Allocation of very scarce medical interventions such as organs and vaccines is a persistent ethical challenge. We evaluate eight simple allocation principles that can be classified into four categories: treating people equally, favouring the worst-off, maximising total benefits, and promoting and rewarding social usefulness. No single principle is sufficient to incorporate all morally relevant considerations and therefore individual principles must be combined into multiprinciple allocation systems. We evaluate three systems: the United Network for Organ Sharing points systems, quality-adjusted life-years, and (...) disability-adjusted life-years. We recommend an alternative system—the complete lives system—which prioritises younger people who have not yet lived a complete life, and also incorporates prognosis, save the most lives, lottery, and instrumental value principles. (shrink)

The right to withdraw from participation in research is recognized in virtually all national and international guidelines for research on human subjects. It is therefore surprising that there has been little justification for that right in the literature. We argue that the right to withdraw should protect research participants from information imbalance, inability to hedge, inherent uncertainty, and untoward bodily invasion, and it serves to bolster public trust in the research enterprise. Although this argument is not radical, it provides a (...) useful way to determine how the right should be applied in various cases. (shrink)

In this short response to Kerstein and Bognar, we clarify three aspects of the complete lives system, which we propose as a system of allocating scarce medical interventions. We argue that the complete lives system provides meaningful guidance even though it does not provide an algorithm. We also defend the investment modification to the complete lives system, which prioritizes adolescents and older children over younger children; argue that sickest-first allocation remains flawed when scarcity is absolute and ongoing; and argue that (...) Kerstein and Bognar are mistaken to base their allocation principles on differences in personhood. (shrink)

critical analyses of the arguments and attitudes favoring the various popular datings of the inception of a human being's life.

Our culture is conflicted about morally judging and condemning. We can't avoid it altogether, yet many layfolk today are loathe to do it for reasons neither they nor philosophers well understand. Their resistance is often confused (by themselves and by theorists) with some species of antiobjectivism. But unlike a nonobjectivist, most people think that (a) for us to judge and condemn is generally (objectively) morally wrong , yet (b) for God to do so is (objectively) proper, and (c) so too (...) for certain persons in certain relations (e.g., self-condemnation, parental child rearing.) Certainly, religious (e.g., Christian) critics of judging and condemning without doubting the objective truth of their tradition's core moral teachings. Most puzzling is that (a) merely judging and condemning in one's heart may be improper, and (b) someone else with no more evidence or expertise might properly judge and condemn the same action. The answer is in condemning's complex structure of presuppostions. Condemning and judging are acts, and attitudes initiated by the act. Condemnation is motivated by two judgments presumed to justify it, a criticism of a target, and a judgment that the criticism justifies some negative response toward the target. Unlike nonpunitive penalties, punishments are motivated and explained by condemnation. Condemnation is an act of a hostile will, wishing some evil for its target, not (just) as a means to some good. Its root is in damning, an act akin to cursing. It declares a degraded status. The hostility makes it harder to justify condemnation than criticism, and punishment than nonpunitive penalties. Condemning claims objectivity and authority. It involves reflexive evaluation, regarding itself justified, approving its hostile feelings toward the target. Condemners presume themselves entitled to sit in judgment, pass judgment, and cast the condemned down. Those presumptions inhere in sitting in judgment, assuming jurisdiction. Unlike mathematical or scientific judgments, passing moral judgment seems to be a political act subject to extraepistemic constraints. "Who are you to judge?" may properly challenge your right to pass judgment. (shrink)

Critique of prevailing textbook conception of sufficient conditions and necessary conditions as a truth functional relation of material implication (p->q)/(~q->~p). Explanation of common sense conception of condition as correlative of consequence, involving dependence. Utility of this conception exhibited in resolving puzzles regarding ontology, truth, and fatalism.

Contra Michael Walzer and Jeff McMahan, neither classical just war theory nor the contemporary rules of war require or support any notion of combatant moral equality. Nations rightly accept prohibitions against punishing enemy combatants without recognizing any legal or moral right of aggressors to kill. The notion of combatant moral equality has real import only in our interpersonal -- and intrapersonal -- attitudes, since the notion effectively preempts any ground for conscientious objection. Walzer is criticized for over-emphasizing our collective responses (...) to war conduct and slighting our personal, extra-political responses. (shrink)

critical analysis of moral status of human beings. Argues that humans have special moral status simply by being members of our species.

