Background Moral distress is a serious problem for health care personnel. Surveys, individual interviews, and focus groups may not capture all of the effects of, and responses to, moral distress. Therefore, we used a new participatory action research approach—moral conflict assessment (MCA)—to characterize moral distress and to facilitate the development of interventions for this problem. Aim To characterize moral distress by analyzing responses of intensive care unit (ICU) personnel who participated in the MCA process. Research Design In this qualitative study, (...) we invited all ICU personnel at 3 urban hospitals to participate in individual or group sessions using the 8-step MCA tool. These sessions were facilitated by either a clinical ethicist or a counseling psychologist who was trained in this process. During each session, one of the researchers took notes and prepared a report for each MCA which were analyzed using qualitative content analysis. Participants and Research Context A total of 24 participants took part in 15 sessions, individually or in groups; 14 were nurses and nurse leaders, 2 were physicians, and 8 were other health professionals. Ethical Considerations This study was approved by the Providence Health Care/University of British Columbia Behavioural Research Ethics Board. Each participant provided written informed consent. Results The main causes of moral distress related to goals of care, communication, teamwork, respect for patient’s preferences, and the managerial system. Suggested solutions included communication strategies and educational activities for health care providers, patients, family members, and others about teamwork, advance directives, and end-of-life care. Participants acknowledged that using the MCA process helped them to reflect on their own thoughts and use their moral agency to turn a distressing situation into a learning and improvement opportunity. Conclusions Using the MCA tool helped participants to characterize their moral distress in a systematic way, and to arrive at new potential solutions. (shrink)

Für viele stellt das Instrumentalisierungsverbot, wonach man andere Menschen nie blo als Mittel behandeln darf, eine fundamentale moralische Wahrheit dar. Dieses Buch ist der Versuch, diese Ansicht näher zu fassen und zu begründen. Das Instrumentalisierungsverbot spielt nicht nur in unserer Alltagsmoral, sondern auch in moraltheoretischen Diskussionen eine wichtige Rolle. Verschiedenste Praktiken werden mit der Begründung als unzulässig kritisiert, dass mit ihnen Menschen instrumentalisiert würden. Doch was heit es, die anderen blo als Mittel zu behandeln? Es besteht, so wird in diesem (...) Buch argumentiert, ein Zusammenhang zwischen unzulässiger Instrumentalisierung und Verletzung der Würde von Personen. In der Explikation des Würdebegriffs wird dieser Zusammenhang entfaltet. Die unzulässige Instrumentalisierung von Personen verletzt in bestimmten Fällen deren Würde, in anderen Fällen Ansprüche, die in der Würde von Personen begründet sind. Die Würde von Personen wird dabei als Anspruch auf Selbstachtung gefasst. Selbstachtung wird nicht im Sinne der Selbstwertschätzung verstanden. Im Blick steht vielmehr ein normatives Verständnis von Selbstachtung, wonach Personen ein Leben in Selbstachtung führen, sofern ihr Selbstverfügungsrecht von anderen und ihnen selbst geachtet wird. Der Anspruch auf Selbstachtung wird als Anspruch darauf begriffen, über wesentliche Bereiche des eigenen Lebens verfügen zu können. Diese Überlegungen zu Würde und Selbstachtung werden moraltheoretisch eingeordnet und abschlieend auf paradigmatische Fälle der praktischen Ethik angewendet, bei denen es um die Instrumentalisierung von Menschen geht. (shrink)

In this systematic study, Professor Achinstein analyzes such concepts as definitions, theories, and models, and contrasts his view with currently held positions that he finds inadequate.

This article presents results from a nationally representative survey conducted in Taiwan in November 2011 that explores Taiwanese attitudes toward China and the world. It demonstrates that while (KMT) and (DPP) supporters maintained different attitudes towards China, few Taiwanese supported reunification. Taiwanese attitudes towards other countries, the sources of Taiwanese party identification, and policy implications for cross–Strait relations are also explored.

