In “Autonomy and the Feminist Intuition,” Natalie Stoljar asks whether a procedural or a substantive approach to autonomy is best for addressing feminist concerns. In this paper, I build on Stoljar’s argument that feminists should adopt a strong substantive approach to autonomy. After briefly reviewing the problems with a purely procedural approach, I begin to articulate my own strong substantive theory by focusing specifically on the problem of internalized oppression. In the final section, I briefly address some of the concerns (...) raised by procedural theorists who are leery of a substantive approach. (shrink)

I argue that the American Congress of Obstetricians and Gynecologists (ACOG), as an organization and through its individual members, can and should be a far greater ally in the prevention of violence against women. Specifically, I argue that we need to pay attention to obstetrical practices that inadvertently contribute to the problem of violence against women. While intimate partner violence is a complex phenomenon, I focus on the coercive control of women and adherence to oppressive gender norms. Using physician response (...) to alcohol use during pregnancy and court-ordered medical treatment as examples, I show how some obstetrical practices mirror the attitudes of abusive men insofar as they try to coercively control women's behavior through manipulation and violence. To be greater allies in the prevention of violence against women, obstetricians should stop participating in practices that inadvertently perpetuate violence against women. (shrink)

Despite the fact that the requirement to obtain informed consent for medical procedures is deeply enshrined in both U.S. moral and legal doctrine, empirical studies and anecdotal accounts show that women's rights to informed consent and refusal of treatment are routinely undermined and ignored during childbirth. For example, citing the most recent Listening to Mothers survey, Marianne Nieuwenhuijze and Lisa Kane Low state that "a significant number of women said they felt pressure from a caregiver to agree to having an (...) intervention that they did not want during birth". Specifically, Nieuwenhuijze and Low cite that "19% of women who did not have epidural analgesia felt... (shrink)

Background HIV prevention trials conducted among disadvantaged vulnerable at-risk populations in developing countries present unique ethical dilemmas. A key concern in bioethics is the validity of informed consent for trial participation obtained from research subjects in such settings. The purpose of this study was to investigate the effectiveness of a continuous informed consent process adopted during the MDP301 phase III vaginal microbicide trial in Mwanza, Tanzania. Methods A total of 1146 women at increased risk of HIV acquisition working as alcohol (...) and food vendors or in bars, restaurants, hotels and guesthouses have been recruited into the MDP301 phase III efficacy and safety trial in Mwanza. During preparations for the trial, participatory community research methods were used to develop a locally-appropriate pictorial flipchart in order to convey key messages about the trial to potential participants. Pre-recorded audio tapes were also developed to facilitate understanding and compliance with gel-use instructions. A comprehension checklist is administered by clinical staff to all participants at screening, enrolment, 12, 24, 40 and 50 week follow-up visits during the trial. To investigate women's perceptions and experiences of the trial, including how well participants internalize and retain key messages provided through a continuous informed consent process, a random sub-sample of 102 women were invited to participate in in-depth interviews conducted immediately after their 4, 24 and 52 week follow-up visits. Results 99 women completed interviews at 4-weeks, 83 at 24-weeks, and 74 at 52 weeks. In all interviews there was evidence of good comprehension and retention of key trial messages including that the gel is not currently know to be effective against HIV; that this is the key reason for conducting the trial; and that women should stop using gel in the event of pregnancy. Conclusions Providing information to trial participants in a focussed, locally-appropriate manner, using methods developed in consultation with the community, and within a continuous informed-consent framework resulted in high levels of comprehension and message retention in this setting. This approach may represent a model for researchers conducting HIV prevention trials among other vulnerable populations in resource-poor settings. Trial registration Current Controlled Trials ISRCTN64716212. (shrink)

Etude sur la réception de l'oeuvre de G. Berkeley (1685-1753) et de sa théorie de l'immatérialisme par les penseurs des Lumières en France, ses contemporains, disciples ou adversaires. Analyse l'interprétation au XVIIIe siècle de l'oeuvre de Berkeley comme une pensée sceptique.

