BackgroundHealthcare professionals are exposed to advertisements for prescription drugs in medical journals. Such advertisements may increase prescriptions of new drugs at the expense of older treatments even when they have no added benefits, are more harmful, and are more expensive. The publication of medical advertisements therefore raises ethical questions related to editorial integrity.MethodsWe conducted a descriptive cross-sectional study of all medical advertisements published in the Journal of the Danish Medical Association in 2015. Drugs advertised 6 times or more were compared (...) with older comparators: comparative evidence of added benefit; Defined Daily Dose cost; regulatory safety announcements; and completed and ongoing post-marketing studies 3 years after advertising.ResultsWe found 158 medical advertisements for 35 prescription drugs published in 24 issues during 2015, with a median of 7 advertisements per issue. Four drug groups and 5 single drugs were advertised 6 times or more, for a total of 10 indications, and we made 14 comparisons with older treatments. We found: ‘no added benefit’ in 4 of 14 comparisons, ‘uncertain benefits’ in 7, and ‘no evidence’ in 3 comparisons. In no comparison did we find evidence of ‘substantial added benefit’ for the new drug; advertised drugs were 2 to 196 times more expensive per Defined Daily Dose; 11 safety announcements for five advertised drugs were issued compared to one announcement for one comparator drug; 20 post-marketing studies were requested for the advertised drugs versus 10 studies for the comparator drugs, and 7 studies assessed both an advertised and a comparator drug at 3 year follow-up.Conclusions and relevanceIn this cross-sectional study of medical advertisements published in the Journal of the Danish Medical Association during 2015, the most advertised drugs did not have documented substantial added benefits over older treatments, whereas they were substantially more expensive. From January 2021, the Journal of the Danish Medical Association no longer publishes medical advertisements. (shrink)

In the present study we investigated the stability and malleability of cadets’ definitions of success (mastery and performance goal orientations) contextualized within a certain motivational climate (mastery and performance climates). Based on data from three military academies, the results revealed that cadets’ goal orientations and their perceptions of the motivational climate remained relatively stable throughout the two years of study across three time-points. We also found that a mastery climate predicted individual mastery orientation, and that a performance climate predicted individual (...) performance orientation. These findings contribute to achievement goal theory by clarifying the importance of considering goal orientation contextualized within a certain motivational climate over time. Implications for future research and practice are discussed. (shrink)

An examination of the evidence for and the theoretical implications of a universal word order constraint, with data from a wide range of languages. This book presents evidence for a universal word order constraint, the Final-over-Final Condition (FOFC), and discusses the theoretical implications of this phenomenon. FOFC is a syntactic condition that disallows structures where a head-initial phrase is contained in a head-final phrase in the same extended projection/domain. The authors argue that FOFC is a linguistic universal, not just a (...) strong tendency, and not a constraint on processing. They discuss the effects of the universal in various domains, including the noun phrase, the adjective phrase, the verb phrase, and the clause. The book draws on data from a wide range of languages, including Hindi, Turkish, Basque, Finnish, Afrikaans, German, Hungarian, French, English, Italian, Romanian, Arabic, Hebrew, Mandarin, Pontic Greek, Bagirmi, Dholuo, and Thai. FOFC, the authors argue, is important because it is the only known example of a word order asymmetry pertaining to the order of heads. As such, it has significant repercussions for theories connecting the narrow syntax to linear order. (shrink)

Emerging trends in the workforce point to the necessity of facilitating work lives that foster constructive and balanced relationships between professional and private spheres in order to retain employees. Drawing on the conservation of resources theory, we propose that motivational climate influence turnover intention through the facilitation of work–home spillover. Specifically, we argue that employees working in a perceived mastery climate are less likely to consider voluntarily leaving their employer because of increased positive—and reduced negative—work–home spillover experiences. We further argue (...) that employees working in a perceived performance climate are more likely to consider voluntarily leaving their employer because of reduced positive—and increased negative—work–home spillover experiences. In a cross-lagged survey of 1074 employees in a Norwegian financial-sector organization, we found that work–home spillover partly mediates the relationship between a perceived mastery climate and turnover intention. Specifically, mastery climates seem to facilitate positive—and reduce negative—spillover between the professional and private spheres, which in turn decreases employees’ turnover intention. We discuss implications for practice and future research. (shrink)

