No consensus yet exists on how to handle incidental fnd-ings in human subjects research. Yet empirical studies document IFs in a wide range of research studies, where IFs are fndings beyond the aims of the study that are of potential health or reproductive importance to the individual research participant. This paper reports recommendations of a two-year project group funded by NIH to study how to manage IFs in genetic and genomic research, as well as imaging research. We conclude that researchers (...) have an obligation to address the possibility of discovering IFs in their protocol and communications with the IRB, and in their consent forms and communications with research participants. Researchers should establish a pathway for handling IFs and communicate that to the IRB and research participants. We recommend a pathway and categorize IFs into those that must be disclosed to research participants, those that may be disclosed, and those that should not be disclosed. (shrink)

Integrating large language models (LLMs) like GPT-4 into medical ethics is a novel concept, and understanding the effectiveness of these models in aiding ethicists with decision-making can have significant implications for the healthcare sector. Thus, the objective of this study was to evaluate the performance of GPT-4 in responding to complex medical ethical vignettes and to gauge its utility and limitations for aiding medical ethicists. Using a mixed-methods, cross-sectional survey approach, a panel of six ethicists assessed LLM-generated responses to eight (...) ethical vignettes.The main outcomes measured were relevance, reasoning, depth, technical and non-technical clarity, as well as acceptability of GPT-4’s responses. The readability of the responses was also assessed. Of the six metrics evaluating the effectiveness of GPT-4’s responses, the overall mean score was 4.1/5. GPT-4 was rated highest in providing technical (4.7/5) and non-technical clarity (4.4/5), whereas the lowest rated metrics were depth (3.8/5) and acceptability (3.8/5). There was poor-to-moderate inter-rater reliability characterised by an intraclass coefficient of 0.54 (95% CI: 0.30 to 0.71). Based on panellist feedback, GPT-4 was able to identify and articulate key ethical issues but struggled to appreciate the nuanced aspects of ethical dilemmas and misapplied certain moral principles.This study reveals limitations in the ability of GPT-4 to appreciate the depth and nuanced acceptability of real-world ethical dilemmas, particularly those that require a thorough understanding of relational complexities and context-specific values. Ongoing evaluation of LLM capabilities within medical ethics remains paramount, and further refinement is needed before it can be used effectively in clinical settings. (shrink)

Why do people think that someone living a morally bad life is less happy than someone living a good life? One possibility is that judging whether someone is happy involves not only attributing positive psychological states (i.e., lots of pleasant emotions, few unpleasant emotions, and satisfaction with life) but also forming an evaluative judgment. Another possibility is that moral considerations affect happiness attributions because they tacitly influence attributions of positive psychological states. In two studies, we found strong support for the (...) second hypothesis. Moral considerations only appear to affect happiness attributions when they also affect attributions of positive psychological states. Additionally, both studies supported a hypothesis about why moral judgments have these effects. Specifically, we found that when people judge that someone is living a bad life, they infer that the person is not at peace with themselves. However, when this inference is blocked, moral considerations do not affect attributions of happiness or positive psychological states. In sum, although “happiness” appears to be a purely psychological concept, happiness judgments are sensitive to moral considerations because people often assume that immorality disrupts intrapersonal harmony. (shrink)

Now, in Emergent Forms of Life and the Anthropological Voice, path-breaking scholar Michael M. J. Fischer moves the discussion to a consideration of the ...

Volume 19, Issue 5, May 2019, Page 24-26.

Genome Canada has funded a research project to evaluate the usefulness of different forms of ethical analysis for assessing the moral weight of public opinion in the governance of genomics. This paper will describe a role of public consultation for ethical analysis and a contribution of ethical analysis to public consultation and the governance of genomics/biotechnology. Public consultation increases the robustness of ethical analysis with a more diverse and rich accounts experiences. Consultation must be carefully and respectfully designed to generate (...) sufficiently diverse and rich accounts of moral experiences. Since dominant groupstend to define ethical or policy issues in a manner that excludes some interests or perspectives, it is important to identify the range of interests that diverse publics hold before defining the issue and scope of a consultation. Similarly, a heavy policy focus and pressures to commercialize products risk oversimplification of the discussion and the premature foreclosure of ethical dialogue. Consequently, a significant contribution of ethical dialogue strengthened by social analysis is to consider the context and non-policy use of power to govern genomics and to sustain social debate on enduring ethical issues. (shrink)

