Science and technology studies concerned with the study of lay influence on the sciences usually analyze either the political or the normative epistemological consequences of lay interference. Here I frame the relation between patients, knowledge, and the sciences by opening up the question: How can we articulate the knowledge that patients develop and use in their daily lives and make it transferable and useful to others, or, `turn it into science’? Elsewhere, patient knowledge is analyzed either as essentially different from (...) or similar to medical knowledge. The category of experiential knowledge is vague and is used to encompass many types of experience, whereas the knowledge of the `expert patient’ may be assumed to have the shape of up-to-date medical information. This paper shows through a case study of people with severe lung disease that patient knowledge can be understood as a form of practical knowledge that patients use to translate medical and technical knowledge into something useful to their daily life with disease. Patients coordinate this with homegrown know-how and advice from fellow patients, weighing different values - of which `taking good care of one’s body’ is but one - that may conflict in a specific situation. These practices result in sets of techniques that may be made useful to others. The paper argues for two alternatives to state-of-the-art medical research to turn patient knowledge into science: ethnographies of knowledge practices and the collection and making accessible of techniques. (shrink)

The “patient perspective” serves as an analytical tool to present patients as knowing subjects in research, rather than as objects known by medicine. This paper analyses problems encountered with the concept of the patient perspective as applied to long-term mental health care. One problem is that “having a perspective” requires a perception of oneself as an individual and the ability to represent one’s individual situation in language; this excludes from research patients who do not express themselves verbally. Another problem is (...) that the idea of “talk” as a representation of the world ignores the fact that talk is also performative in the world: it requires, at least, the ability to deal with an interview situation. To think up alternative ways of including patients as subjects in research, I develop an approach that takes this performativity as a starting point. Analysing practical situations and activities, I argue that patients enact appreciations, making known what they like or dislike by verbal or non-verbal means in a given material environment, in situations that are co-produced by others. Thus, subjectivity is linked to situations and interactions, rather than just to individual characteristics; to “patient positions,” rather than “patient perspectives.”. (shrink)

This article analyzes how the recent call for accounting in health care interferes with daily care practice and raises the question of how accounting practices relate to the aim of good care. The most influential accounting methods in the Netherlands suggest ways for professionals to legitimize their activities. The analysis of washing patients in long-term mental health care shows that different styles of accounting evaluate and legitimize care while structuring notions of what good care is. A specific style of accounting (...) enforces certain values but does not tell about the tragic or unexpected effects that come with it, nor does it provide a repertoire to deal with these. Thus, care practices incorporating specific styles of accounting remain dependent on forms of care that are not accountable or ask for new forms of reflexivity. (shrink)

This paper describes the approach of empirical ethics, a form of ethics that integrates non-positivist ethnographic empirical research and philosophy. Empirical ethics as it is discussed here builds on the ‘empirical turn’ in epistemology. It radicalizes the relational approach that care ethics introduced to think about care between people by drawing in relations between people and technologies as things people relate to. Empirical ethics studies care practices by analysing their intra-normativity, or the ways of living together the actors within these (...) practices strive for or bring about as good practices. Different from care ethics, what care is and if it is good is not defined beforehand. A care practice may be contested by comparing it to alternative practices with different notions of good care. By contrasting practices as different ways of living together that are normatively oriented, suggestions for the best possible care may be argued for. Whether these suggestions will actually be put to practice is, however, again a relational question; new actors need to re-localize suggestions, to make them work in new practices and fit them in with local intra-normativities with their particular routines, material infrastructures, know-how and strivings. (shrink)

The Parallax View is Slavoj Zizek's most substantial theoretical work to appear in many years; Zizek himself describes it as his magnum opus. Parallax can be defined as the apparent displacement of an object, caused by a change in observational position. Zizek is interested in the "parallax gap" separating two points between which no synthesis or mediation is possible, linked by an "impossible short circuit" of levels that can never meet. From this consideration of parallax, Zizek begins a rehabilitation of (...) dialectical materialism.Modes of parallax can be seen in different domains of today's theory, from the wave-particle duality in quantum physics to the parallax of the unconscious in Freudian psychoanalysis between interpretations of the formation of the unconscious and theories of drives. In The Parallax View, Zizek, with his usual astonishing erudition, focuses on three main modes of parallax: the ontological difference, the ultimate parallax that conditions our very access to reality; the scientific parallax, the irreducible gap between the phenomenal experience of reality and its scientific explanation, which reaches its apogee in today's brain sciences ; and the political parallax, the social antagonism that allows for no common ground. Between his discussions of these three modes, Zizek offers interludes that deal with more specific topics--including an ethical act in a novel by Henry James and anti-anti-Semitism.The Parallax View not only expands Zizek's Lacanian-Hegelian approach to new domains but also provides the systematic exposition of the conceptual framework that underlies his entire work. Philosophical and theological analysis, detailed readings of literature, cinema, and music coexist with lively anecdotes and obscene jokes. (shrink)

