In several places in Totality and Infinity, Levinas criticizes Socratic education for being emblematic of the totalizing tendency of Western thought. Levinas finds in Socratic maieutics another instance of the reduction of exteriority to interiority, heteronomy to autonomy, and the Other to the Same. Here, I explore Levinas’s critique and offer a possible response by arguing that maieutics does not deny the alterity of others but requires it. I find, therefore, that a Platonic conception of education as maieutics could be (...) a promising resource for rethinking how we engage students in the classroom in a way that is consonant with Levinas’s ethics. (shrink)

Authorising euthanasia and assisted suicide with advance euthanasia directives is permitted, yet debated, in the Netherlands. We focus on a recent controversial case in which a Dutch woman with Alzheimer’s disease was euthanised based on her AED. A Dutch euthanasia review committee found that the physician performing the euthanasia failed to follow due care requirements for euthanasia and assisted suicide. This case is notable because it is the first case to trigger a criminal investigation since the 2002 Dutch euthanasia law (...) was enacted. Thus far, only brief descriptions of the case have been reported in English language journals and media. We provide a detailed description of the case, review the main challenges of preparing and applying AEDs for persons with dementia and briefly assess the adequacy of the current oversight system governing AEDs. (shrink)

Although informed consent is important in clinical research, questions persist regarding when it is necessary, what it requires, and how it should be obtained. The standard view in research ethics is that the function of informed consent is to respect individual autonomy. However, consent processes are multidimensional and serve other ethical functions as well. These functions deserve particular attention when barriers to consent exist. We argue that consent serves seven ethically important and conceptually distinct functions. The first four functions pertain (...) principally to individual participants: (1) providing transparency; (2) allowing control and authorization; (3) promoting concordance with participants' values; and (4) protecting and promoting welfare interests. Three other functions are systemic or policy focused: (5) promoting trust; (6) satisfying regulatory requirements; and (7) promoting integrity in research. Reframing consent around these functions can guide approaches to consent that are context sensitive and that maximize achievable goals. (shrink)

The “life phenomenology” theme of the 35th International Human Science Research Conference challenged participants to consider pressing questions of life and of living with others of our own and other-than-human kinds. The theme was addressed by keynote speakers Maxine Sheets-Johnstone, Ralph Acampora and David Abram who invoked a motile, affective and linguistic awareness of how we might dwell actively and ethically amongst human communities and with the many life forms we encounter in the wider, wilder world we have in common. (...) Conference participants were provoked to consider the following questions: “How might phenomenology have us recognize a primacy of movement and bring us in touch with the motions and gestures of the multiple lifeworlds of daily living? What worlds from ecology to technology privilege certain animations? What are the affects and effects of an enhanced phenomenological sensitivity? What senses, feelings, emotions and moods of self-affirmation and responsiveness to others sustain us in our daily lives? And to what extent might the descriptive, invocative, provocative language of phenomenology infuse the human sciences and engender a language for speaking directly of life?”. (shrink)

Bioethics, Volume 36, Issue 5, Page 500-510, June 2022.

Peer review is a widely accepted instrument for raising the quality of science. Peer review limits the enormous unstructured influx of information and the sheer amount of dubious data, which in its absence would plunge science into chaos. In particular, peer review offers the benefit of eliminating papers that suffer from poor craftsmanship or methodological shortcomings, especially in the experimental sciences. However, we believe that peer review is not always appropriate for the evaluation of controversial hypothetical science. We argue that (...) the process of peer review can be prone to bias towards ideas that affirm the prior convictions of reviewers and against innovation and radical new ideas. Innovative hypotheses are thus highly vulnerable to being “filtered out” or made to accord with conventional wisdom by the peer review process. Consequently, having introduced peer review, the Elsevier journal Medical Hypotheses may be unable to continue its tradition as a radical journal allowing discussion of improbable or unconventional ideas. Hence we conclude by asking the publisher to consider re-introducing the system of editorial review to Medical Hypotheses. (shrink)

