The term, “bioethics” was coined in 1970 by American cancerologist V. R. Potter. In the few decades since, the field of bioethics has emerged as an important discipline. The field has attained a remarkable degree of public recognition in a relatively short period of time. The “right to die” cases such as In re Quinlan placed bioethical issues on the front pages. Although the discipline is of recent vintage, the past quarter century has witnessed a flurry of scholarly activity, creating (...) a substantial body of bioethical literature. Moreover, the bioethics movement has manifested itself in institutional expressions. Universities and medical schools have added courses in bioethics to their curricula. In 1974, federal legislation and regulations mandated that federal grantees conducting human subjects research establish institutional review boards to safeguard subjects’ welfare, and even absent a legislative mandate numerous hospitals created ethics committees. Centers and institutes, devoted exclusively to the study of bioethical issues, have been founded. (shrink)

This article evaluates the social contract theorizing of Professors Thomas DonaIdson, Thomas Dunfee and Michael Keeley. This theorizing is tested with G.E. Moore’s concept of moral authority, with moral psychology, and by managerial utility. Both strengths and weaknesses are found in the theories and the author concludes that while there is great potential, much work in theory development remains.

(2013). Sickle Cell Disease and the “Difficult Patient” Conundrum. The American Journal of Bioethics: Vol. 13, No. 4, pp. 3-10. doi: 10.1080/15265161.2013.767954.

A unique multilevel perspective-structural social psychology-is explicated to help build theoretical bridges between micro and macro levels of analysis in sociology. The perspective portrays actors (human or corporate) as having minimal properties of purposiveness and responsiveness, encounters as interaction episodes between multiple actors, microstructures as local patterns of interaction emerging from and subsequently influencing encounters, and macrostructures as networks of social positions. These levels of analysis are connected via mutually contingent processes. Applying these assumptions, we illustrate the ability of the (...) framework to strengthen the macrosociological import of micro theories of power, status, and justice. We argue that structural social psychology is an important metatheoretical strategy for developing testable connections between individual and collective units of sociological analysis. (shrink)

This article describes, analyzes, and advocates for management of clinical healthcare conflict by a process commonly referred to as bioethics mediation. Section I provides a brief introduction to classical mediation outside the realm of clinical healthcare. Section II highlights certain distinguishing characteristics of bioethics mediation. Section III chronicles the history of bioethics mediation and references a number of seminal writings on the subject. Finally, Section IV analyzes barriers that have, thus far, limited the widespread implementation of bioethics mediation.

The integration of ideas, methods, and data from diverse disciplines has been a transformative force in science and higher education, attracting policy interventions, program innovations, financial resources, and talented people. Much energy has been invested in producing a new generation of scientists trained to work fluidly across disciplines, sectors, and research problems, yet the success of such investments has been difficult to measure. Using the Integrative Graduate Education and Research Training (IGERT) program of the U.S. National Science Foundation as a (...) strategic research site, we conducted an experiment to determine whether and how the process and products of research of IGERT-trained scientists differ from those of scientists trained in disciplinary graduate programs. Among scientists in the early years of graduate study we found substantial and consistent differences suggesting that interdisciplinary training improved the quality and process of research, but this pattern was equally strongly reversed among students in the latter years of graduate study. Using systematic observation and other data we suggest why this might be so, then discuss the implications of these results for the design and conduct of graduate education and research. (shrink)

Bioethics mediators manage a wide range of clinical conflict emanating from diverse sources. Parties to clinical conflict are often not fully aware of, nor willing to express, the true nature and scope of their conflict. As such, a significant task of the bioethics mediator is to help define that conflict. The ability to assess and apply the tools necessary for an effective mediation process can be facilitated by each mediator’s creation of a personal compendium of sources that generate clinical conflict, (...) to provide an orientation for the successful management of complex dilemmatic cases. (shrink)

In Daubert v. Merrell Dow Pharmaceuticals, Inc., the U.S. Supreme Court made its first major pronouncement on the evaluation of scientific evidence, calling on judges to act as gatekeepers for scientific knowledge and validity, despite lack of scientific training among judges. Daubert offers the science studies community a case study for examining how judges engage in boundary-work and construct scientific validity. In constructing scientific validity under Daubert, judges must evaluate the scientific method behind a particular scientific claim, and will look (...) to the parties' experts and the relevant scientific community for assistance. To combat the oft-cited problem of the battle of the experts, judges may be tempted to obtain assistance from court-appointed neutral experts, an inquisitorial system in the civil law tradition of many European countries. The judicial evaluation of scientific evidence, the resulting construction of scientific validity, and the push for a greater use of court-appointed experts reveal judges' desire to segregate "objective" scientific facts from aspects of the legal process that are infused with adversaries' values. Yet the scientific and judicial construction of validity mixes empirical results and research methods with the personal, political, and institutional values of judges and scientists. (shrink)

