This book systematically reviews a variety of methods for addressing ethical problems in medicine, accounting for both their weaknesses and strengths. Illustrated throughout with specific cases or controversies, the book aims to develop an informed eclecticism that knows how to pick the right tool for the right job.

Although the traditional physician ethic sees nothing objectionable about the doctor's influence over patients, superficial conceptions of the patient's right to self-determination imply that this influence may be manipulative. On the contrary, there are several different lines of argument which can reconcile self-determination with the physician's influence. Nevertheless, drawing the boundaries between legitimate methods of persuasion, and manipulation or coercion sometimes proves difficult.

The modern debate on whether—and why—physicians and hospitals can refuse patient or family demands for treatment on grounds of “futility” will be reaching its 20th anniversary this year (Blackhall, 1987). The early debate focused on the use of CPR, for good historical and clinical reasons, and CPR probably remains the primary target of hospital policy. But the reach of the arguments over futility extends well beyond this context, most vividly illustrated by the case of Helga Wanglie and the many commentaries (...) it spawned (Brody, 1998; Schneiderman, 1998; Trotter, 1999). There seems no obvious reason in principle that questions about futility cannot be raised about virtually any form of treatment that patients or families might demand, including such things as chemotherapy for cancer (Tomlinson, 2001). Still, we might fairly ask what new dimensions and complexities the futility question acquires when it moves onto decisions about treatments other than CPR. This is what I would like to do in this essay. I will use dialysis as the case in point, although I hope to extract lessons from the dialysis example that will be pertinent to other forms of life-sustaining treatment, like ventilators. (shrink)

: New genetic technologies continue to emerge that allow us to control the genetic endowment of future children. Increasingly the claim is made that it is morally "irresponsible" for parents to fail to use such technologies when they know their possible children are at risk for a serious genetic disorder. We believe such charges are often unwarranted. Our goal in this article is to offer a careful conceptual analysis of the language of irresponsibility in an effort to encourage more care (...) in its use. Two of our more important sub-claims are: A fair judgment of genetic irresponsibility necessarily requires a thick background description of the specific reproductive choice; and there is no necessary connection between an act's being morally wrong and its being irresponsible. These are distinct judgments requiring distinct justifications. (shrink)

Peer review is a widely accepted instrument for raising the quality of science. Peer review limits the enormous unstructured influx of information and the sheer amount of dubious data, which in its absence would plunge science into chaos. In particular, peer review offers the benefit of eliminating papers that suffer from poor craftsmanship or methodological shortcomings, especially in the experimental sciences. However, we believe that peer review is not always appropriate for the evaluation of controversial hypothetical science. We argue that (...) the process of peer review can be prone to bias towards ideas that affirm the prior convictions of reviewers and against innovation and radical new ideas. Innovative hypotheses are thus highly vulnerable to being “filtered out” or made to accord with conventional wisdom by the peer review process. Consequently, having introduced peer review, the Elsevier journal Medical Hypotheses may be unable to continue its tradition as a radical journal allowing discussion of improbable or unconventional ideas. Hence we conclude by asking the publisher to consider re-introducing the system of editorial review to Medical Hypotheses. (shrink)

Hegels Philosophie des Geistes erhebt den Anspruch, den Menschen im Ganzen - durch und durch - als "geistig" zu denken. Thomas Oehl aktualisiert diesen Anspruch, indem er ihn an die gegenwartige philosophische Debatte um die sinnliche Wahrnehmung herantragt und damit kritisch in diese eingreift: Bereits in der sinnlichen Wahrnehmung verhalt sich der Mensch aktiv und nicht, wie es in seinem naheliegenden Selbst(miss)verstandnis scheint, passiv. In der Wahrnehmung konstituiert der Mensch Natur und Welt, und ist eben dadurch selbst nicht einfach (...) Teil der Natur oder Welt, sondern "Geist". "Geist" ist so, wie Hegel sagt, das "absolut Erste" der Natur. Wie Oehl weiter zeigt, schliesst dies ein, dass "Geist" sich gerade dort vollendet, wo er den Menschen von seinem Selbstmissverstandnis befreit, Natur zu sein. Damit stellt sich "Geist" als etwas heraus, das mehr ist als bloss der Mensch, da es den Menschen uber seine Selbstverkehrung hinausfuhrt. So wird ein neuer Zugang zu Hegels Philosophie des absoluten Geistes gewonnen, die eben dieses Geschehen als von Gott bewirkte Befreiung des Menschen von seiner Selbstverkehrung begreift, wie es in Kunst, Religion und Philosophie Gestalt gewinnt. Die vorliegende Arbeit wurde mit dem Promotionsforderpreis der Munchener Universitatsgesellschaft 2020 ausgezeichnet. (shrink)

Self-Knowledge: An Essay in Social Personalism proposes that social Personalism can best provide for self-knowledge. Thomas O. Buford offers a social personalist understanding of self-knowledge which focuses on the relation of persons to each other and to the Personal, and avoids the impersonalisms that erode the dignity of persons and their moral life which characterize modern life.

