In most children’s hospitals, there are very few ethics consultations, even though there are many ethically complex cases. We hypothesize that the reason for this may be that hospitals develop different mechanisms to address ethical issues and that many of these mechanisms are closer in spirit to the goals of the pioneers of clinical ethics than is the mechanism of a formal ethics consultation. To show how this is true, we first review the history of collaboration between philosophers and physicians (...) about clinical dilemmas. Then, as a case-study, we describe the different venues that have developed at one children’s hospital to address ethical issues. At our hospital, there are nine different venues in which ethical issues are regularly and explicitly addressed. They are ethics committee meetings, Nursing Ethics Forum, ethics Brown Bag workshops, PICU ethics rounds, Grand Rounds, NICU Comprehensive Care Rounds, Palliative Care Team case conferences, multidisciplinary consults in Fetal Health Center, and ethics consultations. In our hospital, ethics consults account for only a tiny percentage of ethics discussions. We suspect that most hospitals have multiple and varied venues for ethics discussions. We hope this case study will stimulate research in other hospitals analyzing the various ways in which ethicists and ethics committees can build an ethical environment in hospitals. Such research might suggest that ethicists need to develop a different set of “core competencies” than the ones that are needed to do ethics consultations. Instead, they should focus on their skills in creating multiple “moral spaces” in which regular and ongoing discussion of ethical issues would take place. A successful ethicist would empower everyone in the hospital to speak up about the values that they believe are central to respectful, collaborative practice and patient care. Such a role is closer to what the first hospital philosophers set out to do than in the role of the typical hospital ethics consultant today. (shrink)

1. IntroductionA paternalistic act is one in which the protection or promotion of a subject's welfare is the primary reason for attempted or successful coercive interference with an action or state of that person. My aim in this paper is to determine the conditions under which such acts are Justified. The route I take is through the concept of consent, with actual consent providing the foundation for a rather complex condition which I claim is necessary and sufficient for the Justification (...) of paternalism.Because a paternalistic act apparently violates a subject's right to non-interference, it constitutes a problem in the general area of rights. Ideally, then, one should have a developed and convincing theory of rights — that is, a theory which contains an analysis of the concept of a right, and offers solutions to the central problems, e.g. who has rights and why, what considerations override prima facie rights, and how the relative importance of prima facie rights is determined — from which the solutions to various problems about paternalism can be derived. (shrink)

In recent work, Mark Alfano and Jennifer Saul have put forward a similar kind of provocative sceptical challenge. Both appeal to recent literature in empirical psychology to show that our judgments across a wide range of cases are riddled with unreliable cognitive heuristics and biases. Likewise, they both conclude that we know a lot less than we have hitherto supposed, at least on standard conceptions of what knowledge involves. It is argued that even if one grants the empirical claims that (...) Saul and Alfano make, the sceptical conclusion that they canvass might not be as dramatic as it first appears. It is further argued, however, that one can reinstate a more dramatic sceptical conclusion by targeting their argument not at knowledge but rather at the distinct epistemic standing of understanding. (shrink)

A familiar point in the literature on the epistemology of disagreement is that in the face of disagreement with a recognised epistemic peer the epistemically virtuous agent should adopt a stance of intellectual humility. That is, the virtuous agent should take a conciliatory stance and reduce her commitment to the proposition under dispute. In this paper, we ask the question of how such intellectual humility would manifest itself in a corresponding peer disagreement regarding knowledge-how. We argue that while it is (...) relatively straightforward to recast this debate in terms of a reductive intellectualist account of knowledge-how, whereby knowledge-how just is a matter of having a particular propositional attitude, the issue becomes more complex once we turn to anti-intellectualist positions. On these views, after all, such a disagreement won’t be just a matter of disagreeing about the truth of a proposition. Accordingly, to the extent that some kind of conciliation is plausibly required of the virtuous agent in the face of a recognised peer disagreement, this conciliation will not consist simply in belief revision. We propose a novel way to address this problem. We claim that what is required of the epistemically virtuous agent when confronted with peer disagreement regarding knowing how to φ is that thereafter she should be disposed to employ her way of φ-ing across a narrower range of practical circumstances than beforehand. Moreover, just as an agent needs to call on her intellectual virtues in order to determine the extent of conciliation required in an ordinary case of epistemic peer disagreement, so the intellectual virtues will play an important role in determining this shift in dispositions to φ that occurs as regards epistemic peer disagreement about knowledge-how. (shrink)

