The epidemiological situation resulting from the SARS-CoV-2 pandemic caused the Polish universities to fully switch to distance education in March 2020. Medical e-learning has not yet been broadly implemented into the education process. Therefore, examples of successful e-learning implementations or the organization of the process of medical e-learning offer a valuable source of knowledge today, which is needed immediately. The article presents e-learning practices at the Polish medical universities during the SARS-CoV-2 epidemic during the period from March to September 2020, (...) covering seven universities in Poland that offer medical and health studies. The organization and implementation of e-learning classes is presented, including knowledge evaluation practices, providing example decisions issued by university rectors, on which the teaching process was based. A detailed presentation of the schools’ organizational units or workgroups that played an important role in the process of coordination of measures supporting e-education is also included. The article also presents a description of the software applications, utilities, and services used at the schools in the course of the process of online education. Below are some examples of specific such implementations in selected university courses. (shrink)

Given the central place organisms occupy in Kant’s account of living nature, it might seem unlikely that his claims about biological wholes could be relevant to current debates over the problem of biological individuality. These debates acknowledge the multiple realizability of biological individuality in vastly different forms, including parts of organisms and complex groups of organisms at various levels of the biological hierarchy, sparking much controversy in attempts to characterize a biological individual. I argue that, far from being irrelevant to (...) this controversy, Kant’s account provides a key insight for addressing the multiple realizability problem. I show how the reciprocal causality between a self-organizing whole and its parts, which Kant thinks characterizes a natural end, is not limited to organisms but is exhibited by numerous types of beings in living nature. Self-organizing wholes of various kinds, and at various biological levels, may count as biological individuals, depending on the degree to which their functionally integrated parts are represented by reflective judgement as a natural end. (shrink)

In the debate over moral bioenhancement, some object that biochemical, genetic, and neurological interventions aiming at enhancing moral agency threaten the autonomy of persons, as they compromise moral deliberation and motivation. Opponents of this view argue that such interventions may actually enhance autonomy itself, thereby increasing a person's capacity for moral agency. My aim is to explore the various senses of autonomy commonly appealed to in such controversies and to expose their limitations in resolving the central disputed issues. I propose (...) that a Kantian conception of autonomy is more effective in addressing these issues, as it specifies the key features that inform an intelligible account of moral worth and moral law. A consideration of these features is typically lacking in the arguments advanced by contenders in these debates. Guided by a Kantian framework, I argue that moral bioenhancement projects directed at affecting moral autonomy are not as promising as they appear, for both metaphysical and empirical reasons. (shrink)

This discussion paper continues the debate over risk‐related standards of mental competence which appears in Bioethics 5. Dan Brock there defends an approach to mental competence in patients which defines it as being relative to differing standards, more or less rigorous depending on the degree of risk involved in proposed treatments. But Mark Wicclair raises a problem for this approach: if significantly different levels of risk attach, respectively, to accepting and refusing the same treatment, then it is possible, on this (...) account, for a patient to be considered competent to accept, but not refuse, the treatment, or vice versa. I argue that this puzzle does not constitute a genuine problem for a risk‐related standard. To this end I focus on the situation where, of two mutually exclusive options, one is riskier, but offering more pronounced benefit, while the other is safer, but offering less benefit. I argue for this proposition: it can take far less insight to know that the safe option is good than to know that the risky option is better. Now say one is actually informed enough to know that the safe option is good, but not enough to know whether the risky option is better; in such a case one is competent to say yes to that first option (the safe one), but not to say yes to the other. (I argue in passing that Pascal's Wager can be interpreted as having precisely this deliberative structure.) I thus conclude that cases do indeed exist where one can be competent to say yes but not no, or vice versa; and that it is thus not an anomaly in the risk‐related standard that it entails the existence of such cases. (shrink)

