In a series of works, Peter Carruthers has argued for the denial of the title proposition. Here, I defend that proposition by offering direct support drawn from relevant sciences and by undercutting Carruthers argument. In doing the latter, I distinguish an intrinsic theory of consciousness from Carruthers relational theory of consciousness. This relational theory has two readings, one of which makes essential appeal to evolutionary theory. I argue that neither reading offers a successful view.

Der Artikel untersucht die Frage nach einer möglichen Freigabe von Doping im Sport aus einer nachhaltigkeitstheoretischen Perspektive. Im ersten Teil des Aufsatzes wird der Nachhaltigkeitsbegriff zunächst als umweltethischer Begriff entwickelt, weil er aus dem umweltethischen Diskurs stammt und hier bereits systematisch untersucht wurde. Der zweite Teil stellt dar, dass man den Begriff der Nachhaltigkeit auch auf Personen – im Sinn eines verantwortungsvollen Selbstverhältnisses – anwenden kann. Vor diesem Hintergrund wird ein indirektes, nachhaltigkeitstheoretisches Argument gegen eine Freigabe von Doping im Sport (...) entwickelt. Kritikwürdig ist nicht Doping an sich. Problematisch sind vielmehr die einer Freigabe von Doping zugrunde liegenden Werte; vor allem der eines verabsolutierten Leistungsdenkens, dem ein nachhaltiger Umgang mit sich selbst entgegensteht. Der dritte Teil des Aufsatzes untersucht eine wichtige normative Implikation dieser These: Wenn wir Doping im Leistungssport kritisieren wollen, müssen wir sehr viele Handlungsweisen kritisieren, die heute weitestgehend akzeptiert werden. (shrink)

The value of applied philosophy is often taken to consist in its contribution to our understanding of practical issues with which applied philosophy engages and in its contribution to their satisfactory resolution. This chapter examines the relationship between the nature of applied philosophy and its value. It regards the value of applied philosophy as dependent both on its philosophical quality and on its contribution to the understanding and (potential) resolution of practical issues with which it engages. These dual points of (...) reference are difficult simultaneously to fulfill and arguably sometimes in tension with one another. The chapter takes issue with the idea that the value of applied philosophy consists, or ought to consist, in its direct impact on actual policy or practice. (shrink)

The revolutionary potential of the CRISPR-Cas9 gene editing technique has created a resurgence in enthusiasm and concern in genetic research perhaps not seen since the mapping of the human genome at the turn of the century. Some such concerns and anxieties revolve around crossing lines between somatic and germline interventions as well as treatment and enhancement applications. Underpinning these concerns, there are familiar concepts of safety, unintended consequences and damage to genetic identity and the creation of designer children through pursuing (...) human enhancement and eugenics. In the policy realm, these morally laden distinctions and anxieties are emerging as the basis for making important and applied measures to respond to the fast-evolving scientific developments. This paper argues that the dominant normative framing for such responses is insufficient for this task. This paper illustrates this insufficiency as arising from a continued reliance on misleading genetic essentialist assumptions that generate groundless speculation and over-reactionary normative responses. This phenomenon is explicit with regard to prospective human genetic enhancements. While many normative theorists and state-of-the-art reports continue to gesture toward the influence of environmental and social influences on a person and their traits and capacities, this recognition does not extend to the substance of the arguments themselves which tend to revert to the debunked genetic determinist framework. Given the above, this paper argues that there is a pressing need for a more central role for sociological input into particular aspects of this “enhancement myth” in order to give added weight, detail and substance to these environmental influences and influence from social structures. (shrink)

This article explores the shift in Rawls’ just savings principle away from an initial iteration that was indifferent to previous generational savings, to one in which past historical savings are the cornerstone of the motivation to save for future generations. Attention is given to the practical application of the revised principle in the field of the environment. The revised principle is argued to be an improvement on the initial one, because previous generations have an existence and identity that is more (...) tangible than yet-to-be future ones. (shrink)

ABSTRACTThis article argues that there is a just cause for war to prevent the future hazards of anthropogenic climate change even if, because of what is known as the Non-Identity Problem, that caus...

In this short discussion note, I cast doubt upon the common view that social groups persist throughout changes in their membership, by virtue of the maintenance of their structure and/or function. I offer two counterexamples, and consider two possible responses to a natural objection to them, neither of which support the view that it is a metaphysical truth that social groups persist through changes in their membership, or persist by virtue of the maintenance of their structure and/or function.

