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Individual Complicity: The Tortured Patient

In On complicity and compromise. Oxford United Kingdom: Oxford University Press (2013)

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  1. Do Doctors Have a Responsibility to Challenge the Distorting Influence of Commerce on Healthcare Delivery? The Case of Assisted Reproductive Technology.Craig Stanbury, Ian Kerridge, Ainsley J. Newson, Narcyz Ghinea & Wendy Lipworth - forthcoming - Health Care Analysis:1-13.
    Medicine has always existed in a marketplace, and there have been extensive discussions about the ethical implications of commerce in health care. For the most part, this discussion has focused on health professionals’ interactions with pharmaceutical and other health technology industries, with less attention given to other types of commercial influences, such as corporatized health services and fee-for-service practice. This is a significant lacuna because in many jurisdictions, some or all of healthcare is delivered in the private sector. Using the (...)
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  • States’ culpability through time.Stephanie Collins - 2024 - Philosophical Studies 181 (5):1345-1368.
    Some contemporary states are morally culpable for historically distant wrongs. But which states for which wrongs? The answer is not obvious, due to secessions, unions, and the formation of new states in the time since the wrongs occurred. This paper develops a framework for answering the question. The argument begins by outlining a picture of states’ agency on which states’ culpability is distinct from the culpability of states’ members. It then outlines, and rejects, a plausible-seeming answer to our question: that (...)
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  • Epistemic Complicity.Cameron Boult - 2023 - Episteme 20 (4):870-893.
    There is a widely accepted distinction between being directly responsible for a wrongdoing versus being somehow indirectly or vicariously responsible for the wrongdoing of another person or collective. Often this is couched in analyses of complicity, and complicity’s role in the relationship between individual and collective wrongdoing. Complicity is important because, inter alia, it allows us to make sense of individuals who may be blameless or blameworthy to a relatively low degree for their immediate conduct, but are nevertheless blameworthy to (...)
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  • The political philosophy of whistleblowing.Wim Vandekerckhove - 2022 - Philosophy of Management 21 (3):337-344.
    This article uses two recent books on whistleblowing authored by political philosophers, to suggest that what political philosophy can contribute to the whistleblowing debate are notions of public interest that can help to enable and delineate responsibilities and protection of different actors. Whilst it is acknowledged that these recent works on whistleblowing offer a welcome articulation of the business ethics scholarship into that of political philosophy, it fails to deliver on its potential contribution. The argumentation proceeds along three objections, (1) (...)
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  • Responsibility in Cases of Structural and Personal Complicity: A Phenomenological Analysis.Charlotte Knowles - 2021 - The Monist 104 (2):224-237.
    In cases of complicity in one’s own unfreedom and in structural injustice, it initially appears that agents are only vicariously responsible for their complicity because of the roles circumstantial and constitutive luck play in bringing about their complicity. By drawing on work from the phenomenological tradition, this paper rejects this conclusion and argues for a new responsive sense of agency and responsibility in cases of complicity. Highlighting the explanatory role of stubbornness in cases of complicity, it is argued that although (...)
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  • Feasibility as a Constraint on ‘Ought All-Things-Considered’, But not on ‘Ought as a Matter of Justice’?Nicholas Southwood - 2019 - Philosophical Quarterly 69 (276):598-616.
    It is natural and relatively common to suppose that feasibility is a constraint on what we ought to do all-things-considered but not a constraint on what we ought to do as a matter of justice. I show that the combination of these claims entails an implausible picture of the relation between feasibility and desirability given an attractive understanding of the relation between what we ought to do as a matter of justice and what we ought to do all-things-considered.
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  • Let Slip the Dogs of Commerce: The Ethics of Voluntary Corporate Withdrawal in Response to War.Tadhg Ó Laoghaire - 2024 - The Journal of Ethics 28 (1):27-52.
    Over 1000 companies have either curtailed or else completely ceased operations in Russia as a response to its invasion of Ukraine, a mass corporate exodus of a speed and scale which we’ve never seen. While corporate withdrawal appears to have considerable public support, it’s not obvious that it has done anything to hamper the Russian war effort, nor is it clear what the long-run effects of corporate withdrawal as a regularised response to war might be. Given this, it’s important the (...)
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  • Collective Responsibility and Acting Together.Olle Blomberg & Frank Hindriks - 2020 - In Saba Bazargan-Forward & Deborah Tollefsen (eds.), The Routledge Handbook of Collective Responsibility. Routledge.
    What is the moral significance of the contrast between acting together and strategic interaction? We argue that while collective moral responsibility is not uniquely tied to the former, the degree to which the participants in a shared intentional wrongdoing are blameworthy is normally higher than when agents bring about the same wrong as a result of strategic interaction. One argument for this claim focuses on the fact that shared intentions cause intended outcomes in a more robust manner than the intentions (...)
