In this paper, I explore the prospects for risk-based arguments in favour of anti-natalism, which explain the wrongness of procreation in terms of wrongful risk-imposition on the resultant child. After considering and rejecting two risk-based arguments from the existing literature - David Benatar's and Matti Häyry's - I propose a more promising version that focuses on the lack of appropriate justification for imposing the risks of existence, namely, one that refers to the essential interests of the child on whom those (...) risks are imposed. The paper proceeds in four parts. In Part 2, I set the stage for my discussion by clarifying the basic structure of risk-based arguments and identifying some of their important features. In Parts 3-5, I consider three distinct risk-based arguments for anti-natalism and argue that only the third, justificatory argument has the potential to be successful. (shrink)

Can appealing to children’s rights help to solve the non-identity problem in cases of procreation? A number of philosophers have answered affirmatively, arguing that even if children cannot be harmed by being born into disadvantaged conditions, they may nevertheless be wronged if those conditions fail to meet a minimal standard of decency to which all children are putatively entitled. This paper defends the tenability of this view by outlining and responding to five prominent objections that have been raised against it (...) in the contemporary literature: the identifiability objection; the non-existence objection; the waiving of rights objection, the lack of legitimate complaint objection; and the unfairness objection. (shrink)

I have a hairstylist whose lover was very sick. I’d been seeing this stylist for ten years and we’re good friends. [His lover was] becoming an invalid, not able to get out of bed. He said “I hate to ask you this but would you mind writing a prescription to help us out?” [So] I wrote a prescription to a patient who I had never seen, and I sent it to him in the mail and I heard the next time (...) I went in to get my hair cut that it was the most beautiful experience that my stylist had ever had. It was Valentine’s Day and they had a lovely meal with champagne. And they held each other and then, you know, his partner took his pills and was released. (shrink)

In this article I reconsider David Benatar's primary argument for anti‐natalism—the asymmetry argument—and outline a three‐step process for rejecting it. I begin in Part 2 by reconstructing the asymmetry argument into three main premises. I then turn in Parts 3–5 to explain how each of these premises is in fact false. Finally, I conclude in Part 6 by considering the relationship between the asymmetry argument and the quality of life argument in Benatar's overall case for anti‐natalism and argue that it (...) is the latter argument that is actually doing the work. In this sense, the asymmetry argument is not only unsuccessful in generating Benatar's anti‐natalist conclusion, it is also unnecessary as well. (shrink)

In law and common-sense morality, it is generally assumed that adults who meet a minimum threshold of parental competency have a presumptive right to parent their biological children. But what is the basis of this right? According to one prominent account, the right to parent one’s biological child is best understood as being grounded in an intimate relationship that develops between babies and their birth parents during the process of gestation. This paper identifies three major problems facing this view—the explanatory, (...) adjudicatory, and theoretical problems—and explains how an alternative autonomy-based account is capable of avoiding them. (shrink)

Blame is typically justified on the basis of retrospective desert. However, an emerging strand of account gives an alternative justification for blame: the forward-looking, or proleptic, effects of that blame in cultivating a desirable form of agency, shared moral considerations responsive agency. These instrumentalist accounts differ as to their grounding conditions: the agential features that licence blame in cases of moral failure. Some accounts advocate grounding such justified blame in terms of whether or not the agent meets the condition of (...) influenceability; others advocate the condition of reasons responsiveness. I will argue that influenceability is unsuccessful as a grounding condition: such accounts appear to licence blame in too many cases of bad action (or omission). In order to not do so, it is unclear how they can avoid either reducing to another kind of grounding condition, such as reasons-responsiveness, or abandoning any attempt to posit a substantive grounding condition. However, the reasons responsiveness condition has also been attacked: it appears to be vulnerable to a mismatch between the proleptic goals of the accounts to which it is a part, and to empirical evidence suggesting an apparent situational lack of control. I will defend reasons-responsiveness as a grounding condition; however, I will suggest that instrumentalist accounts should be focused less on their grounding conditions and on blame, and more on the empirical efficacy of our reactive attitudes in scaffolding moral agency. In light of these considerations, I will suggest a friendly revision to Vargas’ grounding condition drawing on Fischer and Ravizza, Holroyd, and Calhoun that, I think, better accommodates the proleptic concerns that motivate Vargas’ and McGeer’s accounts. (shrink)

The aim of this study was to identify and analyse ethical decision making in the home care of persons with long-term mental illness. A focus was placed on how health care workers interpret and deal with the principle of autonomy in actual situations. Three focus groups involving mental health nurses who were experienced in the home care of persons with chronic mental illness were conducted in order to stimulate an interactive dialogue on this topic. A constant comparative analysis of the (...) transcribed audiotaped sessions identified a central theme that concerned the moral symbolic meaning of ‘home’. This reflected the health care workers’ conflict between their professional role and their moral role, which they perceived as unclear. (shrink)

The first of five commentaries on “Bloomberg's Health Legacy: Urban Innovator or Meddling Nanny?” from the September‐October 2013.

