Relevance of the research topic is that management education as a complex social phenomenon of the present, is an integral part of the formation of managerial culture of the head. Management education is interpreted from different sides, which suggests that managerial education is an interdisciplinary matrix of many socio-humanities and behavioral sciences. Problem statement - managerial education helps to form the personal qualities of the manager, which in general contributes to the formation of the concept of personal (...) class='Hi'>management. It is at the post-industrial stage that the formation and development of managerial education, based on knowledge, intellect, and professionalism, takes place. The analysis of recent researches and publications - for analysis, we highlight the publications of V.Beh, Yu.Beh, V.Voronkova, O.Kivlyuk, V.Nikitenko, M.Maksmenyuk, R.Olexenko, O.Punchchenko, O.Sosnin, which allow us to penetrate into the essence of management culture as the basis of managerial education. The selection of unexplored parts of the general problem - management culture as a complex social phenomenon remains rather insufficiently analyzed, all transformations in our country depend on its level and high quality. Problem statement - analysis of the methodological principles of managerial education in the context of the philosophy of education. Methods - general science and methods of constructive methodology applied to management sciences. In the economic, sociological, socio-philosophical literature of recent years the concept of "learning society" has become widespread. Main material presenting. At the core of the study - the conceptualization of methodological principles that allow to penetrate into such a complex phenomenon as managerial science, updated in the era of the information society, the development of directions for improving teaching management science in the transition to a new technological structure.The scientific novelty of the research is the application of constructive methodology, which shows that management science is a science of praxeological orientation. It is proved that the most important attributes of managerial culture, aimed at analysis of a complex self-regulated system, are self-organization and reflexivity.They are those attributes that contribute to the formation of an innovative management paradigm. It qualitatively accelerates the process of development and transformation of society through the inclusion of intentional and unpredictable consequences in it. All these factors accelerate the transformational processes in modern Ukrainian society. Conclusions - the philosophy of education should be regarded as a process, result and social phenomenon. The main task of managerial sciences is the prognostic, which investigates the laws of objective reality, aimed at increasing the information, production and organizational potential. The use of this potential contributes to the formation of the concept of personal management of the manager, which is necessary to solve the problems of modern society and increase the dynamic development of the state and society. (shrink)

This is the introduction to the special issue on Responsible innovation (RI). The special issue presents five philosophical analyses into the foundational concepts and assumptions of RI. This paper explores the common themes that emerge across these five analyses by mapping them onto the ontological and axiological dimensions of the newly emerging RI paradigm. This way, we are able to articulate the (known) shortcomings of RI as well as the possible way forward suggested by the authors to remedy them.

Academic and corporate research departments alike face a crucial dilemma: to exploit known frameworks or to explore new ones; to specialize or to innovate? Here I show that these two conflicting epistemic desiderata are sufficient to explain pluralistic ignorance and its boom-and-bust-like dynamics, exemplified in the collapse of the efficient markets hypothesis as a modern risk management paradigm in 2007. The internalist nature of this result, together with its robustness, suggests that pluralistic ignorance is an inherent feature rather (...) than a threat to the rationality of epistemic communities. (shrink)

The innovation systems approach has swiftly spread out worldwide in the last three decades and stood as an important framework for policy-making in the fields of science, technology, and innovation. At the same time, there have been serious and untreated concerns in the literature about the theoretical soundness of this approach. Our discussion in this paper is based on the belief that a detailed analysis on epistemological foundations of the approach could shed a judgmental light on the aforementioned concerns. To (...) provide that analysis, we reconstructed and studied the nature and evolution of innovation systems approach as a case of conceptual revolution against the more established traditions in economics of innovation. Our analyses show that the rise of the systemic view of innovation include radical changes in conceptual structures pertaining to orthodox view of innovation. These developments also go so far as to include significant shifts in epistemological foundations of the old paradigm. These later shifts provide us with an epistemological base from which we can shelter the innovation systems approach from the hard criticisms rooted in a quasi-positivist point of view. That epistemological base also shows the path for the future development of the approach towards more robustness and precision. (shrink)

In a world facing multiple crises, our foundational institutions are failing to offer effective solutions. Drawing on the emerging consilience of knowledge, Michael Pirson debunks the fundamental yet outdated assumptions of human nature that guide twentieth-century management theory and practice - as captured in the 'economistic' paradigm - and instead provides an urgently needed conceptual and practical 'humanistic' framework, based on the protection of human dignity and the promotion of well-being. By outlining the science-based pillars of this (...) class='Hi'>innovative system, Pirson provides a twenty first-century model for the responsible twenty first-century leader seeking sustainable ways to organize in a world of crisis. Highlighting relevant applications for research, practice, teaching and policy, this book is ideal for graduate students and professionals seeking to develop their understanding of responsible business, business ethics and corporate responsibility. (shrink)

Since the 1980s, two different paradigms have reshaped industrial societies: the Neoliberal paradigm and a Research and Innovation paradigm. Both have been conceptualized and translated into strong policies with massive economic and social consequences. They provide divergent responses to the environmental transition. The Neoliberal paradigm is based on economic models and geopolitical solutions. The Research and Innovation paradigm's goal is to manage knowledge differently in order to reorient the evolution of society. Since the mid-1990s, a version (...) of the Research and Innovation paradigm has led to the design of large-scale research and innovation policies. This book examines how these policies have evolved and how they can be extended and reformed to respond to present and future environmental constraints. It studies the transformation of the conception, organization and role of science and technology in the evolution of industrial societies and explores the future of these developments. The book offers three unique lines of enquiry. The first is to focus not specifically on economics, sociology, political science or history, but on knowledge creation from an institutional and reflexive point of view. The second is to establish a convergence between the British school of science and technology studies and the research trends opened by the work of Michel Foucault. Both introduced trans-disciplinary and policy-oriented research associating case studies, long-term perspectives and theory. The third is to consider climate change as the overwhelming challenge of our time. The book is an insightful guide for students, scholars and researchers across the humanities and social sciences, including philosophy, political science, law, economics, business and media. (shrink)

This paper addresses representations of Burns and Stalker’s theory that arose soon after its publication in The Management of Innovation in 1961. Different conceptions of Burns and Stalker’s contingency theory as portrayed in organisation and management texts are discussed. It will be argued that what has been represented as their theory stems in the main from ideas based on different positions within the spectrum of the positivistic, functionalist ‘paradigm’.

Seven decades ago, a new global order emerged. However, as the COVID-19 pandemic rages across the planet, those older ways of being are under unprecedented stress. Already, a new world order is taking shape--one that will put long-standing agenda items like trade, commerce and defence on the backburner. In a post-pandemic world, they will be edged out by issues like climate change, holistic healthcare, education for innovation and creativity, as well as the management of frontier technologies like artificial intelligence, (...) robotics, blockchain and big data. Human dignity and human rights will be critical issues in this modern reality. To represent the changed actuality of the twenty-first century, global governance needs fresh ideas and novel institutions. More than five decades ago, Deen Dayal Upadhyay articulated a coherent economic philosophy, at the core of which was human-centric development. In the Hindutva Paradigm, author and thinker Ram Madhav provides clarifying insights into the reasoning of a philosopher who has remained an enigma through the decades. At the crossroads where we stand, this refreshing and stimulating philosophy could be the answer to managing the new world order."--Amazon.com. (shrink)

Why has responsible management been so difficult and why is the chorus of stakeholders demanding such responsibility getting louder? We argue that management learning has been framed within the narrative of economism. As such, we argue that managers need to be aware of the paradigmatic frame of the dominant economistic narrative and learn to transcend it. We also argue that for true managerial responsibility, an alternative humanistic narrative is more fit for purpose. This humanistic narrative is based on (...) epistemological metaphors and ontological insights that integrate the latest insights from evolutionists suggesting that humans only survived by being responsible. This understanding has consequences for responsible management learning in that it focuses on dignity literacy, balance orientation, as well as creativity and innovation for the common good. We argue that managerial learning within a humanistic paradigm is more likely to lead to ethical and sustainable business conduct. (shrink)

Problems surrounding representations of texts have previously been raised and discussed, as has the difficulty, in the light of hermeneutic, critical and post-structuralist writers, of arriving at definitive meanings of texts. This paper is part of ongoing research into the problem of evaluating the representation of original texts in the organisation/management area. The texts in question are Burns and Stalker’s The Management of Innovation 1961, 1966, and to a lesser degree Lawrence and Lorsch’s Organization and Environment 1967. The (...) representations are those in three widely used textbooks typical of many, and applications in management accounting research. A way round this apparent impasse may be to see whether there are any ‘objective’ or commonly accepted standards and criteria within a particular system of thought, assuming that the texts in question are all located within the same system. These texts will be explored in terms of the paradigmatic boundaries they encompass to see whether the same kinds of problems and solutions are presented, and whether they ultimately lie within the same boundaries. Finally, having argued that they are largely located in different paradigms, the underlying question is raised as to whether one paradigm can be an adequate vehicle for the transmission of a text substantially in another. (shrink)