Analyses of quotation have assumed that quotations are referring expressions while disagreeing over details. That assumption is unnecessary and unacceptable in its implications. It entails a quasi-Parmenidean impossibility of meaningfully denying the meaningfulness or referential function of anything uttered, for it implies that: 'Kqxf' is not a meaningful expression 'The' is not a referring expression are, if meaningful, false. It also implies that ill formed constructions like: 'The' is 'the' are well formed tautologies. Such sentences make apparent the need for (...) what is commonly explicit, a genuine referring expression, a noun phrase, usually a description, to which the quotation is appositional. A quotation is not itself a word, though it may contain such. The markers signal that the enquoted material is like a sentence-embedded color patch, material displayed to facilitate reference to something identifiable by/with it specified by the noun phrase it subserves. (shrink)

The current prevailing view is that participation in biomedical research is above and beyond the call of duty. While some commentators have offered reasons against this, we propose a novel public goods argument for an obligation to participate in biomedical research. Biomedical knowledge is a public good, available to any individual even if that individual does not contribute to it. Participation in research is a critical way to support an important public good. Consequently, all have a duty to participate. The (...) current social norm is that individuals participate only if they have a good reason to do so. The public goods argument implies that individuals should participate unless they have a good reason not to. Such a shift would be of great aid to the progress of biomedical research, eventually making society significantly healthier and longer lived. (shrink)

View more Abstract If logical truth is necessitated by sheer syntax, mathematics is categorially unlike logic even if all mathematics derives from definitions and logical principles. This contrast gets obscured by the plausibility of the Synonym Substitution Principle implicit in conceptions of analyticity: synonym substitution cannot alter sentence sense. The Principle obviously fails with intercepting: nonuniform term substitution in logical sentences. ‘Televisions are televisions’ and ‘TVs are televisions’ neither sound alike nor are used interchangeably. Interception synonymy gets assumed because logical (...) sentences and their synomic interceptions have identical factual content, which seems to exhaust semantic content. However, intercepting alters syntax by eliminating term recurrence, the sole strictly syntactic means of ensuring necessary term coextension, and thereby syntactically securing necessary truth. Interceptional necessity is lexical, a notational artifact. The denial of interception nonsynonymy and the disregard of term recurrence in logic link with many misconceptions about propositions, logical form, conventions, and metalanguages. Mathematics is distinct from logic: its truth is not syntactic; it is transmitted by synonym substitution; term recurrence has no essential role. The ‘=’ of mathematics is an objectual relation between numbers; the ‘=’ of logic marks a syntactic relation of coreferring terms. -/- . (shrink)

Critical analysis of development of concept of jus ante bellum.

Animal protectionists condemn speciesism for motivating the practices protectionists condemn. This misconceives both speciesism and the morality condoning those practices. Actually, animal protectionists can be and generally are speciesists. The specifically speciesist aspects of people’s beliefs are in principle compatible with all but the most radical protectionist proposals. Humanity’s speciesism is an inclusivist ideal encompassing all human beings, not an exclusionary ethos opposing moral concern for nonhumans. Anti-speciesist rhetoric is akin to anti-racist rhetoric that condemned racists for regarding people as (...) moral inferiors because of their skincolor. Actually, racists never thought that skin color is itself a reason for discounting someone’s interests, just as humans have never thought that only a human can be a proper object of moral concern. Some speciesists have great concern for animal suffering; some don’t. Animal protectionists have yet to show that a lack of concern is due to some false assumptions. (shrink)

Professional Military Ethics Education (PMEE) must transmit and promote military professionalism, so it must continuously.

The identity "relation" is misconceived since the syntax of "=" is misconceived as a relative term. Actually, "=" is syncategorematic; it forms (true) sentences with a nonpredicative syntax from pairs of (coreferring) flanking names, much as "&" forms (true) conjunctive sentences from pairs of (true) flanking sentences. In the conaming structure, nothing is predicated of the subject, other than, implicitly, its being so conamed. An identity sentence has both an objectual reading as a necessity about what is named, and also (...) a metalinguistic reading as a contingency about the names. Either way the claim about the subject referent has no extralinguistic content. The necessity of alteridentity (non-self-identity) statements is "lexical", due to contingencies of the names' reference, much like the necessity of analytic statements, due to contingencies of the predicates' sense, and unlike the necessity of logical truths (e.g., self-identities) whose truth is secured by syntax alone. Both alter-identity and analytic sentences are readable as objectual necessities and metalinguistic contingencies. Epistemically, alter-identity statements are not essentially unlike analyticities. "Greece is Hellas"/"g=h" and "Greeks are Hellenes"/"(x)(Gx<=>Hx)" are equally (un)informative; so too for "Azure is cobalt"/"a=c" and "Everything azure is cobalt"/"(x)(Ax<=>Cx)". The real epistemic contrast is between proper names (terms without predicative sense) and terms with a predicative sense (names and predicates of properties). Proper names refer to concrete objects, property names refer to abstract objects. That contrast is metaphysical and thus epistemic. (shrink)

