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1.
J Med Ethics ; 2024 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-38991763

RESUMO

Singh asserts that the parent-child relationship engenders a moral responsibility for the newborn. Simultaneously, he contends, drawing on the argument from potentiality, that the fetal stage of human development does not establish the parent-child relationship. Consequently, within Singh's proposed relational framework, moral responsibility for the developing fetus does not manifest. Thus, Singh advocates for abortion, citing the absence of moral responsibilities arising for the pregnant woman for the fetus. In this article, I critique Singh's argument from potentiality, identifying flaws and highlight the incoherence of the argument pertaining to the parent-child relationship.

2.
Med Health Care Philos ; 27(3): 359-366, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38797779

RESUMO

Research on human-animal chimeras have elicited alarms and prompted debates. Those involving the generation of chimeric brains, in which human brain cells become anatomically and functionally intertwined with their animal counterparts in varying ratios, either via xenografts or embryonic co-development, have been considered the most problematic. The moral issues stem from a potential for "humanization" of the animal brain, as well as speculative changes to the host animals' consciousness or sentience, with consequential alteration in the animal hosts' moral status. However, critical background knowledge appears to be missing to resolve these debates. Firstly, there is no consensus on animal sentience vis-à-vis that of humans, and no established methodology that would allow a wholesome and objective assessment of changes in animal sentience resulting from the introduction of human brain cells. Knowledge in interspecies comparative neuropsychology that could allow effective demarcation of a state of "humanization" is also lacking. Secondly, moral status as a philosophical construct has no scientific and objective points of reference. Either changes in sentience or humanization effects would remain unclear unless there are some neuroscientific research grounding. For a bioethical stance based on moral status of human-animal brain chimera to make meaningful contributions to regulatory policies, it might first need to be adequately informed by, and with its arguments constructed, in a manner that are factually in line with the science. In may be prudent for approved research projects involving the generation of human-animal brain chimera to have a mandatory component of assessing plausible changes in sentience.


Assuntos
Encéfalo , Quimera , Humanos , Animais , Status Moral
3.
BMC Med Ethics ; 25(1): 61, 2024 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-38773517

RESUMO

Certain organoid subtypes are particularly sensitive. We explore whether moral intuitions about the heartbeat warrant unique moral consideration for newly advanced contracting cardiac organoids. Despite the heartbeat's moral significance in organ procurement and abortion discussions, we argue that this significance should not translate into moral implications for cardiac organoids.


Assuntos
Princípios Morais , Organoides , Humanos , Obtenção de Tecidos e Órgãos/ética , Coração/fisiologia , Miocárdio/citologia
4.
Oxf Open Neurosci ; 3: kvae004, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38595940

RESUMO

Human brain organoids equipped with complex cytoarchitecture and closed-loop feedback from virtual environments could provide insights into neural mechanisms underlying cognition. Yet organoids with certain cognitive capacities might also merit moral consideration. A precautionary approach has been proposed to address these ethical concerns by focusing on the epistemological question of whether organoids possess neural structures for morally-relevant capacities that bear resemblance to those found in human brains. Critics challenge this similarity approach on philosophical, scientific, and practical grounds but do so without a suitable alternative. Here, I introduce an architectural approach that infers the potential for cognitive-like processing in brain organoids based on the pattern of information flow through the system. The kind of computational architecture acquired by an organoid then informs the kind of cognitive capacities that could, theoretically, be supported and empirically investigated. The implications of this approach for the moral considerability of brain organoids are discussed.

5.
Bioethics ; 38(5): 410-418, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38669606

RESUMO

Recent advances in human brain organoid systems have raised serious worries about the possibility that these in vitro 'mini-brains' could develop sentience, and thus, moral status. This article considers the relative moral status of sentient human brain organoids and research animals, examining whether we have moral reasons to prefer using one over the other. It argues that, contrary to common intuitions, the wellbeing of sentient human brain organoids should not be granted greater moral consideration than the wellbeing of nonhuman research animals. It does so not by denying that typical humans have higher moral status than animals, but instead by arguing that none of the leading justifications for granting humans higher moral status than nonhuman animals apply to brain organoids. Additionally, it argues that there are no good reasons to be more concerned about the well-being of human brain organoids compared to those generated from other species.


Assuntos
Encéfalo , Status Moral , Organoides , Humanos , Animais , Princípios Morais , Pesquisa Biomédica/ética
6.
Artif Life ; 30(2): 193-215, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38656414

RESUMO

The field of Artificial Life studies the nature of the living state by modeling and synthesizing living systems. Such systems, under certain conditions, may come to deserve moral consideration similar to that given to nonhuman vertebrates or even human beings. The fact that these systems are nonhuman and evolve in a potentially radically different substrate should not be seen as an insurmountable obstacle to their potentially having rights, if they are sufficiently sophisticated in other respects. Nor should the fact that they owe their existence to us be seen as reducing their status as targets of moral concern. On the contrary, creators of Artificial Life may have special obligations to their creations, resembling those of an owner to their pet or a parent to their child. For a field that aims to create artificial life-forms with increasing levels of sophistication, it is crucial to consider the possible ethical implications of our activities, with an eye toward assessing potential moral obligations for which we should be prepared. If Artificial Life is larger than life, then the ethics of artificial beings should be larger than human ethics.


