Although the main responsibility for informed consent of medical procedures rests with doctors, nurses’ roles are also important, especially as patient advocates. Nurses’ preparation for this role in settings with a hierarchical and communal culture has received little attention. We explored the views of hospital managers and nurses regarding the roles of nurses in informed consent and factors influencing these roles. We conducted a qualitative study in a private, multispecialty hospital in Indonesia. Semi-structured interviews were conducted with seven managers. Two (...) rounds of focus group discussions with nurses (n = 27) were conducted. Constant comparative approach was used in the analysis. Nurses can act as manager, witness, information giver, and advocate in the informed consent process. These roles are influenced by nurses’ preparedness, hospital culture and policy, patients’ understanding, family involvement, and cost-related issues. In preparation for these tasks, nurses should acquire communication skills, clinical knowledge, and legal and ethical knowledge. (shrink)

Although the main responsibility for informed consent of medical procedures rests with doctors, nurses’ roles are also important, especially as patient advocates. Nurses’ preparation for this role in settings with a hierarchical and communal culture has received little attention. We explored the views of hospital managers and nurses regarding the roles of nurses in informed consent and factors influencing these roles. We conducted a qualitative study in a private, multispecialty hospital in Indonesia. Semi-structured interviews were conducted with seven managers. Two (...) rounds of focus group discussions with nurses (n = 27) were conducted. Constant comparative approach was used in the analysis. Nurses can act as manager, witness, information giver, and advocate in the informed consent process. These roles are influenced by nurses’ preparedness, hospital culture and policy, patients’ understanding, family involvement, and cost-related issues. In preparation for these tasks, nurses should acquire communication skills, clinical knowledge, and legal and ethical knowledge. (shrink)

Epistemic exploitation occurs when privileged persons compel marginalized persons to educate them about the nature of their oppression. I argue that epistemic exploitation is marked by unrecognized, uncompensated, emotionally taxing, coerced epistemic labor. The coercive and exploitative aspects of the phenomenon are exemplified by the unpaid nature of the educational labor and its associated opportunity costs, the double bind that marginalized persons must navigate when faced with the demand to educate, and the need for additional labor created by the default (...) skepticism of the privileged. I explore the connections between epistemic exploitation and the two varieties of epistemic injustice that Fricker (2007) identifies, testimonial and hermeneutical injustice. I situate epistemic exploitation within Dotson’s (2012; 2014) framework of epistemic oppression, and I address the role that epistemic exploitation plays in maintaining active ignorance and upholding dominant epistemic frameworks. (shrink)

Structural gaslighting arises when conceptual work functions to obscure the non-accidental connections between structures of oppression and the patterns of harm they produce and license. This paper examines the role that structural gaslighting plays in white feminist methodology and epistemology using Fricker’s (2007) discussion of hermeneutical injustice as an illustration. Fricker’s work produces structural gaslighting through several methods: i) the outright denial of the role that structural oppression plays in producing interpretive harm, ii) the use of single-axis conceptual resources to (...) understand intersectional oppression, and iii) the failure to recognize the legacy of women of color’s epistemic resistance work surrounding the issue of sexual harassment in the workplace. I argue that Fricker’s whitewashed discussion of epistemic resistance to sexual harassment in the United States is a form of structural gaslighting that fails to treat women of color as knowers and exemplifies the strategic forgetting that is a central methodological tactic of white feminism. (shrink)

