We study a situation where a decision maker relies on the report of a self-interested and informed expert prior to decide whether to undertake a certain project. An important feature in this interaction is that, depending on the collected information, the two agents have potentially conflicting preferences. Information contained in the report is partially verifiable in the sense that the expert can suppress favorable information sustaining the project but he cannot exaggerate it. Our results show that this (...) setting favors the agent which is the less eager to undertake the project in that he always succeeds to induce his most preferred action. (shrink)

Landscapes are public environments in which different communities and individuals dwell and which matter to them in ways which are not always consistent. As such they are open to strong conflicts about what the future of landscapes ought to be and who has an entitlement to involvement in a decision about that future. How should such conflicts be resolved? One influential approach is that embodied in the practice of cost-benefit analysis: the strength of preferences for different landscapes is measured (...) by individuals' willingness to pay and the potential Pareto improvement efficiency criterion is employed as a rule of choice. This paper contends that this approach is flawed. It examines an economic valuation study of landscapes in the Yorkshire Dales. Drawing on interviews with farmers in the Dales and on in-depth discussion groups with respondents to other economic valuation studies, it argues that landscape conflicts involve issues of identity that cannot be captured in terms of preference satisfaction and conflicts of perceived rights which could not in principle be resolved by cost-benefit analysis. (shrink)

Nudges have gained popularity as a behavioral change tool that aims to facilitate the selection of the sensible choice option by altering the way choice options are presented. Although nudges are designed to facilitate these choices without interfering with people’s prior preferences, both the relation between individuals’ prior preferences and nudge effectiveness, as well as the notion that nudges ‘facilitate’ decision-making have received little empirical scrutiny. Two studies examine the hypothesis that a social proof nudge is particularly effective (...) when people have no clear prior preference, either because people are indifferent (in a colour-categorization task; Study 1, N = 255) or because people experience a choice conflict (making shopping decisions about meat products; Study 2, N = 97). Both studies employed a social proof nudge to steer participants’ choices. The potential facilitating effect of the nudge was tested using a mouse-tracker paradigm that implicitly assessed experienced uncertainty during decision-making. Results showed that the nudge was effective in steering participants’ decisions; the facilitation effect (i.e., reduced uncertainty regarding the decision) was only observed for conflicting preferences, but not under indifference. A better understanding of when and how nudges can influence individuals’ behavior may help in deciding whether nudges are an appropriate policy tool for changing particular undesirable behavior. (shrink)

Most of us have two strong intuitions (or sets of intuitions) in relation to fairness in health care systems that are funded by public money, whether through taxation or compulsory insurance. The first intuition is that such a system has to treat patients (and other users) fairly, equitably, impartially, justly and without discrimination. The second intuition is that doctors, nurses and other health care professionals are allowed to, and may even in some cases be obligated to give preference to the (...) interests of their particular patients or clients over the interests of other patients or clients of the system. These two intuitions are in potential conflict. One of the most obvious ways in which to ensure impartiality in a health care system is to require impartiality of all actors in the system, i.e. to give health care professionals a duty to treat everyone impartially and to deny them the ‘right’ to give their patients preferential treatment. And one of the possible side-effects of allowing individual health care professionals to give preference to ‘their clients’ is to create inequality in health care. This paper explores the conflict and proposes that it can be right to give preference to ‘your’ patients in certain circumstances. (shrink)

Recently a great deal of attention has been paid to conflicts of interest in medical research, and the Institute of Medicine has called for more research into this important area. One research question that has not received sufficient attention concerns the mechanisms of action by which conflicts of interest can result in biased and/or flawed research. What discretion do conflicted researchers have to sway the results one way or the other? We address this issue from the perspective of selective inertia, (...) or an unnatural selection of research methods based on which are most likely to establish the preferred conclusions, rather than on which are most valid. In many cases it is abundantly clear that a method that is not being used in practice is superior to the one that is being used in practice, at least from the perspective of validity, and that it is only inertia, as opposed to any serious suggestion that the incumbent method is superior, that keeps the inferior procedure in use, to the exclusion of the superior one. By focusing on these flawed research methods we can go beyond statements of potential harm from real conflicts of interest, and can more directly assess actual harm. (shrink)

This paper revisits Richard Hare's classical and much discussed argument for preference utilitarianism, which relies on the conception of moral deliberation as a process of thought experimentation, with concomitant preference change. The paper focuses on an apparent gap in Hare's reasoning, the so-called No-Conflict Problem. A solution to this difficulty which was proposed in is re-examined and shown to lead to a number of difficulties. The paper therefore also considers an alternative idea, due to Daniel Elstein. This new proposal may (...) well turn out to be the best way of filling the gap in Hare's argument. The paper also examines whether the gap is there to begin with: The problem should perhaps be dissolved rather than solved. This suggestion goes back to an idea of Zeno Vendler. Unfortunately, it turns out that Vendler's move does not save Hare from criticism: It does dissolve the No-Conflict Problem, but at the same time it gives rise to another, potentially more serious difficulty. (shrink)

Arbitration is the dispute resolution method of choice in international commerce, but it rests on a complex legal foundation. In many international commercial contracts, the parties will choose the law governing any future disputes. However, where the parties do not choose a governing law, the prevailing approach in arbitration is to afford arbitrators broad and largely unfettered discretion to choose the law considered most appropriate or most applicable. The uncertainty resulting from this discretion potentially affects the parties' rights and (...) obligations, the performance of their contract, the presentation of their cases, and negotiations undertaken to settle their disputes.In this text, Dr Benjamin Hayward critically reviews the prevailing approach to the conflict of laws in international commercial arbitration. The text adopts a focused and detail-oriented analysis - being based on a study of more than 130 sets of arbitral laws and rules from around the world, and drawing heavily on arbitral case law. Nevertheless, it remains both practical and accessible, taking as its focus the needs and expectations of commercial parties, who are the ultimate users of international commercial arbitration.This text identifies the difficulties that result from resolving conflicts of laws through broad and unconstrained arbitral discretions. It establishes that a bright-line test would be a preferable way to resolve arbitral conflicts of laws. Specifically, it recommends a modified Art. 4 Rome Convention rule as the ideal basis for law reform in this area of arbitral procedure. (shrink)

This paper revisits Richard Hare's classical and much discussed argument for preference utilitarianism, which relies on the conception of moral deliberation as a process of thought experimentation, with concomitant preference change. The paper focuses on an apparent gap in Hare's reasoning, the so-called No-Conflict Problem. A solution to this difficulty which was proposed in is re-examined and shown to lead to a number of difficulties. The paper therefore also considers an alternative idea, due to Daniel Elstein. This new proposal may (...) well turn out to be the best way of filling the gap in Hare's argument. The paper also examines whether the gap is there to begin with: The problem should perhaps be dissolved rather than solved. This suggestion goes back to an idea of Zeno Vendler. Unfortunately, it turns out that Vendler's move does not save Hare from criticism: It does dissolve the No-Conflict Problem, but at the same time it gives rise to another, potentially more serious difficulty. (shrink)

