The formal theory of rational choice as grounded in desire-satisfaction cannot account for the problem of such deformed desires as women's slavish desires. Traditional “informed desire” tests impose conditions of rationality, such as full information and absence of psychoses, but do not exclude deformed desires. I offer a Kantian-inspired addendum to these tests, according to which the very features of deformed desires render them irrational to adopt for an agent who appreciates her equal worth.

The formal theory of rational choice as grounded in desire-satisfaction cannot account for the problem of such deformed desires as women's slavish desires. Traditional “informed desire” tests impose conditions of rationality, such as full information and absence of psychoses, but do not exclude deformed desires. I offer a Kantian-inspired addendum to these tests, according to which the very features of deformed desires render them irrational to adopt for an agent who appreciates her equal worth.

Background: Psychiatric nurses are regularly confronted with the uses and effects of control interventions such as mechanical restraints. Although there are evident tensions in the literature regarding the use of mechanical restraints, very little research has focused on the lived and embodied experience of their use, whether from the patient’s perspective or the perspective of nursing staff responsible for their application. Research aims: (1) to gain access to the bodily phenomenon of being placed in mechanical restraints; (2) to give voice (...) to the intimate experiential understanding of this experience; and (3) through phenomenological interpretation, to understand the subjective processes and meaning-making of this experience. Research design: For this research, we adopted a distinctly ethics-oriented application of the methodology known as interpretative phenomenological analysis, that is, the interpretive dimension of the research focused on ethical practice in mental healthcare – one that is informed by experiential accounts of the lived body. Participants and research context: A total of 40 in-depth semi-structured, nondirected interviews with both nurses (n = 21) and patients (n = 19) we conducted to meet the aims of this article. Participants were recruited from an inpatient psychiatric unit of a Canadian general hospital. Ethical considerations: The research received research ethics board clearance from both the hospital where the study took place and the University of Ottawa. Findings: The comparative analysis is presented under the following headings: (1) context of care, (2) meaning of quality of care, (3) emotional reactions and nurse–patient relationship, (4) meeting the needs and (5) need for alternatives. Discussion/conclusions: The research findings are discussed in light of current literature and implications for practice. (shrink)

This paper is a criticism of full-information theories of welfare. Such theories unsuccessfully attempt to accommodate an internalist intuition (that one's good depends in some way on one's desires or hypothetical desire) with a rationalist intuition (that only fully-informed desires are relevant to one's good).

According to Railton: x is good for me iff my Fully Informed Self (FIS) while contemplating my situation would want me to want x. I offer four interpretations of this view. The first three are inadequate. Their inadequacy rests on the following two facts: (a) my FIS cannot want me to want what would be irrational for me to want, (b) when contemplating what is rational for me to want we must specify a particular way in which I could (...) rationally acquire the recommended desire. As a result, what my FIS could reasonably want me to want is limited by what information my FIS could reliably convey to me. And therefore what my FIS could reasonably want me to want cannot be grounded in changes in desires that my FIS cannot publicly justify. The fourth interpretation limits the scope of what my FIS could want me to want in a way that avoids these problems, but conflicts with standard intuitions about what is a non-moral good. (shrink)

This research is an extension of Walker Information’s (Business Ethics: Ethical Decision Making and Cases, pp. 235–255, 1999) study on employees’ job attitudes that was conducted exclusively in the United States. Walker Information found that the reputation of the organization, fairness at work, care, and concern for employees, trust in employees, and resources available at work were important factors in an employee’s decision to remain with his or her company. Our sample includes 713 students from seven countries: Canada, Colombia, Ecuador, (...) Hong Kong, Ireland, South Africa, and the United States. When analyzing the entire sample, our data indicate that both social desirability response bias and gender were significant; however, this was not the case when the data are analyzed by country. On an individual country basis, our data suggest that the generally accepted premise that women are more ethically conscious than men was only true for the samples from the United States and Canada. The data also indicate that, while social desirability response bias was significant for the four factors suggesting ethical components for the sample from the United States, this finding was not universal. (shrink)

It is sometimes argued that autonomous decision-making requires that the decision-maker’s desires are authentic, i.e., “genuine,” “truly her own,” “not out of character,” or similar. In this article, it is argued that a method to reliably determine the authenticity (or inauthenticity) of a desire cannot be developed. A taxonomy of characteristics displayed by different theories of authenticity is introduced and applied to evaluate such theories categorically, in contrast to the prior approach of treating them individually. The conclusion is drawn (...) that, in practice, the authenticity of desires cannot be reliably determined. It is suggested that authenticity should therefore not be employed in informed consent practices in healthcare. (shrink)

Findings about the desire for health-risk information are heterogeneous and sometimes contradictory. In particular, they seem to be at variance with established psychological theories of information-seeking behavior.The present paper posits the decision about treating illness with medicine as the causal determinant for the expected net value of information, and attempts to explain idiosyncrasies in information-seeking behavior by using the notion of decision sensitivity to incoming information.Furthermore, active information avoidance is explained by modeling the expected emotional distress potentially brought about (...) by “bad news” as a disutility factor in pay-off maximization.In this context two notions of uncertainty are distinguished: an epistemic uncertainty related to the prognostic probability assigned to the risk, and an emotional uncertainty related to the expected damage. Health-risk information can both reduce epistemic and increase emotional uncertainty, giving rise to idiosyncratic processing strategies. (shrink)

