“The Notion of Neutrality in Clinical Ethics Consultation”

Clinical ethics consultation (CEC), as an activity that may be provided by clinical ethics committees and consultants, is nowadays a well-established practice in North America. Although it has been increasingly implemented in Europe and elsewhere, no agreement can be found among scholars and practitioners on the appropriate role or approach the consultant should play when ethically problematic cases involving conflicts and uncertainties come up. In particular, there is no consensus on the acceptability of consultants making recommendations, offering moral advice upon request, and expressing personal opinions. We translate these issues into the question of whether the consultant should be neutral when performing an ethics consultation. We argue that the notion of neutrality 1) functions as a hermeneutical key to review the history of CEC as a whole; 2) may be enlightened by a precise assessment of the nature and goals of CEC; 3) refers to the normative dimension of CEC. Here, we distinguish four different meanings of neutrality: a neutral stance toward the parties involved in clinical decision making, toward the arguments offered to frame the discussion, toward the values and norms involved in the case, and toward the outcome of decision making, that is to say the final decision and action that will be implemented. Lastly, we suggest a non-authoritarian way to intend the term “recommendation” in the context of clinical ethics consultation.     

The Ethics of Neuroscience and the Neuroscience of Ethics: A Phenomenological–Existential Approach

Advances in the neurosciences have many implications for a collective understanding of what it means to be human, in particular, notions of the self, the concept of volition or agency, questions of individual responsibility, and the phenomenology of consciousness. As the ability to peer directly into the brain is scientifically honed, and conscious states can be correlated with patterns of neural processing, an easy??but premature??leap is to postulate a one-way, brain-based determinism. That leap is problematic, however, and emerging findings in neuroscience can even be seen as compatible with some of the basic tenets of existentialism. Given the compelling authority of modern ??science,?? it is especially important to question how the findings of neuroscience are framed, and how the articulation of research results challenge or change individuals?? perceptions of themselves. Context plays an essential role in the emergence of human identity and in the sculpting of the human brain; for example, even a lack of stimuli (??nothing??) can lead to substantial consequences for brain, behavior, and experience. Conversely, advances in understanding the brain might contribute to more precise definitions of what it means to be human, including definitions of appropriate social and moral behavior. Put another way, the issue is not simply the ethics involved in framing neurotechnology, but also the incorporation of neuroscientific findings into a richer understanding of human ethical (and existential) functioning.     

The Dialogue of Ḥikma: Generating Harmony in Muslim–Non-Muslim Relations

This article seeks to explain the concept of the dialogue of ?ikma as a qur'anic principle in developing harmony in Muslim–non-Muslim relations. Living together harmoniously is essential in a community made up of a myriad of cultures and religions. Efforts to create harmony can be realized through the dialogue of ?ikma and by inculcating it as the culture in daily life interaction. This is truly essential in the context of mixed-faith families. In order to explore how the dialogue of ?ikma can be applied in Muslim–non-Muslim relations, this article examines the experience of Muslim converts living together with their non-Muslim families of origin. The research was conducted through in-depth interviews with selected Muslim converts from a variety of cultural backgrounds, living in the area of Kota Kinabalu, Sabah. The results indicate that Muslim converts share similar experiences in applying the dialogue of ?ikma as a mechanism for solving family problem arising as a result of conversion to Islam.     

The Ethics and Politics of Religious Ethics, 1973–2023

This essay addresses the questions, “what good is religious ethics for?” and “what justification exists for the field?” in three steps. First, it canvases how religious ethicists have offered reasons for carrying out work in the field to identify an Anti-Reductive Paradigm that is guided by an Egalitarian Imperative. That imperative functions as a thin, minimal morality of inclusivity and equal respect that guides work in the field. Second, the essay considers the field's ends. Here the focus shifts from values that shape the field's methods to values that can describe the field's purposes. That shift requires us to think in terms of a thick rather than a thin morality, one with substantive rather than procedural virtues in mind. The essay offers a constructive, substantive proposal under the rubric of Critical Humanism. Critical Humanism justifies the study of religious ethics as an enterprise that can expand the moral imagination through its encounter with difference. It is shaped by four values: post-critical reasoning, social criticism, cross-cultural fluency, and environmental responsibility. Third, the essay brings the two parts of the argument together by explaining how to connect such purposes to the thin morality of inclusivity and equal respect. One upshot of the essay is to have us think not only about values, but also about power as it pertains to scholarship in the guild; hence the attention to the ethics and politics of religious ethics.     