In mid-Victorian Britain, reconciling elite mathematical expertise with practical mechanical experience presented both engineering and social challenges. Nowhere was this more apparent than in the construction of the Westminster Clock at Britain’s Houses of Parliament. Realizing this scheme engendered the collaboration between Cambridge mathematicians George Biddell Airy and Edmund Beckett Denison, and the clockmaker Edward John Dent. Transforming theoretical mathematical drawings into physical apparatus challenged existing relations between conveyors of privileged scientific knowledge and those with practical experience of what (...) was, and what was not, mechanically possible. My article demonstrates how, within this project, physical models and devices provided material solutions to ambiguities over authority and social disorder in Victorian Britain. (shrink)

Eleventh-century Europe was dominated by a single political and economic elite with position based on control of the means of coercion; by the end of the fifteenth. century there were various elites with power based on control of some form of production. Theories based on trade, population, and the class struggle have been advanced to account for this change but are inadequate because they posit causal relationships running from some single independent factor. A different form of explanation emphasizes the network (...) of relationships among economic and political units. Here economic power is crucial. The development of new technology shifted the economic leverage of the nobility to the mer chants, then to town craftsmen, with detailed effects on all other economic relationships. The argument is primarily theoretical, not a reconstruction of events, and a mathematical model is provided. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:THE FATE OF THEISM REVISITED I THEISM SEEMS to be caught in a dilemma. Speaking persuasively to the surrounding culture seems to demand hat theism sacrifice its own integrity as a significantly distinctive world-view; affirming its distinctiveness seems to result in moving itself to the periphery of the culture. Briefly, then, either theism acquires relevance at the price of forfeiting any claim to distinctiveness or it takes seriously precisely (...) those things that make it seem significantly distinctive and thereby isolates itself from the rest of the culture. Such is the fate of theism as portrayed by (friendly?) critics of theism like Jeffrey Stout, Alasdair Macintyre, and Van A. Harvey.1 The main question addressed in this paper is whether or not the theist (or his more specific variant, the Christian theist) has a sound response to this dilemma? How, if at all, can the Christian theist avoid the horns of the dilemma of redundancy and irrelevance? 1 Jeffrey Stout, The Flight from Authority: Religion, Morality, and the Quest for Autonomy (London and Notre Dame: University of Notre Dame Press, 1981), especially Part 2. Alasdair Macintyre, "God and the theo· logians," in Against the Self-Images of the Age (London: Duckworth, 1971), pp. 12-26; see also Macintyre's essay, "The Fate of Theism," originally delivered as one of his Bampton Lectures at Columbia University in 1966. Macintyre's lectures were published in The Religious Si,qnificance of Atheism (New York: Columbia University Press, 1969). For "The Fate of Theism," see pp. 3-29. Van A. Harvey, The Historian and the Belie1Jer: The Morality of Historical Knowledge and Christian Belief (New York: Macmillan, 1966); see also Harvey's essay, "The Pathos of Liberal Theology," Journal of Religion 56 1976: 382-391. For an illuminating discussion of the fate of theism, see Peter L. Berger, The Heretical Imperatives: Contemporary Possibilities of Religious Affirmation (New York: Doubleday 1980). 63~ THE FATE OF THEISM REVISITED 633 The practical relevance of this dilemma for Christian doctrine was recently evidenced in Thomas Sheehan's review of Hans Kiing's latest book in the New York Review of Books.2 After summarizing Kiing's views on the Christian doctrine of eternal life, Sheehan writes: Kiing... has pushed Catholic theology to the limits of its own language. In fact, he has brought it to the point where one can ask what its teachings have to offer that cannot be found outside the scope of its experience and discourse. For example, the hope in immortality he evokes is certainly not peculiar to Catholicism or Christianity. Nor is it an exclusively religious doctrine: we find it in pagan philosophy from the Greeks onward, even in thinkers who did not believe in a personal god.... On a broader scale, it is clear that religious experience is available outside Catholicism and Christianity; and for many people natural human experience, with no religious or transcendent dimension, is satisfying enough. What, then, does Catholicism claim to provide that cannot be found beyond its boundaries? I am not asking about the subjective aspects of experience, be it natural or religious (its felt quality, psychological genesis, personal meaning, and so on). I am asking an objective theological question: what does Catholicism claim that makes it unique, essentially different from non-Catholic religions and non-religious humanisms? 3 Sheehan's answer to this last question is clear. That which makes Christianity unique and essentially distinctive and which traditional believers sought to clarify and defend moves Christianity to the periphery of the culture. By identifying themselves primarily with the tradition in terms of classical Christianity, no one hears what Christians have to say but themselves. The only alternative to this self-imposed isolation, holds Sheehan, is to be intelligible to contemporary educated, secularminded men and women: in which case Christian theism may well have interesting things to say, but these will not be significantly distinctive in any Christian sense. To put this last 2 Thomas Sheehan, "Revolution in the Church," The New York Review of Books, June 14, 1984, pp. 35-39. s Ibid., p. 38. 634 EDWARD J. ECHEVERRIA point another way, the strategy of accommodation raises the question why one should be Christian at all... (shrink)

