Dissociative experiences have been associated with diachronic disunity. Yet, this work is in its infancy. Dissociative identity disorder is characterized by different identity states reporting their own relatively continuous sense of self. The degree to which patients in dissociative identity states experience diachronic unity has not been empirically explored. This study examined the degree to which patients in dissociative identity states experienced diachronic unity. Participants were DID adults assessed in adult and child identity states, adults with a psychotic illness, adults (...) from the general population, children from the general population and adults imagining themselves as children. They completed the Diachronic Disunity Scale, the Dissociative Experiences Scale, and the Self-Concept Clarity Scale. Diachronic disunity was not limited to psychiatric groups, but evident to some degree in all adult and child samples. The DID adult sample experienced more dissociation and self-confusion than the psychosis and adult comparison groups, but did not differ on the diachronic measure. DID patients in their child identity states and child comparisons showed disunity and were significantly different from child simulators, who showed relatively more unity. Results suggest that DID patients in either adult or child dissociative identity states, like those in other samples, do not universally experience themselves as having a consistent sense of self over time. (shrink)

This paper considers the justifications for adhering to a principle of confidentiality within medical practice. These are found to derive chiefly from respect for individual autonomy, the doctor/patient contract, and social utility. It is suggested that these will benefit more certainly if secrecy is rejected and the principle of confidentiality is removed from the area of health care.

The parsimonious consideration of research into food sharing among chimpanzees suggests that the type of social regulation found among our closest genetic relatives can best be understood as a form of morality. Morality is here defined from a naturalistic perspective as a system in which self-aware individuals interact through socially prescribed, psychologically realistic rules of conduct which provide these individuals with an awareness of how one ought to behave. The empirical markers of morality within chimpanzee communities and the traditional moral (...) traits to which they correspond are (1) self-awareness/agency; (2) calculated reciprocity/obligation; (3) moralistic aggression/blame; and (4) consolation/empathy. (shrink)

In this book I advance an argument concerning the nature of the deep ecology approach to ecophilosophy. In order to advance this argument in as thorough a manner as possible, I present it within the context of a comprehensive overview of the writings on deep ecology.

This collection of more than two hundred of Nietzsche's letters offers a representative body of correspondence on subjects of main concern to him--philosophy, history, morals, music and literature. Also included are letters of biographical interest which, in Middleton's words, mark the stresses and turnings of his life. Among the addressees are Richard Wagner, Erwin Rohde, Jacob Burkhardt, Lou Salome, his mother, and his sister Elisabeth. The annihilating split in Nietzsche's personality that has been associated with his collapse on a (...) street in Turin in 1889 is described in a moving letter from Franz Overbeck which forms the Epilogue. Index. (shrink)

Homo sapiens is entering a vital era in which the human-technology link is an inexorable trend. In this paper a look is taken as to how and why this is coming about and what exactly it means for both the posthuman species Homo technologicus and its originator Homo sapiens. Clearly moral and ethical issues are at stake. Different practical experimentation results that relate to the theme are described and the argument is raised as to why and how this can be (...) regarded as a new species. A picture is taken of the status of cyborgs as it stands today but also how this will change in the near future, as the effects of increased technological power have a more dramatic influence. An important ultimate consideration is whether Homo technologicus will act in the best interests of Homo sapiens or not. This paper concludes that the answer is clear. (shrink)

ABSTRACT We argue that Roberts’s argument for the thesis that absolute velocity is not measurable in a Newtonian world is unsound, because it depends on an analysis of measurement that is not extensionally adequate. We propose an alternative analysis of measurement, one that is extensionally adequate and entails that absolute velocity is measured in at least one Newtonian world. If our analysis is correct, then this Newtonian world is a counterexample to the widely endorsed thesis that if a property varies (...) under the symmetries of a theory then, according to that theory, the property could not be measured. Thus, our paper shows that the debate over the measurability of symmetry-variant properties is more unsettled than previously supposed. (shrink)