Chaplain–Physician Consultancy: When Chaplains and Doctors Meet in the Clinical Context

This paper summarizes the perspectives of 327 Australian health care chaplains concerning their interaction with physicians within the clinical context. In general terms the findings indicated that nearly 90% of chaplains believed that it was part of their professional role to consult with physicians regarding patient/family issues. Differences of involvement between volunteer and staff chaplains, Catholic and Protestant, male and female chaplains and the type of chaplaincy training are noted, as are the perspectives of chaplaincy informants regarding their role in relation to physicians. Some implications of this study with respect to chaplaincy utility and training are noted.     

Contemporary Catholic Perspectives on Christian–Muslim Relations in Sub-Saharan Africa: The Case of Tanzania

Taking into consideration that Christians and Muslims in sub-Saharan Africa live intermingled in family, clan or ethnic groups, this article takes cognizance of the effect of the teachings of each tradition about their own identity and their perception of the other. It also seeks to take into account the Roman Catholic principles of inter-religious dialogue as enunciated by the Second Vatican Council in the documents Nostra Aetate and the Declaration on the Relation of the Church to Non-Christians, as well as Unitatis Reintegratio, the Decree on Ecumenism, and Dominus Iesus. In view of the fact that these are seen as a source of tension, the question arises as to whether they are being interpreted correctly or applied in the spirit intended.     

“Metaphysics Without Ethics is Blind”: The Legacy of Hilary Putnam

Two convictions underlie the following article. The first is that Hilary Putnam has been one of the greatest thinkers of our time, a philosopher who was able to propose groundbreaking ideas in virtually every area of philosophy. As the reader will see, the topics he tackled in his writings included questions of philosophy of science, philosophy of language, philosophy of mathematics and logic, philosophy of mind, metaethics, the fact-value dichotomy, the interpretation of Wittgenstein’s later thought, the question of relativism, the analysis of rationality, the analysis of religious experience, the character of Jewish philosophy, the interpretation of pragmatism, the elucidation of the concept of truth, the question of realism, the relationship between mind and the world. The second is that the changes some of his positions underwent, far from being a point of weakness—as some critics have sometimes felt compelled to claim—reveal the freshness and genuineness of Putnam’s way of philosophising and at the same time the essence of philosophical discussion itself.     

The Who and When of “Gender-Blind” Attitudes: Predictors of Gender-Role Egalitarianism in Two Different Domains

We compared gender-role egalitarianism in two domains: employment and social roles. We also investigated the influence of four variables—gender, ethnicity (Asian and non-Asian), scores on the Personal Attributes Questionnaire (PAQ), and the perceived importance of men's social privileges—on egalitarianism in each domain. Participants (205 male and female college students of varying ethnicity) were more egalitarian in the employment than in the social domain. Women were more egalitarian than men, but this gender difference was greater in the employment domain. Asian Americans were less egalitarian than non-Asians only in the social domain. Expressiveness score on the PAQ predicted higher egalitarianism, whereas the perceived importance of men's social privileges was negatively related to egalitarianism. Theoretical explanations are discussed.     

Shame in Physician–Patient Interactions: Patient Perspectives

This study estimated the extent to which shame is elicited in physician–patient interactions and examined the emotional and behavioral reactions of patients to such interactions. A large adult sample (N = 915) reported on their shame-provoking experiences in interactions with physicians through an anonymous survey. Half of all respondents (n = 456) recalled one or more interactions with a physician that left them feeling ashamed, with significantly more women (59%) than men (39%) reporting this. Forty-five percent of those reporting such experiences stated they terminated treatment with, avoided, or lied to their physician to avoid experiencing further shame. However, 33% believed the shame-provoking interaction provoked useful behavioral changes, and 46% were, on balance, grateful to the physician. Women, relative to men, reported that the interaction led to more negative emotional and behavioral consequences. The type of health issue involved in the interaction also was associated with differential outcomes. Thus, it appears that inducing shame in medical contexts is widespread and may well have both positive and negative effects.     

When family-supportive supervision matters: Relations between multiple sources of support and work–family balance

This study examines the mechanisms by which family-supportive supervision is related to employee work–family balance. Based on a sample of 170 business professionals, we found that the positive relation between family-supportive supervision and balance was fully mediated by work interference with family (WIF) and partially mediated by family interference with work (FIW) such that having a supportive supervisor was associated with low WIF and FIW which, in turn, were related to high balance. Consistent with an enhancement perspective, the relation between family-supportive supervision and balance was stronger for employees in family-supportive organizational environments than unsupportive environments and was stronger for employees with supportive spouses than unsupportive spouses. We discuss the theoretical implications of the findings and suggest areas for additional research.     

