Participation in healthcare decision-making is considered to be an important right of minors, and is highlighted in both international legislation and public policies. However, despite the legal recognition of children’s rights to participation, and also the benefits that children experience by their involvement, there is evidence that legislation is not always translated into healthcare practice. There are a number of factors that may impact on the ability of the child to be involved in decisions regarding their medical care. Some of (...) these factors relate to the child, including their capacity to be actively involved in these decisions. Others relate to the family situation, sociocultural context, or the underlying beliefs and practices of the healthcare provider involved. In spite of these challenges to including children in decisions regarding their clinical care, we argue that it is an important factor in their treatment. The extent to which children should participate in this process should be determined on a case-by-case basis, taking all of the potential barriers into account. (shrink)

As a matter of respect for the person, it is considered an ethical duty to offer to return research results to participants where appropriate. Nevertheless, the return of individual research results to participants raises many socio-ethical issues and greater challenges when the participant is a child. This discrepancy arises partly because the return of individual pediatric research results entails a tripartite relationship between researcher, child, and parent and is embroiled in numerous considerations.Extra caution is required in the pediatric research context (...) because children cannot generally decide whether they want to be informed of their own research results or whether the results should be disclosed to parents. Children have long been considered a special and vulnerable group, and their parents, as guardians, play a critical role in the consent process. However, with regards to the return of individual research results, this might pose a potential conflict of interest between the current or future desires of the child and those of the parents. (shrink)

This chapter argues that scientific and philosophical progress in our understanding of the living world requires that we abandon a metaphysics of things in favour of one centred on processes. We identify three main empirical motivations for adopting a process ontology in biology: metabolic turnover, life cycles, and ecological interdependence. We show how taking a processual stance in the philosophy of biology enables us to ground existing critiques of essentialism, reductionism, and mechanicism, all of which have traditionally been associated with (...) substance ontology. We illustrate the consequences of embracing an ontology of processes in biology by considering some of its implications for physiology, genetics, evolution, and medicine. And we attempt to locate the subsequent chapters of the book in relation to the position we defend. (shrink)

"It has long been thought that science is our best hope for realizing objective knowledge, but that, to deliver on this promise, it must be free of the influence of any values that are not purely epistemic. As recent work in philosophy, history, and social studies of science shows, however, things are not so simple. The contributors to this volume ask where and how nonepistemic values are involved in science; they explore the roles these values play at the heart of (...) science, in the assessment of evidence and explanations, and they examine the implications this has for ideals of objectivity."--BOOK JACKET. (shrink)

This Element is an introduction to the metaphysics of biology, a very general account of the nature of the living world. The first part of the Element addresses more traditionally philosophical questions - whether biological systems are reducible to the properties of their physical parts, causation and laws of nature, substantialist and processualist accounts of life, and the nature of biological kinds. The second half will offer an understanding of important biological entities, drawing on the earlier discussions. This division should (...) not be taken too seriously, however: the topics in both parts are deeply interconnected. Although this does not claim to be a scientific work, it does aim to be firmly grounded in our best scientific knowledge; it is an exercise in naturalistic metaphysics. Its most distinctive feature is that argues throughout for a view of living systems as processes rather than things or, in the technical philosophical sense, substances. (shrink)

While the realm of bioethics has traditionally focused on the rights of the individual and held autonomy as a defining principle, public health ethics has at its core a commitment to the promotion of the common good. While these two domains may at times conflict, concepts arising in one may also be informative for concepts arising in the other. One example of this is the concept of a “right not to know.” Recent debate suggests that just as there is a (...) “right to know” information about one's genetic status, there is a parallel “right not to know” when it comes to genetic information that if communicated, could be detrimental to an individual's social or psychological well-being. As new genetic technologies continue to change the nature of genetic testing and screening, it is crucial that normative frameworks to guide and assess genetic public health initiatives be developed. In this context, the question of whether a “right not to know” may also be said to exist for populations on a public health level merits attention. (shrink)

