Während seiner langjährigen Tätigkeit als Facharzt für Psychiatrie am Tavistock and Portman NHS Foundation Trust hat der Autor dieses Beitrags die Entwicklung der Gesundheitsfürsorge von Kindern mit Geschlechtsidentitätsstörung (»gender dysphoria«) aus nächster Nähe beobachtet. Der Beitrag entwickelt einige Hypothesen zu den soziokulturellen Faktoren für den plötzlichen, sprunghaften Anstieg der Zahl minderjähriger Patienten, bei denen Geschlechtsidentitätsstörungen diagnostiziert und die dann zur medikamentösen und operativen Geschlechtsumwandlung an spezialisierte Zentren überwiesen wurden, und schildert charakteristische Denkverbote in diesem Zusammenhang. Die beruflichen Bedingungen, die seinen (...) Text beeinflussten, und die weiteren Entwicklungen in der Tavistock-Klinik wie auch in seinem eigenen Leben erläutert der Autor schließlich in einem nachstehenden Kommentar zu seinem eigenen Text. (shrink)

In his thoughtful defence of very modest moral enhancement, David DeGrazia1 makes the following assumption: ‘Behavioural improvement is highly desirable in the interest of making the world a better place and securing better lives for human beings and other sentient beings’. Later in the paper, he gives a list of some psychological characteristics that ‘all reasonable people can agree … represent moral defects’. I think I am a reasonable person, and I agree that most if not all items on (...) the lists do represent moral defects—I certainly would regard them as such in a close family member or friend. But if I were in the business of ‘making the world a better place and securing better lives for human beings and other sentient beings’, I would hesitate to prescribe moral enhancement for everyone with these acknowledged defects. A lot of good work, from removing tumours to negotiating treaties, may be best done by people with serious moral defects.For a simple consequentialist, a moral defect is just a trait that tends to make the world a worse place. Not being a consequentialist, I think that moral defects should be identified independently of their tendency to produce worse outcomes. For this reason, I think it's necessary to qualify DeGrazia's starting assumption—I think behavioural improvement may sometimes be undesirable if our goal is to make the world a better place. My reasons will be familiar to readers of Bernard Williams.As …. (shrink)

Standards and norms for reasoning function, in part, to manage epistemic risk. Properly used, modal qualifiers like presumably have a role in systematically managing epistemic risk by flagging and tracking type-specific epistemic merits and risks of the claims they modify. Yet, argumentation-theoretic accounts of presumption often define it in terms of modalities of other kinds, thereby failing to recognize the unique risk profile of each. This paper offers a stipulative account of presumption, inspired by Ullmann-Margalit, as an inferentially generated modal (...) qualifier, “presumably, p,” distinguishing it from other, particularly epistemic modalities, e.g., standing commitments, assumptions, assertions, suppositions, hypotheses, and defeasible claims. By avoiding the tranching of inferential instruments of qualitatively different bona fides and risk profiles, this account provides a more accurate risk-rating system that better manages epistemic risk in inference, as well as contributing to the normative theory of the operation of presumption in reasoning and argument. (shrink)

Moses Mendelssohn (1729-1786) was the premier Jewish thinker of his day and one of the best-known figures of the German Enlightenment, earning the sobriquet 'the Socrates of Berlin'. He was thoroughly involved in the central issue of Enlightenment religious thinking: the inevitable conflict between reason and revelation in an age contending with individual rights and religious toleration. He did not aspire to a comprehensive philosophy of Judaism, since he thought human reason was limited, but he did see Judaism as compatible (...) with toleration and rights. David Sorkin offers a close study of Mendelssohn's complete writings, treating the German, and the often-neglected Hebrew writings, as a single corpus and arguing that Mendelssohn's two spheres of endeavour were entirely consistent. (shrink)

Existing analyses of slurs emphasize how linguistic mechanisms make slurs derogatory. I will argue that, in addition to linguistic mechanisms, there are overlooked doxastic and epistemic features of standard slurring utterances that can be sources of offense. Additionally, I argue that the doxastic feature that distinguishes slurring utterances from other negatively valenced utterances is fundamental to understanding slurring terms. Clinical Trial Registration: Not applicable.

In this paper I will defend the controversial thesis that all argumentation in natural language can be reconstructed, for the purposes of assessment, as a deductively valid argument. Evaluation of the argumentation amounts to evaluation of the logical coherence of the premises. I will be taking the pragma-linguistic theory of Bermejo-Luque as an initial starting point.

