being, or eudaimonia. The typology is structured around four questions: what to measure?—i.e., the difficulties linked to the choice of a particular understanding of happiness for building an indicator; whom to include?—i.e., the limits of the community monitored (...) by such an indicator; how to collect the data?—i.e., the difficulties stemming from objective and subjective reporting; what to do?—i.e., the concerns about the use of happiness indicators in public policy. The major points of normative contention are discussed for each of these dimensions. The purpose of this article is to contribute in a constructive manner to happiness research by offering an overview of some major philosophical and political challenges of building happiness indicators. The conclusion underlines the importance of the strategy of diversification- hybridization, which consists in setting a variety of indicators or composite indicators that articulate different understandings of happiness. It is stressed that happiness indicators raise democratic and institutional issues with which normative thinkers should deal. | : Le bonheur est devenu un thème central dans les débats publics. Les indicateurs de bonheur illustrent cette importance. Cet article offre une typologie des principaux enjeux contenus dans le travail d’élaboration d’indicateurs de bonheur quand ce dernier est compris comme hedonia, bien-être subjectif ou eudaimonia. La typologie est structurée autour de quatre questions : 1) que mesurer?, où sont en jeu les difficultés liées au choix d’une compréhension particulière du bonheur pour construire un indicateur; 2) qui inclure?, c’est-à-dire comment tracer les limites de la communauté morale qui est l’objet d’un tel indicateur; 3) comment collecter les données?, où on interroge les difficultés propres aux techniques subjectives et objectives de collecte de données; 4) que faire?, où on soulève l’enjeu des craintes quant à l’usage d’indicateurs de bonheur dans les politiques publiques. Les points majeurs de dispute normative sont discutés pour chaque dimension. Nous espérons ainsi contribuer de manière constructive à la recherche sur le bonheur en offrant un aperçu de quelques défis philosophiques et politiques majeurs relatifs à la construction d’indicateurs de bonheur. Nous concluons en soulignant l’importance de la stratégie de diversification-hybridation qui consiste à mettre en place des indicateurs variés ou composites articulant différentes compréhensions du bonheur. Ces indicateurs soulèvent des enjeux démocratiques et institutionnels que les penseurs normatifs doivent considérer. (shrink)

The past decade has seen a burgeoning of scholarly interest in conscientious objection in health care. Specifically, several commentators have discussed the implications that conscientious objection has for the delivery of timely, efficient, and nondiscriminatory medical care. In this paper, I discuss the main argument put forward by the most prominent critics of conscientious objection—what I call the Professional Duty Argument or PDA. According to proponents of PDA, doctors should place patients’ well-being and rights at the center of their professional (...) practice. Doctors should be prepared to set their personal moral or religious beliefs aside where these beliefs conflict with what is legal and considered good medical practice by relevant professional associations. Conscientious objection, on this account, should be heavily restricted, if even allowed at all. I discuss two powerful objections against PDA. The first objection, which I call the fallibility objection, notes that law and professional codes of conduct are fallible guides for ethical conduct and that conscientious objection has in the past and continues today to provide a check on aberrations in law and professional convention. The second, which I call the professional discretion objection, states that restrictions on conscientious objection undermine one of the cornerstones of good medical practice, namely, a practitioner’s right to independent professional judgment. I argue that these two objections give us reason to retain conscience clauses in professional codes of conduct. (shrink)

Replying to Samuel Knafo and Benno Teschke, this article shows how Political Marxism offers powerful conceptual tools to understand modes of production that structure historical processes as fundamentally constituted by exploitative social and political relations. I explain how structure, or rules of reproduction, should be understood as alienated social relations, which are inherent to all class societies. Understanding structure this way leaves ample space for – and makes inevitable – the consideration of agency.

En enero de 1974 Zubiri dio un breve curso en la Sociedad de Estudios y Publicaciones de Madrid sobre el tema Tres dimensiones del ser humano: individual, social e histórica. Meses después publicó la última de esas lecciones bajo el título de La dimensión histórica del ser humano. El presente volumen recoge el texto de las tres conferencias, más la versión escrita de la última de ellas. La tesis que Zubiri desarrolla en estas lecciones es que el ser humano es (...) a la vez y necesariamente individual, social e histórico, y que estas dimensiones vienen exigidas por su propia realidad específica, que es pluralizante, continuante y prospectiva. (shrink)

