In order to explain why cultural traits remain stable despite the error-proneness of social learning, Dan Sperber has proposed that human psychology and ecology lead to cultural traits being transformed in the direction of attractors. This means that simple-minded Darwinian models of cultural evolution are not appropriate. Some scientists and philosophers have been concerned that Sperber’s notion of attractors might show more than this, that attractors destroy subtle cultural variation and prevent adaptive cultural evolutionary processes from occurring. I show that (...) Sperber’s view does not have this consequence—that even if there are attractors, cumulative cultural evolution can still occur. (shrink)

Mike accidentally knocked against a bottle. Seeing that the bottle was about to fall, Jack was just about to catch it when Peter accidentally knocked against him, making Jack unable to catch it. Jack did not grab the bottle, and it fell to the ground and spilled. In double-prevention cases like these, philosophers and nonphilosophers alike tend to judge that Mike knocking into the bottle caused the beer to spill and that Peter knocking into Jack did not cause the (...) beer to spill. This difference in causal judgment is a difficult puzzle for counterfactual theories of causal judgment; if each event had not happened, the outcome would not have, yet there is a difference in people’s causal judgments. In four experiments and three supplemental experiments, we confirm this difference in causal judgments. We also show that differences in people’s counterfactual thinking can explain this difference in their causal judgments and that recent counterfactual models of causal judgment can account for these patterns. We discuss these results in relation to work on counterfactual thinking and causal modeling. (shrink)

IntroductionIn highly developed countries, as many as 16 percent of children are physically abused each year. Traumatic brain injury (TBI) is the most common injury in non-accidental trauma (NAT) and is responsible for 80 percent of fatal NAT cases, with most deaths occurring in children younger than three years old. Cases of abusers who refuse withdrawal of life-sustaining medical treatment (LSMT) to avoid criminal charges have previously been reported. Therefore, we hypothesized that NAT is associated with a lower risk (...) for withdrawal LSMT in pediatric TBI.MethodsThe pediatric Trauma Quality Improvement Program database was analyzed (2014 to 2016) for patients aged 16 and younger with TBI and Glasgow Coma Scale (GCS) of 8 and lower on admission. Patients with a head Abbreviated Injury Scale (AIS) of 2 or less or who died within 48 hours were excluded. A multivariable logistic regression model was used for analysis.ResultsOf 2,209 TBI patients, 92 (4.2 percent) had withdrawal of LSMT. Compared to those without withdrawal of LMST, those with LMST had statistically similar median age (three years of age versus seven years, p = 0.07) and a higher rate of NAT (33.7 percent versus 13.5 percent, p < 0.001). The most common specified perpetrator was a father/stepfather/ male partner (70 percent). After adjusting for covariates, factors associated with higher risk for withdrawal of LSMT included age of less than three years (OR 2.38, CI 1.34-4.23, p < 0.05) and NAT (OR 1.86, CI 1.02-3.41, p < 0.05).ConclusionNAT is associated with increased risk for withdrawal of LSMT in pediatric TBI. Age of less than three years is similarly associated with a higher risk for withdrawal of LSMT. Future research in this population is needed to determine what other factors predict withdrawal of LSMT and what resources, such as social workers and/or ethics consults, are utilized. (shrink)

Prior research has consistently established the pragmatic nature of literature regarding occupational injuries and accidental happenings faced by nursing professionals. However, current realities require a subjective approach to identify preventative measures that could influence occupational health and safety in healthcare sectors. A qualitative design followed a descriptive approach to assess unbiased opinions towards occupational obstructions that lead to accidental happenings. This study used the social capital framework in particular as a support resource to eliminate its detrimental effects on (...) nurse's capacity to serve their patients. The findings extended the fundamental understanding of social capital from social ties to workplace and personal ties as potential mechanisms of support. Healthcare organizations need to redefine their control policies to provide the ultimate support to their care agents. A social capital model offers nursing practitioners and nursing managers an approach for building evidence‐based policies with implications for nurse's safety, education and training. (shrink)

Aldehyde dehydrogenase 2 (ALDH2) deficiency constitutes one of the most common hereditary enzyme deficiencies, affecting 35% to 40% of East Asians and 8% of the world population. It causes the well-known Asian Alcohol Flush Syndrome, characterized by facial flushing, palpitation, tachycardia, nausea, and other unpleasant feelings when alcohol is consumed. It is also associated with a marked increase in the risk of a variety of serious disorders, including esophageal cancer and osteoporosis. Our recent studies with murine models have demonstrated that (...) a one-time administration of an adeno-associated virus (AAV) gene transfer vector expressing the human ALDH2 coding sequence (AAVrh.10hALDH2) will correct the deficiency state and prevent alcohol-induced abnormalities of the esophagus and bone. If successful in humans, such strategy would reduce the increased risk-associated disorders such as esophageal cancer and osteoporosis, but also prevent the Asian Alcohol Flush Syndrome. This treatment thus raises ethical concerns: although it would potentially prevent fatal disease, it could also allow affected individuals to drink alcohol without suffering the Asian Alcohol Flush Syndrome and, hence, potentially enable personal destructive behavior. Here we explore the ethical arguments against the development of a gene therapy for ALDH2 deficiency and we find them wanting. We contend that development of such treatments is ethically appropriate and should be part and parcel of the solutions offered against the condition. (shrink)

Writers of fiction have always confronted topics of crime and punishment. This age-old fascination with crime on the part of both authors and readers is not surprising, given that criminal justice touches on so many political and psychological themes essential to literature, and comes equippedwith a trial process that contains its own dramatic structure. This volume explores this profound and enduring literary engagement with crime, investigation, and criminal justice. The collected essays explore three themes that connect the world of law (...) with that of fiction. First, defining and punishing crime is one of the fundamental purposes of government,along with the protection of victims by the prevention of crime. And yet criminal punishment remains one of the most abused and terrifying forms of political power. Second, crime is intensely psychological and therefore an important subject by which a writer can develop and explore character. Athird connection between criminal justice and fiction involves the inherently dramatic nature of the legal system itself, particularly the trial. Moreover, the ongoing public conversation about crime and punishment suggests that the time is ripe for collaboration between law and literature in thistroubled domain.The essays in this collection span a wide array of genres, including tragic drama, science fiction, lyric poetry, autobiography, and mystery novels. The works discussed include works as old as fifth-century BCE Greek tragedy and as recent as contemporary novels, memoirs, and mystery novels. Thecumulative result is arresting: there are "killer wives" and crimes against trees; a government bureaucrat who sends political adversaries to their death for treason before falling to the same fate himself; a convicted murderer who doesn't die when hanged; a psychopathogical collector whose quitesane kidnapping victim nevertheless also collects; Justice Thomas' reading and misreading of Bigger Thomas; a man who forgives his son's murderer and one who cannot forgive his wife's non-existent adultery; fictional detectives who draw on historical analysis to solve murders. These essays begin aconversation, and they illustrate the great depth and power of crime in literature. (shrink)