In this article, a practical look is taken at some of the possible enhancements for humans through the use of implants, particularly into the brain or nervous system. Some cognitive enhancements may not turn out to be practically useful, whereas others may turn out to be mere steps on the way to the construction of superhumans. The emphasis here is the focus on enhancements that take such recipients beyond the human norm rather than any implantations employed merely for therapy. This (...) is divided into what we know has already been tried and tested and what remains at this time as more speculative. Five examples from the author’s own experimentation are described. Each case is looked at in detail, from the inside, to give a unique personal experience. The premise is that humans are essentially their brains and that bodies serve as interfaces between brains and the environment. The possibility of building an Interplanetary Creature, having an intelligence and possibly a consciousness of its own, is also considered. (shrink)

A discussion of whiteness as an “ethos” or “relational category” in bioethics, drawing on examples from medical and historical research.

This paper presents an argument that emphasises the following points: the importance of public education; the essential difficulty facing all involved in public education that is aimed at sustaining a biologically and culturally rich world; the recognition of science as having both a technical agenda and an interpretive agenda; the scientific interpretation of the universe: an evolutionary and ecological world-view; and the importance of the interpretive agenda of science for public education and the obligation of scientists to promote this agenda.

Everything we can refer to – physical, biological, psychological, or a human-created entity, institution, activity, or expression of some kind, and whether constituted of brute physical stuff or less tangible complexes of social arrangements, ideas, images, movements, and so on – can be considered in terms of its form of organization or structure. This applies even if what we want to say about these things is that they represent a disorganized or unstructured example of their kind or else that they (...) simply lack any discernible form of internal organization or structure in the sense that their internal structure is undifferentiated or homogenous as opposed to being ‘all over the place’. We therefore live in a world in which everything can be characterized, either positively or negatively, in terms of its form of organization or structure. (The terms ‘form of organization’ and ‘structure’ can be used interchangeably in the context of this paper, although I will tend to use the term ‘structure’ in what follows.). (shrink)

The interest of F. Macfarlane Burnet in host–parasite interactions grew through the 1920s and 1930s, culminating in his book, Biological Aspects of Infectious Disease, often regarded as the founding text of disease ecology. Our knowledge of the influences on Burnet’s ecological thinking is still incomplete. Burnet later attributed much of his conceptual development to his reading of British theoretical biology, especially the work of Julian Huxley and Charles Elton, and regretted he did not study Theobald Smith’s Parasitism and Disease until (...) after he had formulated his ideas. Scholars also have adduced Burnet’s fascination with natural history and the clinical and public health demands on his research effort, among other influences. I want to consider here additional contributions to Burnet’s ecological thinking, focusing on his intellectual milieu, placing his research in a settler society with exceptional expertise in environmental studies and pest management. In part, an ‘‘ecological turn’’ in Australian science in the 1930s, derived to a degree from British colonial scientific investments, shaped Burnet’s conceptual development. This raises the question of whether we might characterize, in postcolonial fashion, disease ecology, and other studies of parasitism, as successful settler colonial or dominion science. (shrink)

With A Theory of General Ethics Warwick Fox both defines the field of General Ethics and offers the first example of a truly general ethics. Specifically, he develops a single, integrated approach to ethics that encompasses the realms of interhuman ethics, the ethics of the natural environment, and the ethics of the built environment. Thus Fox offers what is in effect the first example of an ethical "Theory of Everything."Fox refers to his own approach to General Ethics as the (...) "theory of responsive cohesion." He argues that the best examples in any domain of interest--from psychology to politics, from conversations to theories--exemplify the quality of responsive cohesion, that is, they hold together by virtue of the mutual responsiveness of the elements that constitute them. Fox argues that the relational quality of responsive cohesion represents the most fundamental value there is. He then develops the theory of responsive cohesion, central features of which include the elaboration of a "theory of contexts" as well as a differentiated model of our obligations in respect of all beings. In doing this, he draws on cutting-edge work in cognitive science in order to develop a powerful distinction between beings who use language and beings that do not.Fox tests his theory against eighteen central problems in General Ethics--including challenges raised by abortion, euthanasia, personal obligations, politics, animal welfare, invasive species, ecological management, architecture, and planning--and shows that it offers sensible and defensible answers to the widest possible range of ethical problems. (shrink)

