Universities want to prepare students intellectually so that they might eventually find successful, fulfilling work. Since work is synonymous with business – no work ever exists outside of business – one of the academy's primary goals is to help students enter the world of business, regardless of their majors. Many universities also declare within their mission statements a desire to cultivate a student body capable of making ethically informed decisions. Consequently we might conceptualize "business ethics" as not simply one field (...) within the academic constellation, but rather the conceptual glue holding together the curriculum. And since the most significant new development in business within the past decade is arguably the emergence of theories of sustainable business practice, we would do well to consider the role business ethics can play in the creation of a new "sustainable curriculum.". (shrink)

This study aimed to develop a valid and reliable performance analysis template for quantifying team action variables in elite men’s wheelchair basketball. First action variables and operational definitions were identified by the authors and verified by an expert panel of wheelchair basketball coaching staff in order to establish expert validity. A total of 109 action variable were then placed into 17 agreed Categorical Predictor Variable categories. The action variables were then used to develop a computerized performance analysis template for post-event (...) analysis. Each possession (n = 200) from an international men’s wheelchair basketball game was analyzed by the first author on two occasions for assessment of intra-observer reliability and by a coach and a performance analyst for inter-observer reliability. Percentage error and Weighted Kappa coefficients were calculated to compare the levels of error and agreement for each action variable. Intra-observer reliability demonstrated perfect or almost perfect agreement (. (shrink)

Over the last few decades, neuroimaging techniques have transformed our understanding of the brain and the effect of neurological conditions on brain function. More recently, light-based modalities such as functional near-infrared spectroscopy have gained popularity as tools to study brain function at the bedside. A recent application is to assess residual awareness in patients with disorders of consciousness, as some patients retain awareness albeit lacking all behavioural response to commands. Functional near-infrared spectroscopy can play a vital role in identifying these (...) patients by assessing command-driven brain activity. The goal of this review is to summarise the studies reported on this topic, to discuss the technical and ethical challenges of working with patients with disorders of consciousness, and to outline promising future directions in this field. (shrink)

Shaping the Normative Landscape is an investigation of the value of obligations and of rights, of forgiveness, of consent and refusal, of promise and request. David Owens shows that these are all instruments by which we exercise control over our normative environment.

We call beliefs reasonable or unreasonable, justified or unjustified. What does this imply about belief? Does this imply that we are responsible for our beliefs and that we should be blamed for our unreasonable convictions? Or does it imply that we are in control of our beliefs and that what we believe is up to us? Reason Without Freedom argues that the major problems of epistemology have their roots in concerns about our control over and responsibility for belief. David (...) class='Hi'>Owens focuses on the arguments of Descartes, Locke and Hume - the founders of epistemology - and presents a critical discussion of the current trends in contemporary epistemology. He proposes that the problems we confront today - scepticism, the analysis of knowlege, and debates on epistemic justification - can be tackled only once we have understood the moral psychology of belief. This can be resolved when we realise that our responsibility for beliefs is profoundly different from our rationality and agency, and that memory and testimony can preserve justified belief without preserving the evidence which might be used to justify it. Reason Without Freedom should be of value to those interested in contemporary epistemology, philosophy of mind and action, ethics, and the history of 17th and 18th century. (shrink)

Why do human beings make and accept promises? What human interest is served by this procedure? Many hold that promising serves what I shall call an information interest, an interest in information about what will happen. And they hold that human beings ought to keep their promises because breaches of promise threaten this interest. On this view human beings take promises seriously because we want correct information about how other human beings are going to act. Some such view is taken (...) for granted by most philosophical accounts of promissory obligation.1 I agree that human beings do want such information and that they often get it by accepting promises. But I doubt that promising exists because it serves this information interest. (shrink)

One way of discerning what sort of control we have over our mental lives is to look at cases where that control is not exercised. This is one reason why philosophers have taken an interest in the phenomenon of akrasia, in an agent's ability to do, freely and deliberately, something that they judge they ought not to do. Akrasia constitutes a failure of control but not an absence of control. The akratic agent is not a compulsive; an akratic agent has (...) the ability to control their action, to make it conform to their judgement, but they fail to exercise that ability. They freely and deliberately give in to temptation. (shrink)

