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  1. On Why and How Intention Matters.Heidi M. Giebel - 2015 - American Catholic Philosophical Quarterly 89 (3):369-395.
    While our common sense seems to tell us that intention matters to ethical evaluation, there is considerable disagreement among ethicists regarding why and how it matters. In this article I argue that intention matters to act evaluation in much the way that the principle of double effect implies. First, I identify five propositions—one epistemological and four ethical—that the proponent of PDE holds regarding the ethical relevance of intention. Second, I give two general arguments for the ethical relevance of intention. Third, (...)
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  • Weakening the ethical distinction between euthanasia, palliative opioid use and palliative sedation.Thomas David Riisfeldt - 2019 - Journal of Medical Ethics 45 (2):125-130.
    Opioid and sedative use are common ‘active’ practices in the provision of mainstream palliative care services, and are typically distinguished from euthanasia on the basis that they do not shorten survival time. Even supposing that they did, it is often argued that they are justified and distinguished from euthanasia via appeal to Aquinas’ Doctrine of Double Effect. In this essay, I will appraise the empirical evidence regarding opioid/sedative use and survival time, and argue for a position of agnosticism. I will (...)
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  • Double effect, triple effect and the trolley problem: squaring the circle in looping cases.Michael Otsuka - 2008 - Utilitas 20 (1):92-110.
    In the Trolley Case (Figure 1), as devised by Philippa Foot and modified by Judith Jarvis Thomson, a runaway trolley (i.e. tram) is headed down a main track and will hit and kill five unless you divert it onto a side track, where it will hit and kill one.
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  • Double effect, triple effect and the trolley problem: squaring the circle in looping cases.Michael Otsuka - 2008 - Utilitas 20 (1):92-110.
    In the Trolley Case (Figure 1), as devised by Philippa Foot and modified by Judith Jarvis Thomson, a runaway trolley (i.e. tram) is headed down a main track and will hit and kill five unless you divert it onto a side track, where it will hit and kill one.
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