The Alzheimer field is in desperate need for an effective treatment. After decades of research, the available drugs treat only symptoms, and even their effectiveness is disputed. Because brain changes precede the clinical symptoms by years to decades, disease-modifying treatments should probably be started early, when the first symptoms occur—or even before. But how to determine who to treat? In this issue, Erik Gustavsson c.s. approach this question by addressing the benefits, harms and ethical issues encountered when using different modes (...) of screening for ‘preclinical’ or early symptomatic Alzheimer disease.1 Their overall conclusion is clear—screening for high risk of developing AD dementia to select those who are eligible for treatment is ethically problematic, unless extremely effective treatment becomes available. An additional major challenge is that diagnostic test accuracy is generally poor, with a particularly high risk of false-positive results, that is, biological evidence of Alzheimer pathology in persons who will never develop dementia. The risk of overmedicalisation is serious, and the potential harms of screening for AD should not be ignored, as Le Couteur c.s. previously argued.2 In short, there is no evidence base for any form of screening for AD whether in a preclinical stage (an …. (shrink)

The Concept of a Phenomenon ANTHONY QUINTON In British philosophy 'phenomenon' usually means 'sensory appearance'. Yet until Wittgenstein and Ryle standard..

It is a trite fact that changes do occur, yet is it logically contradictory to deny that they do? If Zeno and McTaggart were right, then there is no logical contradiction in such a denial, although this is incompatible with the way in which we normally think of the world. Supporters of the 'block view' of the universe believe that there is a sense in which all events may be said to be contemporaneous, like episodes in a book, so that (...) there is no `objective' past or future.The aim of this book is not to demolish belief in the existence of objective change, but to elucidate the conditions under which it makes sense to suppose that changes occur. The book pays particular attention to the existence of selves as one such condition, and concludes that the naturalistic account of change is defective and leaves the sceptic victorious. (shrink)

In the hope of future treatments to prevent or slow down the disease, there is a strong movement towards an ever-earlier detection of Alzheimer's disease. In conjunction with scientific developments, this has prompted a reconceptualization of AD, as a slowly progressive pathological process with a long asymptomatic phase. New concepts such as "preclinical" and "prodromal" AD have been introduced, raising a number of conceptual and ethical questions. We evaluate whether these new concepts are theoretically defensible, in light of theories of (...) health and disease, and whether they should be understood as disease or as an at-risk state. We introduce a pragmatic view on disease concepts and argue that an evaluation of the reconceptualization of AD should also take its aims and effects into account, and assess their ethical acceptability. The reconceptualization of AD is useful to coordinate research into preventive strategies, and may potentially benefit future patients. However, in the short term, early detection and labelling of "preclinical AD" can potentially harm people. Since there is no treatment available and the predictive value is unclear, it may only create a group of "patients in waiting" who may suffer from anxiety, uncertainty and stigmatization, but will never actually develop dementia. We conclude that only if the promise of preventive medication materializes, will the reconceptualization of AD turn out unequivocally to be for the better. Otherwise, the reconceptualization may do more harm than good. (shrink)

Many healthy volunteers choose to take part in Alzheimer’s disease prevention studies because they want to know whether they will develop dementia—and what they can do to reduce their risk—and are therefore interested in learning the results of AD biomarker tests. Proponents of AD biomarker disclosure often refer to the personal utility of AD biomarkers, claiming that research participants will be able to use AD biomarker information for personal purposes, such as planning ahead or making important life decisions. In this (...) paper, the claim that AD biomarkers have personal utility for asymptomatic individuals is critically assessed. It demonstrates that in the absence of clinical validity, AD biomarkers cannot have personal utility and do not serve research participants’ autonomy. Over the next few years, many research groups will be confronted with participants’ preferences to learn the results of AD biomarker tests. When researchers choose to make results available upon explicit request, they should ensure adequate information provision and education, notably on the uncertain clinical significance of AD biomarker information. Routine disclosure of AD biomarkers to cognitively unimpaired individuals in research settings cannot be justified with an appeal to the personal utility of AD biomarker information. (shrink)

First published in 1997, this volume advances the view that the nature of truth, in so far as truth has a 'nature', lies in the manner of its occurrence. Edo Pivčevic argues that truth is an vent, i.e. it does not exist until it occurs, and survives only as long as the requisite conditions for its occurrence are in place. Positing that language sets traps for the unwary, Pivčevic states that calling 'x' true involves a property ascription does so only (...) in the sense that 'x' enters into truth and is part of a 'truth event'. (shrink)

