ZusammenfassungDie Zulässigkeit der terminalen Sedierung als ultima-ratio-Maßnahme der Palliativmedizin bei sterbenden Patienten, die unter anders nicht kontrollierbaren schwersten Schmerzen und seelischen Qualen leiden, wird neuerdings auch in Europa kontrovers diskutiert. Während ihre Befürworter betonen, dass die terminale Sedierung nur dann zum Einsatz kommt, wenn die Standardmethoden der Palliativmedizin versagt haben, äußern ihre Gegner Angst vor einer neuen, unkontrollierten Form der aktiven Sterbehilfe. Insbesondere dann, wenn zeitgleich mit der terminalen Sedierung auf künstliche Ernährung und Flüssigkeitszufuhr verzichtet wird, wirft man ihr die (...) Umgehung der verbotenen aktiven Sterbehilfe vor, und es wird die Forderung nach einem strafrechtlichen Verbot erhoben. In diesem Artikel wird die rechtliche Bedeutung der terminalen Sedierung untersucht. Im Laufe der Analyse wird gezeigt, dass sie weder mit aktiver Sterbehilfe noch mit verbotener ärztlicher Beihilfe zum Suizid gleichgesetzt werden kann und dass sie — unter bestimmten Bedingungen — nicht unter ein strafrechtliches Verbot fällt. Der Beitrag schließt mit einer Diskussion rechtlicher und ethischer Aspekte für die Entwicklung von Leitlinien. (shrink)

Journal Name: Semiotica Issue: Ahead of print.

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain (...) in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

International treaties, conventions and declarations have been developed in an attempt to establish a world in which people s basic rights and needs are provided for. An increasing number of states have ratified and incorporated them into their national legislations. But are such norms and values truly universal? And with states no longer being the only actors that shape global developments, what can be said about the role of social contracts between state and society for shaping the agenda of international (...) cooperation? And how do these social contracts develop in heterogeneous societies? If people themselves are the main drivers behind development, what does this imply for foreign aid?These and other questions are addressed in "Global Values in a Changing World," the 2010-2011 lecture series organized by the Netherlands Chapter of the Society for International Development. This volume combines views and recommendations by international experts, academics, and activists, and analyzes the connection between internationally agreed norms, standards, goals, and common goods, and the way they can be realized in a world that is both globalized and localized.". (shrink)

What is astro-culture? In The Babylonian Planet it is unfolded as an aesthetic, an idea, a field of study, a position, and a practice. It helps to engineer the shift from a world view that is segregated to one that is integrated - from global to planetary; from distance to intimacy and where closeness and cosmic distance live side-by-side. In this tour de force, Sonja Neef takes her cue from Edouard Glissant's vision of multilingualism and reignites the myth of (...) the Tower of Babel to anticipate new forms of cultural encounter. For her, Babel is an organic construction site at which she fuses theoretical analysis and case studies of artists, writers and thinkers like William Kentridge, Orhan Pamuk and Immanuel Kant. Her skilful interrogations then allow her to paint a portrait of art and culture that abolishes the horizon as a barrier to vision and reclaims it as a place of contact and relation. By combining the Babylonian concept of the encounter and the planetary concept of the whole-earth, Neef creates a space - an astro-culture - in which she can examine topics as varied as language, translation, media, modernity, migration and the moon. In doing so, she instigates a renewed cultural understanding receptive to the kinder forms of cultural encounter and globalisation she hopes will come. (shrink)

This volume aimed to highlight narrative identities of European cities or city neighbourhoods that have been overlooked, such as mid-sized cities. These cities are neither small towns nor metropolises, cities that are now unveiling their appeal or specificity. The present special issue thus covers a range of representations of cities. The articles investigate more systematically how different texts deal with various cities from different experiential and fictional perspectives. The issue covers the geographical scope across Europe, from east to west or (...) vice versa, as well as a range of different works of national literature(s), but with a clear emphasis on mid-sized European cities that have until now been deemed as lesser-known, secondary, peripheral, ‘other’ cities that are in the focus of the research of the COST project Writing Urban Places. New Narratives of the European City, within which this journal issue is being published. (shrink)

In this paper, I discuss Christian Wolff’s conception of motivating and normative reasons. My aim is to show that in the discussion of error cases, Wolff pursues a strategy that is strikingly similar to the strategy of contemporary defenders of nicht-psychologist accounts of motivating reasons. According to many nicht-psychologist views, motivating reasons are facts. My aim is to show that Wolff’s motivation in pursuing this strategy is very different. The point is that due to his commitment to the Principle of (...) Sufficient Reason, Wolff has to show that error cases are compatible with the PSR. The issue is worth discussing because it is not yet sufficiently explored what motivating reasons are, according to Wolff, and how they relate, in substance, to normative reasons. Methodologically, my approach can be characterized as one of “mutual illumination”: I think it is possible to highlight some crucial ambiguities of Wolff’s conception against the backdrop of the contemporary conception of motivating reasons, but also to question the importance and role of the ontological question of what motivating reasons are in contemporary discussions against the backdrop of Wolff’s position. (shrink)

(1994). Serbia. World Futures: Vol. 39, The Evolution of European Identity: Surveys of the Growing Edge A Report by the European Culture Impact Research Consortium (EUROCIRCON), pp. 143-148.

