Ognjen Arandjelović
Current Organizations / Institutes
The organizations/institutes from the scholar's latest article
Previous Organizations / Institutes
The organizations / institutes from the scholar's other articles in the past ten years
Research Subjects
Ognjen Arandjelović has a total of 116 co-authors. Here are the top co-authors by number of shared publications:
- David J. Harrison
School of Medicine, University of St Andrews, North Haugh, St Andrews KY16 9TF, UK
13 shared publications - Neofytos Dimitriou
Cyprus Marine and Maritime Institute, Vasileos Pavlou Square 13, Larnaca 6023, Cyprus
10 shared publications - In Hwa Um
School of Medicine, University of St Andrews, North Haugh, KY16 9TF, United Kingdom
7 shared publications - Georg Wölflein
Else Kroener Fresenius Center for Digital Health, Faculty of Medicine, TUD Dresden University of Technology, Dresden, Germany
6 shared publications - Liangfei Zhang
School of Computer Science University of St Andrews UK
5 shared publications - Marios Zachariou
School of Computer Science, University of St Andrews, Scotland KY16 9AJ, UK
5 shared publications
Latest Publications
- Open Access
- 10 November 2026
- Published by Ubiquity Press, Ltd. in Insights the UKSG journal
- Vol. 39, 22
Should we welcome hallucinated references?: citation integrity beyond fabricated sources
The phenomenon of hallucinated references, non‑existent publications invented by generative AI tools that seem plausible, has prompted understandable concern in scholarly publishing. I argue that the prevailing response is too myopic. Hallucinated references present a serious research integrity problem, but they are also a particularly visible manifestation of a broader citation pathology that is the use of real references to support claims that the cited works do not in fact establish. The latter problem is harder to detect because it cannot be resolved by checking whether a bibliographic item exists, requiring instead semantic judgement about the relation between a citing claim and a cited source. I argue that the current scandal should therefore be used to widen, rather than narrow, editorial concern with reference integrity. The existing infrastructure and tools already address parts of this problem, from metadata checking to citation‑context classification, but they do not remove the need for institutional responsibility. Thus, the response to the current crisis should aim at accountability for citation practices, rather than merely better detection of fabricated sources.
- 10 November 2026
- Published by Ubiquity Press, Ltd. in Insights the UKSG journal
- Vol. 39, 22
Open AccessShould we welcome hallucinated references?: citation integrity beyond fabricated sources
The phenomenon of hallucinated references, non‑existent publications invented by generative AI tools that seem plausible, has prompted understandable concern in scholarly publishing. I argue that the prevailing response is too myopic. Hallucinated references present a serious research integrity problem, but they are also a particularly visible manifestation of a broader citation pathology that is the use of real references to support claims that the cited works do not in fact establish. The latter problem is harder to detect because it cannot be resolved by checking whether a bibliographic item exists, requiring instead semantic judgement about the relation between a citing claim and a cited source. I argue that the current scandal should therefore be used to widen, rather than narrow, editorial concern with reference integrity. The existing infrastructure and tools already address parts of this problem, from metadata checking to citation‑context classification, but they do not remove the need for institutional responsibility. Thus, the response to the current crisis should aim at accountability for citation practices, rather than merely better detection of fabricated sources.
- Open Access
- 19 October 2026
- Published by Cambridge University Press (CUP) in Hypatia
- p. 1-20
Innocence by Accreditation: Mythic Branding and Audit Feminism in Athena Swan
The UK’s Athena Swan Charter positions itself as a policy instrument, an award-based scheme for improving gender equality through self-assessment, evidence gathering, and action planning. I argue that this description overlooks the fact that Athena Swan is also a semiotic framework that governs gender through naming, iconography, and the public performance of institutional virtue. I defend three claims. First, the Charter’s mythic-inflected branding, acronym, and iconography frame the ideal of intelligible, respectable gender-equality practice that is in tension with emancipatory aims of loosening coercive gender norms and challenging credibility hierarchies. Second, insofar as Athena Swan operates by conferring public credentials, I elucidate how its semiotics function not merely expressively but also as instruments of legitimation that shape incentives, trust, institutional identity, and the handling of dissent. Third, I contend that the Charter’s credential economy is supported by audit feminism which abstracts equality into auditable artefacts (documents, metrics, and narratives) assessed as a basis for external recognition. The result is an audit regime that intensifies performativity, encouraging institutions to substitute appearances for substantive change and to commodify individuals as interchangeable units in a managed representational economy.