Nursing homes' ethics committees play a role in designing policies to assure ethical care. The administrative structure of nursing homes is not as large as that of hospitals. Nursing home staff and administration can respond to medical accidents in a way that treats family unethically and does serious harm to the facility. This paper describes incidents in which nursing homes attempted to conceal accidental deaths. It describes how such incidents are discovered, and the consequences of such efforts, and suggests (...) ways to prevent such incidents.This paper presents a retrospective review of a convenience sample of eight cases in which it was discovered that a nursing home attempted to conceal an accidental death. The effort to conceal an accidental death requires a coordinated effort to: [1] limit dissemination of information about the accident by staff and records, [2] decrease suspicion about the death, and [3] decrease the likelihood that an inquiry, if launched, will succeed. This effort begins as a reflexive, emotional and defensive response to the accident and consolidates as an institutional strategy to conceal both the accident and the concealment. The effort is coordinated by administrators who coerce cooperation from front line staff, alter medical records, and fail to follow reporting procedures. The attempt to conceal a lethal accident adversely affects the facility and the healthcare system. Ethics committees should work with professional organizations and administrator to assure proper management and disclosure of harmful accidents. (shrink)

in Risk: Philosophical Perspectives ed Tim Lewens, Routledge.

Introducción: los accidentes son de las primeras causas de muerte a nivel mundial, por lo que la prevención de los mismos es una emergencia. Objetivo: valorar la repercusión de una intervención comunitaria en la disminución de peligros potenciales de accidentes en familias con niños de 0 a 18 meses. Métodos: se realizó un estudio cuasi experimental multietápico, con enfoques cuantitativo y cualitativo, entre enero de 2009 a junio de 2012. Se trabajó con 39 familias entre las que se produjeron nacimientos (...) en el periodo enero de 2008 a enero de 2010 de los Consultorios Médicos del Consejo Popular 26 de julio del Municipio Santo Domingo. Se efectuó una intervención por un grupo de trabajo comunitario conformado por integrantes del Círculo de interés "Prevención es Salud" y brigadistas de la Cruz Roja, liderados por la enfermera de la familia, se empleó para ello la Guía para Análisis de vulnerabilidades y capacidades de la Cruz Roja, modificada en su etapa I. Resultados: Post intervención se logró la reversión de vulnerabilidades en cuanto a capacidades, se manifestaron cambios favorables en los conocimientos y disminuyó significativamente el número de peligros potenciales en cada hogar. Conclusiones: Cuando se trabaja con familias con instrumentos sencillos y accesibles, y con el grupo de trabajo comunitario, se favorece la toma de conciencia sobre el problema en el entorno donde se generó. Introduction: accidents are one of the first causes of death worldwide, so their prevention is an urgency. Objective: assess the effect of a community intervention in the reduction of potential dangers of accidents in family with children aged from zero to 18 months. Methods: a multiage cuasi experimental study was carried out, with quantitative and qualitative approaches, from January 2009 to June 2012. The sample was taken from thirty-nine families who had children in the period ranging from January 2008 to January 2010 belonging to the family doctor´s house of the community called "26 de Julio" from Santo Domingo municipality. An intervention was carried out by a community group work composed by members of centers of interests called ¨Prevention is health¨ and members of the Red Cross led by the family nurse. It was necessary to ask a guide to analyze the vulnerabilities and capabilities of the Red Cross, modified in the first stage. Results: During the post intervention, it was possible to change the vulnerabilities in terms of capacities, favorable changes were present in the knowledge and the number of potential risks significantly decreased in each house. Conclusions: when families are approached with simple and accessible instruments, and with a community group work it is possible to make favorable changes in terms of awareness of the problem in the same place where it emerged. (shrink)

Background: According to Gelfand et al., COVID-19 infection and case mortality rates are closely connected to the strength of social norms: “Tighter” cultures that abide by strict social norms are more successful in combating the pandemic than “looser” cultures that are more permissive. However, countries with similar levels of cultural tightness exhibit big differences in mortality rates. We are investigating potential explanations for this fact. Using data from Germany and Japan—two “tight” countries with very different infection and mortality rates—we examined (...) how differences in socio-demographic and other determinants explain differences in individual preventive attitudes and behaviors. Methods: We compared preventive attitudes and behaviors in 2020 based on real-time representative survey data and used logit regression models to study how individual attitudes and behaviors are shaped by four sets of covariates: individual socio-demographics, health, personality, and regional-level controls. Employing Blinder-Oaxaca regression techniques, we quantified the extent to which differences in averages of the covariates between Japan and Germany explain the differences in the observed preventive attitudes and behaviors. Results: In Germany and Japan, similar proportions of the population supported mandatory vaccination, avoided travel, and avoided people with symptoms of a cold. In Germany, however, a significantly higher proportion washed their hands frequently and avoided crowds, physical contact, public transport, peak-hour shopping, and contact with the elderly. In Japan, a significantly higher proportion were willing to be vaccinated. We also show that attitudes and behaviors varied significantly more with covariates in Germany than in Japan. Differences in averages of the covariates contribute little to explaining the observed differences in preventive attitudes and behaviors between the two countries. Conclusion: Consistent with tightness-looseness theory, the populations of Japan and Germany responded similarly to the pandemic. The observed differences in infection and fatality rates therefore cannot be explained by differences in behavior The major difference in attitudes is the willingness to be vaccinated, which was much higher in Japan. Furthermore, the Japanese population behaved more uniformly across social groups than the German population. This difference in the degree of homogeneity has important implications for the effectiveness of policy measures during the pandemic. (shrink)

Direct realist versions of foundationalism have recently been advocated by Pryor, Huemer, Alston, and Plantinga. DRF can hold either that our foundational observation beliefs are about the simple perceptible qualities of objects, or that our foundational observation beliefs are more complex ones about objects in the world. I will show that whether our observational beliefs are simple or complex, the agent must possess other epistemically significant states in order for these observational beliefs to be justified. These other states are therefore (...) epistemically prior to observation belief, and prevent them from being epistemically foundational. (shrink)

You have not opened the wrong journal!The police have a duty to protect the public and to investigate any, and all, serious crimes. The article by Lynøe and Leijonhufvud raises important issues about the interaction between hospital staff and police in cases in which suggested medical negligence crosses into the arena of serious legal offences, which range from murder and homicide to serious assault.1Although arising in Sweden, the issues raised in this case are generalisable. While our understanding is limited to (...) the journal article there seem several uncontested facts: a children's intensive care doctor was arrested, charged and acquitted of the mercy killing of an infant in a Swedish hospital. The baby had sustained severe brain injury prior to this clinician's involvement, either due to birth asphyxia or to an accidental overdose of salt. The baby died after withdrawal of life-sustaining treatment with parental agreement. At a later stage, the family asked the police to investigate the initial salt incident. Despite the team attending the baby after WLST stating that only a morphine infusion was administered, a 25-day postmortem femoral artery sample showed ‘an extremely high level of thiopentone’ , although no control sample was analysed.Healthcare staff are subject to the laws of their country. However, Lynøe and Leijonhufvud raise the issue of a conflict between what they term ‘soft law’—the rules, regulations and ethics of healthcare practice and the law of the land. …. (shrink)

It is explained on a physical basis how absence of contextuality allows Bell inequalities to be violated, without bringing an implication on locality or realism. Hereto we connect first to the local realistic theory Stochastic Electrodynamics, and then put the argument more broadly. Thus even if Bell Inequality Violation is demonstrated beyond reasonable doubt, it will have no say on local realism, because absence of contextuality prevents the Bell inequalities to be derived from local realistic models.

