Ethical evaluation of deep brain stimulation as a treatment for Parkinson’s disease is complicated by results that can be described as involving changes in the patient’s identity. The risk of becoming another person following surgery is alarming for patients, caregivers and clinicians alike. It is one of the most urgent conceptual and ethical problems facing deep brain stimulation in Parkinson’s disease at this time. In our paper we take issue with this problem on two accounts. First, we elucidate what is (...) meant by “becoming another person” from a conceptual point of view. After critically discussing two broad approaches we concentrate on the notion of “individual identity” which centers on the idea of “core attitudes”. Subsequently we discuss several approaches to determine what distinguishes core attitudes from those that are more peripheral. We argue for a “foundational-function model” highlighting the importance of specific dependency relations between these attitudes. Our second aim is to comment on the possibility to empirically measure changes in individual identity and argue that many of the instruments now commonly used in selecting and monitoring DBS-patients are inappropriate for this purpose. Future research in this area is advised combining a conceptual and an empirical approach as a basis of sound ethical appraisal. (shrink)

ABSTRACTMany philosophers say that the nature of personal identity has to do with narratives: the stories we tell about ourselves. While different narrativists address different questions of personal identity, some propose narrativist accounts of personal identity over time. The paper argues that such accounts have troubling consequences about the beginning and end of our lives, lead to inconsistencies, and involve backwards causation. The problems can be solved, but only by modifying the accounts in ways that deprive them of their appeal.

It is widely held that every person is a person essentially, where being a person is having special mental properties such as intelligence and self-consciousness. It follows that nothing can acquire or lose these properties. The paper argues that this rules out all familiar psychological-continuity views of personal identity over time. It also faces grave difficulties in accounting for the mental powers of human beings who are not intelligent and self-conscious, such as foetuses and those with dementia.

Ein Leitmotiv der medizinethischen Auseinandersetzung mit der tiefen Hirnstimulation (THS) ist die Beschäftigung mit Fragen personaler Identität. Da es sich bei personaler Identität auch um ein Problem der theoretischen Philosophie handelt, wird in diesem Aufsatz nicht nur die praktische Frage nach der ethischen Legitimation der THS durch informierte Einwilligung gestellt und ein modifiziertes Legitimationskriterium für wesensändernde THS erarbeitet. Vielmehr wird zunächst versucht, das Problem, um das es in der Debatte um THS und personaler Identität geht, besser zu verstehen.

Ein Leitmotiv der medizinethischen Auseinandersetzung mit der tiefen Hirnstimulation (THS) ist die Beschäftigung mit Fragen personaler Identität. Da es sich bei personaler Identität auch um ein Problem der theoretischen Philosophie handelt, wird in diesem Aufsatz nicht nur die praktische Frage nach der ethischen Legitimation der THS durch informierte Einwilligung gestellt und ein modifiziertes Legitimationskriterium für wesensändernde THS erarbeitet. Vielmehr wird zunächst versucht, das Problem, um das es in der Debatte um THS und personaler Identität geht, besser zu verstehen.

Many philosophers working on personal identity and ethics say that personal identity is constituted by stories: narratives people tell or would tell about their lives. Most of them also say that this is personal identity in the ‘characterization sense’, that it is the notion people in ordinary contexts are interested in, and that it raises the ‘characterization question’. I argue that these claims are inconsistent. Narrativists can avoid the incompatibility in one of two ways: They can concede that their view (...) is not about the constitution but the epistemology of personal identity. Or they can say that it is not about personal identity at all. (shrink)

It has often been claimed that orthodox thinking about personal identity undermines the moral authority of advance directives in dementia by implying that the signer of the directive is numerically different from the severely demented patient. This is the ‘identity problem'. I introduce the problem, outline some well‐known solutions, and explain why they might be deemed unattractive. I then propose an alternative solution. It promises to be compatible with orthodox thinking about personal identity. I discuss three ways in which it (...) might be challenged and find that none is convincing. Personal identity is no bar to the moral authority of advance directives. (shrink)

Are physicians sometimes morally required to ease caregiver burden? In our paper we defend an affirmative answer to this question. First, we examine the well-established principle that medical care should be centered on the patient. We argue that although this principle seems to give physicians some leeway to lessen caregivers' suffering, it is very restrictive when spelled out precisely. Based on a critical analysis of existing cases for transcending patient-centeredness we then go on to argue that the medical ethos should (...) indeed contain a rule requiring physicians to alleviate caregiver burden under certain circumstances. Finally, we apply our findings to deep brain stimulation (DBS) for Parkinson's disease. We present empirical data from a recent study of DBS indicating that spousal caregivers of Parkinson patients treated with DBS are sometimes deeply troubled by the effects of the therapy and discuss what moral obligations the treating physicians may have in such cases. (shrink)

