First—before you define the dilemma, parse out principles, or vocalize about virtues—consider what caused this case.The COVID-19 pandemic has challenged us all, but particularly caregivers and the...

Supported decision making is a model of decision making in which an adult with impaired capacity enters freely into an agreement with a closely trusted person or persons (the “s...

In this paper, we examine the case of psychedelic medicine for Alzheimer’s disease and related dementias (AD/ADRD). These “mind-altering” drugs are not currently offered as treatments to persons with AD/ADRD, though there is growing interest in their use to treat underlying causes and associated psychiatric symptoms. We present a research agenda for examining the ethics of psychedelic medicine and research involving persons living with AD/ADRD, and offer preliminary analyses of six ethical issues: the impact of psychedelics on autonomy and consent; (...) the impact of “ego dissolution” on persons experiencing a pathology of self; how psychedelics might impact caregiving; the potential exploitation of patient desperation; institutional review boards’ orientation to psychedelic research; and methods to mitigate inequity. These ethical issues are magnified for AD/ADRD but bear broader relevance to psychedelic medicine and research in other clinical populations. (shrink)

This article argues that supported decision making is ideal for people with dynamic cognitive and functional impairments that place them at the margins of autonomy. First, we argue that guardianship and similar surrogate decision-making frameworks may be inappropriate for people with dynamic impairments. Second, we provide a conceptual foundation for supported decision making for individuals with dynamic impairments, which integrates the social model of disability with relational accounts of autonomy. Third, we propose a three-step model that specifies the necessary conditions (...) of supported decision making: identifying domains for support; identifying kinds of supports; and reaching a mutually acceptable and formal agreement. Finally, we identify a series of challenges for supported decision making, provide preliminary responses, and highlight avenues for future bioethics research. (shrink)

This article provides an ethical analysis of the U.S. practice guideline update on disorders of consciousness. Our analysis focuses on the guideline’s recommendations regarding the use of investigational neuroimaging methods to assess brain‐injured patients. Complex and multifaceted ethical issues have emerged because these methods alter the clinical understanding of consciousness. We address issues of false hope, patient suffering, and cost. We argue that, in spite of these concerns, there is significant benefit to using neuroimaging to assess brain‐injured patients in most (...) cases. (shrink)

The question of how to handle incidental findings has sparked a heated debate among neuroimaging researchers and medical ethicists, a debate whose urgency stems largely from the recent explosion in the number of imaging studies being conducted and in the sheer volume of scans being acquired. Perhaps the point of greatest controversy within this debate is whether the magnetic resonance imaging scans of all research participants should be reviewed in an active search for pathology and, moreover, whether this search should (...) be performed by a radiologist. Resistance to routine readings performed by radiologists, as opposed to selective review of those scans on which investigators have spotted a possible IF, has been fueled in part by the obvious and enormous cost — financial and logistical — of engaging radiologists to read massive numbers of scans. This cost would be especially burdensome, even prohibitive, to investigators who are not affiliated with a medical center, because of their limited access to radiologists and other medical expertise. (shrink)

The COVID-19 pandemic has been devastating for people living with dementia (PLWD) and their caregivers. While prior research has documented these effects, it has not delved into their specific causes or how they are modified by contextual variation in caregiving circumstances.

Over the course of human life, health care decision‐making is often interdependent. In this article, we use “interdependence” to refer to patients’ engagement of nonclinicians—for example, family members or trusted friends—to reach health care decisions. Interdependence, we suggest, is common for patients in all stages of life, from early childhood to late adulthood. This view contrasts with the common bioethical assumption that medical decisions are either wholly independent or dependent and that independence or dependence is tightly coupled with a person's (...) decision‐making capacity. In this article, we array various approaches to decision‐making along a continuum of interdependence. An appreciation of this continuum can empower patients and elucidate ethical challenges that arise when people transition between different kinds of interdependence across the life span. (shrink)