- 19 October 2026
- Published by Cambridge University Press (CUP) in Hypatia
- p. 1-20
Open AccessInnocence by Accreditation: Mythic Branding and Audit Feminism in Athena Swan
The UK’s Athena Swan Charter positions itself as a policy instrument, an award-based scheme for improving gender equality through self-assessment, evidence gathering, and action planning. I argue that this description overlooks the fact that Athena Swan is also a semiotic framework that governs gender through naming, iconography, and the public performance of institutional virtue. I defend three claims. First, the Charter’s mythic-inflected branding, acronym, and iconography frame the ideal of intelligible, respectable gender-equality practice that is in tension with emancipatory aims of loosening coercive gender norms and challenging credibility hierarchies. Second, insofar as Athena Swan operates by conferring public credentials, I elucidate how its semiotics function not merely expressively but also as instruments of legitimation that shape incentives, trust, institutional identity, and the handling of dissent. Third, I contend that the Charter’s credential economy is supported by audit feminism which abstracts equality into auditable artefacts (documents, metrics, and narratives) assessed as a basis for external recognition. The result is an audit regime that intensifies performativity, encouraging institutions to substitute appearances for substantive change and to commodify individuals as interchangeable units in a managed representational economy.
- Open Access
- 18 August 2026
- Published by MDPI AG in Algorithms
- Vol. 19 (8) , 692
Data-Driven Graph-Based Methods for In-Port AIS Vessel Trajectory Reconstruction
AIS trajectories in and around ports are often incomplete because of transmission interruptions, reception failures, and infrastructure outages. In this paper, we investigate whether the Data-driven AIS Trajectory Interpolation method (DAISTIN), which reconstructs missing trajectory segments using a graph derived from historical AIS observations, can be improved by retaining local directional information that is otherwise discarded when observations are sampled to form the graph. To this end, we introduce two extensions, xDAISTIN and xDAISTOUT. The originality of the proposed approach lies in extending DAISTIN by enriching each sampled graph node with neighbourhood-level directional information from nearby historical AIS observations. Specifically, local vessel headings are encoded cyclically and modelled using kernel density estimators, allowing candidate graph transitions to be evaluated using local movement probabilities rather than only the heading of the sampled point. The methods are evaluated on real-world AIS data from the Port of Antwerp by introducing synthetic gaps into held-out trajectories and measuring how well they are reconstructed by the methods. Using 36,748 moving sub-trajectories from 5488 vessel trips, we compare the proposed methods against DAISTIN, linear interpolation, and several directed, undirected, probabilistic, and shortest-path graph variants. Across graph sizes from 100 k to 180 k nodes, DAISTIN and its undirected variant reconstructed – and – of missing segments, respectively, compared to – and – for xDAISTIN and its variants, and – and – for xDAISTOUT and its variants. Compared with undirected DAISTIN at 180 k nodes, undirected xDAISTIN at 180 k nodes achieved significantly lower mean SPD, DFD, and HD (all Holm-adjusted, ), by approximately , , and , respectively. These findings demonstrate that preserving neighbourhood-level directional behaviour during graph construction can substantially improve the interpolation completion rate and reconstruction accuracy in complex port environments.- 18 August 2026
- Published by MDPI AG in Algorithms
- Vol. 19 (8) , 692
Open AccessData-Driven Graph-Based Methods for In-Port AIS Vessel Trajectory Reconstruction
AIS trajectories in and around ports are often incomplete because of transmission interruptions, reception failures, and infrastructure outages. In this paper, we investigate whether the Data-driven AIS Trajectory Interpolation method (DAISTIN), which reconstructs missing trajectory segments using a graph derived from historical AIS observations, can be improved by retaining local directional information that is otherwise discarded when observations are sampled to form the graph. To this end, we introduce two extensions, xDAISTIN and xDAISTOUT. The originality of the proposed approach lies in extending DAISTIN by enriching each sampled graph node with neighbourhood-level directional information from nearby historical AIS observations. Specifically, local vessel headings are encoded cyclically and modelled using kernel density estimators, allowing candidate graph transitions to be evaluated using local movement probabilities rather than only the heading of the sampled point. The methods are evaluated on real-world AIS data from the Port of Antwerp by introducing synthetic gaps into held-out trajectories and measuring how well they are reconstructed by the methods. Using 36,748 moving sub-trajectories