Ein gelungenes Arzt-Patient-Verhältnis, das auf gegenseitigem Vertrauen und ärztlicher Verantwortung basiert, ist ein zentraler Bestandteil des Ideals der ärztlichen Profession. Aktuell wird vielfach von einem neuen „ökonomischen Paradigma“ in der Medizin gesprochen, das dieses Verhältnis vermeintlich unterminiert. Als ein wichtiges Merkmal dieses Paradigmas gilt das Verständnis vom Patienten als Kunden, der charakterisiert ist durch seine Selbstbestimmung bzw. Autonomie. Wie stellt sich die Kundenrolle nun aber bei vulnerablen Patientengruppen dar, die in ihrer Autonomie eingeschränkt sind, und was bedeutet dies wiederum für (...) das Arzt-Patient-Verhältnis? In dem vorliegenden Artikel wollen wir deshalb die Fragestellung verfolgen, ob sich ärztliche Verantwortung bzw. das Arzt-Patient-Verhältnis ändert, wenn sich der (vulnerable) Patient als Kunde begreift. Als Analysesetting dient die Palliativmedizin, da sie als Beispiel für eine besonders vulnerable Patientengruppe gelten kann. Als Basis der Argumentation werden die Ergebnisse einer qualitativen Studie herangezogen, welche die Einstellungen von Palliativpatienten zum Thema „der Patient als Kunde“ erhob sowie der Frage nachging, ob sich Palliativpatienten, speziell im Rahmen von medizinischen Entscheidungen, als selbstbestimmt begreifen. Die Studienergebnisse zeigen, dass Autonomie relational verstanden werden muss und dem Arzt eine entscheidende Rolle in der Ermöglichung von Patientenselbstbestimmung zukommt – ganz unabhängig von der Selbstattribuierung der Befragten als Kunde oder Patient. Anschließend werden diese Ergebnisse dahingehend analysiert, ob sie als Ausdruck einer Veränderung des Arzt-Patient-Verhältnisses und der ärztlichen Verantwortung gegenüber den Patienten zu werten sind. Hieraus folgernd wird nach den praktischen Implikationen für das Arzt-Patient-Verhältnis auf der Grundlage der „Ethics of Care“ gefragt sowie auf die individuelle Betreuungsnotwendigkeit, speziell von vulnerablen Patientengruppen, verwiesen. (shrink)

As the pre-eminent Enlightenment philosopher, Kant famously calls on all humans to make up their own minds, independently from the constraints imposed on them by others. Kant's focus, however, is on universal human reason, and he tells us little about what makes us individual persons. In this book, Katharina T. Kraus explores Kant's distinctive account of psychological personhood by unfolding how, according to Kant, we come to know ourselves as such persons. Drawing on Kant's Critical works and on his (...) Lectures and Reflections, Kraus develops the first textually comprehensive and systematically coherent account of our capacity for what Kant calls 'inner experience'. The novel view of self-knowledge and self-formation in Kant that she offers addresses present-day issues in philosophy of mind and will be relevant for contemporary philosophical debates. It will be of interest to scholars of the history of philosophy, as well as of philosophy of mind and psychology. (shrink)

This paper examines whether Kant’s Critical philosophy offers resources for a conception of empirical psychology as a theoretical science in its own right, rather than as a part of applied moral philosophy or of pragmatic anthropology. In contrast to current interpretations, this paper argues that Kant’s conception of inner experience provides relevant resources for the theoretical foundation of scientific psychology, in particular with respect to its subject matter and its methodological presuppositions. Central to this interpretation is the regulative idea of (...) the soul, which supplies principles of systematicity at different levels. Firstly, the idea defines the way in which we must reflect on mental beings, i.e., those beings that fall in the domain of psychology. Secondly, it provides a principle for the unification of a systematic body of psychological laws. In consequence, by approaching the object of psychology from the perspective of the self-conscious subject, who––in virtue of being capable of inner experience––first constitutes a psychological reality, Kant’s theory offers an attractive alternative to reductionist conceptions of psychology. (shrink)

This article advocates a new interpretation ofinner experience– the experience that one has of one’s empirical-psychological features ‘from within’ – in Kant. It argues that for Kant inner experience is the empirical cognition of mental states, but not that of a persistent mental substance. The schema of persistence is thereby substituted with the regulative idea of the soul. This view is shown to be superior to two opposed interpretations: the parity view that regards inner experience as empirical cognition of a (...) mental object on a par with outer experience and the disparity view that denies altogether that inner experience is empirical cognition. (shrink)

