The United Kingdom is a leader in genomics research, and the presence of numerous types of biobanks and the linking of health data and research within the UK evidences the importance of biobank-based research in the UK. There is no biobank-specific law in the UK and research on biobank materials is governed by a confusing set of statutory law, common law, regulations, and guidance documents. Several layers of applicable law, from European to local, further complicate an understanding of privacy protections. (...) Finally, biobanks frequently contain data in addition to the samples; the legal framework in the UK generally differentiates between data and samples and the form of the data affects the applicability of legal provisions. Biobanks must be licensed by the Human Tissue Authority; certain projects must be reviewed by Research Ethics Committees, and all projects are encouraged to be reviewed by them. Data Access Committees in biobanks are also common in the UK. While this confusing array of legal provisions leaves privacy protections in biobanking somewhat unclear, changes at the EU level may contribute to harmonization of approaches to privacy. (shrink)

When covering traumatic events, novice journalists frequently face situations they are rarely prepared to resolve. This paper highlights ethical dilemmas faced by journalists who participated in a focus group exploring the news media's trauma coverage. Major themes included professional obligations versus ethical responsibilities, journalists' perceived status and roles, permissible harms, and inexperience. Instructional classroom simulations based on experiential learning theory can bridge the gap between the theory of ethical trauma reporting and realities journalists face when covering events that are often (...) chaotic and unpredictable by their very nature. A simulation outline that can be used by journalism instructors is provided. (shrink)

This essay presents Mendelssohn’s neglected vindication of theism through a refutation of Spinoza’s philosophy in the Morgenstunden and highlights its relevance for discussions in contemporary philosophy of religion. For this purpose, I (i) contextualise Mendelssohn's argument within the reception of Spinoza at the dawn of the 18th century, (ii) trace the path of Mendelssohn's argument to theism, (iii) and examine Mendelssohn's argument in light of Linda Zagzebski's account of divine omniscience showing that her account is not only incoherent but (...) also undermines the theistic assumption that the world has an existence outside of God. (shrink)

From the ethics perspective, “duty of care” is a difficult and contested term, fraught with misconceptions and apparent misappropriations. However, it is a term that clinicians use frequently as they navigate COVID-19, somehow core to their understanding of themselves and their obligations, but with uncertainty as to how to translate or operationalize this in the context of a pandemic. This paper explores the “duty of care” from a legal perspective, distinguishes it from broader notions of duty on professional and personal (...) levels, and proposes a working taxonomy for practitioners to better understand the concept of “duty” in their response to COVID-19. (shrink)

This book provides an accessible comprehensive exploration of phenomenological theory and research methods and is geared specifically to the needs of therapists ...

Anthropologists have provided rich field descriptions of the norms and conventions governing behavior and interactions in small-scale societies. Here, we add a further dimension to this work by presenting hypothetical moral dilemmas involving harm, to a small-scale, agrarian Mayan population, with the specific goal of exploring the hypothesis that certain moral principles apply universally. We presented Mayan participants with moral dilemmas translated into their native language, Tseltal. Paralleling several studies carried out with educated subjects living in large-scale, developed nations, the (...) Mayan participants judged harms caused as the means to a greater good as more forbidden than harms caused as a side-effect (i.e., side-effect bias). However, unlike these other populations living in large-scale societies, as well as a more educated and less rural Mayan comparison group, the target rural Mayan participants did not judge actions causing harm as worse than omissions (i.e., omission bias). A series of probes targeting the action-omission distinction suggest that the absence of an omission bias among the rural Mayan participants was not due to difficulties comprehending the dilemmas, using the judgment scale, or in attributing a greater causal role for actions over omissions. Thus, while the moral distinction between means and side-effect may be more universal, the moral distinction between actions and omission appears to be open to greater cross-cultural variation. We discuss these results in light of issues concerning the role of biological constraints and cultural variation in moral decision-making, as well as the limitations of such experimental, cross-cultural research. (shrink)