In this article, we discuss decision making during labor and delivery, specifically focusing on decision making around offering women a trial of labor after cesarean section. Many have discussed how humans are notoriously bad at assessing risks and how we often distort the nature of various risks surrounding childbirth. We will build on this discussion by showing that physicians make decisions around TOLAC not only based on distortions of risk, but also based on personal values rather than medical data. As (...) a result of this, we will further suggest that the party who is best epistemically situated to make decisions about TOLAC is the woman herself. (shrink)

In this essay, I argue that the daily practice of expert nurses goes far toward enacting the kind of patient autonomy feminist bioethicists envision. Nursing theorists often utilize philosophical theories in their work, but bioethicists have not paid much attention to nursing theory and what it means to be an expert nurse. This is unfortunate because expert nurses do much in their daily practice to make the ideals for autonomy put forth by feminist bioethicists a reality. With this in mind, (...) I bring these two literatures together in what I hope is a fruitful dialogue. (shrink)

This book explores how far some leading philosophers, from Montaigne to Hume, used Academic Scepticism to build their own brand of scepticism or took it as its main sceptical target. The book offers a detailed view of the main modern key figures, including Sanches, Charron, La Mothe Le Vayer, Bacon, Gassendi, Descartes, Malebranche, Pascal, Foucher, Huet, and Bayle. In addition, it provides a comprehensive assessment of the role of Academic Scepticism in Early Modern philosophy and a complete survey of the (...) period. As a whole, the book offers a basis for a new, balanced assessment of the role played by scepticism in both its forms. Since Richard Popkin's works, there has been considerable interest in the role played by Pyrrhonian Scepticism in Early Modern Philosophy. Comparatively, Academic Scepticism was much neglected by scholars, despite some scattered important contributions. Furthermore, a general assessment of the presence of Academic Scepticism in Early Modern Philosophy is lacking. This book fills the void. (shrink)

Cet article s’attache à montrer la persistance au XVIIIe siècle d’un problème né en en sol cartésien - le solipsisme afin d’atténuer la distinction trop abrupte que l’on fait habituellement entre le rationalisme classique et l’empirisme des Lumières, notamment au plan épistémologique. Après avoir montré l’importance du débat au XVIIIe siècle et répertorié les arguments pro et contra la position solipsiste, l’article se conclut par un plaidoyer en faveur d’une relecture de la philosophie des Lumières, et propose de relier le (...) pessimisme épistémologique qui caractérise les grandes théories philosophiques de la fin du XVIIIe siècle à la prégnance du cartésianisme sur un siècle qui croyait pourtant s’être débarrassé de l’esprit de système du siècle précédent. (shrink)

In June of 2012 scholars from Europe and North America met in Montreal to commemorate the 300th anniversary of the publication of George Berkeley's *Passive Obedience*. In this article Stephen Daniel summarizes the English presentations, and Sébastien Charles summarizes the French presentations, on how Berkeley invokes naturalistic themes in developing a moral theory while still allowing a role for God.

Etude sur la réception de l'oeuvre de G. Berkeley (1685-1753) et de sa théorie de l'immatérialisme par les penseurs des Lumières en France, ses contemporains, disciples ou adversaires. Analyse l'interprétation au XVIIIe siècle de l'oeuvre de Berkeley comme une pensée sceptique.

This essay introduces the work of Andre Comte-Sponville to an English audience by explaining his ethical position. Comte-Sponville calls this position “cynicism,” and intends it as a correction of the excesses of both relativism and dogmatism. The distinction critical for understanding cynicism is that between value and truth, which are here used to explain all three: cynicism, dogmatism, and relativism.

This essay introduces the work of Andre Comte-Sponville to an English audience by explaining his ethical position. Comte-Sponville calls this position “cynicism,” and intends it as a correction of the excesses of both relativism and dogmatism. The distinction critical for understanding cynicism is that between value and truth, which are here used to explain all three: cynicism, dogmatism, and relativism.

La place qu'occupe l'imagination dans la philosophie berkeleyenne semble ne pas poser de problème et n'être en rien originale, consistant en une simple reprise de la position lockéenne. Pourtant, en attribuant une spontanéité créatrice à l'imagination, qui en fait une faculté tout à fait particulière, et en insistant sur la puissance et les limites de cette même faculté, Berkeley réintroduit subrepticement un principe de différenciation au plan épistémologique, que l'on peut retrouver mutatis mutandis au plan moral à travers son opposition (...) à la libre pensée. It may seem that Berkeley's treatment of imagination is neither problematic, nor original, in so far as he simply seems to repeat what Locke has said on this subject. However, Berkeley attributes to imagination a creative spontaneity that makes it a very special faculty, and he insists on the power (and limits) of this faculty in a very particular way. In so doing, he surreptitiously reintroduces a principle of differentiation at the epistemological level, one that can also, mutatis mutandis, be found at the moral level in his opposition to the free thinkers. (shrink)

Cet article vise à présenter une dimension peu connue de la pensée de Berkeley à travers une étude minutieuse des polémiques entretenues par ce dernier tout au long de la première moitié du XVIIIe siècle. Ces polémiques, dont le contenu est généralement politique, moral ou économique, reposent sur trois thèses récurrentes et complémentaires, rarement pensées de concert: une philosophie cyclique de l’histoire; une distinction ontologique entre activité et passivité appliquée à d’autres domaines que celui de la métaphysique; une analogie entre (...) monde physique et monde moral qui fonctionne au niveau du rapport entre macrocosme et microcosme. La mise en valeur de ces trois thèses permet d’envisager la philosophie berkeleyenne sous un autre angle, notamment en donnant à son immatérialisme une saveur plus stratégique qu’on ne le fait habituellement. (shrink)