Elective surgery can be cancelled when resources are overwhelmed by emergency cases. We hypothesized that such cancellations, on psychological grounds, are followed also by inferior clinical results and we conducted a retrospective survey of patients following joint replacement surgery. Sixty patients having suffered from administrative cancellation prior to their operation during an 18-month period and with six months follow-up were identified and compared with another 60 matched patients after having the same type of surgery but without prior cancellation. All patients (...) received questionnaires on complications and on visual analogue scale (VAS) assessment on subjective wellbeing and quality of life (QoL) at follow-up. The study group reported 50 complications versus 33 for controls (P < 0.03). A borderline significant difference was found for myocardial infarction, 4 versus 0 (P < 0.05). There was no difference in VAS registration and QoL measurements did not quite reach statistical significance (P = 0.06). Cancellations (postponements) of elective surgery for administrative reasons may be followed by inferior clinical results, and this merits further prospective study. (shrink)

This article deals with Rabbi Meir Kahane’s assimilation doctrine, an under-studied aspect of previous published research on Kahane. The present study suggests that this doctrine is catalysed by a palingenetic myth of decline and rebirth, which also catalyses Kahane’s ideology. By proposing this, this article aims to offer a new perspective on the understanding of what drives Kahane’s ideology. It is further suggested that Kahane’s palingenetic myth is in part built around a myth of ‘intraracial antagonism’ between the American Jewish (...) Establishment and the ‘common Jew’. Following Bruce Lincoln’s theory of myth, it is here contended that Kahane’s assimilation doctrine is presented as ‘ideology in narrative form’. The study surveys the alleged causes and effects of assimilation, and what solutions Kahane presents to put an end to it. Among the alleged causes, Kahane singles out the AJE’s purported gutting of Jewish religious education, which is said to have alienated Jewish youth from their religion. Aside from curtailing Jewish continuity, Kahane for example identifies Jews engaging in social causes that allegedly run counter to Jewish interests as one alleged effect of assimilation. To end assimilation Kahane promotes a solution of campaigning in Jewish communities to ultimately put a stop to intermarriage, to instil hadar and ahavat Yisroel among Jews by the means of a regenerated Jewish educational system, and to encourage Jews to ‘return’ to Israel. (shrink)

To a large extent liability for ICT perils is still a grey area, even though an increasing number of information security researchers adopt economic approaches to highlight market mechanisms and externalities. That is why this article focuses on the need for increased awareness of externalities and liability among ICT professionals and their customers. This is critical to achieve in order to promote appropriate ICT technologies and services with comprehensible privacy and security protection. What is needed is a better understanding of (...) the consequences of externalities from ICT perils. This would benefit customers and increase trust in ICT products and services which in turn may even increase suppliers' profit margin; customers would be prepared to buy more services and products if contracts and service level agreements would accept more liability. Moreover, suppliers could sell guaranties and insurances on top of their products and services. The result would be a win-win situation and would benefit society at large. (shrink)

Throughout the years, there has been an extensive engagement with the philosophy of Søren Kierkegaard from the perspective of Western philosophy and theology. Kierkegaard's thought has been examined through the lenses of Roman Catholicism, Protestantism, existentialism, post-modernism, feminism, and literary theory, to name just a few. Scholars have also offered fruitful comparative analyses of Kierkegaard's work in relation to Asian philosophical and religious traditions such as Buddhism. It is therefore surprising that the engagement between Kierkegaard's philosophy and that of Eastern (...) Orthodox philosophy and thought has heretofore been minimal. This volume offers a comparative analysis of Kierkegaard's philosophy in relation to the philosophy, theology, and spiritual practices of the Eastern Orthodox Church. Kierkegaard's philosophy of sin, his epistemology, and his philosophy of personhood are all analyzed in light of the Eastern Christian tradition. This hermeneutical lens allows important elements of Kierkegaard's philosophy to shine forth, many of which have heretofore not received their due attention in studies of his works. (shrink)

First published in 1996. Routledge is an imprint of Taylor & Francis, an informa company.

