Philip Roth'sPatrimony: Narrative and ethics in a case study

I assess the ethical content of Philip Roth's account of his father's final years with, and death from, a tumor. I apply this to criticisms of the nature and content of case reports in medicine. I also draw some implications about modernism, postmodernism and narrative understandings.A version of the first two sections of this paper was presented at the annual meeting of the Society for Health and Human Values November 6, 1993, Washington, D.C.     

Autonomy and radical evil: a Kantian challenge to constitutivism

Properly understood, Kant’s moral philosophy is incompatible with constitutivism. According to the constitutivist, being subject to the moral law cannot be a matter of free choice, and failure to comply with it is to be understood as a deficiency in one’s integrity as an intentional agent. I reconstruct Kant’s arguments to the conclusion that immorality, moral evil, consists in choosing to give one’s unity as an intentional agent supremacy over the moral law, and that one’s being subject to the moral law must be one’s own free choice. And I explain how Kant’s doctrine of radical evil, according to which we cannot be subject to the moral law without actually being morally evil, protects this conclusion from entailing the denial of the unconditionally binding character of moral principles, which character constitutivists correctly identify as the central concern of Kant’s – or any – moral philosophy.     

Foot-in-the-door and door-in-the-face: a comparative meta-analytic study

The so-called foot-in-the-door and door-in-the-face techniques have been generally considered as procedures which may consistently influence others' behavior. This study compared efficiency (in terms of compliance rates with various target requests) of both techniques using meta-analysis. It is based on the accumulated studies directly comparing foot-in-the-door (n=22, subjects= 1581) and door-in-the-face (n=22, subjects= 1611) under a similar target request. Analysis indicated no significant differences in efficiency between the paradigms.     

Scientific misconduct and science ethics: a case study based approach

The Schön misconduct case has been widely publicized in the media and has sparked intense discussions within and outside the scientific community about general issues of science ethics. This paper analyses the Report of the official Committee charged with the investigation in order to show that what at first seems to be a quite uncontroversial case, turns out to be an accumulation of many interesting and non-trivial questions (of both ethical and philosophical interest). In particular, the paper intends to show that daily scientific practices are structurally permeated by chronic problems; this has serious consequences for how practicing scientists assess their work in general, and scientific misconduct in particular. A philosophical approach is proposed that sees scientific method and scientific ethics as inextricably interwoven. Furthermore, the paper intends to show that the definition of co-authorship that the members of the Committee use, although perhaps clear in theory, proves highly problematic in practice and raises more questions that it answers. A final plea is made for a more self-reflecting attitude of scientists as far as the moral and methodological profile of science is concerned as a key element for improving not only their scientific achievements, but also their assessment of problematic cases.     

Dependence and a Kantian conception of dignity as a value

Kantian moral concepts concerning respect for human dignity have played a central role in articulating ethical guidelines for medical practice and research, and for articulating some central positions within bioethical debates more generally. The most common of these Kantian moral concepts is the obligation to respect the dignity of patients and of human research subjects as autonomous, self-determining individuals. This article describes Kant’s conceptual distinction between dignity and autonomy as values, and draws on the work of several contemporary Kantian philosophers who employ the distinction to make sense of some common moral intuitions, feelings, and norms. Drawing on this work, the article argues that the conceptual distinction between dignity and autonomy as values is indispensable in the context of considering our obligations to those who are dependent and vulnerable.     

A Law of One's Own: Self‐Legislation and Radical Kantian Constructivism

Radical constructivists appeal to self‐legislation in arguing that rational agents are the ultimate sources of normative authority over themselves. I chart the roots of radical constructivism and argue that its two leading Kantian proponents are unable to defend an account of self‐legislation as the fundamental source of practical normativity without this legislation collapsing into a fatal arbitrariness. Christine Korsgaard cannot adequately justify the critical resources which agents use to navigate their practical identities. This leaves her account riven between rigorism and voluntarism, such that it will not escape a paradox that arises when self‐legislation is unable to appeal to external normative standards. Onora O'Neill anchors self‐legislation more firmly to the self‐disciplining structures of reason itself. However, she ultimately fails to defend sufficiently unconditional practical norms which could guide legislation. These endemic problems with radical constructivist models of self‐legislation prompt a reconstruction of a neglected realist self‐legislative tradition which is exemplified by Christian Wolff. In outlining a rationalist and realist account of self‐legislation, I argue that it can also make sense of our ability to overcome anomie and deference in practical action. Thus, I claim that we need not make laws but can make them our own.     

Anxiety in eating disorders: a comparative study

Scientific literature shows that anxiety is an important factor in eating disorders. The aim of this case-control study was to compare the anxiety manifestations obtained by means of the Anxiety Situations and Responses Inventory of in a clinical sample of 74 females (46, anorexia nervosa; 28, bulimia) to those obtained by a control group (130 girls without disorders). The between-group ANOVA results showed higher anxiety scores in the clinical group with a medium effect size for the anxiety trait, finding a flat profile (within-group ANOVA) for the three response systems (cognitive, physiological and motor) and the four specific anxiety traits (test, interpersonal, phobic, and daily life situations). Moreover, high scores in anxiety involved a greater risk of being diagnosed with an eating disorder in the 8 bivariate comparisons. The estimations were more precise for cognitive anxiety and for the specific interpersonal anxiety trait.     

Morningness in German and Spanish students: a comparative study

Humans show pronounced individual differences in circadian orientation. Transcultural comparisons are interesting since biological (or environmental) factors together with cultural ones may contribute to differences in morningness–eveningness. We compared Spanish and German undergraduates using the Composite Scale of Morningness (CSM) to assess circadian preferences. Confirmatory and multiple groups confirmatory factor analysis were used to assess factor structure and structural invariance across countries. The results showed that a three‐factor model of morningness best characterises the CSM structure of both samples. Partial factorial invariance (factor loadings) across countries was demonstrated for the factors ‘morningness’ and ‘morning alertness’. Scores of both factors were higher in German students. Potential cultural and biological explanations for the differences are discussed. Copyright © 2007 John Wiley & Sons, Ltd.     

Manifest needs of prospective counselors: a comparative study

Mean performances of 81 prospective counselors on each of the Edwards Personal Preference Schedule (EPPS; Edwards, 1959) needs were analyzed and statistically compared with performances of elementary school counselors, other school counselors, urban college students, professional women, Roman Catholic sisters, and the 1959 EPPS norm samples. Performances of the men and women in the prospective counselor group were similar. Men had a significantly higher need for achievement and dominance, but the significance did not reach .01. Two EPPS needs, intraception and nurturance, consistently differentiated the prospective counselor group. Comparisons across samples indicated that prospective counselors were most similar to the two counseling samples and, for the female subgroup of prospective counselors, to the sample of professional women. Largest across-sample differences were found between the female prospective counselors and the Roman Catholic sisters, between the female prospective counselors and norm samples of female college students and female adults, and between the male prospective counselors and the male adult norm sample.     

The Character of Temptation: Towards a More Plausible Kantian Moral Psychology

Kant maintained that dutiful action can have the fullest measure of moral worth even if chosen in the face of powerful inclinations to act immorally, and indeed that opposing inclinations only highlight the worth of the action. I argue that this conclusion rests on an implausibly mechanistic account of desires, and that many desires are constituted by tendencies to see certain features of one's circumstances as reasons to perform one or another action. I try to show that inclinations to violate moral requirements sometimes manifest a morally objectionable half-heartedness in one's commitment to those very requirements, and - by extension - to the values that undergird these requirements.