The main thesis of this article is that Western societies risk becoming Balkanized if they confront the superdiversity issue without sound management of intolerance. The Balkanization process has some essential features that allow the use of this term outside the area of origin (namely the Balkan Peninsula). Thus: It always affects a diverse political unit that comprises an inextricable medley of racial, ethnocultural, religious, ideological, or gender identities. It emerges only where neither the hegemony principle nor the confederacy principle can (...) sustain a divided population’s peaceful coexistence. It entails “antagonistic and conflict-oriented relationships resistant to resolution” between the groups or classes dissociated from a diverse political unit. It increases the density of physical and psychological boundaries between the formerly associated parts. It is perpetuated by the great sponsors of the dissociated parts. Any diverse political unit can enter a process of Balkanization, regardless of its degree of culture and civilization. Balkanization does not have a fatal course. Just as there is no society immune to Balkanization, there is no diverse society doomed to Balkanization. Balkanization can be prevented, checked, stopped, or reversed, depending on society members’ individual and collective actions. To survive, the superdiverse liberal democracies from the Euro-Atlantic area need an agonistic public sphere, where actionable truths emerge from a genuine clash of educated opinions. If intolerance management is the first step in preventing the Balkanization of a superdiverse political unit, promoting social and political tolerance towards all people who express educated opinions is the best starting point to genuine tolerance. The return to Enlightenment rationalism values that underpinned our freedom of thought and expression will help us meet the challenges inherent in current and future superdiversity. By feeding enlightened conversations and debates with genuine, educated opinions, people learn to have tolerance for “unpleasant” pieces of knowledge. Then, they spread general tolerance – as a by-product – across the entire society. (shrink)

In February 1975, a group of leading scientists, physicians, and policymakers convened at Asilomar, California, to consider the safety of proceeding with recombinant DNA research. The excitement generated by the promise of this new technology was counterbalanced by concerns regarding dangers that might arise from it, including the potential for accidental release of genetically modified organisms into the environment. Guidelines developed at the conference to direct future research endeavors had several consequences. They permitted research to resume, bringing to an (...) end the voluntary moratorium that the National Academy of Sciences had instituted several months earlier. They also served to illustrate that the scientific community was capable of self-governance, thereby securing public trust and persuading Congress not to institute legislative restrictions. Finally, they underscored the importance of weighing unforeseen risks inherent in some research against potential benefits that may arise from these same endeavors. (shrink)

In our time, a time of fundamental societal changes associated with the development of the world socialist system, which conditions the progressive course of mankind's social development, the problem of the prevention of war has come to be of immense importance. This problem has not only the greatest practical significance, but also a theoretical, philosophical aspect. The philosophical aspect of this problem is reflected, in the first place, in the fact that some hold the view that a new world (...) war is predestined by history, and represents a fatal inevitability, so that struggle against it is "Utopian." This view denies the possibility of peaceful coexistence among the given countries differing in societal and political systems. Such a position is in irreconcilable contradiction with the teachings of Marxism-Leninism, which stand opposed to the bourgeois conceptions of Karl Jaspers, W. Schmidt, Raymond Aron, G. Wetter, and many others who employ pseudoscientific argumentation to propagate the idea that such peaceful coexistence is impossible. (shrink)

The debate in this issue regarding the Roman Catholic condemnation of the morality of sterilization is puzzling for Protestants. As I will argue the puzzlement arises on two grounds. First, why would anyone object to direct sterilization for the cure or prevention of disease? Second, if one wanted to challenge such an objection on moral grounds why would one turn to medicine to do so? For Christian ethics there is nothing wrong in principle with direct sterilization when there are (...) good reasons for precluding the possibility of an additional pregnancy; and it is a serious theological mistake to treat medicine as an independent moral authority. (shrink)

In 2007, there were 182,479 injury-related deaths in the United States — including homicides, suicides, and unintentional injuries – making injuries the leading cause of death for persons under age 45. Also in 2007, nearly 30 million Americans suffered a non-fatal injury serious enough to warrant hospital treatment. The lifetime cost of fatal and non-fatal injuries occurring in 2000 is estimated to exceed $400 billion.Efforts to prevent injuries have often focused on changes to the built environment or potentially dangerous products (...) to reduce risks. Building safety into a product or environment — especially in ways that require little or no user action to confer protection — is often more effective than trying to change consumer behavior. For example, improving the crashworthiness of cars through design changes such as air bags, fire-resistant fuel systems, or electronic stability programs, is more effective than simply trying to teach operators to become safer drivers. (shrink)

Achieving equity in international research is one of the pressing concerns of the twenty-first century. In this era of progressive globalization, there are many opportunities for the deliberate or accidental export of unethical research practices from high-income regions to low- and middle-income countries and emerging economies. The export of unethical practices, termed “ethics dumping,” may occur through all forms of research and can affect individuals, communities, countries, animals, and the environment. Ethics dumping may be the result of purposeful exploitation (...) but often arises from lack of awareness of good ethical and governance practice. This chapter describes the work of the TRUST project toward counteracting the practice of ethics dumping through the development of tools for the improvement of research governance structures. Multi-stakeholder consultation informs all of TRUST’s developments. Most importantly, this gives voice to marginalized vulnerable groups and indigenous people, who have been equal and active partners throughout the project. At the heart of the TRUST project is an ambitious aim to develop a Global Code of Conduct for Research in Resource-Poor Settings. Uniquely, the Code provides guidance across all research disciplines in clear, short statements, focusing on research collaborations that entail considerable imbalances of power, resources and knowledge and using a new framework based on the values of fairness, respect, care, and honesty. The code was recently adopted by the European Commission as a reference document for Horizon 2020 and Horizon Europe. (shrink)

Kolbe and de Melo-Martin (2023) describe fatal problems in current definitions and measurement of moral distress and injury (MD/I) in medical professionals, which impede development of genuine atte...

