This book revives the study of conventional implicatures in natural language semantics. H. Paul Grice first defined the concept. Since then his definition has seen much use and many redefinitions, but it has never enjoyed a stable place in linguistic theory. Christopher Potts returns to the original and uses it as a key into two presently under-studied areas of natural language: supplements (appositives, parentheticals) and expressives (e.g., honorifics, epithets). The account of both depends on a theory in which sentence meanings (...) can be multidimensional. The theory is logically and intuitively compositional, and it minimally extends a familiar kind of intensional logic, thereby providing an adaptable, highly useful tool for semantic analysis. The result is a linguistic theory that is accessible not only to linguists of all stripes, but also philosophers of language, logicians, and computer scientists who have linguistic applications in mind. (shrink)

Expressives like damn and bastard have, when uttered, an immediate and powerful impact on the context. They are performative, often destructively so. They are revealing of the perspective from which the utterance is made, and they can have a dramatic impact on how current and future utterances are perceived. This, despite the fact that speakers are invariably hard-pressed to articulate what they mean. I develop a general theory of these volatile, indispensable meanings. The theory is built around a class of (...) expressive indices. These determine the expressive setting of the context of interpretation. Expressives morphemes act on that context, actively changing its expressive setting. The theory is multidimensional in the sense that descriptives and expressives are fundamentally different but receive a unified logical treatment. (shrink)

Grice coined the term ‘conventional implicature’ in a short passage in ‘Logic and conversation’. The description is intuitive and deeply intriguing. The range of phenomena that have since been assigned this label is large and diverse. I survey the central factual motivation, arguing that it is loosely uni- fied by the idea that conventional implicatures contribute a separate dimen- sion of meaning. I provide tests for distinguishing conventional implicatures from other kinds of meaning, and I briefly explore ways in which (...) one can incorporate multiple dimensions of meaning into a single theory. (shrink)

Much earlier work claims that appositives and expressives are invariably speaker-oriented. These claims have recently been challenged, most extensively by Amaral et al. (Linguist and Philos 30(6): 707–749, 2007). We are convinced by this new evidence. The questions we address are (i) how widespread are non-speaker-oriented readings of appositives and expressives, and (ii) what are the underlying linguistic factors that make such readings available? We present two experiments and novel corpus work that bear directly on this issue. We find that (...) non-speaker-oriented readings, while rare in actual language use, are systematic. We also find that non-speaker-oriented readings occur even outside of attitude predications, which leads us to favor an account based in pragmatically-mediated perspective shifting over one that relies on semantic binding by attitude predicates. (shrink)

This book presents in translation writings by six medieval philosophers which bear on the subject of conscience. Conscience, which can be considered both as a topic in the philosophy of mind and a topic in ethics, has been unduly neglected in modern philosophy, where a prevailing belief in the autonomy of ethics leaves it no natural place. It was, however, a standard subject for a treatise in medieval philosophy. Three introductory translations here, from Jerome, Augustine and Peter Lombard, present the (...) loci classici on which subsequent discussions drew; there follows the first complete treatise on conscience, by Philip the Chancellor, while the two remaining translations, from Bonaventure and Aquinas, have been chosen as outstanding examples of the two main approaches which crystallised during the thirteenth century. (shrink)

This paper extends an ongoing discussion about establishing a sharper way to conduct ethical investigations into managerial virtue. It does so by relying on Alasdair MacIntyre's moral philosophy in place of those more dominant approaches taken by scholars who make up the field of positive social science. A connection is drawn herein between a MacIntyrean “narrative approach” to investigating managerial virtue and the idea of “work as a calling.” Specifically, it will be argued that the MacIntyrean‐influenced idea of “work as (...) a calling” provides a substantive moral vision that supports an understanding of how virtuous managers ought to narrate their primary workplace motivations. Ultimately, virtuous managers fulfill a “political calling” to support and sustain (a) good work, (b) the good of individual lives, and (c) the common good of communities that their organization reaches. To do this, they must rely on the “shepherd virtue” of practical wisdom (phronesis). Practical wisdom aids virtuous managers’ thinking about achieving the ends of their “calling” as well as any necessary course‐corrections that ought to be made toward the better achievement of those good and worthy ends. (shrink)

