Abstract: On October 25, 1946, three weeks after the International Military Tribunal at Nuremberg entered its verdicts, the United States established Military Tribunal I for the trial of twenty-three Nazi physicians. The charges, delivered by Brigadier General Telford Taylor on December 9, 1946, form a seminal chapter in the history of medical ethics and, specifically, medical ethics in war. The list of noxious experiments conducted on civilians and prisons of war, and condemned by the Tribunal as war crimes and as crimes against humanity, is by now more or less familiar. That list included: high-altitude experiments; freezing experiments; malaria experiments; sulfanilamide experiments; bone, muscle, and nerve regeneration and bone transplantation experiments; sea water experiments; jaundice and spotted fever experiments; sterilization experiments; experiments with poison and with incendiary bombs. What remains less familiar is the moral mindset of doctors and health care workers who plied their medical skill for morally questionable uses in war. In his 1981 work, The Nazi Doctors, Robert Jay Lifton took up that question, interviewing doctors, many of whom for forty years continued to distance themselves psychologically from their deeds. The questions about moral distancing Lifton raised (though not the questions about criminal experiments) have immediate urgency for us now. Military medical doctors, psychiatrists and psychologists serve in U.S. military prisons in Guantánamo, Abu Ghraib, Kandahar, and, until very recently, in undisclosed CIA operated facilities around the world where medical ethics are again at issue. Moreover, they serve in top positions in the Pentagon, as civilian and military heads of command, who pass orders and regulations to military doctors in the field, and who are in charge of the health of enemy combatants, as well as U.S. soldiers. Because we recently marked the sixtieth anniversary of the judgment at Nuremberg, I want to awaken our collective memory to the ways in which doctors in war, even in a war very different from the one the Nazis fought, can insulate themselves from their moral and professional consciences.
Challenging the Rhetoric of Choice in Prenatal Screening
Abstract: Prenatal screening, consisting of maternal serum screening and nuchal translucency screening, is on the verge of expansion, both by being offered to more pregnant women and by screening for more conditions. The Society of Obstetricians and Gynaecologists of Canada and the American College of Obstetricians and Gynecologists have each recently recommended that screening be extended to all pregnant women regardless of age, disease history, or risk status. This screening is commonly justified by appeal to the value of autonomy, or women’s choice. In this paper, I critically examine the value of autonomy in the context of prenatal screening to determine whether it justifies the routine offer of screening and the expansion of screening services. I argue that in the vast majority of cases the option of prenatal screening does not promote or protect women’s autonomy. Both a narrow conception of choice as informed consent and a broad conception of choice as relational reveal difficulties in achieving adequate standards of free informed choice. While there are reasons to worry that women’s autonomy is not being protected or promoted within the limited scope of current practice, we should hesitate before normalizing it as part of standard prenatal care for all.
Thick Concepts and Context Dependence
Abstract: In this paper I develop my account of moral particularism, focussing on the nature of thick moral concepts. My aim is to show how the particularist can consistently uphold an non-reductive cognitivist ‘dual role’ view of thick moral concepts, even though she holds that the qualities ascribed by such concepts can vary in their moral relevance – so that to judge that something is generous or an act of integrity need not entail that the object of evaluative appraisal is good to some extent. A novel particularist account of thick concepts is proposed, in response to recent work on variance holism. The particularist rejects the holist’s attempt to preserve the idea that thick concepts are evaluative concepts by postulating a special semantic content, a contextually variable evaluative valence, as theoretically unmotivated and conceptually confused. Instead it is argued that the thick concepts have determinable evaluative content in situ only.
Ethical Neo-Expressivism
Abstract: A standard way to explain the connection between ethical claims and motivation is to say that these claims express motivational attitudes. Unless this connection is taken to be merely a matter of contingent psychological regularity, it may seem that there are only two options for understanding it. We can either treat ethical claims as expressing propositions that one cannot believe without being at least somewhat motivated (subjectivism), or we can treat ethical claims as nonpropositional and as having their semantic content constituted by the motivational attitudes they express (noncognitivism). In this paper, we argue that there is another option, which can be recognized once we see that there is no need to build the expression relation between ethical claims and motivational states of mind into the semantic content of ethical claims.
