The field of bioethics has evolved over the past half-century, incorporating new domains of inquiry that signal developments in health research, clinical practice, public health in its broadest sense and more recently sensitivity to the interdependence of global health and the environment. These extensions of the reach of bioethics are a welcome response to the growth of global health as a field of vital interest and activity. This paper provides a critical interpretive review of how the term “global health ethics” (...) has been used and defined in the literature to date to identify ethical issues that arise and need to be addressed when deliberating on and working to improve the discourse on ethical issues in health globally. Selected publications were analyzed by year of publication and geographical distribution, journal and field, level of engagement, and ethical framework. Of the literature selected, 151 articles were written by authors in high-income countries, as defined by the World Bank country classifications, 8 articles were written by authors in low- or middle-income countries, and 13 articles were collaborations between authors in HIC and LMIC. All of the articles selected except one from 1977 were published after 1998. Literature on global health ethics spiked considerably from the early 2000s, with the highest number in 2011. One hundred twenty-seven articles identified were published in academic journals, 1 document was an official training document, and 44 were chapters in published books. The dominant journals were the American Journal of Bioethics, Developing World Bioethics, and Bioethics. We coded the articles by level of engagement within the ethical domain at different levels: interpersonal, institutional, international, and structural. The ethical frameworks at use corresponded to four functional categories: those examining practical or narrowly applied ethical questions; those concerned with normative ethics; those examining an issue through a single philosophical tradition; and those comparing and contrasting insights from multiple ethical frameworks. This critical interpretive review is intended to delineate the current contours and revitalize the conversation around the future charge of global health ethics scholarship. (shrink)

In this paper we sketch a new version of aesthetic expressivism. We argue that one advantage of this view is that it explains various putative norms on the formation and revision of aesthetic judgement. We begin by setting out our proposed explananda and a sense in which they can be understood as governing the correct response to putative higher-order evidence in aesthetics. We then summarise some existing discussions of expressivist attempts to explain these norms, and objections raised to them. This (...) will allow us to identify the pitfalls that a good expressivist explanation needs to avoid. Finally, we sketch our preferred version of aesthetic expressivism which includes as a crucial part a hypothesis concerning the distinctive expressive function of aesthetic practice. We then consider how this theory can explain the putative aesthetic norms whilst avoiding the previous objections. (shrink)

What is the nature of time? Does it flow? Do the past and future exist? Drawing connections between historical and present-day questions, A Critical Introduction to the Metaphysics of Time provides an up-to-date guide to one of the most central and debated topics in contemporary metaphysics. Introducing the views and arguments of Parmenides, Plato, Aristotle, Descartes, Newton and Leibniz, this accessible introduction covers the history of the philosophy of time from the Pre-Socratics to the beginning of the 20th Century. The (...) historical survey presents the necessary background to understanding more recent developments, including McTaggarts 1908 argument for the unreality of time, the open future, the perdurance/endurance debate, the possibility of time travel, and the relevance of current physics to the philosophy of time. Informed by cutting-edge philosophical research, A Critical Introduction to the Metaphysics of Time evaluates influential historical arguments in the context of contemporary developments. (shrink)

It is a mistake to think that any philosophical contribution to the study of psychopathology is otiose. I identify three non-exhaustive roles that philosophy can and does occupy in the study of mental disorder, which I call the agenda-setting role, the synthetic role, and the regulative role. The three roles are illustrated via consideration of the importance of Jaspers' notion of understanding and its application to specific examples of mental disorder, including delusions of reference, Capgras delusion and other monothematic delusions, (...) and clinical depression. Together the three roles assign to philosophy of psychopathology the task of determining how to situate the varieties of mental disorder within the system of interpretive and evaluative concepts that partially make up the dynamic but indispensable manifest image. (shrink)

