The 2012 contraception mandate issued by the US Department of Health and Human Services has intensified the debate over a health care practitioner’s right to conscientiously object to providing contraception. This paper approaches the debate over conscientious objection to contraception from a pharmacist’s standpoint. It shows that contraception is the cause of or a contributing factor to observed psychosocial suffering and is not “preventive health care” as labeled. It argues not only that a pharmacist should have the right to conscientiously (...) object to dispensing contraception but also that, given the mission of the pharmacist as a health care practitioner, a pharmacist is obligated to refuse to dispense contraception. The paper argues that the obligation to refuse to dispense contraception applies to all who are involved in the provision of health care. National Catholic Bioethics Quarterly 12.4 (Winter 2012): 675–696. (shrink)

The last several years have been marked by a seemingly increasing numbers of individuals with homosexual inclinations. There are consequences to society-wide increases in disordered dispositions, and this paper presents one such consequence. Patients often enter the physician–patient relationship basedon the physician’s “sexual preference.” In order to avoid sexual misconduct from a physician, patients often choose physicians that are not inclined to be sexually attracted to the patient. It is often assumed that a patient can infer a physician’s sexual inclinations (...) by his or her gender, but this is not the case. Due to the inability to determine a health care professional’s “sexual preference” by their gender, a physician has a duty to disclose this information prior to care. National Catholic Bioethics Quarterly 13.3 (Autumn 2013): 445–450. (shrink)

Discussions of research involving vulnerable populations have left the homeless comparatively ignored. Participation by these subjects in drug studies has the potential to be upsetting, inconvenient, or unpleasant. Participation occasionally produces injury, health emergencies, and chronic health problems. Nonetheless, no ethical justification exists for the categorical exclusion of homeless persons from research. The appropriate framework for informed consent for these subjects of pharmaceutical research is not a single event of oral or written consent, but a multi-staged arrangement of disclosure, dialogue, (...) and permission-giving. Payments and other rewards in biomedical research raise issues of whether it is ethical to offer inducements to the homeless in exchange for participation in drug studies. Such inducements can influence desperate persons who are seriously lacking in resources. The key is to strike a balance between a rate of payment high enough that it does not exploit subjects by underpayment and low enough that it does not create an irresistible inducement. This proposal does not underestimate the risks of research, which are often overestimated and need to be appraised in light of the relevant empirical literature. (shrink)

A standard objection to act utilitarian theories is that they are not helpful in deciding what it is morally permissible for us to do when we actually have to make a choice between alternatives. That is, such theories are worthless as decision procedures. A standard reply to this objection is that act utilitarian theories can be evaluated solely as theories about right-making characteristics and, when so evaluated, their inadequacy as decision procedures is irrelevant. Even if somewhat unappealing, this is an (...) effective reply to the standard objection. (shrink)

A survey was conducted in the United Statesin 1998 and 1999 to determine what members of theNational Association of State Universities and LandGrant Colleges (NASULGC) and of the AmericanAssociation of State Colleges and Universities (AASCU)offered agricultural ethics as an undergraduatecourse. Of the 59 responses, the survey found 15 USuniversities that have a course on agricultural ethicsor one that includes the topic. This paper willdiscuss the survey's findings and offer six reasonsthat explain why so few universities includeagricultural ethics in their curriculum. (...) The sixreasons are: 1) lack of education in ethics andphilosophy on the part of agricultural scientists; 2)lack of institutional or disciplinary incentives foragricultural scientists to reflect on their work andits effects; 3) lack of administrative leadership incolleges of agriculture due to their failure tounderstand the benefits of agricultural ethics; 4)continuance of the prevailing assumption thatagriculture is inherently ethically correct; 5) thefelt necessity by agricultural scientists to defendthemselves against what are perceived to be unjust andinaccurate criticisms of agriculture; and 6) areluctance to engage in ethical reflection because itmay raise more problems than it solves. The paper'scentral question is why ethics is not taught in morecolleges of agriculture. Those who teach know thattheir students are tomorrow's farmers, businesspeople, professors, and policy makers. If we who nowteach and administer fail to include true ethicalstudy in our student's education, our students willstill be defensive when confronted with an ethicalissue and unable to respond except with assertionsbased on the production paradigm, the correctness ofwhich, although unexamined, we taught them. If theagricultural faculty does not recognize theopportunity and the obligation to participate in theshaping of values, then the values of agriculture willbe shaped elsewhere in the institution and insociety. (shrink)