Pushing back against the potential trivialization of moral psychology that would reduce it to emotional preferences, this book takes an enactivist, self-organizational, and hermeneutic approach to internal conflict between a basic exploratory drive motivating the search for actual truth, and opposing incentives to confabulate in the interest of conformity, authoritarianism, and cognitive dissonance, which often can lead to harmful worldviews. The result is a new possibility that ethical beliefs can have truth value and are not merely a result of (...) ephemeral altruistic or cooperative feelings. It will interest moral and political psychologists, philosophers, social scientists, and all who are concerned with inner emotional conflicts driving ethical thinking beyond mere emotivism, and toward moral realism, albeit a fallibilist one requiring continual rethinking and self-reflection. It combines 'basic emotion' theories with hermeneutic depth psychology. The result is a realist approach to moral thinking emphasizing coherence rather than foundationalist theory of knowledge. (shrink)

Zeckhauser’s paradox has puzzled and entertained many rationality enthusiasts for almost half a century. You are forced to play a Russian Roulette with a 6-chamber revolver containing either two bullets, or four bullets. Would you pay more to remove the two bullets in than you would to remove one in? Most would say yes, but rational considerations based on the classical utility theory suggest you should not. We discuss a possible solution within the classical framework, by explicitly stating and accounting (...) for more detailed preferences in terms of fewer bullets and smaller debt. To a large extent, the paradox arises due to a surreptitious trespassing of Savage’s Small-World utilities implied by a limited set of preferences to govern a larger world containing potentially conflicting preferences. To avoid logical issues associated with death in the roulette, we also describe a non-fatal game-show version, where you choose one box out of six that could be either empty or contain prize money. Here, the paradox arises when you pay from the prize money, but not when you pay from your own money. In summary, the paradox provides a useful lesson about the normative role of the utility function as a rational guide for our decisions and preferences. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 41.4 (2003) 554-555 [Access article in PDF] Nicholas White. Individual and Conflict in Greek Ethics.New York: Oxford University Press, Clarendon Press, 2002. Pp. xv + 369. Cloth, $55.00. This is a thoughtful book on an interesting subject by a well-known scholar of ancient ethical philosophy. However, the organization and mode of exposition is, in some ways, rather odd; and this rather muffles the (...) potential depth and impact.White challenges (what he presents as) a widespread current view about Greek ethical philosophy. This is that Greek philosophy does not contain the same kinds of moral conflict that we find in modern thought: namely, between the claims of the individual and the state, and between doing your duty, or what is best for others, and pursuing your own happiness. White, by contrast, believes that those conflicts do figure—as substantive, problematic issues—in Greek thought, and that they are conceived in a way that is broadly similar to modern thought, despite some other salient differences. Further, White maintains that the general denial of conflict in Greek thought has its roots in certain eighteenth- and nineteenth-century intellectual tendencies. A crucial factor was the Hegelian picture of Classical Greek thought as free from the conflicts between individual and state, and between happiness and duty that are central in modern thought and are articulated especially by Kant. White sees the Hegelian view as influential on late nineteenth-century readings of Greek philosophy by thinkers such as Sidgwick, on more recent anti-Kantian thinkers such as Alasdair MacIntyre and Bernard Williams, as well as on much current scholarship on Greek philosophy.White confronts what he sees as a mistaken tendency partly by charting its historical roots and partly by offering a competing (or at least "ground-clearing" [xiii]) reading of key relevant features of Greek ethics. Two crucial topics are Plato's presentation of the demand that the fully trained philosopher-rulers go back into the cave to direct the state rather than philosophizing, as they would prefer (Republic 219-21) and Aristotle's selection [End Page 554] of the philosophical life, rather than the ethical life of practical action, as the highest form of human happiness (Nicomachean Ethics10.7-8). White argues, first, that these are recognized as substantive and difficult issues by the two Greek thinkers and, second, that the way in which the issues are conceived is (roughly) in terms of the modern-style contrast between doing your communal duty and pursuing your personal happiness. The "eudaimonistic" (happiness-centered) outlook often seen as typical of Greek philosophy does not mean that these issues are therefore defused or resolved. Hellenistic (Epicurean and Stoic) philosophy does offer a unified ethical outlook, but not in a way that matches the Hegelian pattern. The influential Hegelian reading of Greek ethics is shown up as mistaken and the door is opened for interpretations which recognize and analyse these issues in more accurate terms.White's central claims are challenging, important and, in principle at least, plausible. How effectively is the case made? As indicated earlier, the organization of the book does not seem to me to support the argument as well as it could. The discussion of Plato and Aristotle, which forms the core of White's thesis, is preceded by an extended preparation, extending to nearly half of the book. This examines, in meticulous detail, the background in modern intellectual history to the tendency that White attacks. It also explores in general terms conceptual issues (about deliberative conflict, the role of imperatives and the city-state as a source of normativity) that bear on his claims about Greek thought. When White finally gets to detailed discussion of philosophical texts, he does not—surprisingly—try to show in specific ways how current leading scholarly interpretations are informed by the Hegelian pattern he has so elaborately described. His confrontation with the modern version of this pattern is generalized, with references to scholarly readings largely confined to footnotes. The thrust of his interpretative discussion is negative, ruling out the harmonizing, Hegelian... (shrink)

_Winner of the 2009 Goethe Award for Psychoanalytic Scholarship!_ Irwin Hirsch, author of _Coasting in the Countertransference,_ asserts that countertransference experience always has the potential to be used productively to benefit patients. However, he also observes that it is not unusual for analysts to 'coast' in their countertransferences, and to not use this experience to help treatment progress toward reaching patients' and analysts' stated analytic goals. He believes that it is quite common that analysts who have some conscious awareness of (...) a problematic aspect of countertransference participation, or of a mutual enactment, nevertheless do nothing to change that participation and to use their awareness to move the therapy forward. Instead, analysts may prefer to maintain what has developed into perhaps a mutually comfortable equilibrium in the treatment, possibly rationalizing that the patient is not yet ready to deal with any potential disruption that a more active use of countertransference might precipitate. This 'coasting' is emblematic of what Hirsch believes to be an ever present conflict between analysts’ self-interest and pursuit of comfortable equilibrium, and what may be ideal for patients’ achievement of analytic aims. The acknowledgment of the power of analysts’ self-interest further highlights the contemporary view of a truly two-person psychology conception of psychoanalytic praxis. Analysts’ embrace of their selfish pursuit of comfortable equilibrium reflects both an acknowledgment of the analyst as a flawed other, and a potential willingness to abandon elements of self-interest for the greater good of the therapeutic project. (shrink)