The paper wishes to analyse the religious buildings, with special attention to the Christianones, considering their transformation due to liturgical and religious reasons. The aim of theresearch relates to the needs of restoration and conservation of the buildings. The restorationand conservation work compels the understanding of all the historical construction phases of thebuilding itself, and the reasons for them, in order to plan a good project, able to respect their real“authenticity”, according to the Nara charter, established by ICOMOS (International Council (...) ofMonuments and Sites) in 1994. The Nara document is inspired by the Venice Charter, approved in1964 and adopted by ICOMOS in 1965, where, in chapter 3, is stated that: “The intention in conservingand restoring monuments is to safeguard them no less as works of art than as historical evidence.”Restoration refers to the conservation of the historical evidence plus the historical meaningof the building. The traces, even if hidden, of the past, related to different conceiving of the building,must be transferred to the future and made available and comprehensible for everyone. The valorisationof the building, as it is defined by the Italian law of 2004 is a tool for the dissemination ofculture, because the culture must be accessible to everyone. The religion and the places devoted tosharing spiritual values, in any geographical and political position and at any time, focusing onintercultural dialogue in a peaceful environment, must be accepted and the work of restorationmust be connected with the transformation in order to ensure the respect of the cultural values ofreligious places. Starting from the re-transformation of Hagia Sophia in Istanbul, from Museum toMosque and the reception of the transformation from the history and history of art internationalenvironment, the paper has the intention to offer an overview, through different examples relatedto diverse times and places, of the role of the religion and liturgy in the transformation of the houseof god and the connection with the cultural environment considering that the transformation hasa strong connection with the restoration activities both on the decorative elements and spatialdimension of the religious buildings and their environment. (shrink)

This paper aims to contribute to an ongoing and controversial debate about non-conceptuality in Kantian aesthetics. It is a replica on a paper of Dietmar Heidemann in Con-Textos Kantianos N.° 12, to which I do consent, but I’d like to give some additional comments on a specific issue: I show in this paper that the problem about whether or not the understanding contributes to aesthetic judgment can be elucidated by means of a revaluation of the imagination’s capacity of formal representation (...) and the subsuming activity of the power of reflective judgment. I argue that the understanding is considered by the power of reflective judgment merely in his lawfulness in order to find a universal under which the imagination’s particular, the formal representation of the beautiful shape, can be subsumed. (shrink)

Book review of the book Inquiring into Human Enhancement: Interdisciplinary and International Perspectives (2015), edited by Simone Bateman, Sylvie Allouche, Jean Gayon, Michela Marzano and Jérôme Goffette. Closing the summary of the book's chapters, the reviewer asks: when imagining HE for the future, especially in utopian directions, might we not seek to increase human wisdom, for instance, rather than just human intellect? Why are human enhancement visions so often limited by egotistical, if well-intended, desires that might go horribly wrong, as (...) in the story of Dr. Jekyll and Mr. Hyde? (shrink)

Recent developments in AI programming allow for new applications: individualized chatbots which mimic the speaking and writing behaviour of one specific living or dead person. ‘Deathbots’, chatbots of the dead, have already been implemented and are currently under development by the first start-up companies. Thus, it is an urgent issue to consider the ethical implications of deathbots. While previous ethical theories of deathbots have always been based on considerations of the dignity of the deceased, I propose to shift the focus (...) on the dignity and autonomy of the bereaved users of deathbots. Drawing on theories of internet-scaffolded affectivity and on theories of grief, I argue that deathbots may have a negative impact on the grief process of bereaved users and therefore have the potential to limit the emotional and psychological wellbeing of their users. Deathbot users are likely to become dependent on their bots which may make them susceptible to surreptitious advertising by deathbot providing companies and may limit their autonomy. At the same time, deathbots may prove to be helpful for people who suffer from prolonged, severe grief processes. I caution against the unrestricted usage of deathbots and suggest that they should be classified as medical devices. This classification would not the least mean that their non-harm, as well as their helpfulness for people suffering from prolonged grief needs to be proven and that their potential for autonomy infringements is reduced. (shrink)

Four detailed cases of delusions of misidentification (DM) are presented: two cases of misidentification of the reflected self, one of reverse intermetamorphosis, and one of reduplicative paramnesia. The cases are discussed in the context of three levels of interpretation: neurological, cognitive and phenomenological. The findings are compared to previous work with DM patients, particularly the work of Ellis and Young (1990; Young, 1998) who found that loss of the normal affective response to familiar faces was a contributing factor in the (...) Capgras delusion. The four cases presented suggest that this particular deficit is not a critical factor in the development of other forms of DM. (shrink)