Written with the general reader in mind, this collection will prove useful by both scholar and student, and will lead the general reader to encounter one of the ...

This article offers a critique of research practices typical of experimental philosophy. To that end, it presents a review of methodological issues that have proved crucial to the quality of research in the biobehavioral sciences. It discusses various shortcomings in the experimental philosophy literature related to (1) the credibility of self-report questionnaires, (2) the validity and reliability of measurement, (3) the adherence to appropriate procedures for sampling, random assignment, and handling of participants, and (4) the meticulousness of study reporting. It (...) argues that the future standing of experimental philosophy will hinge upon improvements in research methods. (shrink)

Richard Landau, the longtime editor of Perspectives in Biology and Medicine, died on November 3, 2015. Richard grew up in St. Louis. Like many people of his generation, he was inspired to become a physician by Paul de Kruif ’s book Microbe Hunters. Richard went to college and medical school at Washington University in St. Louis and came to the University of Chicago in 1940 as a resident in medicine. Except for a two-year stint in the army during World War (...) II, he spent the rest of his career at the university, rising through the academic ranks to become Professor of Medicine in 1959. Richard held several important administrative positions at the university; he served as Chief of the Section of Endocrinology.. (shrink)

Addressing both collegiate and professional sports, the updated edition of Fair Play explores the ethical presuppositions of competitive athletics and their ...

The personalistic theory of probability prescribes that a person should use personal probability assessments in decision-making and that these assessments should correspond with his judgments. Since the judgments exist solely in the assessor's mind, there is no way to prove whether or not this requirement is satisfied. De Finetti has proposed the development of methods which should oblige the assessor to make his assessments correspond with his judgments. An ideal Assessor is hypothesized and his behavior is investigated under a number (...) of such methods. The implications of these methods for the theory of personal probability are discussed. Finally, although the present interest is primarily normative, the practicability of the methods is also discussed. (shrink)

With this issue we initiate the policy of expanding the scope of Tulane Studies in Philosophy to include, in addition to the work of members of the department, contributions from philosophers who have earned advanced degrees from Tulane and who are now teaching in other colleges and universities. The Editor THE LOGIC OF OUR LANGUAGE ROBERT L. ARRINGTON Wittgenstein wrote in the Tractatus that "logic is not a body of doctrine, but a mirror-image of the world. " 1 In (...) line with his suggestion that a proposition is a 'picture', Wittgenstein argued that propositions 'show' the logical structure of the real. He was insistent, however, that "the apparent logical form of a proposition need not be its real one. " 2 As a result of this we can misunderstand the structure of fact. Philosophical problems arise just when "the logic of our language is mis understood. " 3 It is common knowledge that much of this view of logic was rejected by Wittgenstein himself in the Philosophical Investi gations. There we are told that language has no ideal or sublime 4 logic which mirrors the structure of the extra-linguistic world. Consequently, inferences from the structure of language to the structure of that extra-linguistic world are invalid. Reality can be 'cut up' in any of a number of ways by language. Wittgenstein adopted a view of philosophy which would render that discipline a non-explanatory, non-critical study of the multiple ways in which language can be used. (shrink)