Background Moral distress is a serious problem for health care personnel. Surveys, individual interviews, and focus groups may not capture all of the effects of, and responses to, moral distress. Therefore, we used a new participatory action research approach—moral conflict assessment (MCA)—to characterize moral distress and to facilitate the development of interventions for this problem. Aim To characterize moral distress by analyzing responses of intensive care unit (ICU) personnel who participated in the MCA process. Research Design In this qualitative study, (...) we invited all ICU personnel at 3 urban hospitals to participate in individual or group sessions using the 8-step MCA tool. These sessions were facilitated by either a clinical ethicist or a counseling psychologist who was trained in this process. During each session, one of the researchers took notes and prepared a report for each MCA which were analyzed using qualitative content analysis. Participants and Research Context A total of 24 participants took part in 15 sessions, individually or in groups; 14 were nurses and nurse leaders, 2 were physicians, and 8 were other health professionals. Ethical Considerations This study was approved by the Providence Health Care/University of British Columbia Behavioural Research Ethics Board. Each participant provided written informed consent. Results The main causes of moral distress related to goals of care, communication, teamwork, respect for patient’s preferences, and the managerial system. Suggested solutions included communication strategies and educational activities for health care providers, patients, family members, and others about teamwork, advance directives, and end-of-life care. Participants acknowledged that using the MCA process helped them to reflect on their own thoughts and use their moral agency to turn a distressing situation into a learning and improvement opportunity. Conclusions Using the MCA tool helped participants to characterize their moral distress in a systematic way, and to arrive at new potential solutions. (shrink)

For a little more than a decade, professional organizations and healthcare institutions have attempted to develop guidelines and policies to deal with seemingly intractable conflicts that arise between clinicians and patients (or their proxies) over appropriate use of aggressive life-sustaining therapies in the face of low expectations of medical benefit. This article suggests that, although such efforts at conflict resolution are commendable on many levels, inadequate attention has been given to their potential negative effects upon particular groups of patients/proxies. Based (...) on the well-documented tendency among many African Americans to prefer more aggressive end-of-life medical interventions, it is proposed that the use of institutional policy to break decision making impasse in cases for which aggressive treatment is deemed "medically inappropriate" will fall disproportionately on that group. Finally, it is suggested that the development and application of institutional conflict-resolution policies should be evaluated in the context of historical and current experiences of marginalization and disempowerment, lest such policies exacerbate that experience. (shrink)

There is an inevitable interaction between Arabic and Turkish as word transitions occur in every language. One of the common examples of this exchange between Arabic and Turkish is the word ikhtilāf (conflict).However, it is not possible to say that the bilingual partnership about this word is meaningful. Because this word expresses the meaning of opposition, contradiction, diversity, separation of opinion between two persons or groups, opposing attitude and contradictory attitude in Arabic, all of these meanings are not transferred into (...) Turkish.In other words, the word ikhtilāf’s meaning is narrowed during its transition into Turkish. In fact, the word is almost fixed in Turkish as “the separation of opinion between two persons or groups”. This difference in the meaning of the language between the two languages ​​of the contradiction must not be construed and interpreted as “controversy” or “disagreeing” at every passing moment of the word. Because in some verses this situation can be a wrong choice.Differences in interpretation in tafsir and translation errors are the most obvious indication of this possibility. Therefore, it should be considered that the use and meaning of the word may be changed according to the text. SummaryWords and concepts are the most important tools for people to share with their interlocutors both in oral communication and in writing. Because the meaning of the preferred word and concept directly affects the increase or decrease of the power of the message to be given. So, the choice of word and concept are important in the spoken word and the used word. However, despite this importance, people are not entirely free in word selection. This is because there is no vocabulary to express everything separately. So, the words are limited, and the objects named through them are unlimited. This led people use some words that have more than one meaning, which also explains the emergence of the concept of polysemy.Polysemy is a phenomenon seen in Arabic as well as in many languages. Since the Qur'ān, which contains the messages of Allah to humanity, is in Arabic, there are many words that have two or more meanings. This situation should be taken into account to understand the Qur'ān and its context when determining the meaning of such words. Revealing all potential meanings of qur’ānic expressions is important to convey the intended meaning. In other words, the inability to detect the correct meaning of the word or to ignore the fact that it is very meaningful makes some comprehension problems inevitable.One of the words in this context that have the problem of understanding is the concept ikhtilāf(Conflict). This concept, which is used 51 times in 45 verses in different ways, does not mean the same meaning wherever it is used. It is used in more than one meaning depending on the context in which it is located. The change and diversity that points to the power of Allah, the conflict, the separation of thought and behaviour between the two groups, and the unilateral opposition attitude of a person or group are the meanings of this concept. There is no significant difference in the tafsirs of these meanings regarding the meanings of change, diversity, and contradiction. The differences seen in the exegesis (tafsīr) are in the way that the same meaning is mostly stated in a different way. This situation in the tafsirs was reflected to Turkish translations of the Qur'ān on the meaning of the concept and it was translated correctly in general. This shows that the context of determining the meaning of the concept is taken into account and that the polysemy of the concept is not an important problem in the meaning of “change,” “diversity” and “contradiction.”One of the most important meanings of the concept of ikhtilāf(Conflict) is the difference of thought and behaviour between two people or groups. In this sense, the concept has two subjects and refers to the situation of these two subjects against each other. This meaning, which we see more in the use of the concept as verb, refers to the conflict and contradiction of the different thoughts and attitudes that people have to against others they face because of their personal characteristics and ideology. In this sense, ikhtilāf(Conflict) among the sides reflects a negative situation without the possibility of finding the ground and the middle way. In the verses where the concept is used in this sense, there are also elements that indicate the difference of opinion between the two subjects, such as bayna(between) preposition, the believing-disbeliever comparison. The concept has been translated into Turkish with this sense in the Qur'ān. Its meanings of conflict, conflict and conflict are also used in Turkish. Therefore, it is possible to say that this meaning has a common meaning between Arabic and Turkish. Therefore, meanings of the concept such as conflict, disagreement, etc. in Turkish translations of the Qur'an are enough to reflect the meaning of the verses in this context. So, it is possible to say that in meaning of the concept does not have a problem of understanding and interpreting in general.The concept of ikhtilāf(Conflict) is also used to counter and oppose to a thought or belief in the Qur’an except for the general meaning of the above. With this meaning we encounter in the usage of ikhtalafaand mukhtalifin this sense, it is not only the mutual attitude of the two sides but the dissident, against and opposing attitude of one side towards the other. As such, the concept reflects an action of "one subject". As in the case of conflict between the two sides, there is a negative and undesirable situation in this usage. Because in the verses where the concept is used in this sense, the contradictions, and attitudes of the unbelievers about the faith revealed by Allah, religion, the book, and the prophet are generally explained. However, this meaning of the concept has not been translated into Turkish. In other words, there is no meaning in the word ikhtilāf(Conflict) used in Turkish. Therefore, there is no exact equivalence between Turkish and Arabic regarding this meaning of the word. For this reason, translations in the form of “conflict,” “dispute” for use in this sense are insufficient to reflect the meaning of it. Because, in these translations, the contraction of the concept which was experienced in the transition from Arabic to Turkish was not observed. This causes the misunderstandings of the verses in which this concept exists.The concept of ikhtilāf(Conflict) refers to the differences of tafsir in the verses that express the opposing attitude of a person or group as with other polysemy concepts, this concept also points to the need to be careful. Instead of giving the same meaning in every passage of such polysemy concepts, it is necessary to determine the correct meaning according to the context of the unity of the verse and its context. The same sensitivity should be taken into consideration in translating the concept into Turkish. So, while translating the concept passed in Turkish by narrowing, that accepting it is true in both languages and transferring to Turkish according to it is insufficient to reflect the meaning referred in the verse. (shrink)