Slavoj Zizek has been called "an academic rock star" and "the wild man of theory"; his writing mixes astonishing erudition and references to pop culture in order to dissect current intellectual pieties. In The Puppet and the Dwarf he offers a close reading of today's religious constellation from the viewpoint of Lacanian psychoanalysis. He critically confronts both predominant versions of today's spirituality--New Age gnosticism and deconstructionist-Levinasian Judaism--and then tries to redeem the "materialist" kernel of Christianity. His reading of Christianity is (...) explicitly political, discerning in the Pauline community of believers the first version of a revolutionary collective. Since today even advocates of Enlightenment like Jurgen Habermas acknowledge that a religious vision is needed to ground our ethical and political stance in a "postsecular" age, this book--with a stance that is clearly materialist and at the same time indebted to the core of the Christian legacy--is certain to stir controversy. (shrink)

This paper discusses an important phase in Ludwig Wittgenstein’s analytic philosophy through a comparative examination of the profound correspondences that exist between his concept of silence and the poetics of another crucial authorial figure of the 20th century: James Joyce. Based on the hypothesis that there are striking resemblances between their early works, that is, between Joyce’s realistic short-story collection Dubliners and Wittgenstein’s Tractatus Logico-Philosophicus, the article employs mostly close-reading, analytical-interpretative and comparative methods. It argues that silence was an intentional (...) intellectual, aesthetic and ethical choice of both these authors, their way to preserve the autonomy of metaphysics and to honour the beauty of the unspoken. Starting from their common critical treatment of the habitual and largely alienated speech, the discussion connects Wittgenstein’s philosophical attitudes regarding the imprecision and inadequacy of every-day language and Joyce’s notion of ‘spiritual paralysis’ of the city-life, which he saw as the main motive for writing his collection about fin-desiècle Dublin. On the grounds of their shared views about the limits of words, behind which there are worlds that cannot be properly uttered, the idea of silence – or the highly significant narrative absence – grows to permeate the work of both. In the case of Wittgenstein, it is a call for a new philosophy, or anti-philosophy, which in negating metaphysics in effect preserves its independence from a discursive speech which cannot express it, whereas in the case of Joyce, correspondingly (and almost simultaneously), it is a quest for a new literary mode that will foreground a particular Modernist allusiveness, rhetoric of omission and deliberately incomplete, gnomonical narrative structures. (shrink)

Žižek as comedian: jokes in the service of philosophy.

A militant Marxist atheist and a "Radical Orthodox" Christian theologiansquare off on everything from the meaning of theology and Christ to the war machine of corporatemafia.

In this article, we introduce a theory on the dynamic development of affective processes, affect regulation, and the relationship between emotions and sport performance. The theory focusses on how affective processes emerge and develop during competitive sport involvement. Based on Scherer’s component process model, we postulate six components of emotion that interact with each other in a circular fashion: triggering processes, physiological reactions, action tendencies, expressive behaviors, subjective experience, and higher cognitive processes. The theory stresses the dynamics of affective processes (...) and describes the consequences for performance in competitive sports. It assumes that the peculiarities of different sports must be taken into account in order to understand the affective processes, and offers starting points on which strategies can be used to effectively regulate affective states. Consequences for research and practice are derived and discussed. To study the development of affective processes, future research should test the assumptions in ecologically valid contexts, such as real competitions or competition-like situations, using multi-component measures of emotions. (shrink)

Eleven years after Kosovo’s unilateral declaration of independence, Spain’s position vis-à-vis Kosovo has not only not varied, but it has become stronger, turning Madrid into the leader of the Kosovo non recognizers club within the EU. This paper analyses Kosovo-Spain relations in the last eleven years. More specifically, the paper examines the reasons behind the non-recognition of Kosovo and the approach of the Spanish governments toward Kosovo’s statehood. This is followed by a thorough analysis on how Kosovo’s path for self-determination (...) played a major role in Catalonia’s quest for independence in 2017. The empirical research demonstrates that Spain’s main reason not to recognise Kosovo is based on the country’s internal dynamics; namely, Catalonia and the Basque country. Likewise, the paper argues that the Spanish governments throughout the last eleven years have created an analogy between Kosovo and Catalonia; not in their political statements, but in their political decisions, by worsening the almost inexistent diplomatic relations with Kosovo, when the Catalan path for independence was at its highest peak. By the same token, the paper reveals that this position was enhanced and driven by Catalan separatism, that continuously used Kosovo’s unilateral declaration of independence as a model to further their own path for self-determination. The data provided and analysed in this paper as well as the statements made are based on desk research and seven semi-structured interviews conducted in Prishtina, Brussels, Madrid and Barcelona in 2018. (shrink)

