A 10 year-old child requires an esophagogastroduodenoscopy (EGD). One of the child’s parents is requesting an unsedated esophagogastroduodenoscopy, citing their experiences in a different country and concerns about anesthetic medications. The child is assenting to the procedure. The patient previously had multiple sedated EGDs without complications. Concerns are raised by the anesthesia, GI, and operating room teams about the ethics and child safety of performing an unsedated EGD, given this is not the typical standard of care at the performing hospital. (...) In this paper we analyze prior literature and ethical principles, and explore whether unsedated EGD with appropriate monitoring is an ethically acceptable alternative to sedated EGD in this instance. (shrink)

To examine the ethical duty to patients and families in the setting of the resuscitation bay, we address a case with a focus on providing optimal care and communication to family members. We present a case of nonsurvivable traumatic injury in a minor, focusing on how allowing family more time at the bedside impacts the quality of death and what duty exists to maintain an emotionally optimal environment for family grieving and acceptance. Our analysis proposes tenets for patient and family-centric (...) care that, in alignment with trauma-informed care principles, optimize the long-term well-being of the family, namely valuing family desires and sensitivity to location. (shrink)

This volume provides a guide to the discussion among biologists and philosophersabout the role of concepts such as function and design in an evolutionary understanding oflife.

As arti® cial intelligence moves ever closer to the goal of producing fully autonomous agents, the question of how to design and implement an arti® cial moral agent (AMA) becomes increasingly pressing. Robots possessing autonomous capacities to do things that are useful to humans will also have the capacity to do things that are harmful to humans and other sentient beings. Theoretical challenges to developing arti® cial moral agents result both from controversies among ethicists about moral theory itself, and from (...) computational limits to the implementation of such theories. In this paper the ethical disputes are surveyed, the possibility of a `moral Turing Test ’ is considered and the computational di culties accompanying the diŒerent types of approach are assessed. Human-like performance, which is prone to include immoral actions, may not be acceptable in machines, but moral perfection may be computationally unattainable. The risks posed by autonomous machines ignorantly or deliberately harming people and other sentient beings are great. The development of machines with enough intelligence to assess the eŒects of their actions on sentient beings and act accordingly may ultimately be the most important task faced by the designers of arti® cially intelligent automata. (shrink)

The demise of behaviorism has made ethologists more willing to ascribe mental states to animals. However, a methodology that can avoid the charge of excessive anthropomorphism is needed. We describe a series of experiments that could help determine whether the behavior of nonhuman animals towards dead conspecifics is concept mediated. These experiments form the basis of a general point. The behavior of some animals is clearly guided by complex mental processes. The techniques developed by comparative psychologists and behavioral ecologists are (...) able to provide us with the tools to critically evaluate hypotheses concerning the continuity between human minds and animal minds. (shrink)

In this paper we1 assess the potential for research on nonhuman animals to address questions about the phenomenology of painful experiences. Nociception, the basic capacity for sensing noxious stimuli, is widespread in the animal kingdom. Even rel- atively primitive animals such as leeches and sea slugs possess nociceptors, neurons that are functionally specialized for sensing noxious stimuli (Walters 1996). Vertebrate spinal cords play a sophisticated role in processing and modulating nociceptive signals, providing direct control of some motor responses to noxious (...) stimuli, and a basic capacity for Pavlovian and instrumental conditioning (Grau et al. 1990; Grau 2002). Higher brain systems provide additional layers of association, top-down control, and cognition. In humans, at least, these higher brain systems also give rise to the conscious experiences that are characteristic of pain. What can be said about the experiences of other animals who possess nervous systems that are similar but not identical to humans? (shrink)

Our goal in this paper is to provide enough of an account of the origins of cognitive ethology and the controversy surrounding it to help ethicists to gauge for themselves how to balance skepticism and credulity about animal minds when communicating with scientists. We believe that ethicists’ arguments would benefit from better understanding of the historical roots of ongoing controversies. It is not appropriate to treat some widely reported results in animal cognition as if their interpretations are a matter of (...) scientific consensus. It is especially important to understand why loose references to “cognitive ethology” by philosophers can signal ignorance of the field to scientists who are more deeply immersed in the relevant literature. Understanding the variety of approaches to cognitive phenomena in animals is essential if such capacities are to form the foundation of scientifically-informed ethical reasoning about animals. (shrink)

In this paper, I describe grounds for dissatisfaction with certain aspects of the sciences of animal cognition and argue that a turn toward mathematical modeling of animal cognition is warranted. I consider some objections to this call and argue that the implications of such a turn are not as drastic for ordinary, commonsense understanding of animal minds as they might seem.

