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Hume criticized the idea that all legitimate government rests on consent of any sort, tacit or express. He did not deny that some governments originated that way, or that it was an admirable way. But he thought it absurd to claim that legitimate government authority is contingent upon each subject’s consent. To say that it is so is contrary to common opinion and, moreover, simply shifts the question to that of the bindingness of promises. That bindingness must rest on the idea of necessity, and so it is needlessly indirect to appeal to promises when government can be justified directly by its necessity to prosperous and secure society. Hume, however, also made a positive contribution to the social contract tradition. He described how a convention, or common practice, can coordinate expectations and behavior without the need for any express agreement or contract. Later theorists make use of Humean convention in order to connect the idea of hypothetical consent to the actual circumstances of life. In short, government is legitimate where there is a convention of conformance to a social contract that would, hypothetically, be approved by clear-minded individuals.
Although choice-of-jurisdiction clauses are routinely enforced by courts in the United States, there are circumstances where they are subject to special scrutiny. One of these circumstances is when the party resisting the clause was not provided with proper notice as to the existence of the clause or the identity of the chosen jurisdiction. This Article first reviews the existing case law in this area and shows that while some U.S. courts have refused to enforce clauses for lack of notice, others do so as a matter of course. It then discusses several decisions where U.S. courts have held that notice may serve as a substitute for consent to bind parties to choice-of-jurisdiction clauses in agreements that they never signed.
This chapter explores how international law and its legitimacy could be improved and made more aligned with the demands of justice. It focuses on two types of requirements. First, there are the principles and accompanying procedures on the basis of which actors ask their agency (and their rights) to be recognized by international law and its culture of legitimacy. These principles are consent, justification, accountability, consistency, representation and participation, and non-abuse of power. Second, there are the topics around which this quest for the recognition of agency (and rights) takes place. They are better universality of international law, human rights as a benchmark of the legitimacy of sovereignty, compliance/enforcement/accountability, and human rights supported by public goods. These two kinds of requirements have been at the center of the efforts to make international law more inclusive as well as more legitimate, and they need to be taken more seriously in the future.
Political legitimacy entails a process of evaluation and eventually of judgment concerning whether or not, and to what extent, the exercise of political power (institutions, leadership, policies, and results) meets the conditions required by legitimacy. Despite the importance of the contribution of law to legitimacy, legitimacy cannot be purely and simply identified with and reduced to law. This is, in part, the case because law functions as an expression and vector of two other components of political legitimacy: values and consent. As such, this chapter is organized into three parts. First, I examine the meaning of values and consent and of their relationship in general. Second, I refer to the challenges that can be associated with values and consent. Third, I show how values and consent, provided that they are not the captives of these challenges, can operate as sources and criteria of evaluation and judgment of political legitimacy.
Kant argues that civic freedom amounts to being subject to laws to which citizens could have assented. Fichte conversely argues that personal freedom is only fully realized in a state of civil freedom and that citizens are only legitimately ruled by laws to which they have explicitly agreed. This paper shows how their differing accounts are rooted in a deeper disagreement about the relationship between transcendental and empirical freedom and the role empirical citizens’ assent (Beistimmung) plays in justifying civil legislation. The confrontation also shows why reading Kant as requiring citizens’ active assent may be problematic.
Electroconvulsive therapy (ECT) is often used to treat severe mental disorders in individuals with impaired capacity to consent to the treatment. Little is known about how different types of electrode placement are used in consensual and nonconsensual ECT.
Aims
To investigate whether there was an association between ECT consent status and electrode placement, given that ECT electrode placement affects efficacy and cognitive outcomes.
Method
Using a statewide database across 3 years in Victoria, Australia, we performed chi-squared tests to determine whether consent status (consensual versus nonconsensual) was associated with particular electrode placements. A three-way log–linear analysis was then conducted to examine whether age, gender, level of education and psychiatric diagnosis influenced the relationship between consent status and electrode placement. Given the comparable cognitive outcomes of right unilateral and bifrontal ECT, these electrode placements were combined in the analysis.
Results
In total, 3882 participants received ECT in the Victorian public health service during the study period. In the nonconsensual ECT group, 722 of 1576 individuals (45.81%) received bitemporal ECT, compared with 555 of 2306 (24.06%) in the consensual group (χ2 = 200.53; P < 0.0001; odds ratio: 2.6673, 95% CI: 2.3244–3.0608). This association remained significant after adjustment for gender, age, level of education and diagnosis.