The PRDM family has recently spawned considerable interest as it has been implicated in fundamental aspects of cellular differentiation and exhibits expanding ties to human diseases. The PRDMs belong to the SET domain family of histone methyltransferases, however, enzymatic activity has been determined for only few PRDMs suggesting that they act by recruiting co‐factors or, more speculatively, confer methylation of non‐histone targets. Several PRDM family members are deregulated in human diseases, most prominently in hematological malignancies and solid cancers, where they (...) can act as both tumor suppressors or drivers of oncogenic processes. The molecular mechanisms have been delineated for only few PRDMs and little is known about functional redundancy within the family. Future studies should identify target genes of PRDM proteins and the protein complexes in which PRDM proteins reside to provide a more comprehensive understanding of the biological and biochemical functions of this important protein family. (shrink)

Emotions, like actions, this paper argues, are typically embodied processes that are responsive to reasons, where these reasons connect closely with the agent’s desires, intentions, or projects. If so, why are emotions, nevertheless, typically passive in a sense in which actions are not; specifically, why are emotions not cases of doing something intentionally? This paper seeks to prepare the ground for answering this question by showing that it cannot be answered within a widely influential framework in the philosophy of action (...) that has been dubbed the Standard Conception of Action, shared by such diverse theorists as G.E.M. Anscombe, Donald Davidson, Jennifer Hornsby, Michael Smith. and Michael Thompson. The Standard Conception approaches agency via the notion of someone’s doing something intentionally, and links the latter notion closely to that of doing something for a reason, so as to imply ‘Anscombe’s Thesis’ that, if someone is doing something for a reason, they are doing it intentionally. The paper shows how emotions, as reason-responsive embodied processes, counterexemplify this claim. Qua processes, they can aptly be described in the progressive, as cases of trembling with fear, exploding with anger, etc. They are a kind of ‘doing’ something, for a reason, yet not intentionally. (shrink)

This book discusses Gadamer's theory of context-dependence. Analytical and partly critical, the book also shows exegetical accuracy in the rendering of Gadamer's position. It explores the following questions that Gadamer's theory of context-dependence tries to answer: in what way is thought influenced by and thus dependent on its historical context? To what extent and in what way is the individual able to become reflectively aware of and emancipate himself from this dependence? The book takes Gadamer's wide interests into account, e.g. (...) issues relating to the history of historiography and the nature of art and aesthetic experience. The problem of the context-dependence of thought is prominent in contemporary philosophy, including the fields of structuralism, post structuralism, deconstruction, certain forms of feminist philosophy and the philosophy of science. In this sense, the book discusses an issue with wide repercussions. (shrink)

This article presents an approach to how to make reasonable social choices when independent criteria (e.g., prioritarianism, religious freedom) fail to fully determine what to do. The article outlines different explanations of why independent criteria sometimes fail to fully determine what to do and illustrates how they can still be used to eliminate ineligible alternatives, but it is argued that the independent criteria cannot ground a reasonable social choice in these situations. To complement independent criteria when they fail to fully (...) determine what to do, it is suggested that society must engage in public deliberation by way of generating new reasons that can determine how to rank the alternatives. It is suggested that the approach to social choice presented here reveals a way of accepting the relevance of independent criteria for social choice without letting go of the idea that the attitudes of affected parties matter. (shrink)

It is widely agreed that sentences containing a non-denoting description embedded in the scope of a propositional attitude verb have true de dicto interpretations, and Russell's (1905) analysis of definite descriptions is often praised for its simple analysis of such cases, cf. e.g. Neale (1990). However, several people, incl. Elbourne (2005, 2009), Heim (1991), and Kripke (2005), have contested this by arguing that Russell's analysis yields incorrect predictions in non-doxastic attitude contexts. Heim and Elbourne have subsequently argued that once certain (...) facts about presupposition projection are fully appreciated, the Frege/Strawson analysis of definite descriptions has an explanatory advantage. In this paper, I argue that both Russell's analysis and the Frege/Strawson analysis face a serious problem when it comes to the interaction of attitude verbs and definite descriptions. I argue that the problem observed by Elbourne, Heim, and Kripke is much more general than standardly assumed and that a solution requires a revision of the semantics of definite and indefinite descriptions. I outline the conditions that are required to solve the problem and present an analysis couched in dynamic semantics which can provide a solution. I conclude by discussing some further issues related to propositional attitude verbs that complicate a fully general solution to the problem. (shrink)