Assuntos
Obrigações Morais , Humanos , Vida , Biologia Sintética/ética , Vida Artificial
7.
Theor Med Bioeth ; 45(2): 109-131, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38332427

RESUMO

In 2017, Michael Nair-Collins formulated his Transitivity Argument which claimed that brain-dead patients are alive according to a concept that defines death in terms of the loss of moral status. This article challenges Nair-Collins' view in three steps. First, I elaborate on the concept of moral status, claiming that to understand this notion appropriately, one must grasp the distinction between direct and indirect duties. Second, I argue that his understanding of moral status implicit in the Transitivity Argument is faulty since it is not based on a distinction between direct and indirect duties. Third, I show how this flaw in Nair-Collins' argument is grounded in the more general problems between preference utilitarianism and desire fulfillment theory. Finally, I present the constructivist theory of moral status and the associated moral concept of death and explain how this concept challenges the Transitivity Argument. According to my view, brain death constitutes a valid criterion of death since brain death is incompatible with the preserved capacity to have affective attitudes and to value anything.


Assuntos
Morte Encefálica , Status Moral , Humanos , Princípios Morais , Teoria Ética , Dissidências e Disputas
8.
J Med Ethics ; 2024 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-38395622

RESUMO

Miller has recently argued that fetuses have the same inherent value as non-disabled adults. However, we do not need to postulate some property possessed equally by all humans, including fetuses, in order to explain the equality of non-disabled adults. It would suffice if there were some property possessed by all non-disabled adults, but not by fetuses.

9.
Med Health Care Philos ; 27(1): 37-48, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37902931

RESUMO

Recent advancements in developmental biology enable the creation of embryo-like structures from human stem cells, which we refer to as human embryo-like structures (hELS). These structures provide promising tools to complement-and perhaps ultimately replace-the use of human embryos in clinical and fundamental research. But what if these hELS-when further improved-also have a claim to moral status? What would that imply for their research use? In this paper, we explore these questions in relation to the traditional answer as to why human embryos should be given greater protection than other (non-)human cells: the so-called Argument from Potential (AfP). According to the AfP, human embryos deserve special moral status because they have the unique potential to develop into persons. While some take the development of hELS to challenge the very foundations of the AfP, the ongoing debate suggests that its dismissal would be premature. Since the AfP is a spectrum of views with different moral implications, it does not need to imply that research with human embryos or hELS that (may) have 'active' potential should be completely off-limits. However, the problem with determining active potential in hELS is that this depends on development passing through 'potentiality switches' about the precise coordinates of which we are still in the dark. As long as this epistemic uncertainty persists, extending embryo research regulations to research with specific types of hELS would amount to a form of regulative precaution that as such would require further justification.


Assuntos
Início da Vida Humana , Pesquisas com Embriões , Humanos , Incerteza , alfa-Fetoproteínas , Obrigações Morais , Embrião de Mamíferos
10.
Camb Q Healthc Ethics ; 33(1): 60-75, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37737199

RESUMO

As biological organisms, we age and, eventually, die. However, age's deteriorating effects may not be universal. Some theoretical entities, due to their synthetic composition, could exist independently from aging-artificial general intelligence (AGI). With adequate resource access, an AGI could theoretically be ageless and would be, in some sense, immortal. Yet, this need not be inevitable. Designers could imbue AGIs with artificial mortality via an internal shut-off point. The question, though, is, should they? Should researchers curtail an AGI's potentially endless lifespan by deliberately making it mortal? It is this question that this article explores. First, it considers what type of AGI is under discussion before outlining how such beings could be ageless. Then, after clarifying the type of immortality under discussion and arguing that imbuing an AGI with synthetic aging would be person-affecting, the article explores four core conundrums: (i) deliberately causing a morally significant being's death; (ii) immortality's associated harms; (iii) concerns about immortality's unequal assignment; and (iv) the danger of immortal AGI overlords. The article concludes that while prudence requires we create an aging AGI, in the face of the material harm such an action would constitute, this is an insufficient reason to justify doing so.