The philosophical problem of personal identity has been widely discussed in contemporary analytic philosophy. The disputes over identity throughout time abound in references to thought experiments, excluding any connection to practical problems or to scientific knowledge and biotechnological practices. Nevertheless, some real cases challenge the pure metaphysical formulation of the problem and also show how science has an indubitable impact on the issue of identity. I will discuss the case of approximately 500 children who were appropriated during the most recent (...) Argentinian dictatorship (1976–1983), as well as their restitution thanks to Abuelas de Plaza de Mayo’s fight and certain genetics outcomes. I will examine an alleged notion of genetic identity thought to have stemmed from the restitution phenomenon; and I will argue against some criticisms to that notion departing from contemporary philosophy of biology and philosophy of science. Particularly, I will discuss if a genetic stance of personal individual identity can be considered as supported by contemporary biological knowledge; and if a pluralistic perspective on scientific practice that appraises the role of values allows us to maintain the reference to DNA regarding identity but overcoming aforementioned criticisms. (shrink)

Longevity is valuable. Most of us would agree that it’s bad to die when you could go on living, and death’s badness has to do with the value your life would have if it continued. Most of us would also agree that it’s bad if life expectancy in a country is low, it’s bad if there is high infant mortality and it’s bad if there is a wide mortality gap between different groups in a population. But how can we make (...) such judgments more precise? How should we evaluate the harm of mortality in a population? Although philosophers have written a lot about the harm of death for individuals, very little work has been done on the harm of mortality for populations. In this article, I take the first steps towards developing a theory of the harm of population mortality. Even these first steps, I argue, lead to surprising results. (shrink)

The article traces origins of the contradiction that calls into being the polemics on the moral status of duties to close persons. Special obligations are created by the unique life narrative of an actor that makes different recipients of her actions more or less distant. Those who are less distant are “close ones.” Those who are more distant are “strangers.” The basis of this distance can be different: individual sympathy, consanguinity, belonging to cultural, territorial and political communities. Special obligations presuppose (...) that the preferential treatment of “close ones” is not only permissible but obligatory. This feature of moral duties to close persons makes moral philosophers suspicious because they are prone to endow moral requirements with two interrelated properties: universality and the high level of generality. The main reason for this is that the typical moral duty is a duty of every human being to another human being without any further qualifications. Against the background of such duties, any preference to close persons looks like the breach of moral equality and manifestation of impermissible partiality. Though, common moral beliefs persistently include special obligations in the whole system of moral duty. R. Goodin thinks that they have a priority over positive general duties and yield to negative general duties. The empirical researches of moral evaluations which reviewed in this article in general confirm this conclusion. The ethical theory cannot ignore fundamental features of common moral beliefs. That is why it is doomed to look for ways of reconciling the moral equality and impartiality with the preferential treatment of close persons embedded into special obligations. (shrink)

A few decades ago, there was a lively debate on the problem of overpopulation. Various proposals to limit population growth and to control fertility were made and debated both in academia and in th...

Psychiatric inpatients with capacity may be treated paternalistically under the Mental Health Act 1983. This violates bodily autonomy and causes potentially significant harm to health and moral status, both of which may be long-lasting. I suggest that such harms may extend to killing moral persons through the impact of psychotropic drugs on psychological connectedness. Unsurprisingly, existing legislation is overwhelmingly disliked by psychiatric inpatients, the majority of whom have capacity. I present four arguments for involuntary treatment: individual safety, public safety, authentic (...) wishes and protection of autonomy. I explore these through a case study: a patient with schizophrenia admitted to a psychiatric hospital under the Mental Health Act 1983 after an episode of self-poisoning. Through its discussion of preventative detention, the public safety argument articulates the ethical underpinnings of the current position in English law. Ultimately, none of the four arguments are cogent—all fail to justify the current legal discrimination faced by psychiatric inpatients. I conclude against any use of involuntary treatment in psychiatric inpatients with capacity, endorsing the fusion approach where only psychiatric patients lacking capacity may be treated involuntarily. (shrink)

Rationing is an unavoidable mechanism for reining in healthcare costs. It entails establishing cutoff points that distinguish between what is and is not offered or available to patients. When the resource to be distributed is defined by vague and indeterminate terms such as “beneficial,” “effective,” or even “futile,” the ability to draw meaningful boundary lines that are both ethically and medically sound is problematic. In this article, I draw a parallel between the challenges posed by this problem and the ancient (...) Greek philosophical conundrum known as the “sorites paradox.” I argue, like the paradox, that the dilemma is unsolvable by conventional means of logical analysis. However, I propose another approach that may offer a practical solution that could be applicable to real-life situations in which cutoffs must be decided (such as rationing). (shrink)