Abstract Normative criteria for evaluations of economic and social outcomes are often formulated in terms of social welfare functions which are essentially and importantly non-satiable. However, there are good reasons to consider certain normative criteria and many policy objectives to be capped, i.e. bounded, and thus satiable provided sufficient resources are made available for their satisfaction. Inspired by the Foster–Greer–Thorbecke class of indicators, this paper uses an interdisciplinary approach to develop a model for assessing outcomes in terms of capped objectives (...) based on an understanding of individual shortfalls from the objective, denoted needs. We present an indicator to measure need satisfaction in a population of individuals with heterogeneous needs and highlight an aggregation problem under scarcity. For such situations, we develop three ways in which the indicator can be weighted that reflect respectively concerns over the frequency, depth and severity of the need shortfalls and show that normative evaluations based on these weighting schemes can conflict, yielding mutually inconsistent outcome rankings. The indicator can be adapted to measure a wide variety of phenomena, e.g. health needs, education shortfalls, deprivation, etc., and it is suited for targeting exercises and other policy implementations. In particular, it allows for exogenous weighting schemes, i.e. weights that can incorporate non-shortfall characteristics relevant for the evaluation, e.g. age, gender, ethnicity, etc. The indicator thus enables new ways for researchers to promote and study satiable objectives in a wide variety of contexts relevant to economic and social policy, e.g. human development programs, poverty reduction, healthcare policies, etc. (shrink)

This article analyzes the conditions for mobilizing the science base for development of public policy. It does so by focusing upon the science-policy interface, specifically the processes of direct interaction between scientists and scientifically trained experts, on the one hand, and agents of policymaking organizations, on the other. The article defines two dimensions – cognitive distance and expert autonomy – which are argued to influence knowledge exchange, in such a way as to shape the outcome. A case study on the (...) implementation of congestion charges in Stockholm, Sweden, illustrates how the proposed framework pinpoints three central issues for understanding these processes: Differentiating the roles of, e.g., a science-based consultancy firm and an academic environment in policy formation; Examining the fit between the organizational form of the science-policy interface and the intended goals; and Increasing our understanding of when policymaker agents themselves need to develop scientific competence in order to interact effectively with scientific experts. (shrink)

Berg, J. Buñuels dagdröm.--Bergström, L. Pessimismens konsekvenser.--Furberg, M. Möjliga teser hos Johannes Climacus.--Halldén, S. Teckenrelationen och språkreglernas juridik.--Hedenius, I. Ett argument mot den rättsfilosofiska domstolsrealismen.--Mates, B. Om Platons argument "den tredje människan."--Marc-Wogau, K. Kant om lögnen.--Næss, A. Om filosofiske projekter som forener empirisk semantikk og metafysisk spekulasjon.--Ofstad, H. Får nazister lettere magesår enn humanister?--Prawitz, D. Om moraliska och logiska satsers sanning.--Stenius, E. Om Descartes' psykofysiska modell.--Tranøy, K. E. Filosofenes etiske ansvar.--Wright, G. H. von. En filosof ser på filosofien.

The overarching topic of this dissertation is the semantics and pragmatics of definite descriptions. It focuses on the question whether sentences such as ‘the king of France is bald’ literally assert the existence of a unique king or simply presuppose the existence of such a king. One immediate obstacle to resolving this question is that immediate truth value judgments about such sentences are particularly unstable; some elicit a clear intuition of falsity whereas others simply seem awkward or strange. Because of (...) these variations, truth value judgments are generally considered unreliable. In the first chapter of the dissertation, an explanation of this phenomenon is developed. It is observed that when these types of sentences are considered in the context of a discourse, a systematic pattern in judgments emerges. This pattern, it is argued, should be explained in terms of certain pragmatic factors, e.g. whether a speaker’s utterance is interpreted as cooperative. A detailed and general explanation of the phenomenon is then presented which draws importantly on recent research in the semantics and pragmatics of questions and focus. It is shown that the behavior of these judgments can be systematically explained, that truth value judgments are not as unreliable as standardly assumed, and that the proposed explanation best supports the conclusion that definite descriptions presuppose rather than assert existence. In the second chapter, the following problem is investigated. If definite descriptions are assumed to literally assert existence, a sentence such as ‘Hans wants the ghost in his attic to be quiet’ is incorrectly predicted to be true only if Hans wants there to be a ghost in his attic. This prediction is often considered evidence against Russell’s quantificational analysis and evidence in favor of the referential analysis of Frege and Strawson. Against this claim, it is demonstrated that this problem is a general problem about the existence commitments of natural language determiners, i.e. not an argument in favor of a referential analysis. It is shown that in order to avoid these undesirable predictions, quite radical changes to the semantic framework are required. For example, it must be assumed that a sentence of the form ‘The F is G’ has the open sentence ‘x is G’ as its asserted content. A uniform quantificational and presuppositional analysis of definites and indefinites is outlined which by exploiting certain features of so-called dynamic semantics unproblematically assumes that the asserted contents indeed are open sentences. In view of the proposed quantificational/presuppositional analysis, the dissertation is concluded by a rejection of the argument put forward by Reimer and Devitt that definite descriptions are ambiguous between attributive and referential uses. Reimer and Devitt’s argument is based primarily on the assumption that definite descriptions are conventionally used to communicate singular thoughts and that the conventional meaning of a definite description therefore must be fundamentally indexical/directly referential. I argue that this argument relies crucially on tacit assumptions about semantic processing for which no empirical evidence is provided. I also argue that the argument is too general; if sound, it would be an argument for an indexical treatment of most, if not all, other determiners. I then conclude by demonstrating that the view does not explain any new data and thus has no clear motivation. In short, this dissertation provides a detailed pragmatic explanation of a long-standing puzzle about truth value judgments and then outlines a novel dynamic semantic analysis of definites and indefinites. This analysis solves a significant problem about existence commitments — a problem that neither Russell’s nor the Frege/Strawson analysis are equipped to handle. This analysis is then defended against the claim that definite descriptions are ambiguous. (shrink)

