Institute for Biomedical Ethics, Geneva University Medical School * Corresponding author: Médecins Sans Frontières (OCG), rue de Lausanne 78, CH-1211 Geneva 21, Switzerland. Tel.: +41 (0)22 849 89 29; Fax: +41 (0)22 849 84 88; Email: philippe_calain{at}hotmail.com ' + u + '@' + d + ' '//--> Abstract Outbreaks of filovirus (Ebola and Marburg) hemorrhagic fevers in Africa are typically the theater of rescue activities involving international experts and agencies tasked with reinforcing national authorities in clinical management, biological diagnosis, sanitation, (...) public health surveillance and coordination. These outbreaks can be seen as a paradigm for ethical issues posed by epidemic emergencies, through the convergence of such themes as: isolation and quarantine, privacy and confidentiality and the interpretation of ethical norms across different ethnocultural settings. With an emphasis on the boundaries between public health investigations and research, this article reviews specific challenges, past practices and current normative documents relevant to the application of ethical standards in the course of outbreaks of filovirus hemorrhagic fevers. Aside from commonly identified issues of informed consent and institutional review processes, we argue for more clarity over the specification of which communities are expected to share benefits, and we advocate for the use of collective definitions of duty to care and standard of care. We propose new elaborations around existing normative instruments, and we suggest some pathways toward more comprehensive approaches to the ethics of research in outbreak situations. CiteULike Connotea Del.icio.us What's this? (shrink)

What is a fair distribution of resources and other goods when individuals are partly responsible for their achievements? This book develops a theory of fairness incorporating a concern for personal responsibility, opportunities and freedom. With a critical perspective, it makes accessible the recent developments in economics and philosophy that define social justice in terms of equal opportunities. It also proposes new perspectives and original ideas. The book separates mathematical sections from the rest of the text, so that the main concepts (...) and ideas are easily accessible to non-technical readers. -/- It is often thought that responsibility is a complex notion, but this monograph proposes a simple analytical framework that makes it possible to disentangle the different concepts of fairness that deal with neutralizing inequalities for which the individuals are not held responsible, rewarding their effort, respecting their choices, or staying neutral with respect to their responsibility sphere. It dwells on paradoxes and impossibilities only as a way to highlight important ethical options and always proposes solutions and reasonable compromises among the conflicting values surrounding equality and responsibility. -/- The theory is able to incorporate disincentive problems and is illustrated in the examination of applied policy issues such as: income redistribution when individuals may be held responsible for their choices of labor supply or education; social and private insurance when individuals may be held responsible for their risky lifestyle; second chance policies; the measurement of inequality of opportunities and social mobility. (shrink)

Really statistical explanation is a hitherto neglected form of noncausal scientific explanation. Explanations in population biology that appeal to drift are RS explanations. An RS explanation supplies a kind of understanding that a causal explanation of the same result cannot supply. Roughly speaking, an RS explanation shows the result to be mere statistical fallout.

Batterman and Rice offer an account of “minimal model explanations” and argue against “common features accounts” of those explanations. This paper offers some objections to their proposals and arguments. It argues that their proposal cannot account for the apparent explanatory asymmetry of minimal model explanations. It argues that their account threatens ultimately to collapse into a “common features account.” Finally, it argues against their motivation for thinking that an explanation appealing to “common features” would have to explain the common features’ (...) own prevalence. (shrink)

Philosophers who regard some mathematical proofs as explaining why theorems hold, and others as merely proving that they do hold, disagree sharply about the explanatory value of proofs by mathematical induction. I offer an argument that aims to resolve this conflict of intuitions without making any controversial presuppositions about what mathematical explanations would be.

