Engineering begins with a design problem: how to make occupants of vehicles safer, settle on an inter-face for an x-ray machine, or create more legible road signs. In choosing any particular solution, engineers must make value choices. By focusing on the solving of these problems, Ethics Within Engineering: An Introduction shows how ethics is at the intellectual core of engineering. Built around a number of engaging case studies, it presents real examples of engineering problems that everyone, engineer or not, will (...) recognize, ranging from such simple artifacts as toasters and the layout of burners and knobs on a stove top to the software responsible for the Colombia airliner crash. (shrink)

This paper argues that hume's discussion of personal identity in treatise i.Iv.6 is misinterpreted and overrated. Far from seeking a justification for ascribing identity to persons, Hume dismissed all such ascriptions as mistaken; his 'account' in i.Iv.6 is an attempt to explain how the supposed mistake arises. His own criteria of unity/identity, On the strength of which he excludes persons, Are themselves ill-Founded: they are criteria for individuating etc., 'things', The only ones hume, Who failed to grasp locke's point that (...) identity goes with classified items, Was able to find. (shrink)

Hume was accused of partiality as soon as the first volume of his Histories reached the public. No better test can be found for whether he was partial than by looking at how he writes of Queen Elizabeth I. If his history is biased, we would expect her sex to make a difference to the history. We shall find, however, that Hume treats Elizabeth as a rational being who is a sovereign, and that he achieves, insofar as he describes her (...) reign, the general point of view appropriate to the impartiality demanded of historians. We shall also find evidence that he did not give up on his grand project to provide the foundations for ?a compleat system of the sciences? after the Treatise failed to excite a murmur. His Histories , using the method of causal analysis common to all his works, illustrate not only his moral theory but also, for instance, his claim that we can find laws in political systems as certain as those of physics. (shrink)

Suppose an accountant discovers evidence of shady practices while ex amining the books of a client. What should he or she do? Accountants have a professional obligation to respect the confidentiality of their cli ents' accounts. But, as an ordinary citizen, our accountant may feel that the authorities ought to be informed. Suppose a physician discov ers that a patient, a bus driver, has a weak heart. If the patient contin ues bus driving even after being informed of the heart (...) condition, should the physician inform the driver's company? Respect for patient confidentiality would say, no. But what if the driver should suffer a heart attack while on duty, causing an accident in which people are killed or seriously injured? Would the doctor bear some responsibility for these consequences? Special obligations, such as those of confidentiality, apply to any one in business or the professions. These obligations articulate, at least in part, what it is for someone to be, say, an accountant or a physician. Since these obligations are special, they raise a real possibility of con flict with the moral principles we usually accept outside of these spe cial relationships in business and the professions. These conflicts may become more accentuated for a professional who is also a corporate employee-a corporate attorney, an engineer working for a construction company, a nurse working as an employee of a hospital. (shrink)

Nanotechnology is developing far faster than our understanding of its effects. This lapping of our understanding by speedy development is typical of new technologies, and in the United States we let development occur, introducing new artifacts into the world, without any serious attempt to understand beforehand their effects, long-term or short-term. We have been willing to pay the price of pushing the technological envelope, but pushing the nanotechnological envelope has some special risks, requiring more caution.

