This theory accords to volitions the status of basic mental actions, maintaining that these are spontaneous exercises of the will--a "two-way" power which ...

Unhealthy lifestyle contributes significantly to the burden of disease. Scarce medical resources that could alternatively be spent on interventions to prevent or cure sufferings for which no one is to blame, are spent on prevention or treatment of disease that could be avoided through individual lifestyle changes. This may encourage policy makers and health care professionals to opt for a criterion of individual responsibility for medical suffering when setting priorities. The following article asks whether responsibility-based reasoning should be accepted as (...) relevant for fair and legitimate healthcare rationing. The luck-egalitarian argument that inequalities in health expectancies that derive from unchosen features of people’s circumstances are unjust and should be compensated, while inequalities that reflect personal choices of lifestyle may not, is discussed. It seems that while a backward-looking interpretation of individual responsibility cannot be relevant as a criterion of priority setting, a forward-looking conception of responsibility may be approved.Within all modern societies healthcare authorities are facing difficult priority setting problems. Various criteria for rationing medical intervention have been proposed due to scarcity of resources. Until now, individual responsibility for medical suffering has been given little attention in the public or in academic debate. This is about to change. As Alexander Cappelen and Ole Norheim have pointed out in a recent article in this journal, unhealthy lifestyle contributes increasingly to the burden of disease. A better understanding of the responsibility argument is important for the assessment of policies aimed at meeting this challenge.1 In this article the following question is addressed: should responsibility-based arguments be accepted as relevant to meeting healthcare rationing fairly and legitimately? I will argue that while a backward-looking conception of individual responsibility should not be endorsed, a forward-looking notion of responsibility may be approved. (shrink)

We analyse the system of ethical review of human research in the Baltic States by introducing the principle of equivalent stringency of ethical review, that is, research projects imposing equal risks and inconveniences on research participants should be subjected to equally stringent review procedures. We examine several examples of non-equivalence or asymmetry in the system of ethical review of human research: (1) the asymmetry between rather strict regulations of clinical drug trials and relatively weaker regulations of other types of clinical (...) biomedical research and (2) gaps in ethical review in the area of non-biomedical human research where some sensitive research projects are not reviewed by research ethics committees at all. We conclude that non-equivalent stringency of ethical review is at least partly linked to the differences in scope and binding character of various international legal instruments that have been shaping the system of ethical review in the Baltic States. Therefore, the Baltic example could also serve as an object lesson to other European countries which might be experiencing similar problems. (shrink)

In this paper, I first of all define various kinds of ontological dependence, motivating these definitions by appeal to examples. My contention is that whenever we need, in metaphysics, to appeal to some notion of existential or identity-dependence, one or other of these definitions will serve our needs adequately, which one depending on the case in hand. Then I respond to some objections to one of these proposed definitions in particular, namely, my definition of (what I call) essential identity-dependence. Finally, (...) I show how a similar approach can be applied in the theory of truthmaking, by offering an account of the truthmaking relation which defines it in terms of a type of essential dependence. I also say why I think that this approach is preferable to one which treats the truthmaking relation as primitive. More generally, my view is that accounts of dependence or ‘grounding’ which treat these notions as primitive are less satisfactory than my own position, which is that in all cases a suitable definition is forthcoming if we look hard enough. (shrink)

Background Informed consent is a requirement for all research. It is not, however, clear how much information is sufficient to make an informed decision about participation in research. Information on an online questionnaire about childhood development was provided through an unfolding electronic participant sheet in three levels of information. Methods 552 participants, who completed the web-based survey, accessed and spent time reading the participant information sheet (PIS) between July 2008 and November 2009. The information behaviour of the participants was investigated. (...) The first level contained less information than might be found on a standard PIS, the second level corresponded to a standard PIS, and the third contained more information than on a standard PIS. The actual time spent on reading the information provided in three incremental levels and the participants' evaluation of the information were calculated. Results 77% of the participants chose to access the first level of information, whereas 12% accessed the first two levels, 6% accessed all three levels of information and 23% participated without accessing information. The most accessed levels of information were those that corresponded to the average reading times. Conclusion The brief information provided in the first level was sufficient for participants to make informed decisions, while a sizeable minority of the participants chose not to access any information at all. This study adds to the debate about how much information is required to make a decision about participation in research and the results may help inform the future development of information sheets by providing data on participants' actual needs when deciding about questionnaire surveys. (shrink)

Bioethics, Volume 36, Issue 2, Page 201-209, February 2022.