Social innovations are usually understood as new ideas, initiatives, or solutions that make it possible to meet the challenges of societies in fields such as social security, education, employment, culture, health, environment, housing, and economic development. On the one hand, many citizen science activities serve to achieve scientific as well as social and educational goals. Thus, these actions are opening an arena for introducing social innovations. On the other hand, some social innovations are further developed, adapted, or altered after the (...) involvement of scientist-supervised citizens in research and with the use of the citizen science tools and methods such as action research, crowdsourcing, and community-based participatory research. Such approaches are increasingly recognized as crucial for gathering data, addressing community needs, and creating engagement and cooperation between citizens and professional scientists. However, there are also various barriers to both citizen science and social innovation. For example, management, quality and protection of data, funding difficulties, non-recognition of citizens’ contributions, and limited inclusion of innovative research approaches in public policies. In this volume, we open theoretical as well as empirically-based discussion, including examples, practices, and case studies of at least three types of relations between citizen science and social innovation: domination of the citizen science features over social innovation aspects; domination of the social innovation features over the citizen science aspects; and the ways to achieve balance and integration between the social innovation and citizen science features. Each of these relationships highlights factors that influence the development of the main scales of sustainability of innovations in the practice. These innovations are contributing to a new paradigm of learning and sharing knowledge as well as interactions and socio-psychological development of participants. Also, there are factors that influence the development of platforms, ecosystems, and sustainability of innovations such as broad use of the information and communications technologies including robotics and automation; emerging healthcare and health promotion models; advancements in the development and governance of smart, green, inclusive and age-friendly cities and communities; new online learning centers; agri-food, cohousing or mobility platforms; and engagement of citizens into co-creation or co-production of services delivered by public, private, non-governmental organizations as well as non-formal entities. (shrink)

This research aims to determine the quality of public services through the Electronic-Based Government System (SPBE), as well as to know and analyze the Implementation of Strategies for Achieving PERPRES No. 95 of 2018 concerning SPBE in the Medan City Government. This research is important to obtain a Strategic Management Model in Achieving PERPRES No.95 of 2018 concerning SPBE in the Medan City Government. The research paradigm used is Constructivist Paradigm, with Qualitative Research Method. Data were collected (...) through in-depth interviews, discussions with several informants from the Medan City Office, DPRD, UPT Kecamatan, and community leaders. In addition, data was also collected through literature study, document study, and secondary data. The results showed the following: First, there is coordination between agencies in the development of application services. The coordination is conducted by the Diskominfo of Medan City Government. A number of Departments used external consultants in the development of SPBE. Diskominfo made new rules to address ICT service issues. The services use external programmers and experts and if an error occurs, the City Government is not responsible for the service. Secondly, Medan City Government conducted a Memorandum of Understanding with Tangerang City to collaborate and share resources through the innovation of E-Files application for correspondence needs. The use of shared correspondence applications by the Government in Tangerang City was adjusted based on the specific needs of each city. The platform used is the same, but with different application names, E-Files in Tangerang and Sarana in Medan. Third, there are 3 SPBE service providers in Medan City Government, including: Telkom (PT. Telekomunikasi Indonesia) for Kelurahan/Kecamatan, GDS (Global Digital Solusi) for Diskominfo and other OPDs, and TNC (Telemedia Network Cakrawala) for Medan City Office. Fourth, Medan City Government uses a Strategic Management Model that combines the Environmental Model with the Collaboration Model in developing the Achievement of PERPRES No.95/2018 on SPBE in Medan City Government. The Environmental Model/Flow emphasizes vertical and horizontal coordination between work units in Medan City Government. The Collaboration Model develops a strategy of collaborative cooperation with other local governments or state-owned/private enterprises. (shrink)

Linguistic Modelling of Scenarios proposes a paradigm change from the 'systemic VIEW' to 'systems SCIENCE', so as to extend the methodology of conventional science of physics into the domains hitherto beyond the reach of this kind of treatment. The book: I. Identifies the problematic issues in current approaches to the 'systemic or structural view' of parts of the world as opposed to the 'quantitative/qualitative views' of conventional science of physics and the arts whereby introducing the 'third culture'. II. Locates (...) the position of the structural view in the context of 'human intellectual endeavour'. III. Discusses the fundamental questions raised by modelling aspects of human behaviour. IV. Introduces the basic ideas and the symbolism of linguistic modelling which are then applied to turning descriptions of scenarios as a story or narrative into reasoning schemes. V. Describes a methodology of 'problem solving' of which design thinking and the operation of purposive systems are seen as essential ingredients. Problem solving is a universal activity of living in particular human beings through innovation, invention and creativity. Lack of this activity leads to death! Problem solving is regarded as pivotal point which may propel the spread of the modified structural view into social, technical, cultural and educational awareness. VI. Shows the location of aspects of conventional science within the scheme of systems science whereby achieving a 'continuity of the scientific endeavour'. VII. Outlines a teaching scheme for 'linguistic modelling'. Janos Korn explains how a view can be converted into a science which can lead to a possibility of 'organised speculation' or simulation of behaviour, exploring the effects of variation of parameters on performance, and the occurrence of outcomes of operations, beneficial or not, of dynamic structures. Static and dynamic structures are expressed in more rigorous and computable terms so that the results of analysis and design of human activity scenarios could be exposed to at least thought experiments. Linguistic Modelling of Scenarios is an informative read for any professionals, teachers and students of engineering, social science, management, business and production. (shrink)

This paper explores the rise of agential materialism in humanities and science and its influence on technological progress, proposing ‘softness’ as a paradigm for designing increasingly ‘agentised’ technologies. Soft technologies – defined by plastic embodiments, self-organisation, and multi-scalar material design – challenge hegemonic visions of machines as rigid, unfeeling, and subordinate to human control. Case studies in soft and biohybrid robotics, wetware computing, and nanotechnology demonstrate how emerging soft technologies embody unprecedented forms of artificial agency and outline future possibilities (...) for embodied intelligence. A paradigm shift towards softness fosters ‘micro-sustainability’, embedding self-contained, regenerative energy and resource management at the material scale. By complicating the separation of nature and artifact and the hierarchical relationship of humans and technologies, the paradigm of softness contributes to a broader ‘ecology of technology’, offering pathways for sustainable innovation in the face of global ecological challenges. (shrink)

in the present work we analyze the new concepts and theories related to the activity of Design Management, which focus on the experiences of people and the particular characteristics of each one of them. Specifically, from an Industrial Design perspective, the scope and relationships between these conceptual definitions —now made visible— that always belonged to the field of design of the discipline will be studied, trying to identify how they influence innovation and product development. Finally, it will conclude about (...) its strategic relevance for public and private organizations, and the incorporation to the set of professional activitie. (shrink)

In reaction to growing critics regarding ecological and ethical aspects of intensive animal husbandry, different initiatives of ethical poultry production try to establish alternative food supply chains on the market. To be able to stabilise these niche innovations parallel to the mainstream regime, new forms of cooperation along the value added chain and with the consumers play an important role. Based on a case study of integrated egg and meat production from a dual-purpose breed by small multifunctional farms in Northeast (...) of Germany, the paper exemplifies the challenges for the different partners of the food supply chain and cooperation management. Empirical data were obtained via nine qualitative interviews with actors along the value chain and via participatory observation of workshops and meetings. The research was embedded in a transdisciplinary project, where different measures to meet the existing challenges were taken and evaluated. Analysing the existing cooperation reveals possibilities for improving cooperation management by e.g. clarifying the goals of the cooperation, including the points of sale as part of the food supply chain and communication of the ethical and sustainability qualities of the product to the consumers. However, the analysis also shows the limits of cooperation in an environment dominated by the paradigm of specialisation, economies of scale and cost reduction, which is also characteristic for parts of the organic sector. The paper discusses if the challenges of establishing this radical niche innovation can be met without a fundamental change of framework conditions as e.g. regulation on animal husbandry. (shrink)

