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This paper argues that we have wrongly and not for the patient’s benefit made a form of stark autonomy our highest value which allows physicians to slip out from under their basic duty which has always been to pursue a particular patient’s good. In general – I shall argue – it is the patient’s right to select his or her own goals and the physician’s duty to inform the patient of the feasibility of that goal and of the means needed to attain it. If the goal is not one that is possible, the patient, with the physician and family, must select a feasible goal and then discuss the costs/benefits of various approaches. The physician should take a leading role in helping the patient select the goal. I argue that to simply present a laundry list of means and insist that patients choose for themselves is not only abandoning patients to their autonomy but is, in fact, a crass form of violating the patient’s autonomy. Freely choosing not to choose is a choice a patient with decisional capacity is entitled to make and one that needs to be respected.  相似文献   

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Former NAACP chapter head Rachel Dolezal's attempted transition from the white to the black race occasioned heated controversy. Her story gained notoriety at the same time that Caitlyn Jenner 1 graced the cover of Vanity Fair, signaling a growing acceptance of transgender identity. Yet criticisms of Dolezal for misrepresenting her birth race indicate a widespread social perception that it is neither possible nor acceptable to change one's race in the way it might be to change one's sex. Considerations that support transgenderism seem to apply equally to transracialism. Although Dolezal herself may or may not represent a genuine case of a transracial person, her story and the public reaction to it serve helpful illustrative purposes.  相似文献   

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This paper offers a programmatic philosophical articulation of moral and political individualism. This individualism consists of two main components: value individualism and rights individualism. The former is the view that, for each individual, the end which is of ultimate value is his own well-being. Each individual's well-being has ultimate agent-relative value and the only ultimate values are these agent-relative values. The latter view is that individuals possess moral jurisdiction over themselves, i.e., rights of self-ownership. These rights (along with other rights individuals may come to possess) constrain the manner in which agents may pursue value. For this reason, the articulated individualism is an constrained individualism. Sketches of arguments are offered for both value and rights individualism. And it is argued that the sole legitimate function of legal/political institutions is to further delineate and protect the rights of individuals. However, the paper is also concerned to indicate why this radical moral and political individualism does not have many of the features or implications that are commonly ascribed to it. In this connection, I seek to show how this social doctrine accords with individuals' having concern for the well-being of others, with the emergence of relationships among individuals that have both instrumental and non-instrumental value, with a degree of responsibility for self and others that is often thought to be antithetical to individualism and, in general, with a flourishing of civil order.  相似文献   

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黄敏 《哲学研究》2012,(4):74-81,128
自从蒯因在著名的《经验论的两个教条》等一系列文章中对分析性做出批评以后,分析传统内已经很少有哲学家再对分析性概念持肯定态度了;随之受到威胁的是意义以及逻辑必然性的概念。  相似文献   

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This article studies our philosophical understanding of experience in order to question the current political and theoretical dismissal of experiential accounts in feminist theory. The focus is on Joan Scott's critique of experience, but the philosophical issues animating the discussion go beyond Scott's work and concern the future of feminist theory and politics more generally. I ask what it means for feminist theory to redefine experience as a linguistic event the way Scott suggests. I attempt to demonstrate that the consequences that she draws from such a theoretical move are both philosophically and politically problematic. A critical study of the evidence of experience does not have to imply metaphysical or epistemological foundationalism, as Scott claims, but on the contrary, such a study is indispensable for challenging them. We must hold onto experience as an important resource for contesting sexist discourses and oppressive conceptual schemas.  相似文献   

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Affirmative action refers to positive steps taken to hire persons from groups previously and presently discriminated against. Considerable evidence indicates that this discrimination is intractable and cannot be eliminated by the enforcement of laws. Numerical goals and quotas are justified if and only if they are necessary to overcome the discriminatory effects that could not otherwise be eliminated with reasonable efficiency. Many past as well as present policies are justified in this way.  相似文献   

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“Surrender; therefore, surrender or fight” is apparently an argument corresponding to an inference from an imperative to an imperative. Several philosophers, however (Williams 1963; Wedeking 1970; Harrison 1991; Hansen 2008), have denied that imperative inferences exist, arguing that (1) no such inferences occur in everyday life, (2) imperatives cannot be premises or conclusions of inferences because it makes no sense to say, for example, “since surrender” or “it follows that surrender or fight”, and (3) distinct imperatives have conflicting permissive presuppositions (“surrender or fight” permits you to fight without surrendering, but “surrender” does not), so issuing distinct imperatives amounts to changing one’s mind and thus cannot be construed as making an inference. In response I argue inter alia that, on a reasonable understanding of ‘inference’, some everyday-life inferences do have imperatives as premises and conclusions, and that issuing imperatives with conflicting permissive presuppositions does not amount to changing one’s mind.  相似文献   

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Leon Horsten 《Synthese》1998,116(1):1-25
This paper presents a defense of Epistemic Arithmetic as used for a formalization of intuitionistic arithmetic and of certain informal mathematical principles. First, objections by Allen Hazen and Craig Smorynski against Epistemic Arithmetic are discussed and found wanting. Second, positive support is given for the research program by showing that Epistemic Arithmetic can give interesting formulations of Church's Thesis. This revised version was published online in June 2006 with corrections to the Cover Date.  相似文献   

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Jokes are sometimes morally objectionable, and sometimes they are not. What’s the relationship between a joke’s being morally objectionable and its being funny? Philosophers’ answers to this question run the gamut. In this paper I present a new argument for the view that the negative moral value of a joke can affect its comedic value both positively and negatively.  相似文献   

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Abstract: Steven Yates has criticized my claim that we need to bring about a revolution in the aims and methods of academic inquiry so that the aim becomes to promote wisdom rather than just acquire knowledge. Yates's main criticism is that the proposed revolution does not have a clear strategy for its implementation and is, in any case, Utopian, unrealizable, and undesirable. It is argued, here, that Yates has misconstrued what the proposed revolution amounts to; in fact it is realizable, is urgently needed, and involves exploiting the kind of strategies utilized so effectively by the philosophes of the eighteenth‐century French Enlightenment.  相似文献   

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