In an important departure from theories of causation, David Owens proposes that coincidences have no causes, and that a cause is something which ensures that its effects are no coincidence. In Causes and Coincidences, he elucidates the idea of a coincidence as an event which can be analysed into constituent events, the nomological antecedents of which are independent of each other. He also suggests that causal facts can be analysed in terms of non-causal facts, including relations of necessity. Thus, (...) causation is defined in terms of coincidence, and coincidence without reference to causation. David Owens challenges the ideas associated with Hume, Davidson and Lewis, constructing a theory which distinguishes nomological necessity and sufficiency from their logical counterparts. He is able to offer novel solutions to the major problems of causation, including the direction of causation, the logical form of causal statements, the distinction betwen causal connections and logical connections, and the relationship between psychological and physical causation. (shrink)

Attention to individual choice is a valuable dimension of public health policy; however, the creation of effective public health programmes requires policy makers to address the material and social structures that determine a person’s chance of actually achieving a good state of health. This statement summarizes a well understood and widely held view within public health practice. In this article, we (i) argue that advocates for public health can and should defend this emphasis on ‘structures’ by reference to citizen autonomy (...) and not simply by emphasizing concern for counter-balancing values such as ‘population health’ or ‘fairness’, (ii) map and critically explore the contrasting conceptions of autonomy that feature in such debates, with particular attention to conceptions of autonomy that might feature in the defence of an emphasis on structures. We draw on (i) a relational conception of autonomy and (ii) the distinction that can be made between autonomous deliberation and autonomous action to suggest that offering people the opportunity to make choices about their health without also supporting their capability to achieve the object of these choices falls short of what is often considered to be morally and politically important about promoting autonomy in relation to health. (shrink)

This dissertation seeks to explicate the fundamental contributions of phenomenology to the philosophy of language as it is presently conceived in the Anglo-American tradition for which John Searle serves as the representative. They are the essence of language in the later essays of Martin Heidegger and the perspicacious description of the experience of speaking in Maurice Merleau-Ponty. ;After roughly describing the subjectivistic assumptions, the questions, and the goals of the philosophy of language in the works of Searle, the study proceeds (...) to explore how phenomenology's characteristic search for essences and concern for lived-experience can set it on a more circumspect path. ;The study elicits the following conclusions. Despite significant contrasts, there is a solid complementarity between Heidegger and Merleau-Ponty as phenomenologists concerned with the language phenomenon. Heidegger and Merleau-Ponty make substantial contributions to the philosophy of language. Specifically, its traditional subjectivistic assumptions are phenomenologically re-thought; answers to its customary questions are formulated from a pre-subjective and pre-objective perspective; and the traditional problem of how language and speaking can be creative is resolved. Finally, some of the concerns of a complete philosophy of language left unaddressed by Heidegger and Merleau-Ponty are itemized. (shrink)

In modern medicine, health risks are often managed through the collection of health data and subsequent intervention. One of the goals of clinical genetics, for example, is to identify genetic predisposition to disease so that individuals can intervene to prevent potential harms. But recently, some clinicians have suggested that patients should undergo less testing and monitoring in an effort to reduce overdiagnosis and overtreatment. In this paper, I explore how clinicians navigate the tension between identifying real disease risks for their (...) patients with concerns about overdiagnosis and overtreatment. I focus on clinicians ordering genetic testing for inherited cardiovascular diseases. Of the genes determined to be “clinically actionable” by the American College of Medical Genetics and Genomics (ACMG), half are related to cardiovascular diseases. But, due in part to high levels of uncertainty surrounding cardiovascular genetics, there is still disagreement within the field about how to order and interpret these tests. Based on semi-structured, in-depth interviews with 20 clinicians who order genetic testing for cardiovascular diseases, I find that there is considerable variability in the ways that clinicians determine which types of genetic tests are appropriate for their patients and how they interpret test results. Most importantly, I find that many providers do not presume that more genetic data will lead to better care. Instead, increased genetic data can lead to confusion and inappropriate treatment. This re-valuation of the utility of medical data is crucial for bioethicists to explore, especially as medical fields are sorting through increasing amounts of data. (shrink)

