Background: Discussion of the influence of money on bioethics research seems particularly salient in the context of research on the ethical, legal, and social implications (ELSI) of human genomics, as this research may be financially supported by the ELSI Research Program. Empirical evidence regarding the funding of ELSI research and where such research is disseminated, in relation to the specific topics of the research and methods used, can help to further discussions regarding the appropriate influence of specific institutions and institutional (...) contexts on ELSI and other bioethics research agendas. Methods: We reviewed 642 ELSI publications (appearing between 2003 and 2008) for reported sources of funding, forum for dissemination, empirical and nonempirical methods, and topics of investigation. Results: Most ELSI research is independent of direct grant-based funding sources; 66% reported no such sources of funding. The National Human Genome Research Institute (NHGRI) is the most dominant source of funding; 16% of publications acknowledged at least one source of NHGRI grant funding. Funding is acknowledged more frequently in empirical than nonempirical publications and more frequently in publications in public health journals than in any other ELSI research dissemination forums. Dominant research topics vary by publication forum and by reported funding. Conclusions: ELSI research is surprisingly independent of direct grant-based funding, yet correlations are apparent between this type of funding and publication placement, topics addressed, and methods used, implying a not insignificant influence on ELSI research agenda setting. However, given the relatively low percentage of publications acknowledging external grant-based funding, as well as other significant correlations between publication placement and topics addressed, additional institutional contexts, perhaps related to professional advancement or valuation, may shape research agendas in ways that potentially exceed the direct influences of grant-based funding in this area. In some cases, grant-based funding may actually counter other potentially problematic institutional influences. (shrink)

While much has been written about Islam, particularly over the twenty-five years, few books have explored the full range of the ideas that have defined the faith over a millennium and a half. Fitzroy Morrissey provides a clear and concise introduction to the origins and sources of Islamic thought, from its beginnings in the 7th century to the current moment. He explores the major ideas and introduces the major figures--those who over the centuries have broached life's major questions, from (...) the nature of God and the existence of free will to gender relations and the ordering of society, and in the process defined Islam. Drawing on Arabic and Persian primary texts, as well as the latest scholarship, A Short History of Islamic Thought explains the key teachings of the Qur'an and Hadith, the great books of Islamic theology, philosophy, and law, as well as the mystical writings of the Sufis. It evaluates the impact of foreign cultures-Greek and Persian, Jewish and Christian-on early Islam, accounts for the crystallization of the Sunni and Shi'i forms of the faith, and accounts for the rise of such trends as Islamic modernism and Islamism. Above all, it reveals the fundamental principles of Islamic thought, both as a source of inspiration for Muslims today and as illuminating and rewarding in their own right. (shrink)

This critical essay responds to the COVID-19 pandemic and subsequent lockdown in Victoria from the perspective of a retired Aboriginal academic and reflects on personal responsibility, Indigenous history, and resilience.

A 55-year-old man, admitted to the hospital after an episode of aphasia due to transient ischemic attack, underwent ultrasound imaging that showed near occlusion of the left carotid artery. A carot...

Embedding research ethics education into apprenticeship-model undergraduate research experiences can contribute to creating, and maintaining, ethical and inclusive research cultures. Occidental College’s Biology and Philosophy Departments collaborated to develop a model for undergraduate ecological field research ethics education focused on promoting students’ understanding of ethics as embedded within scientific research practices. The model has two primary components: (a) a philosophical reading, reflective journaling, and discussion group for both philosophy and ecology undergraduate researchers about ecological research ethics; and (b) philosophy faculty (...) and undergraduate researchers embedded within and assisting with ecological fieldwork, while also pursuing their philosophical fieldwork projects. This project highlights a range of ways of embedding ethics in research experiences that can be adapted to other contexts, including sustained and structured reflective journaling focused one’s scientific practice and regular philosophical discussions involving the entire research group. (shrink)