In the 1950s, Chomsky and his colleagues began attempts to reduce the complexity of natural language phonology and syntax to a few general principles. It wasn’t long before philosophers, notably John Searle and H. Paul Grice, started looking for ways to do the same for rational communication (Chapman 2005). In his 1967 William James Lectures, Grice presented a loose optimization system based on his maxims of conversation. The resulting papers (especially Grice 1975) strike a fruitful balance between intuitive exploration and (...) formal development. Though the work is not particularly formal, it marks the birth of modern formal pragmatics. Pragmatics is central to the theory of linguistic meaning because, to paraphrase Levinson (2000), the encoded content of the sentences we utter is only the barest sketch of what we actually communicate with those utterances. Utterance interpretation involves complex interactions among (i) semantic content, (ii) the context of utterance, and (iii) general pragmatic pressures (of which Grice’s maxims are one conception). The starting point for a formal pragmatics is the observation that speakers agree to a remarkable extent on the interpretations of the utterances they hear, suggesting that there are deep regularities across speakers, utterance contexts, and sentence types in how (i)–(iii) interact. An overarching challenge for pragmatic theory is that semantic content and the context of utterance influence each other. It is common, for instance, to find that the meaning of a sentence is crucially incomplete without contextual information. Indexicals and demonstratives are paradigm cases: ‘I am here now’ doesn’t have a fully specified denotation without information about who the speaker is, when he is speaking, and where he is speaking. Similarly, modal auxiliaries like must admit of a wide range of interpretations.. (shrink)

Digital phenotyping is the term given to the capturing and use of user log data from health and wellbeing technologies used in apps and cloud-based services. This paper explores ethical issues in making use of digital phenotype data in the arena of digital health interventions. Products and services based on digital wellbeing technologies typically include mobile device apps as well as browser-based apps to a lesser extent, and can include telephony-based services, text-based chatbots, and voice-activated chatbots. Many of these digital (...) products and services are simultaneously available across many channels in order to maximize availability for users. Digital wellbeing technologies offer useful methods for real-time data capture of the interactions of users with the products and services. It is possible to design what data are recorded, how and where it may be stored, and, crucially, how it can be analyzed to reveal individual or collective usage patterns. The paper also examines digital phenotyping workflows, before enumerating the ethical concerns pertaining to different types of digital phenotype data, highlighting ethical considerations for collection, storage, and use of the data. A case study of a digital health app is used to illustrate the ethical issues. The case study explores the issues from a perspective of data prospecting and subsequent machine learning. The ethical use of machine learning and artificial intelligence on digital phenotype data and the broader issues in democratizing machine learning and artificial intelligence for digital phenotype data are then explored in detail. (shrink)

Compositional generalization benchmarks seek to assess whether learning agents can successfully combine familiar concepts in novel ways. COGS (Kim & Linzen 2020, COGS, EMNLP) provides a suite of such tasks in the area of interpretive semantics (mapping sentences to logical forms). A noteworthy finding for COGS is that model performance varies widely across tasks. In this paper, we argue that these performance differences reflect deep properties of these tasks. We focus on two COGS tasks: an easy task (models are generally (...) successful) and a hard task (no present-day models get any traction). Using both experiments and conceptual analysis, we argue that the easy task requires only a single distributional generalization that is well-supported by the training data, whereas the hard task involves a learning target that is ambiguous or even contradicted by the training data. We additionally argue that pretraining can disambiguate the hard task without compromising the goal of testing compositional generalization. Overall, our findings offer practical guidance to designers of compositional generalization benchmarks and also yield new insights into the nature of compositionality itself. (shrink)

We present diverse evidence for the claim of Pullum and Rawlins (2007) that expressives behave differently from descriptives in constructions that enforce a particular kind of semantic identity between elements. Our data are drawn from a wide variety of languages and construction types, and they point uniformly to a basic linguistic distinction between descriptive content and expressive content (Kaplan 1999; Potts 2007).