This paper explores the nature of the relationship between corporate social responsibility (CSR) and competitiveness. We start with the commonly held view that firm competitiveness is defined by the market. That is, the question of what are the critical competitiveness factors is answered by looking at how companies and financial analysts describe and evaluate a firm. To analyze this, we review the current state of the art on the relationship between CSR and competitiveness. Second, CSR criteria used by financial analysts (...) is identified and compared with company valuation methods. Third, the results of a multi-stakeholder dialogue on CSR and competitiveness of the European financial sector are presented. As a conclusion, we argue that CSR and competitiveness relate through a learning and innovation cycle, where corporate values, policies and practices are permanently defined and re-defined. Thus, we propose that learning takes place as CSR is embedded in business processes, and that once it has been integrated, in turn, it generates innovative practices, and finally, competitiveness. At the end of the paper, we propose that CSR in practice consists of managing inherent paradoxes generated by the tension between CSR and business policies. (shrink)

The definition and measurement of social welfare have been a vexed issue for the past century. This book makes a constructive, easily applicable proposal and suggests how to evaluate the economic situation of a society in a way that gives priority to the worse-off and that respects each individual's preferences over his or her own consumption, work, leisure and so on. This approach resonates with the current concern to go 'beyond the GDP' in the measurement of social progress. Compared to (...) technical studies in welfare economics, this book emphasizes constructive results rather than paradoxes and impossibilities, and shows how one can start from basic principles of efficiency and fairness and end up with concrete evaluations of policies. Compared to more philosophical treatments of social justice, this book is more precise about the definition of social welfare and reaches conclusions about concrete policies and institutions only after a rigorous derivation from clearly stated principles. (shrink)

The question of what drives corporate social performance has become a vital concern for many managers and researchers of large corporations. This study addresses this question by adopting a multilevel, multistakeholder, and multimethod approach to theorize and estimate the relative influence of macro, meso, and micro factors on CSP. Applying three different methods of variance decomposition analysis to an international sample of 2060 large public companies over a time span of 5 years, our results show that firm-level factors explain the (...) largest proportion of variance in aggregate CSP as well as CSP oriented toward communities, the natural environment, and employees. These results support our hypotheses according to which CSP is not primarily driven by macrolevel or mesolevel factors, except for shareholder-oriented CSP, which is relatively more influenced by country-level factors. As a whole, our findings also point to the value of subdividing CSP into its stakeholder-specific components as this disaggregation allows for a more careful examination of distinct drivers of distinct aspects of CSP. (shrink)

This text discusses the impact of immersive technologies on our identity and relationship to digital and analogue modalities in a non-normative way. It references the work of Joseph Beuys, specifically his iconic performance of being confined with a coyote in a gallery space for three days, to construct connections between borders, edges, limits and identity, face presentation, representation and projection towards ourselves and our audiences. We reference the works of Marcel Duchamp and George Orwell and compare the immersive devices of (...) the nineteenth century to current technology. Various works of art and literature are used to illustrate the impact of technology on society and the individual’s relationship to the collective imagination. The text raises questions about the limits or nonlimits of exposure of identity through machinic and technological devices or processes in the context of privacy of expression in a contemporary networked world. (shrink)

Our model integrates the nativist assumption of prespecified neural structures underpinning basic emotions with the constructionist view that emotions are assembled from psychological constituents. From a dynamic systems perspective, the nervous system self-organizes in different ways at different time scales, in relation to functions served by emotions. At the evolutionary scale, brain parts and their connections are specified by selective pressures. At the scale of development, connectivity is revised through synaptic shaping. At the scale of real time, temporary networks of (...) synchronized activity mediate responses to situations. To the degree that humans share common emotional functions, neural structuration is similar across scales, giving rise to “basic” emotions. However, unique developmental and situational factors select for neural configurations mediating emotional variants. (shrink)

Roche and Sober have offered a new argument for the view that a hypothesis H is not confirmed by its capacity to explain some observation O. Their argument purports to work by showing that O screens H off from the fact that H would explain O. This paper offers several objections to this argument. Firstly, the screening-off test cannot identify whatever evidential contribution Hs explanatoriness may make. Secondly, that H would explain O may be logically necessary, eluding the screening-off test. (...) Thirdly, the test cannot detect an important difference that Hs explanatoriness often makes to Hs confirmation. (shrink)