Military doctors and nurses, employees with a compound professional identity as they are neither purely soldiers nor simply doctors or nurses, face a role conflict between the clinical professional duties to a patient and obligations, express or implied, real or perceived, to the interests of a third party such as an employer, an insurer, the state, or in this context, military command (London et al. 2006). In the context of military medical ethics this is commonly called dual loyalty (or, less (...) commonly, mixed agency). Although other professionals in the military, for instance counsellors or lawyers, might experience similar problems of dual loyalties, it seems that the dual loyalties experienced by military medical personnel are particularly testing. (shrink)

While in many countries the use of unmanned systems is still in its infancy, other countries, most notably the US and Israel, are much ahead. Most of the systems in operation today are unarmed and are mainly used for reconnaissance and clearing improvised explosive devices. But over the last years the deployment of armed military robots is also on the increase, especially in the air. This might make unethical behavior less likely to happen, seeing that unmanned systems are immune to (...) what are considered to be main causes of misconduct on the battlefield: frustration, boredom, and anger. The use of robots raises some ethical questions, though, and this paper attempts to give an overview of issues at stake, such as the role of emotions, civilian casualties, just war theory, and responsibility. (shrink)

Im Jahre 1947 erscheint eine Aufsatzsammlung Alfred North Whiteheads unter dem Titel Essays in Science and Philosophy . Unter der Rubrik ,,Personal“ finden sich dort Whiteheads mit An Appeal to Sanity betitelte Überlegungen, die er im März 1939 am Vorabend des 2. Weltkriegs erstmals veröffentlicht hatte, und die er nach dem Ende und der Erfahrung dieses Krieges 1946 um einige Bemerkungen erweiterte. Die zentrale Feststellung, mit der Whitehead das sieben Jahre zuvor Beschworene gleichsam aus den Angeln hebt, bezieht sich auf (...) die Sorge, es möge für die Zukunft der Zivilisation keine Hoffnung geben, es sei denn innerhalb einer von der UNO angeregten und von ihr durchgesetzten Charta ethischer Prinzipien. – Die vorliegende Studie nimmt diese Erweiterung und substantielle Veränderung Whiteheads ursprünglicher Gedanken von 1939 zum Anlass und geht der Frage nach, ob Whitehead je nach historischer Lage einmal so und dann wieder anders argumentiert, oder ob sich in der Behandlung des Themas ,Krieg' metaphysische Grundüberzeugungen unverändert und doch in einer je anderen historischen Gestalt zeigen. (shrink)

Summary: Wat betekent de alomtegenwoordige rol van techniek in onze cultuur voor mensen? Er zijn drie benaderingen van deze vraag te onderscheiden: uitwendigheid, mediatie en transhumanisme. Deze verschillen in de mate van verwevenheid die ze tussen mensen en techniek waarnemen. De mediatiebenadering blijkt het best in staat de nieuwe menselijke conditie te verhelderen: mensen geven niet meer autonoom vorm aan hun bestaan, maar alleen in verwevenheid met technologie.

This anthology presents work on major topics surrounding the concept of evidence as employed in the empirical sciences. Focusing on the "classificatory" concept of evidence rather than the quantitative "degree of confirmation," the selections include Carl G. Hempel's satisfaction definition, R.B. Braithwaite's hypothetic-deductive view, N.R. Hanson's account of retroduction, Nelson Goodman's entrenchment theory, probability definitions discussed by Rudolf Carnap and Wesley Salmon, Clark Glymour's bootstrap theory, and a view of Achinstein's that combines probability and explanation.

I consider and reject William Whewell's attack on the inductivism of Isaac Newton and John Stuart Mill, as well as John Norton's attack on any universal system of inductive rules. I also explain how a system of inductive rules of the sort proposed by Newton and Mill should be understood.

