Is there no balm in Gilead; is there no physician there? Why then is not the health of the daughter of my people recovered?In July of 2004, Cambodian sex workers staged a protest of an HIV prevention trial set to enroll 900 sex workers in Phnom Penh, charging the study planners with exploitation. The Cambodian study was one of a series of international clinical trials sponsored by the U.S. National Institutes of Health, U.S. Centers for Disease Control and Prevention, and (...) the Bill and Melinda Gates Foundation testing the safety and efficacy of tenofovir, an antiretroviral drug produced by Gilead Sciences, Inc., to prevent HIV transmission. To date, two of these international studies have been closed and one is suspended, prompting calls for re-examination of the ethics of HIV prevention trials. (shrink)

Issues: We present key aspects of our paper, commissioned by UNAIDS in 2005, entitled, “Revisiting the ethics of HIV prevention research in developing countries.” In 2004 and 2005 we witnessed the closure or suspension of three international clinical trials testing tenofovir in the prevention of HIV infection in high risk groups due to the failure to provide free treatment to those who seroconvert during the conduct of the study. We examine critically moral claims for the provision of treatment to those (...) who seroconvert in HIV prevention trials and ask whether it is a matter of moral obligation or moral negotiation?Description: Using the tools of philosophical and regulatory analysis we examine the moral foundations of research ethics, international regulation, and the contemporary literature in search of valid arguments in support of a moral obligation to treat. Arguments supporting the obligation to provide such treatment are found in a wide variety of documents. These claims are variously rooted in the demand to compensate for research-related injury, maximization of research benefit, justice as reciprocity, and justice as equality.Lessons learned: Our analysis reveals that there is as of yet no robust moral argument supporting a moral obligation to provide treatment to participants in HIV prevention trials who seroconvert. We argue that moral negotiation offers distinct advantages over moral obligation. Moral negotiation finds support in the principle of respect for communities that holds researchers responsible to respect communal values, protect and empower social institutions and abide by the decisions of accepted communal authorities.Recommendations: Moral negotiation, rather than moral obligation, reduces the chance of polarization of positions by inviting trial participants, sponsors, researchers and all other involved parties to the table for discussion. Moral negotiation favors middle ground solutions that fit the specific health needs and priorities of the community in question. (shrink)

Recent research has relied on trolley-type sacrificial moral dilemmas to study utilitarian versus nonutili- tarian modes of moral decision-making. This research has generated important insights into people’s attitudes toward instrumental harm—that is, the sacrifice of an individual to save a greater number. But this approach also has serious limitations. Most notably, it ignores the positive, altruistic core of utilitarianism, which is characterized by impartial concern for the well-being of everyone, whether near or far. Here, we develop, refine, and validate a (...) new scale—the Oxford Utilitarianism Scale—to dissociate individual differences in the ‘negative’ (permissive attitude toward instrumental harm) and ‘positive’ (impartial concern for the greater good) dimensions of utilitarian thinking as manifested in the general population. We show that these are two independent dimensions of proto-utilitarian tendencies in the lay population, each exhibiting a distinct psychological profile. Empathic concern, identification with the whole of humanity, and concern for future generations were positively associated with impartial beneficence but negatively associated with instrumental harm; and although instrumental harm was associated with subclinical psychopathy, impartial beneficence was associated with higher religiosity. Importantly, although these two dimensions were independent in the lay population, they were closely associated in a sample of moral philosophers. Acknowledging this dissociation between the instrumental harm and impartial beneficence components of utilitarian thinking in ordinary people can clarify existing debates about the nature of moral psychology and its relation to moral philosophy as well as generate fruitful avenues for further research. (shrink)

A great deal of research has focused on the question of whether or not concepts are embodied as a rule. Supporters of embodiment have pointed to studies that implicate affective and sensorimotor systems in cognitive tasks, while critics of embodiment have offered nonembodied explanations of these results and pointed to studies that implicate amodal systems. Abstract concepts have tended to be viewed as an important test case in this polemical debate. This essay argues that we need to move beyond a (...) pretheoretical notion of abstraction. Against the background of current research and theory, abstract concepts do not pose a single, unified problem for embodied cognition but, instead, three distinct problems: the problem of generalization, the problem of flexibility, and the problem of disembodiment. Identifying these problems provides a conceptual framework for critically evaluating, and perhaps improving upon, recent theoretical proposals. (shrink)

In Western societies, participation is promoted as fundamental right of citizens and a prerequisite for better health and quality of life. Over the last 10 years, individual parti-cipation in treat...

