The worldwide COVID-19 pandemic has shed more light on the difficulty of making health care decisions integrating scientific knowledge and values associated to life and death issues, human suffering, quality of life, economic losses, liberty of movement, etc. But the difficulties related to health care decisions and the use of innovative drugs or technologies are not new, and many countries have created agencies that have the mandate to evaluate new technologies in health care. Health Technological Assessment (HTA) reports’ aim is (...) to guide the decision makers in these difficult matters. There are two ethical components in HTA. The first is the report’s presentation of an ethical evaluation of the technology. The second is the value-ladenness of the HTA decision-making process itself. When implicit value judgments are not elicited, the justification of the final decision cannot be transparent. The present paper aims to identify and elicit the implicit value-judgments related to each step of the HTA process. This research is grounded on an applied ethics decision-making paradigm based on the role of value judgments in the decision-making process. The first part discusses two different approaches to values and value judgments in HTA. In the second part, citations mentioning value judgments extracted from a systematic review on the integration of ethics into HTA were categorized to elicit the value judgments and their criteria for each different HTA decision-making steps. The results show that there are 18 decision-making steps in the HTA process where 23 implicit value-judgments can be recognized. The range of these value judgments encompasses the whole HTA process: from the initial request, the presenting of the principal issues, to the final report’s dissemination. Since stakeholders need to understand which value judgments the conclusion of a report relies on, eliciting the implicit value judgments in the HTA decision-making process should yield more transparency. (shrink)

In this public debate with Philippe Deterre (research director in immunology at the CNRS) – held at l'Enclos Rey in Paris' 15th district during the biennial Conference of the Réseau Blaise Pascal in March 2017 –, I defended the usefulness of natural theology. I first clarify theology's nature and understanding, then I speak about a tradition that upheld the public and exterior knowledge of God, and make an effort to show the presence of a theme reminiscent of natural theology behind (...) attempts at the good life. I then ask whether natural theology would only exist for the Christian. In the reply to my opponent's own reaction, I insist on the incongruity of separating our knowledge of God from our knowledge of science's wonderful discoveries, I ask whether nature could be said to be crafty and "ingenious," and I conclude by building a case for the return of God in public conversation, as part of an effort that our world needs in terms of finding back its compass, and restoring an ideal of living rationally. (shrink)

Transhumanism is a means of advocating a re-engineering of conditions that surround human existence at both ends. The problem set before us in this chapter is to inquire into what determined its appearance, in particular in the humanism it seeks to overcome. We look at the spirit of overcoming itself, and the impatience with the Self, in order to try to understand why it seeks a saving power in technology. We then consider how the evolutionary account of the production of (...) organisms does not set them against a perfect standard, but rather injects in them a contingency that seems to be near to the heart of the problem. We then try to assess the objective basis for improvements and manipulation of nature, and although we do not find it forbidden on all occasions, it seems that the criteria for such alterations are impossible to detach from a form of eugenics. We finally open a window toward a theological account of the problem, and find that the desire of autonomy and independence is inevitably going to be challenged by the Christian dogma of creation. (shrink)

Transhumanism first offers itself as a means to save oneself from an embodiment that is judged as being far from perfect. One needs to ask in its wake what comes of desires to escape limitations that come from the body, as they are means of an overcoming of the self. The AI project seems to be governed by norms for what the mind is, that could easily be judged inconsistent. Religious and theological traditions have looked at what the meaning of (...) an ineliminable image of God could mean. We try to map the meaning of extending this further into God’s resemblance. We then try to map this on a relationship of image and resemblance that would not have God come into competition with the doings of man. (shrink)