Epistemologies have power. They have the power not only to transform worlds, but to create them. And the worlds that they create can be better or worse. For many people, the worlds they create are predictably and reliably deadly. Epistemologies can turn sacred land into ‘resources’ to be bought, sold, exploited, and exhausted. They can turn people into ‘labor’ in much the same way. They can not only disappear acts of violence but render them unnamable and unrecognizable within their conceptual (...) architectures. Settler systems of epistemic and conceptual resources and the relations among them are constructed to preclude certain forms of knowledge. This is not an accident; it is a central goal of colonial violence. Colonization and land dispossession would not be possible without the violent disruption of Indigenous knowledge systems and ongoing organized attempts to disrupt their survival. Violently disrupting the relationships of people to land is as much an epistemic project as it is a material one, and these two projects are inherently linked. The task of theorizing epistemic oppression is not only about epistemic oppression. Epistemic oppression is a story that gives language to a phenomenon in order to get past it, to carry on with the maintaining and reviving the forms of Indigenous and diasporic knowledge that colonialism has worked tirelessly to corrupt and silence. (shrink)

Structures of oppression and administrative systems in white supremacist settler colonial societies rely on epistemological foundations to orient them toward their goals of containment and land dispossession. Structural gaslighting refers to the justifying stories and mythologies produced in these societies to normalize, obscure, and uphold structures of oppression. Such epistemic legwork often works by naturalizing socially produced inequalities through positing biological or cultural deficiencies in the target populations. This paper develops the concept of structural gaslighting introduced in Berenstain (2020) as (...) “any conceptual work that functions to obscure the non-accidental connections between structures of oppression and the patterns of harm that they produce and license” and explores its relationship to scientific and philosophical knowledge production. Case studies including historical and contemporary forms of scientific racism, philosophical justifications for ableist violence, and the link between disableization and dispossession for the purpose of settler colonial land theft are considered. (shrink)

Based on brain imaging findings, we present a model according to which addiction emerges as an imbalance in the information processing and integration among various brain circuits and functions. The dysfunctions reflect (a) decreased sensitivity of reward circuits, (b) enhanced sensitivity of memory circuits to conditioned expectations to drugs and drug cues, stress reactivity, and (c) negative mood, and a weakened control circuit. Although initial experimentation with a drug of abuse is largely a voluntary behavior, continued drug use can eventually (...) impair neuronal circuits in the brain that are involved in free will, turning drug use into an automatic compulsive behavior. The ability of addictive drugs to co‐opt neurotransmitter signals between neurons (including dopamine, glutamate, and GABA) modifies the function of different neuronal circuits, which begin to falter at different stages of an addiction trajectory. Upon exposure to the drug, drug cues or stress this results in unrestrained hyperactivation of the motivation/drive circuit that results in the compulsive drug intake that characterizes addiction. (shrink)

Buchbinder and colleagues (2024) offer a cogent refining of the terminology and concepts of moral distress and moral stress. Their examples of clinicians’ moral distress stemming from the crisis of...

Background: Moral sensitivity has been identified as a foundational component of ethical action. Diminished or absent moral sensitivity can result in deficient care. In this context, assessing moral sensitivity is imperative for designing interventions to facilitate ethical practice and ensure that nurses make appropriate decisions. Objective: The main purpose of this study was to validate a scale for examining the moral sensitivity of Brazilian nurses. Research design: A pre-existing scale, the Moral Sensitivity Questionnaire, which was developed by Lützén, was used (...) after the deletion of three items. The reliability and validity of the scale were examined using Cronbach’s alpha and factor analysis, respectively. Participants and research context: Overall, 316 nurses from Rio Grande do Sul, Brazil, participated in the study. Ethical considerations: This study was approved by the Ethics Committee of Research of the Nursing School of the University of São Paulo. Findings: The Moral Sensitivity Questionnaire contained 27 items that were distributed across four dimensions: interpersonal orientation, professional knowledge, moral conflict and moral meaning. The questionnaire accounted for 55.8% of the total variance, with Cronbach’s alpha of 0.82. The mean score for moral sensitivity was 4.45 (out of 7). Discussion and conclusion: The results of this study were compared with studies from other countries to examine the structure and implications of the moral sensitivity of nurses in Brazil. The Moral Sensitivity Questionnaire is an appropriate tool for examining the moral sensitivity of Brazilian nurses. (shrink)

