The authors sum up the central issue of ethics in the conduct of controlled clinical trials in these two paradoxes: 'first, it is unethical to use treatment the efficacy of which has not been examined scientifically; second, it is also unethical to examine the efficacy of treatment scientifically.' In this paper they set out to demonstrate how these antithetical statements apply in controlled trials conducted in psychiatric patients. In such trials the problem of obtaining informed consent may be acute, but (...) in these patients giving 'informed' consent might contribute to a further exacerbation of the illness. Nevertheless the problem cannot be evaded, and scientific judgments must be applied to treatment for it to be sound and improved for the further benefit of patients. These problems in the case of psychiatric controlled trials are a part of the methodology, and in Germany a new drug law has been drafted to attempt to clarify the issue. The authors briefly discuss its application, and its consequences if such a law were enacted. British psychiatrists have exactly the same problems to face but so far no attempts have been made to establish a legal framework. (shrink)

If stem cell-based therapies are developed, we will likely confront a difficult problem of justice: for biological reasons alone, the new therapies might benefit only a limited range of patients. In fact, they might benefit primarily white Americans, thereby exacerbating long-standing differences in health and health care.

Zunächst einmal möchten wir klären, was der Begriff ökonomischer Bildung umfasst, um in einem zweiten Schritt klären zu können, welche Teilaspekte von ökonomischer Bildung möglicherweise verbindlich gelehrt werden sollten – und welche Teilaspekte etwa auch nur Teil von Spezialausbildungen sein könnten. Wir werden dabei zu dem Schluss kommen, dass vor allem die Politische Ökonomie – also ein Fach, das einen Schwerpunkt auf ordnungsökonomische und ordnungsethische Problemstellungen legt – ein Kandidat für die allgemein verbindliche Ausbildung an deutschen Schulen ist. Im zweiten (...) Schritt möchten wir diskutieren, inwiefern sich die Einführung eines Faches Politische Ökonomie rechtfertigen ließe. Eine Rechtfertigung im philosophischen Sinne muss dabei zeigen können, dass die Einführung eines Fachs Politische Ökonomie nicht nur bestimmten Interessen – z.B. wirtschaftlichen Lobby-Gruppen dient –, sondern von einem gesellschaftlichen Konsens getragen werden könnte. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Rome's Religious History: Livy, Tacitus and Ammianus on Their GodsHans-Friedrich MuellerJason P. Davies. Rome's Religious History: Livy, Tacitus and Ammianus on Their Gods. Cambridge: Cambridge University Press, 2004. x + 341 pp. Cloth, $85.Did the Romans believe in their gods? This question, Davies argues, has too long dominated scholarship on Roman religion, and his challenging book eschews this question (along with its dichotomous counterpart: skepticism), aiming instead to (...) engage vigorously more recent scholarship on Roman religion. Davies has read Livy, Tacitus, and Ammianus Marcellinus with sensitive attention to expressions of general religious sentiment and categories, and he has placed his findings squarely in the context of current historiographical analyses of Roman religion's literary functions. Davies sums up nicely: "What we seek here is the nature of the complex cognitive relationship between historiography and religion" (12). Generally excluded from the conversation are scholars who are deceased and who do not write in English. More rigorously excluded are cross-references to ancient authors beyond Davies' chosen three (although they do creep in from time to time, one will not come to this book for Cicero, Caesar, Sallust, Valerius Maximus, Velleius Paterculus, Suetonius, Dionysius of Halicarnassus, Plutarch, et al.). Instead, Davies attempts by well-enunciated and conscious choice to conduct a series of experiments: he reads each of his chosen authors in isolation in order to build a coherent and consistent picture of the religious system of each in close conversation with the last two decades' debates on what Roman religion was really about.Although I shall in due course address my own reservations about his methodology, I would argue that we may applaud Davies for his experimental daring. The progress of knowledge requires room for failures as well as successes. We learn from both, and Davies brings before us three separate experiments: two chapters on Livy and one each on Tacitus and Ammianus. Starting from the premise that for the Romans the gods existed, and that Roman society's basic intellectual framework was "Roman religion" (whatever this may have meant to its many and varied practitioners over the course of the centuries preceding Livy), Davies' fresh readings describe what this religion appears to have entailed for each of his chosen authors. Each of those readings yields an instance or "moment" in the history of the religions of Rome and, as such, is a contribution to "Rome's religious history" (thus fulfilling, to this extent, the promise of the volume's title).After a general introduction outlining this methodology (chap. 1), Davies devotes the next two chapters to Livy (chap. 2: "Livy and the Invention of Roman Religion" and chap. 3: "Gods and Men in Livy"). We find, as we would expect, some discussion of Papirius Cursor, who in 293 B.C.E. arose in the third watch of the night to solicit the requisite impetrative auspicium before engaging the Samnites in battle (Livy 10.40.2). Papirius consulted a keeper of the sacred chickens, who announced a tripudium solistimum, despite the fact that the chickens would not eat (10.40.4). On the basis of this false report, Papirius declares that the auspicium [End Page 313] is excellent (egregium), and he orders the troops to prepare for battle (10.40.5). Papirius' nephew, however, learns from some of the cavalry who had overheard an argument among the pullarii that the pullarius' report was suspect, and he dutifully informs his uncle (10.40.9–10). Livy describes the youth as a "iuuenis ante doctrinam deos spernentem natus" (10.40.10). Papirius subsequently commends the youth but commences battle (ultimately victorious) on the grounds that the report he had requested and received itself constituted the auspicium, regardless of these other circumstances, and that any consequences for mendacity would be borne by the liar (10.40.11). The keepers of the sacred chickens are ordered to the front line, and the guilty pullarius is struck, and mortally wounded, by a javelin (10.40.12–13). This the consul interprets in turn as confirmation of his own interpretation of the auspicium as well as expiation of wrongdoing by the guilty party; the consul's statement to this effect... (shrink)