Current and future possibilities for enhancing human physical ability, cognition, mood, and lifespan raise the ethical question of whether we should enhance normal human capacities in these ways. This chapter offers such an account of enhancement. It begins by reviewing a number of suggested accounts of enhancement, and points to their shortcomings. The chapter then identifies two key senses of “enhancement”: functional enhancement, the enhancement of some capacity or power (e.g. vision, intelligence, health) and human enhancement, the enhancement of a (...) human being's life. The latter notion is the notion of enhancement most relevant to ethical debate. The chapter argues that it is best understood in welfarist terms. It illustrates this welfarist approach to enhancement by applying it to the case of cognitive enhancement. Unlike the sociological pragmatic and functional approaches, the welfarist account is inherently normative. It ties enhancement to the value of well‐being. (shrink)

Distributive theories evaluate distributions of goods based on candidate recipients’ characteristics, e.g. how well off candidates are, how deserving they are, and whether they fare below sufficiency. But such characteristics vary across possible worlds, so distributive theories may differ in terms of the world which for them settles candidates’ characteristics. This paper examines how distributive theories differ in terms of whether candidate recipients’ relevant characteristics are grounded in the possible world that would take place if the distributor does not intervene (...) (call it the “input” world) or if they are grounded in each possible world that the distributor can bring about through different decisions (call each an “output” world). We illustrate the importance of this distinction in relation to one distributive theory, prioritarianism. As we show, both input and output versions of prioritarianism are plausible interpretations of the literature, and there are good reasons to take input prioritarianism seriously. Ultimately, however, we argue that input prioritarianism should be rejected. (shrink)

The phrase ‘the object of history’ may mean all sorts of things. In this article, a distinction is made between object1, the object of study for historians, and object2, the goal or purpose of the study of history. Within object2, a distinction is made between a goal intrinsic to the study of history and an extrinsic goal, the latter being what the study of history should contribute to society. The main point of the article, which is illustrated by a discussion (...) of the work of R. G. Collingwood, E. H. Carr, and G. R. Elton, is that in the work of historians and philosophers of history, these kinds of ‘object of history’ are usually connected. If they are not, something is wrong. That does not mean, however, that historians or even philosophers of history are always aware of these connections. For that reason, the distinctions. (shrink)

1. Fairness is about the just distribution of society's resources, and in ML, the main resource being distributed is model performance, e.g. the translation quality produced by machine translation...

It is sometimes argued that certain sentences of natural language fail to express truth conditional contents. Standard examples include e.g. Tipper is ready and Steel is strong enough. In this paper, we provide a novel analysis of truth conditional meaning using the notion of a question under discussion. This account explains why these types of sentences are not, in fact, semantically underdetermined, provides a principled analysis of the process by which natural language sentences can come to have enriched meanings in (...) context, and shows why various alternative views, e.g. so-called Radical Contextualism, Moderate Contextualism, and Semantic Minimalism, are partially right in their respective analyses of the problem, but also all ultimately wrong. Our analysis achieves this result using a standard truth conditional and compositional semantics and without making any assumptions about enriched logical forms, i.e. logical forms containing phonologically null expressions. (shrink)

