Research questions and backgroundThis study explores a highly controversial issue of medical care in Germany: the decision to withhold or withdraw mechanical ventilation in critically ill patients. It analyzes difficulties in making these decisions and the physicians’ uncertainty in understanding the German terminology of Sterbehilfe, which is used in the context of treatment limitation. Used in everyday language, the word Sterbehilfe carries connotations such as helping the patient in the dying process or helping the patient to enter the dying process. (...) Yet, in the legal and ethical discourse Sterbehilfe indicates several concepts: (1) treatment limitation, i.e., withholding or withdrawing life-sustaining treatment (passive Sterbehilfe), (2) the use of medication for symptom control while taking into account the risk of hastening the patient’s death (indirekte Sterbehilfe), and (3) measures to deliberately terminate the patient’s life (aktive Sterbehilfe). The terminology of Sterbehilfe has been criticized for being too complex and misleading, particularly for practical purposes. Materials and methods An exploratory study based on qualitative interviews was conducted with 28 physicians from nine medical intensive care units in tertiary care hospitals in the German federal state of Baden-Wuerttemberg. The method of data collection was a problem-centered, semi-structured interview using two authentic clinical case examples. In order to shed light on the relation between the physicians’ concepts and the ethical and legal frames of reference, we analyzed their way of using the terms passive and aktive Sterbehilfe. Results Generally, the physicians were more hesitant in making decisions to withdraw rather than withhold mechanical ventilation. Almost half of them assumed a categorical prohibition to withdraw any mechanical ventilation and more than one third felt that treatment ought not to be withdrawn at all. Physicians showed specific uncertainty about classifying the withdrawal of mechanical ventilation as passive Sterbehilfe, and had difficulties understanding that terminating ventilation is not basically illegal, but the permissibility of withdrawal depends on the situation. Conclusions The physicians’ knowledge and skills in interpreting clinical ethical dilemmas require specific improvement on the one hand; on the other hand, the terms passive and aktive Sterbehilfe are less clear than desirable and not as easy to use in clinical practice. Fear of making unjustified or illegal decisions may motivate physicians to continue (even futile) treatment. Physicians strongly opt for more open discussion about end-of-life care to allow for discontinuation of futile treatment and to reduce conflict. (shrink)

Research questions and backgroundThis study explores a highly controversial issue of medical care in Germany: the decision to withhold or withdraw mechanical ventilation in critically ill patients. It analyzes difficulties in making these decisions and the physicians’ uncertainty in understanding the German terminology of Sterbehilfe, which is used in the context of treatment limitation. Used in everyday language, the word Sterbehilfe carries connotations such as helping the patient in the dying process or helping the patient to enter the dying process. (...) Yet, in the legal and ethical discourse Sterbehilfe indicates several concepts: (1) treatment limitation, i.e., withholding or withdrawing life-sustaining treatment (passive Sterbehilfe), (2) the use of medication for symptom control while taking into account the risk of hastening the patient’s death (indirekte Sterbehilfe), and (3) measures to deliberately terminate the patient’s life (aktive Sterbehilfe). The terminology of Sterbehilfe has been criticized for being too complex and misleading, particularly for practical purposes. Materials and methods An exploratory study based on qualitative interviews was conducted with 28 physicians from nine medical intensive care units in tertiary care hospitals in the German federal state of Baden-Wuerttemberg. The method of data collection was a problem-centered, semi-structured interview using two authentic clinical case examples. In order to shed light on the relation between the physicians’ concepts and the ethical and legal frames of reference, we analyzed their way of using the terms passive and aktive Sterbehilfe. Results Generally, the physicians were more hesitant in making decisions to withdraw rather than withhold mechanical ventilation. Almost half of them assumed a categorical prohibition to withdraw any mechanical ventilation and more than one third felt that treatment ought not to be withdrawn at all. Physicians showed specific uncertainty about classifying the withdrawal of mechanical ventilation as passive Sterbehilfe, and had difficulties understanding that terminating ventilation is not basically illegal, but the permissibility of withdrawal depends on the situation. Conclusions The physicians’ knowledge and skills in interpreting clinical ethical dilemmas require specific improvement on the one hand; on the other hand, the terms passive and aktive Sterbehilfe are less clear than desirable and not as easy to use in clinical practice. Fear of making unjustified or illegal decisions may motivate physicians to continue (even futile) treatment. Physicians strongly opt for more open discussion about end-of-life care to allow for discontinuation of futile treatment and to reduce conflict. (shrink)