The fair innings argument (FIA) is frequently put forward as a justification for denying elderly patients treatment when they are in competition with younger patients and resources are scarce. In this paper I will examine some arguments that are used to support the FIA. My conclusion will be that they do not stand up to scrutiny and therefore, the FIA should not be used to justify the denial of treatment to elderly patients, or to support rationing of health care by (...) age.There are six issues arising out of the FIA which are to be addressed. First, the implication that there is such a thing as a fair share of life. Second, whether it makes sense to talk of a fair share of resources in the context of health care and the FIA. Third, that 'fairness' is usually only mentioned with regard to the length of a person's life, and not to any other aspect of it. Fourth, if it is sensible to discuss the merits of the FIA without taking account of the 'all other things being equal' argument. Fifth, the difference between what is unfair and what is unfortunate. Finally, that it is tragic if a young person dies, but only unfortunate if an elderly person does. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Hume's Theory of Belief Michael M. Gorman Belief is a key concept in Hume's philosophy, and yet Hume's statements aboutbeliefappear to be hopelesslyinconsistent.1 Various solutions have been offered, from saying that Hume is incorrigibly confused to saying that his theory ofbeliefchanged over the course of his career. This article will focus on the question ofthe nature ofbelief and show that Hume's theory is in fact consistent. In sections (...) 1 and 2, I will separate those passages where Hume discusses the nature of beUeffrom those where he discusses other questions. In sections 3-6, 1 will examine his theory ofthe nature ofbelief. Finally, in section 7, 1 will briefly look at his theories on other questions concerning belief. 1.Hume's statements about belief can be divided into at least nine different categories. Hume says that a beliefis: 1.an idea conceived in a certain manner (e.g., E 49, T 96); 2.that certain manner ofconception itself(e.g., E 49, T 97); 3.an idea that feels a certain way (e.g., E 48, T 103); 4.that certain feeling itself(e.g., E 49, T 624, 629); 5.an idea that has a great influence on the mind (e.g, T 118-20); 6.an act ofmind rendering realities influential on the mind (e.g., E 49, T 629); 7.a lively idea related to an impression (e.g., T 96); 8.a lively manner of conceiving an idea, which manner arises from an impression (e.g., E 50); 9.something that makes ideas forceful and vivacious (e.g., T 101, 627). If one were in a really bad mood, one could probably split Hume's formulations into even more categories.2 2.One solution wouldbe to saythat Hume ishopelessly confused.3 This is not accurate, however. The first thingtobe done is to notice thatonly the statements belonging to the first four categories are actually answers to the question, What is the nature of beUef? Hume tells us that abeUefis: an ideaconceived in acertainmanner, theverymanner ofconception ofsuch an idea, an idea thatfeels a certain way, thevery feeling of such an idea. To explicate Hume's theory of the nature of Volume XLX Number 1 89 MICHAEL M. GORMAN beUef, I will show that the second formulation is a poor version ofthe first and that the fourth formulation is a poor version ofthe third—in other words, that there are reallyonlytwo theorieshere, notfour. Then I will reconcile these two theories. As for Hume's discussion ofother questions concerning belief, the statementsin the fifth and sixth categories address the question, What does à belief do? Those in the seventh and eighth categories take for granted the statements in the first and second categories respectively and address the further question, What causes beliefs? Those in the ninth category are probably cases of bad writing. All these will be examined in section 7. 3. Let us look at the texts that fit into the first and second categories listed in section 1. These express what can be called Hume's "manner-of-conception theory" (MCT). First, Hume says that a belief is a certain kind ofidea, namely an idea conceived in a certain manner. He describes this manner ofconception by saying that such an idea is conceived with a high degree of force and vivacity, liveliness, and so forth. This analysis rests on Hume's distinction between the content of an idea and the manner in which the idea is conceived. [A]s 'tis certain there is a great difference betwixt the simple conception ofthe existence ofan object, and the beliefofit, and as this difference lies not in the parts or composition of the idea, which we conceive; it follows, that it must lie in the manner, in which we conceive it. (T 94-95) One can believe that something is the case, or one can simply conceive ofits being the case without assenting to it. In both cases, Hume says, the content ofthe idea must be the same. Otherwise, both making up one's mind and disagreeingwith someone wouldbe impossible: making up one's mind would be a transition from thinking about one thing to thinking about... (shrink)