Recent studies :98–144, 2002; Weismann, J Bus Ethics 88:615–66, 2009) revealed that in the first 28 years of its existence, the Foreign Corrupt Practices Act was not enforced by the federal government. The Weismann study further concluded that the FCPA, designed by Congress as a self-regulatory model of corporate governance, failed to achieve the regulatory goal of deterring global bribery by U.S. companies. The current article addresses the reasons that the FCPA remains an ineffective measure to control bribery as a (...) global market entry strategy despite the highly publicized 2006 Department of Justice initiative to increase prosecutions and tighten enforcement efforts. The failure arises out of both the increased use of informal dispositions of case prosecutions,, which has made “getting caught” merely an increased “cost of doing business” and the failure to close the regulatory gaps in the statute that permit violators to slip through the enforcement net. The article updates and compiles the case prosecution data for every reported case prosecuted between 1977 and 2011. That data are then compared to the results of a 2010 integrity risk survey performed by Deloitte Financial Advisory Services and Forbes which reveal a widely held global business perception that compliance and integrity risks appear to be rising sharply and that the FCPA is ineffective in deterring bribery and corruption in foreign markets. The article aims to serve as a predictive tool for policy makers and business professionals in assessing risk in the global markets, particularly as commerce intensifies in the BRIC countries, notable for bribery and corruption. (shrink)

Individuals who are more easily disgusted tend to be more politically conservative. Individuals who have a preference for order also tend to be more politically conservative. In the present researc...

The contemporary operating environment for deployed United States military operations largely focuses on deployments to predominantly Islamic countries. The differences in cultural values between d...

Corporations have multiple stakeholder groups. One stakeholder group consists of undergraduate business students, who collectively constitute the future leadership of corporations. Given the so-called ethical and legal lapses that have occurred in the early 2000s in such companies as Enron, WorldCom, Arthur Andersen, and Tyco, it is increasingly important to know the ethical perspectives of future business leaders so that their future behavior can be anticipated. This article reports on a survey of nearly 3,000 undergraduate business students from 58 universities (...) and colleges in 32 states regarding certain general ethics-related attitudes and the degree of ethicality these students possess. Survey findings are relatively consistent with those generally reported in the literature—female survey participants are slightly but significantly more ethically inclined than male survey participants, and survey participants who report being very religious are slightly but significantly more ethically inclined than survey participants who are less religious. (shrink)

I argue that the simple foreknowledge view, according to which God knows at some time t 1 what an agent S will do at t 2 , is incompatible with human free will. I criticize two arguments in favor of the thesis that the simple foreknowledge view is consistent with human freedom, and conclude that, even if divine foreknowledge does not causally compel human action, foreknowledge is nevertheless relevantly similar to other cases in which human freedom is undermined. These cases (...) include those in which certain human actions are logically, rather than causally, foreclosed. (shrink)

En este texto se examina la alteración de la subjetividad kantiana propuesta por Jean-Luc Marion. Marion cuestiona la noción de un sujeto estable y autónomo, argumentando que el sujeto debe estar en constante relación con lo saturado y lo otro. Rechaza la idea de un yo cogito cartesiano y busca una reconcepción del ser en relación con el otro y lo trascendente. Marion destaca la importancia del amor como centro de la subjetividad y plantea que el sujeto no busca tanto (...) su subsistencia como el amor y ser amado. El texto explora las implicaciones de esta perspectiva en relación con la temporalidad y la manifestación fenomenológica. Marion propone una reconfiguración del sujeto que se revela en la relación con lo saturado y la co-constitución con el otro. (shrink)

In the first part of this chapter, I will focus on two main questions: (1) how Maimonides departs from Aristotle in maintaining a difference of kind rather than degree in identifying prophecy rather than wisdom as the ultimate human perfection; and (2) why Maimonides does not explicitly identify a virtue of practical reasoning that corresponds to Aristotle’s understanding of phronêsis. In the second part of the chapter, I will discuss why Dante, contrary to Maimonides, emphasises the significance of practical judgement (...) in his redeployment of Aristotelian ethical theory. I will also discuss how the didactic and protreptic purposes of his poetic discourse are shaped by the same underlying psychological theory that grounds his emphasis on this intellectual virtue. The modest aim of this chapter is to treat these two engagements with Peripatetic philosophy as case studies that reward attention to the inextricable links between politics/religion and philosophical enquiry, even against the grain of seemingly common lineages sharing similar concerns. Connected with this modest aim, this chapter will also discuss how Maimonides’s and Dante’s attention to didactic and protreptic concerns impacts their treatment of philosophical questions and therefore indicates how attention to the kairos of their writings exposes and helps appreciate their philosophical rigour. (shrink)