Well–being, health and freedom are some of the many phenomena of interest to science whose definitions rely on a normative standard. Empirical generalizations about them thus present a special case of value-ladenness. I propose the notion of a ‘mixed claim’ to denote such generalizations. Against the prevailing wisdom, I argue that we should not seek to eliminate them from science. Rather, we need to develop principles for their legitimate use. Philosophers of science have already reconciled values with objectivity in several (...) ways, but none of the existing proposals are suitable for mixed claims. Using the example of the science of well-being, I articulate a conception of objectivity for this science and for mixed claims in general. _1_ Introduction _2_ What Are Mixed Claims? _3_ Mixed Claims Are Different _3.1_ Values as reasons to pursue science _3.2_ Values as agenda-setters _3.3_ Values as ethical constraints on research protocols _3.4_ Values as arbiters between underdetermined theories _3.5_ Values as determinants of standards of confirmation _3.6_ Values as sources of wishful thinking and fraud _4_ Mixed Claims Should Stay _4.1_ Against Nagel _5_ The Dangers of Mixed Claims _6_ The Existing Accounts of Objectivity _6.1_ The perils of impartiality _7_ Objectivity for Mixed Claims _8_ Three Rules _8.1_ Unearth the value presuppositions in methods and measures _8.2_ Check if value presuppositions are invariant to disagreements _8.3_ Consult the relevant parties _9_ Conclusion. (shrink)

Definition of the problemThe medical-ethical principle of beneficence is directed towards the well-being of patients. In clinical practice, the focus is often on the relief of pain, the elimination of symptoms and the restoration of bodily functioning. However, the significance of these health-related aspects for the overall well-being of patients also depends on individual values, desires, and life plans.ArgumentationAn overemphasis on the subjective perspective of patients on their well-being would admittedly lead to a strong substantial convergence of the two medical-ethical (...) principles of beneficence and respect for autonomy. In addition, it would not be compatible with some of the guiding principles of the medical profession. A mere objective perspective on patient well-being conversely carries the danger of imposing values on individual patients that they do not share. Consequently, actions that are intended to benefit patients instead harm them.ConclusionThrough a more detailed analysis of the relationship between health-related and overall well-being, this paper shows that health is only a relative value in our overall well-being. Basic health-related goods like a sound cardiovascular system or fully functioning lungs have special standing because they are seen as valuable independently of individual preferences and life plans, which means they are of objective value. (shrink)

Patients are usually granted autonomy rights, including the right to consent to or refuse treatment. These rights are commonly attributed to patients if they fulfil certain conditions. For example, a patient must sufficiently understand the information given to them before making a treatment decision. On the one hand, there is a large group of patients who meet these conditions. On the other hand, there is a group that clearly does not meet these conditions, including comatose patients or patients in the (...) late stages of Alzheimer’s disease. Then there is a group of patients who fall into the range in between. At the lower end of this range are so-called ‘marginal agents,’ which include young children and patients in the middle stages of Alzheimer’s disease. They also do not meet the typical requirements for autonomy, which is why they are usually granted fewer autonomy rights. However, some of them are capable of ‘pre-forms’ of autonomy that express what is important to them. These pre-forms differ from mere desires and reflect the identification/authenticity condition of autonomy. They have something in common with autonomous attitudes, choices, and actions – namely, they express the _value_ of autonomy. As I will argue, autonomy is a value worthy of protection and promotion – even in its non-reflexive forms. Against this background, it becomes clear _why_ we have autonomy duties, more precisely positive, autonomy-enabling duties, towards marginal agents and why we should give them as much attention as autonomy duties towards competent patients. (shrink)