Physician assisted suicide or active euthanasia is analyzed as a medicalization of the needs of persons who are suffering interminably. As with other medicalized responses to personal needs, the availability of active euthanasia will likely divert attention and resources from difficult social and personal aspects of the needs of dying and suffering persons, continuing the pattern of privatization of the costs of caregiving for persons who are candidates for active euthanasia, limiting the ability of caregivers to assist suffering persons to (...) make their continued suffering tolerable, and casting doubt on the voluntariness of the choice of active euthanasia. Keywords: caregivers, euthanasia, family, medicalization, voluntariness CiteULike Connotea Del.icio.us What's this? (shrink)

This paper surveys the meaning of aither in Empedocles. Since Aristotle, Empedoclean aither has been generally considered synonymous with air and understood anachronistically in terms of its Aristotelian conception as hot and wet. In critiquing this interpretation, the paper first examines the meaning of “air” in Empedocles, revealing scant and insignificant use of the term. Next, the ancient controversy of Empedocles’ “four roots” is recast from the perspective that aither, rather than air, designates the fourth root. Finally, the nineteen instances (...) of aither in Empedocles’ fragments are considered, revealing a bright and energetic root closely related to the force of life. (shrink)

In November of 2019, the University of California Santa Cruz hosted a 3-day interdisciplinary conference to commemorate the 200th anniversary of the publication of Frankenstein, by Mary Shelley. A panel of senior researchers convened to discuss the impact of the novel on modern discussions of scientific ethics. The panel featured Nandini Bhattacharya, George Blumenthal, Michael M. Chemers, David Haussler, and Jenny Reardon. In the process, the panelists acted as the Institutional Review Board for a proposal from Victor Frankenstein himself.

In this article, I examine Thomas Aquinas's teaching on the light of glory (lumen gloriae), and attempt to resolve several problems that arise within this teaching.

Williams James’s 1903 election to the National Academy of Sciences has long been understood as well-deserved recognition for his scientific achievement and as evidence that other sciences had begun to accept the “new psychology” as a peer discipline. This note offers a detailed review of the complex course of events that led to James’s election – presented within the context of the Academy’s own history – that illustrates just how a variety of extra-scientific factors had a significant impact on this (...) tribute. It closes with a review of James’s own activities as an Academy member. (shrink)

This paper provides a detailed account of the origins of the Psycho logical Review in 1894, of the policies and practices of its editors (James Mark Baldwin and James McKeen Cattell) during its first decade, and of the public and private disagreements that led them to dissolve their collaboration in 1904. In doing so, it sheds light on the significant roles played by specialized scientific journals in the development of specific scientific specialities, and illustrates the value for historical exploration of (...) (what anthropologists call) a 'thick description' of (what historians call) 'the fine texture of the past'. It argues that personal factors such as luck and character and temperament often have a greater impact on the way in which science actually evolves than do intellectual interests and concerns, and concludes with an analysis of the overwhelming signifi cance of this episode on the later careers of both Baldwin and Cattell. (shrink)