Balfe argues against enhanced interrogation. He particularly focuses on the involvement of U.S. healthcare professionals in enhanced interrogation. He identifies several empirical and normative factors and argues that they are not good reasons to morally justify enhanced interrogation. I argue that his argument can be improved by making two points. First, Balfe considers the reasoning of those healthcare professionals as utilitarian. However, careful consideration of their ideas reveals that their reasoning is consequential rather than utilitarian evaluation. Second, torture is a (...) serious human rights abuse. When healthcare professionals become involved in enhanced interrogation, they violate not only human rights against torture but also human rights to health. Considering the consequential reasoning against human rights abuses, healthcare professionals’ involvement in enhanced interrogation is not morally justified. Supplementing Balfe’s position with these two points makes his argument more complete and convincing, and hence it can contribute to the way which shows that enhanced interrogation is not justified by consequential evaluation. (shrink)

This thesis is about what a normative reason is and how reasons relate to oughts. I argue that normative reasons are to be understood as relational properties of favouring or disfavouring. I then examine the question: What is the relation between reasons, so understood, and what we ought to do, believe, or feel? I argue that the relation is an explanatory one. We should explain what we ought to do in terms of reasons, and not the other way around. This (...) view faces a number of difficulties, in particular in accounting for supererogatory acts and the distinction between an action being required and an action being recommended. The analysis that I provide explains how we can solve these problems. In providing such an analysis, this thesis aims to be a contribution to the discussion of how we might elucidate the structure of what is sometimes called normativity. (shrink)

Counting QALYs (quality adjusted life years) has been proposed as a way of deciding how resources should be distributed in the health service: put resources where they will produce the most QALYs. This proposal has encountered strong opposition. There has been a disagreement between some economists favouring QALYs and some philosophers opposing them. But the argument has, I think, mostly been at cross-purposes. Those in favour of QALYs point out what they can do, and those against point out what they (...) can't. There need be no disagreement about this. What is needed is to sort out what is the proper domain of QALYs, and it may be possible to do this amicably. Then we may be able to get on with the more useful job of deciding how well QALYs perform within their domain. In this paper I shall try to accomplish the first task (sections II–IV), and make a start on the second (sections V–VIII). (shrink)

A new word has recently entered the British medical vocabulary. What it stands for is neither a disease nor a cure. At least, it is not a cure for a disease in the medical sense. But it could, perhaps, be thought of as an intended cure for a medicosociological disease: namely that of haphazard or otherwise ethically inappropriate allocation of scarce medical resources. What I have in mind is the term ‘QALY’, which is an acronym standing for quality adjusted life (...) year. Just what this means and what it is intended to do I shall explain in due course. Let me first, however, set the scene. (shrink)

Why should I take care of my aging parents? How far will morality require me to sacrifice for this cause? I will study these questions from the perspectives of Confucianism and rule‐consequentialism. Confucians believe that the continuity of families and the interactions between members of different generations can enhance the integrity of society in the long run. However, since Confucianism may impose extreme demands on its followers, this theory may be problematic. In this paper, I argue that despite its demands, (...) the Confucian doctrines are defensible and are worth upholding. To explain my view, I draw upon rule‐consequentialism and explain how the rule‐consequentialist analysis complements and enhances the Confucian claims. I believe that the consequentialist conception of Confucianism can provide a useful resource for responding to the moral challenge of population aging in the current state of the world. (shrink)

In the following, it will be argued that Nāgārjuna adopts a Buddhist nominalism that encompasses not only a position towards abstract entities, but resonates with a nominalist perspective on the “social reality” of persons. Early Buddhist texts, such as the Suttanipāta, argue that human persons defy a classification in hierarchic “classes”, because there is no moral substance, e.g. of Brahmins. Differences between individuals do not exist by nature, since it is the individual that realizes difference according to the specific personal (...) realization of action and moral cultivation. Buddhist “nominalism,” therefore, has at least one of its central roots in a rejection of a socially privileged “selves,” a stratified social hegemony, and religious truth claims. Nāgārjuna, on his part, radicalizes nominalism as a threefold correlation of the “non-articulated self,” a “non-articulated” reality, and finally, a “non-articulated” dimension even within all concepts, names, and designations. In this vein, Nāgārjuna’s śūnyavāda can be seen as a consequent attempt to neutralize unwanted social and psychological consequences of ontological language-use. Nāgārjuna even self-critically questions the position that the workings of a Buddhist path of liberation can be articulated, which seems to be a remarkable parallel to certain roots of Western nominalism. (shrink)