Joseph Owens presents an introduction to metaphysics designed to develop in the reader a habitus of thinking. Using original Thomistic texts and Etienne Gilson's interpretation of St. Thomas Aquinas, Owens examines the application of metaphysical principles to the issues that arise in a specifically Christian environment. An Elementary Christian Metaphysics focuses on questions of existence and the nature of revealed truths. Following his historical introduction to metaphysics, Owens provides a general investigation of the first principles and causes (...) of being and also a study of knowledge and of the divine nature and attributes in light of natural reason. "Irrespective of one's intellectual genotype, an exposure to the sustained, developmental elucidation of Aquinas' insights executed by an author such as Owens can only enhance any metaphysical approach to reality." --The New Scholastic "An Elementary Christian Metaphysics is intended primarily for undergraduate students as an introduction to metaphysics. . . . The scope of the metaphysical study pursued by Owens includes not only a general investigation of beings but also an analysis of knowledge (epistemology) and of the divine nature, all in light of natural reason." --Studies in Religion Joseph Owens (1908-2005) taught philosophy at the Pontifical Institute of Mediaeval Studies and the University of Toronto for forty years. He is the author of a number of books, including An Interpretation of Existence, also published by the University of Notre Dame Press. (shrink)

This open access book is a systematic update of the philosophical and scientific foundations of the biopsychosocial model of health, disease and healthcare. First proposed by George Engel 40 years ago, the Biopsychosocial Model is much cited in healthcare settings worldwide, but has been increasingly criticised for being vague, lacking in content, and in need of reworking in the light of recent developments. The book confronts the rapid changes to psychological science, neuroscience, healthcare, and philosophy that have occurred since the (...) model was first proposed and addresses key issues such as the model’s scientific basis, clinical utility, and philosophical coherence. The authors conceptualise biology and the psychosocial as in the same ontological space, interlinked by systems of communication-based regulatory control which constitute a new kind of causation. These are distinguished from physical and chemical laws, most clearly because they can break down, thus providing the basis for difference between health and disease. This work offers an urgent update to the model’s scientific and philosophical foundations, providing a new and coherent account of causal interactions between the biological, the psychological and social. (shrink)

Two models of assertion are described and their epistemological implications considered. The assurance model draws a parallel between the ethical norms surrounding promising and the epistemic norms which facilitate the transmission of testimonial knowledge. This model is rejected in favour of the view that assertion transmits knowledge by expressing belief. I go on to compare the epistemology of testimony with the epistemology of memory.

Chapter One THE PROBLEM OF BEING IN THE METAPHYSICS TO determine whether the notion of Being in Alexander of Hales is Aristotelian or Platonic, a recent historian seeks his criterion in "the gradual separation of the Aristotelian ...

I. M. Crombie, in Plato: The Midwife's Apprentice, assembles the results of studies already published in two previous volumes. This latest book contains his "conclusions only without the arguments on which, it is hoped, they rest". A stereotyped "Platonism," the book insists, "renders static and dogmatic a body of philosophical work that was essentially dynamic, critical and exploratory... freezing into a set posture something which really consists of many postures". In contrast, "Plato conceived of philosophy as an almost unending struggle (...) to give satisfactory expression to what, in one sense, we know perfectly well all along," and "to achieve an explicit understanding of that which we understand implicitly all along". In this way the midwifery required by Plato's doctrine of anamnêsis is explained and justified in a development that goes "a little beyond what the texts allow," but of which Plato himself, the author thinks, would not have disapproved. Though the "splendid vitality" of Plato's writings consists in their never satisfied dialectical inquiry, "there is also something of value for us in Plato's more positive conception of philosophy". Yet, in comparison with the common view "that Plato's metaphysical doctrine is the key to his whole philosophy," it is much nearer the truth to maintain "that the key to Plato's philosophy is his conception of the nature of philosophical activity". (shrink)

In this major new assessment of Hannah Arendt's writings on International Relations Patricia Owens provides a compelling case for Arendt's continued relevance to debates about suicide bombing; genocide; the ethics of war; civilian casualties; and the dangers of lies and hypocrisy in wartime.

Reports of children participating in hunger strikes while detained in offshore detention centres raise interrelated ethical issues and recognizable challenges for the medical decision-makers at these sites. A composite case study, informed by reports in the public domain, is employed to explore the unique challenges of consent and decision-making in these circumstances and the perennial issues inherent in adolescents’ developing capacity and autonomy. We present an amalgamated case of a fourteen-year-old adolescent who refused to consent to medical reversal of her (...) hunger strike protest. The medical team became the final arbiter when her parents, who were also in detention, could not agree with each other even after mediation. The case explores the complexity of evaluating the adolescent’s capacity to provide informed consent while influenced by the opinions of co-detainees in this extreme setting. We argue that the parents and the child had compromised decisional capacity due to the effects of detention. The challenges to the medical team are recognized and discussed. The team members faced a difficult dilemma and considered the competing values of the multiple cultural and ethical factors. Each team member integrated his or her own roles, duties, and discipline-specific professional guidelines with the primary goal of mitigating potential harms. (shrink)

There is no right to blackmail. So says the law and so say most moral observers. A few libertarian voices have been raised in defence of blackmail but such a defence is liable to be treated as a reductio of the defender's own free market philosophy. However, it is surprisingly difficult to say just what is wrong with blackmail.

