In 2016, the Office of the State Coroner of New South Wales released its report into the death of an Australian woman, Sheila Drysdale, who had died from complications of an autologous stem cell procedure at a Sydney clinic. In this report, we argue that Mrs Drysdale's death was avoidable, and it was the result of a pernicious global problem of an industry exploiting regulatory systems to sell unproven and unjustified interventions with stem cells.

In recent decades, some feminists have turned to the writings of Hannah Arendt in order to propose a truly emancipatory ethic of care or to find the principles that could lead to the political institutionalization of care. Nevertheless, the feminist interpretations of Hannah Arendt are particularly contrasted. According to Sophie Bourgault, this recourse to Hannah Arendt is deeply problematic, mainly because of her strong distinction between the private and public spheres. This article discusses the relevance of using Arendt’s concepts to (...) think about the institutionalization of care by Joan Tronto. Indeed, the most recent analyses developed on the politics of care are shaped by Arendt’s concepts such as power, amor mundi or by her conception of politics as a relationship. (shrink)

A collection of essays covering a range of topics related to Leibniz. The monads and the pre-established harmony make numerous appearances, and so do Leibniz's discussions of causality, relations, individuation, nature, freedom, consciousness, and divinity. In addition to sections on Leibniz's physics and his theory of substance, a number of papers are included on his philosophy of mind that draw heavily on the New Essays, along with several articles on metaphysical and theological issues, and a section on Leibniz's relationships with (...) his contemporaries and predecessors. (shrink)

ABSTRACTHume was not a philosopher famed for what are sometimes called ‘ontological commitments'. Nevertheless, few contemporary scholars doubt that Hume was an atheist, and the present essay tenders the view that Hume was favourably disposed to the 'vital materialism' of post-Newtonian natural philosophers in England, Scotland and France. Both internalist arguments, collating passages from a range of Hume's works, and externalist arguments, reviewing the likely sources of his knowledge of ancient materialism and his association with his materialistic contemporaries are employed.

This article describes and evaluates the application of an explicitly critical realist methodology to a quantitative doctoral research project on the causes of family homelessness in Australia. It...

In the United States, the decision of whether to withdraw or continue to provide artificial nutrition and hydration (ANH) for patients in a permanent vegetative state (PVS) is placed largely in the hands of surrogate decision-makers, such as spouses and immediate family members. This practice would seem to be consistent with a strong national emphasis on autonomy and patient-centered healthcare. When there is ambiguity as to the patient's advanced wishes, the presumption has been that decisions should weigh in favor of (...) maintaining life, and therefore, that it is the withdrawal rather than the continuation of ANH that requires particular justification. I will argue that this default position should be reversed. Instead, I will argue that the burden of justification lies with those who would continue artificial nutrition and hydration (ANH), and in the absence of knowledge as to the patient's advanced wishes, it is better to discontinue ANH. In particular, I will argue that among patients in PVS, there is not a compelling interest in being kept alive; that in general, we commit a worse violation of autonomy by continuing ANH when the patient's wishes are unknown; and that more likely than not, the maintenance of ANH as a bridge to a theoretical future time of recovery goes against the best interests of the patient. (shrink)

