Institutional guidelines for transgender children and adolescent minors fail to adequately address a critical juncture of care of this population: how to proceed if a minor and their parents have disagreements concerning their gender-affirming medical care. Through arguments based on ethical, paediatric, adolescent and transgender health research, we illustrate ethical dilemmas that may arise in treating transgender and gender diverse youth. We discuss three potential avenues for providing gender-affirming care over parental disagreement: legal carve-outs to parental consent, the mature minor (...) doctrine and state intervention for neglect. Our discussion approaches this parent–child disagreement in a manner that prioritises the developing autonomy of transgender youth in the decision-making process surrounding medically assisted gender affirmation. We base our arguments in the literature surrounding the risks and benefits of gender-affirming therapy in transgender children and the existing legal basis for recognising minors’ decision-making authority in certain medical situations. (shrink)

The Key Themes in Ancient Philosophy series provides concise books, written by major scholars and accessible to non-specialists, on important themes in ancient philosophy that remain of philosophical interest today. In this volume Professor Wolfsdorf undertakes the first exploration of ancient Greek philosophical conceptions of pleasure in relation to contemporary conceptions. He provides broad coverage of the ancient material, from pre-Platonic to Old Stoic treatments; and, in the contemporary period, from World War II to the present. Examination of the nature (...) of pleasure in ancient philosophy largely occurred within ethical contexts but in the contemporary period has, to a greater extent, been pursued within philosophy of mind and psychology. This divergence reflects the dominant philosophical preoccupations of the times. But Professor Wolfsdorf argues that the various treatments are complementary. Indeed, the Greeks' examinations of pleasure were incisive and their debates vigorous, and their results have enduring value for contemporary discussion. (shrink)

It is possible for an act to wrongfully harm a person, even if that person is dead. David Boonin explains the puzzle of posthumous harm and examines its ethical implications for such issues as posthumous organ removal, posthumous publication of private documents, damage to graves, and posthumous punishment.

David Hume (1711-76) is the grand intellectual figure of the Scottish Enlightenment. Ironically, what is now considered his magnum opus, the ill-received three-volume A Treatise of Human Nature (1739-40), was rejected by Hume himself by 1751. Subsequently, when Hume first compiled his Essays and Treatises on Several Subjects two years later, he excluded the Treatise and considered this new collection of essays to be his complete philosophical writings. Hume revised the Essays and Treatises some ten times in various editions, (...) adding, modifying and deleting material. This 1777 edition incorporates his final changes which he made quite literally on his deathbed, fully aware that this edition would be the last to involve his input. As such it is considered the definitive edition of Hume's philosophical writings and should be read alongside the first definitive edition of the Treatise. (shrink)

This article examines a particular debate between Eamonn Callan and William Galston concerning the need for a civic education which counters the divisive pull of pluralism by uniting the citizenry in patriotic allegiance to a single national identity.

Philosophy and anthropology need to integrate their accounts of what a morality is. I identify three desiderata that an account of morality should satisfy: (1) it should recognize significant diversity and variation in the major kinds of value, (2) it should specify a set of criteria for what counts as a morality, and (3) it should indicate the basis for distinguishing between more or less justifiable moralities, or true and false moralities. I will discuss why these three desiderata are hard (...) to satisfy at the same time, and why they are controversial. Anthropologists and philosophers will differ on which ones they are inclined to reject. I argue that all three should be accepted and can be satisfied. (shrink)

In the eyes of many “classical” phenomenologists, Kantianism has seemed to invite individuals to leave the rich, complexly motivated environment of lived experience in favor of a shadowy, formal kingdom of abstract duties and rights. Yet there have been notable attempts within the phenomenological tradition to articulate a richer vision of Kantian moral consciousness and to exhibit, from a first-person perspective, the shape of mental life and the standing dispositions that befit membership in a Kantian kingdom of ends. Here I (...) offer two such competing paradigms of Kantian moral consciousness: on the one hand, the responsive, situational Kantian moral consciousness that recent commentators have reconstructed from Martin Heidegger’s work, and on the other hand, the very different, explicitly cosmopolitan Kantian moral consciousness traced in Hannah Arendt’s conception of an “enlarged mentality.” While each is arguably a legitimately Kantian view, these alternative models of moral consciousness offer considerably different spirits of Kantianism with different benefits and detriments, and each places very different cognitive and moral burdens on agents. (shrink)

The view defended is one sense externalist on the relation between moral reasons and motivation: A's having a moral reason to do X does not necessarily imply that A has a motivation that would support A's doing X via some appropriate deliberative route. However, it is in another sense externalist in holding that there are the kind of moral reasons there are only if the relevant motivational capacities are generally present in human beings, if not in all individuals. The process (...) of socialization is an attempt to embed the recognition of what we have moral reason to do in the intentional content of one's feelings. E.g., learning that about others' suffering embeds their suffering as a reason to help in the intentional content of incipient compassionate feelings. This endows the reason with motivational efficacy while conferring further direction to the feelings in ways that shape us for social cooperation. (shrink)

Much of the sustained attention on pandemic preparedness has focused on the ethical justification for plans for the “crisis” phase of a surge when, despite augmentation efforts, the demand for life...

