Engagement with the historical and theoretical underpinnings of measuring quality of life (QoL) and patient‐reported outcomes (PROs) in healthcare is important. Ideas and values that shape such practices—and in the endgame, people's lives—might otherwise remain unexamined, be taken for granted or even essentialized. Our aim is to explicate and theoretically discuss the philosophical tenets underlying the practices of QoL assessment and PRO measurement in relation to the notion of person‐centredness. First, we engage with the late‐modern history of the concept (...) of QoL and the act of assessing and measuring it. Working with the historical method of genealogy, we describe the development of both QoL assessments and PRO measures (PROMs) within healthcare by accounting for the contextual conditions for their possibility. In this way, the historical and philosophical underpinnings of these measurement practices are highlighted. We move on to analyse theoretical and philosophical underpinnings regarding the use of PROMs and QoL assessments in clinical practice, as demonstrated in review studies thereof. Finally, we offer a critical analysis regarding the state of theory in the literature and conclude that, although improved person‐centredness is an implied driver of QoL assessments and PROMs in clinical practice, enhanced theoretical underpinning of the development of QoL assessments is called for. (shrink)

The theory of evolution: The rise and impact of evolutionary ideas, by R. Scoon. Evolution in its relation to the philosophy of nature and the philosophy of culture, by F.S.C. Northrop. The genetic nature of differences among men, by T. Dobzhansky. Evolutionary thought in America: Evolution and American sociology by R.E.L. Faris. The impact of the idea of evolution on the American political and constitutional tradition, by E.S. Corwin. Evolutionism in American economics, 1800-1946, by J.J. Spengler. The influence of evolutionary (...) theory upon American psychological thought, by E.G. Boring. Naturalism in American literature, by M. Cowley. The idea of organic expression and American architecture, by D.D. Egbert. Evolution and moral theory in America, W.F. Quillian, Jr. Evolution and theology in America, by S. Persons. (shrink)

Over the past 40 years, scholars and practitioners of public relations have often cast public relations workers in the role of the public relations-person-as-corporate-conscience. This work, however, maintains that this construct is so problematic that invoking it is of negligible use in addressing ethical issues that emerge during a crisis. In fact, a complex crisis, such as the Jahi McMath “brain death” case at Children’s Hospital Oakland, demonstrates the need to abandon the PRPaCC construct to better engage affected stakeholders, (...) including “outsiders” to the organization, who often determine whether an organization is facing a crisis. Through an examination of both the concept of the PRPaCC and the McMath crisis, this work makes the case for moving beyond the PRPaCC construct in favor of a more modest role for the public relations person: facilitating widespread ethical deliberation and discussion throughout an organization, potentially helping the organization alleviate concerns that contribute to crises. (shrink)

Data from further human experiments touch four open questions in the target article. (1) Extinction of reward acquisition postulated by Depue & Collins's model could not be confirmed if correlating craving for, liking of, and satisfaction from smoking. (2) Intraindividual correspondence between responsivity to dopamine agonists and antagonists could likewise not be confirmed. (3) Nicotine craving and drug-induced hormone responses were not substantially correlated. (4) Low serotonin can be the cause and not just the moderator of dopaminergic sensitivity, and personality (...) correlates of low dopamine/low MAO (aggressive impulsive traits) can hardly be related to the positive emotion associated with dopaminergic activity. (shrink)

Two prominent relational egalitarians, Elizabeth Anderson and Niko Kolodny, object to giving people in a democratic community differential voting weights on the grounds that doing so would lead to unequal relations between them. Their claim is that deviating from a “one-person, one-vote” scheme is incompatible with realizing relational egalitarian justice. In this article, I argue that they are wrong. I do so by showing that people can relate as moral, epistemic, social, and empirical equals in a scheme (...) with differential voting weights. I end the article by showing that from the perspective of relational egalitarianism, it is sometimes true that differential voting weights are more just than equal voting weights. (shrink)

In recent years, a distinction between two concepts of equality has been much discussed: 'distributive’ equality involves people having equal amounts of a good such as welfare or resources, and ‘social’ or ‘relational’ equality involves the absence of social hierarchy and the presence of equal social relations. This contrast is commonly thought to have important implications for our understanding of the relationship between equality and justice. But the nature and significance of the distinction is far from clear. I examine (...) several accounts of this issue and argue none are entirely satisfactory. In turn, I offer an alternative proposal. Relational equality, on my account, involves a concern with each person having an equal 'civic status'. I characterize this concern and show it has distinctive and normatively significant positional and temporal aspects. (shrink)

I approach the person in the context of ren and li in dialogue with role ethics and the issue of autonomy. The hypotheses are as follows: first, even if the person...