It is paradoxical that lead shot and fishing sinkers are still used widely, given society's understanding of lead contamination and avian lead toxicosis. The statutory action taken by governments varies from total bans on both lead products to no regulation of either shot or sinkers. Many government agencies and field sport organisations are reluctant to use the precautionary principle and the polluter pays principle and regulate use of available non-toxic substitutes. The attitudes of individuals towards their roles in environmental lead (...) contamination and remediation reflect marked self-deception about the need for changes and the benefits to be derived from substitution. Fatal lead poisoning of highly symbolic, revered species such as British mute swans and American bald eagles promoted development of national regulations to ban lead shot and fishing weights. Despite the parallels between these countries' reforms, there has been little parity between the banning of lead shot and fishing sinkers. (shrink)

In this rapid commentary, a mini-review is given of the present state-of-knowledge regarding the etiology and epidemiology of the new coronavirus 2019-nCoV and the risks for developing Acute respiratory distress syndrome. The available knowledge on the viral genomics, molecular biology and pathogenicity of viruses of the Coronaviridae family and other Nidovirales, forms a helpful template for understanding the present pandemic outbreak. However, important questions remain unanswered about the underlying mechanism causing the very high case fatality ratios and mechanisms regarding (...) severe reactions like ARDS, fatal cardiac and renal failures, associated with a number of important comorbidity factors. Immunological reactions to lung alveoles in particular in late phase ARDS in SARS-like CoV diseases, so far may not have received enough attention. Finally a shortlist of questions for high priority further research is suggested. (shrink)

Although Hurricane Katrina precipitated considerable reflection across various media, a practice crucial to our capacities to apprehend and interpret the disaster has not yet been analyzed as such. I call this practice generative assembly. I don’t mean the events of emergency and political gathering that took place in response to the massive storm and fatal, preventable levee failures—although I will propose connections between different forms of assembly. Instead I mean a kind of documentary practice. That practice, which can be undertaken (...) individually or in collaboration, and sometimes at anonymous remove, involves the work of assembling records and signifiers related to the disaster into particular kinds of media artifacts. Those artifacts— which take shape in formats as varied as comics, photobooks, paintings, films, exhibitions, and multithousand-item online archives—characteristically maintain the active appearance and interactive potential of selection and arrangement. In exhibiting such qualities, or so I will argue, these assembly-based artifacts support various articulable and often highly effective kinds of generativity. And thus, I will further suggest, these artifacts can constitute especially powerful means of intervening in prevailing conditions of representation and remembrance around events of environmental and social violence. Crucially, those material legacies of generative assembly can also fall short, fail, and deceive, and this is especially true of those assemblies that take digital forms. It is my contention, however, that we would be misguided if we thus entirely dismissed such assemblies or if we refused their potential for dissident reuse or generative reassembly. (shrink)

Preventable childhood injuries and deaths are a major public health problem in the United States. In 2000, the most recent year for which mortality data are available, over 10,000 children from birth to age 18 died from unintentional injuries in the United States and nearly 3,000 from the same age group died from homicide or suicide. According to the Childhood Injury Fact Sheet produced by the Centers for Disease Control and Prevention, “unintentional injuries are the leading cause of death (...) for children one to 21 years of age.”Preventing child fatalities requires further understanding of the causes and circumstances surrounding child deaths. One mechanism for doing this is multidisciplinary child fatality review teams. These teams exist at the state and local level and perform the functions of identifying, reviewing, and recommending preventive measures to reduce the number of preventable child deaths and life-threatening injuries. (shrink)

Those researching HIV prevention measures for people who inject drugs face a dilemma. Regions where baseline HIV prevalence and onward transmission via injecting is sufficiently high to power HIV prevention trials are also those where repressive laws, policies and practices raise concerns about the ethics of research subject protection. Dawson et al, outlining criteria to address ethical challenges in HIV prevention research among PWID, recommend that all trial participants be offered sterile injecting equipment and urge additional strategies (...) to limit research and background risks.1 In light of ethical questions opened by recent clinical trials involving PWID, including several the authors cite favourably, these cautions are timely. Dawson et al urge weighing of costs and benefits of PWID participation in research trials as an essential part of the ethical calculus. Overdose is a particular risk in any trial that uses abstinence from opioids as a precondition for participation or as an outcome of interest, and a risk that institutional review boards and researchers frequently ignore. Given the increased likelihood of fatal overdose for those who return to injection following a period of abstinence, provision to all trial participants of naloxone—the overdose antidote …. (shrink)

With the limited initial availability of COVID-19 vaccines in the first months of 2021, decision-makers had to determine the order in which different groups were prioritized. Our aim was to find out what normative approaches to the allocation of scarce preventive resources were embedded in the national COVID-19 vaccination schedules. We systematically reviewed and compared prioritization regulations in 27 members of the European Union, the United Kingdom, and Israel. We differentiated between two types of priority categories: groups that have increased (...) infection fatality rate (IFR) compared to the average for the general population and groups chosen because their members experience increased risk of being infected (ROI). Our findings show a clear trend: all researched schedules prioritized criteria referring to IFR (being over 65 years old and coexisting health conditions) over the ROI criteria (eg occupation and housing conditions). This is surprising since, in the context of treatment, it is common and justifiable to adopt different allocation principles (eg introducing a saving more life-year approach or prioritizing younger patients). We discuss how utilitarian, prioritarian, and egalitarian principles can be applied to interpret normative differences between the allocation of curative and preventive interventions. (shrink)

Kant holds that when an agent acts contrary to a strict moral requirement, all of the resulting bad consequences are imputable to the agent, whether foreseeable or not. Conversely, no bad consequences resulting from an agent's compliance with duty are imputable. This paper analyzes the underlying rationale of Kant's principles for the moral imputation of bad consequences. One aim is to show how Kant treats imputability as a question for practical reason occurring within the context of first-order moral norms, rather (...) than a causal or metaphysical issue. This is because the actions that are candidates for imputation are those picked out as salient by moral norms, and because what is imputable depends on first determining what an agent's moral requirements are. The basic idea behind Kant's principles is that the subject to whom an action or its consequences are imputed is the agent on whose authority the action is undertaken. Bad consequences of an action are imputable to an agent who violates a moral requirement because, in transgressing the limits on action established by morality, the agent acts "on his own authority". Consequences that are unforeseeable or which occur by accident may be imputed by this general principle on these grounds: though the consequences may not have been foreseeable, since the agent was subject to a moral requirement, he had compelling reason to, and thus could have refrained from the action that led to them. Though Kant's principles are generally plausible once their basis is evident, the possibility of bad consequences that are only accidentally connected to a violation of duty indicates the need to set limits on what is imputable. The paper concludes by suggesting that an outcome resulting from a violation of duty is imputable when the requirement under which the agent stands provides a reason to act in ways that will standardly prevent or avoid outcomes of that general kind. Nach Kant werden dem Handelnden, der eine strikte moralische Pflicht verletzt, die schlechten Folgen dieses seines Verhaltens stets zugerechnet, und zwar unabhängig davon, ob diese Folgen nun vorhersehbar waren oder nicht. Umgekehrt: Schlechte Folgen, die aus einem pflichtgemäßen Verhalten hervorgehen, sind nicht zurechenbar. Der Beitrag untersucht das Konzept, das diesen Kantischen Prinzipien für die moralische Zurechnung schlechter Folgen zugrunde liegt. Ein Ziel ist es dabei zu zeigen, wie Kant Zurechenbarkeit nicht als ein metaphysisches oder als ein Problem der Kausalität behandelt, sondern als eine Frage der praktischen Vernunft, die im Zusammenhang mit den moralischen Normen erster Ordnung auftaucht. Dies deshalb, weil die Relevanz der Handlungen, die für die Zurechnung in Frage kommen, in erster Linie von den moralischen Normen herkommt, und weil, was zurechenbar ist, von der vorherigen Bestimmung dessen abhängt, was die moralischen Pflichten des Handelnden sind. Die Grundidee der Kantischen Prinzipien besteht darin, daß das Subjekt, dem eine Handlung oder deren Folgen zugerechnet werden, als Urheber der Handlung betrachtet werden muß. Schlechte Folgen einer Handlung sind einem Handelnden, der eine Pflicht verletzt, deshalb zuzurechnen, weil der Handelnde mit der Überschreitung der von der Moral gesetzten Grenzen "aus eigener Machtvollkommenheit" handelt. Unvorhersehbare oder zufällig eintretende Folgen können unter Zugrundelegung dieses Prinzips aus folgenden Gründen zugerechnet werden: Obwohl die Folgen nicht vorhersehbar gewesen sein mögen, hatte der Handelnde, da er einer moralischen Pflicht unterworfen war, doch einen zwingenden Grund dafür und deshalb auch die Möglichkeit dazu, von der Handlung Abstand zu nehmen, die zu jenen Folgen geführt hat. Wenn Kants Prinzipien, hat man ihre Grundlagen erst einmal verstanden, im allgemeinen auch plausibel sind, ist es doch so, daß die Möglichkeit von schlechten Folgen, die mit einer Pflichtverletzung nur zufälligerweise verknüpft sind, eine Einschränkung der Zurechnung fordert. Der Beitrag schließt mit dem Vorschlag, einen Erfolg, der aus einer Pflichtverletzung resultiert, nur dann zuzurechnen, wenn die moralische Verpflichtung, der der Handelnde unterworfen ist, einen Grund dafür liefert, so zu handeln, daß die Folgen dieses Typs von Handlung normalerweise verhindert oder vermieden werden. (shrink)