This article presents evidence that individual words and phrases can contribute multiple independent pieces of meaning simultaneously. Such multidimensionality is a unifying theme of the literature on conventional implicatures and expressives. I use phenomena from discourse, semantic composition, and morphosyntax to detect and explore various dimensions of meaning. I also argue that, while the meanings involved are semantically independent, they interact pragmatically to reduce underspecification and fuel pragmatic enrichment. In this article, the central case studies are appositives like Falk, the (...) CEO, and the taboo intensive damn, though discourse particles and connectives like but, even, and still play supporting roles. The primary evidence, both quantitative and qualitative, is drawn from large interview and product-review corpora, which harbor a wealth of information about the importance of these items to discourse. (shrink)

The “standard position” on organ donation is that the donor must be dead in order for vital organs to be removed, a position with which we agree. Recently, Robert Truog and Walter Robinson have argued that brain death is not death, and even though “brain dead” patients are not dead, it is morally acceptable to remove vital organs from those patients. We accept and defend their claim that brain death is not death, and we argue against both the US “whole (...) brain” criterion and the UK “brain stem” criterion. Then we answer their arguments in favour of removing vital organs from “brain dead” and other classes of comatose patients. We dispute their claim that the removal of vital organs is morally equivalent to “letting nature take its course”, arguing that, unlike “allowing to die”, it is the removal of vital organs that kills the patient, not his or her disease or injury. Then, we argue that removing vital organs from living patients is immoral and contrary to the nature of medical practice. Finally, we offer practical suggestions for changing public policy on organ transplantation. (shrink)

Research evidencing the consequences of the experience of ‘calling’ have multiplied in recent years. At the same time, concerns have been expressed about the conceptual coherence of the notion as studies have posited a wide variety of senses in which both workers and scholars understand what it means for workers to be called, what they are called to do and who is doing the ‘calling’. This paper makes both conceptual and empirical contributions to the field. We argue that Bellah et (...) al.’s (Habits of the heart: Individualism and commitment in American life, University of California Press, 1996) contrast between tradition-based and expressivist understandings of ‘calling’ highlights a fundamental but neglected fissure in the literature. Expressivist accounts amongst both scholars and research participants require only that ‘calling’ be deeply felt by those who experience it. However, tradition-based accounts require an external caller. Exemplifying this, workers who attest to a divine call and scholars who write about ‘calling’ in the context of particular Christian traditions understand ‘calling’ in terms of a relationship with God. These accounts cannot but be in radical tension. We suggest that this conceptual confusion can be understood in terms of MacIntyre’s notion of ‘tradition-constituted rationality.’ The implications of this argument for practice are evidenced in our report of a study of adherents to one such tradition, workers at a Christian organization that supports people in poverty. Through in-depth interviews with long-term volunteers, we seek to assess if tradition-based ‘calling’ can be evidenced in unpaid work for the lack of pay and career progression opportunities strongly suggest the presence of ‘calling.’ This study demonstrates that even in the context of work that exhibits duty and altruism associated with expressivist accounts of ‘calling,’ these workers’ understanding of the relationships between themselves, their clients and Jesus Christ dominate their work choices. It is the meaning derived from a divine caller, understood in terms of Christian tradition, that accounts for their decision to begin and to continue this work. (shrink)

The history of brushtail possums in New Zealand is bleak. The colonists who forcibly transported possums from their native Australia to New Zealand in the nineteenth century valued them as economic assets, quickly establishing a profitable fur industry. Over the past 80 or so years, however, New Zealand has increasingly scapegoated possums for the unanticipated negative impact their presence has had on the native environment and wildlife. Now this marsupial—blamed and despised—suffers the most miserable of reputations and is extensively targeted (...) as the nation's number one pest. This paper examines anti-possum rhetoric in New Zealand, identifying the operation of several distinct—yet related—discourses negatively situating the possum as an unwanted foreign invader and a threat to what makes New Zealand unique; the subject of revenge and punishment ; and recognizably “cute, but...” merely a pest and therefore unworthy of compassion. This paper argues that the demonization of possums in New Zealand is overdetermined, extreme, and unhelpfully entangled in notions of patriotism and nationalism. (shrink)

Since the introduction of the concept of brain death by the Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death in 1968, the validity of this concept has been challenged by medical scientists, as well as by legal, philosophical, and religious scholars. In light of increased criticism of the concept of brain death, Stephen Napier, a staff ethicist at the National Catholic Bioethics Center, set out to prove that the whole-brain death criterion serves as (...) good evidence for death in the Catholic bioethical framework, on the grounds that when whole-brain death has occurred the soul has already departed from the body. Opponents have argued that (1) brain death does not disrupt the somatic integrative unity and coordinated biological functioning of a living organism and (2) clinical tests outlined in the practice guidelines for determining brain death lack sufficient power to exclude persisting function and fail to detect elements of the brain that, although currently functionless, may retain potential for recovery under conditions of optimal medical care. It is therefore possible that heart-beating organ procurement from patients with impaired consciousness is de facto a concealed practice of active euthanasia and physician-assisted death, both of which, either concealed or overt, the Catholic Church opposes. (shrink)

