Xavier Landes | : Happiness has become a central theme in public debates. Happiness indicators illustrate this importance. This article offers a typology of the main challenges conveyed by the elaboration of happiness indicators, where happiness can be understood as hedonia, subjective well-being, or eudaimonia. The typology is structured around four questions: what to measure?—i.e., the difficulties linked to the choice of a particular understanding of happiness for building an indicator; whom to include?—i.e., the limits of the community monitored (...) by such an indicator; how to collect the data?—i.e., the difficulties stemming from objective and subjective reporting; what to do?—i.e., the concerns about the use of happiness indicators in public policy. The major points of normative contention are discussed for each of these dimensions. The purpose of this article is to contribute in a constructive manner to happiness research by offering an overview of some major philosophical and political challenges of building happiness indicators. The conclusion underlines the importance of the strategy of diversification- hybridization, which consists in setting a variety of indicators or composite indicators that articulate different understandings of happiness. It is stressed that happiness indicators raise democratic and institutional issues with which normative thinkers should deal. | : Le bonheur est devenu un thème central dans les débats publics. Les indicateurs de bonheur illustrent cette importance. Cet article offre une typologie des principaux enjeux contenus dans le travail d’élaboration d’indicateurs de bonheur quand ce dernier est compris comme hedonia, bien-être subjectif ou eudaimonia. La typologie est structurée autour de quatre questions : 1) que mesurer?, où sont en jeu les difficultés liées au choix d’une compréhension particulière du bonheur pour construire un indicateur; 2) qui inclure?, c’est-à-dire comment tracer les limites de la communauté morale qui est l’objet d’un tel indicateur; 3) comment collecter les données?, où on interroge les difficultés propres aux techniques subjectives et objectives de collecte de données; 4) que faire?, où on soulève l’enjeu des craintes quant à l’usage d’indicateurs de bonheur dans les politiques publiques. Les points majeurs de dispute normative sont discutés pour chaque dimension. Nous espérons ainsi contribuer de manière constructive à la recherche sur le bonheur en offrant un aperçu de quelques défis philosophiques et politiques majeurs relatifs à la construction d’indicateurs de bonheur. Nous concluons en soulignant l’importance de la stratégie de diversification-hybridation qui consiste à mettre en place des indicateurs variés ou composites articulant différentes compréhensions du bonheur. Ces indicateurs soulèvent des enjeux démocratiques et institutionnels que les penseurs normatifs doivent considérer. (shrink)

In Racial Prescriptions, Jonathan Xavier Inda offers a critical and timely analysis of the making of BiDil, the first (and only) drug that was marketed exclusively to African Americans. Sibille Merz speaks to him about the re-articulation of racial politics under neoliberalism, the legacies of scientific racism and the molecularization of biopolitics in the genomic age.

Le Pere Xavier Tilliette est l'un des plus grands historiens contemporains de la philosophie. Il est l'auteur d'une monumentale etude en deux volumes sur Schelling... qui il avait d'ailleurs consacre plusieurs autres ouvrages. Il a egalement ecrit d'excellents livres sur d'autres grandes figures de la philosophie occidentale notamment Fichte, Merleau-Ponty, Lequier. Il est aussi et surtout le representant le plus connu d'un genre unique de la philosophie de la religion, celui qui traite des grands themes de la theologie chretienne (...) selon leurs dimensions proprement philosophiques. Rappelons simplement plusieurs travaux tres novateurs sur le Christ et la philosophie, mais aussi sur la philosophie et l'Eglise ou encore la philosophie et l'Eucharistie. Toutefois, Xavier Tilliette n'est pas seulement philosophe, il est aussi un grand erudit de l'histoire litteraire francaise, notamment de l'oeuvre de Paul Claudel. Apres deux Festschrift anterieures parues respectivement en Allemagne et en Italie, ce troisieme recueil publie en l'honneur du Pere Tilliette est edite en Belgique. Il contient trente contributions, plus de la moitie consacrees... l'histoire de la philosophie, avec un nombre eleve de textes sur Schelling. Les autres etudes, tres variees, tres originales, relevent de la philosophie de la religion, de la theologie philosophique et de l'histoire de la litterature. Ces travaux dont les auteurs, en provenance de huit pays et de trois continents, vont de jeunes erudits... peine trentenaires jusqu'aux contemporains de l'illustre jesuite, sont rediges en Francais, en Italien, en Allemand et en Anglais. Ils manifestent et illustrent la fecondite de l'oeuvre de ce disciple fervent des Peres de Lubac et Danielou, son rayonnement extraordinaire, les richesses multivalentes de ses deux-mille publications. (shrink)

