The use of informed consent for surgery or research has been widely studied; however, its use in other areas of clinical practice has received less attention. This study investigates how doctors and nurses understand informed consent in relation to the prescription and administration of medicines in secondary care. It uses a qualitative analysis of semi-structured in-depth interviews with 19 doctors and 6 nurses recruited from various specialties in a teaching hospital. The results indicate a striking gap between official and actual (...) standards of practice. Providing information, assuring adherence and communication about potential treatment harms were raised as key issues instead of the principal goals of informed consent. Rather than simply treating these findings as support for a 'deficit' account of professionalism, the paper concludes that we need a richer and more grounded account of exactly when hospital medication decisions need to be subjected to the highest standards of informed consent. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Tetsugaku Companion to Nishida Kitarō ed. by Matsumaru Hisao, Arisaka Yoko, and Lucy Christine SchultzFernando Wirtz (bio)Tetsugaku Companion to Nishida Kitarō. Edited by Matsumaru Hisao, Arisaka Yoko, and Lucy Christine Schultz. Cham, Switzerland: Springer, 2022. Pp. v + 240. Hardcover $109.99, isbn 978–3-319417-83-7.This collection of essays has several virtues. First, although Nishida is one of the most widely translated Japanese philosophers into English, this is the first (...) collection of interpretative essays that attempts to cover the different aspects and stages of his work in a comprehensive manner.Second, this collection gives voice to several Japanese scholars who have long been working on Nishida's philosophy, but who are nevertheless little known outside Japan. Of course, as the editors explain in the introduction, the book intentionally seeks to incorporate perspectives that may dislocate the reader given the "fact that academic authors in countries other than the English-speaking Anglo-American regions write differently to express their ideas" (p. vii). This is a significant gesture, since Japanese philosophy has from its very beginnings been wracked by the problem of translation and counter-translation. It is an act of courage for the book to acknowledge that there are different "forms of expression" that, even if they may confuse the Anglo-American reader, serve to broaden the reader's philosophical sensibility (p. xiii–xiv).Third, rather than each chapter limiting itself to expounding Nishida's thought in a general way, each in turn problematizes specific aspects of the philosopher's work, connecting it with other authors and problems.As the editors explain, the book has a bipartite structure. In the first part, several contributors explore "seven principal concepts" that are intended to reflect Nishida's perception of his own system, while in the second part, contributors investigate the place of Nishida's thought in the global history of philosophy, drawing connections between Nishida's thought and other fields such as religion, science, and art. In addition, the relevance of his thought to both the present and the future is discussed. The book includes an appendix with a chronology of Nishida's life and work and also a glossary of fundamental concepts.In Chapter 1, Nakajima Yuta explores the concept of "pure experience," highlighting its importance in Nishida's later philosophy and its relation to the self-developing structure of consciousness. In particular, Nakajima analyzes the influence of Wilhelm Wundt's Outlines of Psychology in the work An Inquiry into [End Page 1] the Good. In that sense, this article provides the historical context in which Nishida developed his ideas in contrast to the psychologist. As the author points out: "The main point of criticism is that Nishida regards the foundational elements in Wundtian psychology as mere virtual abstractions of the primordial systematic unity of experience" (p. 7). This last statement leads to the recognition that any linguistic limitation of this primordial unity becomes an abstraction, since pure experience is the framework of the meaningful, where all meanings are dynamically generated and superimposed (p. 10).Itabashi Yūjin, in Chapter 2, establishes the transition from pure experience to "absolute free will" in the work, Intuition and Reflection in Self-Awareness, by comparing Nishida's text with the philosophies of Cohen and Schopenhauer. To understand this transition, we must not lose sight, as the author says, that when the self reflects itself in itself, it is self-producing and self-determining. This self-determination is not purely intellectual, but a total activity in which "thinking and sensation are one" (p. 20). Thus, the will is absolute because there is nothing prior to the self-productive activity of the will. For this reason, it is precisely in religious experience that "authentic life" (p. 22) emerges from the negation of the subjective self, that is, from the fiction of a foundation of absolute will.The person responsible for presenting the concept of "self-awareness" is Okada Katsuaki. In Chapter 3, Okada takes as a starting point the "subjectless" (p. 28) character of the Japanese language in order to explain the paradoxical possibility of experience experiencing itself. (p. 30). The self-awareness of the activity of the previous chapters becomes... (shrink)