People espousing human moral equality encompassing every conspecific have been unumbrageous being labeled ‘speciesists’ and likened to Nazis and Klansmen, despite the insult’s being indefensible, and, if meant seriously, enraging. Perhaps their equanimity is unruffled because anti-speciesist acquaintances are remarkably chummier with them than with real racists. -/- Anti-speciesists confuse two questions: (1) Is the bare fact of an individual’s being a human in itself a reason for us humans to deal with it as we'd like to be dealt with? (...) (2) Have we enough reason, apart from human well-being, to impose on each other protections of other animals? Speciesism, perspicuously specified, says ‘yes’ to (1) and nothing about (2). World-wide, human fantasy is filled with nonhuman persons, alien morally accountable agents, thought worthy of being treated as we would wish to be treated, or better. The idea of human equality is consistent with both rapaciously using animals and radical animal protectionism. We meat-eaters discount animal interests, not because they’re nonhuman, but because we know no compelling reason to count them more. -/- Anti-speciesist literature is surveyed and seen to specify ‘speciesism’ capriciously. Terminology aside, anti-speciesist criticisms are specious. Anti-speciesists hope to shift the justificatory burden by denying species membership any moral relevance, but that denial cannot motivate their protectionism. Their ad hominem dismissal of speciesism as a self-serving prejudice is unsustainable. Their avowed inability to imagine any justification of speciesism is hardly probative. Their alleged refutations are baldly question-begging assertions of theses of hallowed ethical theories speciesism denies. They derive anti-speciesism from “anti-biologism” (a radical denial of any biological relation’s having any intrinsic moral relevance), which is fallaciously extrapolated from anti-racist and anti-sexist ideas. Appeals to taxonomical controversies glibly and disingenuously assume the relevance of those controversies, which anti-biologism denies. (shrink)

Critical analysis of wide variety of conceptions and justifications of retribution and punishment. Emphasis is on pivotal role of condemnation.

Neither M. Walzer's collectivist conception of the "moral equality" of combatants, nor its antithetical individualist conceptions of responsibility are compatible with the ethos of military professionalism and its conception(s) of the responsibility of military professionals for service in an unjust war.

Critique of Alonzo Church's Translation Test. Church's test is based on a common misconception of the grammar of (so-called) quotations. His conclusion (that metalogical truths are actually contingent empirical truths) is a reductio of that conception. Chruch's argument begs the question by assuming that translation must preserve reference despite altering logical form of statements whose truth is explained by their form.

What should be a police department's policies and regulations on the use of deadly force? What is the relevance for this of the state law on capital punishment?

Post-Fregean theorists use 'quotation' to denote indifferently both colloquially called quotations (repetitions of prior utterances) and what I call 'displays': 'Rot' means red. Colloquially, quotation is a strictly historical property, not semantic or syntactic. Displays are semantically and syntactically distinctive sentential elements. Most displays are not quotations. Pure echo quotations (Cosmological arguments involve "an unnecessary shuffle") aren't displays. Frege-inspired formal languages stipulate that enquotation forms a singular term referring to the enquoted expression (type). Formalist enquotations differ semantically and syntactically from (...) natural language displays. Call them autonomes, and mark them with stars: *Rot* means red. In formal languages, an unenstarred expression has only one meaning, and an autonome has only one meaning viz., a name (or indexical) designating the unenstarred expression (type). Stars have semantic content and can’t disambiguate. Display punctuation only disambiguates; it says only: This material is displayed. Displays have a semantic function; their marks don't.nDisplays are not terms or lexical items. Displays are objects incorporable into utterances. Such incorporation enables them to be linguistically appropriated much as we appropriate speech-external objects by extrasentential supplementation (e.g., gesturing) to identify the extension of a term by ostending the object -- but now without any extrasentential supplement. Displays are always adjunctive to an (implicit or explicit) ostensionable term, a term whose extension is identifiable by ostending an object. The display-ostensionable term extension relations are various. A display may (1) be the term's referent, or (2) represent the term's extension by (a) replicating or (b) instantiating or (c) expressing the term's referent, or (e) instantiating the property the term predicates. (shrink)