It is widely held that one who sincerely promises to do something must at least intend to do that thing: a promise communicates the intention to perform. In this paper, I argue that a promise need only communicate the intention to undertake an obligation to perform. I consider examples of sincere promisors who have no intention of performing. I argue that this fits well with what we want to say about other performatives - giving, commanding etc. Furthermore, it supports a (...) theory of promissory obligation which I have advocated elsewhere - the authority interest theory - against the orthodox information interest theory. (shrink)

This book presents an accessible and groundbreaking new look at the evolution of consciousness. It traces its origins back to early man's primordial emotions - those elicited from basic needs such as hunger and thirst.

Why have philosophers since Hume regarded promising as problematic? I distinguish two problems raised by Hume. The problem of the bare wrong is the problem of how it can make sense to avoid a wrong when the wrong does not affect any intelligible human interest. The problem of normative power is the problem of how something can be a wrong simply because it has been declared to be a wrong. I argue that the problem of the bare wrong is more (...) basic. I then examine the attempts of practice theorists like Hume and Rawls to overcome the problem of the bare wrong by arguing that whenever breach of promise seems like a bare wrong, in fact human interests are adversely affected because a socially valuable practice is damaged. I argue that their various explanations cannot cover all the cases. I then formulate an assumption which is shared by all practice theorists (and others) namely the assumption that we take promises seriously because they serve our interest in social co-ordination. I argue that if this assumption were true, there need be no practice of promise-keeping for promises to bind. Furthermore, were this assumption true, promising would be a social tool that we could largely do without. And so long as promising intelligibility is in doubt (because of the problem of the bare wrong) an adherent of the social co-ordination hypothesis should assume that we largely do do without it. So anyone who gives promising a key role in human social life must reject the social co-ordination hypothesis. (shrink)

David Lewis defends the thesis of the asymmetry of overdetermination: later affairs are seldom overdetermined by earlier affairs, but earlier affairs are usually overdetermined by later affairs. Recently, Carol Cleland has argued that since the distinctive methodologies of historical science and experimental science exploit different aspects of this asymmetry, the methodology of historical science is just as good, epistemically speaking, as that of experimental science. This paper shows, first, that Cleland's epistemological conclusion does not follow from the thesis of the (...) asymmetry of overdetermination, because overdetermination is compatible with epistemic underdetermination. The paper also shows, contra Cleland, that there is at least one interesting sense in which historical science is epistemically inferior to experimental science, after all, because local underdetermination problems are more widespread in historical than in experimental science. (shrink)

Simple epithelial keratins K8 and K18 are components of the intracellular cytoskeleton in the cells of the single‐layered sheet tissues inside the body. As members of the intermediate filament family of proteins, their function has been a matter for debate since they were first discovered. Whilst there is an indisputable case for a structural cell‐reinforcing function for keratins in the mutilayered squamous epithelia of external barrier tissues, some very different stress‐protective features now seem to be emerging for the simple epithelial (...) keratins. Even the emerging evidence of pathological mutations in K8/K18 looks very different from mutations in stratified epithelial keratins. K8/K18‐like keratins were probably the first to evolve and, whilst stratified epithelial (keratinocyte) keratins have diversified into a large group of keratins highly specialised for providing mechanical stability, the simple epithelial keratins have retained early features that may protect the internal epithelia from a broader range of stresses, including osmotic stress and chemical toxicity. BioEssays 25:748–758, 2003. © 2003 Wiley Periodicals, Inc. (shrink)

It is often maintained that practical freedom is a capacity to act on our view of what we ought to do and in particular on our view of what it would be best to do. Here, I discuss an important exception to that claim, namely habitual agency. Acting out of habit is widely regarded as a form of reflex or even as compulsive behaviour but much habitual agency is both intentional and free. Still it is true that, in so far (...) as we act out of habit, we have no capacity to determine what we do by making a judgement about whether we ought to be doing it. Habitual agency is nonetheless free because we have the capacity to determine whether we act out of habit by making a judgement about whether or not the habit is a virtue. I develop this view of habit by contrasting habitual agency with action on policy and I argue that much virtuous agency is best understood as a form of habitual agency rather than as a form of action on policy. (shrink)