Artificial intelligence is currently changing many areas of society. Especially in health, where critical decisions are made, questions of control must be renegotiated: who is in control when an automated system makes clinically relevant decisions? Increasingly, the concept of meaningful human control (MHC) is being invoked for this purpose. However, it is unclear exactly how this concept is to be understood in health. Through a systematic review, we present the current state of the concept of MHC in health. The results (...) show that there is not yet a robust MHC concept for health. We propose a broader understanding of MHC along three strands of action: enabling, exercising and evaluating control. Taking into account these strands of action and the established rules and processes in the different health sectors, the MHC concept needs to be further developed to avoid falling into two gaps, which we have described as theoretical and labelling gaps. (shrink)

Socially responsible business and ethical behaviour of companies have been of interest to academia and practice for decades. But the focus has almost exclusively been on large corporations while small- and medium-sized enterprises (SME) have not received as much attention. Thus, this paper focuses on socially responsible business practices of SME entrepreneurs or owner–managers in Germany. Based on the assumption that decision-makers in SMEs are the central point where all business activities start, members of a German entrepreneurs association were approached (...) in the course of a qualitative and quantitative survey. They were asked to assess in what way their social responsibility is expressed in specific management practices towards selected stakeholder groups. These practices in turn were assumed to result in perceived positive reactions of the respective stakeholders and subsequently to positively influence the firm's financial performance, i.e. cost reductions and increase in profits. In the paper, a research model is presented that elaborates the relationship between an SME executive's social responsibility and the value creation of a firm, i.e. whether (personal) values create (economic) value. It was found that socially responsible management practices towards employees, customers and to a lesser extent society have a positive impact on the firm and its performance. As such, values can create additional value. (shrink)

Is there a fundamental difference between practical and theoretical knowledge? The thesis, going back to Gilbert Ryle, that "knowing-how" is an independent form of knowledge manifesting itself in practical abilities that cannot be reduced to "knowing-that" (propositional knowledge) is a heated topic of debate in contemporary philosophy. This book presents an analysis of practical knowledge understood as an independent form of knowledge with systematic connections to knowledge, thought, and action.

Is musical practice 'real' - and how is it connected with everyday life? Eva-Maria Houben shows that making music changes as soon as its meaning is not sought in a purpose-oriented production of results, but in performing music as an activity - indeed, as play. Musical practice, Eva-Maria Houben contends, should be understood as open and never finished. Such an emphasis on repetition can free us from perfection, productivity, and purpose, allowing meaning to unfold in specific situations, places, (...) and relationships. Thus understood, musical practice can become a form of life and a reality in its own right. (shrink)

Telepsychiatry has long been discussed as a supplement to or substitute for face-to-face therapeutic consultations. The current pandemic crisis has fueled the development in an unprecedented way. More and more psychiatric consultations are now carried out online as video-based consultations. Treatment results appear to be comparable with those of face-to-face care in terms of clinical outcome, acceptance, adherence and patient satisfaction. However, evidence on videoconferencing in a variety of different fields indicates that there are extensive changes in the communication behaviour (...) in online conversations. We hypothesise that this might impact ethically relevant aspects of the therapeutic relationship, which plays a prominent role in psychiatry. In this paper, we review effects of video-based consultations on communication between therapists and patients in psychiatry. Based on a common understanding of video-based consultations as changing the lived experience of communication, we categorise these effects according to sensory, spatial and technical aspects. Departing from a power-based model of therapeutic relationships, we then discuss the ethical significance of this changed communication situation, based on dimensions of respect for autonomy, lucidity, fidelity, justice and humanity. We conclude that there is evidence for ethically relevant changes of the therapeutic relationship in video-based telepsychiatric consultations. These changes need to be more carefully considered in psychiatric practice and future studies. (shrink)

Empathy as “Feelingly Grasping” Perhaps the central question concerning empathy is if and if so how it combines aspects of thinking and feeling. Indeed, the intellectual tradition of the past centuries has been marked by a dualism. Roughly speaking, there have been two pathways when it comes to understanding each other: 1) thinking or mind reading and 2) feeling or empathy. Nonetheless, one of the ongoing debates in psychology and philosophy concerns the question whether these two abilities, namely, understanding what (...) the other is thinking and “understanding” what the other is feeling, are separate or not. Most of the authors in this volume consider the cognitive and affective dimensions at work within empathy. Each author does this within and beyond their own field. Coming from the humanities, we propose the following definition for empathy: Empathy is a social feeling that consists in feelingly grasping or retracing the present, future, or past emotional state of the other; thus empathy is also called a vicarious emotion. We would like to highlight two aspects of this definition in particular: 1.) the peculiar position of “grasping” which involves a cognitive dimension and 2.) the social dimensions of relating to the emotions of another human being. (shrink)