Background: Informed consent in the modern era is a common and important topic both for the well-informed patient and to prevent unnecessary litigation. However, the effectiveness of informed consent in trauma patients is an under-researched area. This paper aims to assess the differences in patient recall of the consent process and desire for information by performing a comparative analysis between orthopaedic trauma and elective patients. Methods: Information from 41 consecutive elective operations and 40 consecutive trauma operations (...) was collected on the first post-operative day. Results: 100% of elective patients and 90% of trauma patients knew what operation they had received (p = 0.06). Overall recall of complications was poor, but was significantly lower in trauma patients compared with elective patients (62% vs 22%, p<0.001). 30% of trauma patients desired more information about their operation compared to 12% of elective patients (p = 0.049), although only 35% of trauma patients wanted written as well as verbal explanations, compared to 85% of elective patients p<0.001). Overall 100% of elective and 90% of trauma patients were happy with the consent process (p = 0.06). Subset analysis of neck of femur compared to other trauma patients showed that the above factors were not significantly different between the two groups. Conclusions: Recall of complications in the trauma patients is significantly lower than in elective patients, although both groups scored poorly overall. Repeated verbal explanations should be reinforced with the option of additional information leaflets for trauma operations. Further research into the usefulness of DVDs for commonly performed operations is warranted, although official internet resources may be more cost-effective. (shrink)

To desire something is a condition familiar to everyone. It is uncontroversial that desiring has something to do with motivation, something to do with pleasure, and something to do with reward. Call these "the three faces of desire." The standard philosophical theory at present holds that the motivational face of desire presents its unique essence--to desire a state of affairs is to be disposed to act so as to bring it about. A familiar but less standard (...) account holds the hedonic face of desire to reveal to true nature of desire. In this view, to desire something is to tend to pleasure if it seems that the desired state of affairs has been achieved, or displeasure if it seems otherwise, thus tying desire to feelings instead of actions. In Three Faces of Desire, Schroeder goes beyond actions and feelings to advance a novel and controversial theory of desire that puts the focus on desire's neglected face, reward. Informed by contemporary science as much as by the philosophical tradition, Three Faces of Desire discusses recent scientific discoveries that tell us much about the way that actions and feelings are produced in the brain. In particular, recent experiments reveal that a distinctive system is responsible for promoting action, on the one hand, and causing feelings of pleasure and displeasure, on the other. This system, the brain's reward system, is the causal origin of both action and feeling, and is the key to understanding the nature of desire. (shrink)

Background Participants' understanding of clinical trials is important in informed consent. However, little is known about what information participants really want to know. Aims To demonstrate the existence of a discrepancy between participants' understanding and their desire to know. Methods The participants in clinical trials at Seoul National University Hospital were surveyed. The survey consisted of 11 statements based on the essential elements of informed consent. The participants gave two responses to each statement on a five-point Likert (...) scale to rate their subjective understanding and desire to know, respectively. Information discrepancy was defined as the difference between these two ratings: if understanding exceeded desire to know for a particular item, it was defined as ‘over-informed’; if desire to know exceeded understanding for a particular item, it was defined as ‘under-informed’. Results Participants reported good understanding of ‘voluntariness’, ‘duration’, ‘study involves research’ and poor understanding of ‘confidentiality’, ‘compensation’, ‘benefits’, ‘procedures’ and ‘risks or discomforts’. For ‘risks or discomforts’, ‘who to contact’, ‘voluntariness’, ‘duration’ and ‘procedures’, participants reported high desire to know compared with ‘confidentiality’, ‘purpose’, ‘study involves research’ and ‘benefits’. The elements ‘study involves research’, ‘voluntariness’, ‘duration’, ‘purpose’ and ‘who to contact’ were over-informed, while ‘compensation’, ‘risks or discomforts’, ‘procedures’, ‘confidentiality’ and ‘benefits’ were under-informed. Participants over 50 years of age, those without a college education and those whose participation was less voluntary were relatively less informed about the clinical trials. Conclusions An information discrepancy was observed between the participants' understanding and their desire to know. By putting more emphasis on under-informed elements, the quality of informed consent could be improved. (shrink)

Out of 288 Hong Kong cancer patients, 92.3% include themselves in decision-making, 71% prefer joint decision-making: with family, with doctor, with doctor plus family, with family minus doctor, and with doctor minus family. <5% want decision-making by “doctor-alone” and <1% desire decision-making by “family-alone”. Harmony, communication and responsibility are reasons for family participation. Most patients prefer “specialist” for information, followed by “family”, “friends”, and “GP”. Trust in doctors and prospects for controlling/curing disease are important factors in decision-making. Patients want (...) to participate and be listened to rather than make decisions. Doctors should not disclose information to family without patients’ permission, nor withhold information from patient [End Page 109] on family’s request. Only 25% of patients have discussed post-competent treatment with others and 7% have heard of Advance Directive ; 24% refuse to discuss it. After AD has been explained to them, 66% remain reluctant to sign one, preferring to leave oral instructions or appoint family as proxy decision-makers. The family’s decision-making role increases when patients become incompetent. The top reason for signing AD is to receive preferred post-competent treatments, and for not signing it, difficulty with making a prospective decision. The implications of these findings will be discussed. (shrink)

This paper explores the cultural value of desiring nature through reading the travel narratives of Val Plumwood and Alphonso Lingis with the writings of Deleuze and Guattari. As Game suggests this textual practice produces different ways of writing the social that undoes the nature/culture opposition informing popular discourses and much cultural theory. Rethinking the value of nature/culture relations has tended to be the domain of environmental philosophy. Yet a cultural analysis also has much to contribute to current debates around value (...) and identity, embodiment and representations of desire. Such a shift requires rethinking the sensory relation between self and nature through the mediation of language. Two quite distinctive experiences of awe provide texts for this analysis. In the desire to know non‐human nature as other, Lingis and Plumwood are moved by a wish to become nearer, to move beyond the bounds of an identity premised on a cultural relation of mastery over nature. These are compelling narratives, for they do not simply indulge the reader in a romantic appreciation of nature's wildness, as if nature was simply an object of aesthetic contemplation and background to the unfolding drama of human identity. These journeys involve disturbing transformations of self; Plumwood travels into the dangerous waters of the crocodile's territory in Kakadu National Park, Australia, while Lingis encounters the uninhabitable terrain of the Antarctic. The reverberating effects of awe produce a movement of becoming ‐ becoming‐animal, becoming‐nature, which contests the Hegelian desire for mastery of nature and the teleological structure of desire itself aimed at unity. Awe as a profoundly disturbing relation, threatens to undo the dominant fantasy of human identity as pure culture, separate from the realm of nature, body and materiality. (shrink)