Background: After their attempts to have patient safety concerns addressed internally were ignored by wilfully blind managers, nurses from Bundaberg Base Hospital and Macarthur Health Service felt compelled to ‘blow the whistle’. Wilful blindness is the human desire to prefer ignorance to knowledge; the responsibility to be informed is shirked. Objective: To provide an account of instances of wilful blindness identified in two high-profile cases of nurse whistleblowing in Australia. Research design: Critical case study methodology using Fay’s Critical Social Theory (...) to examine, analyse and interpret existing data generated by the Commissions of Inquiry held into Bundaberg Base Hospital and Macarthur Health Service patient safety breaches. All data was publicly available and assessed according to the requirements of unobtrusive research methods and secondary data analysis. Ethical considerations: Data collection for the case studies relied entirely on publicly available documentary sources recounting and detailing past events. Findings: Data from both cases reveal managers demonstrating wilful blindness towards patient safety concerns. Concerns were unaddressed; nurses, instead, experienced retaliatory responses leading to a ‘social crisis’ in the organisation and to whistleblowing. Conclusion: Managers tasked with clinical governance must be aware of mechanisms with the potential to blind them. The human tendency to favour positive news and avoid conflict is powerful. Understanding wilful blindness can assist managers’ awareness of the competing emotions occurring in response to ethical challenges, such as whistleblowing. (shrink)

Population-level biomedical research offers new opportunities to improve population health, but also raises new challenges to traditional systems of research governance and ethical oversight. Partly in response to these challenges, various models of public involvement in research are being introduced. Yet, the ways in which public involvement should meet governance challenges are not well understood. We conducted a qualitative study with 36 experts and stakeholders using the World Café method to identify key governance challenges and explore how public involvement can (...) meet these challenges. This brief report discusses four cross-cutting themes from the study: the need to move beyond individual consent; issues in benefit and data sharing; the challenge of delineating and understanding publics; and the goal of clarifying justifications for public involvement. The report aims to provide a starting point for making sense of the relationship between public involvement and the governance of population-level biomedical research, showing connections, potential solutions and issues arising at their intersection. We suggest that, in population-level biomedical research, there is a pressing need for a shift away from conventional governance frameworks focused on the individual and towards a focus on collectives, as well as to foreground ethical issues around social justice and develop ways to address cultural diversity, value pluralism and competing stakeholder interests. There are many unresolved questions around how this shift could be realised, but these unresolved questions should form the basis for developing justificatory accounts and frameworks for suitable collective models of public involvement in population-level biomedical research governance. (shrink)

We analyze G.M. Hardegree's interpretation of the Sasaki hook as a Stalnaker conditional and explain how he makes use of the basic conceptual machinery of OQL, i.e. the operational quantum logic which originated with the Geneva Approach to the foundations of physics. In particular we focus on measurements which are ideal and of the first kind, since these encode the content of the so-called Sasaki projections within the Geneva Approach. The Sasaki projections play a fundamental role when analyzing the condition (...) under which the properties expressed by Sasaki hooks can be considered as actual. We finish with a note on how the Sasaki hook can be conceived as ``assigning causes for properties to be actual", which links the interpretation of G.M. Hardegree to what has been called ``dynamic OQL". (shrink)

Whats human rights got to do with it? That is, whats human rights got to do with the June 2004 report of the Social Sciences and Humanities Research Ethics Special Working Committee to the Inter-Agency Advisory Panel on Research Ethics. The disturbing answer is not enough. Certain key recommendations of the working committee, it is suggested, would unacceptably weaken the researchers legal and moral accountability to research participants. Those particular recommendations rely on misguided references to academic freedom and the nature (...) of the non-medical research context. In fact, universal human rights, and the legal instruments in which they are embodied ought to inform the research endeavor at every stage; from problem selection to analysis and conclusions. This will lead us closer to shared truths rather than simply to the academic elites vision of truth. Without sufficient regard for the human rights of research participants academic freedom itself is not possible. (shrink)

_The Dutch Legacy_ investigates the political philosophy and philosophy of religion of Franciscus van den Enden, Lodewijk Meyer, the brothers De la Court, and Adriaan Koerbagh in order to assess their contributions to the development of radical movements in the Enlightenment.