ABSTRACT In the introduction to the 2015 reprint of her classical Partial Visions, Angelika Bammer cites the pithy injunction of the American poet and feminist thinker Adrienne Rich: “We need to imagine a world in which every woman is the presiding genius of her own body. In such a world women will truly create new life, bringing forth … the visions, and the thinking necessary to sustain, console, and alter human existence. … Sexuality, politics, intelligence, power, motherhood, work, community, intimacy (...) will develop new meaning; thinking itself will be transformed.” Based on sustaining, consoling, and radically altering the present dire state of human existence, the author leads to two sets of initial arguments: Where Are We, and What Are We Doing Wrong. What follows are samples of possible answers, perhaps representative beyond themselves. (shrink)

The paper traces a three-century-long tradition of a mistaken attribution of the Defence of Eunuchs by Theophylact of Ohrid. Since Peter Lambeck, chief librarian of the Hofbibliothek in Vienna, identified in 1671 the author of the treatise as Theodore Pedagogue, a poorly known tutor to the emperor Constantine VII Porphyrogenitus, the incorrect attribution was readily adopted and further disseminated by a series of scholars of the next generations. Although the issue of the authorship was successfully resolved as early as 1768 (...) by Angelo Bandini, head of the Laurentian Library in Florence, the information remained unfamiliar to writers of the following centuries, leaving the entrenched error to persist until the late 1970s, on the eve of the first critical editions of the Defence. The article follows the tangled history of the erroneous attribution, attempting to establish a kind of stemmatic regularity between several branches of the abortive tradition. (shrink)

Dignity is a fundamental concept, but its meaning is not clear. This paper attempts to clarify the term by analysing and reconnecting two meanings of dignity: humanitas and dignitas. Humanitas refers to citizen values that protect individuals as equal to one another. Dignitas refers to aesthetic values embedded in genres of sociality that relate to differences between people. The paper explores these values by way of an empirical ethical analysis of practices of washing psychiatric patients in nursing care. Nurses legitimate (...) the washing of reluctant patients with reference to dignity. The analysis shows the intertwinement of humanitas and dignitas that gives dignity its fundamental meaning. (shrink)

Edward Pols has made it his purpose in this perceptive study to deal with the aspects of Whitehead's philosophy that belong to traditional metaphysics. Mr. Pols closely examines Process and Reality, Whitehead's chief metaphysical work, and uses Science and the Modern World, Adventures of Ideas, and Modes of Thought to clarify difficulties with some of the doctrines in that work. Mr. Pols's primary concern is with freedom, and he uses this single theme to examine Whitehead's metaphysical system in depth.

This article seeks to highlight and present two seemingly different conceptions of the philosophy of mind belonging to Ludwig Wittgenstein and Richard Rorty. In this context, we first consider Wittgenstein’s critique of private languages, which is then used to reject and deconstitute the privacy of consciousness. In addition, the paper follows the evolving and deconstitutive character of Rorty’s philosophy of mind, showing how the American philosopher constantly defined consciousness, mind, or later selfhood – using naturalistic methods. The authors maintain and (...) justify the thesis that both philosophers have a common denominator which manifests itself in the rejection of traditional and metaphysical conceptions of consciousness and identity, but they also try to point out certain shortcomings and inconsistencies within the two conceptions of the philosophy of mind. (shrink)

Philosophy in science should be sharply distinguished from the philosophy of science. The latter offers a philosophical reflection on the method of science; the former, on the contrary, is expected to concentrate on the mutual influence between the philosophical ideas and scientific theories and practice. The papers in this book explore both the methodological niveau of the philosophy in science and some particular philosophical issues intertwined with scientific theories. Only such a combination of two perspectives may provide a comprehensive picture (...) of the methods and applications characteristic of philosophy in science. The book includes essays by Sir Roger Penrose, Joseph LeDoux, Francisco J. Ayala, and Michael Heller who won of the Templeton Prize in 2008. (shrink)

