Evaluating clinical ethics support services has been hailed as important research task. At the same time, there is considerable debate about how to evaluate CESS appropriately. The criticism, which has been aired, refers to normative as well as empirical aspects of evaluating CESS. In this paper, we argue that a first necessary step for progress is to better understand the intervention in CESS. Tools of complex intervention research methodology may provide relevant means in this respect. In a first step, we (...) introduce principles of “complex intervention research” and show how CESS fulfil the criteria of “complex interventions”. In a second step, we develop a generic “conceptual framework” for “ethics consultation on request” as standard for many forms of ethics consultation in clinical ethics practice. We apply this conceptual framework to the model of “bioethics mediation” to make explicit the specific structural and procedural elements of this form of ethics consultation on request. In a final step we conduct a comparative analysis of two different types of CESS, which have been subject to evaluation research: “proactive ethics consultation” and “moral case deliberation” and discuss implications for evaluating both types of CESS. To make explicit different premises of implemented CESS interventions by means of conceptual frameworks can inform the search for sound empirical evaluation of CESS. In addition, such work provides a starting point for further reflection about what it means to offer “good” CESS. (shrink)

What's wrong with joining corona parties? In this article, I defend the idea that reasons to avoid such parties come in degrees. I approach this issue from a participation-based perspective. Specifically, I argue that the more people are already joining the party, and the more likely it is that the virus will spread among everyone, the stronger the participation-based reason not to join. In defense of these degrees, I argue that they covary with the expression of certain attitudes.

Of all the attitudes and theories associated with or identified as "pacifism," only the doctrine that everyone ought not to resist violence with force is of philosophical interest, And it is logically incoherent. Pacifism's popularity rests on confusions about what the doctrine really is. If we have rights, We have the right to prevent infringements upon them. We have the right to use force to protect our rights, And in the degree necessary to accomplish that end. (staff).

Hilbert's axiomatization program of physical theories met an interesting challenge when it confronted the rise of quantum mechanics in the mid-twenties. The novelty of the mathematical apparatus of the then newly born theory was to be matched only by its substantial lack of any definite physical interpretation. The early attempts at axiomatization, which are described here, reflect all the difficulty of the task faced by Jordan, Hilbert, von Neumann and others. The role of von Neumann is examined in considerable detail (...) as he can be viewed here as the most outstanding of Hilbert's heirs. Von Neumann, especially in his work devoted to the proof of the impossibility of hidden variables, not only continued Hilbert's program but pushed it to its very limits, blending axiomatic rigor and interpretative commitment. (shrink)

This paper explores the fact that linear opinion pooling can be represented as a Bayesian update on the opinions of others. It uses this fact to propose a new interpretation of the pooling weights. Relative to certain modelling assumptions the weights can be equated with the so-called truth-conduciveness known from the context of Condorcet's jury theorem. This suggests a novel way to elicit the weights.

This article analyses domestic and foreign reactions to a 2008 report in the British Medical Journal on the complementary and, as argued, synergistic relationship between palliative care and euthanasia in Belgium. The earliest initiators of palliative care in Belgium in the late 1970s held the view that access to proper palliative care was a precondition for euthanasia to be acceptable and that euthanasia and palliative care could, and should, develop together. Advocates of euthanasia including author Jan Bernheim, independent from but (...) together with British expatriates, were among the founders of what was probably the first palliative care service in Europe outside of the United Kingdom. In what has become known as the Belgian model of integral end-of-life care, euthanasia is an available option, also at the end of a palliative care pathway. This approach became the majority view among the wider Belgian public, palliative care workers, other health professionals, and legislators. The legal regulation of euthanasia in 2002 was preceded and followed by a considerable expansion of palliative care services. It is argued that this synergistic development was made possible by public confidence in the health care system and widespread progressive social attitudes that gave rise to a high level of community support for both palliative care and euthanasia. The Belgian model of so-called integral end-of-life care is continuing to evolve, with constant scrutiny of practice and improvements to procedures. It still exhibits several imperfections, for which some solutions are being developed. This article analyses this model by way of answers to a series of questions posed by Journal of Bioethical Inquiry consulting editor Michael Ashby to the Belgian authors. (shrink)

This paper discusses ἐπιβολαὶ τῆς διανοίας, which later Epicureans are supposed to have elevated to a fourth criterion of truth to complement perceptions, preconceptions and feelings. By examining Epicurus’ extant writings, the paper distinguishes three different senses of the term: ‘thought in general’, ‘act of attention’ and ‘mental perception’. It is argued that only the sense ‘mental perception’ yields a plausible reading of ἐπιβολαί as a criterion of truth. The paper then turns to the textual evidence on ἐπιβολαί in later (...) authors. While the term ἐπιβολή is not used by Cicero, Lucretius and Philodemus in the sense of mental perception, it is argued that this still is the most plausible way of understanding ἐπιβολή as a criterion of truth. (shrink)

