Consequentializing and Underdetermination

The paper explores a new interpretation of the consequentializing project. Three prominent interpretations are criticized for neglecting the explanatory dimension of moral theories. Instead, it is argued that consequentializing leads to a phenomenon that is structurally analogous to one in science—the underdetermination of theory by evidence. This provides important insights into the consequentializing debate, and advances our general understanding of the moral domain.     

Cosmic Commons: Contact and Community

Abstract

As we Homo sapiens on planet Earth prepare for possible contact with extraterrestrial life (ET)—especially extraterrestrial intelligent (ETI) life—we need to consider ethics. What will be the ethical posture we adopt as Earth meets space? This article advocates an ethic of praxis based upon the concept of a Cosmic Commons. Intelligent extraterrestrial beings, from their experiences in biotic and abiotic environments, should share with us a universal regard for intelligence (intellilife), respect for biotic evolution, and a sense of responsibility for shared common space in our places in the universe. As we venture from Earth into space, what will be required? Not anxiety over human dis-placement to new worlds; nor should we invest our efforts in irresponsibly exploiting the natural goods of other planets. Rather, we need an ethical transformation of terrestrial human thought and conduct prior to, during, and as a consequence of extraterrestrial explorations and engagements. We need an anticipatory Cosmic Charter.     

Transhumanism and Roman Catholicism: Imagined and Real Tensions

Abstract

Transhumanists have asserted that religious people would both oppose life extension and allowing people with extended lives to die. In this paper, coming from a Roman Catholic perspective, I refute four myths associated with these claims: that the Church materially opposes life extension, that it conceptually opposes the very idea of life extension, that it opposes human genetic manipulation, and that it opposes letting people die in hospitals. I then propose that there are four real tensions that are much more significant: that material immortality is highly improbable, that injustice and inequality are major concerns, that transhuman omnipotence is impossible, and that utopianism is extremely dangerous.     

Book Review: Contemporary Perspectives on Psychotherapy and Homosexualities

Abstract

This paper is an attempt to illustrate some of the ethical and clinical difficulties which may arise when student counselling takes place under conditions which pay insufficient attention to the ground rules of therapy. It considers the importance of the frame in psychotherapy and the implications for this of working in an institutional setting. It also looks at the changes that may be made in the way the counsellor functions in the institution in order to secure the best conditions for effective counselling work with students, based on the author's personal experience.     

Churches as organisations: towards a virtue ecclesiology for today

This article is an attempt to offer insights from organisation studies to ecclesiology. To do so it draws particularly on the work of the moral philosopher Alasdair MacIntyre to offer a virtue ecclesiology for today. The application of MacIntyre's conceptual framework of practices, institutions, goods and virtues to all kinds of organisations, which already exists in the field of organisation studies, is extended to the church as an organisation. It suggests that the church may be re-described as an organisation in which the practices of faith are housed within the institution of the church. On this understanding, the gift of the church to the world is not simply the practices of faith but the manner in which they are institutionalised.     

Precarious life and the ethics of care: Subjectivity in an Indian religious phenomenon

This article relates certain figures of the subject in an emergent Indian pilgrimage. On the basis of ethnographic research and 15 in-depth interviews, I show that these religious subjectivities, phenomenologically immersed in highly precarious material conditions, are radically relational. Observations on the pilgrimage (en)counter the cognitivist assumptions of a body of scholarly opinion on contemporary religious practice. The analyst's attention to pilgrimage rituals and narratives traverses sociological, phenomenological, and psychoanalytic theories, and is, thereby, drawn to important questions of self, ethics, and time.     

Killing Me Softly

Abstract

“Forced termination” of psychoanalysis occurs when the analyst electively terminates the treatment for reasons of his own, independent of the clinical indications for termination. The author describes his own experience with the forced termination of his training analysis. The literature is reviewed, with an emphasis on the attitude of each author regarding the straggle around the decision. The author explores sources of general ethical knowledge, the ethical foundations of the analyst-analysand relation ship, and the application of these ideas to psychoanalysis. From these princi ples, the ethical problems of forced termination are derived and examined. The author proposes reforms to address these problems.     

Rethinking Professional Ethics in the Cost-Sharing Era

Changes in healthcare financing increasingly rely upon patient cost-sharing to control escalating healthcare expenditures. These changes raise new challenges for physicians that are different from those that arose either under managed care or traditional indemnity insurance. Historically, there have been two distinct bases for arguing that physicians should not consider costs in their clinical decisions—an “aspirational ethic” that exhorts physicians to treat all patients the same regardless of their ability to pay, and an “agency ethic” that calls on physicians to be trustworthy advisors to their patients. In the setting of greater patient cost-sharing, physicians' aspiration and agency roles increasingly conflict. Satisfactorily navigating the new terrain of consumer-driven healthcare requires physicians to consider these two roles and how they can best be reconciled so as to maximize quality of care while respecting the heterogeneity of patients' financial resources and willingness to pay.     

Lying to Insurance Companies: The Desire to Deceive among Physicians and the Public

This study examines the public's and physicians' willingness to support deception of insurance companies in order to obtain necessary healthcare services and how this support varies based on perceptions of physicians' time pressures. Based on surveys of 700 prospective jurors and 1617 physicians, the public was more than twice as likely as physicians to sanction deception (26% versus 11%) and half as likely to believe that physicians have adequate time to appeal coverage decisions (22% versus 59%). The odds of public support for deception compared to that of physicians rose from 2.48 to 4.64 after controlling for differences in time perception. These findings highlight the ethical challenge facing physicians and patients in balancing patient advocacy with honesty in the setting of limited societal resources.