Alan Shewmons article, The brain and somatic integration: Insights into the standard biological rationale for equating brain death with death (2001), strikes at the heart of the standard justification for whole brain death criteria. The standard justification, which I call the standard paradigm, holds that the permanent loss of the functions of the entire brain marks the end of the integrative unity of the body. In my response to Shewmons article, I first offer a brief summary of the standard paradigm (...) and cite recent work by advocates of whole brain criteria who tenaciously cling to the standard paradigm despite increasing evidence showing that it has significant weaknesses. Second, I address Shewmons case against the standard paradigm, arguing that he is successful in showing that whole brain dead patients have integrated organic unity. Finally, I discuss some minor problems with Shewmons article, along with suggestions for further elaboration. (shrink)

In this article I employ Deleuzian theory in an exploration of men’s and women’s experiences of sexuality and sexual relations when encountering erectile difficulties and/or using sexuopharmaceuticals such as Viagra (sildenafil). I analyse the ways in which accounts of the function of Viagra-assisted erections can be seen to restore or re-establish previous sexual conventions or patterns (in Deleuzian terms, to ‘re-territorialize’ desire in ‘molar’ directions), and the ways in which Viagra use may change or challenge such patterns. Also examined are (...) the alternative stories of those for whom Viagra hasn’t ‘worked’; these accounts demonstrate how the persistence of erectile difficulties produces positive opportunities for experimentation, creativity and transformation in the realm of the erotic. (shrink)

This article uses a 36-million word corpus of news reporting on Hurricane Katrina in the United States to explore how computer-based methods can help researchers to investigate the construction of newsworthiness. It makes use of Bednarek and Caple’s discursive approach to the analysis of news values, and is both exploratory and evaluative in nature. One aim is to test and evaluate the integration of corpus techniques in applying discursive news values analysis. We employ and evaluate corpus techniques that have not (...) been tested previously in relation to the large-scale analysis of news values. These techniques include tagged lemma frequencies, collocation, key part-of-speech tags and key semantic tags. A secondary aim is to gain insights into how a specific happening – Hurricane Katrina – was linguistically constructed as newsworthy in major American news media outlets, thus also making a contribution to ecolinguistics. (shrink)

Ben Saunders claims that actual consent is not necessary for organ donation due to ‘normative consent’, a concept he borrows from David Estlund. Combining normative consent with Peter Singer's ‘greater moral evil principle’, Saunders argues that it is immoral for an individual to refuse consent to donate his or her organs. If a presumed consent policy were thus adopted, it would be morally legitimate to remove organs from individuals whose wishes concerning donation are not known. This paper disputes Saunders' arguments. (...) First, if death caused by the absence of organ transplant is the operational premise, then, there is nothing of comparable moral precedence under which a person is not obligated to donate. Saunders' use of Singer's principle produces a duty to donate in almost all circumstances. However, this premise is based on a flawed interpretation of cause and effect between organ availability and death. Second, given growing moral and scientific agreement that the organ donors in heart-beating and non-heart-beating procurement protocols are not dead when their organs are surgically removed, it is not at all clear that people have a duty to consent to their lives being taken for their organs. Third, Saunders' claim that there can be good reasons for refusing consent clashes with his claim that there is a moral obligation for everyone to donate their organs. Saunders' argument is more consistent with a conclusion of ‘mandatory consent’. Finally, it is argued that Saunders' policy, if put into place, would be totalitarian in scope and would therefore be inconsistent with the freedom required for a democratic society. (shrink)

ABSTRACTSince the publication of Susan Sontag’s highly influential Illness as Metaphor in 1978, many studies have provided follow-up analyses on her critique of metaphors for cancer, but none hav...

