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Ethics

Sui generis, or generic gay? Pardoning Alan Turing

There is a new call for a pardon of Alan Turing, who in1952 was convicted of homosexuality. An earlier petition for a pardon was declined by the UK government (he got an apology instead 2009). Lord McNally stated in the House of Lords that:

“A posthumous pardon was not considered appropriate as Alan Turing was properly convicted of what at the time was a criminal offence. He would have known that his offence was against the law and that he would be prosecuted.

It is tragic that Alan Turing was convicted of an offence which now seems both cruel and absurd – particularly poignant given his outstanding contribution to the war effort. However, the law at the time required a prosecution and, as such, long-standing policy has been to accept that such convictions took place and, rather than trying to alter the historical context and to put right what cannot be put right, ensure instead that we never again return to those times”.

However, the eminent signatories of the new call counter by arguing:

“To those who seek to block attempts to secure a pardon with the argument that this would set a precedent, we would answer that Turing’s achievements are sui generis.”

Does that make moral sense?

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“HoboJacket – An Ethical Analysis”

Last week, a website created by MIT student Jin Pan attracted the ire and moral condemnation of media commentators. The website was called ‘Hobojacket’. Its purpose was to give college students a novel way in which to ridicule members of rival colleges; the idea was that people would use the website to pay for jackets bearing a rival college’s logo, jackets which would then be donated to the homeless. This, it was claimed by Pan, would show the “true value” of a degree from the rival college, in (what one must tragically presume) was believed by Pan to be an amusing fashion.Read More »“HoboJacket – An Ethical Analysis”

An Ethics for Maintenance?

Last Sunday, Sasago Tunnel – a major tunnel in Japan – collapsed and caused nine deaths. And, according to the latest report, Central Nippon Expressway (Nexco), the company in charge of the tunnel, might be the party to blame as it is reported that they “had relied on rudimentary visual inspections…, with no reinforcement or repairs since construction [of the tunnel] in 1977”.

This tragic incident has prompted me to (re)consider the ethical dimension of maintenance of technologies and infrastructures. Surprisingly, although philosophers and ethicists have began to explore ethical issues surrounding new and emerging technologies, such as biotechnology, nanotechnology, information technology, etc., not many of them have written on the normative issues of maintenance. This is curious, because, unless we assume the technologies and infrastructures will last forever without degradation, there is minimally a need for assigning the responsibility for maintaining their functionality. Here, the case of Sasago Tunnel might be relatively easy, as we could point at Nexco, which, in some sense, owns the tunnel; and, the same may be true of many consumer products too. Since they are ours, we are responsible for maintaining them. Perhaps, this is why the questions about maintenance are very much ignored by philosophers and ethicists, as they present no special ethical problem.Read More »An Ethics for Maintenance?

The Liverpool Care Pathway in the News: Even by the Mail’s Standards, this is Low

(Cross-posted from the Journal of Medical Ethics blog)

The Liverpool Care Pathway provides a rubric for managing the care terminally ill as they approach death.  A helpful pamphlet explaining what it is and what it does is available here.  Ideally, I’d quote the lot; but for the sake of efficiency, I’ll make do with an edited quotation:

What is the Liverpool Care Pathway (LCP)?

The LCP is a pathway/ document that outlines this best care, irrespective of your relative/ friend’s diagnosis or whether they are dying at home, in hospital, in a hospice or a care home.

Medication/ treatment

Medication will be reviewed and any medication that is not helpful at this time may be stopped and new medication may be prescribed so that if a symptom should occur there would be no delay in responding.

It may not be possible to give medication by mouth at this time, so medication may be given by injection or sometimes if needed, by a continuous infusion by a small pump called a Syringe Driver, which will be tailored to individual needs.

It may not be appropriate to continue some tests at this time; these may include blood tests or blood pressure and temperature monitoring.

The staff should talk to you about maintaining your relative’s/ friend’s comfort; this should include discussion regarding position in bed, use of a special mattress and regular mouth care. You may want to be involved in elements of care at this time.

Diminished need for food and drink

Initially, as weakness develops, the effort of eating and drinking may simply have become too much and at this time help with feeding might be appreciated.

Your relative/friend will be supported to take food and fluids by mouth for as long as possible.

When someone stops eating and drinking it can be hard to accept, even when we know they are dying. It may be a physical sign that they are not going to get better. Your relative/friend may neither want or need food and/or drink and decisions about the use of artificial fluids (a drip) will be made in the best interests of your relative/friends for this moment in time. This decision will be explained to you and reviewed regularly.

