Assent is an important ethical and legal requirement of paediatric research. Unfortunately, there are significant differences between the guidelines on the details of assent.

A child’s objection, refusal and dissent regarding participation in non-beneficial biomedical research must be respected, even when the parents or legal representatives have given their permission. There is, however, no consensus on the definition and criteria of a meaningful and valid child’s objection. The aim of this article is to clarify this issue. In the first part we describe the problems of a child’s assent in research. In the second part we distinguish and analyze two models of a child’s objection (...) to research: the capacity-based model and the distress-based model. In the last part we present arguments for a broader and unified understanding of a child’s objection within regulations and practices. This will strengthen children’s rights and facilitate the entire process of assessment of research protocols. (shrink)

The aim of this paper is to propose foundations for a formal model of representation and numerical evaluation of a possibly broad class of arguments, including those that occur in natural discourse. Since one of the most characteristic features of everyday argumentation is the occurrence of convergent reasoning, special attention should be paid to the operation ⊕, which allows us to calculate the logical force of convergent arguments with an accuracy not offered by other approaches.

On 17 July 2012, the European Commission formally adopted a proposal for a new European Union (EU) Directive regarding clinical trials, which will repeal and replace the existing Directive 2001/20/EC. The main reasons for the revision were: (1) the decreasing number of clinical trials in the region and (2) harsh criticism of the present version of the Directive. The proposed regulation could simplify the rules for conducting clinical trials and also rebuild the entire system of clinical trial assessment. However, it (...) seems that we probably have already lost our chance regarding the consistency and quality of functioning of research ethics committees in the EU. (shrink)

The article describes Mieczysław Albert Krąpiec's perspective on four classic philosophical images of man and the resulting theoretical and practical implications for the nursing profession. The first three images, namely man as a set of elements, man as a soul imprisoned in the body and man as a rational animal, are regarded by Krąpiec as reductionist anthropologies and are thus inadequate for nursing. The first image reduces man to a biological element. The second one reduces man to a soul and (...) treats a body as something an obstacle in personal development. The third image absolutizes reason in man. While the body is not rejected in this image, it is viewed as an indifferent mass. The last image, which regards man as a person, is an adequate image for nursing. The exceptional character of man emphasized in this image is determined by the following personal qualities: the ability for cognition, freedom, love, religiousness, dignity, subjectivity to law and completeness. These characteristics reveal the specificity of personal being in both the body and the spirit. By viewing man as a person, a nurse discovers a wide range of possibilities of providing effective help to the patient. (shrink)

Since 1989, clinical ethics consultation in form of hospital ethics committees was established in most of the transition countries of Central and Eastern Europe. Up to now, the similarities and differences between HECs in Central and Eastern Europe and their counterparts in the U.S. and Western Europe have not been determined. Through search in literature databases, we have identified studies that document the implementation of clinical ethics consultation in Central and Eastern Europe. These studies have been analyzed under the following (...) aspects: mode of establishment of HECs, character of consultation they provide, and their composition. The results show that HECs in the transition countries of Central and Eastern Europe differ from their western-European or U.S. counterparts with regard to these three aspects. HECs were established because of centrally imposed legal regulations. Little initiatives in this area were taken by medical professionals interested in resolving emerging ethical issues. HECs in the transition countries concentrate mostly on review of research protocols or resolution of administrative conflicts in healthcare institutions. Moreover, integration of non-professional third parties in the workings of HECs is often neglected. We argue that these differences can be attributed to the historical background and the role of medicine in these countries under the communist regime. Political and organizational structures of healthcare as well as education of healthcare staff during this period influenced current functioning of clinical ethics consultation in the transition countries. (shrink)

The discussion around dignity in nursing philosophy has been underway for many years. The literature still lacks philosophical arguments that would justify the thesis that all people have dignity. Scholars who defend dignity as an intrinsic value most often refer to Kant. However, Kant does not seem to be the most suitable candidate to defend the thesis that all human beings possess dignity. In this paper, I attempt to show that Aristotle's and Aquinas's views can help justify this thesis. To (...) this end, I distinguish between actual dignity, potential dignity, and existential dignity. I state that all human beings have existential dignity or potential dignity. (shrink)

Our new journal Philosophies is devoted to the search for a synthesis of philosophical and scientific inquiry. It promotes philosophical work derived from the experience of diverse scientific disciplines. [...].

