Peer review is a widely accepted instrument for raising the quality of science. Peer review limits the enormous unstructured influx of information and the sheer amount of dubious data, which in its absence would plunge science into chaos. In particular, peer review offers the benefit of eliminating papers that suffer from poor craftsmanship or methodological shortcomings, especially in the experimental sciences. However, we believe that peer review is not always appropriate for the evaluation of controversial hypothetical science. We argue that (...) the process of peer review can be prone to bias towards ideas that affirm the prior convictions of reviewers and against innovation and radical new ideas. Innovative hypotheses are thus highly vulnerable to being “filtered out” or made to accord with conventional wisdom by the peer review process. Consequently, having introduced peer review, the Elsevier journal Medical Hypotheses may be unable to continue its tradition as a radical journal allowing discussion of improbable or unconventional ideas. Hence we conclude by asking the publisher to consider re-introducing the system of editorial review to Medical Hypotheses. (shrink)

How should politicians act? When should they try to lead public opinion and when should they follow it? Should politicians see themselves as experts, whose opinions have greater authority than other people's, or as participants in a common dialogue with ordinary citizens? When do virtues like toleration and willingness to compromise deteriorate into moral weakness? In this innovative work, Andrew Sabl answers these questions by exploring what a democratic polity needs from its leaders. He concludes that there are systematic, principled (...) reasons for the holders of divergent political offices or roles to act differently. Sabl argues that the morally committed civil rights activist, the elected representative pursuing legislative results, and the grassroots organizer determined to empower ordinary citizens all have crucial democratic functions. But they are different functions, calling for different practices and different qualities of political character. To make this case, he draws on political theory, moral philosophy, leadership studies, and biographical examples ranging from Everett Dirksen to Ella Baker, Frances Willard to Stokely Carmichael, Martin Luther King Jr. to Joe McCarthy. Ruling Passions asks democratic theorists to pay more attention to the "governing pluralism" that characterizes a diverse, complex democracy. It challenges moral philosophy to adapt its prescriptions to the real requirements of democratic life, to pay more attention to the virtues of political compromise and the varieties of human character. And it calls on all democratic citizens to appreciate "democratic constancy": the limited yet serious standard of ethical character to which imperfect democratic citizens may rightly hold their leaders--and themselves. (shrink)

Since the publication of David Lewis’ Counterfactuals, the standard line on subjunctive conditionals with impossible antecedents (or counterpossibles) has been that they are vacuously true. That is, a conditional of the form ‘If p were the case, q would be the case’ is trivially true whenever the antecedent, p, is impossible. The primary justification is that Lewis’ semantics best approximates the English subjunctive conditional, and that a vacuous treatment of counterpossibles is a consequence of that very elegant theory. Another justification (...) derives from the classical lore than if an impossibility were true, then anything goes. In this paper we defend non-vacuism, the view that counterpossibles are sometimes non-vacuously true and sometimes non-vacuously false. We do so while retaining a Lewisian semantics, which is to say, the approach we favor does not require us to abandon classical logic or a similarity semantics. It does however require us to countenance impossible worlds. An impossible worlds treatment of counterpossibles is suggested (but not defended) by Lewis (Counterfactuals. Blackwell, Oxford, 1973), and developed by Nolan (Notre Dame J Formal Logic 38:325–527, 1997), Kment (Mind 115:261–310, 2006a: Philos Perspect 20:237–302, 2006b), and Vander Laan (In: Jackson F, Priest G (eds) Lewisian themes. Oxford University Press, Oxford, 2004). We follow this tradition, and develop an account of comparative similarity for impossible worlds. (shrink)