Scholars ubiquitously refer to the method εξ υποθεσεως, introduced at Meno 86e1-87d8, as a method of hypothesis. In contrast, this paper argues that the method εξ υποθεσεως in Meno is not a hypothetical method. On the contrary, in the Meno passage, υποθεσις means “postulate”, that is, cognitively secure proposition. Furthermore, the method εξ υποθεσεως is derived from the method of geometrical analysis. More precisely, it is derived from the use of geometrical analysis to achieve reduction, that is, reduction of a (...) less tractable problem to a more tractable problem. As such, the method εξ υποθεσεως does not by itself serve to solve problems. (shrink)

We usually withhold attributions of moral responsibility when a person acts on preferences that are induced without her consent by other people by means of conditioning, post-hypnotic suggestion, neurological fiddling and similar techniques. However, this is not generally the case when a person induces preferences in herself by the process of character building. However, the distinction between non-responsibility and responsibility for preferences does not map neatly onto the distinction between psychological induction by other and by self. Sometimes responsibility-grounding freedom of (...) action and autonomy of will re compromised when a person induces preferences in herself by adaptive preference-formation, the mechanism that sets up the cry of “sour grapes.” They can also be compromised when a person intentionally undertakes a strategy of self-abnegating resignation to oppressive necessity. It remains unclear, nonetheless, how the unfreedom and heteronomy of preferences calibrated to the merely feasible contrasts with the freedom and autonomy of planned preferences-changes guided by the person’s own values in projects of character building. (shrink)

This book argues that hope is the indispensable precondition of religious practice and secular politics. Against dogmatic complacency and despairing resignation, David Newheiser argues that hope sustains commitments that remain vulnerable to disappointment. Since the discipline of hope is shared by believers and unbelievers alike, its persistence indicates that faith has a future in a secular age. Drawing on premodern theology and postmodern theory, Newheiser shows that atheism and Christianity have more in common than they often acknowledge. Writing in (...) a clear and engaging style, he develops a new reading of deconstruction and negative theology, arguing that they share a self-critical hope. By retrieving texts and traditions that are rarely read together, this book offers a major intervention in debates over the place of religion in public life. (shrink)

There are three possible justifications of the claim cultural communities make for their right to transmit an identity to their children. A group strategy and a parenting strategy are both defective. More promising is the view that there is value to children in the sharing of a familial life. But parental authority is limited by the requirement that children acquire sufficient autonomy. Some multicultural policies are thus not ruled out by the recognition of the need to accommodate children's interests.

Nothing can kill a promising research program in ethics more quickly than a plausible argument to the effect that it is committed to a morally repellent consequence. It is especially troubling when a theory one favors is jeopardized in this way. I have this worry about Harry Frankfurt's theory of free will, autonomous agency and moral responsibility, for there is a very plausible argument to the effect that aspects of his view commit him to a version of the late Stoic (...) thesis that acting freely is a matter of ‘making do,’ that is, of bringing oneself to be motivated to act in accordance with the feasible, so that personal liberation can be achieved by resigning and adapting oneself to necessity. In this paper I try to determine whether the theory does in fact commit Frankfurt (and adherents like me) to this result and, if so, what can be done to prevent it. (shrink)

Fragments of Modernity provides a critical introduction to the work of three of the most original German thinkers of the early 20th century. In their different ways, all three illuminated the experience of the modern in urban life, whether in mid-19th-century Paris or in Berlin at the turn of the century or later as the vanguard city of the Weimar Republic. They related the new modes of experiencing the world to the maturation of the money economy (Simmel), the process of (...) rationalization of capital (Kracauer), and the fantasy world of commodity fetishism (Benjamin) - in each case focusing on those fragments of social experience that could best capture the sense of modernity.David Frisby is Reader in Sociology at Glasgow University. Fragments of Modernity is included in the series Studies in Contemporary German Social Thought, edited by Thomas McCarthy. (shrink)