This project reframes the four roots (or elements) in Empedocles in order to challenge the Aristotelian account of the One as undifferentiated sameness. Aristotle credits Empedocles with developing both the theory of four material elements and introducing the conception of dualistic moving causes into philosophy through Love and Strife. Aristotle’s interpretation maintains a singular moment in the evolution of the cosmos when Love dominates the whole and unifies all things into a perfectly spherical One, which he describes as an undifferentiated, (...) qualityless substratum. Based on Fragments B17, B62, and B110, this paper argues that a rhizomatic motion in which each root tends towards its own kind emerges from the roots independently of Love and Strife. Thus, Empedocles actually maintains three different sorts of motion: (1) the motion of unlike towards unlike, motivated by Love, (2) the motion of unlike away from unlike, motivated by Strife, and (3) a rhizomatic motion of like to like. The presence of six sources of motion challenges Aristotle’s assumption that, as the One, the universe enjoys a moment of identity without difference. The presence of rhizomatic motion makes the blending or mixing of the roots impossible in the Σφαῖρος. The paper begins by developing Aristotle’s paradox of Strife in the Metaphysics and his paradox of alteration in On Generation and Corruption, followed by Empedocles’ account of mixture and separation in Fragments B8 and B35. Section three examines the precise functions of Love and Strife in Fragments B17 and B21. The last section considers the Empedoclean Σφαῖρος under these different conditions, arguing that the cosmic sphere should not be viewed as an inconsistent disappearance of the roots, but as god understood as a singular community of difference. (shrink)

We often feel survivor guilt when the very circumstances that harm others leave us unscathed. Although survivor guilt is both commonplace and intelligible, it raises a puzzle for the standard philosophical account of guilt, according to which people feel guilt only when they take themselves to be morally blameworthy. The standard account implies that survivor guilt is uniformly unfitting, as people are not blameworthy simply for having fared better than others. In this paper, we offer a rival account of guilt, (...) the relational account of guilt, which makes sense of survivor guilt and other forms of guilt without self-blame while preserving the intelligibility of guilt about culpable wrongdoing. According to this account, guilt involves the feeling of being unable to justify ourselves to others, and we lack self-justification when we (however blamelessly) stand on the positive side of an undesirable asymmetry with them. When someone survives something that those around her do not, the disparity in outcome constitutes an asymmetry that is often undesirable, because it arises from luck or violates a requirement of solidarity. Thus, survivor guilt is often fitting. (shrink)

The meaning and significance of Benjamin Libet’s studies on the timing of conscious will have been widely discussed, especially by those wishing to draw sceptical conclusions about conscious agency and free will. However, certain important correctives for thinking about mental states and processes undermine the apparent simplicity and logic of Libet’s data. The appropriateness, relevance and ecological validity of Libet’s methods are further undermined by considerations of how we ought to characterise intentional actions, conscious intention, and what it means to (...) act with conscious intent. Recent extensions of Libet’s paradigm using fMRI and decision-based tasks suffer from similar limitations. The result is that these sorts of laboratory studies of isolated, trivial, decontextualized bodily movements, in a context of extended (conscious) intentional experimental participation and cooperation, are of dubious and potentially misleading relevance to the study of agency. (shrink)

A suspicion about libertarian free will is that freedom is undermined, rather than supported, by the positing of indeterminism within processes of volition. In response, this paper presents a way in which moments of indeterminism can enhance freedom, by showing how such moments can genuinely belong to the agent. The key idea is that of putting the imagination to work in the service of free agency. The suggestion is that indeterministic processes of imaginative generativity can both belong to an agent, (...) and provide a ground for claims of freedom. In contrast to Robert Kane’s libertarian proposal of locating critical self-forming actions in special moments of rational choice, freedom-friendly indeterministic moments of self-shaping are instead posited within processes of imaginative generativity in which our future possibilities are imagined. This incompatibilist alternative to traditional libertarianism is briefly compared to Mele’s modest libertarianism, and defended against a selection of likely criticisms. (shrink)

Eliminative Materialism holds that propositional attitude folk psychology is a radically false theory of human, cognition, communication and behaviour. The paper reviews the argument that Eliminative Materialism is self-defeating. Although the argument is unsuccessful, it is argued that Eliminative Materialism ought to be considered epistemically self-undermining. Eliminative Materialism's truth would undermine the epistemic warrant of the theories (from cognitive neuroscience) typically taken as motivating the eliminativist thesis. Eliminative materialism fails to recognise that, in the psychological sciences, the mind is both (...) the object and instrument of study. Radically changing the instrument changing the instrument changes the background conditions and epistemic underpinnings of all inquiry. (shrink)