I identify a class of arguments against multiple realization (MR): BookofSand arguments. The arguments are in their general form successful under reasonably uncontroversial assumptions, but this, on the other hand, turns the table on identity theory: If arguments from MR can always be refuted by BookofSand arguments, is identity theory falsifiable? In the absence of operational demarcation criteria, it is not. I suggest a parameterized formal demarcation principle for brain state/process types and show how it can be used to identify (...) previously unconsidered contenders for evidence for MR, e.g., binary classification, division, and sorting. For these to be actual instances of MR, the corresponding psychological kinds must be verifiably, relevantly similar. I also briefly discuss possible linguistic, behavioral, and experimental demarcation criteria for psychological kinds. (shrink)

How should states and international organizations allocate global health resources? This paper examines proposals for distributing these resources in the literature. First, we look at the literature on the metrics for measuring what matters and consider how they might be modified to avoid some common objections—e.g., that these measures discriminate against the disabled or fail to give due weight to helping the young (or old) or those in present (or future) generations. Second, we canvas existing approaches to evaluating allocations of (...) health‐related resources utilizing such measures and advance a new way of doing so. We suggest that it is important to provide substantive arguments for directly evaluating alternative allocations, but there is also room for deliberation about fair procedures for selecting allocation criteria and securing just outcomes. (shrink)

In this paper we defend the idea that dyadic gratitude — i.e. gratitude in absence of a benefactor — is a coherent concept. Some authors claim that ‘gratitude’ is by definition a triadic concept involving a beneficiary who is grateful for a benefit to a benefactor. These authors state that people who use the term gratitude in absence of a benefactor do so inappropriately, e.g. by using it as an interchangeable term for ‘appreciation’ or ‘being glad’. We believe that the (...) conceptual analyses which underlie such statements are too strongly focused on language and pay insufficient attention to the lived experience of gratitude. Thus, we have conducted a phenomenological analysis of several experiences in which people report feeling gratitude in absence of a benefactor. Informed by our phenomenological findings, we argue that dyadic gratitude is a coherent concept that shares certain core experiential elements with triadic gratitude. Gratitude is an appreciative response that construes its object as a gratuitous good and as a (metaphorical) gift; it is characterised by a receptive-appreciative attitude, an awareness that we are in some sense dependent on something other than ourselves, and a motivational impetus to promote, celebrate and/or radiate goodness. Finally, we argue that dyadic gratitude is a useful concept because it enables us to think and communicate effectively about a set of experiences. Moreover, it is also a scientifically and philosophically relevant concept, since it seems to be associated with various positive psychosocial effects and might even be developed as a virtuous disposition. (shrink)

In der vorliegenden Arbeit soll die These mitsamt den sich aus ihr ergebenden Konsequenzen etabliert werden, dass die Disziplin Gerechtigkeitstheorie durch Entwicklungen in der Disziplin Erkenntnistheorie in dem Sinne beeinflusst wird, dass erstere sich von letzterer Anregungen im grundsätzlichen methodischen Vorgehen holt. Diese These soll sowohl unter Bezug auf allgemeine Argumente plausibilisiert als auch durch eine Rekonstruktion gerechtigkeitstheoretischer Ansätze aus erkenntnistheoretisch informierter Perspektive am konkreten Material belegt werden. Eine Konsequenz, die sich aus dieser These ableiten lässt, ist die Vorhersage, dass (...) die beiden bis anhin vorherrschenden Paradigmen innerhalb der Gerechtigkeitstheorie - Neoaristotelismus und Neokantianismus - nur schwer in der Lage sein werden, ihre jeweilige Schwäche, nämlich Kulturrelativismus respektive leeren Universalismus, zu überwinden, weil diese Schwäche eine notwendige Folge aus ihrer Anlehnung an die ihnen jeweils zugrunde liegende Erkenntnistheorie darstellt und somit auf basaler Ebene der Theorie verortet ist. Eine andere Konsequenz besteht darin, dass es auf Basis dieser These möglich wird, zwei aktuelle, bislang aber nur selten miteinander assoziierte gerechtigkeitstheoretische Ansätze, die sich beide gegen die vorherrschenden Paradigmen wenden - nämlich der Ansatz Amartya Sens und derjenige Axel Honneths -, als ein und derselben philosophischen Theorietradition zugehörig auszuweisen: dem Pragmatismus. Unter explizitem Anschluss an selbige Theorietradition sollen diese beiden gerechtigkeitstheoretischen Ansätze zudem zu einem Ansatz weiterentwickelt werden, der als "Gerechtigkeitstheorie als historischer Experimentalismus" bezeichnet wird. Der Beitrag der vorliegenden Arbeit besteht somit zum einen darin, einen Blick auf die Disziplin Gerechtigkeitstheorie freizumachen, der durch die Trennung der Philosophie in eine sogenannte praktische, u.a. die G. (shrink)

