The philosopher and historian of culture Wilhelm Dilthey (1833-1911) has had a significant and continuing influence on twentieth-century Continental philosophy and in a broad range of scholarly disciplines. Rudolf Makkreel interprets Dilthey's philosophy and provides a guide to its complex development. Against the tendency to divorce Dilthey's early psychological writings from his later hermeneutical and historical works, Makkreel argues for their essential continuity.

Das Ziel: Konstitutionssystem der Begriffe Das Ziel der vorliegenden Untersuchungen ist die Aufstellung eines erkenntnismäßig-logischen Systems der ...

The objective of this article is to analyse the value-ladenness of technology in the context of medicine. To address this issue several characteristics of technology are investigated: i) its interventive capacity, ii) its expansiveness and iii) its influence on the concept of disease, iv) its generalising character, v) its independence of the subjective experience of the patient. By this analysis I hope to unveil the double face of technology: Technology has a Janus-face in modern medicine, and the opposite of its (...) factual face is evaluative. (shrink)

Like some ethical dilemmas, this question has an obvious answer that may not be right. On first reflection, it seems entirely unreasonable and inappropriate to expect staff members to withhold supportive care. Legally, a designated surrogate has the authority to refuse pain medication on the patient's behalf, but is it ethically defensible? A patient lacking decisionmaking capacity is crying out in pain; can we really imagine just closing the door? What do we say to other patients, visitors, and staff members, (...) such as physicians, nurses, housekeepers, and dietary workers, who might hear the patient? Do we place a sign on the door, one noting that the surrogate has refused, on behalf of the patient, to authorize the administration of pain medication and that the hospital or nursing home must comply with the surrogate's decision? (shrink)

The following description is based upon an actual case in which a patient initiated legal action after suffering a complication subsequent to an invasive diagnostic procedure performed by a senior fellow. Named as codefendants were the senior fellow, attending physician, and the hospital. Because any hospital with house staff is potentially vulnerable to similar litigation, Ethics Committees at Work is addressing the questions raised by this dilemma.

The belated but formal acknowledgment of medical errors and their impact has been well documented. Curiously, the topic of management or executive mistakes in healthcare is not raised in professional meetings nor, until recently, addressed by an article in health administration journals.

Our ethics committee is revising the organization's policy on forgoing life-sustaining treatment. The current policy now includes the statement, “When life-sustaining treatment is forgone, supportive care will be provided to relieve pain and ensure the patient's comfort, unless the patient or surrogate refuses those measures.” Is it reasonable, however, for the surrogate to have the authority to refuse consent for pain medication and/or other supportive care?

'My endeavour in these pages is to explain the main features of the method of philosophizing which we, the Vienna Circle, use, and by using try to develop further. It is the method of the logical analysis of science, or more precisely, of the syntactical analysis of scientific language.... The purpose of the book -- as of the lectures -- is to give a first impression of our method and of the direction of our questions and investigations to those who (...) are not yet acquainted with them.' -- From the Preface. (shrink)

Is technology value-free or is it value-laden? How does technology affect human autonomy? These questions, viewed within the context of medicine, are the focus of attention in this article. The central argument is that we need neither to subscribe to the value-neutrality dictum nor to the all-encompassing value-ladenness thesis to explain the pertinent position of technology in medicine. Technology is constitutive of and strongly implicated in difficult questions of value. This, however, does not mean that technology is identical to (or (...) neutral to) these value-laden questions. Technology poses issues of value, but only some of these relate to technology qua technology. Hence, it makes a difference whether we discuss general questions of value posed by technology or whether we discuss the value-ladenness of technology. Admitting technological value-ladenness does not imply that we are subject to a technological imperative that reduces our autonomy, on the contrary, it explains how technology increases our responsibility. This is particularly prominent in medicine. (shrink)

In health care priority setting different criteria are used to reflect the relevant values that should guide decision-making. During recent years there has been a development of value frameworks implying the use of multiple criteria, a development that has not been accompanied by a structured conceptual and normative analysis of how different criteria relate to each other and to underlying normative considerations. Examples of such criteria are unmet need and severity. In this article these crucial criteria are conceptually clarified and (...) analyzed in relation to each other. We argue that disease-severity and condition-severity should be distinguished and we find the latter concept better reflects underlying normative values. We further argue that unmet need does not fulfil an independent and relevant role in relation to condition-severity except for in some limited situations when having to distinguish between conditions of equal severity. (shrink)

According to Ramsey and colleagues the main constituent psychological processes of innovation are response to novelty, exploration, and the ability to recognize a novel solution. I fully support this view but point out that novelty reactions are often context-specific. I will expand on this and discuss the possible consequences of context-specific novelty reactions on the emergence of innovations.

