The development of new reproductive technologies has raised urgent questions and debates about how and by whom these treatments should be controlled. On the one hand individuals and groups have claimed access to assisted reproduction as a right, and some have also claimed that this access should be available free of charge. As well as clinically infertile heterosexual couples, this right has been claimed by single women, gay couples, post-menopausal women, and couples who wish to delay having children for various reasons. Others have argued that a desire to have children does not make it a human right, and, moreover, that there are some people who should not be assisted to become parents, on grounds of age, sexuality, or lifestyle. Mary Warnock steers a clear path through the web of complex issues underlying these views. She begins by analyzing what it means to claim something as a 'right', and goes on to discuss the cases of different groups of people. She also examines the ethical problems faced by particular types of assisted reproduction, including artificial insemination, in-vitro fertilization, and surrogacy, and argues that in the future human cloning may well be a viable an

Reshaping Life is an eminently authoritative and lucid description of modern molecular biology and genetics, and the ethical implications of genetic engineering. Now in its third edition, it is fully revised and updated, taking advantage of a decade of progress in genetics and biotechnology. It offers a concise working knowledge of DNA science and of those aspects of cell biology needed to understand such issues as animal cloning, genetically modified food, and gene therapy. It examines the debates on the sociological and ethical issues surrounding modern technology, laying out the issues for the reader, while urging a rational approach.

Reshaping Life is an eminently authoritative and lucid description of modern molecular biology and genetics, and the ethical implications of genetic engineering. Now in its third edition, it is fully revised and updated, taking advantage of a decade of progress in genetics and biotechnology. It offers a concise working knowledge of DNA science and of those aspects of cell biology needed to understand such issues as animal cloning, genetically modified food, and gene therapy. It examines the debates on the sociological and ethical issues surrounding modern technology, laying out the issues for the reader, while urging a rational approach.

Morality's Progress is the summation of nearly three decades of work by a leading figure in environmental ethics and bioethics. The twenty-two papers here are invigoratingly diverse, but together tell a unified story about various aspects of the morality of our relationships to animals and to nature. Jamieson's direct and accessible essays will convince sceptics that thinking about these relations offers great intellectual reward, and his work here sets a challenging, controversial agenda for the future.

Morality's Progress is the summation of nearly three decades of work by a leading figure in environmental ethics and bioethics. The twenty-two papers here are invigoratingly diverse, but together tell a unified story about various aspects of the morality of our relationships to animals and to nature. Jamieson's direct and accessible essays will convince sceptics that thinking about these relations offers great intellectual reward, and his work here sets a challenging, controversial agenda for the future.

This book gives a theologically satisfying discussion of health and disease that addresses key areas neglected by medical ethicists. We use such words as "health," "disease," and "illness" all the time without stopping to consider exactly what we understand by them. Yet their meanings are far from straightforward, and disagreements over them have important practical consequences in health care and bioethics. In this book, Neil Messer develops a distinctive and innovative theological account of these concepts. He engages in earnest with debates in the philosophy of medicine and disability studies and draws on a wide array of theological resources including Barth, Bonhoeffer, Aquinas, and recent disability theologies. By enabling us to understand health in the wider perspective of the flourishing and ultimate destiny of human beings, Messer's Flourishing sheds new light on a range of practical bioethical issues and dilemmas.

This is the second edition of a highly successful and well-received textbook on the responsible conduct of biomedical and health science research. It is aimed at faculty and graduate students in health science and biomedical science programs. In addition, those on National Institute of Health research grants, administrators at universities, and academic health centers will find it a useful resource. The major changes include new chapters providing overviews of each topic, several new published articles added to the readings, revised case studies as well as further readings and web addresses.

Onora O'Neill suggests that the conceptions of individual autonomy (so widely relied on in bioethics) are philosophically and ethically inadequate; they undermine rather than support relationships based on trust. Her arguments are illustrated with issues raised by such practices as the use of genetic information by the police, research using human tissues, new reproductive technologies, and media practices for reporting on medicine, science and technology. The study appeals to a wide range of readers in ethics, bioethics and related disciplines.