Recent scholarship emphasizes the scaffolding role of language for cognition. Language, it is claimed, is a cognition-enhancing niche ( Clark, 2006 ), a programming tool for cognition ( Lupyan and Bergen, 2016 ), even neuroenhancement ( Dove, 2019 ) and augments cognitive functions such as memory, categorization, cognitive control, and meta-cognitive abilities (“thinking about thinking”). Yet, the notion that language enhances or augments cognition, and in particular, cognitive control does not easily fit in with embodied approaches to language processing, or (...) so we will argue. Accounts aiming to explain how language enhances various cognitive functions often employ a notion of abstract representation. Yet, embodied approaches to language processing have it that language processing crucially, according to some accounts even exclusively, involves embodied, modality-specific, i.e., non-abstract representations. In coming to understand a particular phrase or sentence, a prior experience has to be simulated or reenacted. The representation thus activated is embodied (modality-specific) as sensorimotor regions of the brain are thereby recruited. In this paper, we will first discuss the notion of representation, clarify what it takes for a representation to be embodied or abstract, and distinguish between conceptual and (other) linguistic representations. We will then put forward a characterization of cognitive control and examine its representational infrastructure. The remainder of the paper will be devoted to arguing that language augments cognitive control. To that end, we will draw on two lines of research, which investigate how language augments cognitive control: (i) research on the availability of linguistic labels and (ii) research on the active usage of a linguistic code, specifically, in inner speech. Eventually, we will argue that the cognition-enhancing capacity of language can be explained once we assume that it provides us with (a) abstract, non-embodied representations and with (b) abstract, sparse linguistic representations that may serve as easy-to-manipulate placeholders for fully embodied or otherwise more detailed representations. (shrink)

In this article, I argue that experimental ethics – like experimental economics – should also concern itself with field experiments. In particular, I defend two claims: a) that philosophers in normative ethics could considerably narrow down their disputes if they could agree on a wider range of socio-economic facts; and that b) the socio-economic facts that would be needed for this could only be generated by deliberate large-scale social experimentation. This essay normatively grounds my interest in special administration zones.