Which nonhuman animals experience conscious pain?1 This question is central to the debate about animal welfare, as well as being of basic interest to scientists and philosophers of mind. Nociception—the capacity to sense noxious stimuli—is one of the most primitive sensory capacities. Neurons functionally specialized for nociception have been described in invertebrates such as the leech Hirudo medicinalis and the marine snail Aplysia californica (Walters 1996). Is all nociception accompanied by conscious pain, even in relatively primitive animals such as Aplysia, (...) or is it the case, as some philosophers continue to maintain, that conscious experiences are the exclu- sive province of human beings? What philosophical and scientific resources are presently available for assessing claims lying between these extremes? (shrink)

Donald Griffin has suggested that cognitive ethologists can use communication between non-human animals as a "window" into animal minds. Underlying this metaphor seems to be a conception of cognition as information processing and communication as information transfer from signaller to receiver. We examine various analyses of information and discuss how these analyses affect an ongoing debate among ethologists about whether the communicative signals of some animals should be interpreted as referential signals or whether emotional accounts of such signals are adequate. (...) We discuss the food-calling behavior of a group of rhesus monkeys to develop these issues. (shrink)

The commentary argues that we cannot be sure that human consciousness has survival value and that in order to understand the origins and, perhaps, the function of consciousness, we should examine the behavioural and neural precursors to consciousness in nonhumans. An example is given of research on the role of context in decisions regarding fleeing from probable predators in the Mongolian gerbil.

: The revival of philosophical pragmatism has generated a wealth of intramural debates between neopragmatists like Richard Rorty and contemporary scholars devoted to explicating the classical pragmatism of John Dewey and William James. Of all these internecine conflicts, the most divisive concerns the status of language and experience in pragmatist philosophy. Contemporary scholars of classical pragmatism defend experience as the heart of pragmatism while neopragmatists drop the concept of experience in favor of a thoroughly linguistic pragmatism. I argue that both (...) positions engender formidable risks. After discussing the present impasse, I describe a third version of pragmatism which involves a reconstruction of the classical pragmatist concept of experience in light of the criticisms of foundationalism crucial to the neopragmatist linguistic turn. This third version of pragmatism does justice to both Rorty and Dewey by focusing on experience as a temporal field. (shrink)

It is not immediately clear from Wittgenstein’s Tractatus how to connect his idea there of an object with the logical ontologies of Frege and Russell. Toward clarification on this matter, this paper compares Russell’s and Wittgenstein’s versions of the thesis of an atomic fact that it is a complex composition. The claim arrived at is that whilst Russell (at times at least) has one particular of the elements of a fact – the relation – responsible for the unity of the (...) whole, for Wittgenstein the unity of a fact is the product of copulative powers inherent in all its elements. All kinds of constituents of Tractarian facts – all kinds (forms) of object – are, to use Fregean terminology, unsaturated. (shrink)

School badges, though an integral part of education’s “aesthetic order,” of its signage and apparel, have not been the subjects of much of analysis. In addressing this oversight, the following paper examines the badges of New South Wales government schools and argues that like their counterparts elsewhere in the world, they draw on heraldic models and are constructs of colors, names, motifs, and mottoes that in various ways have local cogency and significance. For example, many badges draw on Australia’s flora (...) and fauna or refer to aspects of its colonial history and thereby induct pupils into the nation’s identity. Some schools, under the pressure to be more business-oriented, have turned their back on the traditional badge in favor of logos and slogans that, arguably, are more commensurate with their times. (shrink)

William James's writings on morality form a vexed collection. Most philosophers regard James as having contributed primarily to epistemology, metaphysics, and psychology, viewing his moral philosophy as secondary, derivative, and accordingly uninteresting for contemporary debates. Among James's writings on moral matters, surely the most infamous is "The Will to Believe." Often read as primarily a contribution to epistemology or philosophy of religion,1 a number of critics spanning well over one hundred years of readership argue that "The Will to Believe" attempts (...) to foist an incredible ethics of belief, one that is problematic in that it defends believing in precisely that which has not been credited as being... (shrink)

In this paper I argue that selection of the best theory of content is not a matter for mere philosophical reflection on the consequences of each theory for our intuitive judgments about content. Rather, the theories must be judged in a different way that is based on the putative roles of content attribution in the behavioural sciences. The ultimate test of any theory of content will be the success of the sciences that adopt it. Furthermore, alternative semantic theories may be (...) seen as complementary rather than antagonistic. Different approaches to content specification may well be compatible, reflecting different but perhaps equally legitimate explanatory goals. (shrink)