Contemporary scientific theories assume a primarily micro-deterministic view of nature. This paper explores the question of whether micro-determinism is incompatible with the alleged emergence of properties and laws that some biologists and philosophers assert occurs in various biological systems. I argue that a preferable unified treatment of these emergence claims takes properties, rather than laws, to be the units of emergence. Four distinct conceptions of emergence are explored and three shown to be compatible with micro-determinism. The remaining concept of emergence, (...) direct macro-determination, does not, I argue, meet the general requirement that an adequate scientific explanation provide a coherent mechanism or effective means of determination. (shrink)

Following on theoretical work and studies that assert a relationship between unethical activities and diminished well-being, and a common belief that those more ethically inclined experience greater well-being, the present study examined whether individual differences in ethical orientation may be associated with the experience of well-being. This paper reports the findings of two separate studies showing that individual differences in moral attentiveness, moral identity, idealism, relativism, and integrity were associated with differences in a wide range of well-being measures. Of particular (...) significance is not all ethical orientations were found to contribute to well-being. In fact, some negatively impacted individual levels of well-being. Implications for integrating these new findings into existing ethical theory and considerations for future research are explored. (shrink)

For years a debate has raged within the various literatures of philosophy, psychiatry, and psychology over whether, and to what degree, the concepts that characterize psychopathology are social constructions that reflect cultural values. While the majority position among philosophers has been normativist, i.e., that the conception of a mental disorder is value-laden, a vocal and cogent minority have argued that psychopathology results from malfunctions that can be described by terminology that is objective and scientific. Scientists and clinicians have tended to (...) endorse the objectivist position, with some notable exceptions. (shrink)

Experimental philosophy seeks to examine empirically various factual issues that, either explicitly or implicitly, lie at the foundations of philosophical positions. A study of this genre (Miller & Feltz, 2011) was critiqued. Questions about the study were raised and broader issues pertaining to the field of experimental philosophy were discussed.

The very expertise with which psychologists wield their tools for achieving laboratory control may have had the unwelcome effect of blinding psychologists to the possibilities of discovering principles of behavior without conducting experiments. When creatively interrogated, a diverse range of large, real-world data sets provides powerful diagnostic tools for revealing principles of human judgment, perception, categorization, decision-making, language use, inference, problem solving, and representation. Examples of these data sets include patterns of website links, dictionaries, logs of group interactions, collections of (...) images and image tags, text corpora, history of financial transactions, trends in twitter tag usage and propagation, patents, consumer product sales, performance in high-stakes sporting events, dialect maps, and scientific citations. The goal of this issue is to present some exemplary case studies of mining naturally existing data sets to reveal important principles and phenomena in cognitive science, and to discuss some of the underlying issues involved with conducting traditional experiments, analyses of naturally occurring data, computational modeling, and the synthesis of all three methods. (shrink)

Use of the concept of `areasonable person and his or her expectations'is widely found in legal reasoning. This legalconstruct is employed in the present article toexamine privacy questions associated withcontemporary information technology, especiallythe internet. In particular, reasonableexpectations of privacy while browsing theworld-wide-web and while sending and receivinge-mail are analyzed.

Increasingly, US-sponsored research is carried out in developing countries, but how US Institutional Review Boards (IRBs) approach the challenges they then face is unclear.METHODS: I conducted in-depth interviews of about 2 hours each, with 46 IRB chairs, directors, administrators and members. I contacted the leadership of 60 IRBs in the United States (US) (every fourth one in the list of the top 240 institutions by National Institutes of Health (NIH) funding), and interviewed IRB leaders from 34 (55%).RESULTS: US IRBs face (...) ethical and logistical challenges in interpreting and applying principles and regulations in developing countries, given economic and health disparities, and limited contextual knowledge. These IRBs perceive wide variations in developing world IRBs/RECs' quality, resources and training; and health systems in some countries may have long-standing practices of corruption. These US IRBs often know little of local contexts, regulations and standards of care, and struggle with understandings of other cultures' differing views of autonomy, and risks and benefits of daily life. US IRBs thus face difficult decisions, including how to interpret principles, how much to pay subjects and how much sustainability to require from researchers. IRB responses and solutions include trying to maintain higher standards for developing world research, obtain cultural expertise, build IRB infrastructure abroad, communicate with foreign IRBs, and ‘negotiate’ for maximum benefits for participants and fearing ‘worst-case scenarios’.CONCLUSIONS: US and foreign IRBs confront a series of tensions and dilemmas in reviewing developing world research. These data have important implications for increased education of IRBs/RECs and researchers in the US and abroad, and for research and practice. (shrink)