There has been significant debate about whether the moral norms of medical practice arise from some feature or set of features internal to the discipline of medicine. In this article, I analyze Edmund Pellegrino’s conception of the internal morality of medicine, and situate it in the context of Alasdair MacIntyre’s influential account of “practice.” Building upon MacIntyre, Pellegrino argued that medicine is a social practice with its own unique goals—namely, the medical, human, and spiritual good of the patient—and that the (...) moral norms that govern medical practice are derived from these goals. After providing an overview of Pellegrino’s work, I discuss some forceful objections to his theory—specifically, that it is too rigid and incapable of entering into dialogue with contemporary values systems; that it is dependent on an external conception of human flourishing; and that it is incompatible with the rapidly changing nature of modern medicine. In the final section of this article, I consider how theorists working in the Hippocratic tradition might respond to these objections against ethical essentialism by drawing upon MacIntyre’s historico-cultural method as well as what he calls Aristotle’s “metaphysical biology.”. (shrink)

La Práctica Filosófica tiene lugar en el asesoramiento que realiza un filósofo con un cliente que le plantea un problema vital suyo. Este encuentro se realiza siempre mediante el diálogo. Sin embargo, este diálogo siempre está condicionado por unos presupuestos metafísicos del filósofo asesor porque, de hecho, estos condicionan toda acción del filósofo. En este dialogar conjunto, el cliente clarifica su relación con el entorno y le permite comprenderlo mejor. Esta comprensión genera en él un bienestar. El bienestar que gana (...) nuestro cliente no parece responder al resultado de una terapia si se toma la palabra en su significado actual, que tiene su origen en un cambio semántico al ser tomada del griego por el latín: la curación de un mal físico. El proceder de las terapias, alternativas o no, tampoco responde a la forma de comprender los problemas que es característica de la filosofía. En definitiva, las terapias no consideran al ser humano en su totalidad, como sí pretende hacerlo la filosofía. (shrink)

La crítica de Octavio Paz sobre el significado de la modernidad para los países latinoamericanos, sustentada en una visión poética y en una perspectiva otorgada por ser un autor proveniente de la otredad que postulaba la necesidad de que la Razón recuperará su espíritu crítico abandonado a raíz del intento de imponerla como forma hegemónica de pensar el presente, pasado y futuro de toda la humanidad, sentó las bases para lo que hoy en día conocemos como teorías de la decolonialidad. (...) Sin embargo, la reflexión del poeta mexicano es ignorada tanto por las capillas académicas que han pensado la modernidad, como por los pensadores que han asumido al decolonialismo como forma de imaginar el futuro de nuestras sociedades. El artículo presenta varias de las aportaciones de Octavio Paz a la discusión, concluyendo que su obra debería ser considerada como integrante de la genealogía del pensamiento decolonial. (shrink)

Cette actualité de la recherche se placera sous les auspices des deux historiennes, Michelle Perrot et Joan Scott, qui incarnent admirablement, et très précocement, l’intersection entre histoire ouvrière et histoire du genre. Toutes deux avaient commencé par une étude des mobilisations ouvrières que ce soit par l’étude des grèves (Michelle Perrot) ou par celle d’un métier masculin, les verriers de Carmaux (Joan Scott). En 1996, dans le numéro 3 de Clio, Histoire, Femmes et Sociétés sur « Méti...

Among those who pay homage to Parmenides as a source of unquenchable inspiration for Western thought, we now revisit the Poem Of Nature as the birthplace of the principle of causality through the elimination of non-being at the origin of being. Indeed in Parmenides’ Poem, a negative conviction can be found—the refusal that the non-being is at the origin of the being—which leads most philosophers to the affirmative conviction that something is at the origin of the being. The two convictions (...) are two rational beliefs which have stimulated ancient Greek philosophy, and have continuously represented a structuring axis in the history of Western thought. With Aristotle, that affirmative conviction was converted into a principle of causality, that is, into a principle which requires a causal explanation for the intelligibility of reality. In Latin Middle Ages, we find a singular figure who promotes the synthesis of the two fundamental beliefs, the negative conviction, explicit in Parmenides, and the affirmative conviction, explicit in Aristotle: It is Saint Anselm. In an initial chapter of his first work, the Monologion, Anselm declares that “nothing is by nothing”, and that consequently “all that is, is not but by something”. All of Anselm’s metaphysics is an analysis and a development of this affirmative rational belief. Therefore, we claim Parmenides’ paternity of Saint Anselm’s metaphysics, of whom one may say he was the medieval Parmenides. (shrink)

