The aim of this study is to explore how nurses perceive patient participations of patients over 75 years old undergoing hemodialysis treatment in dialysis units, and of their next of kin. Ten nurses told stories about what happened in the dialysis units. These stories were analyzed with critical discourse analysis. Three discursive practices are found: (1) the nurses’ power and control; (2) sharing power with the patient; and (3) transferring power to the next of kin. The first and the predominant (...) discursive practice can be explained with an ideology of paternalism, in which the nurses used biomedical explanations and the ethical principle of benefice to justify their actions. The second can be explained with an ideology of participation, in which the nurses used ethical narratives as a way to let the patients participate in the treatment. The third seemed to involve autonomous decision-making and the ethical principle of autonomy for the next of kin in the difficult end-of-life decisions. (shrink)

This article develops a framework for analysing how digital software and models become mediums for creative imagination in architectural design. To understand the hermeneutics of these relationships, we develop key concepts from Material Engagement Theory (MET) and Postphenomenology (PP). To push these frameworks into the realm of digital design, we develop the concept of Digital Materiality. Digital Materiality describes the way successive layers of mathematics, code, and software come to mediate enactive perception, and the possibilities of creative material engagement actualised (...) in work with software. Just as molecular materials come to transform action with material objects, so digital materiality comes to enable and transform creative practices with computers. Digital architectural design form a new space for ongoing enactive discovery and creativity through manipulation of digital models and their underlying software environments. By shifting relationships within their digital models, architects can direct their attention, intention, and imagination towards widely different aspects of the model. Here, creative imagination becomes a fundamentally situated activity where mind emerges through dynamic interaction between a variety of embodied, material, and cultural domains. (shrink)

The nature of creative engagement with computers and software presents a number of challenges to 4E cognition and requires the development of analytical frameworks that can encompass cognitive processes as they extend across material and informational realms. Here I argue that an enactive view of mind allows for better understanding of digital practice by advancing a dynamic, transactional, and affective framework for the analysis of computational design. This enactive framework is in part developed through the Material Engagement Theory put forward (...) by Lambros Malafouris, in part from the phenomenologically inspired philosophy of Bernard Stiegler. Both advance temporality, technics and technique as key to understanding human creative imagination and their work can support each other in different ways; Stiegler allows for a theorisation of digital tools largely missing from the cognitive archaeology of Malafouris, whilst Malafouris provides a cognitive theory to further develop key ideas in Stiegler’s philosophy. Bringing their work together through Gilbert Simondon’s theory of individuation, I develop the concept of enactive individuation and apply this to the analysis of a case of robotic design and fabrication from my fieldwork with digital architects and engineers. This case allows for further exploration of how enactivism might productively be extended into the digital realm by underscoring the explorative engagement at heart of even highly systematic work with computers and software. (shrink)

Definitions of ‘pseudoscience’ are required to heed the established usage of the definiendum by subsuming those cases that are generally considered to be pseudoscientific, and by excluding those that are considered sciences. In this paper I sample the published record to assess the consensus on pseudoscience case classifications. The review finds inconclusive evidence for an overall agreement. However, the frequent usage of a small number of pseudoscience-cases indicates that these are considered paradigms of pseudoscience. I briefly discuss some practical implications (...) of these findings for the pseudoscience demarcation project. (shrink)

This thesis explores the phenomenon of scientific myths distributed in academic discourses. Drawing on a set of myth-examples, I explicate a definition of the term ‘scientific myth’, arguing that it ought primarily to be characterised by the tension between a lack of epistemic warrant on the one hand, and an extensive proliferation in formal academic channels of publications on the other. I then delineate scientific myths from the closely associated pseudosciences: The sciences, although distributing some unreliable statements, do not bestow (...) upon such statements the same authority and importance as the pseudosciences do. From these demarcative deliberations, I proceed to address the question of myth diffusion, of how misconceptions grow to scientific myths. Discussing myth-propagation, I argue that a fundamental explanation for myth-spreading is deficient epistemic practices. Omissions of citations, although a both common and pertinent explanation, only account for some aspects of myth spreading. In the context of research debates, the issue of myth diffusion also includes efforts at debunking scientific myths in academic publications. Our findings indicate that there is an ‘Affirmative Citation Bias’, that counteracts debunking attempts by effectively disarming the critique: Instead of being distributed, the critique is buried in an avalanche of myth-affirming publications. Finally, I discuss whether scientific myths ought to be somewhat vindicated. They could conceivably have an anti-dogmatic function in academic debates, by representing alternatives to the established consensus, in accordance with Millsian and Feyerabendian ideals for truth seeking discourse. I conclude in the negative: Scientific myths have dogmatic aspects themselves. (shrink)

