Steve Clarke

Participants in some clinical trials are at risk of being harmed and sometimes are seriously harmed as a result of not being provided with available, relevant risk information. We argue that this situation is unacceptable and that there is a moral duty to disclose all adverse clinical trial results to participants in clinical trials. This duty is grounded in the human right not to be placed at risk of harm without informed consent. We consider objections to disclosure grounded in considerations of commercial interest, and we argue that these concerns are insufficient to override the moral duty to disclose adverse clinical trial results. However, we also develop a proposal that enables commercial interests to be protected, while promoting the duty to disclose adverse clinical trial results.

Stephen Mumford concludes a recent paper in Religious Studies, in which he advances a new causation-based analysis of miracles, by stating that the onus is ‘on rival accounts of miracles to produce something that matches it’. I take up Mumford 's challenge, defending an intention-based definition of miracles, which I developed earlier, that he criticizes. I argue that this definition of miracles is more consistent with ordinary intuitions about miracles than Mumford 's causation-based alternative. I further argue that Mumford has failed to demonstrate any advantages that his approach to miracles has over an intention-based approach

Transformative technologies can radically alter human lives making us stronger, faster, more resistant to disease and so on. These include enhancement technologies as well as cloning and stem cell research. Such technologies are often approved of by many liberals who see them as offering us opportunities to lead better lives, but are often disapproved of by conservatives who worry about the many consequences of allowing these to be used. In this paper, we consider how a democratic government with mainly liberal values that is governing a population divided between liberals and conservatives can introduce new transformative technologies and try to achieve consensus about the introduction of such technologies. To do so, we draw on recent work in moral psychology which enables us to better understand the intuitive and emotional responses that underpin conservative objections to such new technologies. We then show how a government may introduce incremental changes in our social practices that have the long-term effect of weakening conservative objections to transformative technologies and better enabling governments to achieve consensus about these

In the face of argument to the contrary, it is shown that there is defensible middle ground available for entity realism, between the extremes of scientific realism and empiricist antirealism. Cartwright's ([1983]) earlier argument for defensible middle ground between these extremes, which depended crucially on the viability of an underdeveloped distinction between inference to the best explanation (IBE) and inference to the most probable cause (IPC), is examined and its defects are identified. The relationship between IBE and IPC is clarified and a revised version of Cartwright's argument for defensible middle ground, which is free of the identified defects, is presented.

How are justifications for religious violence developed and dothey differ from secular justifications for violence? Can liberalsocieties tolerate potentially violent religious groups? Can thosewho accept religious justifications for violence be dissuaded fromacting violently? Including six in-depth contemporary case studies,The Justification of Religious Violence is the first book toexamine the logical structure of justifications of religiousviolence. The first book specifically devoted to examining the logicalstructure of justifications of religious violence Seeks to understand how justifications for religious violenceare developed and how or if they differ from ordinary secularjustifications of violence Examines 3 widely employed premises used in religiousjustifications of violence – ‘cosmic war’, theimportance of the afterlife, and ‘sacred values’ Considers to what extent liberal democratic societies shouldtolerate who hold that their religion justifies violent acts Reflects on the possibility of effective policy measures topersuade those who believe that violent action is justified byreligion, to refrain from acting violently Informed by recent work in psychology, cognitive science,neuroscience and evolutionary biology Part of the Blackwell Public Philosophy Series.

Both intention-based and causation-based definitions of the miraculous make reference to the term ‘supernatural’. Philosophers who define the miraculous appear to use this term in a loose way, perhaps meaning the nonnatural, perhaps meaning a subcategory of the nonnatural. Here I examine the aetiology of the term ‘supernatural’. I consider three outstanding issues regarding the meaning of the term and conclude that the supernatural is best understood as a subcategory of the nonnatural. In light of this clarification, I argue that a prominent causation-based definition of the miraculous should be revised so as not refer to the supernatural. I further argue that authors of intention-based definitions of the miraculous need to consider whether or not they should continue to refer to the supernatural, in their definitions of the miraculous, in light of the conclusions discerned here.

There is overwhelming agreement amongst naturalists that a naturalistic ontology should not allow for the possibility of supernatural entities. I argue, against this prevailing consensus, that naturalists have no proper basis to oppose the existence of supernatural entities. Naturalism is characterized, following Leiter and Rea, as a position which involves a primary commitment to scientific methodology and it is argued that any naturalistic ontological commitments must be compatible with this primary commitment. It is further argued that properly applied scientific method has warranted the acceptance of the existence of supernatural entities in the past and that it is plausible to think that it will do so again in the future. So naturalists should allow for the possibility of supernatural entities.

