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Beyond Baby M: Ethical Issues in New Reproductive Techniques (Contemporary Issues in Biomedicine, Ethics, and Society)

by Dianne M. Bartels Reinhard Priester Dorothy E. Vawter Arthur L. Caplan

Arthur L. Caplan It is commonly said, especially when the subject is assisted reproduction, that medical technology has out­ stripped our morality. Yet, as the essays in this volume make clear, that is not an accurate assessment of the situ­ ation. Medical technology has not overwhelmed our moral­ ity. It would be more accurate to say that our society has not yet achieved consensus about the complex ethical iss­ ues that arise when medicine tries to assist those who seek its services in order to reproduce. Nevertheless, there is no shortage of ethical opinion about what we ought to do with respect to the use of surrogate mothers, in vitro fertil­ ization, embryo transfer, artificial insemination, or fertil­ ity drugs. Nor is it entirely accurate to describe assisted repro­ duction as technology. The term "technology" carries with it connotations of machines buzzing and technicians scurrying about trying to control a vast array of equip­ ment. Yet, most of the methods used to assist reproduc­ tion that are discussed in this volume do not involve exotic technologies or complicated hardware. It is technique, more than technology, that dominates the field of assisted reproduction. Efforts to help the infertile by means of the manipu­ lation of human reproductive materials and organs date 1 2 Caplan back at least to Biblical times. Human beings have en­ gaged in all manner of sexual practices and manipulations in attempts to achieve reproduction when nature has balked at allowing life to begin.

Beyond Bad: How obsolete morals are holding us back

by Chris Paley

'Brilliantly unillusioned thinking... It could hardly be more necessary in these all-too-moralistic times' - James Marriott, THE TIMESMorals have held empires together, kept soldiers marching under fire, fed the hungry, passed laws, built walls, welcomed immigrants, destroyed careers and governed our sex lives. But what if morality's all meaningless rubbish, a malfunctioning relic of our evolutionary past? This is the provocative argument that Chris Paley makes. This isn't an attack on one set of moral codes or one way of thinking about ethics: it's a call for abolishing the whole caboodle.He uses evolutionary psychology to show how and why morality emerged: theyenabled our forebears to survive and prosper in tribal groups. Today, our morals constrain us, bias us, and push us in the wrong direction. The biggest challenges our species faces, whether global warming, nuclear proliferation or the rise of the robots, are pan-human. These challenges are beyond what our moral minds were designed to cope with. You can't build smartphones with stone-age axes, and you can't solve modern humanity's problems with tools that are designed to create primitive, competitive groups.From Chris Paley, author of the 'extraordinary', 'startling' and 'thought-provoking' Unthink, comes Beyond Bad, which shows morals hinder us from achieving what we want to achieve. Beyond Bad is the book that 'does for morals what Dawkins did for God'.

Beyond Belief, Beyond Conscience: The Radical Significance of the Free Exercise of Religion (Inalienable Rights)

by Jack N. Rakove

Today, Americans believe that the early colonists came to the New World in search of religious liberty. What we often forget is that they wanted religious liberty for themselves, not for those who held other views that they rejected and detested. Yet, by the mid-18th century, the colonists agreed that everyone possessed a sovereign right of conscience. How did this change develop? In Beyond Belief, Beyond Conscience, Pulitzer Prize-winning author Jack Rakove tracks the unique course of religious freedom in America. He finds that, as denominations and sects multiplied, Americans became much more tolerant of the free expression of rival religious beliefs. During the Revolutionary era, he explains, most of the new states moved to disestablish churches and to give constitutional recognition to rights of conscience. These two developments explain why religious freedom originally represented the most radical right of all. No other right placed greater importance on the moral autonomy of individuals, or better illustrated how the authority of government could be limited by denying the state authority to act. Together, these developments made possible the great revival of religion in 19th-century America. As Rakove explains, America's intense religiosity eventually created a new set of problems for mapping the relationship between church and state. He goes on to examine some of our contemporary controversies over church and state not from the vantage point of legal doctrine, but of the deeper history that gave the U.S. its own approach to religious freedom. In this book, he tells the story of how American ideas of religious toleration and free exercise evolved over time, and why questions of church and state still vex us.

