Aids,myth, and ethics

The present paper is a commentary on an article by Larry Churchill [1]. Churchill has argued that the negative attitudes and adverse behavior we commonly encounter in connection with (suspected) AIDS patients may be understood in terms of a dualistic myth inspiring a ritual avoidance of dirt, of dirt as something that does not belong to a clean world order. The deep-seated mythical character of attitudes and behavior here makes them less accessible to the kind of rational argument commonly employed in ethics. Churchill also proposes a remedy for the (morally outrageous) dualistic mythical-ritual behavior he has focused — a remedy that may be overly intellectualistic.Three further comments are made: on the metaphorical meaning of myth, on a reductionist tendency in Churchill's deep-looking project, and on an ethically crucial ambiguity in the meaning of the other person's otherness. These (mildly critical) comments do not, however, detract from a positive overall evaluation of Churchill's basic idea that we will understand more about adverse attitudes and behavior in connection with AIDS if we think in terms of myth, ritual, dirt, and cleanliness.     

Overcoming the myth of the mental

Can we accept John McDowell’s Kantian claim that perception is conceptual “all the way out,” thereby denying the more basic perceptual capacities we seem to share with prelinguistic infants and higher animals? More generally, can philosophers successfully describe the conceptual upper floors of the edifice of knowledge while ignoring the embodied coping going on on the ground floor? I argue that we shouldn’t leave the conceptual component of our lives hanging in midair and suggest how philosophers who want to understand knowledge and action can profit from a phenomenological analysis of the nonconceptual embodied coping skills we share with animals and infants, as well as the nonconceptual immediate intuitive understanding exhibited by experts.     

Freedom in responsibility: on the relevance of "sin" as a hermeneutic guiding principle in bioethical decision making.

This essay deals with questions of responsibility concerning technology, in particular, gene technology and the special problem of research on embryos. I raise issues concerning the extent of humans' authority to act and the limits of human freedom. In what way is that freedom given, and what kind of responsibility results from it? By discussing various concepts of human freedom in the tradition of European philosophy, as juxtaposed to the Protestant understanding of freedom, this essay discusses the restricting limits, and the obligation to take responsibility. It will turn out that the question concerning freedom cannot be answered without understanding what being human involves. From a Christian perspective, this implies that the foundational relationship between human freedom and sin will be central to an assessment of the human ability to take responsibility. By obliterating the limits of human freedom, sin jeopardizes the very essence of that freedom. The project of taking into account the sinful state of the human condition thus aims at developing a realistic picture of the authority of humans in action, even in view of the human tasks of promoting science and research.     

技术信任和领导信任对企业员工新技术接受的影响

在当今知识经济时代, 新技术的采用对于企业提高核心竞争力至关重要。如何使员工面对新技术带来的风险和不确定性, 信任并接受新技术是企业新技术推广的重要问题。现今学界虽已关注到信任在新技术采用这一过程中的积极作用, 但仍缺乏相关的理论和实证研究, 特别是对于其内在心理机制的解释。为弥补这一研究的不足, 本研究通过分析企业新技术推广情境下, 技术信任和领导信任对员工新技术接受的影响, 并引入了感知风险性与技术自我效能感作为中介变量, 探寻信任影响的内在机制。此外, 还进一步探讨企业文化的调节作用, 从而建构信任与企业员工新技术接受的理论模型, 为企业新技术的推广提出合理建议。     

The personal myth: A re‐evaluation

This paper presents a re‐evaluation of Kris's personal myth. The notion has been used rather sparingly despite the Delphi Symposium in 1984 on the question of its clinical usefulness. After framing the notion of myth, some difficulties related to the question are identified. A clinical vignette exemplifies some of the ambiguities in its definition but stresses its clinical relevance. A discussion expands on these situations so as to propose three various aspects of personal myths to account for the two variants identified by Kris. The actualization of the underlying fantasy in the character organization is a third form and the technical aspect associated with it is reviewed from a new perspective. The family romance is revisited to reassess its role as the basis of the personal myth in the face of studies favouring an earlier development of the myth.     

身体的技术构建及其道德维度

当代生命科技在拓展身体的功能空间,使身体的功能得以延伸的同时,也日益渗透到身体的内部,并成为身体的一部分,技术与身体的交互作用是一个双向建构的过程,一方面,人按照自己身体的需要使技术表现出适合身体需要的人文性;另一方面,技术又以现实的存在影响人的价值、目标。身体在被技术异化的同时,也在一定程度上引导着技术,使技术依身体的需要而发展。技术对身体的异化和控制必须与人类文化和技术与境相适应,以维护人的尊严和自我存在为前提,恪守技术伦理的底线,遵循基本的道德共识。

     

The ethics of assessing health technologies

Health technology assessment (HTA) consists of thesystematic study of the consequences of theintroduction or continued use of the technology in aparticular context, with the explicit objective toarrive at a judgment of the value or merit of thetechnology. Ideally, it is aimed at assessing allaspects of a given technology or group oftechnologies, including non-technical, e.g.socio-ethical, aspects. However, methods for assessingsocio-ethical implications of health technology arerelatively undeveloped and few mechanisms exist totake action based on the results of such evaluations.Still, the examples of cochlear inplants (CI) and other cases illustratethat HTA is not a matter of merely collecting thefacts about a technology. The facts must beplausible and relevant from a particular framework,which is not always shared by different groups. It ishere that socio-ethical aspects are encountered. Ifhealth technology assessment aims to enhance theaccountability of the decision making processregarding funding and use of health technology, it isa major challenge to assessors of health technologiesto deal adequately with existing value pluralism. Inthis respect interactive evaluation may have somethingto offer.     