Modern societies depend on a growing production of scientific knowledge, which is based on the functional differentiation of science into still more specialised scientific disciplines and subdisciplines. This is the basis for the paradox of scientific expertise: The growth of science leads to a fragmentation of scientific expertise. To resolve this paradox, the present paper investigates three hypotheses: 1) All scientific knowledge is perspectival. 2) The perspectival structure of science leads to specific forms of knowledge asymmetries. 3) Such perspectival knowledge (...) asymmetries must be handled through second order perspectives. We substantiate these hypotheses on the basis of a perspectivist philosophy of science grounded in Peircean semiotics and autopoietic systems theory. Perspectival knowledge asymmetries are an unavoidable and necessary part of the growth of scientific knowledge, and more awareness of this fact can help avoid blind and futile struggles between scientific perspectives, and direct efforts toward more appropriate ways of handling these fundamental knowledge asymmetries. Concretely, we show how different kinds of scientific knowledge, expertise, disagreement and learning can be correlated to the perspectival structure of science, and propose how polyocular communication based on observations of the observations made by specialised perspectives can be used to handle such perspectival knowledge asymmetries. This can help overcome the observed problems in carrying out cross-disciplinary research and in the collective use of different kinds of scientific expertise, and thereby make society better able to solve complex, real-world problems. (shrink)

After recognizing that technologies are socially constructed, questions arise concerning how technologies should be constructed, by what processes, and granting how much influence to whom. Because partisanship, uncertainty, and disagreement are inevitable in trying to answer these questions, reconstructivist scholarship should embrace the desirability of thoughtful partisanship, should focus on strategies for coping intelligently with uncertainties, and should make central the study of social processes for coping with disagreement regarding technoscience and its utilization. That often will entail siding with have-nots, (...) meaning that reconstructivist scholars often will be opposing the behaviors of government, business, and technoscientific elites. Because reconstructivists normally will be outnumbered, we need to devote more systematic professional attention to setting our collective agenda concerning what is most worth researching. (shrink)

Clinical diagnostic medicine is an experimental science based on observation, hypothesis making, and testing. It is an use dynamic process that involves observation and summary, diagnostic conjectures, testing, review, observation and summary, new or revised conjectures, i.e. it is an iterative process. It can then be said that diagnostic hypotheses are also ‘observation-laden’. My aim is to enlarge on the strategies of medical diagnosis as these are meshed in training and clinical experience—that is, to describe the patterns of reasoning used (...) by experienced clinicians under different diagnostic circumstances and how these patterns of inquiry allow further insight into the evaluation and treatment of patients. I do not aim to present a theory and illustrate it with examples; I wish rather am to let a realistic example, similar to actual clinical scenarios, direct the exposition. To this end, I introduce an account of medical diagnosis—briefly comparing and contrasting it to other accounts—in order to focus on discussing the process of diagnosis through a detailed clinical case. (shrink)

This paper assesses several prominent recent attacks on the view that epistemic justification is conceptually prior to knowledge. I argue that this view—call it the Received View (RV)—emerges from these attacks unscathed. I start with Timothy Williamson’s two strongest arguments for the claim that all evidence is knowledge (E>K), which impugns RV when combined with the claim that justification depends on evidence. One of Williamson’s arguments assumes a false epistemic closure principle; the other misses some alternative (to E>K) explanations of (...) a putative fact about the evidence a particular subject has. Next, I neutralize each of Jonathan Sutton’s three recent arguments to the conclusion that any justified belief constitutes knowledge. Finally, I consider a recent analysis of justification due to Alexander Bird, according to which justified belief is possible knowledge. I argue that Bird’s analysis delivers neither a sufficient nor (more importantly) a necessary condition for justification. [Word count: 149]. (shrink)

"This comprehensive and illuminating collection of essays by Errol E. Harris covers the entire range of Hegel's philosophy, emphasizing Hegel's contemporary relevance, elucidating difficult and controversial questions, and revealing Hegel's insight into key philosophical problems. It presents Hegel's philosophy as consistent, credible, and prophetic in its anticipation of modern scientific developments." "Professor Harris concentrates on key points of controversy and attempts to resolve them by stressing the prevailing consistency of Hegel's thought, interpreted as realistic holism. In this context Harris explains (...) Hegel's idealism as objective, in a way that reconciles the earlier oppositions of idealism to realism, rationalism to empiricism, and reason to revelation." "Much space and discussion is given to Hegel's Philosophy of Nature as the crucial issue in judging whether Hegel is a pure idealist, or is a realist in the same sense and to the same degree as A. N. Whitehead. The final chapter compares the philosophies of Hegel and Whitehead to throw light on this question and to underline the book's two main purposes: to highlight Hegel's contemporary relevance and to insist on the essential realism of this thought." "Key questions, such as those of the body-mind relationship, political liberalism, international relations, and the so-called end of history, are addressed in the course of what amounts to a general presentation of the character and scope of Hegel's philosophy."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved. (shrink)