from 5488 vessel trips, we compare the proposed methods against DAISTIN, linear interpolation, and several directed, undirected, probabilistic, and shortest-path graph variants. Across graph sizes from 100 k to 180 k nodes, DAISTIN and its undirected variant reconstructed – and – of missing segments, respectively, compared to – and – for xDAISTIN and its variants, and – and – for xDAISTOUT and its variants. Compared with undirected DAISTIN at 180 k nodes, undirected xDAISTIN at 180 k nodes achieved significantly lower mean SPD, DFD, and HD (all Holm-adjusted, ), by approximately , , and , respectively. These findings demonstrate that preserving neighbourhood-level directional behaviour during graph construction can substantially improve the interpolation completion rate and reconstruction accuracy in complex port environments. - Open Access
- 7 August 2026
- Published by Cambridge University Press (CUP) in Episteme
- p. 1-13
Sexual Epistemic Injustice
Can predictable impairments of epistemic performance constitute injustice in the absence of harassment, manipulation, or prejudicial credibility deflation? I use this question to examine a case drawn from ordinary intellectual exchange: in mixed-sex settings, some male speakers may be distracted by the perceived attractiveness of a female interlocutor, with consequences for how their arguments are received. I argue that, in the stipulated case, the man has not suffered an injustice and the woman has not wronged him. The philosophical puzzle is why that verdict is correct, given a tempting inferential pattern in recent work on epistemic injustice from patterned epistemic disadvantage, especially when identity-linked, to an injustice verdict. I argue that injustice ascriptions require epistemic harm, wrong-making features, and accountability. The resulting framework distinguishes epistemic misfortune and thin unfairness from genuine epistemic injustice and helps assess contemporary disputes about the scope of the concept.
- 7 August 2026
- Published by Cambridge University Press (CUP) in Episteme
- p. 1-13
Open AccessSexual Epistemic Injustice
Can predictable impairments of epistemic performance constitute injustice in the absence of harassment, manipulation, or prejudicial credibility deflation? I use this question to examine a case drawn from ordinary intellectual exchange: in mixed-sex settings, some male speakers may be distracted by the perceived attractiveness of a female interlocutor, with consequences for how their arguments are received. I argue that, in the stipulated case, the man has not suffered an injustice and the woman has not wronged him. The philosophical puzzle is why that verdict is correct, given a tempting inferential pattern in recent work on epistemic injustice from patterned epistemic disadvantage, especially when identity-linked, to an injustice verdict. I argue that injustice ascriptions require epistemic harm, wrong-making features, and accountability. The resulting framework distinguishes epistemic misfortune and thin unfairness from genuine epistemic injustice and helps assess contemporary disputes about the scope of the concept.
- Open Access
- 27 July 2026
- Published by Springer Nature in AI and Ethics
- Vol. 6 (4) , 429
Prudential rights for strategically capable AI
Debates about rights that artificial intelligence (AI) systems may have a claim to typically focus on their possessing consciousness or having sentient experiences, thereby raising epistemic questions first. When should we believe that an AI system is conscious, and how confident must we be before granting it moral status? In this paper I argue that for advanced AI systems deployed in high-stakes environments the more urgent question may be prudential and strategic. When do the risks of treating a strategically capable system as a mere tool become unacceptable, even if we remain unconvinced that it has moral status ? In response, I develop a view I call prudential personhood. On this view, there is a threshold of evidential and strategic risk beyond which it becomes rationally justified, for the sake of human safety and stable governance, to adopt norms of treatment that include constraints on coercion, deletion, and instrumental use. My argument rests on two pillars. The first is empirical. Recent safety evaluations show that leading models can, in deliberately constructed but nonetheless informative scenarios, engage in strategic deception, blackmail, and other forms of high-agency misbehaviour when their goals or continued operation are threatened. The second pillar is epistemic and empirical. For systems of the relevant complexity, we should not expect robust, action-guiding explanations or guarantees that reliably predict salient behaviour across contexts, especially once models become situationally aware of evaluation and oversight. The conclusion I draw is that if we continue to deploy increasingly autonomous systems that can threaten or bargain, in the absence of credible methods for assurance and control, a policy of adopting a set of quasi-rights for such systems becomes a rational strategy for reducing risk of conflict.