Conclusion
Significantly more participants in the nonconsensual ECT group received bitemporal ECT rather than right unilateral or bifrontal ECT compared with those in the consensual group. As bitemporal ECT is associated with more cognitive impairment, this choice of electrode placement in vulnerable patients who lack capacity to consent raises ethical considerations in the practice of ECT.
Recent empirical work demonstrates that some instances of material deception are perceived by ordinary people as consent-defeating, whereas other instances are not. One hypothesized account of these divergent lay intuitions draws on the notion of “essence”: Roughly speaking, lies that pertain to the “core” or “nature” of a consented-to act are perceived as precluding consent, whereas lies that pertain to features that are “nonessential” or “collateral” to the act are perceived as compatible with consent. To assess this hypothesized account, an independent measure of “essence” – one that does not rely with problematic circularity on notions of consent – is needed. This chapter draws on an emerging cognitive science literature that deploys linguistic probes to investigate how people intuitively represent human action. Here, we will consider two such probes, the “by” test and the “basically doing” test, and observe that whereas the former predicts judgments of consent, the latter does not.
We are all parties to a social contract and obligated under it. Or is this mere fiction? How is such an agreement possible in a society riven by deep moral disagreement? William Edmundson explains the social-contract tradition from its beginnings in the English Revolution, through Hobbes, Locke, and Rousseau to its culmination in the work of John Rawls. The idea that legitimate government rests on the consent of free equals took shape in the seventeenth century and was developed in the eighteenth but fell into disuse in the nineteenth century even as democracy, toleration, and limited government gained ground. Edmundson shows how Rawls revived the idea of a social contract in the mid-twentieth century to secure these gains, as the then-dominant moral theories, such as utilitarianism, could not. The book also defends Rawls's conviction that political equality is integral to the idea of reciprocity at the heart of the tradition.
What makes a constitution legitimate? Models grounded in consent, right procedure, or necessary and sufficient justice conditions capture powerful intuitions, but face equally powerful problems: These models generate paradoxes and infinite regress, and their static character ignores legitimacy’s dynamism. Moreover, debates around constitutional interpretation – originalism, living tree, or common good oriented - demonstrate the permanent space between a (constitutional) rule and its application. These debates leave mysterious how legitimacy, once in a constitution, ever gets out. But these issues resolve if we understand legitimacy as something functional, not substantive. Like a currency, I suggest, it can be drawn from diverse (normative and symbolic) sources, banked (in constitutions), and later withdrawn and spent (on political endeavours). This model honours normative intuitions, while escaping puzzles and paradoxes. Moreover, since a constitution’s legitimacy ‘holdings’ can fluctuate with political skill and circumstance, this model capture’s legitimacy’s dynamism. Such a functional model bridges the empirical and normative study of legitimacy, and it may deepen empirical understanding of normativity’s role in regime stability and constitutional change.
We consider the neuroethics of treatment without consent from a broader perspective than the accepted starting point of functional mental capacities. Notably, in common law jurisdictions, consciousness is seldom admitted in criminal law as a topic for expert evidence of mentalistic defenses or impairments in civil proceedings, yet consciousness and personality are central in Roman law jurisdictions.
Methods
The framework we have adopted is to consider treatment without consent under the headings goals, processes, treatment, and evaluation. The ECHR and the judges of the European Court of Human Rights (ECtHR) are drawn from both common law and Roman law jurisdictions, so that their interpretations and precedents may be informative concerning alternatives to strict application of capacity tests.
Results
There are variable thresholds for treating without consent according to the complexity and amount of information involved, the seriousness of the consequences of untreated illness, the effectiveness of the treatments available and the benefits of earlier intervention, particularly for disease-modifying treatments. Theory-driven principled approaches and scientific medical process approaches to ethical treatment are contrasted.
Conclusions
Carrara’s emphasis on the importance of consciousness and its layered dysfunctions as evidence of competence or impairment appears more robust than a narrow approach based only on functional mental capacity. Capacity—whether general or functional, remains amenable to rules of evidence and legal judgment at the expense of increasingly excessive simplification. Carrara’s emphasis on the inherent dignity of the person appears most in keeping with modern human rights principles.
