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ABSTRACT Over the past several decades the 'affective revolution' in cognitive psychology has emphasized the critical role affect and emotion play in human decision-making. Drawing on this affective literature, various commentators have recently proposed strategies for managing therapeutic expectation that use contextual, symbolic, or emotive interventions in the consent process to convey information or enhance comprehension. In this paper, we examine whether affective consent interventions that target affect and emotion can be reconciled with widely accepted standards for autonomous action. More specifically, the ethics of affective consent interventions is assessed in terms of key elements of autonomy, comprehension and voluntariness. While there may appear to be a moral obligation to manage the affective environment to ensure valid informed consent, in circumstances where volunteers may be prone to problematic therapeutic expectancy, this moral obligation needs to be weighed against the potential risks of human instrumentalization. At this point in time we do not have enough information to be able to justify clearly the programmatic manipulation of human subjects' affective states. The lack of knowledge about affective interventions requires corresponding caution in its ethical justification. [ABSTRACT FROM AUTHOR]

Chemical castration laws, such as one recently adopted in the U.S. State of Louisiana, raise challenging ethical concerns for physicians. Even if such interventions were to prove efficacious, which is far from certain, they would still raise troubling concerns regarding the degree of medical risk that may be imposed upon prisoners in the name of public safety as well as the appropriate role for physicians and other health care professionals in the administration of pharmaceuticals to competent prisoners over the inmates' unequivocal objections. This paper argues that the concerns raised by chemical castration are grave enough that, until they are adequately addressed by policymakers, physicians ought not to participate in the process. [ABSTRACT FROM AUTHOR]

Umbilical cord blood banking is one of many biomedical innovations that confront pregnant women with new choices about what they should do to secure their own and their child's best interests. Many mothers can now choose to donate their baby's umbilical cord blood (UCB) to a public cord blood bank or pay to store it in a private cord blood bank. Donation to a public bank is widely regarded as an altruistic act of civic responsibility. Paying to store UCB may be regarded as a 'unique opportunity' to provide 'insurance' for the child's future. This paper reports findings from a survey of Australian women that investigated the decision to either donate or store UCB. We conclude that mothers are faced with competing discourses that force them to choose between being a 'good mother' and fulfilling their role as a 'good citizen.' We discuss this finding with reference to the concept of value pluralism. [ABSTRACT FROM AUTHOR]

This paper is based on linked qualitative studies of the donation of human embryos to stem cell research carried out in the United Kingdom, Switzerland, and China. All three studies used semi-structured interview protocols to allow an in-depth examination of donors' and non-donors' rationales for their donation decisions, with the aim of gaining information on contextual and other factors that play a role in donor decisions and identifying how these relate to factors that are more usually included in evaluations made by theoretical ethics. Our findings have implications for one factor that has previously been suggested as being of ethical concern: the role of gratitude. Our empirical work shows no evidence that interpersonal gratitude is an important factor, but it does support the existence of a solidarity-based desire to 'give something back' to medical research. Thus, we use empirical data to expand and refine the conceptual basis of bioethically theorizing the IVF-stem cell interface. [ABSTRACT FROM AUTHOR]

As business environments become more complex and reliant on information systems, the decisions made by managers affect a growing number of stakeholders. This paper proposes a framework based on the application of normative theories in business ethics to facilitate the evaluation of IS related ethical dilemmas and arrive at fair and consistent decisions. The framework is applied in the context of an information privacy dilemma to demonstrate the decision making process. The ethical dilemma is analyzed using each one of the three normative theories-the stockholder theory, stakeholder theory, and social contract theory. The challenges associated with the application of these theories are also discussed. [ABSTRACT FROM AUTHOR]

ABSTRACT There are not enough solid organs available to meet the needs of patients with organ failure. Thousands of patients every year die on the waiting lists for transplantation. Yet there is one currently available, underutilized, potential source of organs. Many patients die in intensive care following withdrawal of life-sustaining treatment whose organs could be used to save the lives of others. At present the majority of these organs go to waste. In this paper we consider and evaluate a range of ways to improve the number and quality of organs available from this group of patients. Changes to consent arrangements (for example conscription of organs after death) or changes to organ donation practice could dramatically increase the numbers of organs available, though they would conflict with currently accepted norms governing transplantation. We argue that one alternative, Organ Donation Euthanasia, would be a rational improvement over current practice regarding withdrawal of life support. It would give individuals the greatest chance of being able to help others with their organs after death. It would increase patient autonomy. It would reduce the chance of suffering during the dying process. We argue that patients should be given the choice of whether and how they would like to donate their organs in the event of withdrawal of life support in intensive care. Continuing current transplantation practice comes at the cost of death and prolonged organ failure. We should seriously consider all of the alternatives. [ABSTRACT FROM AUTHOR]