This paper concerns the relation between a proof’s beauty and its explanatory power – that is, its capacity to go beyond proving a given theorem to explaining why that theorem holds. Explanatory power and beauty are among the many virtues that mathematicians value and seek in various proofs, and it is important to come to a better understanding of the relations among these virtues. Mathematical practice has long recognized that certain proofs but not others have explanatory power, and this paper (...) offers an account of what makes a proof explanatory. This account is motivated by a wide range of examples drawn from mathematical practice, and the account proposed here is compared to other accounts in the literature. The concept of a proof that explains is closely intertwined with other important concepts, such as a brute force proof, a mathematical coincidence, unification in mathematics, and natural properties. Ultimately, this paper concludes that the features of a proof that would contribute to its explanatory power would also contribute to its beauty, but that these two virtues are not the same; a beautiful proof need not be explanatory. (shrink)

Scientific realism is the view that one can be justified in believing, of some theory about unobservable entities, that the entities it posits are real and accurately described by the theory, in the same sense as one can be justified in believing that the theory’s empirical predictions are accurate, and that so to believe is what it means for a scientist to “accept” that theory, because the goal of science is to describe reality, even its unobservable features. The first part (...) is an epistemic claim, whereas the second concerns the rational reconstruction of scientific practice. Together they suggest that evidence justifying scientific acceptance of a theory justifies belief that the unobservable entities it posits are real and as the theory purports them to be. Anti-realism denies ; it holds that claims about unobservables are either unjustified or justified in a different sense from predictions of observations. It also denies ; it maintains that in her scientific work, as rationally reconstructed, a scientist who accepts a claim about unobservables believes that it yields accurate predictions of observables, not that it describes unobservables. (shrink)

In this article, I introduce the critical study of the skin in three parts. I start with a reflection on what makes the skin such a suggestive and, arguably, special phenomenon. I then provide a brief overview of the key works, recurring themes and ongoing debates that characterize the skin studies subfield. And finally, I end with a presentation of the articles that make up Body and Society’s special issue on the skin, taking care to highlight how they both contribute (...) to the subfield as it currently stands while orienting it towards new questions, concerns and challenges. (shrink)

Cognition is claimed to be extended by a wide array of items, ranging from notebooks to social institutions. Although the connection between individuals and these items is usually referred to as “coupling,” the difference between notebooks and social institutions is so vast that the meaning of “coupling” is bound to be different in each of these cases. In this paper I argue that the radical difference between “artifact-extended cognition” and “socially extended cognition” is not sufficiently highlighted in the literature. I (...) argue that there are two different senses of “cognitive extension” at play, that I shall label, respectively, “implementation extension” and “impact extension.” Whereas implementation extension is a causal-functional notion, impact-extension hinges on social normativity that is connected with organization and action coordination. I will argue that the two kinds of cognitive extension are different enough to warrant separate labels. Because the most salient form of social extension of cognition involves the reciprocal co-constitution of cognitive capacities, I will propose to set it apart from other types of extended cognition by using the label “symbiotic cognition.”. (shrink)

"We are omniscient but confused," says Leibniz. He also says that we live in the best of all possible worlds, yet do not causally interact. So what are we? Leibniz is known for many things, including the ideality of space and time, calculus, plans for a universal language, theodicy, and ecumenism. But he is not known for his ideas on the self and personal identity. This book shows that Leibniz offers an original, internally coherent theory of personal identity, a theory (...) that stands on its own even next to Locke's contemporaneous and more famous version. This book will appeal not only to students of Leibniz's thought but also to philosophers and psychologists interested in methodological problems in understanding or formulating theories of self and personal identity. (shrink)