If we want our intellectual lives to go as well as possible, should we be ‘delegating’ as many information-gobbling tasks to our gadgets as we can? If not, then how much cognitive outsourcing is too much, and relatedly, what kinds of considerations are relevant to determining this? I submit that one particular dimension of intellectual flourishing that will be helpful for the purpose of exploring such questions is that of intellectual autonomy, and in particular, what I’ll describe as the value (...) of one’s freedom to achieve. Several related conclusions are drawn and then applied to recent discussions in the philosophy of education concerning education’s epistemic aims. (shrink)

How is a person's freedom related to his or her preferences? Liberal theorists of negative freedom have generally taken the view that the desire of a person to do or not do something is irrelevant to the question of whether he is free to do it. Supporters of the “pure negative” conception of freedom have advocated this view in its starkest form: they maintain that a person is unfree to Φ if and only if he is prevented from Φ-ing by (...) the conduct or dispositions of some other person. This definition of freedom is value-neutral in the sense that no reference is made to preferences over options or indeed to any other indicators of the values of options, either in the characterization of “Φ-ing” itself or in the characterization of the way in which Φ-ing can be constrained. (shrink)

It has been argued that there is an irreconcilable difference between those advocating animal liberation or animal rights, on the one hand, and those preferring a wider environmental ethic, which includes concern for non-sentient life-forms and species preservation, on the other. In contrast, I argue that it is possible to provide foundations for both seemingly environmentalist positions by exploring some of the potential of a 'collective-projectivist' reading of Hume – one that seems more consistent with Hume's texts than other readings. (...) In short, this article seeks to advance our understanding of some of the possibilities within Humean moral theory, while simultaneously providing new foundations for both animal welfare and a wider environmental ethic. (shrink)

Research questions in mainstream epistemology often take for granted a cognitive internalist picture of the mind. Perhaps this is unsurprising given the seemingly safe presumptions that knowledge entails belief and that the kind of belief that knowledge entails supervenes exclusively on brainbound cognition. It will be argued here that the most plausible version of the entailment thesis holds just that knowledge entails dispositional belief. However, regardless of whether occurrent belief supervenes only as the cognitive internalist permits, we should reject the (...) idea that dispositional belief supervenes only in cognitive internalist-friendly ways. These observations, taken together, reveal two things: first, that a cognitive internalist picture of the mind is much more dispensable in epistemology than has been assumed and, second, that pursuing questions in extended epistemology need not involve any radical departure from the commitments of more traditional epistemological projects. (shrink)

This paper examines how digital technologies might be used to improve ethical attitudes towards nonhuman animals, by exploring the case study of nonhuman apes kept in modern zoos. The paper describes and employs a socio-ethical framework for undermining anti-ape prejudice advanced by philosopher Edouard Machery which draws on classic anti-racism strategies from the social sciences. We also discuss how digital technologies might be designed and deployed to enable and enhance rather than impede the three anti-prejudice strategies of contact and interaction, (...) enlightenment, and individualization. In doing so, the paper illuminates the broad potential and limitations of digital technology to both harm and benefit animals via its effects on human ethical attitudes. This examination provides guidance for future projects and empirical work on using digital technologies to promote moral respect for a range of nonhuman animals in different settings. (shrink)