Rescher has presented a proof that a completed science is logically impossible; not every truth can be known. I show that the proof is valid only if it is read de re. One of its premises, however, is an obvious truth only on a de dicto reading; read de re it is false. What the proof shows, therefore, is that science has no limits and any true proposition can be known. We can, however, know it only in the meagre de (...) re, and not in the informationally rich de dicto, sense of 'know'. (shrink)

David Ricardo was a hugely influential British political economist and stock trader. This volume, first published in 1923, contains five important pamphlets published by him, edited and with an overarching introductory essay by E. C. K. Gonner. Each essay relates either to monetary and financial subjects - including the high price of Bullion, monetary theory and the position of the Bank of England - or to the agricultural conditions of Britain and proposed solutions to the problems discussed. This is a (...) fascinating and detailed work, which will be of great value to those with an interest in Ricardo’s theories and British economic history. (shrink)

Contemporary privacy theories and European discussions about data protection employ the notion of ‘personal information’ to designate their areas of concern. The notion of personal information is demarcated from non-personal information—or just information—indicating that we are dealing with a specific kind of information. However, within privacy scholarship the notion of personal information appears undertheorized, rendering the concept somewhat unclear. We argue that in an age of datafication, protection of personal information and privacy is crucial, making the understanding of what is (...) meant by ‘personal information’ more important than ever. To contribute to this aim, we analyse the conception of personal information and its nature, including the distinction between personal and non-personal information from a philosophy of language perspective. Through analyses of aboutness and relative aboutness we point to challenges related to the demarcation between personal and non-personal information, which may in practice lead to all information being personal. (shrink)

The ‘liberal utopia’ presented by Richard Rorty in Contingency, Irony, and Solidarity is a unique attempt to address the ancient problem of the relationship between individual and society or, in Rorty's terms, that between the private and the public. This article examines Rorty's influential conception of education and asks: can his book be regarded as utopian? Is it possible to establish an education for democracy on his ‘postmodern’ premises? I conclude that Rorty's attempt to separate private from public and to (...) promote a fusion between irony and solidarity is tantamount to founding human existence on an aestheticising orientation. This entangles Rorty in self-contradiction and raises educational and political problems which remain unresolved. (shrink)

Memoirs and papers presented at a conference held on the occasion of the 90th birthday of the Mongolian philosopher Ts. Balkhaajav.

RESUMO Neste trabalho, proponho uma leitura de aspectos discursivos do curta-metragem de ficção Recife frio, de Kleber Mendonça Filho, com o objetivo de refletir sobre como a hibridização de gêneros na obra, decorrente da presença de gêneros intercalados no filme, cria sentidos e provoca determinada postura na interlocução com os espectadores. Para tanto, discuto alguns conceitos-chave da teoria bakhtiniana, descrevo momentos específicos do curta-metragem e proponho análises pontuais de determinadas cenas ou sequências. A forma de diálogo com o corpus segue (...) os pressupostos da poética sociológica que perpassa as discussões empreendidas por Bakhtin e pelos demais pesquisadores do Círculo. As reflexões apresentadas apontam para um jogo de cena entre ficção e realidade, que, no curta, são acionados pela presença de elementos que podem ser associados ao gênero documentário. ABSTRACT This paper proposes a reading of discursive aspects in Recife Frio, a short film by Kleber Mendonça Filho. It aims at reflecting on how genre hybridization, which results from the presence of incorporated genres, creates meanings and provokes certain attitudes in the interaction between film and spectators. To do so, I discuss some key concepts of Bakhtinian theory, describe specific moments of the short film, and finally conduct a pointed analysis of specific scenes or sequences. This form of dialogue with the corpus follows the assumptions of the sociological poetics that traverse the discussions done by Bakhtin and the other researchers of the Circle. These reflections point to a play between fiction and reality, which in the film is triggered by the presence of elements that may be associated to the documentary genre. (shrink)