Returning individual results to participants in research studies is gaining acceptance and policy guidance is now available for investigators to develop a plan for returning results at the local level. However, returning results discovered through the work of an international scientific research consortium presents additional ethical and procedural difficulties. No general guidance is available for international consortia that wish to consider this issue, but there are examples of internal policies that are being used by consortia such as the International Cancer Genome Consortium (ICGC) and the Type 1 Diabetes Genetics Consortium (T1DGC). This paper presents the policy stance these studies have adopted regarding returning individual research results and their reasons behind it, and gives specific examples from their policy documents and project consent materials. Finally, it suggests an oversight mechanism these and other international consortia can use to ensure that this important issue is addressed appropriately. [ABSTRACT FROM AUTHOR]

Five years ago, an article co-written by two of us (Joly and Simard) presented an emerging trend to disclose certain individual genetic results to research participants. Since then, both technologies and research practices have evolved significantly. Given this rapid evolution, our goal is to provide updated and thorough guidance on this issue. Our paper begins by identifying the ethical principles that support the return of results: justice, beneficence, and respect for persons. Then, it presents the results of an analysis of international norms on the return of results, covering both general and individual research results. It reveals existing divergence and consensus on these topics within the international community. With the goal of promoting greater harmonization, we conclude by proposing a flexible framework for the return of individual research results. [ABSTRACT FROM AUTHOR]

The death of a research participant raises numerous ethical and legal issues regarding the return of research results to related family members. This question is particularly acute in the context of genetic research since the research results from an individual may be relevant to each of the biological relatives. This paper first investigates the ethical and legal frameworks governing the return of a deceased participant's individual research results to his or her related family members. Then, it weighs the rights and interests of both the deceased individual and related family members in an attempt to identify key ethical considerations underlying the return of such results. This analysis of international guidelines and national laws and regulations reveals that though the legal framework regarding privacy and confidentiality of clinical and research information is well established (albeit not homogenous), guidelines are generally absent in the post-mortem context. Nevertheless, a brief analysis of this issue through two ethical perspectives (principlism and consequentialism) allows us to identify six key elements to be taken into consideration when returning a deceased participant's research results. [ABSTRACT FROM AUTHOR]

Philosophers since Adam Smith and David Hume have theorized that emotions play a role in ethical decision making. The most recent findings in neuroscience suggest that moral action does not occur without a firm handshake with the emotions. This paper explores the connection between emotions, bounded rationality and professional ethical decision making, specifically journalistic negotiation between freedom and responsibility. Based on the findings of neuroscience and coupled with feminist ethics and the concept of proto-norms as outlined by Christians, journalists’ moral sentiments regarding these core concepts are linked to the development of a moral imagination that seeks both professionally sound and morally creative alternatives to difficult ethical choices. A case study of one documentary film maker illustrates the theory. [ABSTRACT FROM PUBLISHER]

Abstract: In the context of the proposed EU financial supervisory reforms, this paper focuses on the governance of the network of national supervisory banking agencies and the newly established Community supervisor (European Banking Authority, EBA). We assess to what extent lack of governance convergence nationally and with EBA could undermine the incentives for cooperation among supervisors. Convergence should particularly focus on (i) the issue of the presence of politicians on decision-making bodies; (ii) the need for clearly defining dismissal procedures of heads of supervision; (iii) autonomy from government in regulatory matters; (iv) supervisory autonomy in matters of licensing and withdrawing licenses; (iv) mechanisms for judicial accountability; (v) legal protection for supervisors handling in good faith. In the absence of full centralization of prudential supervision, early harmonization of national governance arrangements towards best practice would better align supervisors’ incentive structures and, hence, be beneficial for the effectiveness of European supervision. [Copyright &y& Elsevier]

Rehabilitation programmes are widely offered to offenders in custodial and community settings around the world. Despite the existence of a large evidence base that identifies features of effective practice, levels of programme integrity remain low and are widely believed to undermine successful rehabilitation. In this paper it is suggested that conceptualising rehabilitation as a moral activity which involves assisting offenders to make better ethical decisions is one way to address some of the difficulties in the delivery of rehabilitation programmes that potentially lead to low levels of integrity, thereby increasing effectiveness. [ABSTRACT FROM AUTHOR]

This paper compares and contrasts the impact and the interface of different sets of values held by social care practitioners in their decision-making process with regard to ethical dilemmas. Specifically, it explores some of the fundamental distinctions between self-directed groupworkers and other qualified social workers practising in both statutory and voluntary sectors. The methodology is qualitative and draws upon a Grounded Theory process. In contrasting the contribution of different sets of values in decision making, we found that participants, regardless of their approach to work, showed an overall fit between their personal and professional values. However, when we explored the influence of participants’ agencies on their decision-making processes, participants tended to prioritise organisational values, whereas for participants practising in the self-directed approach, the impact was less marked. Reflections on the role of values in increasing social workers’ resistance to organisational constraints, and discussion of some implications for social work education, conclude the article. [ABSTRACT FROM PUBLISHER]