This paper puts forward two claims about funding carbon capture and storage. The first claim is that there are moral justifications supporting strategic investment into CO2 storage from global and regional perspectives. One argument draws on the empirical evidence which suggests carbon capture and storage would play a significant role in a portfolio of global solutions to climate change; the other draws on Rawls' notion of legitimate expectations and Moellendorf's Anti-Poverty principle. The second claim is that where to pursue this (...) strategic investment poses a morally non-trivial problem, with considerations like near-term global distributive justice and undermining legitimate expectations favouring investing in developing regions, especially in Asia, and considerations like long-term climate impacts and best uses of resources favouring investing in the relatively wealthy regions that have the best prospects for successful storage development. [Open access]. (shrink)

In this paper we will demonstrate that a computational system can meet the criteria for autonomy laid down by classical enactivism. The two criteria that we will focus on are operational closure and structural determinism, and we will show that both can be applied to a basic example of a physically instantiated Turing machine. We will also address the question of precariousness, and briefly suggest that a precarious Turing machine could be designed. Our aim in this paper is to challenge (...) the assumption that computational systems are necessarily heteronomous systems, to try and motivate in enactivism a more nuanced and less rigid conception of computational systems, and to demonstrate to computational theorists that they might find some interesting material within the enactivist tradition, despite its historical hostility towards computationalism. (shrink)

The paradox of knowability is a logical result suggesting that, necessarily, if all truths are knowable in principle then all truths are in fact known. The contrapositive of the result says, necessarily, if in fact there is an unknown truth, then there is a truth that couldn't possibly be known. More specifically, if p is a truth that is never known then it is unknowable that p is a truth that is never known. The proof has been used to argue (...) against versions of anti-realism committed to the thesis that all truths are knowable. For clearly there are unknown truths; individually and collectively we are non-omniscient. So, by the main result, it is false that all truths are knowable. The result has also been used to draw more general lessons about the limits of human knowledge. Still others have taken the proof to be fallacious, since it collapses an apparently moderate brand of anti-realism into an obviously implausible and naive idealism. (shrink)

I. Non-Trivial Counterpossibles On Lewis’ account, a subjunctive of the form ‘if it were the case that p, it would be the case that q’ (represented as ‘p → q’) is to be given the following rough meta-linguistic truth-conditions1.

Kit Fine (1994. “Essence and Modality”, Philosophical Perspectives 8: 1-16) argues that the standard modal account of essence as de re modality is ‘fundamentally misguided’ (p. 3). We agree with his critique and suggest an alternative counterfactual analysis of essence. As a corollary, our counterfactual account lends support to non-vacuism the thesis that counterpossibles (i.e., counterfactual conditionals with impossible antecedents) are not always vacuously true.

The paradox of knowability threatens to draw a logical equivalence between the believable claim that all truths are knowable and the obviously false claim that all truths are known. In this paper we evaluate prominent proposals for resolving the paradox of knowability. For instance, we argue that Neil Tennant’s restriction strategy, which aims principally to restrict the main quantifier in ‘all truths are knowable’, does not get to the heart of the problem since there are knowability paradoxes that the restriction (...) does nothing to thwart. We argue that Jon Kvanvig’s strategy, which aims to block the paradox by appealing to the special role of quantified epistemic expressions in modal contexts, has grave errors. We offer here a new proposal founded on Kvanvig’s insight that quantified expressions play a special role in modal contexts. On an articulation of this special role provided by Stanley and Szabo, we propose a solution to the knowability paradoxes. Introduction.. (shrink)

This paper argues that there are important irrational elements to love. In the philosophical literature, we typically find that love is either thought of as rational or arational and that any irrational elements are thought to be defective, or extraneous to love itself. We argue, on the contrary, that irrationality is in part connected to what we find valuable about love. -/- We focus on 3 basic elements of love: -/- 1) Whom you love 2) How much you love them (...) 3) How much of a role love plays in your life -/- And in each case, we argue that love can be irrational and valuable. (shrink)

