BackgroundOperation room (OR) planning is a complex process, especially in large hospitals with high rates of unplanned emergency procedures. Postponing elective surgery in order to provide capacity for emergency operations is inevitable at times. Elderly patients, residents of nursing homes, women, patients with low socioeconomic status and ethnic minorities are at risk for undertreatment in other contexts, as suggested by reports in the medical literature. We hypothesized that specific patient groups could be at higher risk for having their elective surgery (...) rescheduled for non-medical reasons.MethodsIn this single center, prospective observational trial, we analysed 2519 patients undergoing elective surgery from October 2018 to May 2019. A 14-item questionnaire was handed out to illicit patient details. Additional characteristics were collected using electronic patient records. Information on the timely performance of the scheduled surgery was obtained using the OR’s patient data management system. 6.45% of all planned procedures analysed were postponed. Association of specific variables with postponement rates were analysed using the Mann–Whitney U test and Fisher's exact test/χ2-test.ResultsSignificantly higher rates of postponing elective surgery were found in elderly patients. No significant differences in postponing rates were found for the variables gender, nationality (Germany, EU, non-EU), native language, professional medical background and level of education. Significantly lower rescheduling rates were found in patients with ties to hospital staff and in patients with a private health insurer.ConclusionsElderly patients, retirees and nursing home residents seem to be at higher risk for having their elective surgery rescheduled. However, owing to the study design, causality could not be proven. Our findings raise concern about possible undertreatment of these patient groups and provide data on short-term postponement of elective surgery.Trial registration DRKS00015836. Retrospectively registered. (shrink)

This is a review of David Löwenstein’s book "Know-how as Competence. A Rylean Responsibilist Account".

Computational modeling has long been one of the traditional pillars of cognitive science. Unfortunately, the computer models of cognition being developed today have not kept up with the enormous changes that have taken place in computer technology and, especially, in human-computer interfaces. For all intents and purposes, modeling is still done today as it was 25, or even 35, years ago. Everyone still programs in his or her own favorite programming language, source code is rarely made available, accessibility of models (...) to non-programming researchers is essentially non-existent, and even for other modelers, the profusion of source code in a multitude of programming languages, written without programming guidelines, makes it almost impossible to access, check, explore, re-use, or continue to develop. It is high time to change this situation, especially since the tools are now readily available to do so. We propose that the modeling community adopt three simple guidelines that would ensure that computational models would be accessible to the broad range of researchers in cognitive science. We further emphasize the pivotal role that journal editors must play in making computational models accessible to readers of their journals. (shrink)

Wodurch zeichnet sich menschliches intelligentes Handeln aus und in welcher Beziehung steht dieses Handeln zum Wissen der handelnden Personen? Diesen Fragen wird im vorliegenden Buch nachgegangen. Praktische Intelligenz wird als Fähigkeit verstanden, im Denken, Handeln und Fühlen durch Standards und Normen geleitet zu werden. Aufbauend auf eine Interpretation von Überlegungen Gilbert Ryles entwickelt Hannes Worthmann einen neuartigen Ansatz, praktische Intelligenz und die Unterscheidung zwischen Wissen-wie und Wissen-dass jenseits verbreiteter intellektualistischer und anti-intellektualistischer Auffassungen verständlich zu machen.

A rarely considered variety of objectivism in ethics takes the claim to objectivity of scientific and ethical judgments to be completely analogous. I show that this position is challenged by the socalled relativism of distance: Although we can make claims to objectivity in both areas, it is possible that agreement within each area extends to different degrees. A proper understanding of this challenge paves the way for us to make sense of two widely held assumptions: first, that there is objectivity (...) in ethics, and second, that the claim to objectivity in ethics reaches a limit that the sciences can transcend. (shrink)

Although physical theories routinely posit absolute quantities, such as absolute position or intrinsic mass, it seems that only comparative quantities such as distance and mass ratio are observable. But even if there are in fact only distances and mass ratios, the success of absolutist theories means that the world looks just as if there are absolute positions and intrinsic masses. If comparativism is nevertheless true, there is a sense in which it is a cosmic conspiracy that the world looks just (...) as if there are absolute quantities: the comparative quantities satisfy certain relations that only absolutism can explain. I show that such cosmic conspiracies are a pervasive feature of comparativist theories. The argument is structurally similar to the well-known No Miracles Argument for scientific realism. Just as anti-realism cannot explain the empirical adequacy of our theories in general, so comparativism cannot explain the empirical adequacy of absolutist theories in particular. (shrink)