Ein Leitmotiv der medizinethischen Auseinandersetzung mit der tiefen Hirnstimulation (THS) ist die Beschäftigung mit Fragen personaler Identität. Da es sich bei personaler Identität auch um ein Problem der theoretischen Philosophie handelt, wird in diesem Aufsatz nicht nur die praktische Frage nach der ethischen Legitimation der THS durch informierte Einwilligung gestellt und ein modifiziertes Legitimationskriterium für wesensändernde THS erarbeitet. Vielmehr wird zunächst versucht, das Problem, um das es in der Debatte um THS und personaler Identität geht, besser zu verstehen.

Viele Menschen halten Patientenverfügungen für ein geeignetes Mittel, um selbstbestimmt zu entscheiden, wie mit ihnen im Fall schwerer Demenz umgegangen werden soll. Die meisten Bioethiker stimmen ihnen zu: Demenzverfügungen seien Ausdruck der „verlängerten Autonomie“ der Patientin. Doch ob sie recht haben, ist unklar. Dem viel beachteten Identitätseinwand zufolge sind die Ausstellerin der Verfügung und ihre schwer demente Nachfolgerin numerisch verschieden: Sie sind zwei und nicht eins. Wenn das stimmt, kann die Ausstellerin nicht verfügen, wie mit ihr im Falle schwerer Demenz (...) umgegangen werden soll. Die Demenzverfügung ist ungültig. In meinem Aufsatz möchte ich eine neue Replik auf diesen Einwand vorstellen. Ihr Ansatzpunkt ist der menschliche Organismus, den wir sehen, wenn wir in den Spiegel blicken. Er kann schwer dement werden, und auch er hat die Patientenverfügung unterschrieben. Warum sollte sie dann ungültig sein? Auf den ersten Blick hat diese Replik eine Reihe von Vorzügen. Insbesondere akzeptiert sie die populären Annahmen, auf denen der Identitätseinwand basiert. Bei näherem Hinsehen zeigen sich jedoch Probleme, die so gravierend sind, dass wir von ihr Abstand nehmen sollten. (shrink)

ObjectiveIn this study we used functional magnetic resonance imaging to investigate whether motor imagery of handwriting and circle drawing activates a similar handwriting network as writing and drawing itself.MethodsEighteen healthy right-handed participants wrote the German word “Wellen” and drew continuously circles in a sitting and lying position to capture kinematic handwriting parameters such as velocity, pressure and regularity of hand movements. Afterward, they performed the same tasks during fMRI in a MI and an executed condition.ResultsThe kinematic analysis revealed a general (...) correlation of handwriting parameters during sitting and lying except of pen pressure during drawing. Writing compared to imagined writing was accompanied by an increased activity of the ipsilateral cerebellum and the contralateral sensorimotor cortex. Executed compared to imagined drawing revealed elevated activity of a fronto–parieto-temporal network. By contrasting writing and drawing directly, executed writing induced an enhanced activation of the left somatosensory and premotor area. The comparison of the MI of these tasks revealed a higher involvement of occipital activation during imagined writing.ConclusionThe kinematic results pointed to a high comparability of writing in a vertical and horizontal position. Overall, we observed highly overlapping cortical activity except of a higher involvement of motor control areas during motor execution. The sparse difference between writing and drawing can be explained by highly automatized writing in healthy individuals. (shrink)

Aristotle's defense of Dunamis -- Power and potentiality -- Rational and nonrational powers -- The priority of actuality -- Ontological hierarchy, normativity, and gender.

Charlotte Witt extracts from this text a coherent and provocative view about sensible substance by focusing on Aristotle's account of form or essence.

Foucault's theory of power and subjectification challenges common concepts of freedom in social philosophy and expands them through the concept of 'freedom as critique': Freedom can be defined as the capability to critically reflect one's own subjectification, and the conditions of possibility for this critical capacity lie in political and social institutions. The article develops this concept through a critical discussion of the standard response by Foucault interpreters to the standard objection that Foucault's thinking obscures freedom. The standard response interprets (...) Fou-cault's later works, especially The Subject and Power, as a solution to the problem of freedom. It is mistaken, because it conflates different concepts of freedom that are present in Foucault's work. By differentiating these concepts, this paper proposes a new institutionalist approach to solve the problem of freedom that breaks with the partly anarchist underpinnings of Foucault scholarship: As freedom as critique is not given, but itself a result of subjectification, it entails a demand for 'modal robustness' and must therefore be institutionalized. This approach helps to draw out the consequences of Foucault's thinking on freedom for postfoundationalist democratic theory and the general social-philosophical discussion on freedom. (shrink)

The principles of responsible bioentrepreneurship are a call for multiple stakeholders to engage in a manifold discourse driving a solution-oriented innovation process.