A dominant area of inquiry within intergenerational ethics concerns how goods ought to be justly distributed between noncontemporaries. Contractualist theories of justice that have broached these discussions have often centered on the concepts of mutual advantage and reciprocal cooperation between rational, self‐interested beings. However, another prominent reason that many in the present feel that they have obligations toward future generations is not due to self‐interested reciprocity, but simply because they care about what happens to them. Care ethics promises to be (...) conceptually well‐suited for articulating this latter reason: given that future generations are in a perpetual condition of dependency on present‐day people's actions, this is precisely the kind of relational structure that care theorists should be interested in morally evaluating. Unfortunately, the care literature has been largely silent on intergenerational ethics. This article aims to advance this literature, offering the blueprints of what a care ethic concerning future generations—a “future care ethic”—should look like. The resultant ethic defends a sufficientarian theory of obligation: people in the present ought to ensure the conditions needed to encourage and sustain a world that enables good caring relations to flourish. (shrink)

I consider two difficulties which have been presented to egalitarianism: Parfit’s “Levelling Down Objection” and my “Paradox of the Baseline”. I show that making things worse for some people even with no gain to anyone is actually an ordinary and indeed necessary feature of our moral practice, yet nevertheless the LDO maintains its power in the egalitarian context. I claim that what makes the LDO particularly forceful in the case against egalitarianism is not the very idea of making some people (...) worse off with no gain to others, but the disrespect for value inherent in egalitarianism; and similarly that the POB is a reductio of choice -egalitarianism because of its inversion of the intuitively correct attitude to the generation of value. I conclude that in the light of the absurdity and paradox so frequently lurking in moral and social life, and particularly with the complexity of modern life and obliquity of change, we need to be much more modest than egalitarians have been in putting forth ambitious moral and social models. (shrink)

A clinical ethics fit for the Anthropocene—our current geological era in which human activity is the primary determinant of environmental change—needs to incorporate environmental ethics to be fit for clinical practice. Conservationist Aldo Leopold’s essay ‘The Land Ethic’ is probably the most widely-cited source in environmental philosophy; but Leopold’s work, and environmental ethics generally, has made little impression on clinical ethics. The Land Ethic holds that “A thing is right when it tends to preserve the integrity, stability, and beauty of (...) the biotic community. It is wrong when it tends otherwise.” I argue that a Land Ethic helps to re-frame problems in clinical ethics that more common philosophical approaches struggle to handle, and that it can be incorporated into clinical ethics without succumbing to “environmental fascism”. I motivate viewing problems in clinical ethics from the perspective of the ‘integrity of the biotic community’, then illustrate how this perspective can offer guidance where more commonly-invoked theories—such as consequentialism and Kantian-inspired approaches—struggle, using antimicrobial resistance in nosocomial infection as a case study. The Land Ethic equips us to understand human values as arising within and inseparable from a social-ecological context, and by treating communities as valuable in themselves rather than just through the aggregate welfare of their individual participants, we can avoid problems with the ‘repugnant conclusion’ and utility monster that plague utilitarian accounts. (shrink)

Many countries tightly ration access to publicly funded fertility treatments such as in vitro fertilisation. One basis for excluding people from access to IVF is their body mass index. In this paper, I consider a number of potential justifications for such a policy, based on claims about effectiveness and cost-efficiency, and reject these as unsupported by available evidence. I consider an alternative justification: that those whose subfertility results from avoidable behaviours for which they are responsible are less deserving of treatment. (...) I ultimately stop short of endorsing or rejecting such a justification, though highlight some reasons for thinking it is unlikely to be practicable. (shrink)

What happens after we die? This might be taken as an eschatological question, seeking some explanation or reassurance around the destiny of an immortal soul or some such vital element of our very being. But there is another sense that has at least as much importance. What should we do with dead bodies?Export citation.