In 2023, online search engine provider Microsoft integrated a language model that provides direct answers to search queries into its search engine Bing. Shortly afterwards, Google also introduced a similar feature to its search engine with the launch of Google Gemini. This introduction of direct answers to search queries signals an important and significant change in online search. This article explores the implications of this new search paradigm. Drawing on Donna Haraway’s theory of _Situated Knowledges_ and Rainer Mühlhoff’s concept of (...) _Sealed Surfaces_, I introduce the term _Sealed Knowledges_ to draw attention to the increasingly difficult access to the plurality of potential answers to search queries through the output of a singular, authoritative, and plausible text paragraph. I argue that the integration of language models for the provision of direct answers into search engines is based on a de-situated and disembodied understanding of knowledge and affects the subjectivities of its users. At the same time, the _sealing of knowledges_ can lead to an increasing spread of misinformation and may make marginalized knowledge increasingly difficult to find. The paper concludes with an outlook on how to resist the increasing _sealing of knowledges_ in online search. (shrink)

This book is an investigation into the descriptive task of moral philosophy. Nora Hämäläinen explores the challenge of providing rich and accurate pictures of the moral conditions, values, virtues, and norms under which people live and have lived, along with relevant knowledge about the human animal and human nature. While modern moral philosophy has focused its energies on normative and metaethical theory, the task of describing, uncovering, and inquiring into moral frameworks and moral practices has mainly been left to (...) social scientists and historians. Nora Hämäläinen argues that this division of labour has detrimental consequences for moral philosophy and that a reorientation toward descriptive work is needed in moral philosophy. She traces resources for a descriptive philosophical ethics in the work of four prominent philosophers of the twentieth century: John Dewey, Ludwig Wittgenstein, Michel Foucault, and Charles Taylor, while also calling on thinkers inspired by them. (shrink)

The degradation of non-market relationships has rendered individuals unnecessarily vulnerable in disasters, including the global pandemic. While local networks of community-based aid that emerge in response to disasters improve the efficacy of response, they tend to be short-lived. This is unfortunate, since the existence and strength of such local networks prior to the onset of disasters not only boosts the efficacy of response but also contributes to the well-being of individuals and communities in non-disaster times. Therefore, individuals ought to establish (...) and strengthen fair-weather local networks of non-market relationships—that is, cultivate neighbor relationships. (shrink)

ABSTRACTThis essay argues that there was a sense in which Shelley actively approved of “jingling verse.” His poetic energy was sustained by a substratum of popular and tuneful versifying, such as impromptus, bouts-rimés, anagrams, enigmas, ballads, Mother Goose rhymes, proverbs, hymns, and drinking songs. He hybridizes the registers and meters of these humble forms with elevated, sublime, and erudite ones. This hybridization is, arguably, connected to the characteristic coexistence of the direct and clear with the knotty and puzzling in his (...) poetry. After a brief account of Shelley’s submerged youthful reading, noting in passing that Shelley’s lyrics proved amenable during the early twentieth century to recycling as Shelleyesque jingles, the essay illustrates its thesis from unfamiliar fragments in Shelley’s notebooks, such as the late lyric fragment “Time is flying,” and from more familiar matter such as “Dirge for the Year,” “Mont Blanc,” “The Cloud,” “On the Medusa of Leonardo da Vinci,” “The Sensitive... (shrink)

Warning behaviour prior to an act of severe targeted school violence was often not recognized by peers and school staff. With regard to preventive efforts, we attempted to identify barriers to information exchange in German schools, and understand mechanisms that influenced the recognition, evaluation, and reporting of warning behaviour through a teacher or peer. Our analysis is based on inquiry files from eleven cases of German school shootings that were obtained during the three-year research project “Incident and case analysis of (...) highly expressive targeted violence (TARGET)". We conducted a qualitative retrospective case study to analyze witness reports from school staff and peers. Our results point to subjective explanations used by teachers and peers towards conspicuous behaviour (e.g., situational framing, typical adolescent behaviour), as well as reassuring factors that indicated harmlessness (e.g., no access to a weapon). Additionally, we found organizational barriers similar to those described in US-American case studies (e.g., organizational deviance). (shrink)

Fernando Broncano, Racionalidad, acción y opacidad. Sujetos vulnerables en tierras libres, EUDEBA/SADAF, 2017, 198pp., ISBN 978–950–23–2805–8.