In most literature on human cultural evolution and the emergence of large-scale cooperation, the main function of cultural conventions is described as providing group-markers. This paper argues that cultural conventions serve another purpose as well that is at least as important. Large-scale cooperation is characterized by complex division of labour and by a diversity of social roles associated with cultural institutions. This requires ubiquitous ‘role-interaction coordination’ – as it will be labelled. It is argued that without cultural conventions this type (...) of coordination would be cognitively intractable. Thus, apart from functioning as group markers, they are first and foremost important group-makers. (shrink)

To mitigate risk, should companies signal a broad range of environmental, social, and governance initiatives or instead focus on only a few ESG issues? Drawing on signaling theory, we propose that a broad array of ESG initiatives generates not only signal consistency but also accelerating signal costs. Our empirical results support the resultant hypothesis of a curvilinear relationship between ESG scope and equity risk. In addition, this U-shaped curve seems to become steeper when firms face multiple media-reported ESG controversies. Overall, (...) our study qualifies the conventional wisdom that firms can reduce equity risk by attending to a wide variety of stakeholders and highlights the moderating impact of the firm’s media environment. (shrink)

Ainslie’s contribution offers a useful refinement of his powerful model of intertemporal bargaining. However, he focuses mostly on the cognitive mechanisms of choice. I suggest that these interact with emotional, personality, and developmental dynamics that cannot be ignored, either psychologically or neurally.

Although I reject neuronormativity -- an idea central to the Brain Disease Model of Addiction -- Henden and Gjelsvik argue that the disease definition might refer to normativity in nonneural domains. They profess that a cognitive dysfunction, or a mismatch of evolutionary intentions, could also qualify as norm violations, thus legitimizing the disease label. The need for dividing lines is questioned as well. I rebut these criticisms in turn, but I must admit they are thought provoking.

Group-identification and cognition: Why trivial conventions are more important than we think In existing (evolutionary) explanations for group formation and -identification, the function of cultural conventions such as social etiquette and dress codes is limited to providing group-markers. Group formation and identification itself is explained in terms of less arbitrary and more substantial phenomena such as shared norms and institutions. In this paper I will argue that, however trivial and arbitrary, cultural conventions fulfil an important cognitive function that makes them (...) essential to the formation of and identification with large groups. Complex role-division, both informal and institutional, is important in the functioning of any large group of people. Shared conventions enable a virtually automatic understanding of signals, scripts and rules that regulate the interaction of divided roles. They provide a cultural infrastructure within which we perceive e.g. specific behavior and clothing as a range of social-cultural affordances for role-interactions. Shared familiarity with this infrastructure is the foundation for the basic kind of trust of in-group strangers that is a requirement for the formation of large groups. This non-intellectualist view on group formation and group identification can contribute to new ways of dealing with problems in multicultural societies. (shrink)

It has frequently been argued recently that Jeffrey Conditionalization (JC) does not permit undermining. For JC to be inapplicable in cases where the evidence could be undermined would severely compromise JC’s range. However, this paper contends that the argument fails to show that JC cannot accommodate undermining. This response turns on using the proper partition to capture the direct impact of our evidence in redistributing our credences.

The Area Activation Model (Pomplun, Reingold, Shen, & Williams, 2000) is a computational model predicting the statistical distribution of saccadic endpoints in visual search tasks. Its basic assumption is that saccades in visual search tend to foveate display areas that provide a maximum amount of task‐relevant information for processing during the subsequent fixation. In the present study, a counterintuitive prediction by the model is empirically tested, namely that saccadic selectivity towards stimulus features depends on the spatial arrangement of search items. (...) We find good correspondence between simulated and empirically observed selectivity patterns, providing strong support for the Area Activation Model. (shrink)

Does Ricœur’s approach of language enter in contradiction with Husserl’s phenomenological legacy? In response to Claude Romano’s criticisms of the hermeneutical approach of language sustained by Ricœur, this paper intends to shed light on the complex connections between Husserl and Ricœur on the relations between language and experience. It aims to show, against what Romano suggests, that Ricœur’s thinking never leads to a linguistic idealism,but follows effectively a phenomenological exigency through his hermeneutical project.