This article examines the diffusion and present day status of a family of unsubstantiated learning-retention myths, some of which are referred to as ‘the learning pyramid’. We demonstrate through an extensive search in academic journals and field-specific encyclopaedias that these myths are indeed widely publicised in academia and that they have gained a considerable level of authority. We also argue that the academic publishing of these myths is potentially harmful to both professional as well as political deliberations on educational issues, (...) and therefore should be criticized and counteracted. (shrink)

In this article, I seek to improve upon a definition of pseudoscience put forward by Sven Ove Hansson. I argue that not only does its use of ‘pseudoscientific statement’ as definiendum inadequately address the theoretical issue of demarcation, it also makes the definition inapt for practical demarcation. Moreover, I argue that Hanson’s definition subsumes statements and associated practices that are forms of bad science, resulting in an unfavourably wide concept. I try to save the definition from the brunt of this (...) critique by arguing that some pseudoscientific statements are particularly significant when demarcating a discipline as a pseudoscience. (shrink)

This paper discusses the performativity of Heidegger’s language. It tries to ascertain how Heidegger attains the appearance of phenomena by writing about them. This paper focuses accordingly on two questions: First, how is it possible to break out of language by means of words in order to make way for the unutterable, and second, how can what appears also disappear at the same time. The essay”The Origin of the Work of Art” (”DerUrsprung des Kunstwerkes”) is rife with examples inwhich Heidegger (...) describes a phenomenon and analyses it as a possibility of making the experience of its particular”way of being” (“Seinsweise”). This paper examines in detail Heidegger’s attempt to provide a setting in which phenomena can appear in such a way that the assertion can be made that they show themselves”by themselves”. (shrink)

Genetic database initiatives have given rise to considerable debate about their potential harms and benefits. The question arises as to whether existing ethical frameworks are sufficient to mediate between the competing interests at stake. One approach is to strengthen mechanisms for obtaining informed consent and for protecting confidentiality. However, there is increasing interest in other ethical frameworks, involving solidarity — participation in research for the common good — and the sharing of the benefits of research.

Several uncorroborated, false, or misinterpreted conceptions have for years been widely distributed in academic publications, thus becoming scientific myths. How can such misconceptions persist and proliferate within the inimical environment of academic criticism? Examining 613 articles we demonstrate that the reception of three myth-exposing publications is skewed by an ‘affirmative citation bias’: The vast majority of articles citing the critical article will affirm the idea criticized. 468 affirmed the myth, 105 were neutral, while 40 took a negative stance. Once misconceptions (...) proliferate wide and long enough, criticizing them not only becomes increasingly difficult, efforts may even contribute to the continued spreading of the myths. (shrink)

This work describes the nano field in Norway as currently emerging in the dynamics between two forms of nano research activities described along a centre-periphery axis. 1) There are strategic research initiatives committed to redeem the envisioned potential of the field by means of social and material reorganisation of existing research activities. This activity is seen as central as it is one of our premises that the standard circulating nano vision implies such a work of reorganisation. The fact that nano (...) is often taken as a paradigmatic example of the shift from Mode-1 to Mode-2 research, supports this assumption. 2) In parallel to this activity, a wide variety of research projects pursuing nano strategies are being funded. We regard such research activity as peripheral in so far as the activity is not marked by being committed to the circulating nano vision, as may often be the case. In the process of reorganising, this article argues, the research activity at the periphery provides a crucial arena for discussing and validating what is to be achieved through the work of reorganisation that takes place at the centre. Our analysis is informed by two Norwegian cases. We examine a major nano research initiative at a Norwegian university as a centre and a research project utilising nanoparticles in fish vaccines as a periphery. (shrink)