In this paper we want to briefly illustrate the ways in which technical, ethical and political judgements of various kinds are interwoven in the processes of healthcare decision-making in the UK. Drawing upon the research for the “Choices in Health Care” project we will borrow the notion of the hidden curriculum from education to illuminate the nature of resource allocation decision processes. In particular we will indicate some of the fundamental but largely hidden political factors in play in these processes (...) and the importance of the inchoate and implicit notion of “NHS values” in shaping UK resource allocation policies. We suggest that these more diffuse, holistic and system level value judgements are both central to understanding priority setting and at the same time difficult to reduce or abstract out into lists of single values/principles. (shrink)

'This book is a masterpiece of theoretical thought. It anticipates the actual achievements of much of what we now call sociolinguistics.

ABSTRACT Various mechanisms to ensure the protection of subjects in human research have been suggested, including the presence of witnesses during the informed consent process. For our commentary on the use of witnesses and their potential role and responsibility during the consent process, we start by addressing current guidelines for human subjects research in four Latin American countries. By using examples from public health research, we highlight some of the practical difficulties of using witnessed consent, from becoming a meaningless ritual (...) at one end of the spectrum to the research subject feeling intimidated or coerced to participate at the other. Apart from these practical difficulties, it is unclear what responsibility the witness could and should have. We argue that there are important ethical questions about the role of witnesses that have not been adequately addressed in national and international regulations. This work addresses these gaps and argues that more debate is required to define the role and responsibilities of witnesses in the consent process, their training requirements and whether a universal legal requirement for witnessed consent, regardless of the type of research, is desirable. (shrink)

Things and Their Place in Theories Our talk of external things, our very notion of things, is just a conceptual apparatus that helps us to foresee and ...

The layers of a solvent liquid flowing around a moving molecule have a finite thickness corresponding to the finite dimensions of the solvent molecules. Taking this feature into account leads to a modification of Stokes’ laws of the relation between friction and viscosity in continuous media. We derive the observed order of magnitude of the microfriction, for rotation as well as translation, and its approximately correct dependence on the radii of moving and solvent molecules.

La recepción y comprensión de la filosofía japonesa en el contexto académico hispanohablante todavía carece de una estructura coherente. Después de la nada intenta corregir algunos sesgos persistentes y subyacentes en los libros disponibles en español sobre filosofía japonesa: el nacionalismo metodológico, el criterio en la selección de los autores y la categorización de la transmisión del conocimiento de figuras, escuelas o textos de la contemporaneidad filosófica en Japón. De este modo, el valioso aporte de esta obra no es solo (...) sumarse a la tarea de proyectar globalmente la filosofía japonesa para hacerla más accesible al lector hispanohablante, sino también contribuir al esfuerzo de identificar los temas filosóficos contemporáneos que surgen en y desde Japón, recuperando autores poco estudiados como Tsuchida Kyōson, Miki Kiyoshi, Tosaka Jun, Maruyama Masao, Tanaka Mitsu, Karatani Kōjin o Nagasaki Hiroshi, entre otros. (shrink)

In this article, cognitivism is understood as the view that the engine of human (individual and collective) action is the intentional, dispositional, or other mental capacities of the brain or the mind. Cognitivism has been criticized for considering the essence of human action to reside in its alleged source in mental processes at the expense of the social surroundings of the action, criticism that has often been inspired by Ludwig Wittgenstein's later philosophy. This article explores the logical extent of the (...) critique of cognitivism, arguing that by positing collectively shared knowledge of criteria as the engine of human action many such critiques themselves display latent cognitivism. (shrink)

In this article, cognitivism is understood as the view that the engine of human action is the intentional, dispositional, or other mental capacities of the brain or the mind. Cognitivism has been criticized for considering the essence of human action to reside in its alleged source in mental processes at the expense of the social surroundings of the action, criticism that has often been inspired by Ludwig Wittgenstein's later philosophy. This article explores the logical extent of the critique of cognitivism, (...) arguing that by positing collectively shared knowledge of criteria as the engine of human action many such critiques themselves display latent cognitivism. (shrink)

