Journal of Religious Ethics, Volume 50, Issue 1, Page 7-19, March 2022.

This book explores, in rich and rigorous ways, the possibilities and limitations of “thick” autonomy in light of contemporary debates in philosophy, ethics, and bioethics. Many standard ethical theories and practices, particularly in domains such as biomedical ethics, incorporate minimal, formal, procedural concepts of personal autonomy and autonomous decisions and actions. Over the last three decades, concerns about the problems and limitations of these “thin” concepts have led to the formulation of “thick” concepts that highlight the mental, corporeal, biographical and (...) social conditions of what it means to be a human person and that enrich concepts of autonomy, with direct implications for the ethical requirement to respect autonomy. The chapters in this book offer a wide range of perspectives on both the elements of and the relations between “thin” and “thick” concepts of autonomy as well as their relative roles and importance in ethics and bioethics. This book offers valuable and illuminating examinations of autonomy and respect for autonomy, relevant for audiences in philosophy, ethics, and bioethics. (shrink)

: Moral frameworks for evaluating non-donation strategies to increase the supply of cadaveric human organs for transplantation and ways to overcome barriers to organ donation are explored. Organ transplantation is a very complex area, because the human body evokes various beliefs, symbols, sentiments, and emotions as well as various rituals and social practices. From a rationalistic standpoint, some policies to increase the supply of transplantable organs may appear to be quite defensible but then turn out to be ineffective and perhaps (...) even counterproductive because of inadequate attention to these rich and complex features of human body parts. Excessively rationalistic policies neglect deep beliefs, symbols, sentiments, and emotions and the like, and that deficiency marks many actual and proposed policies. In addition, policies are often too individualistic and too legalistic. (shrink)

This paper explores some issues concerning the nature and structure of causal explanation in psychiatry and psychology from the point of view of the “interventionist” theory defended in my book, Making Things Happen. Among the issues is explored is the extent to which candidate causal explanations involving “upper level” or relatively coarse-grained or macroscopic variables such as mental/psychological states (e.g. highly self critical beliefs or low self esteem) or environmental factors (e.g. parental abuse) compete with explanations that instead appeal to (...) underlying, “lower level” or more fine gained neural, genetic, or biochemical mechanisms. (shrink)

Argues that Wittgenstein's early ethical notion of agreement with the world pivoted to become his later therapeutic notion of agreement with living forms, which satisfies the conditions necessary for a full therapeutic philosophy.

I, for one, am grateful to Peter Ubel, Karen Scherr, and Angela Fagerlin (2017) for their important and illuminating reflections on medical decision making, particularly in the context of preferenc...

_Considers the notable similarities between the thought of Confucius and Wittgenstein._.

Woodward's long awaited book is an attempt to construct a comprehensive account of causation explanation that applies to a wide variety of causal and explanatory claims in different areas of science and everyday life. The book engages some of the relevant literature from other disciplines, as Woodward weaves together examples, counterexamples, criticisms, defenses, objections, and replies into a convincing defense of the core of his theory, which is that we can analyze causation by appeal to the notion of manipulation.

If the contemporary rebirth of the ontological argument had its conception in Norman Malcolm's discovery of a second Anselmian argument it had its full-term delivery as a healthy philosophical progeny with Alvin Plantinga's sophisticated modal version presented in the tenth chapter of The Nature of Necessity. This latter argument has been the centre of a huge body of literature over the last fifteen years, and deservedly so. One is impressed that this version of Anselm's jewel is valid and sound if (...) any is. (shrink)

An introduction to Catholic theological ethics through the lens of its historical development from the beginning of the church until today.

"Public Bioethics collects the most influential essays and articles of James F. Childress, a leading figure in the field of contemporary bioethics. These essays, including new, previously unpublished material, cohere around the idea of "public bioethics," which involves analyzing and assessing public policies in biomedicine, health care, and public health, often through public deliberative bodies. The volume is divided into four sections. The first concentrates on the principle of respect for autonomy and paternalistic policies and practices. The second explores (...) the tension among bioethics, public policy, and religious convictions. It pays particular attention to the role of religious convictions in the formation of public policies and to the basis and limits of exemptions of health care providers who conscientiously oppose providing certain legal and patient-sought services. The third section looks at practices and policies related to organ transplantation. Childress focuses particularly on determining death, obtaining first-person consent for deceased organ donation, and allocating donated organs effectively and fairly. The book's fourth and final section maps the broad terrain of public health ethics, proposes a triage framework for the use of resources in public health crises, addresses public health interventions that potentially infringe civil liberties, and sheds light on John Stuart Mill's misunderstood legacy for public health ethics."--Provided by publisher. (shrink)

This chapter contains sections titled: The Variety of Principle‐based Approaches Connecting General Principles to Particular Judgments about Cases Critiques References Further reading.