Problems arise when applying the current procedural conceptualization of decision-making capacity to paediatric healthcare: Its emphasis on content-neutrality and rational cognition as well as its implicit assumption that capacity is an ability that resides within a person jeopardizes children’s position in decision-making. The purpose of the paper is to challenge this dominant account of capacity and provide an alternative for how capacity should be understood in paediatric care. First, the influence of developmental psychologist Jean Piaget upon the notion of (...) capacity is discussed, followed by an examination of Vygostky’s contextualist view on children’s development, which emphasizes social interactions and learning for decision-making capacity. In drawing parallels between autonomy and capacity, substantive approaches to relational autonomy are presented that underline the importance of the content of a decision. The authors then provide a relational reconceptualization of capacity that leads the focus away from the individual to include important social others such as parents and physicians. Within this new approach, the outcome of adults’ decision-making processes is accepted as a guiding factor for a good decision for the child. If the child makes a choice that is not approved by adults, the new conceptualization emphasizes mutual exchange and engagement by both parties. (shrink)

This paper explores the notion of ‘relational values’ from a phenomenological point of view. In the first place, it stresses that in order to make full sense of relational values, we need to approach them through a relational ontology that surpasses dualistic descriptions of the world structured around the subject and the object. With this aim, the paper turns to ecophenomenology's attempt to apprehend values from a first-person perspective embedded in the lifeworld, where our entanglement with (...) other beings is not a theoretical construction but a palpable reality. Overall, the article's main purpose is to show that, in our direct and raw experience, values do not appear as subjective judgments or as objective properties but as events in which we participate alongside other human and non-human beings. (shrink)

In spite of its everyday connotations, the term independence as republicans understand it is not a celebration of individualism or self-reliance but embodies an acknowledgement of the importance of personal and social relationships in people’s lives. It reflects our connectedness rather than separateness and is in this regard a relational ideal. Properly understood, independence is a useful concept in addressing a fundamental problem in social philosophy that has preoccupied theorists of relational autonomy, namely how to reconcile the idea (...) of individual human agency with the inevitable and necessary influence of other people, both directly and indirectly. I derive my account from the work of Mary Wollstonecraft and Catharine Macaulay, whose contributions have remained largely overlooked by current republican theorists. I have three purposes in this chapter. First, I set out the relational character of independence. Secondly, I outline a republican approach to the problem of structural social threats to agency. Finally, I hope to establish the basis for a fruitful dialogue between republicans and relational autonomy theorists on the requirements and dynamics of individual agency and freedom in oppressive social situations. I identify three distinctive features of the internal logic of freedom as independence that give it a relational character: it always locates the person within a community; there is a mediating role played by the notion of arbitrariness in connecting individual and collective perspectives; a causal relationship exists linking each person’s freedom as independence such that that the dependence of one class of persons jeopardizes the independence of the whole community. (shrink)

_ Source: _Volume 13, Issue 2, pp 135 - 160 A moral theory should tell us something about our obligations to future persons. It is therefore sometimes objected that contractualist moral theories cannot give a satisfactory account of such obligations, as there is little to motivate a contract with persons who can offer us almost nothing in return. I will argue that more recent “relational” forms of contractualism escape these objections. These forms of contractualism do, however, remain vulnerable to (...) Derek Parfit’s non-identity problem. Recent attempts to resolve this problem have looked to the role “generic reasons” and “standpoints” play in contractualist theories. I argue that these views provide an important line of response in cases where the deliberating agent has limited information about the identities of those their actions will affect, but that the non-identity problem is not such a case. I conclude by considering some remaining options for the relational contractualist. (shrink)

Roughly, psychological egoism is the thesis that all of a person's intentional actions are ultimately self-interested in some sense; psychological altruism is the thesis that some of a person's intentional actions are not ultimately self-interested, since some are ultimately other-regarding in some sense. C. Daniel Batson and other social psychologists have argued that experiments provide support for a theory called the "empathy-altruism hypothesis" that entails the falsity of psychological egoism. However, several critics claim that there are egoistic explanations (...) of the data that are still not ruled out. One of the most potent criticisms of Batson comes from Elliott Sober and David Sloan Wilson. I argue for two main theses in this paper: (1) we can improve on Sober and Wilson’s conception of psychological egoism and altruism, and (2) this improvement shows that one of the strongest of Sober and Wilson's purportedly egoistic explanations is not tenable. A defense of these two theses goes some way toward defending Batson‘s claim that the evidence from social psychology provides sufficient reason to reject psychological egoism. (shrink)

The phrase ‘person‐centred care’ (PCC) reminds us that the fundamental philosophical goal of caring for people is to uphold or promote their personhood. However, such an idea has translated into promoting individualist notions of autonomy, empowerment and personal responsibility in the context of consumerism and neoliberalism, which is problematic both conceptually and practically. From a conceptual standpoint, it ignores the fact that humans are social, historical and biographical beings, and instead assumes an essentialist or idealized concept of personhood in (...) which a person is viewed as an individual static object. From a practical standpoint, the application of such a concept of personhood can lead to neglect of a person's fundamental care needs and exacerbate the problems of social inequity, in particular for older people and people with dementia. Therefore, we argue that our understanding of PCC must instead be based on a dynamic concept of personhood that integrates the relevant social, relational, temporal and biographical dimensions. We propose that the correct concept of personhood in PCC is one in which persons are understood as socially embedded, relational and temporally extended subjects rather than merely individual, autonomous, asocial and atemporal objects. We then present a reconceptualization of the fundamental philosophical goal of PCC as promoting selfhood rather than personhood. Such a reconceptualization avoids the problems that beset the concept of personhood and its application in PCC, while also providing a philosophical foundation for the growing body of empirical literature that emphasizes the psychosocial, relational, subjective and biographical dimensions of PCC. (shrink)