What happens to twentieth-century race science when we relocate it to the Global South? North Atlantic debates have dominated the conceptual history of race. Yet there is suggestive evidence of a “southern” or antipodean racial distinctiveness. We can find across the Southern Hemisphere greater interest in racial plasticity, environmental adaptation, mixing or miscegenation, and blurring of racial boundaries; endorsement of biological absorption of indigenous populations; and consent to the formation of new or blended races. Once we recognize the Global South (...) as a site of knowledge making, and not just data extraction, the picture of race science in the twentieth century changes. Once situated, or displaced, the conventional North Atlantic history of race science in the twentieth century comes to seem exceptional—and no longer normative. (shrink)

During the cold war, Frank Fenner and Francis Ratcliffe studied mathematically the coevolution of host resistance and parasite virulence when myxomatosis was unleashed on Australia’s rabbit population. Later, Robert May called Fenner the “real hero” of disease ecology for his mathematical modeling of the epidemic. While Ratcliffe came from a tradition of animal ecology, Fenner developed an ecological orientation in World War II through his work on malaria control —that is, through studies of tropical medicine. This makes Fenner at least (...) a partial exception to other senior disease ecologists in the region, most of whom learned their ecology from examining responses to agricultural challenges and animal husbandry problems in settler colonial society. Here I consider the local ecologies of knowledge in southeastern Australia during this period, and describe the particular cold-war intellectual niche that Fenner and Ratcliffe inhabited. (shrink)

This essay charts a conceptual history of “planetary health,” which holds that population health and the continuity of human civilization depend on the integrity—the health—of the Earth’s life-support systems. It seeks to identify settler colonial and imperial genealogies of this distinctly ecological approach to human population health and flourishing, an assemblage of systems theory and planetary thinking as well as developments in environmental sciences and theories of sustainable development. Planetary health may be seen as a “third wave” of disease ecology, (...) an emergent resource for more complex, naturalistic, and scaled-up modeling in epidemiology—the latest installment in the search for multifactorial, relational, and integrated explanations of patterns of disease. The approach required a new planetary imaginary—emerging from a series of Earth-encompassing crises, such as global heating—which enlarged and systematized ecological configurations of human health and illness. In tracing and critically situating this conceptual history, the authors offer a partial perspective on what may yet become planetary health, drawing attention to some other conceptual routes that may be taken. (shrink)

There has recently been considerable discussion of the relative merits of deep ecology and ecofeminism, primarily from an ecofeminist perspective. I argue that the essential ecofeminist charge against deep ecology is that deep ecology focuses on the issue of anthropocentrism (i.e., human-centeredness) rather than androcentrism (i.e., malecenteredness). I point out that this charge is not directed at deep ecology’s positive or constructive task of encouraging an attitude of ecocentric egalitarianism, but rather at deep ecology's negative or critical task of dismantling (...) anthropocentrism. I outline a number of problems that can attend not only the ecofeminist critique of deep ecology, but also comparable critiques that proceed from a broad range of social and political perspectives. I then proceed to argue that deep ecology’s concem with anthropocentrism is entirely defensible-and defensible in a way that should be seen as complementing and expanding the focus of radical social and political critiques rather thanin terms of these approaches versus deep ecology. (shrink)