Previous research shows that students often do not read informed consent forms to understand their rights. Four hundred fifty-eight students participated in an advertised temperament study that actually measured whether they noticed a manipulation within the consent form. Answering five questions about the form raised the percentage of students noticing the manipulation in multiple settings; however, overall rates were low. Fewer than 10% of ethnic minority students noticed the manipulation. If the goal of consent forms in higher education remains an (...) informed decision, these results indicate the need for increased interaction within the consent process. (shrink)

In Michael Stingl argues that the legalization of euthanasia can be made reasonable social policy only in the context of healthcare reform to deliver primary- and community-based care. Stingl accepts that euthanasia and that includes not only pain, but He is not worried The failure of the healthcare system to adequately respond to the needs of people who are suffering with chronic or terminal conditions may lead competent people to elect euthanasia. Stingl argues that it is the institutionalization of (...) care for dying people that reduces their ability to find meaning in prolonged life, and thereby makes it more attractive to consider ending one's life sooner. Options such as palliative care at home that significantly improve quality of life and make euthanasia less attractive are currently only available to those who can privately subsidize healthcare services. If an emphasis is placed on community-based initiatives and well-supported self-help, then there would be less inequality of healthcare and the voluntariness of choices, including euthanasia, would be more equal for all people under the healthcare system. (shrink)

The role of natural theology in St. Thomas Aquinas's early doctrine of (transcendental) trut, especially in question one of Aquinas's "Disputed Questions on Truth (De veritate).

This paper examines parataxis and ring composition in Anaxagoras Fragment B4a, arguing that this ostensibly prose philosopher employs these poetic techniques to capture his thought. Comparing the fragment with Homeric similes and his description of Achilles’s Shield from Ililad XVIII reveals an immanent poetics within the Anaxagorean text. Lying between two instances of "πολλά τε καὶ παντοῖα" (many things of all kinds) most of fragment constitutes a single sentence. Such ring composition advises that no part of the paratactic clause should (...) be read independently from any other. This supports reading the discussion of "seeds" (σπέρματα) and "compacted" (συμπαγῆναι) human beings in B4a as yielding a conception of infinitely proliferating microcosmic worlds each undergoing its own separation within a single cosmos. (shrink)

The essay is a response to an invitation to offer reflections on Richard Lennan’s recent book Tilling the Church for a panel at the annual gathering of the Karl Rahner Society. It situates the work within the distinctive spiritual and intellectual heritage shared by Karl Rahner, Pope Francis, and Lennan’s scholarly community and vocational home at Boston College, namely by reading it through an intentionally Ignatian lens. The review overlays the volume’s ecclesiological explorations with reference to the Spiritual Exercises and (...) to the contours of the current emphasis or re-emergence of the Ignatian tradition on a global stage given the last eleven years and the unique pulpit they provide via the Petrine Office. The piece argues that the adaptability and flexibility of the Ignatian heritage finds profound and lasting resonance with Lennan’s recent project and hopeful agenda. (shrink)

1. Sexual Brains and Body Politics 2. Hormones and Hardwiring 3. Making Sense of Brain Organization Studies 4. Thirteen Ways of Looking at Brain Organization 5. Working Backward from “Distinct‘ Groups 6. Masculine and Feminine Sexuality 7. Sexual Orienteering 8. Sex-Typed Interests 9. Taking Context Seriously 10. Trading Essence for Potential.

Our paper focuses on the recent incorporation of pop music into torture rituals at Guantánamo. After placing the violent intersection of sound and the sacred in historical perspective, we argue that Guantánamo’s so-called “disco” underscores a significant break with the past: whereas sonic weapons were traditionally called upon to conquer and control, they are now being enlisted in the wasteful pursuit of obliterating the religious devotion of an already captured enemy.

This collection of essays by a group of international scholars focuses on specific issues in bioethics and paediatrics. It reflects interdisciplinary approaches to practical problems at the level of policy and practice.