The dominant unspoken philosophical basis of medical care in the United States is a form of Cartesian reductionism that views the body as a machine and medical professionals as technicians whose job is to repair that machine. The purpose of this paper is to advocate for an alternative philosophy of medicine based on the concept of healing relationships between clinicians and patients. This is accomplished first by exploring the ethical and philosophical work of Pellegrino and Thomasma and then by connecting (...) Martin Buber's philosophical work on the nature of relationships to an empirically derived model of the medical healing relationship. The Healing Relationship Model was developed by the authors through qualitative analysis of interviews of physicians and patients. Clinician-patient healing relationships are a special form of what Buber calls I-Thou relationships, characterized by dialog and mutuality, but a mutuality limited by the inherent asymmetry of the clinician-patient relationship. The Healing Relationship Model identifies three processes necessary for such relationships to develop and be sustained: Valuing, Appreciating Power and Abiding. We explore in detail how these processes, as well as other components of the model resonate with Buber's concepts of I-Thou and I-It relationships. The resulting combined conceptual model illuminates the wholeness underlying the dual roles of clinicians as healers and providers of technical biomedicine. On the basis of our analysis, we argue that health care should be focused on healing, with I-Thou relationships at its core. (shrink)

We are grateful to Jongsma et al 1 for their interest in our article analysing the case of ‘Mrs A’, a Dutch woman with Alzheimer’s disease who received euthanasia based on her advance euthanasia directive.2 Their commentary criticises two elements of our analysis. First, the authors believe our reasons for doubting that Mrs A had the capacity to write and revise an AED rely on ‘partial’ empirical data and rest on normative errors. Second, they use two of our statements to (...) suggest we must endorse some implausible claims, for example, that ‘… in all situations and for all people, current well-being should always take precedence over all other values’. Jongsma et al assert: ‘Miller et al argue that people with dementia are impaired to make decisions.’ This casts our probabilistic claim about Mrs A’s capacity as an absolute claim about persons with dementia in general. It also implies we are using an outdated diagnosis-based view of capacity. The accusation then becomes explicit : > … several empirical studies have shown that patients with dementia are able to actively participate in qualitative studies and can respond to open questions in a meaningful way,[2-8] as well that they are able to complete an advance directive in the early phases of dementia.[9, 10] One can therefore not simply conclude on the basis of the diagnosis of dementia …. (shrink)

Extensively employed in reproductive science, the term fetal–maternal interface describes how maternal and fetal tissues interact in the womb to produce the transient placenta, purporting a theory of pregnancy where ‘mother’, ‘fetus’, and ‘placenta’ are already-separate entities. However, considerable scientific evidence supports a different theory, which is also elaborated in feminist and new materialist literatures. Informed by interviews with placenta scientists as well as secondary sources on placental immunology and the developmental origins of health and disease, I explore evidence not (...) of interfacing during pregnancy, but of intra-action, or the mutual emergence of entities in simultaneous practices of differentiation and connection. I argue that attending to evidence that can be figured as intra-action enables us to recognize, account for, and attend to diffuse responsibilities for fetal–maternal outcomes that extend beyond mothers to the biosocial milieus of pregnancy. In reimaging the intra-action of placentas, a new understanding of what constitutes a ‘healthy pregnancy’ becomes possible. (shrink)

Embryology is an intensely visual field, and it has provided the public with images of human embryos and fetuses. The responses to these images can be extremely powerful and personal, and the images (as well as our reactions to them) are conditioned by social and political agendas. The image of the 'autonomous fetus' abstracts the fetus from the mother, the womb, and from all social contexts, thereby emphasizing 'individuality'. The image of 'sacred DNA' emphasizes DNA as the unmoved mover, the (...) eidos, the soul of the human being. Since fertilization involves the forming of a new constellation of DNA in the zygote, the act of fertilization is being perceived as the secular and technical equivalent of ensoulment. This privileges fertilization above the other possible scientifically valued times when 'human life' begins. (shrink)

In this essay, I examine how Plato’s Symposium can be helpful for teachers who are interested in encouraging introductory students to develop a sense of wonder in their early encounters with philosophical texts. Plato’s work is helpful, I argue, in two ways. First, as teachers of philosophy, the Symposium contains important pedagogical lessons for us about the roles of creativity and affectivity in philosophical pedagogy. Second, the dialogue lends itself well to the pedagogical methods that Plato’s work recommends. That is, (...) the Symposium invites students to engage with it in ways that involve them as affective and creative learners. I begin by providing the theoretical basis for my pedagogical approach, which is inspired by phenomenology. Next, I offer my interpretation of the Symposium, indicating what we can learn from the text about how to teach philosophy. And finally, I describe three classroom activities based on Plato’s text that are aimed at accomplishing the pedagogical ends I have outlined. (shrink)

In this essay, I explore alternatives to traditional philosophical writing assignments. I propose that inviting students to engage with philosophical ideas creatively can make our writing instruction more inclusive. Creative assignments, I argue, can achieve the same goals as traditional writing assignments but are able to sidestep some of the assumptions and habits that make it harder for students to experience writing as an authentic act of self-expression. I also discuss assessment strategies and provide several sample assignments including grading criteria.