Leo Strauss and his alleged political influence regarding the Iraq War have in recent years been the subject of significant media attention, including stories in the _Wall Street Journal _and _New York Times._ _Time_ magazine even called him “one of the most influential men in American politics.” With _The Truth about Leo Strauss_, Michael and Catherine Zuckert challenged the many claims and speculations about this notoriously complex thinker. Now, with _Leo Strauss and the Problem of Political Philosophy_, they turn (...) their attention to a searching and more comprehensive interpretation of Strauss’s thought as a whole, using the many manifestations of the “problem of political philosophy” as their touchstone. For Strauss, political philosophy presented a “problem” to which there have been a variety of solutions proposed over the course of Western history. Strauss’s work, they show, revolved around recovering—and restoring—political philosophy to its original Socratic form. Since positivism and historicism represented two intellectual currents that undermined the possibility of a Socratic political philosophy, the first part of the book is devoted to Strauss’s critique of these two positions. Then, the authors explore Strauss’s interpretation of the history of philosophy and both ancient and modern canonical political philosophers, including Plato, Aristotle, Machiavelli, and Locke. Strauss’s often-unconventional readings of these philosophers, they argue, pointed to solutions to the problem of political philosophy. Finally, the authors examine Strauss’s thought in the context of the twentieth century, when his chief interlocutors were Schmitt, Husserl, Heidegger, and Nietzsche. The most penetrating and capacious treatment of the political philosophy of this complex and often misunderstood thinker, from his early years to his last works, _Leo Strauss and the Problem of Political Philosophy_ reveals Strauss’s writings as an attempt to show that the distinctive characteristics of ancient and modern thought derive from different modes of solving the problem of political philosophy and reveal why he considered the ancient solution both philosophically and politically superior. (shrink)

In the care of patients with disorders of consciousness (DOC), some ethical difficulties stem from the challenges of accurate diagnosis and the uncertainty of prognosis. Current neuroimaging research on these disorders could eventually improve the accuracy of diagnoses and prognoses and therefore change the context of end-of-life decision making. However, the perspective of healthcare professionals on these disorders remains poorly understood and may constitute an obstacle to the integration of research. We conducted a qualitative study involving healthcare professionals from an (...) acute care university medical center. A short questionnaire captured demographic data as well as the experience of participants with DOC patients. A semi-structured interview was used to explore attitudes toward ethical issues identified in a previous literature review. Qualitative content analysis of interviews was conducted with the NVivo software. Accurate diagnosis among DOC is often regarded as a challenge, but this was generally not the case for our participants because most reported high confidence in DOC diagnoses. However, participants reported struggling with prognosis, especially because of its essential role for end-of-life decision making and communication with families. Variability of opinion between healthcare professionals was reported and identified by some as a minor issue while others stressed how families struggle with different medical opinions. End-of-life decision making encompassed a large proportion of ethical challenges in these patients, and the removal of artificial nutrition and hydration created significant discomfort in a minority of participants. The concept of futility was subject to wide-ranging understandings with both favorable and unfavorable opinions. Our data suggest that to ensure the incorporation of new evidence-based advances, attention should be directed to the real-world practices and challenges of accurate diagnosis and prognosis. Given pervasive challenges in end-of-life care, we recommend improved training of healthcare professionals in the care of patients with DOC, particularly in end-of life care, understanding the context of decision making, and determining how to optimally integrate new neuroscience research on the care of patients with DOC. (shrink)

Yet many, though not all, moral claims are susceptible of confirmation to the extent that they command the agreement of well-informed inquirers." "With this foundation in place, Wilson turns to a defence of egalitarianism intended to address the objection that the importance of our nonmoral projects, our natural acquisitiveness and partiality, and our meritocratic commitments render social equality a mere abstract ideal. Employing the basic notion of a symmetrical division of the co-operative surplus, she argues that social justice with respect (...) to global disparities in well-being and in the condition of women relative to men depends on the relinquishment of natural and acquired advantage that is central to the concept of morality."--BOOK JACKET. (shrink)

In this essay, I argu e that Descartes considered his theory that the body is an inn ervated machine – in which the soul is situated – to be his most original contribution to philosophy. His ambition to prove the immortality of the soul was very poorly realized, a predictable outcome, insofar as his aims were ethical, not theological. His dualism accordingly requires reassessment.