11.
J Med Ethics ; 50(1): 28, 2023 Dec 14.
Artigo em Inglês | MEDLINE | ID: mdl-37949648
12.
Front Cell Dev Biol ; 11: 1194706, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38020890

RESUMO

Human cerebral organoids (HCOs) are model systems that enable researchers to investigate the human brain in ways that had previously been impossible. The emergence of HCOs was accompanied by both expert and layperson discussions concerning the possibility of these novel entities developing sentience or consciousness. Such concerns are reflected in deliberations about how to handle and regulate their use. This perspective article resulted from an international and interdisciplinary research retreat "Ethical, Legal and Social Aspects of Human Cerebral Organoids and their Governance in Germany, the United Kingdom and the United States", which took place in Tübingen, Germany, in August 2022. The retreat focused on whether HCO research requires new ethical and regulatory approaches. It addressed epistemic issues around the detection and theorisation of consciousness, ethical concerns around moral status and research conduct, difficulties for legislation and guidelines managing these entities, and public engagement.

13.
J Med Ethics ; 50(1): 24-25, 2023 Dec 14.
Artigo em Inglês | MEDLINE | ID: mdl-37898549
17.
J Med Ethics ; 2023 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-37620135

RESUMO

This paper is an exploration of the state of 'clinical unease' experienced by clinicians in contexts where professional judgement-grounded in clinical knowledge, critical reflection and a sound grasp of the law-indicates that there is more than one ethically defensible way to proceed. The question posed is whether the courts can be viewed as an appropriate vehicle to settle clinical unease by providing a ruling that clarifies the legal and ethical issues arising in the case, even in situations where there is no dispute between the patient (or her proxies) and the healthcare team.The concept of 'clinical unease' is framed with reference to the broader experience of clinical decision-making, and distinguished from other widely discussed phenomena in the healthcare literature like moral distress and conscientious objection. A number of reported cases are briefly examined where the courts were invited to rule in circumstances of apparent 'unease'. The respective responsibilities of clinicians and courts are discussed: in particular, their capability and readiness to respond to matters of ethical concern.Four imagined clinical scenarios are outlined where a clinical team might welcome a court adjudication, under current rules. Consideration is given to the likelihood of such cases being heard, and to whether there may be better remedies than the courts. There are final reflections on what clinicians may actually wish for in seeking court involvement, and on whether a willingness to engage with the experience of clinical unease may lead to greater sensitivity towards the value perspectives of others.

18.
Sci Eng Ethics ; 29(5): 31, 2023 08 17.
Artigo em Inglês | MEDLINE | ID: mdl-37589842

RESUMO

If existing or future robots appear to have some capacity, state or property, how can we determine whether they truly have it or whether we are deceived into believing so? John Danaher addresses this question by formulating his approach to what he refers to as superficial state deception (SSD) from the perspective of his theory termed ethical behaviourism (EB), which was initially designed to determine the moral status of robots. In summary, Danaher believes that focusing on behaviour is sufficient to determine whether SSD occurs. My general claim is that Danaher's approach to SSD based on EB is implausible since it results in the impossibility of conceptualizing SSD, e.g., it does not enable determining whether or not SSD occurs in a particular case. Moreover, I show how Danaher's approach to SSD needs to be transformed to become plausible. To make my point, I (1) examine the main features of EB and distinguish its two versions by showing how Danaher revised the original EB in response to criticism; (2) discuss Danaher's approach to the problem of deception from the perspective of EB; (3) criticize that approach by showing that it requires revisions analogous to those that have already been recommended in reference to EB, and (4) propose an alternative method for determining the presence of SSD that covers diverse, plausible approaches to SSD.


Assuntos
Behaviorismo , Status Moral , Masculino , Humanos , Enganação
19.
J Med Ethics ; 2023 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-37553223

RESUMO

Räsänen draws a distinction between chronological age and biological age and argues that biological ageing is (sometimes) desirable. To demonstrate this, he asks us to consider the case of April, who like Karel Capek's Elina Makropulos, has stopped biologically ageing. Unlike Makropulos, though, April's biological ageing was halted before puberty, so she will never mature into adulthood. Räsänen contends this case shows ageing can be desirable, but this equivocates between maturing and ageing. Here I argue biological ageing, or the wear and tear normally associated with chronological ageing, is prima facie undesirable, but that maturing can be prima facie desirable.

20.
Bioethics ; 37(8): 763-770, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37566432

RESUMO

Internationally, there is considerable inconsistency in the recognition and regulation of children's genetic connections outside the family. In the context of gamete and embryo donation, challenges for regulation seem endless. In this paper, I review some of the paths that have been taken to manage children' being closely genetically related to people outside their families. I do so against the background of recognising the importance of children's interests as moral status holders. I look at recent qualitative research involving donor-conceived people and borrow their own words to make sense of a purported interest to know (of) their close genetic ties. I also review ways in which gamete donation may have facilitated new kinds of kinship, which are at the same time genetic and chosen. In short, in this paper, I explore what meaning there could be in genetic connections that is not about parenthood. Further, I argue that the focus on parenthood in previous work in this area may be detrimental to appreciating some of the goods that can be derived from close genetic connections.


Assuntos
Destinação do Embrião , Doadores de Tecidos , Humanos , Criança , Células Germinativas , Relações Pais-Filho , Pais
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