My translation into Danish of Markus Gabriel's "Warum es die Welt nicht gibt".

Health professionals do not always have the luxury of making “right” choices. This article introduces the “devil's choice” as a metaphor to describe medical choices that arise in circumstances where all the available options are both unwanted and perverse. Using the devil's choice, the paper criticizes the principle of double effect and provides a re-interpretation of the conventional legal and ethical account of symptom relief in palliative care.

Is it wrong to bring new children into existence when there are so many existing children in need of parental care? Several philosophers have defended the view that prospective parents have a pro tanto​ duty to adopt rather than procreate as a means of fulfilling their interest in parenting. The most prominent argument for this view in the existing literature is the rescue-based argument, which derives an individual duty to adopt rather than procreate from a more general duty to rescue (...) or assist those in need. In this paper, I critically examine the rescue-based argument and explain why it fails. First, I argue that we do not necessarily have a duty to rescue in cases that resemble the global orphan crisis, where one’s intervention is merely sufficient to prevent serious harm to a potential victim. Second, I argue that even if we had such a duty, it would not necessarily generate a duty to adopt rather than procreate given the significant financial, emotional, and agency-related costs of adoption, particularly in current, non-ideal conditions. The upshot of these arguments is that the rescue-based argument can only generate a duty to adopt rather than procreate with respect to a relatively small constituency of orphaned children, many of whom are likely to be adopted anyway by willing volunteers. In the vast majority of cases, then, the rescue-based argument does not entail that it is wrong to create new children when there are already existing children in need of parental care. (shrink)

An emerging strand of research claims that blame is justified on the basis of its instrumental role in serving to ‘cultivate’ or ‘scaffold’ moral agency in those to whom it is directed. On these instrumentalist accounts, our actual collective responsiveness to moral considerations is largely explained by the scaffolding or cultivating force of blame as directed at us. We believe that there is some reason to be sceptical of the instrumental role assigned to blame on these accounts. This is because (...) there is evidence from the psychology literature on prosocial behaviour and moral development that blame may be directly ineffective; it may be ineffective in inculcating moral norms in the children and young adults to whom it is directed. We concede that blame may have this proximate instrumental role in scaffolding moral behaviour in adults, however we believe that such accounts overlook what we think is likely the more central instrumental role of blame. This is the role blame plays in the moral ecology: the models, narratives, scripts, and cultural frameworks that we internalize. The most central instrumental role of blame, we claim, is to indirectly foster moral considerations responsive agency in third parties through modelling behaviour observed in the moral ecology. (shrink)

In a just society, who should be liable for the significant costs associated with creating and raising children? Patrick Tomlin has recently argued that children themselves may be liable on the grounds that they benefit from being raised into independent adults. This view, which Tomlin calls ‘Kids Pay’, depends on the more general principle that a beneficiary can incur an obligation to share in the cost of an essential benefit that the benefactor is responsible for her requiring. I argue in (...) this paper that this principle is both generally false and particularly suspect in the kinds of cases that Tomlin needs it to be true, namely, cases in which a benefactor has created the need to be benefitted to satisfy a self-regarding interest in providing the benefit. In a nutshell, I argue that because parents electively put their children into a needy circumstance for the purpose of satisfying a self-regarding interest in meeting their children’s needs, they lack a legitimate claim against their children to share in its associated costs. (shrink)

In the epicenter of his attempt to justify the “objective validity” of morality and freedom in the Critique of Practical Reason, Kant introduces a so-called fact of reason, which is rendered as the fact that human beings are consciou s of the moral ought’s categorical authority. However, few parts of Kant’s thinking have bemused commentators as much as this. In this article, the author explores a set of intersecting problems related to the fact of reason: (1) the problem of its (...) general argumentative role in Kant’s practical philosophy, (2) the problem of the fact as a brute fact. He argues that both problems can be understood and resolved only if we regard Kant’s introduction of the fact of reason as an implicit attempt to articulate intrinsic problems with reductive explanations of morality. His main claim, which has been surprisingly absent in most interpretations of Kant’s fact of reason, will be that the fact of reason functions as an undeniable yet improvable fact (similar to mathematical principles) from which other practical truths (such as the objective reality of freedom) can be derived. As Kant says unambiguously in the Jäsche-Logic : the “reality” of the moral law “is an axiom.”. (shrink)