L’enjeu de cet ouvrage est de mettre au jour une continuité des exercices spirituels dans la philosophie contemporaine depuis Ralph Waldo Emerson et Henri David Thoreau jusqu’aux philosophes que sont, entre autres, Pierre Hadot, Hilary Putman, Stanley Cavell, William James, John Dewey, Ludwig Wittgenstein, Michel Foucault, Richard Rorty ou encore Richard Shusterman. A travers le pragmatisme, le méliorisme, le perfectionnisme ou l’esthétique de l’existence, ce parcours de près de deux siècles met en évidence l’idée que la philosophie comme pratique des (...) exercices spirituels demeure, que celle-ci perdure dans notre espace contemporain en s’appropriant parfois de nouveaux terrains comme l’art, le corps... (4e de couv.). (shrink)

Cogito, ergo sum. Ce n’est pas tiré de la plume de Descartes que cet énoncé apparaît pour la première fois dans les œuvres du philosophe. C’est en effet Caterus qui, dans la première série d’Objectiones aux Meditationes l’écrit, telle que la postérité scolaire va le considérer, comme un objet textuel autonome et digne par soi-même d’intérêt. Le fait est anecdotique, mais il est révélateur. D’abord parce que ce n’est pas Descartes qui a constitué...

An extensions by new axioms and rules of an algebraizable logic in the sense of Blok and Pigozzi is not necessarily algebraizable if it involves new connective symbols, or it may be algebraizable in an essentially different way than the original logic. However, extension whose axioms and rules define implicitly the new connectives are algebraizable, via the same equivalence formulas and defining equations of the original logic, by enriched algebras of its equivalente quasivariety semantics. For certain strongly algebraizable logics, all (...) connectives defined implicitly by axiomatic extensions of the logic are explicitly definable. (shrink)

This paper tackles an open problem posed by Åqvist. It is the problem of whether his dyadic deontic systemsEandFare complete with respect to their intended Hanssonian preference-based semantics. It is known that there are two different ways of interpreting what it means for a world to be best or top-ranked among alternatives. This can be understood as saying that it is optimal among them, or maximal among them. First, it is established that, under either the maximality rule or the optimality (...) rule,Eis sound and complete with respect to the class of all preference models, the class of those in which the betterness relation is reflexive, and the class of those in which it is total. Next, an analogous result is shown to hold forF. That is, it is established that, under either rule,Fis sound and complete with respect to the class of preference models in which the betterness relation is limited, the class of those in which it is limited and reflexive, and the class of those in which it is limited and total. (shrink)

Xavier Zubiri entiende que el tema del mundo, a pesar de tener una noble prosapia en la historia de la filosofía, ha sido desatendido por la mayor parte del pensamiento reciente. Posiblemente fue Descartes el último gran filósofo en escribir un tratado dedicado temáticamente al problema del mundo. Es como si la atención a las cosas que hay en el universo hubiera hecho que se perdiera de vista el problema del universo mismo. Por supuesto, no faltan filósofos contemporáneos que (...) hayan hablado del mundo. Pero Zubiri entiende que esos filósofos lo han hecho de una manera unilateral, atendiendo únicamente al diálogo con las ciencias humanas, y desarrollando de esta manera conceptos del mundo en los que no caben las aportaciones de las ciencias naturales. Ahora bien, ya en el año 1960 Zubiri señalaba que no sólo la historia humana, sino también los nuevos descubrimientos en ciencias tales como la astronomía o la biología exigían que la filosofía se volviera a enfrentar sistemáticamente con la cuestión filosófica del mundo. Esto es lo que Zubiri hizo en este curso, impartido en la Cámara de Comercio de Madrid, y que ahora presentamos a los lectores. Sin duda, el medio siglo transcurrido desde entonces haría necesaria una actualización de las informaciones científicas que Zubiri manejaba. Sin embargo, muchos de los conceptos desarrollados por él en aquellas lecciones, precisamente por su novedad, por su radicalidad, y por su apertura a una concepción abierta y dinámica de la ciencia, siguen siendo relevantes en el presente. No sólo eso. En una última y extensa lección Zubiri se planteó una cuestión crucial para la filosofía: la de un posible fundamento del mundo. También aquí su profundo conocimiento de la historia del pensamiento, su rigor y al mismo tiempo su originalidad filosófica, siguen siendo inspiradores para los lectores contemporáneos. (shrink)

