GPs usually care for their patients for an extended period of time, therefore, requests to not only discontinue a patient’s treatment but to assist a patient in a suicide are likely to create intensely stressful situations for physicians. However, in order to ensure the best patient care possible, the competent communication about the option of physician assisted suicide as well as the assessment of the origin and sincerity of the request are very important. This is especially true, since patients’ requests (...) for PAS can also be an indicator for unmet needs or concerns. Twenty-three qualitative semi-structured interviews were conducted to in-depth explore this multifaceted, complex topic while enabling GPs to express possible difficulties when being asked for assistance. The analysis of the gathered data shows three main themes why GPs may find it difficult to professionally communicate about PAS: concerns for their own psychological well-being, conflicting personal values or their understanding of their professional role. In the discussion part of this paper we re-assess these different themes in order to ethically discuss and analyse how potential barriers to professional communication concerning PAS could be overcome. (shrink)

Advance directives are written documents that give patients the opportunity to communicate their preferences regarding treatments they do or do not want to receive in case they become unable to make decisions. Commonly used pre-printed forms have different formats. Some offer space for patients to appoint a surrogate decision maker, and/or to determine future medical treatments and/or give a statement of personal values. So far it is unknown which forms GPs preferably use and why they decide to do so. 23 (...) semi-structured interviews with GPs were analysed using content analysis. Interviewees mainly use short templates and medium length templates with checkboxes to indicate patients’ preferences in regards to life prolonging measures. Especially when patients faced the progression of a disease, participants use the latter version. Only then, the interviewees remarked, patients are capable to rate concrete situations reliably. GPs also realize the importance of the verbal assessment of patients’ preferences; however they rarely keep a written form of the conversation. Some GPs hand out one or more templates and ask their patients to read and think about them at home with the option to talk to them about it later on, while others prefer their patients to fill them out alone at home. Regardless of template usage, most GPs emphasize that ADs require regular updates. GPs tend to see standardized advance directives mainly as a tool to start a conversation with their patients and to identify their real preferences and values. When the patient is still not facing the progression of an already existing disease it could be sufficient to only appoint a surrogate decision maker instead of creating a full AD. However, in all other situations, appointing a surrogate decision maker should be backed up by a written statement of a patient’s general values. Patients and their relatives should always have the opportunity to ask their GP for medical advice when drafting an AD. It is crucial to regularly verify and update existing ADs within the course of a disease. (shrink)

Attention is automatically allocated to stimuli that are opposite in valence to the current motivational focus (Rothermund, 2003; Rothermund, Voss, & Wentura, 2008). We tested whether this incongruency effect is due to affective–motivational counter-regulation or to an increased salience of stimuli that mismatch with cognitively activated information. Affective processing biases were assessed with a search task in which participants had to detect the spatial position at which a positive or negative stimulus was presented. In the motivational condition, positive or negative (...) affective–motivational states were induced by performance feedback after each trial. In the cognitive activation condition, participants memorised the word “good” or “bad” during the search task. The affective incongruency effect was replicated in the motivational condition, whereas an affective congruency effect obtained in the cognitive activation condition. These findings support an explanation of affective incongruency effects in terms of automatic counter-regulation that is motivational in nature. (shrink)

Plato's depiction of the world soul's cognitive activity in Timaeus 37 A 2‐C 5 offers a general account of intellectual cognition. He gives this account by describing the activity of an ideal cognitive agent, involving the very same comparative mechanism that governs human intellectual activity, namely, the active production of a propositional grasp of sameness and difference that things have in relation to each other in several respects. Plato depicts the world soul's intellectual activity as entirely devoid of immediate forms (...) of cognition such as perception and/or intellectual intuition: everything the world soul cognizes is the outcome of its active comparison of things with each other. In particular, there is no direct cognitive grasp of the being of things. The paper ends with a suggestion as to how to understand Plato's account of the world soul's activity as an instance of the ‘like is known by like’ principle of cognition. (shrink)

Since Freges terms were meant to refer always to sets, that is, entities composed of individuals. Classical philosophy up to Leibniz and Kant had a different view on this questionBegriffes syntaxhighercorresponding to the idea which Leibniz used in the construction of his characteristic numbers. Thus, this paper is an addendum to Corcorans theory via predicate logic.