Increased melting of Arctic sea ice due to climate change attracts interests of national states who sense the potential that opening northern waters will enhance access of the Northwest Passage (NWP) and subsoil resources. Claims for Arctic sovereignty include conflicts around the status of the NWP, ownership of resources, but also attempts of Inuit to decolonize through the establishment of self-government in their respective countries that receive a new urgency due to the effects of climate change. From a review of (...) different existing institutional and organizational bodies and mechanisms that serve as intervention tools in the sovereignty disputes in the Arctic (the UN, the Arctic Council and the Inuit Circumpolar Council) it emerges that such actors can ultimately only provide a non-binding platform for orientation and exchange and eventually leave nation-states as ultimate power-holders which reinforces and is in accordance with realist theory and its understanding of the international system as anarchic (i.e. as lacking a decision-making and binding overarching authority beyond the state-level). Despite their good intentions, external general acceptance and partial success, the potential of the organizations and institutions analyzed here is also ultimately challenged by nation states, who seem to prefer circumventing such intervention tools to be able to interact instead with each other via officialdiplomacy or by making singular and autonomous decisions to maximize their power and sovereignty. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Re-examining Empirical Data on Conflicts of Interest Through the Lens of Personal NarrativesEmily E. Anderson and Elena M. KrausIntroductionThe personal stories submitted by physicians and researchers for this symposium add much–needed dimension to conversations on conflicts of interest in medicine and research. Narratives from individuals living with conflicts of interest can serve as a unique lens through which to consider psychological and economic theories and survey data on physician (...) and patient views. In our reading of these personal narratives, we identified four primary themes that will serve as springboards for our commentary. We aim to triangulate clusters of meaning drawn from the narratives with relevant data from published empirical studies and identify gaps in knowledge where more research is needed. These themes are: the unique environments of medicine and research; weighing the potential benefits of conflicts of interest against the risks; conflict of interest management; and the roles and responsibilities of diverse stakeholder groups.The Unique Challenges of the Medical and Research EnvironmentsThe reflections of the narrative authors draw attention to many of the unique environmental aspects of medicine and medical research that make physicians and researchers especially vulnerable to conflicts of interest. Conflicts of interest may be more ubiquitous in medicine than in any other industry (Kassirer, 2006). As the narratives demonstrate, conflicts of interest emerge across a range of health care delivery and research activities. Surveys have shown that 94 percent of physicians have some kind of relationship with industry (Campbell, Gruen, Mountford, et al., 2007). There is also evidence that physician interactions with medical industry begin early and are a regular part of a physician’s professional practice along the career continuum (Wazana, 2000).Medicine as a profession is distinct from banking or law. It is often said that medicine is an art; in treating patients, creative individualized solutions and gut instinct are as (if not more) important than the application of scientific knowledge. Uncertainty surrounds medical decision making. There is limited precision with respect to diagnoses and prognoses, limited data regarding the effectiveness of many treatments, and a range of patient values and preferences. Because of this uncertainty, rules about practice standards, especially with respect to avoidance and management of conflicts of interest, cannot be as explicit as they are in law or business. As demonstrated by the story presented by Sal Cruz–Flores, research and practice often intersect. And, there is no system in greater need of reform—and no system about which there are more divergent opinions as to what shape that reform should take—than the United States health care [End Page 91] system. The narratives of Tony Mikulec, Govind Nagaldinne, and David M. Zientek demonstrate how various aspects of the structure of healthcare service provision and third–party payer arrangements have the potential to harm patients. Conflicts of interest comprise more than relationships with pharmaceutical and medical device manufacturers.The narratives of Laura Jean Bierut and David M. Zientek also discuss examples of conflicts of interest that arise from factors beyond relationships with industry or the direct potential for financial gain. This may be somewhat unique to the medical milieu. Non-financial conflicts such as a desire for the prestige bestowed upon scientists who make key discoveries, a requirement to publish for tenure and promotion, the need to maintain one’s license or other privileges, or simply the pressure of a competitive environment can influence physician and researcher behavior. As noted by Bierut, more research on how to identify and manage non-financial conflicts is needed.The Potential Benefits and Harms of Conflicts of InterestConflicts of interest are usually presented in a negative light, particularly those that involve physician relationships with the pharmaceutical industry. To “have a conflict of interest” is to be in a situation or role where there is potential for personal interests to be prioritized over professional responsibilities. However, in terms of public perception, it seems that conflicts of interest have become almost synonymous with wrongdoing. Perhaps this is due to the barrage of media reports during the last decade on significant harms caused by financial conflicts of interest in business, journalism, and sports as well as in medicine (Steinbrook, 2004). Amidst... (shrink)

Background We present and discuss the results of a Norwegian survey of medical doctors' views on potential ethical dilemmas in professional practice. Methods The study was conducted in 2015 as a postal questionnaire to a representative sample of 1612 doctors, among which 1261 responded. We provided a list of 41 potential ethical dilemmas and asked whether each was considered a dilemma, and whether the doctor would perform the task, if in a position to do so. Conceptually, dilemmas arise because of (...) tensions between two or more of four doctor roles: the patient’s advocate, a steward of societal interests, a member of a profession and a private individual. Results 27 of the potential dilemmas were considered dilemmas by at least 50% of the respondents. For more than half of the dilemmas, the anticipated course of action varied substantially within the professional group, with at least 20% choosing a different course than their colleagues, indicating low consensus in the profession. Conclusions Doctors experience a large range of ethical dilemmas, of which many have been given little attention by academic medical ethics. The less-discussed dilemmas are characterised by a low degree of consensus in the profession about how to handle them. There is a need for medical ethicists, medical education, postgraduate courses and clinical ethics support to address common dilemmas in clinical practice. Viewing dilemmas as role conflicts can be a fruitful approach to these discussions. (shrink)

According to Silvan Tomkins polarity theory, ideological thought is universally structured by a clash between two opposing worldviews. On the left, a humanistic worldview seeks to uphold the intrinsic value of the person; on the right, a normative worldview holds that human worth is contingent upon conformity to rules. In this article, we situate humanism and normativism within the context of contemporary models of political ideology as a function of motivated social cognition, beliefs about the social world, and personality traits. (...) In four studies conducted in the U.S. and Sweden, normativism was robustly associated with rightist self-placement; conservative issue preferences; resistance to change and acceptance of inequality; right-wing authoritarianism and social dominance orientation; system justification and its underlying epistemic and existential motives to reduce uncertainty and threat; and a lack of openness, emotionality, and honesty-humility. Humanism exhibited the opposite relations to most of these constructs, but it was largely unrelated to epistemic and existential needs. Humanism was strongly associated with preferences for equality, openness to change, and low levels of authoritarianism, social dominance, and general and economic system justification. We conclude that polarity theory possesses considerable potential to explain how conflicts between worldviews shape contemporary politics. (shrink)