In this paper I discuss the largely obsolete notion of ‘metaphysical foundations for science’ and the problems of representation, truth, and embodiment in Descartes identified by Adrian Moore. I explain why rather than enaging in a project of pure inquiry Descartes needed to fit the pursuit and findings of the physical and life sciences into a theological framework. His much misunderstood scientifc image of the human being as a psychosomatic unity is defended as coherent and influential, as is his rejection (...) of the correspondence theory of veridical perception. (shrink)

The naturalistic approach to metaethics is sometimes identified with a supervenience theory relating moral properties to underlying descriptive properties, thereby securing the possibility of objective knowledge in morality as in chemistry. I reject this approach along with the purely anthropological approach which leads to an objectionable form of relativism. There is no single method for arriving at moral objectivity any more than there is a single method that has taken us from alchemy to modern chemistry. Rather, there is an ensemble (...) of instruments, techniques, experiments and observations that contribute to eliminating moral error, delivering what we are entitled to call greater objectivity. (shrink)

In _African Somaesthetics: Cultures, Feminisms, Politics_, Catherine F. Botha brings together original research on the body in African cultures, interrogating the possible contribution of a somaesthetic approach in the context of colonization, decolonization, and globalization in Africa.

Locke's insistence on the limits of knowledge and the ‘mediocrity’ of our epistemological equipment is well understood; it is rightly seen as integrated with his causal theory of ideas and his theory of judgment. Less attention has been paid to the mediocrity theme as it arises in his theory of moral agency. Locke sees definite limits to human willpower. This is in keeping with post-Puritan theology with its new emphasis on divine mercy as opposed to divine justice and recrimination. It (...) also reflects his view that human beings are essentially material machines. (shrink)

This paper reports on a survey of auditors in New Zealand which investigates the nature of the moral judgements they make on a series of problems with ethical dimensions. The framework adopted for this purpose is developed from earlier work which identifies a range of ethical principles which may be involved in business ethical decision‐making. Auditors responded to a questionnaire which posed, firstly, several questions about the context of their ethical decision‐making, and secondly, a series of vignettes elaborating problematical dilemmas (...) which required the selection of one of four possible responses. Data was analysed to determine whether or not it confirmed previous findings in suggesting a predominant ethical orientation for auditors. The results were correlated with demographic variables in order to determine whether or not age, gender, position in firm and size of employee firm were significantly correlated to ethical response. The survey results, on the whole, confirmed the ethical orientation suggested by previous findings, but there were some unexpected results in three out of the ten vignettes examined. Although some correlations were found between the demographic variables and subject responses, the evidence of this survey does not strongly suggest a consistent significant correlation. (shrink)

Background: There is an international trend for frail older adults to move to residential care homes, rather than ageing at home. Residential facilities typically espouse a person-centred philosophy, yet evidence points to restrictive policies and surveillance resulting in increased loneliness and diminished opportunities for intimacy and sexual expression. Residents may experience what has been termed social death, rather than perceive they are related to by others as socially alive. Aim: To consider how the loss of intimacy and sexuality in residents’ (...) lives contributes to iatrogenic loneliness experienced in residential care, and the importance of considering these issues together. Research design: The study utilised a constructionist methodology, investigating the meanings associated with intimacy, loneliness, and ageing. Participants and research context: Qualitative data used in this study are drawn from a larger dataset of a mixed-methods study. Interviews were completed as follows: staff, 21 individual interviews, and two groups with a total of 13 additional people; residents, 26 interviews with 28 people; and family members, 12 interviews with 13 people. Findings: Five key themes were identified in the data analysis: loneliness and relational identity, loneliness and functional relationships, loneliness and disrupted intimacy, loneliness and liminality, and loneliness and the built environment. Ethical considerations: The study was approved by a University Human Ethics Committee. Participation was voluntary. Consent was gained and confidentiality upheld. Discussion: Residents’ expression of intimacy and sexuality can be compromised through paternalism, ageism, restrictive policies, care-rationing and functional care, alienating residents from sustaining and developing significant relationships. Attitudes and cultural beliefs of staff and family members about ageing and intimacy, compounded by architectural design, may intensify loneliness. Conclusions: Nurses have a pivotal role in ensuring policies and practice enhance social citizenship. (shrink)