This book explores numerous ways in which vulgar language, grotesque appearances, and horrific experiences affect us in our relationships with others and with ourselves. Its compelling case studies and revealing interviews bring together ideas and issues that are a lingering, but unexplored, focus in psychotherapy literature. The grotesque and the vulgar are major inhabitants of the vast unconscious. Their variations and haunting presence are anticipated and reflected in the transactions of everyday life. So too do they manifest themselves in our (...) social institutions, maintaining their presence in the seven lively arts as much as in mental hospitals, rehabilitation facilities, and psychotherapy practices. Most of all, the grotesque and vulgar challenge the contemporary search for meaning and sanity. This book will help the psychotherapist better deal with the rich soil of grotesqueness and vulgarity in the interplay between the psychotherapy patient and the experiential world. Reading it will open new vistas of treatment possibilities. As each contributing author explores the potentialities and obstacles inherent in the competing and complementing forces of the grotesque and socially condoned sensibilities, you will learn about the value of the grotesque in the consultation room. You will further learn how the flaunted and unconscious vulgarities of everyday life enrich the creative vision inherent in therapeutic conversations. Most important, you will be challenged by what it means to abide with the sometimes pesky vulgar and grotesque guises in each of your client's lives. Here's a sample of what you'll find in Inhabitants of the Unconscious: The Grotesque and the Vulgar in Everyday Life: Louis Fierman's recollection of his treatment of a Nazi soldier, which offers fascinating therapeutic possibilities when issues of the grotesqueare at hand an extraordinary analysis of the role of the grotesque in artwork, with special attention paid to the work of Hieronymus Bosch a fascinating look at Sigmund Freud's perspective on the grotesque&#; and what it says about Freud himself the remarkable formative experiences of children with craniofacial difference &#;an exposition that will enrich your therapeutic interventions with children and adolescents who face atypical challenges extraordinary case studies&#;by Robert Marchesani about his therapeutic endeavors with a Vietnam veteran caught in the aftermath of his incestuous past and by E. Mark Stern about a dying woman who was unable to detach from, but ultimately vivified by an unyielding masochistic fixation. (shrink)

OBJECTIVES: To analyse the attitudes of medical personnel towards terminally ill patients and their right to be fully informed. DESIGN: Self-administered questionnaire composed of 56 closed questions. SETTING: Three general hospitals and eleven health centres in Granada (Spain). The sample comprised 168 doctors and 207 nurses. RESULTS: A high percentage of medical personnel (24.1%) do not think that informing the terminally ill would help them face their illness with greater serenity. Eighty-four per cent think the patient's own home is the (...) best place to die: 8.9% of the subjects questioned state that the would not like to be informed of an incurable illness. CONCLUSION: In our opinion any information given should depend on the patient's personality, the stage of the illness and family circumstances. Our study confirms that a hospital is not the ideal environment for attending to the needs of the terminally ill and their families. (shrink)

This paper argues that Cicero develops a new view of the state as a partnership in his work De republica. Like any other partnership, the Roman state is upheld by the agreement of its members and an allocation of rewards that is proportionate to the contributions. Cicero sketches an outline of this view in his definition of this state. By focusing on how Cicero uses the definition in the construction of his argument, the paper attempts to uncover a detailed view (...) of the state as a partnership. The ancestral Roman constitution, Cicero argues, surpasses all other constitutions in offering the best division of contributions and rewards. Although the state is held together by the agreement of the whole people, there is an enormous disparity in the assessment of contributions and rewards among different social groups. (shrink)

Cet ouvrage se propose de mener l'enquête tant sur les accusations de scepticisme et sur les modes de défenses spécifiques que ces dernières imposent de mettre en place, que sur la façon dont les mêmes arguments circulent et peuvent servir à des projets contraires. Cette perspective polémique permet ainsi de s'interroger sur les étiquettes philosophiques, sur la circulation des arguments, et sur leur force et leur portée, non seulement au sein du corpus sceptique, mais aussi à l'intérieur des systèmes sommés (...) de répondre aux questions qu'ils posent."--Page 4 of cover. (shrink)

In this short but intriguing book, Elisabeth Ellis tackles the problem that our political language is misleadingly full of clashes between conclusive political principles, when in fact our political actions necessarily take place in a world too complex and changing for such fixed answers. Drawing upon the work of Immanuel Kant, Ellis proposes to clarify our political talk and reasoning by replacing the language of conclusive principles with that of provisional reasoning. It is the aim of the book to describe (...) a theory of provisional politics derived from Kant's political writings, to show that provisional reasoning is a better tool for modern-day democratic politics than conclusive reasoning, and to demonstrate the effectiveness of provisional reasoning about political policies through a series of case studies of contemporary political issues.According to Ellis, to theorize provisionally is to "always leave open the possibility of entering into a rightful condition" . In particular, provisional theory takes as a given that agency and plurality are basic conditions of politics—not that they are "absolute precepts," but rather "conditions of principled political action as such" . Throughout the book, Ellis evaluates the merit of. (shrink)