Young people are increasingly being exposed to the huge and complex ethical dilemmas involved in issues such as genetic modification, animal rights and cloning, and they are bringing their views into the classroom. But how can teachers be sure they are sufficiently well-informed to help their pupils make sense of the diverse and emotive arguments surrounding these issues?

This book may hold the answer. Written by leading ethicists, scientists and technologists, it offers a balanced and jargon-free guide to such highly debated topics as:

* Cloning

* In vitro fertilisation

*Genetic screening and genetic engineering

*Farm animal welfare

* The use of animals in medical experiments

Written specifically for the non-specialist teacher or lecturer, this book also contains suggestions on how to approach the teaching of bioethics and provides useful sources of further information. It may also be of interest to undergraduates on science courses.

This thought-provoking book will ask what it is to be human, what to be animal, and what are the natures of the relationships between them. This is accomplished with philosophical and ethical discussions, scientific evidence and dynamic theoretical approaches. Attitudes to Animals will also encourage us to think not only of our relationships to non-human animals, but also of those to other, human, animals. This book provides a foundation that the reader can use to make ethical choices about animals. It will challenge readers to question their current views, attitudes and perspectives on animals, nature and development of the human-animal relationship. Human perspectives on the human-animal relationships reflect what we have learned, together with spoken and unspoken attitudes and assumptions, from our families, societies, media, education and employment.

Medical issues affecting health care have become everyday media events. In response to mounting public concern, growing numbers of bioethicists are being appointed to medical school faculties and public policy panels. However the ideas voiced in these forums are seldom informed by feminist perspectives. In this important book, a distinguished group of feminist scholars and activists discuss crucial bioethics topics in a feminist light. Among the subjects explored are the care/justice debates, transforming bioethics, practice, and reproduction. The book also covers less commonly discussed issues, such as culturally appropriate responses to reproductive health problems in developing countries.

An analysis of two heuristic strategies for the development of mechanistic models, illustrated with historical examples from the life sciences. In Discovering Complexity, William Bechtel and Robert Richardson examine two heuristics that guided the development of mechanistic models in the life sciences: decomposition and localization. Drawing on historical cases from disciplines including cell biology, cognitive neuroscience, and genetics, they identify a number of "choice points" that life scientists confront in developing mechanistic explanations and show how different choices result in divergent explanatory models. Describing decomposition as the attempt to differentiate functional and structural components of a system and localization as the assignment of responsibility for specific functions to specific structures, Bechtel and Richardson examine the usefulness of these heuristics as well as their fallibility-the sometimes false assumption underlying them that nature is significantly decomposable and hierarchically organized. When Discovering Complexity was originally published in 1993, few philosophers of science perceived the centrality of seeking mechanisms to explain phenomena in biology, relying instead on the model of nomological explanation advanced by the logical positivists (a model Bechtel and Richardson found to be utterly inapplicable to the examples from the life sciences in their study). Since then, mechanism and mechanistic explanation have become widely discussed. In a substantive new introduction to this MIT Press edition of their book, Bechtel and Richardson examine both philosophical and scientific developments in research on mechanistic models since 1993.

This progressive resource places concepts of social determinants of health in the larger contexts of contemporary health ethics and the evolution of social reform. It provides needed analysis of the larger causes behind the immediate causes of illness and epidemics, particularly injustice, systemic inequities, and the cumulative effect of compound disadvantages. This moral approach to collective and individual responsibilities-on the part of practitioners as well as the public-supports a sound blueprint for finding answers to longstanding global and local concerns. Readers are challenged to recognize the critical role of social determinants to their perception of health issues, controversies, and possibilities as the book: * Details the epidemiologic evidence regarding social determinants of health. * Key ethical implications of the evidence regarding social determinants of health. * Considers the role of risky health behaviors in determining population health outcomes. * Addresses ethical questions of priority-setting at the policy and practice levels. * Translates social determinants of health into health policy goals. Half textbook, half monograph, Public Health Ethics and the Social Determinants of Health Is geared toward students in MPH programs as well as public health professionals in diverse contexts such as local health departments and non-profit organizations. It informs public health scientists and scholars, and can also serve as an introductory text for students in public health ethics, or as part of a general applied ethics course.