While pharmaceutical industry involvement in producing, interpreting, and regulating medical knowledge and practice is widely accepted and believed to promote medical innovation, industry-favouring biases may result in prioritizing corporate profit above public health. Using diabetes as our example, we review successive changes over forty years in screening, diagnosis, and treatment guidelines for type 2 diabetes and prediabetes, which have dramatically expanded the population prescribed diabetes drugs, generating a billion-dollar market. We argue that these guideline recommendations have emerged under pervasive industry (...) influence and persisted, despite weak evidence for their health benefits and indications of serious adverse effects associated with many of the drugs they recommend. We consider pharmaceutical industry conflicts of interest in some of the research and publications supporting these revisions, and in related standard-setting committees and oversight panels. We raise concern over the long-term impact of these multifaceted involvements. Rather than accept industry conflicts of interest as normal, needing only to be monitored and managed, we suggest challenging that normalcy, and ask: what are the real costs of tolerating such industry participation? We urge the development of a broader focus to fully understand and curtail the systemic nature of industry’s influence over medical knowledge and practice. (shrink)

The fact that I am a committed gardener has some practical upshot or other. But what, exactly, is the upshot of the fact that I am committed to some project, person, or principle? According to a standard view, my commitment to gardening directly effects a change in the normative facts by giving me a further reason to garden. I argue that we should reject this view and its attendant psychological story involving a normatively significant will. According to the view I (...) develop here, a commitment to X just is a decision to take seriously the reasons to which X gives rise, and where necessary, to give those reasons an elevated place in one’s practical thinking. In virtue of being decisions to conduct one’s deliberation in a certain way, commitments alter what it is rational for us to do without giving us further reasons to act. (shrink)

This article describes the work of negotiating and reinterpreting "standard" protocols and criteria at the level of local practice, using the example of the procurement of human cadaver organs for transplantation. The tension between efforts to starulardize and globalize biomedical science, on the one hand, and fitting these efforts into everyday practices and understandings of practitioners, on the other, results in new constructions of medical knowledge about bodies and persons.

Senior managers are important to the successful management of ethics in organizations. Therefore, their perceptions of organizational ethics are important. In this study, we propose that senior managers are likely to have a more positive perception of organizational ethics than lower level employees do largely because of their managerial role and their corresponding identification with the organization and need to protect the organization’s image as well as their own identity. By contrast, lower level employees are more likely to be cynical (...) about the organization’s ethics. In order to compare senior managers’ and lower level employees’ perceptions of ethics in the organization, we surveyed randomly selected senior managers and lower level employees in three firms. We found that perceptions of ethics in the organization differed predictably across levels, with senior managers’ perceptions being significantly more positive and lower level employees’ perceptions being more negative. Implications for practice and research are discussed. (shrink)

The meaning of dignity in health care has been primarily explored using interviews and surveys with various patient groups, as well as with health care practitioners. Philosophical analysis of dignity is largely avoided, as the existing philosophical literature is complex, multifaceted and of unclear relevance to health care settings. The aim of this paper is to develop a straightforward philosophical concept of dignity which is then applied to existing qualitative research. In health care settings, a patient has dignity when he (...) or she is able to live in accordance with his or her standards and values. Accordingly, health care practitioners respect a patient's dignity when they refrain from transgressing the patient's standards and values, or refrain from forcing the patient to transgress his or her standards and values. This concept is shown to explain and illuminate most of the key qualitative findings. It therefore provides a more coherent and synthesised concept of dignity in health care. (shrink)