This paper responds to the commentaries offered by Mulla and Hlavka, Conte, Cerulli, and Cromer and Newman. We reflect on their differing points of view, attempt clarifications, and then re-state our central concern in regard to research ethics in studies of violence against women. We think that IRB-oriented approaches suffer from too much rule adherence, too much focus on doing things the right way and too little attention to the larger ethical question of to how figure out the right things to do. We continue to raise concern about inept research as potentially damaging to a class of persons, not to the specific subjects of any particular study. Thus, we see not just a matter of poor design, mishandling of analyses, or even of clumsy inferences from the data in some research; these errors are correctible by better training and review. But these errors also have the potential for misleading the public and policy makers and thus suggest ethical dimensions to clumsy work. We conclude by proposing use of wide reflective equilibrium as a way of entering into deeper dialogue about the complex ethical issues surrounding this field of research. Hopefully, we can move beyond mere rule compliance to seriously considering the end effects of our science. [ABSTRACT FROM PUBLISHER]

Purpose - Serious case reviews (SCRs) are one means of learning the lessons arising from adverse, salient incidents and tragedies. Adult Safeguarding Boards in England are expected to have an SCR policy and procedure, to commission SCRs, to abstract and act on the learning, and to monitor the resulting action plans.Design/methodology/approach - Since SCRs reflect a wide range of processes, the authors undertook a general review, drawing on their experiences of conducting and contributing to SCRs. They chose to pose sets of question-prompts regarding the commissioning process, the management of the process, the appointment of a chair and author, the terms of reference, information-sharing, confidentiality, involving relatives and making findings public. The compliance of the process with human rights legislation is also considered.Findings - Whilst the authors acknowledge the responsibility of organisations to promote continuous and cumulative professional learning, they do not promote SCRs as the sole means of learning about the ways in which professionals and agencies work together to safeguard adults at risk of abuse.Originality/value - The paper challenges the perception that SCR can be streamlined, structured, codified, and constrained. [ABSTRACT FROM AUTHOR]

In this paper I discuss a recent exchange of articles between Hugh McLachlan and John Coggon on the relationship between omissions, causation, and moral responsibility. My aim is to contribute to their debate by isolating a presupposition I believe they both share and by questioning that presupposition. The presupposition is that, at any given moment, there are countless things that I am omitting to do. This leads both McLachlan and Coggon to give a distorted account of the relationship between causation and moral or (as the case may be) legal responsibility and, in the case of Coggon, to claim that the law's conception of causation is a fiction based on policy. Once it is seen that this presupposition is faulty, we can attain a more accurate view of the logical relationship between causation and moral responsibility in the case of omissions. This is important because it will enable us, in turn, to understand why the law continues to regard omissions as different, both logically and morally, from acts, and why the law seeks to track that logical and moral difference in the legal distinction it draws between withholding life-sustaining measures and euthanasia. [ABSTRACT FROM AUTHOR]

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A corporate culture of ethics requires all levels of employees to believe that the organization wants to act ethically in all it does. Enforcing ethical behavior in the business environment has become a priority, since the misbehavior of some top management representatives became public in the big scandals of the last 10 years. The prior experiences helped many top executives realize they must promote this culture through their own behavior. The authors of the paper use the results of a pilot study to analyze the opinions of Romanian Executive MBA students that are managers in their companies about the ethical behavior in some financial decisions with effect on short-term profit in the crisis and recovery context. It is a continuation, from another perspective, of a study the authors initiated in 2008. Here, the authors looked into the clusters of results during the years 2009-2011, when Romania was confronted with the economic crisis, and compared the conclusions with those of the previous study, that used data from economic growth. [ABSTRACT FROM AUTHOR]

There are strong arguments in favour of the need for more 'empirically informed philosophy'. Using papers in the current issue of JECP as case studies, I raise fundamental and unresolved methodological questions about the proper relationship between philosophy and empirical research, in particular concerning the relationship between 'data' in empirical research and the 'responses' people give in to questions in the process of philosophical dialogue. There are tensions between the role of data in empirical research and the critical stance required for philosophy that need to be addressed, if empirically informed philosophy is to make a serious and substantial contribution to our thinking about the matters of great import it addresses. [ABSTRACT FROM AUTHOR]

The intention of this paper is to present a scheme in which the key normative elements in the process of decision making to be identified. Although the analysis starts from the more general framework of the theory of rational decision making, the aim is the application of this general framework to be shown in the specific field of morality. A central place will be devoted to the analysis of the relationship between values and rules in ethical decision making. The relation between normativity and rational choice, the main problems of the application of rational procedures in the practical situations will be traced here. [ABSTRACT FROM AUTHOR]

In this paper we will recall that the moral feelings determine moral choice not only through their affective characteristics but also by virtue of their ethical nature. The initial development of moral feelings is considered in the context of the development of emotionality with changed structure - emotionality which is based on cultural and moral signs. Moral feelings as carriers of ethical meanings lay the discussion about moral choice on ethical ground. Such formulation requires knowledge of the ethical significance, study of the moral conflict, search for the ethical guarantees in the choice of ethical decisions. The line of conduct and the ethical choice, which with no doubt have a psychological dimension, must be analyzed as an ethical fact. The overlay of psychological and ethical analysis in this case is not enough. We plead that the ethical perspective has a substantial place in this analysis and it can not be replaced by the analysis of rational trends. [ABSTRACT FROM AUTHOR]