This paper examines Hume's four essays on happiness: the "Epicurean," the "Stoic," the "Platonist," and the "Sceptic." I argue, first, that careful attention to how these essays are written shows that they do not simply argue for one position over others. They also elicit affective and imaginative responses in order to modify the reader's outlook and to improve the reader's understanding in service to moral ends. The analysis offers an improved reading of the essays and highlights the intimate connections between (...) the purposes of philosophical writing and its manner of presentation. Secondly, I contend that appreciating how Hume's essays on happiness work on the reader demonstrates the insufficiency of Hume's categories of "anatomist" and "painter.". (shrink)

Introduction Biobank-based research is growing in importance. A major controversy exists about the return of aggregate and individual research results. Methods The authors used a mixed-method approach in order to study parents' attitudes towards the return of research results regarding themselves and their children. Participants attended four 2-h, deliberative-engagement sessions held on two consecutive Saturdays. Each session consisted of an educational presentation followed by focus-group discussions with structured questions and prompts. This manuscript examines discussions from the second Saturday which focused (...) on the benefits and risks of returning aggregate and individual research results regarding both adults (morning session) and children (afternoon session). Attitudes were assessed in pre-engagement and post-engagement surveys. Results The authors recruited 45 African-American adults whose children received medical care at two healthcare facilities on the South Side of Chicago that serve different socioeconomic communities. Three dominant themes were identified. First, most participants stated that they would enrol themselves and their children in a biobank, although there was a vocal minority opposed to enrolling children, particularly children unable to participate in the consent process. Second, participants did not distinguish between the results they wanted to receive regarding themselves and their children. Supplemental survey data found no attitudinal changes pre-engagement and post-engagement. Third, participants believed that children should be allowed access to their health information, but they wanted to be involved in deciding when and how the information was shared. Discussion Participant attitudes are in tension with current biobank policies. An intensive educational effort had no effect on their attitudes. (shrink)

We have previously built a small IKg ([Angle 89] and [Brooks 89]) six legged walking robot named Genghis. It was remarkably successful as a testbed to develop walking and learning algorithms. It encouraged us to build a more fully engineered robot with higher performance. We are building two copies of the robot, both 1.6Kg in mass. Their generic name is Attila. Attila has 24 actuators and over 150 sensors, all connected via a local network (the I2C bus) to 11 onboard (...) computers. (shrink)

Like all previously published volumes of his lectures, the content of The Government of the Living defies brief summary. It shows us Foucault in 1980 mapping out a major new phase in his work in terms that complicate our existing understanding of his unfinished project. My review looks in turn at the two parts of the course: an unusually lengthy discussion of method and heuristics, followed by a tightly focused study of early Christian regimes of truth. I suggest that the (...) complex opening theoretical reflections in these lectures go well beyond mapping the course of the immediately following historical analysis. They need to be seen in coordination with other conceptual innovations introduced over the following years, putting a task that Foucault calls here a “history of the power of truth” on his agenda alongside, and in integral connection with the previously defined tasks of a history of governmentality and a history of the subject. A newly published discussion in Berkeley later in 1980 adds crucial context to these Paris lectures, spelling out the linkage of structures of subjectivation to governability and of penitential ascetics to pastoral power. Taken together, the later books and lectures can now be seen to establish a framework of what I suggest we can call “alethic” or “aletheological” analysis, analysing and mapping across the span of Western history the modes of engagement of life and truth, with a view to enabling a renewed analysis of the political present. (shrink)

The History of Madness (HM) is Michel Foucault's first major work, his longest single work, and the work that established his reputation in France. Foucault distinguishes four distinct components or forms of consciousness of madness: (1) the critical: the normative judgment which distinguishes and sanctions madness in its difference from reason or sanity; (2) the practical: an attitude of collective demarcation and exclusion of the deviant from a group; (3) the enunciative: the act of recognizing individuals as mad and identifying (...) them as such; (4) the analytic: reflection on the nature and forms of manifestation of madness. Foucault thinks that the experience of madness in the Classical Age is characterized by a dissociation between the first two elements, on the one hand, and the latter two on the other. (shrink)

In A Theory of Justice, John Rawls’s first argument for the inherent stability of a well-ordered society seeks to establish that citizens of such a society would come to share the same or similar senses of justice. In his late work, Rawls significantly revised his second argument for stability, but he repeatedly pronounced himself satisfied with the first. However, the pluralism that so drastically reoriented Rawls’s mature theory also creates destabilizing forces absent in Theory. These destabilizing forces suggest that a (...) shared sense of justice among citizens will be more difficult to achieve. This paper examines Rawl’s late theory in detail to reconstruct how Rawls, despite his stated satisfaction, addressed the destabilizing effects of pluralism through revisions to his first argument for stability. It argues that in his late theory Rawls no longer claims that a well-ordered society could achieve inherent stability. Instead, a more fragile stability is achieved through a disciplined commitment to publ... (shrink)