This book focuses on two important, interlinked themes in psychiatry, i.e., the relation between self (or: person), context and psychopathology; and the intrinsic value-ladenness of psychiatry as a practice. -/- Written against the background of scientistic tendencies in today’s psychiatry, it is argued in Part I that psychiatry needs a clinical conception of psychopathology alongside more traditional scientific conceptions; that this clinical conception of psychopathology must be based on a fundamental rethinking of the interaction between illness manifestations, contextual influences (...) and the patient as person, such that psychopathology is conceived as the product of this interaction rather than as the outward manifestation of a broken mechanism within the patient. -/- In Part II, it is shown that self- and context-related factors have a large impact on who one is as a professional. I argue that an analysis is needed of the normative aspects of the relations that sustain and frame professional role-fulfilment. This analysis culminates into a so-called normative practice model (NPM) which distinguishes between qualifying, conditioning and foundational principles (or: rules, norms). The normative practice model helps to locate and resist scientistic defenses of the legitimacy of psychiatry and to replace them by a positive account that provides clinicians (and scientists) the conceptual tools they need to justify what they do in broader contexts. The main thrust of the argument is to show that psychiatry needs a value-sensitive account of its legitimacy, in which other normative dimensions are recognized than those that sustain the expert role. Psychiatrists should in other words not defend the legitimacy of their profession by referring to the expert role solely but provide a broader account in which justice is done to the broader social, legal, and economic contexts of professional activity. The analysis of this inherent normativity begins within clinical practice, it extends to the concept of disease as well as to wider domains of psychiatric care and the sociology of professions, and, finally, amounts into an analysis of the value-ladenness of interactions between healthcare institutions, the government, professional organizations and patient groups. (shrink)

Abstract. Given that the conception of the person as an autonomous agent is a cultural construction, inquiry is directed to its potentials and shortcomings for cultural life. While such a conception contributes to sustaining the moral order, it also supports an individualist ideology and social divisiveness. As an alternative to the conception of moral autonomy, I explore the potentials of relational being, an orientation that views relational process (as opposed to individual agents) as the wellspring of all (...) meaning. Such an orientation sees all moral concepts and action as issuing from coordinated action. However, at the same time that relational process generates moral orders, so does it establish the grounds for “immorality” and social conflict, which undermines the relational process of creating moral order. Thus, a concept of “second-order morality” is advanced, which seeks to reestablish a more inclusive first-order morality. Responsibility for productive processes of relationship is invited. Recent innovations in dialogic practices lend themselves to relational responsibility. (shrink)

A new translation, with scholarly notes and textual annotations based on new research into archival collections, of Wojtyla's most well-know philosophical work and related fragments, addresses, and letters.

The commonplace view of autonomy involves the ability of individuals to be self-governing and self-legislating, and to make freely and reflectively deliberate choices and decisions. This idea of autonomy — that persons are metaphysically free, that is, that they have free will and may use reason to choose how they shall act — is considered to be a defining feature of a responsible person. There is a commonplace view that autonomy is intrinsically good such that overriding it cannot be (...) justified.1 This intrinsic value implies a negative sense of autonomy, which involves non-interference with one’s free choices, as opposed to a positive sense, which involves helping or enabling one to.. (shrink)

This paper applies social-relational models of moral standing of robots to cases where the encounters between the robot and humans are relatively brief. Our analysis spans the spectrum of non-social robots to fully-social robots. We consider cases where the encounters are between a stranger and the robot and do not include its owner or operator. We conclude that the developers of robots that might be encountered by other people when the owner is not present cannot wash their hands of (...) responsibility. They must take care with how they develop the robot’s interface with people and take into account how that interface influences the social relationship between it and people, and, thus, the moral standing of the robot with each person it encounters. Furthermore, we claim that developers have responsibility for the impact social robots have on the quality of human social relationships. (shrink)

Relational agency is pivotal for understanding how language teachers seek and utilize relational resources in different contexts and grow to be agents of change amid various educational challenges. This study explored how three university teachers of Chinese as a second language enacted their relational agency to enhance their research capacity and sustain their professional development. Data on their personal network development was collected through concentric circle interviews, life-history interviews and written reflections over three months. Thematic analysis was (...) adopted for iterative coding and interpretation of the data. The findings revealed that teachers’ personal networks provided them with value guidance, emotional support and academic support, which exerted differential levels of impact on them to make agentic choices and actions. The study suggests that personal network analysis may serve as a suitable theoretical lens to achieve a multi-layered understanding of relational agency. The study also calls for more efforts to create learning opportunities and spaces in the relational context for teachers to build their career as agentic academics in language teacher education and development programs. (shrink)