Nipah virus is a priority pathogen that is receiving increasing attention among scientists and in work on epidemic preparedness. Despite this trend, there has been almost no bioethical work examining ethical considerations surrounding the epidemiology, prevention, and treatment of Nipah virus or research that has already begun into animal and human vaccines. In this paper, we advance the case for further work on Nipah virus disease in public health ethics due to the distinct issues it raises concerning communication about (...) the modes of transmission, the burdens of public health surveillance, the recent use of stringent public health measures during epidemics, and social or religious norms intersecting with preventive measures. We also advance the case for further work on Nipah virus disease in research ethics, given ethical issues surrounding potential vaccine trials for a high-fatality disease with sporadic spillover events, the different local contexts where trials may occur, and the potential use of unproven therapeutics during outbreaks. Further bioethics work may help to ensure that research and public health interventions for Nipah virus disease are ethically acceptable and more likely to be effective. (shrink)

Older adults in the United States have been the age group hardest hit by the Covid pandemic. They have suffered a disproportionate number of deaths; Covid patients eighty years or older on ventilators had fatality rates higher than 90 percent. How could we have better protected older adults? Both the popular press and government entities blamed nursing homes, labeling them “snake pits” and imposing harsh fines and arduous new regulations. We argue that this approach is unlikely to improve protections (...) for older adults. Rather than focusing exclusively on acute and critical resources, including ventilators, a plan that respected the best interests of older adults would have also supported nursing homes, a critical part of the health care system. Better access to protective equipment for staff members, early testing of staff members and patients, and enhanced means of communication with families were what was needed. These preventive measures would have offered greater benefit to the oldest members of our population than the exclusive focus on acute care. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Nuclear Power after Fukushima 2011:Buddhist and Promethean PerspectivesGraham ParkesDuring 2010 many environmentalists previously opposed to nuclear power were deciding, in the face of anthropogenic climate change from burning fossil fuels, that the only way to prevent runaway global warming would be to build more nuclear power plants after all.1 There are risks involved—though fewer than with carbon-based sources of energy.2 When one compares the detrimental effects of nuclear power (...) with those of burning fossil fuel, it is clear that the human injury and death toll (not to mention environmental devastation) resulting from the former have been nothing compared to the damage caused by the extraction and consumption of fossil fuels, owing to mining accidents, oil spills, and so forth—not to mention the massive carbon dioxide emissions.On the other hand, the problem of how and where to store the growing amount of radioactive waste from nuclear power plants, which remains deadly for many thousands of years, has yet to be solved. Costly security measures have to be taken to guard against terrorist attacks and theft of materials usable for nuclear devices. When full safety features are included, nuclear power plants become ever more expensive to build, and the costs of insuring them against accidents are so prohibitive that governments have to subsidize them, which they are increasingly unwilling to do.Not long after the explosions and meltdowns at the Fukushima Daiichi nuclear power station in March 2011, two dismal world records were announced: in 2010 we discharged a record amount of carbon dioxide (more than 30 gigatons) into the atmosphere, mainly by burning fossil fuels, and, as a direct consequence, carbon dioxide levels in the atmosphere (as measured at the Earth Systems Research Laboratory in Hawai'i) reached a record level of 395 parts per million. These figures suggest that we are continuing to generate a rise in global average temperatures that is already destroying the livelihoods of millions and will soon jeopardize the lives of hundreds of millions more.As a consequence of the 2011 Fukushima disaster, Japan—long a leading promoter of nuclear power—has begun to enforce some widely neglected safety regulations and is seriously reconsidering its reliance on nuclear energy. China has put construction of [End Page 89] new power plants on hold. Other nations (such as Germany, Italy, Switzerland, Thailand, and Malaysia) have decided to phase out or cancel plans to build more nuclear power stations. Yet the primary motivations remain unclear, since people's attitudes toward the dangers of nuclear radiation are anything but rational—as evidenced by the mass departure of foreigners from Japan after the catastrophe at Fukushima, when health dangers beyond the vicinity of the power station were minimal.In Europe, the reaction to the Fukushima disaster has clearly been aggravated by memories of the catastrophe at Chernobyl in 1986. While Chernobyl was a more widely destructive event than Fukushima, releasing a much greater amount of radioactivity, its effects on human health continue to generate disagreement. According to the third report on the effects of the Chernobyl catastrophe issued by the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR), among the 134 plant staff and emergency workers who suffered acute radiation syndrome (ARS), the condition proved fatal for twenty-eight of them. By 2006 another nineteen ARS survivors died, although their deaths were not directly attributable to the effects of ionizing radiation. Although the report attributes "a substantial fraction" of the six thousand cases of thyroid cancer in people who were children at the time of the accident to their consumption of milk contaminated with iodine-131, only fifteen cases had proved fatal by 2005, some twenty years later.3 The death toll, then, was fewer than fifty.By contrast, a study by a group of scientists from Belarus, Russia, and the Ukraine, Chernobyl: Consequences of the Catastrophe for People and the Environment, estimates the number of deaths attributable to the meltdown at around 980,000—almost twenty thousand times greater than the estimate by the UN scientific committee.4 What are we to make of this vast discrepancy, especially since the UNSCEAR report "was prepared in close cooperation with... (shrink)

Argues that the ethics of killing and saving lives is best described by agent-neutral consequentialism, not by appeal to agent-centred restrictions. It does not follow that killings are worse than accidental deaths or that you should kill one to prevent more killings. The upshot is a puzzle about killing and letting die.