Die leitende These der Untersuchung lautet, dass der von Berkeley inaugurierte und uneingeschränkt verteidigte Idealismus bei Kant und Schopenhauer eine spannungsreiche Bewegung der Problematisierung und Kritik freisetzt. In der bisherigen Forschung wurden die Positionen George Berkeleys, Immanuel Kants und Arthur Schopenhauers noch nicht systematisch miteinander verglichen. Die Entwicklungsgeschichte des Idealismus erstmals anhand dieser drei Referenzautoren zu dokumentieren, bildet das zentrale Thema der Untersuchung, das die detaillierten Einzeluntersuchungen organisch verbindet. Darüber hinaus ist es ein eminentes Beweisziel der vorliegenden Monographie, Berkeley als (...) einen beeindruckend konsequenten Denker zu erschließen, dessen Immaterialismus sowohl argumentationstheoretisch wie historisch rekonstruiert wird. Insgesamt möchte die Monographie dazu beitragen, die gängige Oppositionsbildung zwischen dem britischen Empirismus auf der einen Seite und der deutschsprachigen Transzendentalphilosophie auf der anderen Seite zu hinterfragen. Die Relevanz und Originalität des Buches beruht dabei nicht nur in der Zusammenführung dieser bislang separat behandelten Traditionslinien, sondern zugleich in der Profilierung einer idealistischen Metaphysik. (shrink)

This paper develops a probabilistic reconstruction of the No Miracles Argument in the debate between scientific realists and anti-realists. The goal of the paper is to clarify and to sharpen the NMA by means of a probabilistic formalization. In particular, we demonstrate that the persuasive force of the NMA depends on the particular disciplinary context where it is applied, and the stability of theories in that discipline. Assessments and critiques of "the" NMA, without reference to a particular context, are misleading (...) and should be relinquished. This result has repercussions for recent anti-realist arguments, such as the claim that the NMA commits the base rate fallacy. It also helps to explain the persistent disagreement between realists and anti-realists. (shrink)

In the literature, regress arguments often take one of two different forms: either they conclude that a given solution fails to solve any problem of a certain kind (the strong conclusion), or they conclude that a given solution fails to solve all problems of a certain kind (the weaker conclusion). This gives rise to a logical problem: do regresses entail the strong or the weaker conclusion, or none? In this paper I demonstrate that regress arguments can in fact take both (...) forms, and clearly set out the logical difference between them. Throughout the paper, I confine myself to metaphysical examples from the early Russell. Only now that we know they are valid can we start to discuss whether they are sound. (shrink)

Non-invasive brain stimulation promises innovative experimental possibilities for psychology and neurosci- ence as well as new therapeutic and palliative measures in medicine. Because of its good risk–benefit ratio, non-invasiveness and reversibility as well as its low effort and cost it has good chances of becoming a wide- spread tool in science, medicine and even in lay use. While most issues in medical and research ethics such as informed consent, safety, and potential for misuse can be handled with manageable effort, the (...) real promise of brain stimulation does raise one prominent moral worry: it may lay the foundation of reliable, precise and stable manipulations of the mind. This article addresses this worry and concludes that it is not the possibility of manipulation, but the shift in our understanding of our mind which stands in need of careful consideration. (shrink)

This book deals with the history of the problem whether or not time can fully exist without the mind. This has been a vital issue in the philosophy of time, with intriguing arguments and solutions, from Aristotle to the present.

In this paper we study the relativized Lascar Galois group of a strong type. The group is a quasi-compact connected topological group, and if in addition the underlying theory T is G-compact, then the group is compact. We apply compact group theory to obtain model theoretic results in this note. -/- For example, we use the divisibility of the Lascar group of a strong type to show that, in a simple theory, such types have a certain model theoretic property that (...) we call divisible amalgamation. -/- The main result of this paper is that if c is a finite tuple algebraic over a tuple a, the Lascar group of stp(ac) is abelian, and the underlying theory is G-compact, then the Lascar groups of stp(ac) and of stp(a) are isomorphic. To show this, we prove a purely compact group-theoretic result that any compact connected abelian group is isomorphic to its quotient by every finite subgroup. -/- Several (counter)examples arising in connection with the theoretical development of this note are presented as well. For example, we show that, in the main result above, neither the assumption that the Lascar group of stp(ac) is abelian, nor the assumption of c being finite can be removed. (shrink)

The article investigates how two different conceptions of the edifying potential of education attempt to take into account the normative dimension of scientific knowledge. In the first conception it is the demand for truth that is edifying, whereas in the second concept it is a distinctively ethical demand. It is argued that the first concept in the end implies the subjection of education to the ‘brutality of facticity’, under which it risks losing its critical point. The second conception, drawing on (...) Levinas and Arendt, tries to safeguard this critical point. It conceives education as a process through which scientific knowledge is made subject to reflection, and is thus confronted with the ethical challenges and demands of society. (shrink)