For a little more than a decade, professional organizations and healthcare institutions have attempted to develop guidelines and policies to deal with seemingly intractable conflicts that arise between clinicians and patients over appropriate use of aggressive life-sustaining therapies in the face of low expectations of medical benefit. This article suggests that, although such efforts at conflict resolution are commendable on many levels, inadequate attention has been given to their potential negative effects upon particular groups of patients/proxies. Based on the well-documented (...) tendency among many African Americans to prefer more aggressive end-of-life medical interventions, it is proposed that the use of institutional policy to break decision making impasse in cases for which aggressive treatment is deemed “medically inappropriate” will fall disproportionately on that group. Finally, it is suggested that the development and application of institutional conflict-resolution policies should be evaluated in the context of historical and current experiences of marginalization and disempowerment, lest such policies exacerbate that experience. (shrink)

During a pandemic, demand for intensive care often exceeds availability. Experts agree that allocation should maximize benefits and must not be based on whether patients could have taken preventive measures. However, intensive care units are often overburdened by individuals with severe COVID-19 who have chosen not to be vaccinated to prevent the disease. This article reports an experiment that investigated the German public's prioritization preferences during the fourth wave of the coronavirus pandemic. In a series of scenarios, participants were (...) asked to decide on ICU admission for patients who differed in terms of health condition, expected treatment benefits, and vaccination status. The results reveal an in-group bias, as vaccinated individuals preferred to allocate more resources to the vaccinated than to the unvaccinated. Participants also favored admitting a heart attack patient rather than a COVID-19 patient with the same likelihood of benefiting from ICU admission, indicating a preference for maintaining regular ICU services rather than treating those with severe COVID-19. Finally, participants were more likely to admit a patient to intensive care when this meant withholding rather than withdrawing care from another patient. The results indicate that lay prioritizations violate established allocation principles, presaging potential conflicts between those in need of intensive care and those who provide and allocate it. It is therefore recommended that allocation principles should be explained to enhance public understanding. Additionally, vaccination rates should be increased to relieve ICUs and reduce the need for such triage decisions. (shrink)

Precarious work is a growing and alarming phenomenon. This paper analyses two of its distinctive normative features. First, precarity increases the risks workers face, blurring their capacity for prospection and lessening their security in accessing the opportunities associated with their jobs. Second, precarious work challenges workers’ collective action capacity. I will argue that both features threaten workers’ republican freedom. I develop the second point by presenting a conception of solidarity between workers and then showing how precarious work erodes it. On (...) the one hand, when the labour market is dualised, precarity is distributed unevenly and the risks undergone by groups of workers are different. Thus, dual labour markets create a potential conflict of interest between the preferences of different groups, insiders and outsiders. On the other hand, various economic changes hinder workers from acting based on shared purposes due to increased coordination costs. To the extent that workers’ power depends on their bonds and collective action, primarily through unions, the eclipse of their solidarity leaves them powerless and thus increases their domination. Finally, I consider various scenarios that could boost workers’ collective power. (shrink)

Aspirations to farm ‘better’ may fall short in practice due to constraints outside of farmers’ control. Yet farmers face proliferating pressures to adopt practices that align with various societal visions of better agriculture. What happens when the accumulation of external pressures overwhelms farm management capacity? Or, worse, when different visions of better agriculture pull farmers toward conflicting management paradigms? This article addresses these questions by comparing the institutional manifestations of two distinct societal obligations placed on California fruit and vegetable (...) farmers: to practice sustainable agriculture and to ensure food safety. Drawing on the concept of constrained choice, I define and utilize a framework for comparison comprising five types of institutions that shape farm management decisions: rules and standards, market and supply chain forces, legal liability, social networks and norms, and scientific knowledge and available technologies. Several insights emerge. One, farmers are expected to meet multiple societal obligations concurrently; when facing a “right-versus-right” choice, farmers are likely to favor the more feasible course within structural constraints. Second, many institutions are designed to pursue narrow or siloed objectives; policy interventions that aim to shift farming practice should thus anticipate and address potential conflicts among institutions with diverging aspirations. Third, farms operating at different scales may face distinct institutional drivers in some cases, but not others, due to differential preferences for universal versus place-specific policies. These insights suggest that policy interventions should engage not just farmers, but also the intersecting institutions that drive or constrain their farm management choices. As my framework demonstrates, complementing the concept of constrained choice with insights from institutional theory can more precisely reveal the dimensions and mechanisms that bound farmer agency and shape farm management paradigms. Improved understanding of these structures, I suggest, may lead to novel opportunities to transform agriculture through institutional designs that empower, rather than constrain, farmer choice. (shrink)

Many states prohibit patients from appointing their physicians as health care proxies, fearing paternalism and conflict of interest. But the potential for conflict is not unique to physicians, and patients may have compelling reasons to prefer that their doctor make decisions on their behalf. Managing potential conflicts serves patients better than denying them the right to choose who will make health care decisions for them when they are no longer competent.