By contributing a few hundred dollars to a charity like UNICEF, a prosperous person can ensure that fewer poor children die, and that more will live reasonably long, worthwhile lives. Even when knowing this, however, most people send nothing, and almost all of the rest send little. What is the moral status of this behavior? To such common cases of letting die, our untutored response is that, while it is not very good, neither is the conduct wrong. What is the (...) source of this lenient assessment? In this contentious new book, one of our leading philosophers argues that our intuitions about ethical cases are generated not by basic moral values, but by certain distracting psychological dispositions that all too often prevent us from reacting in accord with our commitments. Through a detailed look at how these tendencies operate, Unger shows that, on the good morality that we already accept, the fatally unhelpful behavior is monstrously wrong. By uncovering the eminently sensible ethics that we've already embraced fully, and by confronting us with empirical facts and with easily followed instructions for lessening serious suffering appropriately and effectively, Unger's book points the way to a compassionate new moral philosophy. (shrink)

I begin with the story told by Herman Melville in his short novel, Billy Budd.The year is 1797. Britain is engaged in a long and bitter war against France, and the British war effort has been threatened by two naval mutinies: the Nore Mutiny and the mutiny at Spithead. The scene is His Majesty’s Ship, the Indomitable, and the central character is Billy Budd, sailor. Billy Budd is a young man of exceptional beauty, both physical and moral, whose only flaw (...) is a stammer. He is loved by all his fellow sailors except the master-at-arms, John Claggart. The incarnation of evil, Claggart recognises in Billy the incarnation of goodness, and is consumed by a jealousy which leads him to accuse Billy (falsely) of inciting the crew to mutiny. Alone with Claggart and the ship’s Captain, Edward Vere, Billy hears the lying charge against him. He is enraged, but his stammer prevents him from responding in words. He strikes Claggart, and the blow is fatal. Billy Budd, sailor, has killed the master-at-arms of one of His Majesty’s ships on active service, and the penalty for this is death. (shrink)

Genome editing holds the promise of revolutionizing many fields in which human interventions have hitherto proved to be insufficient to meet major global challenges, like nutrition and environmental protection. However, it is controversial how far this method might also be applied to the human germline with a view to preventing the transmission of serious genetic diseases to offspring. While there is a near-consensus that genome editing, at the present stage of science, should not be applied clinically, it is unclear whether (...) this also extends to clinically oriented research. It is argued that among the arguments against interventions in the human germline there is only one that is sufficiently strong to be practically relevant: The argument that it is doubtful whether the challenge of off-target effects with potentially fatal health consequences can be met. Since nearly all objectives of human germline genome editing can be attained by PGD, there are good grounds for directing clinically oriented research toward the improvement of this alternative method, which has been proven to be without substantial risks and which involves no ethical problems over and above those involved in genome editing. (shrink)

Philosophical debate about the problem of evil derives, in part, from differing definitions of almighty power or omnipotence. Modern atheists such as John McTaggart, J. L. Mackie, Earl Condee, and Danny Goldstick maintain that an omnipotent God must be able to accomplish anything, even if it entails a contradiction. On this account, the Christian God cannot be omnipotent and benevolent, for a benevolent, omnipotent God would have forced free agents to desist from evil and this prevented the introduction of suffering (...) into the world. It does not matter if the idea of creating free agents that were forced to be good entails a contradiction. On this account, a God who is truly omnipotent can perform contradictory feats.In this paper, I argue that the atheistic tradition is mistaken. In the first place, even an absolutely omnipotent God could, as an act of benevolence, create a world in which there is suffering. In the second place, I argue that the concept of absolute omnipotence is fatally flawed. An absolutely omnipotent God would lack, in a decisive sense, power. He would be weak rather than strong. So the atheist's argument fails when it is evaluated in light of a more rational account of omnipotence and when it is carefully considered on its own terms. (shrink)

This essay investigates the structure of fiduciary obligations, specifically the obligation of loyalty. Fiduciary obligations differ from promissory obligations with respect to the possibility of “accidental compliance.” Promissory obligations can be satisfied through behavior that conforms to a promise, even if that behavior is done for inappropriate reasons. By contrast, fiduciary loyalty necessarily has an intentional dimension, one that prevents satisfaction through accidental compliance. The intentional dimension of fiduciary loyalty is best described by what we call the “shaping” (...) account. This account both explains the conscientiousness that loyalty demands and improves on other accounts of the intentional dimension of loyalty. Our analysis challenges two of the most prominent ways of conceptualizing fiduciary obligations. “Contractarianism” configures fiduciary obligations as a species of contractual duties. The view that we call “proscriptivism” reduces fiduciary obligations to the juridical prohibitions that apply to fiduciaries. Neither of these approaches is satisfactory, because each neglects the intentional dimension of fiduciary loyalty. (shrink)

By contributing a few hundred dollars to a charity like UNICEF, a prosperous person can ensure that fewer poor children die, and that more will live reasonably long, worthwhile lives. Even when knowing this, however, most people send nothing, and almost all of the rest send little. What is the moral status of this behavior? To such common cases of letting die, our untutored response is that, while it is not very good, neither is the conduct wrong. What is the (...) source of this lenient assessment? In this contentious new book, one of our leading philosophers argues that our intuitions about ethical cases are generated not by basic moral values, but by certain distracting psychological dispositions that all too often prevent us from reacting in accord with our commitments. Through a detailed look at how these tendencies operate, Unger shows that, on the good morality that we already accept, the fatally unhelpful behavior is monstrously wrong. By uncovering the eminently sensible ethics that we've already embraced fully, and by confronting us with empirical facts and with easily followed instructions for lessening serious suffering appropriately and effectively, Unger's book points the way to a compassionate new moral philosophy. (shrink)

The paper provides a new argument against the classical invariance criterion for logical terms: if all terms with a permutation invariant extension qualify as logical, then for any arbitrary true contingent sentence K of the meta-language, there would be a logically true object-language sentence 'φ' such that K follows from the sentence 'φ is true'. Thus, many logically true sentences would be a posteriori. To prevent this fatal consequence, we propose to alter the invariance criterion: not only the term's extension, (...) but also its semantic clause must satisfy certain invariance conditions. The paper ends with the observation that the new criterion makes explicit the dependency of the classification of terms into logical and non-logical ones at the different levels of the Tarskian hierarchy of languages. (shrink)