European Journal of Political Theory, Ahead of Print. Deliberative democrats have abandoned the ideal of consensus in favour of a range of different, more realistic alternatives. But these alternatives provide little anchorage to guide or even evaluate deliberative practice – something acutely problematic given the contemporary context of accelerating polarization in many advanced liberal democracies. In this article, we turn to Stalnaker’s account of the ‘common ground’ – the shared pool of information that is agreed upon by the parties to (...) a discourse – to reassert a distinct ideal standard for democratic deliberation which remains malleable enough to apply across messy contexts of real-world political contestation and debate. Our account offers an appropriate normative yardstick by which to assess deliberative practices across different discursive contexts, as well as impetus for further experimentation and innovation in efforts towards democratic renewal and reform. (shrink)

The emphasis on the unique self in the Romantic period resulted in representations of romantic love as an aspect of psychological depth. However, in Maria Edgeworth’s novel, Belinda (1901), love is represented as a function of visceral sensation and at best as automatic rather than reflective psychological processes. To some degree, Edgeworth was influenced by the scientific culture of her time in viewing love as a product of the external, observable world rather than of the interior mind. More surprisingly, perhaps, (...) Edgeworth considers love as a function of high society, thus breaking down symptomatic associations of love and domesticity. In Belinda, love is a product of both the logical scientific method and the questionable morality characteristic of fashionable sociability. Standing partially outside the Romantic emphasis on psychological depth and the empirical insistence on rationality, Edgeworth theorises a love that questions the foundational concepts of subject/object and feeling/reason through which love has been understood from the Romantic era to the present day. (shrink)

Donation after cardiac death (DCD) is associated with many problems, including ischemic injury, high rates of delayed allograft function, and frequent organ discard. Furthermore, many potential DCD donors fail to progress to asystole in a manner that would enable safe organ transplantation and no organs are recovered. DCD protocols are based upon the principle that the donor must be declared dead prior to organ recovery. A new protocol is proposed whereby after a donor family agrees to withdrawal of life-sustaining treatments, (...) premortem nephrectomy is performed in advance of end-of-life management. Since nephrectomy should not cause the donor's death, this approach satisfies the dead donor rule. The donor family's wishes are best met by organ donation, successful outcomes for the recipients, and a dignified death for the deceased. This proposal improves the likelihood of achieving these objectives. (shrink)

This paper describes a novel approach to teaching introductory-level students how to engage with philosophical texts, developed in the context of a philosophy of art course. We aimed to enhance students’ motivation to read philosophy well by cultivating habits of active reading. To this end we created a structured set of three assignments: instructor created digitally annotated reading assignments, a student digital annotation assignment, and required student participation in a collective GoogleDoc “repository of artworks, examples, ideas, and questions.” Student feedback (...) suggests that this set of teaching tools enhanced their sense of agency in approaching philosophical texts. (shrink)

This book exploits the power of phenomenological methods to access and describe lived moral experiences of pain and suffering for patients, their families and the wider community. Creating new fields of communication for patients, their family members and health professionals in shared decision making processes, this book builds on knowledge about suffering to help and guide correct action in preventing and relieving chronic pain and improving systems of care. It offers a new phenomenology for understanding moral experience in serious illness (...) and suffering, and its implication for policy, practice and research. A series of applied chapters, looking at individual experiences of suffering and care experiences, present some areas of ethical inquiry, including: pain and suffering maternal care ethics evaluation and moral deliberation about treatment options decision-making and moral agency end-of-life experiences of care. Exploring how moral phenomenology could provide fruitful alternatives to traditional frameworks in bioethics, this is an important addition to the literature. It will be of interest to scholars and students of bioethics and phenomenological methods in the health and human services. (shrink)