Terug naar het begin: Een onderzoek naar het principe van constituerende macht In dit artikel argumenteer ik dat er twee mogelijke invullingen zijn voor het principe van constituerende macht. De eerste mogelijkheid is deze van de klassieke basisveronderstelling van de constitutionele democratie, namelijk dat de gemeenschap zelf vorm kan en moet geven aan de fundamentele regels die die gemeenschap beheersen. Hans Lindahl maakt een interessante analyse van deze traditionele invulling, die ik kritisch zal benaderen. Lindahl heeft immers zelf scherpe kritiek (...) op de invulling die Antonio Negri aan het concept constituerende macht geeft. Mijn interpretatie gaat er echter van uit dat Negri een fundamenteel andere inhoud geeft aan het principe van constituerende macht, waarbij constituerende macht niet alleen wordt losgemaakt van het constitutionalisme, maar meer algemeen van elk rechtssysteem en zelfs van elke vorm van finaliteit. Deze argumentatie werpt een nieuw licht op het debat rond Negri’s theorie van constituerende macht, waarin diens meest fundamentele uitgangspunt vaak over het hoofd wordt gezien. (shrink)

Progress in neurotechnology and Artificial Intelligence (AI) provides unprecedented insights into the human brain. There are increasing possibilities to influence and measure brain activity. These developments raise multifaceted ethical and legal questions. The proponents of neurorights argue in favour of introducing new human rights to protect mental processes and brain data. This article discusses the necessity and advantages of introducing new human rights focusing on the proposed new human right to mental self-determination and the right to freedom of thought as (...) enshrined in Art.18 International Covenant on Civil and Political Rights (ICCPR) and Art. 9 European Convention on Human Rights (ECHR). I argue that the right to freedom of thought can be coherently interpreted as providing comprehensive protection of mental processes and brain data, thus offering a normative basis regarding the use of neurotechnologies. Besides, I claim that an evolving interpretation of the right to freedom of thought is more convincing than introducing a new human right to mental self-determination. (shrink)

Breaking one's dieting rule or resolution to quit smoking, procrastination, convenient lies, even the failure of entire nations to follow through with plans to cut greenhouse gas emissions or keep a pandemic in check - these phenomena have been discussed by philosophers and behavioural scientists as examples of weakness of will and delay discounting. Despite the common subject matter both fields have to date rarely worked together for mutual benefit. For the empirical literature is hardly accessible to a reader not (...) familiar with econometric theory; and researchers in the behavioural sciences may find philosophical accounts invoking discounting models difficult to understand without inside knowledge of the debates and historical background. -/- Nora Heinzelmann targets this lacuna by making the ideas and findings from both disciplines intelligible to outsiders. This reveals that discounting - as philosophers have conceived of it - is neither necessary nor sufficient for weakness of will, even though there is substantial overlap. Heinzelmann develops a richer descriptive account of weakness of will that is based on the empirically founded assumption that weak-willed behaviour is determined by uncertainty about whether or when a good materialises. She also explains why weakness of the will understood in this way is irrational: the agent yields to a cognitive bias that leads them to underestimate the greater good they think they ought to and can obtain. Finally, she explores practical implications for individuals and policymakers. (shrink)

There is good reason to believe that scientific realism requires a commitment to the objective modal structure of the physical world. Causality, equilibrium, laws of nature, and probability all feature prominently in scientific theory and explanation, and each one is a modal notion. If we are committed to the content of our best scientific theories, we must accept the modal nature of the physical world. But what does the scientific realist’s commitment to physical modality require? We consider whether scientific realism (...) is compatible with Humeanism about the laws of nature, and we conclude that it is not. We specifically identify three major problems for the best-systems account of lawhood: its central concept of strength cannot be formulated non-circularly, it cannot offer a satisfactory account of the laws of the special sciences, and it can offer no explanation of the success of inductive inference. In addition, Humeanism fails to be naturalistically motivated. For these reasons, we conclude that the scientific realist must embrace natural necessity. (shrink)