Background: While sustainability is a key concept in many different domains today, it has not yet been sufficiently emphasized in the healthcare sector. Earlier research shows that ethical values and evidence-based care models create sustainability in care practice. Objective: The aim of this study was to gain further understanding of the ethical values central to the realization of sustainability in care and to create an ethical practice model whereby these basic values can be made perceptible and active in care practice. (...) Research design: Part of the ongoing “Ethical Sustainable Caring Cultures” research project, a hermeneutical application research design was employed in this study. Participants: Dialogues were used, where scientific researchers and co-researchers were given the opportunity to reflect on ethical values in relation to sustainability in care. Findings: An ethical practice model with ethos as its core was created from the results of the dialogues. In the model, ethos is encircled by the ethical values central to sustainability: dignity, responsibility, respect, invitation, and vows. Discussion: The model can be used as a starting point for ethical conversations that support carers’ reflections on the ethical issues seen in day-to-day care work and the work community, allowing ethical values to become visible throughout the entire care culture. Conclusion: It is intended as a tool whereby carers can more deeply understand an organization’s common basic values and what they entail in regard to sustainability in care. (shrink)

The doctrine of double effect, together with other moral principles that appeal to the intentions of moral agents, has come under attack from many directions in recent years, as have a variety of rationales that have been given in favor of it. In this paper, our aim is to develop, defend, and provide a new theoretical rationale for a secular version of the doctrine. Following Quinn (1989), we distinguish between Harmful Direct Agency and Harmful Indirect Agency. We propose the following (...) version of the doctrine: that in cases in which harm must come to some in order to achieve a good (and is the least costly of possible harms necessary), the agent foresees the harm, and all other things are equal, a stronger case is needed to justify Harmful Direct Agency than to justify Harmful Indirect Agency. We distinguish between two Kantian rationales that might be given for the doctrine, a “dependent right” rationale, defended by Quinn, and an “independent right” rationale, which we defend. We argue that the doctrine and the “independent right” rationale for it are not vulnerable to counterexamples or counterproposals, and conclude by drawing implications for the larger debate over whether agents' intentions are in any way relevant to permissibility and obligation. (shrink)

A comparative analysis was made of the public's attitudes toward the use of animals in scientific research in 15 different nations. The intensity of opposition to animal research was found to vary from relatively low levels in Japan and the United States to much higher levels in France, Belgium, and Great Britain. More women than men were opposed to animal research in all 15 nations. Scientific knowledge, or the lack of knowledge, was not found to have a consistent relationship with (...) attitudes toward animal research. Concern about the environment was found to be related to opposition to animal research in some western European nations, in particular West Germany. Cluster analysis was used to group the nations into four patterns based on intensity of opposition, level of opposition, gender differences in opposition, and the relationship between attitudes toward animal research and both environmental concern and scientific knowledge. (shrink)

This article reports on an inquiry that investigated the development of ba constructions in early childhood Mandarin. All cases of ba construction were extracted from the Early Childhood Mandarin Corpus collected from 168 preschoolers aged 2;6, 3;6, 4;6, and 5;6. Early Childhood Mandarin Corpus, University of Hong Kong. Data analysis indicated that: Mandarin-speaking children produced a repertoire of 11 types of ba construction, and the children in the youngest age group were able to produce six types of them; children at (...) 4 years old experienced a critical developmental period of pragmatic use, and at 5 years old they had attained cognitive and linguistic maturity in understanding the semantic and syntactic features of ba constructions; and there was a significant age effect on the production of three types of ba construction, but no significant association between the children’s gender and their production of ba constructions. These findings offer fresh insights into understanding Chinese children’s innate capacity to understand the co-occurrence constraints concerning the syntactic, semantic and verb features inherent in ba construction, and their developmental ability to denote telic events by resorting to the appropriate ba sentence patterns. (shrink)