As of the end of October 2020, the cumulative number of confirmed cases of COVID-19 has exceeded 45 million and the cumulative number of deaths has exceeded 1.1 million all over the world. Faced with the fatal pandemic, countries around the world have taken various prevention and control measures. One of the important issues in epidemic prevention and control is the assessment of the prevention and control effectiveness. Changes in the time series of daily new confirmed cases (...) can reflect the impact of policies in certain regions. In this paper, a smooth transition autoregressive model is applied to investigate the intrinsic changes during the epidemic in certain countries and regions. In order to quantitatively evaluate the influence of the epidemic control measures, the sequence is fitted to the STAR model; then, comparisons between the dates of transition points and those of releasing certain policies are applied. Our model well fits the data. Moreover, the nonlinear smooth function within the STAR model reveals that the implementation of prevention and control policies is effective in some regions with different speeds. However, the ineffectiveness is also revealed and the threat of a second wave had already emerged. (shrink)

John Gray, much influenced by Isaiah Berlin and building on work by the late John Rees and the late Fred Berger, has recently stated three ‘fatal’ objections which virtually all analysts seem to find persuasive against John Stuart Mill's classic doctrine of liberty. First, Gray thinks it ‘an obvious objection to Mill's project that conceptions of harm vary with competing moral outlooks, so that no Principle of Liberty whose application turns on judgements about harm can expect to resolve disputes between (...) exponents of opposed moral perspectives’. Even if we overlook Mill's strange silence in the matter and supply him with a reasonable definition of harm, it remains clear that the liberty principle ‘is not, and cannot be, the very simple principle Mill sought’. For ‘Mill's principle is in its very nature radically incomplete. It tells us what we may not do, but not what we ought to do.’ To know when liberty should in fact be restrained, ‘we must look to other principles—chiefly the Principle of Utility itself’. But if general utility alone can ‘tell us how much liberty may be given up for how much harm-prevention’, then ‘there can be no question of adherence to [an] exceptionless principle such as Mill's Principle of Liberty’. Thus, even if we believe that Mill's version of utilitarianism is coherent, his judgements about the regulation of conduct must depend on a highly complex and controversial moral doctrine. (shrink)

When more scientists describe independently the same species under different valid Latin names, a case of synonymy occurs. In such a case, the international nomenclature rules stipulate that the first name to appear on a peer-reviewed publication has priority over the others. Based on a recent episode involving priority determination between two competing names of the same fungal plant pathogen, this letter wishes to open a discussion on the ethics of scientific publications and points out the necessity of a correct (...) management of the information provided through personal communications, whose traceability would prevent their fraudulent or accidental manipulation. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 39.3 (2001) 351-383 [Access article in PDF] Hume's Pyrrhonian Skepticism and the Belief in Causal Laws Graciela De Pierris Hume endorses in no uncertain terms the normative use of causal reasoning. The most striking example of this commitment is Hume's argument in the Enquiry against the possibility of miracles. The argument sanctions, in particular, the use of scientific reflection on uniform experience issuing (...) in causal laws of nature (E 114): "A miracle is a violation of the laws of nature; and as a firm and unalterable experience has established these laws, the proof against a miracle, from the very nature of the fact, is as entire as any argument from experience can possibly be imagined." 1 These words should give us pause; for how can Hume so confidently say, after his skeptical conclusions concerning our causal beliefs, that "a firm and unalterable experience has established" the laws of nature, and that we can therefore produce "proofs" against miracles? The Treatise gives rise to the same puzzle. In this text, too, Hume confidently prescribes methodical reflection based on causal reasoning. For example, in Book One, Part Three, Section Fifteen, Hume offers eight "Rules by which to judge of causes and effects." These rules are more than descriptions of our natural causal inferences. They are meant to guide us in making better causal inferences; in Hume's words they "ought to regulate" our probable reasoning since (T 149): "by them we learn to distinguish the accidental circumstances from the efficacious causes." 2Moreover, Hume consistently takes Newtonian science as a model for the proper employment of causal inferences in inquiries into matters of fact and, [End Page 351] in particular, as a model to be followed in his own science of human nature. 3 This paradigm of what the science of nature ought to be is understood by Hume as an inductive, experimental inquiry. 4 In the Enquiry, for example, Hume uses the label "sciences" for "politics, natural philosophy, physic, chemistry, &c." and in the preceding discussion argues that these sciences are not a priori but are based on causal reasoning (E 164-165). Thus, there are for Hume inquiries into matters of fact and existence that amount to more than blindly following natural propensities and habit. The sciences and many of our causal inferences in common life involve more than mere belief as a sentiment. They involve, in addition, careful reflection that results in improved causal inferences and thus provides normative standards. Yet, in thus upholding the normative use of causal reasoning in science and in everyday life, Hume appears to contradict his own radical skeptical conclusions concerning our knowledge of causation and induction. I here propose a novel way to resolve this puzzle.To acknowledge the existence of a puzzle, however, amounts to accepting the now controversial view that Hume provides, and takes at face value, a radical skeptical argument concerning our knowledge of causation and induction. 5 Moreover, the attempt to resolve this puzzle involves rejecting the suggestion [End Page 352] that Hume, without awareness or concern, happily holds flatly inconsistent views. 6 It also goes against the more sophisticated suggestion that Hume lightly alternates among different psychological moods, or perhaps different perspectives, which might eventually issue in results that contradict each other but are sufficiently localized so as to prevent serious conflict. Such a view might lead us to conceive Hume's texts as an unstructured and arbitrary patchwork of reflections, driven by different psychological moods or by the embellishments of a radiant literary style. This kind of reading is unacceptable as an interpretative tool, however, as H. J. Paton has acutely noted in his criticism of the patchwork interpretation of Kant's Critique of Pure Reason. 7 For such a reading would place no constraints at all on the task of establishing which parts of Hume's text belong to which moods or perspectives. The suggestion that Hume offers an unstructured patchwork of reflections masks the novel and systematic distinction Hume draws between his radical philosophical... (shrink)

The article is a review of the Alexey Antipov’s book “Suicide and euthanasia: history and modernity”. The review shows how, from the fundamental scientific analysis of the phe­nomenon of suicide outlined in the monograph, the author deduces two main trends: sec­ularization and medicalization. Both imply the further liberalization of society’s attitude towards it. An analysis of the process of suicide medicalization demonstrates how the nat­ural scientific view of it first led to the practice of prevention, and then began to (...) allow medical assistance in ending life. This view has manifested itself in two phenomena: euthanasia and physician-assisted suicide. If in the first case, assistance in ending life is carried out by a physician through deliberate intervention, then in the second, the physi­cian only indicates a means of taking life, leaving the suicider the choice to use it inde­pendently. The book shows that both phenomena emerged as an attempt to prevent spon­taneous individual suicide and place it within the framework of rational practice carried out under the supervision of competent persons. But the fact that, due to the legalization of euthanasia in some countries, medicine has become complicit in justifying deaths, fa­tally destroys the focus of medicine itself on protecting the value of life. (shrink)