Body Worlds is a hugely popular exhibition that claims to offer a reverential and educational experience of the ‘real human body’ through the display of plastinated dead human bodies. However, because they are posed, staged, and composed of significant nonhuman artifice, plastinates are ambivalently ‘real’ as human bodies, let alone ‘real’ as humans. Plastinates are as much nonhuman as human, and neither category fully accounts for them. In this article, I discuss the consequences of this for feminist theory. Approaches in (...) feminist theory that reify, either implicitly or explicitly, a human/nonhuman binary framework are challenged by plastinates. I show that locating plastinates within either ontological category, though not fully accounting for them, enables feminist critiques of the exhibition; however, these categories also paradoxically permit forms of violence with which feminists are typically concerned. In this way, I argue that plastinates force feminist thought to the very interface of the human/nonhuman divide. When applied to Body Worlds, these concepts at best form a heuristic ontological hinge whose angle is determined by ethical and political commitments, illustrating the ways in which key ontologies should be seen as political strategies more or less amenable to feminist goals, but not more or less true. I argue that what lies at the crux of this hinge, in the case of plastinates, is death, and suggest that Body Worlds demands that the interface of death with life become a key feminist concern. (shrink)

In philosophy, much attention has rightly been paid to the need to diversify teaching with regard to who teaches, who is taught, and which authors and questions are the focus of study. Less attention, however, has been paid to inclusive pedagogy—the teaching methods that are used, and how they can make or fail to make classes as accessible as possible to the diverse students who enter them. By drawing on experiences from our own teaching as well as research on student-centered, (...) inclusive best practices, we advocate for five principles of inclusive pedagogy: fostering a growth mindset, examining inclusive conceptions of authority, promoting transparency, encouraging flexibility, and, finally, continually promoting self-reflection for both students and teachers. (shrink)

Different types of consent are used to obtain human biospecimens for future research. This variation has resulted in confusion regarding what research is permitted, inadvertent constraints on future research, and research proceeding without consent. The National Institutes of Health Clinical Center's Department of Bioethics held a workshop to consider the ethical acceptability of addressing these concerns by using broad consent for future research on stored biospecimens. Multiple bioethics scholars, who have written on these issues, discussed the reasons for consent, the (...) range of consent strategies, and gaps in our understanding, and concluded with a proposal for broad initial consent coupled with oversight and, when feasible, ongoing provision of information to donors. This article describes areas of agreement and areas that need more research and dialogue. Given recent proposed changes to the Common Rule, and new guidance regarding storing and sharing data and samples, this is an important and tim.. (shrink)

BackgroundRadiotherapy is an essential component of cancer treatment, yet many countries do not have adequate capacity to serve all patients who would benefit from it. Allocation systems are needed to guide patient prioritization for radiotherapy in resource-limited contexts. These systems should be informed by allocation principles deemed relevant to stakeholders. This study explores the ethical dilemmas and views of decision-makers engaged in real-world prioritization of scarce radiotherapy resources at a cancer center in Rwanda in order to identify relevant principles.MethodsSemi-structured interviews (...) were conducted with a purposive sample of 22 oncology clinicians, program leaders, and clinical advisors. Interviews explored the factors considered by decision-makers when prioritizing patients for radiotherapy. The framework method of thematic analysis was used to characterize these factors. Bioethical analysis was then applied to determine their underlying normative principles.ResultsParticipants considered both clinical and non-clinical factors relevant to patient prioritization for radiotherapy. They widely agreed that disease curability should be the primary overarching driver of prioritization, with the goal of saving the most lives. However, they described tension between curability and competing factors including age, palliative benefit, and waiting time. They were divided about the role that non-clinical factors such as social value should play, and agreed that poverty should not be a barrier.ConclusionsMultiple competing principles create tension with the agreed upon overarching goal of maximizing lives saved, including another utilitarian approach of maximizing life-years saved as well as non-utilitarian principles, such as egalitarianism, prioritarianism, and deontology. Clinical guidelines for patient prioritization for radiotherapy can combine multiple principles into a single allocation system to a significant extent. However, conflicting views about the role that social factors should play, and the dynamic nature of resource availability, highlight the need for ongoing work to evaluate and refine priority setting systems based on stakeholder views. (shrink)

