Childhood cancers are life-threatening diseases that affect not only the child but the whole family. Although rates of survival are high with modern therapy, childhood cancers are still serious and...

BackgroundIn childhood cancer care, healthcare professionals must deal with several difficult moral situations in clinical practice. Previous studies show that morally difficult challenges are related to decisions on treatment limitations, infringing on the child's integrity and growing autonomy, and interprofessional conflicts. Research also shows that healthcare professionals have expressed a need for clinical ethics support to help them deal with morally difficult situations. Moral case deliberations (MCDs) are one example of ethics support. The aim of this study was to describe (...) the MCD-related outcomes that healthcare professionals in childhood cancer care considered important, before MCDs were implemented, in order to facilitate the implementation of MCDs in childhood cancer care in Sweden.MethodsThis study is based on qualitative data. Healthcare professionals, mostly representing registered nurses, nursing assistants and physicians, working at childhood cancer care centres in Sweden, were invited to respond to the translated and content validated European MCD Outcomes Instrument, before participating in regular MCDs. Answers to the main open-ended question, included in the questionnaire, was analysed according to systematic text condensation.ResultsData was collected from 161 responses from the healthcare professionals. The responses included healthcare professionals’ perceptions of which MCD-related outcomes they found important for handling moral challenges. Three different themes of important outcomes from the analysis of the data are presented as follows:Interprofessional well-being in team interactionson a team level;Professional comfort when dealing with moral challengeson a personal level; andImproved quality of care for the child and the familyon a care level.ConclusionsHealthcare professionals in childhood cancer care considered it important that ethics support could enhance the well-being of interprofessional teams, support healthcare professionals on an individual level and improve quality of care. The results of this study can be used in current and future training for MCD-facilitators. When knowing the context specific important MCD-outcomes, the sessions could be adapted. Managers in childhood cancer care would benefit from knowing about the specific important outcomes for their target group because they could then create relevant working conditions for clinical ethics support. (shrink)

Berg, J. Buñuels dagdröm.--Bergström, L. Pessimismens konsekvenser.--Furberg, M. Möjliga teser hos Johannes Climacus.--Halldén, S. Teckenrelationen och språkreglernas juridik.--Hedenius, I. Ett argument mot den rättsfilosofiska domstolsrealismen.--Mates, B. Om Platons argument "den tredje människan."--Marc-Wogau, K. Kant om lögnen.--Næss, A. Om filosofiske projekter som forener empirisk semantikk og metafysisk spekulasjon.--Ofstad, H. Får nazister lettere magesår enn humanister?--Prawitz, D. Om moraliska och logiska satsers sanning.--Stenius, E. Om Descartes' psykofysiska modell.--Tranøy, K. E. Filosofenes etiske ansvar.--Wright, G. H. von. En filosof ser på filosofien.

Este artículo reseña: Harold BERTOT TRIANA, Estudios sobre jurisprudencia de la Corte Interamericana de derechos humanos. Cavilaciones al hilo de temas actuales del sistema interamericano de derechos humanos.

Este ensaio desenvolve um estudo, a partir da obra de G. Agamben, sobre a arqueologia do ofício e as implicações ético-políticas do modo de subjetivação do funcionário. O funcionário age a partir do dever de oficio, separando, nessa ação, a responsabilidade pessoal da eficiência da ação. Ao agir como funcionário não atua em nome próprio, mas age em nome de outro, para o qual se transfere toda responsabilidade ética da ação funcional. Eichmann apresenta-se como o modelo de funcionário que cumpriu (...) o dever de sua função, independentemente de suas convicções pessoais a respeito da catástrofe humana que provocou. (shrink)

A partir des chants de rites rada et pétro du vaudou haïtien ainsi que des chanté pwen, véhicules incontestables de l'ambiguïté, l'auteur dévoile l'institution d'une éthique individuelle et collective axée sur la volonté d'exercer un plein contrôle sur la marche des choses et de la vie.

