Teaching Old Dogs New Tricks: The Role of Analogies in Bioethical Analysis and Argumentation Concerning New Technologies

New medical technologies provide us with new possibilities in health care and health care research. Depending on their degree of novelty, they may as well present us with a whole range of unforeseen normative challenges. Partly, this is due to a lack of appropriate norms to perceive and handle new technologies. This article investigates our ways of establishing such norms. We argue that in this respect analogies have at least two normative functions: they inform both our understanding and our conduct. Furthermore, as these functions are intertwined and can blur moral debates, a functional investigation of analogies can be a fruitful part of ethical analysis. We argue that although analogies can be conservative; because they bring old concepts to bear upon new ones, there are at least three ways in which they can be creative. First, understandings of new technologies are quite different from the analogies that established them, and come to be analogies themselves. That is, the concepts may turn out to be quite different from the analogies that established them. Second, analogies transpose similarities from one area into another, where they previously had no bearing. Third, analogies tend to have a figurative function, bringing in something new and different from the content of the analogies. We use research-biobanking as a practical example in our investigations.     

A space for measuring mind and brain: interdisciplinarity and digital tools in the development of brain mapping and functional imaging, 1980-1990

Brain mapping is said to have opened up the possibility of a new collaboration between the sciences of mind and the sciences of the brain, potentially leading to a new kind of scientist, sometimes called "cognitive neuroscientist." This article traces the recent history of brain mapping and analyzes the processes that have led to a new "close working relationship" between the sciences of mind and brain. A key part of the working relationship is shown to be constituted through the development of the Talairach system, a digital space in which to measure structure and function. The development of meaningful brain mapping data involves the creation of measurement spaces that allow interdisciplinary collaboration and is not the result solely of theoretical developments or of the application of a technology.     

Response to Irene Cairo,Rogelio A. Sosnik,and Eyal Rozmarin

I have based my response on several central points put forward by my discussants. This has provided the opportunity to explore different frames of reference. I focus on the validity of some notions such as identity or belonging to a stable institution. Also I discuss the different viewpoints concerning how we construct our sense of belonging, proposing that in order to belong to a relationship, it is necessary to continually work at this relationship. I also state that representation is distinct from presentation and that each of them has a different logic. This is also true for identification and the relationship between two or more others. My view is that the concept of otherness and presentation cannot be included in the hypothesis of transference–countertransference. It needs another one name, Interference. As these are unfamiliar concepts, it is clear that sometimes they are likened to more established ones. Using Eyal Rozmarin's remarks about how a feeling of intimacy was created at a dinner party with friends, I challenged the validity of this concept of intimacy in the construction of relationships. I also emphasized the importance of tolerance of others as Irene Cairo suggested. I feel strongly that our work with patients is not difficult but rather challenging and stimulating.     

Differences in generosity between smokers and nonsmokers in an upcoming smoking ban

The stigmatization of smokers has become a social norm as new information about its health effects continues to be uncovered. This study investigated smokers in terms of their generosity as a means of stigma management. A field study was undertaken in which the experimenters frequented local establishments in the eight days prior to the 2010 Michigan antismoking legislation taking effect. Experimenters, sometimes while smoking and sometimes while not smoking, approached patrons of the establishments who were either smokers or nonsmokers and asked them for a dollar. Results indicated smokers were more likely to give a dollar than nonsmokers, regardless of whether or not the experimenters were smoking. This was interpreted as a strategy smokers use to combat social stigma.     

Ethical Challenges with Welfare Technology: A Review of the Literature

Demographical changes in high income counties will increase the need of health care services but reduce the number of people to provide them. Welfare technology is launched as an important measure to meet this challenge. As with all types of technologies we must explore its ethical challenges. A literature review reveals that welfare technology is a generic term for a heterogeneous group of technologies and there are few studies documenting their efficacy, effectiveness and efficiency. Many kinds of welfare technology break with the traditional organization of health care. It introduces technology in new areas, such as in private homes, and it provides new functions, e.g. offering social stimuli and entertainment. At the same time welfare technology is developed for groups that traditionally have not been extensive technology users. This raises a series of ethical questions with regard to the development and use of welfare technologies, which are presented in this review. The main challenges identified are: (1) Alienation when advanced technology is used at home, (2) conflicting goals, as welfare technologies have many stakeholders with several ends, (3) respecting confidentiality and privacy when third-party actors are involved, (4) guaranteeing equal access and just distribution, and (5) handling conflicts between instrumental rationality and care in terms of respecting dignity and vulnerability. Addressing these issues is important for developing and implementing welfare technologies in a morally acceptable manner.     