In this paper I argue that the virtue ethics tradition can enhance the moral discourse on the ethics of prenatal genetic enhancements in distinctive and valuable ways. Virtue ethics prescribes we adopt a much more provisional stance on the issue of the moral permissibility of prenatal genetic enhancements. A stance that places great care on differentiating between the different stakes involved with developing different phenotypes in our children and the different possible means (environmental vs. genetic manipulation) available to parents for (...) pursuing legitimate concerns of parental love and virtue. Key components of the virtue ethics account of morality, such as the Aristotelian account of happiness, love and the doctrine of the mean, provide an adequate basis for rejecting the claim that it is morally impermissible for parents to pursue (safe and effective) prenatal enhancements. Furthermore, there is good reason to believe that a virtue ethics account of morality could actually support the stronger claim that utilising such interventions can (in certain contexts) be morally required. (shrink)

This article contextualises Hegel's writings on international order, especially those concerning war and imperialism. The recurring theme is the tragic nature of the struggles for recognition which are instantiated by these phenomena. Section one examines Hegel's analysis of the Holy Roman Empire in the context of French incursions into German territories, as that analysis was developed in his early essay on ‘The German Constitution’ . The significance of his distinction between the political and civil spheres is explored, with particular attention (...) being paid to its implications for Hegel's theory of nationalism. The second section examines Hegel's development of the latter theory in The Phenomenology of Spirit , stressing the tragic interpenetration of ‘culture’ and intersubjective recognition. A recurring theme here is the influence of this theory on Hegel's interpretation of Napoleon's World-Historic mission, as that was revealed in his contemporaneous letters. Section three traces the tragic dynamic underlying the discussion of war between civilised states in The Philosophy of Right . Section four examines three other types of imperial action in Hegel's mature writings, particularly The Philosophy of History . These are relations between civilised states and culturally developed yet politically immature societies; colonial expansion motivated by capitalist under-consumption; and conflict between civilised states and barbarous peoples. It is concluded that it is misleading to claim that Hegel glorified conflict and war, and that he did not see domination by ‘civilised states’ as the ‘final stage’ of World History. (shrink)

In this previously unpublished essay, Edward Caird attacks Spencer's Transfigured Realism, before defending an absolute idealist theory of the formation of self-consciousness. Along the way, Caird also considered the writings of Bishop George Berkeley, David Hume, Sir William Hamilton, J.S. Mill and Henry Sidgwick. Yet the primary foci of the essay were Herbert Spencer's writings, particularly First Principles, the second edition of Principles of Psychology and the third volume of Essays: Scientific, Political and Speculative . It appears to follow from (...) Caird's 1874 review of the third volume of Spencer's Essays, a piece which concluded with the observation that: 'There are some other points of interest in Mr. Spencer's 'Replies,' particularly his strange representation of Kant's meaning , but it would take too much space to discuss the subject here.'. (shrink)

British Idealists sought to come to terms with, amongst many other things, the existence of knowledge and the development of the evolutionary and geological sciences such as they were expressed in the writings of the likes of Herbert Spencer, George Lewes and William Clifford. Different British Idealists held different attitudes to scientific evolutionary theories. Here, I shall examine the approach of the most profound member of the school — Thomas Hill Green.

The British Idealist movement flourished between the 1860s and 1920s and exerted a very significant influence in the USA, India and Canada, most notably on John Dewey and Josiah Royce. The movement also laid the groundwork for the thought of Oakeshott and Collingwood. Its leading figures – particularly Green and Caird – have left a number of complete or near complete manuscripts in various British university archives, many of which remain unpublished. This important collection widens access to this unpublished material (...) by transcribing, editing and then publishing the most significant pieces. The project focuses on the moral, political, and religious writings – the areas of most interest to scholars. This annotated, critical edition opens them up to the academic community. (shrink)

The self‐interest paradigm that has dominated and defined social science is being questioned today in all the social sciences. Frontline research is represented by C. Daniel Batson's experiments, which claim to present empirical evidence of altruism. Impressive though this is against the background of the self‐interest paradigm, its ultimate significance might be to illustrate the inadequacy of social science to deal with a transcendent reality like altruism.

This article considers the methods used to estimate the number of abortions before the 1967 Abortion Act came into operation. It suggests that the registration of legal abortions has enabled a new method to be used to calculate the number of illegal operations. The article concludes that the major effect of the Act was to transfer abortions from the illegal to the legal sector and, using the new method of calculation, estimates a total number of abortions immediately before the Act (...) of just over 100,000 a year. (shrink)