This book explores, in rich and rigorous ways, the possibilities and limitations of “thick” autonomy in light of contemporary debates in philosophy, ethics, and bioethics. Many standard ethical theories and practices, particularly in domains such as biomedical ethics, incorporate minimal, formal, procedural concepts of personal autonomy and autonomous decisions and actions. Over the last three decades, concerns about the problems and limitations of these “thin” concepts have led to the formulation of “thick” concepts that highlight the mental, corporeal, biographical and (...) social conditions of what it means to be a human person and that enrich concepts of autonomy, with direct implications for the ethical requirement to respect autonomy. The chapters in this book offer a wide range of perspectives on both the elements of and the relations between “thin” and “thick” concepts of autonomy as well as their relative roles and importance in ethics and bioethics. This book offers valuable and illuminating examinations of autonomy and respect for autonomy, relevant for audiences in philosophy, ethics, and bioethics. (shrink)

This work aligns James Buchanan’s theory of social contract with the structure of Michael Moehler’s multilevel social contract. Most importantly, this work develops Buchanan’s notions of moral community and moral order. It identifies moral community as the vehicle of escape from moral anarchy, where community is established upon a system of rules akin to James Buchanan’s first-stage social contract. Moral order establishes the baseline treatment of non-members by members of a moral community and also provides a minimum standard (...) for resolving disputes that are not resolved by the more robust social contract shared among community members. This work links the multilevel contract to polycentric social order, noting that polycentric systems may promote development of the moral order by enabling experimentation with and emulation of rules and rule systems made available by overlapping and adjacent institutions. (shrink)

In this paper I argue that selective abortion for disability often involves inadequate counselling on the part of reproductive medicine professionals who advise prospective parents. I claim that prenatal disability clinicians often fail in intellectual duty—they are culpably ignorant about intellectual disability. First, I explain why a standard motivation for selective abortion is flawed. Second, I summarize recent research on parent experience with prenatal professionals. Third, I outline the notions of epistemic excellence and deficiency. Fourth, I defend culpable ignorance as (...) the best explanation of inadequate disability counselling. Fifth, I rebut alternative explanations. My focus is pregnancies diagnosed with mild or moderate intellectual disability. (shrink)

Using yet untapped resources from moral and political philosophy, this book seeks to answer the question of whether an all good God who is presumed to be all powerful is logically compatible with the degree and amount of moral and natural evil that exists in our world. It is widely held by theists and atheists alike that it may be logically impossible for an all good, all powerful God to create a world with moral agents like ourselves that does not (...) also have at least some moral evil in it. James P. Sterba focuses on the further question of whether God is logically compatible with the degree and amount of moral and natural evil that exists in our world. The negative answer he provides marks a new stage in the age-old debate about God's existence. (shrink)

Written in a jargon-free way, Body Matters provides a clear and accessible phenomenological critique of core assumptions in mainstream biomedicine and explores ways in which health and illness are experienced and interpreted differently in various socio-historical situations. By drawing on the disciplines of literature, cultural anthropology, sociology, medical history, and philosophy, the authors attempt to dismantle common presuppositions we have about human afflictions and examine how the methods of phenomenology open up new ways to interpret the body and to re-envision (...) therapy. (shrink)

I argue for an epistemic conception of voting, a conception on which the purpose of the ballot is at least in some cases to identify which of several policy proposals will best promote the public good. To support this view I first briefly investigate several notions of the kind of public good that public policy should promote. Then I examine the probability logic of voting as embodied in two very robust versions of the Condorcet Jury Theorem and some related results. (...) These theorems show that if the number of voters or legislators is sufficiently large and the average of their individual propensities to select the better of two policy proposals is a little above random chance, and if each person votes his or her own best judgment (rather than in alliance with a block or faction), then the majority is extremely likely to select the better alternative. Here ‘better alternative’ means that policy or law that will best promote the public good. I also explicate a Convincing Majorities Theorem, which shows the extent to which the majority vote should provide evidence that the better policy has been selected. Finally, I show how to extend all of these results to judgments among multiple alternatives through the kind of sequential balloting typical of the legislative amendment process. (shrink)