Beyond Belief, Beyond Conscience: The Radical Significance of the Free Exercise of Religion (Inalienable Rights)

by Jack N. Rakove

Today, Americans believe that the early colonists came to the New World in search of religious liberty. What we often forget is that they wanted religious liberty for themselves, not for those who held other views that they rejected and detested. Yet, by the mid-18th century, the colonists agreed that everyone possessed a sovereign right of conscience. How did this change develop? In Beyond Belief, Beyond Conscience, Pulitzer Prize-winning author Jack Rakove tracks the unique course of religious freedom in America. He finds that, as denominations and sects multiplied, Americans became much more tolerant of the free expression of rival religious beliefs. During the Revolutionary era, he explains, most of the new states moved to disestablish churches and to give constitutional recognition to rights of conscience. These two developments explain why religious freedom originally represented the most radical right of all. No other right placed greater importance on the moral autonomy of individuals, or better illustrated how the authority of government could be limited by denying the state authority to act. Together, these developments made possible the great revival of religion in 19th-century America. As Rakove explains, America's intense religiosity eventually created a new set of problems for mapping the relationship between church and state. He goes on to examine some of our contemporary controversies over church and state not from the vantage point of legal doctrine, but of the deeper history that gave the U.S. its own approach to religious freedom. In this book, he tells the story of how American ideas of religious toleration and free exercise evolved over time, and why questions of church and state still vex us.

Beyond Bilateralism: A Theory of State Responsibility for Breaches of Non-bilateral Obligations

by Sarah Thin

This book reimagines responsibility in international law, establishing the concept of non-bilateral responsibility as an objective legal situation generated by the commission of an internationally wrongful act. It examines the nature, operation and impact of this new form of responsibility, exploring its deep consequences for the legal system.Responding to the increasingly non-bilateralist nature of international law, the book argues that the legal model of state obligations is outdated. It draws on legal theory, the law of state responsibility and international dispute settlement mechanisms to outline non-bilateral responsibility as a structurally distinct concept. The book covers the incompatibility of current legal systems with the idea of non-bilateral responsibility in areas such as environmental and human rights law, and analyses complex developments towards non-bilateral obligations. Ultimately, it offers a fresh look at the nature of international legal responsibility, addressing foundational questions in international law.Providing an accessible overview of the key issues surrounding non-bilateral obligations and responsibility, Beyond Bilateralism is an essential resource for students and scholars of international law and legal theory. It will also be of interest to legal practitioners interested in the future of state obligations.

Beyond Brain Death: The Case Against Brain Based Criteria for Human Death (Philosophy and Medicine #66)

by P. A. Byrne R. G. Nilges M. Potts

Beyond Brain Death offers a provocative challenge to one of the most widely accepted conclusions of contemporary bioethics: the position that brain death marks the death of the human person. Eleven chapters by physicians, philosophers, and theologians present the case against brain-based criteria for human death. Each author believes that this position calls into question the moral acceptability of the transplantation of unpaired vital organs from brain-dead patients who have continuing function of the circulatory system. One strength of the book is its international approach to the question: contributors are from the United States, the United Kingdom, Liechtenstein, and Japan. This book will appeal to a wide audience, including physicians and other health care professionals, philosophers, theologians, medical sociologists, and social workers.