BSTRACT In clinical moral decision making, emotions often play an important role. However, many clinical ethicists are ignorant, suspicious or even critical of the role of emotions in making moral decisions and in reflecting on them. This raises practical and theoretical questions about the understanding and use of emotions in clinical ethics support services. This paper presents an Aristotelian view on emotions and describes its application in the practice of moral case deliberation. According to Aristotle, emotions are an original and integral part of (virtue) ethics. Emotions are an inherent part of our moral reasoning and being, and therefore they should be an inherent part of any moral deliberation. Based on Aristotle's view, we examine five specific aspects of emotions: the description of emotions, the attitude towards emotions, the thoughts present in emotions, the reliability of emotions, and the reasonable principle that guides an emotion. We then discuss three ways of dealing with emotions in the process of moral case deliberation. Finally, we present an Aristotelian conversation method, and present practical experiences using this method. [ABSTRACT FROM AUTHOR]

BSTRACT This paper explores the theory and practice of embodied epistemology or mindful embodiment in ethics case consultation. I argue that not only is this epistemology an ethical imperative to safeguard the integrity of this emerging profession, but that it has the potential to improve the quality of ethics consultation (EC). It also has implications for how ethics consultants are trained and how consultation services are organized. My viewpoint is informed by ethnographic research and by my experimental application of mindful embodiment to the development of an ethics consultation service. My argument proceeds in four phases. First I explore the notion of 'situatedness' in the bioethics literature, identifying gaps in the field's theories as they apply to EC. I then describe my theoretical approach to embodiment grounded in critical-interpretive medical anthropology and autoethnography. I use embodiment to refer to a moral epistemology grounded in the body, comprised of the interplay of physical, symbolic, intersubjective and political elements. Third, I describe how mindful embodiment can inform the role of the ethics consultant and the development of effective training techniques, vocabularies and processes for EC. I also discuss the benefits of this orientation, and the potential harms of ignoring the embodied dimensions of EC. My goals are to expose the fallacy of the 'theory-practice gap', to demonstrate how my own EC practice is deeply informed by this theoretical orientation, and to argue for a wider definition of what 'counts' as relevant theory for ethics consultation. [ABSTRACT FROM AUTHOR]

BSTRACT In this paper we assume that 'theory' is important for Clinical Ethics Support Services (CESS). We will argue that the underlying implicit theory should be reflected. Moreover, we suggest that the theoretical components on which any clinical ethics support (CES) relies should be explicitly articulated in order to enhance the quality of CES. A theoretical framework appropriate for CES will be necessarily complex and should include ethical (both descriptive and normative), metaethical and organizational components. The various forms of CES that exist in North-America and in Europe show their underlying theory more or less explicitly, with most of them referring to some kind of theoretical components including 'how-to' questions (methodology), organizational issues (implementation), problem analysis (phenomenology or typology of problems), and related ethical issues such as end-of-life decisions (major ethical topics). In order to illustrate and explain the theoretical framework that we are suggesting for our own CES project METAP, we will outline this project which has been established in a multi-centre context in several healthcare institutions. We conceptualize three 'pillars' as the major components of our theoretical framework: (1) evidence, (2) competence, and (3) discourse. As a whole, the framework is aimed at developing a foundation of our CES project METAP. We conclude that this specific integration of theoretical components is a promising model for the fruitful further development of CES. [ABSTRACT FROM AUTHOR]

BSTRACT Clinical ethical support services (CESS) represent a multifaceted field of aims, consultancy models, and methodologies. Nevertheless, the overall aim of CESS can be summed up as contributing to healthcare of high ethical standards by improving ethically competent decision-making in clinical healthcare. In order to support clinical care adequately, CESS must pay systematic attention to all real-life ethical issues, including those which do not fall within the 'favourite' ethical issues of the day. In this paper we attempt to capture a comprehensive overview of categories of ethical tensions in clinical care. We present an analytical exposition of ethical structural features in judgement-based clinical care predicated on the assumption of the moral equality of human beings and the assessment of where healthcare contexts pose a challenge to achieving moral equality. The account and the emerging overview is worked out so that it can be easily contextualized with regards to national healthcare systems and specific branches of healthcare, as well as local healthcare institutions. By considering how the account and the overview can be applied to i) improve the ethical competence of healthcare personnel and consultants by broadening their sensitivity to ethical tensions, ii) identify neglected areas for ethical research, and iii) clarify the ethical responsibility of healthcare institutions' leadership, as well as specifying required institutionalized administration, we conclude that the proposed account should be considered useful for CESS. [ABSTRACT FROM AUTHOR]

A medical device manufacturer pays a surgeon to demonstrate a novel medical instrument in a live broadcast to an audience of specialists in another city. The surgical patient is unaware of the broadcast and unaware of the doctor's relationship with the manufacturer. It turns out that the patient required a different surgical approach to her condition-one that would not have allowed a demonstration of the instrument-and she later dies. The paper is an exploration of whether the manufacturer shares, along with the doctor, responsibility for the death of the patient. Three arguments for corporate responsibility are considered; two are criticized and the third is offered as sound. [ABSTRACT FROM AUTHOR]