Authenticity as an ideal is construed in general as an expression of existentialist unhappiness with the perceived dehumanization of man in modern society. Existential journalism can be seen as rejection of the demands of conformism and compromise of personal convictions that many journalists face. Ethically, existential journalism calls on journalists to live authentic lives, as private individuals as well as in their profession. This means to resist external pressures and to choose to follow a path that can be defended by (...) the individual journalist's inner conscience. Existential journalism, in general, has been more debated in the field of mass media ethics than authenticity. Authenticity is, however, a contested concept, and this essay applies a critical discussion about authenticity as an ethical guide to the field of journalism. Weaknesses in the idea of existential authenticity problematize the existential construal of authenticity as a route to heightened ethical awareness for contemporary journalists. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Gothicism and Early Modern Historical EthnographyKristoffer NevilleGothicism: Problems and PossibilitiesEarly-modern Gothicism, or self-identification with the Gothic peoples described by classical authors, has usually been considered a Scandinavian, and particularly Swedish, affair. Particularly in the sixteenth and seventeenth centuries, the Swedish court and universities insisted militantly that the kingdom was the Gothic homeland, and this has fostered an assumption that Gothicism represents a kind of embryonic nationalism. This interpretation was (...) almost inevitable given the circumstances of modern interest in the phenomenon. Scandinavian scholars were the first to pick up the Gothic thread in the earlier twentieth century, and Swedes in particular have dominated the literature on Gothicism. At least in the early years, this may be [End Page 213] related to a general trend to interpret the past in terms of a relatively inflexible, modern concept of nation. These earlier studies accordingly relied largely on the same, mostly Swedish, sources. Later work has generally not expanded the framework of the discourse, however.1 A number of important early modern texts that show the much broader appeal of Gothicism are not accounted for in the standard narrative of the rise of the phenomenon in the early modern period. I will show that the Scandinavian interpretation has been allowed to overshadow a much broader Gothic tradition that encompassed a broad part of Europe, including the German lands and Spain. Gothicism has thus been reduced to just one aspect of its original scope, and the scholarly nuances and historical jockeying that shaped the narrative have largely been lost. This reduction has had consequences not only for the familiar version of the story, largely derived from Swedish texts, but also for our understanding of history writing in the sixteenth and seventeenth centuries.The Gothicism debate may be unique in its breadth and in the intensity of interest that it elicited. It is also remarkable for the variety of approaches to historical writing that scholars applied as each tried to develop a more impregnable argument than the last. Linguistic, geographical, archaeological, antiquarian, and textual methods intersected freely, inviting shifting and overlapping versions of the Gothic narrative that sometimes trace the linguistic legacy of the tribe, sometimes the ethnic legacy, and sometimes bind the two together. All of these narratives were basically concerned with the antiquity of the Goths and their legacy in early modern Europe. The implications of this were different for various regions and rulers, but most wanted to claim for themselves the strength, prestige, and antiquity of the tribe that toppled the Roman Empire, thus enhancing their own often dubious historical legitimacy. [End Page 214]This debate often took a polemical character, particularly in the political sphere, where there were fierce disputes over which region was the true homeland of the tribe, and thus which area (or people or ruling dynasty) could claim the greatest honor from their exploits and claim to be their most direct descendants. But there was also a very clear corollary to this contentious discourse. As scholars from across a wide area produced mountains of evidence pointing to the Gothic origins of their own regions, it became possible to think of Gothic origins not only in terms of difference—which kingdom, dynasty, or geographic region could claim the greatest antiquity and eminence—but also in terms of shared history and common identity across political, geographical, and linguistic boundaries. In general, the polemic was restricted to the origins of the Goths. Many writers seem to have accepted that the Gothic lands cumulatively formed a sort of historical unity that was lost through later political divisions, but which could still be traced through other means. Particularly in the Holy Roman Empire—a largely political boundary encompassing many smaller states ruled by famously fractious princes of different confessions and languages—the more conceptual notion of deep-seated Gothic origins opened the way for a different alignment of identity both within and without the boundaries of the Empire, and especially with Scandinavia, which contributed such rich arguments to the debate.There are several significant problems in a study of the early-modern view of the Goths beyond the historiographical ones outlined above. They were widely associated with other tribes... (shrink)