The history of the relationship between Christian theology and the natural sciences has been conditioned by the initial decision of the masters of the "first scientific revolution" to disregard any necessary explanatory premiss to account for the constituting organization and the framing of naturally occurring entities. Not paying any attention to hierarchical control, they ended-up disseminating a vision and understanding in which it was no longer possible for a theology of nature to send questions in the direction of the experimental (...) sciences, as was done in the past between theology and many philosophically-based thought-systems. Presenting the history of some hinge-periods in the development of the Western-world sciences, this book first sets out to consider the conceptual revolution which has, in the 20th Century, related consciousness, physical laws and levels of organization, in order to show that a new chance existed then for theology. This discourse was invited to revise its language to open it up to the quest for meaning which we find on the periphery of the project of the experimental sciences. The Century-old reflection on the foundations of probability had prepared the ground for the introduction of the concept of information, at first linked to an effort aimed at maximizing the efficiency of electromagnetic communications. Taking the full measure of the questions that information theory poses to the biological sciences, this work attempts to identify the areas of convergence setting the stage for general systems theory, while it also tries to identify the insufficiencies of this recent vision and to highlight the questions left unanswered. Re-reading some of the traditional proofs of God's existence from the order of the world, relying on some pioneering insights of Ludwig von Bertalanffy and Norbert Wiener, the author brings those proofs and insights in contact with the fascinating initial project of cybernetics and the elements of a "mythical" nature which, from its inception, it could never entirely eliminate. This book ends with the confrontation between the conceptually most extended regulation factors in the history of Western thought. It articulates the poetic utopia concerned with an immediate grasp of the world in its "deictic" character with the concurrent one aimed at the domination over matter and energy expressed by technology's driving rational utopia. (shrink)

In this shorter piece, at the instigation of a former philosophy student, I accepted to contribute alongside two other writers to the "Expert Help" rubric, and attempted to explain the genesis in Nietzsche's mind of the conception of the eternal recurrence. I lay stress on both the internal contradiction that the solitary of Sils-Maria was trying to resolve and the secret desire that this cherished and embraced rather than demonstrated theory be true in the face of conflicting evidence, and I (...) furthermore challenge the received view that makes this vision incompatible with a Christian ontology. (shrink)

This book proposes to set out conquering the unknown lands of the spiritual life by revisiting some of the great insights of Pierre Teilhard de Chardin (1881-1955). We are lead to consider these problems by taking distance from the pitfalls usually associated with the interpretation of the engaging work of the French paleontologist and priest. In the panoply of Christian spiritualities, that of Teilhard occupies a place of its own. In it, the greatest prayer becomes abandonment in the palms of (...) the "great hands that form and create." Animated by a passion without limits for the world and the extraordinary deployment of all the riches it contains, without falling into some simplistic optimism, Teilhard de Chardin offers us one of the most beautiful expressions of Christian hope ever. (shrink)

Taking as a starting point for his quest the teaching received from the Hebrew prophets and transmitted by the people of Israel, Claude Tresmontant identifies in it the specific moment where an entirely new and creative thought is introduced in the history of mankind. Trained in philosophy of science and conscious of the discipline involved in a rigorous experimental method as a key to valid and true knowledge, Claude Tresmontant boldly recreated bridges, long destroyed, between science and philosophy of nature, (...) as well as metaphysics and theology. Following an immense effort, he has found back, stringently and often on his own, a unifying concept capable of integrating the experience and the questions of today's man: "...the central question is that of integrating the teaching of creation and that of revelation in the unity of an intelligible vision of the world, desirable, and verifiable..." as he said himself in the preface to L'histoire de l'univers et le sens de la Création. This immense, powerful and thought-provoking work is here presented by a young philosopher, long time correspondent of Claude Tresmontant, who benefited from decisive moments of encounter with him. (shrink)

Teilhard de Chardin is a fascinating character! Born in 1881 and deceased in 1955, he remains strikingly contemporary. In response to a world shattered by the atrocities of World War I, he progressively elaborates the vision of a world entirely unified through a Center beyond itself. This perception is inserted at the heart of an intellectual endeavor wherein faith and scientific pursuit call onto each other, intertwined in a dialogue of a rare fruitfulness. Books such as The Phenomenon of Man, (...) The Divine Milieu, the Writings in time of War, or The Heart of the Matter witness to his underlying insight: "true" mysticism and the thrust of science which spiritualizes the earth coincide and are in fact one. Besides introducing to the life and thought of Teilhard de Chardin, this book is an anthology of his greatest texts where he discloses for us his mystical insights. (shrink)