Multinational corporations (MNCs) are increasingly judged not only on their own social impacts but also on those of their supply chain partners. To reduce this environmental dependence, many MNCs implement social evaluations and codes of conduct which suppliers must follow. But how do MNCs legitimise and implement social evaluations in their supply chains? To address this, we draw on and augment resource dependence and legitimacy theories, to analyse a multinational grocery retailer’s implementation of labour standards for its fruit and vegetable (...) suppliers. The case study utilises interviews, analysis of a database of audits, internal documents, and observational data. It provides the basis for theorizing corporate reputation as a resource dependency, with social evaluations a distinct means to co-opt external actors to preserve the focal organization’s autonomy while reducing environmental contingencies. The legitimacy of social evaluations of supply chain partners depends on processes that reconcile both moral and pragmatic concerns, allowing the focal organization to mitigate resource dependencies without ceding control over enforcement and enabling actions. (shrink)

The article critically assesses Ulrich Beck’s body of work and its importance for contemporary sociology. It demonstrates that Beck’s elaboration of his original theory of the ‘risk society’ into a theory of the ‘world risk society’, ‘cosmopolitanism’ and ‘metamorphosis’ involved several key theoretical innovations. Firstly, Beck adjusted his notion of risk to include the threat of international terrorism in his diagnosis of the risk society. Secondly, he introduced a distinction between ‘cosmopolitanism’ and ‘cosmopolitization’ in order to capture the specificity of (...) contemporary social change. Thirdly and most recently, Beck outlined a theory of ‘the metamorphosis of the world’ which marks an important shift of emphasis from ‘the negative side effects of goods’ to ‘the positive side effects of bads’. In conclusion, the article identifies a number of theoretical ambiguities and unresolved questions in Beck’s theory. (shrink)

The COVID-19 pathogen led to a fast expanding pandemic because it proved lethal in certain populations but could be transmitted by persons who appeared healthy. As a result, researchers came under unprecedented time pressure to develop a vaccine. This case study focuses on the first COVID-19 vaccine, which was approved for use in humans, known as Comirnaty, the BioNTech-Pfizer COVID-19 vaccine or Vaccine BNT162b2. With the benefit of hindsight, we show how close collaboration with regulators and trust-based decisions meant that (...) the race for a COVID-19 vaccine was won without purposefully infecting healthy participants with an infectious agent that can cause severe illness or death and for which no rescue therapy had existed. (shrink)

The author introduces a normative conception of coherence, derived from a pragmatic interpretation of the application of norms to concrete cases. A distinction is made between the justification of a norm and its application. In the case of moral norms, justification and application can be analysed as two different discursive procedures which give rise to different aspects of the principle of impartiality. Impartial justification requires a procedure by which all interests concerned are taken into account whereas impartial application requires a (...) procedure where all features of a situation are considered. The complete description of a concrete case makes necessary a coherent interpretation of all the valid norms which are prima facie applicable. This requirement of an ideal coherent system of norms is restricted to interpretive “paradigms” in the case of legal norms, because it is necessary to produce singular judgments under the restrictive conditions of scarce time and incomplete knowledge. (shrink)

Zusammenfassung Der Beitrag analysiert auf der Basis theoretischer Überlegungen sowie empirischer Ergebnisse Möglichkeiten und Grenzen einer „interkulturellen Öffnung“ von Sportvereinen, worunter Strukturanpassungen verstanden werden, die auf die Inklusion und Integration von Personen mit Migrationshintergrund zielen. Es wird gezeigt, inwiefern eine nachhaltige interkulturelle Öffnung der Vereine von der programmatischen Anbindung an den Vereinszweck, von der kontinuierlichen Behandlung in den Kommunikationswegen, von spezifischen Personalentscheidungen und der Kompatibilität mit der Organisationskultur abhängig ist.

The present article provides a mereological analysis of Euclid’s planar geometry as presented in the first two books of his Elements. As a standard of comparison, a brief survey of the basic concepts of planar geometry formulated in a set-theoretic framework is given in Section 2. Section 3.2, then, develops the theories of incidence and order using a blend of mereology and convex geometry. Section 3.3 explains Euclid’s “megethology”, i.e., his theory of magnitudes. In Euclid’s system of geometry, megethology takes (...) over the role played by the theory of congruence in modern accounts of geometry. Mereology and megethology are connected by Euclid’s Axiom 5: “The whole is greater than the part.” Section 4 compares Euclid’s theory of polygonal area, based on his “Whole-Greater-Than-Part” principle, to the account provided by Hilbert in his Grundlagen der Geometrie. An hypothesis is set forth why modern treatments of geometry abandon Euclid’s Axiom 5. Finally, in Section 5, the adequacy of atomistic mereology as a framework for a formal reconstruction of Euclid’s system of geometry is discussed. (shrink)