Torturers and the Tortured
Abstract: Patrick Lenta and Jessica Wolfendale have written two very thoughtful discussions on torture. A central question that arises in responding to these essays in terms of my recent book, Stoic Warriors, is whether ancient Stoicism affords any insights into both the propensity to inflict torture as well as the capacity to endure it. Wolfendale suggests that the learned capacity to endure torture, and in particular, becoming desensitised to pain, may be part of the psychological background that informs a willingness to inflict torture. Training in resisting torture, such as that which special operations troops typically go through, involves not only learning techniques, which can then be reverse engineered in applying torture (what some argue has happened in Guantanamo Bay), but also learning the kind of stress inoculation that makes one willing to use those techniques. In short, military training that involves torture resistance hardens one’s soul and makes one indifferent to the suffering that torture involves. This indifference, Wolfendale claims, is not unlike Stoic apathy. I want to argue, on the contrary, that Stoic apathy is substantively different. However, before making the case, I take up a number of other preliminary points raised in both papers. I conclude with some remarks about interrogation in general.
The Look and Feel of Virtue
Abstract: For much of the twentieth century it was common to contrast the characteristic forms and preoccupations of modern ethical theory with those of the ancient world. However, the last few decades have seen a growing recognition that contemporary moral philosophy now has much in common with its ancient incarnation, in areas as diverse as virtue ethics and ethical epistemology. Christopher Gill has assembled an international team to conduct a fascinating exploration of the relationship between the two fields, exploring key issues in ancient ethics in a way that highlights their conceptual significance for the study of ethics more generally. Virtue, Norms, and Objectivity will be as interesting and relevant to modern moral philosophers, therefore, as it will be to specialists in ancient thought.
Empathy, Respect, and Humanitarian Intervention
Abstract: This essay examines the moral attitudes that underlie commitments to humanitarian intervention. Specifically, the essay seeks to explain how respect and empathy together create the ethical imperative for humanitarian intervention. Traditionally excluded from the formal discourse on humanitarian intervention, empathy is presented as an integral component of making the “ought” of humanitarian intervention psychologically feasible.
The essay presents a slightly revised definition of empathy, in which empathy is the cognitive ability to place oneself in the world of another, imagining all of the realities, feelings, and circumstances of that person in the context of their world. This differs from the notion that feelings of empathy are limited to those with whom one shares a close relationship. The essay contends that the ability to identify with others is necessary in order to mobilize the feelings of respect for others into acts of humanitarian intervention.
The Fabric of Character: Aristotle’s Theory of Virtue
Publisher: Most traditional accounts of Aristotle’s theory of ethical education neglect its cognitive aspects. This book asserts that, in Aristotle’s view, excellence of character comprises both the sentiments and practical reason. Sherman focuses particularly on four aspects of practical reason as they relate to character: moral perception, choicemaking, collaboration, and the development of those capacities in moral education. Throughout the book, she is sensitive to contemporary moral debates, and indicates the extent to which Aristotle’s account of practical reason provides an alternative to theories of impartial reason.
Asymmetrical freedom
Diversifying Syllabi: Thesis: interesting and sophisticated position compatibilist position in the debate about free will and determinism. Slogan: To be free is to be determined by the Good. The claim is that if we do the right thing for the right reasons, then we are free – in the sense that is required by moral responsibility – even if we are determined. But if we do the wrong thing, then we are free and morally responsible only if we are not determined (i.e. if we could have done otherwise).
Frontiers of Justice: Disability, Nationality, Species Membership
Publisher: Theories of social justice are necessarily abstract, reaching beyond the particular and the immediate to the general and the timeless. Yet such theories, addressing the world and its problems, must respond to the real and changing dilemmas of the day. A brilliant work of practical philosophy, Frontiers of Justice is dedicated to this proposition. Taking up three urgent problems of social justice neglected by current theories and thus harder to tackle in practical terms and everyday life, Martha Nussbaum seeks a theory of social justice that can guide us to a richer, more responsive approach to social cooperation. The idea of the social contract–especially as developed in the work of John Rawls–is one of the most powerful approaches to social justice in the Western tradition. But as Nussbaum demonstrates, even Rawls’s theory, suggesting a contract for mutual advantage among approximate equals, cannot address questions of social justice posed by unequal parties. How, for instance, can we extend the equal rights of citizenship–education, health care, political rights and liberties–to those with physical and mental disabilities? How can we extend justice and dignified life conditions to all citizens of the world? And how, finally, can we bring our treatment of nonhuman animals into our notions of social justice? Exploring the limitations of the social contract in these three areas, Nussbaum devises an alternative theory based on the idea of capabilities. She helps us to think more clearly about the purposes of political cooperation and the nature of political principles–and to look to a future of greater justice for all.