In this timely and wide-ranging study, Karsten Stueber argues that empathy is epistemically central for our folk-psychological understanding of other agents--that it is something we cannot do without in order to gain understanding of other minds. Setting his argument in the context of contemporary philosophy of mind and the interdisciplinary debate about the nature of our mindreading abilities, Stueber counters objections raised by some in the philosophy of social science and argues that it is time to rehabilitate the empathy (...) thesis.Empathy, regarded at the beginning of the twentieth century as the fundamental method of gaining knowledge of other minds, has suffered a century of philosophical neglect. Stueber addresses the plausible philosophical misgivings about empathy that have been responsible for its failure to gain widespread philosophical acceptance.Crucial in this context is his defense of the assumption, very much contested in contemporary philosophy of mind, that the notion of rational agency is at the core of folk psychology. Stueber then discusses the contemporary debate between simulation theorists--who defend various forms of the empathy thesis--and theory theorists. In distinguishing between basic and reenactive empathy, he provides a new interpretive framework for the investigation into our mindreading capacities. Finally, he considers epistemic objections to empathy raised by the philosophy of social science that have been insufficiently discussed in contemporary debates. Empathy theorists, Stueber writes, should be prepared to admit that, although empathy can be regarded as the central default mode for understanding other agents, there are certain limitations in its ability to make sense of other agents; and there are supplemental theoretical strategies available to overcome these limitations. (shrink)

It is a genuine pleasure to engage with the insightful and generous comments of my colleagues. I have learned a lot from them, and I hope to continue our conversations in the future. The range of c...

Wie können Freiheit und Widerstand innerhalb von Foucaults Theorie der Macht und Subjektivierung konzipiert werden? Karsten Schubert liefert die erste systematische Rekonstruktion der sozialphilosophischen Debatte um Freiheit bei Foucault und eine neue Lösung für das Freiheitsproblem: Freiheit als die Fähigkeit zur reflexiven Kritik der eigenen Subjektivierung – kurz: Freiheit als Kritik – ist das Resultat von freiheitlicher Subjektivierung in politischen Institutionen. Der Band zeigt so die Konsequenzen von Foucaults Freiheitsdenken für die Demokratietheorie und die allgemeine sozialphilosophische Freiheitsdiskussion auf.

Die 'Musica' ist in Weltvorstellungen des Mittelalters und der Frühen Neuzeit oft nicht nur ein Bestandteil des Wissens neben vielen anderen, sondern stellt ein übergeordnetes Ordnungsprinzip dar. Erstmals untersucht dieses Buch die genaue Stellung von Musik innerhalb der universalen Ordnung der Dinge, wie sie sich in enzyklopädischen Texten auch jenseits des fachdisziplinären Diskurses darstellt. Anhand zentraler Leitthemen wie Produktivität, Kombinatorik und Kosmologie führt die Untersuchung von der mittelalterlichen Logik Ramon Llulls über zahlreiche Stationen bis hin zur Weltkonzeption Athanasius Kirchers. Noch (...) im 17. Jahrhundert, so wird deutlich, kann die Rolle der Musik nur vor dem Hintergrund der anhaltenden Wirksamkeit mystischer, magischer und kosmologischer Denkweisen verstanden werden. (shrink)

Translated by Henrik Rosenmeier, _A History of Ancient Philosophy_ charts the origins and development of ancient philosophical thought. For easy reference, the book is divided chronologically into six main parts. The sections are further divided into philosophers and philosophical movements: *Pre-Socratic Philosophy, including mythology, the Pythagoreans and Parmenides *The Great Century of Athens, including the Sophists and Socrates *Plato, including The Republic, The Symposium and The Timaeus *Aristotle, including The Physics, The Metaphysics and The Poetics *Hellenistic Philosophy, including the Sceptics, (...) the Stoics, the Epicureans and Cicero *Late Antiquity, including Neoplatonism, Origen and St Augustine. This comprehensive and meticulously documented book is structured to make ancient philosophical thought and ancient thinkers accessible. It contains: *full references to primary sources *detailed interpretations of key philosophical passages, including surveys of previous philosophical readings *an overview of the development of ancient philosophical thought *discussions of the relationships between philosophers and their ideas *analyses of key philosophical concepts and ideologies including ontology, epistemology, logic, semantics, moral and political philosophy, theology and aesthetics *explanations of Greek philosophical terminology. (shrink)