Confirmation theorists seek to define a function that will take into account the various factors relevant in determining the degree to which an hypothesis is confirmed by its evidence. Among confirmation theorists, only Rudolf Carnap has constructed a system which purports to consider factors in addition to the number of instances, viz. the variety manifested by the instances and the amount of analogy between the instances. It is the purpose of this paper to examine the problem which these additional factors (...) raise for confirmation theory, and to prove that, despite Carnap's claim, no confirmation function satisfying the requirements he has specified can take account of variety and analogy. This result is first proved for a special case, and then, in a subsequent section, is generalized through the introduction of a theorem (the proof of which is given in Appendix I). In the final section of the paper it is shown that, contrary to a claim which Carnap has made, not even the concept of the "logical width" of a predicate will enable confirmation functions satisfying his requirements to take adequate account of analogies between instances. (shrink)

I defend the following version of the ought-implies-can principle: (OIC) by virtue of conceptual necessity, an agent at a given time has an (objective, pro tanto) obligation to do only what the agent at that time has the ability and opportunity to do. In short, obligations correspond to ability plus opportunity. My argument has three premises: (1) obligations correspond to reasons for action; (2) reasons for action correspond to potential actions; (3) potential actions correspond to ability plus opportunity. In the (...) bulk of the paper I address six objections to OIC: three objections based on putative counterexamples, and three objections based on arguments to the effect that OIC conflicts with the is/ought thesis, the possibility of hard determinism, and the denial of the Principle of Alternate Possibilities. (shrink)

Newton deplored speculation in science, Einstein reveled in it. What exactly are scientific speculations? Are they ever legitimate? Are they subject to constraints? This book defends a pragmatic approach to these issues and applies it to speculations within science and to speculations about science.

Recently in this journal Sherrilyn Roush (2004) defends positive relevance as a necessary (albeit not a sufficient) condition for evidence by rejecting two of the counterexamples from my earlier (2001) work. In this reply I argue that Roush's critique is not successful.

: This paper examines the debate in the late 19th and early 20th centuries over the acceptability of atomic and molecular physics. It focuses on three prominent figures: Maxwell, who defended atomic physics, Ostwald, who initially rejected it but changed his mind as a result of experiments by Thomson and Perrin, and Duhem, who never accepted it. Each scientist defended the position he did in the light of strongly held methodological views concerning empirical evidence. The paper critically evaluates each of (...) these methodological positions. (shrink)

In this article, conviviality is examined as a constitutive part of human life. On the basis of (ethnographic) examples and discussion, it is maintained that it is a fundamental good, necessary for the valuation of most other goods. The role and function of conviviality, however, are often obscured in theory. Aristotle’s view of the virtues still allowed room for it. Most modern scientific and philosophical approaches ascribe a thinkable motive to interactions that stimulate our spontaneity and faith in life, such (...) as the motive of solving problems that can be construed in objective terms (as in neo-Darwinism), or of seeing reality correspond to reflexive representations of life (as in hermeneutics). Maurice Blondel’s critique of intellectualism and his view of tradition are invoked. By accepting conviviality as a prerequisite for human spirituality, we can focus on aspects of Christianity – like a respect for concrete traditions – that tend to disappear into the background when we frame its teachings and promises in intellectual terms. The argument also points to dangers connected with the fact that instrumental logic largely determines the shape of modern life: we easily forget one of the key conditions for experiencing human life as fulfilling and worthwhile. (shrink)

Included is a famous nineteenth-century debate about scientific reasoning between the hypothetico-deductivist William Whewell and the inductivist John Stuart Mill; and an account of the realism-antirealism dispute about unobservables in science, with a consideration of Perrin's argument for the existence of molecules in the early twentieth century.

Frederick Kronz constructs interesting examples in an attempt to show deficiencies in my concept of evidence and the advantages in Carnap's positive relevance idea. His discussion raises general questions of importance in developing an adequate account of scientific evidence questions about the relationship between evidence and belief and the role of emphasis in determining evidence. His examples are challenging, but do they work?