This study aims to map out the relationships that make up green innovation initiatives in Brazilian industry. The sample comprised 100 managers at manufacturing companies, most of them operating in the business of farm machinery and equipment and steel structures. To develop this study, Medeiros et al. study, mapping critical factors that drive the success of green product innovation and the paradigm of complexity, was used as a reference study. Based on the results, it was possible to identify that (...) the operational dynamic of the factors and variables that affect market success do not happen in an isolated or fragmented way; they occur systematically with different contingencies and structured basic and intermediate skills in order to meet the expectations of consumers, laws, and environmental legislation. Initially, the technological expertise factor was noted as very important for sustaining green product innovation. Furthermore, since proactive leaders are an important factor for successfully developing environmentally sustainable products, it must be added to technological expertise as the foundation for developing green innovation. After defining the basis for green product innovation, the intermediary conditions necessary for using the available technology appropriately were mapped out. In this sense, variables such as “elimination of cultural barriers,” “capacity for critical reflective analysis,” and “experimentation” are also very important. In addition, some of the variables of the cross-functional collaboration and market knowledge factors were a part of the structure that organizations need to transform potential into developing green products, which is the basis for the third level of the model. The fourth level of the model has the “meeting consumer expectations” and “following law and legislation” factors, which make up the main goals for developing environmentally sustainable products according to a number of surveys that were conducted. (shrink)

This study aims to map out the relationships that make up green innovation initiatives in Brazilian industry. The sample comprised 100 managers at manufacturing companies, most of them operating in the business of farm machinery and equipment and steel structures. To develop this study, Medeiros et al. study, mapping critical factors that drive the success of green product innovation and the paradigm of complexity, was used as a reference study. Based on the results, it was possible to identify that (...) the operational dynamic of the factors and variables that affect market success do not happen in an isolated or fragmented way; they occur systematically with different contingencies and structured basic and intermediate skills in order to meet the expectations of consumers, laws, and environmental legislation. Initially, the technological expertise factor was noted as very important for sustaining green product innovation. Furthermore, since proactive leaders are an important factor for successfully developing environmentally sustainable products, it must be added to technological expertise as the foundation for developing green innovation. After defining the basis for green product innovation, the intermediary conditions necessary for using the available technology appropriately were mapped out. In this sense, variables such as “elimination of cultural barriers,” “capacity for critical reflective analysis,” and “experimentation” are also very important. In addition, some of the variables of the cross-functional collaboration and market knowledge factors were a part of the structure that organizations need to transform potential into developing green products, which is the basis for the third level of the model. The fourth level of the model has the “meeting consumer expectations” and “following law and legislation” factors, which make up the main goals for developing environmentally sustainable products according to a number of surveys that were conducted. (shrink)

The article is devoted to the study of theoretical aspects of professional training of educational managers within the requirements of modern transformational society. In the conditions of the prevailing postmodernism new requirements to the manager of education as the specialist and as the person are allocated, according to what the emphasis on the influence of such processes as globalization, informatization, and innovative development on the preparation of modern experts in management is made. Changes in the educational paradigm (...) indicate the need for a specialist with universal abilities, able to quickly adapt to new socio-economic and social changes and effectively perform their professional duties. The analysis of the newest tendencies in pedagogical education proves the growth of requirements to professionally significant qualities of the head of a modern educational institution. Based on a thorough analysis, the features of professional competence of education managers, their professionally important and personal qualities that determine their professional activity are determined. Among the main professionally significant qualities of an education manager are such as strategic thinking, readiness for self-development, ability to make operational decisions, special and general abilities, positive motivation of professional activity, cross-cultural competence, emotional intelligence and cognitive empathy, effective time management. It is established that the effectiveness of management activities of a modern education manager is determined by his ability to properly assess the business environment, set complex but achievable goals, organize staff for their implementation. (shrink)

Purpose The purpose of this paper is to encourage technologists, those who design and manage technology systems, to collectivize and get closely involved in defining the priorities of their organizations, their countries, and the world, so that responsible outcomes can arise from their labour. Design/methodology/approach The author examines this problem from three viewpoints: From a design perspective about what is missing in most design practices to build information systems that undesirable outcomes still happen; from an ethics perspective about how to (...) incorporate values in building and managing information systems; and from a political economy perspective about why ensuring responsible outcomes from technology is not easy. The author describes several limitations faced by technologists in achieving this, ranging from gaps in the design methods in use currently, a piecemeal approach to following ethical principles in the design and management of technologies, influence of the organizational culture and structure and the wider political economy of technology itself. Findings The author suggests several measures to address these challenges and conclude with a call to technologists to collectivize and engage politically to influence their organizations and governments to invest in meaningful objectives for a just and equitable world, and design and manage the solutions in ethically consistent ways. Research limitations/implications It is argued that a new paradigm of information systems is needed for digital platforms, which is grounded in ethics-based guidelines that should be followed by the designers and managers of these platforms to help ensure responsible outcomes. Practical implications Having such a paradigm is especially important in today’s winner-takes-all digital platform era because these platforms are governed by only a few people; therefore, it is imperative to build guardrails to responsibly manage these platforms, and to have technologists who design and manage these platforms to play a role in their governance. Social implications Information systems have the potential to alter power relationships in society, and it is suggested that they should be designed to empower the weak. Originality/value To the best of the author’s knowledge, this is a unique perspective that draws from his personal experience as a researcher and practitioner designing technologies for social good, and examines the problem from many different viewpoints. (shrink)

This paper describes a set of ideal type organizations in a developmental sequence. As these descriptions are based on Spiral Dynamics (or Emerging Cyclical Levels of Existence Theory – ECLET), the types are labeled as Order, Success, Community and Synergy. Per type the author elaborated on the underlying value system and relating institutional structures, such as leadership role, governance and measurement format. As a summary, a Transition Matrix is presented which indicate the paradigm shifts per discipline/department, as manifested in (...) the subsequent ideal type organizations. As Order and Success generally describe the majority of corporations in Western Economies, the latter two types introduce new approaches to more innovative – and more sustainable/responsible – ways to doing business. Based on Community Values, the author introduces a new measurement format which is the foundation for a systemic and coherent set of management tools to be used in a stakeholder approach. These tools relate to the strategic, tactical and operational tasks of management and have been developed by researchers of the European Corporate Sustainability Framework (ECSF) consortium. The set includes two tools which are generic: the Strategic Sustainability Scan (Strategy) and the Sustainability Matrix, which is a self-assessment tool (tactics). Three operational tools are context and industry specific: These are the Community related Responsive Business Scorecard (RBS) and Benchmark Format for measuring and monitoring sustainability performance and a methodology – a Management Information System – to generate information on people, planet and profit in order to provide data for the set of key performance indicators. (shrink)

Over the past few decades the pace of change in the business environment has been rapid, as the effects of electronic innovations and the acceptance of the globalisation mind-set have occurred. Communism has collapsed and the power of corporations has grown in the global community that has developed. It has become imperative that business decision-makers become aware that their decisions may limit the choices of future generations by irretrievably destroying the currently existing physical and social environment. Decision-making in today's business (...) environment will have a profound affect on human well-being in general and specifically on the breadth of options that are provided to the business decision-makers of tomorrow. Against this background it is argued that senior managers should adopt a new paradigm through which to view the world and assess the import of their decisions. Managers need to consider the effects of their decisions not only on the economy but also on the environment and the social world, which the economy is meant to serve. Managers must ensure their ways of doing business are sustainable. (shrink)

In contemporary industrial times, the success of a company is largely dependent on having effective leadership. Additionally, a leader's capacity for change management is essential when confronted with novel difficulties and shifts. Effective leadership styles are important, as many studies have shown, but not all companies have been able to implement them successfully and witness increases in employee loyalty and performance. The positivist paradigm is applied in this study through empirical research, wherein hypotheses are tested using an empirical (...) model that demonstrates the causal relationship between the model's components. The study's conclusions show how green leadership, digital leadership, and servant leadership improve and have notable effects on the performance of the industrial sector. This research implies that the industrial sector has benefited greatly from the three types of leadership in terms of increased productivity and creativity. In particular, it has been shown that digital leadership, green leadership, and servant leadership all improve an organization's performance as a whole. The study's findings add to the body of knowledge on leadership, support future research with empirical evidence, and have significant theoretical and practical implications for the administrative science community. (shrink)

Our world is faced with complex challenges that include poverty, hunger, lack of education, gender inequality, sustainability, and climate change. These issues cannot be addressed by government action alone and requires the business world play an important role. Despite the many effort of companies to address social responsibility in the last decade however, capitalism continues to suffer a crisis of trust. Many organizations lack the awareness, mindset, frameworks, and knowledge to efficiently and effectively make progress in providing solutions to these (...) systemic challenges, while also ensuring business performance. The authors argue that business schools are uniquely positioned and have a responsibility to contribute to this cause as educators of the business leaders of tomorrow. A landscape survey of social entrepreneurship / social innovation education with 66 institutions of higher education and in-depth interviews with 8 social intrapreneurs from diverse career tracks reveals significant challenges as well as opportunities for creating this paradigm shift in business schools. This research uses insights from these two studies to provide an overview of the current state of SE/SI in business education and provides recommendations for institutions of higher education to pave a pathway forward for future leaders who will use business to create positive social change. (shrink)