The several articles in this special issue on organ donation after circulatory determination of death or, as it is often put, donation after cardiac death, draw lessons from different kinds of experience in order to guide efforts in the U.S. to develop or refine policies for DCD. One lesson comes from a major and, by many measures, successful experimental DCD program in Washington, D.C. in the 1990s. Another lesson comes from European countries that have adopted presumed-consent legislation, a form of (...) “opt out” that facilitates DCD as well as donation after neurological determination of death. Another lesson, from the perspective of critical care medicine in Canada, attends to the implications of viewing a dying patient, undergoing resuscitative procedures, as a potential organ donor. A final lesson sketches implications of legislation and court cases in the U.S., often involving DND, for initiating temporary organ preservation in DCD programs before consent has been obtained for organ donation. Some of these lessons are optimistic about the prospects for DCD, especially if certain steps are taken, while others are more cautious, particularly because of the costs and risks involved in DCD. (shrink)

"A very good book indeed: there is scarcely an issue anyone has thought to raise about the topic which Childress fails to treat with sensitivity and good judgement....Future discussions of paternalism in health care will have to come to terms with the contentions of this book, which must be reckoned the best existing treatment of its subject."--Ethics. "A clear, scholarly and balanced analysis....This is a book I can recommend to physicians, ethicists, students of both fields, and to those most affected--the (...) patients themselves."--Edmund D. Pellegrino, John Carroll Professor of Medicine and Medical Humanities, Georgetown University Medical Center. (shrink)

There are those who say that the changes in the position of Jean-Paul Sartre from the publication of L'Être et le néant to the appearance of Critique de la raison dialectique constitute a “radical conversion”. Some attribute this conversion to the influence of Maurice Merleau-Ponty. Sartre has given support to this claim by acknowledging that Merleau-Ponty taught him politics and in doing so helped to move Sartre from the fierce individualism of his early period to the position which culminated in (...) CRD, a position informed by a much greater appreciation for social entanglement. But what is not clear is that Merleau-Ponty's influence upon Sartre extended to Sartre's fundamental convictions, particularly to his fundamental ontological theses. Kwant tells us that Merleau-Ponty's objections to Sartre in the last days of his life indicate that he believed that Sartre had not altered his ontological views. Sartre has not commented upon that issue. It is of vital interest because Merleau-Ponty explicitly claimed in Les Aventures de la dialectique that Sartre's mistaken political views were a consequence of his mistaken ontological principles. Were this true and were it true that Sartre had not made significant alterations in his ontology, one would expect that Merleau-Ponty would have to have said that Sartre's political views in CRD were similarly mistaken. We know that he did make some comments to that effect but, since Merleau-Ponty's tragic death prevented the full articulation of his latest opinions, we cannot be certain. (shrink)

This essay appreciatively and critically engages the late Robert Veatch’s extensive and important contributions to transplantation ethics, in the context of his overall ethical theory and his methods for resolving conflicts among ethical principles. It focuses mainly on ways to obtain and allocate organs from deceased persons, with particular attention to express donation, mandated choice, and presumed consent/routine salvaging in organ procurement and to conflicts between medical utility and egalitarian justice in organ allocation. It concludes by examining the unclear relations (...) between Veatch’s ideal moral theory and his nonideal moral theory, especially in organ allocation. (shrink)

In response to theJournal of Religious Ethics(JRE) editors' request for reflections on “how religious ethicists have interacted with, and ought to interact with, public policy decision makers,” this essay focuses on doing religious ethics in the context of doing public bioethics, especially through participating in public bioethics bodies (PBBs) established to provide advice to public policymakers in what might be called “mediated advocacy.” Drawing heavily on the author's experience as a member of and a consultant to several PBBs, it features (...) case studies of PBBs deliberating about and recommending public policies to address the scarcity of postmortem organs for transplantation, the equitable allocation of COVID‐19 vaccine, cloning humans, and human embryonic stem cell research. (shrink)

Over the past forty years, the administrations of American colleges and universities have developed and expanded the ranks of contingent faculty as an alternative to the tenure line. While acknowledging the gross inequities that divide these two tracks, this essay attempts to awaken tenure-line ethicists through the concept of recognition to the conditions of their colleagues and then argues through the concept of vulnerability that faculty are deeply and unavoidably related, and concludes that through solidarity ethicists from both lines might (...) work together toward the university becoming a more ethical workplace than it presently is. (shrink)

The purpose of this thesis is not to present exhaustively the ethical doctrine of Plato, but to disclose one specific aspect in the development of his ethical thought. We shall attempt to show that Plato realized the necessity for a metaphysical foundation for his ethical theory. The search itself will begin in the early or Socratic dialogues, continue through such major works of the middle period as Phaedo and Symposium, and culminate in a definite resolution of the problem through the (...) doctrine of the Republic. The exposition will be developed in three stages: (1) an indication of the ways in which the need for a "metaphysical foundation of morals" is expressed or implied in the early dialogues; (2) an account of the development of Plato's metaphysical theory in dialogues of the middle period; and (3) the argument that this metaphysic was for Plato the completion and foundation of his ethical theory. (shrink)

