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Ethicists, regulators and researchers have struggled with the question of whether incidental findings in genomics studies should be disclosed to participants. In the ethical debate, a general consensus is that disclosed information should benefit participants. However, there is no agreement that genetic information will benefit participants, rather it may cause problems such as anxiety. One could get past this disagreement about disclosure of incidental findings by letting participants express their preferences in the consent form. We argue that this freedom of (...) choice is problematic. In transferring the decision to participants, it is assumed that participants will understand what they decide about and that they will express what they truly want. However, psychological findings about people's reaction to probabilities and risk have been shown to involve both cognitive and emotional challenges. People change their attitude to risk depending on what is at stake. Their mood affects judgments and choices, and they over- and underestimate probabilities depending on whether they are low or high. Moreover, different framing of the options can steer people to a specific choice. Although it seems attractive to let participants express their preferences to incidental findings in the consent form, it is uncertain if this choice enables people to express what they truly prefer. In order to better understand the participants' preferences, we argue that future empirical work needs to confront the participant with the complexity of the uncertainty and the trade-offs that are connected with the uncertain predictive value of genetic risk information. (shrink)

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Although the notion of natural behavior occurs in many policy-making and legal documents on animal welfare, no consensus has been reached concerning its definition. This paper argues that one reason why the notion resists unanimously accepted definition is that natural behavior is not properly a biological concept, although it aspires to be one, but rather a philosophical tendency to perceive animal behavior in accordance with certain dichotomies between nature and culture, animal and human, original orders and invented artifacts. The paper (...) scrutinizes the philosophy of natural behavior as it developed in the organic movement in response to a perceived contrast between industrialized and traditional agriculture. There are two reasons for focusing on the organic movement: (i) the emphasis on “the natural” is most accentuated there and has a long history, (ii) everyday life on organic farms presupposes human/animal interplay, which conflicts with the philosophical tendency to separate nature from culture. This mismatch between theory and practice helps us see why, and how, the philosophy of natural behavior needs to be reconsidered. The paper proposes that we understand farms as local human/animal cultures, and asks what we can mean my natural behavior in such contexts. Since domestic animals adapt to agricultural environments via interaction with caretakers, such interplay is analyzed as “hub” in these animals’ natural behavior. (shrink)

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This article questions traditional experimental approaches to the study of primate cognition. Beecuse of a widespread assumption that cognition in non-human primates is genetically encoded and “natural,” these approaches neglect how profoundly apes’ cultural rearing experiences affect test results. We deseribe how three advanced cognitive abilities - imitation, theory of mind and language - emerged in bonobos maturing in a bi-species Pan/Homo culture, and how individual rearing differences led to individual forms of these abilities. These descriptions are taken from a (...) rich ethnographic material, and we argue for the scientific superiority of participant-based ethnographic studies of primate cognition in shared Pan/Homo cultures. (shrink)

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This paper investigates forms of metaphysical vertigo that can appear when contrasts between humans and animals are challenged. Distinguishing three forms of vertigo and four ways of differentiating humans and animals, the paper attempts to achieve a perspicuous representation of what could be termed “the difficulty of being humans when we are animals”; or alternatively, “the difficulty of being animals when we are humans”.

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Language Use offers a philosophical examination of the basic conceptual framework of pragmatic theory, and contrasts this framework with detailed descriptions of our everyday practices of language use. While the results should be highly relevant to pragmatics, the investigation is not a contribution to pragmatic theory. Drawing on Ludwig Wittgenstein's approach to philosophical problems, Language Use brings out the relevance of Wittgenstein's methods to fundamental problems in central pragmatic fields of research such as deixis, implicatures, speech acts and presuppositions.

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As embryonic stem cell research is commercialized, the stem cell debate may shift focus from concerns about embryo destruction to concerns about exploitation of the women who donate eggs and embryos for research. Uncomfortable with the polarization of the embryo debate, this paper proposes a more “contemplative” approach than intellectual debate to concerns about exploitation. After examining pitfalls of rigid intellectual positions on exploitation, the paper investigates the possibility of a broader understanding of donation for research where patients are seen (...) as the intended beneficiaries of the donation. Together with other actors, research is perceived as mediating altruistic gift relationships that extend from donors to patients. The paper explores how this broader perspective on “donation for research” can open up new possibilities of understanding donation and addressing risks of exploitation. (shrink)

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BackgroundPreconception Expanded Carrier Screening (ECS) is a genetic test offered to a general population or to couples who have no known risk of recessive and X-linked genetic diseases and are interested in becoming parents. A test may screen for carrier status of several autosomal recessive diseases at one go. Such a program has been piloted in the Netherlands and may become a reality in more European countries in the future. The ethical rationale for such tests is that they enhance reproductive (...) autonomy. The dominant conception of autonomy is individual-based. However, at the clinic, people deciding on preconception ECS will be counselledtogetherand are expected to make a joint decision, asa couple. The aim of the present study was to develop an understanding of autonomous decisions made by couples in the context of reproductive technologies in general and of preconception ECS in particular. Further, to shed light on what occurs in reproductive clinics and suggest concrete implications for healthcare professionals.Main textBased on the shift in emphasis from individual autonomy to relational autonomy, a notion ofcouple autonomywas suggested and some features of this concept were outlined. First, that both partners are individually autonomous and that the decision is reached through a communicative process. In this process each partner should feel free to express his or her concerns and preferences, so no one partner dominates the discussion. Further, there should be adequate time for the couple to negotiate possible differences and conclude that the decision is right for them. The final decision should be reached through consensus of both partners without coercion, manipulation or miscommunication. Through concrete examples, the suggested notion of couple autonomy was applied to diverse clinical situations.ConclusionsA notion of couple autonomy can be fruitful for healthcare professionals by structuring their attention to and support of a couple who is required to make an autonomous joint decision concerning preconception ECS. A normative implication for healthcare staff is to allow the necessary time for decision-making and to promote a dialogue that can increase the power of the weaker part in a relationship. (shrink)

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Friedrich Nietzsche associated philosophical asceticism with “hatred of the human, and even more of the animal, and more still of the material”: with aversion to life. Given the prevalent view that philosophy is anthropocentric and idealizes the human, Nietzsche’s remark about philosophical hatred of the human is unexpected. In this paper, I investigate what Nietzsche’s remark implies for philosophical claims of human uniqueness. What is the meaning of the opposition between human and animal, if the opposition somehow expresses hatred also (...) of the human? The investigation leads to an inquiry into metaphysics as an intellectual kind of magic, and into the notion of “power over life” as it connects to intellectual asceticism. Finally, I relate Nietzsche’s remarks on ascetic ideals to Donna Haraway’s questioning of the Anthropocene as a story to think with. I propose that the dualism of the story, the idea of a conflict between Humanity and Nature, can be seen as a feature of the metaphysical attitude that _life_ is to be mastered through escaping from it into the purity of _thinking_. (shrink)

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