La Pythaïde est une théorie athénienne envoyée de façon irrégulière à Delphes pour honorer Apollon Pythien. On connaît surtout les quatre théories grandioses envoyées de 138/7 à 98/7, après une longue interruption. La Pythaïde est l’occasion pour les Athéniens de mettre en scène dans le sanctuaire de Delphes l’image qu’ils se font de leur cité, notamment par l’intermédiaire d’un nouvel assemblage de récits « mythiques » mêlant la légende apollinienne et les origines autochtones de la cité. Cette réactualisation de récits (...) traditionnels n’est pas un simple message politique, mais dit profondément l’univers religieux de la fête et de la cité à la basse époque hellénistique. En replaçant ces récits dans leur contexte de production et d’énonciation, on peut préciser la définition indigène de ce que appelons le mythe. Cette mise en situation des « mythes » de la Pythaïde montre que ce n’est pas leur nature qui les caractérise, mais bien leur fonction dans le cadre de la cérémonie.Apollo, Athens and Pythaïs. Pythaïs is an Athenian festival in honour of Apollo in Delphi. It is mostly known through the lists of about a thousand citizens who took part in the four ceremonies of the 2nd and the 1st century B.C., when the Athenians revived the tradition interrupted since the 4th century B.C. of sending a theoria. Pythaïs offers in the Pythian sanctuary a representation of the Athenian city, especially through a new composition of old “myths” dealing with Apollo and Athenian autochtony. These “myths” cannot be reduced to a political message, but also have a religious purpose. Studying the narrative context helps us to understand the ancient Greek definition of our so called “myth”. The example of Pythaïs shows that this definition depends much less on the nature of this type of narratives than on their function in the ceremony. (shrink)

This paper briefly describes process metaphysics, and argues that it is better suited for describing life than the more standard thing, or substance, metaphysics. It then explores the implications of process metaphysics for conceptualizing evolution. After explaining what it is for an organism to be a process, the paper takes up the Hull/Ghiselin thesis of species as individuals and explores the conditions under which a species or lineage could constitute an individual process. It is argued that only sexual species satisfy (...) these conditions, and that within sexual species the degree of organization varies. This, in turn, has important implications for species' evolvability. One important moral is that evolution will work differently in different biological domains. (shrink)

Whether we live in a world of autonomous things, or a world of interconnected processes in constant flux, is an ancient philosophical debate. Modern biology provides decisive reasons for embracing the latter view. How does one understand the practices and outputs of science in such a dynamic, ever-changing world - and particularly in an emergency situation such as the COVID-19 pandemic, where scientific knowledge has been regarded as bedrock for decisive social interventions? We argue that key to answering this question (...) is to consider the role of the activity of reification within the research process. Reification consists in the identification of more or less stable features of the flux, and treating these as constituting stable things. As we illustrate with reference to biological and biomedical research on COVID-19, reification is a necessary component of any process of inquiry and comes in at least two forms: means reification, when researchers create objects meant to capture features of the world, or phenomena, in order to be able to study them; and target reification, when researchers infer an understanding of phenomena from an investigation of the epistemic objects created to study them. We note that both objects and phenomena are dynamic processes and argue that have no reason to assume that changes in objects and phenomena track one another. We conclude that failure to acknowledge these forms of reification and their epistemic role in scientific inquiry can have dire consequences for how the resulting knowledge is interpreted and used. (shrink)