Adolf Loos is one of the few figures that Wittgenstein explicitly named as an influence on his thought. Loos’s influence has been debated in the context of determining Wittgenstein’s relation to modernism, as well as in attempts to come to terms with his work as an architect. This paper looks in a different direction, examining a remark in which Wittgenstein responded to Heidegger’s notorious pronouncement that ‘the Nothing noths’ by reference to Loos’s critique of ornamentation. Wittgenstein draws a parallel between (...) the requirement to start philosophy with an inarticulate sound and the need, in certain cultural periods, to highlight the borders of tablecloths using lace. Paying heed to Wittgenstein’s remark sheds further light on a Loosian influence at work in his thinking about modern civilization, both in his well-known ‘Lectures on Aesthetics’ and in the earlier notes from his 1930 lectures at Cambridge. (shrink)

Many of our endeavors -- be it personal or communal, technological or artistic -- aim at eradicating all traces of dissatisfaction from our daily lives. They seek to cure us of our discontent in order to deliver us a fuller and flourishing existence. But what if ubiquitous pleasure and instant fulfilment make our lives worse, not better? What if discontent isn't an obstacle to the good life but one of its essential ingredients? In Propelled, Andreas Elpidorou makes a lively (...) case for the value of discontent and illustrates how boredom, frustration, and anticipation are good for us. Weaving together stories from sources as wide-ranging as classical literature, social and cognitive psychology, philosophy, art, and video games, Elpidorou shows that these psychological states aren't unpleasant accidents of our lives. Rather, they illuminate our desires and expectations, inform us when we find ourselves stuck in unpleasant and unfulfilling situations, and motivate us to furnish our lives with meaning, interest, and value. Boredom, frustration, and anticipation aren't obstacles to our goals--they are our guides, propelling us into lives that are truly our own. (shrink)

A new and comprehensive look at the reasons behind successful or failed nation building Nation Building presents bold new answers to an age-old question. Why is national integration achieved in some diverse countries, while others are destabilized by political inequality between ethnic groups, contentious politics, or even separatism and ethnic war? Traversing centuries and continents from early nineteenth-century Europe and Asia to Africa from the turn of the twenty-first century to today, Andreas Wimmer delves into the slow-moving forces that (...) encourage political alliances to stretch across ethnic divides and build national unity. Using datasets that cover the entire world and three pairs of case studies, Wimmer's theory of nation building focuses on slow-moving, generational processes: the spread of civil society organizations, linguistic assimilation, and the states' capacity to provide public goods. Wimmer contrasts Switzerland and Belgium to demonstrate how the early development of voluntary organizations enhanced nation building; he examines Botswana and Somalia to illustrate how providing public goods can bring diverse political constituencies together; and he shows that the differences between China and Russia indicate how a shared linguistic space may help build political alliances across ethnic boundaries. Wimmer then reveals, based on the statistical analysis of large-scale datasets, that these mechanisms are at work around the world and explain nation building better than competing arguments such as democratic governance or colonial legacies. He also shows that when political alliances crosscut ethnic divides and when most ethnic communities are represented at the highest levels of government, the general populace will identify with the nation and its symbols, further deepening national political integration. Offering a long-term historical perspective and global outlook, Nation Building sheds important new light on the challenges of political integration in diverse countries. (shrink)

:Brain–computer interfaces are driven essentially by algorithms; however, the ethical role of such algorithms has so far been neglected in the ethical assessment of BCIs. The goal of this article is therefore twofold: First, it aims to offer insights into whether the problems related to the ethics of BCIs can be better grasped with the help of already existing work on the ethics of algorithms. As a second goal, the article explores what kinds of solutions are available in that body (...) of scholarship, and how these solutions relate to some of the ethical questions around BCIs. In short, the article asks what lessons can be learned about the ethics of BCIs from looking at the ethics of algorithms. To achieve these goals, the article proceeds as follows. First, a brief introduction into the algorithmic background of BCIs is given. Second, the debate about epistemic concerns and the ethics of algorithms is sketched. Finally, this debate is transferred to the ethics of BCIs. (shrink)

The tenets of critical and social realism are well supported in the literature. However, researchers following a realist paradigm have concerns about the lack of methodical guidance for qualitative...