Résumé Avec la cosmologie de la philosophie de l’organisme, Whitehead poursuit son enquête sur les principes de la connaissance naturelle, dans l’idée de faire se correspondre les données phénoménologiques directes et la physique de son temps. En prenant pour modèle le corps percevant, cette métaphysique fait des individus durables les centres d’où s’élabore la connaissance objective. Nous y gagnons sécurité et cohérence dans un monde en perpétuel devenir où les lois de la nature sont elles-mêmes contingentes. Mais le parcours génératif (...) du sens qu’étudie la partie III de Process and Reality interroge : en amont de toute ontologie, l’espace tensif dans lequel la théorie des préhensions inscrit la discussion ne relève-t-il pas plutôt de l’existence sémiotique? (shrink)

Radical democratic thinking is becoming intrigued by the material situatedness of its political agents and by the role of nonhuman participants in political interaction. At stake here is the displacement of narrow anthropocentrism that currently guides democratic theory and practice, and its repositioning into what we call ‘the nonhuman condition’. This Critical Exchange explores the nonhuman condition. It asks: What are the implications of decentering the human subject via a new materialist reading of radical democracy? Does this reading dilute political (...) agency? Or should this be seen, on the contrary, as an invitation for new voices and demands to enter into democratic assemblages? How might engagement with the more-than-human disrupt or extend theories of radical democracy? Hans Asenbaum and Amanda Machin discuss the human democratic subject both through radical democratic and new materialist lenses. They suggest that a new materialist decentred subject does not lose agency but further gains political responsibility in radical democracy. Jean-Paul Gagnon highlights the possibility of becoming through loss. In losing our anthropocentric arrogance—our understanding of being other and better than animal—we become more connected and discover our place in human-nonhuman assemblages. Melissa Orlie agrees that something can be gained through renouncing dominant human fantasies and presents a ‘radical democratic naturalism’. By renouncing land violence and acknowledging nature’s subjectivity, we can further nonexploitative radical democratic politics. This is where the notion of ‘tidalectic’ processes introduced by James L. Smith is helpful. Focusing on water and the Indigenous knowledges around rivers, he considers how democracy and community can be reimagined as plural, cyclical and attentive to the nonhuman with which the human is inevitably entangled. Diana Leong offers a different approach. Considering the nonhuman from the perspective of Black Studies demands an awareness to how blackness has long been constituted as non- or partially human. (shrink)

In this paper, I argue that no theory of consciousness can simultaneously respect four initially plausible metaphysical claims – namely, ‘first-person realism’, ‘non-solipsism’, ‘non-fragmentation’, and ‘one world’ – but that any three of the four claims are mutually consistent. So, theories of consciousness face a ‘quadrilemma’. Since it will be hard to achieve a consensus on which of the four claims to retain and which to give up, we arrive at a landscape of competing theories, all of which have pros (...) and cons. I will briefly indicate which kinds of theories correspond to the four horns of the quadrilemma. (shrink)

Spacetime as we know and love it is lost in most approaches to quantum gravity. For many of these approaches, as inchoate and incomplete as they may be, one of the main challenges is to relate what they take to be the fundamental non-spatiotemporal structure of the world back to the classical spacetime of GR. The present essay investigates how spacetime is lost and how it may be regained in one major approach to quantum gravity, loop quantum gravity.

I present first the challenge for epistemology when it faces the dilemma between rationalism and empiricism, followed by a presentation of the ideas introduced by Ruyer in order to ask if they can be articulated to the "third way" in epistemology. I explore the consequences of Ruyer's inversion of our understanding of space which can be looked upon as psychic. I consider Ruyer's refusal to locate in pure immanence the scheme of eupraxic resolution of successful aggregates–as living forms–in our experience. (...) I then highlight the major principles of Gaston Bachelard's and Michel Serres's respective epistemologies, and in a lesser measure those of Bergon and Deleuze as well, in order to underscore Ruyer's refusal to limit philosophy to what science allows one to say, but also in order to finally situate the verticalism of his position. (shrink)