This paper argues that the provision of effective informed consent by surgical patients requires the disclosure of material information about the comparative clinical performance of available surgeons. We develop a new ethical argument for the conclusion that comparative information about surgeons' performance - surgeons' report cards - should be provided to patients, a conclusion that has already been supported by legal and economic arguments. We consider some recent institutional and legal developments in this area, and we respond to some common objections to the use of report cards on the clinical performance of surgeons.

Conscientious objection was barely mentioned in debates about the ethics of healthcare provision before the 1970s.1 The conscientious objections that attracted public and academic attention were those of conscripts who objected to participation in military forces, and of parents who objected to the vaccination of their children. All of this was changed by the 1973 US Supreme Court decision Roe v. Wade, which established a constitutional right to abortion in the USA. Shortly after this decision, the American Medical Association's (AMA) House of Delegates, the peak policy-making body within the AMA, adopted a resolution that sought to protect hospital employees from having to contribute to the provision of abortion if they felt that doing so was immoral. The resolution was adopted in response to a specific controversial court decision, but the language employed in it was broad in scope. House of Delegates Health Policy 5.995 contained a conscience clause stating that ‘Neither physician, hospital, …

The dominant view in the cognitive science of religion (the ‘Standard Model’) is that religious belief and behaviour are not adaptive traits but rather incidental byproducts of the cognitive architecture of mind. Because evidence for the Standard Model is inconclusive, the case for it depends crucially on its alleged methodological superiority to selectionist alternatives. However, we show that the Standard Model has both methodological and evidential disadvantages when compared with selectionist alternatives. We also consider a pluralistic approach, which holds that religion or various aspects of religion originated as byproducts of evolved cognitive structures but were subsequently co-opted for adaptive purposes. We argue that when properly formulated, the pluralistic approach also has certain advantages over the Standard Model

In her 1983 work How the Laws of Phyiscs Lie [1] Nancy Cartwright argued for antirealism about fundamental laws alongside realism about phenomenological laws. Her position was considerably altered by 1989 when, in Nature's Capacities and Their Measurement [2], she argued for a realist construal of capacities (close relations of Powers, natures, tendencies, propensities and disptısitions), which she took fundamental laws to be about. Most realists about capaeities, and their ilk, are realist about fundamental laws as well. However this is not true of Cartwright. In [2] she emphatically reaffirmed her antirealism about fundamental laws, stating that 'fundamental laws are not true, nor nearly true, nor true for the most part' [2, p.175]. In 'So the Laws of Physics Needn't Lie' [4] Chalmers argues that Cartwright's advocacy of realism about Nature's capacities in [2] undermines her antirealism about fundamental laws. He accuses Cartwright of apparent contradictions in her position as articulated in [2]. Given Chalmers' reading of Cartwright, an appearance of contradiction does seem to arise. Against Chalmers, I advocate an alternative reading of Cartwright, which is much more charitable to her. This alternative reading of Cartwright has the advantage of avoiding the charge of contradiction. Indeed, if this reading is accepted, the appearance of contradiction, that Chalmers taxeses Cartwright with, does not even arise. A further virtue of this reading of Cartwright is that it is consistent with Cartwright's more recent writing, as I will show.

The use of deceptive techniques is common in social science research. It is argued that the use of such techniques is incompatible with the standard of informed consent, which is widely employed in the ethical evaluation of research involving human subjects. A number of proposals to justify the use of deceptions in social science research are examined, in the face of its apparent incompatibility with the standard of informed consent, and found to be inadequate. An alternative method of justification is outlined, which enables some deceived participants in social science research to rationally and autonomously choose to participate in that research. The alternative method of justification appeals to the idea of indirect consent, which is introduced. It is argued that research subjects who receive reliable testimony regarding research procedures can sometimes be placed in a position to rationally and autonomously consent indirectly to participation in experiments and studies, even if these involve significant deceptions.

Brierley et al argue that in cases where it is medically futile to continue providing life-sustaining therapies to children in intensive care, medical professionals should be allowed to withdraw such therapies, even when the parents of these children believe that there is a chance of a miracle cure taking place. In reasoning this way, Brierley et al appear to implicitly assume that miracle cures will never take place, but they do not justify this assumption and it would be very difficult for them to do so. Instead of seeking to override the wishes of parents, who are waiting for a miracle, it is suggested that a better response may be to seek to engage devout parents on their own terms, and encourage them to think about whether or not continuing life-sustaining therapies will make it more likely that a miracle cure will occur