Business scholars have recently proposed that the virtue of personal wisdom may predict leadership behaviors and the quality of leader–follower relationships. This study investigated relationships among leaders’ personal wisdom—defined as the integration of advanced cognitive, reflective, and affective personality characteristics (Ardelt, Hum Dev 47:257–285, 2004)—transformational leadership behaviors, and leader–member exchange (LMX) quality. It was hypothesized that leaders’ personal wisdom positively predicts LMX quality and that intellectual stimulation and individualized consideration, two dimensions of transformational leadership, mediate this relationship. Data came from (...) 75 religious leaders and 1–3 employees of each leader (N = 158). Results showed that leaders’ personal wisdom had a positive indirect effect on follower ratings of LMX quality through individualized consideration, even after controlling for Big Five personality traits, emotional intelligence, and narcissism. In contrast, intellectual stimulation and the other two dimensions of transformational leadership (idealized influence and inspirational motivation) did not mediate the positive relationship between leaders’ personal wisdom and LMX quality. Implications for future research on personal wisdom and leadership are discussed, and some tentative suggestions for leadership development are outlined. (shrink)

La capacité des êtres humains à obéir aux ordres, même si ceux-ci sont jugés atroces, n’a plus à être prouvée. Comme l’a souligné Howard Zinn, « D’un point de vue historique, les évènements les plus terribles – tels que la guerre, les génocides et l’esclavage – ont résulté non pas de la désobéissance, mais de l’obéissance» (Zinn, 1997). Mais la question de savoir « comment» les individus peuvent commettre des atrocités lorsqu’ils suivent des ordres reste ouverte. Les études de Milgram (...) sont célèbres pour avoir montré une forte soumission aux ordres de l’expérimentateur. Mais ces études n’ont révélé que les facteurs situationnels et sociaux favorisant l’obéissance. Elles n’ont pas permis de comprendre comment tant de personnes ont accepté d’envoyer des chocs douloureux et potentiellement mortels à une autre personne. Dans cet article, j’opposerai les entretiens qualitatifs réalisés avec d’anciens génocidaires au Rwanda et la recherche expérimentale en neurosciences pour tenter de faire émerger un élément de réponse à cette question critique. Je soutiendrai que le dépassement des frontières entre différentes disciplines scientifiques est la clé d’une meilleure compréhension de la façon dont l’obéissance modifie la prosocialité. Je défendrai également l’idée provocatrice que les chercheurs devraient saisir l’opportunité de quitter leur laboratoire pour étudier la question de l’obéissance. (shrink)

It is now standard to interpret symmetry-related models of physical theories as representing the same state of affairs. Recently, a debate has sprung up around the question when this interpretational move is warranted. In particular, Møller-Nielsen :1253–1264, 2017) has argued that one is only allowed to interpret symmetry-related models as physically equivalent when one has a characterisation of their common content. I disambiguate two versions of this claim. On the first, a perspicuous interpretation is required: an account of the models’ (...) common ontology. On the second, stricter, version of this claim, a perspicuous formalism is required in addition: one whose mathematical structures ‘intrinsically’ represent the physical world, in the sense of Field. Using Dewar’s :485–521, 2019) distinction between internal and external sophistication as a case study, I argue that the second requirement is decisive. This clarifies the conditions under which it is warranted to interpret symmetry-related models as physically equivalent. (shrink)