Since its first publication in 1970 this book has become one of the most widely read introductory books on phenomenology and is used as a standard text in many universities from Germany to Korea and China. Praised for its accessibility and clarity the book has attracted a wide readership both within and outside the academia. Its author has over the years published a number of other books on Philosophy in which he has developed important theories of his own. This clear (...) and elegant introduction traces Husserl’s philosophical development from his early preoccupation with numbers and his conflict with Frege to the transcendental phenomenology of his mature period. There is also a brief critical exposition of the views of Scheler, Heidegger, Sartre and other philosopher influenced by Husserl. (shrink)

It is a trite fact that changes do occur, yet is it logically contradictory to deny that they do? If Zeno and McTaggart were right, then there is no logical contradiction in such a denial, although this is incompatible with the way in which we normally think of the world. Supporters of the `block view' of the universe believe that there is a sense in which all events may be said to be contemporaneous, like episodes in a book, so that (...) there is no `objective' past or future. The aim of this book is not to demolish belief in the existence of objective change, but to elucidate the conditions under which it makes sense to suppose that changes occur. The book pays particular attention to the existence of selves as one such condition, and concludes that the naturalistic account of change is defective and leaves the sceptic victorious. (shrink)

Arguments for and against social equality have been advanced on various grounds, but the central issue remains to what extent, if at all, the pursuance of social equality should be seen as morally binding. Why should it be incumbent upon everyone to treat it as a moral virtue? The paper considers some of the best known egalitarian views and argues that the case tor equality as a morally binding principle has not been made.

Since its first publication in 1970 this book has become one of the most widely read introductory books on phenomenology and is used as a standard text in many universities from Germany to Korea and China. Praised for its accessibility and clarity the book has attracted a wide readership both within and outside the academia. Its author has over the years published a number of other books on Philosophy in which he has developed important theories of his own. This clear (...) and elegant introduction traces Husserl's philosophical development from his early preoccupation with numbers and his conflict with Frege to the transcendental phenomenology of his mature period. There is also a brief critical exposition of the views of Scheler, Heidegger, Sartre and other philosopher influenced by Husserl. (shrink)

This challenging and refreshingly innovative book addresses certain fundamental questions concerning rational legitimacy of some widely held beliefs and provides argument-based answers to such questions, while at the same time encouraging the reader to actively engage with the views put forward and form his/her own judgement.

It should perhaps be stressed at once that to reject the "attributive" view of truth does not imply that the predicative use of the word "true" is illegitimate or in some sense ungrammatical. It would indeed be absurd to make such a claim. At the same time, it is important to bear in mind that the predicative use of "true" gives no justification for interpreting truth as an attribute or as a characterizing feature of an object, even if the concept (...) of an object is widened to include linguistic items. It is useful to remember that the adverb "truly" as well as the adjective "true" can occur as part of grammatical predicates. Furthermore, "true" can occasionally be replaced by the substantive with ease. Thus we say "What he said is true" and also "He spoke the truth." Witnesses in court swear to speak "the truth, the whole truth, and nothing but the truth." The elasticity of common usage which allows one to express the same thought now with the help of the adjective and now with the help of the noun much too frequently tends to be ignored in discussions about truth. Yet this elasticity itself is a clear warning against interpreting truth too rashly as an attribute. (shrink)

A Greek English Lexicon of the New Testament, being Grimm's Wilke's Clavis Novi Testamenti. Translated, Revised and Enlarged by Joseph Henry Thayer, D.D., Bussey Professor of New Testament Criticism and Interpretation in the Divinity School of Harvard University. Edinburgh, T. and T. Clark. 1886. 4to. pp. 726. 36s.Biblico Theological Lexicon to New Testament Greek. by Hermann Cremer, D.D., Professor of Theology in the University of Greifswald. Third English Edition. With Supplement. Translated from the latest German Edition by William Uewick, M.A. (...) Edinburgh, T. and T. Clark. 1886. 4to. pp. 943. 38s. (shrink)

This essay argues that normative judgments, in general, and moral judgments, in particular, are "truth apt" and can be objects of belief. Other main claims are: judgments about reasons, if interpreted as true, do not have metaphysical implications that are incompatible with a scientific view of the world. Two kinds of normative claims should be distinguished: substantive claims about what reasons people have and structural claims about what attitudes people must have insofar as they are rational. Employing this distinction, the (...) practical significance of substantive normative judgments is explained, and critical analysis of expressivist and Kantian views on this question is offered. (shrink)

Edmund Husserl was responsible for setting in motion one of the two main philosophical currents which swept Europe in the first half of this century. In this book the author tries to explain how Husserl developed his phenomenology from his early 'psychologistic' analysis of number (which brought him into conflict with Frege) to the transcendental phenomenological analysis of his 'mature period'. The author has also discussed briefly the views of some other prominent phenomenologists. The phenomenological method has been applied in (...) different contexts and with different results and the author has tried to give an illustration of this and also to point out some basic limitations of the phenomenological approach. (shrink)