The aim of this paper is to explore the development of brain-computer interfacing and cloudminds as possible future scenarios. I describe potential applications such as selling unused brain processing cycles and the blockchaining of personality functions. The possibility of ubiquitous brain-computer interfaces that are continuously connected to the Internet suggests interesting options for our future selves. Questions about what it is to be human; the nature of our current existence and interaction with reality; and how things might be different could (...) become more prominent. I examine speculative future scenarios such as digital selves and cloudmind collaborations. Applications could be adopted in tiers of advancing complexity and risk; starting with health tracking; followed by information seeking and entertainment; and finally; self-actualization. By linking brains to the Internet; BCIs could allow individuals to be more highly connectable not just to communications networks but also to other minds; and thus could enable participation in new kinds of collective applications such as a cloudmind. A cloudmind is the concept of multiple individual minds joined together to pursue a collaborative goal such as problem solving; idea generation; creative expression; or entertainment. The prospect of cloudminds raises questions about individual versus collective personhood. Some of the necessary conditions for individuals to feel comfortable in joining a cloudmind include privacy; security; reversibility; and retention of personal identity. Blockchain technology might be employed to orchestrate the security; automation; coordination; and credit-assignation requirements of cloudmind collaborations. (shrink)

In April 2019, Greta Thunberg made TIME Magazine’s 100 Most Influential People of 2019 list. The 16 year-old climate activist, who has also been nominated for a Nobel Peace Prize, started a movement that saw a multitude of student protests and school strikes around the world centred on action against climate change. TIME Magazine quoted her saying, “We can’t save the world by playing by the rules, because the rules have to be changed.” With her engagement, Thunberg inspired thousands of (...) youth activists to join her in her efforts and has thus put not only climate change on the political agenda but also the political participation and representation of the young. And this even though Thunberg and many of her fellow protesters do not yet enjoy voting rights in their respective countries. Just like the previous issue of the Intergenerational Justice Review, this one is also dedicated to the topic of the underrepresentation of younger people in political decision-making. The first two contributions in this issue pay particular attention to the existence – or lack thereof – of networks and contacts in politics that seem to be important for political representation. Daniel Stockemer and Aksel Sundström’s article titled “Youth’s underrepresentation in the European Parliament: Insights from interviews with young Members of the European Parliament ” reports results from qualitative interviews with 23 MEPs on the factors contributing to the success and failure of young people to enter the European Parliament. They find that, in general, three common themes or complaints amongst the successful young MEPs, irrespective of their party affiliation: “ a general reluctance within parties to nominate young candidates, young candidates lacking the necessary contacts in parties to get elected, and young candidates having too little experience to gain nomination for an electable seat.” Despite these heavy criticisms of established politicians and structures, the authors also summarise some more hopeful suggestions by respondents centring around the role of party youth organisations. The second contribution, by Emilien Paulis, also highlights the important role of networks and contacts, yet already at an earlier stage: when joining a political party. Drawing on social network and political participation theory and novel survey data from Belgium, Paulis explores what network patterns contribute to young people’s enrolment in a political party. He discovers strong social ties between young party members and suggests that this indicates “a certain exclusivity in recruitment patterns of political parties”. In addition, his analysis also points out that a highly homogenous network composition is a statistically significant predictor of joining a political party. Overall, Paulis, similar to Stockemer and Sundström, suggests a review of institutional processes and structures within established political organisations such as parties in order to promote a more diverse and above all younger profile of politically active citizens. The final contribution in this issue offers insights from an online survey conducted among young adults in Germany suggesting that these respondents were indeed politically interested and felt willing to assume responsibility through participation. As a consequence, Philipp Köbe concludes from his analysis that the supply-side of political organisations is the main problem in the underrepresentation and not so much young people’s lack of engagement. His four specific recommendations to political organisations follow very much from this conclusion: providing transparent and suitable information to meet young people’s interests and demands; lowering the electoral threshold for parties’ parliamentary representation to improve the representation of minority opinions; expanding youth-friendly opportunities for political participation such as video conferences and social media usages in order to reach out to the appropriate groups; improving the efficiency and impact of political decision-making to reward political engagement amongst young people. Köbe finally suggests a steering instrument for political organisations to help them achieve these goals. In the book review section, we continue the theme of political participation and representation of the young. Simon Pistor reviews the book Youthquake 2017: The Rise of Young Cosmopolitans in Britain by James Sloam and Matt Henn. The book investigates youth political participation in Britain around and after the Brexit referendum in 2016 and is built around the new notion a “youthquake” – a term initially introduced by British media to describe the surprising success of the movement behind the Labour Party but later on also becoming Oxford Dictionaries’ 2017 word of the year. Pistor writes that Sloam and Henn expand the concept of a youthquake in their book to “youthquake elections” – “ones in which dramatic changes in how many young people vote, who they vote for and how active they are in the campaign have, quite literally, shaken up the status quo”. Using this concept, the book’s central claim is that it was a youth movement based on a broader appeal to the needs of young people which spiked the higher voter turnout among young people. Pistor’s review of the book is unequivocal: using methods from comparative politics, the authors provide a “very interesting argument” and “a clear empirical case for the youthquake during the 2017 General Election in the UK”. Pistor also welcomes especially two implications of the book: many young British people are not as politically disenfranchised as general wisdom holds ; many of them are not only cosmopolitans but also British cosmopolitans interested and engaged in national politics. Overall, Simon Pistor concludes that Sloam and Henn’s book is “an empirically rich and informed study”, which might suggest that the key to future democratic successes does indeed lie with the young. Ann-Kristin Kölln Antony Mason Jörg Tremmel Markus Rutsche Maria Lenk. (shrink)