Recently, several scholars have argued that scientists can accept scientific claims in a collective process, and that the capacity of scientific groups to form joint acceptances is linked to a functional division of labor between the group members. However, these accounts reveal little about how the cognitive content of the jointly accepted claim is formed, and how group members depend on each other in this process. In this paper, I shall therefore argue that we need to link analyses of joint (...) acceptance with analyses of distributed cognition. To sketch how this can be done, I shall present a detailed case study, and on the basis of the case, analyze the process through which a group of scientists jointly accept a new scientific claim and at a later stage jointly accept to revise previously accepted claims. I shall argue that joint acceptance in science can be established in situations where an overall conceptual structure is jointly accepted by a group of scientists while detailed parts of it are distributed among group members with different areas of expertise, a condition that I shall call a heterogeneous conceptual consensus. Finally, I shall show how a heterogeneous conceptual consensus can work as a constraint against scientific change and address the question how changes may nevertheless occur. (shrink)

The presence of symmetries in physical theories implies a pernicious form of underdetermination. In order to avoid this theoretical vice, philosophers often espouse a principle called Leibniz Equivalence, which states that symmetry-related models represent the same state of affairs. Moreover, philosophers have claimed that the existence of non-trivial symmetries motivates us to accept the Invariance Principle, which states that quantities that vary under a theory’s symmetries aren’t physically real. Leibniz Equivalence and the Invariance Principle are often seen as part of (...) the same package. I argue that this is a mistake: Leibniz Equivalence and the Invariance Principle are orthogonal to each other. This means that it is possible to hold that symmetry-related models represent the same state of affairs whilst having a realist attitude towards variant quantities. Various arguments have been presented in favour of the Invariance Principle: a rejection of the Invariance Principle is inter alia supposed to cause indeterminism, undetectability or failure of reference. I respond that these arguments at best support Leibniz Equivalence. (shrink)

ABSTRACT In this journal, Middleton and Murgueitio Ramírez argue that absolute velocity is measurable, contrary to the received wisdom. Specifically, they claim that ‘there exists at least one reasonable analysis of measurement according to which the speedometer in [a world called “the Basic World”] measures the absolute velocity of the car.’ In this note, I critically respond to that claim: the analysis of measurement that Middleton and Murgueitio Ramírez propose is not reasonable; nor does it entail that absolute velocities are (...) measurable. (shrink)

Shifts are a well-known feature of the literature on spacetime symmetries. Recently, discussions have focused on so-called dynamic shifts, which by analogy with static and kinematic shifts enact arbitrary linear accelerations of all matter (as well as a change in the gravitational potential). But in mathematical formulations of these shifts, the analogy breaks down: while static and kinematic shift act on the matter field, the dynamic shift acts on spacetime structure instead. I formulate a different, `active' version of the dynamic (...) shift which does act on matter. (shrink)

As yet, there is no enactive account of social cognition. This paper extends the enactive concept of sense-making into the social domain. It takes as its departure point the process of interaction between individuals in a social encounter. It is a well-established finding that individuals can and generally do coordinate their movements and utterances in such situations. We argue that the interaction process can take on a form of autonomy. This allows us to reframe the problem of social cognition as (...) that of how meaning is generated and transformed in the interplay between the unfolding interaction process and the individuals engaged in it. The notion of sense-making in this realm becomes participatory sense-making. The onus of social understanding thus moves away from strictly the individual only. (shrink)

This is a précis of my book "Praktische Intelligenz und die Zweiteilung des Wissens" (Metzler/Springer 2019).

This is a response to comments on my book "Praktische Intelligenz und die Zweiteilung des Wissens" by Romy Jaster and Martin Weichold.

Ruetsche ([2011]) argues that the occurrence of unitarily inequivalent representations in quantum theories with infinitely many degrees of freedom poses a novel interpretational problem. According to Ruetsche, such theories compel us to reject the so-called ideal of pristine interpretation; she puts forward the ‘coalescence approach’ as an alternative. In this paper I offer a novel defence of the coalescence approach. The defence rests on the claim that the ideal of pristine interpretation already fails before one considers the peculiarities of QM∞: (...) there are pre-QM∞ parallels to coalescence. Despite this departure from pristinism, the ‘modest’ view that emerges poses no threat to scientific realism. (shrink)