Describe a successful classroom teaching tactic that could be replicated by other instructors. -/- The context: This activity was used in a required undergraduate introductory theology course at a Catholic college. I tried this exercise a month into class, at the start of a section on creation in Genesis. -/- The pedagogical purpose: The activity encourages students to deepen the skill of reading and understanding the Bible. It also invites students to use their imagination in recognizing the goodness and variety (...) of creation described in Genesis 1. It takes place mostly outdoors, in a natural setting that mirrors the richness of the text, and encourages students to observe their surroundings in light of the text. Doing this as a group creates a positive learning environ- ment; for example, the more active students act as role models of paying attention to detail, observing closely, and taking photos. The exercise mirrors the typical proclamation of Scripture within a communal context. (shrink)

Jesus embodies for the Christian the model of true service, which should be discernibly distinct from secular service. Even for non-Christian services, the Church offers relevant models and teaching. Contemporary service structures often lose sight of the dignity of served and server, and have grown dependent upon technology and technique, straying outside the realm of relationality. An example of this within certain service fields is reliance on physical and mechanical restraints to restrict movement, causing harm to recipients and to the (...) relationship between server and served. Such techniques overshadow the nature of Christian service, which is personal, relational, and communal. Catholic social doctrine, and many personalist frameworks, build on the pillars of dignity, responsibility, and subsidiarity. Rules alone will not be protective against service-mediated harm; however, principled servers can protect vulnerable people, particularly when guided by a concern for the common good, fraternity and solidarity. (shrink)

Founded upon the primacy of the principle of respect for autonomy, three methods of surrogate decision making traditionally have been promoted to help the family and friends of incapacitated patients. Unfortunately, the standards of advance directives, substituted judgment, and best interests are often inadequate in practice. Studies report that few patients have formal, written advance directives; that patients often change their minds about treatment over time; that many patients are simply not ready or willing to plan ahead—in part, because some (...) patients and families simply don’t believe in autonomy; that those patients who do plan ahead often do not communicate their plans; and that while some patients want their directives followed strictly, many prefer that their surrogates use judgment in making decisions. After reviewing articles describing a variety of alternative approaches, a new clinical standard of surrogate empowerment is proposed to reconcile and integrate these observations and concepts. The “procedure” for this clinical standard is presented. (shrink)

RÉSUMÉ Le principal objectif de ce texte est d'apporter certaines clarifications par rapport à des problèmes et difficultés entourant l'usage actuel des notions de culture, d'appartenance et de dialogue. L'auteur montre que l'idée selon laquelle on pourrait être prisonnier de sa propre culture découle d'une transformation récente de la signification du concept de culture. Cette idée est critiquée comme étant un mythe, le mythe de la monade culturelle, reposant sur une mécompréhension des rapports entre culture, appartenance et dialogue. L'auteur s'efforce (...) de proposer une meilleure compréhension de ces trois concepts, de façon à éviter toute forme de relativisme radical. ABSTRACT The aim of this paper is to shed light on some difficulties and problems related to the current use of the concepts of culture, belonging and dialogue. The author shows that the idea that we could be prisoners of our own culture stems from a recent transformation of the meaning of the concept of culture. This idea is criticized as a myth, the myth of the cultural monad, based on a misunderstanding of the relationship among culture, belonging and dialogue. The author tries to offer a better understanding of these three concepts, in order to avoid any form of radical relativism. (shrink)

The singular expertise of family physicians is the ability to manage complexity with pragmatism, both clinically and ethically. Telemedicine raises multiple questions about the nature of the patient‐physician relationship as manifested in clinical encounters. Some of these questions are concerning, underscoring the need to assess whether medical care is better with this new technology—or if it is just different or maybe even worse. It seems clear, however, that, regardless of its limitations, telemedicine is here to stay. The pragmatic complex ethical (...) question, then, is how all of us together—both medical professionals and society at large—will manage it. (shrink)