Primate vocal communication is very different from human language. Differences are most pronounced in call production. Differences in production have been overemphasized, however, and distracted attention from the information that primates acquire when they hear vocalizations. In perception and cognition, continuities with language are more apparent. We suggest that natural selection has favored nonhuman primates who, upon hearing vocalizations, form mental representations of other individuals, their relationships, and their motives. This social knowledge constitutes a discrete, combinatorial system that shares several (...) features with language. It is probably a general primate characteristic whose appearance pre-dates the evolution of spoken language in our hominid ancestors. The prior evolution of social cognition created individuals who were preadapted to develop language. Several features thought to be unique to language—like discrete combinatorics and the encoding of propositional information—were not introduced by language. They arose, instead, because understanding social life and predicting others’ behavior requires a particular style of thinking. (shrink)

Kierkegaard recognized that the changes ushered in by the revolutions of 1848 would profoundly affect human existence in both its political and personal dimensions. At the political level he was concerned that the new forms of government would not be able to govern any more effectively than the previous forms. Loquacity would be substituted for policy. Then, too, the new forms of government encouraged confusion about the actual locus of power; the appearances and the reality of power did not conform. (...) Also, the actual state represents ?interests?, and as a result, justice is jeopardized. To be sure, compromise will be evident in such an actual state, but is governing possible in and through such conflictual arrangements? What is the relation of the press (media) to the public, and these in turn to politics? (shrink)

This article begins with an introduction to defeasible (nonmonotonic) reasoning and a brief description of a computer program, EVID, which can perform such reasoning. I then explain, and illustrate with examples, how this program can be applied in computational representations of ordinary dialogic argumentation. The program represents the beliefs and doubts of the dialoguers, and uses these propositional attitudes, which can include commonsense defeasible inference rules, to infer various changing conclusions as a dialogue progresses. It is proposed that computational representations (...) of this kind are a useful tool in the analysis of dialogic argumentation, and, in particular, demonstrate the important role of defeasible reasoning in everyday arguments using commonsense reasoning. (shrink)

Restricting a person’s liberty presents society with many inherent ethical challenges. The historical purposes of confinement have included punishment, penitence, containment, rehabilitation, and habilitation. While the purposes are indeed complex, multifaceted, and at times ambiguous or contradictory, the fact of incarceration intrinsically creates many ethical challenges for psychiatrists working in correctional settings. Role definition of a psychiatrist may be ambiguous, with potential tensions between forensic and therapeutic demands. Privacy may be limited or absent and confidentiality may be compromised. Patient autonomy (...) may be threatened to address real or perceived security concerns. Care delivery may actually have harmful consequences in court cases for pretrial detainees or lethal consequences for those under a death sentence. An absence of data and targeted research hampers the development of evidence-based care delivery for the disenfranchised, understudied, and disproportionately ill prisoner population. In this review paper, I discuss a few of the challenges and dilemmas routinely faced and present a series of questions. Where feasible, proposed resolutions are offered. (shrink)

Aristotle holds that there must be multiple forms of human being and those forms constitute a genos, this paper argues. Aristotle advances his claim by arguing that the strength of a polis rests on the existence of a spectrum of useful essential differences among its citizens. The paper rejects the notion that eîdos is a homonym, and argues that it signifies `form,' not `species.' Its theses are based on analysis of passages in the Ethics, Metaphysics, Politics and other works. The (...) argument of the paper is compatible with `individual' or `particular' forms. The paper also proposes a solution to the issue of `natural slavery.'. (shrink)