Star Trek scripts have often grappled with dilemmas of medical ethics. The most explicitly medical-ethics-oriented Star Trek episode is named, aptly enough, “Ethics.” The script was written by Sara Charno and Stuart Charno, authors of two other Star Trek episodes. “Ethics” first aired on 2 March 1992. In the fall of 1992, we began to use this “Ethics” episode to motivate discussions in our first-year medical students’ course on medical ethics and the doctor-patient relationship. We asked students to write essays (...) addressing one of the many ethical dilemmas posed by the episode. Over the years, the episode has become a tradition. Both students and instructors find the formulation of dilemmas in the context of a science-fiction story to be both liberating and stimulating. In this essay, we will discuss this particular episode in some detail and then provide a brief synopsis of other episodes that might be used in ethics courses in a similar way. (shrink)

Among the more significant developments of the twentieth century, the widespread attention given to 'rights issues' must surely justify ranking it somewhere near the top. Never before has the issue of rights attracted such a wide audience or stirred so much controversy. Until very recently 'rights' were traditionally recognized as attributable only to humans. Today, we increasingly are hearing a call to extend 'rights' to the nonhuman animal and, on occasion, to the environment. In this book, James B. Reichmann, (...) S.J., undertakes an investigation of the metaethical grounds of 'rights' theory, with special focus on the controversial issue of whether creatures other than humans can and should be considered true subjects of 'rights.' He contends that before assigning rights to this or that individual or group, whether human or not, we need to be very clear about what it is we are assigning, to whom, and why. The book argues forcefully that the various recent efforts to build a case supporting animal and environmental 'rights' fail in their quest, and that any such effort resting on a Darwinian evolutionary base is likewise condemned to fail. In furtherance of this claim the author first investigates life phenomena, followed by a detailed comparative study of knowing, communicating and doing, as these are observed in the human and the nonhuman animal. This in turn is followed by an overview of diverse views advanced by contemporary environmental ethicists and animal 'rights' advocates, including Peter Singer, Tom Regan, J. Baird Callicott, Laura Westra, and Don E. Marietta, Jr. Representative though doubtless provocative conclusions drawn from this study include the claims that: (1) Classic Darwinian theory provides no admissable premise from which to derive a theory of inherent, inalienable rights. (2) No satisfactory explanation of the origin of rights and obligation can derive save from within the context of natural law theory. (3) The human person alone unqualifiedly possesses rights. (4) The view that vegetarianism is an ethical mandate is neither compatible with the Christian world view, nor philosophically sound. ABOUT THE AUTHOR: James B. Reichmann, S.J., is professor emeritus of philosophy at Seattle University where he continues to teach. (shrink)

Special relativity has been understood by many as vindicating a tenseless conception of time, denying the existence of tensed facts and a fortiori objective temporal passage. The reason for this is straightforward: both passage and the obtaining of tensed facts require a universal knife-edge present moment—yet this structure is not easily reconcilable with the relativity of simultaneity. The above being said, the prospects for tense and passage are sometimes claimed to be improved on moving to cosmological solutions of general relativity. (...) In this paper, we evaluate in detail these arguments, finding that there remain several open questions to be addressed if the introduction of tensed facts into the relativistic context is to be compelling. Moreover, we argue that, even setting aside these issues, objective tense stands and falls in relativity for exactly the same reasons that it does in classical philosophical discussions on the matter. (shrink)