Pro-life and pro-choice advocates battle for rational dominance in abortion debates. Yet, public polling (and general legal opinion) demonstrates the public’s preference for the middle ground: that abortions are acceptable in certain circumstances and during early pregnancy. Implicit in this, are two contradictory intuitions: (1) that we were all early fetuses, and (2) abortion kills no one. To hold these positions together, Harman and Räsänen have argued for the Actual Future Principle (AFP) which distinguishes between fetuses that will develop into (...) persons and those that will never develop into persons. However intellectually ingenious their solutions are, they fail to account for a third intuition: that the death of a wanted fetus – e.g. through termination or miscarriage – is of moral significance. Not only is this practically important, but it is also supported by public opinion. The authors of this paper argue that relational ontology can modify the AFP to better account for all three intuitions. Furthermore, it further emphasizes the pivotal role of the pregnant person who relates to their own fetus in either personal or impersonal ways. Addressing the fundamental challenges of relational ontology, the authors defend the position that human personal identity is ultimately relational. (shrink)

Two studies tested the relationship between three facets of personality—conscientiousness, agreeableness, and openness to experience—as well as moral identity, on individuals’ ethical ideology. Study 1 showed that moral personality and the centralityof moral identity to the self were associated with a more principled (versus expedient) ethical ideology in a sample of female speech therapists. Study 2 replicated these findings in a sample of male and female college students, and showed that ideology mediated therelationship between personality, moral identity, and two organizationally (...) relevant outcomes: organizational citizenship behavior and the propensity to morally disengage. Implications for business ethics are discussed. (shrink)

This essay examines whether Confucian role ethics offers resources to identify and redress gender inequality and oppression. On its face, Confucian role ethics seems ill suited for this task for two reasons. First, a central tenet of role ethics is that a person is constituted by her roles. Because roles are constituted by norms that govern them, many social roles are, and have been, historically oppressive. Second, discussions of Confucian role ethics tend to avoid talk of autonomy, yet autonomy (...) is helpful in identifying and rectifying gender inequalities insofar as autonomy tracks the ways oppression disables individuals’ abilities to achieve personhood. My goal in this essay is to work... (shrink)

The general discourse on education stresses either the teacher’s or the student’s position. This article aims to contribute to a relational theory of teaching by discussing three significant concepts of teaching from the standpoint of Martin Buber’s relational philosophy. Feldman suggests that teaching implies being human in a particular way and in a particular context; Kelchtermans shows that a teacher’s ‘personal interpretative framework’ plays a crucial role in teaching and is constantly modified through interactions; Biesta defines the essence (...) of teaching in terms of the relation between the teacher’s address and the student’s personal response. Although they all contribute to the relational theory of teaching, they also seem to neglect a vital dimension found in Buber’s philosophy – the exceptional moment when a teacher and a student turn to each other as ‘this particular other person’. As a supplement to the other concepts, this article outlines the concept of ‘teaching as a way of bonding’ and makes three suggestions: (1) bonding is a prerequisite for teaching; (2) there are qualitative differences between ‘social bonding’ and ‘relational bonding’; and (3) the teaching is ultimately best understandable in terms of ‘relational bonding’. (shrink)

Using the first-person plural pronoun wǒmen to refer to a child is repeatedly observed in Chinese parents’ interaction. To understand its interpersonal meanings, this study investigates this non-prototypical pronoun use in Chinese parents’ community of practice. The analysis shows that the non-prototypical use of this pronoun not only displays agency and connection between parents and children but also reveals the seemingly close but detached relationship among parents. This non-prototypical pronoun use unveils the complex and dynamic nature of relational (...) work. We argue for the significance of community of practice in relational work studies, as it can proffer social and cultural contexts to pronoun use and a situated understanding of interactants’ interpersonal relationships. The present study contributes to the documentation of the non-prototypical use of wǒmen in Chinese contexts and the comprehension of its interpersonal meanings. (shrink)

John Campbell recommends a relational view on joint attention. In this paper, I ask what his position implies for the perceptual experience of jointly engaged persons, and suggest that this experience can be accounted for by taking seriously the notion of intersubjectivity. I provide an account of what I call the 'direct acquaintance' of jointly engaged persons with one another. To be so acquainted is to enjoy an experience of feelings that are shared in a particular way. I spell (...) out what it is for feelings to be so shared and end by briefly introducing the idea that the subjects of such feelings may be best understood as part of a system that also consists of aspects of their natural and social environment. (shrink)

‘Client involvement’ has been a mantra within health policies, education curricula and healthcare institutions over many years, yet very little is known about how ‘client involvement’ is practised in home‐care services. The aim of this article is to analyse ‘client involvement’ in practise seen from the positions of healthcare professionals, an elderly person and his relative in a home‐care setting. A sociologically inspired single case study was conducted, consisting of three weeks of observations and interviews. The study has a (...) focus on the relational aspects of home care and the structural, political and administrative frames that rule home‐ care practice. Client involvement is shown within four constructed analytical categories: ‘Structural conditions of providing and receiving home care’; ‘Client involvement inside the home: performing a professional task and living an everyday life’; ‘Client involvement outside the home: liberal business and mutual goal setting’; and ‘Converting a home to a working place: refurnishing a life’. The meaning of involvement is depending on which position it is viewed from. On the basis of this analysis, we raise the question of the extent to which involvement of the client in public home‐care practice remains limited. (shrink)