Designer Biology: The Ethics of Intensively Engineering Biological and Ecological Systems consists of thirteen chapters that address the ethical issues raised by technological intervention and design across a broad range of biological and ecological systems. Among the technologies addressed are geoengineering, human enhancement, sex selection, genetic modification, and synthetic biology.

This review article analyzes Radiant: Farm Animals Up Close and Personal by Traer Scott. Radiant is a collection of photographs and profiles of individual farmed animals, such as cows, pigs, and turkeys. The review explores the text’s significance in an era in which the factory farming of huge numbers of animals has become normalized. It also questions the text’s use of language, anthropomorphism, and individuality. The review praises Scott for individualizing species who are usually objectified, grouped, and hidden (...) from consumers. By approaching the animals as individuals, Scott modifies the powerful “collapse of compassion” effect. This article also applauds Scott’s lack of neoteny and anthropocentric attitude. The only criticism of the text is the small amount of anthropomorphism of the animals themselves, which is probably unavoidable on Scott’s part. Factory farming is the biggest killer of land animals annually. Because it is so ubiquitous and normalized, it is a challenge to help consumers think about the meat on their plate. However, Radiant approaches this difficult issue in a practical, gentle, and nonpreachy manner. Scott’s text is engaging and captivating rather than self-righteous and aggressive. (shrink)

The purpose of __Aquinas's Ethics__ is to place Thomas Aquinas's moral theory in its full philosophical and theological context and to do so in a way that makes Aquinas readily accessible to students and interested general readers, including those encountering Aquinas for the first time. Rebecca Konyndyk DeYoung, Colleen McCluskey, and Christina Van Dyke begin by explaining Aquinas's theories of the human person and human action, since these ground his moral theory. In their interpretation, Aquinas's theological commitments crucially shape (...) his account of the human person, human capacities for action, and human flourishing. The authors develop a comprehensive picture of Aquinas's thought, which is designed to help students understand how his concept of happiness and the good life are part of a coherent, theologically-informed worldview. Many studies of Aquinas naturally focus on certain areas of his thought and tend to assume a general knowledge of the whole. __Aquinas's Ethics_ _takes the opposite approach: it intentionally links his metaphysics and anthropology to his action theory and ethics to illuminate how the moral theory is built on foundations laid elsewhere. The authors emphasize the integration of concepts of virtue, natural law, and divine grace within Aquinas's ethics, rather than treating such topics in isolation or opposition. Their approach, presented in clear and deliberately non-specialist language, reveals the coherent nature of Aquinas's account of the moral life and of what fulfills us as human beings. The result is a rich and engaging framework for further investigation of Aquinas's thought and its applications. _"___Aquinas’s Ethics_ _is a perfect introduction to one of the most sophisticated and influential ethical systems in Western thought. DeYoung, McCluskey, and Van Dyke capture the brilliant clarity of Aquinas’s moral vision, offering an illuminating perspective true to both the theoretical depth and practical richness of Aquinas’s writings. Those new to Aquinas’s ideas will find this book eminently readable. Everyone—students and scholars alike—will appreciate its direct, distinctive voice and clear philosophical intelligence." —_Scott MacDonald, Norma K. Regan Professor in Christian Studies, Cornell University_ "__Aquinas's Ethics_ _is an excellent contribution to the literature on Aquinas and ethics, providing an integrated and robust account of the relationship between a metaphysics of human nature, natural law theory, and virtue theory. Showing these inextricable connections, it is very much like the work of St. Thomas himself, and suggests why so many lesser theories of ethics are unsatisfying for their lack of depth and comprehensive reach." —_John Kavanaugh, S.J., Saint Louis University_ “DeYoung, McCluskey, and Van Dyke have written the ideal introduction to Aquinas’s ethics, situating it in the broader context of his thinking about human nature and action. Although Aquinas cared more about—and wrote more about—ethics than about any other philosophical topic, it remains the most unjustly neglected aspect of his thought. I know of no better guide to that territory than this book.” —_Robert Pasnau, University of Colorado at Boulder_. (shrink)

According to Theodore Schick, Jr., Eugenie C. Scott’s endorsement of methodological naturalism---roughly, the view that science is limited by its methodology to be neutral vis-à-vis the supernatural---is misguided. He offers three arguments; I contend that none is successful.