Fiduciary Duties and Moral Blackmail

In meeting legal or professional fiduciary obligations, a fiduciary can sometimes come to share a special moral relationship with her beneficiary. Special moral relationships produce special moral obligations. Sometimes the obligations faced by a fiduciary as a result of her moral relationship with her beneficiary go beyond the obligations involved in the initial fiduciary relationship. How such moral obligations develop is sometimes under the control of the beneficiary, or of an outside party. As a result, the fiduciary can be the target of a distinctive kind of moral manipulation; it is sometimes possible to force a fiduciary to perform a particular act by placing her into circumstances under which she is morally obliged to perform it, because all her other options are morally unacceptable. This is moral blackmail. Moral blackmail is a powerful force within many sorts of human interactions. By understanding the ways in which fiduciaries become vulnerable to moral blackmail, we can better understand the pressures faced by fiduciaries in keeping their personal and professional lives separate, the dynamics of certain kinds of employment negotiations, and the injustice that results when women take on the bulk of the work within caring professions.     

Remembering and Remembering to Forget

To navigate our lives we all need to find ways both to remember and sometimes to forget aspects of our experiences that threaten us or cause us anxiety. Often patients need help in developing a capacity to hold in some dialectical tension, both remembering and forgetting. Some people are so frightened by the harsher realities of their lives that they turn to us to take on the remembering side of this dialectic, and, sometimes, to take on the forgetting side. Part of the work of their therapy is to help them develop the capacity to do more of both for themselves. Other patients come better prepared to take on this challenge and use us to witness and support their own efforts. This paper considers how patients use their hours with us to remember and to forget and ways in which psychoanalysts might participate in this undertaking.     

Being a psychoanalyst: An everyday audacity1

This paper is the work of fi ve psychoanalysts who came together as a group in order to refl ect on their work as analysts. How are we analysts to identify the unconscious resistances that may sometimes hold us back from offering psychoanalysis to some patients? Do these resistances sometimes hamper the inner freedom that we require in order to maintain a psychoanalytic focus once that process is under way? How do we manage from time to time to overcome these resistances or, better, make use of them in order to develop our understanding of the unconscious dynamics that create the link between analyst and patient? The authors discuss these issues with particular reference to clinical situations taken from classic psychoanalytic treatment cases during which the analyst had to fi nd within him‐ or herself the audacity to be a psychoanalyst. Each clinical situation is different: preliminary interviews, in the course of the actual treatment, issues that emerge in the training of candidates. One of the signifi cant features of this group lies in the fact that the participants are at different stages in their development as psychoanalysts (student, associate member, full member, training analyst). This means that their experiences complement one another and encourage a discussion of issues such as how psychoanalysis can be passed on, and the relationship between supervisor and supervisee.     

The Bicameral Brain and Theological Ethics: An Initial Exploration

Pope John Paul II called for an intense dialogue between science and theology, “a common interactive relationship,” in which each discipline is “open to the discoveries and insights of the other” while retaining its own integrity. This essay seeks to be responsive to that call and is an initial exploration of relationships between contemporary neuroscience and Catholic theological ethics. It examines neuroscientific data on the bicameral brain and theological ethical data on marital ethics, including divorce and remarriage, and asks what insight the former might provide into both the latter and the different ethical methods that respond to marital ethics. The analysis is undertaken in the hope of illuminating a pathway that opens the insights of one way of doing theological ethics to the insights of another way, thereby eliminating the unnecessary, unhelpful, and sometimes un-Christian polarizations that presently separate them.     