Ellie Anderson had always known that she wanted to have children. Her mother, Louise, was aware of this wish. Ellie was designated male at birth, but according to news sources, identified as a girl from the age of three. She was hoping to undergo gender reassignment surgery at 18, but died unexpectedly at only 16, leaving Louise grappling not only with the grief of losing her daughter, but with a complex legal problem. Ellie had had her sperm frozen before starting (...) hormone treatment, specifically so that she would retain the chance of becoming a parent after her gender reassignment. Ellie had considered what might happen to the sperm if she died and was adamant that her children should be brought into the world. She made her mother promise to ensure that this would happen. But according to UK law, Ellie’s mother has no legal right to retain her sperm, or to use it to fulfil Ellie’s wishes. In this paper, we raise several key ethical questions on this case, namely: does a refusal to bring Ellie’s children into the world wrong her posthumously? Is Ellie’s mother morally entitled to use her daughter’s sperm as Ellie wished? Should the fact that Ellie was a minor at the time of her death or the fact that she was transgendered undermine her wish to have children? Can Ellie become a parent posthumously? We consider how these complex ethical questions could be approached. (shrink)

Richard Bradley and others endorse Reverse Bayesianism as the way to model awareness growth. I raise a problem for Reverse Bayesianism—at least for the general version that Bradley endorses—and argue that there is no plausible way to restrict the principle that will give us the right results. To get the right results, we need to pay attention to the attitudes that agents have towards propositions of which they are unaware. This raises more general questions about how awareness growth should be (...) modelled. (shrink)

This book defends an account of justice to nonhuman beings – i.e., to animals, plants etc. – also known as ecological or interspecies justice, and which lies in the intersection of environmental political theory and environmental ethics. More specifically, against the background of the current extinction crisis this book defends a global non-ranking biocentric theory of distributive ecological/interspecies justice to wild nonhuman beings, because the extinction crisis does not only need practical solutions, but also an account of how it is (...) the outcome of large-scale injustice. This book not only provides a novel theoretical framework that supports such a claim, but it also develops the theoretical tools to find just compromises between the entitlements of intraspecies and intra-human global distributive justice to ecological space for the purpose of working towards a vision of just conservation. -/- Content: 1. Introducing Ecological Justice 2. Political Non-Ranking Biocentrism 3. The Community of Justice 4. The Currency of Distributive Justice 5. The Principles of Distributive Justice 6. Ecological Justice and the Capabilities Approach 7. Biodiversity Loss: An Injustice? 8. Who Owns the Earth? 9. Visions of Just Conservation 10. Outlook for Implementation . (shrink)

In production and consumption of food, several ethical values are at stake for different affected parties and value conflicts in relation to food choices are frequent. The aim of this article was to present an ethical framework for well-grounded decisions on production and consumption of food, guided by the following questions: Which are the affected parties in relation to production and consumption of food? What ethical values are at stake for these parties? How can conflicts between the identified values be (...) handled from different ethical perspectives? Four affected parties, relevant for both production and consumption of food, were identified, namely animals, nature, producers and consumers. Working form a bottom-up perspective, several values for these parties were identified and discussed. For animals: welfare, not being exposed to pain and natural behavior; for nature: low negative impact on the environment and sustainable climate; for producers: fair salaries and safe working conditions; and for consumers: access to food, autonomy, health and food as part of a good life. As several of these values can come into conflict when choices of what to eat should be made, the article argues for the need of weighing values from four different perspectives in food ethics dilemmas, namely duties, consequences, virtues and care. The suggested ethical framework can provide moral guidance to both producers of food and to consumers in a supermarket. Thereby, it can contribute to more well-grounded decisions concerning what to eat and make people feel a little bit more secure when reflecting over the question: What shall we eat? (shrink)

This paper concerns the attempt to formulate an empirical version of the problem of evil, and the attempt to counter this version by what is known as ‘sceptical theism’. My concern is to assess what is actually achieved in these attempts. To this end I consider the debate between them against the backdrop of William Rowe's distinction between expanded standard theism and restricted standard theism (which I label E and R respectively). My claim is that the empirical version significantly fails (...) to challenge E in the way that a workable logical version would; and that sceptical theism significantly fails to defend R in the way that a workable theodicy would. My conclusion is that sceptical theism and the empirical argument play a significantly more limited role in the debate over evil than the arguments they are supposed to replace. (Published Online August 11 2004). (shrink)