The analogy between gustatory taste and critical or aesthetic taste plays a recurring role in the history of aesthetics. Our interest in this article is in a particular way in which gustatory judgments are frequently thought to be analogous to critical judgments. It appears obvious to many that to know how a particular object tastes we must have tasted it for ourselves; the proof of the pudding, we are all told, is in the eating. And it has seemed just as (...) obvious to many philosophers that aesthetic judgment requires first-person experience. In this article we argue that, despite its initial appeal, the claim that gustatory and critical judgments are analogous in this way is mistaken. The two sorts of judgments are, as a matter of fact, similar in their epistemology, but earlier theorists have got things entirely backward—neither gustatory judgment nor aesthetic judgment requires first-hand acquaintance with their objects. Our particular focus in this article is on arguing that first-person experience is not required to know how an item of food or drink tastes. In fact, there are a wide variety of ways in which we can acquire this knowledge. (shrink)

Individuals with body integrity identity disorder seek to address a non-delusional incongruity between their body image and their physical embodiment, sometimes via the surgical amputation of healthy body parts. Opponents to the provision of therapeutic healthy-limb amputation in cases of BIID make appeals to the envisioned harms that such an intervention would cause, harms such as the creation of a lifelong physical disability where none existed before. However, this concept of harm is often based on a normative biomedical model of (...) health and disability, a model which conflates amputation with impairment, and impairment with a disability. This article challenges the prima facie harms assumed to be inherent in limb amputation and argues in favour of a potential treatment option for those with BIID. To do this, it employs the social model of disability as a means to separate the concept of impairment and disability and thereby separate the acute and chronic harms of the practice of therapeutic healthy-limb amputation. It will then argue that provided sufficient measures are put in place to ensure that those with atypical bodily constructions are not disadvantaged, the chronic harms of elective amputation would cease to be. (shrink)

As biological organisms, we age and, eventually, die. However, age’s deteriorating effects may not be universal. Some theoretical entities, due to their synthetic composition, could exist independently from aging—artificial general intelligence (AGI). With adequate resource access, an AGI could theoretically be ageless and would be, in some sense, immortal. Yet, this need not be inevitable. Designers could imbue AGIs with artificial mortality via an internal shut-off point. The question, though, is, should they? Should researchers curtail an AGI’s potentially endless lifespan (...) by deliberately making it mortal? It is this question that this article explores. First, it considers what type of AGI is under discussion before outlining how such beings could be ageless. Then, after clarifying the type of immortality under discussion and arguing that imbuing an AGI with synthetic aging would be person-affecting, the article explores four core conundrums: (i) deliberately causing a morally significant being’s death; (ii) immortality’s associated harms; (iii) concerns about immortality’s unequal assignment; and (iv) the danger of immortal AGI overlords. The article concludes that while prudence requires we create an aging AGI, in the face of the material harm such an action would constitute, this is an insufficient reason to justify doing so. (shrink)

Rodger et al argue for the disenhancement of animals intended for xenotransplantation; that is, the transference of tissues or organs from one species to another. The crux of their claim is that the conditions necessary to facilitate xenotransplantation will be hostile to those subjected to them. Thus, to minimise the suffering of living under such conditions, ‘ethically defensible xenotransplantation should entail the use of genetic disenhancement if it becomes possible to do so and if that pain and suffering cannot be (...) eliminated by other means.’1 In other words, if we can eliminate or meaningfully reduce the suffering of animals destined for xenotransplantation by obliterating their experiential capacity and lacking a less contentious method to achieve the same result, we should do so. When isolated, this argument is compelling. Suffering is terrible and should be avoided. Additionally, when we have the option to reduce another’s suffering—be that human, animal or otherwise—there are strong prima facie arguments that we should do so. This point is reinforced when we collectively are responsible for that suffering, as would be the case with xenotransplantation, and it is true regardless of how justified we are in causing that suffering. Thus, on the restrictive terms of Rodger et al ’s argument, I agree with them. We should eliminate, or if not possible, reduce, suffering wherever we can, and this applies to animals too. Having said that, when situated in the xenotransplantation context, issues with their proposal …. (shrink)

The following article consists of an introduction by the first author, an annotated translation by the second, and then an analysis by the first, of the earliest known Scandinavian response to the Vampire phenomenon of Medvedia in 1732 by Nicolaus Boye, a state-employed physician residing in Stockholm. The translation shows that Boye’s own article, which constitutes a complete refutation of Johann Flückinger’s claims, was meticulously organised, abstracting and arguing against the major themes which he observed in the Visum et Repertum, (...) while the analysis shows that Boye was working under the topical medical theories of the Dutch botanist and physician Herman Boerhaave. The analysis also demonstrates the extent to which Boye’s rationalism in refuting the Visum at Repertum is informed by his Lutheranism and belief in the Day of Judgement, and concludes by showing examples of the impact his work exerted on other academics in the 1730s. (shrink)