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 41.2 (2003) 266-267 [Access article in PDF] Gary Alan Scott, editor. Does Socrates Have a Method? Rethinking the Elenchus in Plato's Dialogues and Beyond. University Park: The Pennsylvania State University Press, 2002. Pp. xiii + 327. Cloth, $45.00. This is an anthology of sixteen essays concerning the topic of Socratic method and closely related issues that influence the interpretation of Plato's dialogues. (...) Three of the essays, in part, have been previously published with new material added by the authors for this volume. These are by Lesher, McPherran, and Schmid. Nine essays are versions of papers given at a conference of the Society for Ancient Greek Philosophy in October 1997. The four remaining essays are original contributions written by authors who respond critically to the essays in their respective sections. The book is divided into four parts, each with three essays followed by a critical response.The editor, Gary Alan Scott, does a fine job of introducing the various problems associated with the use of the phrase "the Socratic elenchus" as a convenient label. This phrase seems almost unavoidable when talking about Socrates' dialectical method due to the influence of Vlastos's 1983 paper entitled "The Socratic Elenchus." Vlastos furthered an unfortunately narrow tradition that cast Plato's Socrates' versatile and psychologically sensitive practice of philosophy into a mold, restricting it to a single identifiable logical procedure, in which Socrates refuted his interlocutors by using their agreement to premises to overturn their original theses.Vlastos conceived of the Socratic method as mainly a truth-seeking method. His central focus was to explain how Socrates used "the elenchus" to seek the truth given that the logic of the procedure could only detect inconsistency in the interlocutor's beliefs. Vlastos was preoccupied with the question of how Socrates acquired and confirmed his true moral beliefs. Vlastos was far less concerned with understanding the full scope and depth of Socrates' philosophical method than with how to justify what Vlastos perceived to be the positive results of the truth-seeking method, understood as "constructive" moral doctrine. The concern with truth led Vlastos to deal directly with the thorny problems connected with Socrates' use of fallacious argumentation, irony, and the possibility of deception in Socratic method. Such issues, in my view, are the interesting issues which Vlastos confronted. However, very few scholars (including those in this volume) have given these issues the attention they deserve, whether or not they have accepted Vlastos's model of the elenchos.Scott's anthology recognizes both the critical attention that Vlastos's interpretation received and his powerful impact on how certain issues of Socratic method have been discussed, and continue to be discussed, by Plato scholars. Particular attention to this topic is [End Page 266] given, in the essays of Part Two, by Carpenter and Polansky; Benson; McPherran; and Brickhouse and Smith. As Scott notes (6-7), there is a deliberate effort by most contributors to break with the tradition, and re-think old assumptions about the Socratic method associated with Vlastos's model. The current lack of consensus between scholars seems to be a desirable effect because it expands and stimulates discussion, especially about what terms one ought to use in talking about Socratic method.The essays in Part One, by Lesher, Ausland, and Tarrant, with critical commentary by Young, help familiarize the reader with the historical and linguistic contexts associated with the term elenchos and its cognates, as examined by Lesher, and with the contrast between elenchos and exetasis, as examined by Tarrant. In his article, Ausland shows how "many features of Socratic dialectic" are similar to courtroom practices (40), while also noting the differences in Socrates' approach and aim which set his method apart from such practices (42-3).The last two sections illustrate the work being done on specific dialogues by authors who are breaking new hermeneutical ground in Platonic scholarship. These essays turn the reader's attention both toward the innovative features of Socratic method, which most readers would welcome... (shrink)

The National School Boards Association enlisted Eugenie Scott and Glenn Branch to criticize intelligent design bullet point fashion. Here I want to respond to these bullet-point assertions. I would repeat the entire article, but copyright restrictions prevent me. The article is available at http://nsba.org/sbn/02-jul/070202-8.htm.