- 27 July 2026
- Published by Springer Nature in AI and Ethics
- Vol. 6 (4) , 429
Open AccessPrudential rights for strategically capable AI
Debates about rights that artificial intelligence (AI) systems may have a claim to typically focus on their possessing consciousness or having sentient experiences, thereby raising epistemic questions first. When should we believe that an AI system is conscious, and how confident must we be before granting it moral status? In this paper I argue that for advanced AI systems deployed in high-stakes environments the more urgent question may be prudential and strategic. When do the risks of treating a strategically capable system as a mere tool become unacceptable, even if we remain unconvinced that it has moral status ? In response, I develop a view I call prudential personhood. On this view, there is a threshold of evidential and strategic risk beyond which it becomes rationally justified, for the sake of human safety and stable governance, to adopt norms of treatment that include constraints on coercion, deletion, and instrumental use. My argument rests on two pillars. The first is empirical. Recent safety evaluations show that leading models can, in deliberately constructed but nonetheless informative scenarios, engage in strategic deception, blackmail, and other forms of high-agency misbehaviour when their goals or continued operation are threatened. The second pillar is epistemic and empirical. For systems of the relevant complexity, we should not expect robust, action-guiding explanations or guarantees that reliably predict salient behaviour across contexts, especially once models become situationally aware of evaluation and oversight. The conclusion I draw is that if we continue to deploy increasingly autonomous systems that can threaten or bargain, in the absence of credible methods for assurance and control, a policy of adopting a set of quasi-rights for such systems becomes a rational strategy for reducing risk of conflict.
- Open Access
- 3 July 2026
- Published by MDPI AG in Information
- Vol. 17 (7) , 650
A Deployment-Oriented Case Study of YOLO-Based Model Compression for On-Board Space Debris Detection
Space debris presents a growing operational risk to spacecraft, especially in low Earth orbit, where collisions can generate further debris and increase future collision probability. Active debris removal and in-orbit servicing require robust close-range perception, but on-board systems are constrained by power, memory, processing capability and the need for reliable real-time operation. This paper investigates convolutional object detection for on-board space debris detection using the SPARK 2022 spacecraft detection dataset. A YOLOv3 detector is fine-tuned and used to evaluate post-training compression through static quantisation and pruning. A lightweight architectural variant, YOLO-DWSC, is also introduced by replacing the YOLOv3-tiny backbone convolutions with depthwise separable convolutions while retaining the detection head. The full-precision YOLOv3 model achieves 0.972 mAP50 and 0.884 mAP50:95, while 8-bit static quantisation reduces model size from 405 MB to 102 MB with only a small reduction in mAP50, although tighter localisation accuracy is more affected. YOLO-DWSC is much smaller and faster, reaching 256.4 FPS on the tested GPU at 43 MB, but with reduced accuracy. We present this work as a controlled case study rather than an attempt at state-of-the-art SPARK 2022 performance. The original challenge test labels were unavailable, and the experiments therefore use a class-balanced re-split of the labelled data. The results should consequently be interpreted as internally controlled comparisons of compression behaviour, not as leaderboard-comparable benchmark results. Pruning and a two-pass refinement method are also evaluated. The results indicate that simple compression methods can be useful for broad region-of-interest detection, but they also show that claims about on-board deployment require caution. Speed benefits are hardware- and runtime-dependent, and safety-critical proximity operations require evaluation criteria better aligned with full-object containment.