We review Potts’ influential book on the semantics of conventional implicature (CI), offering an explication of his technical apparatus and drawing out the proposal’s implications, focusing on the class of CIs he calls supplements. While we applaud many facets of this work, we argue that careful considerations of the pragmatics of CIs will be required in order to yield an empirically and explanatorily adequate account.

The Foundations of Justice: Why the Retarded and the Rest of Us Have Claims to Equality. By Robert M. Veatch.

The International Criminal Tribunal for Yugoslavia was established by the UN Security Council in 1993 to prosecute persons responsible for war crimes committed in the former Yugoslavia during the Balkan wars. As the first international war crimes tribunal since the Nuremburg and Tokyo tribunals set up after WWII, the ICTY has attracted immense interest among legal scholars since its inception, but has failed to garner the same level of attention from researchers in other disciplines, notably linguistics. This represents a significant (...) research gap, as the Tribunal’s public discourse can open up interesting avenues of analysis to researchers of law, language, and legal discourse alike. On its official website, the Tribunal claims that it has “irreversibly changed the landscape of international humanitarian law” and lists six specific achievements: “Holding leaders accountable; bringing justice to victims; giving victims a voice; establishing the facts; developing international law and strengthening the rule of the law”. While a number of legal scholars have studied and critiqued the level of ‘achievement’ actually attained by the Tribunal against these metrics and others, of interest to linguists is the ways in which this work might be conveyed discursively. In this paper, we demonstrate how methods from the linguistic field of corpus-based critical discourse analysis can be utilised to explore the discursive construction of such achievements in the language of the ICTY. (shrink)

We analyze expressive small clauses like you fool (and their counterparts in other languages) as contributors of expressive content. Independently known restrictions on expressive content in turn allow us to derive their limited distribution. The theory has ramifications for child language. It correctly predicts which root-level small clauses will survive into adult grammar and which will be blocked by the acquisition of higher functional projections. It also opens the way to an analysis of children’s one- and two-word utterances as denoting (...) expressive, rather than straightforwardly propositional, content. (shrink)

This paper proposes a two-level account of individuation, focusing on reconciling existential Thomism (especially Etienne Gilson’s version) and Duns Scotus’s teachings on haecceitas. I will argue, first, that the metaphysical root of individuation is the incommunicable act of existence (esse), that makes beings to actually exist and thus act in the world. Second, the formal specification of thisness within a finite individual is given by an intrinsic, non-qualitative principle. Following Scotus, I will call this haecceitas, “thisness.” The idea is to (...) preserve the Thomistic priority of act over potency and the centrality of esse while addressing the concern that esse lacks the positive determination to secure thisness. The first section of the paper will discuss the views of Aquinas, Gilson, and Scotus in their historical context. The second section will attempt to synthesize Aquinas’s esse and Scotus haecceitas which, though having different roles, are essential to individuality. The third section will answer potential objections, followed by a concluding section. (shrink)

The analysis of meat and its place in Western culture has been central to Human-Animal Studies as a field. _Meat Culture_ brings into focus urgent critiques of hegemonic ‘meat culture’, animal farming and the wider animal industrial complex.

_A deeply researched and poignant reflection on the practice of forgiveness in an unforgiving world__ “Broad in its philosophical sweep and fine in its literary analysis, this work redefines forgiveness as the modest yet heroic ability to hold pain and anger together with hope and nonviolence.”—Joie Szu-Chiao Chen, _Lion’s Roar__ Matthew Ichihashi Potts explores the complex moral terrain of forgiveness, which he claims has too often served as a salve to the conscience of power rather than as an instrument of (...) healing or justice. Though forgiveness is often linked with reconciliation or the abatement of anger, Potts resists these associations, asserting instead that forgiveness is simply the refusal of retaliatory violence through practices of penitence and grief. It is an act of mourning irrevocable wrong, of refusing the false promises of violent redemption, and of living in and with the losses we cannot recover. Drawing on novels by Kazuo Ishiguro, Marilynne Robinson, Louise Erdrich, and Toni Morrison, and on texts from the early Christian to the postmodern, Potts diagnoses the real dangers of forgiveness yet insists upon its enduring promise. Sensitive to the twenty-first-century realities of economic inequality, colonial devastation, and racial strife, and considering the role of forgiveness in the New Testament, the Christian tradition, philosophy, and contemporary literature, this book heralds the arrival of a new and creative theological voice. (shrink)