Advances in DNA sequencing technology open new possibilities for public health genomics, especially in the form of general population preventive genomic sequencing. Such screening programs would sit at the intersection of public health and preventive health care, and thereby at once invite and resist the use of clinical ethics and public health ethics frameworks. Despite their differences, these ethics frameworks traditionally share a central concern for individual rights. We examine two putative individual rights—the right not to know, and the child’s (...) right to an open future—frequently invoked in discussions of predictive genetic testing, in order to explore their potential contribution to evaluating this new practice. Ultimately, we conclude that traditional clinical and public health ethics frameworks, and these two rights in particular, should be complemented by a social justice perspective in order adequately to characterize the ethical dimensions of general population PGS programs. (shrink)

Thanks to a helpful tetradic diagram found in the expanded fifth edition of John Deely’s Basics of Semiotics, in which the context and circumstances of a sign’s utterance (in addition to the sign-vehicle itself and the immediate object of the sign) is distinguished from all that is explicit in the sign itself apart from the context and circumstances of its utterance, it is possible to bring Deely’s insights to bear upon the semiotically suggestive work of Marshall McLuhan. McLuhan’s implicitly semiotic (...) understanding of analogy is structurally present in his efforts to visually articulate the “laws of media” with his own “tetrad” diagrams. Deely’s discussion of the irreducible triadicity of signs therefore illuminates McLuhan’s attempt to understand how analogical thought actually works on the most fundamental structural level in the cognition of the semiotic animal. There is a unique cognitive syntax to analogy, which is operative in the animal that Deely has most appropriately identified as “the semiotic animal”. This article discusses McLuhan’s understanding of analogy in terms of its figure/ground structure, by using the example of the thermometer from Deely’s Basics of Semiotics. In relating this example to McLuhan’s tetrad, it is shown how McLuhan’s implicitly semiotic analysis can also increase our semiotic understanding of other technological tools, such as Skype videoconferencing. (shrink)

We suggest a fuller understanding of the obligation to respect patient autonomy can be gained by recognizing patients as historically and socially situated agents, whose values are developed, challenged, and changed, rather than merely applied, in their decision-making about their use of preimplantation genetic diagnosis or preimplantation genetic screening (PGD/PGS). We ground this discussion in empirical research on the patients experiences with PGD/PGS, and conclude by suggesting that promoting patients’ self-respect is a useful ethical standard for providers and practices to (...) recognize. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:A Model for the Many Senses of ScriptureFrom the Literal to the Spiritual in Genesis 22 with Thomas AquinasChristopher S. Morrissey (bio)Introduction: Many Senses Require Many TranslationsOn the mountain the Lord appeared (NETS, Gen. 22:14b)On the mount of the LORD it shall be provided (RSV)1In the mount of the LORD it shall be seen (KJV)On the mountain the LORD will see (NAB)ἐν τῷ ὄρει κύριος ὤφθη (LXX)in monte (...) Dominus videtur (Nova Vulgata)in monte Dominus videbit (St. Jerome’s Vulgate)In his book Abraham’s Curse, Bruce Chilton argues that in Gen. 22:14b, “the Septuagint’s Greek renders the Hebrew text” correctly (i.e., “with Yahweh as the subject of the verb”), whereas English translations like the King James Version (KJV) prefer to imply that the ram is the verbal subject. Chilton contends that “This is a case of translators caring more about doctrine than wording, and attempting to legislate what the Bible can say.”2Chilton’s textual exegesis does have some value. He notes that “Contextually [End Page 231] as well as grammatically, God is the subject: Yahweh ‘was seen’ on Moriah, liberating Isaac by means of divine intervention.”3 But with his polemics against the KJV, he fails to affirm the rich polysemy of the passage. He replaces one literal reading with another and then argues as if the two are at odds. But Scripture has many senses, a truth famously expressed in the medieval distich of Augustine of Dacia, best known in the version of Nicholas of Lyra: “The literal sense teaches what happened; what you believe, the allegorical; the moral, what you should do; where you are going, the anagogical.”4 Therefore Chilton is wrong to impute bad motives to anyone who would attempt to unfold the spiritual sense of a passage (“caring more about doctrine”), or even to anyone who would note that a passage has more than one literal meaning.Chilton’s own insistence on uncovering the univocal original meaning of a passage (through his preferred historical method of “generative exegesis”)5 is excessively literal, as if recourse to grammar would allow one “to legislate what the Bible can say.” When Chilton says “Yahweh ‘was seen’ on Moriah,” he is not contending that God was seen directly, literally, but rather interpreting the metaphorical or parabolical sense of the phrase “Yahweh was seen” (in Gen. 22:14b), because he glosses the meaning of the metaphor as “liberating Isaac by means of divine intervention”;6 that is, God is seen indirectly, cognitively, rather than literally with the eyes. Because literally seeing a ram is not opposed to cognitively understanding God’s action, the KJV, pace Chilton, can be defended contextually. To my mind, the Revised Standard Version (RSV), echoing the KJV, does the best job of rendering the Hebrew text literally, with “On the mount of the lord it shall be provided,” because this leaves open the many senses of the third person singular “it,” to be unfolded by exegesis. Thus more than one translation is required in order to appreciate all the significations being deployed in the treatment of “seeing” in Gen. 22:8 and 22:14. “It shall be provided”: More than one univocal sense of the “it” has to be uncovered by exegesis in this Scripture, in order to see what “it” is all about.To justify my opinion that the RSV most felicitously translates the Hebrew, I would like to prepare the way to a conclusion in which I compare the Septuagint’s translation (which follows Chilton’s preferred rendering of the context) with the Vulgate Latin translations. The path toward this conclusion will show that Chilton’s polemics, indicative of an exegetical attitude that is hostile to an appreciation of the many senses of Scripture, fail to see how the RSV translation is also defensible as keeping the reader’s mind open to the many senses of the Scriptural passage. But first things first. With the help of St. Thomas Aquinas, let me distinguish the various senses of Scripture and then point out how they are all exemplified here, all being signified by the text. [End Page 232] Click for larger view View... (shrink)