Widescopism, as I call it, holds that names are synonymous with descriptions that are required to take wide scope over modal adverbs. Scott Soames has recently argued that Widescopism is false. He identifies an argument that is valid but which, he claims, a defender of Widescopism must say has true premises and a false conclusion. I argue, first, that a defender of Widescopism need not in fact say that the target arguments conclusion is false. Soames argument that she must confuses, (...) I claim, modal adverbs and modal predicates. I then argue that even if she did reject the conclusion, she could nonetheless hold that the target arguments first premise is ambiguous as between a true reading, on which the argument is invalid, and a false reading, on which the argument is valid. I conclude that Soames argument against Widescopism fails. (shrink)

When patients are admitted to the hospital, they are generally expected to remain in or within close proximity to their assigned rooms in order to promote their safety and appropriate medical care. Although there are circumstances when patients may safely leave their hospital room or floor, guidance within the medical literature for the management of patient movement within the hospital are lacking. Excessive restrictions on patient movement may be seen as overly paternalistic, while lax requirements may interfere with high quality (...) care, patient safety and efficient hospital practice. As a result, guidance in the form of institutional policy is warranted. Such policy development should take into consideration the potential clinical, legal, and ethical concerns in balancing the competing values of patients’ preferences and respect for autonomy, while ensuring high quality, safe, and efficacious medical care. This paper will provide a framework for hospitals to create institution-specific patient movement policies that are fair, systematic, and transparent. (shrink)

A provocative history of the changing values that have given rise to our present discontents. We pursue power, pleasure, and profit. We want as much as we can get, and we deploy instrumental reasoning—cost-benefit analysis—to get it. We judge ourselves and others by how well we succeed. It is a way of life and thought that seems natural, inevitable, and inescapable. As David Wootton shows, it is anything but. In Power, Pleasure, and Profit, he traces an intellectual and cultural (...) revolution that replaced the older systems of Aristotelian ethics and Christian morality with the iron cage of instrumental reasoning that now gives shape and purpose to our lives. Wootton guides us through four centuries of Western thought—from Machiavelli to Madison—to show how new ideas about politics, ethics, and economics stepped into a gap opened up by religious conflict and the Scientific Revolution. As ideas about godliness and Aristotelian virtue faded, theories about the rational pursuit of power, pleasure, and profit moved to the fore in the work of writers both obscure and as famous as Hobbes, Locke, and Adam Smith. The new instrumental reasoning cut through old codes of status and rank, enabling the emergence of movements for liberty and equality. But it also helped to create a world in which virtue, honor, shame, and guilt count for almost nothing, and what matters is success. Is our world better for the rise of instrumental reasoning? To answer that question, Wootton writes, we must first recognize that we live in its grip. (shrink)

: Most work done in philosophy of experiment has focused on experiments taken from the domain of physics. The present essay tests whether Allan Franklin's (1984, 1986, 1989, 1990) philosophy of experiment developed in the context of high energy physics can be extended to include examples from evolutionary biology, such as H. B. D. Kettlewell's (1955, 1956, 1958) famous studies of industrial melanism in the peppered moth, Biston betularia. The analysis demonstrates that many of the techniques used by evolutionary biologists (...) exemplify the strategies Franklin lists, and identifies an additional strategy that can likewise be justified by appeal to Bayes's Theorem. (shrink)

This volume gathers twelve essays by David Wiggins in an area where his work has been particularly influential. Among the subjects treated are: persistence of a substance through change, the notion of a continuant, the logic of identity, the co-occupation of space by a continuant and its matter, the relation of person to human organism, the metaphysical idea of a person, the status of artefacts, the relation of the three-dimensional and four-dimensional conceptions of reality, and the nomological underpinning of (...) sortal classification. From a much larger body of work the author has selected, edited or annotated, and variously shortened or extended eleven pieces. He has added an Introduction and one completely new essay, on the philosophy of biology and the role there of the idea of process. (shrink)

Tarzian and ASBH Core Competencies Update Task Force (2013) say that making ethics consultation accountable means examining the abilities and qualifications of health care ethics consultants (HCECs...

Na poti do sem sem razmišljal, kako začeti to srečanje – in bolj sem razmišljal, bolj se mi je zdelo absurdno, da bi uvodoma predstavljal nekoga, ki ga vsi poznate. Pač pa lahko povem anekdoto, za katero mogoče ne veste vsi. V Društvu za antične in humanistične študije smo predlani prišli na idejo, da bi profesorja Gantarja predlagali za neko drugo nagrado, ki je imela med obrazci tudi obrazec za soglasje predlaganega. Naredil sem osnovnošolsko napako ter pisal profesorju, če ga (...) lahko izpolni in podpiše. On pa mi je odpisal, da je nagrad v življenju dobil preveč in da prosi, naj ga ne predlagamo. Eksplicitno izraženi zahtevi se je težko upreti. Smo pa v društvu tudi poznavalci Otona Župančiča, ki je, kot veste, napisal, da gre osel enkrat na led, »baš to je oslovstvo«, in da modrec ve, kako je »danes pal«, jutri bo pa plesal po njem. Ko smo tako profesorja predlagali naslednjič, tokrat za Prešernovo nagrado, ga nismo nič spraševali. Na tem mestu bi se zato rad zahvalil Miljani Cunta s Slovenske matice, ki je vse to koordinirala, in SAZU, ki je predlog takoj podprla; resnično sem vesel, da ob tej priložnosti lahko sediva tukaj. (shrink)