Teachers’ responses to bullying incidents are key in bullying intervention at school. Scholars have suggested that teacher responses can predict student cognitions that are associated with their bullying behaviors. However, little is known about whether and how teacher responses affect these cognitions. Therefore, the current study investigated the effects of four immediate teacher responses on four bullying-related student cognitions, using an experimental vignette design. Additionally, it was examined whether students’ own participant role behaviors in actual bullying moderated these effects. The (...) investigated teacher responses were non-response, comforting the victim, correcting the bully, and a combination of comforting the victim and correcting the bully. The investigated student cognitions were perceived teacher attitudes toward bullying, perceived teacher moral disengagement regarding bullying, student willingness to report bullying to the teacher and student expectations regarding bullying participant role behaviors in the classroom. Fourth-to-sixth grade students read a vignette describing a hypothetical teacher’s response to a same bullying incident, following random assignment to one of eight conditions. Afterward, students completed questionnaires about their social cognitions and manipulation checks. ANOVA demonstrated that students perceived stronger teacher anti-bullying attitudes and less teacher moral disengagement when the hypothetical teacher displayed an active response. These effects were even stronger when the teacher corrected the bully compared to when only the victim was comforted. Further, students were more willing to report bullying when the teacher corrected the bully than when the teacher only comforted the victim. Finally, students expected less pro-bullying behaviors, more defending and less victimization in the vignette’s classroom following active teacher response compared to non-response. The effects of teacher responses on student cognitions were not moderated by students’ own participant roles in bullying. Taken together, these findings emphasize the importance of active teacher responses to bullying, and especially, responses that clearly show that bullying is not tolerated. Teachers are encouraged to be aware that students can deduce beliefs from teacher responses which can, in turn, affect bullying processes in the classroom. (shrink)

Traditional arguments against the identification of the language of thought with natural language assume a picture of natural language which is largely inconsistent with that suggested by contemporary linguistic theory. This has led certain philosophers and linguists to suggest that this identification is not as implausible as it once seemed. In this paper, I discuss the prospects for such an identification in light of these developments in linguistic theory. I raise a new challenge against the identification thesis: the existence of (...) ungrammatical but acceptable expressions seems to require a gap between thought and language. I consider what must be the case in order for this objection to be dealt with. (shrink)

Metagenomics is an emerging microbial systems science that is based on the large-scale analysis of the DNA of microbial communities in their natural environments. Studies of metagenomes are revealing the vast scope of biodiversity in a wide range of environments, as well as new functional capacities of individual cells and communities, and the complex evolutionary relationships between them. Our examination of this science focuses on the ontological implications of these studies of metagenomes and metaorganisms, and what they mean for common (...) sense and philosophical understandings of multicellularity, individuality and organism. We show how metagenomics requires us to think in different ways about what human beings are and what their relation to the microbial world is. Metagenomics could also transform the way in which evolutionary processes are understood, with the most basic relationship between cells from both similar and different organisms being far more cooperative and less antagonistic than is widely assumed. In addition to raising fundamental questions about biological ontology, metagenomics generates possibilities for powerful technologies addressed to issues of climate, health and conservation. We conclude with reflections about process-oriented versus entity-oriented analysis in light of current trends towards systems approaches. (shrink)

Processes produce changes: rivers erode their banks and thunderstorms cause floods. If I am right that organisms are a kind of process, then the causally efficacious behaviours of organisms are also examples of processes producing change. In this paper I shall try to articulate a view of how we should think of causation within a broadly processual ontology of the living world. Specifically, I shall argue that causation, at least in a central class of cases, is the interaction of processes, (...) that such causation is the exercise of a capacity inherent in that process and, negatively, that causation should not be understood as the instantiation of universal laws. The approach I describe has substantial similarities with the process causality articulated by Wesley Salmon and Phil Dowe for physical causation, making it plausible that the basic approach can be applied equally to the non-living world. It is an approach that builds at crucial points on the criticisms of determinism and universal causality famously articulated by Elizabeth Anscombe. (shrink)

Deep learning techniques have revolutionised artificial systems’ performance on myriad tasks, from playing Go to medical diagnosis. Recent developments have extended such successes to natural language processing, an area once deemed beyond such systems’ reach. Despite their different goals, these successes have suggested that such systems may be pertinent to theoretical linguistics. The competence/performance distinction presents a fundamental barrier to such inferences. While DL systems are trained on linguistic performance, linguistic theories are aimed at competence. Such a barrier has traditionally (...) been sidestepped by assuming a fairly close correspondence: performance as competence plus noise. I argue this assumption is unmotivated. Competence and performance can differ arbitrarily. Thus, we should not expect DL models to illuminate linguistic theory. (shrink)