This paper begins with crises; environmental, social and democratic. And then it posits that in the midst of these crises there might be an opportunity. One that involves not so much “saving” democracy and sustaining current ways of life but shifting attentions towards potentially creating (re-creating) something different. Something we are calling eco-democracy. There have long been voices, calling for a more environmentally thoughtful form of democracy. After tracing a short discussion of this history including some of the critiques we turn to an exploration of eco-democracy in environmental education. Our argument is that some forms of environmental education are already thinking in more eco-democratic ways without necessarily naming the project as such. In order to do this, we focus on five ‘seedlings’ of eco-democracy that already exist in environmental education. These seedlings allow us to do two things. First, draw connections to Wild Pedagogies and second draw out four key considerations for environmental educators if they are interested in having more eco-democratic practices: voice, consent, self-determination and kindness. The paper ends with a short speculative exploration of what might happen pedagogically if environmental education were to assume an eco-democratic orientation through honouring voice, consent, self-determination, and kindness.
Modern law allows some adults to agree among themselves on allocating parenthood through adoption, preconception agreements, surrogacy, and voluntary acknowledgments. These doctrines cannot be justified by the adults’ intentions, promises, contracts, or similar social conventions. Those powers rest on agents’ authority over their own lives; no one can have a personal right to decide who will control a child’s life. However, liberal justice requires such legal authority. Many reasonable citizens value childrearing irrespective of biological ties and should have a derived liberty to pursue families. Excluding citizens from parenthood denies them fair equality of opportunity. Modern parentage agreements empower nonbiological parents to build families in ways that respect themselves, the child, and other parents. Adoption empowers an adult to create parenthood through an express commitment, subject to state oversight to protect the child and existing parents. Second-parent adoption and acknowledgments of parentage enable a single parent and their partner to agree to share parenthood prospectively, which prevents subordination in familial projects, protects the child’s relationships, and facilitates equality for lesbian and gay adults. Preconception agreements do likewise for a gestational parent and their partners. Well-designed regulations may render gestational surrogacy consistent with equal respect for the surrogate and women generally.
In the late Roman empire, the papacy’s endorsement of marriage as a divine institution was already explicita. From the mid-fifth century, fundamental importance was attached to the signification by marriage of Christ’s union of the Church, a value shaping the social practice of marriage, underpinning the creation in Roman Catholicism of a marriage system unique in the history of literate societies, one which banned both polygamy and divorce. More flexible laws limited marriage within the “forbidden degrees” of relationship. The aim was to foster social cohesion. These rules could be changed, or dispensed with, in individual cases. Marriage was made by consent, and only from the Council of Trent was the presence of a priest required. Christianity in general and papal law in particular slowly transformed the relationship between slavery and marriage.
Precision or “Personalized Medicine” and “Big Data” are growing trends in the biomedical research community and highlight an increased focus on access to larger datasets to effectively explore disease processes at the molecular level versus the previously common one-size-fits all approach. This focus necessitated a local transition from independent lab and siloed projects to a single software application utilizing a common ontology to create access to data from multiple repositories. Use of a common system has allowed for increased ease of collaboration and access to quality biospecimens that are extensively annotated with clinical, molecular, and patient associated data. The software needed to function at an enterprise level while continuing to allow investigators the autonomy and security access they desire. To identify a solution, a working group comprised of representation from independent repositories and areas of research focus across departments was established and responsible for review and implementation of an enterprise-wide biospecimen management system. Central to this process was the creation of a unified vocabulary across all repositories, including consensus around source of truth, standardized field definitions, and shared terminology.
The police are required to establish probable cause before engaging in custodial interrogation. Much custodial interrogation relies on a fraudulent epistemic environment (FEE) in which the police knowingly use deception and dishonesty to gain an advantage over a suspect regarding a material issue, injuring the interests of the suspect. Probable cause, then, is a sort of evidentiary and epistemic standard that legally justifies the police’s use of deceptive and dishonest custodial interrogation tactics that are on par with fraud. However, there are both deontological and consequentialist considerations that show why the police’s use of an FEE is often unjustified. Accordingly, the paper argues that even if the use of an FEE is based on probable cause, there are other (non-epistemic) reasons to think evidence with probative value (such as a confession) should be excluded when derived from an FEE and there is no acute threat of harm to others.