Given that future generations are right-bearing citizens of tomorrow; legislative systems should secure these rights through appropriate institutions. In the case of the European Union; reference to intergenerational justice can be found in various fundamental legal texts; but; paradoxically; no institutions exist to defend it. The structural short-termism inscribed into representative democracies means that present interests easily trump future concerns. We argue that the best way to overcome this problem is a system of temporal checks and balances. By comparing a (...) selection of existing instruments with regards to their impact on the legislative process; we propose the creation of a European Guardian for Future Generations as the most effective measure to protect the rights of future generations and provide an overview of recent developments in this direction. (shrink)

The posthumous retrieval and use of gametes is socially, ethically, and legally controversial. In the countries that do not prohibit the practice, posthumous assisted reproduction is usually permitted only at the request of the surviving spouse and only when the deceased left written consent. This paper presents the recommendations of an ethics committee established by the Israeli Fertility Association. In its discussions, the committee addressed the ethical considerations of posthumous use of sperm—even in the absence of written consent from the (...) deceased—at the request of either the spouse or the deceased’s parents who wish to become the offspring’s parents or grandparents. It is concluded that under certain conditions, a request by the deceased’s parents to posthumously use the deceased’s sperm is justified and should be granted. (shrink)

This article argues that values that apply to health care allocation entail the possibility of “spectrum arguments,” and that it is plausible that they often fail to determine a best alternative. In order to deal with this problem, a two-step process is suggested. First, we should identify the Strongly Uncovered Set that excludes all alternatives that are worse than some alternatives and not better in any relevant dimension from the set of eligible alternatives. Because the remaining set of alternatives often (...) contain more than one element, we need some complementary method of selecting a unique alternative. In order to address this issue, I suggest that we must invoke caps on the values that are used to evaluate alternatives, and that these caps must be grounded in collective commitments. (shrink)

This paper presents a case for compensation of actual harm from climate change in the poorest countries. First, it is shown that climate change threatens to reverse the fight to eradicate poverty. Secondly, it is shown how the problems raised in the literature for compensation to some extent are based on misconceptions and do not apply to compensation of present actual harm. Finally, two arguments are presented to the effect that, in so far as developed countries accept a major commitment (...) to mitigate climate change, they should also accept a commitment to address or compensate actual harm from climate change. The first argument appeals to the principle that if it is an injustice to cause risk of incurring harm in the future, then it is also an injustice to cause a similar harm now. The second argument appeals to the principle that if there is moral reason to reduce the risk of specific harms in the future, then there is also moral reason to address these harms if they materialize now. We argue that these principles are applicable to climate change, and that given the commitment of wealthy countries to a “common but differentiated responsibility,” they lead to a commitment to address or compensate harm from climate change in poor and vulnerable developing countries. (shrink)

El artículo defiende que los compromisos son tanto un tipo de acuerdo como un tipo de decisión. Los principales objetivos son: 1) identificar la estructura formal de las situaciones de compromiso en las que alguna decisión de compromiso es inevitable, incluyendo CDs que ponen en riesgo la integridad del decisor; 2) mediante las nociones de juicio básico y compulsivo propuestas por Amartya Sen, establecer cuándo una CD en una situación de compromiso podría estar moralmente justificada. Se concluye que las CDs (...) justificadas implican una contrición moral que ayuda a salvar la distancia entre deontología y consecuencialismo. (shrink)