Beyond Bureaucracy: Towards Sustainable Governance Informatisation (Public Administration and Information Technology #25)

by Alois A. Paulin Leonidas G. Anthopoulos Christopher G. Reddick

This book examines the role of bureaucracy in modern technologically advanced societies, the traditional models of governance, and the potential of information technology to fundamentally change and improve governance. In the area of public-domain governance, information and communication technologies (ICTs) have empowered public agencies to improve their activities and to strengthen the efficiency of their operations. Technology has enabled optimized transfer of knowledge and information between government agencies, more efficient supervision and control of relationships with citizens, and higher efficiency in law enforcement through better access to information. Throughout the last decades, technology has been used to strengthen the role of state bureaucracies and the relationship between the civil service and the citizens. We have witnessed the transformative powers of ICTs in private-sector enterprises in well-structured technological landscapes, which has produced new ecosystems comprised of software developers, providers, and consumers who provide and consume new products and services in ecosystems that are based on clear technological standards and shared modular generic artefacts, which allow for distributed peer production. ICTs will shape cultural and civic discourse and create products, services and tools, relying on the open toolsets, technologies and exchange of knowledge between peers. This book will be of particular interest to government CIOs, IT/IS managers, researchers, students, and practitioners in technical sciences, public administration, business management, public policy and IS management.

Beyond Busing: Reflections on Urban Segregation, the Courts, and Equal Opportunity

by Paul R. Dimond

A compelling insider's account of the fight for educational desegregation, from one of its most dedicated and outspoken heroes. A new afterword explains the author's controversial belief that the moment for litigating educational equality has passed, clear-sightedly critiquing his own courtroom strategies and the courts' responses, before closing with an assessment of the economic and social changes that he feels have already moved us "beyond busing." "An extraordinarily informative and thoughtful book describing the process of bringing Brown [v. Board of Education] North and the impact this process had upon national attitudes toward desegregation." --Drew S. Days III, Yale Law Journal "An original analysis of a tough subject. A must-read for all who care about opportunity for all our children." --Donna E. Shalala, President, University of Miami "Paul Dimond remains a passionate and caring voice for inner-city students, whether in his advocacy of school desegregation, school choice plans, or school finance reform. He illuminates these issues as one who participated in the major education cases and as a perceptive scholar." --Mark Yudof, Chancellor, The University of Texas System "A must-read for anyone who wants to understand America's continued failure to give inner-city children a quality education or to do something about it!" --Sheryll Cashin, Author of The Failures of Integration: How Race and Class Are Undermining the American Dream "Dimond is particularly good at relating his slice of legal history to the broader developments of the 1970s, and his occasional remarks about trial tactics are amusing and instructive. Dimond's honesty about both his successes and failures makes his book required reading for civil rights lawyers." --Lawrence T. Gresser, Michigan Law Review "A fascinating first-hand account of 1970s northern school desegregation decisions." --Neal E. Devins, American Bar Foundation Research Journal "Dimond reminds the liberal reader of the promise that lies in the empowerment of ordinary families to choose their own schools." --John E. Coons, Professor of Law, Emeritus, University of California, Berkeley Paul R. Dimond is counsel to Miller, Canfield, Paddock and Stone, Michigan's largest law firm; chairman of McKinley, a national commercial real estate investment and management firm; and chairman or member of the board of trustees of numerous education, community, and civic organizations. He spent four years as President Clinton's Special Assistant for Economic Policy.

Beyond Caring: Hospitals, Nurses, and the Social Organization of Ethics (Morality and Society Series)

by Daniel F. Chambliss

Vividly documenting the real world of the contemporary hospital, its nurses, and their moral and ethical crises, Dan Chambliss offers a sobering revelation of the forces shaping moral decisions in our hospitals. Based on more than ten years' field research, Beyond Caring is filled with eyewitness accounts and personal stories demonstrating how nurses turn the awesome into the routine. It shows how patients, many weak and helpless, too often become objects of the bureaucratic machinery of the health care system and how ethics decisions, once the dilemmas of troubled individuals, become the setting for political turf battles between occupational interest groups. The result is a compelling combination of realism and a powerful theoretical argument about moral life in large organizations.