Als Philosoph steht Schleiermacher noch immer im Schatten seiner Zeitgenossen und auch seiner theologischen Werke. Das Buch will seinen eigenständigen Beitrag zur Klassischen Deutschen Philosophie sichtbar machen. Gefragt wird, worin das philosophische Gravitationszentrum der einschlägigen Texte, Entwürfe und Vorlesungen Schleiermachers besteht, mit welchen theoretischen Mitteln er dabei operiert und welche Stellung er in der philosophischen Bewegung seiner Zeit einnimmt. Als zentral erweist sich der Individualitätsgedanke, der aus einer eigenständigen, kritischen Aneignung Kants und Spinozas resultiert. Mit dieser Konzeption begegnet Schleiermacher Friedrich (...) Schlegel auf Augenhöhe und leistet einen eigenständigen Beitrag zur frühromantischen Philosophie, deren grundlegende Positionen er in seinen philosophischen Vorlesungen in Halle (1804-1806) und Berlin (seit 1808) kritisch durcharbeitet und systematisiert. Dies bringt Schleiermacher, wie schon den frühen Friedrich Schlegel, trotz aller gravierenden Unterschiede vielfach in die Nähe Hegels, so dass sich sein Verhältnis zu den philosophischen Zeitgenossen höchst komplex gestaltet. Schleiermacher erweist sich als eigenständiger Denker auf dem gemeinsamen Boden der Klassischen Deutschen Philosophie. (shrink)

This article explores some current transformations of the social. It argues for a shift from a model of sociality based on community towards a network sociality. This shift is particularly visible in urban spaces and in the cultural industries. However, it seems to become paradigmatic more widely of the information society. The article is to be read as a cultural hypothesis. In the first part I introduce some examples that document the rise of a network sociality. Most of these examples (...) are drawn from a two-year ethnographic study of London's new media. The second part consists of a critique of some theoretical accounts of contemporary transformations of sociality. The third part is an attempt to outline the concept of network sociality. It is a form of sociality that is ephemeral but intense, it is informational and technological, it combines work and play, it is disembedded and generic, and it emerges in the context of individualization. (shrink)

ABSTRACT This essay suggests that we should understand the varieties of “popular science” as part of a larger phenomenon: the changing set of processes, practices, and actors that generate and transform public knowledge across time, space, and cultures. With such a reconceptualization we can both de‐essentialize and historicize the idea of “popularization,” free it from normative notions, and move beyond existing imbalances in scholarship. The history of public knowledge might thus find a central place in many fundamental narratives of the (...) modern world. More specifically, the essay proposes that we pay more attention to forms of knowledge outside the realm of “science,” embrace the richness, traffic, and transfer of public knowledge on a transnational scale as well as in comparative perspective, and rethink conventional forms of periodization. (shrink)

This paper offers an account of Susan Haack’s philosophy of law and points out several aspects within the legal pragmatist tradition that deserve further discussion. Firstly, a systematic presentation of legal pragmatism as it is defended by Haack, who follows Justice Oliver W. Holmes here, is given. Secondly, the limits of an evolutionary perspective of law recommended by legal pragmatism are considered. Finally, the paper discusses whether legal pragmatism is able to handle different legal traditions, thereby focusing on Anglo-American common (...) law and European civil law. (shrink)

This chapter contains sections titled: Point of Departure Kant's Concept of Dignity The Dignity of the Lived‐Body Bodily Authenticity.

A common objection to the precautionary principle is that it is irrational. I argue that this objection goes beyond the often-discussed claim that the principle is incoherent. Instead, I argue, exp...