The rational status of the Bayesian calculus for revising likelihoods is compromised by the common but still unfamiliar phenomenon of information distortion. This bias is the distortion in the evaluation of a new datum toward favoring the currently preferred option in a decision or judgment. While the Bayesian calculus requires the independent combination of the prior probability and a new datum, information distortion invalidates such independence (because the prior influences the datum). Although widespread, information distortion has not generally been recognized. (...) First, individuals are not aware when they themselves commit this bias. In addition, it is often hidden in more obvious suboptimal phenomena. Finally, the Bayesian calculus is usually explained only with undistortable data like colored balls drawn randomly. Partly because information distortion is unrecognized by the individuals exhibiting it, no way has been devised for eliminating it. Partial reduction is possible in some situation such as presenting all data simultaneously rather than sequentially with revision after each datum. The potential dangers of information distortion are illustrated for three professional revision tasks: forecasting, predicting consumer choices from internet data, and statistical inference from experimental results. The optimality of the Bayesian calculus competes with people’s natural desire that their belief systems remain coherent in the face of new data. Information distortion provides this coherence by biasing those data toward greater agreement with the currently preferred position – but at the cost of Bayesian optimality. (shrink)

Contemporary Information Systems management incorporates the need to make explicit the links between semiotics, meaning-making and the digital age. This focus addresses, at its core, pure rationality, that is, the capacity of human interpretation and of human inscription upon reality. Creating the new real, that is the motto. Humans are intrinsically semiotic creatures. Consequently, semiotics is not a choice or an option but something that works like a second skin, establishing limits and permeable linkages between: human thought and human's infinite (...) world of imagination; and human action, with its correspondent infinite world of intentionality, of desire and of unexplored possibilities. Two instances are contrasted as two reading lenses of current business reality: IS governance and industry 4.0. These phenomena correspond to the need to take accountability, transparency and responsibility into account, when designing IS and when using such systems through the ecology of connectivity, Big Data and the Internet of Things. Political, social and cultural dimensions are brought into the equation, when addressing the question of the relevance and adequateness of IS theory and practice to respond to contemporary challenges. The message is that what has already been achieved is but a shadow, a pale vision, of what might be achieved in the age of the new Renaissance. (shrink)

Background Previous research on informed consent for research in psychiatric patients has centered on disorders that affect comprehension and appreciation of risks. Little has been written about consent to research in those subjects with Borderline Personality Disorder, a prevalent and disabling condition. Discussion Despite apparently intact cognition and comprehension of risks, a borderline subject may deliberately choose self-harm in order to fulfill abnormal psychological needs, or due to suicidality. Alternatively, such a subject may refuse enrollment due to transference or (...) the desire to harm him or herself. Such phenomena could be precipitated or prevented by the interpersonal dynamics of the informed consent encounter. Summary Caution should be exercised in obtaining informed consent for research from subjects with Borderline Personality Disorder. A literature review and recommendations for future research are discussed. (shrink)

The note puts forward the idea of revealed desirability, a novel instrument, which like revealed preference is observable from choice and important for individual and social welfare. We provide the axiomatic underlying individual’s choice model, preliminary experimental results that support the idea, and an appealing allocation rule that uses the revealed desirability information along with the revealed-preference information.

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Ideas 62.4 (2001) 593-610 [Access article in PDF] The Desire to Know the Secrets of the World Edward Peters I. The letter to Ferdinand and Isabella that Christopher Columbus intended to serve as the preface to the Libro de las profecías began with a remarkable observation about his own career and the particular temperament it had shaped in him: From a very young (...) age I began to navigate the seas, and I have continued to do so until today. This art inclines those who follow it to desire to know the secrets of this world. 1Although Columbus was certainly not unlearned, there is an artlessness and directness about his remark that suggest that whatever Columbus may have meant by "the secrets of the world" and the desire of navigators to know them, he was probably not speaking reconditely or mystically. 2 [End Page 593]Nor was Columbus the only early sixteenth-century practical man who spoke this way. The letters of Hernán Cortés, hardly a philosopher or a navigator, pointed out to correspondents that it was "a universal condition of man to want to know," and that he was first of all desirous of knowledge "of the secrets of these parts"; that "many new secrets" had been learned from the discoveries; of a volcano, "I wished to know the secret of this, which seemed something of a miracle." 3If practical folk could speak thus at the turn of the sixteenth century, it is not surprising that in the course of that century their rulers should appropriate the language of secrets, including the secrets of distant places, and the desire to know them and in doing so to transform their realms into information-gathering states, using detailed questionaires to assemble and organize new data just as they assembled cabinets of curiosities, libraries, zoos, observatories, and botanical gardens. As J. H. Elliott put it: But curiosity also had its due place within a wider Christian framework. At the end of the century, José de Acosta, in his great Natural and Moral History of the Indies, likened men to ants in their refusal to let themselves be deterred, once they had set out on their quest for facts. "And the high and eternal wisdom of the Creator uses this natural curiosity of men to communicate the light of His holy gospel to peoples who still live in the darkness of their errors." This assumption, that all knowledge was subordinated to a higher purpose and fitted into a providential design, was crucial for the assimilation of the New World of America by sixteenth-century Christendom. 4Elliott's characterization of an honorific Christian intellectual curiosity represented a very small part of a very complex semantic universe that centered on the Latin term curiositas and its vernacular cognates, not all of whose meanings were neutral or honorific. Just three years before Acosta wrote there had, after all, appeared the first printed history of Doctor Faustus, another sixteenth-century practical man who was also interested in the secrets of the world. 5 And not [End Page 594] too many years after Acosta wrote, another practical being, Milton's Lucifer, also went forth boldly to seek new worlds. 6 Only in a restricted sense could the desire to know the secrets of the world be understood in the way that Columbus, Cortés, Philip II, and Acosta celebrated it. In many cases it had to be extricated from a semantic universe in which it had long been identified with less honorable motives and more dangerous or ephemeral objects.The most influential exploration of part of that semantic universe appeared in Hans Blumenberg's long essay entitled, "The 'Trial' of Theoretical Curiosity," first published as part of a larger work in 1966, later slightly revised and separately reprinted, and translated into English in 1983. 7 Blumenberg's particular understanding of the history of philosophy, however, and his narrow focus on the natural sciences as the arena of "theoretical" curiosity limited both his conceptualization and his argument. In... (shrink)