Background: Development of professional nursing values is critical within registered nurse–to–bachelor of science in nursing programs to prepare nurses for increasingly complex and diverse work environments. The results of previous studies have been inconsistent, with few studies focusing on online registered nurse–to–bachelor of science in nursing programs. In addition, little is known regarding the effectiveness of the educational methods used to support advancement of professional values and ethical practice. Objective: The object of this study was to gain an understanding of (...) nursing students’ attitudes and beliefs about professional values at entry and exit of an online registered nurse–to–bachelor of science in nursing program that includes a standalone ethics course and integrates American Nurses Association Code of Ethics provisions throughout the curriculum. Research design: For this one-group pretest–posttest, quasi-experimental design, longitudinal matched-pair data were gathered at program entry and exit using the Nurses Professional Values Scale–Revised. Participants and research context: In all, 119 students of an online registered nurse–to–bachelor of science in nursing program at a Midwest public university who completed entry and exit surveys between spring 2015 and spring 2018 were included in this study. Ethical considerations: This study was reviewed and determined to be exempt by the university’s institutional review board. Findings: The results showed a significant increase in total posttest scores when considering all participants. However, students who took the ethics course after the pretest demonstrated a significant increase in posttest scores, while students who took the ethics course prior to the pretest demonstrated a small increase that was not statistically significant. Significant increases were also found in the professionalism, activism, and trust factors. Discussion: This study supports previous study findings where students scored higher on caring and lower on activism and professionalism factors. The largest gains were made after completing the ethics course. Conclusion: The results suggest that requiring a standalone ethics course in the registered nurse–to–bachelor of science in nursing curriculum had a positive impact on self-reported professional values. (shrink)

Ich wollte hier versuchen[,] mit dem Physiker Niels Bohr Fühlung zu bekommen. Meine Arbeit kommt jetzt bald heraus. Das erste Exemplar habe ich mir vom Buchdrucker, der es vorweg hat einbinden lassen, hierher bestellt, um es Bohr zu geben. Es schien erst schwer, an ihn heran zu kommen, er ist sehr beschäftigt, hat keine Sprechstunde und keine regelmäßigen Vorlesungen oder Seminare, nach denen man ihn abfangen kann.

Die Quantenmechanik habe ich auch nur begriffen, weil ich sie und ihre naturphilos. Hintergründe mit Heisenberg mündlich bearbeiten konnte.

Liebes Fräulein Herrmann! Zunächst vielen Dank für Ihren Brief und herzliche Glückwünsche zu dem Preis, von dem ich Ihnen damals in Kopenhagen leider nichts sagen wollte. Ich bin gespannt, wie Sie selbst die anderen beiden Arbeiten, die auch mit einem Preis bedacht wurden, beurteilen werden. Für die von Thilo Vogel bin ich selbst sehr stark eingetreten, dagegen habe ich mich von dem Wert der anderen Arbeit nur mit Mühe durch die Kollegen überzeugen lassen; aber über diese philosophischen Fragen lässt sich (...) leider zu leicht streiten. (shrink)

Werner Heisenberg und die Natur – das wäre eine psychologische Studie wert. Der große Physiker liebte die freie Natur; seit seinen frühen Jahren, zuerst mit Eltern und Großeltern, dann mit den Freunden der Jugendbewegung und später mit Kollegen und seiner Familie erwanderte er sich Landschaften in der engeren Heimat und auswärts, in Deutschland, Österreich, Finnland, Dänemark und den USA. Gelegentlich finden sich kurze Schilderungen von Naturerlebnissen in seinen Schriften, etwa vom Gebirgsgang im Herbst 1924 durch das Karwendelgebiet am Aachensee im (...) Der Teil und das Ganze – das Landschaftsbild setzte er als Parabel für den bald erzielten Durchbruch in der Quantentheorie. (shrink)

Bolzano hat neben seiner philosophischen Betätigung hauptsächlich noch zwei andere Gebiete, auf denen er gearbeitet hat, und dieses Arbeiten ist für seine philosophische Arbeit sehr charakteristisch geworden. – Einerseits war er katholischer Theologe, und daher sind ihm auch in der Philosophie besonders die religions-philosophischen Probleme interessant und wichtig. Er hat immer das Bestreben, auf rein begrifflichem, wissenschaftlichem Wege Beweise für religions-philosophische Behauptungen vorzubringen.

Grete Hermann beginnt ihre wissenschaftliche Karriere in Göttingen. Bei Emmy Noether studiert sie Mathematik und bei Leonard Nelson Philosophie. Ihre philosophischen Arbeiten stehen in der Tradition der Kant-Fries’schen Philosophie, zu deren Grundforderungen es gehört, der Philosophie mathematische Strenge zu verleihen.