Worldwide and certainly in the EU, we are silently rather advanced in a new economic logic, a new economic paradigm. This is a huge transformation of the very tool of production, comparable to the shift from agriculture towards industry, last century. And at least in the positive scenario, this post capitalist logic represents a huge shift towards human and nature centred economic logic. Our society is exposed to radical changes in basic paradigms, dealing with challenges that were unknown few (...) decades ago. E.g.: The negative scenario of manipulation of human body and mind is also prospering and very active today. The widely discussed topic is sustainability of current quantitative growth and the shift into qualitative character of economic growth. The valuation of capital is influencing both micro and macro levels. The value of human capital is becoming primary and machines are becoming secondary. Advancements toward the knowledge society lead to fundamental changes in the nature of power, trade, economy, money, and management. The paper introduces positive role of competent human beings, who produces knowledge from knowledge, their opportunities and their achievements. The paper deals with the new definition of economy, new way of understanding of a value – adding a special value to objects composed of raw materials. Accepting a complexity of a creation process, most observers now agree that humans use their bodies, their minds and their souls, to create. The importance of abstract values rises in importance. We are shifting from the machine and factory towards the human person. Under the trial and error approach, we are supposed to allow errors and cover them. The innovative management must respect the body mind and souls of his personnel. (shrink)

In the 1960s, influential thinkers defined design as a rational problem-solving approach to deal with the challenges of sustainable human development. In 2009, a design consultant and a business academic selected some of these ideas and successfully branded them with the term “design thinking.” As a result, design thinking has developed into a stream of innovation management research discussing how to innovate faster and better in competitive markets. This article aims to foster a reconsideration of the purposes of design (...) thinking moving forward, in view of the sustainable development challenges intertwined with accelerating innovation in a perpetual economic growth paradigm. To this end, we use a problematization method to challenge innovation management research on design thinking. As part of this method, we first systematically collect and critically analyze the articles in this research stream. We uncover a prominent focus on economic impact, while social and environmental impacts remain largely neglected. To overcome this critical limitation, we integrate design thinking with responsible innovation theorizing. We develop a framework for responsible design thinking, explaining how to apply this approach beyond a private interest and competitive advantage logic, to address sustainable development challenges, such as climate change, resource depletion, poverty, and injustice. The framework contributes to strengthening the practical relevance of design thinking and its theoretical foundations. To catalyze this effort, we propose an agenda for future research. (shrink)

It is a supreme irony that given the requirement for rebellious creativity, organizations discourage individuality. Accordingly, these cases of creative rebellion contain the seeds of a more informed criticism of the dominant management paradigm. The conventional notion of efficiency is questioned. The concept of moral efficiency is explained. The cases examined describe and analyze: (1) Refusal to concur with the findings of an aircraft accident report that covers up senior officer management weakness. (2) Falsification of data in (...) order to overcome the dysfunctional impact of a management information system. A deconstruction of these stories suggests theoretical as well as practical tension between the dominant normative management paradigm and the manner in which an innovative perspective of individual ethics pushes toward adaptive solutions to problems that cannot be solved by orthodoxy. (shrink)

This book provides readers with in-depth insights into Corporate Social Responsibility and sustainability strategies, as well as their impacts on product and process innovation, business models and social innovation around the globe. It explains how resource issues, climate change, the impacts of pollution and economic activities, and emerging social challenges inevitably lead to changes in the business environment, cost structure and competitive advantage. Further, it highlights how these changes influence the process of innovation, and how companies can gain an edge (...) by integrating stakeholder groups in their innovation process, and by considering sustainability and the needs of society at large. The book reflects the immense strides made in recent years in the discussion about the relationship between business and society, and demonstrates the increasing impact on innovation management. (shrink)

The study discusses the three roles of normative assumption in the theory and practice of innovation management: (1) they define the value of innovation, (2) specify its luck, and (3) determine some goals and methodologies of managing the luck of innovations. The crucial questions of the investigation are as follows: What does ‘luck’ mean in theories of innovation management?, and What is luck in the practice of innovation management? The conceptual analyses present logical links which occur between (...) the normative premises of some canonical theories of metaethics and definitions of luck. In the context of these analyses the study discusses some prerequisites for responsible decisions relating to innovations. The paper illustrates some ways of using philosophical methods in the theory of innovation management. (shrink)

There is a growing recognition of the central role of technology and knowledge management for market success of organizations. Little is empirically know, however, about this relationship. Drawing on the South African Innovation Survey, a unique dataset on innovative behavior of South African firms in manufacturing and services, this paper investigates the question to what extent and in which ways do technology and innovation management activities affect firms’ market position. Findings show that conducting technology strategy activities pays (...) out. Moreover, especially a combination of internal and external technology audits seems to be beneficial for organizational performance. (shrink)

In this article, we address why our management of the economy, community and business has led to global warming and we discuss the importance of worldviews, ontology, epistemology and axiology in the search for alternative paths of development. We do this by focusing on the concept of Circular Economy. Circular Economy is often presented as a solution to the problems of a globalized economy in the form of over-exploitation of resources, climate change and pollution of the environment. Within the (...) mainstream economics paradigm, the aim is how to increase the effectiveness of resource extraction and utilization in order to maintain growth. We contrast this with the paradigm of Ecological Economics where the goal of the economy is to achieve and secure a higher quality of life. Circular Economy often side steps the deep ontological and epistemological questions we need to answer if we are to address the complex and interrelated environmental, economic and social problems we face today. This can be a limiting factor in the search for creative and long-term solutions. However, within the Circular Economy discourse, we find strands that critically engage with the foundations of mainstream Economics and so, innovative solutions for the society of the future are a possibility. We argue that to bring about a lasting solution to the interconnected social, economic and environmental problems, Circular Economy must engage with the ontological, epistemological and axiological foundations of mainstream economics. To further this argument, we apply Imre Lakatos’ ‘research program’ model to philosophy of science as our framework of analysis and draw lessons for business and communities. (shrink)

While the opposing paradigms of globalization and fragmentation compete in often bloody and destructive ways in the world today, this book convincingly reminds us of the importance of finding out more about the complex and changing ways in which we are connected. The authors demonstrate that the more we understand our connectedness and deal with its consequences, the less dependent and helpless we become. The critical, multidisciplinary perspectives they offer cover a wide range of subjects, from the world wide web (...) to medieval poetry, nations and gender, cancer narratives and money, emotion management and the financial markets, and the American civilizing process and the repression of shame. The contributions bear witness to Elias's innovative achievements while the authors continue his stunning explorations, extending them into other areas of the humanities and the sciences, and presenting their own wide-ranging and penetrating insights into our mutual dependence. Contributors are Jorge Arditi, Godfried Van Benthem Van Den Bergh, Reinhard Blomert, Stephen Guy-Bray, Thomas M. Kemple, Hermann Korte, Helmut Kuzmics, Stephen Mennell, Thomas Salumets, Thomas J. Scheff, Ulrich C. Teucher, Annette Treibel, and Cas Wouters. (shrink)

This article answers the question raised by the special issue of this journal in a positive way: managerial practices do need philosophy. In particular, it argues for a more concrete claim: managerial practices have needed philosophy in the past to develop some important intellectual tools, and today they still need to be open to the continuous conceptual and methodological innovations introduced by competing philosophical research programmes, because loyalty to just one favourite philosophical paradigm can hinder the ability of managerial (...) practices to express their full potential, whereas openness to philosophical innovation can help managers keep their conceptual tools up to their tasks. The authors argue for this thesis in concreto: they discuss a specific branch of managerial practice—marketing—and illustrate that a preeminent form thereof, i.e. Experiential Marketing, has needed philosophy, and still needs it nowadays, in order to achieve its goals and overcome certain problems. They also point out that Experiential Marketing needs to renew and integrate some of its philosophical assumptions and conceptual tools in the light of innovations brought about by a recent philosophical turn. In particular, the authors argue that philosophy has provided essential conceptual tools for the articulation of the notions of experience and authenticity used in Experiential Marketing; they claim that the excessive reliance of Experiential Marketing upon a problematic and somewhat outdated ontology produces paradoxes with important repercussions upon managerial practice; and they show that those problems can be overcome by integrating and partially renewing its assumptions and conceptual tools, in the light of a fresher philosophical framework. Shortcomings and solutions are discussed with reference to a specific case study: Venice as an experientially rewarding and authentic tourist destination during the Covid19 crisis, but also as a World Heritage property whose management entails difficult choices. The fruitfulness of the paradigm revision is shown also by integrating the conceptual toolkit of Experiential Marketing with three relatively new notions, deriving from a new realist framework: independence, attrition and perception. (shrink)