Appraisal theories of emotion, and particularly the Component Process Model, claim that the different components of the emotion process (action tendencies, physiological reactions, expressions, and feeling experiences) are essentially driven by the results of cognitive appraisals and that the feeling component constitutes a central integration and representation of these processes. Given the complexity of the proposed architecture, comprehensive experimental tests of these predictions are difficult to perform and to date are lacking. Encouraged by the “lexical sedimentation” hypothesis, here we propose (...) an indirect examination of the compatibility of the theoretical assumptions with the semantic structure of a set of major emotion words as measured in a cross-language and cross-cultural study. Specifically, we performed a secondary analysis of the large-scale data set with ratings of affective features covering all components of the emotion process for 24 emotion words in 27 countries, constituting profiles of emotion-specific appraisals, action tendencies, physiological reactions, expressions, and feeling experiences. The results of a series of hierarchical regression analyses to examine the prediction of the theoretical model are highly consistent with the claim that appraisal patterns determine the structure of the response components, which in turn predict central dimensions of the feeling component. (shrink)

This book provides insight into the work of Oswald Spengler (1880-1936), one of the most prophetic minds of the 20th century, whose dire historical predictions - world wars, ecological disasters, gigantic cities with unrestrained urban sprawl, increasing race conflicts, failure of nerve among the ruling elites, and rapid decline of cultural norms - have more than passed the test of time. Besides focusing on Spengler the prophet and the controversies which surrounded his name in the 1920s, this book also emphasizes (...) Spengler's pioneering role in the development of a comparative study of cultures based on biological principles. (shrink)

In this paper the author criticizes the way Robert Alexy reconstructs the relationship between legal and practical reasoning. The core of Alexy's argumentation (Alexy 1978) is considered the claim that legal argumentation is a “special case” of general practical discourse. In order to question this claim, the author analyzes three different types of argument: (1) that legal reasoning is needed by general practical discourse itself, (2) that there are similarities between legal argumentation and general practical discourse, (3) that there is (...) a correspondence between certain types of argument in general practical discourse and in legal argumentation.**. (shrink)

Based on a theoretical model of the mood-cognition interface, the prediction is derived and tested empirically that positive mood enhances constructive memory biases. After reading an ambiguous personality description, participants received a positive or negative mood treatment employing different films. Within each mood group, half of the participants were then questioned about the applicability of either desirable or undesirable personality traits to the target person. This questioning treatment was predicted to bias subsequent impression judgements in the evaluative direction of the (...) questioned attributes. As earlier research had shown that such a bias is stronger for negative than positive attributes (presumably because of the higher diagnosticity of negative attributes), a non-trivial test of the sup posed mood effect was possible. Positive mood should enhance constructive effects, but this should be most apparent for negative attributes. The empirical findings lend support to these predictions. Positive mood subjects' impression judgements were biased by the prior questioning even when they did not find the questioned attributes to be particularly applicable to the target person. By contrast, negative mood subjects' judgements were more consistent with their responses to the prior questioning and did not exhibit a constructive bias. (shrink)

A favorite assumption of anglo-American scholarship is that locke's influence "pervaded the eighteenth century with an almost scriptural authority." examining the philosophy of the german enlightenment, This essay disputes the exaggerated importance ascribed to locke in the eighteenth century. Locke's influence was always limited by native traditions inimical to his thought. His empiricism could not compete with the leibniz-Wolff system in which all german philosophers, Including the lockean sympathizers, Were educated. It is true that around mid-Century and beyond locke attracted (...) a certain following, But those who accepted his theories were minor figures (popular philosophers) and exercised very little influence on the future course of german philosophy (kant). (shrink)

In his fifth eclogue Candidus the Neo-latin poet Baptista Mantuanus, known in the Renaissance as the “second Virgil”, deals with the poverty of writers and the stinginess of patrons. The dialogue between the sincere-minded poet Candidus, who is frustrated by his hopeless situation, and the rich Silvanus, who gives only empty promises of help, turns out, however, to be futile. As can be demonstrated by the quotations taken mainly from the Roman satirists, Mantuanus makes use of the classical texts as (...) far as they serve his purpose and explicitly displays a subtle view of his various sources. Quoting from classical literature he often compares Candidus, his alter ego, with the victims of Horace, Juvenal and Persius, and frequently transforms the positive aspect of the original into its contrary. This technique emphasizes the needy poet’s self-ironical attitude confirmed by his exaggerated complaints describing his calamity. That is why Candidus appears to be a self-pitying and self-centered character, while, on the other hand, Silvanus represents the specimen of a miser giving nothing but flimsy promises, with the result that the dialogue remains stagnant and ultimately ineffective. (shrink)

There are reasons to endorse Krueger & Funder's (K&F's) critique, but also to disagree with their diagnosis. A “problem-seeking approach” is hardly the cause of imbalance and lack of theoretical integration. Precommitted, ideological theories afford a more appropriate explanation.