Beyond Caring: Hospitals, Nurses, and the Social Organization of Ethics (Morality and Society Series)

by Daniel F. Chambliss

Vividly documenting the real world of the contemporary hospital, its nurses, and their moral and ethical crises, Dan Chambliss offers a sobering revelation of the forces shaping moral decisions in our hospitals. Based on more than ten years' field research, Beyond Caring is filled with eyewitness accounts and personal stories demonstrating how nurses turn the awesome into the routine. It shows how patients, many weak and helpless, too often become objects of the bureaucratic machinery of the health care system and how ethics decisions, once the dilemmas of troubled individuals, become the setting for political turf battles between occupational interest groups. The result is a compelling combination of realism and a powerful theoretical argument about moral life in large organizations.

Beyond Caring: Hospitals, Nurses, and the Social Organization of Ethics (Morality and Society Series)

by Daniel F. Chambliss

Vividly documenting the real world of the contemporary hospital, its nurses, and their moral and ethical crises, Dan Chambliss offers a sobering revelation of the forces shaping moral decisions in our hospitals. Based on more than ten years' field research, Beyond Caring is filled with eyewitness accounts and personal stories demonstrating how nurses turn the awesome into the routine. It shows how patients, many weak and helpless, too often become objects of the bureaucratic machinery of the health care system and how ethics decisions, once the dilemmas of troubled individuals, become the setting for political turf battles between occupational interest groups. The result is a compelling combination of realism and a powerful theoretical argument about moral life in large organizations.

Beyond Caring: Hospitals, Nurses, and the Social Organization of Ethics (Morality and Society Series)

by Daniel F. Chambliss

Vividly documenting the real world of the contemporary hospital, its nurses, and their moral and ethical crises, Dan Chambliss offers a sobering revelation of the forces shaping moral decisions in our hospitals. Based on more than ten years' field research, Beyond Caring is filled with eyewitness accounts and personal stories demonstrating how nurses turn the awesome into the routine. It shows how patients, many weak and helpless, too often become objects of the bureaucratic machinery of the health care system and how ethics decisions, once the dilemmas of troubled individuals, become the setting for political turf battles between occupational interest groups. The result is a compelling combination of realism and a powerful theoretical argument about moral life in large organizations.

Beyond Caring: Hospitals, Nurses, and the Social Organization of Ethics (Morality and Society Series)

by Daniel F. Chambliss

Vividly documenting the real world of the contemporary hospital, its nurses, and their moral and ethical crises, Dan Chambliss offers a sobering revelation of the forces shaping moral decisions in our hospitals. Based on more than ten years' field research, Beyond Caring is filled with eyewitness accounts and personal stories demonstrating how nurses turn the awesome into the routine. It shows how patients, many weak and helpless, too often become objects of the bureaucratic machinery of the health care system and how ethics decisions, once the dilemmas of troubled individuals, become the setting for political turf battles between occupational interest groups. The result is a compelling combination of realism and a powerful theoretical argument about moral life in large organizations.

Beyond Caring: Hospitals, Nurses, and the Social Organization of Ethics (Morality and Society Series)

by Daniel F. Chambliss

Vividly documenting the real world of the contemporary hospital, its nurses, and their moral and ethical crises, Dan Chambliss offers a sobering revelation of the forces shaping moral decisions in our hospitals. Based on more than ten years' field research, Beyond Caring is filled with eyewitness accounts and personal stories demonstrating how nurses turn the awesome into the routine. It shows how patients, many weak and helpless, too often become objects of the bureaucratic machinery of the health care system and how ethics decisions, once the dilemmas of troubled individuals, become the setting for political turf battles between occupational interest groups. The result is a compelling combination of realism and a powerful theoretical argument about moral life in large organizations.