Trust in Nanotechnology? On Trust as Analytical Tool in Social Research on Emerging Technologies

Trust has become an important aspect of evaluating the relationship between lay public and technology implementation. Experiences have shown that a focus on trust provides a richer understanding of reasons for backlashes of technology in society than a mere focus of public understanding of risks and science communication. Therefore, trust is also widely used as a key concept for understanding and predicting trust or distrust in emerging technologies. But whereas trust broadens the scope for understanding established technologies with well-defined questions and controversies, it easily fails to do so with emerging technologies, where there are no shared questions, a lack of public familiarity with the technology in question, and a restricted understanding amongst social researchers as to where distrust is likely to arise and how and under which form the technology will actually be implemented. Rather contrary, ‘trust’ might sometimes even direct social research into fixed structures that makes it even more difficult for social research to provide socially robust knowledge. This article therefore suggests that if trust is to maintain its important role in evaluating emerging technologies, the approach has to be widened and initially focus not on people’s motivations for trust, but rather the object of trust it self, as to predicting how and where distrust might appear, how the object is established as an object of trust, and how it is established in relation with the public.     

In Defense of Comic Pluralism

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.     

What eschatology fits our socio-cultural conditions better? An exercise in theology ‘from below’

Eschatological beliefs have matured alongside both biblical composition and Christian history. This evolution can be traced using cultural evolutionary studies. The process reflects attempts to adapt to new conditions and challenges—sometimes giving place to more focused views, but also sometimes to failures and dysfunctional forms or fruitless variations. It becomes a theological duty to assess this evolution better. The key element is the reception of these eschatological beliefs, to discern what expressions of them are more helpful in encouraging Christian fidelity, coping with distress, and engaging with individual and societal challenges. In this article, we outline a research programme that links eschatology to anthropology, and that tries to analyse beliefs according to state-of-the-art methods, such as evolutionary cultural studies and research on the believing process. We also contribute a case study based on the concept of hell to test the proposed approach.     

Studying with the Internet: Giorgio Agamben,Education, and New Digital Technologies

This paper provides an analysis of the educational use of the Internet and of digital technologies that is neither pessimistic nor optimistic, that is neither critical nor post-critical. Turning to Italian philosopher Giorgio Agamben’s comments on studying and its relationship to the technology of the blank writing tablet, the authors argue that digital devises are a radical transformation in our relationship to the technologies of reading and writing. Traditionally, the scholar was able to experience his or her potentiality to communicate through writing via the blankness of the writing tablet. Yet, according to Agamben, such blankness has become inaccessible in the digital age, where the screen is always full of content. Here the authors argue that Agamben is correct in his diagnosis, yet his own theory of communicability (as the experience of our ability to and not to communicate this or that specific message) offers up a way to redeem the educational use of digital devices. It is precisely the overflowing saturation of communications on the Internet which produces a new kind of blankness. It is this blankness which should thus become the focus of a studious form of media literacy—one that is not critical or post-critical so much as pre-critical (in that it contemplates the very potentiality for communication as such).     

Reflective Adaptation of a Technology Artifact: A Case Study of Classroom Change

This case study examines the changes that took place in a 5th-grade mathematics classroom in Hong Kong when an American-made technological artifact was introduced. Using classroom observation, videotaping, and daily interviews with the teacher and students, the study documents the changes that occurred in the classroom and the factors shaping those changes. Using the artifact prompted the teacher to make changes by altering the content, the sequence of instruction, and the social arrangements for class participation. In addition, the class engaged in extensive discussions about the social implications of solving complex mathematics problems. Most of these changes, however, were made after the attempts to maintain routine instruction broke down. The study suggests that new technologies that are not compatible with the existing practice may lead to intense and sometimes profound reflections about which aspects of the individuals, their environment, and the new artifact to adapt into a new classroom structure. A significant challenge is how to support participants' role shifting and their subsequent psychological changes when new technology is introduced.     

骨科新进展与教学补充内容的选择

骨科新技术新理论发展迅速,而教科书的内容相对滞后,在教学中为兼顾新知识和教科书内容,采取适当补充短小精练内容的方法,对四肢骨折、脊柱、肿瘤等内容进行补充讲解,并在某些地方加入一些现代医学伦理方面的知识,使学生能更全面地了解骨科,而不增加学生的负担.     