In the modern business environment, characterized by rapid technological advancements and globalization, abetted by IoT and Industry 5.0 phenomenon, innovation is indispensable for competitive advantage and economic growth. However, many organizations are facing problems in its true implementation due to the absence of a practical innovation management framework, which has made the implementation of the concept elusive instead of persuasive. The present study has proposed a new innovation management framework labeled as “Absolute Innovation Management (AIM)” to make (...) innovation more understandable, implementable, and part of the organization’s everyday routine by synergizing the innovation ecosystem, design thinking, and corporate strategy to achieve competitive advantage and economic growth. The current study used an integrative literature review methodology to develop the “Absolute Innovation Management” framework. The absolute innovation management framework links the innovation ecosystem with the corporate strategy of the firm by adopting innovation management as a strategy through design thinking. Thus, making innovation more user/human-centered that is desirable by the customer, viable for business and technically feasible, creating both entrepreneurial and customer value, and boosting corporate venturing and corporate entrepreneurship to achieve competitive advantage and economic growth while addressing the needs of IoT and Industry 5.0 era. In sum, it synergizes innovation, design thinking, and strategy to make businesses future-ready for IoT and the industry 5.0 revolution. The present study is significant, as it not only makes considerable contributions to the existing literature on innovation management by developing a new framework but also makes the concept more practical, implementable and part of an organization’s everyday routine. (shrink)

This synthesis of 5 prominent conflict management paradigms uses power differential as the single most contributing variable to their process and outcome of conflict. Efforts of scholars to integrate or synthesize conflict paradigms have been unsuccessful or clumsy by the scholars’ own assessments. The 5 selected paradigms represent an interdisciplinary set of normative and descriptive paradigms from different social contexts and intellectual frameworks. The 5 share the common traits of rival goals, three levels of socially constructed power differential, and (...) outcomes relative to the total value of the rival goal. An inverse relationship between power differential and the total value of conflict outcomes is supported by all 5 paradigms and empirical data. Explanatory metatheory is the methodology used for synthesis. An increase in power differential results in a decrease in total value of the rival goal. Power differential is constructed using Max Weber’s ideal-type method. The power differentials are abstracted from the paradigms themselves. Empirical work form secondary sources and case studies complete the analysis. (shrink)

Management is presently under intense scrutiny and criticism for its simplistic objective of enhancing shareholders’ wealth, and for lacking the ability of integrating plurality, inclusivity, and ethical conduct. Most western management principles are based on theoretically deducted cause-effect relationships, and on structured planning towards a single purpose, using relatively standardized frameworks, processes and ways of thinking. However, the complexities of management require cognition of interdependencies and the ability to deal with ambiguity, and thus needs a new (...) class='Hi'>paradigm that moves away from the present reductionist doctrine towards an holistic framework that is adaptable and integrative. However, such a transformation requires a completely distinct ideology based on a heterodoxy that syncretises purpose-oriented approach with the present profit-oriented approach. This paper proposes that Hinduism is ideally positioned to offer such a heterodoxy. In Hinduism, the connotation for management is more a process of selection from amongst the myriad choices along multiple levels, based on inductive and supplemented by deductive logic, and mostly devoid of any absolutes or singularity in process. Under Hinduism's influence, the ‘Indian way’ is a hybrid of individualistic, collective and context sensitive ways of thinking, that sets it apart from other cultures, and thus is uniquely positioned to offer an alternative management paradigm for today’s world. This paper will present how the values and norms embedded in the philosophy and religious principles of Hinduism, evolved and continue to influence Indian management thinking and behaviour, and how the lessons from the ‘Indian way’ might contribute towards the development of an alternative management paradigm. (shrink)

The sheer impact of the recent global financial turmoil and scandals (such as Enron and WorldCom) has demonstrated that unbridled commercial entrepreneurs who are allowed to pursue their short-term opportunities regardless of the consequences has led to a massive depreciation of the wealth of nations, social livelihood and environmental degradation. This article suggests that the time has come for entrepreneurs to adopt a more integrative view of business that blends economic, social and environmental values. Social entrepreneurs present such a proposition (...) through their deep commitment towards the social vision, appreciation of sustainable practices, innovativeness, ability to build social networks and also generate viable financial returns. It could be expected that social entrepreneurs often possess certain distinct personality characteristics which define their behaviours/actions. Personality traits are partly developed by innate nurturing, socialization and education. These tacit traits are also formed values/beliefs held and play an important role in driving social entrepreneurial decision making. Thus, personality traits may influence the intentions and the manner in which the individual acts. We hold that if social entrepreneurship is to be effective and impactful, business and management education can facilitate the development of these critical personality traits. Thus, this study primes at determining the personality traits that influence social entrepreneurs’ start-up intentions. It also reinforces the findings that personality traits do influence entrepreneurship in general. This study examines the influence of the Big Five personality traits on social entrepreneurship dimensions. The findings reveal that agreeableness positively influences all dimensions of social entrepreneurship, whereas openness exerts a positive influence on social vision, innovation and financial returns. Methodologically, this study develops valid and reliable scales for social entrepreneurship and verifies the adopted Big Five personality measure of Schmit et al. (Pers Psychol 53:153–193, 2000) using the five-point Likert scale. The implication of this study is that element of appreciation of social responsibility, sustainability and character development needs to be integrated within the business education curriculum to support social entrepreneurs in realizing genuine value and impact to the causes and communities they serve. Future business leaders also need to be equipped with entrepreneurship skills, while exuding independent and reflective thinking in the pursuit life-long learning. The originality of this study lies in its focus on personality traits on social rather than commercial entrepreneurship. It is hoped that the findings will trigger a paradigm shift towards greater social entrepreneurship through education by nurturing sustainable development values in future business graduates. (shrink)

In this article I will interpret John Dewey’s account of reflective thinking as if he were a philosopher of innovation management. From his pragmatist starting point, the problems involved in knowledgeprocesses relevant to innovation are analysed and re-conceptualised. By revisiting Plato and using the Deweyan analysis it identifies some categories of general applicability for understanding, designing and managing radical innovation processes. These categories are useful for conceptualising and talking about innovation, when knowledge is taken seriously, and when managing innovation (...) is also understood as managing the production of new knowledge, that is of making the unjustified justified, and the unknown known. (shrink)

Surveillance programs supporting the management of One Health issues such as antibiotic resistance are complex systems in themselves. Designing ethical surveillance systems is thus a complex task (retroactive and iterative), yet one that is also complicated to implement and evaluate (e.g., sharing, collaboration, and governance). The governance of health surveillance requires attention to ethical concerns about data and knowledge (e.g., performance, trust, accountability, and transparency) and empowerment ethics, also referred to as a form of responsible self-governance. Ethics in reflexive (...) governance operates as a systematic critical-thinking procedure that aims to define its value: What are the “right” criteria to justify how to govern “good” actions for a “better” future? The objective is to lay the foundations for a methodological framework in empirical bioethics, the rudiments of which have been applied to a case study to building reflexive governance in One Health. This ongoing critical thinking process involves “mapping, framing, and shaping” the dynamics of interests and perspectives that could jeopardize a “better” future. This paper proposes to hybridize methods to combine insights from collective deliberation and expert evaluation through a reflexive governance functioning as a community-based action-ethics methodology. The intention is to empower individuals and associations in a dialogue with society, which operation is carried out using a case study approach on data sharing systems. We based our reasoning on a feasibility study conducted in Québec, Canada (2018–2021), envisioning an antibiotic use surveillance program in animal health for 2023. Using the adaptive cycle and governance techniques and perspectives, we synthesize an alternative governance model rooted in the value of empowerment. The framework, depicted as a new “research and design (R&D)” practice, is linking operation and innovation by bridging the gap between Reflexive, Evaluative, and Deliberative reasonings and by intellectualizing the management of democratizing critical thinking locally (collective ethics) by recognizing its context (social ethics). Drawing on the literature in One Health and sustainable development studies, this article describes how a communitarian and pragmatic approach can broaden the vision of feasibility studies to ease collaboration through public-private-academic partnerships. The result is a process that “reassembles” the One Health paradigm under the perspective of global bioethics to create bridges between the person and the ecosystem through pragmatic ethics. (shrink)