The discovery of the molecular structure of deoxyribonucleic acid and the science of molecular biology have profoundly changed medicine’s diagnostic capability and promise to transform the therapeutic realm. When some genetic disorders are diagnosed, physicians can intervene for prevention or treatment. While the basic structure of DNA is the same for all human beings, no two individuals, other than identical twins, have the same DNA sequence. This discovery has had important repercussions in the criminal justice system, where DNA can serve (...) as an identification tool.At the crossroads of these different uses of DNA, there are great concerns about potential misuses of genetic information. Preventing disease, curing illness, and convicting criminals are all seen as worthwhile uses of the technology, but concerns of potential misuse in medicine or in the criminal justice system are not unfounded. A 1998 American Medical Association study showed that 68 percent of patients had fears that their genetic test results would be used against them by their employers or insurers. Others, pointing to racial profiling, have suggested that we may now face genetic profiling. (shrink)

*The views expressed in this commentary are those of the authors and do not necessarily represent the views of the American Medical Association.

Humans are a kind of animal, and it is a natural and sensible idea that the way to understand what it is for a human person to persist over time is to reflect on what it is for an animal to persist. This paper accepts this strategy. However, especially in the light of a range of recent biological findings, the persistence of animals turns out to be much more problematic than is generally supposed. The main philosophical premise of the paper (...) is that living systems generally are best treated as processes rather than things. These processes prove to be so complexly intertwined and interdependent, that there is no unique, objective way of distinguishing the individuals from which they are composed. For this reason the animalist perspective, it is argued, problematizes as much as it resolves the problem of personal identity. Traditional concerns with responsibility and reactive attitudes provide an intelligible and defensible motivation for distinguishing the individuals we standardly assume as the explanandum in these discussions. But, from a biological point of view, the underlying individualism is a contingent perspective, as much justified by these concerns as providing an objective grounding for them. (shrink)

Originally known for his groundbreaking work in literary studies, the Bulgarian-born French scholar Tzvetan Todorov (1939-2017) was one of the world's foremost cultural theorists. His interventions cover an astounding range of topics, from narratology to ethics, from painting to politics, and from the Enlightenment to current affairs. Written by an international team of experts, this volume - the first-ever comprehensive examination of Todorov as a cultural critic - discusses the crucial elements of his work as well as his place in (...) European thought. (shrink)

It has notoriously been supposed that the doctrine of determinism conflicts with the belief in human freedom. Yet it is not readily apparent how indeterminism, the denial of determinism, makes human freedom any less problematic. It has sometimes been suggested that the arrival of quantum mechanics should immediately have solved the problem of free will and determinism. It was proposed, perhaps more often by scientists than by philosophers, that the brain would need only to be fitted with a device for (...) amplifying indeterministic quantum phenomena for the bogey of determinism to be defeated. Acts of free will could then be those that were initiated by such indeterministic nudges. Recently there has been some inclination to revive such a story as part of the fallout from the trend for chaos theory. Chaotic systems in the brain, being indefinitely sensitive to the precise details of initial conditions, seem to provide fine candidates for the hypothetical amplifiers of quantum events. (shrink)

The dominant tradition in analytic philosophy of language views reference as paradigmatically enabled by the acquisition of words from other speakers. Via chains of transmission, these words connect the referrer to the referent. Such a picture assumes the notion of a word as a stable mapping between sound and meaning. Utterances are constructed out of such stable mappings. While this picture of language is both intuitive and historically distinguished, various trends and programs that have developed over the last few decades (...) in theoretical linguistics suggest an alternative. According to these approaches, the word, conceived of as a linguistic ‘building block’, has no special theoretical significance. While natural language systems generate structures mapping sounds onto meanings, they need not do so by composing elements which themselves specify such mappings. I shall describe some of these developments, and show how they pose a problem for traditional philosophical views of language and communication, before identifying an alternative approach to reference which does not rely on this common-sense picture of words. (shrink)