Boyle’s account of self-consciousness is inspired by a long-standing theme in Kant and the post-Kantian idealist tradition, according to which “self-consciousness transforms the general character of human knowing” (Boyle 2023, 12). In this paper, I explore similarities and differences between Kant’s view (as I understand it) and Boyle's Sartrean view. I will argue, first, that the kind of pre-reflective self-consciousness that Boyle locates in Sartre’s conception of non-positional (self-)consciousness can also be retrieved from Kant’s account of transcendental self-consciousness. Second, I (...) will argue that the Kantian idealist tradition highlights not only the epistemic implications of self-consciousness, which Boyle focuses on, but also its implications for the ‘ontological status’ of a being with such self-conscious­ ness. The central insight of the Kantian tradition is, then, that self-consciousness transforms not only our way of knowing the world, but also our way of being in the world as self-conscious minds. (shrink)

Kant’s theory of cognition centrally builds on his conception of self-consciousness and the transcendental use of the phrase “I think”: the ability to add the phrase “I think” to a representation is a necessary condition of the ability to cognize objects. The paper argues that “I think”, rather than denoting the content of a predicative judgement, is typically an expression of the subject’s thinking. It expresses a kind of self-consciousness that, without assertively representing the subject itself, indicates that representational contents (...) are unified in a single consciousness of a single subject. Our aim is thus to develop and defend an expressivist interpretation of Kant’s “I think”. (shrink)

Kant's theory of cognition centrally builds on his conception of self‐consciousness and the transcendental use of the phrase “I think”: the ability to add the phrase “I think” to a representation is a necessary condition of the ability to cognize objects. The paper argues that “I think”, rather than denoting the content of a predicative judgement, is typically an expression of the subject's thinking. It expresses a kind of self‐consciousness that, without assertively representing the subject itself, indicates that representational contents (...) are unified in a single consciousness of a single subject. Our aim is thus to develop and defend an expressivist interpretation of Kant's “I think”. (shrink)

This paper shows why Kant's critique of empirical psychology should not be read as a scathing criticism of quantitative scientific psychology, but has valuable lessons to teach in support of it. By analysing Kant's alleged objections in the light of his critical theory of cognition, it provides a fresh look at the problem of quantifying first-person experiences, such as emotions and sense-perceptions. An in-depth discussion of applying the mathematical principles, which are defined in the Critique of Pure Reason as the (...) constitutive conditions for mathematical-numerical experience in general, to inner sense will demonstrate why it is in principle possible to justify a quantitative structure of psychological judgments on the grounds of Kant's critical thinking. In conclusion, it will propose how Kant's critique could be used in a constructive way to develop first steps towards a transcendental foundation of psychological knowledge. (shrink)

With the outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), global researchers were confronted with major challenges. The German National Pandemic Cohort Network (NAPKON) was launched in fall 2020 to effectively leverage resources and bundle research activities in the fight against the coronavirus disease 2019 (COVID-19) pandemic. We analyzed the setup phase of NAPKON as an example for multicenter studies in Germany, highlighting challenges and optimization potential in connecting 59 university and nonuniversity study sites. We examined the ethics application (...) process of 121 ethics submissions considering durations, annotations, and outcomes. Study site activation and recruitment processes were investigated and related to the incidence of SARS-CoV-2 infections. For all initial ethics applications, the median time to a positive ethics vote was less than two weeks and 30 of these study sites (65%) joined NAPKON within less than three weeks each. Electronic instead of postal ethics submission (9.5 days (Q1: 5.75, Q3: 17) vs. 14 days (Q1: 11, Q3: 26), p value = 0.01) and adoption of the primary ethics vote significantly accelerated the ethics application process. Each study center enrolled a median of 37 patients during the 14-month observation period, with large differences depending on the health sector. We found a positive correlation between recruitment performance and COVID-19 incidence as well as hospitalization incidence. Our analysis highlighted the challenges and opportunities of the federated system in Germany. Digital ethics application tools, adoption of a primary ethics vote and standardized formal requirements lead to harmonized and thus faster study initiation processes during a pandemic. (shrink)

Kraus’s book is a rich and systematic examination of Kant’s account of the different dimensions of the metaphysics, epistemology and phenomenology of the ‘self’ that pertains to human subjectivity. Here I explore some of the different meanings that Kraus associates with the term ‘self’ on Kant’s behalf, asking for further clarification as to her interpretation of the terms ‘subject’ (‘the I’), ‘soul’ and ‘person’, in particular. I also raise some critical questions concerning Kraus’s account of the nature and limitations of (...) the ‘real’ use of the concept of the soul in particular, in light of passages throughout the Critical period in which Kant seems to allow for a relatively unproblematic application of the term to whatever being it is that possesses the various psychical faculties – a being which he also seems to allow is an object of experience (and hence cognition). (shrink)