Gibt es eine weibliche bzw. männliche Moral? Orientiert sich das Moralverhalten beider Geschlechter tatsächlich tendenziell an unterschiedlichen Wertvorstellungen? Diese in den letzten Jahren leidenschaftlich und äußerst kontrovers diskutierte Frage beantwortet Eva-Maria Schwickert aus der Perspektive der philosophischen Ethik. Im Blickpunkt des Interesses stehen die begriffliche Bestimmung und die moralische Legitimation beider Orientierungen. Den von Carol Gilligan erhobenen Vorwurf, die "männliche" Gerechtigkeitsmoral sei zu sehr auf Prinzipien konzentriert, findet die Autorin bestätigt und schlägt vor, das Defizit der Gerechtigkeits- durch die (...) Fürsorgeethik auszugleichen. Ziel des gesuchten Ausgleichs ist ein Vermittlungsmodell, das den berechtigten Einwänden Gilligans Rechnung trägt und dennoch nicht auf eine Prinzipienorientierung verzichtet. Das Ergebnis der Studie präsentiert sich als Brückenschlag zwischen der Kantischen Vernunftethik Kohlbergs einerseits und der Aristotelischen Wertethik Gilligans andererseits. Beide Ethiktypen – die der Gerechtigkeit und die der Fürsorge – fordern sich wechselseitig. Gemessen an diesem vertieften Ethikverständnis stellt sich das weibliche Zögern, ein moralisches Urteil zu fällen, nicht mehr als Ausdruck eines unzureichenden Prinzipienbewußtseins, sondern als das eines verantwortungsethisch reflektierten Urteilsvermögens dar. Die Untersuchung spannt einen Bogen zwischen hermeneutischen und ethischen ebenso wie zwischen historischen und systematischen Fragestellungen. Darüber hinaus bietet sie einen Einblick in die aktuelle Diskussion der Diskursethik. (shrink)

The global challenge of climate change presents a daunting task that requires human thinking and ingenuity. In this context, stories, narratives, and images can provide incentives for the imagination, essential in grappling with the complex perplexities of abstract dimensions while also anchoring thinking in human spatial and temporal existence.

Infants who suffer severe neglect fail to thrive emotionally as well as bodily. The absence of early coexistential structures that provide well-being leads to a narrowing of the child's perceptual and social developmental horizon. What is the nature of these early structures? In this essay, an ontology of well-being or housedness is elaborated through phenomenological reflections on breast-feeding and infant perception. Merleau-Ponty's ontology of the flesh makes a contribution to the ontology of well-being: it gives us a conceptual and evocative (...) language to describe human existence in its pre-verbal, syncretic, and non-dualistic manifestations. It also allows for a re-evaluation and re-interpretation of the results of current research in infant perception. Through the structures of infant perception we perceive the coexistential fit between infants, other human beings, and the world of things. An infant's fundamental housedness in the flesh is taken up and cultivated or destroyed by the child's social and cultural environment. (shrink)

>Anger shame< are exemplary emotions in the ancient reflections concerning the relation between emotions, the good and the just as well as the relation between emotions and reason. It is shown that these emotions have a regulative function for the community in the ancient world. But they have also quite an important function for becoming an autonomous self and even for the change in character of a self. It is then shown in interpreting the notions of anger and shame in (...) Augustine's writings in how far this changes for late antiquity. Emotions have still a function in relation to the just but only a marginal one to the good, and none for the developing of a self or for reasonable actions. They also do regain a cognitive function in the Middle Ages as is shown in an exemplary way in Thomas Aquinas' writings on emotions, the function they had in relation to the just is of no great importance anymore. It is then interesting to see that also a theory of emotions, as Thomas Aquinas developed is a theory that might be compared with modern theories of emotions, one has to look back to the ancient reflections on shame and the good in order to understand more fully what an author like Imre Kertész being a survivor of German concentration camps writes on shame and the good in his novels. (shrink)

Review of "Maß und Eigensinn. Studien im Anschluß an Georges Canguilhem“, ed. by Cornelius Borck, Volker Hess and Henning Schmidgen, München (Fink Verlag) 2005.".