Public insurance is commonly assimilated with redistributive tools mobilized by the welfare state in the pursuit of an egalitarian ideal. This view contains some truth, since the result of insurance, at a given moment, is the redistribution of resources from the lucky to unlucky. However, Joseph Heath considers that the principle of efficiency provides a better normative explanation and justification of public insurance than the egalitarian account. According to this view, the fact that the state is involved in the provision (...) of specific insurance is explained and justified by the greater efficiency of the state, in comparison with markets, in addressing market failures such as moral hazard or adverse selection. Our argument is that while insurance, intrinsically and idealistically, may diverge from a redistributive scheme, it is nevertheless difficult to deny that insurance has nothing to do with equality. More precisely, we argue that insurance may be understood as an egalitarian tool if our understanding of equality is broadened to include relational equality. Our paper aims to briefly recap the debates surrounding public insurance as a redistributive tool, advancing the idea that public insurance may be a relational egalitarian tool. It then presents a number of relational arguments in favor of the involvement of the state in the provision of specific forms of insurance, arguments that have been overlooked given the domination of luck egalitarian approaches in these debates. (shrink)

Xavier Landes | : In this article, consensus, defined as the consent of all citizens, is argued to be the first best for part of the liberal tradition on political legitimacy. Consensus would be the foundation of the liberal society that, when out of reach, needs to be approximated through, for instance, voting. I build on the timid attempts in political theory at using the theorem of the second best as a tool to settle difficult decision making in applied (...) political theory. More precisely, I defend the view that consensus would be the first best for part of the liberal tradition on political legitimacy. Furthermore, I illustrate how moral, factual, disagreements may create second-best problems, especially in terms of stability. Finally, I spell out some reasons why such problems directly affect a liberal order, on pragmatic grounds. The final purpose is to contribute to the literatures on legitimacy and on the application of the theorem of the second best outside economics. The key idea is to stress that much more work has to be done for “importing” the theorem of the second best into political theory. | : Dans cet article, le consensus, défini comme le consentement de tous les citoyens, est présenté comme remplissant la fonction d’optimum de premier rang [first best] pour une partie de la tradition libérale quant à la légitimité politique. Le consensus fonderait la société libérale qui, lorsque hors d’atteinte, nécessiterait d’être approximer au travers, par exemple, du vote. Je m’appuie sur les timides tentatives en théorie politique d’utiliser le théorème de l’optimum de second rang [second best] comme outil pour résoudre des prises de décision difficiles en théorie politique appliquée. Plus précisément, je défends l’idée que le consensus serait l’optimum de premier rang pour une partie de la tradition libérale quant à la légitimité politique. De plus, j’illustre comment les désaccords moraux, factuels peuvent créer des problèmes d’optimum de second rang, en particulier en termes de stabilité. Enfin, j’expose quelques raisons pour lesquelles de tels problèmes affectent directement un ordre libéral, d’un point de vue pragmatique. Le but final est de contribuer aux littératures sur la légitimité et sur l’application du théorème d’optimum de second rang à l’extérieur des sciences économiques. L’idée principale est de souligner qu’il reste beaucoup de travail afin d’« importer » le théorème d’optimum de second rang en théorie politique. (shrink)

Several ethicists have defended the use of responsibility-based criteria in healthcare rationing. Yet in this article we outline two challenges to the implementation of responsibility-based healthcare rationing policies. These two challenges are, namely, that responsibility for past behavior can diminish as an agent changes, and that blame can come apart from responsibility. These challenges suggest that it is more difficult to hold someone responsible for health related actions than proponents of responsibility-sensitive healthcare policies suggest. We close by discussing public health (...) policies that could function as an alternative to contentious, responsibility-sensitive rationing policies. (shrink)

