Whether institutions and not just individual doctors have a right to not participate in medical assistance in dying (MAID) is controversial, but there is a tendency to frame the issue of institutional non‐participation in a particular way. Conscience is central to this framing. Non‐participating health centres are assumed to be religious and full participation is expected unless a centre objects on conscience grounds. In this paper we seek to reframe the issue. Institutional non‐participation is plausibly not primarily, let alone exclusively, (...) about conscience. We seek to reframe the issue by making two main points. First, institutional non‐participation is primarily a matter of institutional self‐governance. We suggest that institutions have a natural right of self‐governance which, in the case of health centres such as hospitals or hospices, includes the right to choose whether or not to offer MAID. Second, there are various legitimate reasons unrelated to conscience for which a health centre might not offer MAID. These range from considerations such as institutional capacity and expertise to a potential contradiction with palliative care and a concern to not conflate palliative care and MAID in public consciousness. It is a mistake to frame the conversation simply in terms of conscience‐based opposition to MAID or full participation. Our goal is to open up new space in the conversation, for reasons unrelated to conscience as well as for non‐religious health centres who might nonetheless have legitimate grounds for not participating in MAID. (shrink)

There is a view, expressed by some research ethics committees and health care professionals, that research should not, under any circumstance, be performed on dying patients. This paper begins to explore current attitudes towards palliative care research, although it becomes clear that the issues discussed apply to all fields of bio-medical research. Indeed the underlying principles of autonomy, non-maleficence, beneficence and justice should apply to all groups of human subjects involved across all areas of research. The ethical principles should apply (...) equally to healthy individuals as well as to those suffering from ill health, whether this be inherited or acquired, curable or terminal. (shrink)

This stunning paperback volume showcases the winners and best entries for the International Garden Photographer of the Year competition and accompanies a major exhibition at the Royal Botanic Gardens, Kew, in May 2011 and touring the UK and USA thereafter. ‘The contemporary camera maybe a technological marvel but it can’t take photographs, only the photographer can do that. To succeed it involves making an incredible complex of choices and only one chance in the entire history of time to make them (...) as close to perfect as possible. A carefree snap - easy, a composed and considered picture, well, that requires a synergy of skills and perhaps a dash of genius. So that's why this album is such a treat to revel in, its a feast of the worlds best gardens, gardeners, the plants and animals growing and living in them in the very best photographic forms. The images will 'wow' you, make you wish you had been there, wish it was your garden in the picture or wish you had squeezed the button. It’s a testament to a huge array of skills and a catalogue of remarkable beauty’. Chris Packham – BBC Presenter and photographer. (shrink)

Two studies examined how different linguistic forms affect the way in which people access memories of former close relationships that are irrevocably over. Remembering former relationships can activate either positive or negative attitudes. Whether people feel sorrow that bygones are in fact bygones depends on attitudinal valence, but also on the linguistic form in which people express their attitudes. More abstract linguistic forms prevent people from retrieving specific and detailed memories, and thus prompt them to generating more counterfactual thoughts and (...) to experience stronger regret. In contrast, more concrete linguistic forms lead people to remember their personal past more vividly and accurately, and this subjective impression can forestall counterfactual thinking. Study 2 further shows that people are more prone to generate counterfactual thoughts when they focus on the final stage of their relationships rather than the beginning even when the valence of recalled attitudes and objective time are controlled. (shrink)

My poetized culture is one which has given up the attempt to unite one’s private ways of dealing with finitude and one’s sense of obligation to other human beings.Richard Rorty repudiated W. B. Yeats’s aspiration “to hold justice and reality in a single vision,” and he did so with relish.2 Thrilling though it is, Rorty would say, there is no need to weave into a single, coherent narrative our commitment to the end of cruelty (justice) and our idiosyncratic aesthetic tastes (...) (reality). We can affirm both principles individually—justice and reality—without concocting a “philosophy of life” (or finding a “philosophical slop-shop”3) that will draw straight lines from aesthetic obsession to justice work. Allowing .. (shrink)

This paper develops an account of the nature of imagination as a discrete mental process underpinned by a specialised neural and computational architecture. The account integrates evidence from cognitive neuroscience and developmental psychology with philosophical arguments about the nature of imagination. We situate the account against other philosophical accounts and apply it to the understanding of some puzzling phenomena: delusion, pretence and self-deception. We argue that many of the puzzling features of these phenomena arise because they are analysed with a (...) doxastic framework. When the role of imagination in these cases is properly understood these puzzles become more tractable. (shrink)

One of Hegel's major concerns is to decide the place, importance, and scope of reason. Grand claims have traditionally been made on its behalf--that it is the highest form of knowledge capable of knowing all that can be known. This article examines the central role that theoretical reason plays, for Hegel, in leading us toward idealism, its failure to live up to its grand claims, its failure to adequately establish idealism, and the way in which this failure, oddly enough, turns (...) into a success by preserving idealism from solipsism. (shrink)

Jean-Paul Sartre was once described as being the most famous Frenchman of the twentieth century, after President Charles de Gaulle! Certainly from 1945 until his death in 1980, Sartre was the most famous and prolific writer in France, and one of the best known philosophers of his day.