ABSTRACT:Psychedelic substances have great promise for the treatment of many conditions, and they are the subject of intensive research. As with other medical treatments, both research and clinical use of psychedelics depend on our ability to ensure informed consent by patients and research participants. However, some have argued that informed consent for psychedelic use may be impossible, because psychedelic experiences can be transformative in the sense articulated by L. A. Paul (2014). For Paul, transformative experiences involve either the acquisition of (...) knowledge that cannot be obtained in any other way or changes in the self. Either of these characteristics may appear to undermine informed consent. This article argues, however, that there is limited evidence that psychedelic experiences are transformative in Paul's sense, and that they may not differ in their transformative features from other common medical experiences for which informed consent is clearly possible. Further, even if psychedelic experiences can be transformative, informed consent is still possible. Because psychedelic experiences are importantly different in several respects from other medical experiences, this article closes with recommendations for how these differences should be reflected in informed consent processes. (shrink)

Hastings Center Report, Volume 52, Issue 3, Page 9-17, May–June 2022.

Over the course of human life, health care decision‐making is often interdependent. In this article, we use “interdependence” to refer to patients’ engagement of nonclinicians—for example, family members or trusted friends—to reach health care decisions. Interdependence, we suggest, is common for patients in all stages of life, from early childhood to late adulthood. This view contrasts with the common bioethical assumption that medical decisions are either wholly independent or dependent and that independence or dependence is tightly coupled with a person's (...) decision‐making capacity. In this article, we array various approaches to decision‐making along a continuum of interdependence. An appreciation of this continuum can empower patients and elucidate ethical challenges that arise when people transition between different kinds of interdependence across the life span. (shrink)

Background Moral distress was first described by Jameton in 1984, and has been defined as distress experienced by an individual when they are unable to carry out what they believe to be the right course of action because of real or perceived constraints on that action. This complex phenomenon has been studied extensively among healthcare providers, and intensive care professionals in particular report high levels of moral distress. This distress has been associated with provider burnout and associated consequences such as (...) job attrition, with potential impacts on patient and family care. There is a paucity of literature exploring how middle and late career healthcare providers experience and cope with moral distress. Objectives We explore the experience of moral distress and the strategies and resources invoked to mitigate that distress in mid- and late-career healthcare providers practicing in paediatric intensive care, in order to identify ways in which the work environment can build a culture of moral resilience. Research design An exploratory, qualitative quality improvement project utilizing focus group and semi-structured interviews with pediatric intensive care front-line providers. Participants Mid-and-later career (10 + years in practice) pediatric intensive care front line providers in a tertiary pediatric hospital. Research context This work focuses on paediatric intensive care providers in a single critical care unit, in order to explore the site-specific perspectives of health care providers in that context with respect to moral distress coping strategies. Ethical considerations The study was approved by the Quality Management Office at the institution; consent was obtained from participants, and no identifying data was included in this project. Findings Participants endorsed perspective-building and described strategies for positive adaptation including; active, reflective and structured supports. Participants articulated interest in enhanced and accessible formal supports. Discussion Findings in this study resonate with the current literature in healthcare provider moral distress, and exposed ways in which the work environment could support a culture of moral resilience. Avenues are described for the management and mitigation of moral distress in this setting. Conclusion This exploratory work lays the groundwork for interventions that facilitate personal growth and meaning in the midst of moral crises in critical care practice. (shrink)

In Being and Worth Andrew Collier argues that beings both in the natural and human worlds have worth in themselves, whether we recognize it or not. He builds on recent work in critical realism to provide a reassessment of Spinoza's philosophy of mind and ethics. Conclusions are developed with particular reference to environmental ethics.