With each species lost to the mass extinction crisis, the natural economy of the nation and of the world is greatly diminished. An endangered animal may hold the cure for cancer; a threatened plant could someday become a major food crop; and even bacteria often provide novel molecular structures in polymer science. As the rainforest is destroyed and habitats are degraded, conservationists are now urgently searching for dramatic new ways to save these economic resources.
In this provocative and important book, Joseph Henry Vogel details one potential solution that has met with increasing interest and popularity: the privatization of genetic information. Vogel cogently makes the case that the world should abandon the doctrine of "the common heritage of mankind" and create private property rights over genes. Landowners, once vested with the genetic resources on their land, will have a newfound financial incentive to protect what they now already control.
Genes for Sale provides an overview of the many complexities inherent in implementing a viable conservation policy. Vogel elaborates both technical issues like the construction of a "gargantuan database" of landtitles and biological inventories, and political issues like legal reform. Clearly written, engaging, and timely, Genes for Sale provides students, scientists, and policy makers alike with the ideal introduction to an exciting and controversial new approach to saving our precious living heritage.

Western philosophy and religion, James Rachels argues, have been shaken by the implications of Darwin's work, most notably the controversial idea that humans are simply a more complex kind of animal. Here, Rachels assesses a number of studies that suggest how closely humans are linked to other primates in behavior, and then goes on to show how this idea undercuts the work of many prominent philosophers.

Created from Animals offers a provocative look at how Darwinian evolution undermines many tenets of traditional philosophy and religion. Rachels begins by examining Darwin's own life and work, presenting an astonishingly vivid and compressed biography. We see Darwin's studies of the psychological links in evolution (such as emotions in dogs, and the "mental powers" of worms), and how he addressed the moral implications of his work, especially in his concern for the welfare of animals. Rachels goes on to present a lively and accessible survey of the controversies that followed in Darwin's wake, ranging from Herbert Spencer's Social Darwinism to Edward O. Wilson's sociobiology, and discusses how the work of such influential intellects as Descartes, Hume, Kant, T.H. Huxley, Henri Bergson, B.F. Skinner, and Stephen Jay Gould has contributed to--or been overthrown by--evolutionary science.

With this sweeping survey of the arguments, the philosophers, and the deep implications surrounding Darwinism, Rachels lays the foundations for a new view of morality. Virbrantly written and provocatively argued, Created from Animals offers a new perspective on issues ranging from suicide to euthanasia to animal rights.

An argument that what makes science distinctive is its emphasis on evidence and scientists' willingness to change theories on the basis of new evidence. Attacks on science have become commonplace. Claims that climate change isn't settled science, that evolution is "only a theory," and that scientists are conspiring to keep the truth about vaccines from the public are staples of some politicians' rhetorical repertoire. Defenders of science often point to its discoveries (penicillin! relativity!) without explaining exactly why scientific claims are superior. In this book, Lee McIntyre argues that what distinguishes science from its rivals is what he calls "the scientific attitude"-caring about evidence and being willing to change theories on the basis of new evidence. The history of science is littered with theories that were scientific but turned out to be wrong; the scientific attitude reveals why even a failed theory can help us to understand what is special about science. McIntyre offers examples that illustrate both scientific success (a reduction in childbed fever in the nineteenth century) and failure (the flawed "discovery" of cold fusion in the twentieth century). He describes the transformation of medicine from a practice based largely on hunches into a science based on evidence; considers scientific fraud; examines the positions of ideology-driven denialists, pseudoscientists, and "skeptics" who reject scientific findings; and argues that social science, no less than natural science, should embrace the scientific attitude. McIntyre argues that the scientific attitude-the grounding of science in evidence-offers a uniquely powerful tool in the defense of science.

