Clare Chambers argues that marriage violates both equality and liberty and should not be trecognized by the state. She shows how feminist and liberal principles require creation of a marriage-free state: one in which private marriages, whether religious or secular, would have no legal status.

In _Considering Emma Goldman_ Clare Hemmings examines the significance of the anarchist activist and thinker for contemporary feminist politics. Rather than attempting to resolve the tensions and problems that Goldman's thinking about race, gender, and sexuality pose for feminist thought, Hemmings embraces them, finding them to be helpful in formulating a new queer feminist praxis. Mining three overlapping archives—Goldman's own writings, her historical and theoretical legacy, and an imaginative archive that responds creatively to gaps in those archives —Hemmings shows (...) how serious engagement with Goldman's political ambivalences opens up larger questions surrounding feminist historiography, affect, fantasy, and knowledge production. Moreover, she explores her personal affinity for Goldman to illuminate the role that affective investment plays in shaping feminist storytelling. By considering Goldman in all her contradictions and complexity, Hemmings presents a queer feminist response to the ambivalences that also saturate contemporary queer feminist race theories. (shrink)

In a recent unit of study in an undergraduate Health Sciences pathway course, we identified a set of essays which exhibited similarity of content but demonstrated the use of bizarre and unidiomatic language. One of the distinct features of the essays was the inclusion of unusual synonyms in place of expected standard medical terminology.We suspected the use of online paraphrasing tools, but were also interested in investigating the possibility of the use of online language translation tools. In order to test (...) the outputs of these tools, we used as a seed document a corpus of text which had been provided to the students as prompt for the essay. This document was put through six free online paraphrasing tools and six separate iterative language translations through the online Google Translate™ tool.The results demonstrated that free online paraphrasing tools did not identify medical terminology as standardised or accepted nomenclature and substituted synonyms, whereas Google Translate™ largely preserved medical terminology.We believe that textual indicators such as the absence of standard discipline-based terminology may be of assistance in the identification of machine paraphrased text. (shrink)

Progress -- Loss -- Return -- Amenability -- Citation tactics -- Affective subjects.

Confirmatory bias, defined as the tendency to misinterpret new pieces of evidence as confirming previously held hypotheses, can lead to implacable, even incorrect decision making. It is one of the biases, along with anchoring, framing, and other judgment heuristic errors, that may lead to non-optimal behavior. This paper tests for the existence of confirmatory bias behavior in a uniquely economic setting (tax policy) and in a context relatively lacking in ambiguity. It also tests whether the confirmatory bias phenomenon can be (...) prevalent enough to affect aggregate outcomes, a characteristic important in economic models in particular. The results indicate not only that confirmatory bias exists, but that the confirmatory bias effect may be stronger for evidence relating to losses than for comparable evidence relating to gains. (shrink)

Many have argued that that it is morally wrong to benefit from an agent's culpable wronging of a third party. This thought has formed the basis of some arguments that agents can have duties to make up for wrongful acts by others that they could not have stopped, or that occurred before they were born. For example, it has been argued that those who benefited from slavery, colonialism and other shameful events in their nation's history should surrender those benefits, their (...) equivalent value, or provide other forms of redress. Some have also argued that it is morally wrong to benefit from unjust situations caused by third parties even where there is no culpable element. These ideas have potential to be a principle of redress for harms that are caused by the working of very complex systems, such as the global climate system. Geoengineering, the intentional manipulation of the global climate, is a new development in climate science and policy — and one which raises many normative challenges. This article focuses on one specific challenge. The global climate is very complex and there is a real possibility that the best available science will not be able to account for all the consequences of deploying a geoengineering technique. Therefore, any governance regime that allows deployment will have to consider how to organise compensation or redress for any adverse impacts that could not have been predicted at the time of deployment. This article proposes that, with some modification, the principle that agents should surrender benefits that have accrued to them from using geoengineering techniques, can be a good basis for such a scheme. (shrink)