“Parting is such sweet sorrow.” Taste metaphors provide a rich vocabulary for describing emotional experience, potentially serving as an adaptive mechanism for conveying abstract emotional concepts using concrete verbal references to our shared experience. We theorized that the popularity of these expressions results from the close association with hedonic valence shared by these two domains of experience. To explore the possibility that this affective quality underlies the semantic similarity of these domains, we used a behavioral “odd-one-out” task in an online (...) sample of 1059 participants in order to examine the semantic similarity of concepts related to emotion, taste, and color, another rich source of sensory metaphors. We found that the semantic similarity of emotion and taste concepts was greater than that of emotion and color concepts. Importantly, the similarity of taste and emotion concepts was strongly related to their similarity in hedonic valence, a relationship which was also significantly greater than that present between color and emotion. These results suggest that the common core of valence between taste and emotion concepts allows us to bridge the conceptual divide between our shared sensory environment and our internal emotional experience. (shrink)

Experimental examination of how the folk conceptualize certain philosophically loaded notions can provide information useful for philosophical theorizing. In this paper, we explore issues raised in Shaun Nichols' (2004) studies involving people's conception of free will, focusing on his claim that this conception fits best with the philosophical theory of agent-causation. We argue that his data do not support this conclusion, highlighting along the way certain considerations that ought to be taken into account when probing the folk conception of free (...) will. (shrink)

Evolutionary discussions regarding the relationship between social status and fertility in the contemporary U.S. typically claim that the relationship is either negative or absent entirely. The published data on recent generations of Americans upon which such statements rest, however, are solid with respect to women but sparse and equivocal for men. In the current study, we investigate education and income in relation to age at first child, childlessness, and number of children for men and women in two samples—one of the (...) general American population and one of graduates of an elite American university. We find that increased education is strongly associated with delayed childbearing in both sexes and is also moderately associated with decreased completed or near-completed fertility. Women in the general population with higher adult income have fewer children, but this relationship does not hold within all educational groups, including our sample with elite educations. Higher-income men, however, do not have fewer children in the general population and in fact have lower childlessness rates. Further, higher income in men is positively associated with fertility among our sample with elite educations as well as within the general population among those with college educations. Such findings undermine simple statements on the relationship between status and fertility. (shrink)

This article seeks to contribute to the discussion on the nature of choice in virtue theory. If several different actions are available to the virtuous agent, they are also likely to vary in their degree of virtue, at least in some situations. Yet, it is widely agreed that once an action is recognised as virtuous there is no higher level of virtue. In this paper we discuss how the virtue theorist could accommodate both these seemingly conflicting ideas. We discuss this (...) issue from a modern Aristotelian perspective, as opposed to a purely exegetic one. We propose a way of resolving what seems to be a major clash between two central features of virtue ethics. Our proposal is based on the notion of parity, a concept which recently has received considerable attention in the literature on axiology. Briefly put, two alternatives are on a par (or are ‘roughly equal’) if they are comparable, although it is not the case that one is better than the other, nor that they are equally good. The advantages of applying the concept of parity to our problem are twofold. Firstly, it sheds new light on the account of choice in virtue theory. Secondly, some of the criticisms that have been mounted against the possibility of parity can be countered by considering the notion of choice from a virtue theory perspective. (shrink)

For most people, animals are the most significant aspects of the nonhuman world. They symbolize nature in our imaginations, in popular media and culture, and in campaigns to preserve wilderness, yet scholars habitually treat animals and the environment as mutually exclusive objects of concern. Conducting the first examination of animals' place in popular and scholarly thinking about nature, Anna L. Peterson builds a nature ethic that conceives of nonhuman animals as active subjects who are simultaneously parts of both nature (...) and human society. Peterson explores the tensions between humans and animals, nature and culture, animals and nature, and domesticity and wildness. She uses our intimate connections with companion animals to examine nature more broadly. Companion animals are liminal creatures straddling the boundary between human society and wilderness, revealing much about the mutually constitutive relationships binding humans and nature together. Through her paradigm-shifting reflections, Peterson disrupts the artificial boundaries between two seemingly distinct categories, underscoring their fluid and continuous character. (shrink)