Beyond Certification (Doshorts Ser.)

by Scott Poynton

This book is free to download in PDF and EPub formats. Is certification the solution? Can it deliver urgently needed improvements to complex problems like deforestation and the exploitation of people? In this controversial new book, Scott Poynton, founder of The Forest Trust, makes a compelling case for a new approach to social and environmental problems that goes "beyond certification".Certification emerged from the 1992 Rio Earth Summit amidst great hope. Since then, despite a proliferation of certification schemes in twenty-five industry sectors, the destructive and irresponsible exploitation of natural and human resources has grown still worse. Beyond Certification reviews the positive aspects of certification, of which there are many, but argues that we can no longer afford to gloss over its failures. The book offers an alternative model, VT-TV, based on Values, Transparency, Transformation and Verification, which the author has been exploring and implementing with over 70 companies and industries around the world. These companies are transforming the story of the raw materials they use – wood, palm oil, pulp and paper, stone, charcoal, soy, beef, sugar, dairy, rubber, coffee, cocoa and coconut. Mining companies are also exploring this approach, making decisions aligned with fundamental values and what they know to be right.The results? Trust is emerging as former combatants awake to the importance of working together. Guns have been removed from forests, land set aside for protection, worker rights and conditions improved and long-standing conflicts have been resolved as people confront their legacies. Beyond Certification does not claim that this VT-TV model is the only solution. Rather, it shows how new and seemingly radical thinking can catalyze positive change. Included: the limits of roundtable certification illustrated with real, practical examples; the intricacies of the change process – how companies move from destructive to more responsible practices; how to implement more holistic, economically effective, durable systems to better protect people and the environment.

Beyond Certification

by Scott Poynton

This book is free to download in PDF and EPub formats. Is certification the solution? Can it deliver urgently needed improvements to complex problems like deforestation and the exploitation of people? In this controversial new book, Scott Poynton, founder of The Forest Trust, makes a compelling case for a new approach to social and environmental problems that goes "beyond certification".Certification emerged from the 1992 Rio Earth Summit amidst great hope. Since then, despite a proliferation of certification schemes in twenty-five industry sectors, the destructive and irresponsible exploitation of natural and human resources has grown still worse. Beyond Certification reviews the positive aspects of certification, of which there are many, but argues that we can no longer afford to gloss over its failures. The book offers an alternative model, VT-TV, based on Values, Transparency, Transformation and Verification, which the author has been exploring and implementing with over 70 companies and industries around the world. These companies are transforming the story of the raw materials they use – wood, palm oil, pulp and paper, stone, charcoal, soy, beef, sugar, dairy, rubber, coffee, cocoa and coconut. Mining companies are also exploring this approach, making decisions aligned with fundamental values and what they know to be right.The results? Trust is emerging as former combatants awake to the importance of working together. Guns have been removed from forests, land set aside for protection, worker rights and conditions improved and long-standing conflicts have been resolved as people confront their legacies. Beyond Certification does not claim that this VT-TV model is the only solution. Rather, it shows how new and seemingly radical thinking can catalyze positive change. Included: the limits of roundtable certification illustrated with real, practical examples; the intricacies of the change process – how companies move from destructive to more responsible practices; how to implement more holistic, economically effective, durable systems to better protect people and the environment.

Beyond Citizenship: American Identity After Globalization

by Peter J. Spiro

American identity has always been capacious as a concept but narrow in its application. Citizenship has mostly been about being here, either through birth or residence. The territorial premises for citizenship have worked to resolve the peculiar challenges of American identity. But globalization is detaching identity from location. What used to define American was rooted in American space. Now one can be anywhere and be an American, politically or culturally. Against that backdrop, it becomes difficult to draw the boundaries of human community in a meaningful way. Longstanding notions of democratic citizenship are becoming obsolete, even as we cling to them. Beyond Citizenship charts the trajectory of American citizenship and shows how American identity is unsustainable in the face of globalization. Peter J. Spiro describes how citizenship law once reflected and shaped the American national character. Spiro explores the histories of birthright citizenship, naturalization, dual citizenship, and how those legal regimes helped reinforce an otherwise fragile national identity. But on a shifting global landscape, citizenship status has become increasingly divorced from any sense of actual community on the ground. As the bonds of citizenship dissipate, membership in the nation-state becomes less meaningful. The rights and obligations distinctive to citizenship are now trivial. Naturalization requirements have been relaxed, dual citizenship embraced, and territorial birthright citizenship entrenched--developments that are all irreversible. Loyalties, meanwhile, are moving to transnational communities defined in many different ways: by race, ethnicity, gender, religion, age, and sexual orientation. These communities, Spiro boldly argues, are replacing bonds that once connected people to the nation-state, with profound implications for the future of governance. Learned, incisive, and sweeping in scope, Beyond Citizenship offers a provocative look at how globalization is changing the very definition of who we are and where we belong.