The chromodomain is a highly conserved sequence motif that has been identified in a variety of animal and plant species. In mammals, chromodomain proteins appear to be either structural components of large macromolecular chromatin complexes or proteins involved in remodelling chromatin structure. Recent work has suggested that apart from a role in regulating gene activity, chromodomain proteins may also play roles in genome organisation. This article reviews progress made in characterising mammalian chromodomain proteins and emphasises their emerging role in the (...) regulation of gene expression and genome organisation. BioEssays 22:124–137, 2000. ©2000 John Wiley & Sons, Inc. (shrink)

In God and Mystery in Words David Brown uses the way in which poetry and drama have in the past opened people to the possibility of religious experience as a launch pad for advocating less wooden approaches to Christian worship today. So far from encouraging imagination and exploration, hymns and sermons now more commonly merely consolidate belief. Again, contemporary liturgy in both its music and its ceremonial fails to take seriously either current dramatic theory or the sociology of ritual. (...) Yet this was not always so. Imagery and hymns mattered, liturgial msic encouraged a sense of drama, sermons required rhetoric. In a characteristically stimulatling and inspiringly expansive study, that ranges from ancient Greek drama to modern poetry, from the meaning of the Logos to the history of vestments, David Brown pleads for a much wider focus on the kind of factors that aid experience of God. (shrink)

What has sometimes been called the "standard" argument for fatalism never achieved the critical popularity of Richard Taylor's (1962) infamous argument. But it has enjoyed far greater longevity. In De Fato Cicero (1960) tells us it was known in ancient Greece as the "idle argument", for it purports to show the futility of attempting to control one's fate and, hence, those persuaded by it could be led to a life of inaction and idleness. Even with such antiquated credentials, however, the (...) argument continues to exercise fine contemporary minds (e.g. Schlesinger 1993). (shrink)

In this article I take up a central question posed by the article jointly authored with Bill Winslade in this issue of JCE: What should be the role of clinical ethics consultants (CECs) in (what we call) an unsettled case: that is, a situation in which the range of allowable choices, among which the parties to a bioethical disagreement must select, cannot be clearly or completely specified? I argue here that CECs should, in such cases, guide the parties by presenting (...) their own reasoned conclusions about what the scope of allowable choices should be taken to include. Since this position challenges the received view that CECs must not express their own moral positions or conclusions in their role as ethicists, I try to defend my view of the CEC’s role in unsettled cases against several objections. (shrink)

This article examines Engelhardt’s thesis from the standpoint of liturgical theology. Fagerberg’s previous work has claimed that liturgy gives birth to theology in such a way that liturgy is the ontological condition for theology, as Schmemann said. If we apply this approach to the question at hand, we will understand liturgy to be the source and foundation also for Christian morality. This is no particular surprise, since the Christian tradition has always integrated liturgy, theology, and asceticism, that last named treating (...) morality as a pathway to deification. Liturgical theology views liturgy as a pneumatic exercise that makes theologian souls, and liturgical asceticism understands such theologian souls to be molded by the doings of the body, and this delivers us to the threshold of liturgical morality, for in liturgy the God’s-eye perspective shares its light with us. (shrink)

Keynes is widely accepted to have proved the existence of a consumption gap as a cause of economic depressions. Such a gap meant that, ironically, depressions could get worse as a result of the greater wealth produced by the modern economy, since, as Keynes argued, the wealthy consumed proportionately less than the lower?income groups. Textual analysis, however, shows that Keynes's arguments amounted to assumptions, not demonstrations. And a survey of the empirical research of the subsequent half?century reveals a lack of (...) convincing evidence of the consumption gap. (shrink)

As befits a volume devoted to the topic of pluralism the contributing pieces collected here are varied. Their concern is with very different kinds of difference, and their conclusions range from an insistence that pluralism is both inevitable and desirable to a belief that it is unsustainable and perhaps remediable. The starting point for any discussion of pluralism is a recognition that we inhabit a world of differences. These differences are exhibited in moral outlooks, cultural identities, ways of life, religious (...) beliefs, and even modes of philosophy. The mere fact of such differences is salient but unremarkable. What preoccupies philosophers is the question of the conclusions that are to be drawn from a proper recognition of this fact. And the central issue at dispute for philosophers is whether the fact of difference—plurality—licences a view—pluralism— that it is legitimate, rather than just inevitable, that such difference should persist. (shrink)