When discussing the safety of research subjects, including their exploitation and vulnerability as well as failures in clinical research, recent commentators have focused mostly on countries with low or middle-income economies. High-income countries are seen as relatively safe and well-regulated. This article presents irregularities in clinical trials in an EU member state, Poland, which were revealed by the Supreme Audit Office of Poland (the NIK). Despite adopting many European Union regulations, including European Commission directives concerning Good Clinical Practice, these irregularities (...) occurred. Causes as well as potential solutions to make clinical trials more ethical and safer are discussed. (shrink)

This is a short presentation by the Guest Editors of the series of Special Issues of the journal _Philosophies_ under the common title “Contemporary Natural Philosophy and Philosophies” in which we present Part 2. The series will continue, and the call for contributions to the next Special Issue will appear shortly.

Despite the continuous emphasis on globalization, we witness increasing divisions and divisiveness in all domains of human activities. One of the reasons, if not the main one, is the intellectual fragmentation of humanity, compared in the title to the failed attempt at building the Biblical Tower of Babel. The attempts to reintegrate worldview, fragmented by the specialization of education and expected to be achieved through reforms in curricula at all levels of education, were based on the assumption that the design (...) of a curriculum should focus on the wide distribution of subjects of study, as if the distribution was the goal. The key point is not the distribution of themes, but the development of skills in the integration of knowledge. The quantitative assessment of the width of knowledge by the number of disciplines is of secondary importance. We cannot expect the miracle that students without any intellectual tools developed for this purpose would perform the job of integration, which their teachers do not promote or demonstrate, and which they cannot achieve for themselves. There are many other reasons for the increasing interest in making inquiries interdisciplinary, but there is little progress in the methodology of the integration of knowledge. This paper is a study of the transition from multidisciplinarity to interdisciplinarity, and further, to transdisciplinarity, with some suggestions regarding the use of methodological tools of structuralism and the choice of a conceptual framework. (shrink)

W 1983 roku Benjamin Libet wraz ze współpracownikami po raz pierwszy wykazał, że w prostym działaniu dobrowolnym świadoma intencja nie pełni funkcji inicjującej. Czasowy przebieg tego typu działania wskazuje również, że intencja oraz samo działanie to produkty procesów nieświadomych. Na podstawie wyniku Libeta oraz wybranych koncepcji psychologicznych Daniel Wegner zaproponował teorię pozornej mentalnej przyczynowości, w ramach której intencja to rodzaj konstruktu umożliwiającego agentowi zrozumienie własnego zachowania w kategoriach przyczynowych, gdzie jego stan mentalny (intencja) jawi mu się jako przyczyna, a działanie (...) jako skutek. Ujęcie Wegnera rodzi jednak pytanie, jaka jest faktyczna relacja pomiędzy intencjami, a celami kształtującymi nasze decyzje. Biorąc pod uwagę wyjaśnienie amerykańskiego psychologa, nie możemy być pewni, że te dwa elementy mają ze sobą jakiś związek. Może to prowadzić do zaskakującego wniosku, że nasza świadoma wola jest w gruncie rzeczy iluzją. Korzystając z wyników badań Read’a Montague nad mechanizmami ustanawiania i osiągania celów wskazuję na alternatywną możliwość rozumienia roli intencji. Zgodnie z analizą Montague, możemy postulować, że przynajmniej w wybranych przypadkach treść intencji działania oraz przebieg zachowań celowych oparte są na tej samej abstrakcyjnej reprezentacji. Znaczy to, że interpretacja świadomej woli, jako przydatnej iluzji jest za szeroka, gdyż znamy (wskazane w tekście) przypadki, kiedy treść intencji jest tożsama z reprezentacją pełniącą rolę nagrody w systemie ustanawiania i osiągania celów. (shrink)

Résumé L’article presente les changements qui se sont manifestes dans la recherche polonaise, essentiellement en litterature et histoire des Lumieres, entre 1945 et 1990. L’accent est mis sur l’impact du contexte politique sur la recherche. Les annees 1945-1956 ont ete marquees par de fortes contraintes ideologiques car le regime communiste imposait aux chercheurs une vision simplifiee des Lumieres censee repondre aux besoins de ses plans. Apres l’epoque stalinienne, la pression ideologique et institutionnelle s’est progressivement reduite, ouvrant la voie a davantage (...) de liberte de recherche et d’interpretation des Lumieres. Si certains episodes historiques continuaient a faire l’objet de debats publics, la vision des Lumieres produite par les travaux s’effectuait desormais sans ingerence directe du pouvoir. (shrink)

The term “personhood” has a long history and is deeply rooted in the bioethical debate. Jennifer Blumenthal-Barby argues that bioethicists should abandon the concept of personhood, because “‘person...

Application of either the harm principle or the best interest standard to medical decision making conflicts with some types of pediatric research that pose elevated risk without the reasonable prob...