Beyond Clinical Dehumanisation towards the Other in Community Mental Health Care: Levinas, Wonder and Autoethnography (Psychology and the Other)

by Catherine A. Racine

Beyond Clinical Dehumanisation Toward the Other in Community Mental Health Care offers a rare and intimate portrayal of the moral process of a mental health clinician that interrogates the intractable problem of systemic dehumanisation in community mental health care and looks to the notion of "wonder" and the visionary relational ethics of Emmanuel Levinas for a possible cure. An interdisciplinary study with transdisciplinary aspirations, this book contributes an original and compelling voice to the emerging therapeutic conversation attempting to re-imagine and transcend the objectifying constraints of the dominant discourse and the reductive world view that drives it. Chapters bring into dialogue the fields of community mental health care, psychology, psychology and the Other, the philosophy of wonder, Levinasian ethics, clinical ethics, the moral research of autoethnography and the medical humanities, to consider the defilement of the vulnerable help seeker, the moral injury of the clinician and look for answers beyond. This book is an ethical primer for mental health professionals, researchers, educators, advocates and service users working to re-imagine and heal a broken system by challenging the underpinnings of entrenched dehumanisation and standing with those they "serve".

Beyond Clinical Dehumanisation towards the Other in Community Mental Health Care: Levinas, Wonder and Autoethnography (Psychology and the Other)

by Catherine A. Racine

Beyond Clinical Dehumanisation Toward the Other in Community Mental Health Care offers a rare and intimate portrayal of the moral process of a mental health clinician that interrogates the intractable problem of systemic dehumanisation in community mental health care and looks to the notion of "wonder" and the visionary relational ethics of Emmanuel Levinas for a possible cure. An interdisciplinary study with transdisciplinary aspirations, this book contributes an original and compelling voice to the emerging therapeutic conversation attempting to re-imagine and transcend the objectifying constraints of the dominant discourse and the reductive world view that drives it. Chapters bring into dialogue the fields of community mental health care, psychology, psychology and the Other, the philosophy of wonder, Levinasian ethics, clinical ethics, the moral research of autoethnography and the medical humanities, to consider the defilement of the vulnerable help seeker, the moral injury of the clinician and look for answers beyond. This book is an ethical primer for mental health professionals, researchers, educators, advocates and service users working to re-imagine and heal a broken system by challenging the underpinnings of entrenched dehumanisation and standing with those they "serve".

Beyond Communal and Individual Ownership: Indigenous Land Reform in Australia (Routledge Complex Real Property Rights Series)

by Leon Terrill

Over the last decade, Australian governments have introduced a series of land reforms in communities on Indigenous land. This book is the first in-depth study of these significant and far reaching reforms. It explains how the reforms came about, what they do and their consequences for Indigenous landowners and community residents. It also revisits the rationale for their introduction and discusses the significant gap between public debate about the reforms and their actual impact. Drawing on international research, the book describes how it is necessary to move beyond the concepts of communal and individual ownership in order to understand the true significance of the reforms. The book's fresh perspective on land reform and careful assessment of key land reform theories will be of interest to scholars of indigenous land rights, land law, indigenous studies and aboriginal culture not only in Australia but also in any other country with an interest in indigenous land rights.

