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It’s tough to make predictions*

It’s tough to make predictions*

by Dominic Wilkinson, @Neonatalethics

The Court of Protection is due to review very soon the case of a teenager with a relapsed brain tumour. The young man had been diagnosed with the tumour as a baby, but it has apparently come back and spread so that according to his neurosurgeon he has been “going in and out of a coma”. In February, the court heard from medical specialists that he was expected to die within two weeks, and authorized doctors to withhold chemotherapy, neurosurgery and other invasive treatments, against the wishes of the boy’s parents.

However, three months after that ruling, the teenager is still alive, and so the court has been asked to review its decision. What should we make of this case? Were doctors and the court wrong?

Read More »It’s tough to make predictions*

RESPECTFUL CARE

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Written by Darlei Dall’Agnol [1]

Professor of Ethics at the Federal University of Santa Catarina, Brasil

 

We humans are, as social beings, care-dependent creatures. Since the very moment we are born (or even before), we need all sorts of attention to meet our basic needs: we must be fed, clothed, sheltered, protected from many kinds of harm and so on. As infants, we need to learn how to become ordinary humans by walking, talking, socializing, etc. all activities mastered –or not– by training and other forms of educational care. Even as adults, as autonomous agents, we need constantly to look after ourselves, so self-care plays a vital role throughout our entire existences. Later in life, most of us, might become vulnerable again and will need to be cared for once more.

Caring may, however, go wrong in many different ways. For one thing, it may be insufficient to attend the basic needs of the cared-for. Thus, it may turn into negligence or even malpractice of the one “caring”. Moreover, it may degenerate into forms of paternalism when the person looking after another imposes her own views on a vulnerable individual, for example, a parent or a teacher on a teenager learning how to be independent; a doctor or a nurse on a patient in need of medical attention; a scientist on a subject of research etc. This is indeed disrespectful to the cared-for. Besides, caring may reveal anxiety, that is, it sometimes may be accompanied by negative feelings compromising the well-being of the one-caring. Then, an important question arises: under which conditions can we say that a person knows-how to care properly?Read More »RESPECTFUL CARE

Guest Post: An Open Response to Roache’s Anti-Conservatism

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Authors: Calum Miller, Final year medical student, University of Oxford; C’Zar Bernstein, BPhil graduate philosophy student, University of Oxford; Joao Fabiano, DPhil philosophy student, University of Oxford; Mahmood Naji, Final year medical student, University of Oxford

One of the first things we did after seeing the election news on the morning after the election was to post a Facebook status including the following: “austerity, despite its necessity, creates difficulty. I hope my fellow Conservatives won’t be blind to the difficulties people go through as a consequence of this result and will step up to do their part combating those hardships”. Other statuses around the same time lauded the Liberal Democrats and expressed regret at Vince Cable and Simon Hughes’ departure from Parliament.

According to Rebecca Roache, these are the words of people who are immune to reason, brainwashed by Murdoch, and whose views are as objectionable as racist and sexist views. We maintain the contrary – not only that this is manifestly false, but that Roache’s own position is far more consonant with the bigoted attitudes against which she protests. It would be easy to respond in kind, simply preaching to our own choir about how awful liberals are and how we should make their views socially unacceptable. This would only serve to deepen political division, however, and is unlikely to move us forward as citizens, rational agents or friends.

Read More »Guest Post: An Open Response to Roache’s Anti-Conservatism

Punishment and Memory

The public outcry at the decision of the Crown Prosecution Service that Lord Janner was not fit to stand trial for 22 sex offences, the last of which were allegedly committed in the 1980s, appears to have led the CPS to initiate a review. Janner’s case raises several issues about the punishment of crimes that may have taken place in the relatively distant past.Read More »Punishment and Memory

Moral Agreement on Saving the World

There appears to be lot of disagreement in moral philosophy.  Whether these many apparent disagreements are deep and irresolvable, I believe there is at least one thing it is reasonable to agree on right now, whatever general moral view we adopt:  that it is very important to reduce the risk that all intelligent beings on this planet are eliminated by an enormous catastrophe, such as a nuclear war.  How we might in fact try to reduce such existential risks is discussed elsewhere.  My claim here is only that we – whether we’re consequentialists, deontologists, or virtue ethicists – should all agree that we should try to save the world.