'Philosophy in a world of women. I reflected, talking with Mary, Pip and Elizabeth, how much I love them.' Two brilliant young scholars uncover the major philosophical contributions of four women whose ideas could have changed the course of twentieth-century thought. Written with energy, expertise and panache, The Quartet is a page-turning blend of research and recovery, storytelling, and a call to arms. Iris Murdoch, Philippa Foot, Mary Midgley and Elizabeth Anscombe were great friends and comrades in the intellectual trenches, (...) rethinking the possibilities of moral philosophy when the men 'left the room' and taking on the establishment, ultimately embodied by President Truman. Mac Cumhaill and Wiseman bring these women out of the shadows and into vivid colour. (shrink)

For Aristotle, excellence is not an act but a habit, and Hume regards habit as ‘the great guide of life’. However, for Proust habit is problematic: ‘if habit is a second nature, it prevents us from knowing our first.’ What is habit? Do habits turn us into machines or free us to do more creative things? Should religious faith be habitual? Does habit help or hinder the practice of philosophy? Why do Luther, Spinoza, Kant, Kierkegaard and Bergson all criticise habit? (...) If habit is both a blessing and a curse, how can we live well in our habits? In this thought-provoking book Clare Carlisle examines habit from a philosophical standpoint. Beginning with a lucid appraisal of habit’s philosophical history she suggests that both receptivity and resistance to change are basic principles of habit-formation. Carlisle shows how the philosophy of habit not only anticipates the discoveries of recent neuroscience but illuminates their ethical significance. She asks whether habit is a reliable form of knowledge by examining the contrasting interpretations of habitual thinking offered by Spinoza and Hume. She then turns to the role of habit in the good life, tracing Aristotle’s legacy through the ideas of Joseph Butler, Hegel, and Félix Ravaisson, and assessing the ambivalent attitudes to habit expressed by Nietzsche and Proust. She argues that a distinction between habit and practice helps to clarify this ambivalence, particularly in the context of habit and religion, where she examines both the theology of habit and the repetitions of religious life. She concludes by considering how philosophy itself is a practice of learning to live well with habit. (shrink)

In the last few years, many countries have introduced laws combating the phenomenon colloquially known as ‘revenge porn’. While new laws criminalising this practice represent a positive step forwards, the legislative response has been piecemeal and typically focuses only on the practices of vengeful ex-partners. Drawing on Liz Kelly’s pioneering work, we suggest that ‘revenge porn’ should be understood as just one form of a range of gendered, sexualised forms of abuse which have common characteristics, forming what we are conceptualising (...) as the ‘continuum of image-based sexual abuse’. Further, we argue that image-based sexual abuse is on a continuum with other forms of sexual violence. We suggest that this twin approach may enable a more comprehensive legislative and policy response that, in turn, will better reflect the harms to victim-survivors and lead to more appropriate and effective educative and preventative strategies. (shrink)

This paper considers what olfactory experience can tell us about the controversy over qualia and, in particular, the debate that focuses on the alleged transparency of experience. The appeal to transparency is supposed to show that there are no qualia—intrinsic, non-intentional and directly accessible properties of experience that determine phenomenal character. It is most commonly used to motivate intentionalism—namely, the view that the phenomenal character of an experience is exhausted by its representational content. Although some philosophers claim that transparency holds (...) for all of the sense modalities, any detailed discussion of it focuses on vision. But transparency seems unintuitive for olfactory experience. This paper argues that olfactory experience is indeed transparent and that explanations of what transparency is have been obscured by a reliance on the visual model. In this way, the paper clarifies and advances the debate about transparency. (shrink)