Questioning in an organizational context is a challenging event in multiple senses. Questioning may be used to criticize the leaders of an organization. For the criticisms to be heard as legitimate, however, the questioner must operate within contextual constraints. The main purpose of this article is to examine how questioning functions to construct a university's crisis. Discourse within two faculty senate meetings is analyzed. Three faculty questioning strategies are described: appealing to another organizational entity, requesting either/or information; and metacommunicative commentary. (...) Administration and senate leadership responded to questions using the strategies of appealing to a process and metacommunicative commentary. Faculty questioning functioned to challenge a current course of action while operating from within the organizational guidelines of discourse. Alternatively, leadership responses deferred any substantive change in the course of action. The strategies are related to issues of power, social action, and models of educational governance. (shrink)

Comparing the relative sensitivity of direct and indirect measures of learning is proposed as the best way to provide evidence for unconscious learning when both conceptual and operative definitions of awareness are lacking. This approach was first proposed by Reingold & Merikle (1988) in the context of subliminal perception. In this paper, we apply it to a choice reaction time task in which the material is generated based on a probabilistic finite-state grammar (Cleeremans, 1993). We show (1) that participants progressively (...) learn about the statistical structure of the stimulus material over training with the choice reaction time task, and (2) that they can use some of this knowledge to predict the location of the next stimulus in a subsequent “generation” task. However, detailed partial correlational analyses of the correspondence between performance during the reaction time task and the statistical structure of the training material showed that large effects remained even when controlling for explicit knowledge as assessed by the generation task. Hence we conclude (1) that at least some of the knowledge expressed through reaction time performance can not be characterized as conscious, and (2) that even when associations are found at a global level of analysis, dissociations can still be obtained when more detailed analyses are conducted. Finally, we also show that participants are limited in the depth of the contingencies they can learn about, and that these limitations are shared by the Simple Recurrent Network model of Cleeremans & McClelland (1991). (shrink)

A noção de pessoa, para Simone Weil, passa por uma certa desconstrução e releitura que a filósofa realiza a partir da categoria do impessoal. Abordaremos inicialmente os conceitos de direito e obrigação, refletindo sobre as necessidades da alma pensadas por Weil, em que a obrigação abre o ser humano para o impessoal da pessoa, que por sua vez é conexo com o sentido do eterno e do sagrado. Neste escrito pretende-se resgatar alguns traços desta reflexão e destacar a relação entre (...) o impessoal com o eterno e o sagrado, enquanto constitutivos do ser humano, estudando como a partir do impessoal emerge uma nova percepção da relação ética. (shrink)

Inference has long been a concern in epistemology, as an essential means by which we extend our knowledge and test our beliefs. Inference is also a key notion in influential psychological or philosophical accounts of mental capacities, from perception via utterance comprehension to problem-solving. Consciousness, on the other hand, has arguably been the defining interest of philosophy of mind over recent decades. Comparatively little attention, however, has been devoted to the significance of consciousness for the proper understanding of the nature (...) and role of inference. It is commonly suggested that inference may be either conscious or unconscious. Yet how unified are these various supposed instances of inference? Does either enjoy explanatory priority in relation to the other? In what ways or senses, can an inference be conscious, or fail to be conscious, and how does this matter? This book brings together original essays from established scholars and emerging theorists that illustrate how several current debates in epistemology, philosophy of psychology, and philosophy of mind can benefit from reflections on these and related questions about the significance of consciousness for inference. Contributors include: Kirk Ludwig and Wade Munroe; Michael Rescorla; Federico Bongiorno and Lisa Bortolotti; Berit Brogaard; Nicholas Allott; Jake Quilty-Dunn and Eric Mandelbaum; Corine Besson; Anders Nes; David Henderson, Terry Horgan, and Matjaž Potrč; Elijah Chudnoff; and Ram Neta. (shrink)

Close relationships between men and women have been theorized from feminist, psychoanalytic, and political economic perspectives. In seduction communities, dating coaches and pickup artists act as expert mediums in scripting norms of heterosexual courtship between men and women. Based on an ethnographic analysis of intimate labor between coaches and male clients in seduction communities based in New York City, this article suggests three things. First, that apprenticing in techniques of heterosexual seduction is about masculine self-fashioning; second, that men experience culturally-based (...) ambivalences around norms of self-help—including ideas of freedom, dependency, and addiction—in ways that fashion their bodies, speech acts, and identities as objects of desire for women; and third, that practices of seduction complicate heteronormative masculine identities by creating intimate spheres of dependency and self-disclosure among men. This article follows men’s trajectories of learning seduction skills, and finds that men rely on competing rhetorics of authentic expression and technical self-presentation that seek to manage a range of social, economic, and gender-based inequalities. (shrink)

