The case of a dying baby with is one of the most difficult in pediatric ethics. I have been involved in several such cases and they are extremely challenging for all parties, especially the parents. With the luxury of being an I will comment on this case from the perspective of when it first began and at the end point described in the narrative.

In lieu of an abstract, here is a brief excerpt of the content:Credibility, Persuasiveness, and EffectivenessPatricia A. King (bio)Since the early 1970s, complex ethical, social, legal, and scientific controversies generated by biomedicine have been referred to governmentally created commissions, committees, boards, and panels that are commonly referred to as “ethics” committees. The Advisory Committee on Human Radiation Experiments is the most recent example of such a group. Although it is too early to know the full impact of the Committee’s work, (...) it is important to reflect on aspects of its deliberations that shed light on the public policy role of ethics bodies. Specifically, I will reflect on matters that go to the credibility, persuasiveness, and effectiveness of these committees.The point should be made at the outset that these ethics committees are, first and foremost, public policy groups. Governmentally created bodies of all types, including ethics committees, are established to provide pragmatic advice to governments about specific problems and controversies or to complete specified tasks on behalf of governments. What distinguishes ethics committees from other advisory groups is that the issues assigned to them are presumed to be primarily ethical, as opposed to, say, economic, in nature. It is expected that ethical analyses and premises will play a significant, albeit not exclusive, role in the committee’s deliberations. 1 As with other advisory groups, the primary responsibility of ethics committees is to respond to the branches of government that were instrumental in their creation as well as to the public at large. Since political concerns undoubtedly play a role in the creation of these groups, it is understandable that political concerns have some impact on the committee’s work. Thus, ethics committees are generally cognizant of the need to ensure that their processes and substantive conclusions are credible, persuasive, and effective.In my experience, members of ethics commissions understand the need to offer principled arguments that are factually accurate to justify their recommendations and conclusions. They also appreciate the need for consensus and rightly worry about disagreement among members. I believe, however, that committee members are less attentive than they should be to the social and political contexts in which they operate. This is not surprising. Members of these committees, and often their staffs as well, are typically experts drawn from the academy. [End Page 313] Scholars traditionally offer advice or influence policy through articles and scholarly work undertaken individually or in cooperation with like-minded individuals who do not need to be persuaded about the merits of a specific position. Moreover, scholarly articles are often pitched at a level of abstraction that may be of limited utility in the context of concrete decision making.Scholarly efforts are important. Particularly in bioethics, these scholarly efforts often have furnished the conceptual frameworks that are critical to the efforts of those who grapple with complex matters, the appropriate resolution of which pose moral disagreement and genuine perplexity. Policy formulation by its very nature, however, requires more. Attention must be paid to competing moral and social frameworks. Logical, rational arguments and risk/benefit assessments are important, but emotion, passion and values grounded in experience also demand consideration. Policy formulation as a result can be a quite messy process.Members of the academy are often uncomfortable in this environment. Pursuing the messy details can be threatening and at times at odds with values that academics prize highly. I believe this discomfort was evident in the reluctance of several Advisory Committee members to obtain security clearances that were required in order to see classified material related to the Committee’s work. Secrecy may have seemed at odds with cherished values of openness. As a result the perusal of classified materials was left to those with clearances. Fortunately, the Committee was successful in having relevant information declassified so all committee members read and deliberated about the same information. Committees needing to see more contemporaneous classified information might not be so fortunate.Ethics commission members correctly worry about disagreement. The ability to reach consensus helps to give recommendations a compelling quality. Morris Abram, chairman of the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, makes this point powerfully. He states that “a commission requires agreement that is as... (shrink)

This new translation of Thomas Aquinas’s most important study of Aristotle casts bright light on the thinking of both philosophers. Using a new text of Aquinas’s original Latin commentary, Robert Pasnau provides a precise translation that will enable students to undertake close philosophical readings. He includes an introduction and notes to set context and clarify difficult points as well as a translation of the medieval Latin version of Aristotle’s _De anima _ so that readers can refer to the text (...) Aquinas had at hand. In his _De anima commentary_, Aquinas offers the first and most original of his studies of Aristotle. His influential, cogent reading of Aristotle’s notoriously difficult text not only contributes to our understanding of the Greek philosopher but also expresses in full detail Aquinas’s own views on central philosophical topics. Writing at the height of his intellectual powers, Aquinas considers in full detail the nature of the soul, the mind-body problem, the role of the intellect, the character of sensation, and many other related issues. (shrink)

Physicians have special professional obligations to respond to medical emergencies. A bioterrorism attack would be a medical emergency. Thus, it seems that physicians would have an obligation to respond to a bioterrorist attack. However, the scope of those obligations, and their limits, are vexed topics. General rules may be comforting but the details and nuances of particular situations will always be relevant.

In late antiquity, the commentary became the most prominent genre of philosophical writing. Aristotle was the author who received the lion's share of attention, even though the commentators, beginning with Porphyry, were Platonists. Since Aristotle was seen not only as harmonious with Plato, but as more suitable for initial study in philosophy, commentaries for the use of students were naturally more often devoted to his works than to Plato's. The practice of writing commentaries on Aristotle, and the curriculum the (...) commentaries were meant to support, cut across confessional lines. The Arabic tradition of commentary on Aristotle focuses on the earlier parts of the Aristotelian curriculum, with most emphasis on the logical and physical works. Only the greatest commentator of the Arabic tradition, Averroes, commented extensively on the De Anima or the Metaphysics. As in the Greek tradition, confessional divides were no obstacle to continuous and even co-ordinated efforts to understand Aristotle. This is best shown by the group of commentators known as the “Baghdad school.”. (shrink)