Resolution of Frege's Puzzle by denying that synonym substitution in logical truths preserves sentence sense and explaining how logical form has semantic import. Intensional context substitutions needn't preserve truth, because intercepting doesn't preserve sentence meaning. Intercepting is nonuniformly substituting a pivotal term in syntactically secured truth. Logical sentences and their synonym interceptions share factual content. Semantic content is factual content in synthetic predications, but not logical sentences and interceptions. Putnam's Postulate entails interception nonsynonymy. Syntax and vocabulary explain only the factual (...) content of synthetic predications; extrasentential reality explains their truth. Construction of logical factual content explains logical necessity. Terms retain objectual reference, but logical syntax preempts their function in explaining truth. Grasping the facts GG/gg assert entails understanding this. Understanding what GH states requires some recognition that GH must be true just because GmH, and GmH state an empirical fact. GH is standardly used to express that fact. Church's Test exposes puzzles. QMi sentences, and QTi sentences are metalogical necessities, true by syntax. Intercepting QMi creates empirical QM contingencies. Synonymy turns semantic contingencies into metalogical and lexical necessities. That transformation is syntactic, via the syntactic duality of definite descriptions. GmH is a contingent copredication, and a lexically necessary referential identity with rigidly codesignating indexicals. Metalogical sentences may be about expressional matter or what it expresses. GG has GG's semantic content, but the referent expression switches. Metalogical syntax secures truth by self-referential quotational indexing. Metalogically, referents are identified with intrasentential replica. Extrasentential identifications are metalogically irrelevant. (shrink)

The Socratic Paradox (that only Socrates is wise, and only because only he recognizes our lack of wisdom) is explained, elaborated and defended. His philosophical scepticism is distinguished from others (Pyrrhonian, Cartesian, Humean, Kripkean Wittgenstein, etc.): the doubt concerns our understanding of our beliefs, not our justification for them; the doubt is a posteriori and inductive, not a priori. Post-Socratic philosophy confirms this scepticism: contra-Descartes, our ideas are not transparent to us; contra-Verificationism, no criterion distinguishes sense from nonsense. The import (...) of this scepticism for professional ethicists is examined. (shrink)

Anthology introduction Intro to Empowering Our Military Conscience.

Critical analysis of Roe v Wade Supreme Court decision.

critical analysis of logical form of predications of truth vs predications of fact.

Analyticity is a bogus explanatory concept, and is so even granting genuine synonomy. Definitions can't explain the truth of a statement, let alone its necessity and/or our a priori knowledge of it. The illusion of an explanation is revealed by exposing diverse confusions: e.g., between nominal, conceptual and real definitions, and correspondingly between notational, conceptual, and objectual readings of alleged analytic truths, and between speaking a language and operating a calculus. The putative explananda of analyticity are (alleged) truths about essential (...) properties. Real definitions (a la Socrates) are the (alleged) explananda, not the explanans of analyticity. Their truth can be explained neither by conceptual definitions (a la Kant), nor by nominal definitions (a la Frege). The Quinean assault on synonomy is unsuccessful and in any case misplaced, because analyticity turns on the explanatory import of synonomy, not its existence. Synonym substitution in a logical truth cannot yield a necessary truth for it doesn't preserve logical form. Self-identity statements (for properties and/or individuals) differ in logical form from alter-identity statements. (shrink)

Animal liberationists call speciesism their enemy, but speciesism, perspicuously specified, says only that being human is sufficient for having our moral status. No one thinks it necessary. Throughout history, people have imagined alter-specifics, like the crowd at a Star Wars cantina, whom they’d recognize as their moral equals. Speciesism says nothing about our treatment of nonhumans. Speciesism’s historic popularity justifies presuming it true, a presumption buttressed by the absence of sound objections to it when properly understood. Its rationality is explained (...) by combining two ideas. First, universalizations of our reasons require some category of self-identification. Second, our primary category of self-identification is our key concept for understanding ourselves biologically, metaphysically, psychologically and socially, namely our species concept. We’re rationally bound to conspecifics by the relational “accident” of their essence being our own. (shrink)

Speciesism defended against common misrepresentations of what people actually believe about human moral status.

abortion argument and fact-value distinction.

Like '&', '=' is no term; it represents no extrasentential property. It marks an atomic, nonpredicative, declarative structure, sentences true solely by codesignation. Identity (its necessity and total reflexivity, its substitution rule, its metaphysical vacuity) is the objectual face of codesignation. The syntax demands pure reference, without predicative import for the asserted fact. 'Twain is Clemens' is about Twain, but nothing is predicated of him. Its informational value is in its 'metailed' semantic content: the fact of codesignation (that 'Twain' names (...) Clemens) that explains what fact it asserts and why it is necessary. Critiques of concepts of rigidity and elimination of singular terms result. (shrink)