The orthodox view of proper names, Millianism, provides a very simple and elegant explanation of the semantic contribution of referential uses of names–names that occur as bare singulars and as the argument of a predicate. However, one problem for Millianism is that it cannot explain the semantic contribution of predicative uses of names. In recent years, an alternative view, so-called the-predicativism, has become increasingly popular. According to the-predicativists, names are uniformly count nouns. This straightforwardly explains why names can be used (...) predicatively, but is prima facie less congenial to an analysis of referential uses. To address this issue, the-predicativists argue that referential names are in fact complex determiner phrases consisting of a covert definite determiner and a count noun—and so, a referential name is a definite description. In this paper, I will argue that despite the appearance of increased theoretical complexity, the view that names are ambiguous between predicative and referential types is in fact superior to the unitary the-predicativist view. However, I will also argue that to see why this ambiguity view is better, we need to give up the standard Millian analysis. Consequently, I will first propose an alternative analysis of referential names that retains the virtues of Millianism, but provides an important explanatory connection to the predicative uses. Once this analysis of names is adopted, the explanation for why names are systematically ambiguous between referential and predicative types is both simple and elegant. Second, I will argue that the-predicativism has the appearance of being simpler than an ambiguity view, but is in fact unable to account for certain key properties of referential names without making ad hoc stipulations. (shrink)

Este ensayo presenta un análisis arqueo-genealógico de la mímēsis humana en dos momentos: en su arkhē pre-socrático y en la interpretación platónica de la misma. El mismo desarrolla la tesis de que la mímēsis es una facultad humana atravesada por la condición paradójica a partir de la cual es factible su instrumentalización alienante de las conciencias, pero también su uso creativo para producir diferencias de lo semejante y semejanzas de lo diferente. la condición paradójica impide el reduccionismo de la mímēsis (...) a una única perspectiva. Se concluye el ensayo con algunos desdoblamientos críticos del carácter paradójico de la mímēsis en nuestro presente. (shrink)

Este trabalho pretende realizar uma reflexão crítica sobre sentido moderno da justiça procedimental, desenvolvendo uma nova hermenêutica da justiça a partir da alteridade das vítimas. PALAVRAS-CHAVE – Justiça procedimental. Ética. Hermenêutica. Alteridade.

RESUMO O presente ensaio apresenta uma análise crítica das atuais democracias que se esvaziaram do poder deliberativo do demos para se tornarem, cada vez mais, democracias espetaculares. Inicialmente, seguindo os estudos de Foucault, analisam-se as implicações da governamentalidade sobre a democracia, principalmente a partir da emergência da opinião pública como técnica da razão de Estado. Posteriormente, relacionam-se os estudos de Foucault com as teses de Agamben a respeito da burocracia e a hierarquia, a fim de compreendermos como estas pesquisas desembocam (...) no conceito de democracias espetaculares defendido por Agamben. ABSTRACT This essay presents a critical analysis of the current democracies that have emptied themselves of the deliberative power of the demos to become, more and more, spectacular democracies. Initially, following Foucault's studies, we analyze the implications of governmentality on democracy, especially from the emergence of public opinion as a technique of reason of state. Later, Foucault's studies are related to Agamben's theses on bureaucracy and hierarchy, in order to understand how these researches lead to the concept of spectacular democracies defended by Agamben. (shrink)

En la presente investigación proponemos profundizar en el concepto de ecocidio y sus implicaciones ético-políticas, relacionándolo con los conceptos de soberanía y estado de excepción de Giorgio Agamben. El concepto de excepción, en la tradición jurídica y filosófica, está referido al ámbito de la vida de las personas y no al daño producido a la vida en la naturaleza. Sin embargo, partiendo del presupuesto de que hay una interdependencia de la vida humana con la vida de la naturaleza, se analizan (...) los desdoblamientos ético-políticos a los que esa interdependencia nos conduce, teniendo como eje el concepto de ecocidio. Para este análisis proponemos recorrer los vínculos entre ecocidio y estado de excepción como dos prácticas asimiladas que, para destruir la vida, la reducen a una insignificancia ética a través de un vacío jurídico. (shrink)

En este este estudio presentamos una investigación sobre la genealogía de la razón de Estado y del golpe de Estado, según Michel Foucault. La genealogía de la razón gubernamental se desarrolló paralelamente a la comprensión científica del mundo, en los siglos XVI e XVII, como una realidad gobernada por leyes propias de la naturaleza. La genealogía de la razón de Estado incorporó los elementos “científicos” de la razón gubernamental como técnicas utilitarias para gobernar convenientemente un Estado, más allá del voluntarismo (...) del arbitrio del poder soberano. Foucault muestra en sus análisis genealógicos que el golpe de Estado fue concebido, ya en el siglo XVII, como una técnica gubernamental conveniente con la razón de Estado, cuyas tres principales características son: la necesidad, la violencia y la teatralidad. Palabras clave: Razón gubernamental. Razón de Estado. Golpe de Estado. Michel Foucault. (shrink)