U članku se opisuje burna povijest eugenike u Sjedinjenim Državama tijekom cijelog 20. stoljeća. Premda je nacistička eugenika notornija po svojim groznim posljedicama, činjenica je da je većina američkih saveznih država imala zakone koji su dopuštali sterilizaciju “nesposobnih” i da je golem broj ljudi prisilno steriliziran. Neki su zakoni ukinuti tek 1967. ali postoje i naznake zakonodavstva o sterilizaciji koje bi mogle dopustiti zloupotrebe karakteristične za rane godine 20. stoljeća. Međutim, glavnina članka opisuje ideološke izjave najvećih američkih eugeničara poput Davenporta, (...) Laughlina, Estabrooka iz Eugenic Record Officea, Granta, Rossa i drugih, kao i socijalne motive koje su eugeniku činili tako popularnom ideologijom sve do Drugog svjetskog rata. Jedna od sugestija članka jest da su eugeničke ideje i dalje latentne u drukčijim oblicima “znanstvenog rasizma” koji traje i danas.The article describes a troubled history of eugenics in the US, from its beginnings at the end of the 19th century, through the whole of the 20th. It is a part of a larger historical study on eugenics. It focuses on Davenport, Laughlin, Estabrook and the Eugenic Record Office, on the early racist eugenicists like Grant and Ross, and on sterilization legislation in the twenties and thirties. The intention however was to put the historical debate into a contemporary context, or at least to show that some eugenic ideas have lived long after everybody thought they were dead. There are some hints and quotations that show it might still be possible to misuse sterilisation in the US today. (shrink)

Cartesianer und Wittgensteinianer diskutieren über die logischen Grundlagen der Empfindungssprache. Mit einem Gedankenexperiment suggeriert der Cartesianer die Notwendigkeit, "private Objekte" anzunehmen. Der Wittgensteinianer deckt die "grammatische Täuschung" auf, der der Cartesianer dabei unterliegt. Nun sucht dieser, seinen Ansatz zu retten, indem er die Empfindungen des anderen als "theoretische Entitäten" (etwa im Rahmen der Himphysiologie) konstruiert: Neucartesianismus. Bestimmte empirische Befunde könnten ihn dabei aber in das Dilemma bringen, entweder seine Theorie oder seine "natürliche Einstellung" zum anderen Menschen aufzugeben. Allerdings bleibt auch (...) dem Wittgensteinianer ein ähnliches Dilemma letztlich nicht erspart. (shrink)

In medicine, professional behavior and ethics are often rule-based. We assessed whether instruction on formal criteria of authorship affected the decision of students about authorship dilemmas and whether they perceive authorship as a conventional or moral concept. A prospective non-randomized intervention study involved 203s year medical students who did (n = 107) or did not (n = 96) received a lecture on International Committee of Medical Journal editors (ICMJE) authorship criteria. Both groups had to read 3 vignettes and answer 4 (...) questions related to the distinction between conventional and moral domains. Written justification of student’ choices whether the authorship in a vignette was right or wrong was rated by 4 independent raters as based on justice or a rule. Formal instruction had no effect on students’ decisions on authorship in the vignettes (44, 34 and 39% ICMJE-consistent answers for 3 vignettes, respectively, by students receiving instruction vs. 38, 42 and 30% for those without instruction; P > 0.161 for all vignettes). For all dilemmas, more students decided contrary to ICMJE criteria and considered their decisions to be a matter of obligation and not a choice and to be general across situations and sciences. They were willing to change their decision if a rule was different only for peer situations but not for mentor–mentee situations. The number of students who used rule-based justification of their ICMJE criteria-consistent decisions was significantly higher in the instructed than in the uninstructed group. Instruction about formal authorship criteria had no effect on student’s decisions about authorship dilemmas and their decisions were related to the moral rather than a conventional domain. Teaching about authorship and other professionalism and integrity issues may benefit from interventions that bring intuitive processes into awareness instead of those fostering rule-based reasoning. (shrink)

We study a strengthening of the notion of a perfectly meager set. We say that a subset A of a perfect Polish space X is countably perfectly meager in X, if for every sequence of perfect subsets $\{P_n: n \in \mathbb N\}$ of X, there exists an $F_\sigma $ -set F in X such that $A \subseteq F$ and $F\cap P_n$ is meager in $P_n$ for each n. We give various characterizations and examples of countably perfectly meager sets. We prove (...) that not every universally meager set is countably perfectly meager correcting an earlier result of Bartoszyński. (shrink)