INTELIGENCIA Y LOGOS es el segundo volumen de la trilogía que sobre el tema general de LA INTELECCION HUMANA publica el filósofo XAVIER ZUBIRI (San Sebastián, 1898). Este volumen es continuación del primero (INTELIGENCIA SENTIENTE) y se completa con el tercero y último, INTELIGENCIA Y RAZÓN. La obra completa analiza, entre otros muchos, los temas y problemas fundamentales de la disciplina filosófica conocida con los nombres de Teoría del conocimiento, Epistemología y Crítica, replanteando en una dimensión hasta ahora inédita (...) cuestiones tales como las de la intelección, el juicio, el conocimiento, la razón, el saber, la comprensión, la verdad, la ciencia, etc. No hay duda de que el enfoque que Zubiri da a estas cuestiones es profundamente original. Desde los tiempos de Parménides la filosofía ha solido resolver el problema de las relaciones entre la inteligencia y la realidad en el punto que constituye el tema central de este volumen, el «logos», cuya expresión más clásica es el «juicio». Zubiri se opone frontalmente a esta tradición, que según él conduce a un logicismo formalista que desvirtúa el papel de la inteligencia e impide el acceso a la realidad. Afirmar que el logos es la estructura fundamental de la intelección supone logificar la inteligencia, es decir, hacer de ella una facultad puramente formal y conceptiva. El resultado de esto es el conceptismo y el idealismo, los males seculares de la filosofía. Frente a esto, Zubiri afirma la preeminencia de la intelección sobre el logos. La inteligencia, como quedó expuesto en el volumen anterior, meramente actualiza las cosas en tanto que «reales». El logos es un modo ulterior de la intelección que permite expresar lo que esas cosas reales son «en realidad». El desarrollo de esta idea central constituye el argumento del presente libro. (shrink)

Cet article expose les grandes forces économiques qui sous-tendent et organisent le processus de déréglementation caractérisant aujourd’hui les économies développées. Il montre comment, au sein de ce processus, la réglementation change de forme et de nature plus qu’elle ne disparaît réellement. À un contrôle direct par l’autorité publique se substitue progressivement un contrôle indirect par une concurrence encadrée. Les enjeux éthiques de la déréglementation sont abordés à la lumière de cette analyse économique.

Xavier Labbée dirige l'Institut du Droit et de l'Ethique.

BackgroundViral pandemics present a range of ethical challenges for policy makers, not the least among which are difficult decisions about how to allocate scarce healthcare resources. One important question is whether healthcare workers should receive priority access to a vaccine in the event that an effective vaccine becomes available. This question is especially relevant in the coronavirus pandemic with governments and health authorities currently facing questions of distribution of COVID-19 vaccines.Main textIn this article, we critically evaluate the most common ethical (...) arguments for granting healthcare workers priority access to a vaccine. We review the existing literature on this topic, and analyse both deontological and utilitarian arguments in favour of HCW prioritisation. For illustrative purposes, we focus in particular on the distribution of a COVID-19 vaccine. We also explore some practical complexities attendant on arguments in favour of HCW prioritisation.ConclusionsWe argue that there are deontological and utilitarian cases for prioritising HCWs. Indeed, the widely held view that we should prioritise HCWs represents an example of ethical convergence. Complexities arise, however, when considering who should be included in the category of HCW, and who else should receive priority in addition to HCWs. (shrink)

Est-ce un hasard si Jean-Marc Ferry, d'un côté du Rhin, Jürgen Habermas, de l'autre, entrouvrent aujourd'hui la porte de la République au discours religieux? Si la raison publique faite de liberté et d'égalité semblait suffire pour régir le champ économique et social de notre Modernité première, elle s'avère trop courte lorsqu'il s'agit de formuler la norme commune applicable aux fondamentaux de l'existence tels que la vie, le corps, l'amour, la mort... D'où l'appel de nos deux auteurs aux ressources de sens (...) qu'ont accumulées les religions et, singulièrement, le christianisme. Pour prendre cette requête au sérieux, il fallait revisiter les grands axes de la tradition chrétienne (création, faute, incarnation, salut, trinité, eucharistie) pour en dégager les enseignements qui enrichiraient la raison publique d'aujourd'hui. Mais la foi se laissera-t-elle ainsi arraisonner? Et la raison s'ouvrira-t-elle à ce discours qui vient de plus loin qu'elle? La partie est loin d'être gagnée. Xavier Dijon la mène avec grand talent. (shrink)