A proposal is made concerning the introduction of the notions of cause and reason into a natural language understanding system. Its hypothesis is that one should prefer rational explanations of actions when dealing with human, or human‐like, agents, if one can find them in what one is analyzing, but that in other, nonhuman, cases one should prefer causal explanations. The reader is reminded of the existing state of the preference semantics system, and then are described the changes that would have (...) to be made to incorporate the above proposal and to find examples to test it. Finally, it is argued that there is no reason to think that a more complex taxonomy of causes (beyond the opposition of causes and reasons) is required, at least not if, as here. one seeks a procedural distinction corresponding to any taxonomic distinction among inference rules. (shrink)

Der Band geht interdisziplinar der Frage nach, wie sich Sorge als existenzielle Grundkonstante in modernen Gegenwartsgesellschaften manifestiert. Konzeptuell liegt den Beitragen eine Unterscheidung von drei Dimensionen der Sorge zugrunde: die Sorge um sich, die Sorge um andere und die Sorge um die Umwelt. Diese Dimensionen werden dabei auch in einer genealogischen Perspektive betrachtet. Dadurch wird ein umfassendes Forschungsfeld eroffnet, in dem heterogene empirische Phanomene, komplexe gesellschaftliche Entwicklungen und zentrale ethische Fragestellungen in einer theologischen, sozialwissenschaftlichen und philosophischen Perspektive bearbeitet werden. Ziel (...) des Forschungsfeldes ist es, durch die wechselseitige Bezugnahme dieser Perspektiven Sorge als ein Schlusselkonzept zur Analyse der spatmodernen Gesellschaft zu nutzen und zu etablieren. Die Forschung steht im Kontext zum gleichnamigen Forschungsschwerpunkt am Evangelischen Studienwerk Villigst. Mit Beitragen von Gianna Behrendt, Knut Berner, Andrea Bieler, Anna Henkel, Isolde Karle, Helen Kohlen, Gesa Lindemann, Richard Paluch, Franziska Schade, Katrien Schaubroeck, Stefanie Schniering, Tina Aniko Schroter, Maike Schult, Henk van Gils, Werner Vogd, Micha Werner. (shrink)

Understanding is an ability manifested by grasping relations of a phenomenon and articulating new explanations. Hence, scientific understanding is inextricably intertwined with and not possible without explanation, and understanding is not a type of propositional knowledge. Anna Elisabeth Höhl provides a novel philosophical account of scientific understanding by developing and defending necessary and sufficient conditions for the understanding that scientists achieve of the phenomena they are researching. This account of scientific understanding is based on and supported by a detailed (...) investigation of an episode from scientific practice in biology. (shrink)

Many political theorists today deny that citizenship can be defended on liberal grounds alone. Cosmopolitans claim that loyalty to a particular state is incompatible with universal liberal principles, which hold that we have equal duties of justice to persons everywhere, while nationalist theorists justify civic obligations only by reaching beyond liberal principles and invoking the importance of national culture. In Liberal Loyalty, Anna Stilz challenges both views by defending a distinctively liberal understanding of citizenship. Drawing on Kant, Rousseau, and (...) Habermas, Stilz argues that we owe civic obligations to the state if it is sufficiently just, and that constitutionally enshrined principles of justice in themselves--rather than territory, common language, or shared culture--are grounds for obedience to our particular state and for democratic solidarity with our fellow citizens. She demonstrates that specifying what freedom and equality mean among a particular people requires their democratic participation together as a group. Justice, therefore, depends on the authority of the democratic state because there is no way equal freedom can be defined or guaranteed without it. Yet, as Stilz shows, this does not mean that each of us should entertain some vague loyalty to democracy in general. Citizens are politically obligated to their own state and to each other, because within their particular democracy they define and ultimately guarantee their own civil rights. Liberal Loyalty is a persuasive defense of citizenship on purely liberal grounds. (shrink)