The relevance of the research topic is that the psychological aspects of leadership culture are formed under the influence of many factors - economic, organizational, philosophical, philosophical, emotional. The problem statement is the conceptualization of the psychological aspects of forming a leader's leadership culture that creates strategy and produces strong managerial ideas. A true leader should inspire, inspire enthusiasm, support people in motivation and form high-performing teams as a whole. Analysis of Recent Research and Publications - for analysis, we highlight (...) the work of Goleman, Daniel, Boyatzis, Richard and McKee, Annie. Primal Leadership Unleashing the Power of Emotional Intelligrnce. Boston · Massachusetts: Harvard Business Review Press, 2013. 288 pp., which presents the psychological foundations of a leader's emotional intelligence that allow us to substantiate the psychological aspects of forming a leadership culture for a high-performing team leader who maintains good relationships and positive expectations for the future. Methods are general and constructive methodology applied to the analysis of a leader's leadership culture in the context of a reflective paradigm. Selection of previously unresolved parts of the general problem addressed in the article. The basis of the research is the conceptualization of methodological foundations that allow penetrating into the psychological foundations of the formation of leadership culture, which shows that leaders are daily in the conditions of unstable economy, stochasticity and turbulence, frantic development of information technologies, aggravation of competition. Goal setting - an analysis of the methodological foundations of the psychological aspects of forming a leader's leadership culture, based on creative ideas and innovations. In the social-philosophical and psychological literature of recent years, the concept of "leadership of creation of leaders" of "management of creation of emotionally conscious organizations" has become widespread. The purpose of the article is to conceptualize the psychological aspects of forming a leader's leadership culture in the context of a reflexive paradigm. Objectives: 1) to explore the concept of "management creation leadership"; 2) to identify the most important attributes of managerial psychological culture aimed at forming the emotional intelligence of the cultural leader; 3) to formulate the concept of leadership management culture to fine-tune all processes, create strategy and produce strong ideas; It is proved what character traits are needed for a modern management culture to be a leader of high quality and to use the whole arsenal of positive leadership and mutual understanding in the organization. The conditions for creating leaders in the context of motivation to change and assessing the real self are revealed. Conditions for creating emotionally conscious leaders and organizations are revealed. The most important attributes of managerial psychological culture are directed to the formation of emotional intelligence of the cultural leader, directed to the culture of management, self-organization and reflexivity, which promote the interaction of culture and psychology, culture and intelligence, culture and creativity and innovations. Emotions, the ability to understand and empathize help a high-performing leader to lead the team, but to do so, one must develop the skills of emotional leadership in oneself. Conclusions. The use of psychological aspects of forming the emotional reflection of the leadership culture of the leader-reformer contributes to the formation of the concept of a culture of leadership management, to fine-tune all processes, create a strategy and produce strong ideas, reinforce the concept of individual leadership and promote the success of companies. Self-awareness and management skills span the focus on achievement, planning, initiative, honesty, self-control, and self-confidence. (shrink)

For centuries, the trickster has been used in various narratives, including mythological, literary and cinematic, to convey the idea of agency, rebellion and, often turbulent, progress. In _The Trickster and the System: Identity and Agency in Contemporary Society_,_ __Helena Bassil-Morozow_ shows how the trickster can be seen as a metaphor to describe the psycho-anthropological concept of change, an impulse that challenges the existing order of things, a progressive force that is a-structural and anti-structural in its nature. The book is about (...) being able to see things from an unusual, even ‘odd’, perspective, which does not coincide with the homogenous normality of the mass, or the social system, or a political ideology, or some other kind of authority. The Trickster and the System offers an analytical paradigm which can be used to examine relationships between tricksters and systems, change and stability, in a wide range of social, political and cultural contexts. It covers a range of systems, describes different types of tricksters and discusses possible conflicts, tensions and dialogues between the two opposing sides. One of the central ideas of the book is that social systems use shame as a tool to control and manage all kinds of tricksters – individuality, agency, creativity, spontaneity, innovation and initiative, to name but a few. The author argues that any society that neglects its tricksters, ends up suffering from decay, stagnation – or even mass hysterical outbursts. The Trickster and the System: Identity and Agency in Contemporary Society provides a fresh perspective on the trickster figure in a variety of cultural contexts. It covers a range of psychological, cultural, social and political phenomena, from personal issues to the highest level of society’s functioning: self-esteem and shame, lifestyle and relationships, creativity and self-expression, media, advertising, economy, political ideology and, most importantly, human identity and authenticity. The book is essential reading for scholars in the areas of psychoanalysis, analytical psychology, myth, cultural and media studies, narrative analysis, cultural anthropology, as well as anyone interested in critical issues in contemporary culture. Helena Bassil-Morozow is a cultural philosopher, film scholar and academic writer whose many publications include _Tim Burton: The Monster and the Crowd _ and _The Trickster in Contemporary Film _. Helena is currently working on another Routledge project, _Jungian Film Studies: the Essential Guide _. Her principal academic affiliation is the University of Bedfordshire, Faculty of Creative Arts, Technologies & Science. (shrink)

The article critically covers the current issues of "value-driven management" and the creative economy. Analyzing the concept of a "fragile and incomprehensible" (BANI) world, the author conclude that the widely proclaimed era of the knowledge economy is nothing more than utopia. A value-based transformation is possible if it is approached in a comprehensive and systemic way, which requires large-scale transformations initiated and supported by the power structures. The author believe that the creative economy is more extensive than the traditional (...) one, and its development potential is rather limited. The paradigm of "commercial creativity", in fact, is aimed at providing employment and meeting the needs of the population of the "golden billion" countries. Статья в критическом ключе освещает актуальные вопросы «ценностного менеджмента» и креативной экономики. Анализируя концепцию «хрупкого и непостижимого» (BANI) мира, автор приходит к выводу, что широко провозглашенная эра экономики знаний — не более чем утопия. Ценностная трансформация возможна, если подход к ней будет комплексным и системным, для чего требуются масштабные преобразования, инициируемые и поддерживаемые властными структурами. Креативная экономика, как полагает автор, в большей степени экстенсивна, чем традиционная, а потенциал ее развития весьма ограничен. Парадигма «коммерческого креатива», по сути, нацелена на обеспечение занятости и удовлетворение потребностей населения стран «золотого миллиарда». (shrink)