Upon first consideration, the desire of an individual to amputate a seemingly healthy limb is a foreign, perhaps unsettling, concept. It is, however, a reality faced by those who suffer from body integrity identity disorder (BIID). In seeking treatment, these individuals request surgery that challenges both the statutory provisions that sanction surgical operations and the limits of consent as a defence in New Zealand. In doing so, questions as to the influence of public policy and the extent of personal autonomy become important. Beyond legal issues, BIID confronts dominant conceptions of bodily integrity, medical treatment, and ethical obligations. This paper seeks to identify the relevant public policy concerns raised by BIID in New Zealand and the limits of autonomy, before moving on to consider how BIID sufferers may legally seek the treatment they require and how a doctor might be protected from criminal proceedings for assault for performing this treatment. It will be argued that it is possible to legally consent to the amputation of a healthy limb as medical treatment and that public perception should not be allowed to take precedence over this right. [ABSTRACT FROM AUTHOR]

The HealthAgents project aims to provide a decision support system for brain tumour diagnosis using a collaborative network of distributed agents. The goal is that through the aggregation of the small data sets available at individual hospitals, much better decision support classifiers can be created and made available to the hospitals taking part. In this paper, we describe the technicalities of the HealthAgents framework, in particular how the interoperability of the various agents is managed using semantic web technologies. On the broad scale the architecture is based around distributed data-mart agents that provide ontological access to hospitals’ underlying data that has been anonymized and processed from proprietary formats into a canonical format. Classifier producers have agents that gather the global data from participating hospitals such that classifiers can be created and deployed as agents. The design on a microscale has each agent built upon a generic-layered framework that provides the common agent program code, allowing rapid development of agents for the system. We believe that our framework provides a well-engineered, agent-based approach to data sharing in a medical context. It can provide a better basis on which to investigate the effectiveness of new classification techniques for brain tumour diagnosis. [ABSTRACT FROM AUTHOR]

This paper presents a pedagogical approach that is designed to enhance student understanding and appreciation of the challenges that business leaders face when confronted with the conflict between the profit-maximizing demands of capitalism and the ethical expectations of society. This approach uses the case of consumer debit cards and whether the fees charged by banking organizations for overdraft protection could be seen as predatory and unethical. The teaching approach, which could be applied both in undergraduate and graduate coursework, uses two teams of students to debate whether organizational actions that are legal could simultaneously be considered unethical if they violate the expectations of society. The teaching approach also includes a consideration of the role that government plays in controlling the behaviors of business with regard to ethics. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to examine the impact of organizational ethical culture on the ethical decisions of tax practitioners in mainland China. Design/methodology/approach – The study is based on a field survey of practicing public accountants. Findings – As hypothesized, certain dimensions of ethical culture had highly significant effects on intentions to engage in aggressive tax minimization strategies. Cultures characterized by strong ethical norms and incentives for ethical behavior significantly reduced the reported likelihood of engaging in unethical behavior in a high moral intensity case. In a low moral intensity case, intentions to engage in questionable behavior were significantly higher when participants felt that top managers in their firm were unethical and rewarded unethical behavior. Relativism judgments (judgments of what is traditionally or culturally acceptable or acceptable to one's family) emerged as the strongest determinant of behavioral intentions across both cases. Participants also appeared highly sensitive to questions regarding what is traditionally or culturally acceptable in Chinese tax practice. Originality/value – This is the first study of ethical decision making among tax practitioners in mainland China, and the findings add to a growing body of literature documenting the significant effects of organizational ethical context on public accountants' decision making processes. This has important implications for CPA firms, suggesting that proactive steps should be taken to promote supportive ethical contexts. The findings for the effects of relativism judgments raise concerns regarding the ethical decisions of Chinese tax practitioners, implying they are likely to engage in unethical behavior if they feel such behavior is common in their cultural environment. [ABSTRACT FROM AUTHOR]

common concern within HIV prevention is that HIV positive MSMW do not disclose their HIV status to female partners who are thus at increased risk for HIV infection. The present study uses unique data to examine whether MSMW disclose more often to male rather than female partners. Data were collected on most recent male and/or female primary partner and four most recent casual partners from 150 MSMW (50 African American, 50 Latino, 50 White). MSMW reported on 590 partners (31% female; 69% male). Disclosure was coded as disclosure before sex, disclosure after sex, or nondisclosure. A series of multinomial logistic regressions with partners clustered within respondents were conducted to evaluate effects of respondent characteristics and partner characteristics on timing of disclosure. In bivariate and multivariate analyses there were no significant differences in odds of disclosure to male and female partners before or after sex. Although MSMW were substantially less likely to disclose to HIV negative partners before sex compared to HIV positive partners regardless of sex, when we fully interacted the multivariate model by partner sex, the odds of disclosure to HIV negative male partners compared to HIV positive male partners before sex were significantly higher than the odds of disclosure to HIV negative female partners compared to HIV positive female partners. Patterns of mutual nondisclosure and nonreciprocal disclosure were observed with both primary and casual partners. The paper makes additional methodological contributions to the measurement and analysis of disclosure. [ABSTRACT FROM AUTHOR]