Twenty-three papers review recent advances in experimental studies on microorganisms, plants and animals. They are taken from a symposium organized at Cologne University, in April 1983 by the Committee on Genetic Experimentation (COGENE), a scientific committee of the International Council of Scientific Unions.

Advaita Vedanta is one of the best-known schools of Indian philosophy, but much of its history-a history closely interwoven with that of medieval and modern Hinduism-remains surprisingly unexplored. This book focuses on a single remarkable work and its place within that history: The Ocean of Inquiry, a vernacular compendium of Advaita Vedanta by the North Indian monk Niscaldas (ca. 1791 - 1863). Though not well known today, Niscaldas's work was once referred to by Vivekananda (himself a key figure in the shaping of modern Hinduism) as the most influential book in India. The present book situates The Ocean of Inquiry as representative of both a neglected genre (vernacular Vedanta) and a neglected period (ca. 17th-19th centuries) in the history of Indian philosophy. It argues that the rise of Advaita Vedanta to a position of prestige began well before the period of British rule in India, and that vernacular texts like The Ocean of Inquiry played an important role in popularizing Vedantic teachings. It also offers a new appraisal of the period of late Advaita Vedanta, arguing that it should not be seen as one of barren scholasticism. For thinkers like Niscaldas, intellectual "inquiry" (vicara) was not an academic exercise but a spiritual practice-indeed, it was the central practice on the path to liberation. The book concludes by arguing that without understanding both vernacular Vedanta and the scholasticism of the period, one cannot fully understand the emergence of modern Hinduism.

As noted in Volume 1, the Yearbook series alternates between a biennial volume tracing recent theological discussions on topics in bioethics and a biennial volume tracing recent regional discussions in bioethics. Volume 2 provides for the first time a comprehensive single-volume summary of recent international and regional developments on specific topics in bioethics. To give uniformity to the discussions all authors were asked to report on the following topics: new reproductive technologies, abortion, maternal-fetal conflicts, case of severely disabled newborns, consent of treatment and experimentation, confidentiality, equitable access to health care, ethical concerns raised by cost-containment measures, decisions to withhold or withdraw life-sustaining treatment, active euthanasia, the definition of death, organ donation and transplantation. The internationally respected contributors report on the following 16 areas: the United States, Canada, Latin America, the United Kingdom and Ireland, France, the Netherlands, Germany/Austria/Switzerland, Eastern Europe, Spain/Portugal/Italy/Scandinavia, India, Southeast Asia, China, Japan, Australia/New Zealand, Council of Europe/EEC. The commentators draw on three sets of resources: Statutes, legislative proposals, and regulatory changes that directly influence, or have implications for, areas of bioethical concern; Case law and court judgments that shape, either decisively or suggestively, recent legal interpretations of particular issues of areas in bioethics; Formal statements of governmentally appointed commissions, advisory bodies, and representative professional groups, as well as less formal statements and recommendations of other organisations. In addition to providing timely summaries of recent developments, the volume offers rich and useful bibliographical references to a wide array of documents, many of which would be difficult for readers to learn about, given the lack of centralized international collection of such documents. The Yearbook should be widely consulted by all bioethicists, public policy analysts, lawyers and theologians.

Mental illness is an issue of great practical importance. Yet, despite sustained inquiry from scientists and philosophers alike, relatively little attention has been paid to the significance of mental disorder to agency and responsibility. While there is some work that touches on the topic, and a few extended treatments of particular disorders, these only scratch the surface. Agency in Mental Disorder seeks to provide a starting point for deeper and broader philosophical analyses. The 8 new essays in this book address various questions about the relationship between agency and mental disorder. What is the nature of that relationship? In what ways do mental disorders affect capacities for control? How should we understand the mitigations of blame that mental disorders seem to provide, and can we generalize from specific disorders to any interesting claims about disorders as a class? And what makes for a mental disorder in the first place?

