We introduce the Vital Sign Ontology (VSO), an extension of the Ontology for General Medical Science (OGMS) that covers the consensus human vital signs: blood pressure, body temperature, respiratory rate, and pulse rate. VSO provides a controlled structured vocabulary for describing vital sign measurement data, the processes of measuring vital signs, and the anatomical entities participating in such measurements. VSO is implemented in OWL-DL and follows OBO Foundry guidelines and best practices. If properly developed and extended, we believe the VSO (...) will find applications for the EMR, clinical informatics, and medical device communities. (shrink)

In their article, Pavarani and colleagues offer a vision of evolutionary bioethics that focuses on innovation and empirical research as a means to enrich the field of bioethics. Empirical bi...

Anthropological studies of folk cultures have been made not only on the content of their dreams but also on their interpretations. While there is a wide variance in the understanding of dreaming by cultures other than our own, there is a large set which might be called the classic dream interpretation of folk societies, which was first noted by Tylor in the nineteenth century. Its main tenet is that dreams are the experiences or travels of the soul, and that the (...) soul is distinct from the waking ego who recounts the dream. The dream is a narrative about real things, not something of a fantasy nature. This leads to a different epistemological basis of dreaming than the Western framework. This paper details the extent and nature of this interpretation, and explores the psychological and philosophical issues raised by it. (shrink)

An overview of major work on Augustine published between 1990 and 2000.

Neil E. Williams develops a systematic metaphysics centred on the idea of powers, as a rival to neo-Humeanism, the dominant systematic metaphysics in philosophy today. Williams takes powers to be inherently causal properties and uses them as the foundation of his explanations of causation, persistence, laws, and modality.

In this paper, I outline Du Bois’s WWI-era theory of democracy, which comprises three parts: first, an historically specific explanation of the racially exclusionist character of the modern struggle for democracy; second, a justification of universal suffrage; and third, an account of democratic culture, the promotion of which he believed was necessary to supplement the enfranchisement of black people where white supremacy still threated the achievement of justice.

Negligence reminds us that we often do and cause things unawares, occasionally with grave results. Given the lack of foresight and intention, some authors argue that people should not be judged culpable for negligence. This paper offers a contrasting view. It argues that gaining control is itself a fundamental responsibility, with both collective and individual elements. The paper underlines both sides, focussing on how they relate as we ascribe responsibility or culpability. Following the introduction, Section 2 argues that conscious awareness (...) is neither necessary nor sufficient for control. Control is not a property of deliberate choice, so much as a practical achievement. Section 3 stresses the collective aspects of non-negligence: creating knowledge about risks, structuring environments to guard against them, and developing standards of care. Failings in the collective task, rather than lack of individual control, mean it can often be unfair to pin culpability on a single individual. Section 4 suggests that a basic duty of a responsible person is to acknowledge the ways in which we may do more or less than we mean to, often in ways that create risks. It then sketches an approach to culpability as part of a collective exercise: as we take responsibility for standards of care, and for our own and others’ agency. (shrink)

Arnold Burms: Professor Williams has said that he is willing to answer some of our questions about his work. Given the amount of work he has to do here in a few days, this was a generous decision for which we are genuinely grateful. Professor Van de Putte will start the discussion with some questions about the relation between theory and practice.André Van de Putte: In Ethics and the Limits of Philosophy you situate ethical thought in the context of (...) a movement of reflection. To quote from page 112: “It is too late at this stage to raise the prior question: `Why reflection?' — too late in terms of this inquiry, and always too late in terms of the question itself, since one could answer it without prejudice only by not considering it.” And just before that quotation you also said that “the drive to theory has roots in ethical thought itself” and a little bit further you say: “The important question at this point is why reflection should be taken to require theory.” Now I would like to elaborate a little bit on these remarks and ask you to comment on what I'm going to say.Three things should be stressed concerning ethical reflection which are important for moral philosophy and for our understanding of moral philosophy. The first one is this: the person who is reflecting is already part of a concrete society when he or she starts reflecting. That means that he or she has been socialized in a concrete ethos and has already an experience of a substantive ethical life. In this sense he or she does not need to invent ethical life.The second remark is this: ethical reflection is in itself already the expression of an ethical intention. By asking the question `How should one live?', one shows that one is interested in living an ethical life. In this sense I can agree with what I think you say in Ethics, namely that the question `Why should I be moral?' is not meaningful for a moral thinker. The answer to the moral question, the results of his reflection are not meant to convince him or his readers to be moral. On the contrary, he starts precisely from this interest in morality and tries to understand what it means to be moral, what his wish to be moral implies.My third point is the most important. In starting his reflection the thinker has as it were decided that his answer will only be acceptable if it is valid for all, if it can be justified for all. In the moral question itself, a norm of universality is implied. And given the fact that the moral question is itself the expression of an ethical intention, this is important. If he would not assume this norm, he would in my view not really be posing the question. We can immediately understand this if we consider the alternative.Suppose a moral thinker who assumes that an answer to the moral question will be valid only when it suits him. Would we say in this case that this person is really asking the moral question? I do not think so. To put this another way, my thesis is that in the reflection the person who reflects is subjecting himself to the law of thinking itself, to the law of reason, in other words, to the law of universality, of non-contradiction. In the question he discovers this law as a norm for himself asking the moral question and thus as a norm inherent in moral intention. I think that this is precisely what Kant discovered and why for so many there is an important link between ethics and reason and why we are, as you say, driven to theory: since we want a universal answer, since a moral norm implies universality, we are looking for a theory, for a universal justification. But this is not yet the full story. All that I have said only becomes visible on the reflective level. It is only visible, as it were, once one starts reflecting.This means that the norm of universality cannot and must not be understood as a concrete norm which can and should replace the norms of the concrete ethos we all already live in when we start reflecting. I think rationalism in ethics is precisely that: the belief that this norm and what one hopes to deduce from it can and should replace the concrete ethos. I think it must be clear that this cannot be done. As we all know the Kantian imperative is formal and negative and does not produce any content. If we need content — and of course we need it — it should come from our historical ethos. (shrink)

First published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.