Na modernidade, ciência e ética raramente conviveram em harmonia. Sua relação conflitante sempre demarca sobre os tipos de verdade de ambos discursos. A construção de qualquer consenso entre os discursos científico e ético se mantém sobre uma base instável de mútua desconfiança. Essa instabilidade implica, comumente, um confronto permanente entre as verdades e os critérios de ambos discursos. O conflito entre ciência e ética se dá, essencialmente, no campo da teoria da linguagem, ou seja, na análise do discurso. As pretensões (...) de verdade e os efeitos de poder das verdades científicas e éticas, são correlativos ao reconhecimento da verdade de suas proposições e da validade do seu discurso. Para contribuir com alguns esclarecimentos neste debate entre ciência e ética, deveremos, pois, nos introduzir em alguns pontos da teoria da linguagem, ou seja, na historicidade e na hermenêutica. (shrink)

This paper aims to present a critique of naturalistic theories of violence. The context of this critique concerns the naturalization of violence, which induces the assimilation power as a form of violence. Therefore, we resumed the theses of Hannah Arendt and Michel Foucault on power and violence. The goal is not to list the differences between these authors on the subject, which are explicit in the development of the test, but show their concordance regarding the critique of power as something (...) synonymous with violence. (shrink)

A partir da segunda metade do século XX, as políticas econômicas disseminaram um conjunto de dispositivos sutis, no sentido de seu exercício, ao mesmo tempo em que mais plurais, em relação à sua extensão. Um dos principais deslocamentos epistemológicos produzidos pelo discurso neoliberal diz respeito à inserção da subjetividade humana como elemento central da racionalidade econômica. A inclusão da subjetividade na lógica dos cálculos econômicos possibilitou construir a figura do homo oeconomicus como referente antropológico do novo discurso neoliberal. Um dos (...) principais autores nessa jornada é Ludwig von Mises. A teoria misiana é profundamente filosófica: dela é possível coletar toda a estrutura da teoria neoliberal e de seu contraste bifocal entre a ação econômica do mercado e a teoria política do Estado, e nela o homo oeconomicus ocupa um lugar central. A genealogia de Michel Foucault sobre o escopo da governamentalidade neoliberal trouxe um olhar crítico diferente sobre os princípios constitutivos deste discurso. A par da teoria de Mises, a leitura de Foucault nos é precisa, na medida em que nos permite contrastar a razão de governo, constituída ao longo dos modelos de pensamento, com aquela ótica empresarial do homo oeconomicus como um suposto sujeito soberano. O intuito deste ensaio é provocar um cruzamento crítico entre o pensamento de Mises e de Foucault, concentrado principalmente no estudo das contradições que surgem no seio do discurso neoliberal da figura do homo oeconomicus como sujeito soberano, com as práticas de governamentalização desse mesmo homo oeconomicus. O ensaio é constituído de três momentos: primeiramente, nosso objetivo é compreender a teoria do mercado de von Mises, com o intuito de alinhavar alguns conceitos importantes, em especial o conceito de soberania do homo oeconomicus; em seguida, temos como pretensão analisar a teoria de Foucault sobre a governamentalidade neoliberal, acenando em direção ao modo pelo qual a teoria de Mises projeta-se como uma razão econômica de governo; em um terceiro ponto, desenvolvemos algumas implicações derivadas dos cruzamentos das teses sobre a soberania do homo oeconomicus, de Mises, com as análises sobre a governamentalidade desse homo oeconomicus desenvolvidas pelos estudos de Foucault. (shrink)

A ética é uma prática que coimplica subjetividade e da alteridade. Nas atuais sociedades de controle se procura fabricar subjetividades destemperadas numa ética do descuido de si. As éticas do cuidado de si visavam ajudar a constituir sujeitos livres pela prática ética da virtude. Os novos dispositivos de controle atualizaram o poder da ética como prática em que o sujeito pode dirimir seu estilo de vida entre a sujeição ou a liberdade. As éticas do cuidado de si desconsideraram a importância (...) da alteridade para pensar a prática ética. Embora existam divergências importantes entre ambas perspectivas éticas, elas coincidem em afirmar a ética como uma prática que incide na constituição dos sujeitos, uma prática de liberdade de si (Foucault) e uma prática de libertação do outro como justiça (Levinas). PALAVRAS-CHAVE – Alteridade. Cuidado de si. Modos de subjetivação. Liberdade. Desejo. (shrink)