Health-related quality of life is the ultimate general goal for medicine, health care and public health, including health promotion and health education. The other important general goal is health-related welfare. The aim of the paper is to explain what this means and what the consequences of these assumptions are for health work. This involves defining the central terms “health”, “quality of life” and “welfare” and showing what their conceptual relations are. Health-related quality of life has two central meanings: health-related well-being, (...) which constitutes quality of life, and health as ability, which contributes causally to quality of life. Four meanings of health-related welfare are put forward: general well-being, health as ability, other inner properties of the individual, and external factors. States and processes covered by these categories contribute causally to health-related quality of life. Finally, using these distinctions, some more specific goals for medicine and health care, on the one hand, and for public health and health promotion, on the other, are outlined. In the former fields work is primarily directed towards changing the health-related quality of life of the individual through direct measures, “manipulating” the individual, whereas public health work and health promotion primarily use indirect measures and further health through various sorts of health-related welfare changes, e.g. through changing the environment. (shrink)

ABSTRACT The difference between perception and cognition seems introspectively obvious in many cases. Perceiving and thinking have also been assigned quite different roles, in epistemology, in theories of reference and of mental content, in philosophy of psychology, and elsewhere. Yet what is the nature of the distinction? In what way, or ways, do perception and cognition differ? The paper reviews recent work on these questions. Four main respects in which perception and cognition have been held to differ are discussed. First, (...) their phenomenal character, such as the often-remarked vivacity or immediacy of perception. Second, the way in which they represent the world, e.g. the non-propositional nature of the contents, or non-discursive character of the vehicles, that have been held to characterise perceptual representation. Third, their place in cognitive architecture, i.e., roughly, in the information-flow of the mind, such as their alleged (non-)modularity. Fourth, their mind-world relations, e.g. the way in which perceptions seem to be tightly causally linked with distal or proximal stimuli. Against this background, we distinguish some main options for an account of the perception/cognition distinction, in particular concerning whether there is one, several, or no interesting and principled distinction(s) to be drawn here. (shrink)

We claim that if a complete philosophy of evidence-based practice is intended, then attention to the nature of causation in health science is necessary. We identify how health science currently conceptualises causation by the way it prioritises some research methods over others. We then show how the current understanding of what causation is serves to constrain scientific progress. An alternative account of causation is offered. This is one of dispositionalism. We claim that by understanding causation from a dispositionalist stance, many (...) of the processes within an evidence-based practice framework are better accounted for. Further, some of the problems associated with the health research, e.g. external validity of causal findings, dissolve. (shrink)

When seeing immoral actions, criminal or not, we sometimes deem the people who perform them unhealthy. This is especially so if the actions are of a serious nature, e.g. involving murder, assault, or rape. We turn our moral evaluation into an evaluation about health and illness. This tendency is partly supported by some diagnoses found in the DMS-IV, such as Antisocial personality disorder, and the ICD-10, such as Dissocial personality disorder. The aim of the paper is to answer the question: (...) How analytically sound is the inclusion of morality into a theory of health? The holistic theory of Lennart Nordenfelt is used as a starting point, and it is used as an example of a theory where morality and health are conceptually distinct categories. Several versions of a pluralistic holistic theory are then discussed in order to see if, and if so, how, morality can be conceptually related to health. It is concluded that moral abilities (and dispositions) can be seen as being part of the individual’s health. It is harder to incorporate moral virtues and moral actions into such a theory. However, if immoral actions “cluster” in an individual, and are of a severe kind, causing serious harm to other people, it is more likely that the person, for those reasons only, be deemed unhealthy. (shrink)

Fetal alcohol spectrum disorders is an umbrella term covering several conditions for which alcohol consumption during pregnancy is taken to play a causal role. The benefit of individuals being identified with a condition within FASD remains controversial. The objective of the present study was to identify ethical aspects and consequences of diagnostics, interventions, and family support in relation to FASD. Ethical aspects relating to diagnostics, interventions, and family support regarding FASD were compiled and discussed, drawing on a series of discussions (...) with experts in the field, published literature, and medical ethicists. Several advantages and disadvantages in regards of obtaining a diagnosis or description of the condition were identified. For instance, it provides an explanation and potential preparedness for not yet encountered difficulties, which may play an essential role in acquiring much needed help and support from health care, school, and the social services. There are no interventions specifically evaluated for FASD conditions, but training programs and family support for conditions with symptoms overlapping with FASD, e.g. ADHD, autism, and intellectual disability, are likely to be relevant. Stigmatization, blame, and guilt are potential downsides. There might also be unfortunate prioritization if individuals with equal needs are treated differently depending on whether or not they meet the criteria for a specific condition. The value for the concerned individuals of obtaining a FASD-related description of their condition – for instance, in terms of wellbeing – is not established. Nor is it established that allocating resources based on whether individuals fulfil FASD-related criteria is justified, compared to allocations directed to the most prominent specific needs. (shrink)