Skeptical theists assume that that God may be thought justified in his actions and permissions through the consequences to which those actions and permissions lead. They also assume that we may not be aware of all the goods and evils there are, so we may not always be able to discern the reasons that justify God's actions and permissions. On this basis, they conclude that we should be skeptical about any claim to know what it would be evil for God (...) to do or permit. I argue that this conclusion poses certain epistemic challenges for theism. First, it seems to undermine arguments from design. And second, it seems to undermine the presumption that God could not be a deceiver because deception is something that it would be evil for God to do. (shrink)

We introduce the CUBISM system for the analysis and deep understanding of multi-participant dialogues. CUBISM brings together two typically separate forms of discourse analysis: semantic analysis and sociolinguistic analysis. In the paper proper, we describe and illustrate major components of the CUBISM system, and discuss the challenge posed by the system’s ultimate purpose, which is to automatically detect anomalous changes in participants’ expressed or implied beliefs about the world and each other, including shifts toward or away from cultural and community (...) norms. (shrink)

Partial lying denotes the cases where we partially believe something to be false but nevertheless assert it with the intent to deceive the addressee. We investigate how the severity of partial lying may be determined and how partial lies can be classified. We also study how much epistemic damage an agent suffers depending on the level of trust that she invests in the liar and the severity of the lies she is told. Our analysis is based on the results from (...) exploratory computer simulations of an arguably rational Bayesian agent who is trying to determine how biased a coin is while observing the coin tosses and listening to a liar’s misleading predictions about the outcomes. Our results provide an interesting testable hypothesis at the intersection of epistemology and ethics, namely that in the longer term partial lies lead to more epistemic damage than outright lies. (shrink)

The medieval Englishman, John of Salisbury, was a philosopher and humanist, theologian and bishop, courtier and diplomat, poet and political thinker. This book provides a reassessment of his life and work. It features 25 papers by international scholars.

We introduce the CUBISM system for the analysis and deep understanding of multi-participant dialogues. CUBISM brings together two typically separate forms of discourse analysis: semantic analysis and sociolinguistic analysis. In the paper proper, we describe and illustrate major components of the CUBISM system, and discuss the challenge posed by the system’s ultimate purpose, which is to automatically detect anomalous changes in participants’ expressed or implied beliefs about the world and each other, including shifts toward or away from cultural and community (...) norms. (shrink)

This article studies an illuminated manuscript of St. Augustine’s Enarrationes in Psalmos: Vat. lat. 451 (Città del Vaticano, Biblioteca Apostolica Vaticana). The manuscript was commissioned by the bishop Giovanni Capogallo, when he was in Lombardy in close contact with the court of the duke Gian Galeazzo Visconti. The article examines the cultural milieu of Pavia in the early 15th century, highlighting the role of the Order of the Hermits of Saint Augustine in the monastery of San Pietro in Ciel d’Oro. (...) The two incipit pages ff. 1r and 239r, illuminated by Michelino da Besozzo, are an example of the International Gothic style and this article analyses not only their stylistic aspect, but also their allegorical meaning, as an interesting case of decoration of a patristic text. (shrink)