The transmission of cholera, a highly infectious disease, is closely linked to inadequate access to clean water and sanitation facilities, with resource-poor communities, including refugees, rural communities and temporary displacement camps particularly vulnerable to outbreaks. Any disruption in water and sanitation systems or a sudden surge in community size owing to displacement can spark a humanitarian and health crisis, elevating the risk of cholera transmission and possibly triggering a regional epidemic. Recently, Hammanskraal in Gauteng, South Africa, experienced such an epidemic. (...) A multifaceted approach is essential to minimise fatalities and effectively manage healthcare services in such health emergencies. This approach includes early detection, rapid response to contain outbreaks, and the effective deployment of technical support, advocacy, resource mobilisation and partnerships at local, national, and international levels. This paper explores the responsibilities of individuals, healthcare workers, communities and governments in addressing epidemics. It also delves into the concept of collective responsibility with regard to climate change and cholera, as part of the multifaceted approach for cholera prevention and control. While economic development, equal access to safe drinking water, and adequate sanitation are necessary for cholera control, major challenges persist in achieving the fundamental right to a healthy environment in the long term. We also discuss these obstacles and conclude with practical suggestions and recommendations for future cholera prevention. (shrink)

In a recent article in this journal, Kowalik argues that compulsory vaccination unjustifiably infringes on the autonomy of vaccine refusers. While accepting Kowalik’s central premises, we argue that, when appropriately expanded in scope, autonomy considerations do not undermine the justifiability of compulsory vaccination. Vulnerable individuals—including the very old, the very young and those with compromised immune systems—face an omnipresent risk of contracting a potentially fatal vaccine-preventable illness and are thus prevented from accessing public goods by coercive pressure. Consequently, when we (...) consider an appropriately broad scope of autonomy constraints, autonomy considerations do not undermine the case for mandating vaccination. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:149. RELATIVE IDEAS REJECTED Hume's claim that ideas copy impressions seems to provide prima facie evidence for the interpretation that he also believed that all thought is restricted to images. Clearly such a view would be fatal to Hume's epistemological framework for at least two reasons. The first reason is quite simply that images are not a necessary element for thought, since we rarely think in images or pictures. (...) The second reason is that the imagistic interpretation prevents the possibility of universal a priori knowledge; since images only represent particulars they can never permit the inference from knowledge of particular instances to knowledge of universal cases. Yolton's paper, "Hume's Ideas", is a valiant effort to save Hume from the crippling imagistic interpretation. Although Yolton presents a reading of the Treatise that might avoid this interpretation, he fails to provide a sufficiently detailed account of any one counter-example to the imagistic view of Hume. However, such a counter-example has been worked out in Flage's 2 recent paper "Hume's Relative Ideas". Although the search for non-picturable ideas in Hume's system, and subsequent destruction of the imagistic interpretation is an admirable path for investigation, I intend to show that Flage's attempt to produce a Humean theory of non3 picturable "relative" ideas is entirely misguided. I shall argue that Flage has produced a theory without application in Hume's framework, a theory actually based on a distinction between relative ideas and relations of ideas, that Hume never intends. Flage argues that Hume has a theory of relative ideas, and that the application of this theory can produce intelligible concepts of essentially imperceptible 150. objects. A relative idea is obtained by an inference, of sorts, from the relations of ideas obtained from impressions; or in Flage' s words, a relative idea "singles out an unperceived entity on the basis of its relations to a perceived entity, i.e. a positive [picturable] idea" (HS 56). Flage admits that "Hume often regarded epistemic claims based upon relative ideas with at least a modicum of scepticism" (HS 55). He also realizes that no such theory of relative ideas can be used to justify ontological claims of the unperceivable objects (HS 63), but that "the doctrine of relative ideas at least accounts for the intelligibility of various concepts" (HS 59). Flage applies the theory of relative ideas to three concepts that Hume discusses in an effort to demonstrate how this theory can make these concepts intelligible. The three concepts are substratum, the missing shade of blue, and the idea of a thousandth part of a grain of sand; however, Flage fails to realize that Hume successfully argues against the intelligibility of these concepts. I shall present the arguments that Hume gives to show that Flage' s theory of relative ideas does not apply in the cases he argues for. Hopefully this will show that Flage has created a theory that lacks application; however, this is not Flage' s only failing. "Relative" ideas are obtained from relations of ideas (HS 56), and by this description Flage has implicitly distinguished between Hume's use of "relative" and the philosophical "relations of ideas!', a distinction that Hume never intends. In the latter part of this paper I shall show that Hume uses "relative" to refer to the relations of ideas, and that Flage has simply located and produced a theory on the basis of a distinction that has no real difference. In the discussion of substance, Flage correctly points out that Hume distinguishes three definitions of substance in the fourth part of book I of the Treatise (HS 63-4). 151. Flage also correctly points out that at least two of these definitions are unintelligible (HS 64). The definition of substance, as an autonomous object that is distinct from dependent qualities, fails to properly 4 distinguish substance from qualities (T 233), and substance defined as the "subject of inhesion" fails because there is no empirical evidence to justify the claim that qualities inhere in a substance J(T 234). However, Flage incorrectly argues that Hume asserts that the idea of substance as "the entity that is simple and identical through time... (shrink)

The work argues that the koans of Zen Buddhism have several intriguing non-accidental parallels with the short stories of Catholic author Flannery O'Connor. Both typically portray characters in a state of non-enlightenment in which they are egoistically obsessed with something which prevents them from perceiving and properly responding to the real world around them. Both present the characters with some opportunity for enlightenment, which they may or may not take up. Both come in a variety of forms, in order (...) to portray and address a rich variety of ways in which such obsessions become obstacles to human self-understanding and fulfillment. And both are ultimately presented for the sake of the listener or reader, who may recognize in the stories parallels to their own state, and perhaps take a lesson therefrom on their own journey towards what Zen calls enlightenment, or what Christians call grace. (shrink)

People for the Ethical Treatment of Animals (PETA) called for a ban on mulesing in the Australian sheep industry in 2004. Mulesing is a surgical procedure that removes wool-bearing skin from the tail and breech area of sheep in order to prevent flystrike (cutaneous myiasis). Flystrike occurs when flies lay their eggs in soiled areas of wool on the sheep and can be fatal for the sheep host. PETA claimed that mulesing subjects sheep to unnecessary pain and suffering and took (...) action against the Australian wool industry that resulted in a number of international clothing retailers choosing not to use Australian wool. Although the Australian sheep industry agreed to phase out mulesing in 2010, there is some uncertainty as to whether this deadline will be achieved. The changing social ethic towards animal welfare suggests that the way the Australian sheep industry manages the phase out of mulesing in 2010 is vital to its future survival and success. It is likely that if mulesing does not cease in 2010 there will be a negative market reaction to Australian wool and the risk of legislation to ban mulesing. To avoid losing control of its animal welfare strategy, the Australian sheep industry should ensure that mulesing is phased out in 2010 and endorse the animal welfare ethic underpinning this change. The industry should also educate farmers and other industry stakeholders in how the changing social ethic for animal welfare can create new market opportunities for wool. (shrink)