Talking about objects requires talking with objects, presenting objects in speech to identify a term's referent. I say This figure is a circle while handing you a ring. The ring is a prop, a perceptual object referenced by an extra-sentential event to identify the extension of a term, its director ('This figure'). Props operate in speech acts and their products, not in sentences. Intra-sentential objects we talk with are displays. Displayed objects needn't be words but must be like words, perceptually, (...) reproductively, and syntactically. Displays are presented by their syntactical position, as terms, with a term-like function. Semantically they are props. The O in FOD (This figure O is a circle) is a prop-like referent, not a term. The O in OD (O is a circle) may be that of FOD, but that display may have semantically and syntactically diverse directors, and without a specific one OD has no determinate sense Describing the display of quotations demands distinguishing displays from quotations. Quotations are repetitions of something said. Displays are perceptual objects, linguistic and non-linguistic, reproductions and originals, presented in sentences to identify a referent. Display markers are disambiguators that say: Read this as a prop. They may mark direct speech from indirect speech. Markers of quotation say: Someone said this. That historical claim is outside a sentence's propositional content. Those marks don't say: This is a display. They do make it true. Calling displays quotations muddies the study of speaking with speech. Calling both displays and intranyms quotations muddies the study of meaning and truth. Intranyms are terms, consisting of an expression flanked by lines, that denote that interior expression. Intranyms are created by stipulation to formalize a metalanguage. Formalization of a metalanguage replaces displays with intranyms. Formalized metalanguages lack the logical form and subject matter of our natural metalanguage. (shrink)

Victims of crime have long been victimized by our criminal justice system. Why? And why has the movement to rectify this been so late coming?

A lengthy inventory of misreadings and other errors in Phillip Abbott's critique of recent essays on abortion by analytic philosophers.

Criticism of a moral theorizing that disparages common moral thought for violating presumed a priori principles. Argues for questioning alleged principles.

The Austrian philosopher Christian von Ehrenfels published his essay "On 'Gestalt Qualities'" in 1890. The essay initiated a current of thought which enjoyed a powerful position in the philosophy and psychology of the first half of this century and has more recently enjoyed a minor resurgence of interest in the area of cognitive science, above all in criticisms of the so-called 'strong programme' in artificial intelligence. The theory of Gestalt is of course associated most specifically with psychologists of the Berlin (...) school such as Max Wertheimer, Wolfgang Kohler and Kurt Koffka. We shall see in what follows, however, that an adequate philosophical understanding of the Gestalt idea and of Ehrenfels' achievement will require a close examination not merely of the work of the Berlin school but also of a much wider tradition in Austrian and German philosophy in general. (shrink)

The term ‘Gestalt’ was introduced into psychology by the Austrian philosopher Christian von Ehrenfels in an essay entitled “On ‘Gestalt-Qualities’” published in 1890. ‘Gestalt,’ in colloquial German, means roughly: ‘shape’ or ‘structure’ or ‘configuration’, and Ehrenfels demonstrates in his essay that there are certain inherently structural features of experience which need to be acknowledged in addition to simple tones, colours and other mental ‘atoms’ or ‘elements’. His essay thus initiated a reaction against the then still dominant atomism in psychology, a (...) reaction which culminated in the work on ‘cerebral intregation’ of the so-called Berlin school of Gestalt psychology. Max Wertheimer, one of the leading members of this school, was a student of Ehrenfels in Prague. Ehrenfels himself belonged to an impressive list of original thinkers – a list which includes also Edmund Husserl, Alexius Meinong and Carl Stumpf, the founder of the Berlin school – who were students of Franz Brentano. Each of these thinkers attempted to elaborate, both ontologically and psychologically, the doctrine of intentionality put forward by Brentano. The work of Ehrenfels and of the later Gestaltists, too, may be seen as a contribution to the understanding of this mental directedness, and in particular to the understanding of the directedness of perceptual experience. (shrink)

There are two opposing views concerning intuitive cases of wage exploitation. The first denies that they are cases of exploitation at all. It is based on the nonworseness claim: there is nothing wrong with a discretionary mutually beneficial employment relationship. The second is the reasonable view: some employment relationships can be exploitative even if employers have no duty towards their employees. This article argues that the reasonable view does not completely defeat defences of wage exploitation, because these do not rely (...) solely on the nonworseness claim. They also rely on the idea, popularised by Alan Wertheimer, that exploitation is a form of disequilibrium price occurring in defective markets. The article then proceeds to criticise Wertheimer’s account through neoclassical, new institutional, and Austrian economics. It concludes that considerations for economic efficiency are irrelevant to assessing intuitions regarding exploitation. (shrink)

This essay is an introduction to a lecture course "Elements of Descriptive Psychology" delivered by Anton Marty in around 1903/04. Marty offered courses on descriptive psychology at regular intervals in the course of his career at the University of Prague. The content of these courses follows closely the ideas of Marty’s teacher Franz Brentano, though with some interesting divergences and extrapolations. The present work is a historical and systematic introduction to an extract from notes taken of Marty’s lecture, with some (...) discussion of the work of Dilthey on similar topics, and of Marty’s influence on Franz Kafka and on the Gestalt psychologist Max Wertheimer. (shrink)