ABSTRACT I argue that this examination and appreciation for the shift to abductive reasoning should be extended to the intersection of neuroscience and novel brain-computer interfaces too. This paper highlights the implications of applying abductive reasoning to personalized implantable neurotechnologies. Then, it explores whether abductive reasoning is sufficient to justify insurance coverage for devices absent widespread clinical trials, which are better applied to one-size-fits-all treatments. INTRODUCTION In contrast to the classic model of randomized-control trials, often with a large number of (...) subjects enrolled, precision medicine attempts to optimize therapeutic outcomes by focusing on the individual.[i] A recent publication highlights the strengths and weakness of both traditional evidence-based medicine and precision medicine.[ii] Plus, it outlines a tension in the shift from evidence-based medicine’s inductive reasoning style (the collection of data to postulate general theories) to precision medicine’s abductive reasoning style (the generation of an idea from the limited data available).[iii] The paper’s main example is the application of precision medicine for the treatment of cancer.[iv] I argue that this examination and appreciation for the shift to abductive reasoning should be extended to the intersection of neuroscience and novel brain-computer interfaces too. As the name suggests, brain-computer interfaces are a significant advancement in neurotechnology that directly connects someone’s brain to external or implanted devices.[v] Among the various kinds of brain-computer interfaces, adaptive deep brain stimulation devices require numerous personalized adjustments to their settings during the implantation and computation stages in order to provide adequate relief to patients with treatment-resistant disorders. What makes these devices unique is how adaptive deep brain stimulation integrates a sensory component to initiate the stimulation. While not commonly at the level of sophistication as self-supervising or generative large language models,[vi] they currently allow for a semi-autonomous form of neuromodulation. This paper highlights the implications of applying abductive reasoning to personalized implantable neurotechnologies. Then, it explores whether abductive reasoning is sufficient to justify insurance coverage for devices absent widespread clinical trials, which are better applied to one-size-fits-all treatments.[vii] ANALYSIS I. The State of Precision Medicine in Oncology and the Epistemological Shift While a thorough overview of precision medicine for the treatment of cancer is beyond the scope of this article, its practice can be roughly summarized as identifying clinically significant characteristics a patient possesses (e.g., genetic traits) to land on a specialized treatment option that, theoretically, should benefit the patient the most.[viii] However, in such a practice of stratification patients fall into smaller and smaller populations and the quality of evidence that can be applied to anyone outside these decreases in turn.[ix] As inductive logic helps to articulate, the greater the number of patients that respond to a particular therapy the higher the probability of its efficacy. By straying from this logical framework, precision medicine opens the treatment of cancer to more uncertainty about the validity of these approaches to the resulting disease subcategories.[x] Thus, while contemporary medical practices explicitly describe some treatments as “personalized”, they ought not be viewed as inherently better founded than other therapies.[xi] A relevant contemporary case of precision medicine out of Norway focuses on the care of a patient with cancer between the ventricles of the heart and esophagus, which had failed to respond to the standard regimen of therapies over four years.[xii] In a last-ditch effort, the patient elected to pay out-of-pocket for an experimental immunotherapy (nivolumab) at a private hospital. He experienced marked improvements and a reduction in the size of the tumor. Understandably, the patient tried to pursue further rounds of nivolumab at a public hospital. However, the hospital initially declined to pay for it given the “lack of evidence from randomised clinical trials for this drug relating to this [patient’s] condition.”[xiii] In rebuttal to this claim, the patient countered that he was actually similar to a subpopulation of patients who responded in “open‐label, single arm, phase 2 studies on another immune therapy drug” (pembrolizumab).[xiv] Given this interpretation of the prior studies and the patient’s response, further rounds of nivolumab were approved. Had the patient not had improvements in the tumor’s size following a round of nivolumab, then pembrolizumab’s prior empirical evidence in isolation would have been insufficient, inductively speaking, to justify his continued use of nivolumab.[xv] The case demonstrates a shift in reasoning from the traditional induction to abduction. The phenomenon of ‘cancer improvement’ is considered causally linked to nivolumab and its underlying physiological mechanisms.[xvi] However, “the weakness of abductions is that there may always be some other better, unknown explanation for an effect. The patient may for example belong to a special subgroup that spontaneously improves, or the change may be a placebo effect. This does not mean, however, that abductive inferences cannot be strong or reasonable, in the sense that they can make a conclusion probable.”[xvii] To demonstrate the limitations of relying on the abductive standard in isolation, commentators have pointed out that side effects in precision medicine are hard to rule out as being related to the initial intervention itself unless trends from a group of patients are taken into consideration.[xviii] As artificial intelligence (AI) assists the development of precision medicine for oncology, this uncertainty ought to be taken into consideration. The implementation of AI has been crucial to the development of precision medicine by providing a way to combine large patient datasets or a single patient with a large number of unique variables with machine learning to recommend matches based on statistics and probability of success upon which practitioners can base medical recommendations.[xix] The AI is usually not establishing a causal relationship[xx] – it is predicting. So, as AI bleeds into medical devices, like brain-computer interfaces, the same cautions about using abductive reasoning alone should be carried over. II. Responsive Neurostimulation, AI, and Personalized Medicine Like precision medicine in cancer treatment, computer-brain interface technology similarly focuses on the individual patient through personalized settings. In order to properly expose the intersection of AI, precision medicine, abductive reasoning, and implantable neurotechnologies, the descriptions of adaptive deep brain stimulation systems need to deepen.[xxi] As a broad summary of adaptive deep brain stimulation, to provide a patient with the therapeutic stimulation, a neural signal, typically referred to as a local field potential,[xxii] must first be detected and then interpreted by the device. The main adaptive deep brain stimulation device with premarket approval, the NeuroPace Responsive Neurostimulation system, is used to treat epilepsy by detecting and storing “programmer-defined phenomena.”[xxiii] Providers can optimize the detection settings of the device to align with the patient’s unique electrographic seizures as well as personalize the reacting stimulation’s parameters.[xxiv] The provider adjusts the technology based on trial and error. One day machine learning algorithms will be able to regularly aid this process in myriad ways, such as by identifying the specific stimulation settings a patient may respond to ahead of time based on their electrophysiological signatures.[xxv] Either way, with AI or programmers, adaptive neurostimulation technologies are individualized and therefore operate in line with precision medicine rather than standard treatments based on large clinical trials. Contemporary neurostimulation devices are not usually sophisticated enough to be prominent in AI discussions where the topics of neural networks, deep learning, generative models, and self-attention dominate the conversation. However, implantable high-density electrocorticography arrays (a much more sensitive version than adaptive deep brain stimulation systems use) have been used in combination with neural networks to help patients with neurologic deficits from a prior stroke “speak” through a virtual avatar.[xxvi] In some experimental situations, algorithms are optimizing stimulation parameters with increasing levels of independence.[xxvii] An example of neurostimulation that is analogous to the use of nivolumab in Norway surrounds a patient in the United States who was experiencing both treatment-resistant OCD and temporal lobe epilepsy.[xxviii]Given the refractory nature of her epilepsy, implantation of an adaptive deep brain stimulation system was indicated. As a form of experimental therapy, her treatment-resistant OCD was also indicated for the off-label use of an adaptive deep brain stimulation set-up. Another deep brain stimulation lead, other than the one implanted for epilepsy, was placed in the patient’s right nucleus accumbens and ventral pallidum region given the correlation these nuclei had with OCD symptoms in prior research. Following this, the patient underwent “1) ambulatory, patient-initiated magnet-swipe storage of data during moments of obsessive thoughts; (2) lab-based, naturalistic provocation of OCD-related distress (naturalistic provocation task); and (3) lab-based, VR [virtual reality] provocation of OCD-related distress (VR provocation task).”[xxix] Such signals were used to identify when to deliver the therapeutic stimulation in order to counter the OCD symptoms. Thankfully, following the procedure and calibration the patient exhibited marked improvements in their OCD symptoms and recently shared her results publicly.[xxx] In both cases, there is a similar level of abductive justification for the efficacy of the delivered therapy. In the case study in which the patient was treated with adaptive deep brain stimulation, they at least had their neural activity tested in various settings to determine the optimum parameters for treatment to avoid them being based on guesswork. Additionally, the adaptive deep brain stimulation lead was already placed before the calibration trials were conducted, meaning that the patient had already taken on the bulk of the procedural risk before the efficacy could be determined. Such an efficacy test could have been replicated in the first patient’s cancer treatment, had it been biopsied and tested against the remaining immunotherapies in vitro. Yet, in the case of cancer with few options, one previous dose of a drug that appeared to work on the patient may justify further doses. However, as the Norwegian case presents, corroboration with known responses to a similar drug (from a clinical trial) could be helpful to validate the treatment strategy. (It should be noted that both patients were resigned to these last resort options regardless of the efficacy of treatment.) There are some elements of inductive logic seen with adaptive deep brain stimulation research in general. For example, abductively the focus could be that patient X’s stimulation parameters are different from patient Y’s and patient Z’s. In contrast, when grouped as subjects who obtained personalized stimulation, patients X, Y, and Z demonstrate an inductive aspect to this approach’s safety and/or efficacy. The OCD case holds plenty of abductive characteristics in line with precision medicine’s approach to treating cancer and as more individuals try the method, there will be additional data. With the gradual integration of AI into brain-computer interfaces in the name of efficacy, this reliance on abduction will continue, if not grow, over time. Moving forward, if a responsive deep brain stimulation treatment is novel and individualized (like the dose of nivolumab) and there is some other suggestion of efficacy (like clinical similarities to other patients in the literature), then it may justify insurance coverage for the investigative intervention, absent other unrelated reasons to deny it. III. Ethical Implications and Next Steps While AI’s use in oncology and neurology is not yet as prominent as its use in other fields (e.g., radiology), it appears to be on the horizon for both.