This article links three rarely considered dimensions related to the implementation of artificial intelligence (AI)-based technologies in the form of predictive policing and discusses them in relation to liberal democratic societies. The three dimensions are the theoretical embedding and the workings of AI within anomic conditions (1), potential normative disorders emerging from them in the form of thinking errors and discriminatory practices (2) as well as the consequences of these disorders on the psychosocial, and emotional level (3). Against this background, (...) AI-induced anomie is conceptualized as a field of tension that refers to a systematic deterioration of democratic norms that are supposed to create ‘normative orders’, but which, when implemented through AI-supported measures, can reproduce existing discriminations, and establish new kinds of discriminatory relations. In future, these AI-based measures have the potential to lead to opposing normative disorders by emerging in the form of false social norms to an equally false Second Nature. They deprive persons involved of the possibility of individual appropriation of social norms and the specific emotional development associated with it. (shrink)

The meaning of optimality and economy in phylogenetics and evolutionary biology is discussed.It can be shown that the prevailing concepts of optimality and economy are equivocal as they are not based on strict theoretical positions and as they have a variable meaning in different theoretical contexts. The ideas of optimality and economy can be considered to be identical with the expectation of a relatively simple order in a particular field of study. Although there exists no way of inferring one or (...) several methods of solving scientific problems from the presupposed idea of economy and optimality, a lack of motivation for scientific investigations would result if the concepts of economy and optimality in nature were dropped. (shrink)

In this article, I try to show that the question of what the “first proposition” in Groundwork I is can be answered by textual evidence. At the end of paragraph 15 of GMS I, Kant recapitulates the “first proposition”. It is: “Eine Handlung aus Pflicht sondert den Einfluss der Neigung ganz ab.“ (“An action from duty puts aside entirely the influence of inclination.”). It is also shown that this “proposition” summarizes an important result of Kant’s argument in the preceding paragraphs (...) 8–13 and is presupposed by the “second proposition” and by Kant’s whole argument in the paragraphs 14 and 15, which he recapitulates in the last sentence of paragraph 15. (shrink)

Nichts anderes meint die romantische Ironie, als das Spiel des Lebens, das ein Widerspiel der Welt ist, auch wirklich als Spiel zu nehmen und darzustellen, aber: »Darstellung ist Sache der Kunst« und »Darstellen kann nur der Mensch.« So avanciert in der ästhetisch gedeuteten Tathandlung das allein zur Darstellung befähigte Bewußtsein zum »complementum existentiae« der äußeren Welt, indem es Darstellungen einer Welt hervorbringt, die nur in den Darstellungen ihre vielfältige Wirklichkeit oder wirkliche Vielfalt zum Dasein bringt. Jenseits und vorgängig dieser Darstellungen (...) liegt das Nichts der Möglichkeiten zur unendlichen Fülle, das Chaos, aus dem der Verstand diese eine unendliche Welt von Welten bildet. Aus dem Zusammenspiel von Chaos als der Grundlage aller Natur, also auch der menschlichen, in der es sich in der »schönen Verwirrung der Fantasie« manifestiert, und Verstand, der ebenso auch als natürlicher, im Sinne von Energie, aufzufassen ist, entspringt erst die eine Welt in der Unendlichkeit ihrer verdichteten Darstellungen. Diese Strukturierungsleistung aber obliegt der Poesie, eine Aufgabe, die sie wiederum mit der Natur selbst verbindet. Dieses mit bedenkend wird sich die Poesie nicht nur ihrer eigenen Voraussetzungen bewußt, sondern sie wird diese in ihr Produkt aufnehmen. Sie wird »Transzendentalpoesie« oder »progressive Universalpoesie«, deren eigentliches Wesen darin besteht, nie vollendet werden zu können, deren Unvollendung eben die Unvollendung der Welt darstellt. (shrink)

Ziel des Aufsatzes ist der Nachweis, daß dem amerikanischen Philosophen Alan Gewirth die Begründung der normativen Ethik gelungen ist. Damit wird der herrschenden Auffassung widersprochen, daß der Ansatz von Gewirth gröbste Fehler enthält und kaum der Beachtung wert ist. Im Zentrum der Rekonstruktion des Ansatzes steht die Behandlung des umstrittensten Punktes - der Übergang von Werturteilen zu Rechtsansprüchen des Handelnden. Die wesentlichen Rekonstruktionsschritte werden in Auseinandersetzung mit Franz von Kutscheras Kritik am Ansatz von Gewirth entfaltet. Aus der spezifischen - von (...) den Kritikern meist völlig vernachlässigten - Methode des Begründungsargumentes werden Rückschlüsse auf den Status der Moral gezogen: Moralische Verbindlichkeiten sind nicht etwas, was außerhalb von Handlungsfähigen existiert. Vielmehr kommt das moralische Sollen durch und zwischen Handlungsfähigen zur Existenz. Darin ist wohl auch der Grund zu sehen, daß das moralische Sollen streng begründbar ist. (shrink)