Does a factive conception of knowability figure in ordinary use? There is some reason to think so. ‘Knowable’ and related terms such as ‘discoverable’, ‘observable’, and ‘verifiable’ all seem to operate factively in ordinary discourse. Consider the following example, a dialog between colleagues A and B: A: We could be discovered. B: Discovered doing what? A: Someone might discover that we're having an affair. B: But we are not having an affair! A: I didn’t say that we were. A’s remarks (...) sound contradictory. In this context the factivity of ‘someone might discover that’ explains this fact. So there is some reason to believe that knowability and related modalities are factive in ordinary use. For factive treatments of knowability in the context of epistemic theories of truth, compare Tennant (2000: 829) and Wright (2001: 59-60, n. 17). (shrink)

The proposal that probabilistic inference and unconscious hypothesis testing are central to information processing in the brain has been steadily gaining ground in cognitive neuroscience and associated fields. One popular version of this proposal is the new theoretical framework of predictive processing or prediction error minimization, which couples unconscious hypothesis testing with the idea of ‘active inference’ and claims to offer a unified account of perception and action. Here we will consider one outstanding issue that still looms large at the (...) core of the PEM framework: the lack of a clear criterion for distinguishing conscious states from unconscious ones. In order to fulfill the promise of becoming a unifying framework for describing and modeling cognition, PEM needs to be able to differentiate between conscious and unconscious mental states or processes. We will argue that one currently popular view, that the contents of conscious experience are determined by the ‘winning hypothesis’, falls short of fully accounting for conscious experience. It ignores the possibility that some states of a system can control that system’s behavior even though they are apparently not conscious. What follows from this is that the ‘winning hypothesis’ view does not provide a complete account of the difference between conscious and unconscious states in the probabilistic brain. We show how this problem for the received view can be resolved by augmenting PEM with Daniel Dennett’s multiple drafts model of consciousness. This move is warranted by the similar roles that attention and internal competition play in both the PEM framework and the multiple drafts model. (shrink)

In his presidential address to the APA, Alvin Plantinga argues that the only sensible way to be an anti-realist is to be a theist. Anti-realism (AR) in this context is the epistemic analysis of truth that says, "(AR) necessarily, a statement is true if and only if it would be believed by an ideally [or sufficiently] rational agent/community in ideal [or sufficiently good] epistemic circumstances." Plantinga demonstrates, with modest modal resources, that AR entails that necessarily, ideal epistemic circumstances obtain. As (...) it is a contingent matter whether ideal epistemic circumstances obtain, Plantinga concludes that an anti-realist should be a theist. In this paper, we show that counterfactual analyses of truth as epistemic are instances of a more general problem of philosophical analysis. More specifically, without a radical revision of the logic, counterfactual analyses of truth as epistemic cannot avoid perpetrating some version of the conditional fallacy. Even so, we argue, anti-realists are not committed to the necessary existence of ideal epistemic circumstances and therefore need not be theists. (shrink)

Long before the origins of agriculture human ancestors had expanded across the globe into an immense variety of environments, from Australian deserts to Siberian tundra. Survival in these environments did not principally depend on genetic adaptations, but instead on evolved learning strategies that permitted the assembly of locally adaptive behavioral repertoires. To develop hypotheses about these learning strategies, we have modeled the evolution of learning strategies to assess what conditions and constraints favor which kinds of strategies. To build on prior (...) work, we focus on clarifying how spatial variability, temporal variability, and the number of cultural traits influence the evolution of four types of strategies: (1) individual learning, (2) unbiased social learning, (3) payoff-biased social learning, and (4) conformist transmission. Using a combination of analytic and simulation methods, we show that spatial—but not temporal—variation strongly favors the emergence of conformist transmission. This effect intensifies when migration rates are relatively high and individual learning is costly. We also show that increasing the number of cultural traits above two favors the evolution of conformist transmission, which suggests that the assumption of only two traits in many models has been conservative. We close by discussing how (1) spatial variability represents only one way of introducing the low-level, nonadaptive phenotypic trait variation that so favors conformist transmission, the other obvious way being learning errors, and (2) our findings apply to the evolution of conformist transmission in social interactions. Throughout we emphasize how our models generate empirical predictions suitable for laboratory testing. (shrink)