Two core questions in pediatric ethics concern when and how physicians are ethically permitted to intervene in parental treatment decisions (intervention principles), and the goals or values that should direct physicians’ and parents’ decisions about the care of children (guidance principles). Lainie Friedman Ross argues in this issue of The Journal of Clinical Ethics that constrained parental autonomy (CPA) simultaneously answers both questions: physicians should intervene when parental treatment preferences fail to protect a child’s basic needs or primary goods, (...) and both physicians and parents should be guided by a commitment to protect a child’s basic needs and primary goods. In contrast, we argue that no principle—neither Ross’s CPA, nor the best interest standard or the harm threshold—can serve as both an intervention principle and a guidance principle. First, there are as many correct intervention principles as there are different kinds of interventions, since different kinds of interventions can be justified under different conditions. Second, physicians and parents have different guidance principles, because the decisions physicians and parents make for a child should be informed by different values and balanced by different (potentially) conflicting commitments. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Philosophy of Isaiah Berlin by Johnny LyonsMario ClemensThe Philosophy of Isaiah Berlin, by Johnny Lyons; 276 pp. London: Bloomsbury Academic, 2020.A well-established Isaiah Berlin scholar recently pointed out, "Berlin gets us interested in value pluralism, but he leaves us with many questions."1 Therefore, is it really the case—as value pluralism holds—that human life in general and politics in particular are characterized by potentially conflicting values (...) that cannot be brought into a hierarchy, thus leaving us with tough and sometimes tragic choices? Does pluralism, thus understood, not lead to moral relativism? And what are the political implications of value pluralism?In the Philosophy of Isaiah Berlin, an encompassing study of Berlin's extensive oeuvre, Johnny Lyons makes an original suggestion for how to address these sustained riddles of Berlin scholarship. For Lyons, the key to understanding Berlin's political theory is his particular notion of philosophy. The author seeks to show "that it is only by unearthing Berlin's conception of philosophy that we can make sense of his political theory" (p. xv).Lyons—who taught philosophy for six years, then abandoned academia in the late 1990s to work in corporate communications, and now has reentered the philosophical debate with this study on Berlin's philosophy—is highly skeptical of the mainstream way of doing philosophy. Lyons sees much of anglophone moral and political philosophy engaged in a "self-styled scientific enterprise" (p. 213), where philosophy is "identifying itself too closely with science or at the very least with a severely naturalistic mindset" (p. 219). This has led to "weirdly formal and systematic moral theorizing" (p. 214), resulting in "predominantly formal, abstruse and largely unreadable work" (p. 213), which moreover ignores the insights of the "the historical turn" (p. 154, emphasis in the original). According to Lyons, this "current state of largely sterile detachment and ossifying specialization is neither inevitable nor useful" (p. 218).What Berlin had, and what, according to Lyons, contemporary anglophone philosophy lacks, is the awareness of more than one legitimate way of describing and understanding the world. Notwithstanding the crucial achievements of the natural sciences, this philosophy's positivist methods are not the only possible approaches to genuine insights.For Lyons, the primary task of philosophy is "to make sense of the world we live in" and to help "us to determine how best to live our lives within that world" (p. 215). And in the light of such a definition of philosophy, Berlin's approach appears preferable to the mainstream analytic tradition.The claim that scientific explanations do not exhaust the possibilities of rational insight is, of course, not new. Lyons himself points to the parallels between Berlin's "humanistic philosophy" (p. 214) and "the twentieth-century phenomenological turn to capture the Lifeworld or Lebenswelt, the intelligible field of our common subjective experience" (p. 221). Moreover, there is an [End Page 472] obvious parallel to the hermeneutic tradition (from Friedrich Schleiermacher, via Wilhelm Dilthey, to Hans-Georg Gadamer), which emphasizes understanding (Verstehen) as opposed to explaining (Erklären).Innovative, then, is not Lyons's claim that he has found a philosopher with a more human-centered way of doing philosophy. Instead, what is noteworthy is his suggestion that the themes Berlin scholars grapple with will appear in a new light once we pay sufficient attention to Berlin's particular understanding of philosophy.The book consists of five parts. In his "general introduction," Lyons introduces readers, especially those unfamiliar with Berlin, to his political philosophy. Lyons also addresses some of the likely objections against treating Berlin as a political philosopher (as opposed to a historian of ideas or "mere" essayist).In part two, Lyons explores Berlin's particular understanding of philosophy. For Lyons, two insights set Berlin apart from the dominant analytic tradition. First, Berlin adopts Immanuel Kant's claims that we see the world through concepts and categories of our own making. Second, Berlin takes on board two of Giambattista Vico's observations: we cannot look at the world from outside history, only through historical perspectives; and we nevertheless do have access to the outlooks of past epochs and their thinkers because our shared humanity enables... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Commentary on “Towards a Design-Based Analysis of Emotional Episodes”Margaret A. Boden (bio)The theoretical work of Wright, Sloman, and Beaudoin is a significant contribution to our understanding of the nature and function of emotions, and potentially also to therapeutic method. Their message that emotions, as controlling and scheduling mechanisms, are essential to any complex intelligent system (that is: one with multiple and potentially conflicting motives, and situated (...) in a changing and unfriendly world) is important. It encourages cognitive psychologists to regard emotions as a central aspect of intelligence, not to sideline (or even to forget) them, as is too often done. In addition, it shows—at least in general outline—how emotions might be understood in computational terms.Critics of computational psychology too often assume that emotions and motivation must lie outside its scope. This is not so, although it is true that relatively little computational work has been done in this area. Interestingly, the very early days of AI saw a comparatively high proportion of models of multiple goal-seeking, affective processes, and even personality (see, for example, the papers in Tomkins and Messick 1963). But, inevitably, these were so crude as to be almost useless in illuminating the nature of emotion and motivation. As AI-workers and their psychologist colleagues found to their cost, it is difficult enough to model the pursuit of one goal, never mind the pursuit of several mutually conflicting goals. Accordingly, personality and emotion soon faded from the scene as preferred topics of computational research—but not before I too had argued that they could, in principle, be so addressed (Boden 1965; 1972).I suggested—in the sketchiest terms—that the concepts of William McDougall’s personality theory could be interpreted in a computational fashion (Boden 1965; 1972). His concept of sentiment, for example, marks what Wright et al. call “goal-sets,” and his master sentiment of self-regard relates to the descriptive and normative aspects of the self-image to which they draw our attention. He even described emotions as (conscious) control mechanisms, enabling the subject to monitor the incipient excitement of distinct types of motivation, and (sometimes) to adjust behavior so as to facilitate or inhibit the otherwise-inevitable response. What the target-authors have done is to put subtle and sophisticated computational flesh onto these minimalist theoretical bones.McDougall himself, of course, will be turning in his grave. He saw affect as partly conscious (as well as dispositional), and argued that consciousness—and purposive behavior too—cannot possibly [End Page 135] be given a mechanistic, or physicalist, explanation. Despite Wright et al.’s persuasive anti-reductionist remarks about the necessity for highly abstract (psychological) levels of explanation, he would not have accepted that such explanations could be computationally grounded. He even insisted that the neurophysiological ground of goal-seeking behavior involved a special sort of energy, or horme, intrinsically directed to specific ends. Presumably, no professional reader today would agree with McDougall on that point. But many may agree with him about consciousness. And many more will insist that consciousness is a crucial aspect—perhaps the crucial aspect—of emotion. Such critics will doubtless point out that our three authors explicitly “factor out,” or refuse to discuss, consciousness as such.Wright et al.’s rhetorical reserve on this point is defensible on two counts. First, even though emotions do involve conscious sensations, the dispositional and control aspects of affect are at least as important. Indeed, it is evident from the quotations from individuals reacting to bereavement that people often describe the phenomenology of grief in terms of these sorts of factors, rather than in a “purely qualitative” fashion (whatever that might be). Even so, these dispositional aspects of emotion are often overlooked, or regarded as less significant than the conscious phenomenology. And second, theoretical psychologists in general sideline consciousness: either they ignore it entirely, or they take it for granted philosophically and ask about the conditions under which it appears or disappears. They are well advised to do so, since we do not yet understand this concept (more accurately: this mixed bag of related concepts) at the philosophical level. Even a journal whose title has “Philosophy” as its leading... (shrink)

In this study, we analyze choice in the presence of some conflict that affects the decision time, a subject that has been documented in the literature. We axiomatize a multiattribute decision time representation, which is a dynamic extension of the classic multiattribute expected utility theory that allows potentially incomplete preferences. Under this framework, one alternative is preferred to another in a certain period if and only if the weighted sum of the attribute-dependent expected utility induced by the former (...) alternative is larger than that induced by the latter for all attribute weights in a closed and convex set. MDT uniquely determines the decision time as the earliest period at which the ranking between alternatives becomes decisive. The comparative statics result indicates that the decision time provides useful information to locate indifference curves in a specific setting. MDT also explains various empirical findings in economics and other relevant fields. (shrink)