These remarks focus on Kraus’s claim that for Kant the category of substance cannot apply to the soul but that instead we can and should apply a merely regulative idea of the soul. While granting Kraus’s contention that we require an idea of the soul in order to investigate inner experience, I argue that the category of substance nonetheless applies to the soul, but that the notion of the soul as entirely non-corporeal is a regulative idea. To explore this contention, (...) I closely examine two crucial passages Kraus uses to argue against parity between inner and outer sense. (shrink)

Kraus’s book is both deep and wide-ranging. My comments focus on her account of Kant on self-awareness – both a priori and empirical apperception. Basic to her account is what she calls the hylomorphism of mental faculties in Kant. Kraus distinguishes her ‘reflexive’ account of apperception from both ‘logical’ and ‘psychological’ accounts. An inevitable question is: Does Kant think we have an empirical cognition of the self? Kraus seems to want to say yes, but I question this answer. Cognition requires (...) both intuition and conception. My claim is that it requires intuition in both space and time, but inner empirical self-awareness is apparently in time only. Kant’s Refutation of Idealism in B, as developed later in the Kiesewetter essays, makes awareness of our body essential to time determination. (shrink)

According to conventional wisdom, Kant demolished the traditional idea of the soul in his Critique of Pure Reason. By denying the human mind any theoretical or intuitive knowledge of the soul as an immaterial substance and referring this idea to an illusory tendency of the mind, he efficiently tore down a longstanding metaphysical discipline called rational psychology. Katherina Kraus’s aim is to challenge this conventional reading. In her new book Kant on Self-Knowledge and Self-Formation, she claims that Kant’s true intention (...) was to transform rather than demolish the idea of the immaterial soul. Her main argument, nourished by a close reading of the Critique of Pure Reason, is that despite this transformation... (shrink)

European Journal of Philosophy, Volume 29, Issue 3, Page 679-682, September 2021.

I raise three related objections to aspects of Katharina Kraus’s interpretation in Kant on Self-Knowledge and Self-Formation. First, I reject her claim that representations count as merely subjectively valid for Kant if they represent objects from the contingent perspective of a particular subject. I argue that Kant in fact describes consciousness of subjectively valid representations as consciousness of one’s own perceptions rather than of the objects perceived, and therefore that it plays a bigger role in his account of self-consciousness (...) than Kraus allows. Second, whereas Kraus argues that the transcendental unity of apperception structures the content of any consciousness that is possible for a subject, I note that Kant also allows for a merely empirical unity of apperception, which he describes as in principle different from transcendental unity. Finally, I raise some worries for Kraus’s suggestion that we can be aware of the activity of thinking through inner sense. (shrink)

These comments are my contribution to the author-meets-critics session on Katharina Kraus' recently published Kant on Self-Knowledge and Self-Formation, at the APA Pacific meeting. In my comments, I challenge Kraus' characterization of my fictionalism concerning the idea of the soul, and contend for the importance of transcendental illusion in that idea's function of guiding the empirical investigation of inner appearances.

How does Kant understand the representation of an empirical self? For Kant, the sources of the representation must be both a priori and a posteriori. Several scholars claim that the a priori part of the ‘self’ representation is supplied by the category of ‘substance,’ either a regular substance (Andrew Chignell), a minimal substance (Karl Ameriks) or a substance analog (Katharina Kraus). However, Kant opens the Paralogisms chapter by announcing that there is a thirteenth ‘transcendental’ concept or category: “We now (...) come to a concept that was not entered in the above general list of transcendental concepts, and that must yet be classed with them … This is the concept – or, if one prefers, the judgment – I think.” (A341/B399). I argue that it is the ‘I think’ that provides the a priori framework for the representation of the empirical self. (shrink)

Mythen dienen der Bewaltigung praktischer gesellschaftlicher Probleme, sie bieten Anleitungen zum poietischen und praktisch-politischen Handeln - dies bildet das einigende Band der im vorliegenden Buch versammelten Beitrage. Aus dem Inhalt: Jan Assmann: Tod, Staat, Kosmos: Dimensionen des Mythos im Alten Agypten Stefan Breuer: Das Dritte Reich Michael Friedrich: Chinesische Mythen Bodo Guthmuller: Europa - Kontinent und antiker Mythos Joachim Heinzle: Unsterblicher Heldengesang. Die Nibelungen als nationaler Mythos der Deutschen Klaus Koch: Vom Mythos zum Monotheismus im alten Israel Jurgen Leonhardt/Katharina (...) Krause: Poesie und Bild: Die Actaeon-Geschichte in Ovids Metamorphosen. Stefan M. Maul: Altorientalische Schopfungsmythen Herfried Munkler: Der Antifaschismus als Grundungsmythos der DDR Reimar Schefold: Die mehrstimmige Botschaft: Manner- und Frauenperspektiven in indonesischen Mythen Renate Schlesier: Freuds Dionysos Arbogast Schmitt: Mythos bei Platon". (shrink)