Este nuevo volumen de las obras de Xavier Zubiri recoge de forma íntegra tres cursos, que hasta ahora se encontraban inéditos, o de los que sólo se conocían algunos fragmentos. Se trata de los cursos que Zubiri impartió sobre “El problema filosófico de la historia de las religiones” (Madrid, 1965), “El problema de Dios en la historia de las religiones” (Barcelona, 1965), y “El hombre y el problema de Dios” (Madrid, 1968). Las religiones y su historia constituyen uno de (...) los grandes intereses de Xavier Zubiri como filósofo. A diferencia de otros planteamientos, que abordan lo religioso a partir de la vivencia de lo sagrado, o del discurso sobre lo divino, Zubiri entendió que el tratamiento filosófico de la religión debe partir de un hecho más elemental, que él llamaba “religación”. La religación sería un dato básico e ineludible, inseparable de la aprehensión primordial de la realidad, que nos constituye como humanos. Para Zubiri, las religiones, su diversidad, y su historia, serían más bien la plasmación ulterior de ese hecho radical. Al análisis de ese hecho, y al estudio de su despliegue histórico, incluyendo el cristianismo, están dedicados estos tres importantes cursos. Su lectura nos pone en contacto directo con el surgimiento de una de las filosofías más originales de nuestro tiempo. (Fuente: Alianza). (shrink)

This book introduces profound reflections of Xavier Zubiri on the history of philosophy to English-speaking audiences. The book discusses the transcendental in Western philosophy and how a firm grasp of it reveals underlying unity, but also fundamental problems that Zubiri believed require a complete rethinking of certain theories.

Replying to Samuel Knafo and Benno Teschke, this article shows how Political Marxism offers powerful conceptual tools to understand modes of production that structure historical processes as fundamentally constituted by exploitative social and political relations. I explain how structure, or rules of reproduction, should be understood as alienated social relations, which are inherent to all class societies. Understanding structure this way leaves ample space for – and makes inevitable – the consideration of agency.

Since the 1970s, the concepts of “lifeworld” and “everyday life” have been part of the discourse of social pedagogy and social and educational work in general. Xavier Úcar's objective in this article is to generate and communicate socio-pedagogical knowledge that helps social pedagogues to build socio-educational relationships that are more effective, more sustainable, more satisfactory, and ultimately richer in terms of both experiences and learning for participants. A conceptually oriented, nonsystematic analysis procedure was used to conduct this research. The (...) procedure involved an in-depth investigation of documents that focus on the two target areas of this study: (1) social pedagogy, and (2) lifeworld and everyday life. The results describe the theoretical background of lifeworld and everyday life, discuss the development of the perspective of “lifeworld orientation” within the framework of social pedagogy in Germany, and analyze how everyday life is understood through actions undertaken by social pedagogues. These results provide ideas for mapping the essential dimensions of everyday life from the perspective of social pedagogy. (shrink)

Daniel Bensaïd was prominent among the revolutionary thinkers and activists who emerged from the mass insurgency of the 1960s, a period in which anti-capitalist organisers had genuine social weight grounded in connections to broad layers of the working class and radical movements. As the neoliberal offensive developed, working-class and allied movements experienced crucial defeats that marginalised anti-capitalist theory and practice. Bensaïd developed a unique theoretical analysis of radical mobilising during the neoliberal period, at once grounded in the history of revolutionary (...) organising and audaciously open-ended in assessing the impact of capitalist restructuring and the employers’ offensive. The basis of his theoretical renewal lay in a new approach to understanding temporality that undercut any sense of socialist inevitability, and a commitment to revolutionary pluralism that was crucially located in the political sphere. (shrink)

Entre otras cosas, la Historia Naturale de Ferrante Imperato, publicada en Nápoles en 1599, trata de varias especies de artrópodos que hoy podríamos identificar como la araña Lycosa tarentula (=Lycosa narbonensis), el ortóptero Gryllotalpa grillotalpa, y los coleópteros Mylabris variabilis, Oryctes nasicorsis, Cerambyx cerdo y Lucanus cervus. Es de destacar la notable fidelidad de las ilustraciones, así como el estilo directo de las descripciones, que mencionan frecuentemente el lugar de las observaciones. Ello da a la obra un valor añadido de (...) historia natural local, un concepto que está tan de moda hoy en día. (shrink)

"Contains a balanced account of recent advances in set theory, model theory, algebraic logic, and proof theory, originally presented at the Tenth Latin American Symposium on Mathematical Logic held in Bogata, Columbia. Traces new interactions among logic, mathematics, and computer science. Features original research from over 30 well-known experts worldwide.".