Given a finite lexicon L of relational symbols and equality, one may view the collection of all L-structures on the set of natural numbers ω as a space in several different ways. We consider it as: (i) the space of outcomes of certain infinite two-person games; (ii) a compact metric space; and (iii) a probability measure space. For each of these viewpoints, we can give a notion of relative ubiquity, or largeness, for invariant sets of structures on ω. (...) For example, in every sense of relative ubiquity considered here, the set of dense linear orderings on ω is ubiquitous in the set of linear orderings on ω. (shrink)

Humanism in business is not only an alternative to economism but a way to human excellence. Humanism presented here revolves around the rich notion of “human person”, keystone of modern personalist philosophy and Catholic Social Teaching. From this perspective this book is offered to everyone, believer and nonbeliever alike. The person-centered humanism considers the human-wholeness, individual and relational, with subjectivity, self-determination, openness to transcendence, and with capacity not only to possess but also to give. It also highlights (...) the uniqueness of each person, endowed with a high constitutive dignity and in continuous process of flourishing toward human plenitude. An attitude of respect and good will is due to non-personal beings, while persons deserve to be treated with justice and even with love of benevolence. The book is prepared in dialogue with mainstream of thought in business and business ethics and focused on exploring ways to improve some conventional views. It includes some proposals such as a person-based ethics, ethics understood as intrinsic to business activity, the consideration of the company as an organized community of persons, and the purpose of the company oriented toward the common good through a double mission, internal and external. It is also suggested substituting the notion of “stakeholder” for the richer one of “relationholder.”. (shrink)

According to relational egalitarians, equality is not primarily about the distribution of some good but about people relating to one another as equals. However, compared with other theorists in political philosophy – including other egalitarians – relational egalitarians have said relatively little on what role personal responsibility should play in their theories. For example, is equality compatible with responsibility? Should economic distributions be responsibility-sensitive? This article fills this gap. I develop a relational egalitarian framework for personal responsibility (...) and show that relational equality commits us to responsibility. I develop two sets of arguments. First, I draw on relational theories of moral responsibility – particularly Strawsonian views – to show that valuable egalitarian relationships require responsibility. Second, I show why relational equality sometimes requires that economic distributions be sensitive to responsibility and choice. I also defend a seemingly paradoxical result: being committed to responsibility, relational egalitarianism not only justifies some distributive inequalities but some relational inequalities too. Overall, relational egalitarianism gives a nuanced and coherent answer as to why and how responsibility matters from within egalitarianism. That it does should be an important argument in its favour. (shrink)

A major focus of attention in psychology has been on the consequences and determinants of well-being. Religiosity and personality have both been shown to predict mental health and well-being, but the two predictors have not often been investigated together. In 4 studies involving 7 surveys in various social and religious contexts, the relations among well-being, religious orientation, and personality factors were studied. Results showed that Extraversion was the single strongest correlate of higher levels of subjective and psychological well-being. Religiosity had (...) null or weak positive relationships with well-being, and managed to explain variance in some aspects of positive functioning beyond personality factors. The null or week relationship of religiosity with well-being beyond personality was consistent across the HEXACO and the Big Five models of personality structure. It has been suggested that religion is relatively more important for eudaimonic than for hedonic way of living. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Concepts, Judgments, and Unity in Kant's Metaphysical Deduction of the Relational Categories CHARLES NUSSBAUM 1. INTRODUCTION TO ANY ATTENTIVEREADERof the section of the Critique of Pure Reason' known as the "Metaphysical Deduction of the Categories" (A67/B92-A83/B to9), one paragraph in that section stands out particularly by virtue of its special importance for Kant's developing argument: The same function Which gives unity to the various representations in ajudgment also (...) gives unity to the mere synthesis of various representations in an intuition; and this unity, in its most general expression, we entitle the pure concept of the understanding. The same understanding, through the same operations by which in concepts, by means of analytical unity, it produced the logical form of a judgment, also introduces a transcendental content into its representations, by means of the synthetic unity of the manifold of intuition in general.... (CPR A79/B loS) The importance of this paragraph is, however, more than equaled by its difficulties, which center on the question of how the function which operates by means of analytical unity can be the same as one that operates by means of the synthetic unity of the manifold of intuition in general. Put shortly, the problem is this. If the functions are really the same, then how do we distinguish at all between analytic and synthetic operations? But if they are different, then how can these forms of judgment serve as a clue for the discovery of the categories? ' Immanuel Kant, Critiqueof Pure Reason, trans. Norman KempSmith (London: Macmillan and Co., Ltd., 1963).Hereafter CPR. [89] 9~ JOURNAL OF THE HISTORY OF PHILOSOPHY 28:1 JANUARY 1990 The results of this dilemma which can be observed in the literature are not surprising: commentators tend to grasp one horn or the other. They either emphasize the difference between analysis and synthesis, and reject or dilute the claims as to sameness of function; or they take seriously Kant's argument concerning sameness of functions, and try to minimize the difference between analysis and synthesis. The major twentieth-century representant of the former approach is Kemp Smith," and of the latter, Paton. 3 This latter approach has found a formidable contemporary champion in the person of Henry Allison. By Allison's own admission,4 however, his position on this controversial topic was suggested (in part) by arguments first put forward over fifty years ago by Klaus Reich in a most remarkable book entitled Die Volls~ndigkeit der Kantischen Urteilstafel, 5 a book, by the way, also greatly admired by Paton. 6 In the first section of this paper I will try to show that Reich's arguments are rather more subtle than Allison apparently takes them to be, and that Reich is one commentator who attempts to go between the horns of the dilemma described above, and who essays an interpretation of our crucial paragraph that unifies its seemingly divergent tendencies. In the second section of the paper I will introduce some interpretive elements of my own. 2. Let us begin by reacquainting ourselves with Kant's notion of analytical unity, one aspect of this debate which is not particularly controversial and is largely agreed upon by all parties. For Kant, analytical unity is the sort of unity achieved by all general concepts (conceptus communes) insofar as they abstract from all differences that subsist between the objects under them, or the lower concepts subordinated to them. 7 A general concept unifies these objects or concepts by means of a common mark or set of marks. Thus Kant's example at CPR A69/B94 of the unification of bodies under the concepts 'body' and 'divisible' is a perfectly representative instance of unification via analytical unity, as the function upon which such concepts "rest." Let us note that the " Norman KempSmith,A CommentarytoKant's "Cr/t~rueofPureReason"(NewYork:HumanitiesPress, 196~). 3 H.J. Paton, Kant's MetaphysicofExperience, 2 vols.(London:George Allenand Unwin,Ltd., 1936). 4 Henry Allison,Kant's TranscendentalIdealum (NewHaven:YaleUniversityPress, 1983), 144 n. 3o. Hereafter KTI. 5 KlausReich,Die Vollst~ndigkeitderKantischenUrteilstafel,3rd. ed. (Hamburg: Meiner, 1986). Hereafter VKU. 6 Paton, Kant's Metaphysic, 1:302. Kant, we should note, does not makethis important logicaldistinctionbetweensubordination... (shrink)