Contemporary Natural Philosophy is understood here as a project of the pursuit of the integrated description of reality distinguished by the precisely formulated criteria of objectivity, and by the assumption that the statements of this description can be assessed only as true or false according to clearly specified verification procedures established with the exclusive goal of the discrimination between these two logical values, but not with respect to any other norms or values established by the preferences of human collectives or (...) by the individual choices. This distinction assumes only logical consistency, but not completeness. Completeness (i.e., the feasibility to assign true or false value to all possible statements) is desirable, but may be impossible. This paper is not intended as a comprehensive program for the development of the Contemporary Natural Philosophy but rather as a preparation for such program advocating some necessary revisions and extensions of the methodology currently considered as the scientific method. This is the actual focus of the paper and the reason for the reference to Baconian _idola mentis_. Francis Bacon wrote in _Novum Organum_ about the fallacies obstructing progress of science. The present paper is an attempt to remove obstacles for the Contemporary Natural Philosophy project to which we have assigned the names of the Idols of the Number, the Idols of the Common Sense, and the Idols of the Elephant. (shrink)

This article presents the works of great Polish philosopher, Mieczysław Albert Krąpiec, whose creative output can be applied to professional nursing practice. Krąpiec's philosophical heritage is extensive and encompasses many philosophical fields: metaphysics, philosophical anthropology, philosophy of law, philosophy of culture, philosophy of politics and philosophy of language. Krąpiec created an original philosophical synthesis characterized by a realistic approach. In this paper, I present only one of several original philosophical concepts developed by Krąpiec: the theory of the person based on (...) seven essential characteristics, that is the ability for cognition, love, freedom, religion, legal subjectivity, completeness and dignity. I attempt to show how these personal characteristics correspond to various patient needs. I argue that the qualitative deficit of any personal characteristics indicated by Krąpiec corresponds to a patient's real need that must be satisfied. I also stress that the skilful diagnosing of all—not only selected—qualitative deficits of characteristics can be defined as holistic care in the nursing profession. (shrink)

In the book, I argue that the mind can be explained computationally because it is itself computational—whether it engages in mental arithmetic, parses natural language, or processes the auditory signals that allow us to experience music. All these capacities arise from complex information-processing operations of the mind. By analyzing the state of the art in cognitive science, I develop an account of computational explanation used to explain the capacities in question.

The title of this book refers to the tension between formal and informal elements in the ways analytical philosophy is practiced. The authors examine questions of the scopes and limits of both kinds of research methods.

The discussion around the use of the term ‘medical futility’ began in the late 1980s. The Polish Working Group on End-of-Life Ethics joined this discussion in 2008. They offered their own approach to the issues regarding medical futility based on the category of persistent therapy. According to the PWG, ‘persistent therapy is the use of medical procedures to maintain the life function of the terminally ill in a way that prolongs their dying, introducing excessive suffering or violating their dignity’. In (...) this paper I attempt to show that the term ‘persistent therapy’ is neither worse nor better than the term ‘medical futility’, but it captures different aspects and nuances. Additionally, the Polish social and religious background plays a significant role in shaping the category of persistent therapy. (shrink)

Artykuł omawia analizę fenomenu życia religijnego w filozofii Williama Jamesa (1842-1910). Wskazano na kalwińskie korzenie twórcy pragmatyzmu a zwłaszcza na prezbiteriański schemat zwany sylogizmem praktycznym, który w powodzeniu życiowym szukał potwierdzenia posiadania łaski religijnej. Twórca pragmatyzmu, rozpoczął swoje badania od analizy przeżyć ludzkich z perspektywy psychologicznej. Pod koniec życia coraz więcej uwagi poświęcił analizie fenomenu życia religijnego. Poglądy swoje wyłożył w wykładach edynburskich w roku 1901, które zostały wydane w książce Doświadczenia religijne. Analizie przeżyć religijnych poświęcone są też końcowe partie (...) Pragmatyzmu (1907). James wskazuje na znaczenie przeżyć religijnych w życiu człowieka. Uważa, że istotę religii stanowi poczucie zależności, odczucie obecności tego, co nadprzyrodzone. W religii nie chodzi o dogmaty, instytucje czy rytuały, lecz o pożytek, jaki przynosi ona jednostce, porządkując jej życie. Głównym celem religii pozytywnych jest wyzwolenie człowieka od zła. Tak opisana religijność jawi się jako swoista sapientia, życiowa mądrość, która porządkuje ludzkie życie i wnosi w nie wartość dodatnią. Stąd takie rozumienie religii zostaje określone w artykule mianem sapientia pragmatica. (shrink)