This article attempts to question modes of sharing and watching to rethink political subjectivity beyond that which is enabled and enforced by the current data regime. It identifies and examines a ‘shareveillant’ subjectivity: a form configured by the sharing and watching that subjects have to withstand and enact in the contemporary data assemblage. Looking at government open and closed data as case studies, this article demonstrates how ‘shareveillance’ produces an anti-political role for the public. In describing shareveillance as, after Jacques (...) Rancière, a distribution of the sensible, this article posits a politico-ethical injunction to cut into the share and flow of data in order to arrange a more enabling assemblage of data and its affects. In order to interrupt shareveillance, this article borrows a concept from Édouard Glissant and his concern with raced otherness to imagine what a ‘right to opacity’ might mean in the digital context. To assert this right is not to endorse the individual subject in her sovereignty and solitude, but rather to imagine a collective political subjectivity and relationality according to the important question of what it means to ‘share well’ beyond the veillant expectations of the state. (shrink)

This article examines medieval and early modern theologies of habit (those of Augustine, Aquinas and Luther), and traces a theme of appropriation through the discourse on habit and grace. It is argued that the question of habit is central to theological debates about human freedom, and about the nature of the God-relationship. Continuities are then highlighted with modern philosophical accounts of habit, in particular those of Ravaisson and Hegel. The article ends by considering some of the philosophical and political implications (...) of the preceding analysis of habit. (shrink)

Autonomy is fundamental to liberalism. But autonomous individuals often choose to do things that harm themselves or undermine their equality. In particular, women often choose to participate in practices of sexual inequality—cosmetic surgery, gendered patterns of work and childcare, makeup, restrictive clothing, or the sexual subordination required by membership in certain religious groups. In this book, Clare Chambers argues that this predicament poses a fundamental challenge to many existing liberal and multicultural theories that dominate contemporary political philosophy. Chambers argues (...) that a theory of justice cannot ignore the influence of culture and the role it plays in shaping choices. If cultures shape choices, it is problematic to use those choices as the measure of the justice of the culture. Drawing upon feminist critiques of gender inequality and poststructuralist theories of social construction, she argues that we should accept some of the multicultural claims about the importance of culture in shaping our actions and identities, but that we should reach the opposite normative conclusion to that of multiculturalists and many liberals. Rather than using the idea of social construction to justify cultural respect or protection, we should use it to ground a critical stance toward cultural norms. The book presents radical proposals for state action to promote sexual and cultural justice. (shrink)

Minkoff, Vullikanit, and Marshall (2024) have advanced critical dialogue about the agency of pregnant persons, highlighting serious issues about the erosion of reproductive rights and the fall of R...

Contract cheating is a major problem in Higher Education because it is very difficult to detect using traditional plagiarism detection tools. Digital forensics techniques are already used in law to determine ownership of documents, and also in criminal cases, where it is not uncommon to hide information and images within an ordinary looking document using steganography techniques. These digital forensic techniques were used to investigate a known case of contract cheating where the contract author has notified the university and the (...) student subsequently confirmed that they had contracted the work out. Microsoft Word documents use a format known as Office Open XML Format, and as such, it is possible to review the editing process of a document. A student submission known to have been contracted out was analysed using the revision identifiers within the document, and a tool was developed to review these identifiers. Using visualisation techniques it is possible to see a pattern of editing that is inconsistent with the pattern seen in an authentic document. (shrink)