BackgroundEthical problems in everyday healthcare work emerge for many reasons and constitute threats to ethical values. If these threats are not managed appropriately, there is a risk that the patient may be inflicted with moral harm or injury, while healthcare professionals are at risk of feeling moral distress. Therefore, it is essential to support the learning and development of ethical competencies among healthcare professionals and students. The aim of this study was to explore the available literature regarding ethics education that (...) promotes ethical competence learning for healthcare professionals and students undergoing training in healthcare professions.MethodsIn this integrative systematic review, literature was searched within the PubMed, CINAHL, and PsycInfo databases using the search terms ‘health personnel’, ‘students’, ‘ethics’, ‘moral’, ‘simulation’, and ‘teaching’. In total, 40 articles were selected for review. These articles included professionals from various healthcare professions and students who trained in these professions as subjects. The articles described participation in various forms of ethics education. Data were extracted and synthesised using thematic analysis.ResultsThe review identified the need for support to make ethical competence learning possible, which in the long run was considered to promote the ability to manage ethical problems. Ethical competence learning was found to be helpful to healthcare professionals and students in drawing attention to ethical problems that they were not previously aware of. Dealing with ethical problems is primarily about reasoning about what is right and in the patient’s best interests, along with making decisions about what needs to be done in a specific situation.ConclusionsThe review identified different designs and course content for ethics education to support ethical competence learning. The findings could be used to develop healthcare professionals’ and students’ readiness and capabilities to recognise as well as to respond appropriately to ethically problematic work situations. (shrink)

Making publics visible through digital traces has recently generated interest by practitioners of public engagement and scholars within the field of digital methods. This paper presents an experiment in moving such methods into critical proximity with political practice and discusses how digital visualizations of topical debates become appropriated by actors and hardwired into existing ecologies of publics and politics. Through an experiment in rendering a specific data-public visible, it shows how the interplay between diverse conceptions of the public as well (...) as the specific platforms and data invoked, resulted in a situated affordance-space that allowed specific renderings take shape, while disadvantaging others. Furthermore, it argues that several accepted tropes in the literatures of digital methods ended up being problematic guidelines in this space. Among these is the prescription to shown heterogeneity by pushing back at established media logics. (shrink)

Neste artigo, analisamos algumas das peculiaridades da leitura que Agamben faz de Nietzsche, isto é, o uso que faz das ideias do pensador alemão para constituir a sua própria filosofia política. Assim, refletimos acerca do tensionamento e da polifonia entre a vontade de potência em sua configuração fisiopsicológica, e a grande política a partir da transvaloração dos valores. Indicamos essa tensão e polifonia tendo em vista o outro tipo de potência ao qual Agamben se inscreve, a aristotélica, para pensarmos sobre (...) as aberturas políticas que se descortinam a partir da crítica nietzschiana à política e à democracia liberal. Convém atentar ao argumento de Piazzesi de que a vontade de potência sintetiza os âmbitos mecanicista e valorativo que, em relação agonística, explicam a vontade de potência. O projeto Homo sacer começa e termina com uma crítica à biopolítica que Agamben compreende como sendo aquela nietzschiana. Esse é um tensionamento entre a concretização da transvaloração dos valores como possibilidade de superar o niilismo e criar o lastro para a grande política, pois insere no campo da fisiologia uma questão política, do paradigma da autonomia.Nietzsche e Agamben, com suas concepções divergentes de potência, apontam as possibilidades da política e os limites da democracia liberal. (shrink)

In this paper, I argue that sufficientarian principles are indispensable in the set of principles that have bearing on issues in distributive ethics. I provide two arguments in favor of this claim. First, I argue that sufficientarianism is the only framework that allows us to appropriately analyze what sort of obligations we have toward individuals who are badly off due to their own faults and choices. Second, I argue that sufficientarianism is the only theory that provides an adequate framework for (...) thinking about the desperately badly off. (shrink)