Here is a question as intriguing as it is brief: what are we? The animalist’s answer is equal in brevity: we are animals. This stark formulation of the animalist slogan distances it from nearby claims—that we are essentially animals, for example, or that we have purely biological criteria of identity over time. Is the animalist slogan—unburdened by modal or criterial commitments—still interesting, though? Or has it lost its bite? In this article we address such questions by presenting a positive case (...) for the importance of animalism and applying that case to recent critiques. (shrink)

There are questions about how ethics is best taught to undergraduate business students. There has been a proliferation in the number of stand-alone ethics courses for undergraduate students but research on the effectiveness of integrated versus stand-alone mode of delivery is inconclusive. Christensen et al. :347–368, 2007), in a comprehensive review of ethics, corporate social responsibility and sustainability education, investigated how ethics education has changed over the last 20 years, including the issue of integration of these topics into the core (...) course offerings. We use Brenner and Molander’s :57–71, 1977) situational ethics survey instrument to examine the effect of the mode of delivery of business ethics education on undergraduate student responses. We found a significant difference on mode of delivery. Studies have also found interesting results in respect of the effect of cultural differences and gender on the effectiveness of business ethics instruction. While not the primary focus of this study, we also looked at the influence of gender and culture on students’ responses. Our results indicate significant differences in respect of mode of delivery and culture. In contrast to other studies, we found that gender was not significant. We did test for any interactive effects of gender, culture and mode of delivery. However, no significant differences were found. (shrink)

Contemporary philosophical debates surrounding toleration have revolved around three issues: What is toleration? Should we tolerate and, if so, why? What should be tolerated? These questions are of central importance to social and political thought.

This article discusses the relationship between a deconstructivist method in science and technology studies and the more recent moves towards a reconstructivist engagement with science and science policy making. Drawing on examples from the author's own research, the article identifies three forms of engagement and their relative utility and limitations. The article argues that these are typical of STS work that seeks direct engagement with science policy making and which could form the basis for a more "serviceable STS" that retains (...) its critical and independent perspective on science. The paper concludes by arguing that the analysis has important implications for the ways in which STS expertise can articulate with science policy making. (shrink)

Volume 52, Issue 8, July 2020, Page 811-815.

Those who endorse the free energy principle as a theory of cognition are committed to three propositions that are jointly incompatible but which will cohere if one of them is denied. The first of these is that the free energy principle gives us a self-sufficient explanation of what all cognitive systems consist in: a specific computational architecture. The second is that all adaptive behavior is driven by the free energy principle and the process of model-based inference it entails. The third (...) is that cognition is not ubiquitous. These three incompatible propositions together comprise a problem of scope for the free energy principle as a theory of cognition. The prospects for rejecting each of these propositions are considered. To drop either the first or the second would limit the explanatory success of the principle. However, there are plausible ways to bite the bullet on denial of the third proposition. In particular, I argue that it is possible f... (shrink)

In this article, I focus on internal dimensions of moral responsibility. I argue that if such dimensions are real -- and it seems they are -- then moral responsibility is compatible with determinism.

This article argues that Gilbert Simondon’s philosophy of technology is useful for both science and technology studies and critical theory. The synthesis has political implications. It offers an argument for the rationality of democratic interventions by citizens into decisions concerning technology. The new framework opens a perspective on the radical transformation of technology required by ecological modernization and sustainability. In so doing, it suggests new applications of STS methods to politics as well as a reconstruction of the Frankfurt School’s “rational (...) critique of reason.”. (shrink)

This article provides an overview of recent developments in solving the timing problem (discreteness vs. continuity) in cognitive neuroscience. Both theoretical and empirical studies have been considered, with an emphasis on the framework of Operational Architectonics (OA) of brain functioning (Fingelkurts and Fingelkurts, 2001, 2005). This framework explores the temporal structure of information flow and interarea interactions within the network of functional neuronal populations by examining topographic sharp transition processes in the scalp EEG, on the millisecond scale. We conclude, based (...) on the OA framework, that brain functioning is best conceptualized in terms of continuity-discreteness unity which is also the characteristic property of cognition. At the end we emphasize where one might productively proceed for the future research. (shrink)

'Becoming Who We Are' clarifies the political and existential aspects of Stanley Cavell's understanding of ordinary language and of skepticism, and shows the close connection between his reception of Kant, Heidegger, and Austin and his exploration of what Emersonian Perfectionism offers to democracy and modern life.