_Making Sense of Tantric Buddhism_ fundamentally rethinks the nature of the transgressive theories and practices of the Buddhist Tantric traditions, challenging the notion that the Tantras were "marginal" or primitive and situating them instead--both ideologically and institutionally--within larger trends in mainstream Buddhist and Indian culture. Critically surveying prior scholarship, Wedemeyer exposes the fallacies of attributing Tantric transgression to either the passions of lusty monks, primitive tribal rites, or slavish imitation of Saiva traditions. Through comparative analysis of modern historical narratives--that depict (...) Tantrism as a degenerate form of Buddhism, a primal religious undercurrent, or medieval ritualism--he likewise demonstrates these to be stock patterns in the European historical imagination. Through close analysis of primary sources, Wedemeyer reveals the lived world of Tantric Buddhism as largely continuous with the Indian religious mainstream and deploys contemporary methods of semiotic and structural analysis to make sense of its seemingly repellent and immoral injunctions. Innovative, semiological readings of the influential _Guhyasamaja Tantra_ underscore the text's overriding concern with purity, pollution, and transcendent insight--issues shared by all Indic religions--and a large-scale, quantitative study of Tantric literature shows its radical antinomianism to be a highly managed ritual observance restricted to a sacerdotal elite. These insights into Tantric scripture and ritual clarify the continuities between South Asian Tantrism and broader currents in Indian religion, illustrating how thoroughly these "radical" communities were integrated into the intellectual, institutional, and social structures of South Asian Buddhism. (shrink)

_Making Sense of Tantric Buddhism_ fundamentally rethinks the nature of the transgressive theories and practices of the Buddhist Tantric traditions, challenging the notion that the Tantras were "marginal" or primitive and situating them instead -- both ideologically and institutionally -- within larger trends in mainstream Buddhist and Indian culture. Critically surveying prior scholarship, Wedemeyer exposes the fallacies of attributing Tantric transgression to either the passions of lusty monks, primitive tribal rites, or slavish imitation of Saiva traditions. Through comparative analysis of (...) modern historical narratives -- that depict Tantrism as a degenerate form of Buddhism, a primal religious undercurrent, or medieval ritualism -- he likewise demonstrates these to be stock patterns in the European historical imagination. Through close analysis of primary sources, Wedemeyer reveals the lived world of Tantric Buddhism as largely continuous with the Indian religious mainstream and deploys contemporary methods of semiotic and structural analysis to make sense of its seemingly repellent and immoral injunctions. Innovative, semiological readings of the influential _Guhyasamaja Tantra_ underscore the text's overriding concern with purity, pollution, and transcendent insight -- issues shared by all Indic religions -- and a large-scale, quantitative study of Tantric literature shows its radical antinomianism to be a highly managed ritual observance restricted to a sacerdotal elite. These insights into Tantric scripture and ritual clarify the continuities between South Asian Tantrism and broader currents in Indian religion, illustrating how thoroughly these "radical" communities were integrated into the intellectual, institutional, and social structures of South Asian Buddhism. (shrink)

One of the hallmark themes of Karl Popper’s approach to the social sciences was the insistence that when social scientists are members of the society they study, then they are liable to affect that society. In particular, they are liable to affect it in such a way that the claims they make lose their validity. “The interaction between the scientist’s pronouncements and social life almost invariably creates situations in which we have not only to consider the truth of such pronouncements, (...) but also their actual influence on future developments. The social scientist may be striving to find the truth; but, at the same time, he must always be exerting a definite influence upon society. The very fact that his pronouncements do exert an influence destroys their objectivity.” (Popper 1963. (shrink)

Based on our respective research programs (psychiatry, forensic psychiatry, public health, HIV/AIDS, harm reduction) this article aims to use purposely non‐conventional means to present the substantial contribution of poststructuralist perspectives to knowledge development in nursing science in general and in our current research in particular. More specifically, we call on the work of Michel Foucault and Deleuze & Guattari to politicize nursing science using examples from our empirical research programs with marginal and often highly marginalized populations. We discuss the concepts (...) of power, discourse, and resistance to illustrate the essential contribution of poststructuralism to marginal, even “nomadic”, nursing research. (shrink)

The contributions of George Grant, Harold Innis, André Laurendeau, Marcel Rioux, Charles Taylor, and Pierre Trudeau to the political traditions of French and English Canada.