Prenant sérieusement en compte les travaux de Luc Brisson effectués sur le Parménide de Platon et acceptant leur conclusion qui veut que le Poème de Parménide ne renvoie pas à un être métaphysique (l'Être) mais à un être physique (l'univers), cet article cherche à pousser cette analyse jusqu'à son terme ultime. Pour ce faire, nous nous interrogerons d'abord sur la réception actuelle de la pensée de Parménide. Ensuite, nous évoquerons les traces antérieures au néoplatonisme du Poème et de son auteur (...) en cherchant à cerner au mieux quelle était, aux yeux des Anciens, la thèse réelle de Parménide. Enfin, en opposant le Poème au Timée, nous conclurons dans le sens de Brisson mais à partir de preuves nouvelles et d'une argumentation différente. Taking due account of Luc Brisson's work on Plato's Parmenides and accepting its conclusion that Parmenides' Poem is not an evocation of a metaphysical being (the Being) but of a physical one (the universe), this article seeks to extend Brisson's thesis to its ultimate conclusion. The article first gives a brief summary of the authors, from the Neoplatonists, who think that Parmenides is the first metaphysician in history of philosophy, and then returns to pre-neoplatonist times to see what Parmenides's thesis really was for the Ancients. Finally, comparing the Poem and Plato's Timaeus, the conclusion upholds Brisson but from new proofs and by a different argumentation. (shrink)

The scepticism of the Enlightenment was neglected in the studies that Popkin devoted to early modern scepticism. Generally, Popkin only attributes a preparatory, or methodological role to the scepticism of the Enlightenment. Indeed, Popkin himself has come back several times to the picture he had drawn of the Enlightenment, notably in light of the works by Baker, Olaso or Tonelli. However, it was only to accept that scepticism was more developed than he had first thought, and never to change his (...) mind about the influence that it had on this time-period. Through the analysis of forms of scepticism that were totally neglected by Popkin (i.e., clandestine scepticism and egoism), this article proposes a complete re-evaluation of scepticism in the Enlightenment. Rousseau is particularly interesting here because he has known both the clandestine scepticism, and the egoism movement. This article takes him as a case study in order to test the validity of its thesis concerning the influence of this underground scepticism on the Enlightenment as a whole. (shrink)

Prenant sérieusement en compte les travaux de Luc Brisson effectués sur le Parménide de Platon et acceptant leur conclusion qui veut que le Poème de Parménide ne renvoie pas à un être métaphysique mais à un être physique , cet article cherche à pousser cette analyse jusqu’à son terme ultime. Pour ce faire, nous nous interrogerons d’abord sur la réception actuelle de la pensée de Parménide. Ensuite, nous évoquerons les traces antérieures au néoplatonisme du Poème et de son auteur en (...) cherchant à cerner au mieux quelle était, aux yeux des Anciens, la thèse réelle de Parménide. Enfin, en opposant le Poème au Timée, nous conclurons dans le sens de Brisson mais à partir de preuves nouvelles et d’une argumentation différente.Taking due account of Luc Brisson’s work on Plato’s Parmenides and accepting its conclusion that Parmenides’ Poem is not an evocation of a metaphysical being but of a physical one , this article seeks to extend Brisson’s thesis to its ultimate conclusion. The article first gives a brief summary of the authors, from the Neoplatonists, who think that Parmenides is the first metaphysician in history of philosophy, and then returns to pre-neoplatonist times to see what Parmenides’s thesis really was for the Ancients. Finally, comparing the Poem and Plato’s Timaeus, the conclusion upholds Brisson but from new proofs and by a different argumentation. (shrink)