Sense of agency refers to the sense of initiating and controlling actions in order to influence events in the outside world. Recently, a distinction between implicit and explicit aspects of sense of agency has been proposed, analogous to distinctions found in other areas of cognition, notably learning. However, there is yet no strong evidence supporting separable implicit and explicit components of sense of agency. The so-called ‘Perruchet paradigm’ offers one of the few convincing demonstrations of separable implicit and explicit learning (...) systems. We adopted this approach to evaluate the implicit–explicit distinction in the context of a simple task in which outcomes were probabilistically caused by actions. In line with our initial predictions, we found evidence of a dissociation. We discuss the implications of this result for theories of sense of agency. (shrink)

ABSTRACT In 1929 and 1934–1935, the physical anthropologist Harry L. Shapiro voyaged in the South Seas on the Mahina-I-Te-Pua and the Zaca, measuring mixed-race islanders, including the descendants of the Bounty mutineers on Pitcairn Island. His research in Polynesian hybridity reflects the growing cultural and scientific investment of the United States in the Pacific during this period. Shapiro's oceanic adventures and intimate encounters prompted him to discount typological speculation and emphasize instead the liberal Boasian program in physical anthropology, giving him (...) the confidence to refigure his evaluations of racial difference. The seaborne investigatory enterprise came to influence U.S. racial thought, adding impetus to the condemnation of racism in science. On his return from the South Seas, Shapiro tried to get his fellow physical anthropologists to issue a manifesto opposing the harnessing of their science to racial discrimination and prejudice. (shrink)

Much has been written in recent years on environmental ethics relating to the more general 'natural' environment but little specifically written about ethics of the built environment. Ethics and the Built Environment responds to this need and offers a debate on the ethical dimension of building in all its forms from a variety of disciplinary perspectives and approaches. This book should be of interest to architects, students of building and building design, environmentalists, politicians and general readers with an interest in (...) ethics. (shrink)

Quality-adjusted life years (QALYs) are used to determine how to allocate resources to health programmes or to treatments within those programmes in order to gain maximum utility from those limited, shared healthcare resources. However, if we use those same population- based QALYs when faced with individual treatment decisions we may act unjustly in relation to that individual or in relation to the wider population. A treatment with a population-based incremental cost-effectiveness ratio beyond our willingness to pay threshold may be denied (...) to a patient even if, for that particular patient, the QALYs gained for the cost would fall within that threshold. When considering individual cases, it is proposed that we should take an individualised approach to the cost of treatment and response to treatment (‘individualised QALYs’) and a personalised approach to the valuation of health states (‘personalised QALYs’). Only if we do this, can we maximise utility and give the patient a fair opportunity to benefit. Individualised and personalised QALYs also allow us to express patient choice and religious treatment preferences in terms of utility. Individualised and personalised QALYs are explored in the context of individual funding requests in the National Health Service. In preference to the concept of ‘clinical exceptionality’, individualised and personalised QALYs provide the potential for better and more consistent decisions and improved utility. Rather than treating unequal patients as if they were equal, individualised and personalised QALYs promote fair and unequal access to resources for some of our most unequal patients. Potential challenges are also considered. (shrink)

The current international healthcare focus on ensuring the perspectives and needs of individual persons, families or communities are met has led to the core tenet of person‐centred care for all. The nurse–patient relationship is central to the provision of care, and enhancing this relationship to ensure trust and respect supports optimal care outcomes for those accessing healthcare services. Engaging authentically is one of the recognised key approaches in person‐centred practice, and this scoping review of the literature aims to gain an (...) understanding of the role this process plays in developing effective relationships between nurses and the people they care for. A systematic search of databases and grey literature was undertaken, and twenty‐one research papers met the inclusion criteria. A thematic analysis revealed four themes: ‘getting to know the patient as a person’, ‘the complexity of relationship building—it takes time’, ‘the nurse: characteristics and behaviours that support the nurse–patient relationship’ and ‘the patient voice’. Nurses and patients both benefit from effective relationships, feeling valued and experiencing greater satisfaction with care. Key elements of engaging authentically were revealed as a nurse–patient relational process through this literature review; however, further research is needed to gain a greater understanding of this concept. (shrink)