The paper applies Christian Humanism to management highlighting the role of relations in business and the entrepreneurial life. The claim is that such a dimension is important for everybody even from a secular point of view regardless of one’s belief. The first part shows how Biblical tradition inspired a rereading of relation in the first Christian thinkers, who had to recognize it in God. But this made possible to perceive that the relationships can be a real source of being, as (...) the example of a family shows. The thesis proposed is that within every Gesellschaft there is a Gemeinschaft, that is constituted by its relational dimensions, connecting the common good and profit also to relational goods. The second part draws consequences for management, recognizing through the example of the Inner Game three relational dimensions relevant for management: the one interior to the person; the relationships between coworkers; the interaction with the culture of the company. All of them should be considered to improve the Gemeinschaft dimension within the Gesellschaft. The last part of the article explains how Christian Humanism helps also to avoid an idealistic reading of the proposal, which always has to take into account the demands of confrontation with the external system intrinsic to the Gesellschaft, as the very etymology of management reveals. (shrink)

What are persons? There are two traditional answers: the relation model of person according to which a person is nothing more than a function of her relationships to other persons and the substance model which construes the person as persisting independently of relations and accidental properties. In my paper, I explore two interesting intersections of these models occurring in Augustine's speculative doctrine of trinity and in Heidegger’s early Theory of Dasein. Are Augustine’s and Heidegger’s conceptions of (...) class='Hi'>person convincing reconciliations of the relation model and the substance model of person and how do they compare to each other? (shrink)

The James–Lange theory considers emotional feelings as perceptions of physiological body changes. This approach has recently resurfaced and modified in both neuroscientific and philosophical concepts of embodiment of emotional feelings. In addition to the body, the role of the environment in emotional feeling needs to be considered. I here claim that the environment has not merely an indirect and thus instrumental role on emotional feelings via the body and its sensorimotor and vegetative functions. Instead, the environment may have a direct (...) and non-instrumental, i.e., constitutional role in emotional feelings; this implies that the environment itself in the gestalt of the person–environment relation is constitutive of emotional feeling rather than the bodily representation of the environment. Since the person–environment relation is crucial in this approach, I call it the relational concept of emotional feeling. After introducing the relational concept of emotional feeling, the present paper investigates the neurophilosophical question whether current neuroimaging data on human emotion processing and anatomical connectivity are empirically better compatible with the “relational” or the “embodied” concept of emotional feeling. These data lend support to the empirical assumption that neural activity in subcortical and cortical midline regions code the relationship between intero- and exteroceptive stimuli in a relational mode, i.e. their actual balance, rather than in a translational mode, i.e., by translating extero- into interoceptive stimulus changes. Such intero-exteroceptive relational mode of neural coding may have implications for the characterization of emotional feeling with regard to phenomenal consciousness and intentionality. I therefore conclude that the here advanced relational concept of emotional feeling may be considered neurophilosophically more plausible and better compatible with current neuroscientific data than the embodied concept as presupposed in the James–Lange theory and its modern neuroscientific and philosophical versions. (shrink)