In lieu of an abstract, here is a brief excerpt of the content:102. ONE CONSEQUENCE OF HUME'S NOMINALISM It is commonly assumed, and sometimes argued, that Hume held the Uniformity Thesis regarding causation : something, a, is the cause of something else, b, if and only if when a occurs, b occurs contiguous with and successive to a and whenever anything relevantly similar to a, "no matter where or when, observed or unobserved," something relevantly similar to b occurs. Everyone knows (...) that Hume denies there is any necessary connection between a cause and its effect. Since the invariability of conjunctions of causes and effects follows from their necessary connection and its possibility is not affected by the denial of that conjunction, the Uniformity Thesis seems a plausible retrenchment. Besides, we should deny that a causes b were any similar a to occur without the occurrence of a similar b. So the assumption of the Uniformity Thesis seems natural. When the issue is argued on textual grounds, the appeal is to Hume's first definition of cause at the end of his long analysis of causation. A cause is An object precedent and contiguous to another, and where all the objects resembling the former are plac'd in like relations of precedency and contiguity to those objects, that resemble the latter (T 170). This is construed as Hume's real definition of the causal relation and taken to state the Uniformity Thesis. Both the argument and the assumption presuppose that Hume was concerned with the conditions for something 's being a cause. But, I wish to argue, in the Treatise at any rate Kume was concerned not with causal relations, but with causal judgments. He was 103. concerned with what must be true for us to call or judge a a cause and, only as a consequence of that concern, with what is true of a for a to be a cause. We must take seriously his asking us to cast our eye on any two objects, which we call cause and effect (T 75, my emphasis), and his saying, after introducing constant conjunction, that contiguity and succession are not sufficient to make us pronounce any two objects to be cause and effect, unless we perceive, that these two relations are preserv'd in several instances (T 87, my emphasis). To determine the conditions for causal judgments, one must determine what we observe of a cause, but in making that determination, I am claiming, Hume is not addressing the question he is commonly assumed to have answered. Making that claim plausible requires a detailed analysis of what Hume is about when he gives two 4 definitions of the causal relation and an explication of how what he does in regard to causal judgments fits the paradigm of analysis for judgments in the 17th and 18th centuries, viz. that given by Boyle, Locke, and --- 5 others of such judgments as "That ball is red^" I shall do neither here. I wish to concern myself with another point which is not necessary to make my claim plausible, but would help were it true. I shall develop this point informally, for it is prima facie implausible and I would like to see how it fares unadorned. If it fares well, there will be time enough to deck it out in symbols. The point is that for Hume one literally cannot think the Uniformity Thesis. If this is true, it would certainly help my claim, for it would not help Hume to claim of him that he answers a question with what for him cannot even be thought. But it is certainly an implausible point prima facie. We can think it. Why can't Hume? The answer lies with his 104. nominalism. Hume holds that everything that exists in nature is individual (T 19) and that this is true of- ideas as well as of anything else that exists (T 19-20). Thus, when someone says, "Smoking causes cancer," then, if we understand what is being said and if anything comes to mind, what must come to mind according to those who hold the Uniformity Thesis is a particular instance of smoking, a, and a particular instance of cancer, b, and particular instances of the relations of... (shrink)

What marks the traditional privacy torts of disclosure, intrusion, false light, and appropriation is that they require an invasion, an intrinsic harm caused by someone doing something to us without our consent. But we are now voluntarily giving up information about ourselves--to our physicians, for instance--that is being gathered into databases that are brought and sold and that can be appropriated by those who wish to assume our identities. The way in which our privacy is put at risk is different, (...) and this leads to a new understanding of the concept of privacy. Others appropriate our identities, treating us as objects; by doing so, our standing as autonomous moral agents, controlling how we present ourselves to the world, is thus denied. (shrink)

Hume argues that priests feign knowledge of the strange theological country they supposedly represent and so are hypocrites, conceited because they think themselves better than the multitude whose minds they fill with superstitions and keep in ignorance to encourage their veneration as envoys from God. They thus work against the public interest in having an informed and educated citizenry. The nub of his concern, as he wrote in Dialogues Concerning Natural Religion, was that when we consider theological matters, we have (...) moved beyond “the more solid and natural arguments, derived from the senses and experience,” and must be more than “apprehensive, that we have here gone quite beyond the reach of our faculties.”. (shrink)

This chapter contains section titled: Grounds of Cartesian Doubt The Cartesian Vision The Limits of Descartes's Vision Adam and Hume's Attack The Science of Human Nature Hume's Other Writings: Political Science Hume's Other Writings: Economics Critical Reflections References Further reading.

Both professors and institutions of higher education benefit from a vision of academic life that is grounded more firmly in myth than in history. According to the myth created by that traditional vision, scholars pursue research wherever their drive to knowledge takes them, and colleges and universities transmit the fruits of that research to contemporary and future generations as the accumulated wisdom of the ages. Yet the economic and social forces operating on colleges and universities as institutions, as well as (...) on the interests of faculty members within them, are making the myth embodied in the traditional ideal of the academy more and more difficult to sustain. Questions about what an institution of higher education ought to be, about what professors ought to do, and about what relations professors ought to have to the institutions which employ them are being raised and pushed to the fore. These are not theoretical questions, but practical questions of immediate import that must be answered relatively quickly -- and wisely -- if institutions of higher education and professors are not to find themselves inextricably in the grip of forces they cannot change. The myth of disinterested academic research-however beautiful -- and however beneficial -- is under siege. (shrink)