This article reflects on the problem of false belief produced by the integrated psychological and algorithmic landscape humans now inhabit. Following the work of scholars such as Lee McIntyre (Post-Truth, MIT Press, 2018) or Cailin O’Connor and James Weatherall (The Misinformation Age: How False Beliefs Spread, Yale University Press, 2019) it combines recent discussions of fake news, post-truth, and science denialism across the disciplines of political science, computer science, sociology, psychology, and the history and philosophy of science that variously address (...) the ineffectiveness, in a digital era, of countering individual falsehoods with facts. Truth and falsehood, it argues, rather than being seen as properties or conditions attached to individual instances of content, should now be seen as collective, performative, and above all persuasive phenomena. They should be practically evaluated as networked systems and mechanisms of sharing in which individually targeted actions are combining with structural tendencies (both human and mechanical) in unprecedented ways. For example, the persuasive agency of apparent consensus (clicks, likes, bots, trolls) is newly important in a fractured environment that only appears to be, but is no longer ‘public’; the control of narratives, labels, and associations is a live, time-sensitive issue, a continuous contest, or ongoing cusp. Taking a social approach to truth yields observations of new relevance; from how current strategies of negative cohesion, blame, and enemy-creation depend crucially on binary ways of constructing the world, to how the offer of identity/community powerfully cooperates with the structural tendencies of algorithm-driven advertiser platforms towards polarisation. Remedies for these machine-learned and psychological tendencies lie in end-user education. So the Arts and Humanities, whether via comparisons with previous historical periods, or via principles of critical thinking and active reading, offer crucial resources to help counter what since 1997 silicon valley executives and scholars have called ‘persuasive technology’ (Fogg in Persuasive Technology: Using Computers to Change What we Think and Do, Morgan Kaufmann, 2003; Hamari et al. (eds) in Persuasive Technology, Springer International Publishing, 2014; Harris in How a Handful of Tech Companies Control Billions of Minds Every Day, 2017; Lanier in Who Owns the Future? Simon & Schuster, 2014 and Ten Arguments for Deleting your Social Media Accounts Right Now, Picador, 2019). The article proposes a paradigm shift in public understandings of this new social environment: from a culture of discovery, where what matters is what exists or is in fact the case, to a culture of iteration, where what matters is what gets repeated. (shrink)

It is widely agreed that because animals feel pain we should not make them suffer gratuitously. Some ethical theories go even further: because of the capacities that they possess, animals have the right not to be harmed or killed. These views concern what not to do to animals, but we also face questions about when we should, and should not, assist animals that are hungry or distressed. Should we feed a starving stray kitten? And if so, does this commit us, (...) if we are to be consistent, to feeding wild animals during a hard winter? In this controversial book, Clare Palmer advances a theory that claims, with respect to assisting animals, that what is owed to one is not necessarily owed to all, even if animals share similar psychological capacities. Context, history, and relation can be critical ethical factors. If animals live independently in the wild, their fate is not any of our moral business. Yet if humans create dependent animals, or destroy their habitats, we may have a responsibility to assist them. Such arguments are familiar in human cases-we think that parents have special obligations to their children, for example, or that some groups owe reparations to others. Palmer develops such relational concerns in the context of wild animals, domesticated animals, and urban scavengers, arguing that different contexts can create different moral relationships. (shrink)

The philosophy of perception has been dominated by vision, with very little discussion of the chemical senses – olfaction and gustation. In this second entry of a pair on olfactory experience, I consider what olfaction has to tell us about two issues: the nature of perceptual objects and the nature of perceptual properties and, in particular, the secondary qualities. Given the scant work on olfaction in the philosophical literature, my discussion not only surveys what philosophers have said about olfaction so (...) far, but considers the most plausible views and/or most pressing questions in each area of inquiry. (shrink)

How do people understand questions about cause and prevent? Some theories propose that people affirm that A causes B if A's occurrence makes a difference to B's occurrence in one way or another. Other theories propose that A causes B if some quantity or symbol gets passed in some way from A to B. The aim of our studies is to compare these theories' ability to explain judgements of causation and prevention. We describe six experiments that compare judgements for causal (...) paths that involve a mechanism, i.e. a continuous process of transmission or exchange from cause to effect, against paths that involve no mechanism yet a change in the cause nevertheless brings about a change in the effect. Our results show that people prefer to attribute cause when a mechanism links cause to effect. In contrast, prevention is sensitive both to the presence of an interruption to a causal mechanism and to a change in the outcome in the absence of a mechanism. In this sense, ‘prevent’ means something different than ‘cause not'. We discuss the implications of our results for existing theories of causation. (shrink)