_The Literary Wittgenstein_ is a stellar collection of articles relating the philosophy of Ludwig Wittgenstein to core problems in the theory and philosophy of literature. Amid growing recognition that Wittgenstein's philosophy has important implications for literary studies, this book brings together twenty-one articles by the most prominent figures in the field. Eighteen of the articles are published here for the first time. _The Literary Wittgenstein_ applies the approach of Wittgenstein to core areas of literary theory, including poetry, deconstruction, the ethical (...) value of literature, and the nature and logic of fictional discourse. The literary dimension of Wittgenstein's own writings is also explored, such as the authorial strategy of the _Tractatus_, and writing and method in the _Philosophical Investigations_. Major literary figures discussed in the book include William Faulkner, Joseph Conrad, and Friedrich Hölderlin. By mapping out the foundations of a new approach to literature, _The Literary Wittgenstein_ is essential reading for anyone interested in the relevance and application of Wittgenstein's thought to literary theory, aesthetics, and the philosophy of language and logic. (shrink)

ABSTRACT When one thinks about the ethics of abortion, one inevitably thinks about rights, since it is in terms of the concept of rights that much of the debate has been conducted. This is true of overtly feminist as well as non‐feminist accounts. Indeed, some early feminist writers – Judith Jarvis Thomson and Mary Ann Warren, for example – employ a model of rights that is indistinguishable, or virtually indistinguishable, from that of their non‐feminist counterparts. However, more recent feminist writers (...) have developed a different understanding of ‘a woman's right to choose.’ In this paper, I will begin by outlining the non‐feminist debate over the moral permissibility of abortion. I will suggest that this debate is irresolvable, since at its heart is an ‘essentially contested concept’, that of personhood. I will then consider the way in which some feminist writers have attempted to reconceive the terms of the abortion debate and suggest an expanded account of women's right to abortion, drawing on the work of Susan Sherwin. Finally, I will argue that there is a further element to a ‘woman's right to choose’ that expands on and provides a conceptual link between the feminist and non‐feminist understanding of abortion. (shrink)

In most parts of the world, research on the human embryo is subject to tight controls. In the United Kingdom it is restricted by means of both a fourteen-day time limit and the permitted purposes of the research. One of the ways in which the argument for these restrictions has been put is in terms of respect. That is, the human embryo is said to be the kind of thing that is worthy of a measure of respect such that there (...) are limits to what can be done to it. This paper considers some of the ways in which this principle of respect has been understood as well as some objections to the very idea that research resulting in the destruction of the human embryo can claim to show that embryo respect. It will be argued that an account of ‘respectful destruction’ can be articulated on the grounds of our shared finitude as human moral agents, and in particular on the grounds of our shared lack of certainty regarding the moral status of the embryo. (shrink)

Though addiction is a complex empirical phenomenon, some of the most pressing questions about it concern how we should evaluate agents who are living with it. To that end, a fruitful methodology is to tease out from our best sciences consequences at the level of moral psychology. Taking account of epidemiology, behavioral science, animal studies and, chiefly, neuroscience, I argue for a view according to which addiction involves dysfunctional motivational states (which I call “hybrid intentions”) as well as cognitive distortions. (...) This argument can be made without needing to settle the traditional debate about whether addiction is a disease. (shrink)

Readers of the Journal may know little of Melchior Palágyi. Even on the Continent his work has been very inadequately recognized. It is not that he has written little: he published some books and many articles during his lifetime, in German as well as in Magyar, and since his death, Barth of Leipzig has issued an edition of his selected works, including his most important contribution, Naturphilosophische Vorlesungen, also the Wahrnehmungslehre and Zur Weltmechanik. He has many enthusiastic admirers, and those (...) who care to look up the Preussische Jahrbücher, March 1926, will find there a most informative and highly appreciative article on his general philosophy by Werner Deubel, who in the same journal, some two years previously, discussed the work of a kindred spirit, Ludwig Klages. It was Deubel's article that first roused my interest in Palágyi and led me to study his more important writings. (shrink)

