Institutional ethics committees (IECs) are part of a growing phenomenon in the American health care system. Although a major force driving hospitals to establish IECs is the desire to resolve difficult clinical dilemmas in a quick and systematic way, in this paper we argue that such a goal is naive and, to some extent, misguided. We assess the growing trend of these committees, analyse the theoretical assumptions underlying their establishment, and evaluate their strengths and shortcomings. We show how the 'medical (...) consultation' model is often inappropriately applied to IECs and suggest that IECs must operate under a different framework. Finally, we argue that IECs should be valued for the process they facilitate, and not for the product that they are, often unreasonably, expected to deliver. (shrink)

Restrictions on research on therapeutic cloning are questionable as they inhibit the development of a technique which holds promise for succesful application of pluripotent stem cells in clinical treatment of severe diseases. It is argued in this article that the ethical concerns are less problematic using therapeutic cloning compared with using fertilised eggs as the source for stem cells. The moral status of an enucleated egg cell transplanted with a somatic cell nucleus is found to be more clearly not equivalent (...) to that of a human being. Based on ethical considerations alone, research into therapeutic cloning should be encouraged in order to develop therapeutic applications of stem cells. (shrink)

Potential ethical issues can arise during the process of epidemiological classification. For example, unnatural infant deaths are classified as accidental deaths or homicides. Societal sensitivity to the physical abuse and neglect of children has increased over recent decades. This enhanced sensitivity could impact reported infant homicide rates. Infant homicide and accident mortality rates in boys and girls in the USA from 1940 to 2005 were analysed. In 1940, infant accident mortality rates were over 20 times greater than infant homicide rates (...) in both boys and girls. After about 1980, when the ratio of infant accident mortality rates to infant homicide rates decreased to less than five, and the sum of infant accident and homicide rates became relatively constant, further decreases in infant accident mortality rates were associated with increases in reported infant homicide rates. These findings suggest that the dramatic decline of accidental infant mortality and recent increased societal sensitivity to child abuse may be related to the increased infant homicide rates observed in the USA since 1980 rather than an actual increase in societal violence directed against infants. Ethical consequences of epidemiological classification, involving the principles of beneficence, non-maleficence and justice, are suggested by observed patterns in infant accidental deaths and homicides in the USA from 1940 to 2005. (shrink)

Assume that we communicate for the purpose of trying to change a person's behavior either overtly or covertly. As long as this is done in an honest manner, no concern with ethics is involved. But suppose a communication pattern — subliminals — is developed that covertly tries to change our behavior without our consent. Then, concern with ethics is involved.Very little evidence exists to support a definitive quantitative impact of subliminal communication. There is a suggestion, however, that subliminals do in (...) fact manipulate people to do certain things. If this is so, then we have an over-riding issue in ethics — the ultimate invasion of a person's privacy — his mind. (shrink)

Although Professor of Philosophy at Calvin College, Alvin Plantinga has developed a theodicy that is fundamentally Arminian rather than Calvinistic. Anthony Flew, although the son of an Arminian Christian minister, regards the Arminian view of ‘free will’ to be both unacceptable on its own terms and incompatible with classical Christian theism. In this paper I hope to disentangle some of the involved controversy regarding theodicy which has developed between Plantinga and Flew, and between Flew and myself. The major portion of (...) this paper is devoted to showing that Plantinga's theodicy contains some serious flaws and undesirable implications. (shrink)

The purpose of this article is to illustrate moral learning in persons with a psychiatric disability who participated in a nursing intervention, called the photo-instrument. This intervention is a form of hermeneutic photography. The findings are based on a multiple case study of 42 patients and additional interviews with eight of them. Photo groups were organized within three settings of psychiatric services: ambulatory as well as clinical, all situated in the Netherlands. Data were analysed according to hermeneutic and semiotic principles. (...) Two cases are presented. Findings show that voice and face are concepts that help to identify elements of moral learning in the rehabilitation process of persons with a psychiatric disability. During the process patients become more aware of their responsibilities towards themselves and others. (shrink)

Purpose: Explore public attitudes towards the trade-offs between justice and medical outcome inherent in organ allocation decisions.Background: The US Task Force on Organ Transplantation recommended that considerations of justice, autonomy and medical outcome be part of all organ allocation decisions. Justice in this context may be modeled as a function of three types of need, related to age, clinical urgency, and quality of life.Methods: A web-based survey was conducted in which respondents were asked to choose between two hypothetical patients who (...) differed in clinical urgency , age, pretransplant and post-transplant quality of life, and life expectancy.Results: A pool of 1600 people were notified via email about the survey; 623 responded. Respondents preferred giving organs to younger people up to an age difference of <15.4 years and more clinically urgent people up to a difference in urgency of <2.54 months . Priority varied with the quality of life of the worst-off patient and the relative status of the patients. If both had worse than average quality of life, respondents preferred the better-off patient. When both had better than average quality of life, they preferred the worse-off patient. In analysis according to age versus clinical urgency, the older the patient, the more urgency needed to receive priority. In quality of life versus clinical urgency, the better the control’s quality of life, the more urgency the competing patient required. The worse the patient’s post-transplant outcome, the more urgency needed to receive priority.Conclusions: It appears that clinical urgency is only one of many factors influencing attitudes about allocation decisions and that respondents may invoke different principles of fairness depending the relative clinical status of patients. (shrink)