Exposome research is put forward as a major tool for solving the nature-versus-nurture debate because the exposome is said to represent “the nature of nurture.” Against this influential idea, we argue that the adoption of the nature-versus-nurture debate into the exposome research program is a mistake that needs to be undone to allow for a proper bioethical assessment of exposome research. We first argue that this adoption is originally based on an equivocation between the traditional nature-versus-nurture debate and a debate (...) about disease prediction/etiology. Second, due to this mistake, exposome research is pushed to adopt a limited conception of agential control that is harmful to one's thinking about the good that exposome research can do for human health and wellbeing. To fully excise the nature-versus-nurture debate from exposome research, we argue that exposome researchers and bioethicists need to think about the exposome afresh from the perspective of actionability. We define the concept of actionability and related concepts and show how these can be used to analyze the ethical aspects of the exposome. In particular, we focus on refuting the popular “gun analogy” in exposome research, returning results to study participants and risk-taking in the context of a well-lived life. (shrink)

The distinction between dimensions and units in physics is commonplace. But are dimensions a feature of reality? The most widely-held view is that they are no more than a tool for keeping track of the values of quantities under a change of units. This anti-realist position is supported by an argument from underdetermination: one can assign dimensions to quantities in many different ways, all of which are empirically equivalent. In contrast, I defend a form of dimensional realism, on which some (...) assignments of dimensions to quantities better describe reality than others. The argument I provide is a form of inference to the best explanation. In particular, the technique of dimensional analysis is explanatory, but it is only successful for certain systems of dimensions. Since these dimensional systems support scientific explanations, we have reason to believe that they are real. (shrink)

This article investigates the role of historical references and arguments in the current policy debate on non‐invasive prenatal testing (NIPT) in Germany. It analyses major documents and opinion statements, including the recent parliamentary debate (2019). The implementation of NIPT is accompanied by concerns and strong criticism, particularly in Germany. Many perceive the new test to be a problematic step that facilitates selective practices and is reminiscent of eugenics. Analysis of the German policy discourse shows that ‘eugenics’, and even more strongly, (...) ‘selection’, are pivotal terms for rejecting NIPT and its coverage by public health insurance. They touch on a historical dimension in public deliberation, namely the fundamental distancing from the inhuman practices of the National Socialist period and anything that resembles them. However, using these terms to criticize prenatal genetic testing is controversial, and recent discourse demonstrates their avoidance as well, with many supporters of a limited coverage by public health insurance contrasting their approach with more widespread screening. Here, ‘screening’ has a negative connotation, and functions to demarcate the debate in a way that may reflect distance from certain modes of historical reasoning, but still expresses a special need to reconcile prenatal testing with the principles of dignity, inclusion and diversity. This article aims to elucidate the concerns involved in the national debates on prenatal testing and to increase awareness of the historical dimensions of the language and reasoning with which such methods are negotiated today and in future. (shrink)

In 1436, Leon Battista Alberti wrote a letter to Filippo Brunelleschi, which he attached to a manuscript of his recently completed treatise on painting, De pictura. In it, Alberti lauded some of the Florentine artists of his day, singling out Brunelleschi for particular praise on account of the unprecedented engineering feat of constructing the cupola of the Florentine cathedral of Santa Maria del Fiore. This article undertakes a close reading of some parts of the letter, focusing especially on the link (...) that Alberti draws between great intellects and giants. Exploring the cultural traditions that might have informed Alberti’s thinking—in particular, canto XXXI of Dante’s Inferno —the article considers how the giants introduce an element of moral jeopardy, significantly complicating what might otherwise appear to be a purely celebratory text. This sense of ambivalence is further explored in relation to the ‘long exile’ from which Alberti says that his family had recently returned. Similar phrases appear in Virgil’s Aeneid and Ovid’s Metamorphoses, and consideration of these poems, it is argued, might further inflect our understanding of Alberti’s words in the letter. In this way, the article investigates how Alberti employed sophisticated literary means in order to express his own feelings regarding Brunelleschian ingegno and technical mastery; feelings that were both highly nuanced and, ultimately, unsettled. (shrink)

Physics presents us with a symphony of natural constants: G, h, c, etc. Up to this point, constants have received comparatively little philosophical attention. In this paper I provide an account of dimensionful constants, in particular the gravitational constant. I propose that they represent inter-quantity structure in the form of relations between quantities with different dimensions. I use this account of G to settle a debate over whether mass scalings are symmetries of Newtonian Gravitation. I argue that they are not, (...) but only if we interpret mass anti-quidditistically. This is analogous to anti-haecceitism in the presence of spacetime symmetries. (shrink)