Purpose: We sought to examine the ethical, legal, and social implications (ELSI) literature research and scholarship types, topics, and contributing community fields of training as a first step to charting the broader ELSI community’s future priorities and goals. Methods: We categorized 642 articles and book chapters meeting inclusion criteria for content in both human genetics or genomics and ethics or ELSI during a 5-year period (2003–2008) according to research and scholarship types, topics, and the area of advanced training of the (...) first-listed author. Research and scholarship type categories were developed and characterized through in-depth review of 95 randomly sampled publications from the larger group. Results: There is a single dominant approach to ELSI, which focuses on ethical and other social issues “downstream” of advances in genomics, the contributors to which predominately have advanced training in medicine or science fields other than social science. A comparatively low percentage of publications primarily offer policy recommendations, and these are much more likely to be written by those with advanced training in law than is the case for the literature as a whole. Social science studies predominately employ qualitative methods and vary significantly with respect to the extent and types of recommendations offered. Two further types of ELSI research and scholarship offer alternative models for so-called “normative” work in this field. Conclusion: Considering topics, training, and types of ELSI research and scholarship from the most recent past allows for a baseline perspective that is sorely needed in charting this field’s future course. (shrink)

The breaking of bad news in a hospital setting, particularly to patients in a terminal condition, highlights some complex and often emotive ethical issues for nurses. One theory that examines the way in which individuals react to bad news such as a terminal illness, is the theory of awareness contexts. However, this theory may be limited by failing to recognize the complexity of the situation and the ethical issues involved for nurses caring for terminally ill patients. Furthermore, contexts of awareness (...) are influenced to a much greater extent by relationships with nurses than simply by the delivery of medical information. Even when information is given to the client and the family, the nurse is involved in helping them to know the meaning of this information. In a hospital, the nurse is faced with emotional demands by clients, families and colleagues, complex issues of advocacy, and professional boundaries and responsibilities. It is the author’s wish to examine the reality of clinical practice for nurses, thus further extending the theory of awareness contexts. (shrink)