I respond to Sven Ove Hansson’s [2020. "Disciplines, Doctrines, and Deviant Science." International Studies in the Philosophy of Science 33 (1): 43-52. doi:10.1080/02698595.2020.1831258] discussion note on my (Letrud 2019) critique of his (2013) pseudoscience definition. My critique addressed what I considered to be issues with his choice of definiendum, the efficiency of the definition for debunking pseudoscience, and a problematic extensional overlap with bad science. I attempted to solve these issues by proposing some modifications to his definition. I shall address (...) the four main points of the discussion: whether the primary definiendum ought to be ‘pseudoscience’ or ‘pseudoscientific statement’ (I make a moderate case for ‘pseudoscience’), whether ‘discipline’ is an apt category for the definiens (it is, extensionally), and how to go about debunking pseudoscience (it is complicated). And, perhaps most importantly, whether Hansson’s definition of pseudoscientific statement subsumes examples of bad science, and thus science. I present a case study of efforts at correcting unreliable models proliferating in the research literature. This case demonstrates how bad science can satisfy Hansson’s criteria for pseudoscientific statement, including the criterion of deviant doctrine. (shrink)

The family of cognitive models sometimes referred to as the “Learning Pyramid” enjoys a considerable level of authority within several areas of educational studies, despite that nobody knows how they originated or whether they were supported by any empirical evidence. This article investigates the early history of these models. Through comprehensive searches in digital libraries, we have found that versions of the Learning Pyramids have been part of educational debates and practices for more than 160 years. These findings demonstrate that (...) the models did not originate from empirical research. We also argue that the contemporary Learning Pyramids, despite their continued modifications and modernizations, have failed to keep up with the developments of cognitive psychology. The conception of memory implied by the Learning Pyramids deviates significantly from the standard picture of human memory. (shrink)

Many philosophers and some economists value economic equality on the ground that transfers from the relatively rich to the relatively poor increase the utility of the poor more than they reduce the utility of the rich. These philosophers and economists are assuming the ethical principle that a pattern of economic distribution is justified by maximizing aggregate utility. They are also assuming the truth of an empirical generalization proposed in the eighteenth century by Daniel Bernoulli–that successive equal increments of income produce (...) ever-diminishing increments in an individual's level of utility. In the first part of this essay I will argue against Bernoulli's hypothesis, and suggest an alternative view of the relation between income and utility. (shrink)

The diversity of nanotechnologies and of the governance challenges that their applications raise calls for exploration and learning across different cases. We present an Upstream Oversight Assessment (UOA) of expected benefits and potential harms of nanoparticles made of a synthetic polymer (PLGA) to improve vaccines for farmed salmon. Suggested by Jennifer Kuzma and colleagues, an UOA may help identify and prioritise research needs, and it may support evaluations of the adequacy of relevant existing regulatory frameworks. In this work, the UOA (...) approach is modified and supported with elements from the uncertainty analysis framework developed by Warren Walker and colleagues. Empirically, we draw on relevant available published literature and insights generated in an ongoing nanoparticle salmon vaccine project, in which one of the authors participates. Nanotechnologies have not previously been encountered in the regulatory context of fish vaccines, which in part raises unique challenges due to prospective large scale vaccine use in semi-open aquatic systems. Strengthened through cooperation between ELSA and technology researchers we found the UOA useful for an early mapping of benefits and concerns, and for identifying areas in need of further research prior to a nanoparticle based salmon vaccine is developed and taken into use. We consider our approach to represent one among several complementing initiatives that seek to contribute to early stage evaluations of possible negative side effects, broadly conceived, in order to facilitate a more robust nanotechnology development. (shrink)

The evidence-based practice and evidence-based medicine movements have promoted standardization through guideline development methodologies based on systematic reviews and meta-analyses of best available research. EBM has challenged clinicians to question their reliance on practical reasoning and clinical judgement. In this paper, we argue that the protagonists of EBM position their mission as reducing uncertainty through the use of standardized methods for knowledge evaluation and use. With this drive towards uniformity, standardization and control comes a suspicion towards intuition, creativity and uncertainty (...) as integral parts of medical practice. We question the appropriateness of attempts to standardize professional practice through a discussion of the importance of uncertainty. Greenhalgh’s taxonomy of uncertainty is used to inform an analysis of the clinical reasoning occurring in a potentially life threatening emergency situation with a young patient. The case analysis is further developed by the use of the Canadian philosopher Bernard Lonergan’s theory about understanding and objective knowing. According to Lonergan it is not by getting rid of or even by reducing uncertainty, but by attending systematically to it and by relating to it in a self-conscious way, that objective knowledge can be obtained. The paper concludes that uncertainty is not a regrettable and unavoidable aspect of decision making but a productive component of clinical reasoning. (shrink)