As a survey of many technical results in probability theory and probability logic, this monograph by two widely respected scholars offers a valuable compendium of the principal aspects of the formal study of probability. Hugues Leblanc and Peter Roeper explore probability functions appropriate for propositional, quantificational, intuitionistic, and infinitary logic and investigate the connections among probability functions, semantics, and logical consequence. They offer a systematic justification of constraints for various types of probability functions, in particular, an exhaustive account of (...) probability functions adequate for first-order quantificational logic. The relationship between absolute and relative probability functions is fully explored and the book offers a complete account of the representation of relative functions by absolute ones. The volume is designed to review familiar results, to place these results within a broad context, and to extend the discussions in new and interesting ways. Authoritative, articulate, and accessible, it will interest mathematicians and philosophers at both professional and post-graduate levels. (shrink)

This paper addresses some of the contours of an ethics of knowledge in the context of ameliorative epistemology, where this term describes epistemological projects aimed at redressing epistemic injustices, improving collective epistemic practices, and educating more effectively for higher-order reflective reasoning dispositions. Virtue theory and embodiment theory together help to tie the cultivation of moral and epistemic emotions to cooperative problem-solving. We examine one cooperative vice, ‘knavery,’ and how David Hume’s little-noticed discussion of it is a forerunner of contemporary game (...) theory’s concern with behavior of ‘free riding’ on systems of trust or cooperation. We develop these and other examples as calling for “risk-aware” social epistemology, which ties epistemic risk with doxastic responsibility. Risk-aware social epistemology aims at describing and ameliorating epistemic practices, but without confusing over-generalizing about culpability in ways that would conflate philosophical censure or critique of bias, with “blameworthiness” in any stronger sense. (shrink)

To what extent was ordinary language philosophy a precursor to experimental philosophy? Since the conditions on pursuit of either project are at best unclear, and at worst protean, the general question is hard to address. I focus instead on particular cases, seeking to uncover some central aspects of J. L. Austin’s and John Cook Wilson’s ordinary language based approach to philosophical method. I make a start at addressing three questions. First, what distinguishes their approach from other more traditional approaches? Second, (...) is their approach a form of experimental philosophy? Third, given their aims, should it have been? I offer the following preliminary answers. First, their approach distinctively emphasizes attention to what we should say when. Second, their approach is closer to contemporary experimental mathematics than it is to some prominent forms of contemporary experimental philosophy. Third, some purported grounds for pursuing their aims by way of surveying what individual speakers would say when are not compelling. (shrink)

Claims about needs are a ubiquitous feature of everyday practical discourse. It is therefore unsurprising that needs have long been a topic of interest in moral philosophy, applied ethics, and political philosophy. Philosophers have devoted much time and energy to developing theories of the nature of human needs and the like. -/- Philosophers working on needs are typically committed to the idea that there are different kinds of needs and that within the different kinds of needs is a privileged class (...) of needs that is especially normatively significant. -/- Some philosophers go further and make rather grand claims about needs. They claim that needs are central or fundamental to moral thinking and that we must have a needs-centred moral theory or a general reorientation of moral philosophy around needs. -/- In this paper I aim to do two things. First, to show how applying recent work on modal terms can help us to understand thought and talk about needs. This is the positive part. I then use these ideas to cast doubt on the more ambitious claims about needs. Put briefly, a proper understanding of claims about needs undermines the idea that the concept of needs is fundamental in moral thought or in moral philosophy. Ambitious needs theory fails. (shrink)

This chapter introduces some central issues in Epistemology, and, like others in the open textbook series Introduction to Philosophy, is set up for rewarding college classroom use, with discussion/reflection questions matched to clearly-stated learning objectives,, a brief glossary of the introduced/bolded terms/concepts, links to further open source readings as a next step, and a readily-accessible outline of the classic between William Clifford and William James over the "ethics of belief." The chapter introduces questions of epistemic value through Plato's famous example (...) of the 'road to Larissa,' and goes on to explain work on doxastic responsibility, on intellectual “virtue”/“vice,” and on epistemic value monism vs. pluralism. Section 1; Epistemic Value and the Value Problem; Section 2: The Ethics of Belief; Section 3: Virtue & Vice Epistemologies; Section 4: Epistemic Paternalism. (shrink)