ABSTRACTCatholic Christianity possesses a distinctive power, which has remained latent and undertheorised for a long time: the power to adapt itself to cultural traditions. In theology, it has often been seen as accidental, even when it was manifest in practice, especially in local traditions. Since Vatican II, inculturation has been actively encouraged, and new approaches were developed in missiology and ecclesiology. In this article, Christianity’s power of adaptation is presented as central to the ‘salvific event’ itself. Human beings need to (...) be formed by concrete traditions in order to be human. A redemption that would stamp out their attachment to tradition would amount to their destruction. The relative autonomy of traditional life in relation to God, would, so to speak, constitute a problem for God, if he wanted to provide humankind with a divine assistance geared to its real needs. The incarnation, and the founding of a ‘kingdom of heaven’, populated by human beings from different traditions, can... (shrink)

Poellner here offers a comprehensive interpretation of Nietzsche's later ideas on epistemology and metaphysics, drawing extensively not only on his published works but also his voluminous notebooks, largely unpublished in English. He examines Nietzsche's various distinct lines of thought on the traditionally central areas of philosophy and shows in what specific sense Nietzsche, as he himself claimed, might be said to have moved beyond these questions. He pays considerable attention throughout both to the historical context of Nietzsche's writings and to (...) subsequent developments in philosophy--English-language as well as Continental. (shrink)

A success-to-truth inference has always been at the heart of scientific realist positions. But all attempts to articulate the inference have met with very significant challenges. This paper reconstructs the evolution of this inference, and brings together a number of qualifications in an attempt to articulate a contemporary success-to-truth inference which is realistic. I argue that this contemporary version of the inference has a chance, at least, of overcoming the historical challenges which have been proffered to date. However, there is (...) a price to pay: the developments which help the realist answer the historical challenges also serve to increase the number of non-historical challenges. (shrink)

Conceptions of self? management and the labor managed firm have not been well received by economists. They have, however, proved to be a continuing interest in the socialist movement from Marx onwards. Prychitko claims that by examining the humanist side of Marx, a socialist case can be made both for the LMF and markets in a postmodern world. Such a case rests upon an assumption that self? management confers competitive advantage by enhancing information sharing. The case, though interesting, is not (...) yet made. (shrink)

In dieser zwischen 1135 und 1139 verfaßten Schrift, der er zwei Titel gab: Ethica oder Scito te ipsum, erörtert Abaelard die Frage nach dem Guten und dem Bösen, vor allem aber erstmals die Bedeutung des Gewissens für die Selbstbestimmung des Menschen. Er unterscheidet zwischen der Schwäche des Menschen, die durch Selbstbeherrschung überwunden werden kann, und der Sünde, die darin besteht, sich den eigenen Schwächen zu unterwerfen. Seine These, das Gewissen sei die oberste Instanz der Moral und die Moralität oder Verwerflichkeit (...) einer Handlung bestimme sich daher aus der Gesinnung des Handelnden, führte ihn zu der Folgerung, daß derjenige, der böse handelt, ohne es doch selbst zu wissen, dadurch noch nicht schuldig wird - sondern erst dann, wenn er entgegen besserer Einsicht, die ihm aufgegeben und möglich ist, das Böse wählt. Diese Behauptung stieß bei den Zeitgenossen und der Kirche auf Kritik und führte zur Verurteilung Abaelards auf dem Konzil von Sens ; wirkungsgeschichtlich gewann sie gleichwohl große Kraft und Bedeutung, da durch diesen Gedanken die überkommene Doxa, allein der Verstoß gegen moralisch geltende Regeln gebe den Maßstab dafür ab, ein Individuum der Sünde zu bezichtigen, dahingehend zu relativieren, daß nur der sich schuldig macht, der auch wußte, daß er eine Verfehlung begeht. Aus diesem Grund zählt die Schrift zu den bedeutendsten Werken der Weltliteratur. Die Ausgabe präsentiert sie erstmalig in einer vollständigen deutschen Übersetzung. Beigegeben sind der lateinische Text und eine kompetente Einleitung, die die besondere Stellung dieser Schrift im Gesamtwerk Abaelards prägnant vor Augen führt. (shrink)

This scarce antiquarian book is a facsimile reprint of the original. Due to its age, it may contain imperfections such as marks, notations, marginalia and flawed pages. Because we believe this work is culturally important, we have made it available as part of our commitment for protecting, preserving, and promoting the world's literature in affordable, high quality, modern editions that are true to the original work.