There are many challenges to be met when writing an introductory treatise on an academic topic. The subject matter must be presented in a simple but not oversimplified manner. Enough theory must be included to ground the discussion of specific issues but not so much as to overwhelm or bore the readers. The text should be long enough to do justice to the subject matter but short enough to be readily accessible, especially for readers such as healthcare professionals, whose primary (...) concerns lie elsewhere.There are additional challenges in a relatively novel interdisciplinary field such as bioethics. The scope and methodology of bioethics are matters of great controversy, as are its relations with related subjects such as professionalism and human rights. The field is so broad that a single author cannot claim expertise on all topics. Rivalries between law and ethics and among medicine, other health professions, and disciplines such as philosophy complicate efforts to produce a broadly acceptable text. Finally, national and cultural differences pose major challenges to anyone trying to write for a truly international readership.The difficulty of meeting all these challenges in producing the WMA Medical Ethics Manual provides ample opportunity for criticism, especially from bioethics experts. The three expert reviewers of the manual in this issue of the journal are remarkably restrained in pointing out its shortcomings.1–3 I am grateful for both their positive evaluations and their constructive criticism. In what follows, I will respond to each of them in turn, focusing in particular on their suggestions as to how the Manual could have been improved.Before addressing these suggestions, I wish to clarify a matter raised by Søren Holm, namely, to what degree the manual …. (shrink)

In the remarks that follow I concentrate on Lorenzo Simpson's two books, Technology, Time and the Conversations of Modernity (cited as TTC) and The Unfinished Project: Toward a Postmetaphysical Humanism (cited as UP). Common to both works — what unites them, I believe — is a philosophical orientation that has been deeply influenced by Gadamerian hermeneutics. I begin with a discussion of UP.

Rather than regarding dreams as "things" or property, and grammatically treating them as nouns, the suggestion is to formulate a dream as an activity, label it "dreaming" and more specifically accept dreaming as interactional. For dreaming to be of importance, several psychological factors must be considered, including retention and selection, as well as external factors, such as to whom dreams are reported and their style of communication. Examples from anthropological writers on dreams are provided. It is noted that societal beliefs (...) about dreams tend to influence the amount and types of dreams that are communicated. (shrink)

Each of the three volumes of Erasmus Francisci’s Acerra Exoticorum (1672-74), a collection of stories and reports from all corners of the known world, begins with a Vorrede to the reader. These texts address the rationale for his work, apologize for errors in spelling and/or meaning, and outline his thinking about stories and histories, or more precisely, the difference between reports of current events and histories proven true by the test of time. Each of the three tomes offers stories from (...) all over the known world, gathered and arranged without any easily perceptible organizing principle. Still, some of the narratives do suggest a teaching or moralizing function, while others seem to serve mostly to inform and entertain introducing the reader to »meldungswürdige Sitten/ Gewonheiten / so wol als andrer anmercklicher Sachen außheimischer Sachen,« as truthfully and historically accurate as possible. Francisci presents his Acerra Exoticorum as a receptacle of events outside of Germany. He will inform the reader about old and new »Ordnungen und Gewohnheiten,« corroborated by the writings of trusted authors. While paying special attention to the programmatic Vorreden of the three Acerra-volumes, I will examine how Francisci handles both textual and narrative varieties, news reports and historical texts, and what this tells us about his historical, cultural, and geographic reach. (shrink)

How do thought and language manage to be 'about' aspects of the world? J. Robert G. Williams investigates how representation arises out of a fundamentally non-representational world, showing the explanatory relations between the representational properties of language, of thought, and of perception and intention.

The definitive principle of actualism is that the world is composed wholly of actual or factual entities, including concreta like a horse and abstracta like his neigh, and the sums and the sets thereof, all on the one plane of particular and definite existents. There are no substrata of potency or prime matter, no forces or virtues, no blur of indefiniteness or press of tendency; no superstructure of unexampled essences or disembodied possibilities or transcendental acts of Be-ing. Our actual entities, (...) I specify further, are all either simple qualia, or relations belonging to one of three primitive categories, or some compound of these. The relational categories which I think sufficient and necessary are the whole-part or "merological" relations, resemblances or "comparisons," and locative distances and directions, not necessarily the physical geometry of space-time, but at least some analogous modes of deployment. "Factualism" here is a rhyming synonym of "actualism" and does not connote the very dubious doctrine of the young Wittgenstein that the world is the sum of "facts" in the sense of Sachverhalten. Nor does "actualism" connote the doctrine, so popular in New York and environs, that things must be active, though quite likely most of them are. (shrink)

For horribilesque we need something better than Haupt's horribile aequor ; and Mr. E. L. B. Meurig Davies comes near the truth, I think, with his proposal horribilem niue. A noun in the ablative indicating cold to define horribilem is just what we require. That noun does not seem to me, however, likely to be niue. Read rather horribilem gelu; cf. Luc. 2. 570 ‘ Rheni gelidis … fugit ab undis’, Claud. Rapt. 3. 321 ‘non Rheni glacies, non me Rhipaea (...) tenebunt’, Paneg. 7. 6 ‘duratus gelu Rhenus’. (shrink)