--2. Bd. Des Sokrates Apologie. Kriton. Euthydemos. Menexenos. Gorgias. Menon. Bearb. von H. Hofmann.--3. Bd. Phaidon. Das Gastmahl. Kratylos. Bearb. von D. Kurz.--4. Bd. Politeia. Der Staat. Bearb. von D. Kurz.--5. Bd. Phaidros. Parmenides. Briefe. Bearb. von D. Kurz.--6. Bd. Theaitetos. Der Sophist. Der Staatsmann. Bearb. von P. Staudacher.--7. Bd. Timaios, Kritias. Philebos. Bearb. von K. Widdra.--8. Bd. Nomōn. Gesetze. Bearb. von K. Schöpsdau. 2 v.

There has been a significant increase in the use of radiological services in the past 30 years. There are many reasons for this, but one has received little attention: the increased role of patient autonomy in healthcare. Patients demand x rays, CT scans, MRI, and positron emission tomography scans. The key question in this article is how a moral principle, such as respect for patient autonomy, can influence the extension of radiological services. A literature review reveals how patient autonomy is (...) acknowledged in radiology, and how it is used both to explain and to justify the increase in radiological examinations. Furthermore, it also shows how the premises favouring patients’ exercise of their autonomy are not always present, which makes patient autonomy subject to adverse side effects and even abuse. Patient autonomy can be used to reduce the professionals’ responsibility for radiological examinations , to increase the popularity of the profession , to increase the income of the professionals or their institutions, and to promote professional activity. Patient autonomy intended to reduce paternalism, to legitimise otherwise morally unjustifiable actions , and to protect patients, can easily be used as a moral means for opposite ends. These adverse effects are not peculiar to radiology. However, they emerge particularly clearly in explanations and justifications of the substantial increase in radiological services, as well as in debates on overuse of radiological services. (shrink)

The emerging concept of systems medicine (or ‘P4 medicine’—predictive, preventive, personalized and participatory) is at the vanguard of the post-genomic movement towards ‘precision medicine’. It is the medical application of systems biology, the biological study of wholes. Of particular interest, P4 systems medicine is currently promised as a revolutionary new biomedical approach that is holistic rather than reductionist. This article analyzes its concept of holism, both with regard to methods and conceptualization of health and disease. Rather than representing a medical (...) holism associated with basic humanistic ideas, we find a technoscientific holism resulting from altered technological and theoretical circumstances in biology. We argue that this holism, which is aimed at disease prevention and health optimization, points towards an expanded form of medicalization, which we call ‘holistic medicalization’: Each person’s whole life process is defined in biomedical, technoscientific terms as quantifiable and controllable and underlain a regime of medical control that is holistic in that it is all-encompassing. It is directed at all levels of functioning, from the molecular to the social, continual throughout life and aimed at managing the whole continuum from cure of disease to optimization of health. We argue that this medicalization is a very concrete materialization of a broader trend in medicine and society, which we call ‘the medicalization of health and life itself’. We explicate this holistic medicalization, discuss potential harms and conclude by calling for preventive measures aimed at avoiding eventual harmful effects of overmedicalization in systems medicine (quaternary prevention). (shrink)

It is a commonly held belief among many psychological scientists that the more plausible a hypothesis, the better it is scientifically. It is also often believed that if there are two alternative theories which are equally strong in terms of explanatory power, one should choose the plausible theory over the implausible one. The goal of this article is to challenge these assumptions. Based on Popper's philosophical views, it will be argued that psychological scientists should be encouraged to formulate implausible hypotheses (...) and theories. Examples from other scientific disciplines will be presented to illustrate this argument. 2012 APA, all rights reserved). (shrink)

Systems medicine, which is based on computational modelling of biological systems, is emerging as an increasingly prominent part of the personalized medicine movement. It is often promoted as ‘P4 medicine’. In this article, we test promises made by some of its proponents that systems medicine will be able to develop a scientific, quantitative metric for wellness that will eliminate the purported vagueness, ambiguity, and incompleteness—that is, normativity—of previous health definitions. We do so by examining the most concrete and relevant evidence (...) for such a metric available: a patent that describes a systems medicine method for assessing health and disease. We find that although systems medicine is promoted as heralding an era of transformative scientific objectivity, its definition of health seems at present still normatively based. As such, we argue that it will be open to influence from various stakeholders and that its purported objectivity may conceal important scientific, philosophical, and political issues. We also argue that this is an example of a general trend within biomedicine to create overly hopeful visions and expectations for the future. (shrink)