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  • Revolution Against Non-violent Oppression.Zsolt Kapelner - 2019 - Res Publica 25 (4):445-461.
    Oppressive governments that use violence against citizens, e.g. murder and torture, are usually thought of as liable to armed revolutionary attack by the oppressed population. But oppression may be non-violent. A government may greatly restrict political rights and personal autonomy by using surveillance, propaganda, manipulation, strategic detention and similar techniques without ever resorting to overt violence. Can such regimes be liable to revolutionary attack? A widespread view is that the answer is ‘no’. On this view, unless a government is or (...)
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  • AI Systems Under Criminal Law: a Legal Analysis and a Regulatory Perspective.Francesca Lagioia & Giovanni Sartor - 2020 - Philosophy and Technology 33 (3):433-465.
    Criminal liability for acts committed by AI systems has recently become a hot legal topic. This paper includes three different contributions. The first contribution is an analysis of the extent to which an AI system can satisfy the requirements for criminal liability: accomplishing an actus reus, having the corresponding mens rea, possessing the cognitive capacities needed for responsibility. The second contribution is a discussion of criminal activity accomplished by an AI entity, with reference to a recent case involving an online (...)
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  • Conscientious objection in healthcare and the duty to refer.Christopher Cowley - 2017 - Journal of Medical Ethics 43 (4):207-212.
    Although some healthcare professionals have the legal right to conscientiously object to authorise or perform certain lawful medical services, they have an associated duty to provide the patient with enough information to seek out another professional willing to authorise or provide the service (the ‘duty to refer’). Does the duty to refer morally undermine the professional's conscientious objection (CO)? I narrow my discussion to the National Health Service in Britain, and the case of a general practitioner (GP) being asked by (...)
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  • Genome Editing in Livestock, Complicity, and the Technological Fix Objection.Katrien Devolder - 2021 - Journal of Agricultural and Environmental Ethics 34 (3):1-17.
    Genome editing in livestock could potentially be used in ways that help resolve some of the most urgent and serious global problems pertaining to livestock, including animal suffering, pollution, antimicrobial resistance, and the spread of infectious disease. But despite this potential, some may object to pursuing it, not because genome editing is wrong in and of itself, but because it is the wrong kind of solution to the problems it addresses: it is merely a ‘technological fix’ to a complex societal (...)
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  • Reckless Enabling.Christopher Cowley - 2020 - Criminal Law and Philosophy 14 (1):51-67.
    The 2016, the UK Supreme Court case of Jogee confirmed a long-standing convention in English law. In cases where D is assisting or encouraging P to commit an offence, D will only be liable as an accessory for that offence if she intentionally assists or encourages P and if she knows the essential features of the offence. In this paper, I discuss and develop some of the arguments from Sanford Kadish’s 1996 article “Reckless Complicity.” I argue that a special sub-category (...)
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  • State Speech as a Response to Hate Speech: Assessing ‘Transformative Liberalism’.Paul Billingham - 2019 - Ethical Theory and Moral Practice 22 (3):639-655.
    ‘Transformative liberals’ believe that the state should use its non-coercive capacities to counter hateful speech and practices, by seeking to transform the views of those who hold hateful and discriminatory beliefs. This paper critically assesses transformative liberalism, with a particular focus on the theory developed by Corey Brettschneider. For Brettschneider, the state should engage in ‘democratic persuasion’ by speaking out against views that are incompatible with the ideal of free and equal citizenship, and refusing to fund or subsidise civil society (...)
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  • Exploitation and Joint Action.Erik Malmqvist & András Szigeti - 2019 - Journal of Social Philosophy 50 (3):280-300.
    Journal of Social Philosophy, EarlyView.
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  • Agency, Complicity, and the Responsibility to Resist Structural Injustice.Corwin Aragon & Alison M. Jaggar - 2018 - Journal of Social Philosophy 49 (3):439-460.
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  • Resistance and the delivery of healthcare in Australian immigration detention centres.Ryan Essex & Michael Dudley - 2023 - Monash Bioethics Review 41 (1):82-95.
    There are few issues that have been as vexing for the Australian healthcare community as the Australian governments policy of mandatory, indefinite, immigration detention. While many concepts have been used to begin to describe the many dilemmas faced by healthcare professionals and their resolution, they are limited, perhaps most fundamentally by the fact that immigration detention is antithetical to health and wellbeing. Furthermore, and while most advice recognises that the abolition of detention is the only option in overcoming these issues, (...)
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  • Co-responsibility for Individualists.David Atenasio - 2019 - Res Publica 25 (4):511-530.