This paper argues that, in light of Dead Sea apple cases, we should reject desire-fulfillment welfare theories (DF theories). Dead Sea apples are apples that look attractive while hanging on the tree, but which dissolve into smoke or ashes once plucked. Accordingly, Dead Sea apple cases are cases where an agent desires something and then gets it, only to find herself disappointed by what she has gotten. This paper covers both actual DF theories and hypothetical (or idealized) DF theories. (...) On actual DF theories the agent’s well-being is determined by her actual desires, while on hypothetical DF theories the agent’s well-being is determined by the desires that she would have if she were fully and vividly informed with respect to non-evaluative information. Various actual and hypothetical DF theory responses to Dead Sea apple objections are considered, and all such responses are argued to be inadequate. (shrink)

Background Providing understandable information to patients is necessary to achieve the aims of the Informed Consent process: respecting and promoting patients’ autonomy and protecting patients from harm. In recent decades, new, primarily digital technologies have been used to apply and test innovative formats of Informed Consent. We conducted a systematic review to explore the impact of using digital tools for Informed Consent in both clinical research and in clinical practice. Understanding, satisfaction and participation were compared for digital (...) tools versus the non-digital Informed Consent process. Methods We searched for studies on available electronic databases, including Pubmed, EMBASE, and Cochrane. Studies were identified using specific Mesh-terms/keywords. We included studies, published from January 2012 to October 2020, that focused on the use of digital Informed Consent tools for clinical research, or clinical procedures. Digital interventions were defined as interventions that used multimedia or audio–video to provide information to patients. We classified the interventions into 3 different categories: video only, non-interactive multimedia, and interactive multimedia. Results Our search yielded 19,579 publications. After title and abstract screening 100 studies were retained for full-text analysis, of which 73 publications were included. Studies examined interactive multimedia, non-interactive multimedia, and videos, and most studies were conducted on adults. Innovations in consent were tested for clinical/surgical procedures and clinical research. For research IC, 21 outcomes were explored, with a positive effect on at least one of the studied outcomes being observed in 8/12 studies. For clinical/surgical procedures 49 outcomes were explored, and 21/26 studies reported a positive effect on at least one of the studied outcomes. Conclusions Digital technologies for informed consent were not found to negatively affect any of the outcomes, and overall, multimedia tools seem desirable. Multimedia tools indicated a higher impact than videos only. Presence of a researcher may potentially enhance efficacy of different outcomes in research IC processes. Studies were heterogeneous in design, making evaluation of impact challenging. Robust study design including standardization is needed to conclusively assess impact. (shrink)

The formulation of moral issues surrounding consumer advertising tends to focus on the capacity to persuade or inform, and how these capabilities may be used to distort or fulfill needs and desires. Discussion of these issues abstracts from widespread advertising and marketing practices, by assuming that all advertising is mass advertising, broadcast indiscriminately over the entire market population. This assumption directs attention away from important issues stemming from actual advertising strategies, which involve campaigns designed for and conveyed to particular customer (...) groups or segments within broader product market. Several cases are outlined to illustrate the class of practices considered to be important and usually ignored, and issues that they raise for moral appraisal are suggested. (shrink)

Douglas Farrow seldom shies from controversy. Discussing several hot-button issues such as religion in public life, educational freedom, human rights, and the definition of marriage, Farrow challenges the common misconception that secular institutions can be religiously neutral. Inspired by current legal, political, and philosophical debates in North America, Desiring a Better Country engages leading political thinkers from Augustine to John Rawls and John Courtney Murray, contemporary political figures such as Michael Ignatieff and Justin Trudeau, as well as legal scholars and (...) Supreme Court judgments. Writing from a Catholic perspective, Farrow also incorporates contributions from the Church's pre- and post-Vatican II teaching. His arguments treat five pressing issues: the grounding of human rights, the dislocation of the goods of marriage, the incoherence of normative pluralism, the uncertain future of religious freedom, and the peculiar liberty of the Church. Provocatively written, well-informed, and relevant to current affairs, Desiring a Better Country is a timely intervention in debates on religion, civil society, and the state. (shrink)

Examines the desire‐belief‐theory, as presented, for example, in the work of Donald Davidson, which holds that a reason for which somebody does something is a combination of a desire and a belief of the agent. Widely accepted, this theory is seldom defended, the most explicit argument being due to Michael Smith. However, not only is his argument found wanting on a number of counts but the desire‐belief‐theory also gives desire and belief incompatible roles to fulfill. (...) class='Hi'>Desire is asked both to set a goal and to provide the impulse for pursuing it, and, correspondingly, belief is held to give the agent guidance both in the sense of informing and in the sense of directing him or her. (shrink)

Alasdair MacIntyre explores some central philosophical, political and moral claims of modernity and argues that a proper understanding of human goods requires a rejection of these claims. In a wide-ranging discussion, he considers how normative and evaluative judgments are to be understood, how desire and practical reasoning are to be characterized, what it is to have adequate self-knowledge, and what part narrative plays in our understanding of human lives. He asks, further, what it would be to understand the modern (...) condition from a neo-Aristotelian or Thomistic perspective, and argues that Thomistic Aristotelianism, informed by Marx's insights, provides us with resources for constructing a contemporary politics and ethics which both enable and require us to act against modernity from within modernity. This rich and important book builds on and advances MacIntyre's thinking in ethics and moral philosophy, and will be of great interest to readers in both fields. (shrink)