Jackson and Jackson (1995) argue that most current tests used to assess awareness of sequential material are flawed because of their emphasis on accuracy. They propose to distinguish two forms of sequence knowledge: Serial knowledge, that is, knowledge about the specific sequence that stimuli follow, which involves information about the statistical relationship between many sequence elements, and statistical knowledge, or knowledge about the probability of different transitions between adjacent sequence elements. Further, they suggest a new method to analyze generation performance, (...) which involves considering the correlation between subjects' responses and the distribution of transition probabilities, regardless of the accuracy of generation performance. In this comment, we first suggest that the distinction between serial and statistical knowledge is unwarranted except in one case which is not addressed by Jackson and Jackson. We propose instead that all sequence knowledge is essentially statistical in nature. Second, we suggest that using probabilistic instead of deterministic sequences is a better way to approach the assessment of explicit knowledge, and illustrate this contention with empirical and simulated examples based on previous and current research (Cleeremans, 1993; Cleeremans and McClelland, 1991; Jimenez, Mendez and Cleeremans. (shrink)

MILLIANISM and DESCRIPTIVISM are without question the two most prominent views with respect to the semantics of proper names. However, debates between MILLIANS and DESCRIPTIVISTS have tended to focus on a fairly narrow set of linguistic data and an equally narrow set of problems, mainly how to solve with Frege's puzzle and how to guarantee rigidity. In this article, the author focuses on a set of data that has been given less attention in these debates—namely, so-called predicative uses, bound uses, (...) and shifted uses of names. The author first shows that these data points seem to favor a DESCRIPTIVIST view over a MILLIAN view, but the author then introduces an alternative view of names that not only provides a simple and elegant way of dealing with the data, but also retains rigidity without becoming subject to the problems raised by Frege's puzzle. This is the view that names are variables, also called VARIABILISM. (shrink)

Todd (2016) proposes an analysis of future-directed sentences, in particular sentences of the form 'will(φ)', that is based on the classic Russellian analysis of definite descriptions. Todd's analysis is supposed to vindicate the claim that the future is metaphysically open while retaining a simple Ockhamist semantics of future contingents and the principles of classical logic, i.e. bivalence and the law of excluded middle. Consequently, an open futurist can straightforwardly retain classical logic without appeal to supervaluations, determinacy operators, or any further (...) controversial semantical or metaphysical complication. In this paper, we will show that this quasi-Russellian analysis of 'will' both lacks linguistic motivation and faces a variety of significant problems. In particular, we show that the standard arguments for Russell's treatment of definite descriptions fail to apply to statements of the form 'will(φ)'. (shrink)

New technologies and practices, such as drug testing, genetic testing, and electronic surveillance infringe upon the privacy of workers on workplaces. We argue that employees have a prima facie right to privacy, but this right can be overridden by competing moral principles that follow, explicitly or implicitly, from the contract of employment. We propose a set of criteria for when intrusions into an employee''s privacy are justified. Three types of justification are specified, namely those that refer to the employer''s interests, (...) to the interests of the employee her- or himself, and to the interests of third parties such as customers and fellow workers. For each of these three types, sub-criteria are proposed that can be used to determine whether a particular infringement into an employee''s privacy is morally justified or not. (shrink)

Background: Working as an ambulance nurse involves facing ethically problematic situations with multi-dimensional suffering, requiring the ability to create a trustful relationship. This entails a need to be clinically trained in order to identify ethical conflicts. Aim: To describe ethical conflicts in patient relationships as experienced by ambulance nursing students during clinical studies. Research design: An exploratory and interpretative design was used to inductively analyse textual data from examinations in clinical placement courses. Participants: The 69 participants attended a 1-year educational (...) programme for ambulance nurses at a Swedish university. Ethical consideration: The research was conducted in accordance with the Declaration of Helsinki. Participants gave voluntary informed consent for this study. Findings: The students encountered ethical conflicts in patient relationships when they had inadequate access to the patient’s narrative. Doubts regarding patient autonomy were due to uncertainty regarding the patient’s decision-making ability, which forced students to handle patient autonomy. Conflicting assessments of the patient’s best interest added to the conflicts and also meant a disruption in patient focus. The absence of trustful relationships reinforced the ethical conflicts, together with an inadequacy in meeting different needs, which limited the possibility of providing proper care. Discussion: Contextual circumstances add complexity to ethical conflicts regarding patient autonomy, dependency and the patient’s best interest. Students felt they were fluctuating between paternalism and letting the patient choose, and were challenged by considerations regarding the patient’s communication and decision-making ability, the views of third parties, and the need for prioritisation. Conclusion: The essence of the patient relationship is a struggle to preserve autonomy while focusing on the patient’s best interest. Hence, there is a need for education and training that promotes ethical knowledge and ethical reflection focusing on the core nursing and caring values of trust and autonomy, particularly in situations that affect the patient’s decision-making ability. (shrink)