Todos los días se prueban nuevos psicofármacos, tratamientos para el VIH/SIDA o el cáncer, entre otras enfermedades. Algunos de esos tratamientos son lo suficientemente exitosos como para cronificar enfermedades antes consideradas mortales, como los antirretrovirales para el VIH/SIDA o el imatinib para la leucemia mieloide a principios del 2000. No obstante, antes de que puedan ser comercializados o estar disponibles en los sistemas de salud pública, deben pasar por una serie de rigurosas pruebas de calidad, seguridad y eficacia. Estas pruebas (...) implican el testeo de las drogas en animales y su estudio en seres humanos, sanos o enfermos. Estrictas normas de buenas prácticas científicas y éticas regulan todo el proceso de las investigaciones biomédicas. El problema de mi tesis se centra en el momento de la finalización de los estudios en seres humanos. Alguien podría preguntarse qué pasa con las personas si se benefician clínicamente del tratamiento experimental durante el estudio cuando este finaliza. La interrupción abrupta de un tratamiento beneficioso podría poner en peligro la salud de los sujetos. Y en el caso de sujetos de investigación afectados por enfermedades crónicas, es probable que deban continuar con el tratamiento beneficioso u otra atención adecuada por el resto de sus vidas. Un sujeto de investigación estadounidense sin seguro de salud que participó en un estudio de largo plazo de diabetes resume estas preocupaciones: "de repente cortan la cuerda, y uno está solo por su cuenta ... O conseguís trescientos o cuatrocientos dólares por mes para seguir con esto o simplemente seguís adelante y morís". Este tipo de casos me llevaron a preguntar si existe alguna obligación moral de proveer el tratamiento beneficioso a un sujeto de investigación que no puede pagárselo. Muchas personas podrían pensar que interrumpir el tratamiento beneficioso al sujeto de investigación que padece de diabetes y no tiene seguro para cubrir un tratamiento es incorrecto, porque nadie debería morir de una enfermedad o dedicar todos los recursos disponibles para sobrevivir, especialmente cuando se contribuyó a encontrar una cura o a obtener la evidencia científica necesaria para desarrollar un mejor tratamiento que el existente. Otras personas podrían pensar que lo correcto es ofrecer el tratamiento a un "precio justo", y si la persona no puede pagar por la continuidad de tratamiento es su responsabilidad. Mi intuición es que una sociedad democrática justa tiene una obligación moral de establecer un sistema de continuidad de tratamiento beneficioso para los sujetos de investigación. En esta tesis intento justificar filosóficamente esta última intuición básica utilizando el marco teórico de la teoría de la justicia de Rawls. Elijo utilizar la teoría rawlsiana, porque esta teoría me permite ubicar los problemas morales con respecto a la continuidad de tratamiento beneficioso en su contexto social adecuado y en el contexto de la búsqueda general de una sociedad más justa. En particular, la encuentro especialmente adecuada para explicar fenómenos complejos de responsabilidad social como los que creo que subyacen en el problema de la obligación de continuidad de tratamiento beneficioso hacia los sujetos de investigación. Como mostraré más adelante, es imposible tener en cuenta los aspectos morales de la continuidad de tratamiento beneficioso aislada de la sociedad en la que se realizan los estudios con seres humanos. En el capítulo 1 presento una introducción general al tema de la ética de la investigación y al problema de la continuidad de tratamiento beneficioso. En el capítulo 2 intento determinar el campo de estudio de la obligación de continuidad de tratamiento beneficioso hacia los sujetos de investigación. Para eso, mi estrategia es la siguiente. Primero, busco identificar los casos de estudios clínicos donde se daría la obligación de continuidad beneficiosa hacia los sujetos de investigación. Segundo, presento el problema de la justificación moral de la obligación de continuidad y la necesidad de discutir las justificaciones basadas en la idea de justicia como reciprocidad. Para esto, en la sección 2, identifico la obligación de continuidad de tratamiento a través de una selección de sus casos paradigmáticos en la literatura. Comienzo con el caso de los estudios clínicos con antirretrovirales llevados a cabo en Sudáfrica en personas con VIH/SIDA. Luego, introduzco el concepto teórico de sistema de continuidad de tratamiento beneficioso. Este concepto me permite evaluar y comparar teóricamente cómo diferentes sociedades hacen frente al problema de proveer la continuidad de tratamiento beneficioso a los sujetos de investigación. Por último, rastreo los casos ejemplares de obligación de continuidad de tratamiento beneficioso hacia los sujetos en países desarrollados, con énfasis especial en los Estados Unidos. En la sección 3, analizo algunos problemas de confusión o ambigüedad más importantes en torno a la obligación. Primero, analizo el nombre de la obligación. Luego, trato de distinguir la obligación de continuidad de tratamiento hacia los sujetos de investigación de la obligación de disponibilidad razonable, una confusión muy común en la literatura de la ética de la investigación. Finalmente, me detengo a analizar una posible ambigüedad en el concepto de "tratamiento beneficioso" y utilizo algunos de los casos paradigmáticos identificados para