This paper comments on Gallagher’s recently published direct perception proposal about social cognition [Gallagher, S.. Direct perception in the intersubjective context. Consciousness and Cognition, 17, 535–543]. I show that direct perception is in danger of being appropriated by the very cognitivist accounts criticised by Gallagher. Then I argue that the experiential directness of perception in social situations can be understood only in the context of the role of the interaction process in social cognition. I elaborate on the role of social (...) interaction with a discussion of participatory sense-making to show that direct perception, rather than being a perception enriched by mainly individual capacities, can be best understood as an interactional phenomenon. (shrink)

- Emilie du Châtelet offers an interesting and unusual account of the origin of our representation of extension. - She is an idealist about the essence extension, bodies and space, regarding them as mental constructs. - Du Châtelet's account requires a brute fact about the mind, in apparent tension with the Principle of Sufficient Reason.

In everyday life we either express our beliefs in all-or-nothing terms or we resort to numerical probabilities: I believe it's going to rain or my chance of winning is one in a million. The Stability of Belief develops a theory of rational belief that allows us to reason with all-or-nothing belief and numerical belief simultaneously.

ABSTRACTProponents of the linguistic analogy suggest that methodologies originally developed for investigating linguistic grammar can also be fruitfully applied to the empirical study of moral grammar: the causal and intentional representations of moral events which – according to the linguistic analogy – drive moral judgements. In the current study, we put this claim to the empirical test. Participants were presented with moral dilemmas which previously have been shown to implement a central principle in moral judgements: the principle of double effect. (...) Participants responded to by and in order to probes to assess causal and intentional representations of this principle. Results show that these linguistic probes do not relate to moral judgement in the manner predicted by proponents of the linguistic analogy and moral grammar. Although the linguistic analogy is a theoretically rich framework, the procedures posited to give it empirical traction require revision. (shrink)

(No abstract is available for this citation).

One of the fundamental problems of epistemology is to say when the evidence in an agent’s possession justifies the beliefs she holds. In this paper and its prequel, we defend the Bayesian solution to this problem by appealing to the following fundamental norm: Accuracy An epistemic agent ought to minimize the inaccuracy of her partial beliefs. In the prequel, we made this norm mathematically precise; in this paper, we derive its consequences. We show that the two core tenets of Bayesianism (...) follow from the norm, while the characteristic claim of the Objectivist Bayesian follows from the norm along with an extra assumption. Finally, we consider Richard Jeffrey’s proposed generalization of conditionalization. We show not only that his rule cannot be derived from the norm, unless the requirement of Rigidity is imposed from the start, but further that the norm reveals it to be illegitimate. We end by deriving an alternative updating rule for those cases in which Jeffrey’s is usually supposed to apply. (shrink)

Scientific Change How do scientific theories, concepts and methods change over time? Answers to this question have historical parts and philosophical parts. There can be descriptive accounts of the recorded differences over time of particular theories, concepts, and methods—what might be called the shape of scientific change. Many stories of scientific change attempt to give […].

Over the last decades, science has grown increasingly collaborative and interdisciplinary and has come to depart in important ways from the classical analyses of the development of science that were developed by historically inclined philosophers of science half a century ago. In this paper, I shall provide a new account of the structure and development of contemporary science based on analyses of, first, cognitive resources and their relations to domains, and second of the distribution of cognitive resources among collaborators and (...) the epistemic dependence that this distribution implies. On this background I shall describe different ideal types of research activities and analyze how they differ. Finally, analyzing values that drive science towards different kinds of research activities, I shall sketch the main mechanisms underlying the perceived tension between disciplines and interdisciplinarity and argue for a redefinition of accountability and quality control for interdisciplinary and collaborative science. (shrink)