That wonder is educationally important will strike many people as obvious. And in a way it is obvious, because being capable of experiencing wonder implies an openness to experience and seems naturally allied to intrinsic educational motivation, an eagerness to inquire, a desire to understand, and also to a willingness to suspend judgement and bracket existing—potentially limiting—ways of thinking, seeing, and categorising. Yet wonder is not a single thing, and it is important to distinguish at least two kinds of wonder: (...) active wonder, which entails a drive to explore, to find out, to explain; and deep or contemplative wonder, which is not inherently inquisitive like active wonder and, as a response to mystery, may leave us lost for words. Claims for wonder's importance to education and science often do not distinguish between the two, but whereas for active wonder that importance seems obvious, this is much less so for deep wonder, which by its very nature rather seems to be anti-educational. Yet in this paper I explore exactly the educational importance of deep wonder. This importance is found to lie, not just in its motivational effects—real though they are—but in making us attend to the world for its own sake, and making us aware of the limits of our understanding. (shrink)

A wide range of gene knockout experiments shows that functional stability is an important feature of biological systems. On this backdrop, we present an argument for higher‐level causation based on counterfactual dependence. Furthermore, we sketch a metaphysical picture providing resources to explain the metaphysical nature of functional stability, higher‐level causation, and the relevant notion of levels. Our account aims to clarify the role empirical results and philosophical assumptions should play in debates about reductionism and higher‐level causation. It thereby contributes to (...) the development of a philosophical foundation for systems biology. †To contact the authors, please write to: CSMN/IFIKK, University of Oslo, Box 1020 Blindern, N‐0315, Oslo, Norway; e‐mail: anders[email protected] , [email protected]. (shrink)

The possibility of enhancing human abilities often raises public concern about equality and social impact. This chapter aims at one particular group of technologies, cognitive enhancement, and one particular fear, that enhancement will create social divisions and possibly expanding inequalities. The chapter argues that cognitive enhancements could offer significant social and economic benefits. The basic forms of internal cognitive enhancement technologies foreseen today are pharmacological modifications, genetic interventions, transcranial magnetic stimulation, and neural implants. Cognitive enhancements can influence the economy through (...) reduction of losses, individual economic benefits, and society‐wide benefits. The strongest objection to the introduction of any enhancement technology is that it will create inequality, injustice, and unfairness. While there are clear economic and social benefits to cognitive enhancement, there exist anumber of obstacles to its development and use. One obstacle is the present system for licensing drugs and medical treatments. (shrink)

Perceptual processes differ from cognitive, this paper argues, in functioning to be causally controlled by proximal stimuli, and being modular, at least in a modest sense that excludes their being isotropic in Jerry Fodor's sense. This claim agrees with such theorists as Jacob Beck and Ben Phillips that a function of stimulus-control is needed for perceptual status. In support of this necessity claim, I argue, inter alia, that E.J. Green's recent architectural account misclassifies processes deploying knowledge of grammar as perceptual. (...) _Pace_ Beck and Phillips, however, I argue a function of stimulus-control is insufficient for perceptual as opposed to cognitive status. One consideration in favour of such insufficiency, noted but (I argue) not convincingly rebutted by these theorists, concerns perpetually grounded demonstrative thought. Two other considerations trade on the fact that a function of stimulus-control can arise not from blind nature but intentional design or social institutions, where so-functioning processes may but need not be perceptual. I offer two cases where such processes are cognitive, viz. skilful play-by-play announcing of ongoing events, and voluntary visualizing of ongoing events under the guidance of apt play-by-play announcements, dubbed announcement-driven visualizing (ADV). The cognitive status of these three diverse phenomena cannot be explained by an absence of a perception-like representational format or content (for ADV has such) or by a presence of personal-level mental states causally mediating between stimuli and outputs (for perception has such). A bettter explanation invokes, I argue, the non-modular character of the generating process. (shrink)