In the midst of the ongoing debate over the uniqueness of Christ and of Christianity, Stanislas Breton’s work Unicité et monothéisme offers new categories of reflection which may come to bridge the fundamental theological differences between pluralist and inclusivist perspectives. While his notions of méontology and of the Cross as the symbol of self-effacement create a radical openness to the distinctive truth of other religious traditions, this openness is itself firmly grounded within Christian self-understanding. Breton also reminds us that the (...) ultimate Christian basis for salvation lies not so much in assent to particular doctrines, but in the act of total self-givenness to others, in particular to “the least of these my brethren” (Matt. 25). (shrink)

Talitha Cooreman-Guittin et Catherine Vialle Cet article pose une question nouvelle : Y a-t-il dans la Bible un biais « validiste » contre les femmes porteuses de handicap? Les auteures répondent par un prudent « oui, mais… ». Toutefois, la réception des textes qui évoquent des situations de handicap commence à changer. Cette étude est une illustration de ce changement en cours.

E. Jayne Whitea, Catherine Matsuob and Fiona WestbrookcaUniversity of Canterbury; bFukuoka University; cAuckland University of Technology (AUT)This collective writing piece takes its points of depa...

This paper argues that social contexts of inequality are crucial to understanding the ethics of gestational harm and responsibility. Recent debates on gestational harm have largely ignored the social context of gestators, including contexts of inequality and injustice. This can reinforce existing social injustices arising from colonialism, socio‐economic inequality and racism, for example, through increased regulation of maternal behaviour. To demonstrate this, I focus on the related notions of the ‘future child’ and an obligation of easy rescue, which have been (...) used to discuss the ethics of gestational harm in the context of alcohol consumption during gestation and foetal alcohol spectrum disorder (FASD). I use a feminist perspective to evaluate these ideas and conclude that anyone concerned with remediation of social injustice has good reason to be suspicious of the notion of the future child in the context of gestational harm. (shrink)

By dying, after three hours of dithering, Hamlet has finally asserted his manhood…– John Lahr, “Indecision 2008” To be, or not to be….– William Shakespeare, HamletThe word decision (like the word i...

L’auteur, psychologue clinicienne et thérapeute familiale psychanalytique, a placé son travail sous le signe du lien et de l’intersubjectivité. Illustré par le récit d’une psychothérapie de couple, l’article vise à décrire, à l’aide de concepts propres à la psychanalyse des liens, comment le rire et l’humour, quand ils surgissent de manière inattendue dans l’espace transférentiel pluri-subjectif, permettent de déliter les éléments les plus mortifères, encryptés dans les liens opératoires et la dépressivité. Ils restaurent la capacité de rêver et se mettent (...) alors au service des pulsions de vie. (shrink)

Aux frontières de l’art et de l’expérience scientifique, des artistes s’aventurent à reprogrammer les mécanismes du vivant, à les réincarner en s’appuyant sur les données les plus récentes de la biologie pour produire des réalités vivantes inédites. Transposés du monde clos des laboratoires au monde de l’art, ces artefact vivants, sont-ils en mesure de modifier le regard que nous portons sur la science et plus encore sur le vivant et d’infléchir nos comportements à l’égard d’entités vivantes reprogrammées sur mesure? Sont-ils (...) les pièces à conviction d’une science en train de transformer la société et les valeurs qui s’y rattachent? L’identité humaine court-elle le risque de se perdre à travers cette collection d’entités biologico-futuristes qui transgressent la logique du vivant? Dans une société libérale où prévaut l’autonomie artistique, quand la performance technique semble se confondre avec la valeur esthétique de l’œuvre et que l’artiste relève autant de l’ingénieur que du concepteur, cet art protéiforme qui œuvre en laboratoire hors de tout programme appliqué à la médecine et à l’industrie, est-il en mesure de produire tous les possibles en matière de fabrication du vivant? Notre propos consistera à interroger d’un point de vue éthique la production de ces artistes qui érigent en dogme la rationalisation des phénomènes biologiques, interfèrent l’organisation spontanée des organismes vivants, et dessinent les contours d’une biosphère inédite. (shrink)