This article deals with the question of how ethicists respond to practical moral problems emerging in health care practices. Do they remain distanced, taking on the role of an expert, or do they become engaged with nurses and other participants in practice and jointly develop contextualized insights about good care? A basic assumption of dialogical ethics entails that the definition of good care and what it means to be a good nurse is a collaborative product of ongoing dialogues among various (...) stakeholders engaged in the practice. This article discusses the value of a dialogical approach to ethics by drawing on the work of various nursing scholars. We present a case example concerning the quality of freedom restrictions for intellectually disabled people. Issues for discussion include the role and required competences of the ethicist and dealing with asymmetrical relationships between stakeholders. (shrink)

Résumé : Le thème de la Métaphysique de l’acte d’être a connu un succès jamais démenti au cours du siècle dernier, avec des auteurs comme Gilson, Maritain ou Fabro, pour ne citer que les plus célèbres. Pourtant, des questions de fond n’ont jamais reçu de réponse satisfaisante, et ont laissé le sentiment d’une doctrine inachevée et inachevable. Trois observations contribuent à cette insatisfaction : la quasi-absence d’une telle problématique chez Thomas d’Aquin, les désaccords entre certains points de la théorie ainsi (...) qu’entre les auteurs, et les incompatibilités avec certains thèmes centraux de la philosophie de Thomas d’Aquin. - Abstract: The theme of the Metaphysics of the act of being has known a never denied success over the last century, with authors like Gilson, Maritain or Fabro, to name only the most famous. Nevertheless, some important questions have never been fittingly answered, and have left the feeling of an unachieved and unachievable doctrine. Three observations contribute to this disappointment : a quasi-absence of such a problematic in Thomas Aquinas, contradictions between certain points of the theory as well as between the authors, and incompatibilities with certain central themes of the philosophy of Thomas Aquinas. (shrink)

This paper adds a new perspective to recent debates about the political nature of rights through attention to their distinctive role within social movement practices of moral critique and social struggle. The paper proceeds through a critical examination of the Political Constitutionalist theories of rights politics proposed by Jeremy Waldron and Richard Bellamy. While political constitutionalists are correct to argue that rights are ‘contestable’ and require democratic justification, they construe political activity almost exclusively with reference to voting, parties and parliamentary (...) law-making, neglecting the vital role rights play in political struggle outside and against the official institutions of democratic citizenship. In contrast to the political constitutionalist stress on the patient and reciprocal negotiation of rights within formal electoral processes, this paper locates the political nature of rights in their conflictual logic as ‘claims’ in multiple spheres that function to mobilise oppos... (shrink)

This book discusses Process Pragmatism, the view that whatever is, derives from interactions. The contributors examine and defend its merits by focusing on major topics, including truth, the existence of unobservables, the origin of knowledge, scientific activity, mathematical functions, laws of nature, and moral agency.

Résumé Le but de cet article est d’interroger les trois notions de texte, discours et cognition, et les modèles théoriques, complémentaires ou opposés, qui les illustrent et les défendent. Pour cela, les notions ne seront pas analysées à la suite, une par une, mais en parallèle, deux par deux. Reprenant les orientations de mes travaux actuels en linguistique textuelle et en linguistique cognitive, je les confronterai en deux temps : texte vs. discours et texte vs. cognition. Cette double confrontation, avec (...) le texte pour dénominateur commun, laisse ainsi entendre, d’une part, que si je prends en compte le discours comme le cadre contextuel, situationnel, générique, où apparaît le texte, je m’attache au texte comme objet d’analyse, suivant en cela une tradition « pragoise », à la fois structurale ou macro-syntaxique et fonctionnelle ; cela laisse entendre, d’autre part, que cette conception du texte permet de concilier les théories néo-pragoises à celles que développent les linguistiques cognitives d’aujourd’hui, centrées sur diverses compétences, activités ou opérations, mentales, sémantiques, pragmatiques et sémiotiques, souvent regroupées sous le terme englobant ou résultant de représentation : espaces mentaux, projections, mélange (blending), émergence de sens. Pour finir je montre que la procédure de double intégration, conceptuelle et prédicative, permet d’illustrer la complémentarité des deux modèles, mental-cognitif et macrosyntaxique-textuel. (shrink)