Beyond Communal and Individual Ownership: Indigenous Land Reform in Australia (Routledge Complex Real Property Rights Series)

by Leon Terrill

Over the last decade, Australian governments have introduced a series of land reforms in communities on Indigenous land. This book is the first in-depth study of these significant and far reaching reforms. It explains how the reforms came about, what they do and their consequences for Indigenous landowners and community residents. It also revisits the rationale for their introduction and discusses the significant gap between public debate about the reforms and their actual impact. Drawing on international research, the book describes how it is necessary to move beyond the concepts of communal and individual ownership in order to understand the true significance of the reforms. The book's fresh perspective on land reform and careful assessment of key land reform theories will be of interest to scholars of indigenous land rights, land law, indigenous studies and aboriginal culture not only in Australia but also in any other country with an interest in indigenous land rights.

Beyond Communitarianism: Citizenship, Politics and Education

by J. Demaine H. Entwistle

This book investigates different notions of communitarianism and citizenship, and their application within a number of fields, in particular education, politics and social welfare. Whilst there can be no doubt that most observers regard the responsible conduct of citizens as a goal worth pursuing, difficult problems lie with questions of how, and indeed whether, responsible citizenship can be achieved. This book looks beyond communitarian ideology to investigate more detailed discussion of citizenship in contemporary society.

Beyond Consent: Seeking Justice in Research

by Jeffrey P. Kahn, Anna C. Mastroianni and Jeremy Sugarman

Justice is foundational to discussion, debate, and policy making surrounding biomedical research. Time-tested for more than 20 years, Beyond Consent examines the concept of justice and its application to research with human subjects, through multiple lenses of research populations of people who are sick (including those needing emergency medical care), cognitively impaired, children, captive and convenient (such as prisoners), women, racial minorities, communities, and living in international settings. This second edition includes new chapters on today?s leading-edge topics as well as updated chapters that consider what has changed, and what new matters have arisen. The result is a fresh treatment of the latest issues and concepts of justice in research examined by multidisciplinary scholars. This volume is a vital resource for students and scholars of bioethics, medicine, and public health policy; as well as for members of institutional review boards, research administrators, and policy makers.

Beyond Consent: Seeking Justice in Research


Justice is foundational to discussion, debate, and policy making surrounding biomedical research. Time-tested for more than 20 years, Beyond Consent examines the concept of justice and its application to research with human subjects, through multiple lenses of research populations of people who are sick (including those needing emergency medical care), cognitively impaired, children, captive and convenient (such as prisoners), women, racial minorities, communities, and living in international settings. This second edition includes new chapters on today?s leading-edge topics as well as updated chapters that consider what has changed, and what new matters have arisen. The result is a fresh treatment of the latest issues and concepts of justice in research examined by multidisciplinary scholars. This volume is a vital resource for students and scholars of bioethics, medicine, and public health policy; as well as for members of institutional review boards, research administrators, and policy makers.

Beyond Consequentialism

by Paul Hurley

Consequentialism, the theory that morality requires us to promote the best overall outcome, is the default alternative in contemporary moral philosophy, and is highly influential in public discourses beyond academic philosophy. Paul Hurley argues that current discussions of the challenge consequentialism tend to overlook a fundamental challenge to consequentialism. The standard consequentialist account of the content of morality, he argues, cannot be reconciled to the authoritativeness of moral standards for rational agents. If rational agents typically have decisive reasons to do what morality requires, then consequentialism cannot be the correct account of moral standards. Hurley builds upon this challenge to argue that the consequentialist case for grounding the impartial evaluation of actions in the impartial evaluation of outcomes is built upon a set of subtle and mutually reinforcing mistakes. Through exposing these mistakes and misappropriations, he undermines consequentialist arguments against alternative approaches that recognize a conception of impartiality appropriate to the evaluation of actions which is distinct from the impartiality appropriate to the evaluation of outcomes. A moral theory that recognizes a fundamental role for such a distinct conception of impartiality can account for the rational authority of moral standards, but does so, Hurley argues, by taking morality beyond consequentialism in both its standard and non-standard forms.

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