The use of smart mouthguards in contact sports like rugby aims to enhance player safety by providing real-time data on head impacts. These devices, equipped with sensors, measure collision force and frequency, potentially identifying concussions that might go unnoticed during gameplay. The idea is that such enhanced monitoring will enable teams, physicians and other stakeholders to better protect players from the effects of on-pitch injury through immediate detection of head trauma and the long-term provision of player data. While we welcome (...) the move towards a better understanding of the potential harm that contact sports athletes may experience, introducing a new avenue through which information about player performance and health can be collected brings several areas of ethical concern absent from traditional mouthguards. In this paper, we consider four noteworthy areas: device and data efficacy, player choice, the inherent issues of such data’s existence and the harmful consequences of this data’s usage and exposure. We argue that failing to identify and address the risks associated with smart mouthguards’ employment in the elite sporting sphere not only risks the mistreatment and misapplication of player data but may also jeopardise the acceptability of a novel health monitoring method that has the potential to prevent long-term debilitating diseases. (shrink)

Despite how he begins, suggesting that it is somehow a problem for me that I think "there is such a thing as philosophy, which could then be useful for psychopathology," ultimately it is clear that the possibility of philosophy is not the issue for Ghaemi. Rather, his issue is with academic philosophy of psychiatry, as he sees it, and with my failure to ask what underlying assumptions typically operate in it.I do not dispute that someone like Jaspers would want to (...) ask such a question, nor do I dispute that it is, in general, a perfectly good question. But Ghaemi thinks that my paper is missing out on something by not posing it. The reason he thinks this is because he thinks my paper is an instance of a pattern in the discipline against which he evidently has an axe to grind. In particular, he thinks philosophy in general should be more attendant to the ways in which Diagnostic and Statistical Manual of Mental Disorders (DSM) categories are (problematically) socially constructed. The fact that philosophers have failed to critically point this out allegedly shows philosophy of psychiatry's— and my—unexamined sympathy with the postmodern tendencies—understood as tendencies toward "relativism about truth" and "skepticism about science"—of psychiatry itself. This is odd for a number of reasons, especially in the present context. Firstly, I am not presently in a position to exhaustively defend all of philosophy of psychiatry on the charge of 'postmodernism,' or on the charge of failure to critically engage with the DSM, but it is worth simply stating that I find these to be rather patently unsubstantiated charges. Prominent works that falsify the latter and easily come to mind are by Tsou (2011), Cooper (2004, 2007), Horwitz and Wakefield (2007), Murphy (2006), Poland and von Eckhardt (2013), and Lalumera (2016). Of these, only Lalumera is interested in defending a DSM-style descriptivism (which perhaps Ghaemi would call a kind of "social constructionism"), but even she limits her defense of DSM categories to their role as reference-fixing representations. It is also true that Tsou's paper is an argument that the practical considerations which go into shaping the DSM categories sometimes represent values that permissibly operate in psychiatry. Perhaps this could be construed as a kind of social constructionism as well, and presumably Ghaemi would disagree with it, but no one here is guilty of a failure to engage critically with the DSM and its history. Further, whichever position is taken by these theorists on whether the DSM does, or even one day could, cut nature at its joints, or whether some of the values that shape its construction do so permissibly or impermissibly, one's acceptance or rejection of relativism about truth is an entirely logically independent matter. (shrink)