argumentar a favor de mi interpretación. Atacado el primer problema, en la sección 4 y 5 me vuelco a relevar el problema de la justificación moral de la obligación de continuidad. En la sección 4, reconstruyo lo que llamo la "versión simple" del concepto de obligación a partir de la discusión sobre las fuentes de la obligación de continuidad de tratamiento beneficioso. Luego, planteo la necesidad de investigar las justificaciones basadas en la idea de justicia como reciprocidad debido a las ambigüedades y la falta de un marco teórico claro dentro del campo de la ética de la investigación en seres humanos. Finalmente, en la sección 5, introduzco algunas distinciones clásicas con el fin de complejizar el marco teórico de las obligaciones, el cual será utilizado en la discusión de los próximos dos capítulos. En el capítulo 3 discuto la justificación de la obligación de continuidad de tratamiento que da el modelo económico de Alan Wertheimer. En la sección 1 del capítulo, debido a lo específico del tema y lo poco conocido del autor, introduzco a la persona y el contexto institucional de su obra. En la sección 2 del capítulo, distingo tres interpretaciones del concepto de justicia como reciprocidad e intento mostrar que Wertheimer utiliza una interpretación caracterizada por el uso mutuo y el intercambio de beneficios, a la cual llamo "reciprocidad de mercado". En la sección 3, presento el marco teórico del modelo económico. La pregunta fundamental de Wertheimer es la siguiente: ¿tienen los investigadores o patrocinadores una obligación supercontractual de proporcionar la continuidad de tratamiento u otros beneficios a los sujetos de investigación? Según el autor, el consenso en ética de la investigación responde de manera afirmativa a esta pregunta y como fundamento de esta obligación se encontraría lo que Wertheimer llama "el principio de interacción". Analizo este principio y presento las críticas que hace Wertheimer al mismo. En la sección 4, presento la respuesta a la pregunta fundamental que da Wertheimer mediante su "argumento estratégico". En la sección 5 analizo la solución dada por Wertheimer e intento explicar algunos de los supuestos principales del modelo, a saber, (i) la lógica del argumento estratégico, (ii) la fuerza moral de los conceptos de Pareto y (iii) el compromiso del modelo económico con la restricción de la información. Por último, en la sección 6 presento mis críticas al modelo económico. En el capítulo 4 presento el modelo de reciprocidad democrática, inspirado en la teoría de la justicia de Rawls. Este modelo se presenta como un marco teórico y una interpretación de la justicia como reciprocidad alternativos al modelo económico presentado en el capítulo anterior. En la sección 2 del presente capítulo, explicito los problemas del marco teórico relacionados con el concepto de justicia como reciprocidad que subyacen a la discusión sobre la obligación de continuidad de tratamiento beneficioso hacia los sujetos de investigación. Para esto, me centro en tres puntos: (i) la relación del principio de justicia como reciprocidad y el concepto de obligación; (ii) el problema del alcance del principio de reciprocidad, y (iii) la relación entre el principio de reciprocidad y el concepto de equidad, o lo que llamo "el problema de la medida de la reciprocidad". En la sección 3, defino con mayor claridad el enfoque rawlsiano de la justicia distributiva y expongo una crítica a los argumentos antirrawlsianos esgrimidos por los defensores del modelo económico que afirman que los principios de justicia política de Rawls no se aplican a los individuos. Si mi respuesta a los defensores del modelo económico es correcta, los principios de justicia política se aplican a los individuos de manera indirecta, mediante la asignación de obligaciones posicionales por parte de la estructura básica de instituciones de una sociedad democrática, y permiten garantizar igual justicia a todos los miembros de la sociedad. En la sección 4, presento mi propuesta original de cómo entender la obligación de continuidad de tratamiento beneficioso hacia los sujetos de investigación. Esta sería una obligación posicional perfecta correlativa con el derecho a la salud en sociedades democráticas justas o moderadamente injustas. En la sección 5, muestro de manera detallada el mecanismo apropiado para extender los principios de justicia política al caso de la obligación de continuidad de tratamiento beneficioso hacia los sujetos de investigación. Con este objetivo, introduzco la idea de secuencia en cuatro etapas, que permite evaluar y diseñar nuevos esquemas institucionales para dar contenido a la obligación de continuidad de tratamiento. Y presento los principios de obligaciones y deberes individuales, que cierran el sistema rawlsiano brindando razones morales a los individuos para extender los esquemas institucionales justos a nuevas situaciones, reformar los existentes y cumplir con las obligaciones posicionales asignadas por estos nuevos esquemas. Por último, en la sección 6, discuto las objeciones más importantes al modelo de justificación de reciprocidad democrática. Por último, en la conclusión general, hago un intento de aplicación del marco teórico del modelo de reciprocidad democrática al análisis de los sistemas de continuidad de tratamiento para países como Argentina o Brasil y presento las líneas más importantes para la investigación futura. (shrink)