When patients are admitted to the hospital, they are generally expected to remain in or within close proximity to their assigned rooms in order to promote their safety and appropriate medical care. Although there are circumstances when patients may safely leave their hospital room or floor, guidance within the medical literature for the management of patient movement within the hospital are lacking. Excessive restrictions on patient movement may be seen as overly paternalistic, while lax requirements may interfere with high quality (...) care, patient safety and efficient hospital practice. As a result, guidance in the form of institutional policy is warranted. Such policy development should take into consideration the potential clinical, legal, and ethical concerns in balancing the competing values of patients’ preferences and respect for autonomy, while ensuring high quality, safe, and efficacious medical care. This paper will provide a framework for hospitals to create institution-specific patient movement policies that are fair, systematic, and transparent. (shrink)

There are many people who think that deconstruction has run its course, has had its day, and that it is now time to return to the important business of philosophy, or perhaps to serious ethical, social and political questions. Derrida's work, it is said, leads nowhere but a sterile philosophy of difference that in its de-politicized, de-historicized abstractness is a form of conservatism little better than the kinds of identity thinking to which it seems to be so radically opposed. In (...) short, we must go ‘beyond’ deconstruction. (shrink)

According to a widespread contention, individuals are among the basic building blocks of the world. The contention, however, raises a perennial problem. If individuals are basic, they cannot be fully accounted for in terms of their empirically detectable qualities. But then, how can we detect, or know, or identify, individuals? Shamik Dasgupta has influentially argued that considerations along these lines, together with a lesson from the history of physics, should make us reject any picture on which individuals are basic constituents (...) of reality. In this paper, I defend such a picture against Dasgupta’s argument. (shrink)

Revenant sur la question des vérifacteurs, D. Armstrong demande ici d'abord comment concilier le maximalisme et la relation de nécessitation. L'A. examine quel sens métaphysique donner à la notion d'implication, et s'il y a un sens à admettre une contingence de re. Il traite à ce niveau des possibilités pures, examine le cas des aliens chez David Lewis, puis pose la question de savoir s'il est contingent de dire qu'il y a de l'être plutôt que rien. L'exposé le conduit (...) à traiter du cas des vérifacteurs pour les vérités nécessaires, mais adopte une thèse possibiliste pour les sujets de la science démonstrative. Il se clôt par un examen du genre de nécessité transcatégorielle qui est implicite à la généralisation des vérifacteurs. The A. wants to reconcile maximalisme about truthmakers and the relation of necessitation. He investigates the metaphysical sense of the implication and whether one can admit de re contingency. He examines the pure possibilities and the case of alien properties according with David Lewis and studies whether it is contingent that there is something rather than nothing. He analyses the truthmakers of necessary truths and adopts a possibilist thesis for matters of demonstrative science. He concludes with the transcategorial necessity which is implicit in the generalization of truthmakers. (shrink)

In the 1990s, Russia and Argentina both tied their currencies to the dollar to combat inflation. They later devalued under pressure, but only after an extremely costly delay, and only after an explosive spread of monetary surrogates substituting for official currency. This article explains these puzzling developments using an institutional-sociological approach to money, which relates exchange-rate preferences to financial context rather than sectoral position, as is common. It proposes a “lock-in” mechanism explaining delayed devaluation in both cases, as well as (...) Argentina’s greater delay, and explores the linkages between exchange-rate policy and the origins of monetary surrogates. (shrink)

According to a certain conception of language, any sentence can, when used on an occasion, have any of indefinitely many truth-conditions. Such a conception of language gives us reason to think that the question of whether the notion of truth has a distinctive content cannot be settled by looking solely at the predication of truth. By focusing on the predicate ‘true’ when trying to determine the significance of the notion of truth, we may have been looking in the wrong place.

In its many interwoven traditions, continental philosophy has a distinctive focus on what escapes the concept—experience, change, agency, responsibility, the future, the Other. The challenges that face us in the future are many: reaffirming and renewing what has already been thought and needs repeating, responding to emergent questions. None could be more urgent than the question of the animal and the fate of the planet. Addressing each of these requires that we suspend our normal conceptual assurances and think anew.

A real but typical case of identity fraud is used to open up the complex web of identification systems in Brazil. It is argued that identification has two poles related to the nature of citizenship—repression and inclusion—and that reactions from citizens to new identification schemes can be attributed to how they view the purpose of the cards in these terms. In Brazil, a sense of inclusion and citizenship based on a fear of anonymity and exclusion predominates leading to widespread support (...) amongst even critics of state activities. However, this may be undermined by the lack of state preparation for an information society, particularly the absence of meaningful data protection laws. (shrink)