Background: Most older people wish to live in the familiar surroundings of their own home until they die. Knowledge concerning dignity and dignity loss of home-dwelling older women living with incurable cancer should be a foundation for quality of care within municipal healthcare services. The informal caregivers of these women can help increase the understanding of sources related to dignity and dignity loss Aim: The aim of this study was to explore informal caregivers’ perceptions of sources related to dignity and (...) dignity loss in end-of-life of older home-dwelling women with incurable cancer. Research design and method: The study was founded upon Gadamer’s philosophical hermeneutics. In-depth interviews with 13 informal caregivers were carried out, and four participant observations were performed during home meetings. Ethical consideration: The study was based on voluntary participation, informed consent, confidentiality and the opportunity to withdraw at any time. The Norwegian Social Science Data Services approved the study. Results: Three main sources important in preserving the older women’s dignity were identified: maintaining one’s self-concept, remaining hopeful and sustaining freedom of choice. We also identified three main sources that lead to dignity loss: Sensing loss of human value, experiencing absence of gentleness and feelings of being treated as an object. Discussion and final considerations: On the individual level, the opportunity to maintain one’s self-concept and control in life, preserved dignity, while feelings of existential loneliness led to dignity loss. On the relational level, being confirmed as worthy human beings promoted the women’s dignity, whereas dignity loss was related to uncaring behaviours from healthcare professionals. On the societal level, individual decisions concerning travel situations and the place to stay when nearing end-of-life were of crucial importance. Constituting these women’s living space, these perspectives should be emphasized in healthcare professionals’ educational training and in the municipal end-of-life care of these patients. (shrink)

This article argues, in opposition to a common interpretation of Wittgenstein deriving from Winch, that there is nothing especially problematic about the social sciences. Familiar Wittgensteinian theses about language, notably on the open-endedness of linguistic rules and on the importance of family resemblance concepts, have great relevance not only to the social sciences but also to much of the natural sciences. The differences between scientific and ordinary language are much less sharp than Winch, and probably Wittgenstein, supposed.

The new field of the history of knowledge is often presented as a mere expansion of the history of science. We argue that it has a greater ambition. The re‐definition of the historiographical domain of the history of knowledge urges us to ask new questions about the boundaries, hierarchies, and mutual constitution of different types of knowledge as well as the role and assessment of failure and ignorance in making knowledge. These issues have pertinence in the current climate where expertise (...) is increasingly questioned and authority seems to lose its ground. Illustrated with examples from recent historiography of the sixteenth to twentieth centuries, we indicate some fruitful new avenues for research in the history of knowledge. Taken together, we hope that they will show that the history of knowledge could build the expertise required by the challenges of twenty‐first century knowledge societies, just like the history of science, throughout its development as a discipline in the twentieth century, responded to the demands posed by science and society. (shrink)

How should philosophy approach religious experience? Can philosophy do more than describe religious experience without discussing its object? Can religion make genuine truth claims? These are some of the questions raised in these essays.

Contrary to one possible interpretation of my title, this paper will not advocate any scepticism or ontological deflation. My concern will rather be with how we should best think about a realm of phenomena the existence of which is in no doubt, what has traditionally been referred to as the genetic. I have no intention of questioning a very well established scientific consensus on this domain. It involves the chemical DNA, which resides in almost all our cells, which is capable (...) of producing copies of itself that accurately reproduce a very long sequence of components, and which plays a role in the physiology of the cell which in certain basic respects is quite well understood. This substance has also achieved a remarkable iconic status in contemporary culture. It is seen as fundamental to personal identity both in the practical sense of providing a criterion of identity through DNA testing, and in the much deeper sense of being seen as, somehow, defining who we are. The latter role is illustrated, for example, by the recent debate about the right of children conceived by sperm donation to know who are their fathers. Such people, it is passionately argued, must be able to find out where they came from, who they really are. On a daily basis we are confronted with claims about the discovery of the genetic basis of—or in fact very often the ‘gene for’—all manner of psychological and physical characteristics, and all kinds of disorders. This holds out apparent possibilities. (shrink)