BackgroundThe amount of research utilizing health information has increased dramatically over the last ten years. Many institutions have extensive biobank holdings collected over a number of years for clinical and teaching purposes, but are uncertain as to the proper circumstances in which to permit research uses of these samples. Research Ethics Boards (REBs) in Canada and elsewhere in the world are grappling with these issues, but lack clear guidance regarding their role in the creation of and access to registries and (...) biobanks.MethodsChairs of 34 REBS and/or REB Administrators affiliated with Faculties of Medicine in Canadian universities were interviewed. Interviews consisted of structured questions dealing with diabetes-related scenarios, with open-ended responses and probing for rationales. The two scenarios involved the development of a diabetes registry using clinical encounter data across several physicians' practices, and the addition of biological samples to the registry to create a biobank.ResultsThere was a wide range of responses given for the questions raised in the scenarios, indicating a lack of clarity about the role of REBs in registries and biobanks. With respect to the creation of a registry, a minority of sites felt that consent was not required for the information to be entered into the registry. Whether patient consent was required for information to be entered into the registry and the duration for which the consent would be operative differed across sites. With respect to the creation of a biobank linked to the registry, a majority of sites viewed biobank information as qualitatively different from other types of personal health information. All respondents agreed that patient consent was needed for blood samples to be placed in the biobank but the duration of consent again varied.ConclusionParticipants were more attuned to issues surrounding biobanks as compared to registries and demonstrated a higher level of concern regarding biobanks. As registries and biobanks expand, there is a need for critical analysis of suitable roles for REBs and subsequent guidance on these topics. The authors conclude by recommending REB participation in the creation of registries and biobanks and the eventual drafting of comprehensive legislation. (shrink)

Discussions about the role of universities have long been framed in terms of questions of what is good for the public, as well as how and whether higher education serves that good. Today, the language of societal impact has become an accepted way for policymakers to frame the matter, but just who is included in the underlying definition of society that this formulation presupposes? In this paper, we consider how society has been constructed in discussions of the societal impact of (...) humanities research in Denmark, through an engagement with legislation, national political commentary, and institutional policy. We draw on the work of Martin Heidegger and Simone Weil to analyse the vision of society these policies construct. We conclude with proposals for alternative societies and forms of policy that these philosophers make possible. (shrink)

Discussions about the role of universities have long been framed in terms of questions of what is good for the public, as well as how and whether higher education serves that good. Today, the language of ‘societal impact’ has become an accepted way for policymakers to frame the matter, but just who is included in the underlying definition of society that this formulation presupposes? In this paper, we consider how ‘society’ has been constructed in discussions of the societal impact of (...) humanities research in Denmark, through an engagement with legislation, national political commentary, and institutional policy. We draw on the work of Martin Heidegger and Simone Weil to analyse, through an ontology of policy approach, the vision of society these policies construct. We conclude with proposals for alternative societies and forms of policy that these philosophers make possible. (shrink)

In their study, Dasgupta et al. interviewed seven Indian-based experts to gauge their views on using cognitive enhancement (CE) technologies from a low-and-middle-income country perspective. Specif...

Before the last century, societies around the globe, including Indigenous Peoples and early settlers to Canada’s west coast, relied on local procurement and preservation of seasonal food to support their food security and food sovereignty. In some instances, Indigenous Peoples and settlers shared and adopted each other’s food provisioning and preservation practices and associated values. Such cross-cultural knowledge exchanges provided wide-ranging food provisioning options for those living in the region. In this paper, we conceptualize such exchanges and varieties of provisioning (...) options as part of Indigenous and local food systems that have been co-created through mutual interdependence, support, and food-related values. Using data from interviews and document analysis, we show that current residents of the Clayoquot Sound Biosphere Region have maintained traditional food procurement and preservation techniques, although with some new methods that have emerged in response to new technologies, innovation, and need. Indigenous and non-Indigenous residents who share food and exchange food provisioning practices simultaneously support their food needs, wellbeing, and cultural maintenance. In contrast to research that examines and conceptualizes local food systems and Indigenous food systems separately, this paper highlights the existence of an interrelated Indigenous and local food system, characterized by historical and contemporary shared food provisioning practices and cross-cultural food knowledge exchanges on Canada’s west coast. The advantage of the joint conceptualization lies in acknowledging how food systems can and do evolve to co-exist over time, and how they create opportunities for people living in remote, sometimes marginalized communities to strengthen food security and food sovereignty through shared food provisioning practices that resonate with their values. (shrink)

In an effort to account for our a priori knowledge of synthetic necessary truths, Kant proposes to extend the successful method used in mathematics and the natural sciences to metaphysics. In this paper, a uniform account of that method is proposed and the particular contribution of the ‘Copernican hypothesis’ to our knowledge of necessary truths is explained. It is argued that, though the necessity of the truths is in a way owing to the object's relation to our cognition, the truths (...) we come to know are fully objective, expressing necessary relations between properties. Kant's distinction between ‘phenomena’ and ‘noumena’ is shown to serve to properly restrict the scope of the necessity claims so that they do express necessary connections between properties. (shrink)