Arrhythmias are irregular heartbeats that may be life-threatening. Proper monitoring and the right care at the right time are necessary to keep the heart healthy. Monitoring electrocardiogram patterns on continuous monitoring devices is time-consuming. An intense manual inspection by caregivers is not an option. In addition, such an inspection could result in errors and inter-variability. This article proposes an automated ECG beat classification method based on deep neural networks to aid in the detection of cardiac arrhythmias. The data collected by (...) an Internet of Things enabled ECG monitoring device are transferred to a server. They are analysed by a deep learning model, and the results are shared with the primary caregiver. The proposed model is trained using the MIT-BIH ECG arrhythmia database to classify into four classes: normal beat, left bundle branch block beat, right bundle branch block beat, and premature ventricular contraction. The received data are sampled with an overlapping sliding window and divided into an 80:20 ratio for training and testing, with tenfold cross-validation. The proposed method achieves higher accuracy with a simple model without any preprocessing when compared with previous works. For the train and test sets, we achieved accuracy rates of 99.09 and 99.03%, respectively. A precision, recall, and F1 scores of 0.99 is obtained. The proposed model achieves its goal of developing a simple and accurate ECG monitoring system with improved performance. This simple and efficient deep learning approach for heartbeat classification could be applied in real-time telehealth monitoring systems. (shrink)

The view that the obligation to promote happiness is, as Popper puts it, "in any case much less urgent" than the obligation to eliminate unhappiness we might call the "Negative Doctrine". I know of no plausible form of the Negative Doctrine.

Infamous cases like Enron and Bernie Madoff question whether business is an inherently dubious activity. Honorable Business argues that there is, in fact, such a thing as honorable business, which seeks to generate value not only for itself but for all parties to its transactions-and to society generally.

Reference to persons with personal pronouns raises the issue of the primary referent and its nature. “I” does not refer to a property or cluster of properties. This contrasts with our identifying grasp of persons. A person is a radical singularity and thus stands in contrast to a kind or sortal term. The individuation of persons is not adequately grasped by “definite descriptions” or “eidetic singularities.” In spite of the seeming possibility of persons being wholly identical in terms of properties, (...) in other words, “doubles,” the core referent of reference to persons is not to what is individuated merely by mere numerical differences or spatial-temporal, and essential-eidetic determinations. Rather we have to do with a “non-sortal unique essence.” What “I” refers to is a self-individuating substance. This raises questions for the proper referent of “love.” What is it that love intends or loves if persons are basically radical singularities. What does one love and why does one love if whom one loves is most essentially non-sortal? The question of the ontological status of persons requires integrating the status of being transcendental I’s, and thus being non-temporal, non-spatial, non-sortal, simple substances and thus not homogenous with the experienced world. (shrink)

Oakeshott’s theory of poetry was a pure theory. But it was so pure a theory it emptied out most of what we would normally mean by poetry, it ignored the history of poetry in extracting a meaning out of it, and it left to one side most of the questions about poetry which are of interest to poets, critics or indeed anyone. This chapter places Oakeshott’s theory of poetry in the context of theories of poetry from Aristotle through Johnson, Wordsworth (...) and Shelley through to figures as varied as Wittgenstein, Leavis, Eliot and Auden in order to suggest that Oakeshott theory was, as a theory of poetry, a provocation, and, as a theory of something undoubtedly worth thinking about, not a theory of poetry at all. (shrink)

In this article I press four different objections on Forst’s theory of the ‘Right to Justification’. These are (i) that the principle of justification is not well-formulated; (ii) that ‘reasonableness and reciprocity’, as these notions are used by Rawls, are not apt to support a Kantian conception of morality; (iii) that the principle of justification, as Forst understands it, gives an inadequate account of what makes actions wrong; and (iv) that, in spite of his protestations to the contrary, Forst’s account (...) veers towards a version of moral realism that isprima facieincompatible with Kantian constructivism. I then evaluate Forst’s theory in the light of a distinction made by Sharon Street between restricted and unrestricted constructivism. I show that Forst has reason to deny that it is either the one or the other, but he is not able to show that it is both or neither. I conclude that the arguments Forst advances in support of his constructivist theory of the right to justification entail that it is a metaphysical and comprehensive conception in the relevant, Rawlsian sense. Forst’s theory of the right to justification therefore fails to fulfil one of the main stated aims. (shrink)

We construct a notion of teleparallelization for Newton-Cartan theory, and show that the teleparallel equivalent of this theory is Newtonian gravity; furthermore, we show that this result is consistent with teleparallelization in general relativity, and can be obtained by null-reducing the teleparallel equivalent of a five-dimensional gravitational wave solution. This work thus strengthens substantially the connections between four theories: Newton-Cartan theory, Newtonian gravitation theory, general relativity, and teleparallel gravity.