The family myth: its deconstruction and replacement with a balanced humanized narrative

Abstract :  According to Carl Jung the mythopoeic activities of the collective unconscious contribute to the trajectory of personal individuation ( Segal 1998 ). The 'family myth' represents an imaginal narrative that emphasizes the importance of the family's founders, its collective values, and its position with respect to 'outsiders'. Sigmund Freud identified the importance of the Oedipal myth as the basis of nuclear family dynamics ( Rudnytsky 1992 ); however, the 'myth of the family' represents in reality a 'family of myths', each emphasizing different elements of potential interpersonal dynamics. But whereas some myths foster the child's optimal separation from parental influence and promote the process of individuation, others tend to hinder development.
One potentially deleterious form of the family myth tends to serve the narcissistic wishes of parents in their bid to maintain influence over the child by fostering the archetypal features of their role. The children who are the targets of the myth are thwarted in their psychological development by virtue of the fact that they are denied the opportunity to humanize their archetypal projections onto their parent(s). The result is a persistence of childlike attitude with respect to people and situations that they encounter outside the nuclear family. The persistent constellation of the child archetype is evidenced by features of the puer aeternus, with deficits in the ability to work, form stable adult relationships, and create a separate nuclear family. The significance of this type of family myth in the inappropriate preservation of puerile attitudes is examined and the desire of the offending parent(s) to promote their own immortality is explored. The contribution of the myth to the transference and transference resistance is explicated and suggestions are offered with respect to how to approach this critical issue in analysis.     

The Oedipus myth and its analogues,especially its characteristic manifestation in Finnish folk tales

ABSTRACT

The play of the ancient Greek tragedian Sophocles is the most famous story of Oedipus. However, similar stories have been told before and thereafter throughout history as legends and folk tales in different parts of the world. There is a specific folk tale type classified according to its narrative components and named the Oedipus tale. There are somewhat conflicting opinions about the universality of the Oedipus tales and Oedipus complex. This review deals with the nature of the Oedipus legend and its folk tale analogs. There are 25 examples of Oedipus folk tales that are known to be from Finland – a high prevalence compared to other regions of the world. From Scandinavia, for instance, they are virtually absent. The most of Finnish Oedipus stories have a special feature that is unique in the world.: a peculiar prophecy of a sheep that will be born at the same time and eaten by a wolf. An example of these Finnish folk tales is told. Possible interpretations of this tale are offered and discussed. The specific feature of the Finnish Oedipus tales stimulates a discussion on the different opinions regarding the timing of the Oedipus complex, especially considering its oral precursors.     

Ethics in health care and medical technologies

In this paper a case is used to demonstrate how ethical analysis enables health care professionals, patients and family members to make treatment decisions which ensure that medical technologies are used in the overall best interests of the patient. The claim is made and defended that ethical analysis can secure four beneficial outcomes when medical technologies are employed: (1) not allowing any medical technologies to be employed until the appropriate decision makers are identified and consulted; (2) insisting that medical technologies be employed not merely to promote the medical interests of the patient but rather on the basis of their ability to contribute to the overall well-being of the patient; (3) challenging caregivers to reflect on the dynamic interplay between their conscious and unconscious values and consequent determinations of what is in the patient's best interests; and (4) providing a justification for selected interventions which makes possible rational dialogue between caregivers espousing different viewpoints about treatment options.     

Sterilization, Catholic health care, and the legitimate autonomy of culture.

Disagreement over the legitimacy of direct sterilization continues within Catholic moral debate, with painful and at times confusing ramifications for Catholic healthcare systems. This paper argues that the medical profession should be construed as a key moral authority in this debate, on two grounds. First, the recent revival of neo-Aristotelianism in moral philosophy as applied to medical ethics has brought out the inherently moral dimensions of the history and current practice of medicine. Second, this recognition can be linked to Catholic morality through Vatican II's affirmation of the legitimate autonomy of culture, including the sciences. A partial precedent for understanding the moral authority of medicine can be found in the recent history of Catholic medical morality, and we further argue that a full contemporary recognition of that authority would weigh against an absolute prohibition of direct sterilizations. Institutionally, we propose the allowance of direct sterilizations in cases where the clinically perceived biomedical good of the patient is at stake.     