Common pool resource experiments in the laboratory and the field have provided insights that have contrasted to those derived from conventional non-cooperative game theory. Contrary to predictions from non-cooperative game theory, participants are sometimes willing to restrain voluntarily from over extracting resources and use costly punishment to sanction other participants. Something as simple as face-to-face communication has been shown to increase average earnings significantly. In the next generation of experiments, both in the laboratory and in the field, we need to extract more information that provides insight concerning why people make the decisions they make. More information is needed concerning attributes of individuals as well as the social and social–ecological context in which they interact that may give rise to such deviations from theoretical predictions. In the process of extracting more information from participants and the contexts in which they interact, we face several methodological and ethical challenges which we address in this paper. [Copyright &y& Elsevier]

In response to calls for more research on how to prevent or detect fraud (ACAP, Final Report of the Advisory Committee on the Auditing Profession, United States Department of the Treasury, Washington, DC, ; AICPA, SAS No. 99: Consideration of Fraud in a Financial Statement Audit, New York, NY, ; Carcello et al., Working Paper, University of Tennessee, Bentley University and Kennesaw State University, ; Wells, Journal of Accountancy, ), we develop a framework that identifies three psychological pathways to fraud, supported by multiple theories relating to moral intuition and disengagement, rationalization, and the role played by negative affect. The purpose of developing the framework is twofold: (1) to draw attention to important yet under-researched aspects of ethical decision-making, and (2) to increase our understanding of the psychology of committing fraud. Our framework builds on the existing fraud triangle (PCAOB, Consideration of fraud in a financial statement audit. AU Section 316, , ) which is used by auditors to assess fraud risk. The fraud triangle is composed of three factors that, together, predict the likelihood of fraud within an organization: opportunity, incentive/pressure, and attitude/rationalization. We find that, when faced with the opportunity and incentive/pressure, there are three psychological pathways to fraud nestled within attitude/rationalization: (1) lack of awareness, (2) intuition coupled with rationalization, and (3) reasoning. These distinctions are important for fraud prevention because each of these paths is driven by a different psychological mechanism. This framework is useful in a number of ways. First, it identifies certain insidious situational factors in which individuals commit fraud without recognizing it. Second, it extends our knowledge of rationalization by theorizing that individuals use rationalization to avoid or reduce the negative affect that accompanies performing an unethical behavior. Negative affect is important because individuals wish to avoid it. Third, it identifies several other methods fraudsters use to reduce negative affect, each of which could serve as potential 'psychological red flags' and helps predict future fraudulent behavior. Finally, our framework can be used as a theoretical foundation to explore several interventions designed to prevent fraud. [ABSTRACT FROM AUTHOR]

According to the principle of patient autonomy, patients have the right to be self-determining in decisions about their own medical care, which includes the right to refuse treatment. However, a treatment refusal may legitimately be overridden in cases where the decision is judged to be incompetent. It has recently been proposed that in assessments of competence, attention should be paid to the evaluative judgments that guide patients' treatment decisions. In this paper I examine this claim in light of theories of practical rationality, focusing on the difficult case of an anorexic person who is judged to be competent and refuses treatment, thereby putting themselves at risk of serious harm. I argue that the standard criteria for competence assess whether a treatment decision satisfies the goals of practical decision-making, and that this same criterion can be applied to a patient's decision-guiding commitments. As a consequence I propose that a particular understanding of practical rationality offers a theoretical framework for justifying involuntary treatment in the anorexia case. [ABSTRACT FROM AUTHOR]

The advances in biotechnology have given rise to a discussion concerning the strong emotional reaction expressed by the public towards biotechnological innovations. This reaction has been named the 'Yuck-factor' by several theorists of bioethics. Leon Kass, the former chairman of the President's council on bioethics, has appraised this public reaction as 'an emotional expression of deep wisdom, beyond reason's power fully to articulate it'. Similar arguments have been forwarded by the Catholic Church, several Protestant denominations and the Pro-Life movement. Several bioethicists have, however, opposed the idea of a disgust-based morality. Recent findings in cognitive science support the view that the strong negative emotions people often experience when faced with biotechnological ideas are not expressions of inner wisdom. The negative emotions may rather be the result of a cognitive violation the biotechnological innovations easily cause. Due to their evolutionary background, people have certain automatic and quick cognitive tendencies routinely used for categorizing and reasoning about nature, usually termed 'folk biology'. Biotechnological processes like hybridisation and cloning clearly violate several of the cognitive rules people naturally apply for the explanation and categorization of their natural environment. As the cognitive tendencies routinely applied to the explanation of biological world are violated, an emotional response of fear, disgust and of something unnatural being underway is easily provoked. It is suggested in this paper that the reason behind the Yuck-factor is not a deep inner wisdom, but a violation of natural human cognitive tendencies concerning the biological world. [ABSTRACT FROM AUTHOR]

Incompetent patients need to have someone else make decisions on their behalf. According to the Substituted Judgment Standard the surrogate decision maker ought to make the decision that the patient would have made, had he or she been competent. Objections have been raised against this traditional construal of the standard on the grounds that it involves flawed counterfactual reasoning, and amendments have been suggested within the framework of possible worlds semantics. The paper shows that while this approach may circumvent the alleged problem, the way it has so far been elaborated reflects insufficient understanding of the moral underpinnings of the idea of substituted judgment. Proper recognition of these moral underpinnings has potentially far-reaching implications for our normative assumptions about accuracy and objectivity in surrogate decision making. [ABSTRACT FROM AUTHOR]