In clinical ethics consultations, clinical ethicists bring moral reasoning to bear on concrete and complex clinical ethical problems by undertaking ethical deliberation in collaboration with others. The reasoning process involves identifying and clarifying ethical values which are at stake or contested, and guiding clinicians, and sometimes patients and families, to think through ethically justifiable and available courses of action in clinical situations. There is, however, ongoing discussion about the various methods ethicists use to do this ethical deliberation work. In this (...) paper, we make visible and accessible seven steps of facilitation used in the critical dialogue method of ethics consultation.We describe how the facilitation techniques serve two overall purposes. First, to identify ethically justified responses to ethical questions. Second, to assist participants to gain greater moral clarity, understanding and confidence to respond to ethical challenges as independent moral agents.By describing in detail facilitation steps for clinical ethics consultation, we aim to advance the scholarship of ‘clinical ethics facilitation methods’ and to demystify the ethical deliberation work undertaken by clinical ethicists. (shrink)

In philosophical discussions of the secondary qualities, color has taken center stage. Smells, tastes, sounds, and feels have been treated, by and large, as mere accessories to colors. We are, as it is said, visual creatures. This, at least, has been the working assumption in the philosophy of perception and in those metaphysical discussions about the nature of the secondary qualities. The result has been a scarcity of work on the “other” secondary qualities. In this paper, I take smells and (...) place them front and center. I ask: What are smells? For many philosophers, the view that colors can be explained in purely physicalistic terms has seemed very appealing. In the case of smells, this kind of nonrelational view has seemed much less appealing. Philosophers have been drawn to versions of relationalism—the view that the nature of smells must be explained (at least in part) in terms of the effects they have on perceivers. In this paper, I consider a contemporary argument for this view. I argue that nonrelationalist views of smell have little to fear from this argument. (shrink)

In his paper The Opposite of Human Enhancement: Nanotechnology and the Blind Chicken problem (Nanoethics 2:305–316, 2008) Paul Thompson argues that the possibility of disenhancing animals in order to improve animal welfare poses a philosophical conundrum. Although many people intuitively think such disenhancement would be morally impermissible, it’s difficult to find good arguments to support such intuitions. In this brief response to Thompson, I accept that there’s a conundrum here. But I argue that if we seriously consider whether creating beings (...) can harm or benefit them, and introduce the non-identity problem to discussions of animal disehancement, the conundrum is even deeper than Thompson suggests. (shrink)

Spinoza's account of acquiescentia has been obscured by inconsistent translations of acquiescentia, and forms of the verb acquiescere, in the standard English edition of the Ethics. For Spinoza, acquiescentia is an inherently cognitive affect, since it involves an idea of oneself (as the cause of one's joy). As such, the affect is closely correlated to the three kinds of cognition identified by Spinoza in Ethics II. Just as there are three kinds of cognition, so too are there three kinds of (...) acquiescentia. Two qualities—stillness and obedience—provide the criteria for distinguishing between these. This illuminates Spinoza's positive account of acquiescentia, and also clarifies how it responds critically to the equivalent Cartesian passion, la satisfaction de soimême, which is translated as acquiescentia in se ipso in the relevant Latin edition of Les passions de l'âme. (shrink)

Much of the philosophical work on perception has focused on vision. Recently, however, philosophers have been turning their attention to the ‘other modalities’. In a pair of entries, I consider olfaction—a sense modality that, along with gustation, has been largely overlooked by philosophers. In this first entry, I consider the challenge that olfactory experience presents to upholding a representational view of the sense modalities. It is common for philosophers to think that visual experience is world‐directed and, in particular, that it (...) is representational. World‐directed views contrast with subjectivist views—views according to which experiences are raw feels or mere sensations. Unlike visual experience, olfactory experience doesn't obviously support a representational view. Indeed, given its phenomenology, a subjectivist view of olfactory experience might seem unavoidable. But it is not. Once we begin to unravel ourselves from the dominant visual model of perception, we see that there is a representational view available that honors the phenomenology of olfactory experience. In turn, we learn that although there are some basic similarities between visual experience and olfactory experience, there are significant differences that prevent us from making easy generalizations from the visual case. (shrink)