We present an argument about the methodology of ethics, broadly conceived, drawing on recent research on modelling in the philosophy of science. More specifically, we argue that normative ethics should adopt the methodology of modelling. We make our case in two parts. First, despite the perhaps unfamiliar terminology, modelling already happens in ethics. We identify it, and argue that its practice could be improved by recognising that it is modelling and by adopting some methodological lessons from philosophy of science. Second, (...) modelling should be adopted more widely within normative ethics, because it fits well with various methodological ends we shall identify. Models can be used to investigate ethical questions in a manner that is systematic but relatively free of foundational theoretical commitments in first-order ethics. Models are more local, and less ambitious, than theories. They can be used to break deadlocks, by focusing attention on the particularities of a sub-domain and by providing a common tool–the surrogate model system–which each side can use to make their principles precise, illustrate the implications of their view, and identify sources of disagreement or points of agreement. We are pluralists about method, so this is not a call to abandon other philosophical methods. It is simply a plea for modelling, motivated by the method’s independent benefits and its fruitfulness in resolving some persistent methodological problems in ethics. (shrink)

Both Kant and James claim to limit the role of knowledge in order to make room for faith. In this paper, we argue that despite some similarities, their attempts to do this come apart. Our main claim is that, although both Kant and James justify our adopting religious beliefs on practical grounds, James believes that we can—and should—subsequently assess such beliefs on the basis of evidence. We offer our own account of this evidence and discuss what this difference means for (...) their accounts of religious belief. (shrink)

It is generally acknowledged by proponents of ‘new mechanism’ that mechanistic explanation involves adopting a perspective, but there is less agreement on how we should understand this perspective-taking or what its implications are for practising science. This paper examines the perspectival nature of mechanistic explanation through the lens of the ‘mechanistic stance’, which falls somewhere between Dennett’s more familiar physical and design stance. We argue this approach implies three distinct and significant ways in which mechanistic explanation can be interpreted as (...) perspectival: ‘phenomenon perspectivism’, ‘pattern perspectivism’ and ‘hierarchy perspectivism’. We evaluate the strength of the perspective-dependency implied by each of these, and along the way, discuss their significance for wider debates within the new mechanism literature, such as the nature of function attribution and an ontic vs epistemic understanding of explanation. (shrink)

The UK has been ‘following the science’ in response to the COVID-19 pandemic in line with the national framework for the use of scientific advice in assessment of risk. We argue that the way in which it does so is unsatisfactory in two important respects. Firstly, pandemic policy making is not based on a comprehensive assessment of policy impacts. And secondly, the focus on reasonable worst-case scenarios as a way of managing uncertainty results in a loss of decision-relevant information and (...) does not provide a coherent basis for policy making. (shrink)

Sharing and helping are important issues in ethical research. This study proposes a model based on flow theory by postulating key antecedents as the critical drivers of knowledge sharing and interemployee helping. Flow is the holistic sensation that employees feel when they act with total immersion and engagement, facilitating individuals' reciprocal activities such as knowledge sharing and interemployee helping. In the proposed model, knowledge sharing is influenced by flow experience directly and also indirectly via the mediation of interemployee helping. Accordingly, (...) the flow experience is influenced simultaneously by four exogenous factors related to individuals' perception about their work: work skills, self-fulfillment in challenges, perceived control, and vividness. This study contributes to the knowledge management literature by extending flow theory to the area of knowledge sharing and interemployee helping, by validating idiosyncratic antecedent drivers of the flow theory, and by performing a practical operationalization of the flow experience. This research also provides managerial implications for business leaders to boost their employees' ethical behavior in terms of sharing and helping. (shrink)