To develop students’ critical thinking is one of the primary goals of a modern democratic school system. However, what is to be developed has been the matter of long-standing debate. One particular area of conflict has been what role is played by the knowledge concerning the object to be critically thought about. The ‘specifists’ have asserted that knowledge about the object is the core. The ‘generalists’ have claimed that there is no need for any actual profound knowledge. Typically, this debate (...) has been held at a theoretical and philosophical level. In this paper, I will make an empirically based contribution to the debate. In a unique approach, I will use a number of student essay responses to argue in favour of a specifist view, and at the same time to question some of the generalists’ basic assumptions. The paper ends with an appeal to the generalists to provide us with proper clarification regarding the questions I raise. This is important as they hold the dominant position in the field. If they are to continue to do so, we need to be clear about the accuracy of their basic assumptions. This becomes even more essential as the generalist research has been severely criticised for producing inconclusive results, as well as the fact that the generalist view on critical thinking has been adopted by major policymakers both in Europe and the United States. (shrink)

Judging by their contribution to the global burden of death and disability, chronic, non-communicable diseases are the most serious health challenge facing the world today. The statistics tell a frightening story. Over 35 million people died from chronic diseases in 2005 — principally cardiovascular disease, cancer, and chronic respiratory disease. Driven by population growth and population ageing, deaths from non-communicable diseases are expected to increase by 17% over the period 2005-2015, accounting for 69% of global deaths by 2030.Cardiovascular disease, the (...) leading cause of death in all regions except sub-Saharan Africa, is estimated to rise from 17.1 million deaths to 23.4 million deaths. Cancer deaths will increase from 7.4 million to 11.8 million over the same period. Due to population growth, mergers and acquisitions, and the marketing of global cigarette brands in developing countries, deaths from tobacco will rise from 5.4 million per year, through 6.4 million, to 8.3 million by 2030. These figures include a doubling in tobacco deaths in low- and middle-income countries from 3.4 million to 6.8 million lives annually. By 2015, smoking will cause 50% more deaths than HIV/AIDS. (shrink)

This book explores how considerations of justice apply to procreative decision-making. -/- Despite its immense personal significance, procreation is an inherently other-regarding endeavor. By its very nature, the decision to procreate is the decision to bring into existence another morally considerable being, one who will be exposed to the full range of harms, benefits, and risks that accompany a typical human life, and one who cannot by its nature ever consent to being born. Moreover, when this decision is undertaken in (...) a community of persons, it is also a decision to affect the lives of others in a host of profound if often underappreciated ways, from its effects on population size and environmental sustainability to its consequences for a community’s distribution of resources. In many ways, of course, these interests coincide: adults need children for their parenting projects, societies need citizens for the maintenance of their institutions, and children themselves are often happy to have been brought into existence. However, as the book demonstrates, the various interests that are implicated by procreative decision-making can also come into conflict as well, and in ways that raise basic questions of justice. Through a systematic examination of six of these questions, the author argues that taking adequate stock of the conflicting interests at stake in procreative decision-making leads to a narrower view of the conditions under which it is morally permissible to procreate and a much more demanding conception of our procreative responsibilities. -/- Procreative Justice will be of interest to researchers and advanced students working on the morality of procreation and related areas of philosophy, including bioethics, intergenerational ethics, environmental ethics, population ethics, and the ethics of the family. (shrink)

The two questions, “What is public health law?” and “How can law improve the public’s health?”, are perennial ones for public health law scholars. They are ideological questions because perceptions about the proper boundaries of law’s role will shape perceptions of what law can do, in an operational sense, to improve health outcomes. They are also theoretical questions, in the sense that, without closing down debate about the limits of public health law, these questions can be addressed by mapping the (...) range of perspectives on how law might “go to work” for the public’s health. Finally, these are immensely practical questions. On our ability to understand the roles that law can play in public health improvement rests our capacity, as a society, to use law strategically as a policy tool. (shrink)

The key to the euthanasia debate lies in how best to regulate what doctors do. Opponents of euthanasia frequently warn of the possible negative consequences of legalising physician assisted suicide and active euthanasia while ignoring the covert practice of PAS/AE by doctors and other health professionals. Against the background of survey studies suggesting that anything from 4% to 10% of doctors have intentionally assisted a patient to die, and interview evidence of the unregulated, idiosyncratic nature of underground PAS/AE, this paper (...) assesses three alternatives to the current policy of prohibition. It argues that although legalisation may never succeed in making euthanasia perfectly safe, legalising PAS/AE may nevertheless be safer, and therefore a preferable policy alternative, to prohibition. At a minimum, debate about harm minimisation and the regulation of euthanasia needs to take account of PAS/AE wherever it is practised, both above and below ground. (shrink)