The editors of the Philosophy and Medicine series recognize with grat itude the foresight, understanding, hard labor, and patience of Prof. Kazumasa Hoshino. It is his perseverance that has made this volume a reality. It was his faith in ideas that brought together a cluster of scholars in Tokyo on September 2-4, 1994, at Sophia University for a U. S. -J apan Bioethics Congress. With the support of the Foundation for Advance ment of International Science, the Japan Foundation Center for Global Partnership, the Foundation of Thanatology, the Japanese Center for Quality of Life Studies, and Sophia University, scholars from Canada, Germany, Japan, and the United States were able to explore the differ ences and similarities in their approaches to bioethics and health care policy. That conference first produced a volume through Shibunkaku Publishers of Kyoto that appeared in 1995 in J apanese: The Dignity of Death, edited by Kazumasa Hoshino. Selections from those materials have been reworked for an English audience and now appear, along with new essays, in this volume. The field of comparative bioethics is only in its infancy. We are deeply grateful to Prof. Kazumasa Hoshino, one of the fathers of J apanese bioethics, for having made this volume possible. H. Tristram Engelhardt, Jr. Stuart F. Spicker Vll ACKNOWLEDGEMENTS This volume's editors and Kluwer Academic Publishers wish to thank Shibunkaku Press, Kyoto, Japan, for permission to publish, without charge, essays derived from the U. S."

How is it that, at the beginning of the twenty-first century, it is still possible for males and females to be denied their inherent right to keep all the body parts with which they were born?

Circumcision is a cultural phenomenon that affects 15.3 million children and young adults annually. In terms of gender, 13.3 millions boys and 2 million girls are subjected to the involuntary removal of part or all of their external sex organs every year. Few people, however, ask why such practices persist or how modern societies can tolerate this inherent violation of human rights. The problem of female circumcision is being addressed on an international level, while male circumcision remains a subject many academics are reluctant to fully or impartially examine. This book explores the problem of male and female circumcision in modern society from religious, anthropological, psychological, medical, legal, and ethical perspectives.

Bodily Integrity and the Politics of Circumcision: Culture, Controversy, and Change illuminates the vulnerability of human society to medical, economic, and historical pressures. It provides a much-needed, thoughtful, and detailed analysis of the devastating impact of circumcision on bodily integrity and human rights, and it provides hope for change.

Human beings seek to transcend limits. This is part of our potential greatness, since it is how we can realize what is best in our humanity. However, the limit-transcending feature of human life is also part of our potential downfall, as it can lead to dehumanization and failure to attain important human goods and to prevent human evils. Exploring the place of limits within a well-lived human life this work develops and defends an original account of limiting virtues, which are concerned with recognizing proper limits in human life. The limiting virtues that are the focus are humility, reverence, moderation, contentment, neighborliness, and loyalty, and they are explored in relation to four kinds of limits: existential limits, moral limits, political limits, and economic limits. These virtues have been underexplored in discussions about virtue ethics, and when they have been explored it has not been with regard to the general issue of the place of limits within a well-lived human life. The account of the limiting virtues provided here, however, is intended as a counter to other prominent approaches to ethics: namely, autonomy-centered approaches and consequentialist (or maximizing) approaches. This account is also used to address a number of important contemporary issues such as genetic engineering, distributive justice, cosmopolitanism vs. patriotism, and the ethical status of growth-based economics.

For the first time, based on an extensive survey conducted across the whole of Europe by the Association Descartes, the details of over 1,000 persons and organisations are now available. The Directory is broken down into 14 sections : the first section is devoted to European institutions; the next twelve cover each EEC country and list the names of persons and organisations involved in bioethics; a complementary listing covers indispensable persons or organisations; A reference work both for researchers and anybody concerned with bioethics.