In order to make strategic decisions and improve their firm’s performance, top management teams must have information on the competitive context in general, and the firm’s competitors in particular. During the decision-making process, top managers can have access to “privileged information”—i.e., information of a confidential and potentially strategic nature that could ultimately confer a decisional advantage over competing parties. However, obtaining and using privileged information in a business context is often illegal—and if not, is usually deemed unethical or “against the (...) rules.” Using a quasi-experimental design, this study explores the reasons why an individual might engage in such unethical behavior. We assess the extent to which managers use privileged information with respect to perceived team cohesion and peers’ ethicality. More specifically, our results show that the use of privileged information is predicted by the decision-maker’s perceptions of their team cohesion and their peers’ ethicality. Moreover, we find that team performance, as a group-level nonself-reported factor, moderates the relationship between cohesion and the use of privileged information. The relationship between cohesion, ethical behavior, and team performance is also discussed. We draw on these findings to make some practical suggestions on how to incorporate practices that could better prevent the unethical use of privileged information in strategic decision-making processes. (shrink)

Climate science is expected to provide usable information to policy-makers, to support the resolution of climate change. The complex, multiply connected nature of climate change as a social problem is reviewed and contrasted with current modular and discipline-bounded approaches in climate science. We argue that climate science retains much of its initial “physics-first” orientation, and that it adheres to a problematic notion of objectivity as freedom from value judgments. Together, these undermine its ability to provide usable information. We develop the (...) notion of usability using work from the literature on adaptation, but our argument applies to all of climate science. We illustrate the tension between usability and the objective, physics-first orientation of climate science with an example about model development practices in climate science. For solutions, we draw on two frameworks for science which responds to societal challenges: post-normal science and mandated science. We generate five recommendations for adapting the practice of climate science, to produce more usable information and thereby respond more directly to the social challenge of climate change. These are: (1) integrated cross-disciplinarity, (2) wider involvement of stakeholders throughout the lifecycle of a climate study, (3) a new framing of the role of values in climate science, (4) new approaches to uncertainty management, and (5) new approaches to uncertainty communication. (shrink)

Hobson & Friston (2014) outline a synthesis of Hobson's work on dreaming and consciousness with Friston’s work on the free energy principle and predictive coding. Whilst we are sympathetic with their claims about the function of dreaming and its relationship to consciousness, we argue that their endorsement of the Cartesian theatre metaphor is neither necessary nor desirable. Furthermore, if it were necessary then this endorsement would undermine their positive claims, as the Cartesian theatre metaphor is widely regarded as unsustainable. We (...) demonstrate this point and then develop an alternative formulation of their position that does not require the Cartesian theatre metaphor. Our positive goal is to clarify Hobson & Friston’s confusing usage of philosophical terminology, replacing it where possible with the more transparent language of the forward models framework. This will require some modifications to their account, which as it stands is philosophically and empirically unsustainable. (shrink)

Patient engagement in healthcare is increasingly discussed in the literature, and initiatives engaging patients in quality improvement activities, organizational design, governance, and research are becoming more and more common and have even become mandatory for certain health institutions. Here we discuss a number of ethical challenges raised by this engagement from patients from the perspectives of research, organizational/quality improvement practices, and patient experiences, while offering preliminary recommendations as to how to address them. We identified three broad categories of ethical issues (...) that intersect between the different types of patient engagement: (1) establishing a shared vision about goals of patient engagement and respective roles; (2) the process and method of engaging with patients; and (3) practical aspects of patient engagement. To explain these issues, we build from our personal, professional, and academic experiences, as well as traditions such as pragmatism and hermeneutics that stress the importance of participation, empowerment, and engagement. Patient engagement can be highly valuable at numerous levels, but particular attention should be paid to the process of engaging with patients and related ethical issues. Some lessons from the literature on the ethics of participatory research can be translated to organizational and quality improvement practices. (shrink)