This article considers several of the most famous arguments for our being under a moral obligation to preserve species, and finds them all wanting. The most promising argument for preserving all varieties of species might seem to be an aesthetic one. Unfortunately, the suggestion that the moral basis for the preservation of species should be construed as similar to the moral basis for the preservation of a work of art seems to presume (what are now widely regarded as) erroneous conceptualizations (...) of "species". The article concludes by arguing that more promising approaches to how "species" ought to be conceptualized suggest that the preservation of species should be construed as of far greater aesthetic importance than is suggested by focusing upon the preservation of any single work of art. Hence, if we have a moral obligation to preserve a single artwork, then we have a far greater moral obligation to preserve species than has often been presumed. (shrink)

It has been suggested that Marr took the three levels he famously identifies to be independent. In this paper, we argue that Marr's view is more nuanced. Specifically, we show that the view explicitly articulated in his work attempts to integrate the levels, and in doing so results in Marr attacking both reductionism and vagueness. The result is a perspective in which both high-level information-processing constraints and low-level implementational constraints play mutually reinforcing and constraining roles. We discuss our recent work (...) on Spaun—currently the world's largest functional brain model—that demonstrates the positive impact of this kind of unifying integration of Marr's levels. We argue that this kind of integration avoids his concerns with both reductionism and vagueness. In short, we suggest that the methods behind Spaun can be used to satisfy Marr's explicit interest in combining high-level functional and detailed mechanistic explanations. (shrink)

Mainstream epistemology has typically taken for granted a traditional picture of the metaphysics of mind, according to which cognitive processes (e.g. memory storage and retrieval) play out entirely within the bounds of the skull and skin. But this simple ‘intracranial’ picture is falling in- creasingly out of step with contemporary thinking in the philosophy of mind and cognitive science. Likewise, though, proponents of active exter- nalist approaches to the mind—e.g. the hypothesis of extended cognitition (HEC)—have proceeded by and large without (...) asking what epistemological ramifications should arise once cognition is understood as criss-crossing the bounds of brain and world. This paper aims to motivate a puzzle that arises only once these two strands of thinking are brought in contact with one another. In particular, we want to first highlight a kind of con- dition of epistemological adequacy that should be accepted by proponents of extended cognition; once this condition is motivated, the remainder of the paper demonstrates how attempts to satisfy this condition seem to inevitably devolve into a novel kind of epistemic circularity. At the end of the day, proponents of extended cognition have a novel epistemological puzzle on their hands. (shrink)

Lying and deceit are instruments of power, used by social actors in the pursuit of their practices as they seek to maintain social order. All social actors, nurses included, have deceit and dishonesty within their repertoire of practice. Much of this is benign, well intentioned and a function of being sociable and necessary in the pursuit of social order in the healthcare environment. Lying and deceit from a sociological point of view, is a reflection of the different modes of domination (...) that exist within a social space. French philosopher Pierre Bourdieu theorized about the way that symbolic power works within social space. The social structures and the agency of individual actors moving within it are interrelated and interdependent. Bourdieu's ideas will be used to theorize about real clinical experiences where acts of deceit can be identified and a case example will be presented. Nurses are actors in the social space of clinical care, and their world is complex, challenging, and often fraught with the contradictory demands and choices that reflect and influence their behaviours. An exploration of lying and deceit in nursing as an instrument in the modes of domination that persist enables us to challenge some of the assumptions that are made about the motives that cause or tempt nurses to lie as well as to understand the way on which they are sometimes lied to, according to the acts of domination that exist in the field. Lying or acting dishonestly is a powerful act that is intent on retaining stability and social order and could be seen to be a justification of lying and deceit. However, we need to pause and consider, in whose interests are we striving to create social order? Is it in the end about the comfort of patients or for the comfort of professionals? (shrink)

In Preludes to Pragmatism: Toward A Reconstruction of Philosophy, Phillip Kitcher argues in Chapter 6, “Does ‘Race’ Have a Future” that developments in evolutionary biology may support a separation of our species into subcategories that could be regarded as races. The human species, he argues, could possibly be divided, using a similar methodology to that employed by evolutionary biologists, into relatively stable and isolated breeding populations that bear distinctive and salient clusters of significant genotypic and phenotypic traits. Hence, the eliminativist (...) claim that there is nothing in the world that corresponds to our use of the term ‘race’ is mistaken. There is, in short, a scientifically legitimate.. (shrink)