In this article, I seek to present some examples of the philosophy of myth in Japan during the early Shōwa era (1926–1945), especially in works by Tanabe Hajime, Kihira Tadayoshi, Isobe Tadamasa, Kōsaka Masaaki and Miki Kiyoshi. While the concept of myth is closely linked to the question of nationality, I intend to show that the philosophical concept of myth is also related to a fundamental ambiguity that prevents an absolutisation of myth and offers specific conceptual tools for a critique (...) of nationality. (shrink)

This article introduces the little-studied figure of Saigusa Hiroto, a twentieth century Marxist philosopher who reconstructed the history of technical thought in Japan. The article focuses on Saigusa’s thought between 1939 and 1942, contextualizes his thinking in relation to the technology controversy of the 1930s and presents his critique of the dualism between spiritual and technological culture. Saigusa defines technology as a “means as a process” and not a skill or system of things. The author argues that Saigusa’s notion of (...) “means as a process” dislocates the idea of Western technology as superior to Eastern technology, paving the way for current debates in the field of post-European philosophies of technology. (shrink)

After an introductory overview of the treatment of nothingness in Western philosophy, nothingness is addressed from the perspectives of important doctrines of Mahāyāna Buddhism, espcially the ontological concept of dependent origination (pratītya-samutpāda; yuanqi 緣起) in its interpretation by Nāgārjuna as emptiness (śūnyatā; kong 空) and the five manifestations of nothingness in the saṃbhogakāya (baoshen 報身) aspect of the trikāya (sanshen 三身). In the Chan Buddhist tradition, these crucial elements of Mahāyāna teaching have been reinterpreted as meditative tools for emptying the (...) mind. Finally, Daoist elements of the Chan Buddhist interpretation of nothingness/ emptiness are pointed out. (shrink)

In this paper, I argue that Miki’s concept of myth offers a continuation and consolidation of his Philosophy of History, providing an important conceptual tool to comprehend his philosophica...

This paper attempts to examine how the concept of character in Tosaka’s philosophy presents us with the distinctive features of a situated epistemology. To do this, I will make comparative, although by no means exhaustive, use of the work of Heinrich Rickert. I will not attempt to argue that Rickert was Tosaka’s main interlocutor; however, I will show that the concept of character can be understood as a response to one of the challenges posed by the neo-Kantian philosopher: how can (...) history be grasped philosophically without falling into metaphysical reduction or subjective relativism? Tosaka would answer this question through the concepts of character and everydayness. (shrink)

The paper deals with the problem how the relation between religions and philosophies can be thought in our contemporary world of technical and economocial globalization and intercultural connection of all world regions. In a first step, seven types of possible relations between spiritual and rational discourses are distinguished: From a philosophical point of view, two different models of separation and two different models of union between philosophy and religion are pointed out. From a religious perspective, the possible relations to philosophy (...) can be described by the models of (1) exclusivm, (2) inklusivm and (3) a religiousform which negates a clear separation between spiritual and rational methods of finding the truth. Based on this systematic clearification, two arguments, in a second step, are developed from an intercultural perspective: 1) Each religion implies ontological and ethical presuppositions which can be brought into terms by philosophy. It is this philosophical explanation that allows a religion to be rationally discussed. 2) The transcultural character of a religion depends on its capacity to integrate philosophical thinking. Only by means of rational discussion, a spiritual system can become a transcultural power which contributes to adeeper understanding between different cultures. (shrink)

This paper explores the notion of cosmotechnics in the context of the history of Latin American philosophy. Since the nineteenth century, Latin American philosophy has developed through an ongoing confrontation between conceptions of “civilization and barbarism.” This tension in turn has impacted the relationship between Latin American philosophy and technology. Consequently, a certain “absence of technique” is visible as a recurring topos in Latin American philosophies. To overcome this apparent absence, this paper criticizes the notion of mestizaje using Silvia Rivera (...) Cusicanqui’s concept of ch’ixi (‘motley’) as an alternative framework. From this perspective, Guaman Poma de Ayala’s description of colonial violence reveals some hints for deconstructing the idea of “Latin Americanness”, while retaining the notion of cosmotechnics. Thus, this paper goes beyond geocultures and metatechnology by formulating a theory of cosmotechnics that is able to articulate politically antagonistic narratives in terms of technical materiality. (shrink)