It has often been said that discourse ethics as developed by Jürgen Habermas can be understood as a dialogical continuation of the monological ethics developed by Immanuel Kant, as formulated in the categorical imperative in Grounding for the Metaphysics of Morals. Like Kant’s categorical imperative, Habermas’ principle of universalization specifies a rule for impartial testing of norms for their moral worthiness. This article will substantiate that discourse ethics develops a dialogical version of the categorical imperative, and will make this explicit. (...) This is done by presenting a new interpretation of the Kantian ethics. Renewing the traditional understanding, four instead of two or three formulations of the categorical imperative are identified. Finally it is shown how this interpretation relates to Jürgen Habermas’ discourse ethics. This analysis shows that one must specify which formulation of the categorical imperative one is talking about when discussing it. (shrink)

The-Predicativism is the view that names are count nouns. For example, the meaning of the name ‘Louise’ is roughly the property of being called Louise. Moreover, proponents of this view maintain that names that are ostensibly in argument position of a predicate are covert definite descriptions. In recent years, The-Predicativism has acquired a number of new supporters, mainly Elbourne (), Matushansky (), and Fara (). And while it was pointed out by Kripke () that these kinds of views generally struggle (...) with capturing the rigidity of proper names, these new views are alleged to solve this problem. In this paper I argue that the more recent versions of the view continue to struggle. In particular, I show that the views fail to provide an explanatory and/or empirically adequate analysis of rigidity. My discussions of these views are then supplemented with a general diagnosis of the problem and an explanation of why it is unlikely to be solved by The-Predicativism. (shrink)

According to perceptualism, fluent comprehension of speech is a perceptual achievement, in as much as it is akin to such high-level perceptual states as the perception of objects as cups or trees, or of people as happy or sad. According to liberalism, grasp of meaning is partially constitutive of the phenomenology of fluent comprehension. I here defend an influential line of argument for liberal perceptualism, resting on phenomenal contrasts in our comprehension of speech, due to Susanna Siegel and Tim Bayne, (...) against objections from Casey O'Callaghan and Indrek Reiland. I concentrate on the contrast between the putative immediacy of meaning-assignment in fluent comprehension, as compared with other, less ordinary, perhaps translation-based ways of getting at the meaning of speech. I argue this putative immediacy is difficult to capture on a non-perceptual view (whether liberal or non-liberal), and that the immediacy in question has much in common with that which applies in other, less controversial cases of high-level perception. (shrink)

That wonder is educationally important will strike many people as obvious. And in a way it is obvious, because being capable of experiencing wonder implies an openness to experience and seems naturally allied to intrinsic educational motivation, an eagerness to inquire, a desire to understand, and also to a willingness to suspend judgement and bracket existing—potentially limiting—ways of thinking, seeing, and categorising. Yet wonder is not a single thing, and it is important to distinguish at least two kinds of wonder: (...) active wonder, which entails a drive to explore, to find out, to explain; and deep or contemplative wonder, which is not inherently inquisitive like active wonder and, as a response to mystery, may leave us lost for words. Claims for wonder's importance to education and science often do not distinguish between the two, but whereas for active wonder that importance seems obvious, this is much less so for deep wonder, which by its very nature rather seems to be anti-educational. Yet in this paper I explore exactly the educational importance of deep wonder. This importance is found to lie, not just in its motivational effects—real though they are—but in making us attend to the world for its own sake, and making us aware of the limits of our understanding. (shrink)

The paper addresses the phenomenology of inference. It proposes that the conscious character of conscious inferences is partly constituted by a sense of meaning; specifically, a sense of what Grice called ‘natural meaning’. In consciously drawing the (outright, categorical) conclusion that Q from a presumed fact that P, one senses the presumed fact that P as meaning that Q, where ‘meaning that’ expresses natural meaning. This sense of natural meaning is phenomenologically analogous, I suggest, to our sense of what is (...) said in fluently comprehending everyday utterances in our first language. The proposal that conscious inference involves a sense of natural meaning is compared with views according to which conscious inference involves taking the premises (i) to be good reasons for the conclusion (as defended by Thomson and Grice), (ii) to support it (as argued by Audi and, recently, Boghossian), or (iii) to imply it (as lately contended by Broome). I argue our proposal can explain certain phenomena handled by alternatives (i) and (ii), but that some further phenomena is handled by our account but not these alternatives. In relation to alternative (iii), I argue that, in so far as implicational and natural-meaning relations come apart, the latter are a better fit for what we sense or take to be so in conscious inference. (shrink)