[xxxi] AI can be found in both the functioning of the neurotechnologies as well as the implementation of precision medicine. The increasing use of AI may serve to further individualize both oncologic and neurological therapies. Given these implications and the handful of publications cited in this article, it is important to have a nuanced evaluation of how these treatments, which heavily rely on abductive justification, ought to be managed. The just use an abductive approach may be difficult as AI infused precision medicine is further pursued. At baseline, such technology relies on a level of advanced technology literacy among the general public and could exclude populations who lack access to basic technological infrastructure or know-how from participation.[xxxii] Even among nations with adequate infrastructure, as more patients seek out implantable neurotechnologies, which require robust healthcare resources, the market will favor patient populations that can afford this complex care.[xxxiii] If patients already have the means to pay for an initial dose/use of a precision medicine product out of pocket, should insurance providers be required to cover subsequent treatments?[xxxiv] That is, if a first dose of a cancer drug or a deep brain stimulator over its initial battery life is successful, patients may feel justified in having the costs of further treatments covered. The Norwegian patient’s experience implies there is a precedent for the idea that some public insurance companies ought to cover successful cancer therapies, however, insurance companies may not all see themselves as obligated to cover neurotechnologies that rely on personalized settings or that are based on precision/abductive research more than on clinical trials. CONCLUSION The fact that the cases outlined above rely on abductive style of reasoning implies that there may not be as strong a justification for coverage by insurance, as they are both experimental and individualized, when compared to the more traditional large clinical trials in which groups have the same or a standardized protocol (settings/doses). If a study is examining the efficacy of a treatment with a large cohort of patients or with different experimental groups/phases, insurance companies may conclude that the resulting symptom improvements are more likely to be coming from the devices themselves. A preference for inductive justification may take priority when ruling in favor of funding someone’s continued use of an implantable neurostimulator. There are further nuances to this discussion surrounding the classifications of these interventions as research versus clinical care that warrant future exploration, since such a distinction is more of a scale[xxxv] than binary and could have significant impacts on the “right-to-try” approach to experimental therapies in the United States.[xxxvi] Namely, given the inherent limitations of conducting large cohort trials for deep brain stimulation interventions on patients with neuropsychiatric disorders, surgically innovative frameworks that blend abductive and inductive methodologies, like with sham stimulation phases, have traditionally been used.[xxxvii] Similarly, for adaptive brain-computer interface systems, if there are no large clinical trials and instead only publications that demonstrate that something similar worked for someone else, then, in addition to the evidence that the first treatment/dose worked for the patient in question, the balance of reasoning would be valid and arguably justify insurance coverage. As precision approaches to neurotechnology become more common, frameworks for evaluating efficacy will be crucial both for insurance coverage and for clinical decision making. ACKNOWLEDGEMENT This article was originally written as an assignment for Dr. Francis Shen’s “Bioethics & AI” course at Harvard’s Center for Bioethics. I would like to thank Dr. Shen for his comments as well as my colleagues in the Lázaro-Muñoz Lab for their feedback. - [i] Jonathan Kimmelman and Ian Tannock, “The Paradox of Precision Medicine,” Nature Reviews. Clinical Oncology 15, no. 6 (June 2018): 341–42, https://doi.org/10.1038/s41571-018-0016-0. [ii] Henrik Vogt and Bjørn Hofmann, “How Precision Medicine Changes Medical Epistemology: A Formative Case from Norway,” Journal of Evaluation in Clinical Practice 28, no. 6 (December 2022): 1205–12, https://doi.org/10.1111/jep.13649. [iii] David Barrett and Ahtisham Younas, “Induction, Deduction and Abduction,” Evidence-Based Nursing 27, no. 1 (January 1, 2024): 6–7, https://doi.org/10.1136/ebnurs-2023-103873. [iv] Vogt and Hofmann, “How Precision Medicine Changes Medical Epistemology,” 1208. [v] Wireko Andrew Awuah et al., “Bridging Minds and Machines: The Recent Advances of Brain-Computer Interfaces in Neurological and Neurosurgical Applications,” World Neurosurgery, May 22, 2024, S1878-8750(24)00867-2, https://doi.org/10.1016/j.wneu.2024.05.104. [vi] Mark Riedl, “A Very Gentle Introduction to Large Language Models without the Hype,” Medium (blog), May 25, 2023, https://mark-riedl.medium.com/a-very-gentle-introduction-to-large-language-models-without-the-hype-5 f67941fa59e. [vii] David E. Burdette and Barbara E. Swartz, “Chapter 4 - Responsive Neurostimulation,” in Neurostimulation for Epilepsy, ed. Vikram R. Rao (Academic Press, 2023), 97–132, https://doi.org/10.1016/B978-0-323-91702-5.00002-5. [viii] Kimmelman and Tannock, 2018. [ix] Kimmelman and Tannock, 2018. [x] Simon Lohse, “Mapping Uncertainty in Precision Medicine: A Systematic Scoping Review,” Journal of Evaluation in Clinical Practice 29, no. 3 (April 2023): 554–64, https://doi.org/10.1111/jep.13789. [xi] Kimmelman and Tannock, “The Paradox of Precision Medicine.” [xii] Vogt and Hofmann, 1206. [xiii] Vogt and Hofmann, 1206. [xiv] Vogt and Hofmann, 1206. [xv] Vogt and Hofmann, 1207. [xvi] Vogt and Hofmann, 1207. [xvii] Vogt and Hofmann, 1207. [xviii] Vogt and Hofmann, 1210. [xix] Mehar Sahu et al., “Chapter Three - Artificial Intelligence and Machine Learning in Precision Medicine: A Paradigm Shift in Big Data Analysis,” in Progress in Molecular Biology and Translational Science, ed. David B. Teplow, vol. 190, 1 vols., Precision Medicine (Academic Press, 2022), 57–100, https://doi.org/10.1016/bs.pmbts.2022.03.002. [xx] Stefan Feuerriegel et al., “Causal Machine Learning for Predicting Treatment Outcomes,” Nature Medicine 30, no. 4 (April 2024): 958–68, https://doi.org/10.1038/s41591-024-02902-1. [xxi] Sunderland Baker et al., “Ethical Considerations in Closed Loop Deep Brain Stimulation,” Deep Brain Stimulation 3 (October 1, 2023): 8–15, https://doi.org/10.1016/j.jdbs.2023.11.001. [xxii] David Haslacher et al., “AI for Brain-Computer Interfaces,” 2024, 7, https://doi.org/10.1016/bs.dnb.2024.02.003. [xxiii] Burdette and Swartz, “Chapter 4 - Responsive Neurostimulation,” 103–4; “Premarket Approval (PMA),” https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpma/pma.cfm?id=P100026. [xxiv] Burdette and Swartz, “Chapter 4 - Responsive Neurostimulation,” 104. [xxv] Burdette and Swartz, 126. [xxvi] Sean L. Metzger et al., “A High-Performance Neuroprosthesis for Speech Decoding and Avatar Control,” Nature 620, no. 7976 (August 2023): 1037–46, https://doi.org/10.1038/s41586-023-06443-4. [xxvii] Hao Fang and Yuxiao Yang, “Predictive Neuromodulation of Cingulo-Frontal Neural Dynamics in Major Depressive Disorder Using a Brain-Computer Interface System: A Simulation Study,” Frontiers in Computational Neuroscience 17 (March 6, 2023), https://doi.org/10.3389/fncom.2023.1119685; Mahsa Malekmohammadi et al., “Kinematic Adaptive Deep Brain Stimulation for Resting Tremor in Parkinson’s Disease,” Movement Disorders 31, no. 3 (2016): 426–28, https://doi.org/10.1002/mds.26482. [xxviii] Young-Hoon Nho et al., “Responsive Deep Brain Stimulation Guided by Ventral Striatal Electrophysiology of Obsession Durably Ameliorates Compulsion,” Neuron 0, no. 0 (October 20, 2023), https://doi.org/10.1016/j.neuron.2023.09.034. [xxix] Nho et al. [xxx] Nho et al.; Erik Robinson, “Brain Implant at OHSU Successfully Controls Both Seizures and OCD,” OHSU News, accessed March 3, 2024, https://news.ohsu.edu/2023/10/25/brain-implant-at-ohsu-successfully-controls-both-seizures-and-ocd. [xxxi] Awuah et al., “Bridging Minds and Machines”; Haslacher et al., “AI for Brain-Computer Interfaces.” [xxxii] Awuah et al., “Bridging Minds and Machines.” [xxxiii] Sara Green, Barbara Prainsack, and Maya Sabatello, “The Roots of (in)Equity in Precision Medicine: Gaps in the Discourse,” Personalized Medicine 21, no. 1 (January 2024): 5–9, https://doi.org/10.2217/pme-2023-0097. [xxxiv] Green, Prainsack, and Sabatello, 7. [xxxv] Robyn Bluhm and Kirstin Borgerson, “An Epistemic Argument for Research-Practice Integration in Medicine,” The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine 43, no. 4 (July 9, 2018): 469–84, https://doi.org/10.1093/jmp/jhy009. [xxxvi] Vijay Mahant, “‘Right-to-Try’ Experimental Drugs: An Overview,” Journal of Translational Medicine 18 (June 23, 2020): 253, https://doi.org/10.1186/s12967-020-02427-4. [xxxvii] Michael S. Okun et al., “Deep Brain Stimulation in the Internal Capsule and Nucleus Accumbens Region: Responses Observed during Active and Sham Programming,” Journal of Neurology, Neurosurgery & Psychiatry 78, no. 3 (March 1, 2007): 310–14, https://doi.org/10.1136/jnnp.2006.095315. (shrink)

In all countries where health care access is considered a social right, regulation is both a tool of performance improvement as well as an instrument of social justice. Both social (equity in access) and economical (promoting competition) regulation are at stake due to the nature of the good itself. Different modalities of regulation do exist and usually new regulatory cycles include the creation of stronger regulatory agencies. Indeed, health care regulation is rising steadily in most developed countries as a consequence (...) of the introduction of the New Public Management perspective to provide essential public goods.Health care is delivered by different organisations with very different cultural backgrounds—public and private (profit and non-profit)—that should be accountable for their decisions. Control by regulatory agencies is instrumental to accomplish this goal. However, there is some dispute with regards the degree of regulatory autonomy. The objective of this paper is to determine if independent regulatory agencies (IRAs) are effective in carrying out health care regulation. The authors apply Walshe’s analytical framework to the Regulatory Authority of Health (Portugal) to answer the question if independent regulation works.In conclusion, the two year experience of the Regulatory Authority of Health is important not only because the primary goals of independent regulation were achieved but also because this authority is now a full partner in the health care sector. However, independent agencies need to develop strong mechanisms of accountability because good regulatory governance is the paradigm of this institutional innovation. (shrink)