Psychosocial discontinuities introduced by the new reproductive technologies

The introduction of the new reproductive technologies has brought about a separation of the experience of reproduction from a previously necessary act of sexual intercourse between a fertile male and a fertile female. This has brought in its train the need for new ways of thinking about the relationship between procreation, reproduction and parenting. Psychosocial research into child–parent, male–female and kin relationships resulting from the use of the new reproductive technologies has value both in terms of its own intrinsic interest and also in terms of insights provided into what has been traditionally portrayed as the ‘normal’ reproductive process. This contribution to the Special Issue serves as a general introduction to the topic by presenting a ‘discontinuity’ model intended to provide a context in which psychosocial research into the provision and use of the new reproductive technologies could be explored. © 1998 John Wiley & Sons, Ltd.     

Moral responsibility and the continuation problem

Typical incompatibilists about moral responsibility and determinism contend that being basically morally responsible for a decision one makes requires that, if that decision has proximal causes, it is not deterministically caused by them. This article develops a problem for this contention that resembles what is sometimes called the problem of present (or cross-world) luck. However, the problem makes no reference to luck nor to contrastive explanation. This article also develops a solution.     

The complex relationship between creativity and consumer ethics depending on endemic corruption in emerging and developed countries

Creativity and ethics are two topics that are extremely important to business managers and researchers. However, only limited research has examined their relationship and has shown contradictory results: the effect of creativity on unethical behavior proves to be sometimes positive, sometimes negative. In this vein, building on social cognitive theory, we examine whether this relationship depends on a macroeconomic factor – endemic corruption – as a boundary condition. We further consider the mechanism through which creativity can lead to unethical behavior and focus on the role of subjective well-being. We collect data from 1463 individuals in two high-corruption and emerging countries, Brazil and China, and two low-corruption and developed countries, France and the United States. Based on a multi-level (or hierarchical) analysis, our results show that, in high-corruption countries, creativity is negatively related to unethical behaviors. Conversely, in low-corruption countries, the relationship is positive and mediated by subjective well-being.     

Bonhoeffer and Bultmann: Toward an Apocalyptic Rapprochement

In the 1950s and 1960s, the relation between Dietrich Bonhoeffer and Rudolf Bultmann was a topic of much dispute, with Gerhard Krause declaring the apparent opposition between them ‘resolved’ in 1964. Recent apocalyptic theology has reopened the divide between them by claiming Bonhoeffer as an apocalyptic thinker over against Bultmann. This article disputes that reading by arguing that the very conditions under which Bonhoeffer is rightly understood as apocalyptic open up the door for a new interpretation of Bultmann. The question of their relationship reveals the ambiguity surrounding the notion of apocalyptic. There is a pressing need for greater clarity regarding this notion as well as greater charity in relation to Bultmann.     

Nanomedicine: Building a Bridge Between Science and Law

This article aims to address challenges of translating emerging scientific technologies into legal terms and incorporate them into the existing North American regulatory regimes. A lack of full scientific knowledge about nanomedicine technologies results in the lack of development in legal discourse to describe products and to clearly set legal standards on their safety and efficacy. The increasing complexity and hybrid nature of technologies negatively impact the functionality of “law in action” leading to a legal uncertainty and ultimately to a public distrust. Nanomedicine is an illustrative example of how law lags behind increasingly fast-paced scientific technologies making it difficult to find a balance between innovation and safety. This article argues that the boundary crossing nature of nanomedicine through different domains of science triggers a methodological and epistemological debate within science and law, suggesting that a critical revision is required in our traditional methods to learn, create, and categorize knowledge from breakthrough scientific advances. The highly disruptive nature of nanomedicine places stress on traditional conceptual frameworks, classifications of knowledge, and existing regulations. The legal challenge to identify definitions or to classify nanoapplications brings to light a conceptual vacuum surrounding nanomedicine. Moving away from confusing policies and obsolete classificatory models, this article suggests to undertake changes that are only the first steps of a more in-depth “epistemological transformation” that addresses knowledge as the process of not only gathering data, but also, as the process of elaborating new conceptual bases to better fulfill the legal language and facilitate the legal task of finding definitions and formulating criteria more adherent with scientific advances. This should compel regulators to explore new paradigms and develop new methodologies to evaluate data on nanomedicine applications in order to provide sustainable bases for a responsible development of nanomedicine.