BackgroundStory recall tests have shown variable sensitivity to rate of cognitive decline in individuals with Alzheimer’s disease biomarkers. Although SR tasks are typically scored by obtaining a sum of items recalled, item-level analyses may provide additional sensitivity to change and AD processes. Here, we examined the difficulty and discrimination indices of each item from the Logical Memory SR task, and determined if these metrics differed by recall conditions, story version, lexical categories, serial position, and amyloid status.Methodsn = 1,141 participants from (...) the Wisconsin Registry for Alzheimer’s Prevention longitudinal study who had item-level data were included in these analyses, as well as a subset of n = 338 who also had amyloid positron emission tomography imaging. LM data were categorized into four lexical categories, and by serial position. We calculated difficulty and discriminability/memorability by item, category, and serial position and ran separate repeated measures ANOVAs for each recall condition, lexical category, and serial position. For the subset with amyloid imaging, we used a two-sample t-test to examine whether amyloid positive and amyloid negative groups differed in difficulty or discrimination for the same summary metrics.ResultsIn the larger sample, items were more difficult in the delayed recall condition across both story A and story B. Item discrimination was higher at delayed than immediate recall, and proper names had better discrimination than any of the other lexical categories or serial position groups. In the subsample with amyloid PET imaging, proper names were more difficult for Aβ+ than Aβ−; items in the verb and “other” lexical categories and all serial positions from delayed recall were more discriminate for the Aβ+ group compared to the Aβ− group.ConclusionThis study provides empirical evidence that both LM stories are effective at discriminating ability levels and amyloid status, and that individual items vary in difficulty and discrimination by amyloid status, while total scores do not. These results can be informative for the future development of sensitive tasks or composite scores for early detection of cognitive decline. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Nursing Ethics:A Selected Bibliography, 1987 to PresentDoris Mueller Goldstein (bio)The ethics of nursing is emerging as a discipline distinct from bioethics or medical ethics. Although these areas have many concerns in common, nurses are demonstrating that their perspective can make a unique contribution to ethical debate.An especially dynamic area of discussion within nursing ethics is the philosophy of caring. The work on moral development by Harvard educator Carol Gilligan (...) in her book, In a Different Voice, is pivotal in this discussion (IV B, Cooper 1989). Jean Watson, a nurse at the University of Colorado Center for Human Caring, also has written extensively on the philosophy of caring. She states that "an ethic of caring has a distinct moral position: caring is attending and relating to a person in such a way that the person is protected from being reduced to the moral status of objects...." (I, Watson 1988).Even as the philosophy of caring becomes more predominant, however, nurses today are often drawn away from the caring role by forces prevalent in the modern hospital. First, modern technology can divert the nurse's attention away from the patient and toward the operation of complex equipment, and second, large hospitals are often managed as bureaucracies (I, Fitzpatrick 1988).A recent study examined the frequency and seriousness of ethical issues encountered in nursing practice (IV A, Berger 1991). A survey instrument that included 32 potential ethical issues was developed by the authors. Respondents were asked to identify what kinds of issues concerned them and with what frequency, and to indicate what resources were used to cope with these dilemmas. The study found that nurses were frequently faced with inadequate staffing, heroic measures for prolonging life, inappropriate resource allocation, situations where patients are being discussed inappropriately, and coping with irresponsible activity of colleagues.The variety of ethical dilemmas encountered on a daily basis by nurses and their expressed interest in developing a moral grounding for the profession of [End Page 177] nursing, along with increased attention to ethical issues in nursing education have led to an explosion in the literature on these topics. In the preparation of this bibliography over 1,000 citations were retrieved in computer searches of various databases: BIOETHICSLINE, MEDLINE and CATLINE (National Library of Medicine), CINAHL (Current Index to Nursing and Allied Health Literature), BOOKS IN PRINT PLUS, and ETHX (the online public access catalog for articles at the National Reference Center for Bioethics Literature). What is offered here is a small sampling of that literature. Books and special issues of periodicals are briefly annotated, but citations to articles are simply arranged by broad subject, and within that, alphabetically by author. The subcategories reflect the topics receiving the most discussion in current literature.This bibliography updates "The Ethics of Nursing: A Selected Bibliography," by Doris Mueller Goldstein, which covered the earlier literature and was published as an appendix to Ethical Decision Making in Nursing Administration (I, Silva 1990).I. BooksAustralian Nursing Federation. Ethics: Nursing Perspectives, vol. 2. North Fitzroy, Victoria: The Federation, 1989. 102 p. (Publisher's address: 373-375 St. Georges Road, postal code 3068.) The National Professional Development Committee of Australia fostered the publication of a second volume of papers on nursing ethics. Articles cover patients' rights, ethical theory in decisionmaking behaviors, the nurse and the DNR order, and whistleblowing. Several appendices represent difficult-to-obtain documents, such as the RANF (Royal Australian Nursing Federation) position statements on terminal care, AIDS and occupational health, professional practice problems, and conscientious objection.Bandman, Elsie L., and Bandman, Bertram. Nursing Ethics Through the Life Span. 2nd ed. Norwalk, CT: Appleton & Lange, 1990. 288 p. Following an extensive review of the moral foundations of decision making in nursing, the authors take the reader through a chronology of nursing ethics issues as they occur in the human life span, beginning with the procreative family period and concluding with the end of life. Each chapter contains discussion questions—an aid to educators using this as a textbook.Benjamin, Martin, and Curtis, Joy. Ethics in Nursing. 2nd ed. New York: Oxford University Press, 1986. 206 p. An overview of the nature of ethical inquiry and theory is followed by... (shrink)