Introduction. The complexity of the modern world causes a person to be overloaded with information and a desire to automate and simplify all these processes. Such a reaction is a natural response of the psyche, which strives to prevent excessive stress. At the same time, this natural defensive reaction is manipulated by forces that have the ability to control information and pursue their own narrowly focused goals. This is how the phenomenon of information warfare appeared and developed. The purpose (...) of the study is to consider information as a way of negative impact in the context of modern information wars. Methods. The author uses an axiological approach that reveals the importance of studying war not only from a materialistic perspective, but also from a spiritual, value-based one; the method of systematization allows us to consider at first glance disparate phenomena and events as part of a single system; using the structural and functional method, the phenomenon of information is comprehensively studied and the key mechanisms of its influence on humans and society are pointed out. Scientific novelty of the research. The paper examines the features of information that allow it to be used both in a positive and negative direction. The author provides current data on information wars and analyzes the involvement of modern Russia in all these processes. Information warfare is considered from the standpoint of a predominantly axiological approach, while exploring the possibilities of the influence of new types of information warfare on the processes of changing value orientations and spiritual traditions. It also reveals the importance of the ideology of “Western values” in the context of information warfare, which represents a new stage in the long process of civilizational confrontation. Results. Information is studied as a philosophical category, its functions and other characteristics are highlighted. Various approaches to studying information warfare are presented. The distinctive features of information warfare as a type of new generation wars are highlighted. Special attention is paid to the disclosure of the axiology of information warfare, as well as ways to counter information aggression. Conclusions. A successful society in the 21st century should be able to use the latest technologies to preserve its uniqueness, identity, and national identity to counter the information wars of modernity. (shrink)

Desire and Distance constitutes an important new departure in contemporary phenomenological thought, a rethinking and critique of basic philosophical positions concerning the concept of perception presented by Husserl and Merleau-Ponty, though it departs in significant and original ways from their work. Barbaras’s overall goal is to develop a philosophy of what “life” is—one that would do justice to the question of embodiment and its role in perception and the formation of the human subject. Barbaras posits that desire and (...) distance inform the concept of “life.” Levinas identified a similar structure in Descartes’s notion of the infinite. For Barbaras, desire and distance are anchored not in meaning, but in a rethinking of the philosophy of biology and, in consequence, cosmology. Barbaras elaborates and extends the formal structure of desire and distance by drawing on motifs as yet unexplored in the French phenomenological tradition, especially the notions of “life” and the “life-world,” which are prominent in the later Husserl but also appear in non-phenomenological thinkers such as Bergson. Barbaras then filters these notions (especially “life”) through Merleau-Ponty. (shrink)

This article explores the concept of internationally acceptable codes of ethics within the context of an Egyptian nurse’s PhD studies. Theoretical work, including gaining ethical approval for the project, took place in the UK, while the data collection phase of the study was done in Egypt. This highlighted areas where the Arab Muslim interpretation of some ethical principles, especially around the issue of gaining informed consent, differed from that currently accepted in British research ethics. The authors argue that it (...) may not be possible, or even desirable, to standardize codes of ethics globally in areas such as academic research. Ethical principles develop from a unique mix of culture and religion. It may be more important to develop cultural competence that includes the ability to understand and respect the way in which ethical principles are interpreted by various societies. (shrink)

The purpose of this study was to identify how older Korean people seek information and their desire to participate in decision making about their health care. A total of 165 elderly people living in Seoul, South Korea, participated in the study. Data were collected during individual interviews using the Autonomy Preference Index. The mean information-seeking score was high. The mean score for their desire to participate with a physician in decision making was lower, but this was higher when (...) family members were involved. The study indicates that many older people want to receive information about their health care. Families (or guardians), as well as older people themselves, should be included in the decision-making process. Nurses can encourage older people to express their wishes, while treating each individual with respect. (shrink)

Obtaining informed consent, an ethical obligation of nurses and other health care providers, occurs routinely when patients make health care decisions. The values underlying informed consent (promotion of patients’ well-being and respect for their self-determination) are embedded in the dominant American culture. Nurses who apply the USA’s cultural values of informed consent when caring for patients who come from other cultures encounter some ethical dilemmas. This descriptive study, conducted with Latino, Chinese and Anglo-American cancer patients in a (...) large, public, west-coast clinic, describes constraints on the informed consent process in a multicultural setting, including language barriers, the clinical environment, control in decision making, and conflicting desired health outcomes for health care providers and patients, and suggests some implications for nursing practice. (shrink)

The orthodox view of anger takes desires for revenge or retribution to be central to the emotion. In this paper, I develop an empirically informed challenge to the retributive view of anger. In so doing, I argue that a distinct desire is central to anger: a desire for recognition. Desires for recognition aim at the targets of anger acknowledging the wrong they have committed, as opposed to aiming for their suffering. In light of the centrality of this (...) desire for recognition, I argue that the retributive view of anger should be abandoned. I consider and dismiss two types of moves that can be made on the part of a proponent of the orthodox view in response to my argument. I propose that a pluralist view, which allows for both retribution and recognition in anger, is to be preferred. (shrink)

Cette étude de cas explore les complexités éthiques entourant le traitement de Mme H, une femme âgée atteinte d’un myélome multiple. Des objectifs divergents entre sa famille, ancrée dans des valeurs culturelles et religieuses, et l’équipe médicale ont suscité des délibérations éthiques. Les objectifs divergents étaient centrés sur le désir de la famille d’un traitement agressif du cancer, motivé par leurs croyances Ubuntu et chrétiennes dans le caractère sacré de la vie et l’espoir d’une intervention divine, contrastant avec l’accent mis (...) par l’équipe médicale sur les soins palliatifs, donnant la priorité au confort plutôt qu’à des interventions médicales agressives dont les bénéfices sont peu probables. Face à cette tension, l’équipe soignante, guidée par les principes de solidarité et d’humilité culturelle, s’est engagée dans un dialogue constructif facilité par un éthicien expérimenté. La résolution respecte les croyances culturelles et religieuses de la famille tout en adhérant à l’éthique médicale. Ce cas souligne l’importance de comprendre et d’intégrer les valeurs culturelles dans la prise de décision en matière de soins de santé, afin de parvenir à une approche centrée sur le patient qui respecte la diversité des points de vue. (shrink)