This paper takes the form of a reflective dialogue between three teachers of business ethics working in different continents. Originating as a conference debate, it takes as its theme the notion of ideological ‘neutrality’ and the role of the business ethics teacher. A position statement outlines an argument for ‘restraint’ as a modern day Aristotleian mean to protect student academic freedom. Two responses follow. The first of these provides a moderate advocacy position based on Socratic principles. The second response outlines (...) the notion of teaching as a relational process necessitating delayed disclosure and moral courage on the part of the teacher. The paper concludes with a brief reflection by the author of the position statement. (shrink)

Theorists have oversold the usefulness of predicate logic and generative grammar to the study of language origins. They have searched for models that correspond to semantic properties, such as truth, when what is needed is an empirically testable model of evolution. Such a model is required if we are to explain the origins of linguistic properties by appealing to general properties of linguistic engendering, rather than to the advent of genotypes with the propensity to produce certain brain mechanisms. While the (...) latter sort of explanation has a place, no theory can be considered an `evolutionary' theory without the former. We introduce a general notion of engendering, whose primary virtue is its freedom from assumptions regarding the nature of colloquial change. We use it to frame a conjecture about the evolution of centre embedded clauses; one which makes the fewest possible assumptions about the neural requirements upon individual brains. Keywords: biology of language; epigenesis; engendering; evolution; mutation; population; recursion. (shrink)

The aim of this article is to describe the change of the Korean society after the neoliberal crisis in 1997. The economic crisis in Korea resulted from the militant struggles of working class between 1987-1997. But it had been used as a moment for deepening the neoliberal reformation and the recomposition of capital. This paradoxical process had been accomplished by a wide and violent lay-off as in any other countries. In this process the first notable factor is the appearance of (...) cooperative attitude in the Korean progressive labor movement. The author described the context of decomposition of militant working class in factories, and groped for the new recomposition of working class and the formation of autonomous multitudes in the whole range of Korean society. (shrink)

This piece outlines the opportunities and obstacles to the appli- cation of critical realism to the study of the self. Based on a recent seminar on the subject, the paper discusses a number of diverse approaches to the application of critical realism to selfhood, identity and psychology. It is argued that for the social sciences, the political dangers of essentialism in studying the self require clear explication of how critical realist approaches do not necessarily lead to reductionism or determinism.

This is an English translation of four of Plato’s dialogue (Protagoras, Euthydemus, Hippias Major, and Cratylus) that explores the topic of sophistry and philosophy, a key concept at the source of Western thought. Includes notes and an introductory essay. Focus Philosophical Library translations are close to and are non-interpretative of the original text, with the notes and a glossary intending to provide the reader with some sense of the terms and the concepts as they were understood by Plato’s immediate audience.

Recently, there has been considerable interest in large language models: machine learning systems which produce human-like text and dialogue. Applications of these systems have been plagued by persistent inaccuracies in their output; these are often called “AI hallucinations”. We argue that these falsehoods, and the overall activity of large language models, is better understood as bullshit in the sense explored by Frankfurt (On Bullshit, Princeton, 2005): the models are in an important way indifferent to the truth of their outputs. We (...) distinguish two ways in which the models can be said to be bullshitters, and argue that they clearly meet at least one of these definitions. We further argue that describing AI misrepresentations as bullshit is both a more useful and more accurate way of predicting and discussing the behaviour of these systems. (shrink)

Name der Zeitschrift: Das Mittelalter Jahrgang: 22 Heft: 2 Seiten: 332-350.