Harmonic Grammar (HG) is a model of linguistic constraint interaction in which well-formedness is calculated as the sum of weighted constraint violations. We show how linear programming algorithms can be used to determine whether there is a weighting for a set of constraints that fits a set of linguistic data. The associated software package OT-Help provides a practical tool for studying large and complex linguistic systems in the HG framework and comparing the results with those of OT. We describe the (...) translation from Harmonic Grammars to systems solvable by linear programming, and we illustrate the usefulness of OT-Help with a set of studies of the predictions HG makes for phonological typology. (shrink)

This paper appraises the role of critical-feminist figurations within the environmental humanities, focusing on the capacity of figures to produce situated environmental knowledges and pose site-specific ethical obligations. We turn to four environments—the home, the skies, the seas and the microscopic—to examine the work that various figures do in these contexts. We elucidate how diverse figures—ranging from companion animals to birds, undersea creatures and bugs—reflect productive traffic between longstanding concerns in feminist theory and the environmental humanities, and generate new insights (...) related to situated knowledges, feminist care-ethics and the politics of everyday sensory encounters. We also argue, however, that certain figures have tested the limits of theoretical approaches which have emerged as the product of dialogue between feminist theory and environmental studies. In particular, we explore how particular figures have complicated ethical questions of how to intervene in broad environmental threats borne of anthropogenic activities, and of who or what to include in relational ethical frameworks. (shrink)

The current practice of organ transplantation has been criticized on several fronts. The philosophical and scientific foundations for brain death criteria have been crumbling. In addition, donation after cardiac death, or non-heartbeating-organ donation (NHBD) has been attacked on grounds that it mistreats the dying patient and uses that patient only as a means to an end for someone else's benefit.

In lieu of an abstract, here is a brief excerpt of the content:The Institute of Medicine’s Report on Non-Heart-Beating Organ TransplantationRoger Herdman (bio), Tom L. Beauchamp (bio), and John T. Potts Jr. (bio)In December 1997, the Institute of Medicine (IOM) released a report on medical and ethical issues in the procurement of non-heart-beating organ donors. This report had been requested in May 1997 by the Department of Health and Human Services (DHHS). We will here describe the genesis of the IOM (...) report, the medical and moral concerns that led the DHHS to sponsor it, the process of producing it, and its conclusions. The analyses, findings, and recommendations of the report are also reviewed, in particular the central issues that led to suggestions for policy changes.Transplantation BackgroundAs a first step, some background in the relevant aspects of organ transplantation will prove useful. For the purposes of this analysis, “transplantation” involves the transfer of cells, tissues, or solid organs from one human to another to replace the structure or function of comparable body components that, through injury or disease, are defective or of inadequate function. The IOM report deals with solid organs, primarily kidneys and livers, whose blood supply is reconnected in the organ recipient, in contrast to cells, like bone marrow, and tissues, like corneas. A variety of donor types exists for organ transplantation, each with particular medical and scientific conditions.Living donors are healthy (and usually genetically related) individuals who volunteer to provide either a whole, paired organ such as a kidney or a section of an organ such as a liver. Cadaver donors are individuals who have died and from whom a full array of organs can be taken. “Heart-beating” cadaver donors are individuals who have suffered “brain death,” that is, irreversible cessation of function of the whole brain including the brain stem; and “non-heart-beating” donors (NHBDs) are individuals who are ill or injured, but not “brain dead,” and who have suffered cardiopulmonary death, that is, irreversible cessation of cardiac and respiratory function. NHBDs can be “controlled,” which means that [End Page 83] they can be sustained by artificial life support systems until a medical and family decision is made to terminate futile life support. This can be done at a scheduled time and in a controlled manner, and organs can then be recovered for transplantation. NHBDs can also be “uncontrolled,” which means that their hearts and breathing have stopped through disease or injury at an unexpected time or in an uncontrolled manner, and they cannot be resuscitated; the organs of some individuals of this description can be recovered for transplantation. The IOM report focused on both controlled and uncontrolled NHBDs and on problems specific to them.The questions that were asked and addressed in the IOM report became current and salient beginning in 1992 with the establishment of the University of Pittsburgh “Policy for the Management of Terminally Ill Patients Who May Become Organ Donors After Death.” This policy addressed controlled NHBDs and the ethical questions raised by their use; much of the discussion was reported in the June 1993 special issue of the Kennedy Institute of Ethics Journal. Public notice and anxiety about some of these concerns were sharpened and refocused by national and local media allegations of improper treatment of donors at the Cleveland Clinic in 1997, specifically premature—i.e., antemortem—recovery of organs and administration of drugs that allegedly might hasten donor death.The DHHS Request for StudyIt is not surprising that several federal actions would be taken in response to these events. Some, such as the results of a transplantation task force, remain largely internal to DHHS at this writing. Others are public, such as the IOM study of the NHBD situation. In May 1997, the DHHS initiated contacts with the IOM with the goal of exploring federal concerns about the medical and ethical treatment of NHBDs, in particular the allegations directed at the Cleveland Clinic.The DHHS response should be understood in at least three contexts. First, living donors and uncontrolled NHBDs were essentially the only donor types in the early days of transplantation in the United States. The technologies, ethics, and social acceptance of controlling and terminating life support for... (shrink)