More than a purely philosophical problem, straddling the ambivalent terrain between necessity and impossibility, contingency seems to have become today the very horizon of our everyday life. Often used as a synonym for the precariousness of working conditions under neoliberalism, for the unknown threats posed by terrorism, or for the uncertain future of the planet itself, contingency needs to be calculated and controlled in the name of the protection of life. The overcoming of contingency is not only called upon to (...) justify questionable mechanisms of political control; it serves as a central legitimating factor for Enlightenment itself. In this volume, nine major philosophers and theorists address a range of questions around contingency and moral philosophy. How can we rethink contingency in its creative aspects, outside the dominant rhetoric of risk and dangerous exposure? What is the status of contingency-as the unnecessary and law-defying-in or for ethics? What would an alternative "ethics of contingency"-one that does not simply attempt to sublate it out of existence-look like? The volume tackles the problem contingency has always posed to both ethical theory and dialectics: that of difference itself, in the difficult mediation between the particular and the universal, same and other, the contingent singularity of the event and the necessary generality of the norms and laws. From deconstruction to feminism to ecological thought, some of today's most influential thinkers reshape many of the most debated concepts in moral philosophy: difference, agency, community, and life itself. Contributors: Étienne Balibar, Rosi Braidotti, Thomas Claviez, Drucilla Cornell, Hans Ulrich Gumbrecht, Viola Marchi, Michael Naas, Cary Wolfe, Slavoj Žižek. (shrink)

Nous remercions chaleureusement Thomas Golsenne de nous avoir autorisé à reproduire le texte ci-dessous PM – Cette conférence a été présentée au Centre d'art contemporain du Parc Saint-Léger à Pougues-les-eaux le 4 avril 2017, en marge de l'exposition de Florentine Lamarche et Alexandre Ovize, Les motifs sauvages. Que sa directrice, Catherine Pavlovic, soit chaleureusement remerciée de son invitation. Florentine Lamarche et Alexandre Ovize, L'Artichaut, 2015 Dans leurs gros vases - Esthétique – Nouvel article.

Known as 'Darwin's Bulldog', the biologist Thomas Henry Huxley was a tireless supporter of the evolutionary theories of his friend Charles Darwin. Huxley also made his own significant scientific contributions, and he was influential in the development of science education despite having had only two years of formal schooling. He established his scientific reputation through experiments on aquatic life carried out during a voyage to Australia while working as an assistant surgeon in the Royal Navy; ultimately he became President (...) of the Royal Society. Throughout his life Huxley struggled with issues of faith, and he coined the term 'agnostic' to describe his beliefs. This nine-volume collection of Huxley's essays, which he edited and published in 1893–4, demonstrates the wide range of his intellectual interests. Volume 9 includes lectures delivered at Oxford University on the relationship between scientific thought and ethical problems. (shrink)

The third volume of newly translated selections from the writings of Saint Thomas Aquinas, Fr. Richard Regan turns to his thoughts on the moral dimensions of human action. Focusing on the first part of the second folume of the Summa Theologiae, he deals with such topics as the ultimate human goal, human acts, emotions and virtues. Regan indicates that though Aquinas approaches these topics from the perspective of human reason, it is necessary for the reader to remember that his (...) overall viewpoint is that of a believer seeking to understand his faith. All can weigh the merits of these propositions due to their clarity of language, exposition, and structure. (shrink)

Professor Frey expresses surprise at my assertion that, ultimately, nothing is provable in ethics. What about Pol Pot’s atrocities, he asks—surely we can all condemn them? Let us take a more recent example, the Beslan school massacre. The terrorists appear to have weighed against the unquestionably serious harm to the children the boost to their cause which they judged the attendant publicity would achieve. I may believe that even to attempt such a utilitarian assessment is obscene, and most would no (...) doubt agree. I cannot, however, prove that this is the wrong approach. A few people, at least, take a different view.The example shows the problem with utilitarian assessments where the harm is both certain and direct, the victims and beneficiaries are wholly distinct and the victims have no say in the assessment—precisely the pattern with vivisection.I do not, of course, advocate an ethical free for all. As I …. (shrink)

This essay examines the contemporary masculinity of straight, white men in the business classes of the United States as a category of identity. I argue that this form of masculine identity is currently in crisis, and, through a reading of the 1995 film Toy Story, develop an argument about the value of ‘downsizing’ masculinity in an era of diminished work expectations.

& co-graphy names here writing experienced as differance of ‘now’ and ‘then’, of memory and erasure called here ‘saw’ and ‘was’ and the rupture that const...

Macmurray’s understanding of the vocation of the artist and how it is that the artist can create and be are discussed in two sections. In the first, which is subdivided into four smaller sections, presents a discussion of what Macmurray means by ‘contemplation’. The second is devoted to the artist’s role in helping to bring about ‘the Kingdom of the Future’.