Caspar Hare makes an original and compelling case for "egocentric presentism," a view about the nature of first-person experience, about what happens when we see things from our own particular point of view. A natural thought about our first-person experience is that "all and only the things of which I am aware are present to me." Hare, however, goes one step further and claims, counterintuitively, that the thought should instead be that "all and only the things of which I (...) am aware are present." There is, in other words, something unique about me and the things of which I am aware. On Myself and Other, Less Important Subjects represents a new take on an old view, known as solipsism, which maintains that people's experiences give them grounds for believing that they have a special, distinguished place in the world--for example, believing that only they exist or that other people do not have conscious minds like their own. Few contemporary thinkers have taken solipsism seriously. But Hare maintains that the version of solipsism he argues for is in indeed defensible, and that it is uniquely capable of resolving some seemingly intractable philosophical problems--both in metaphysics and ethics--concerning personal identity over time, as well as the tension between self-interest and the greater good. This formidable and tightly argued defense of a seemingly absurd view is certain to provoke debate. (shrink)

Caspar Hare presents a bold and original approach to questions of what we ought to do, and why we ought to do it. He breaks with tradition to argue that we can tackle difficult problems in normative ethics by starting with a principle that is humble and uncontroversial. Being moral involves wanting particular other people to be better off.

It is often claimed that one can avoid the kind of underdetermination that is a typical consequence of symmetries in physics by stipulating that symmetry-related models represent the same state of affairs (Leibniz Equivalence). But recent commentators (Dasgupta 2011; Pooley 2021; Pooley and Read 2021; Teitel 2021a) have responded that claims about the representational capacities of models are irrelevant to the issue of underdetermination, which concerns possible worlds themselves. In this paper I distinguish two versions of this objection: (1) that (...) a theory’s formalism does not (fully) determine the space of physical possibilities, and (2) that the relevant notion of possibility is not physical possibility. I offer a refutation of each. (shrink)

This is about the rights and wrongs of bringing people into existence. In a nutshell: sometimes what matters is not what would have happened to you, but what would have happened to the person who would have been in your position, even if that person never actually exists.

In interdisciplinary research scientists have to share and integrate knowledge between people and across disciplinary boundaries. An important issue for philosophy of science is to understand how scientists who work in these kinds of environments exchange knowledge and develop new concepts and theories across diverging fields. There is a substantial literature within social epistemology that discusses the social aspects of scientific knowledge, but so far few attempts have been made to apply these resources to the analysis of interdisciplinary science. Further, (...) much of the existing work either ignores the issue of differences in background knowledge, or it focuses explicitly on conflicting background knowledge. In this paper we provide an analysis of the interplay between epistemic dependence between individual experts with different areas of expertise. We analyze the cooperative activity they engage in when participating in interdisciplinary research in a group, and we compare our findings with those of other studies in interdisciplinary research. (shrink)

Die populäre Vorstellung, exzessiver Drogenkonsum sei in der Weimarer Republik ein gesellschaftlich weit verbreitetes Phänomen gewesen, hält einer empirischen Überprüfung nicht stand. Obwohl Mediziner die Öffentlichkeit und die Politik vor einer „Kokainwelle“ warnten, die die „Volksgesundheit“ bedrohe, existieren keine Belege, die auf eine signifikante Zunahme des Kokainkonsums in den Zwanziger Jahren hindeuten. Die entscheidende Ursache für diese moralische Panik lag vielmehr im Krankheitsbild des Kokainismus begründet. Die Sucht trug das Gepräge einer Infektionskrankheit und sollte den Körper, den Willen und die (...) bürgerliche Existenz der Betroffenen vernichten. Gemäß der medizinischen Lehrmeinung erzeugte chronischer Kokainkonsum die Neigung zu abweichenden Sexualpraktiken und kriminellen Handlungen. Daher wurde der Gebrauch der Substanz vor allem mit ohnehin als deviant markierten sozialen Milieus wie der sogenannten Bohème und Halbwelt verknüpft. Tatsächlich zeigen historische Quellen jedoch, das es sich hierbei primär um ein Problem der medizinischen Berufe handelte. Vor dem Hintergrund der desolaten politischen, sozialen und ökonomischen Lage Deutschlands nach dem Ersten Weltkrieg betrachteten viele Mediziner Suchtkrankheiten wie Kokainismus und Morphinismus als Bedrohung für den erhofften politischen und biologischen Wiederaufstieg der Nation. (shrink)