Every human activity has its characteristic features, the general tendencies that are often difficult to perceive for those engaged in the activity. Such general tendencies are of special concern to those managing in such activities, whether one is coaching soccer or running a corporation, for only with knowledge of such tendencies can one engage in intelligent managing and, more important, intelligent moral action. For the activity of business is not value-neutral, and if one is to manage morally in business, one (...) must come to understand its general tendencies insofar as they affect values. (shrink)

An understanding of the ethical problems that have arisen in the funding of scientific research at universities requires some attention to doctrines that have traditionally been held about science itself. Such doctrines, we hope to show, are themselves central to many of these ethical problems. It is often thought that the questions examined by scientists, and the theories that guide scientific research, are chosen for uniquely scientific reasons, independently of extra-scientific questions of value or merit. We shall argue that this (...) is an illusion. It is an illusion to think, especially in the present era, that science can even have a coherent direction apart from extra-scientific considerations. (shrink)

Before we can resolve or avoid an ethical dilemma, we need to understand what makes something ethical. Practical and Professional Ethics : Key Concepts introduces us to a series of real cases where the stakes can be high, the situations complex, and the ethical issues often difficult to see. Drawing on examples from medicine, law and science, it offers a practical approach to thinking critically about the ethical problems that occur in our professions, teaching us how to: focus on the (...) ethical aspects of any situation distinguish between different kinds of ethical problems tailor our response to the kind of problem we face construct arguments we can plausibly attribute to those involved identify the role of power, discretion and moral blindness By guiding us through the concepts, issues and skills at play when we face an ethical problem, we learn how to find a solution. Ideal for students or professionals, this book provides the grounding required to become a more complex moral thinker, a quality that can be applied in a number of fields and jobs. (shrink)

Although the participants in the initial situation of justice in John Rawls’ Theory of Justice choose principles of justice only, their choices have implications for other moral concerns. The only check on the self-interest of the participants is that there be unanimous acceptance of the principles. But, since animals are not participants, it is possible that principles will be adopted which confiict with what Rawls calls“duties of compassion and humanity” toward animals. This is a consequence of the initial situation’s assumption (...) that principles of justice can be determined independently of other moral considerations. We question this assumption, and show that satisfactory modifications of Rawls’ initial situation undermine its contractarian basis and require the rejection of exclusively self-interested participants. (shrink)

As our powerful medical technology continues rapidly to develop, we seem to be confronted by fresh bioethical dilemmas at an ever increasing rate. This volume provides an introduction to modern thinking on these issues, concentrating particularly on paternalism, informed consent and euthanasia.

This book examines the concept of civility and the conditions of civil disagreement in politics and education. Although many assume that civility is merely polite behavior, it functions to aid rational discourse. Building on this basic assumption, the book offers multiple accounts of civility and its contribution to citizenship, deliberative democracy, and education from Eastern and Western as well as classic and modern perspectives. Given that civility is essential to all aspects of public life, it is important to address how (...) civility may be taught. While much of the book is theoretical, contributors also apply theory to practice, offering concrete methods for teaching civility at the high school and collegiate levels. (shrink)

Moral sensitivity affects whether and how we see others, note moral concerns, respond with delicacy, and navigate complex social interactions. Scholars from a variety of fields explore the concept of moral sensitivity and how it develops, beginning with a natural moral capacity for sensitivity towards others that is shaped in a variety of ways through relationships, forms of teaching, and social institutions. Each of these influences alters the capacity as well as one’s responses in complex ways. The concept of moral (...) sensitivity deepens as progressive chapters demonstrate its increasing complexity through development within individuals, over time, as they mature, and as their relationships and social contexts expand. The chapters integrate research from philosophy, psychology, neuroscience, literature, education, and media and technology studies, with key chapters by Darcia Narváez, Nancy E. Snow, Michael S. Pritchard, and Stephen J. Thoma and a Foreword by Owen Flanagan. It is the only comprehensive presentation of interdisciplinary work on moral sensitivity that integrates a theoretical, methodological, and pedagogical analysis. This highly interdisciplinary approach provides a new way of thinking about the relationship of individuals to society and moral sensitivity as a social phenomenon, extending current research in ethics, moral psychology, and psychology toward situated, embodied, and contextual analyses. (shrink)

