Virtues commonly associated with physicians and other healthcare professionals include empathy, respect, kindness, compassion, trustworthiness, and many more. Building upon the work of Bortolloti, Murphy-Hollies, and others, I suggest that curiosity as a virtue has an integral role to play in healthcare, namely, in helping to make those who are invisible, visible. Practicing the virtue of curiosity enables one to engage with and explore the experiences of patients and contributes toward building a physician–patient relationship of trust. As the perspectives and (...) experiences of patients can be too often dismissed or lost within medical settings, curiosity can allow physicians to deeply know their patients, and thus provide better care. However, caution must be exercised so as to not to venture into inappropriate curiosity, where questions are asked for improper reasons or to help satisfy the personal interest of physicians. Finally, I sketch out two cases—on chronic pain and on vaccine hesitancy—to illustrate where curiosity can play a valuable role. (shrink)

فضائل العقل إبستمولوجيا الفضيلة في سياق التَّنمية الثقافية -/- إحدى السمات الرائعة لجنسنا هي ميله إلى البحث. ولكن البحث يمكن أن يسير بشكل جيد أو بشكل سيء. وربما يرد الخطأ إلى خلل في قدرة إدراكية مثل ضعف الذاكرة، ومع ذلك، غالبًا ما يصدر نجاح أو إخفاق البحث عن مصدر شخصي. إذ يتطلب ممارسة سمات شخصية عقلية مثل الملاحظة اليقظة، أو التحليل الدقيق والشامل، أو التفسير والتقييم المنصفين. عندما نفكر في الشخصية أو الفضائل، فإننا نفكر في شيء أخلاقي على نحو مميز. (...) ولكن السمة الأخلاقية لا تستنفد السمة الشخصية. ذلك بأن للسمة الشخصية بعدًا معرفيًا أو عقليًا: يمكن أيضًا الاعتماد على الشخص الفاضل للاهتمام بغايات مثل الحقيقة والمعرفة والدليل والعقلانية والفهم. وبسبب هذا الاهتمام ستظهر سمات معرفية أخرى مثل حب الاستطلاع، والانتباه، والحرص، والشمولية في البحث، والإنصاف، والانفتاح العقلي، والأناة الفكرية، والصدق، والشجاعة، والتواضع. وعندما تزودنا إبستمولوجيا الفضيلة بأوصاف الفضائل المعرفية، فإنها تهدف إلى تشجيع كائن عقلي جيد، وتدعم الإصلاح الثقافي والازدهار الفكري. ويكشف العمل الحالي في إبستمولوجيا الفضيلة التطبيقية عن مشروعات أخذت طريقها إلى التنفيذ في التعليم. تهدف أكاديمية الفضائل العقلية، مثلا، إلى تعزيز الفضائل العقلية. زد على ذلك أن أنصار إبستمولوجيا الفضيلة يقومون أيضًا بتطبيق وجهات نظرهم على مسائل تتعلق باتخاذ القرارات البيئية، والرعاية الصحية والطب. وتهدف هذه المقالة إلى تحديد موضوع إبستمولوجيا الفضيلة، وبيان نشأتها واتجاهاتها، وتهدف أيضا إلى تفسير طبيعة الفضائل العقلية، وبنيتها، ودورها في استدامة التَّنمية الثقافية. -/- . (shrink)

Susan Sherwin's approach to bioethics promotes more inclusive and less oppressive sociopolitical environments within healthcare for marginalized groups. Sherwin's relational theory of autonomy endorses this aim in targeting live options as bellwethers for recognizing contexts constraining or promoting autonomy. Those contexts closing off certain options as pursuable in practice limit autonomy while those promoting a plurality of practically pursuable courses of action are autonomy enhancing. Attending to what is possible in practice is thus key to understanding how autonomy is impacted. (...) In healthcare contexts, those implicated in social structures systematically limiting autonomy sustain oppressive contexts... (shrink)

Debates about how knowledge is made and valued in evidence-based medicine (EBM) have yet to understand what discursive, social, and historical conditions allowed the EBM approach to stabilize and proliferate across western medical education. This paper uses a genealogical approach to examine the epistemological tensions that emerged as a result of various problematizations of uncertainty in medical practice. I explain how the problematization of uncertainty in the literature and the contingency of specific social, political, economic, and historical relations allowed the (...) EBM approach to become a programmatic and pedagogical focus of the Faculty of Medicine at McMaster University and beyond. (shrink)

Cloud computing is rapidly gaining traction in business. It offers businesses online services on demand (such as Gmail, iCloud and Salesforce) and allows them to cut costs on hardware and IT support. This is the first paper in business ethics dealing with this new technology. It analyzes the informational duties of hosting companies that own and operate cloud computing datacenters (e.g., Amazon). It considers the cloud services providers leasing ‘space in the cloud’ from hosting companies (e.g, Dropbox, Salesforce). And it (...) examines the business and private ‘clouders’ using these services. The first part of the paper argues that hosting companies, services providers and clouders have mutual informational (epistemic) obligations to provide and seek information about relevant issues such as consumer privacy, reliability of services, data mining and data ownership. The concept of interlucency is developed as an epistemic virtue governing ethically effective communication. The second part considers potential forms of government restrictions on or proscriptions against the development and use of cloud computing technology. Referring to the concept of technology neutrality, it argues that interference with hosting companies and cloud services providers is hardly ever necessary or justified. It is argued, too, however, that businesses using cloud services (banks, law firms, hospitals etc. storing client data in the cloud, e.g.) will have to follow rather more stringent regulations. (shrink)

In normative ethics there has been a long-standing debate between consequentialists and deontologists. To settle this dispute moral theorists have often used a selective approach. They have focused on particular aspects of our moral practice and have teased out what consequentialists and deontologists have to say about it. One of the focal points of this debate has been the morality of promising. In this paper I review arguments on both sides and examine whether consequentialists or deontologists offer us a more (...) plausible account of promissory obligation. My conclusion is negative. Given the arguments on the table, I argue, we should conclude that the debate is in a stalemate. It is, therefore, hard to see how the issue of promissory obligation could help us choose between consequentialism and deontology. (shrink)

This paper applies emerging research on epistemic virtues to business ethics. Inspired by recent work on epistemic virtues in philosophy, I develop a view in which epistemic virtues contribute to the acquisition of knowledge that is instrumentally valuable in the realisation of particular ends, business ends in particular. I propose a conception of inquiry according to which epistemic actions involve investigation, belief adoption and justification, and relate this to the traditional ‘justified true belief’ analysis of knowledge. I defend the view (...) that epistemic virtues enable and/or motivate people to perform epistemic actions. An examination of the key epistemic virtues of love of knowledge, epistemic courage, temperance, justice, generosity and humility provides some initial evidence suggesting that the way epistemic virtues enable or motivate is by countering a number of biases that have been uncovered by behavioural economics, and also indicates ways in which the instrumental epistemic value view is superior to other approaches to epistemic virtue offered in the literature. (shrink)