We discuss here a series of testable hypotheses concerning the role of chromosome folding into topologically associating domains (TADs). Several lines of evidence suggest that segmental packaging of chromosomal neighborhoods may underlie features of chromatin that span large domains, such as heterochromatin blocks, association with the nuclear lamina and replication timing. By defining which DNA elements preferentially contact each other, the segmentation of chromosomes into TADs may also underlie many properties of long‐range transcriptional regulation. Several observations suggest that TADs can (...) indeed provide a structural basis to regulatory landscapes, by controlling enhancer sharing and allocation. We also discuss how TADs may shape the evolution of chromosomes, by causing maintenance of synteny over large chromosomal segments. Finally we suggest a series of experiments to challenge these ideas and provide concrete examples illustrating how they could be practically applied. (shrink)

While the pursuitworthiness of philosophical ideas has changed over time, philosophical practice and methodology have not kept pace. The worthiness of a philosophical pursuit includes not only the ideas and objectives one pursues but also the methods with which one pursues them. In this paper, we articulate how empirical approaches benefit philosophy of science, particularly advocating for the use of qualitative methods for understanding the social and normative aspects of scientific inquiry. After situating qualitative methods within empirical philosophy of science, (...) we discuss how to adapt these traditionally sociological methods to empirically inform philosophical questions. Our aim is to normalize and legitimize qualitative methods for philosophical purposes and discuss how they can elucidate descriptive and normative components of scientific practice in a more generalizable non-idealized manner. We contend that qualitative methods are particularly well suited to philosophical interest in the social norms of science, their achievability, and their mutability. Furthermore, unlike more historical case studies in philosophy, qualitative methods enable more confidence in generalizability, albeit limited, from a concrete sample to a larger class. We conclude by addressing anxieties about the distinctness of empirical philosophy of science from social epistemology and from sociology of science. (shrink)

Traditionally, empiricism has relied on the specialness of human observation, yet science is rife with sophisticated instrumentation and techniques. The present article advances a conception of empirical evidence applicable to actual scientific practice. I argue that this conception elucidates how the results of scientific research can be repurposed across diverse epistemic contexts: it helps to make sense of how evidence accumulates across theory change, how different evidence can be amalgamated and used jointly, and how the same evidence can be used (...) to constrain competing theories in the service of breaking local underdetermination. (shrink)

In _Sprachphilosophie in der islamischen Rechtstheorie_ untersucht Nora Kalbarczyk, wie Faḫr ad-dīn ar-Rāzī auf der Grundlage von Ibn Sīnās Klassifikation der Bezeichnung ein hermeneutisches Instrumentarium entwickelt, das im Kontext der islamischen Rechtstheorie fruchtbar gemacht wird. In _Sprachphilosophie in der islamischen Rechtstheorie_ Nora Kalbarczyk examines how Faḫr ad-dīn ar-Rāzī develops – on the basis of Ibn Sīnā’s theory of signification – a hermeneutic toolbox which is also useful in the context of Islamic legal theory.

Many authors examine the governmental, the scientific, and the sexual politics of AIDS. Many of these same authors tell the AIDS story within the context of decrying homophobia. The implications of that story, however, have a troubling significance for women. This essay proposes to move the discussion of the sexual politics of AIDS beyond the confines of homophobia and to highlight issues not widely discussed outside of AIDS activist circles-issues which are having, and will continue to have, profound effects on (...) women. (shrink)

In this landmark work of economic sociology, Lucien Karpik introduces the theory and practical tools needed to analyze markets for singularities. Singularities are goods and services that cannot be studied by standard methods because they are multidimensional, incommensurable, and of uncertain quality. Examples include movies, novels, music, artwork, fine wine, lawyers, and doctors. Valuing the Unique provides a theoretical framework to explain this important class of products and markets that for so long have eluded neoclassical economics. With this innovative theory--called (...) the economics of singularities--Karpik shows that, because of the uncertainty and the highly subjective valuation of singularities, these markets are necessarily equipped with what he calls "judgment devices"--such as labels, brands, guides, critics, and rankings--which provide consumers with the credible knowledge needed to make reasonable choices. He explains why these markets are characterized by the primacy of competition by qualities over competition by prices, and he identifies the conditions under which singularities are constructed or are in danger of losing their uniqueness. After demonstrating how combinations of the numerous and multiform judgment devices can be used to identify different market models, Karpik applies his analytical tools to the functioning of a large number of actual markets, including fine wines, movies, luxury goods, pop music, and legal services. (shrink)