This book sheds light on the social imagination of nature and environment in contemporary China. It demonstrates how the urgent debate on how to create an ecologically sustainable future for the world's most populous country is shaped by its complex engagement with religious traditions, competing visions of modernity and globalization, and by engagement with minority nationalities who live in areas of outstanding natural beauty on China's physical and social margins. The book develops a comprehensive understanding of contemporary China that goes (...) beyond the tradition/ modernity dichotomy, and illuminates the diversity of narratives and worldviews that inform contemporary Chinese understandings of and engagements with nature and environment. (shrink)

James D Marshall; Wittgenstein on Rules: implications for authority and discipline in education, Journal of Philosophy of Education, Volume 19, Issue 1, 30 May.

As older people begin to develop dementia, we confront ethical questions about when and how to intervene in their increasingly compromised decision-making. The prevailing approach in bioethics to tackling this challenge has been to develop theories of “decision-making capacity” based on the same characteristics that entitle the decisions of moral persons to respect in general. This article argues that this way of thinking about the problem has missed the point. Because the disposition of property is an identity-dependent right, what matters (...) in dementia and decision-making is an individual’s personal identity with their prior self, not their moral personhood. Therefore, in considering when and how we ought to intervene in the decision-making of those with dementia, we must look to the philosophy of personal identity rather than personhood. (shrink)

In this article, I shall argue that being a lie disqualifies something from being a literary work. If something is a lie then it is not a literary work of any kind, and if something is a literary work of any kind then it is not a lie. Being a literary work, and being a lie, are mutually exclusive categories.

While the prevalence of opioid use disorder among pregnant women has multiplied in the United States in the last decade, buprenorphine treatment for peripartum women with OUD has been administered to reduce risks of repeated cycles of craving and withdrawal. However, the maternal behavior and bonding in mothers with OUD may be altered as the underlying maternal behavior neurocircuit is opioid sensitive. In the regulation of rodent maternal behaviors such as licking and grooming, a series of opioid-sensitive brain regions are (...) functionally connected, including the ventral pallidum. In humans, these brain regions, interact with the supplementary motor area to regulate maternal behaviors and are functionally dysregulated by opioids. It is unclear how these brain regions respond to the emotions of their child for mothers receiving BT. In this functional magnetic resonance imaging pilot study in 22 mothers within the first postpartum year, including six mothers receiving BT and 16 non-OUD mothers as a comparison group, we devised a child face mirroring task in fMRI settings to assess maternal responses to pictures of facial expressions of own child and an unknown child in an empathic mirroring condition and a non-mirroring observation condition. In each condition, faces of neutral, ambiguous, distressed, and joyful expressions of each child were repeatedly displayed in a random order. The response of SMA during empathic mirroring vs. non-mirroring of own child was reduced among BT/OUD vs. CG. Within MBN, the left VP, critical for parental sensitivity, had a similar deficit. This study outlines potential mechanisms for investigating the risks of deficits in the neural responses to actual maternal sensitivity and parenting behavior in mothers with OUD, and potential targets for interventions that reduce stress and augment maternal behavior and child outcome. (shrink)

This paper concentrates on the issue of what happens to the confidence one has in the justification of one's belief when one discovers an epistemic peer with conflicting higher and/or lower order evidences. Certain symmetries surface during epistemic peer disagreement, which tend to make one less confident. The same happens in religious disagreements. Mostly externalist perspectives are considered. The epistemology of ordinary disagreements and that of religious ones behave similarly, such that principles used in the former can be seen to (...) apply also in the latter. (shrink)

: Moral frameworks for evaluating non-donation strategies to increase the supply of cadaveric human organs for transplantation and ways to overcome barriers to organ donation are explored. Organ transplantation is a very complex area, because the human body evokes various beliefs, symbols, sentiments, and emotions as well as various rituals and social practices. From a rationalistic standpoint, some policies to increase the supply of transplantable organs may appear to be quite defensible but then turn out to be ineffective and perhaps (...) even counterproductive because of inadequate attention to these rich and complex features of human body parts. Excessively rationalistic policies neglect deep beliefs, symbols, sentiments, and emotions and the like, and that deficiency marks many actual and proposed policies. In addition, policies are often too individualistic and too legalistic. (shrink)