In der Arbeit wird eine textimmanente Problemstellung der Transzendentalen Dialektik der Kritik der reinen Vernunft aufgegriffen, indem ausgehend vom Grundsatz der Vernunft nach der Möglichkeit eines regulativen Apriori im Rahmen der methodischen Vorgaben der Kritik der reinen Vernunft gefragt wird. Kants regulativer Vernunftgebrauch wird in drei Teilen untersucht: Der erste Teil – Problemfeld – entwickelt ausgehend von der Antinomie der reinen Vernunft immanente Kriterien, durch die das Lehrstück des Anhangs zur Transzendentalen Dialektik dargestellt und geprüft werden kann. Der zweite Teil (...) – Analysen – entwickelt textimmanent die Herleitung der Vernunftbegriffe, das dadurch geleistete Systematische der Erkenntnis und ihre transzendentale Rechtfertigung. Der dritte Teil – Dimension und Reichweite – untersucht auf der Basis der textimmanenten Analyse die konkreten Beispiele, die Kant im Anhang zur Transzendentalen Dialektik anführt, um damit die begrifflich-abstrakten Gedankengänge an Fallbeispielen zu konkretisieren. Der Grundsatz der Vernunft wird dabei in seiner konstitutiven Form zurückgewiesen und in einer regulativen Interpretation als transzendentaler Grundsatz der Vernunft neu begründet. (shrink)

A program for the simulation of rational social normative trust, predictive `trust,' and predictive reliance between agents will be introduced. It offers a tool for social scientists or a trust component for multi-agent simulations/multi-agent systems, which need to include trust between agents to guide the decisions about the course of action. It is based on an analysis of rational social normative trust (RSNTR) (revised version of M. Tuomela 2002), which is presented and briefly argued. For collective agents, belief conditions for (...) collective agency should be added. For the various forms of trust agents must have (at least) subjectively rational reasons to believe that the conditions of the trust account are fulfilled. A list of such reasons (of varied weights), e.g., given by empirical research, can manually be built into a parameter file or be generated by a calling program in a fixed format. From this list of reasons the program randomly generates a belief base for the agents of the artificial society. Reasons can be chained together so that one set of reasons satisfies several belief conditions. The program checks if the conditions are fulfilled for the artificial agents' social normative trust/predictive `trust'/`predictive reliance' in another agent that he will perform an action X. Each outcome is logged to a result file. In conclusion we discuss various aspects of the application of a trust component of the suggested kind in empirical research, social simulation, and multi-agent systems. (shrink)

A widespread assumption in recent research on attitudes is that self-reported evaluations reflect conscious attitudes, whereas indirectly assessed evaluations reflect unconscious attitudes. The present article reviews the available evidence regarding unconscious features of indirectly assessed “implicit” attitudes. Distinguishing between three different aspects of attitudes, we conclude that people sometimes lack conscious awareness of the origin of their attitudes, but that lack of source awareness is not a distinguishing feature of indirectly assessed versus self-reported attitudes, there is no evidence that people (...) lack conscious awareness of indirectly assessed attitudes per se, and there is evidence showing that, under some conditions, indirectly assessed attitudes influence other psychological processes outside of conscious awareness. Implications for the concept of “implicit attitudes” are discussed. (shrink)