Increasingly through the 1990s, tobacco control advocates questioned the practice of public institutions investing in tobacco company stocks. The questioning was framed in at least three ways. First, is it ethical to fund public expenditures with profits from a product that causes addiction and disease? Second, is it sound social policy to derive public income from a product that increases healthcare costs and reduces worker productivity? Finally, is it sound fiscal policy to invest in an historically profitable industry facing multiplying (...) legal and regulatory challenges? While the tobacco industry preferred to restrict discussion to the fiscal question, and offered an affirmative answer, its position was weakened by depressed stock prices brought on by actions of the industry as much as by tobacco control activism. As part of a campaign to restore its credibility as an investment vehicle with public fund managers, Philip Morris (PM) commissioned a report from the influential investment managers/advisors Wilshire Associates. However, Wilshire had only recently conducted such a study for the Washington State Investment Board (WSIB), assuring the board that the value tobacco stocks added to an investment portfolio – if any – was too small to be measured. Nonetheless, within a year, Wilshire produced a report for PM which appeared to laud the investment value of tobacco and to dismiss tobacco-excluded investment alternatives. This paper examines how Wilshire produced apparently diametrically opposed reports for clients with different interests. It reveals a pattern of potential conflicts of interest among tobacco companies, financial analysis firms, investment authorities, and institutional fund managers. It demonstrates substantial violations of two generally accepted ethical principles of business consulting: veracity and transparency. (shrink)

Background: This study was developed as a result of a court case involving conflicts between midwives’ professional practice and their faith when caring for women undergoing abortions in Scotland. Research questions: What are practising Roman Catholics’ perspectives of potential conflicts between midwives’ professional practice in Scotland with regard to involvement in abortions and their faith? How relevant is the ‘conscience clause’ to midwifery practice today? and What are participants’ understandings of Canon 1398 in relation to midwifery practice? Research design: The (...) theoretical underpinning of this study was Gadamer’s hermeneutic out of which the method developed by Fleming et al. involving a five-stage approach was utilised. Participants and research context: The research was conducted in the south of Scotland. A purposive sampling method was used. Eight participants who were practising Roman Catholics familiar with the subject of conscientious objection who were either midwives, lawyers (civil, canon or both) or priests contributed. Ethical considerations: The major ethical issues related to respect for autonomy, maintaining confidentiality and obtaining voluntary informed consent. Parish priests agreed to act as gatekeepers to prospective participants. All legal requirements were addressed regarding data collection and storage. Approval was given by the ethics committee of the university with which one of the researchers were associated. Findings: Three key themes provide an understanding of the situation in which midwives find themselves when considering the care for a woman admitted for an abortion: competing legal systems, competing views of conscience and limits of participation. Conclusion: Clear guidelines for practice should be developed by a multi-professional and consumer group based on an update of the abortion law to reflect the change from a surgical to medical procedure. Clarification of Canon 1398 in relation to what is and is not participation in the procurement of abortion would be of benefit to midwives with a conscientious objection. (shrink)

By comparing developments in two southern Italian factories, this article contrasts “aggregative” and “deliberative” procedures in trade unions. In one of the plants, the preferences of some of the workers appear to have been changed by deliberation. The process of rational persuasion seems to have required, however, more than sheer circulation of information. Based on this evidence, the article argues that when a potential conflict of interests is involved, speakers need to provide evidence that they are animated by a (...) “communicative” rather than “strategic” intent. This implies validating their implicit claim to sincerity of communication. (shrink)

Patient visits are an important opportunity for general practitioners to discuss the risks of smoking and cessation strategies. In Australia, the guidelines on cessation published by the Royal Australian College of General Practitioners represent a key resource for GPs in this regard. The predominant message of the Guidelines is that pharmacotherapy should be recommended as first-line therapy for smokers expressing an interest in quitting. This, however, ignores established evidence about the success of unassisted quitting. Our analysis of the Guidelines identifies (...) a number of potential conflicts of interest which may have affected the advice provided. These include extensive funding by the pharmaceutical industry of sources cited to support the recommendations, and relations between members of the Guidelines Content Advisory Group and the pharmaceutical industry. Recommendations issued by professional bodies have enormous potential impact upon public health and there is a need for the highest levels of scrutiny and transparency in their development. Information about research cited in guidelines should include funding sources, and developers should be free of obvious conflicts of interest. Smoking remains the leading preventable cause of global mortality. Concerns related to pharmaceutical industry funding of research, scientific integrity and recommendations on smoking cessation by medical advisory groups clearly have implications beyond Australia. (shrink)

This paper is concerned with Spinoza’s treatment of a problem in early modern moral philosophy: the potential conflict between the pursuit of happiness and virtue. The problem is that people are thought to attain happiness by pursuing their self-interest, whereas virtue requires them to act with benevolence, for the benefit of others. Given the inevitability that people will have different and often competing interests, how can they be both virtuous and happy and, where the two are in conflict, which should (...) they prefer? While there were an array of treatments of the problem, most agreed on the general strategy of arguing that people’s true interests—as revealed through reason—are not in competition; rather, they coincide, such that promoting the interests of others promotes people’s own interests and vice versa. Such a response aims to show that people’s happiness is best served by being virtuous and their virtue is best served by making themselves happy.Spinoza agreed with the general outline of this solution, equating virtue with power, thereby defining virtuous behavior as the pursuit of one’s own interests. Since, for Spinoza, happiness arises from increasing one’s power, happiness and virtue are necessarily connected. Furthermore, he does not equate virtue and happiness at the expense of benevolence. This point may be overlooked since Spinoza’s single comment in the Ethics on benevolentia is denigrating: he defines benevolence as a desire arising from pity and “in a man who lives under the guidance of reason, pity in itself is useless and bad” . 1 However, we should distinguish Spinoza’s benevolentia, a kind of piteous desire, from a common notion of benevolence as acting to the benefit of others, which he defends. (shrink)

During a pandemic, demand for intensive care often exceeds availability. Experts agree that allocation should maximize benefits and must not be based on whether patients could have taken preventive measures. However, intensive care units (ICUs) are often overburdened by individuals with severe COVID-19 who have chosen not to be vaccinated to prevent the disease. This article reports an experiment that investigated the German public's prioritization preferences during the fourth wave of the coronavirus pandemic ( N = 1014). In a (...) series of scenarios, participants were asked to decide on ICU admission for patients who differed in terms of health condition, expected treatment benefits, and vaccination status. The results reveal an in-group bias, as vaccinated individuals preferred to allocate more resources to the vaccinated than to the unvaccinated. Participants also favored admitting a heart attack patient rather than a COVID-19 patient with the same likelihood of benefiting from ICU admission, indicating a preference for maintaining regular ICU services rather than treating those with severe COVID-19. Finally, participants were more likely to admit a patient to intensive care when this meant withholding rather than withdrawing care from another patient. The results indicate that lay prioritizations violate established allocation principles, presaging potential conflicts between those in need of intensive care and those who provide and allocate it. It is therefore recommended that allocation principles should be explained to enhance public understanding. Additionally, vaccination rates should be increased to relieve ICUs and reduce the need for such triage decisions. (shrink)

The non-heart-beating cadaver donor procurement process might come in conflict with the organ sharing system by diverting organs from potential recipients. It might also have a negative effect on public attitudes about transplantation. The process could start society down a slippery slope leading to extending donor criteria. Some of these scenarios are merely theoretical, but the procedure should be monitored to avoid such problems.