    Some argue that if an agent intentionally participates in collective wrongdoing, that agent bears responsibility for contributing actions performed by other members of the agent’s collective. Some of these intention-state theorists distribute co-responsibility to group members by appeal to participatory intentions alone, while others require participants to instantiate additional beliefs or perform additional actions. I argue that prominent intention-state theories of co-responsibility fail to provide a compelling rationale for why participation in collective wrongdoing merits responsibility not only for one’s own (...)
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  • Organizations as Wrongdoers: From Ontology to Morality, by Stephanie Collins. [REVIEW]Saba Bazargan-Forward - forthcoming - Mind.
    In the philosophy of structured group activity there are at least two research programmes. The first is ontological in that it focuses on the reality of organiz.
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  • Setting Health-Care Priorities: A Reply to Tännsjö.Robert E. Goodin - 2020 - Diametros 18 (68):1-9.
    This paper firstly distinguishes between principles of “global justice” that apply the same anywhere and everywhere – Tännsjö’s utilitarianism, egalitarianism, prioritarianism and such like – and principles of “local justice” that apply within the specific sphere of health-care. Sometimes the latter might just be a special case of the former – but not always. Secondly, it discusses reasons, many psychological in nature, why physicians might devote excessive resources to prolonging life pointlessly, showing once again that those reasons might themselves be (...)
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  • Complicity and the responsibility dilemma.Morten Højer Jensen - 2020 - Philosophical Studies 177 (1):109-127.
    Jeff McMahan famously defends a moral inequality of combatants, where liability to be attacked and potentially killed in war, should be grounded in the individual combatant’s moral responsibility for posing an unjust threat. In a response, Seth Lazar shows that McMahan’s criterion for liability leads to an unacceptable dilemma between “contingent pacifism” and “total war”, i.e. between war being practically infeasible, or implausibly many civilians being legitimate targets. The problem is that McMahan grounds liability mainly in the individual’s causal responsibility (...)
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  • The Problem of Democratic Dirty Hands: Citizen Complicity, Responsibility, and Guilt.Stephen de Wijze - 2018 - The Monist 101 (2):129-149.
    This paper outlines and explores the problem of democratic dirty hands, the sui generis moral situation where democratic politicians justifiably violate both a cherished moral principle and the fundamental processes of democratic governance. Some recent contributions to the dirty-hands debate have argued that the principles of democratic governance render DDH impossible. The paper rejects this view as based on a misunderstanding of the minimal and necessary conditions for both DH and democratic overnance. However, DDH does raise interesting issues concerning the (...)
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  • Institutionally Driven Moral Conflicts and Managerial Action: Dirty Hands or Permissible Complicity?Rosemarie Monge - 2015 - Journal of Business Ethics 129 (1):161-175.
    This paper examines what managers ought to do when confronted with apparent moral conflicts between their managerial responsibilities and the general requirements of morality, specifically when those conflicts are driven by the institutional environment. I examine Google’s decision to enter the Chinese search engine market as an example of such a conflict. I consider the view that Google’s managers engaged in justifiable moral compromise in making the choice to engage in self-censorship and show how this view depends on the idea (...)
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  • Yaffe on Democratic Citizenship and Juvenile Justice.Jeffrey W. Howard - 2020 - Criminal Law and Philosophy 14 (2):241-255.
    Why, exactly, should we punish children who commit crimes more leniently than adults who commit the same offenses? Gideon Yaffe thinks it is because they cannot vote, and so the strength of their reasons to obey the law is weaker than if they could. They are thus less culpable when they disobey. This argument invites an obvious objection: why not simply enfranchise children, thereby granting them legal reasons that are the same strength as enfranchised adults, and so permitting similarly severe (...)
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  • On complicity and compromise: a reply.Chiara Lepora & Robert E. Goodin - 2017 - Journal of Medical Ethics 43 (4):277-278.
    The cautions of our commentators are all well taken, and we are grateful for them. When we say that physicians should respect the wishes of their patients for medical treatment, even if that would make them complicit in torture being inflicted on their patients, Henry Shue reminds us that that assumes that the patients undergoing torture retain minimally adequate decision-making capacity. Insofar as the torture aims at, and succeeds in, producing ‘regression to an infantile state’, patients who are victims of (...)
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  • Citizen liabilities for state-perpetrated injustices in non-democracies: toward a new authorisation account.Brian Wong Yue Shun - forthcoming - Critical Review of International Social and Political Philosophy.
    When states perpetrate injustices, do their individual citizens develop liabilities to repair such wrongdoings? Most existing accounts of citizens’ liabilities for state-perpetrated injustices, whilst applicable across certain democratic contexts, struggle to provide robust accounts of the grounds and nature of liabilities for citizens in non-democratic contexts. This problematically leaves a lacuna when it comes to the responsibilities and appropriate responses of citizens in these states. This article advances a distinctive two-pronged authorisation-based account applicable to non-democracies. Objective authorisers are individuals who (...)