The responsibility of engineers, appropriate technology, and lesser developed nations

Projects importing technology to lesser developed nations may raise five important concerns: famine resulting from substitution of cash crops for subsistence crops, the use of products banned in the United States but permitted overseas, the use of products safe in the U.S. but unsafe under local conditions, ecological consequences of technological change, and cultural disruption caused by displacing traditional ways of life. Are engineers responsible for the foreseeable hunger, environmental degradation, cultural disruption, and illness that results from the project? Are engineers guilty of paternalism if they refuse to accept the project for that reason? Criteria are given to help engineers assess the extent of their responsibility when working in lesser developed nations.     

Teaching ethics and technology with <Emphasis Type="Italic">Agora</Emphasis>, an electronic tool

Courses on ethics and technology have become compulsory for many students at the three Dutch technical universities during the past few years. During this time, teachers have faced a number of didactic problems, which are partly due to a growing number of students. In order to deal with these challenges, teachers in ethics at the three technical universities in the Netherlands — in Delft, Eindhoven and Twente — have developed a web-based computer program called Agora (see www.ethicsandtechnology.com). This program enables students to exercise their ethical understanding and skills extensively. The program makes it possible for students to participate actively in moral reflection and reasoning, and to develop the moral competencies that are needed in their later professional practice. The developers of the program have tried to avoid two traps. Firstly, they rejected, from the outset, a cookbook style of dealing with ethical problems that applied ethics is often taken to be and, secondly, they wanted to design a flexible program that respects the student’s as well as the teacher’s creativity, and that tries to engage students in moral reflection. Agora meets these requirements. The program offers possibilities that extend beyond the requirements that are usually accepted for case-exercises in applied ethics, and that have been realised in several other computer models for teaching ethics. In this article, we describe the main considerations in the development of Agora and the features of the resulting program.     

Technological paternalism: On how medicine has reformed ethics and how technology can refine moral theory

The objective of this article is to investigate ethical aspects of technology through the moral term “paternalism”. The field of investigation is medicine. The reason for this is twofold. Firstly, “paternalism” has gained moral relevance through modern medicine, where physicians have been accused of behaving paternalistic and threatening patients’ autonomy. Secondly, medicine is a brilliant area to scrutinise the evaluative aspects of technology. It is argued that paternalism is a morally relevant term for the ethics of technology, but that its traditional conception is not adequate to address the challenges of modern technology. A modification towards a “technological paternalism” is necessary. That is, “technological paternalism” is a fruitful term in the ethics of technology. Moreover, it is suited to point out the deficiencies of the traditional concept of paternalism and to reform and vitalise the conception of paternalism in ethics in order to handle the challenges of technology.     

Tantalizing Times: An Examination of Discontent and Disconnects in Contemporary American Society

Using the myth of Tantalus as a point of departure and of reference, this paper examines various facets of contemporary anxieties and discontinuities. Tantalus was a mythical earthly king and a son of Zeus, king of the gods. His wishes for forbidden objects, omnipotence and immortality were the prelude for his having to endure excitements which could not be satisfied. Various changes have taken place in modern times which fill contemporary American life with the conflicts of Tantalus. The tantalizations are reflected in economics, culture & technology as well as various intellectual developments. The historical roots of this are traced. The paper attempts to weave a psychoanalytic interpretation of the myth with various anomalies of modern living to illustrate in many concrete ways how we live in Tantalizing Times.     

Towards a research programme for ethics and technology

In this editorial contribution, two issues relevant to the question, what should be at the top of the research agenda for ethics and technology, are identified and discussed. Firstly: can, and do, engineers make a difference to the degree to which technology leads to morally desirable outcomes? What role does professional autonomy play here, and what are its limits? And secondly, what should be the scope of engineers' responsibility; that is to say, on which issues are they, as engineers, morally obliged to reflect? The research agendas proposed by the authors contributing to this special section, implicitly, give different answers to these questions. We suggest that an explicit discussion of these issues would greatly help in constructing a common research agenda.     

Rethinking technology, revitalizing ethics: Overcoming barriers to ethical design

This paper explores the role of ethics in design. Traditionally, ethical questions have been seen as marginal issues in the design of technology. Part of the reason for this stems from the widely held notion of technology being “out of control.” This notion is a barrier to what I call “ethical design” because it implies that ethics has no role to play in the development of technology. This view, however, is challenged by recent work in the field of Science and Technology Studies (STS). Looking into the dynamics of technological change, STS scholars argue that human choices are present at every stage of a technology’s development and, furthermore, that human values are reflected in the very design of artifacts. This alternative view suggests that ethics can and should be included in the design process. Drawing on examples from the privacy arena. I point to some of the potential advantages of addressing ethical concerns early on in the design of a technology. I conclude with some general strategies for bringing ethics back into design. A version of this paper was presented at ETHICOMP98, the Fourth International Conference on Ethical Issues of Information Technology, March 25–27, 1998, Erasmus University, the Netherlands. Patrick Feng is a Ph.D. student in the Science and Technology Studies Department at Rensselaer. His research focuses on the development of technical standards that are designed to address social values such as privacy and trust.