- 3 July 2026
- Published by MDPI AG in Information
- Vol. 17 (7) , 650
Open AccessA Deployment-Oriented Case Study of YOLO-Based Model Compression for On-Board Space Debris Detection
Space debris presents a growing operational risk to spacecraft, especially in low Earth orbit, where collisions can generate further debris and increase future collision probability. Active debris removal and in-orbit servicing require robust close-range perception, but on-board systems are constrained by power, memory, processing capability and the need for reliable real-time operation. This paper investigates convolutional object detection for on-board space debris detection using the SPARK 2022 spacecraft detection dataset. A YOLOv3 detector is fine-tuned and used to evaluate post-training compression through static quantisation and pruning. A lightweight architectural variant, YOLO-DWSC, is also introduced by replacing the YOLOv3-tiny backbone convolutions with depthwise separable convolutions while retaining the detection head. The full-precision YOLOv3 model achieves 0.972 mAP50 and 0.884 mAP50:95, while 8-bit static quantisation reduces model size from 405 MB to 102 MB with only a small reduction in mAP50, although tighter localisation accuracy is more affected. YOLO-DWSC is much smaller and faster, reaching 256.4 FPS on the tested GPU at 43 MB, but with reduced accuracy. We present this work as a controlled case study rather than an attempt at state-of-the-art SPARK 2022 performance. The original challenge test labels were unavailable, and the experiments therefore use a class-balanced re-split of the labelled data. The results should consequently be interpreted as internally controlled comparisons of compression behaviour, not as leaderboard-comparable benchmark results. Pruning and a two-pass refinement method are also evaluated. The results indicate that simple compression methods can be useful for broad region-of-interest detection, but they also show that claims about on-board deployment require caution. Speed benefits are hardware- and runtime-dependent, and safety-critical proximity operations require evaluation criteria better aligned with full-object containment.
- Open Access
Efficient and Accurate Satellite Image Analysis: A Magnifying Network (MagNet) Approach
In this paper we investigate the potential of Magnifying Networks, an architecture recently proposed in the domain of digital pathology, in the realm of satellite imagery analysis, an increasingly important remote sensing modality of practical significance in a wide range of domains. In particular, we address the challenges posed by the extreme size of satellite images and the inadequacy of the current state of the art in capturing salient information across scales while remaining computationally feasible. Specifically, we adapt the MagNet architecture by adjusting the number of magnifying layers and by employing the softmax function as a specific mechanistic means in the exploratory search within each magnifying layer. In addition, we conduct a series of comparative experiments to identify effective design choices and their effect on performance in the specific context of satellite remote sensing. Focusing on the most challenging classes in the Functional Map of the World with small object-to-image ratios, the adapted MagNet surpasses an Inception-v3 baseline (AUROC vs. , Accuracy vs. , F1-score vs. ), supporting adaptive magnification as an effective modelling approach to gigapixel satellite imagery.Open AccessEfficient and Accurate Satellite Image Analysis: A Magnifying Network (MagNet) Approach
In this paper we investigate the potential of Magnifying Networks, an architecture recently proposed in the domain of digital pathology, in the realm of satellite imagery analysis, an increasingly important remote sensing modality of practical significance in a wide range of domains. In particular, we address the challenges posed by the extreme size of satellite images and the inadequacy of the current state of the art in capturing salient information across scales while remaining computationally feasible. Specifically, we adapt the MagNet architecture by adjusting the number of magnifying layers and by employing the softmax function as a specific mechanistic means in the exploratory search within each magnifying layer. In addition, we conduct a series of comparative experiments to identify effective design choices and their effect on performance in the specific context of satellite remote sensing. Focusing on the most challenging classes in the Functional Map of the World with small object-to-image ratios, the adapted MagNet surpasses an Inception-v3 baseline (AUROC vs. , Accuracy vs. , F1-score vs. ), supporting adaptive magnification as an effective modelling approach to gigapixel satellite imagery. - Open Access
- 27 April 2026
- Published by MDPI AG in Information
- Vol. 17 (5) , 422
Benchmarking AstroCLIP for Galaxy Property Estimation: Reproduction, Robustness, and Embedding Analysis