: Prenatal and preconceptual testing and screening programs provide information on the basis of which people can choose to avoid the birth of children likely to face disabilities. Some disabilities advocates have objected to such programs and to the decisions made within them, on the grounds that measures taken to avoid the birth of children with disabilities have an "expressive force" that conveys messages disrespectful to people with disabilities. Assessing such a claim requires careful attention to general considerations relating meaning, (...) intention, and social practices; it has only begun to receive such attention. Building on work by Allen Buchanan, who has challenged this claim, I further consider the disabilities advocates' objection, ultimately concluding that it is misplaced; neither individual actions nor general practices of this type necessarily express disrespectful messages. (shrink)

Legal prohibitions on the financial compensation of donors are frequently justified by appealing either to concerns about patient safety or to concerns about the putatively unethical nature of such compensation. But jurisdictions that legally prohibit the financial compensation of donors routinely import plasma that has been collected from financially compensated donors—and they do so knowing its origins. I outline some possible ways in which this puzzle could be resolved and find them all wanting. Focusing on Canada I draw upon public (...) documents to explain how many provinces came to have its apparently puzzling approach to plasma procurement. I then argue that the actions of those who support this approach to plasma procurement are immoral. (shrink)

James Robert Ballantyne taught oriental languages in India for sixteen years, compiling grammars of Hindi, Sanskrit and Persian, along with translations of Hindu philosophy. In 1859, for the use of Christian missionaries, he prepared a guide to Hinduism, in English and Sanskrit. Published in two volumes in 1852, Synopsis of Science was intended to introduce his Indian pupils to Western science by using the framework of Hindu Nyaya philosophy, which was familiar to them and which Ballantyne greatly respected. This (...) second volume proceeds in similar style to the first: through a series of short paragraphs, Ballantyne introduces arithmetic, algebra, calculus, chemistry, botany, zoology, anatomy, physiology, mineralogy and geology. The second part of the volume is a Sanskrit translation. Overall, the work serves as an excellent primary source on the educational aspects of British imperialism. (shrink)

As documented in Part I, monogenism, the descent of all human beings from Adam and Eve, was closely linked to the Catholic doctrine of original sin throughout the first half of the twentieth century. Theological reservations about polygenism, the more scientifically supported account of human origins through a transitional population, was brought to a head by Pius XII’s 1950 encyclical Humani generis. Although the encyclical allowed discussion of human evolution, polygenism was prohibited because “It does not appear how such a (...) view can be reconciled with the doctrine of original sin.” Nevertheless, during and after Vatican II de facto theological acceptance of polygenism became commonplace even though the prohibition was not withdrawn. While some modern conceptions of original sin make a reliance upon monogenism unnecessary, another school of thought emphasizes a spiritual rather than a biological understanding of the concept. It remains to be seen whether polygenism can be unanimously accepted as a scientific phenomenon that is not theologically threatening. Reflection on the Vatican’s long period of ambivalence about the motion of the earth suggests that a similar prospect can be foreseen for polygenism even though it is subject to development in a manner that geostasis was not. (shrink)

The millionaire’s idle, talentless and self-centered daughter inherits a large sum of money that she does not really deserve. The victim of kidnapping rots in a cell in 1980s Beirut in a captivity that springs not from any wrong he has done but from his ill-fortune in being in the wrong place at the wrong time. The hard-working, brilliant and self-denying Nobel Prize-winning scientist receives a large cheque for his extraordinarily productive labours. The murderer spends decades in jail for the (...) terrible crimes he has freely committed. The first two cases are cases where justice seems ill-served, where someone’s good or ill-fortune reflects not what they deserve but mere luck. The second two are cases where justice seems to be honoured: what befalls Scientist and Murderer reflects not their good or bad luck but their merits and deserts. (shrink)