This chapter explores the impact of “bureaucratic individualism” and profit-centered models on the medical profession, specifically examining Chronic Moral Injury (CH-MI). Drawing on Alasdair MacIntyre’s philosophy and Farr Curlin and Christopher Tollefsen’s critique of the Provider of Services Model (PSM) in healthcare, we argue that the erosion of practical reason—a key element for pursuing excellence in the profession—has dire consequences. Within the PSM, the focus on consumerism and radical patient autonomy hampers medical professionals’ ability to make value-informed judgments, contributing to (...) CH-MI and a crisis of purpose. The chapter calls for redefining healthcare models to prioritize human flourishing over corporate interests. (shrink)

In this paper, I supplement T. A. Cavanaugh’s arguments against physician-assisted suicide in his book, Hippocrates’ Oath and Asclepius’ Snake, by focusing more specifically on the dangers of the misuse of physician power and on the virtues essential to restrain such power. Since Cavanaugh’s starting point is similar to Edmund Pellegrino’s views on the fundamental ends of medicine, I start with the question of the proper ends of medicine. Cavanaugh’s interpretation of the Hippocratic Oath as the limitation of physician power (...) to heal and to kill raises the issue of the proper use of physician power over the patient. In order to support and strengthen Cavanaugh’s case, I use Richard Zaner’s discussion of physician power over the patient and the attendant duty to use such power in a responsible way. Finally, I supplement Cavanaugh’s discussion with a fuller account of physician virtues as they relate to physician-assisted suicide. I first discuss the ends of medicine, medical power, and physician-assisted suicide. Second, I discuss the relationship between virtue and physician-assisted suicide. Third, I draw some final conclusions. (shrink)

The emergence of new behavioral adaptations near the time of our species’ origin points to the ephemeral, context-bound nature of prehistoric human evolutionary success. An example from the Kenya rift valley illustrates how Pleistocene social organization, energy acquisition, and symbolic communication were transformed during a time of environmental disruption. This chapter explores the implication that environmental uncertainty can fuel the evolution of behaviors that enhance adaptability to change. Adaptability in our species is characterized by our propensity to alter our surroundings, (...) which today has become intensive and global in scale. Amplified uncertainty created by recent human activity, however, raises questions about future sources of adaptability as people face unprecedented disruption in climatic, ecological, and cultural systems. An impressive capacity to alter ourselves, as manifested in the diversity of cultures, suggests that, as current human success is destabilized, large and costly transitions in how we generate energy, acquire reliable information, and create networks of local to global societal responses will be possible. Moral frameworks that shape how people and societies view one another and interact will also prove indispensable in an adaptable human future. (shrink)

Police use force in high-stakes situations: as state agents, they are obligated to balance the suspect’s right to security against the community members’ right to safety. Currently, the doctrine of qualified immunity (DQI) overprotects police officers, which facilitates the use of illegitimate force. In section I, I survey the theoretical concerns motivating my inquiry into police authority. Section II develops these moral concerns by analyzing two deleterious effects of the DQI. Then, in section III, I show a proper conception of (...) authority to be essential to balancing the two aforementioned rights and argue that the doctrine breeds excessive use of force because it fails to ensure police legitimacy. I finish by suggesting how we should restrict police immunity. (shrink)