An account of the conflict between our positive and negative emotional relationships to the Earth and how they will be resolved for the Symbiocene, the next period in the history of the Earth.

When patients have progressive and incurable dementia, should their advance directives always be followed? Contra Dworkin, Dresser argues that when patients remain able to enjoy and participate in their lives, directives to hasten death should sometimes be disregarded.

Human beings with diminished decision-making capacities are usually thought to require greater protections from the potential harms of research than fully autonomous persons. Animal subjects of research receive lesser protections than any human beings regardless of decision-making capacity. Paradoxically, however, it is precisely animals’ lack of some characteristic human capacities that is commonly invoked to justify using them for human purposes. In other words, for humans lesser capacities correspond to greater protections but for animals the opposite is true. Without explicit (...) justification, it is not clear why or whether this should be the case. Ethics regulations guiding human subject research include principles such as respect for persons—and related duties—that are required as a matter of justice while regulations guiding animal subject research attend only to highly circumscribed considerations of welfare. Further, the regulations guiding research on animals discount any consideration of animal welfare relative to comparable human welfare. This paper explores two of the most promising justifications for these differences␣between the two sets of regulations. The first potential justification points to lesser moral status for animals on the basis of their lesser capacities. The second potential justification relies on a claim about the permissibility of moral partiality as␣found in common morality. While neither potential justification is sufficient to justify the regulatory difference as it stands, there is possible common ground between supporters of some regulatory difference and those rejecting the current difference. (shrink)

This paper discusses the coverage of ordinary language philosophy in Scott Soames' "Philosophical Analysis in the Twentieth Century". After praising the book's virtues, I raise three points where I dissent from Soames' take on the history. First, I suggest that there is more to ordinary language philosophy than the rather implausible version of it that Soames sees to have been destroyed by Grice. Second, I argue that confusions between analyticity, necessity and priority are less important to the ordinary language (...) period than Soames takes them to be. Finally, I claim that Soames' criticisms of Ryle turn in part on attributing reductionist positions to Ryle that Ryle did not hold. (shrink)

This issue of the Kennedy Institute of Ethics Journal contains a couple of papers that may be difficult to read for some: one concerning the sexual violation of young Black boys and one on the Guatemalans who were intentionally infected with sexually transmitted diseases and sexually abused in the hands of the United States government and other US-based institutions. I’m honored and proud to be publishing these papers in the journal; both dive headfirst into formidably painful topics of enormous social (...) and ethical importance. However, readers should understand before reading these papers that they contain descriptions of sexual violation within relationships of gross power inequality... (shrink)

Bioethicists have, of course, always been concerned with death: we have asked when should we allow it to happen without trying to stave it off any longer; whether is it ever acceptable for doctors to hasten or cause it; how can we make death a dignified and relatively humane experience for the dying and for their loved ones; and how we can and cannot treat human remains. We discussed all of these classic ethical issues even when death itself seemed to (...) be a fairly straightforward, all-or-nothing concept: life and death were natural, biological states, and people were either alive, with a beating heart and a working brain, or they were dead, and everything in them had stopped. But over the last several... (shrink)

In general, we endorse Aggleton & Brown's thesis that the neuroanatomy of amnesia comprises two functionally distinct systems, but we are disappointed in the lack of detail regarding the critical functional contribution of the hippocampus. We also take issue with the characterization of the cortical areas surrounding the hippocampus, particularly the decreased emphasis on the cortical input to the hippocampus.

In his Meditations Descartes advances an argument that contains the essentials of the so-called “hard problem” of explaining consciousness. I show how this Cartesian argument was taken up in the twentieth century by C. A. Campbell, the moral libertarian and student of idealist Henry Jones. Campbell can be regarded as the model of what John Passmore and Simon Glendinning have respectively dubbed a “recalcitrant metaphysician” or “honorary Continental” philosopher—labels that attach largely to metaphysically-minded, mainly British thinkers who, with varying degrees (...) of affiliation to idealism, resisted the twentieth-century trends of logical behaviorism and the “revolutionary” linguistic method. In the course of this paper, I situate Campbell’s version of Descartes’ argument within the broader history of the development of the hard problem. (shrink)