Excerpt from Über die Echtheit der Platonischen Briefe Der erste Aufenthalt Platos in Syrakus fällt, wie sich mit Hilfe einer bisher übersehenen Angabe seines Biographen Olympiodor feststellen läfst, in den Frühsommer des Jahres 388. Damals war Plato, der nach dem Zeugnis seines Schülers Hermodor 427 geboren ist, in der Tat beinahe 40 Jahre alt Das anfänglich gute Verhältnis zum älteren Dionys konnte bei der Ver schiedenheit der Charaktere nicht lange bestehen; schon um die Mitte des Sommers 388, zur Zeit der (...) olympischen Spiele, finden wir Plato wieder in Hellas. Nach einer bekannten Erzählung hatte nämlich der Tyrann den smrtanischen Gesandten Pullis veranlafst, ihn auf seinem Schiffe mitzunehmen und in Ägina aus Land zu setzen, damit er dort als Kriegsgefangener fest genommen und auf dem Sklavenmarkt verkauft würde. Es wäre nämlich gerade Krieg zwischen Athen und Ägina gewesen (bis Sein Gastfreund Anniceris von Cyrene sei zufällig hinzu gekommen und habe ihn losgekauft Ausdrücklich bemerkt Olympiodor zu dieser Erzählung, Anniceris sei mit einem Viergespann nach Hellas gekommen, um an den olympischen Spielen Demnach fällt Platos erste sizilische Reise in das Olympiadenjahr 388. Die chronologische Zuverlässigkeit des Briefes tritt am deutlichsten darin hervor, dafs nun seine An gabe, Plato sei damals beinahe 40 Jahre alt gewesen, gerade mit der bestbezeugten Angabe über sein Geburtsjahr übereinstimmt. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works. (shrink)

Hegel's Philosophy of History can be characterized as Eurocentric and one finds in it many problematic passages, and even racist statements, as well as a legitimization of colonialism which is presented as a means of education (Bildung). Nevertheless, this article argues that it is possible to reject such judgements and at the same time hold on to the basic intention of Hegel's theories of freedom and Bildung. While the concept of freedom as self-determination is certainly applied in a Eurocentric manner (...) by Hegel in his Philosophy of History, this concept is not Eurocentric at its core. To understand this ‘core’, one has to go back to Hegel's logic of the concept, which finally leads me to a concept of ‘concrete Bildung’. The struggles for self-determination of the colonized peoples must be understood in terms of a further development of the realization of the concept of freedom. If one wants to think Hegel's Philosophy of History meaningfully beyond Hegel's own time, one is inevitably led to the necessity of a liberation of the colonized, for there is a need for a further extension of the consciousness of freedom that actually is inclusive. This demand is contained in Hegel's thought itself, but it still remains abstract with him and must therefore be developed beyond him. (shrink)

In the past decades, affective science has overwhelmingly demonstrated the unique properties of affective information to bias our attention, memory, and decisions. At the same time, accumulating evidence suggests that neutral and affective representations rely on the same working memory substrates for the selection and computation of information and that they are therefore restricted by the same capacity limitations that these substrates impose. Here, we integrate these insights into a working memory model of affective processing (WMAP). Drawing on competitive access (...) models of working memory, we discuss its role in the various stages of affective processing, from attentional selection to maintenance and memory storage, and resulting feelings and actions. We end our overview with some open questions and future directions. (shrink)

"Die Gedanken, die ich in diesem Buche mitteile, sollen die Grundstimmung festhalten, die ich in der Weltanschauung Goethes beobachtet habe. Im Lauf vieler Jahre habe ich immer wieder und wieder das Bild dieser Weltanschauung betrachtet. Besonderen Reiz hatte es fur mich, nach den Offenbarungen zu sehen, welche die Natur uber ihr Wesen und ihre Gesetze den feinen Sinnes- und Geistesorganen Goethes gemacht hat. Ich lernte begreifen, warum Goethe diese Offenbarungen als so hohes Gluck empfand, dass er sie zuweilen hoher schatzte (...) als seine Dichtungsgabe. Die Eindrucke, welche Goethe von den Erscheinungen der Natur empfangen hat, muss man kennen, wenn man den vollen Gehalt seiner Dichtungen verstehen will. Die Geheimnisse, die er dem Wesen und Werden der Schopfung abgelauscht hat, leben in seinen kunstlerischen Erzeugnissen und werden nur demjenigen offenbar, der hinhorcht auf die Mitteilungen, die der Dichter uber die Natur macht. Niemand kann in die Tiefen der Goetheschen Kunst hinuntertauchen, dem Goethes Naturbeobachtungen unbekannt sind." [...] Rudolf Steiner war ein osterreichischer Esoteriker und Philosoph. Auf Grundlage seiner Lehre entstand unter anderem die Waldorfpadagogik. Der Verlag der Wissenschaften verlegt historische Literatur bekannter und unbekannter wissenschaftlicher Autoren. Dem interessierten Leser werden so teilweise langst nicht mehr verlegte Werke wieder zugangig gemacht. Das vorliegende Buch ist ein unveranderter Nachdruck der historischen Originalausgabe aus dem Jahr 1897.". (shrink)