Public health ethics, like the field of public health it addresses, traditionally has focused more on practice and particular cases than on theory, with the result that some concepts, methods, and boundaries remain largely undefined. This paper attempts to provide a rough conceptual map of the terrain of public health ethics. We begin by briefly defining public health and identifying general features of the field that are particularly relevant for a discussion of public health ethics.Public health is primarily concerned with (...) the health of the entire population, rather than the health of individuals. Its features include an emphasis on the promotion of health and the prevention of disease and disability; the collection and use of epidemiological data, population surveillance, and other forms of empirical quantitative assessment; a recognition of the multidimensional nature of the determinants of health; and a focus on the complex interactions of many factors—biological, behavioral, social, and environmental—in developing effective interventions. (shrink)

The attention of philosophers. linguists and literary theorists has been converging on the diverse and intriguing phenomena of analogy of meaning:the different though related meanings of the same word, running from simple equivocation to paronymy, metaphor and figurative language. So far, however, their attempts at explanation have been piecemeal and inconclusive and no new and comprehensive theory of analogy has emerged. This is what James Ross offers here. In the first full treatment of the subject since the fifteenth century, (...) he argues that analogy is a systematic and universal feature of natural languages, with identifiable and law-like characteristics which explain how the meanings of words in a sentence are interdependent. Throughout he contrasts his with classical and medieval views. (shrink)

This paper argues that Wittgenstein, both early and late, rejects the idea that the logically simpler and more fundamental case is that of "the mere sign" and that what a meaningful symbol is can be explained through the elaboration of an appropriately supplemented conception of the sign: the sign plus something. Rather the sign, in the logically fundamental case of its mode of occurrence, is an internal aspect of the symbol. The Tractatus puts this point as follows: “The sign is (...) that in the symbol which is perceptible by the senses.” Conversely, this means that it is essential to a symbol – to what a symbol is – that it have an essentially perceptible aspect. For Wittgenstein there is no privileged direction of explanatory priority between symbol and sign here: without signs there are no symbols and without some sort of relation to symbols there are no signs. (shrink)

Edward Wierenga has argued that the free will defense (FWD) is compatible with compatibilism (IFaith and PhilosophyD, April 1988). I maintain that Wierenga is mistaken. I distinguish between the IconceptualD doctrine of compatibilism and the ImetaphysicalD doctrine of soft determinism, and offer arguments that the FWD fails if either doctrine is true. Finally, I reconstruct Wierenga's argument and argue that it fails because either it is equivocal or it contains a false premise.

Economic pressures and information policy changes in the public and private sectors are influencing the kinds, amounts, and availability of information to agricultural producers. This analysis identifies some of the major changes, examines their effects, identifies some issues of equity, and poses questions for further study. The changes are found to have special negative effects on producers with smaller operations, fewer financial resources, lower levels of formal education, remote locations, specialized enterprises, and low input enterprises.

Recent research in moral psychology has highlighted how the current internal states of observers can influence their moral judgments of others’ actions. In this article, we argue that an important internal state that serves such a function is the sense of control one has over one’s own actions. Across four studies, we show that an individual’s own current sense of control is positively associated with the intensity of moral judgments of the actions of others. We also show that this effect (...) extends not only to judgments of rightness and wrongness (Study 1), but also to assignments of reward and punishment (Study 2). Finally, we demonstrate that this effect is based on the current experience of control by showing a moderation of the effect via motivational states (promotion; prevention) that either lead one to incorporate or disregard internal states when making judgments (Study 3) and by subtly manipulating participants’ sense of control (Study 4). (shrink)

: Managed care organizations can produce conflicts of obligation and conflicts of interest that may lead to problems of conscience for health care professionals. This paper provides a basis for understanding the notions of conscience and conscientious objection and offers a framework for clinicians to stake out positions grounded in personal conscience as a way for them to respond to unacceptable pressures from managers to limit services.

In Absent Minds: Intellectuals in Britain, Stefan Collini deploys a fiercely skeptical wit against what he calls the "absence thesis": the cliché view of England as a land peculiarly lacking in intellectuals. The brio and aggression with which he demolishes this longstanding myth serve a paradoxical double function, marking his own claim to a place in the specifically English and male tradition of writing that he so effectively deconstructs.

Tom Beauchamp and I were asked by the editors of The Journal of Medicine and Philosophy to prepare “intellectual autobiographies,” with particular attention to sources and influences on our work, including but not limited to Principles of Biomedical Ethics. Of course, it is artificial and even impossible to try fully to separate the “intellectual” from other aspects of our lives. So, while emphasizing the “intellectual” aspects of my autobiography, I have attended to other aspects, too. The huge debts of gratitude (...) I owe also mix the “intellectual” and other aspects of life. (shrink)

Where I am, in the late 70s, I find myself being asked to do far more than I am able. I'm at the stage when everyone assumes that I don't have any real work, so it's OK to ask for things. Increasingly the things I'm asked to do are historical: What was it like back then? When did you start doing this or that? How did this or that get started? I guess I'm in the penultimate period. I'm still working (...) every day, much harder than I would like, and upset by the fact that my memory is not working the way it should. With this public confession, I'll now start my penance, that is, to do a little personal history of my involvement with bioethics first here in the United States, then in Spain and Spanish-speaking nations of Latin America. (shrink)