L'ouvrage Quelles doctrines constitutionnelles pour quel(s) droit(s) constitutionel(s) réuni les contributions des plus éminents spécialistes du droit constitutionnel français, mais aussi étrangers, dans le but de dresser un état des lieux scientifiques de cette discipline : qu'est-ce le droit constitutionnel aujourd'hui? Quellle est son utilité? Et quelles sont ses méthodes, ses évolutuons? Les différentes contributions ici proposées se penchent sur la possible formalisation (ou pas) d'une discipline scientifique autour d'une ou différentes écoles, ainsi que les évolutions qui travaillent les objets, (...) ou encore les domaines politiques et juridiques, mais aussi économiques, sociaux et culturels qu'il se propose d'appréhender. Cet ouvrage se révèle donc un outil précieux pour tous les juristes, mais plus largement, pour tous les citoyens qui s'intéressent aux questions de l'organisation constitutionnelle du Pouvoir au sein des Etats modernes. (shrink)

En enero de 1974 Zubiri dio un breve curso en la Sociedad de Estudios y Publicaciones de Madrid sobre el tema Tres dimensiones del ser humano: individual, social e histórica. Meses después publicó la última de esas lecciones bajo el título de La dimensión histórica del ser humano. El presente volumen recoge el texto de las tres conferencias, más la versión escrita de la última de ellas. La tesis que Zubiri desarrolla en estas lecciones es que el ser humano es (...) a la vez y necesariamente individual, social e histórico, y que estas dimensiones vienen exigidas por su propia realidad específica, que es pluralizante, continuante y prospectiva. (shrink)

We report on the mechanisation of (preference-based) conditional normative reasoning. Our focus is on Åqvist's system E for conditional obligation, and its extensions. Our mechanisation is achieved via a shallow semantical embedding in Isabelle/HOL. We consider two possible uses of the framework. The first one is as a tool for meta-reasoning about the considered logic. We employ it for the automated verification of deontic correspondences (broadly conceived) and related matters, analogous to what has been previously achieved for the modal logic (...) cube. The equivalence is automatically verified in one direction, leading from the property to the axiom. The second use is as a tool for assessing ethical arguments. We provide a computer encoding of a well-known paradox (or impossibility theorem) in population ethics, Parfit's repugnant conclusion. While some have proposed overcoming the impossibility theorem by abandoning the presupposed transitivity of ‘better than’, our formalisation unveils a less extreme approach, suggesting among other things the option of weakening transitivity suitably rather than discarding it entirely. Whether the presented encoding increases or decreases the attractiveness and persuasiveness of the repugnant conclusion is a question we would like to pass on to philosophy and ethics. (shrink)

Pourquoi parle-t-on si facilement de l'âme d'un violon, d'une poutre, d'un canon et avec plus d'embarras, de l'âme humaine? Le mot "âme" a des résonances qui pour beaucoup paraissent suspectes. Nombre de nos contemporains pensent ou préfèrent se passer de la notion d'âme qu'ils jugent désuète, mythique ou trop chargée de religieux. Et s'il y avait une relation étroite entre le refoulement du religieux et celui de l'âme? se demande Xavier Lacroix. De même que le religieux est porteur d'une (...) signification qui lui est propre, de même la notion d'âme est-elle porteuse d'une signification qui va plus loin que les notions modernes par lesquelles on croit la remplacer. En vérité, le terme d'âme est irremplaçable. Nous n'en avons pas fini avec lui, qui implique la raison et la foi, le bon sens et la Révélation. (shrink)

In this work, Xavier Lakshmanan argues for a textual linguistic approach to Christian theology. The book takes its shape in conversation with Paul Ricoeur’s philosophical thought, demonstrating how Ricoeur’s hermeneutic philosophy can inform the way Christians interpret and appropriate biblical narratives without delimiting the potential of the text or eroding the distinctiveness of its language. The text can be appropriated in ways that address the fundamental questions of life. New meanings are constantly generated from the same text in order (...) to describe and redescribe existence, and form human identity. The self is linked inseparably with narrative; every interpretation of narrative is at the same time a reinterpretation of the self and of its possibilities. In such interpretative processes, the reader interprets the text and the text interprets the reader at the same time through an interactive reading. Accordingly, the aim of interpreting the narratives is to open up the world of the text in front of the text and in front of the reader. Here what the text uncovers is the «textual» structure of existence itself. The reality that unfolds through language discloses the possibilities of existence, and in this way the text creates a future. A revised identity emerges against the horizon of that future to give a coherent and dynamic account of the self against a horizon of hope. (shrink)