ABSTRACT In 1929 and 1934–1935, the physical anthropologist Harry L. Shapiro voyaged in the South Seas on the Mahina-I-Te-Pua and the Zaca, measuring mixed-race islanders, including the descendants of the Bounty mutineers on Pitcairn Island. His research in Polynesian hybridity reflects the growing cultural and scientific investment of the United States in the Pacific during this period. Shapiro's oceanic adventures and intimate encounters prompted him to discount typological speculation and emphasize instead the liberal Boasian program in physical anthropology, giving him (...) the confidence to refigure his evaluations of racial difference. The seaborne investigatory enterprise came to influence U.S. racial thought, adding impetus to the condemnation of racism in science. On his return from the South Seas, Shapiro tried to get his fellow physical anthropologists to issue a manifesto opposing the harnessing of their science to racial discrimination and prejudice. (shrink)

My concern here is with the way a new American medical discourse in the Philippines fabricated and rationalized images of the bodies of the colonized and the subordinate colonizers. I am interested in reading the reports of biological experiments as discursive constructions of the American colonial project, as attempts to naturalize the power of foreign bodies to appropriate and command the Islands. The origin of the American colonial enterprise at a time when science lent novel force and legitimacy to public (...) policy gave scientists and doctors an opportunity to construct a new physiology and pathology of colonialism. The medical laboratory thus became an important site for the construction of the social space of interaction between American and Filipino bodies.5 The Filipino emerged in this period as a potentially dangerous part of the zoological realm, while the American colonizer became a resilient racial type, no longer inevitably susceptible to the tropical climate but vulnerable to the crowd of invisible, alien parasites newly associated with native bodies. This new medical discourse in the tropics accorded with a broad shift in the language and practices of medical science that occurred at the end of the nineteenth century. Generally, the medical concern with constitutions and climate gave way to a greater interest in the specific microbial causation of individual disease. At the same time, the colonial doctor’s anecdotes and clinical impressions seemed less convincing, and increasingly the laboratory was called on to authenticate knowledge. Warwick Anderson is a medical doctor who is completing his doctorate in the history and sociology of science at the University of Pennsylvania. His current project is the politics of disease theory in southeastern Asia. (shrink)

The era of the Cyborg is now upon us. This has enormous implications on ethical values for both humans and cyborgs. In this paper the state of play is discussed. Routes to cyborgisation are introduced and different types of Cyborg are considered. The author's own self-experimentation projects are described as central to the theme taken. The presentation involves ethical aspects of cyborgisation both as it stands now and those which need to be investigated in the near future as the effects (...) of increased technological power have a more dramatic influence. An important feature is the potential for cyborgs to act against, rather than for, the interests of humanity. (shrink)

_With Nature_ provides new ways to think about our relationship with nature in today’s technologically mediated culture. Warwick Mules makes original connections with German critical philosophy and French poststructuralism in order to examine the effects of technology on our interactions with the natural world. In so doing, the author proposes a new way of thinking about the eco-self in terms of a careful sharing of the world with both human and non human beings. _With Nature_ ultimately argues for a (...) poetics of everyday life that affirms the place of the human-nature relation as a creative and productive site for ecological self-renewal and redirection. (shrink)

In responding to perceived crises—such as the COVID-19 pandemic—in routinized ways, contemporary bioethics can make us prisoners of the proximate. Rather, we need bioethics to recognize and engage with complex configurations of global ecosystem degradation and collapse, thereby showing us paths toward co-inhabiting the planet securely and sustainably. Such a planetary health ethics might draw rewardingly on Indigenous knowledge practices or Indigenous philosophical ecologies. It will require ethicists, with other health professionals, to step up and become public advocates for environmental (...) sustainability. The COVID-19 pandemic should be seen as opening a portal to planetary health ethics or ecologized bioethics. (shrink)