Xavier Landes | : In this article, consensus, defined as the consent of all citizens, is argued to be the first best for part of the liberal tradition on political legitimacy. Consensus would be the foundation of the liberal society that, when out of reach, needs to be approximated through, for instance, voting. I build on the timid attempts in political theory at using the theorem of the second best as a tool to settle difficult decision making in applied (...) political theory. More precisely, I defend the view that consensus would be the first best for part of the liberal tradition on political legitimacy. Furthermore, I illustrate how moral, factual, disagreements may create second-best problems, especially in terms of stability. Finally, I spell out some reasons why such problems directly affect a liberal order, on pragmatic grounds. The final purpose is to contribute to the literatures on legitimacy and on the application of the theorem of the second best outside economics. The key idea is to stress that much more work has to be done for “importing” the theorem of the second best into political theory. | : Dans cet article, le consensus, défini comme le consentement de tous les citoyens, est présenté comme remplissant la fonction d’optimum de premier rang [first best] pour une partie de la tradition libérale quant à la légitimité politique. Le consensus fonderait la société libérale qui, lorsque hors d’atteinte, nécessiterait d’être approximer au travers, par exemple, du vote. Je m’appuie sur les timides tentatives en théorie politique d’utiliser le théorème de l’optimum de second rang [second best] comme outil pour résoudre des prises de décision difficiles en théorie politique appliquée. Plus précisément, je défends l’idée que le consensus serait l’optimum de premier rang pour une partie de la tradition libérale quant à la légitimité politique. De plus, j’illustre comment les désaccords moraux, factuels peuvent créer des problèmes d’optimum de second rang, en particulier en termes de stabilité. Enfin, j’expose quelques raisons pour lesquelles de tels problèmes affectent directement un ordre libéral, d’un point de vue pragmatique. Le but final est de contribuer aux littératures sur la légitimité et sur l’application du théorème d’optimum de second rang à l’extérieur des sciences économiques. L’idée principale est de souligner qu’il reste beaucoup de travail afin d’« importer » le théorème d’optimum de second rang en théorie politique. (shrink)

Conscience is an idea that has significant currency in liberal democratic societies. Yet contemporary moral philosophical scholarship on conscience is surprisingly sparse. This paper seeks to offer a rigorous philosophical account of the role of conscience in moral life with a view to informing debates about the ethics of conscientious objection in medicine. I argue that conscience is concerned with a commitment to moral integrity and that restrictions on freedom of conscience prevent agents from living a moral life. In section (...) one I argue that conscience is a principle of moral awareness in rational agents, and that it yields an awareness of the personal nature of moral obligation. Conscience also monitors the coherence between an agent’s identity-conferring beliefs and intentions and their practical actions. In section two I consider how human beings are harmed when they are forced to violate their conscience. Restrictions on the exercise of conscience prevent people from living in accord with their own considered understanding of the requirements of morality and undermine one’s capacity for moral agency. This article concludes with a consideration of how a robust theory of conscience can inform our understanding of conscientious objection in medicine. I argue that it is in the interest of individual practitioners and the medical profession generally to foster moral agency among doctors. This provides a prima facie justification for permitting at least some kinds of conscientious objection. (shrink)

Thomas Riisfeldt’s essay1 is a valuable contribution to the literature on palliative sedation, appropriately titrated administration of opioids (ATAOs) and euthanasia. In this response, I will not deal with the author’s empirical claim about the relationship between opioid use, palliative sedation and survival time. Rather, I will briefly critique the author’s discussion of doctrine of double effect (DDE) and its application to palliative sedation and opioid use at the end of life. That is, I will focus on the ethical claims (...) made by the author. Riisfeldt argues that DDE is incompatible with both Kantian deontology and Millian consequentialism. Yet, I will argue that the DDE is coherent and defensible when interpreted from the perspective of the philosophy of Thomas Aquinas, the theorist who first proposed the doctrine. I will also argue that Riisfeldt mischaracterises ATAOs and palliative sedation as procedures that hasten death as a means to relieve pain. While death may indeed be hastened by ATAOs and palliative sedation, it is not at all clear that clinicians intend to hasten death as a means to relieve pain. Indeed, clinical guidelines explicitly prohibit the intentional hastening of death. Riisfeldt provides a brief summary of the DDE. He describes DDE as a ‘strange hybrid of four principles’. He lists the four criteria that must be met for an act with a good and a bad effect to be permissible. These criteria are the ‘intention and means criteria’ and the ‘intrinsic and proportionality criteria’ (p.127). The author uses Kant and Mill as lens through which to highlight a tension between the intrinsic and proportionality criteria of DDE. The author claims that ‘the intrinsic criterion is derived from deontology, the predominant form of which is championed by Kant’, and that ‘the proportionality criterion is derived from consequentialism, the predominant form of …. (shrink)