Boundaries and intimacies: Ethics and the (re)performance of “The Law” in psychoanalysis

The notion of a boundary as it pertains to psychoanalysis is explored, and the distinctiveness of psychoanalysis as a healing science that is ethical and amoral is discussed. The difference between such a science and psychotherapies, which are committed to ideological ideals of maturation and adaptation, is elucidated. Five characteristics of psychological boundaries are discussed, and the significance of each individual's “encounter” with the incest taboo is elaborated, in terms of the dynamic formation of the repression barrier. In this context, the strict ethicality and moral neutrality of psychoanalytic practice is understood in terms of the emancipative way in which free-associative discourse works and plays along the repression barrier.     

“Ethics When You Least Expect It”: A Modular Approach to Short Course Data Ethics Instruction

Science and Engineering Ethics - Data science skills are rapidly becoming a necessity in modern science. In response to this need, institutions and organizations around the world are developing...     

Ethics: universal or global? The trends in studies of ethics in the context of globalization

The article discusses how theory and practice in global ethics affect each other. First, the author explores how the study of ethics has changed in the era of globalization and ponders what the role of the field of study of global ethics is in this context. Second, she wants to show how the logical fallacies in widening study field of ethics produce false polarizations between facts and value judgements in social ethics made in various cultural contexts. She further elaborates how these false polarizations prevent constructive cross-cultural and transnational discussions on ethical guidelines and principles that are needed to produce joint action (plans) to deal with serious ethical issues globally and nationally. Finally, the paper argues that in order to find a way to solve our shared complex ethical problems in global context, we need to get back to basics by focusing on the method of ethics, that is, self-critical and logical analysis of sound argumentation and justification of our values and moral principles.     

When 2–3% really matters: The (un)importance of religiosity in psychotherapy

Previous research suggests that clients’ religious beliefs are commonly excluded from therapeutic practice. Often, this exclusion is attributed to practitioners’ lack of knowledge or appropriate skills. Such analyses, however, have little regard for the interactional aspects of the therapist/client encounter. Drawing upon work within discursive social psychology, we argue that the exclusion of religious beliefs does not reflect therapists’ lack of knowledge or awareness but can more usefully be seen as the discursive accomplishment of marginalizing clients’ beliefs. Six practising psychotherapists were interviewed about religious beliefs within the therapeutic process. Participants construct religious beliefs as important but relevant only to restricted categories of clients. They rework religious beliefs as compatible with accepted practice, or construct particular groups of clients as incompatible with the process. Training and other requirements are reformulated in terms of spiritual beliefs rather than religious beliefs. These constructions display awareness of religious beliefs while marginalizing their relevance in practice. Inclusion of clients’ religious beliefs to best effect will require more psychotherapy to engage more constructively with religion than it does at present.     

Concretizing an Ethics of Emptiness: The Succeeding Volumes of Watsuji Tetsurô’s Ethics

Watsuji Tetsurô’s Ethics is one of the most important works in Japanese ethical thought. But scholarly research in English has largely focused on the first of three volumes of Ethics, leaving the latter two oft-neglected. In order to balance out the views of Watsuji’s ethics, this paper focuses on the contributions of the second and third volumes of Ethics. These volumes are essential for any concrete understanding of Watsuji’s ‘ethics of emptiness’. The second volume develops the ideas of the first, particularly how the dual-structure (individuality and communality) is concretely realized through the various stages of ethical organization (family, local community, economy, nation, and state). The third volume develops the notions of space and time from the first volume into a theory of climate (fûdo) and history. By analyzing these, we can understand Watsuji’s system as a whole and clarify Watsuji’s unique contribution to ethical theory.     

Christian–Muslim Relations in Kenya: A Catalogue of Events and Meanings

This article examines contemporary paradigms, events and modes of communal behaviour which represent and reflect historical perspectives and shifts in Christian–Muslim relations in Kenya, which have been variously characterized by conflict, concord, polemics and dialogue, based on archival records, official documents and interviews. Since Muslims and Christians co-exist side by side in Kenya, they are compelled to respond to the challenges of this reality. Events involving Muslims and Christians as influenced by colonial history and the struggle for independence, and various ways in which the communities are participating in a new nation, are considered with reference to constitutional debates regarding Islamic courts.