In this book review I argue that, broadly speaking, there are three rival accounts of the relationship between having a normative reason to act and being motivated to act. Neo-Humeans argue that an agent has a normative reason to act if and only if so doing would satisfy some desire of the agent; consequently, their task is to show that there is an internal relation between an agent’s having a normative reason to act and an agent’s having a desire to (...) act. Kantians argue that any agent who has a normative reason to act, and who is practically rational (i.e., not suffering from some debilitating form of practical irrationality, such as weakness of will or depression), will act; consequently, their task is to show that normative reasons always have overriding authority and that it is always irrational not to act upon them. Neo-Aristotelians argue that normative reasons for action are derived from facts about human well-being, and that an agent will be motivated to act provided that she has been habituated into having desires, guided by reason, to act for her own well-being; consequently, their task is to show how normative reasons can be derived from facts about human well-being and whether it is always in an agent’s best interest to act morally. (shrink)

In Chapter 6, Johanna E. Wolff uses models of measurements as a case for exploring two forms of scientific realism that are meant to address the problem of plurality of models in science: structural realism and perspectival realism. She distinguishes their motivations in the following way: structural realists address the plurality of models by looking for similarities, namely structural commonalities, between the models, whereas perspectival realists emphasize how differences among a plurality of models can be complementary. In comparing these realist (...) alternatives, Wolff chooses to focus on measurement theory. Wolff urges the idea that perspectival realism and structural realism are not competing realist accounts but complementary ones. (shrink)

Prologue: Stormclouds : London, April 1900 -- Quantum of action: The most strenuous work of my life : Berlin, December 1900 ; Annus Mirabilis : Bern, March 1905 ; A little bit of reality : Manchester, April 1913 ; la Comédie Française : Paris, September 1923 ; A strangely beautiful interior : Helgoland, June 1925 ; The self-rotating electron : Leiden, November 1925 ; A late erotic outburst : Swiss Alps, Christmas 1925 -- Quantum interpretation: Ghost field : Oxford, August (...) 1926 ; All this damned quantum jumping : Copenhagen, October 1926 ; The uncertainty principle : Copenhagen, February 1927 ; The 'Kopenhagener geist' : Copenhagen, June 1927 ; There is no quantum world : Lake Como, September 1927 -- Quantum debate: The debate commences : Brussels, October 1927 ; An absolute wonder : Cambridge, Christmas 1927 ; The photon box : Brussels, October 1930 ; A bolt from the blue : Princeton, May 1935 ; The paradox of Schrödinger's cat : Oxford, August 1935 -- Interlude: The first war of physics : Christmas 1938-August 1945 -- Quantum fields: Shelter Island : Long Island, June 1947 ; Pictorial semi-vision thing : New York, January 1949 ; A beautiful idea : Princeton, February 1954 ; Some strangeness in the proportion : Rochester, August 1960 ; Three quarks for Muster Mark! : New York, March 1963 ; The 'God particle' : Cambridge, Massachusetts, Autumn 1967 -- Quantum particles: Deep inelastic scattering : Stanford, August 1968 ; Of charm and weak neutral currents : Harvard, February 1970 ; The magic of colour : Princeton/Harvard, April 1973 ; The November revolution : Long Island/Stanford, November 1974 ; Intermediate vector bosons : Geneva, January/June 1983 ; The standard model : Geneva, September 2003 -- Quantum reality: Hidden variable : Princeton, Spring 1951 ; Bertlmann's socks : Boston, September 1964 ; The Aspect experiments : Paris, September 1982 ; The quantum eraser : Baltimore, January 1999 ; Lab cats : Stony Brook/Delft, July 2000 ; The persistent illusion : Vienna, December 2006 -- Quantum cosmology: The wavefunction of the universe : Princeton, July 1966 ; Hawking radiation : Oxford, February 1974 ; The first superstring revolution : Aspen, August 1984 ; Quanta of space and time : Santa Barbara, February 1986 ; Crisis? What crisis? : Durham, Summer 1994 -- A quantum of solace? : Geneva, March 2010. (shrink)

Limits to Action: The Allocation of Individual Behavior presents the ideas and methods in the study of how individual organisms allocate their limited time and energy and the consequences of such allocation. The book is a survey of individual resource allocation, emphasizing the relationships of the concepts of utility, reinforcement, and Darwinian fitness. The chapters are arranged beginning with plants and general evolutionary considerations, through animal behavior in nature and laboratory, and ending with human behavior in suburb and institution. Topics (...) discussed include operant conditioning; the principle of diminishing returns; and issues in relation to mating strategies. Biologists, sociologists, economists, and psychologists will find the book interesting. (shrink)

J. E. J. Altham; XV*—Reproach, Proceedings of the Aristotelian Society, Volume 74, Issue 1, 1 June 1974, Pages 263–272, https://doi.org/10.1093/aristotelian/74.

The species of metaphysical speculation known as ontology is as old as philosophy itself. It is encountered in one form or another in all climes and times. In Western philosophy, it is already cultivated in a fairly sophisticated form in Parmenides: Being is positive and does not admit to the possibility of negation. Being is a plenum, etc. The problem which exercised the mind of Parmenides has lost something of its vitality in our time but it has recognizably survived in (...) such contemporary questions as “Are there negative facts?” At the present day, however, the liveliest issues of ontology revolve round a topic which has a different, if no less celebrated, ancestry. It is the problem of universals which, much discussed by Plato, was taken up and made a principal concern by the scholastics. It is being canvassed again in recent times under the heading of abstract entities. What I wish to investigate is the connection between the metaphysics of abstract entities and the discipline of logic as developed in the modern era. (shrink)