The present article analyzes ethics in Karl Marx perspectives, going through information ethics and information literacy that permeate individuation and class struggle in capitalist society. The objective is to approach critical reflection about dominated and dominant class’s ethics values proclaimed by author. In order to provide the desired research, I did literature review and digital documents consultation about the themes. Through this work, it is possible to identify that the author’s description of reality through historical materialism sought the dissemination of (...) ethics through the ascertainment that individuals generate their stories, but these are not linked to their wills but directly linked to class formation and struggle as factors determining the circumstances under which the reality of society is constituted. It implies the search for mastery of language codes and information literacy to know, seize and disseminate information ethics aiming at the effective strategies elaboration to combat the ruling class hegemony. (shrink)

In On What Matters Derek Parfit argues that facts about reasons for action are grounded in facts about values and against the view that they are grounded in facts about the desires that subjects would have after fully informed and rational deliberation. I describe and evaluate Parfit's arguments for this value-based conception of reasons for action and find them wanting. I also assess his response to Sidgwick's suggestion that there is a Dualism of Practical Reason. Parfit seems not to (...) notice that his preferred value-based conception of reasons for action augurs strongly in favour of a view like Sidgwick's. 1. (shrink)

People have a powerful interest in geneticprivacy and its associated claim to ignorance,and some equally powerful desires to beshielded from disturbing information are oftenvoiced. We argue, however, that there is nosuch thing as a right to remain in ignorance,where a right is understood as an entitlementthat trumps competing claims. This doesnot of course mean that information must alwaysbe forced upon unwilling recipients, only thatthere is no prima facie entitlement to beprotected from true or honest information aboutoneself. Any claims to be (...) shielded frominformation about the self must compete onequal terms with claims based in the rights andinterests of others. In balancing the weightand importance of rival considerations aboutgiving or withholding information, if rightsclaims have any place, rights are more likelyto be defensible on the side of honestcommunication of information rather than indefence of ignorance. The right to free speechand the right to decline to acceptresponsibility to take decisions for othersimposed by those others seem to us moreplausible candidates for fully fledged rightsin this field than any purported right toignorance. Finally, and most importantly, ifthe right to autonomy is invoked, a properunderstanding of the distinction between claimsto liberty and claims to autonomy show that theprinciple of autonomy, as it is understood incontemporary social ethics and English law,supports the giving rather than the withholdingof information in most circumstances. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Deceit, Desire, and The Dunciad:Mimetic Theory and Alexander PopeAllan Doolittle (bio)Anxiety expressed over what is often termed "information overload"1 is by no means solely a phenomenon of our electronic age. Recent scholarship has traced this concern as far back as the early modern period. The increased production and dissemination of books in the sixteenth and seventeenth centuries was a source of "wonder and anxiety"2 for authors and prompted (...) the need for a "substantial reorganization of the intellectual world."3 Seventeenth-century French scholar and critic Adrien Baillet gave warning of an impending barbarism unless there was a "separating [of] those books which we must throw out or leave in oblivion from those which one should save."4 The most recognizable expression of this imperative to sort the printed wheat from the chaff comes from the voices of some of eighteenth-century England's most studied, most admired, yet also detested authors, the Scriblerians. From this celebrated literary group came "the three great Tory satires, Jonathan Swift's Gulliver's Travels, John Gay's Fables and Alexander Pope's The Dunciad."5Christian Thorne, in his discussion of these works in relation to the rise of the public sphere in early modern England, defines the Scriblerian rallying cry as a protest against "the rise of print culture... in which signification will [End Page 1] run amok, flooding the polity with an undifferentiated mass of contradictory opinions and arguments and thus corroding traditional forms of citizenship or civic virtue."6 Pope saw the deluge of aspiring authors and their printed output as a destructive force, a force that had a leveling effect on what he perceived as the traditional structure of the cultural hierarchy. In this article, I will look specifically at the career of Alexander Pope and his lifelong struggle against all but a small number of those who populated what Samuel Johnson called the "Age of Authors."Pope's career is indelibly marked with conflict. This conflict stemmed from Pope's untiring efforts to regulate the field in which he worked, to promote himself and his friends, and to do everything at his disposal to thwart the efforts of those whom he saw as threatening his literary endeavors. His adversaries, most often the professional ranks of Grub Street writers and publishers, served as fodder for Pope's satire and were deeply entwined in Pope's literary output. However, the adversaries he most wanted to be rid of—the primary target of his purposeful and brilliant satire—were not the "hackney scribblers" typical of Grub Street but those most threatening to Pope's professional writing career: "verbal critics" or literary scholars.7 The threat came in the form of the newly emerging critical techniques of philological scholarship. It is my contention that the literary scholars possessed knowledge that Pope showed himself to be desirous of, but that he was incapable of attaining.In this paper I will apply René Girard's mimetic theory both to Pope's relationships with these scholars and to his depiction of them in The Dunciad. The application of Girard's theory helps to explain Pope's motivation in writing, expanding, and obsessing over a poem that was seemingly more trouble than it was worth. The publication history of the poem, which is "exceedingly complicated,"8 "cost [Pope] as much pains as anything [he] ever wrote"9 and brought down an avalanche of ridicule and abuse on him, prompting many to wonder "what can possibly have impelled him to do what he did?"10 This article will go some distance toward answering this question and will also provide insight into the way The Dunciad operated in the service of Pope's attempt to shape the literary culture of early-eighteenth-century England. I will do what no critic to date has yet attempted: I will use Girard's theory to clarify the relationship between Pope's work with the classics and that of his rival classical scholars, and to show how these two threads are woven into his magnum opus, The Dunciad.René Girard's insightful and controversial theory of the nature and origin of human culture may be grouped into three... (shrink)