Friedrich Schleiermacher is best known as the ''father of liberal Protestant theology,'' largely on the strength of his massive work of systematic theology, The Christian Faith. In this book, Andrew Dole presents a new account of Schleiermacher's theory of religion. Dole argues that Schleiermacher integrates the individualistic side of religion with a set of claims about its social dynamics, and that this takes place within a broader understanding of all events in the world as the product of a universal, (...) law-governed ''causal nexus.''. (shrink)

This article provides an overview of the analysis of technological zones. A technological zone can be understood as a space within which differences between technical practices, procedures and forms have been reduced, or common standards have been established. Such technological zones take broadly one of three forms: (1) metrological zones associated with the development of common forms of measurement; (2) infrastructural zones associated with the creation of common connection standards; and (3) zones of qualification which come into being when objects (...) and practices are assessed according to common standards and criteria. The article argues that technological zones can have more or less clear borders, but such borders increasingly do not correspond to the borders of nation-states. Through a discussion of the global oil industry, some of the ways in which the formation of technological zones has become critical to contemporary economic and political life are examined. (shrink)

In recent years, and especially in the wake of Barack Obama's reelection, projections that whites will soon become a minority have proliferated. In this essay, I will argue that such predictions are misleading at best, as they rest on questionable philosophical presuppositions, including the presupposition that racial concepts like ‘whiteness’ are static and unchanging rather than fluid and continually being reconstructed. If I am right about these fundamental inaccuracies, one must wonder why the myth of the white minority persists. I (...) will argue that by reenvisioning whites as a minority culture struggling against a hostile dominant group, and by promoting white solidarity as a response to a crisis, such predictions actually serve to defend and legitimize white supremacy. (shrink)

Critical care society guidelines recommend that ethics committees mediate intractable conflict over potentially inappropriate treatment, including Do Not Resuscitate status. There are, however, limited data on cases and circumstances in which ethics consultants recommend not offering cardiopulmonary resuscitation despite patient or surrogate requests and whether physicians follow these recommendations. This was a retrospective cohort of all adult patients at a large academic medical center for whom an ethics consult was requested for disagreement over DNR status. Patient demographic predictors of ethics (...) consult outcomes were analyzed. In 42 of the 116 cases, the patient or surrogate agreed to the clinician recommended DNR order following ethics consultation. In 72 of 74 of the remaining cases, ethics consultants recommended not offering CPR. Physicians went on to write a DNR order without patient/surrogate consent in 57 of those cases. There were no significant differences in age, race/ethnicity, country of origin, or functional status between patients where a DNR order was and was not placed without consent. Physicians were more likely to place a DNR order for patients believed to be imminently dying. The median time from DNR order to death was 4 days with a 90-day mortality of 88.2%. In this single-center cohort study, there was no evidence that patient demographic factors affected ethics consultants’ recommendation to withhold CPR despite patient/surrogate requests. Physicians were most likely to place a DNR order without consent for imminently dying patients. (shrink)

James F. Drane: A Liberal Catholic Bioethics. Muenster, DE: Lit Verlag. 2010, 290 Pages Content Type Journal Article Category Book Review Pages 771-774 DOI 10.1007/s11406-011-9319-4 Authors Andrew Papanikitas, Department of Education and Professional Studies, King’s College London, Strand Campus, London, WC2R 2LS UK Barbara Prainsack, Kings Institute of Social Science and Public Policy, King’s College London, Strand Campus, London, WC2R 2LS UK Journal Philosophia Online ISSN 1574-9274 Print ISSN 0048-3893 Journal Volume Volume 39 Journal Issue Volume 39, Number 4.