The Article is concerned with the investigation of interpretation of the concept "pratyakṣa" in the first chapter of the first part of "Nyāya Sūtras", which became the determining ground for the entire subsequent history of the development of this concept in the teachings of the adherents of this philosophical school and their polemics with opponents. The methods of etymological and contextual analysis are applied, the key meaningful connotations of "pratyakṣa" are outlined, and the main issues of its interpretation and translation (...) are revealed. The first chapter of the first part of "Nyāya Sūtras" is the systemic core of the work as a whole, therefore its thorough study is of primary importance, both for the reconstruction of the teachings of Nyāya darshan, and for clarifying the specifics of the actualization of the lexemes presented in this part of the text and in the philosophical discourse of India as a whole. However, the brevity of the text chosen for analysis in this article opens a rather comprehensive perspective of different interpretations and creates a number of open questions. The duration of the tradition of comments dedicated to "Nyāya Sūtras" is an evidence of the importance of this work and the difficulty of reconstructing its content. The open questions actualized in the process of this study should not only become the basis for further investigations, but also reveal the specifics of the problematization of "pratyakṣa" in the philosophical discourse of India. The article reveals that the study of the concept of "pratyakṣa" in the teaching of Nyaya darshan, first of all, requires the analysis of the following concepts: prama̅ṇa, indriya, manas, artha, jñāna, buddhi. The article also suggests that "pramana pratyakṣa" is rather a "situation" of acquiring knowledge that meets the criteria of truth, rather than a simple "tool of knowledge" or "ability to know", so its simple translation as "perception" seems insufficiently substantiated. The article declares that the issue whether every contact between indriya and artha necessarily leads to the formation of a jñāna that meets the criteria of avyapadeśyam ("that which precedes definition and expression"), avyatirekavyabhicārin ("that which is clear, distinct, uncontroversial and steady'), vyavasāyātmaka ('that which is intense, bright and full of energy') is open and urgent for further research. It also states that the issues whether it is possible to talk about the contact of indriya, in the sense of a simple list of empirical senses (sight, hearing, touch, taste, smell), with artha without the mediation of manas; and how to interpret the possible role of the Western concept of "consciousness" in this process are also important. (shrink)

Despite its commonality rape in war has long been an invisible war crime. Gender-based violence has escaped sanction because it has been shielded into the private sphere. Although rape in war is a form of public violence committed by soldiers representing a state it continues to be conceived as a private crime, committed by individual men. If women's human rights are to be respected in war and in peace the imaginary border between the public and the private has to be (...) abandoned. In this article rape in war is studied as a case of injustice for women in violent conflict. Arguments against feminist versions of ethics of care are formulated as these theories fail to challenge the public/ private distinction due to deep and constitutive gender norms. As an alternative, a narrative, feminist ethic of justice is presented based on women's narratives of experienced injustice in war. The theoretical model is developed through the integration of values derived from the ethics of care and thereby dismisses the distinction between public and private and between reason and emotion. The conclusion is that both substance and form of human rights must be based in concrete, situated gendered people's experiences of getting their human rights violated. (shrink)

Abelard maintains that individual words in a sentence represent distinct semantic units of its overall meaning. He employs two strategies to defend this position in the face of troublesome counterexamples. One strategy—the earlier of the two—sacrifices normal intuitions about what a word is, often labeling what seem to be words as non-signifying syllables. The later strategy invokes a rather fluid conception of what the signification of a word is, allowing this signification considerable latitude to alter under the contextual influence of (...) other words. This evolution of strategy is linked to a new willingness on Abelard’s part to adopt the principle of charity in interpreting sentences; this approach presumes the truth of the statement, and tries to find an interpretation which bears that presumption out. This new willingness to adopt the principle is in turn linked to Abelard’s developing vocation as an interpreter of biblical texts. (shrink)

THE SCHOLARLY LITERATURE on Aquinas' De aeternitate mundi is considerable; the controversy which has spawned it seems to have involved two major points of dispute. First there is the problem of dating the work; while some commentators believe it to have been written at an earlier stage in Aquinas' career--in the 1250s--the majority view is that it is a much later work, written in the early 1270s. Second, there is the problem of the continuity of doctrine between this work and (...) the other texts Aquinas has left us on the issue of the world's temporal duration. Does he propose the same position in all, or does De aeternitate mundi represent a departure? These two points of dispute come together when scholars discuss the historical context of this work. Thomas Bukowski sees it as an early defence of an unchanging position against the attacks of Bonaventure; Ignatius Brady sees it as a late defence of an unchanging position against the attacks of John Pecham. John Wippel, by contrast, takes it as a late departure from a previous view, and James Weisheipl, concurring with Wippel, attributes this change to Aquinas' study of Aristotle's Physics in the period before his second Paris regency. (shrink)