Cet article propose une analyse du procès Clinton en se penchant sur les différentes étapes de l’affaire, les stratégies des acteurs en jeu et les choix de l’opinion publique américaine. En nous révélant l’image d’une société américaine à la recherche d’un modèle politique s’appuyant tant sur le libéralisme interventionniste que sur le conservatisme, le procès Clinton a mis en lumière la dérive partisane dont il a été l’objet. L’auteur nous montre cependant à quel point l’opinion publique américaine a su rester (...) en dehors du débat politicien et préserver sa confiance au président. (shrink)

RésuméCet article est consacréà la présentation et à l'examen critique des principes de la justice élaborés dans l'ouvrage du professeur John Rawls intituléA Theory of Justice. L'auteur examine notamment l'approche contractuelle utilisée par Rawls de même que son inspiration Kantienne et le type de rationalité qu'il met en œuvre pour construire sa théorie.

The first intention of this article is to show, with some essays of Marcel Mauss, how his way of studying cultural facts anticipates the structural analysis method in anthropology.The concept of "fait social total" is confronted with the concept of structure as developed by Claude Lévi-Strauss, so that we could see the similarities and the distinctions.As well as reconstructing a decisive period of the history of structuralism within the French philosophical and sociological tradition, this article seeks to show the elements (...) of Mauss1s contribution to structuralist anthropology and in a more general why his contribution to the epistemology of the social sciences. (shrink)

L'Ambitieux Projet du professeur John Rawls dans son important ouvrage intitulé «A Theory of Justice» consiste essentiellement dans l'élaboration d'une théorie de la justice qui prétend offrir une «solution de rechange viable» aux doctrines traditionnelles de la justice représentées par l'utilitarisme, l'intuitionisme, les théories contractuelles, etc …, mais une théorie qui, en méme temps, se présente comme une tentative pour «généraliser et porter a un plus haut niveau d'abstraction la theorie traditionnelle du contrat social telle que representee par Locke, Rousseau (...) et Kant», de telle sorte qu'elle puisse parer aux objections les plus decisives qui ont ete faites a l'endroit de ces diverses formulations de la theorie contractuelle. En procédant ainsi, Rawls estime pouvoir offrir une approche systematique au probléme de la justice qui soit non seulement une alternative a 1'utilitarisme traditionnel, mais une synthése supérieure et plus valable pour une sociéte démocratique en méme temps qu'une approche de la justice sociale qui puisse servir de contrepartie ou de succedane a la perspective de Marx. (shrink)

L'auteur de cet essai s'attache à montrer, par l'étude des grands penseurs du XVIe et du XVIIe siècle —- Ficin, Nicolas de Cues, Galilée, Pascal, Descartes, Luther, Calvin, Leibniz -—, que l'histoire n'est pas livrée au hasard mais obéit à des déterminismes complexes auxquels l'homme moderne peut d'autant moins échapper qu'il pense, contre maints bons esprits des siècles passés, être libre et voué au bonheur, alors que l'accomplissement sans fin de l'Occident ne peut avoir que des conséquences tragiques. Un livre (...) d'Estienne et Liébault —- L'Agriculture et Maison rustique -— qui parut pour la première fois en 1564 et dont la dernière édition date de 1689 est ici le contrepoint qui permet d'aborder, à travers science, religion, philosophie et hermétisme, les mondes —- Renaissance, Grand Siècle - qui tournent autour de la Maison rustique des mouches à miel dont les chapitres sont reproduits à la fin de l'ouvrage. Les idées de ces mondes, d'où sont-elles venues? D'ici et d'ailleurs? D'une procession allant des principes aux techniques, du nombre aux mathématiques utilitaires, du temps cyclique au temps de l'histoire, ce dont témoignerait l'hexagone de cire des abeilles que Kepler tenait pour un archétype? En recourant à la doctrine de la prédestination, version théologique du déterminisme scientifique, l'auteur entend mettre en évidence le caractère inéluctable du paradigme qui se cristallise à la Renaissance pour rendre manifeste aujourd'hui notre peu de possibles, sinon celui de nous regarder être agis. (shrink)