This article considers two different, yet related, theoretical approaches that could be employed to ground the anarchist critique of Marxist-Leninist revolutionary practice, and thus of the state in general: the State-Primacy Theory and the Quadruplex Theory. The State-Primacy Theory appears to be consistent with several of Bakunin's claims about the state. However, the Quadruplex Theory might, in fact, turn out to be no less consistent with Bakunin's claims than the State-Primacy Theory. In addition, the Quadruplex Theory seems no less capable (...) of supporting the anarchist critique of Marxism-Leninism than the State-Primacy Theory. The article concludes by considering two possible refinements that might be made to the Quadruplex Theory. (shrink)

The Hostile Environment: Students Who Bully in School analyzes seminal and current research on childhood risk factors, legal issues, cyberbullying, and associations between bullying and mental health to suggest preventative practices.

This collection analyses the potential challenge to the welfare state from postmodern ideas. Contributors explore the relevance of theories of diversity and difference to mainstream and critical social policy.

Andrew Dobson has outlined three conceptions of environmental sustainability: the ‘critical natural capital’ conception; the ‘irreversibility’ conception; and the ‘natural value’ conception. He has also attempted to map out the various ‘dimensions of social justice’– his purpose in so doing being to analyze the ‘encounter’ of each conception of environmental sustainability with the points on his map. Not surprisingly, Dobson concludes that as one moves from the ‘critical natural capital’ conception through the ‘irreversibility’ conception to the ‘natural value’ conception of (...) ‘sustainability’, the ‘points of contact’ with his map of ‘the dimensions of social justice’ are found to ‘become fewer and further apart’. In this article I argue that Dobson is fundamentally confused in his reason for thinking why this is so. I also argue that a core argument he deploys concerning future generations cannot do the work he requires of it. (shrink)

Recently in this journal, Michael Huemer has attempted to refute egalitarianism. His strategy consists in: first, distinguishing between three possible worlds ; second, showing that the first world is equal in value to the second world; third, dividing the second and third worlds into two temporal segments each, then showing that none of the temporal segments possesses greater moral value than any other, thereby demonstrating that the second and third worlds as a whole are equal in value; and finally, concluding (...) that none of the three worlds has more value than any other. The present article rebuts Huemer’s critique of egalitarianism first, and most importantly, by showing that his core argument rests upon an equivocation, and second, by refuting his supplementary arguments. (shrink)

While it is widely agreed that the infliction upon innocents of needless pain is immoral, many have argued that, even though nonhuman animals act as if they feel pain, there is no reason to think that they actually suffer painful experiences. And if our actions only appear to cause nonhuman animals pain, then such actions are not immoral. On the basis of the claim that certain behavioural responses to organismic harm are maladaptive, whereas the ability to feel pain is itself (...) adaptive, this article argues that the experience of pain should be viewed as the proximate cause of such occasionally maladaptive behaviour. But as nonhuman animals also display such maladaptive traits, we have reason to conclude that they feel pain. Hence, we have reason to hold that it is indeed possible to inflict needless pain on nonhuman animals, which would be immoral. (shrink)

This is a book review of Jason Baehr's 'The Inquiring Mind: On Intellectual Virtues and Virtue Epistemology'.

abstract First, Allen Buchanan, in the version of his paper entitled 'Philosophy and public policy: a role for social moral epistemology' that he presented at the workshop on 'Philosophy and Public Policy' held at the British Academy in London on March 8 th 2008, seems to imply that professional, academic philosophers have had little impact upon public policy. I mention an area where it can be argued in response that they have had a more benign, as well as a more (...) widespread, influence on society than Buchanan acknowledges in that version of his paper: in legislation concerning animal welfare. Second, I question whether or not the liberal commitment to freedom of religion is compatible with the ethics of belief that Buchanan appears to advocate. (shrink)