Qualified-agent virtue ethics provides an account of right action in terms of the virtuous agent. It has become one of the most popular, but also most frequently criticized versions of virtue ethics. Many of the objections rest on the mistaken assumption that proponents of qualified-agent virtue ethics share the same view when it comes to fundamental questions about the meaning of the term ‘right action’ and the function of an account of right action. My aim in this paper is not to defend qualified-agent virtue ethics but to correct this misunderstanding, and this will hopefully leave us in a better position to evaluate it. [ABSTRACT FROM AUTHOR]

Recent advances in medical care have improved the survival of newborn babies born with various problems. Despite this death in the neonatal intensive care unit (NICU) is an inevitable reality. For babies who are not going to "get better," the health care team still has a duty to alleviate the physical suffering of the baby and to support the family. Palliative care is a multidisciplinary approach to relieve the physical, psycho social, and spiritual suffering of patients and their families. Palliative care provision in the Indian NICU settings is almost nonexistent at present. In this paper we attempt to "build a case" for palliative care in the Indian NICU setting. [ABSTRACT FROM AUTHOR]

In this paper I consider the routine moral burden of occupying a professional role and having to negotiate tensions between the normative expectations attached to that role and one's own personal moral compass. Using an example to introduce this central issue I then seek to explore it through a discussion of the tensions between, and spaces between, 'identifying' with one's role and 'separating' oneself from one's role. I suggest that ethical integrity at work is revealed through the successful negotiation of these tensions, but that such negotiation depends upon the power and other resources available to individual professionals. Finally I argue that this discussion of 'the ethics of role occupation' has important implication for 'the ethics of role construction' and adds weight to concerns about the potential moral costs of managerialism. [ABSTRACT FROM AUTHOR]

Current orthodoxy in research ethics assumes that subjects of clinical trials reserve rights to withdraw at any time and without giving any reason. This view sees the right to withdraw as a simple extension of the right to refuse to participate all together. In this paper, however, I suggest that subjects should assume some responsibilities for the internal validity of the trial at consent and that these responsibilities should be captured by contract. This would allow the researcher to impose a penalty on the subject if he were to withdraw without good reason and on a whim. This proposal still leaves open the possibility of withdrawing without penalty when it is in the subject's best interests to do so. Giving researchers recourse to legal remedy may now be necessary to protect the science, as existing methods used to increase retention are inadequate for one reason or another. [ABSTRACT FROM AUTHOR]

This paper extends the existing literature on taxpayer ethics in three ways. First, we construct a two-stage model of decision making, which allows us to disentangle risk preferences from ethical motivations for income tax compliance. Second, we develop a new experimental data set, which permits us to estimate the magnitudes of the relevant personality traits, risk aversion and morality, at the individual level. Third, we combine the experimental data with participant surveys so that ethical preferences are not only measured but also linked to demographic characteristics. We find that ethical preferences are correlated with risk aversion, age, gender, and marital status, among other characteristics. [ABSTRACT FROM AUTHOR]

Critical thinking (CT) has long been a valued curriculum outcome requirement for Nursing. In the early 1990s conceptualization of CT including two lists: cognitive and affective definitions. A decade later a Nursing expert panel added prediction and transforming knowledge, to the cognitive skills and intuition, open-mindedness and creativity to the affective definition of CT. Yet, there is still concern over how to teach nursing students to be creative, intuitive, and transform their knowledge. In this paper I used a geography of health concept to guide a series of general questions to help nursing students reflect on the physical and social environments to see ethical issues in their community practice. Fostering students' abilities to integrate their learning will nurture the essential affective (for example, intuition, creativity) and cognitive (transforming knowledge) skills that prepare them to make informed personal, professional and civic decisions throughout their lives. [ABSTRACT FROM AUTHOR]

Aim. This paper is a report of a study conducted to describe nursing and social services students' ethical reasoning at the start of their studies. Background. Gilligan argued that there are two modes of moral reasoning -- the ethic of justice, focusing on individuals' rights, and the ethic of care, focusing on responsibilities in relationships. Recent research has established the ethic of care as a developmental phenomenon. It has been widely argued that the ethic of care is crucial for nursing, but there has been little international research in this area. Method. Participants were first-year nursing and social services students in Finland (N = 112). Their care-based moral reasoning was measured using the Ethic of Care Interview, and their ethical reasoning on an abortion-related dilemma was analysed by content analysis. Expressed ethical codes and principles were calculated according to levels. The data were collected over a 5-month period in 2007-2008. Findings. Students' level of care reasoning was varied. Their current level of care reasoning was reflected in their responses to the ethical dilemma. Ethical reasoning at each level and its specific premises constituted a distinct entity. Use of the principle of self-determination was positively related to levels of care development. Care-based moral reasoning constitutes the bedrock for ethical reasoning among these novice students. Conclusion. Educators should be sensitive to the variation in students' current developmental levels in care reasoning. Reflective discussion on real-life ethical conflicts should be an explicit part of education and clinical practice in caring professions. [ABSTRACT FROM AUTHOR]