The ideal of trust pervades nursing. This article uses empirical material from acute psychiatry that reveals that it is distrust rather than trust that is prevalent in this field. Our data analyses show how distrust is expressed in the therapeutic environment and in the relationship between nurse and patient. We point out how trust can nonetheless be created in an environment that is characterized by distrust. Both trust and distrust are exposed as `fragile' phenomena that can easily `tip over' towards (...) their opposites. Trust is not something that nurses possess or are given; it is rather something that they earn and have to work hard to achieve. Regarding themselves as potential causes of distrust and active wielders of power can contribute to nurses developing a more realistic view of their practice. Assuming a realistic middle-way perspective can help to manoeuvre between the extremities of excellence and resignation, which in turn can lead to processes that create trust between psychotic patients and nurses. (shrink)

Questions on what it means to live and die well are raised and discussed in the hospice movement. A phenomenological lifeworld perspective may help professionals to be aware of meaningful and important dimensions in the lives of persons close to death. Lifeworld is not an abstract philosophical term, but rather the opposite. Lifeworld is about everyday, common life in all its aspects. In the writings of Cicely Saunders, known as the founder of the modern hospice movement, facets of lifeworld are (...) presented as important elements in caring for dying patients. Palliative care and palliative medicine today are, in many ways, replacing hospices. This represents not only a change in name, but also in the main focus. Hospice care was originally very much about providing support and comfort for, and interactions with the patients. Improved medical knowledge today means improved symptomatic palliation, but also time and resources spent in other ways than before. Observations from a Nordic hospice ward indicate that seriously ill and dying persons spend much time on their own. Different aspects of lifeworld and intersubjectivity in the dying persons’ room is presented and discussed. (shrink)

Informed consent represents a cornerstone of the endeavours to make health care research ethically acceptable. Based on experience of qualitative research on power dynamics in nursing care in acute psychiatry, we show that the requirement for informed consent may be practised in formalistic ways that legitimize the researcher's activities without taking the patient's changing perception of the situation sufficiently into account. The presentation of three patient case studies illustrates a diversity of issues that the researcher must consider in each situation. (...) We argue for the necessity of researchers to base their judgement on a complex set of competencies. Consciousness of research ethics must be combined with knowledge of the challenges involved in research methodology in qualitative research and familiarity with the therapeutic arena in which the research is being conducted. The article shows that the alternative solution is not simple but must emphasize the researcher's ability to doubt and be based on an awareness of the researcher's fallibility. (shrink)

This article presents and evaluates arguments supporting that an approval procedure for genome-edited organisms for food or feed should include a broad assessment of societal, ethical and environmental concerns; so-called non-safety assessment. The core of analysis is the requirement of the Norwegian Gene Technology Act that the sustainability, ethical and societal impacts of a genetically modified organism should be assessed prior to regulatory approval of the novel products. The article gives an overview how this requirement has been implemented in the (...) regulatory practice, demonstrating that such assessment is feasible and justified. Even in situations where genome-edited organisms are considered comparable to non-modified organisms in terms of risk, the technology may have—in addition to social benefits—negative impacts that warrant assessments of the kind required in the Act. The main reason is the disruptive character of the genome editing technologies due to their potential for novel, ground-breaking solutions in agriculture and aquaculture combined with the economic framework shaped by the patent system. Food is fundamental for a good life, biologically and culturally, which warrants stricter assessment procedures than what is required for other industries, at least in countries like Norway with a strong tradition for national control over agricultural markets and breeding programs. (shrink)

This article discusses the meanings of “creativity”—tvorchestvo—as we encounter it in Georges Florovsky’s thought, first and foremost in his magnum opus Ways of Russian Theology (1937). Tvorchestvo had by this time become a key concept in Russian pre-revolutionary and later émigré thought. It is associated above all with Nikolai Berdyaev’s philosophy, but it also plays an important role in Sergei Bulgakov’s philosophy of economy. In both cases, it stands for the human response to divine creation. Moreover, and somewhat less famously, (...) it was also an epistemological concept in the religious idealism of Vladimir Solovyov as well as in Russian neo-Kantianism (Fyodor Stepun), where it stood for the active, synthetic faculty of our minds. Florovsky, meanwhile, used it as a description of how we should relate to the patristic heritage, but also to history more generally: Our attitude should be “creative,” active, as well as both backward- and forward-looking. This “return to the Fathers” was a central component of Florovsky’s neopatristic program, but, interestingly, in order to conceptualize this return, Florovsky took over a concept from traditions that his own approach otherwise firmly criticized. By analyzing Florovsky’s use of tvorchestvo, this article addresses the broader question as to the differences and parallels between the neopatristic movement and the legacy of the Russian Renaissance (Silver Age). (shrink)