Bakgrunn: Preimplantasjonsgenetisk diagnostikk er en genetisk undersøkelse av befruktede egg før de settes inn i livmoren i forbindelse med assistert reproduksjon. Hensikten med PGD er å unngå at det fremtidige barnet får en alvorlig arvelig sykdom, og at par som på grunn av arvelig sykdom har vansker med å få barn, kan få avkom. PGD er kontroversielt og et sentralt tema for den pågående vurderingen og revisjonen av bioteknologiloven.Metode: Paradoksteori anvendes for å identifisere og analysere noen av kontroversene ved PGD. (...) Det skilles mellom tilsynelatende paradokser, antinomier og aporier. Materialet er offentlige dokumenter, debattinnlegg og faglitteratur.Resultater: Det finnes en rekke tilsynelatende paradokser på PGD-ens område, slik som at PGD gjøres selv om det er svært liten sannsynlighet for at det blir født et alvorlig sykt barn, og at det gjøres PGD for mindre alvorlige sykdommer når forutsetningen for PGD er alvorlig arvelig sykdom. Samtidig finnes det også antinomier: At PGD gir rett til helsehjelp uten at det eksisterer noen pasient, og at PGD gjennomføres selv ved høye kostnader og lav suksessrate. Om embryoet og fosteret har moralsk status og rett på beskyttelse, synes å utgjøre en apori.Konklusjon: Å formulere moralske utfordringer som paradokser kan være en fruktbar måte å tydeliggjøre utfordringer og motsetninger på. Dessuten kan det styre innsatsen: Vi bør bestrebe oss på å rydde opp i tilsynelatende paradokser, jobbe hardere med grunnlagsutfordringene ved antinomier og til en viss grad akseptere motsetningene ved aporiene.Nøkkelord: Preimplantasjonsgenetisk diagnostikk, paradoks, antinomi, aporiEnglish summary: PGD's ParadoxesBackground: Pre-implantation genetic diagnosis is a genetic test of embryos before implantation as part of in vitro fertilization. The purpose of using PGD is to help people avoid having children with serious genetic disease and to help those with genetically based infertility to have children. PGD has been controversial and is assessed as part of the revision of the Norwegian biotechnology act.Method: Paradox theory is used to identify and analyse controversies with PGD. It distinguishes between resolvable paradoxes, antinomies and aporias. The material comprises official documents, public debates, and professional publications.Results: Many resolvable paradoxes are identified with PGD, such as that PGD is done even in cases where there is very little chance that a seriously ill child will be born and in case of diseases that are not considered to be «serious inheritable disease,» as required by the law. At the same time, there are antinomies: PGD is subsumed within a patient's rights even if there is no patient, and PGD is done even when the success rate is low and the expenses are high. Whether the embryo and the foetus have a right to protection appears to be an aporia.Conclusion: Analysing moral problems in terms of paradoxes may be a fruitful way of displaying challenges and conflicts. Moreover, it may give focus and direction to our endeavours. That is, we should try to resolve the resolvable paradoxes and work harder with the conflicts of the antinomies, and, to a certain extent, to accept the antagonisms of the aporias. (shrink)

Knowledge about human wellbeing is a central part of ethical knowledge. But it is a neglected topic not only in ethics in general, but also in wellbeing theorizing, which has focused on enumerating the basic elements of wellbeing rather than on how to gauge, foster and maintain wellbeing in actual human lives. I consider the prospects for a procedural approach to wellbeing that sees it as depending on a process of continual adjustment between values, preferences, actions and emotions. The value-fulfilment (...) theory of Valerie Tiberius provides a model for such an approach, but needs to be corrected and supplemented in certain respects. I propose a version of the approach that is only partly, but still significantly procedural, and which does not privilege higher-order mental states. Considering the relevance of such an approach for ethics, I finally suggest that (certain forms of) moral agency may be best analyzed as an intersubjective process of adjustment and fulfilment of values and desires (etc.), and as a process of acquiring and exercising collective moral knowing how. (shrink)

In a typical non-identity case, the agent performs an action that causes someone to exist at a low but positive level of well-being, although an alternative was to create another, much happier person instead. There seem to be strong moral reasons against what the agent does, but it is difficult to explain how this can be so. In particular, it seems that on a simple counterfactual account of harm, the action does not harm anyone, as it does not make anyone (...) worse off than he or she would have been had the action not been performed. In this paper, I criticize the response that the action nevertheless harms the actual child, as well as the response that it makes the counterfactual child worse off. I argue that the following alternative view deserves attention: a compound of the actual and the counterfactual child is made worse off by the action. (shrink)