Surveillance is a core function of all public health systems. Responses to the COVID-19 pandemic have deployed traditional public health surveillance responses, such as contact tracing and quarantine, and extended these responses with the use of varied technologies, such as the use of smartphone location data, data networks, ankle bracelets, drones, and big data analysis. Applying Foucault’s (1979) notion of the panopticon, with its twin focus on surveillance and self-regulation, as the preeminent form of social control in modern societies, we (...) examine the increasing levels of surveillance enacted during this pandemic and how people have participated in, and extended, this surveillance, self-regulation, and social control through the use of digital media. Consideration is given to how such surveillance may serve public health needs and/or political interests and whether the rapid deployment of these extensive surveillance mechanisms risks normalizing these measures so that they become more acceptable and then entrenched post-COVID-19. (shrink)

Background: Although attention to healthcare ethics in rural areas has increased, specific focus on rural palliative care is still largely under-studied and under-theorized. The purpose of this study was to gain a deeper understanding of the values informing good palliative care from rural individuals' perspectives. Methods: We conducted a qualitative ethnographic study in four rural communities in Western Canada. Each community had a population of 10, 000 or less and was located at least a three hour travelling distance by car (...) from a specialist palliative care treatment centre. Data were collected over a 2-year period and included 95 interviews, 51 days of field work and 74 hours of direct participant observation where the researchers accompanied rural healthcare providers. Data were analyzed inductively to identify the most prevalent thematic values, and then coded using NVivo. Results: This study illuminated the core values of knowing and being known, being present and available, and community and mutuality that provide the foundation for ethically good rural palliative care. These values were congruent across the study communities and across the stakeholders involved in rural palliative care. Although these were highly prized values, each came with a corresponding ethical tension. Being known often resulted in a loss of privacy. Being available and present created a high degree of expectation and potential caregiver strain. The values of community and mutuality created entitlement issues, presenting daunting challenges for coordinated change. Conclusions: The values identified in this study offer the opportunity to better understand common ethical tensions that arise in rural healthcare and key differences between rural and urban palliative care. In particular, these values shed light on problematic health system and health policy changes. When initiatives violate deeply held values and hard won rural capacity to address the needs of their dying members is undermined, there are long lasting negative consequences. The social fabric of rural life is frayed. These findings offer one way to re-conceptualize healthcare decision making through consideration of critical values to support ethically good palliative care in rural settings. (shrink)

Changes in health care have created a variety of new roles and opportunities for nurses in advanced practice. One of these changes is the increasing number of advanced practice nurses carrying out independent consultation. Differences in goals between business and health care may create ethical dilemmas for nurse consultants. The purpose of this article is to describe possible ethical pitfalls that nurse consultants may encounter and strategies to prevent or solve these dilemmas. Three themes related to nursing codes of ethics (...) will be discussed: the duty to uphold human rights, the duty to fulfill commitments, and the duty to practice the profession competently. (shrink)

Late in 1990, the Center for the Study of Ethics in the Professions at Illinois Institute of Technology (lIT) received a grant of more than $200,000 from the National Science Foundation to try a campus-wide approach to integrating professional ethics into its technical curriculum.! Enough has now been accomplished to draw some tentative conclusions. I am the grant's principal investigator. In this paper, I shall describe what we at lIT did, what we learned, and what others, especially philosophers, can learn (...) from us. We set out to develop an approach that others could profitably adopt. I believe that we succeeded. (shrink)

A growing body of research has demonstrated significant heterogeneity of hospital ethics committee (HEC) size, membership and training requirements, length of appointment, institutional support, clinical and policy roles, and predictors of self identified success. Because these studies have focused on HECs at a single point in time, however, little is known about how the composition of HECs changes over time and what impact these changes have on committee utilization. The current study presents 20 years of data on the evolution of (...) the Massachusetts General Hospital HEC. Between 1993 and 2012, the average number of committee members per year was 38 ± 3 and the average length of membership was 4.8 ± 0.4 years. During that time, the committee performed 934 consults, averaging 47 ± 3 per year. Attendance rates fell from 61.5 to 23.8 % over the study period and were inversely correlated with the total number of members. Between 1993 and 2012, the committee saw substantial growth in the diversity of the professional backgrounds of its members. Multivariate analysis, however, suggests that substantial changes in committee composition did not impact its utilization and that other factors are more likely to explain fluctuations in consultation volume. (shrink)