The concept of non-domination is an important contribution to the study of freedom but it does not comprehend the whole of freedom. Insofar as domination requires a conscious capacity for control on the part of the dominant party, it fails to capture important threats to individual freedom that permeate many contemporary liberal democracies today. Much of the racism, sexism and other cultural biases that currently constrain the life-chances of members of subordinate groups in the USA are largely unconscious and unintentional, (...) and they do not always involve control. Although they constitute real barriers to freedom, these forms of influence are not accurately characterized as domination, and they will require different mechanisms to overcome them. To achieve the more capacious freedoms that liberal democracy promises, we will need to go beyond non-domination and to come to terms with the non-sovereign, socially distributed character of human agency. (shrink)

Quarantine and spatial distancing measures associated with COVID-19 resulted in substantial changes to individuals’ everyday lives. Prominent among these lifestyle changes was the way in which people interacted with media—including music listening. In this repeated assessment study, we assessed Australian university students’ media use throughout early stages of the COVID-19 pandemic in Australia, and determined whether media use was related to changes in life satisfaction. Participants were asked to complete six online questionnaires, capturing pre- and during-pandemic experiences. The results indicated (...) that media use varied substantially throughout the study period, and at the within-person level, life satisfaction was positively associated with music listening and negatively associated with watching TV/videos/movies. The findings highlight the potential benefits of music listening during COVID-19 and other periods of social isolation. (shrink)

A recent surge of research has begun to examine music participation and well-being; however, a particular challenge with this work concerns theorizing around the associated well-being benefits of musical participation. Thus, the current research used Self-Determination Theory to consider the potential associations between basic psychological needs (competence, relatedness, and autonomy), self-determined autonomous motivation, and the perceived benefits to well-being controlling for demographic variables and the musical activity parameters. A sample of 192 Australian residents (17-85, Mage = 36.95), who were currently (...) participating in a musical activity at the time, completed an online questionnaire. Results indicated that females were more likely to perceive benefits to their well-being; and that how important an individual considers music in their life was positively related to perceived well-being. Importantly, the analyses also revealed that the basic needs of competency and relatedness were related to overall perceived well-being as well as specifically social, cognitive, and esteem dimensions of well-being. Autonomous motivation demonstrated significant associations with both an overall well-being score as well as four of five specific well-being subscales measured. Collectively, the findings indicate that Self-Determination Theory offers a useful theoretical framework to understanding the relationship between musical participation and well-being. Further, the pattern of findings reiterates the positive associations between musical participation and one’s psychosocial well-being, with broad implications for people involved in the facilitation of musical activity. (shrink)

A better appreciation of the material, distributed quality of human agency can illuminate subtle dynamics of domination and oppression and reveal resources for potentially liberatory political action. Materialist accounts of agency nevertheless pose challenges to the notion of personal responsibility that is so crucial to political obligation and democratic citizenship. To guard against this danger, we need to sustain the close connection between agency and a sense of selfhood that is individuated, reflexive, and responsive to norms. Yet we should acknowledge (...) that reflexive selfhood is not the whole of individual agency for the sources of agency extend beyond the individual herself. We also need to recognize the ways that both reflexivity and norm-responsiveness are themselves embodied capacities. When properly conceived, a materialist view of agency can increase awareness of our oftenunwitting contributions to systematic inequalities of power and extend our political responsibilities in emancipatory directions, thus holding great promise for democratic life. (shrink)

This paper develops a formal framework to model a process in which the formation of individual opinions is embedded in a deliberative exchange with others. The paper opts for a low-resolution modeling approach and abstracts away from most of the details of the social-epistemic process. Taking a bird's eye view allows us to analyze the chances for the truth to be found and broadly accepted under conditions of cognitive division of labour combined with a social exchange process. Cognitive division of (...) labour means that only some individuals are active truth seekers, possibly with different capacities. Both mathematical tools and computer simulations are used to investigate the model. As an analytical result, the Funnel Theorem states that under rather weak conditions on the social process, a consensus on the truth will be reached if all individuals possess an arbitrarily small capacity to go for the truth. The Leading the pack Theorem states that under certain conditions even a single truth seeker may lead all individuals to the truth. Systematic simulations analyze how close agents can get to the truth depending upon the frequency of truth seekers, their capacities as truth seekers, the position of the truth (more to the extreme or more in the centre of an opinion space), and the willingness to take into account the opinions of others when exchanging and updating opinions. (shrink)