Das Wesen der menschlichen Kopfarbeit. -- Briefe an Karl Marx. -- Die Religion der Sozialdemokratie, 2. Kanzelrede. -- Die Grenzen der Erkenntnis. -- Verkappte Theologie. -- Philosophie. -- Schriften von und über Joseph Dietzgen (p. 175-176).

Aischylos darf als der eigentliche Schöpfer der Tragödie als literarischer Kunstform gelten, so sehr diese im 5. vorchristlichen Jahrhundert auch an ihren kultischen Ursprung gebunden bleibt. Aischylos führt den zweiten Schauspieler ein und nutzt technische Erfindungen zur Steigerung szenischer Effekte. Außerdem ist er der große Gestalter der tetralogischen Komposition, d.h. der Verbindung dreier Tragödien und eines Satyrspiels zu einer Handlungseinhait, die es ihm ermöglicht, die Verkettung von Hybris, Ate und Dike an ganzen Geschlechtern über Generationen hin zur Darstellung zu bringen. (...) Im Mittelpunkt seines Denkens steht die notwendig schuldhafte Existenz des handelnden Menschen, für den die Erfüllung einer überpersönlichen Forderung zugleich den Verstoß gegen eine andere, ebenso gültige Norm bedeutet. Überbrückt wird diese tragische Weltsicht im Glauben an die von Zeus repräsentierte Weltordnung, die den Menschen im einzelnen zwar unbegreiflich bleibt, deren grundsätzliche Sinnhaftigkeit sich ihm jedoch im Leiden erschließt. Adäquaten Ausdruck findet dieses Denken in einer urtümlichen und gewaltigen Sprache, deren Übersetzung in der hier vorliegenden Ausgabe philologisch präzis ist und gleichzeitig das Verständnis des aischyleischen Dramas erleichtert. (shrink)

Descartes nimmt in Anspruch, daß sein Argument des Deus malignus über die Einwände der Skeptiker hinausgehe. Was fügt es dem Traumargument hinzu? Die verbreitete Ansicht, der Dämon stelle die Erkenntnis mathematischer und logischer Wahrheiten in Frage, wird im folgenden diskutiert und zurückgewiesen. Die richtige Interpretation lautet: Die Annahme des Dämons unterstützt den Skeptizismus und verstärkt die Zweifel an der Existenz äußerer Objekte. Es werden drei Einwände gegen diese Interpretation erörtert und zurückgewiesen. Eine andere Auffassung vertritt Frankfurt: Die Rolle des Traumarguments (...) sei wesentlich begrenzt; die durch den Dämon aufgeworfenen Zweifel seien umfassender. Eine genaue Analyse der Entwicklung des Traumarguments in der Ersten Meditation führt zur Widerlegung dieser Interpretation. (shrink)

Albrecht Dürers Meisterstich Hieronymus im Gehäus (B 60) darf als allgemein bekannt vorausgesetzt werden. Die Forschung hat vor allem ikonographische Details im Zusammenhang des Gelehrtenbildes diskutiert, denn zu selbstverständlich nahm man das Bildthema (,,Stubengelehrter“, Lieblingsheiliger der Humanisten”) hin. Aber das Hauptthema ist ein völlig anderes: man findet es formuliert von Dürers Freund Lazarus Spengler , der im Jahr des Meisterstichs 1514 seine Übersetzung des (Ps.-)Eusebius-Briefes in Nürnberg veröffentlichte. Neben dieser Übersetzung gewinnt der Kupferstich eine metaphysische Dimension, die freilich erst in (...) den Blick rückt, wenn man ihn auf die Philosophie des Pico della Mirandola und die Formel aus der Oratio (1487) vom plastes&fictor sui ipsius” bezieht. (shrink)

