The UK government has announced plans to review the possibility of stripping drug addicts, alcoholics and obese individuals of benefits if they refuse treatment for their conditions. In support of the review, a consultation paper claims that the review is intended to “. . . consider how best to support those suffering from long-term yet treatable conditions back into work or to remain in work.”
One concern that has been raised against the plans is that stripping these individuals of their benefits is unlikely to be effective in getting them to seek treatment, with the Mirror reporting one campaigner as suggesting that “(this strategy) didn’t work in the Victorian times, (and) it’s not going to work now”.
In this post, I shall consider a challenge to the lawfulness of the proposals that is based on the claim that they would coerce individuals into accepting treatment. This is in fact a challenge that Sarah Woolaston, chair of the Health Select Committee has herself raised.
The concept of authenticity has been receiving a lot of attention in the past few weeks due to two high profile cases. First, Caitlyn Jenner, a former Olympic gold medallist and TV personality who was until recently known as “Bruce”, debuted her new name and identity in an interview with the magazine Vanity Fair. Second, it was reported that Rachel Dolezal, the Spokane NAACP president, was allegedly born a white woman, and has been deceptively representing herself as a black woman.
The latter case has sparked a great deal of controversy that I do not intend to fully address here. Furthermore, although some commentators have drawn all things considered likewise comparisons between the two cases, it seems clear that Dolezal’s case involves a range of separate issues, which make an all things considered likewise comparison inappropriate; again, I do not intend to make such a comparison here. Rather, in this post, I shall explore one particular theme that has emerged in many discussions of these cases, namely the language of authenticity. Continue reading
By Hannah Maslen, Jonathan Pugh and Julian Savulescu
According to the NHS, the number of hospital admissions across the UK for teenagers with eating disorders has nearly doubled in the last three years. In a previous post, we discussed some ethical issues relating to the use of deep brain stimulation (DBS) to treat anorexia nervosa (AN). Although the trials of this potential treatment are still in very early, investigational stages (and may not necessarily become an approved treatment), the invasive nature of the intervention and the vulnerability of the potential patients are such that anticipatory ethical analysis is warranted. In this post, we show how different possible mechanisms of intervention raise different questions for philosophers to address. The prospect of intervening directly in the brain prompts exploration of the relationships between a patient’s various mental phenomena, autonomy and identity. Continue reading
Practical ethicists have become increasingly interested in the potential applications of neurointerventions—interventions that exert a direct biological effect on the brain. One application of these interventions that has particularly stimulated moral discussion is the potential use of these interventions to prevent recidivism amongst criminal offenders. To a limited extent, we are already on the path to using what can be described as neuro-interventions in this way. For instance, in certain jurisdictions drug-addicted offenders are required to take medications that are intended to attenuate their addictive desires. Furthermore, sex-offenders in certain jurisdictions may receive testosterone-lowering drugs (sometimes referred to as ‘chemical castration’) as a part of their criminal sentence, or as required by their conditions of parole.
On 13-14th April, a workshop (funded by the Wellcome Trust) focussing on the moral questions raised by the potential use of neuro-interventions to prevent criminal recidivism took place at Kellogg College in Oxford. I lack the space here to adequately explore the nuances of all of the talks in this workshop. Rather, in this post, I shall briefly explain some of the main themes and issues that were raised in the fruitful discussions that took place over the course of the workshop, and attempt to give readers at least a flavour of each of the talks given; I apologise in advance for the fact that I must necessarily gloss over a number of interesting details and arguments. Continue reading
It’s a beautiful warm sunny day, and you have decided to take your children to join a group of friends for a barbecue at the local public park. The wine is flowing (orange juice for the kids), you have managed not to burn the sausages (vegetarian or otherwise), and there is even an ice-cream van parked a conveniently short walk away.
An idyllic scenario for many of us, I’m sure you will agree; one might even go so far as to suggest that this is exactly the sort of thing that public parks are there for; they represent a carefree environment in which we can enjoy the sunshine and engage in recreational communal activities with others. Continue reading
A study published in the Journal of Neuroscience (behind a paywall here, but see also a media report here a a few days ago suggests that cocaine addicts may have impairments in the neural circuits that are responsible for the prediction of emotional loss. In this post, I shall consider the implications that this finding might have for our understanding of addiction and the autonomy of addicted individuals.
A placebo can be understood as a medical intervention that lacks direct specific therapeutic effects on the condition for which it has been prescribed, but which can nonetheless help to ameliorate a patient’s condition. In March 2013, a study by Howick et al. suggested that the vast majority of UK general practitioners (GPs) have prescribed a placebo at some point in their career. This finding was somewhat controversial and received national media coverage in the UK (here and here). Part of the reason for this controversy is that the use of placebos in clinical practice is often deemed to be morally problematic, in so far as it often involves the intentional deception of the patient. Continue reading
This week, The Court of Appeal in the UK ruled that bus companies are not legally required to force parents with buggies to make way for wheelchair users in designated bays on vehicles.
This ruling overturned a 2013 County Court judgement in favour of a Mr. Doug Paulley. Mr Paulley was awarded £5’500 damages after he was prevented from boarding a bus because a woman with a buggie had refused to move from the bay designated for wheelchairs and buggies on the bus, claiming that doing so would wake her sleeping baby. Since the bus company had a policy of requesting but not requiring that people vacate the disabled bay, the bus company was originally found to have been in breach of the Equality Act 2010. The BBC report suggests that Paulley’s lawyers are already planning to appeal to the Supreme Court in response to the overturning of this ruling. Continue reading
The Samaritans have launched a controversial new app that alerts Twitter users when someone they ‘follow’ on the site tweets something that may indicate suicidal thoughts.
To use the app, named ‘Samaritan Radar’, Twitter members must visit the Samaritans’ website, and choose to activate the app on their device. Having entered one’s twitter details on to the site to authorize the app, Samaritan Radar then scans the Twitter users that one ‘follows’, and uses an algorithm to identify phrases in tweets that suggest that the tweeter may be distressed. For example, the algorithm might identify tweets that involve phrases like “help me”, “I feel so alone” or “nobody cares about me”. If such a tweet is identified, an email will be sent to the user who signed up to Samaritan Radar asking whether the tweet should be a cause for concern; if so, the app will then offer advice on what to do next. Continue reading