This article argues that although post-truth is understood to pose a particular misogynistic threat to feminism, we cannot assume that feminists should simply oppose post-truth. The way the post-truth debate is constructed is problematic for feminism in three ways: it misconceives the relationship between democracy and truth; utilizes a questionable binary between reason and emotion; and propagates elitist assumptions about protecting democracy from the people. Recognizing the insufficiency of our understanding of post-truth, feminists have called for greater understanding of the (...) roles of language, affect and truth in the post-truth debate. In response, I suggest that the theories of Judith Butler and Bonnie Honig can help. However, I seek to emphasise that if feminists are to intervene meaningfully in the inequalities and intensified affective flows that structure the post-truth paradigm they would benefit from a deintensifying, confrontational but nonaggressive, approach. (shrink)

Social scientists have drawn attention to the role of hype and optimistic visions of the future in providing momentum to biomedical innovation projects by encouraging innovation alliances. In this article, we show how less optimistic, uncertain, and modest visions of the future can also provide innovation projects with momentum. Scholars have highlighted the need for clinicians to carefully manage the expectations of their prospective patients. Using the example of a pioneering clinical team providing deep brain stimulation to children and young (...) people with movement disorders, we show how clinicians confront this requirement by drawing on their professional knowledge and clinical expertise to construct visions of the future with their prospective patients; visions which are personalized, modest, and tainted with uncertainty. We refer to this vision-constructing work as recalibration, and we argue that recalibration enables clinicians to manage the tension between the highly optimistic and hyped visions of the future that surround novel biomedical interventions, and the exigencies of delivering those interventions in a clinical setting. Drawing on work from science and technology studies, we suggest that recalibration enrolls patients in an innovation alliance by creating a shared understanding of how the “effectiveness” of an innovation shall be judged. (shrink)

Some species face extinction if they are unable to keep pace with climate change. Yet proposals to assist threatened species’ poleward or uphill migration (‘assisted migration’) have caused significant controversy among conservationists, not least because assisted migration seems to threaten some values, even as it protects others. To date, however, analysis of ethical and value questions about assisted migration has largely remained abstract, removed from the ultimately pragmatic decision about whether or not to move a particular species. This paper uses (...) the case study of the whitebark pine, a keystone species of sub-alpine habitats in western North America, to consider how particular cases of assisted migration may be ethically approached. After taking into account the value of species, wildness, place, ecosystems, culture and sentient animals, we conclude that, on balance, there appear to be good reasons to move the whitebark pine. (shrink)

This book presents in-depth investigation of the language used about women and ageing in public discourse, and compares this with the language used by women to express their personal, lived experience of ageing. It takes a linguistic approach to identify how messages contained in public discourse influence how individual women evaluate their own ageing, and particularly their ageing appearance. It begins by establishing the wider cultural context that produces prevailing attitudes to women, before turning to an analysis of representations of (...) the ageing female body in beauty and cosmetic advertising and the lifestyle media. The focus then moves to a detailed investigation of women’s own perceptions of the process of ageing and of their ageing appearance as revealed through their personal narratives. The final chapters challenge dominant attitudes to women and ageing by presenting two case studies of women who for different reasons and in different ways refuse to conform to cultural expectations. This work provides a platform for further academic research in the fields of linguistics, gerontology, gender and media studies; as well as offering meaningful applications in the wider domains of business and advertising. (shrink)

Spinoza is widely regarded as either a God-forsaking atheist or a God-intoxicated pantheist, but Clare Carlisle says that he was neither. In Spinoza's Religion, she sets out a bold interpretation of Spinoza through a lucid new reading of his masterpiece, the Ethics. Putting the question of religion centre-stage but refusing to convert Spinozism to Christianity, Carlisle reveals that "being in God" unites Spinoza's metaphysics and ethics. Spinoza's Religion unfolds a powerful, inclusive philosophical vision for the modern age--one that is (...) grounded in a profound questioning of how to live a joyful, fully human life. Like Spinoza himself, the Ethics doesn't fit into any ready-made religious category. But Carlisle shows how it wrestles with the question of religion in strikingly original ways, responding both critically and constructively to the diverse, broadly Christian context in which Spinoza lived and worked. Philosophy itself, as Spinoza practiced it, became a spiritual endeavor that expressed his devotion to a truthful, virtuous way of life. Offering startling new insights into Spinoza's famously enigmatic ideas about eternal life and the intellectual love of God, Carlisle uncovers a Spinozist religion that integrates self-knowledge, desire, practice, and embodied ethical life to reach toward our 'highest happiness'--to rest in God. Seen through Carlisle's eyes, the Ethics prompts us to rethink not only Spinoza but also religion itself. (shrink)