Ockham defines intuition as the kind of cognition on the basis of which it is not only possible to evidently judge that a thing exists when it exists, but also that a thing does not exist when it does not exist. He makes a further distinction between natural intuition and supernatural intuition. The aim of this paper is to determine what, according to Ockham, can be judged evidently by means of natural intuition and what can only be judged evidently by (...) means of supernatural intuition. It is commonly assumed that by natural intuition we can make only affirmative judgements, whereas by supernatural intuition we can make both affirmative and negative judgements. The paper shows that this way of contrasting the two is mistaken. The paper argues instead that also natural intuition, according to Ockham, enables us to make both affirmative and negative judgements. (shrink)

Am 2. September 1177 wurde der unter Patriarch Lukas Chrysoberges seines Amtes enthobene Diakon der Hagia Sophia Joannes Plakenos durch Michael III. Anchialu rehabilitiert. Diese Beilegung der Affäre scheint jedoch nicht für alle Beteiligten zufriedenstellend gewesen zu sein: Etwa zu jener Zeit beklagte sich in einer Bittschrift an den Patriarchen ein anderer Diakon der Hagia Sophia bitter über die Folgen einer solchen Entscheidung; er, Eustathios, habe dadurch unverschuldet Einbußen hinzunehmen, da ihm aus der ihm neuerdings zugewiesenen zwölften Position unter den (...) Diakonen keine Einkünfte mehr zukämen. (shrink)

Urban dwellers are more likely to develop mental disorders such as mood and anxiety disorder as well as schizophrenia compared to rural dwellers. Moreover, it has been demonstrated that even short-term exposure to nature can improve mood and decrease stress, but the underlying neural mechanisms are currently under investigation. In the present intervention study we examined the effects of a one-hour walk in an urban vs. natural environment on activity in the amygdala, a brain region previously associated with stress processing. (...) Before and after the walk 63 participants underwent an fMRI paradigm inducing social stress. Since there is a pronounced gap in the literature regarding interindividual differences in stress-related neural effects of urban and natural environments, we set out to explore sex differences. We observed that amygdala activity decreased after the walk in nature, but only in women, suggesting that women may profit more from salutogenic effects of nature. Moreover, performance on the arithmetic tasks improved in women after the walk in nature, whereas men performed better after the walk in the urban environment. To our knowledge, this is the first study to report differencial tendencies in men and women concerning the stress-related neural activity as an effect of acute exposure to urban vs. natural environments. Furthermore, our findings highlight the importance of sex differences when exploring effects of the environment on brain function and stress. Evidence for beneficial effects of nature on stress-related brain regions may inform urban design policies to focus on providing more accessible green areas in cities and this study suggests that sex differences in experiencing the environment should be taken into consideration. (shrink)

This paper derives hypotheses on how dyadic social support is affected by heterogeneity of the actors. We distinguish heterogeneity with respect to three parameters. First, the likelihood of needing support; second, the benefits from support relative to the costs for providing support; and, third, time preferences. The hypotheses are based on a game theoretic analysis of an iterated Support Game. We predict that, given homogeneity in two of these parameters, the prospect for mutual support is optimal if actors are homogeneous (...) with respect to the third parameter as well. Second, under heterogeneity with respect to two of the parameters, support is most likely if there is a specific heterogeneous distribution with respect to the other parameter that ‘compensates’ for the original heterogeneity. Third, under weak conditions, the overall optimal condition for mutual support is full homogeneity of the actors. (shrink)

Die Anforderungen an das ethisch-professionelle Handeln Pflegender und somit auch die Forderungen an die professionelle Ethikkompetenz Pflegender im praktischen Berufsfeld wandeln sich sowohl qualitativ als auch quantitativ. Dies wird auch in den veränderten normativen Rahmungen der Pflegebildung deutlich. Der Lernort Praxis als ein zentraler Ort pflegebezogener (Aus‑)Bildungsprozesse rückt somit nochmals stärker in den Fokus der Ethikkompetenzentwicklung professionell Pflegender. Der Beitrag konturiert zentrale Anforderungen und veränderte Bezüglichkeiten für die Ethikbildung im beruflichen Handlungsfeld professioneller Pflege und formuliert davon ausgehend zentrale Prämissen an (...) organisationsethische Rahmenbedingungen mit dem Ziel, eine ethisch fundierte professionelle pflegerische Handlungspraxis zu unterstützen. (shrink)

The ArgumentThe “raison d'être” of this paper is my dissatisfaction with current portrayals of the place and the fate of the so-called rational sciences in Muslim societies. I approach this issue from the perspectives of West European visitors to the Ottoman and Safavid Empires during the sixteenth and seventeenth centuries. I show that these travelers encountered educated people capable of understanding and answering their visitors' scholarly questions in non-trivial ways. The travels and the ensuing encounters suggest that early modern Muslim (...) societies and their institutions, their ways of producing knowledge, the types of their knowledge, and their material resources contributed important elements to various early modern West European approaches to gaining knowledge about nature, history, and politics. (shrink)