Semi-DeMorgan algebras are a common generalization of DeMorgan algebras and pseudocomplemented distributive lattices. A duality for them is developed that builds on the Priestley duality for distributive lattices. This duality is then used in several applications. The subdirectly irreducible semi-DeMorgan algebras are characterized. A theory of partial diagrams is developed, where properties of algebras are tied to the omission of certain partial diagrams from their duals. This theory is then used to find and give axioms for the largest variety of (...) semi-DeMorgan algebras with the congruence extension property. (shrink)

In 2013, controversy sparked student protests, campus debates, and national attention when Smith College denied admittance to Calliope Wong—a trans woman. Since then, eight women’s colleges have revised their admissions policies to include different gender identities such as trans women and genderqueer people. Given the recency of such policies, we interrogate the ways the category “woman” is determined through certain alignments of biology-, legal-, and identity-based criteria. Through an inductive analysis of administrative scripts appearing both in student newspapers and in (...) trans admittance policies, we highlight two areas U.S. women’s colleges straddle while creating these policies: inclusion/exclusion scripts of self-identification and legal documentation, and tradition-/activism-speak. Through these tensions, women’s college admittance policies not only construct “womanhood” but also serve as regulatory norms that redo gender as a structuring agent within the gendered organization. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Good Work:An Engaged Buddhist Response to the Dilemmas of ConsumerismDavid Landis BarnhillConsumerism is such an ingrained part of our culture, it is paradoxically difficult to avoid and easy to ignore. Sometimes it seems like the water we modern fish swim in.But the Buddhist call to awareness of our state of mind and the nature of reality leads us to reflect on it, to encounter it as directly as possible. (...) When we do, it is all too clear that consumerism goes directly against virtually everything Buddhism stands for. In thinking about a Buddhist response to it, what first comes to mind is the rich monastic tradition, with its trenchant analysis of the pervasiveness of desires, the ideal of life lifted free of craving, and the inviting simplicity of the communal life. But as an engaged Buddhist, I almost immediately feel that, compelling as it is, this monastic tradition is insufficient, particularly at a time when consumerism has become so devastating on a global scale. While the monastic tradition offers a model of a nonconsumer lifestyle, it does little to affect the industrialized world's accelerating exhaustion of natural resources. I sometimes put this point in mythical Buddhist imagery by saying that we live in a culture of hungry ghosts.1 But that would be optimistic. While hungry ghosts have a bloated stomach of insatiable cravings, their throats are as thin as pins. Modern culture has a gargantuan mouth and throat, and yet we still act as if our bellies are empty.So what can we as Buddhists do about such a destructive culture? Engaged Buddhism is a way of confronting social, political, and psychological poisons that threaten our world, and it offers an effective counter to consumer culture in at least three main ways. There is the extension of the Buddhist analysis of reality beyond the psychological and the metaphysical to the social, structural dimension of life of economic systems and political institutions. In the social context, the Buddhist truth of the mutual co-arising of phenomena takes on a more immense scope than the mere conditioning of consciousness, and a more concrete—and thus soiled—quality than Huayan Buddhism's mesmerizing metaphysics of Indra's net. The interpenetration of life (pratītya-samutpāda) includes billboards and boardrooms, peasants uprooted from their land as coffee is planted in their place. I live not just in interrelationship with the postglacial hills of Wisconsin but also with the mountains of toxins spewed [End Page 55] into the air to give us cheap, but very costly, energy. As Stephen Batchelor has said, "the contemporary social engagement of Dharma practice is rooted in awareness of how self-centered confusion and craving can no longer be adequately understood only as psychological drives that manifest themselves in subjective states of anguish. We find these drives embodied in the very economic, military, and political structures that influence the lives of the majority of the people on Earth."2 Engaged Buddhism gives us an incisive way to comprehend and critique our situation, and we stand on more solid ground as we view the vast and painful interconnections.Second, engaged Buddhism also can give us a vision of a social and political alternative, one that is based not on the three poisons of greed, hatred, and delusion but on generosity, compassion, and wisdom. But in doing so Buddhism must go beyond the limits of its own tradition and draw on the insights of contemporary social and environmental philosophies, from anarchism to bioregionalism. A creative merging of Buddhism and such ecosocial thought can help us work toward a modern life of communalism rather than consumerism, of contentment rather than self-perpetuating desire.3Third, engaged Buddhism gives us a basis for directly responding to a world of craving and suffering. Activism against the rising tide of consumerism—and against the social, political, and military structures and the deafening ideologies that support it—can emerge from a meditational steadiness. Contemplative activism avoids rage, burnout, and psychic numbness and allows us to meet greed and hatred with peace in a spirituality of resistance. Such a religiously based activism, however, needs to join hands4 with social philosophy and... (shrink)