Largely neglected today, the work of Karl Philipp Moritz was a highly influential source for Early German Romanticism. Moritz considered the form of myth as essential to the absolute nature of the divine subject. This defence was based upon his aesthetic theory, which held that beautiful art was “disinterested”, or complete in itself. For Moritz, Myth, like art, constitutes a totality providing an idiom free from restriction in the imitation of the divine. This examination offers a consideration of Moritz’s aesthetics (...) and mythography, before turning briefly to consider his influence on the authors of Early German Romanticism. An understanding of the role of Moritz’s thought supports a number of recent claims that challenge the conventional reading of Romanticism. At the same time it allows us to see Romanticism’s unconventional realist theological programme, permitting us to overcome the problematic secularising readings of the movement. I would like to thank Kurt Mueller-Vollmer, as well as Fredrick Beiser and Lars Fischer for their help with this project. (shrink)

By applying the interdisciplinary approach of science, technology, and society, students can solve often-neglected research problems of shifting society's operation toward a sustainable state. A recent Penn State University student research report titled The Mueller Report: Moving Beyond Sustainability Indicators to Sustainability Action contained a detailed ecological analysis of one campus building and addressed methods to optimize its ecological performance in terms of sustainability by using both behavioral and technological improvements. This article analyzes the factors that affected the successful implementation (...) of sustainable practices generated by student research: (a) choosing a receptive primary audience, (b) establishing interpersonal relationships with decision makers, (c) saturating the local media, (d) making sustainability convenient, and (e) demonstrating fiscal responsibility. (shrink)

Introduction to sensory psychology, by C. Mueller.--Some reflections on brain and mind, by R. Brain.--In search of the engram, by K. Lashly.--Cerebral organization and behavior, by R. W. Sperry.--Relations between the central nervous system and the peripheral organs, by E. von Holst.--Effects of the Gestalt revolution, by J. E. Hochberg.--Seeing in depth, by R. L. Gregory.--The stimulus variables for visual depth perception, by J. J. Gibson.--The elaboration of the universe, by J. Piaget.--Visual perception approached by the method of stabilized images, (...) by R. M. Pritchard, W. Heron, and D. O. Hebb.--Philosophy as rigorous science, by E. Husserl.--The "sensation" as a unit of experience, by M. Merleau-Ponty.--The phenomenology of perception: perceptual implications, by A. Gurwitsch.--The expression of thinking, by E. W. Straus.--The concept of group and the theory of perception, by E. Cassirer.--Norm and pathology of I-world relations, by E. W. Straus.--The metaphysical in man, by M. Merleau-Ponty.--Cultural differences in the perception of geometric illusions, by M. H. Segall, D. T. Campbell, and M. J. Herskovits.--The interpretive cortex, by W. Penfield.--Recovery from early blindness: a case study, by R. L. Gregory and J. G. Wallace.--Visual disturbances after perceptual isolation, by W. Heron, B. K. Doane, and T. H. Scott. (shrink)

This essay reflects on 25 years since Christian Bioethics began publication and, in somewhat autobiographical fashion, engages two core concerns. First, although “non-ecumenism” may often appear a pretext for contention and division, I suggest that a respectful non-ecumenism may provide the opportunity for dialogue and the occasion for employing certain tools from religious studies. Second, although many are skeptical about the possibilities of identifying a “common morality,” a defense of that notion provides a plausible explanation for the development of limited (...) consensus on some issues in bioethics. (shrink)

As philosophers in the continental tradition have taken an interest in the return of religion, anthropologists and sociologists have rejected the once-dominant secularization thesis. Bradley B. Onishi connects these lines of thought to reveal how philosophy's religious investigations have enabled critical reflections on the category of the secular.

This paper examines the standard conceptualizations of the notion of hallucination in light of various non-ordinary phenomenological patterns associated with altered states of consciousness induced by psychoactive agents. It is argued that in general, the conceptualizations encountered in the literature do not do justice to the richness and complexity that the psychological phenomenology actually exhibits. A close inspection of this phenomenology reveals some pertinent distinctions which are usually not made in the scientific literature. On the one hand, the discussion is (...) based on first-hand experiences and, on the other hand, it is grounded in empirical and theoretical cognitive investigations of the phenomenology of human consciousness. Theoretically, the discussion is grounded in an approach highlighting the centrality of experience, meaning and action in cognition. (shrink)

What is human reason, how did it arise, how is it connected to animal reason? In The Enigma of Reason (ER) Hugo Mercier and Dan Sperber (2017) suggest that reason evolved driven by the need to support communication and coordination in small human groups. They contrast this to the idea that the function of reason is to enable humans to make better decisions and develop more accurate beliefs. After a summation of the ER argument, the theory is critiqued and two (...) of their assumptions -- that human cognition is based on massive modularity and that reason co-evolved with and is dependent upon language -- are challenged. Alternatives to these assumptions are presented from the perspective of pattern matching processes in neural dynamical systems, which it is asserted provides a more realistic approach to the functioning of the brain and mind. (shrink)