Warren Quinn's distinction between direct and indirect agency holds that direct harm involves using a victim's condition as part of one's agency, not merely psychological intention.
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agency(Used to assess whether switching the trolley is deontologically prohibited.)
A morally relevant sense in which an agent is the direct cause of harm, invoked in deontological constraints; its absence removes a deontological bar to acting.
direct agency(Proposed as an alternative basis for the doing/allowing or means/side-effect distinction in Double Effect reasoning.)
Warren Quinn's proposed substitute concept for 'intending to cause harm as a means,' which would classify a broader range of harmful results as intended.