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  • An Ethical Framework for Hacking Operations.Ross W. Bellaby - 2021 - Ethical Theory and Moral Practice 24 (1):231-255.
    In recent years the power and reach of prominent hacker groups such as Anonymous and LulzSec has been clearly demonstrated. However, in a world where hackers are able to wield significant online power, can they do so ethically as legitimate agents? To answer this question this paper will develop an ethical framework based on the premise that hackers have exhibited instances where they have acted to protect people from harm at a time when there was no one else to do (...)
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  • The Institutional Laundry: How the Public May Keep Their Hands Clean.Nikolas Kirby - 2023 - The Journal of Ethics 27 (4):539-560.
    A number of recent authors have argued for the problem of ‘democratic dirty hands’. At least within a democracy, public officers can be rightly said to act in the name of the public; and thus, as agents to principals, the dirty hands of public officers are, ultimately attributable to that public. Even more troubling, so the argument goes, since dirty hands are necessary for public officers in any stable political order, then such democratic dirty hands are necessary for any stable (...)
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  • Participation and Superfluity.Jan Willem Wieland & Rutger van Oeveren - 2020 - Journal of Moral Philosophy 17 (2):163-187.
    Why act when the effects of one’s act are negligible? For example, why boycott sweatshop or animal products if doing so makes no difference for the better? According to recent proposals, one may still have a reason to boycott in order to avoid complicity or participation in harm. Julia Nefsky has argued that accounts of this kind suffer from the so-called “superfluity problem,” basically the question of why agents can be said to participate in harm if they make no difference (...)
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  • Ideal and nonideal moral theory for disaster bioethics.Dónal O’Mathúna - 2016 - Human Affairs 26 (1):8-17.
    Moral theory has generally focused on resolving ethical dilemmas by identifying ethically sound options. Whether the focus is on consequences, duties, principles or virtues, ethical cases are often approached in ways that assume morally sound solutions can be found and followed. Such ‘ideal morality’ assumes that moral goodness is always possible, leaving people confident they have done the right thing. Such an approach becomes inadequate in disaster settings where any good solution is often difficult to see. This paper examines recent (...)
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  • Moral narcissism and moral complicity in global health and humanitarian aid.Mark Sheehan - 2018 - Journal of Medical Ethics 44 (5):287-288.
    Some of the best instances of bioethics are applications of ethical conceptual analysis to real-world cases that is done in a way that prompts both reflection on the part of the practitioners involved in the real-world case and reflection by the bioethicist on the way in which the field of bioethics understands the concept in question. Buth et al ’s paper in this issue is a fine example of just this. Their paper brings together three important concepts that straddle the (...)
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  • Humanitarian Action and the Value of Relationships: A Book Review of Chin Ruamps’ The Humanitarian Exit Dilemma. [REVIEW]Isabel Munoz Beaulieu - forthcoming - Journal of Bioethical Inquiry:1-4.
    “The Humanitarian Exit Dilemma” by Chin Ruamps explores the complex ethical challenges faced by humanitarian organizations when exiting projects in crisis settings, particularly armed conflict situations. The humanitarian exit dilemma arises in contexts where humanitarian assistance may generate an overall negative, rather than positive impact on affected populations due to potential entanglement in conflict situations_._ Yet, the book rejects a simplistic consequentialist account that focuses on maximizing harm-reduction and proposes a refreshing values-focused perspective. The book’s values-focused perspective emphasizes the importance (...)
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  • Moving Beyond the Individualist Paradigm? Risse and Wollner on Non-agential Exploitation.Katla Heðinsdóttir - 2022 - Moral Philosophy and Politics 9 (1):51-67.
    Most philosophical examinations of the concept of exploitation center on analyzing two-party interactions between individuals. Mathias Risse and Gabriel Wollner introduce an account of exploitation that seeks to transcend this ‘individualist paradigm’ in three ways: Through exploitation of and by agential groups, of or by non-agential groups and by social structures. In this paper, I argue that while the concepts of non-individual and structural exploitation do offer each their way of transcending or revising the individualist paradigm, the most ambitious and (...)
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  • Should clinicians boycott Australian immigration detention?Ryan Essex - 2019 - Journal of Medical Ethics 45 (2):79-83.
    Australian immigration detention has been called state sanctioned abuse, cruel and degrading and likened to torture. Clinicians have long worked both within the system providing healthcare and outside of it advocating for broader social and political change. It has now been over 25 years and little, if anything, has changed. The government has continued to consolidate power to enforce these policies and has continued to attempt to silence dissent. It was in this context that a boycott was raised as a (...)
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