Clare Carlisle's innovative and moving biography writes Kierkegaard's remarkable life as far as possible from his own perspective, conveying what it was like to be this Socrates of Christendom.

George Berkeley is known as “The Good Bishop,” a name celebrating his faith, pastoral ministry and earnest commitment to his philosophical views. To mathematicians, he is known for his agitated performance in his 1734 critique of fluxions, The Analyst. That work and its petulant tone were occasioned by (i) his “philo-mathematical” opponents’ alleged admonitions on religious mysteries’ lack of logical respectability and (ii) what Berkeley saw as a related public appetite for reformist and deist religious movements. This paper questions Berkeley’s (...) saintly reputation by outlining the hostility and flippancy in his handling of Jacob Walton’s contributions to the debate. Berkeley’s interactions with Walton bear many of the hallmarks of contemporary “trolling” culture and this paper emphasises and explains these parallels. Finally, given Berkeley’s theological and political agenda in his mathematical interactions, I argue that we should not read his mathematical rhetoric as straightforwardly representing his philosophical views. (shrink)

Clinical ethics committees aim to resolve conflict, facilitate communication and ease moral distress in health care. Dialogue in committee discussions is complex and involves a balance between implicitly and explicitly expressed values of patients, families and professionals. Evaluating effectiveness and concrete outcomes is challenging and most studies focus on broad benefits such as quality of care and reduction of unnecessary or unwanted treatments. In this paper we propose ‘physician satisfaction’ as a valuable outcome. We refer to the clinical ethics approach (...) followed at one large paediatric hospital in Australia, propose reasons for the often-expressed feeling of satisfaction and discuss why this feeling matters. We conclude that physician satisfaction is a valid measure of an effective ethics consultation because it implies the person has been listened to and respected by others, and has perhaps developed greater understanding of and insights into their own work and values, and those of others. (shrink)

The main goal of our paper ‘The Critical Dialogue method of Ethics Consultation’ was to make a particular method of clinical ethics facilitation visible and therefore accessible to others. We believe that our method is a good one, but the idea behind exposing and explaining a method of ‘doing’ clinical ethics was not to claim that our model was the ideal model for clinical ethics facilitation or the most effective in achieving ethical resolution. Instead, we wanted to enable readers to (...) ‘see’ a set of specific goals of ethics facilitation and to ‘see’ the facilitation steps used to achieve them. By uncovering and demystifying the ethics facilitation processes and goals, our objective was to advance the scholarship of clinical ethics work. To advance scholarship in fields of education and research, the work or practice must be public, available for peer review and critique according to accepted standards and able to be reproduced and built on by other scholars.1 The five responses to the ‘Critical Dialogue’ (CD) method paper suggest that we have achieved our objective of advancing scholarship in clinical ethics work. In the responses, we see ethicists engaging with our method, reflecting on their own methods and goals, and thinking critically about the nature of clinical ethics work and how to do it well. In this brief response, we discuss three key issues raised in the responses to the ‘critical dialogue’ paper and then identify how they could be used to further refine and broaden specific steps of our method (table 1). View this table: Table 1 Refinements to the critical dialogue method of ethics facilitation Both Knox et al 2 and Boretti3 discuss some challenges of having consensus as a key goal of the CD method of clinical ethics consultation. Boretti explains that reliance on consensus building may not address …. (shrink)