This article approaches the relationship of normative argumentation studies and descriptive persuasion effects research by pointing to several empirical findings that raise questions or puzzles about normatively-proper argumentative conduct. These findings indicate some complications in the analysis of normatively desirable argumentative conduct – including some ways in which practical persuasive success may not be entirely compatible with normatively-desirable advocacy practices.

The debate about the chances and dangers of a patient preference predictor (PPP) has been lively ever since Annette Rid and David Wendler proposed this fascinating idea ten years ago. Given the tec...

The aim of this chapter is to use philosophy and, in particular ethical theory, to identify and explore some potential conflicts.

A high standard of planetary protection is important for astrobiology, though the risk for contamination can never be zero. It is therefore important to find a balance. If extraterrestrial life has a moral standing in its own right, it will also affect what we have to do to protect it. The questions of how far we need to go to protect extraterrestrial life will be even more acute and complicated when the time comes to use habitable worlds for commercial purposes. (...) There will also be conflicts between those who want to set a world aside for more research and those who want to give the green light for development. I believe it is important to be proactive in relation to these issues. The aim of my project is therefore to identify, elucidate, and if possible, suggest solutions to potential conflicts between astrobiology, planetary protection, and commercial use of space. (shrink)

Board composition, insider participation on compensation committees, and director compensation practices can potentially cause conflicts of interest between directors and shareholders. If these corporate governance structures result in situations where actions beneficial to directors do not also benefit shareholders, then shareholders may suffer.Corporate ethics programs usually address conflicts of interest that may arise in the firm''s activities. Some boards of directors take active roles in their firms'' ethics programs by actively overseeing the programs. This paper empirically examines the relationship (...) between ethics programs and potential conflicts of interest and the relationship between board involvement in a firm''s ethics program and potential conflicts of interest. (shrink)

An apparent conflict between preferences for hierarchical as opposed to distributed organizations is evident in arguments about disciplinary and interdisciplinary organization. It characterizes as well a wide array of other arenas ranging from the biological to the political. In this article, parallels between biological, neurobiological, and social observations are explored in an effort to outline a general approach that may be useful in thinking about interdisciplinary and transdisciplinary activities as well as forms of social organization in general. A key (...) element in the approach is an ongoing individual and collective process of story creation, sharing, and revising. The article is offered both as a contribution to better understanding interdisciplinary and transdisciplinary work and as an illustrative example of the potentials and problems of such work. (shrink)

Increasingly, there is evidence of the potential benefits of an integrated care model. In fact, the American Psychological Association (APA) supports the role of psychologists in integrated healthcare given the positive outcomes for patients in primary care settings such as increased access to mental health services, reduced mental illness stigma, and improved health associated with recognizing the impact of psychosocial factors on physical wellbeing. Less attention has been paid, however, to ethical dilemmas that may arise for psychologists working in integrated (...) healthcare. This paper explores considerations for resolving potential ethical conflicts that may arise for psychologists working in integrated care settings. (shrink)

There are three potential problems with using virtue theory to develop an environmental ethic. First, Aristotelian virtue theory is ratiocentric. Later philosophers have objected that Aristotle’s preference for reason creates a distorted picture of the human good. Overvaluing reason might well bias virtue theory against the value of non-rational beings. Second, virtue theory is egocentric. Hence, it is suited to developing a conception of the good life, but it is not suited to considering obligations to others. Third, virtue theory is (...) notoriously bad at providing rules and procedures for resolving ethical questions about particular circumstances. But environmentalists need procedures for determining which of several conflicting values is most important. Virtue theory is not action guiding. I respond to each of these problems. I show that virtue theory is uniquely suited to answering ethical questions about nonhuman animals and the environment. (shrink)

A majority of South Africans agrees that when science and religion conflict, religion is always right. Is this an indication the public is anti-science or does the question wording hide a more complex relationship? We examined the relationship between science and religion in South Africa using quantitative data from the World Values Survey and qualitative data from face-to-face interviews. As research on the potential conflict between science and religion is predominantly focused on Western countries, the present study focuses on Africa (...) and compares results with those of two Western countries. Findings show that almost 76% South Africans agree that religion is always right and religious belief, social trust and education were significant predictors of this perception. Comparing findings with data from Zimbabwe, the United States and Germany, we found that while the influence of religiosity is significant across countries, comparatively, trust seems to be more of an African issue. The qualitative interviews, however, provided an elaboration of the relationship between science and religion in South Africa, indicating that choosing either science or religion is not always an outright rejection of the other. The relationships were classified as those informed by cognitive dissonance, often expressed in hierarchical associations, and those influenced by cognitive polyphasia, a complementary and transformative coexistence. (shrink)

Contrary to the widespread concern about over-treatment at the end of life, today, patient preferences for palliative care at the end of life are frequently respected. However, ethically challenging situations in the current healthcare climate are, instead, situations in which a competent patient requests active treatment with the goal of life-prolongation while the physician suggests best supportive care only. The argument of futility has often been used to justify unilateral decisions made by physicians to withhold or withdraw life-sustaining treatment. (...) However, we argue that neither the concept of futility nor that of patient autonomy alone is apt for resolving situations in which physicians are confronted with patients' requests for active treatment. Instead, we integrate the relevant arguments that have been put forward in the academic discussion about ‘futile’ treatment into an ethical algorithm with five guiding questions: (1) Is there a chance that medical intervention will be effective in achieving the patient's treatment goal? (2) How does the physician evaluate the expected benefit and the potential harm of the treatment? (3) Does the patient understand his or her medical situation? (4) Does the patient prefer receiving treatment after evaluating the benefit-harm ratio and the costs? (5) Does the treatment require many resources? This algorithm shall facilitate approaching patients' requests for treatments deemed futile by the physician in a systematic way, and responding to these requests in an ethically appropriate manner. It thereby adds substantive considerations to the current procedural approaches of conflict resolution in order to improve decision making among physicians, patients and families. (shrink)

With regard to organ donation, Germany is an ‘opt-in’ country, which requires explicit consent from donors. The relatives are either asked to decide on behalf of the donors’ preferences, if these are unknown or if the potential donor has explicitly transferred the decision to them. At the core of this policy lies the sociocultural and moral premise of a rational, autonomous individual, whose rights require legal protection in order to guarantee a voluntary decision. In concrete transplantation practices, the family (...) plays an even more important role. Potential donors and their families decide while being embedded in relations, a point which does still not gain full recognition. This particular discrepancy between policy and practice creates conflicts, which remain taboos of academic inquiry and public discourse. Our analysis shows a plurality of the family’s role in the transplantation process, which reveals an inner tension of the organ donation system. This tension provokes epistemic opacity on the one hand and different collective strategies as responses to discursive exclusion on the other. In future deliberations about organ donation, it is important to create spaces for open discussion, but also practices of communicative engagement, which take care of the needs and emotions attached to taboos. (shrink)