Plasmodium falciparum is the most deadly human malarial parasite, responsible for an estimated 207 million cases of disease and 627,000 deaths in 2012. Recent studies reveal that the parasite actively regulates a large fraction of its genes throughout its replicative cycle inside human red blood cells and that epigenetics plays an important role in this precise gene regulation. Here, we discuss recent advances in our understanding of three aspects of epigenetic regulation in P. falciparum: changes in histone modifications, nucleosome occupancy (...) and the three‐dimensional genome structure. We compare these three aspects of the P. falciparum epigenome to those of other eukaryotes, and show that large‐scale compartmentalization is particularly important in determining histone decomposition and gene regulation in P. falciparum. We conclude by presenting a gene regulation model for P. falciparum that combines the described epigenetic factors, and by discussing the implications of this model for the future of malaria research. (shrink)

The study of eye movements is a common way to non-invasively understand and analyze human behavior. However, eye-tracking techniques are very hard to scale, and require expensive equipment and extensive expertise. In the context of web browsing, these issues could be overcome by studying the link between the eye and the computer mouse. Here, we propose new analysis methods, and a more advanced characterization of this link. To this end, we recorded the eye, mouse, and scroll movements of 151 participants (...) exploring 18 dynamic web pages while performing free viewing and visual search tasks for 20 s. The data revealed significant differences of eye, mouse, and scroll parameters over time which stabilize at the end of exploration. This suggests the existence of a task-independent relationship between eye, mouse, and scroll parameters, which are characterized by two distinct patterns: one common pattern for movement parameters and a second for dwelling/fixation parameters. Within these patterns, mouse and eye movements remained consistent with each other, while the scrolling behaved the opposite way. (shrink)

A central aspect of science is the classification of natural phenomena. Not only is this to some extent an end in itself, an account of what kinds of things there are being an important part of the picture of the world that science aims to provide. but classification is also inextricably connected with the development of scientific theories. The change from phlogiston theory to atomic chemistry, for example, involved not just a different theory but an entirely new way of sorting (...) the domain of chemistry into kinds. It is often supposed that a necessary condition for an adequate or correct scientific theory is that its generalizations be formulated in terms of natural kinds ‐ those kinds, roughly speaking, that really exist in nature. Thus oxygen, but not dephlogisticated air, may be said to mark a natural kind. Natural kinds are sometimes conceived precisely as being those kinds to which true scientific laws apply. In addition, natural kinds have generally been thought of as defined by the common possession of an essence, a property both necessary and sufficient for an entity to be a member of the kind, and from which the further important properties of the kind flow. (shrink)

Language has long been a problem‐case for subsymbolic theories of mind. The reason for this is obvious: Language seems essentially symbolic. However, recent work has developed a potential solution to this problem, arguing that linguistic symbols are public objects which augment a fundamentally subsymbolic mind, rather than components of cognitive symbol‐processing. I shall argue that this strategy cannot work, on the grounds that human language acquisition consists in projecting linguistic structure onto environmental entities, rather than extracting this structure from them.

Is it possible, and in the first place is it even desirable, to define what "development" means and to determine the scope of the field called "developmental biology"? Though these questions appeared crucial for the founders of "developmental biology" in the 1950s, there seems to be no consensus today about the need to address them. Here, in a combined biological, philosophical, and historical approach, we ask whether it is possible and useful to define biological development, and, if such a definition (...) is indeed possible and useful, which definition can be considered as the most satisfactory. (shrink)