Von Theokrits Leben wissen wir wenig. Geboren wohl zu Beginn des 3. Jh.s. v. Chr. im sizilischen Syrakus, hat ihn das landliche Lebensumfeld gepragt. Eine Reise nach Alexandreia, der Metropole des Ptolemaerreiches, fuhrte ihn vermutlich mit Kallimachos und Apollonios Rhodios sowie dem Lehrdichter Arat zusammen; belegt ist das freundschaftliche Verhaltnis zu dem in Milet praktizierenden Arzt und Epigrammdichter Nikias. Als Todesdatum kommen die 60er Jahre in Frage, aber auch ein erheblich spaterer Zeitpunkt. Die politischen und wirtschaftlichen Veranderungen seit dem 4. (...) Jh. - die Herrschaft der Makedonenkonige bedeutete das Ende der Autonomie fur die demokratisch organisierten kleinen griechischen Stadtstaaten - blieben nicht ohne Einfluss auf die Dichtkunst: Die Abkehr vom Gesellschaftlich-Offentlichen und die Hinwendung zum Elitar-Privaten; der Verzicht auf die grosse Form des Epos und der Tragodie, statt dessen die Bevorzugung kleinerer Formen. Vorausgesetzt ist gleichzeitig ein verandertes Rezeptionsverhalten: Die Werke der alexandrinischen Dichter richten sich nicht an eine grosse Zuhorerschaft im Theater, sie wollen vielmehr den gebildeten einzelnen Leser, der all die literarischen und mythologischen Anspielungen und Variationen bis hin zur Parodie verstehen kann, erreichen und erfreuen. Ebenso unverkennbar ist der Innovationswille bei den Themen der eidyllia Theokrits: die Hirtenwelt mit einer besonderen Akzentuierung des Erotischen, das stadtische Leben, die landliche Arbeitswelt der Bauern und Fischer... Die realitatsgesattigte Darstellung des Alltags der kleinen Leute steht allem Pathos des Heroischen, das Archaik und Klassik pragte, vollig fern. Daruber hinaus stellt die distanzierende Ironie mit ihren Hinweisen auf die Schwachen und Defizite der Protagonisten nicht nur einen deutlichen Gegensatz zur literarischen Tradition dar, sondern auch zu jenen Nachfolgern, die sich oft auf ein idealisierend-verengendes Theokrit-Bild berufen haben: Vergil und andere Bukoliker sowie die Verfasser von Schaferdichtung spaterer Zeit. Deren heile Idyllenwelt entspringt haufig der kitschig-verklarenden Sehnsucht moderner Stadtmenschen nach dem vermeintlich einfachen und naturlichen Landleben. Allein am Wort selbst ist die Bedeutungsverschiebung unverkennbar: Das realitatsnahe "kleine Bildchen" des Theokrit mit seinen oft derb-obszonen Spassen hat wenig gemein mit der romantisierenden Idylle franzosischer Rokokodichtung.". (shrink)

An seine Freunde - wer da Zeugnisse dessen, was wir Freundschaft nennen, erwartet, wird sich ein wenig enttäuscht finden. Abgesehen von den Briefen an seine Gattin Terentia und seine Freigelassenen Tiro, die eine Sonderstellung einnehmen, gibt sich Cicero nur einigen wenigen Partnern gegenüber ganz so, wie er ist, und das ist doch das, was wir bei einem Freund voraussetzen: Unbefangenheit und Unverstelltheit. Die große Masse seiner Briefe ist zweckgebunden, trägt mehr oder weniger formellen Charakter. Da gilt es, das eigene politische (...) Handeln zu rechtfertigen, das persönliche Verdienst ins rechte Licht zu rücken, Differenzen mit politischen "Freunden" auszufechten, Beziehungen für sich und andere auszuwerten, den politischen Gesinnungsgenossen bei der Stange zu halten oder zu fördern und was dergleichen mehr ist. So leuchten diese Briefe tief hinein in das Treiben der führenden Kreise und bergen mit ihren Schlaglichtern auf das politische Geschehen der Zeit eine Fülle von Interessantem und Fesselndem. Ganz von der Politik diktiert ist der Briefwechsel mit L. Plancus, M. Lepidus, D. Brutus und C. Cassius in den Büchern X, XI und XII. Er bildet eine unschätzbare Quelle für unsere Kenntnis der Vorgänge während des Todeskampfes der Republik. (shrink)

Archilochos ist der erste Autor der europäischen Geistesgeschichte, dem es vorrangig um den Ausdruck der eigenen Empfindungen und Gedanken geht. Neu und stilbildend an seinem Werk ist der subjektive Ton; anders als Homer oder Hesoid verzichtet der Lyriker auf alles Lehrhafte und Heroische. Wegen seiner Derbheit wurde der im 7. Jahrhundert v. Chr. lebende Dichter lange Zeit weniger geschätzt, diese Direktheit macht ihn heute aber im besonderen Maße interessant.