Abortion remains a controversial topic, with pro-life and pro-choice advocates clashing fiercely. However, public polling demonstrates that the vast majority of the Western public holds a middle position: being in favour of abortion but not in all circumstances nor at any time. The intuitions held by the majority seem to imply a contradiction: two early foetuses at the same point in development have different moral statuses. Providing coherent philosophical grounding for this intuition has proved challenging. Solutions given by philosophers such (...) as Feinberg, Harman and Räsänen are complex and do not fully account for the lived experience of pregnancy loss. This article argues for a relational ontological construction of human personhood as the basis of foetal personhood. This approach takes seriously the literature of pregnancy loss and the lived experiences of pregnant persons. Focusing on the manner in which persons relate to early foetuses (especially pregnant persons), provides a coherent ground for distinct foetal value. Importantly, this approach is both simple and intuitive. Therefore, it can be more easily adopted by middle. To counter an implied equality of human relationality, the article argues for a clear hierarchy based on relational proximity that affirms pregnant persons? primary role in deciding the moral significance of foetal termination. (shrink)

Karl Marx's normative views have routinely been contrasted with moral-political theories such as utilitarianism and Rawlsian justice. They have not been systematically contrasted with characteristically African, and specifically communal, values, with post-independence African leaders such as Nyerere and Nkrumah instead having emphasized the similarities. In this article, a work of analytic philosophy, I sketch the essentials of Marx’s approach to the human good, especially his early writings on alienation from 1843-1845, and weigh them up against a theoretical interpretation of the (...) under-explored African moral-political tradition. According to the latter perspective, a person displays human excellence insofar as she prizes communal relationships, ones of sharing a way of life and caring for others’ quality of life. My aims are to identify key differences between this Afro-communalism and the young Marx’s views, and, where they diverge, to provide some reasons for favouring one approach over the other. I conclude that insofar as the two ethics differ, the African ideal is the better candidate for capturing a moral point view, one that includes human rights, whereas Marx’s is preferable, and even compelling to a wide contemporary audience, as a broader account of how to live well. (shrink)

Person‐specific evidence was developed as a grounded theory by analyzing 20 selected case descriptions from interventions using the guided self‐determination method with people with various long‐term health conditions. It explains the mechanisms of mobilizing relational capacity by including person‐specific evidence in shared decision‐making. Person‐specific self‐insight was the first step, achieved as individuals completed reflection sheets enabling them to clarify their personal values and identify actions or omissions related to self‐management challenges. This step paved the way for (...) sharing these insights and challenges in a relationship with a supportive health professional, who could then rely on person‐specific evidence instead of assumptions or a narrow disease perspective for shared decision‐making. Trust in the evidence encouraged the supportive health professional to transfer it to the interdisciplinary team. Person‐specific evidence then enhanced the ability of team members to apply general evidence in a meaningful way. The increased openness achieved by individuals through these steps enabled them to eventually share their new self‐insights in daily life with other people, decreasing loneliness they experienced in self‐management. Relational capacity, the core of the theory, is mobilized in both people with long‐term health conditions and healthcare professionals. Further research on person‐specific evidence and relational capacity in healthcare is recommended. (shrink)

Mental state reasoning or theory-of-mind has been the subject of a rich body of imaging research. Although such investigations routinely tap a common set of regions, the precise function of each area remains a contentious matter. With the help of functional magnetic resonance imaging (fMRI), we sought to determine which areas are involved when processing mental state or intentional metarepresentations by focusing on the relational aspect of such representations. Using non-intentional relational representations such as spatial relations between persons (...) and between objects as a contrast, the results ascertained the involvement of the precuneus, the temporal poles, and the medial prefrontal cortex in the processing of intentional representations. In contrast, the anterior superior temporal sulcus and the left temporo-parietal junction were implicated when processing representations that refer to the presence of persons in relational contexts in general. The right temporo-parietal junction, however, was specifically activated for persons entering spatial relations. The level of representational complexity, a previously unexplored factor, was also found to modulate the neural response in some brain regions, such as the medial prefrontal cortex and the right temporo-parietal junction. These findings highlight the need to take into account the critical roles played by an extensive network of neural regions during mental state reasoning. (shrink)

ABSTRACTDiagnostic self‐testing devices are being developed for many illnesses, chronic diseases and infections. These will be used in hospitals, at point‐of‐care facilities and at home. Designed to allow earlier detection of diseases, self‐testing diagnostic devices may improve disease prevention, slow the progression of disease and facilitate better treatment outcomes. These devices have the potential to benefit both the individual and society by enabling individuals to take a more proactive role in the maintenance of their health and by helping society improve (...) health and reduce health costs. However, the full implications of future home‐based diagnostic technology for individuals and society remain unclear due to their novelty.We argue that the development of diagnostic tools, especially for home use, will heighten a number of ethical challenges. This paper will explore some of the ethical implications of home‐based self‐testing diagnostic devices for the autonomous and relational dimensions of the person. This will be facilitated by examining the impact of diagnostic devices for individual autonomy, for the delivery of accurate diagnosis and for the personal significance of the information for the user. The latter will be examined using Charles Taylor's view of personhood and his emphasis on human agency and interpretation.While the ethical issues are not necessarily new, the development of home‐based self‐testing diagnostic devices will make issues regarding autonomy, accuracy of information and personal significance more and more demanding. This will be the case particularly when an individual's autonomous choices come into conflict with the person's relational responsibilities. (shrink)