A stereospecific binding site is not the only determinant governing the selectivity of transport proteins. An understanding of transport across cellular membranes requires a description of the different compartments within a transmembrane channel; evidence for the existence of these compartments comes from the selectivity properties of genetically modified maltoporin. Such compartments may also be of significance in determining the specificity of other transport proteins.

A physician and medical reformer enthused by the scientific and cultural progress of the Enlightenment as it took hold in Britain, Thomas Percival wrote on many topics, including public health and demography. His volume on medical ethics is considered the first modern formulation, and it and several of his other works are reissued in this series. This short book of improving tales, first published in 1777, and revised and enlarged in 1779, was originally written for his own children, and, (...) as he says, the articles 'are placed in the order in which they were written … as leisure allowed, or as the subjects of them were suggested'. The little stories contain lessons on obedience to parents, family affection, and kindness to animals, among many other examples of moral instruction. Percival refers to the book as 'Part the First', but a further collection seems never to have been published. (shrink)

Ce texte a déjà paru dans L'espace Géographique, n° 1, 1er trim. 2007, p. 15-26. Nous remercions Rachel Thomas de nous avoir autorisé à le reproduire ici. Résumé : La thématique de la marche en ville a occupé une grande partie de la littérature du XIXe et du début du XXe siècle. Au point qu'aujourd'hui, la figure du flâneur, décrite par Walter Benjamin, domine encore nos représentations. Pour autant, si marcher en ville requiert un art du voir dont le (...) flâneur demeure un artiste accompli, il engage aussi le - Sociologie – Nouvel article. (shrink)

At a key moment in the 1988 presidential debates, Michael Dukakis claimed that the issue in the campaign was not ideology but competency. A major reason for Bush’s victory was that Dukakis was most competent at creating the illusion that even George Bush was competent. Even so, a useful way to begin some reflections on the law and literature revival is to note that even a hardened political pragmatist like Bush felt that it was in his political interest to declare (...) that the issue was indeed ideology. Bush’s insistence on the importance of ideology is noteworthy for those interested in the humanities because it seems to much at odds with the conservative position in current cultural politics. Ideology might be the issue in political campaigns, but for the conservatives it has no role in the humanities, which properly understood are the repository of essential human values. As contradictory as this position might seem, it is actually quite consistent. The ideological function of government is to impart to its citizens the proper values, values that find expression in great humanistic documents. To turn the role of the humanities from that of guarding and defending these sacred documents to that of demystifying them as ideological products is to undermine the possibility of government performing its proper ideological function. Radicals in the current wars over culture thus stand accused of subverting the fundamental values that the country represents. Brook Thomas is professor of English at the University of California, Irvine. He is the author of Cross-Examinations of Law and Literature; Cooper, Hawthorne, Stowe, and Melville and The New Historicism and Other Old-Fashioned Topics. (shrink)

High quality images sell products. Here's how you do it. From cereal boxes to billboards to photos on Amazon, product photos have a strong impact on viewers. Now you can master the secrets of effective product photography with this essential guide. Author J. Dennis Thomas guides you through the basics, from selecting the right equipment and practicing different lighting techniques to controlling exposure, using backgrounds and props, and much more. Whether it's jewelry, food, fashion, or other products, learn how (...) to photograph for effective selling, while building the skills and tools you need for a career. Explains how to produce quality photos for product or commercial photography, including fashion, food, jewelry, technology, and more The author is a professional photographer whose work has been published in major U.S. magazines including Rolling Stone, Elle, W Magazine, and US Weekly Covers choosing the right equipment, practicing different lighting techniques, controlling exposure, using backgrounds and props, and more Gives new and even experienced photographers the tools they need to build careers in product photography Take photographs that impress, intrigue, dazzle, and sell with The Art and Style of Product Photography. (shrink)

In this article I argue that the intentional explanation of actions is a central task of the social sciences. However, the attribution of intentional states is highly underdetermined by observational data. Such attributions are forms of inference to the best explanation, and they have to cohere with our background knowledge of the conditions under which the agent acts. In addition to this ‚outer coherence’ we have to ask for an ‚inner coherence’ within the intentional profile of the agent to gain (...) a meaningful understanding. Both forms of coherence can help to reduce underdetermination. (shrink)

Geprägt von metaethischen Fragestellungen hat sich die philosophische Diskussion wieder intensiv mit der ontologischen und erkenntnistheoretischen Dimension von Werten befasst und der Phänomenologie zu einer Relecture verholfen. Zugleich hat die Tugendethik eine Renaissance erfahren. In die Schnittstellen dieser aktuellen moralphilosophischen Debatten arbeitet dieses Buch den originären Ansatz Edith Steins zu einer Ethik des christlichen Glaubens heraus. Auf der Grundlage des Personbegriffs entwickelt Edith Stein eine innovative Tugenderkenntnistheorie, deren Bezugspunkt die Wahrheitsfrage ist. Es geht ihr dabei um eine intersubjektiv, in personaler (...) Kommunikation vermittelte Erkenntnis des sittlich Guten, d. h. aber zugleich um eine unmittelbare Konnaturalität mit dem Guten. (shrink)