The aim of this paper is to account for the effect of mother's death on child survival in a historical population. Using comprehensive data on the early French Canadian population of Quebec, evidence is provided for a higher risk of dying for motherless children that remains significant over all childhood and long after the death of the mother. The specific effect of the loss of maternal care was estimated by comparing mortality before and after mother's death, furnishing a means to (...) control for family heterogeneity. No differential in investment between genders was detected before age 3, but older girls suffered a three-fold higher susceptibility to mother's death than their male counterparts. This suggests that grown-up girls assuming the responsibilities of the missing mother had a lower chance of survival. (shrink)

The problem of free will as it is know in Western philosophical traditions is hardly known in China. Considering how central the problem is in the West, this is a remarkable fact. We try to explain this, and we offer insights into discussions within Chinese traditions that we think are related, not historically but regarding the issues discussed. Thus we introduce four central Chinese concepts, namely: (1) xīn 心 (heart, heart-mind), (2) xìng 性 (human nature, characteristic tendencies, inborn capacity), (3) (...) mìng 命 (lifespan, fate, command, allotment, endowment), and (4) zìrán 自然 (self-so, so of itself, nature, spontaneity), and we indicate how these concepts and their discussions can be related to discussions on free will. (shrink)

The American Journal of Bioethics, Volume 12, Issue 9, Page 57-59, September 2012.

In this paper we review recent UK literature on HRM and ethics and suggest that implicit in many accounts is a perception of a ‘moral hole’ appearing within the employee relations landscape which is based on external, reflective observations of HRM policies and practices. We argue that the investigation of HRM and ethics could be broadened by locating HRM and ethics research more explicitly within the social and cultural realities of organizations and their employees. Finally, we outline and illustrate what (...) a social constructivist approach might add to research in this field and how it might provide insights that help bridge the gap between theory and practice. (shrink)

This is a chapter of the planned monograph "Out of Nowhere: The Emergence of Spacetime in Quantum Theories of Gravity", co-authored by Nick Huggett and Christian Wüthrich and under contract with Oxford University Press. (More information at www<dot>beyondspacetime<dot>net.) This chapter introduces causal set theory and identifies and articulates a 'problem of space' in this theory.

Review of: Raymond Ruyer, Cybernetics and the Origin of Information, translated by Amélie Berger-Soraruff, Andrew Iliadis, Daniel W. Smith, and Ashley Woodward, with an introduction by Ashley Woodward (Lanham/London: Rowman & Littlefield, 2024), xxvii-214 pages.

Nurse practitioners (NPs), as advanced practice nurses, have evolved over the years to become recognized as an important and growing trend in Canada and worldwide. In spite of sound evidence as to the effectiveness ofNPs in primary care and other care settings, role implementation and integration continue to pose significant challenges. This article utilizes postcolonial theory, as articulated by Homi Bhabha, to examine and challenge traditional ideologies and structures that have shaped the development, implementation and integration of theNProle to this (...) day. Specifically, we utilize Bhabha's concepts of third space, hybridity, identity and agency in order to further conceptualize the nurse practitioner role, to examine how the role challenges some of the inherent assumptions within the healthcare system and to explore how development of each to these concepts may prove useful in integration of nurse practitioners within the healthcare system. Our analysis casts light on the importance of a broader, power structure analysis and illustrates how colonial assumptions operating within our current healthcare system entrench, expand and re‐invent, as well as mask the structures and practices that serve to impede nurse practitioner full integration and contributions. Suggestions are made for future analysis and research. (shrink)

In this paper we review recent UK literature on HRM and ethics and suggest that implicit in many accounts is a perception of a ‘moral hole’ appearing within the employee relations landscape which is based on external, reflective observations of HRM policies and practices. We argue that the investigation of HRM and ethics could be broadened by locating HRM and ethics research more explicitly within the social and cultural realities of organizations and their employees. Finally, we outline and illustrate what (...) a social constructivist approach might add to research in this field and how it might provide insights that help bridge the gap between theory and practice. (shrink)

This anthology is based on a symposium in the series "Young Philosophy of Religion," jointly organized by the Catholic Academy in Berlin and the Research Institute for Philosophy Hanover. German text.