In this article we evaluate Jesus Centered Leadership, a new concept that has emerged in the realm of spirituality and business management. JCL questions the “Christianity” of Christian business leadership, and proposes principles for ethical leadership that provide a truer representation of the teachings and traits of Jesus. We consider these principles and contribute principles of our own, thereby providing an alternative approach to JCL that remains consistent with the JCL message of morality but addresses issues that offer greater opportunities (...) for adoption within existing business and institutional models. (shrink)

The purpose of this qualitative research is to conceptualize the factors that influence human flourishing. Data has been gathered through in-depth, semi-structured interviews with thirty global heads of Human Resources of manufacturing companies in India and South Asia. Data from these interviews are analyzed using grounded theory methodology to categorize concepts and create a conceptual model of the main themes which contribute to human flourishing. This study highlights three such themes: (1) opportunities for advancement; (2) personal capability; and (3) leading (...) people inclusively. This article provides implications for a more complete model for entrepreneurs, policy makers, and HR heads to understand the conditions necessary for human flourishing, filling a literature gap in the study of human flourishing from the perspective of an employer. (shrink)

The book provides a practical guide to the application of Critical Realism (CR), an increasingly popular philosophy of social science, in empirical research projects. Each purpose-written chapter reviews major social science research methods and contains extended illustration of how to conduct inquiry using CR.

La question platonicienne est traversée par une énigme qui défie les interprètes depuis les travaux de Léon Robin, qui datent de plus d'un siècle. Platon a-t-il élaboré une doctrine, ou sa pensée est-elle tout entière contenue dans les dialogues? Autrement dit, y a-t-il un enseignement secret de Platon qui n'apparaîtrait pas dans son oeuvre écrite? Le témoignage des doxographes, à commencer par Aristote, laisse entendre que Platon a bien enseigné une doctrine, mais comment expliquer le silence des dialogues? Analysant l'étrange (...) passage du Timée qui s'articule sur la gamme pythagoricienne, J.-J. Duhot, qui a aussi été musicien professionnel, en a décrypté la clef, qui avait échappé aux interprètes : le Même code l'octave, soit le rapport 2, et l'Autre code la quinte, soit le rapport 3/2. Cette clef, indiscutable en elle-même, comme le démontre J.-J. Duhot, permet d'établir la grille de lecture qui éclaire toutes les obscurités du passage. On a donc là une double équivalence, entre métaphysique (Un/Multiple), acoustique (octave et quinte), et mathématiques (construction arithmétique de la gamme). J.-J. Duhot montre que c'est la matrice sur laquelle Platon construit son oeuvre et met en place le postulat de mathématicité du monde, qui sera la base de toute la science moderne, à partir de Galilée. La gamme du Timée offre un modèle mathématique, la division de 2 en produits de facteurs dans un système logarithmique, qui résout (métaphoriquement) les problèmes de l'Un et du Multiple. On voit ainsi apparaître un "cycle éléatique" dans lequel, au fil des dialogues, Parménide, Théétète, Sophiste et Politique, se met en place une véritable doctrine platonicienne. Doctrine secrète qui s'offre au lecteur qui sait en décrypter le code. (shrink)

This discussion paper considers how seldom recognised theories influence clinical ethics committees. A companion paper examined four major theories in social science: positivism, interpretivism, critical theory and functionalism, which can encourage legalistic ethics theories or practical living bioethics, which aims for theory–practice congruence. This paper develops the legalistic or living bioethics themes by relating the four theories to clinical ethics committee members’ reported aims and practices and approaches towards efficiency, power, intimidation, justice, equality and children’s interests and rights. Different approaches (...) to framing ethical questions are also considered. Being aware of the four theories’ influence can help when seeking to understand and possibly change clinical ethics committee routines. The paper is not a research report but is informed by a recent study in two London paediatric cardiac units. Forty-five practitioners and related experts were interviewed, including eight members of ethics committees, about the work of informing, preparing and supporting families during the extended process of consent to children’s elective heart surgery. The mosaic of multidisciplinary teamwork is reported in a series of papers about each profession, including this one on bioethics and law and clinical ethics committees’ influence on clinical practice. The qualitative social research was funded by the British Heart Foundation, in order that more may be known about the perioperative views and needs of all concerned. Questions included how disputes can be avoided, how high ethical standards and respectful cooperation between staff and families can be encouraged, and how minors’ consent or refusal may be respected, with the support of clinical ethics committees. (shrink)