This can be paraphrased further: medically futile treatment may be withdrawn; the main criterion for administering drugs will be symptom alleviation rather than life extension; some testing may be discontinued; it’s possible that there’ll come a point when artificial nutrition and hydration are no longer in the patient’s best interest, and they might be withdrawn if and when that point is reached.

None of this is particularly cheery; but death rarely is. Read More »The Liverpool Care Pathway in the News: Even by the Mail’s Standards, this is Low

The best ethical ideas of the year?

Foreign Policy magazine recently released its annual list of the top 100 global thinkers of the year.  The members included a wide range of activists, scientists, politicians, academics and businesspeople, but what most interested me was a sidebar feature.  The feature consists of a half-dozen questions that were posed to each person on the list, including what was the best idea they heard this year.  This made me wonder, more specifically, what are the best ethical ideas of recent years?  There is often scepticism about the possibility of real moral progress, but are there some standout ideas that point to real forward movement in the moral realm?  Read More »The best ethical ideas of the year?

Treating ADHD may reduce criminality

Pharmaceutical treatment of attention deficit-hyperactivity disorder (ADHD) is associated with reduced criminality according to a study published yesterday in the New England Journal of Medicine. The study of over 25,000 Swedish adults with the disorder found that men undergoing pharmaceutical treatments had a 51% chance of committing at least one crime in a 4-year period compared to 63% for those not in treatment. The risk of criminality for women with ADHD was 25% for those taking medication, and 31% for those not in treatment. It’s possible, of course, that the reduction in criminality associated with treatment was due not to the treatment itself, but to other factors, such as desire to improve behaviour, which could have both motivated treatment and reduced criminality. However, even when the investigators adjusted for likely confounders, they found that treatment was associated with significantly reduced criminal offending. Thus, their findings are at least suggestive of a causal relationship between medication and reduced crime.

It will be interesting to see how such a relationship, if it can be further supported, will be viewed by the general public and medical profession. Will it be seen as strengthening or weakening the case for ADHD treatment?

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Armstrong the Good Giraffe and the Moral Value of Effort

Let me introduce you to Armstrong the Good Giraffe. Appearing in the news last week due to his goodness (and probably his giraffeness), Armstrong is a man in a costume who goes around voluntarily doing good deeds. Throwing himself into helpful tasks – such as providing free water and bananas to runners, picking up litter from beaches, and cleaning cages at cats and dogs homes – Armstrong clocks up an impressive number of non-trivial good deeds. Most impressively of all, he reportedly enjoys it.

He comments that doing these good deeds makes him feel ‘happy’ and ‘cheery’ and that this is why he does them. At first glance, this may make us think he is particularly remarkable: he not only goes about investing more time and energy into being helpful than most would reasonably expect of a person, but he also relishes it. But, I want to ask, are people like Armstrong really at the top of the moral ranks? Is there not something about effort – about having to try – that we value?Read More »Armstrong the Good Giraffe and the Moral Value of Effort

A Dyslexic boy in a Trojan horse

‘Come in’, said the Well Known Educational Psychologist. We did. ‘Please sit down’, she said, and we did. She didn’t waste time, and quite right too. We wanted to know.

‘Tom and I have had a very interesting afternoon.’ That sounded bad.

‘He’s a very able child indeed’. That sounded worse, because it came with the emphatic pause that always indicates a big ‘but’.

In the pause I wondered why we’d done this. Why we’d taken a little boy out of the woods and out of his playground to have someone fumble inside his head with blunt tools: indices, probes, inventories, and assumptions about normality.

‘He’s quite dramatically dyslexic, I’m afraid.’ My wife shared her fear. There was a lot of it sloshing around. ‘But his IQ is so high that he’ll be able to use lots of coping strategies. And he’s still very young: there’s lots that can be done.’ And she told us what it was. Regulations could be invoked, tribunals could be convened, cards could be flashed, phonemes could be chanted. He could be imprinted like other children. It would just take longer. It would be hard work, for Tom and for us, but there was every reason to be hopeful of a ‘good result’.

And what the hell did that mean? I asked myself. I was too polite to ask her. I didn’t want a result. I wanted my son.Read More »A Dyslexic boy in a Trojan horse

The Bad Seed: Facts and Values in the Study of Childhood Antisocial Behaviour

Podcast of Uehiro Seminar given by Gwen Adshead ‘The Bad Seed’ was a popular 1954 novel in which a well brought up young girl begins to manifest behaviour characteristic of a criminal psychopath. As the plot develops, the girl’s mother discovers that her own mother was a serial killer who was executed when she was herself a… Read More »The Bad Seed: Facts and Values in the Study of Childhood Antisocial Behaviour