The article discusses the notion of culture as it appears and is conceptualized in the works of G.P. Fedotov. The analysis focuses on two articles by Fedotov published in Russian migr journals, "The Holy Spirit in Nature and Culture" of 1932 and "Eschatology and culture" of 1938, and in his magnum opus in a Western context, The Russian Religious Mind of 1946. The author proposes to analyze Fedotov's ideas as a theology of culture due to the profoundly religious meaning the (...) Russian migr thinker attributed to cultural products and production, regardless of their religious intention. By implication, Fedotov understood culture in a religious framework as the human experience of and response to the divine, though not necessarily as dependent on firm belief. Viewing Fedotov as a theologian of culture enables us, furthermore, to compare him with other thinkers across the West-East cultural gradient, most notably Paul Tillich. This approach contextualizes Fedotov in a post-Schellingian pan-European idealist tradition, to which Russian thinkers' analyses of religious experience and imagination have made seminal contributions, in particular from Vladimir Solov'ev on. The article discusses these issues within the framework of the perspectives of global intellectual history, entangled history, and transnationalized Russian studies. (shrink)

Evert van der Zweerde’s book is the most recent result of the author’s long-time study of Russian philosophy and Russian philosophical culture. The latter concept has been one of Zweerde’s main con...

In this article, the authors set out to evaluate two competing mechanisms that may account for the negative relationship between xenophobia and left voting. Xenophobia may reduce left voting because parties of the right are more conservative on issues relating to immigration and ethnic relations, or it may reduce left voting because many potential left voters lack sympathy with the groups to whom redistribution is thought to be directed. These two mechanisms imply radically different scenarios for political competition. Using a (...) multilevel modeling approach, the authors analyze the data compiled in fifteen different surveys carried out in ten Organisation for Economic Co-operation and Development countries between 1990 and 2000. This study is the first to draw out the implications of these mechanisms for left voting and to subject them to empirical scrutiny in a large-scale comparative study. The results are consistent with the existence of a relatively strong policy-bundling effect; by contrast, the anti-solidarity effect is trivial in most of the surveys analyzed. (shrink)

In the post-Soviet context, various cyclical models of recurrent Russian “Times of Troubles” have become increasingly popular. This perspective emerged first in Soviet dissident circles, who used it as a means to expose as mistaken the Soviet belief in continual historical progress on Russian soil. In post-Soviet Russia this critical approach has been continued by members of the “Akhezier circle,” the economist Egor Gaidar, and others. Meanwhile it was given an affirmative, conservative reinterpretation by Aleksandr Panarin, according to whom Russia (...) has always managed to overcome its phases of devastating Westernization and state collapse. This idea of Russian history has become influential; even Vladimir Putin has talked about Russia as a strong state able to survive various “Times of Troubles” from the early seventeenth century to the early post-Soviet period. It also figures prominently among members of the neoconservative Izborsk Club. This article analyzes different conceptions of Russian history as cyclical and their prominent place in the prevailing civilizational discourse of post-Soviet Russia. By means of postcolonial perspectives, this discourse is seen on the one hand as an attempt to question and reject Western hegemony, attempts that on the other hand nevertheless seem unable to liberate themselves from a normative dependence on the West. (shrink)

Qualitative research is largely dependent on building good interpersonal relations between researcher and participant. This is necessary for generating rich data, while at the same time ensuring respect is maintained between researcher and participant. We argue for a better understanding of researcher–participant relations in research practice. Codes of ethics, although important, do not address these kinds of ethical challenges. Negotiating the ethical relations between researcher and participant is paramount in maintaining ethical rigour in qualitative research. In this paper we propose (...) concepts that can assist in understanding how the ethics of research relations are negotiated in practice; the ‘zone of the untouchable’ from the Danish philosopher, Løgstrup, is combined with the notion of ‘ethical mindfulness’. We argue how and why these concepts in tandem can heighten awareness and offer ways to address the ethically important moments in research. (shrink)