Focusing mainly on respect for autonomy, particularly autonomous choices and actions in bioethical decisions, I examine several complexities of enacting this respect through the case of a fourteen-year-old boy who died after being allowed to refuse a necessary blood transfusion on religious grounds. I argue that thicker concepts of autonomy, closely connected with relational autonomy, direct our attention to aspects of respect for autonomy that are often neglected or underappreciated in much bioethical theory and practice. In particular, they illuminate (...) the interpretive complexity of respecting autonomous choices by focusing attention on the relational context of individuals’ decisions, on respect for individuals’ social-cultural beliefs and values, and on the temporality of selves, as expressed in their past consent or future consent as well as in—and sometimes in contradiction to—their present consent or dissent. However, it is important not to convert the illuminating and valuable insights from theories of relational autonomy into necessary conditions of autonomous choices and actions and hence of respect for autonomy. (shrink)

Disturbed identity is one of the defining characteristics of Borderline Personality Disorder manifested in a broad spectrum of dysfunctions related to the self, including disturbances in meaning-generating self-narratives. Autobiographical memories are memories of personal events that provide crucial building-blocks in our construction of a life-story, self-concept, and a meaning-generating narrative identity. The cultural life script represents culturally shared expectations as to the order and timing of life events in a prototypical life course within a given culture. It is used to (...) organize one’s autobiographical memories. Here, 17 BPD-patients, 14 OCD-patients, and 23 non-clinical controls generated three important autobiographical memories and their conceptions of the cultural life script. BPD-patients reported substantially more negative memories, fewer of their memories were of prototypical life script events, their memory narratives were less coherent and more disoriented, and the overall typicality of their life scripts was lower as compared with the other two groups. (shrink)

The historical-cultural theory of Intellectual Disability overcompensation/compensation is referenced in several studies, but little empirical evidence is presented to corroborate this thesis. In this work, 13 current studies were analysed about the behavioural profile of people with Down syndrome, a case of neurobiological ID, published in the last 15 years, in order to verify the possibility of dialogue with the theorizing about compensation. Despite contributing to an up to date understanding of DS, the results point to similarities between different scientific (...) traditions allowing discussions regarding methodologies, data interpretation, language comprehension, and the impact of the studies for school inclusion and the development of people with ID/DS. It is concluded that the theorization in question is pertinent to developmental studies, dialogues with other perspectives and that its progress depends on investigations directed to the affective motivators/emotions of the person with ID/DS by means of more interpretative methodologies. Keywords: Down syndrome, compensation, behavioural profile, Intellectual Disabilities Development. (shrink)

We notice a number of interesting overlaps between the views on personhood of Ifeanyi Menkiti and Marya Schechtman. Both philosophers distance their views from the individualistic ones standard in western thought and foreground the importance of extrinsic or relational features to personhood. For Menkiti, it is ‘the community which defines the person as person’; for Schechtman, being a person is to have a place in person-space, which involves being seen as a person by others. (...) But there are also striking differences. Schechtman sees this aspect as expanding the scope of personhood to infants and those who are severely mentally disabled. Menkiti thinks that there is a line to be drawn at some point between those humans that are persons and those who are not. We consider the cases offered in questioning how the dispute between the two views should be resolved. (shrink)

Developments in Machine Learning (ML) have attracted attention in a wide range of healthcare fields to improve medical practice and the benefit of patients. Particularly, this should be achieved by providing more or less automated decision recommendations to the treating physician. However, some hopes placed in ML for healthcare seem to be disappointed, at least in part, by a lack of transparency or traceability. Skepticism exists primarily in the fact that the physician, as the person responsible for diagnosis, therapy, (...) and care, has no or insufficient insight into how such recommendations are reached. The following paper aims to make understandable the specificity of the deliberative model of a physician-patient relationship that has been achieved over decades. By outlining the (social-)epistemic and inherently normative relationship between physicians and patients, I want to show how this relationship might be altered by non-traceable ML recommendations. With respect to some healthcare decisions, such changes in deliberative practice may create normatively far-reaching challenges. Therefore, in the future, a differentiation of decision-making situations in healthcare with respect to the necessary depth of insight into the process of outcome generation seems essential. (shrink)

Bourdieu’s concept of habitus claims to solve the problem of the individual/society duality. However, the concept of habitus appears to be inadequate to explain the idiosyncratic features of individual field actors’ practices. In this article, I argue that to explain the particularity of individual habitus, we must appreciate the operationalization of relational logic in field theory. I further argue that individuals learn to prediscursively identify certain types of practices as meaningful for a given field position because of their embodied (...) experiences of movements within the historically specific relational structure of the field. Thus, the same individual can exhibit multiple and even contradictory practices depending on the person’s relational position in the field. I illustrate this insight by discussing the political habitus of the first prime minister of India, Jawaharlal Nehru. (shrink)