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Double-Effect Reasoning: Doing Good & Avoiding Evil

New York: Oxford University Press UK (2006)

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  1. Lethal Organ Donation: Would the Doctor Intend the Donor’s Death?Ben Bronner - 2019 - Journal of Medicine and Philosophy 44 (4):442-458.
    Lethal organ donation is a hypothetical procedure in which vital organs are removed from living donors, resulting in their death. An important objection to lethal organ donation is that it would infringe the prohibition on doctors intentionally causing the death of patients. I present a series of arguments intended to undermine this objection. In a case of lethal organ donation, the donor’s death is merely foreseen, and not intended.
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  • Psychopathy: Morally Incapacitated Persons.Heidi Maibom - 2017 - In Thomas Schramme & Steven Edwards (eds.), Handbook of the Philosophy of Medicine. Springer. pp. 1109-1129.
    After describing the disorder of psychopathy, I examine the theories and the evidence concerning the psychopaths’ deficient moral capacities. I first examine whether or not psychopaths can pass tests of moral knowledge. Most of the evidence suggests that they can. If there is a lack of moral understanding, then it has to be due to an incapacity that affects not their declarative knowledge of moral norms, but their deeper understanding of them. I then examine two suggestions: it is their deficient (...)
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  • Retracted article: Strategic bombing, causal beliefs, and double effect.Ezio Di Nucci - 2016 - Journal of Value Inquiry 50 (2):385-394.
    I argue against the Doctrine of Double Effect’s explanation of the moral difference between terror bombing and strategic bombing. I show that the standard thought-experiment of terror bombing and strategic bombing which dominates this debate is underdetermined with regards to the agents’ psychologies: (a) if Terror Bomber and Strategic Bomber have the same causal beliefs, then why does Terror Bomber set out to kill the children? It may then be this unwarranted and immoral choice and not the Doctrine of Double (...)
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  • Mindlessness Bibliography.Ezio Di Nucci - 2013 - Cambridge Scholars Press.
    This file contains the Bibliography of my book Mindlessness.
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  • An Eye for an Eye: Proportionality and Surveillance.Kevin Macnish - 2015 - Ethical Theory and Moral Practice 18 (3):529-548.
    It is often claimed that surveillance should be proportionate, but it is rarely made clear exactly what proportionate surveillance would look like beyond an intuitive sense of an act being excessive. I argue that surveillance should indeed be proportionate and draw on Thomas Hurka’s work on proportionality in war to inform the debate on surveillance. After distinguishing between the proportionality of surveillance per se, and surveillance as a particular act, I deal with objections to using proportionality as a legitimate ethical (...)
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  • Don't Ask, Look! Linguistic Corpora as a Tool for Conceptual Analysis.Roland Bluhm - 2013 - In Miguel Hoeltje, Thomas Spitzley & Wolfgang Spohn (eds.), Was dürfen wir glauben? Was sollen wir tun? Sektionsbeiträge des achten internationalen Kongresses der Gesellschaft für Analytische Philosophie e.V. DuEPublico. pp. 7-15.
    Ordinary Language Philosophy has largely fallen out of favour, and with it the belief in the primary importance of analyses of ordinary language for philosophical purposes. Still, in their various endeavours, philosophers not only from analytic but also from other backgrounds refer to the use and meaning of terms of interest in ordinary parlance. In doing so, they most commonly appeal to their own linguistic intuitions. Often, the appeal to individual intuitions is supplemented by reference to dictionaries. In recent times, (...)
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  • Artifacts, Intentions, and Contraceptives: The Problem with Having a Plan B for Plan B.Philip A. Reed - 2013 - Journal of Medicine and Philosophy 38 (6):jht051.
    Next SectionIt is commonly proposed that artifacts cannot be understood without reference to human intentions. This fact, I contend, has relevance to the use of artifacts in intentional action. I argue that because artifacts have intentions embedded into them antecedently, when we use artifacts we are sometimes compelled to intend descriptions of our actions that we might, for various reasons, be inclined to believe that we do not intend. I focus this argument to a specific set of artifacts, namely, medical (...)
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  • The Danger of Double Effect.Philip A. Reed - 2012 - Christian Bioethics 18 (3):287-300.
    In this paper, I argue that the doctrine of double effect is disposed toward abuse. I try to identify two distinct sources of abuse of double effect: the conditions associated with standard formulations of double effect and the difficulty of fully understanding one’s own intentions in action. Both of these sources of abuse are exacerbated in complex circumstances, where double effect is most often employed. I raise this concern about abuse not as a criticism of double effect but rather as (...)
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  • A causal modeler's guide to double effect reasoning.Gerard J. Rothfus - forthcoming - Philosophy and Phenomenological Research.
    Trolley problems and like cases are often thought to show the inadequacy of purely consequentialist moral theories. In particular, they are often taken to reveal that consequentialists unduly neglect the moral significance of the causal structure of decision problems. To precisify such critiques and one sort of deontological morality they motivate, I develop a formal modeling framework within which trolley problems can be represented as suitably supplemented structural causal models and various consequentialist and double effect-inspired moral theories can be viewed (...)
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  • Rethinking the Foundations of Just War Theory. [REVIEW]Kevin Lacourse & Peter Stone - 2020 - Ethical Theory and Moral Practice 23 (2):475-481.
    Kai Draper’s War and Individual Rights: The Foundations of Just War Theory seeks to “give birth to an alternative approach” to traditional just war theory. This review seeks to analyse and evaluate this alternative approach. Draper’s approach to just war theory differs from other approaches in three ways. First, it is “highly individualistic.” Second, Draper’s approach avoids reliance upon the principle of double effect. Third, this approach is “largely rights-based”—it seeks “to understand the ethics of war mostly by way of (...)