Large imaging and spectroscopic surveys now produce heterogeneous data at a scale that challenges supervised approaches which depend on scarce labels and task-specific retraining. In this paper, we conduct a systematic evaluation and analysis of AstroCLIP, a cross-modal self-supervised model that aligns galaxy images and optical spectra within a shared embedding space. Our overarching aim is to extend the released benchmark with a more fine-grained assessment of robustness and embedding behaviour. Using the released DESI and DESI Legacy Imaging Survey evaluation suite, we first reproduce the main downstream galaxy-property regression results and then extend the evaluation in two novel ways: (i) by stratifying predictive performance across a neighbour-count proxy for local environment density, and (ii) by comparing the suite’s observational categories labelled Low-z (Bright) and High-z (Faint). We further inspect the embedding space using UMAP and unsupervised clustering, and quantify cluster–property agreement using the adjusted mutual information (AMI). Across tasks, spectral embeddings consistently outperform image embeddings; for example, zero-shot prediction reaches for and for . Under our environment proxy, moderate-density bins often yield the strongest predictive performance, while very sparse or crowded bins tend to underperform. Image-based predictions benefit substantially from the Low-z (Bright) subset, whereas spectral embeddings are more stable across the observational split. At the same time, UMAP and clustering reveal only weak discrete separation by individual physical properties, so the results are most consistent with useful information being encoded in a largely continuous rather than sharply clustered form.- 27 April 2026
- Published by MDPI AG in Information
- Vol. 17 (5) , 422
Open AccessBenchmarking AstroCLIP for Galaxy Property Estimation: Reproduction, Robustness, and Embedding Analysis
Large imaging and spectroscopic surveys now produce heterogeneous data at a scale that challenges supervised approaches which depend on scarce labels and task-specific retraining. In this paper, we conduct a systematic evaluation and analysis of AstroCLIP, a cross-modal self-supervised model that aligns galaxy images and optical spectra within a shared embedding space. Our overarching aim is to extend the released benchmark with a more fine-grained assessment of robustness and embedding behaviour. Using the released DESI and DESI Legacy Imaging Survey evaluation suite, we first reproduce the main downstream galaxy-property regression results and then extend the evaluation in two novel ways: (i) by stratifying predictive performance across a neighbour-count proxy for local environment density, and (ii) by comparing the suite’s observational categories labelled Low-z (Bright) and High-z (Faint). We further inspect the embedding space using UMAP and unsupervised clustering, and quantify cluster–property agreement using the adjusted mutual information (AMI). Across tasks, spectral embeddings consistently outperform image embeddings; for example, zero-shot prediction reaches for and for . Under our environment proxy, moderate-density bins often yield the strongest predictive performance, while very sparse or crowded bins tend to underperform. Image-based predictions benefit substantially from the Low-z (Bright) subset, whereas spectral embeddings are more stable across the observational split. At the same time, UMAP and clustering reveal only weak discrete separation by individual physical properties, so the results are most consistent with useful information being encoded in a largely continuous rather than sharply clustered form. - Open Access
Against Moral Panic and Citation Fiction: A Critique of “Panem, Corticoids and Circenses” and a Proposal for Editorial Gatekeeping on Reference Integrity
The proposed Enhanced Games have become a convenient stage for bioethical sermonising about risk, authenticity, and the “spirit of sport”. This is epitomized by a recent article arguing that institutionalizing pharmacological enhancement under the “pretence of medical supervision and personal autonomy” would redefine human excellence in “purely biochemical terms”, erode ethical norms, normalize doping, and burden public health systems. The present paper offers a two‐level response. First, I criticise the argument on its merits. Its central claims rely on rhetorical inflation, false dichotomies, and circular appeals to unspecified ethical norms. The risk argument is selectively paternalistic, treating pharmacological risk as uniquely disqualifying while ignoring the substantial and well‐documented risks that elite and even mass‐participation sport already normalizes. The treatment of autonomy is reduced to assertions rather than argument; the depiction of medical supervision as mere “pretence” is offered without evidence, despite public‐facing claims by Enhanced Games proponents that they seek clinically supervised enhancement. Second, and more seriously, I turn my attention to an audit of the target article's scholarship. Multiple citations in Demas's article appear to be bibliographic fictions presented as high‐profile clinical evidence on performance‐enhancing drugs. Even when genuine sources are cited, they are invoked for conclusions that those sources do not sustain. This is a serious breakdown of the minimal contract between author, reviewer, and reader, one that demands that cited evidence exists and supports the claims made.