There has been significant debate about whether the moral norms of medical practice arise from some feature or set of features internal to the discipline of medicine. In this article, I analyze Edmund Pellegrino’s conception of the internal morality of medicine, and situate it in the context of Alasdair MacIntyre’s influential account of “practice.” Building upon MacIntyre, Pellegrino argued that medicine is a social practice with its own unique goals—namely, the medical, human, and spiritual good of the patient—and that the (...) moral norms that govern medical practice are derived from these goals. After providing an overview of Pellegrino’s work, I discuss some forceful objections to his theory—specifically, that it is too rigid and incapable of entering into dialogue with contemporary values systems; that it is dependent on an external conception of human flourishing; and that it is incompatible with the rapidly changing nature of modern medicine. In the final section of this article, I consider how theorists working in the Hippocratic tradition might respond to these objections against ethical essentialism by drawing upon MacIntyre’s historico-cultural method as well as what he calls Aristotle’s “metaphysical biology.”. (shrink)

Thomas Riisfeldt’s essay1 is a valuable contribution to the literature on palliative sedation, appropriately titrated administration of opioids (ATAOs) and euthanasia. In this response, I will not deal with the author’s empirical claim about the relationship between opioid use, palliative sedation and survival time. Rather, I will briefly critique the author’s discussion of doctrine of double effect (DDE) and its application to palliative sedation and opioid use at the end of life. That is, I will focus on the ethical claims (...) made by the author. Riisfeldt argues that DDE is incompatible with both Kantian deontology and Millian consequentialism. Yet, I will argue that the DDE is coherent and defensible when interpreted from the perspective of the philosophy of Thomas Aquinas, the theorist who first proposed the doctrine. I will also argue that Riisfeldt mischaracterises ATAOs and palliative sedation as procedures that hasten death as a means to relieve pain. While death may indeed be hastened by ATAOs and palliative sedation, it is not at all clear that clinicians intend to hasten death as a means to relieve pain. Indeed, clinical guidelines explicitly prohibit the intentional hastening of death. Riisfeldt provides a brief summary of the DDE. He describes DDE as a ‘strange hybrid of four principles’. He lists the four criteria that must be met for an act with a good and a bad effect to be permissible. These criteria are the ‘intention and means criteria’ and the ‘intrinsic and proportionality criteria’ (p.127). The author uses Kant and Mill as lens through which to highlight a tension between the intrinsic and proportionality criteria of DDE. The author claims that ‘the intrinsic criterion is derived from deontology, the predominant form of which is championed by Kant’, and that ‘the proportionality criterion is derived from consequentialism, the predominant form of …. (shrink)

La pensée technique peut-elle être l’occasion d’un renouveau de la réflexion transcendantale, ou bien est-elle vouée à demeurer tributaire du « préjugé anthropologique » dont Foucault a repéré la mise en place au XIXe siècle avec la formation des sciences humaines, et qui a eu pour conséquence précisément la dissolution du transcendantal dans l’empirique? Cet article opte résolument pour la première solution, et examine les approches qui vont dans ce sens en refusant de penser les techniques à partir de la (...) finitude anthropologique. (shrink)

Public insurance is both everywhere and nowhere. It is everywhere in the sense that it is omnipresent in industrialised societies: public health insurance, unemployment benefits and pensions. It is a sizeable part of modern nations’ public budget . It has permeated our understanding of societal institutions to the extent that now access to public insurance coverage is understood as being a struggle for equality and equal citizenship .Public insurance is only one aspect of a broader phenomenon: the transformation of modern (...) societies into insurance societies, i.e. societies that are orientated toward risk-management . Nevertheless, public insurance is at the core of the welfare state as insurance system. Paul Krugman once said of the modern state that it is ‘an insurance company with an army’ while David Moss argues that government is the ultimate risk manager ( .. (shrink)