In the final parts of Piketty’s Capital and Ideology, he presents his vision for a just and more equal society. This vision marks an alternative to contemporary societies, and differs radically both from the planned Soviet economies and from social democratic welfare states. In his sketch of this vision, Piketty provides a principled account of how such a society would look and how it would modify the current status of private property through co-managed enterprises and the creation of temporary ownership (...) models. He also sets out two principles for when inequalities are just. The first principle permits inequalities that are beneficial to the worst-off, while the second permits inequalities that reflect differences in people’s choices and ambitions. This article identifies a tension between Piketty’s two inequality-permitting principles. It also argues that the procedural limits on how decisions are made within the enterprises of participatory socialism might create inequalities not permitted by the guiding distributive principles of participatory socialism. This tension points to the need for either further changes in firm structure and ownership, an even more progressive taxation scheme, or an egalitarian ethos reflected in citizens’ choices in their everyday lives under participatory socialism. (shrink)

This paper seeks to bring John Dewey’s pragmatist philosophy of democratic education and the public into dialogue with Ernesto Laclau’s theory of populism. Recognizing populism as an integral aspect of democracy, rather than as its antithesis, the purpose of this paper is to provide a theoretical account of populism as being of educational relevance in two respects. First, it argues that the populist logic specifies a set of formal elements by which democratic education could operate as a collective enterprise. Second, (...) it asserts that the notion of populism supplements any congenial understanding of democratic education by bringing political demands, conflicts and affects to the fore. Finally, the paper discusses the risks and possibilities inherent in visualizing populism as an educational modus. (shrink)

Martin Heidegger distinguishes the human—as a world-forming, historical being that is capable of language—from the animal, which, according to him, is poor in world, ahistorical and incapable of language. This clear-cut distinction, which is connected to Heidegger’s anti-biologism, has frequently been criticised. By discussing the criticism of Matthew Calcaro, Giorgio Agamben and Jacques Derrida, the present paper aims to show that in Heidegger the human-animal difference is not a biologically determined distinction, human language is not understood as an instrument of (...) expression and communication, and humans are not distinguished from animals on the basis of their supposed access to an “objective” reality. While all three points imply corrections to the reception of Heidegger in animal philosophy, is particularly crucial since it refutes Derrida’s interpretation of the as-structure, which has had a large influence on readings of Heidegger, also far beyond the topic of animality. Taking into account these clarifications, a specific historical response-ability of the human becomes intelligible that is relevant in particular in regard to ethical aspirations in animal philosophy. (shrink)

As a solution to the boundary problem, the question of who should take part in making democratic decisions, the all-affected principle has gained widespread support. An unexplored issue in relation to the all-affected principle is whether there is an asymmetry between being affected negatively and positively. Is it the case that only being negatively affected, and not positively affected, by a decision generates a claim to inclusion under the all-affected principle? I call this the question of asymmetry. Some answer the (...) question of asymmetry affirmatively. I believe they are wrong and argue, instead, that we must answer this question by looking at the reasons underlying the all-affected principle. I identify two main reasons that have been proposed to underlie the all-affected principle—(1) the opportunity for interest protection and (2) self-government—and show why both of them entail that answering the question of asymmetry affirmatively is unfounded. The upshot is that both being affected negatively and positively by a decision should generate a claim to inclusion on the all-affected principle. This makes a difference for democratic decision making on contemporary issues such as immigration, climate, and welfare policy. (shrink)

Keine ausführliche Beschreibung für "Friedrich Schleiermacher zum 150. Todestag" verfügbar.

Hegel’s Phenomenology is based on the insight into the historic existence of spirit and the historic constitution of truth. Still, the “work of world history” is not exactly the topic of Phenomenology; it is the appropriation of his results in the knowledge of spirit. Thus, Hegel’s work does not directly point to historic experience, but should rather be understood as a systematic arrangement of historically identifying positions.

The COVID-19 pandemic tempted some governments to promise to wage “war” against it and implement “world-beating” control mechanisms. In view of their limited success, such claims soon came in for m...