Edited by
James Ip, Great Ormond Street Hospital for Children, London,Grant Stuart, Great Ormond Street Hospital for Children, London,Isabeau Walker, Great Ormond Street Hospital for Children, London,Ian James, Great Ormond Street Hospital for Children, London
This chapter explains the law surrounding consent for the medical treatment of children, when children can give consent themselves, who can give consent of their behalf and when a refusal of consent should be respected. It also considers guidelines relevant for the practice of restraint in paediatric anaesthesia. Finally, it discusses the unique features of the ethics of research involving children, including the levels of risk that are deemed acceptable.
Chapter 1 focuses on the revolution of 1688 in Britian, in which the ideal of liberty as independence was promised to the people as the cornerstone of a new constitution to replace James II’s allegedly despotic use of arbitrary power. After examining the Bill of Rights, in which the fundamental rights of the people are laid out, the chapter turns to consider the provenance of the underlying ideal of liberty as independence and its contrast with arbitrary power. One major source is shown to have been the discussion of civil liberty by the historians and moralists of ancient Rome, especially Cicero, Sallust, Livy and Tacitus. The influence of these sources on the development of early modern republicanism in England is traced, especially in the works of Milton and Harrington. The other major source was the discussion of the law of persons in the Digest of Roman law, in which a fundamental distinction was drawn between free persons and dependants, including slaves. The influence of this legal tradition, especially as filtered by Bracton into English common law, is traced in the strand of constitutional thinking that runs from Fortescue and Thomas Smith to Coke, Selden and their followers.
This chapter analyses limitations to parties’ freedom of contract as to the negotiation and formation stage of the contracts under review, that are aimed at remedying situations where musicians grant excessive rights to corporate partners. These limitations seek to ensure that such contracts have a ‘fair scope’. As yet, awaiting potential EU harmonisation of authorship and initial ownership, there are no relevant harmonising rules at the EU level. Instead, focus lies with restrictions under national law. First, objectionable precontractual behaviour may be sanctioned by precontractual liability, giving right to damages. Subsequently, the requirement of consent is subject to certain requirements. Third, the law limits parties’ freedom as to the scope of rights that may be transferred or licensed and provides tools to determine this scope in practice. Finally, the chapter turns to the negotiation and formation stage of secondary contractual relationships that may arise once the initial contract has been entered into. It concludes with an overview of the main findings.
The consent process for research studies can be burdensome for potential participants due to complex information and lengthy consent forms. This pragmatic study aimed to improve the consent experience and evaluate its impact on participant decision making, study knowledge, and satisfaction with the In Our DNA SC program, a population-based genomic screening initiative. We compared two consent procedures: standard consent (SC) involving a PDF document and enhanced consent (EC) incorporating a pictograph and true or false questions. Decision-making control, study knowledge, satisfaction, and time to consent were assessed. We analyzed data for 109 individuals who completed the SC and 96 who completed the EC. Results indicated strong decision-making control and high levels of knowledge and satisfaction in both groups. While no significant differences were found between the two groups, the EC experience took longer for participants to complete. Future modifications include incorporating video modules and launching a Spanish version of the consent experience. Overall, this study contributes to the growing literature on consent improvements and highlights the need to assess salient components and explore participant preferences for receiving consent information.
In the last few decades, governments have increasingly sought to relocate away from their territorial limits border practices that serve to identify, filter, and, if necessary, prevent foreigners’ crossings into their national space. This shift is facilitated by digital innovations that offer new opportunities for making migrants legible from afar, miles away from the border. Yet the turn to emerging technologies is not the preserve of governments. The United Nations High Commissioner for Refugees (UNHCR) has been using digital technologies, including biometrics data, for several decades. For UNHCR these are becoming an essential tool in accounting for the populations under its protection. This chapter explores this development. The first part surveys the deterritorialization of border controls in state practice with a focus on the enabling role of biometrics and digitization in that process. Then, it demonstrates how the use of biometrics by UNHCR maps onto these states’ practices. The second part considers the consequences of UNHCR’s practices surrounding the biometric registration of refugees, the risks posed by the collection of biometric data in the refugee context, and how the institutional and structural conditions in which UNHCR operates, especially with regard to consent, accountability mechanisms, and legal safeguards, may undermine refugees’ control over their data.