This paper addresses the following question: Can one and the same utterance token, in one unique speech situation, intentionally and conventionally perform a plurality of illocutionary acts? While some of the recent literature has considered such a possibility Perspectives on pragmatics and philosophy. Springer, Cham, pp 227–244, 2013; Johnson in Synthese 196:1151–1165, 2019), I build a case for it by drawing attention to common conversational complexities unrecognized in speech acts analysis. Traditional speech act theory treats communication as: a dyadic exchange (...) between a Speaker and a Hearer who trade illocutionary acts endowed with one and only one primary force. I first challenge assumption by discussing two contexts where plural illocutionary forces are performed in dyadic discussions: dilemmatic deliberations and strategic ambiguity. Further, I challenge assumption by analyzing poly-adic discussions, where a speaker can target various participants with different illocutionary acts performed via the same utterance. Together, these analyses defend illocutionary pluralism as a significant but overlooked fact about communication. I conclude by showing how some phenomena recently analyzed in speech act theory—back-door speech acts New work on speech acts. Oxford University Press, Oxford, pp 144–164, 2018) and dog-whistles New work on speech acts. Oxford University Press, Oxford, pp 360–383, 2018)—implicitly presuppose illocutionary pluralism without recognizing it. (shrink)

In this paper, we closely examine the various ways in which a multi-party argumentative discussion—argumentative polylogue—can be analyzed in a dialectical framework. Our chief concern is that while multi-party and multi-position discussions are characteristic of a large class of argumentative activities, dialectical approaches would analyze and evaluate them in terms of dyadic exchanges between two parties: pro and con. Using as an example an academic committee arguing about the researcher of the year as well as other cases from argumentation literature, (...) we scrutinize the advantages and pitfalls of applying a dialectical framework to polylogue analysis and evaluation. We recognize two basic dialectical methods: interpreting polylogues as exchanges between two main camps and splitting polylogues into a multitude of dual encounters. On the basis of this critical inquiry, we lay out an argument expressing the need for an improved polylogical model and propose its basic elements. (shrink)

The author argues that behind the apparent randomness of interactions between cabdrivers and their fares in Warsaw is a temporal structure. To capture this temporal structure, the author introduces the notion of a linking ecology. He argues that the Warsaw taxi market is a linking ecology, which is structured by religious time, state time, and family time. The author then focuses on waiting time, arguing that it too structures the interactions between cabdrivers and their fares. The author makes a processual (...) argument that waiting time has been restructured by the postsocialist transformation, but only because this transformation has been continually encoded through the defensive and adaptive strategies of cabdrivers responding to the repetitive and unique events located across the social space. The author concludes with the claim that linking ecologies are a recurring structure of the social process and that they form the backbone of globalization, financialization, and mediatization. (shrink)

We compared the processing of natural language quantifiers in a group of patients with schizophrenia and a healthy control group. In both groups, the difficulty of the quantifiers was consistent with computational predictions, and patients with schizophrenia took more time to solve the problems. However, they were significantly less accurate only with proportional quantifiers, like more than half. This can be explained by noting that, according to the complexity perspective, only proportional quantifiers require working memory engagement.

This editorial complements the editorial opening Philosophies eight years ago. The success of the original vision of the journal has been confirmed by the high quality of published works and its institutional recognition. The journal Philosophies evolves, but this evolution is an adaptation to the conditions of better realization of its original mission to promote the reintegration of fragmented by specialization knowledge guided by philosophy. In contrast to the editorial published at the time of the opening of the journal presenting (...) general philosophical principles guiding its early development which are equally valid today as eight years ago, the present editorial focuses on philosophical but also more practical aspects of its operation and its role in the academic community together with an extensive clarification of their misunderstanding in decisions regarding submission of contributions. (shrink)

This paper offers an analysis of metalinguistic comparatives such as more dumb than crazy in which they differ from ordinary comparatives in the scale on which they compare: ordinary comparatives use scales lexically determined by particular adjectives, but metalinguistic ones use a generally-available scale of imprecision or ‘pragmatic slack’. To implement this idea, I propose a novel compositional implementation of the Lasersohnian pragmatic-halos account of imprecision—one that represents clusters of similar meanings as Hamblin alternatives. In the theory that results, existential (...) closure over alternatives mediates between alternative-sets and meanings in which imprecision has been resolved. I then articulate a version of this theory in which the alternatives are not related meanings but rather related utterances, departing significantly from Lasersohn’s original conception. Although such a theory of imprecision is more clearly ‘metalinguistic’, the evidence for it from metalinguistic comparatives in English is surprisingly limited. The overall picture that emerges is one in which the grammatical distinction between ordinary and metalinguistic comparatives tracks the independently motivated distinction between vagueness and imprecision. (shrink)

Using known facts we give a simple characterization of the distributivity of lattices of finite length.