Foucault’s theory of power and subjectification challenges common concepts of freedom in social philosophy and expands them through the concept of ‘freedom as critique’: Freedom can be defined as the capability to critically reflect upon one’s own subjectification, and the conditions of possibility for this critical capacity lie in political and social institutions. The article develops this concept through a critical discussion of the standard response by Foucault interpreters to the standard objection that Foucault’s thinking obscures freedom. The standard response (...) interprets Foucault’s later works, especially The Subject and Power, as a solution to the problem of freedom. It is mistaken, because it conflates different concepts of freedom that are present in Foucault’s work. By differentiating these concepts, this article proposes a new institutionalist approach to solve the problem of freedom that breaks with the partly anarchist underpinnings of Foucault scholarship: As freedom as critique is not given, but itself a result of subjectification, it entails a demand for ‘modal robustness’ and must therefore be institutionalized. This approach helps to draw out the consequences of Foucault’s thinking on freedom for postfoundationalist democratic theory and the general social-philosophical discussion about freedom. (shrink)

Translated by Henrik Rosenmeier, A History of Ancient Philosophy charts the origins and development of ancient philosophical thought. For easy reference, the book is divided chronologically into six main parts. The sections are further divided into philosophers and philosophical movements: *Pre-Socratic Philosophy, including mythology, the Pythagoreans and Parmenides *The Great Century of Athens, including the Sophists and Socrates *Plato, including The Republic, The Symposium and The Timaeus *Aristotle, including The Physics, The Metaphysics and The Poetics *Hellenistic Philosophy, including the Sceptics, (...) the Stoics, the Epicureans and Cicero *Late Antiquity, including Neoplatonism, Origen and St Augustine. This comprehensive and meticulously documented book is structured to make ancient philosophical thought and ancient thinkers accessible. It contains: *full references to primary sources *detailed interpretations of key philosophical passages, including surveys of previous philosophical readings *an overview of the development of ancient philosophical thought *discussions of the relationships between philosophers and their ideas *analyses of key philosophical concepts and ideologies including ontology, epistemology, logic, semantics, moral and political philosophy, theology and aesthetics *explanations of Greek philosophical terminology. (shrink)

Derek Parfit defends the Imprecise Lexical View as a way to avoid the Repugnant Conclusion. Allowing for ‘imprecise equality’, Parfit argues, makes it possible to avoid some well-known problems for the Lexical View. It is demonstrated that the Lexical View has stronger implications than envisaged by Parfit; moreover, his assumption of Non-diminishing Marginal Value makes the Lexical View collapse into a much stronger view, which lets the two appear incompatible. Introducing imprecise equality does not address the latter problem. But it (...) does makes it possible for the Imprecise Lexical View to soften the discontinuities it would otherwise face, at the cost of blurring the difference between options.However, if Non-diminishing Marginal Value is rejected, the remaining complications for the resulting most plausible version of the Imprecise Lexical View, including a confrontation with Arrhenius’ Non-Elitism Condition, may be within a range where the view largely remains defensible. (shrink)

The fearful ape hypothesis revolves around our ability to express and perceive fearfulness. Here, we address these abilities from a social learning perspective which casts fearfulness in a slightly different light. Our commentary argues that any theory that characterizes a (human) social signal as being adaptive, needs to address the role of social learning as an alternative candidate explanation.

As shown through an inventory of the procedures used in diverse forms of qualitative content analysis projects, the logic of qualitative procedures is in most cases not standardized. Often researchers pay little or no attention to the procedures which they apply. This contribution presents and discusses a procedure for interpretive content analysis which was applied in an empirical study into trans-border news coverage in the Dutch-German Euregion Rhine-Waal. First, we will describe the study on the portrayal of the Dutch and (...) German people as well as their respective countries, The Netherlands and Germany, in the four main regional newspapers of this region. Secondly, basic principles of qualitative methodology are discussed and, thirdly, the procedure of the applied method based on these principles is presented and illustrated by means of exemplary material. Finally, after a brief presentation of some empirical results, the applied procedure of interpretive content analysis is discussed. (shrink)

This study explored in what way and to what extent people's occupational position corresponds with the consumption of news and the exposure to political content offered by the traditional mass media TV, radio, and newspaper, using survey data. The influence of occupational position in general and perceived amount of public social capital on especially consumption of news as well as the exposure to political media content, was evident. Findings are in line with the central assumptions on ‘audience activity’ of audience-centered (...) models in communication research in general and the ‘media use as social action’ approach especially. The subjectively perceived social context, indicated by occupational position as well as the subjectively held structure of relevancies is a central predictor of media use. (shrink)