Dans cet article, nous nous efforçons de présenter synthétiquement la philosophie d’Andre Comte-Sponville. Pour ce faire, nous nous intéressons d’abord à la distinction capitale qu’il effectue entre valeur et vérité. Refusant à la fois le dogmatisme (oú la vérité vaut) et la sophistique (oú la valeur est vraie), André Comte-Sponville prône une position cynique pour laquelle la vérité est sans valeur et les valeurs sont sans vérité. Ensuite, délaissant la théorie pour la pratique, nous évoquons une autre distinction, tout aussi (...) importante, qui oppose l’ethique et la morale. L’etude conjointe de ces deux distinctions, théorique et pratique, nous permet alors de montrer que la philosophie de Comte-Sponville ne saurait se réduire à ce que Luc Ferry appelle de la “moraline”, à savoir du moralisme médiatique, mais qu’elle exige au contraire une vertu exigeante et austère, loin des bons sentiments dont on l’affuble trop souvent en France.This article will seek to present synthetically Andre Comte-Sponville’s philosophy. It will first consider the capital distinction he establishes between value and truth. Refusing both dogmatism (where truth is valued) and sophistry (where value is truth), Andre Comte-Sponville advocates a cynical position for which truth has no value, and values are without truth. Then, moving from theory to practice, we will bring up another distinction - just as important - which opposes ethics and morals. The combined study of both these distinctions, theoretical and practical, allows to show that Comte-Sponville’s philosophy cannot be reduced to what Luc Ferry calls “moraline”, that is, media moralism, but that it requires on the contrary a demanding and austere virtue, far from the good sentiments that are too often attributed to it in France. (shrink)

Réduire le renouveau sceptique propre à la période moderne au seul pyrrhonisme serait passer sous silence la résurgence du scepticisme académicien à la fin du xviie siècle en la personne de Simon Foucher, pour qui l’académisme constituait la seule philosophie capable de déjouer les impasses du dualisme cartésien au niveau de ses implications épistémologiques. Voilà pourquoi, pour donner une idée exacte de ce que fut le scepticisme moderne, il est important de présenter les raisons justifiant, pour Foucher, une nécessaire réhabilitation (...) de l’académisme, afin d’évoquer la compréhension et l’interprétation qui furent les siennes de ce courant philosophique, et l’utilisation qu’il en a faite contre le cartésianisme présenté sous la forme d’un nouveau dogmatisme. C’est donc au nom d’une conception sceptique de la philosophie conçue comme recherche méthodique de la vérité et dénuée de tout préjugé dogmatique, que Foucher s’en est pris au dualisme de ses contemporains, comme s’il avait compris que seule la philosophie académicienne pouvait être en mesure de fournir à l’esprit scientifique des temps nouveaux une méthode sceptique adaptée, anticipant par là le « pyrrhonisme raisonnable » du siècle suivant. (shrink)

Réduire le renouveau sceptique propre à la période moderne au seul pyrrhonisme serait passer sous silence la résurgence du scepticisme académicien à la fin du xviie siècle en la personne de Simon Foucher, pour qui l’académisme constituait la seule philosophie capable de déjouer les impasses du dualisme cartésien au niveau de ses implications épistémologiques. Voilà pourquoi, pour donner une idée exacte de ce que fut le scepticisme moderne, il est important de présenter les raisons justifiant, pour Foucher, une nécessaire réhabilitation (...) de l’académisme, afin d’évoquer la compréhension et l’interprétation qui furent les siennes de ce courant philosophique, et l’utilisation qu’il en a faite contre le cartésianisme présenté sous la forme d’un nouveau dogmatisme. C’est donc au nom d’une conception sceptique de la philosophie conçue comme recherche méthodique de la vérité et dénuée de tout préjugé dogmatique, que Foucher s’en est pris au dualisme de ses contemporains, comme s’il avait compris que seule la philosophie académicienne pouvait être en mesure de fournir à l’esprit scientifique des temps nouveaux une méthode sceptique adaptée, anticipant par là le « pyrrhonisme raisonnable » du siècle suivant. (shrink)

In the classical era, imagination garnered poor press: fooling the senses, perverting judgment, subverting reason, skewing social relations, and generally providing wrong ideas about the way things are; it was a faculty of which to beware. Occasionally it was recognized as not being entirely without value—Descartes, for example, insisted on its great usefulness as a figurational function in simplifying the work of the understanding in geometry. The traditional tendency in philosophy, though, was to denigrate imagination for its misleading nature and (...) negative effects and to dwell on its limits as a faculty bound to the body. Indeed, its first function is to represent to the mind things previously perceived by the senses as images in their likeness. But as imagination has neither the same vividness nor the same order as sensation, it is potentially misleading, since in fact images look only approximately the same as their models. Above all, however, imagination was reproached to be potentially misleading for its second function, the creation of images or entire fictions bearing no relation whatsoever to reality, which made it dangerously capable of nourishing all manner of superstition and fantasy. Within such a context, Berkeley’s conception of the imagination hardly seems original at first glance. But as I will propose, in its creative guidance of reason, imagination plays an important and distinctive role in Berkeley’s scientific, moral, and religious discussions. Rather than focusing solely on the representational character of imagination, then, I suggest that we attend also to the way in which Berkeley appeals to the imaginative aspects of reason itself. In this way, we can better appreciate the educational presuppositions of human freedom. (shrink)