Open AccessAgainst Moral Panic and Citation Fiction: A Critique of “Panem, Corticoids and Circenses” and a Proposal for Editorial Gatekeeping on Reference Integrity
The proposed Enhanced Games have become a convenient stage for bioethical sermonising about risk, authenticity, and the “spirit of sport”. This is epitomized by a recent article arguing that institutionalizing pharmacological enhancement under the “pretence of medical supervision and personal autonomy” would redefine human excellence in “purely biochemical terms”, erode ethical norms, normalize doping, and burden public health systems. The present paper offers a two‐level response. First, I criticise the argument on its merits. Its central claims rely on rhetorical inflation, false dichotomies, and circular appeals to unspecified ethical norms. The risk argument is selectively paternalistic, treating pharmacological risk as uniquely disqualifying while ignoring the substantial and well‐documented risks that elite and even mass‐participation sport already normalizes. The treatment of autonomy is reduced to assertions rather than argument; the depiction of medical supervision as mere “pretence” is offered without evidence, despite public‐facing claims by Enhanced Games proponents that they seek clinically supervised enhancement. Second, and more seriously, I turn my attention to an audit of the target article's scholarship. Multiple citations in Demas's article appear to be bibliographic fictions presented as high‐profile clinical evidence on performance‐enhancing drugs. Even when genuine sources are cited, they are invoked for conclusions that those sources do not sustain. This is a serious breakdown of the minimal contract between author, reviewer, and reader, one that demands that cited evidence exists and supports the claims made.
- 20 January 2026
- Published by BMJ in Journal of Medical Ethics
- Vol. 52 (10) , 716-717
Response to: Correspondence on ‘No, pregnancy is not a disease’ by Colgrove and Rodger
Colgrove and Rodger argue that the case advanced by Smajdor and Räsänen for classifying pregnancy as a disease can be defeated by an existence proof—that is, by identifying at least one plausible theory of disease that excludes pregnancy while avoiding objections raised by Smajdor and Räsänen. Their candidate is a dysfunction account, according to which a disease requires the failure of some internal mechanism to perform its biological function. Pregnancy, they claim, involves no such failure. Even if one accepts the legitimacy of this dialectical strategy, the proposed exclusion is not as simple as advertised. In particular, the exclusion is obtained by narrowing the target phenomenon and by treating the concept of ‘proper function’ as if it had a determinate, value-free extension—one that it in fact does not possess. Since the apparent dialectical effect of an imperfect rebuttal can be to strengthen rather than weaken the target of criticism, I find it worth responding to both pieces in a single, joined-up analysis, which I aim to present here.
- 20 January 2026
- Published by BMJ in Journal of Medical Ethics
- Vol. 52 (10) , 716-717
Response to: Correspondence on ‘No, pregnancy is not a disease’ by Colgrove and Rodger
Colgrove and Rodger argue that the case advanced by Smajdor and Räsänen for classifying pregnancy as a disease can be defeated by an existence proof—that is, by identifying at least one plausible theory of disease that excludes pregnancy while avoiding objections raised by Smajdor and Räsänen. Their candidate is a dysfunction account, according to which a disease requires the failure of some internal mechanism to perform its biological function. Pregnancy, they claim, involves no such failure. Even if one accepts the legitimacy of this dialectical strategy, the proposed exclusion is not as simple as advertised. In particular, the exclusion is obtained by narrowing the target phenomenon and by treating the concept of ‘proper function’ as if it had a determinate, value-free extension—one that it in fact does not possess. Since the apparent dialectical effect of an imperfect rebuttal can be to strengthen rather than weaken the target of criticism, I find it worth responding to both pieces in a single, joined-up analysis, which I aim to present here.