Die mannigfaltigen, oftmals konflikttrachtigen Beziehungen zwischen unterschiedlichen Weltreligionen sowie zwischen Religion und Philosophie reichen weit in die Geschichte des spannungsreichen Verhaltnisses von Glauben und Wissen zuruck. Zugleich haben sie im 21. Jahrhundert durch Globalisierung, Migration und Digitalisierung ein neues Niveau erreicht: Religioser Fundamentalismus und sakulare Areligiositat bezeichnen dabei nur die aussersten Pole eines Feldes, das in seiner breiten Mitte von religioser und weltanschaulicher Pluralitat und Diversitat gekennzeichnet ist. Eine philosophisch fundierte Untersuchung der Potentiale und Grenzen interreligioser sowie religios-sakularer Dissense ist (...) vor diesem Hintergrund nicht nur von wissenschaftlichem, sondern auch von gesellschaftspolitischem Interesse. Die vorliegende Studie sucht in Anknupfung an die Religionsphilosophie Kants sowie an idealistische und nachmetaphysische Positionen Perspektiven fur eine interkulturell orientierte Religionsphilosophie auszuloten, die sich als rationales Forum interreligioser sowie religios-sakularer Verstandigung versteht. In der Auseinandersetzung mit namhaften Religionsphilosophien der europaischen Moderne sowie mit den Philosophien des Buddhismus, des Christentums und des Islam werden exemplarische Momente der Komplementaritat, der Kompatibilitat und der Konvergenz ontologischer, ethischer und mystischer Dimensionen des Religiosen ermittelt und philosophisch gedeutet. (shrink)

This paper explores the concept of myth in two books written by Kōsaka Masaaki, The Historical World and Philosophy of the Nation. In both, myth appears as a central moment in the transition from primitive to modern societies. The role of myth is closely related to Kōsaka’s notion of nature, since one goal of his reflection is to show how history is supported by the “substratum” of nature. In this sense, he also distinguishes between the natural and historical aspects of (...) nations. After analyzing the subcategories of primordial nature, environmental nature, and historical nature, the paper shows how these layers are articulated by myth. Authority, in the contractual form of potlatch, signalizes the moment of transition to the true self-determination of nations. Miki Kiyoshi was one author who pointed out the problematic aspects of Kōsaka’s theory of nation. A comparison with Miki’s thought uncovers how authority is the main characteristic of Kōsaka’s view of myth. The paper finishes by investigating where this authority comes from. Since it cannot come from nature alone, it should also come from the past character of myth itself, which is an expression of what Kōsaka terms “the eternal now”. (shrink)

Ocherk 1. Voprosy ontologii -- Ocherk 2. Voprosy ėtiki i ėstetiki -- Ocherk 3. Voprosy gnoseologii i aksiologii.

Nicht-westliche Gemeinwohlkonzeptionen sind so vielfältig und heterogen, dass sie sich keinesfalls auf einen gemeinsamen Nenner bringen lassen. In manchen Fällen sind die Unterschiede zu westlichen Konzeptionen offensichtlich, andere Konzeptionen dagegen sind den westlichen durchaus ähnlich. Wichtig ist, dass eine ernsthafte Beschäftigung mit nicht-westlichen Gemeinwohlkonzeptionen nicht bei der Kenntnisnahme zusätzlicher Vielfalt stehenbleiben darf, sondern nach den Grunderfahrungen fragen muss, die sich in den verschiedenen Konzeptionen wiederfinden. Darin liegt die Chance, rückblickend auch auf jene Grunderfahrungen aufmerksam zu werden, die westlichen Gemeinwohlkonzeptionen zugrunde (...) liegen. (shrink)

Because the techno-economic paradigm of contemporary conceptualizations of innovation is often taken for granted in the literature, this chapter opens up this self-evident notion. First, the chapter consults the work of Joseph Schumpeter, who can be seen as the founding father of the current conceptualization of innovation as technological and commercial. Second, we open up the concept by reflecting on two aspects of Schumpeter’s conceptualization of innovation, namely its destructive and its constructive aspect, based on findings in the history of (...) innovation. Finally, we synthesize our findings and propose an ontic-ontological conceptualization of innovation as ontogenetic process and outcome with six dimensions—newness, political dimension, economic dimension, temporal dimension, human dimension and risk—that moves beyond its technological and commercial orientation. (shrink)