Mr. Brumbaugh gives several accounts in the course of his work of the main purpose of his study, and the emphasis falls now one way and now another. Readers may easily be misled by the opening sentence of the introduction, which suggests that Plato's mathematical illustrations are pointers to "diagrams which Plato had designed, and were intended to accompany and clarify his text." If that is what Mr. Brumbaugh intended, he has failed to make out his case. There is no (...) direct evidence that Plato designed diagrams; and there is some good inferential evidence to the contrary. It would be surprising, for example, if Plato's diagrams had survived that long, that Aristotle should have described the Divided Line in terms of an arithmetical progression and ignored Plato's express indication of proportion between the upper and lower segments. Mr. Brumbaugh himself faces this passage and admits that "no continuous tradition connects the figures of Hellenistic scholars with Plato's original design." But it really does not matter. If we design diagrams in the light of our knowledge of Plato's mathematical imagination, it is most certainly a help to the interpretation of the passages concerned. This, as a matter of fact, seems to be Mr. Brumbaugh's main reason for ascribing the diagrams to Plato, and while the conclusion does not follow, the premiss is correct; and the premiss, not the conclusion, is the main point at issue. (shrink)

This essay suggests some links between concern about the decline of ‘the family’, or of ‘family values’, the use of reproductive technology, and the claim that some people have children for the ‘wrong reasons’. It is argued that where conceiving and bringing a child to term is a matter of choice, a person must have a reason or reasons for doing so and further, that those reasons are of moral significance. By appealing to Kant's Categorical Imperative: ‘Act in such a (...) way that you always treat humanity … never simply as a means, but always at the same time as an end’, a distinction is made between morally desirable and morally undesirable reasons, on the grounds of the extent to which the parent or parents will be able or likely to treat the child as an end in herself. In conclusion it is argued that whilst ‘the family’is vital to the health of children, and to the health of society, it is not so much the form that the family takes that is significant, but the extent to which it allows for the development and maintainance of a certain sort of relationship. (shrink)

The border-crossing nature of science is well recognised, and has long been a focus of policy-makers with an interest in governing this space. The international aspect of the humanities is less clearly understood, and the extent to which it has been a focus of policy is similarly not well conceptualised. UNESCO’s efforts in this area provide a useful corpus of texts through which international humanities policy can be explored. Drawing on Theodor Adorno’s negative dialectics, this paper considers what UNESCO’s attempts (...) at developing international humanities policy have to say about the ontological status of the humanities, and of policy itself. In setting out an ontology of policy, it generates a concept of ‘world humanities’ as a means of reconstituting the humanities its own specific mode of inquiry and form of knowledge. (shrink)

There is a belief among the aborigines of Central Australia that the attributes of the divine ancestor are parcelled out among the component members of the tribe: and there are long periods in the history of ideas in which “divine philosophy” is similarly dismembered. The reason is that all great philosophical systems rest on a balanced tension of contemporary cultural elements, and as these change, and especially if they change rapidly or decisively, the unity of thought under which they have (...) been gathered begins to disintegrate. There follows a period of piecemeal experiment, in which the material of philosophy is too rich and too disorganized to be appropriated in a single conspectus: a period in which there will be no great philosophers, and perhaps little conscious philosophizing, not because philosophic genius is lacking, but because there is no scope for it till the various special tendencies of the age have achieved a certain internal development and a definite sense of direction. (shrink)

Neste artigo o autor aplica a interpretaçãosocial-institucional da constituição ontológicana análise do conceito de pressuposição, queaparece na afirmação de que todo encontro comentes pressupõe uma compreensão de ser. A teseé examinada no contexto da gênese ontológicado comportamento científico, apresentada porHeidegger em Ser e Tempo. A pressuposição dacompreensão de ser que torna possível os atosbásicos instituidores do comportamento científicotem o sentido da projeção de si mesmo comocapaz de.desempenhar um papel socialrecognitivoespecífico: o de reagir aos objetoscom asserções e com práticas inferenciais ejustificacionais.