In 1890 Christian von Ehrenfels published his classic paper "Über 'Gestaltqualitäten'", the first systematic investigation of the philosophy and psychology of Gestalt. Ehrenfels thereby issued an important challenge to the psychological atomism that was still predominant in his day. His paper not only exerted a powerful influence on the philosophy of the Meinong school, it also marked the beginning of the Gestalt tradition in psychology, later associated with the work of Wertheimer, Köhler and Koffka in Berlin. Includes papers by (...) C. Von Ehrenfels, Kurt Grelling and Paul Oppenheim and contributions by K. Mulligan, P.M. Simons and Barry Smith. (shrink)

The paper presents basic Gestalt psychological concepts of ego and self. They differ from other concepts in the way that they do not comprehend ego and self as fixed entities or as central controlling instances of the psyche, but as one specific organized unit in a psychological field in dynamic interrelation with the other organized units—the environment units—of this field. On this theme, well-known representatives of Gestalt theory have presented some general and special theories since the early days of this (...) approach that could partly be substantiated experimentally. They illuminate the relationship between ego and world in everyday life as well as in the case of mental disorders. Not only the spatial extension of the phenomenal ego is subject to situational changes, but also its place in the world, its functional fitting in this world, its internal differentiation, its permeability to the environment, and much more. The German Gestalt psychologist Wolfgang Metzger emphasizes the significant functional role that this dynamic plasticity of the phenomenal world and its continuously changing segregation of ego and environment have for human life by designating the phenomenal world as a “Central Steering Mechanism.” In this article, ego and self as part of this field in their interrelation with the total psychological field will be illuminated from the perspective of the thinking of the Gestalt psychologists Max Wertheimer, Kurt Koffka, Wolfgang Köhler, Kurt Lewin, Wolfgang Metzger, Mary Henle, Edwin Rausch, and Giuseppe Galli. (shrink)

Any plausibly just market exchange must balance two conflicting moral considerations: non-worseness (Wertheimer, 1999) and euvoluntariness (true voluntariness; Munger, 2011). We propose an analytical theory of just market exchange that partly resolves this conflict.

What is coercion and why do we care? Coercion is widespread and used especially when raising children, but on its darker side coercion can have devastating consequences. We are worried about coercion as it can invalidate consent. This is seen in the USA where campus rape cases have soared in recent years and brought consent and coercion back to the forefront of debate. Coercion is a hotly debated legal, political and ethical concept. However, in all this debate we have seen (...) little in the way of what coercion means exactly and how we determine it is taking place. Wertheimer and Garnett have interesting views about how coercion can be understood, from the morally wrong side of coercion to the situations where people are left much worse off because of its use. Only the morally wrong situations are subject to the law but there is a whole set of coercive situations that could take place which look bad to the outsider but are not necessarily morally wrong. This is the area of coercion I wish to discuss further. Wertheimer states that there are two types of coercion, moralised and non moralised. Moralised coercion concerns whether it was ‘wrongful’ to propose the offer and the non-moralised notion examines whether the coerced had any other reasonable choice. In a similar vein to Wertheimer, Garnett believes that coercion has two roles, Deontic (wrong) and Eudaimonic (bad). This would vaguely map to Deontic as Moralised and Eudaimonic as Non Moralised. Garnett discusses the eudaimonic version at length believing it is relatively unexplored in situations of coercion. This paper consists of 4 sections: • Section 1 discusses what Coercion is • Section 2 reviews Wertheimer’s view of Moralised and Non Moralised Consent • Section 3 discusses Garnett’s View • Section 4 considers a cost-benefit analysis of eudaimonically wrong situations. In conclusion it is apparent that, in order to have a full picture of what kind of situations coercion actually covers we must not simply rely on the deontic concept. The Deontic way of looking at situations will tell us what is morally wrongful and possibly redressable in court but many situations simply sit badly with us. It is here, in this arena, that the eudaimonic concept comes into its own. (shrink)