An inquiry into the bioethical or ethical component of post-humanism can be through the question of sex. Following from Manoj’s idea of a cyborg as having a “sexless” possibility, this paper presents other arguments that advance the possibility of asexuality in the posthuman. First, I begin with a discussion of Žižek’s point concerning the cessation or voiding of sexual difference. Second, I will continue such an argument through the selfreplicating possibilities of cloning and full cyberspace immersion, the later as prototyped (...) by Pokémon. And finally, there seems to be an inevitable thread that begs to link the concept of the posthuman to Nietzsche; so I will explore some of the arguments that include or exclude Nietzschean ethics in this prospect. (shrink)

This paper investigates the distinction between determining and modifying expressions that played an important role in the Brentano School. The focus lies on how the distinction is applied to adjectives by Anton Marty and Kazimierz Twardowski. In ‘heavy gun’, ‘heavy’ plays a determining role: heavy guns are guns; in ‘fake gun’, ‘fake’ plays a modifying role: fake guns are no guns at all. According to Marty and Twardowski, when a modifying adjective is combined with a noun, it shifts the meaning (...) of the noun. This paper rejects this proposal and proposes a better account which was developed by Bernard Bolzano: the difference between determining and modifying adjectives must be understood in terms of how their meanings figure in meaning analyses of adjective-noun combinations. (shrink)

We introduce a cyclic proof system for the two-way alternation-free modal μ-calculus. The system manipulates one-sided Gentzen sequents and locally deals with the backwards modalities by allowing analytic applications of the cut rule. The global effect of backwards modalities on traces is handled by making the semantics relative to a specific strategy of the opponent in the evaluation game. This allows us to augment sequents by so-called trace atoms, describing traces that the proponent can construct against the opponent’s strategy. The (...) idea for trace atoms comes from Vardi’s reduction of alternating two-way automata to deterministic one-way automata. Using the multi-focus annotations introduced earlier by Marti and Venema, we turn this trace-based system into a path-based system. We prove that our system is sound for all sequents and complete for sequents not containing trace atoms. (shrink)

Logik und Semantik sind im Mittelalter so eng miteinander verknupft, dass die Trennung beider Gebiete das Verstandnis der Probleme beeintrachtigen wurde. Die spezifische Leistung der mittelalterlichen Logik besteht in der Analyse der semantischen Voraussetzungen der aristotelischen Logik und dem damit verbundenen Versuch, die semantischen Voraussetzungen der naturlichen Sprachen zu untersuchen. Damit haben die mittelalterlichen Logiker eine Arbeit geleistet, die von Aristoteles und lange Zeit auch von der modernen Logik vernachlassigt wurde.

In this article I am dealing mainly with the following notions: “perception apparatus” (Weltbildapparat), “view of the world” (Weltbild, picture of the world) and “representation”. The first and the second ones belong to the basic notions in the vocabulary of K. Lorenz’s evolutionary epistemology, the third in cognitive sciences. I seek to demonstrate the relationships between them. This analysis is put in a broader context, indicating the relationships between expensively developing cognitive sciences and evolutionary epistemology (much less popular today). It (...) is quite easy to determine what the perception apparatus is, however, it is harder to state what the view of the world, especially in its ontological aspect, is. Nevertheless, the view of the representation in the context of evolutionary epistemology points to the fact that this notion is still unclear and many representational features can be assigned to objects which, as it seems, are not representations according to cognitive sciences. (shrink)

Rationality requires us to have certain propositional attitudes (beliefs, intentions, etc.) given certain other attitudes that we have. Carroll’s Tortoise repeatedly shows up in this discussion. Following up on Brunero (Ethical Theory Moral Pract 8:557–569, 2005), I ask what Carroll-style considerations actually prove. This paper rejects two existing suggestions, and defends a third.

Objectives To determine the frequencies and types of limitation of medical treatment performed by physician members of the German Society for Palliative Medicine and to analyse the findings with respect to clinical and ethical aspects of end-of-life practices. Design Cross-sectional postal survey. Setting Data collection via the secretary of the German Society for Palliative Medicine using the German language version of the EURELD survey instrument. Subjects All 1645 physician members of the German Society for Palliative Medicine. Main outcome measures Types (...) and frequencies of limitation of treatment and possible determinants. Results 901 physicians participated in the study (response rate 55.8%). Participants reported limitation of treatment in 69.1% of cases. These decisions most often affected artificial nutrition (19%), chemotherapy (14%), antibiotics (11%) and medication other than antibiotics (11%). In the majority of eligible cases, physicians estimated the life-shortening effect of limitation of treatment to be <7 days. However, estimations differ depending on the medical measures in question. Bivariate statistical analysis indicated that withholding of treatment was performed significantly more frequently for patients aged ≥65 years (p=0.019). In addition, there were significant associations between the incidence of limitation of treatment and the different diseases reported by respondents as the underlying cause of death. Conclusion The findings of this study provide information on the current state of an ethically and clinically challenging aspect of clinical practice and can serve as a starting point for further interdisciplinary research on normative and empirical aspects of treatment decision-making at the end of life. (shrink)

The author proposes a formalization of Hilary Putnam's proof of the thesis that time does not pass. This enables one to eliminate difficulties connected with the original formulation.