When is it permissible to allow a newborn infant to die on the basis of their future quality of life? The prevailing official view is that treatment may be withdrawn only if the burdens in an infant's future life outweigh the benefits. In this paper I outline and defend an alternative view. On the Threshold View, treatment may be withdrawn from infants if their future well-being is below a threshold that is close to, but above the zero-point of well-being. I present four arguments in favor of the Threshold View, and identify and respond to several counterarguments. I conclude that it is justifiable in some circumstances for parents and doctors to decide to allow an infant to die even though the infant's life would be worth living. The Threshold View provides a justification for treatment decisions that is more consistent, more robust, and potentially more practical than the standard view. [ABSTRACT FROM AUTHOR]

In this theoretical paper, I review the most frequently cited descriptive models of individual decision making related to ethical issues in business, marketing and international business, as well as related empirical studies. The main goal is to propose an extension of the most comprehensive model of ethical decision making by including host country culture as an additional variable for application to a multinational corporation setting. I also suggest an empirical research design that would help test not only whether the variable affects individual decision making related to ethical issues in a MNC, but also how it influences individual decision making. [ABSTRACT FROM AUTHOR]

In May 2007, the Instituto Carso de la Salud-now Instituto Carlos Slim de la Salud (ICSS)-was endowed with US$500 million to focus on priority health issues in Latin America, notably issues of 'globalisation and non-communicable diseases'. ICSS was soon criticised, however, on the grounds that its funding was derived from tobacco industry profits and that its founder Carlos Slim Hélu remained an active industry principal. Collaboration with ICSS was said to run counter to the WHO Framework Convention on Tobacco Control. The Institute's then Executive President Julio Frenk disputed these charges. This research employs an archive of tobacco industry documents triangulated with materials from commercial, media, regulatory and NGO sources to examine the financial relations between Slim and the tobacco industry. The paper analyses Slim's continuing service to the industry and role in ICSS. It demonstrates a prima facie conflict of interest between ICSS's health mission and its founder's involvement in cigarette manufacturing and marketing, reflected on ICSS's website as a resounding silence on issues of tobacco and health. It is concluded that the reliance of international health agencies upon the commercial sector requires more robust institutional policies to effectively regulate conflicts of interest. [ABSTRACT FROM AUTHOR]

Although applied behavior analysis (ABA) has significant scientific support for treating people with autism spectrum disorders (ASDs), the field of autism treatment has been plagued with rapidly proliferating fad treatments subjecting people with ASD to various ineffective, pseudoscientific, and antiscientific treatments. To combat this, professionals must learn to make ethical treatment decisions, sometimes before research is conducted or published. Even when research is available negating fads, behavioral professionals must also overcome misperceptions about ABA. The purposes of this paper are to provide behavioral professionals with (a) a mechanism for making ethical treatment decisions (using sensory integration as an example) and (b) a method for responding to potential misperceptions and obstacles to using ABA. Copyright © 2010 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

How should we think about the many ethical dilemmas that face us today? How should research in current ethical dilemmas be conducted to move beyond impasses in judgment towards developing a consensus for action? According to Anthony Weston, "we need a more expansive view of ethics," one that incorporates creativity. Following Weston's lead, I shall discuss our new Honors Interdisciplinary Seminar on Case Studies in Ethics. This course is designed to prepare our students to participate in the Ethics Bowl, which is already a creative act of engagement, but more importantly, we hope to open new possibilities in the study of ethical dilemmas that would allow for creative problem-solving in ethics. In this paper I explain background reasons for the course, the methods for preparing students for creative research in ethics, as well as potential problems to be avoided in the process. [ABSTRACT FROM AUTHOR]

Interest in the neural processes underlying decision making has led to a flurry of recent research in the fields of both moral psychology and neuroeconomics. In this paper, we first review some important findings from both disciplines, and then argue that the two fields can mutually benefit each other. A more explicit recognition of the role of values and norms will likely lead to more accurate models of decision making for neuroeconomists, whereas the tasks, insights into neural mechanisms, and mathematical modeling common in neuroeconomic research offer moral psychologists the opportunity to expand their field and move beyond methodological limitations that may have hindered the field's progress to this point. We conclude by highlighting an exciting group of recent studies that illustrate the potential of research that embraces the integrated moral/neuroeconomic approach that we suggest here. [ABSTRACT FROM AUTHOR]

Prior studies of criminal sanctioning have focused almost exclusively on individual-level predictors of sentencing outcomes. However, in recent years, scholars have begun to include social context in their research. Building off of this work—and heeding calls for testing the racial and ethnic minority threat perspective within a multilevel framework and for separating prison and jail sentences as distinct outcomes—this paper examines different dimensions of minority threat and explores whether they exert differential effects on prison versus jail sentences. The findings provide support for the racial threat perspective, and less support for the ethnic threat perspective. They also underscore the importance of testing for non-linear threat effects and for separating jail and prison sentences as distinct outcomes. We discuss the findings and their implications for theory, research, and policy. [ABSTRACT FROM AUTHOR]