A number of philosophers working under the rubric of “experimental philosophy” have recently begun focusing on analyzing the concepts of ordinary language and investigating the intuitions of laypersons in an empirically informed way.¹ In a series of papers these philosophers—who often work in collaboration with psychologists—have presented the results of empirical studies aimed at proving folk intuitions in areas as diverse as ethics, epistemology, free will, and the philosophy of action. In this paper, I contribute to this research program (...) by discussing the results of some new experiments that further probe folk intuitions about the relationship between desire, foresight, intent, intentional action, and moral considerations. (shrink)

Informed consent needs to be practised within a culture of openness if it is to enhance public trust in medical procedures around death. Openness should entail patients not just receiving information from doctors, but also having the right to see certain medical procedures. This article proposes in particular that it would be desirable for the public to be allowed to attend an autopsy of a person they do not know. Evidence from the UK, where members of the public may (...) go backstage to witness the process of cremation, the other technical process in which dead bodies are violently but legitimately assaulted, suggests benefits from a policy of openness. When a family consents to cremation in Britain, their consent is only minimally informed, but the system has nothing to hide, and trust is high. This suggests that the opportunity for lay people also to witness certain medical procedures might do more to restore public trust in medical procedures around death than a narrow interpretation of informed consent in which information is controlled by the profession. (shrink)

Though Aristotle is universally acknowledged as having a mighty influence on the history of philosophy, large parts of his writings are often thought to be interesting to nobody except the historian. This includes those treatises known as the theoretical works (preeminently the Metaphysics, Physics, De Anima, and Posterior Analytics). However, the contributions in this book show that these old treatises are still profound resources for philosophical inquiry. Not only do they inform us about the origins of our ideas, but equally (...) they express insights that always stand in need of reinterpretation, and thus challenge our understanding. That challenge to understanding - and ultimately the desire for self-understanding, the desire to know what stands at the source of thinking itself - this was at the heart of the Greek ideal of philosophy, and some would say that this is still the task of the discipline. The essays included here cover a wide range of topics, including Aristotle's treatment of non-contradiction, the tension between his conceptions of knowledge and being, the complexity of the term 'potency,' and the relation between psychology and physics. (shrink)

The brain is composed of electrically excitable neuronal networks regulated by the activity of voltage-gated ion channels. Further portraying the molecular composition of the brain, however, will not reveal anything remotely reminiscent of a feeling, a sensation or a conscious experience. In classical physics, addressing the mind–brain problem is a formidable task because no physical mechanism is able to explain how the brain generates the unobservable, inner psychological world of conscious experiences and how in turn those conscious experiences steer the (...) underlying brain processes toward desired behavior. Yet, this setback does not establish that consciousness is non-physical. Modern quantum physics affirms the interplay between two types of physical entities in Hilbert space: unobservable quantum states, which are vectors describing what exists in the physical world, and quantum observables, which are operators describing what can be observed in quantum measurements. Quantum no-go theorems further provide a framework for studying quantum brain dynamics, which has to be governed by a physically admissible Hamiltonian. Comprising consciousness of unobservable quantum information integrated in quantum brain states explains the origin of the inner privacy of conscious experiences and revisits the dynamic timescale of conscious processes to picosecond conformational transitions of neural biomolecules. The observable brain is then an objective construction created from classical bits of information, which are bound by Holevo’s theorem, and obtained through the measurement of quantum brain observables. Thus, quantum information theory clarifies the distinction between the unobservable mind and the observable brain, and supports a solid physical foundation for consciousness research. (shrink)

Desire-based theories of well-being claim that a person's well-being consists of the satisfaction of her desires. Many of these theories say that well-being consists of the satisfaction of desires that she would have if her desires were "corrected" in various ways. Some versions of this theory claim that the corrections involve having "full information" or being an "ideal observer." I argue that well-being does not depend on what one would desire if she were an “ideal observer.” Rather, it (...) depends on what she would desire if she had as much information as she could have and still maintain her identity as the particular person she is. The paper attempts to spell out this suggestion by constructing a notion of integrity. Roughly, integrity is preserved if one’s most central projects, commitments, and character traits are left in tact. I argue that desire-based theories of well-being should define well-being in terms of the satisfaction of those desires that one would have if one’s epistemic situation were idealized as much as would be consistent with maintaining her integrity. (shrink)

This paper extends previous work of mine on a view of human well-being that is a hybrid of objective-list theories and desire theories. Though some of what I say traverses old ground, much of what I say is new – new, that is, not in terms of ultimate conclusions, but rather in terms of (a) routes toward these ultimate conclusions and (b) certain implications of these ultimate conclusions (e.g., implications concerning the measurement of well-being). There are two different visions (...) of what human beings are that I privilege and attempt to synthesize in this paper. One of these visions pushes us toward an objective-list theory. This vision is a broadly Aristotelian one according to which humans have various capacities that are central to their functioning well as the kinds of things they are, that is, as human beings. Though this broadly Aristotelian vision captures something necessary for well-being, it is, as it were, only half of the story. The other half of the story derives from a vision of human beings as unique individuals with different sets of intrinsic desires, and this desire-focused vision of humans is itself informed by Jacques Lacan and his view that each human self is constituted by a particular and dynamic chains-of-signifiers-plus-desire-flow structure. I start by briefly discussing mental state theories (section 1). Then I discuss objective-list theories at some length (sections 2-3), and, while doing this, I occasionally comment on pro-attitude theories (e.g., desire theories). After that, I present the hybrid theory of well-being that I favor and defend it against some objections (section 4). Lastly, I conclude the paper (section 5). (shrink)

Can heroin addicts give consent to research on trials in which heroin is prescribed to them? Analyses of addicts and informed consent have been objects of debate in several articles. Informed consent requires the agent not only to be competent but also to give consent voluntarily. This has been questioned because of alleged features of heroin addiction. Until recently the discussion has focused on heroin addicts' desires for heroin, whether these are irresistible and thus pose a problem for (...) giving consent. Still, in light of empirical evidence, there seems to be a consensus more or less that the problem is not whether the addicts can resist their desire for heroin. A recent article concentrates specifically on heroin addicts' false assumptions of options and voluntariness. We argue that the prevailing framing of the options in this discussion in terms of heroin and access to it is problematic. The way in which the options are typically laid out suggests an assumption that participation in the research is allegedly based on the addicts' views on using the drug. We argue that this way of presenting the options is, first, a mismatch to the studies carried out and, second, symptomatic of potential misconceptions about heroin addiction and addicts. Furthermore, we also suggest that the account of voluntariness needs to be realistic in order for subjects to be able to give consent voluntarily in actual situations, and for medical research to carry out studies on improving outcomes in addiction treatment in an ethical way. (shrink)

The interest in the relationship between pedagogy of the classroom informed by psychoanalytic discourse has grown in recent years to the point where there is a critical mass of educators who are utilizing neo-Lacanian and Kleinian psychoanalytic theory in their educational research.