Read More »Moral Agreement on Saving the World

How to Criticize on the Internet: What Shame Teaches us about Online Harassment

Participating in that great experiment of the internet—social media in particular—runs some risks; an emotional tweet, a late-night blog entry, or a Facebook post after a couple of pints can not only get you into trouble with friends and family, but at times, even cost you your job and bring world-wide notoriety. Justine Sacco is probably the most famous case. Before boarding an airplane to South Africa, she tweeted what one could describe either as a misfired, ill-calculated joke or as an outright racist joke to her 170 followers on twitter. When she landed, she was trending at number one worldwide on twitter, people were openly harassing her, and among many things, wishing her to be fired from her job; a wish that her company granted. Even worse were the emotional consequences of the incident. Sacco states that “I cried out my body weight in the first 24 hours. It was incredibly traumatic”. Jon Ronson wrote an article about this case and later a book called “So You’ve Been Publicly Shamed”, portraying people who suffered from online harassment. In it, he also writes about Monica Lewinsky, who describes herself as the first victim of online shaming. Lewinsky talked about severe suicidal tendencies in the aftermath of her affair; her mother made her shower with an open bathroom door out of fear of what she might do. Why does online harassment have such devastating consequences?

Read More »How to Criticize on the Internet: What Shame Teaches us about Online Harassment

What’s Wrong With Giving Treatments That Don’t Work: A Social Epistemological Argument.

Let us suppose we have a treatment and we want to find out if it works. Call this treatment drug X. While we have observational data that it works—that is, patients say it works or, that it appears to work given certain tests—observational data can be misleading. As Edzard Ernst writes:

Whenever a patient or a group of patients receive a medical treatment and subsequently experience improvements, we automatically assume that the improvement was caused by the intervention. This logical fallacy can be very misleading […] Of course, it could be the treatment—but there are many other possibilities as well.Read More »What’s Wrong With Giving Treatments That Don’t Work: A Social Epistemological Argument.

Statement from Blog Admin

A recent post on this blog by a lecturer from Royal Holloway has caused negative comment and attention. All posts on the blog reflect the author’s own arguments, and are not a reflection of the views of other blog writers, of the Centre, or of the University. Blog authors include staff and students of Oxford… Read More »Statement from Blog Admin

Stopping the innocent from pleading guilty

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Written by Dr John Danaher.

Dr Danaher is a Lecturer in Law at NUI Galway. His research interests include neuroscience and law, human enhancement, and the ethics of artificial intelligence.

A version of this post was previously published here.

Somebody recently sent me a link to an article by Jed Radoff entitled “Why Innocent People Plead Guilty”. Radoff’s article is an indictment of the plea-bargaining system currently in operation in the US. Unsurprisingly given its title, it argues that the current system of plea bargaining encourages innocent people to plead guilty, and that something must be done to prevent this from happening.

I recently published a paper addressing the same problem. The gist of its argument is that I think that it may be possible to use a certain type of brain-based lie detection — the P300 Concealed Information Test (P300 CIT) — to rectify some of the problems inherent in systems of plea bargaining. The word “possible” is important here. I don’t believe that the technology is currently ready to be used in this way – I think further field testing needs to take place – but I don’t think the technology is as far away as some people might believe either.

What I find interesting is that, despite this, there is considerable resistance to the use of the P300 CIT in academic and legal circles. Some of that resistance stems from unwarranted fealty to the status quo, and some stems from legitimate concerns about potential abuses of the technology (miscarriages of justice etc.). I try to overcome some of this resistance by suggesting that the P300 CIT might be better than other proposed methods for resolving existing abuses of power within the system. Hence my focus on plea-bargaining and the innocence problem.

Anyway, in what follows I’ll try to give a basic outline of my argument. As ever, for the detail, you’ll have to read the original paper.Read More »Stopping the innocent from pleading guilty

McMahan’s Hazardous (and Irrelevant) Thought Experiment

Written by Professor Allen Buchanan and Professor Lance K. Stell  

 

This is a response to an earlier post, by Jeff McMahan, about the right to carry guns, https://blog.practicalethics.ox.ac.uk/2015/04/a-challenge-to-gun-rights.

Before we criticize McMahan’s argument, it is important to ascertain its implications: Assuming that, as McMahan thinks, there is no moral right to gun ownership, what follows, practically speaking? One might think that, given the number of gun deaths, it follows that there should be a legal ban on gun ownership. As we shall show, however, that conclusion does not follow.  Whether or not gun ownership should be banned is independent of whether there is a moral right to gun ownership. We will show that McMahan has not established that there is no moral right to gun ownership, but that even if he had, he would not have thereby shown that there should be a ban on gun ownership.Read More »McMahan’s Hazardous (and Irrelevant) Thought Experiment