For decades, scholars have been calling into question the universality of disciplinary objects and categories. The coherence of defined autonomous categories—such as religion, science, and art—has collapsed under the weight of postmodern critiques, calling into question the possibility of progress and even the value of knowledge. Jason Ānanda Josephson Storm aims to radicalize and move beyond these deconstructive projects to offer a path forward for the humanities and social sciences using a new model for theory he calls metamodernism. Metamodernism (...) works through the postmodern critiques and uncovers the mechanisms that produce and maintain concepts and social categories. In so doing, Storm provides a new, radical account of society’s ever-changing nature—what he calls a “Process Social Ontology”—and its materialization in temporary zones of stability or “social kinds.” Storm then formulates a fresh approach to philosophy of language by looking beyond the typical theorizing that focuses solely on human language production, showing us instead how our own sign-making is actually on a continuum with animal and plant communication. Storm also considers fundamental issues of the relationship between knowledge and value, promoting a turn toward humble, emancipatory knowledge that recognizes the existence of multiple modes of the real. Metamodernism is a revolutionary manifesto for research in the human sciences that offers a new way through postmodern skepticism to envision a more inclusive future of theory in which new forms of both progress and knowledge can be realized. (shrink)

In this paper I clarify a major affinity between Nietzsche and Spinoza that has been neglected in the literature—but that Nietzsche was aware of—namely a tendency to what I call etiology. Etiologies provide second- order explanations of some opponents’ first-order views, but not in order to decide first-order matters. The example I take up here is Nietzsche’s and Spinoza’s rejections of free will—and especially their etiologies concerning how we wrongly come to think that we may boast of such a capacity. (...) In working through the former (i.e., their rejections of free will) in order to make my central metaphilosophical point regarding the latter (i.e., their accounts of why we generally affirm that we have free will), I shed important new light on Nietzsche’s relation to Spinoza. I also further our understanding of what role such second-order accounts play within each of their larger projects on their own terms. (shrink)

An overview of current research at the intersection of psychology and biology,integrating evolutionary and developmental data and explanations.

This article introduces and explores a distinction between multi-dimensional and one-dimensional consequentialist moral theories. One-dimensional consequentialists believe that an act's deontic status depends on just one aspect of the act, such as the sum total of wellbeing it produces, or the sum total of priority- or equality-adjusted wellbeing. Multi-dimensional consequentialists believe that an act's deontic status depends on more than one aspect. They may, for instance, believe that the sum total of wellbeing produced by an act and the degree to (...) which the wellbeing is equally distributed in the population affect the act's deontic status independently of each other. These two aspects cannot be reduced into any single (composite) aspect. Wellbeing and equality are two separate considerations that cannot be merged into some novel entity that accurately reflects both intuitions. On the multi-dimensional view I defend, such clashes between separate aspects are irresolvable and are best accounted for by claiming that moral rightness and wrongness are non-binary concepts. Some acts are, literally speaking, a little bit right (because they maximise wellbeing) and a little bit wrong (because they do not maximise equality).1. (shrink)

Schelling argued that early modern science had discarded the ancient teaching of matter – the world soul (die Weltseele or anima mundi, the unity of soul and body, eternity and time, absolute possibility and existence) – «into the common grave they dug for nature and have brought about the death of all science». In order to put science on a more philosophical tract, Schelling retrieved the work of Giordano Bruno as part of his «handful» of thinkers who in a contemporary (...) context appear on the border between an ancient but still vital sense of philosophy and the emerging scientific study of nature. (shrink)

It is widely believed that consequentialists are committed to the claim that persons are mere containers for well-being. In this article I challenge this view by proposing a new version of consequentialism, according to which the identities of persons matter. The new theory, two-dimensional prioritarianism, is a natural extension of traditional prioritarianism. Two-dimensional prioritarianism holds that wellbeing matters more for persons who are at a low absolute level than for persons who are at a higher level and that it is (...) worse to be deprived of a given number of units than it is good to gain the same number of units, even if the new distribution is a permutation of the original one. If a fixed amount of well-being is transferred from one person to another and then transferred back again, two-dimensional prioritarianism implies that it would have been better to preserve the status quo. (shrink)