This paper presents reports on discussions among an international group of science and technology studies scholars who convened at the US National Science Foundation to think about data sharing and open STS. The first report, which reflects discussions among members of the Society for Social Studies of Science, relates the potential benefits of data sharing and open science for STS. The second report, which reflects discussions among scholars from many professional STS societies, focuses on practical and conceptual issues related to (...) managing, storing, and curating STS data. As is the case for all reports of such open discussions, a scholar’s presence at the meeting does not necessarily mean that they agree with all aspects of the text to follow. (shrink)

Standard models of concept learning generally focus on deriving statistical properties of a category based on data (i.e., category members and the features that describe them) but fail to give appropriate weight to the contact between people's intuitive theories and these data. Two experiments explored the role of people's prior knowledge or intuitive theories on category learning by manipulating the labels associated with the category. Learning differed dramatically when categories of children's drawings were meaningfully labeled (e.g., “done by creative children”) (...) compared to when they were labeled in a neutral manner. When categories are meaningfully labeled, people bring intuitive theories to the learning context. Learning then involves a process in which people search for evidence in the data that supports abstract features or hypotheses that have been activated by the intuitive theories. In contrast, when categories are labeled in a neutral manner, people search for simple features that distinguish one category from another. Importantly, the final study suggests that learning involves an interaction of people's intuitive theories with data, in which theories and data mutually influence each other. The results strongly suggest that straight‐forward, relatively modular ways of incorporating prior knowledge into models of category learning are inadequate. More telling, the results suggest that standard models may have fundamental limitations. We outline a speculative model of learning in which the interaction of theory and data is tightly coupled. The article concludes by comparing the results to recent artificial intelligence systems that use prior knowledge during learning. (shrink)

For all humans, sexual orientation and gender identity are essential elements of identity, informing how we plan and live our lives. The historic invisibility of sexual minorities in medicine has meant that these important aspects of their identities as patients have been ignored, with the result that these patients have been denied respect, culturally competent services, and proper treatment. Likely due to historic rejection and mistreatment, there is evidence of reluctance on the part of LGBT patients to disclose their sexual (...) orientation (SO) or gender identity (GI) to their health care providers. There is some perception of risk in sharing SO and GI for many patients who have had bad prior experiences. Despite these risks, we argue that we can improve the quality of care provided this population only by encouraging them to self‐identify and then using that information to improve quality of care.One strategy both to prompt patient self‐identification and to store and use SO and GI data to improve care centers on the use of electronic health records. However, gathering SO and GI data in the EHR requires a workforce that knows both how to obtain and how to use that information. To develop these competencies, educational programs for health professionals must prepare students and educators to elicit and to use sexual orientation and gender identity information to improve care while simultaneously ensuring the safety of patients, trainees, and staff and faculty members as SO and GI become openly discussed and integral parts of ongoing medical discussion and care. As determination of SO and GI demographics becomes more common in health research, we will more fully understand the health risks for all the LGBTIQQ populations. (shrink)

In the famous Correspondence with Clarke, which took place during the last year of Leibniz's life, Leibniz advanced several arguments purporting to refute the absolute theory of space and time that was held by Newton and his followers. The main aim of this book is to reassess Leibniz's attack on the Newtonian theory in so far as he relied on the principle of the identity of indiscernibles. The theological side of the controversy is not ignored but isolated and discussed in (...) the last three chapters, which deal with problems connected with the notions of omnipotence and omniscience. (shrink)

In a recent paper in Science and Engineering Ethics (SEE) Elliott proposed an ethics of expertise, providing its theoretical foundation along with its application in a case study devoted to the topic of hormesis. The application is based on a commentary in the journal Nature, and it includes assertions of ethical breaches. Elliott concludes that the authors of the commentary failed to promote the informed consent of decision makers by not providing representative information about alternative frequency estimates of hormesis in (...) the literature, thereby hindering the capacity of the scientific community to promote informed consent relating to chemical regulation. This paper argues that Elliott should have incorporated due process into his system of evaluation. His argument is also seriously deficient technically, in that it misinterprets the toxicological issues, misrepresents the scientific literature with respect to the frequency of hormesis, and incorrectly assesses the extent to which the Nature paper revealed opposing/alternative views on hormesis. Given the seriousness of assertions of noncompliance to ethical norms, there must be procedures to protect those whose ethics were called into question, to fairly evaluate the technical justification for an assertion, and to enable corrections in the event of errors. If a journal is willing to publish assertions that individuals acted in an ethically questionable way, it should be guided by a documented code of ethics and meet a standard of responsibility far greater than normal peer-review processes for papers that do not entail such ethical judgments. (shrink)