Background: Medical confidentiality underpins the doctor–patient relationship and ensures privacy so that intimate information can be exchanged to improve, preserve, and protect the health of the patient. The right to information applies to the patient alone, and, only if expressly desired, can it be extended to family members. However, it must be remembered that one of the primary tenets of family medicine is precisely that patient care occurs ideally within the context of the family. There may be, then, certain occasions (...) when difficulties will arise as to the extent of the information provided to family members.Objectives: This study aimed to describe family doctors’ attitudes to confidentiality and providing patient information to relatives as well as their justifications for sharing information.Method: A descriptive postal questionnaire was self-administered by family doctors.Results: Of 227 doctors, 95.1% provided information to a patient’s family and over a third disclosed information to others without prior patient consent.Conclusions: The findings reveal that family doctors should pay more attention to their patients’ rights to information, privacy, and confidentiality, and reflect very carefully on the fine balance between this and the occasional need for the support and collaboration of family members in delivery of care. Emphasis should be placed on ethics and legal problems during undergraduate education and in-service training of doctors. (shrink)

Should people include beef in their diet? This chapter argues that the answer is “no” by reviewing what is known and not known about the presence in cattle of three psychological traits: pain, desire, and self-consciousness. On the basis of behavioral and neuroanatomical evidence, the chapter argues that cattle are sentient beings who have things they want to do in the proximal future, but they are not self-conscious. The piece rebuts three important objections: that cattle have injury information but (...) not pain; that cattle have goal-directed behavior but not desire; and that the absence of evidence for bovine self-consciousness should not be taken as evidence that cattle lack self-consciousness. In sum, what is known about cattle cognition shifts the moral burden of proof on to the beef eaters. (shrink)

Discover the truth about sex in the city (and the country). Mapping Desire explores the places and spaces of sexuality from body to community, from the "cottage" to the Barrio, from Boston to Jakarta, from home to cyberspace. Mapping Desire is the first book to explore sexualities from a geographical perspective. The nature of place and notions of space are of increasing centrality to cultural and social theory. Mapping Desires presents the rich and diverse world of contemporary sexuality, (...) exploring how the heterosexed body has been appropriated and resisted on the individual, community and city scales. Editors David Bell and Gill Valentine have brought together contributors with a wealth of approaches to ways in which the spaces of sex and the sexes of space are being mapped out across contemporary culture. Among the many sexual geographies covered are: Lesbians at home and on the streets; gay men on fantasy islands; bisexual identities; The heterosexualization of the workplace; bachelor farmers and spinsters; surveillance and sexuality; prostitution; queer politics; sexual citizenship, and the transformation of intimacy. The book is divided into four sections: cartographies/identities; sexualized spaces: global/local; sexualized spaces: local/global; sites of resistance. Each section is separately introduced. Beyond the bibliography, an annotated guide to further reading is also provided to help the reader map their own way through the literature. Mapping Desire will be a valuable and accessible travelogue of information for anyone interested in social, cultural and political geography, lesbian and gay studies, cultural studies, or simply those who want to find out more about the sexual landscape of contemporary society. Contents: Part I: Cartographies/Identities; Resolving Riddles: The Sexed Body, Julia Cream ; Locating Bisexual Identities: Discourses of Bisexuality and Contemporary Feminist Theory, Clare Hemmings; Of Moffies, Kaffiers and Perverts: Male Homosexuality and the Discourse of Moral Order in the Apartheid State, Glen Elder; Femme on the Streets, Butch in the Sheets (a Play on Whores), Alison Murray; Body Work: The Performance of Gendered and (Hetero)Sexualized Identities in City Workplaces, Linda McDowell; Part II: Sexualized Spaces: Global/Local; Whenever I Lay My Girlfriend That's My Home: The Performance and Surveillance of Lesbian Identities in Domestic Environments, Lynda Johnston and Gill Valentine; The Lesbian Flaneur, Sally Munt; Fantasy Islands: Popular Topographies of Marooned Masculinities, Gregory Woods; Sexuality and Urban Space: A Framework for Analysis, Lawrence Knopp; Part III: Sexualized Spaces: Local/Global; "And She Told Two Friends...": Lesbians Creating Urban Social Space, Tamar Rothenberg; Trading Places: Consumption, Sexuality and the Production of Queer Space, Jon Binnie; Bachelor Farmers and Spinsters: Gay and Lesbian Identities and Communities in Rural North Dakota, Jerry Lee Kramer; (Re)Constructing a Spanish Redlight District: Prostitution, Space and Power, Angie Hart; Part IV: Sites of Resistance; "Surveilliant Gays": HIV, Space and the Construction of Identities, David Woodhead; Sex, Scale and the "New Urban Politics": HIV-Prevention Strategies from Yaletown, Vancouver, Michael Brown; "Boom, Bye, Bye": Jamaican Ragga and Gay Resistance, Tracey Skelton; The Diversity of Queer Politics and the Redefinition of Sexual Identity and Community in Urban Space, Tim Davis; Perverse Dynamics, Sexual Citizenship and the Transformation of Intimacy, David Bell; Guide to Further Reading; Bibliography. (shrink)