The ‘ontic’ form of structural realism , roughly speaking, admits a complete elimination of the objects in the discourse of scientific theories, leaving us with structures only. As put by the defenders of such a claim, the idea is that all there is are structures and, if the relevant structures are to be set-theoretical constructs , as it has also been claimed, then the relations which appear in such structures should be taken to be ‘relations without the relata’. As far (...) as we know, there is not a definition of structure in standard mathematics which fits their intuitions, and even category theory seems not to correspond adequately the OSR claims. Since OSR is also linked with the semantic approach to theories, the structures to be dealt with are taken to be set-theoretical constructs. But these are ‘relational’ structures where the involved relations are built from basic objects , and so no complete elimination of the relata is possible, although it would be adequate for characterizing OSR. In this paper we present a definition of a kind of relation that does not depend on the particular objects being related in the sense that the ‘relation’ continues to hold even if the relata are exchanged by suitable objects. Although there is not a ‘complete’ elimination of relata, our definition might be viewed as an alternative way of finding adequate mathematical ‘set-theoretical’ frameworks for describing at least some of the intuitions regarding OSR within a ‘set-theoretical’ framework. (shrink)

We consider the claim by Dorato and Morganti 591–610) that primitive individuality should be attributed to the entities dealt with by non-relativistic quantum mechanics. There are two central ingredients in the proposal: in the case of non-relativistic quantum mechanics, individuality should be taken as a primitive notion and primitive individuality is naturalistically acceptable. We argue that, strictly understood, naturalism faces difficulties in helping to provide a theory with a unique principle of individuation. We also hold that even when taken in (...) a loose sense, naturalism does not provide any sense in which one could hold that quantum mechanics endorses primitive individuality over non-individuality. Rather, we argue that non-individuality should be preferred based on the grounds that such a view fits better the claims of the theory. (shrink)

This article aims to contribute to a critical ontology of social objects. Recent works on collective intentionality and norm-following neglect the question how free agents can be brought to collectively intend to x , although x is not in their own interest. By arguing for a natural disposition to empathic understanding and drawing on recent research in the neurosciences, this article outlines an ontological framework that extends collective intentionality to questions of oppression and status asymmetries. In a contribution to this (...) journal, Wisnewski (2005) unfortunately mischaracterizes the problem of meaning in social criticism. Implementing status problems in studies of collective intentions and construing social facts as both subjective and objective in character helps explain why agents can have persistent "misunderstandings" of social objects. (shrink)

We discuss the idea that superpositions in quantum mechanics may involve contradictions or contradictory properties. A state of superposition such as the one comprised in the famous Schrödinger’s cat, for instance, is sometimes said to attribute contradictory properties to the cat: being dead and alive at the same time. If that were the case, we would be facing a revolution in logic and science, since we would have one of our greatest scientific achievements showing that real contradictions exist.We analyze that (...) claim by employing the traditional square of opposition.We suggest that it is difficult to make sense of the idea of contradiction in the case of quantum superpositions. From a metaphysical point of view the suggestion also faces obstacles, and we present some of them. (shrink)

Quasi-truth (a.k.a. pragmatic truth or partial truth) is typically advanced as a framework accounting for incompleteness and uncertainty in the actual practices of science. Also, it is said to be useful for accommodating cases of inconsistency in science without leading to triviality. In this paper, we argue that the formalism available does not deliver all that is promised. We examine the standard account of quasi-truth in the literature, advanced by da Costa and collaborators in many places, and argue that it (...) cannot legitimately account for incompleteness in science. We shall claim that it conflates paraconsistency and paracompleteness. It also cannot properly account for inconsistencies, because no direct contradiction of the form S ∧ ¬S can be quasi-true according to the framework; contradictions simply have no place in the formalism. Finally, we advance an alternative interpretation of the formalism in terms of dealing with distinct contexts where incompatible information is dealt with. This does not save the original program, but seems to make better sense of the apparatus. (shrink)

Sortal predicates have been associated with a counting process, which acts as a criterion of identity for the individuals they correctly apply to. We discuss in what sense certain types of predicates suggested by quantum physics deserve the title of ‘sortal’ as well, although they do not characterize either a process of counting or a criterion of identity for the entities that fall under them. We call such predicates ‘quantum-sortal predicates’ and, instead of a process of counting, to them is (...) associated a ‘criterion of cardinality’. After their general characterization, it is discussed how these predicates can be formally described. (shrink)