ABSTRACT The difference between perception and cognition seems introspectively obvious in many cases. Perceiving and thinking have also been assigned quite different roles, in epistemology, in theories of reference and of mental content, in philosophy of psychology, and elsewhere. Yet what is the nature of the distinction? In what way, or ways, do perception and cognition differ? The paper reviews recent work on these questions. Four main respects in which perception and cognition have been held to differ are discussed. First, (...) their phenomenal character, such as the often-remarked vivacity or immediacy of perception. Second, the way in which they represent the world, e.g. the non-propositional nature of the contents, or non-discursive character of the vehicles, that have been held to characterise perceptual representation. Third, their place in cognitive architecture, i.e., roughly, in the information-flow of the mind, such as their alleged (non-)modularity. Fourth, their mind-world relations, e.g. the way in which perceptions seem to be tightly causally linked with distal or proximal stimuli. Against this background, we distinguish some main options for an account of the perception/cognition distinction, in particular concerning whether there is one, several, or no interesting and principled distinction(s) to be drawn here. (shrink)

The idea that we must move beyond anthropocentrism to overcome interspecies injustice and environmental collapse is widespread within the environmental humanities. Yet, the concept of anthropocentrism remains ambiguous, and so do some of the arguments raised against it. What exactly should we move beyond and why? The article attempts to answer these questions and clarify the merits and limitations of both anthropocentric and post-anthropocentric views within ethics and ontology. This article proposes that although some implausible and morally problematic forms of (...) anthropocentrism should be denounced, there are other ways in which we must remain anthropocentric. The article disambiguates the concept of anthropocentrism and assesses the key arguments against it, before it goes on to outline a minimal form of anthropocentrism that we call ostensive humanism. Ostensive humanism is compatible with many post-anthropocentric ideas but suggests that the ethical and political project aimed at ending interspecies injustice and the climate crisis inevitably points to human beings as its moral addressees. (shrink)

As the suspect interview is one of the key elements of a police investigation, it has received a great deal of merited attention from the scientific community. However, suspect interviews in child sexual abuse (CSA) investigations is an understudied research area. In the present mixed-methods study, we examine Swedish (n= 126) and Norwegian (n= 52) police interviewers' self-reported goals, tactics, and emotional experiences when conducting interviews with suspected CSA offenders. The quantitative analyses found associations between the interviewers' self-reported goals, tactics, (...) and emotions during these types of suspect interviews. Interviewers who reported experiencing more negative emotions were more likely to employ confrontational tactics. Specifically, anger was positively associated with the goal of obtaining a confession and with aggressive tactics like raising one's voice and emphasizing the seriousness of the crime. Frustration and disgust displayed similar patterns. Somewhat contrasting these quantitative results, the thematic analysis identified a strong consensus that emotions should not and do not affect the police interviewers' work. Furthermore, the police interviewers described a range of strategies for managing emotions during the interview and for processing their emotional reactions afterwards. The present findings highlight the relevance of emotional processes in CSA suspect interviews and provide an initial exploration of the potentially complex relationship between the goals, tactics, and emotional experiences of police interviewers who question CSA suspects. (shrink)

The contributions of Professor Bernard Dickens to health law and bioethics span the era in which these fields have emerged as distinct domains of teaching, scholarship and professional and public conversation. Neither field exists in a vacuum. The concerns of bioethics, like the content of health law, are a product of social forces. The bureaucratization of medical care, the possibilities and uncertainties created by developments in medical technology, not to mention glaring health inequalities, have been destabilizing forces in medicine. Writing (...) in 1974, American sociologist Renée Fox noted that medicine had reached “a stage of development characterized by diffuse ethical and existential self-consciousness.” This new medical introspection was evidenced by intense engagement with issues of biomedical regulation, and with the growth of professional codes and processes for resolving value-laden issues within clinical settings.While sometimes described as a process or site for discussion and “engagement,” bioethics evolved rapidly into a domain of governance, with direct implications for clinical practice. (shrink)

The present study is concerned the viability of the primary method in contemporary philosophy, i.e., conceptual analysis. Starting out by tracing the roots of this methodology to Platonic philosophy, the study questions whether such a methodology makes sense when divorced from Platonic philosophy, and develops a framework for a kind of analysis that is more in keeping with recent psychological research on categorization. Finally, it is shown that this kind of analysis can be applied to the concept of justification in (...) a manner that furthers the epistemological goal of providing intellectual guidance. (shrink)