This paper examines the ethical aspects of organ transplant surgery in which a donor heart is transplanted from a first recipient, following determination of death by neurologic criteria, to a second recipient. Retransplantation in this sense differs from that in which one recipient undergoes repeat heart transplantation of a newly donated organ, and is thus referred to here as “reuse cardiac organ transplantation.” Medical, legal, and ethical analysis, with a main focus on ethical analysis. From the medical perspective, it is (...) critical to ensure the quality and safety of reused organs, but we lack sufficient empirical data pertaining to medical risk. From the legal perspective, a comparative examination of laws in the United States and Japan affirms no illegality, but legal scholars disagree on the appropriate analysis of the issues, including whether or not property rights apply to transplanted organs. Ethical arguments supporting the reuse of organs include the analogous nature of donation to gifts, the value of donations as inheritance property, and the public property theory as it pertains to organs. Meanwhile, ethical arguments such as those that address organ recycling and identity issues challenge organ reuse. We conclude that organ reuse is not only ethically permissible, but even ethically desirable. Furthermore, we suggest changes to be implemented in the informed consent process prior to organ transplantation. The organ transplant community worldwide should engage in wider and deeper discussions, in hopes that such efforts will lead to the timely preparation of guidelines to implement reuse cardiac organ transplantation as well as reuse transplantation of other organs such as kidney and liver. (shrink)

The concept of identification is often appealed to in explanations of how it is that some actions are authored by an agent, and so autonomous, or free. Over the last several decades, different conceptions of identification have been advanced and refined, and the term is now commonplace in moral psychology and metaethics. In this paper I argue that two dominant accounts of identification implicated in self-unity fail to acknowledge the significance of a related form of self-unifying activity, self-recognition. Self-recognition is (...) self-authoring because it involves identification with a new description of oneself, but it is excluded by standard accounts of identification which over-emphasize action and volition in autonomous agency. Although self-recognition is unlikely to produce immediate action, it accords with the activity of self-unity that is said to be constitutive of identification. (shrink)

ABSTRACTMost authors who discuss the normative impact of sacrifices do so with regards to the impact that a sacrifice can have on the practical reasons of the agent who makes it. A different and underappreciated phenomenon of sacrifices is their other-regarding normative impact: the sacrifice of person A can have an impact on the practical reasons of person B, either by generating practical reasons for B to act in certain ways or by intensifying existing reasons of B for specific courses (...) of action. This paper asks when and why sacrifices have such other-regarding normative impact and argues that sacrifices can have other-regarding normative impact because sacrifices can be intrinsically good. The intrinsic value of sacrifices is explained by the recursive account of value: sacrifices are intrinsically good if and because they are appropriate responses to intrinsic values, and appropriate responses to intrinsic values are themselves intrinsically good. Furthermore, sacrifices are difficult to make, and successful pursuit in difficult activities can also be intrinsically good. (shrink)

ABSTRACTDemandingness objections to consequentialism often claim that consequentialism underestimates the moral significance of the stranger/special other distinction, mistakenly extending to strangers demands it is proper for special others to make on us, and concluding that strangers may properly demand anything of us if it increases aggregate goodness. This argument relies on false assumptions about our relations with special others. Boundaries between ourselves and special others are both a common and a good-making feature of our relations with them. Hence, demandingness objections (...) that rely on the argument in question fail. But the same observations about our relations with special others show that there are many demands special others may not properly make, and since we cannot be more guilty of unjustified partiality in insisting on boundaries between ourselves and strangers than on boundaries between ourselves and special others, there are – as demandingness objections maintain – some demands strangers may not properly make on us. (shrink)

A popular strategy for meeting over-determination and pre-emption challenges to the comparative counterfactual conception of harm is Derek Parfit’s suggestion, more recently defended by Neil Feit, that a plurality of events harms A if and only if that plurality is the smallest plurality of events such that, if none of them had occurred, A would have been better off. This analysis of ‘harm’ rests on a simple but natural mistake about the relevant counterfactual comparison. Pluralities fulfilling these conditions make no (...) difference to the worse for anyone in the over-determination cases that prompted the need for revising the comparative conception of harm to begin with. We may choose to call them harmful anyway, but then we must abandon the idea that making a difference to the worse for someone is essential to harming. I argue that we should hold on to the difference-making criterion and give up the plural harm principle. I offer an explanation of why Parfit’s and Feit’s plural harm approach seems attractive. Finally, I argue that the consequences of giving up the plural harm principle and holding on to the simple comparative counterfactual analysis of harm are less radical than we may think, in relation to questions about wrongness and responsibility. (shrink)