In the vast literature on architectural theory and practice, the ways in which architectural knowledge is actually taught, debated, and understood are too often ignored. The essays collected in this groundbreaking volume address the current state of architecture as an academic and professional discipline. The issues considered range from the form and content of architectural education to the architect's social and environmental obligations and the emergence of a new generation of architects. Often critical of the current paradigm, these essays offer (...) a provocative challenge to accepted assumptions about the production, dissemination, and reception of architectural knowledge. Contributors: Sherry Ahrentzen, U of Wisconsin-Milwaukee; Stanford Anderson, MIT; Carol Burns, Harvard U; Russell Ellis, UC Berkeley; Thomas Fisher, U of Minnesota; Linda Groat, U of Michigan; Kay Bea Jones, Ohio State U; David Leatherbarrow, U of Pennsylvania; A. G. Krishna Menon, TVB School of Habitat Studies, India; Garth Rockcastle, U of Minnesota; Michael Stanton, American U, Beirut; Sharon E. Sutton, U of Washington; David J. T. Vanderburgh, Université Catholique de Louvain, Belgium; and Donald Watson, Rensselaer Polytechnic Institute. (shrink)

In the following we shall see, however, that Chisholm’s interpretation of Brentano’s intentionality doctrine is not wholly accurate, and that while the doctrine he sets forth as Brentano’s is an interesting and provocative one, it gives a misleading impression of what Brentano’s views actually were, by obscuring almost entirely the specific nature of the question Brentano was trying to solve, and by misreading the answer Brentano gave. If only for the sake of historical accuracy a corrective should be given, but, (...) of course, taking another look at Brentano’s particular way of construing the mind/body problem and the solution he put forth may also prove to be suggestive in its own right. (shrink)

This article first examines a number of different definitions of lying, from Aldert Vrij, Warren Shibles, Sissela Bok, the Oxford English Dictionary, Linda Coleman and Paul Kay, and Joseph Kupfer. It considers objections to all of them, and then defends Kupfer’s definition, as well as a modified version of his definition, as the best of those so far considered. Next, it examines five other definitions of lying, from Harry G. Frankfurt, Roderick M. Chisholm and Thomas D. Feehan, David Simpson, (...) Thomas Carson, and Don Fallis. It finds reason to reject these definitions, in favor of the two definitions of lying previously defended, namely:(i) To lie (to another person) = df. to make a believed-false statement (to another person) with the intention that that statement be believed to be true (by the other person).(ii) To lie (to another person) = df. to make a believed-false statement (to another person), either with the intention that that statement be believed to be true (by the other person), or with the intention that it be believed (by the other person) that that statement is believed to be true (by the person making the statement), or with both intentions. (shrink)

In this Article, I examine a normative idea of territoriality which I call ethical territoriality. By ethical territoriality, I mean the conviction that rights and recognition should extend to all persons who are territorially present within the geographical space of a national state simply by virtue of that presence. I start by briefly reprising a claim I have developed elsewhere — that territorialism is preferable, on liberal democratic grounds, to status-based approaches to immigrants’ rights. Here, though, I set out to (...) interrogate the logic of ethical territoriality itself. I ask why the mere fact of a person’s territorial presence should serve as the basis for rights and recognition. Further, even conceding that it should, I ask how this commitment is to be operationalized. What is the scope of the territory in which presence figures so significantly in normative terms, and who, precisely, gets access to presence in that territory? My purpose in this Article is to get beyond the status vs. territorial presence-as-basis-for-membership dispute in the immigration debates and to begin a critical discussion of the ethical territorial commitment itself. (shrink)

Two experiments show that action alters the shape categories formed by 2-year-olds. Experiment 1 shows that moving an object horizontally (or vertically) defines the horizontal (or vertical) axis as the main axis of elongation and systematically changes the range of shapes seen as similar. Experiment 2 shows that moving an object symmetrically (or asymmetrically) also alters shape categories. Previous work has shown marked developmental changes in object recognition between 1 and 3 years of age. These results suggest a role for (...) action in this developmental process. (shrink)