The Jewish tradition has important perspectives, history and wisdom that can contribute significantly to crucial contemporary healthcare deliberations. This book is an attempt to show how numerous classic Jewish texts and ideas have significant things to say about some of the most urgent debates in the world of medicine today, with the potential to significantly expand and benefit the field of bioethics. But this book is not only about applying classical Jewish values to bioethical dilemmas. It seeks to develop an (...) approach that is primarily informed by personal and communal obligations and social responsibilities. Jewish values focus on requirements, obligations, and commandments, and has thus sometimes been called an "Ethics of Responsibility," by advancing new relevant approaches that can encourage healthcare providers to remain dedicated to preventing harm and providing compassionate care to all, based on these inspiring and timeless values. Each chapter of this book explores questions such as: "Are we expected to risk our lives on behalf of others?" "When we can only help a limited number of people, how do we prioritize?" "What are the obligations and expectations of a society or government?" "Are issues of cultural sensitivity relevant in how we discharge our obligations to others?" "What should we do when obligations for others violate our own moral principles or commitments?" "Are there limits to how far one can be expected to go for others?" These and other issues are addressed in this book, as it attempts to describe a meaningful and compassionate Jewish bioethic of responsibility for our times. (shrink)

In this paper I argue that Maritain rejects any attempt to reduce ethics to a set of moral rules that can be derived from natural law. Rather, in his work we find a nuanced account of the virtue of prudence, which applies the precepts of the natural law to particular situations. We also find him insisting that the appropriate animation of ethical action springs not from the law, but from love. Maritain’s metaphysical existentialism leads him to insist that the natural (...) law is never sufficient to meet the exigencies of determining action. Accordingly, the authentically metaphysical basis of his ethics is thoroughly existential (in the Thomistic sense) and must include the prudential governance that guides human action, because an account of human nature and its ends only informs us of the range of possibilities for human goodness, without showing how to actually achieve them. In arguing for this claim I begin by situating Maritain’s ethical discussion in the context of his metaphysics. I then explore his understanding of natural law and its limitations when it comes to governing action. Finally, I explain the place of prudence as the virtue that applies the natural law to the particular. From this the role of existence and love as the interconnected basis for the foundations of ethics in Maritain’s thought is made clear. (shrink)

This paper investigates the fragmentation required of the philosophy of history in light of three key moments in its formation: German Idealism’s desire to see freedom realized in the world, the death of God, and the disasters of the twentieth century. I argue that Walter Benjamin and Maurice Blanchot respond to these threads of the philosophy of history with revolutionary imperatives that belong to no program or project, imperatives that both reorganize and destructure the work of education, affirmations of transience (...) and unmediated violence. I argue, following their lead, that any philosophy of history today must begin in a refusal of state power and the mediated violence of contemporary forms of community. (shrink)

This paper aims to situate Agamben’s treatment of the issue of community. It shows how Agamben departs from and supplements the French discourse on community through a critique of negativity; how the significance of community is measured against the society of the spectacle; and how the alienation from our linguistic being, which the spectacle effects, conditions a politics opposed to the State apparatus. Agamben’s coming community appropriates the dispossession and impropriety of contemporary human being in order to reconfigure the relation (...) of belonging and singularity. (shrink)

This paper approaches the experience of wonder phenomenologically. The account is descriptive. I suggest that in addition to the familiar treatments of wonder as constituted through a break with everyday involvement, on the one hand, and an awareness of the sheer fact of existence, on the other, the experience of wonder involves an intensification of the primary contact by which the world is given. That contact is prior to and presupposed by both our involvement with objects as implements of mediation (...) and our relation to others as persons. Because of that, wonder is depersonalizing and neutralizing, and so takes place outside any sense of ethical obligation. In contrast to efforts that aim at linking wonder and the good, I suggest that wonder is more aptly understood as making us deeper without making us better. (shrink)

Several noted political theorists have argued that a state can be legitimate even if it does not generate in its citizens an obligation to obey the law. I argue that this claim is false. All plausible analyses of political legitimacy either build in the concept of political obligation, or else incorporate claims that require some account of political obligation. In either case, political legitimacy is possible only when a state successfully generates in its citizens an obligation to obey the law.