Although the principle of fair subject selection is a widely recognized requirement of ethical clinical research, it often yields conflicting imperatives, thus raising major ethical dilemmas regarding participant selection. In this paper, we diagnose the source of this problem, arguing that the principle of fair subject selection is best understood as a bundle of four distinct sub-principles, each with normative force and each yielding distinct imperatives: (1) fair inclusion; (2) fair burden sharing; (3) fair opportunity; and (4) fair distribution of (...) third-party risks. We first map out these distinct sub-principles, and then identify the ways in which they yield conflicting imperatives for the design of inclusion and exclusion criteria, and the recruitment of participants. We then offer guidance for how decision makers should navigate these conflicting imperatives to ensure that participants are selected fairly. (shrink)

James Griffin has considered a form of superiority in value that is weaker than lexical priority as a possible remedy to the Repugnant Conclusion. In this article, I demonstrate that, in a context where value is additive, this weaker form collapses into the stronger form of superiority. And in a context where value is non-additive, weak superiority does not amount to a radical value difference at all. These results are applied on one of Larry Temkin's cases against transitivity. I demonstrate (...) that Temkin appeals to two conflicting notions of aggregation. I then spell out the consequences of these results for different interpretations of Griffin's suggestion regarding population ethics. None of them comes out very successful, but perhaps they nevertheless retain some interest. (shrink)

This article will defend the centrality of empathy and simulation for our understanding of individual agency within the conceptual framework of folk psychology. It will situate this defense in the context of recent developments in the theory of mind debate. Moreover, the article will critically discuss narrativist conceptions of social cognition that conceive of themselves as alternatives to both simulation and theory theory.

This paper asks whether the genuine representation of future generations brings any added value that could not be achieved by institutions or procedures installed to supplement and support ordinary representative democracy. On this background, it reviews some arguments for genuine representation of future generations. The analysis reveals that they tend to overlook the democratic costs of such representation, while they seem to ignore the alternative of giving consideration to the interests of future generations within current democracy. It is concluded that (...) what really matters in terms of the democratic ideal is to ensure an impartial deliberation which takes the interests of all affected parties sufficiently into account. (shrink)

Translated by Henrik Rosenmeier, _A History of Ancient Philosophy_ charts the origins and development of ancient philosophical thought. For easy reference, the book is divided chronologically into six main parts. The sections are further divided into philosophers and philosophical movements: *Pre-Socratic Philosophy, including mythology, the Pythagoreans and Parmenides *The Great Century of Athens, including the Sophists and Socrates *Plato, including The Republic, The Symposium and The Timaeus *Aristotle, including The Physics, The Metaphysics and The Poetics *Hellenistic Philosophy, including the Sceptics, (...) the Stoics, the Epicureans and Cicero *Late Antiquity, including Neoplatonism, Origen and St Augustine. This comprehensive and meticulously documented book is structured to make ancient philosophical thought and ancient thinkers accessible. It contains: *full references to primary sources *detailed interpretations of key philosophical passages, including surveys of previous philosophical readings *an overview of the development of ancient philosophical thought *discussions of the relationships between philosophers and their ideas *analyses of key philosophical concepts and ideologies including ontology, epistemology, logic, semantics, moral and political philosophy, theology and aesthetics *explanations of Greek philosophical terminology. (shrink)

Wie können Freiheit und Widerstand innerhalb von Foucaults Theorie der Macht und Subjektivierung konzipiert werden? Karsten Schubert liefert die erste systematische Rekonstruktion der sozialphilosophischen Debatte um Freiheit bei Foucault und eine neue Lösung für das Freiheitsproblem: Freiheit als die Fähigkeit zur reflexiven Kritik der eigenen Subjektivierung - kurz: Freiheit als Kritik - ist das Resultat von freiheitlicher Subjektivierung in politischen Institutionen. Der Band zeigt so die Konsequenzen von Foucaults Freiheitsdenken für die Demokratietheorie und die allgemeine sozialphilosophische Freiheitsdiskussion auf.

That death is not a welfare issue appears to be a widespread view among animal welfare researchers. This paper demonstrates that this view is based on a mistaken assumption about harm, which is coupled to ‘welfare’ being conceived as ‘welfare at a time’. Assessments of welfare at a time ignore issues of longevity. In order to assess the welfare issue of death, it is necessary to structure welfare assessment as comparisons of possible lives of the animals. The paper also demonstrates (...) that excluding the welfare issues of being deprived of life from the ethical assessment of killing distorts the ethical considerations. (shrink)