Several robotic automation systems, such as unmanned aerial vehicles (UAVs), are being used in combat today. This evokes ethical questions. In this paper, it is argued that UAVs, more than any other weapon, may determine which normative theory the interpretation of the laws of war (LOW) will be based on. UAVs have advantages in terms of reducing casualties for the UAV possessor, but they may at the same time make war seem more like a risk-free enterprise, much like a computer (...) game, lowering the threshold for starting a war. This indicates the importance of revising the LOW, or adding some rules that focus specifically on UAVs. (shrink)

Increased international migration of health professionals is weakening healthcare systems in low‐income countries, particularly those in sub‐Saharan Africa. The migration of nurses, physicians and other health professionals from countries in sub‐Saharan Africa poses a major threat to the achievement of health equity in this region. As nurses form the backbone of healthcare systems in many of the affected countries, it is the accelerating migration of nurses that will be most critical over the next few years. In this paper we present (...) a comprehensive analysis of the literature and argue that, from a human rights perspective, there are competing rights in the international migration of health professionals: the right to leave one's country to seek a better life; the right to health of populations in the source and destination countries; labour rights; the right to education; and the right to nondiscrimination and equality. Creative policy approaches are required to balance these rights and to ensure that the individual rights of health professionals do not compromise the societal right to health. (shrink)

The idea that Adorno should be read as a “realist” of any sort may indeed sound odd. And unpacking from Adorno’s elusive prose a credible and useful normative reconstruction of epistemology and metaphysics will take some work. But we argue that he should be added to the growing group of epistemologists and metaphysicians who have been developing post-positivist versions of realism such as contextual, internal, pragmatic and critical realisms. These latter realisms, however, while helpfully showing how realism can coexist with (...) ontological pluralism, for example, as well as a highly contextualised account of knowledge, have not developed a political reflexivity about how the object of knowledge—the real—is constructed. As a field, then, post-positivist realisms have been politically naïve, which is perhaps why they have not enjoyed more influence among Continental philosophers. (shrink)

In this paper, I examine a particularly important kind of social group, what I call a “collective.” Collectives are distinguished from other social groups by the fact that the members of collectives can think and act “in the name of ” the group; they can collectively plan for its future, work for its success, and grieve at its failure. As a result, collectives have certain person-like properties that other social groups lack. I argue that persons form collectives by taking a (...) shared first person plural perspective based on a shared collective self-concept. This collective self-concept defines the collective, and, along with the causal history of the collective, uniquely identifies it. Over time, collectives persist through changes in membership by maintaining this collective self-concept. Changes in the collective self-concept may be identity preserving, however, if they result from processes that naturally flow from the identity of the collective and which are appropriately caused by (or accepted by) the collective and are connected to previous stages of the collective via collective memories. (shrink)

Nursing's efforts at organizing in the United States have encompassed various approaches to creating change at a systemic and political level, namely shared governance, professional associations, and nurse unions. The United States is currently experiencing the effects of an authoritarian sociopolitical agenda that has taken aim at our profession's ethic of providing equitable care for all people through legislation that bans gender‐affirming care and abortions. Nursing is simultaneously experiencing a crisis of burnout and moral distress, as we navigate the everyday (...) functions of a for‐profit healthcare system under the Capitalocene. As we situate ourselves within these policies and practices of late‐stage capitalism and an increasingly authoritarian nation‐state, we are compelled to think deeply about how nursing is currently organizing ourselves. Our paper will explore the evolution of various forms of organizing through the lens of intersectionality, which offers a framework for considering the ways that power operates, creating a matrix of sociostructural processes that fuel injustice. Intersectionality also compels us to examine whether our organizing has resisted, or perpetuated, a matrix of oppression. We will conclude by offering examples of radical imagining for a future of nursing resistance, where our collective organizing has a greater impact and responsibility for dismantling the status quo to achieve justice and liberation. (shrink)