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  • Mindlessness.Ezio Di Nucci - 2013 - Cambridge Scholars Press.
    Thinking is overrated: golfers perform best when distracted and under pressure; firefighters make the right calls without a clue as to why; and you are yourself ill advised to look at your steps as you go down the stairs, or to try and remember your pin number before typing it in. Just do it, mindlessly. Both empirical psychologists and the common man have long worked out that thinking is often a bad idea, but philosophers still hang on to an intellectualist (...)
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  • Not as a Means: Killing as a Side Effect in Self‐defense.Kerah Gordon-Solmon - 2019 - Pacific Philosophical Quarterly 100 (4):1074-1090.
    A person drives her well‐maintained car cautiously and alertly to the movies. Freak circumstances send the car out of control. It veers in the direction of a pedestrian whom it will kill unless she, or a third party, blows it up with a grenade. Whether the driver is liable to be thusly killed polarizes debates about the ethics of self‐defense. But debaters frequently conflate the questions of whether and by what means the driver is liable to be killed. The paper (...)
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  • The last low whispers of our dead: when is it ethically justifiable to render a patient unconscious until death?Daniel P. Sulmasy - 2018 - Theoretical Medicine and Bioethics 39 (3):233-263.
    A number of practices at the end of life can causally contribute to diminished consciousness in dying patients. Despite overlapping meanings and a confusing plethora of names in the published literature, this article distinguishes three types of clinically and ethically distinct practices: double-effect sedation, parsimonious direct sedation, and sedation to unconsciousness and death. After exploring the concept of suffering, the value of consciousness, the philosophy of therapy, the ethical importance of intention, and the rule of double effect, these three practices (...)
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  • (1 other version)Two Problems with the Socio-Relational Critique of Distributive Egalitarianism.Christian Seidel - 2013 - In Miguel Hoeltje, Thomas Spitzley & Wolfgang Spohn (eds.), Was dürfen wir glauben? Was sollen wir tun? Sektionsbeiträge des achten internationalen Kongresses der Gesellschaft für Analytische Philosophie e.V. DuEPublico. pp. 525-535.
    Distributive egalitarians believe that distributive justice is to be explained by the idea of distributive equality (DE) and that DE is of intrinsic value. The socio-relational critique argues that distributive egalitarianism does not account for the “true” value of equality, which rather lies in the idea of “equality as a substantive social value” (ESV). This paper examines the socio-relational critique and argues that it fails because – contrary to what the critique presupposes –, first, ESV is not conceptually distinct from (...)
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  • Double effect, all over again: The case of Sister Margaret McBride.Bernard G. Prusak - 2011 - Theoretical Medicine and Bioethics 32 (4):271-283.
    As media reports have made widely known, in November 2009, the ethics committee of St. Joseph’s Hospital in Phoenix, Arizona, permitted the abortion of an eleven-week-old fetus in order to save the life of its mother. This woman was suffering from acute pulmonary hypertension, which her doctors judged would prove fatal for both her and her previable child. The ethics committee believed abortion to be permitted in this case under the so-called principle of double effect, but Thomas J. Olmsted, the (...)
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  • “I Am Eating a Sandwich Now”: Intent and Foresight in the Twitter Age.Stacy Elizabeth Stevenson & Lee Anne Peck - 2011 - Journal of Mass Media Ethics 26 (1):56-65.
    Although the criteria of double effect is usually used with issues of warfare and human health, such as abortion and euthanasia, the authors suggest using T. A. Cavanaugh's version of double effect reasoning when deliberating about cases that deal with the social media. With the creation of a modified version of Cavanaugh's three criteria, both social media users and those who evaluate decisions in that medium will have an alternate ethical decision-making model to use. The authors show how one might (...)
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  • Withdrawing critical care from patients in a triage situation.Joseph Tham, Louis Melahn & Michael Baggot - 2021 - Medicine, Health Care and Philosophy 24 (2):205-211.
    The advent of COVID-19 has been the occasion for a renewed interest in the principles governing triage when the number of critically ill patients exceeds the healthcare infrastructure’s capacity in a given location. Some scholars advocate that it would be morally acceptable in a crisis to withdraw resources like life support and ICU beds from one patient in favor of another, if, in the judgment of medical personnel, the other patient has a significantly better prognosis. The paper examines the arguments (...)
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  • Opioids, Double Effect, and the Prospects of Hastening Death.Philip A. Reed - 2021 - Journal of Medicine and Philosophy 46 (5):505-515.
    The relevance of double effect for end-of-life decision-making has been challenged recently by a number of scholars. The principal reason is that opioids such as morphine do not usually hasten death when administered to relieve pain at the end of life; therefore, no secondary “double” effect is brought about. In my article, I argue against this view, showing how the doctrine of double effect is relevant to the administration of opioids at the end of life. I contend that the prevailing (...)
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  • Ontological Classifications and Human Rationality in Bioethics.Alexandra T. Romanyshyn - 2019 - Journal of Medicine and Philosophy 44 (4):391-402.
    Metaphysics often has an important role in deciding ethical questions. Specifically, in the realm of bioethics, metaphysical questions such as the nature of persons, diseases, and properties in general can be crucial to determining what is right or wrong. In this article, I tie together various metaphysical themes that recur throughout the rest of the issue: rationality as an element of human nature, ontological classifications, and kinds of action. I will explain that each has ethical implications. Actions that contravene reason (...)
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  • The accomplishment of plans: a new version of the principle of double effect.Alexander R. Pruss - 2013 - Philosophical Studies 165 (1):49-69.
    The classical principle of double effect offers permissibility conditions for actions foreseen to lead to evil outcomes. I shall argue that certain kinds of closeness cases, as well as general heuristic considerations about the order of explanation, lead us to replace the intensional concept of intention with the extensional concept of accomplishment in double effect.
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