Recent years have seen an explosion of interest in the field of ‘art-science’ collaborations for their perceived capacity to develop new cultural understandings of technology and science. In this article, and through an engagement with the philosophy of Gilbert Simondon, I argue that if art-science represents an important site for the formation of an alternate technical culture today, then it is because of the new technical mentalities that such practices might cultivate. Here, creating a new technical mentality is more than (...) just a representational concern with enhancing ‘public awareness’ of technology, instead referring to more material transformations in our embodied capacities for perceiving and affectively engaging with technologies. I flesh this potential out through an encounter with work of Art Orienté objet, whose art-science collaborations challenge the anthropocentric and utilitarian mentalities of contemporary bioscience through explorations of the transindividual conditions of human embodiment and its material immersion within nonhuman ecologies. (shrink)

A three-cornered dispute about God and nature Content Type Journal Article DOI 10.1007/s11016-010-9481-5 Authors Andrew Pyle, Department of Philosophy, University of Bristol, 9 Woodland Rd, Bristol, BS8 1TB UK Journal Metascience Online ISSN 1467-9981 Print ISSN 0815-0796.

The concept of personhood has outlived its usefulness for bioethics, says Jennifer Blumenthal-Barby (2024). The concept of personhood has been important to the bioethics literature from fairly earl...

Concerned with the possibilty of a postmodern ethics of reading. Each chapter discusses a particular aspects of Levina's thought and also contained detailed analysis of particular texts.

An understanding of what we mean by the present is one of the key issues in literature, philosophy, and culture today, but also one of the most neglected and misunderstood. _Present Hope_ develops a fascinating philosophical understanding of the present, approaching this question via discussions of the nature of historical time, the philosophy of history, memory, and the role of tragedy. Andrew Benjamin shows how we misleadingly view the present as simply a product of chronological time, ignoring the role (...) of history and memory. Accordingly, discussion of what is meant by the present disappears from philosophical concern. To draw attention to this absence, Andrew Benjamin introduces the notion of hope and asks what this concept can tell us about the present. At the heart of the outstanding work is an emphasis on the relation between hope and the Jewish tradition. Through discussions of philosophical responses to the Holocaust, the work of Walter Benjamin, Daniel Libeskind's Jewish Museum, and the poetry of Paul Celan, _Present Hope_ shows how we must look beyond the purely philosophical horizon to understand the present we live in. (shrink)

This article explores the relationship between religious and philosophical thought, taking the kindred approaches of Anselm and Hegel as illustrations of one particular approach to the issue. It is argued that both thinkers employ a “logic of unity” which tends to subordinate the religious to the philosophical. The most important result of this approach, for the purposes of this paper, is the blurring of the distinction between the human and the divine. The logic of unity, whichultimately implies the “unity” of (...) the human and divine, renders the traditional understanding of God’s mystery problematic. Yet, while Hegel is comfortablewith this eradication of mystery, Anselm proceeds to offer a somewhat cryptic argument for divine mystery, which nevertheless respects the logic of unity towhich he adheres. (shrink)

Questions concerning the legacy of Hegel have haunted philosophy for some time. These questions concern not just Hegel but the idea of a legacy in general. In this essay, I will ask why Hegel in particular should have occasioned philosophical reflection on the concept of a legacy. Section One begins from Lawrence Stepelevich’s assessment of how the Young Hegelians, especially Max Stirner, saw themselves in relation to the Hegelian legacy. This assessment is used as a backdrop for contrasting Jacques Derrida’s (...) and Benedetto Croce’s questions concerning the Hegelian legacy. Section Two draws a connection between the way Hegel treats the legacy of the Greek ideal in art and Sigmund Freud’s distinction between mourning and melancholia. This connection is used to draw certain conclusions about what exactly makes a legacy in general problematic. Section Three suggests a way in which these conclusions might be used to negotiate an impasse in contemporary continental philosophy. (shrink)