The author argues the following hypothesis: the medical clinic is an experimental practice, in the sense given to this term by Claude Bernard, and the clinic is its specific laboratory. Its object is not the disease, but the patient. Careful examination of the clinic attests to its very close proximity to the experimental method, and the comparison also raises a number of difficulties. The main obstacle arises from the specificity of medicine, which involves treating individual human subjects whose words cannot (...) be suppressed. Its main challenge is to combine a linguistic practice with an experimental method. (shrink)

There are only a few ethical regulations that deal explicitly with robots, in contrast to a vast number of regulations, which may be applied. We will focus on ethical issues with regard to “responsibility and autonomous robots”, “machines as a replacement for humans”, and “tele-presence”. Furthermore we will examine examples from special fields of application (medicine and healthcare, armed forces, and entertainment). We do not claim to present a complete list of ethical issue nor of regulations in the field of (...) robotics, but we will demonstrate that there are legal challenges with regard to these issues. (shrink)

It is time to challenge the issue of pleasure associated with the core of medical practice. Its importance is made clear through its opposite: unhappiness—something which affects doctors in a rather worrying way. The paper aims to provide a discussion on pleasure on reliable grounds. Plato’s conception of techne is a convenient model that offers insights into the unique practice of medicine, which embraces in a single purposive action several heterogeneous dimensions. In Aristotle’s Ethics, pleasure appears to play a central (...) role for action’s assessment and intensification. Pleasure is also tightly associated with the Kantian faculty of reflective judgment, which operates at the heart of clinical reasoning. Indeed, practicing medicine means to deal with the particular and the manifold, requiring clinical judgment, but also relying on embodied habitus . With Bourdieu’s notion of habitus , pleasure is the mark of a happy practice, which presupposes a deep involvement in one’s field. Throughout our inquiry, the question of pleasure comes to offer a critical reappraisal of real medical practice and leads to consider ethics more as a component of techne than as a separate realm of concern. (shrink)

Nous faisons usage de machines, de chaussures, de cartes, en vue de notre vie, de sa conservation et de son développement. Mais c’est la vie elle-même qui est avant tout « usable », et pour laquelle machines, chaussures, cartes sont utilisées. L’ usage de soi, de son existence, est le présupposé et la poutre maîtresse de tous les autres usages. Or l’usage de soi se fonde sur le détachement de soi. Est utilisée une existence à laquelle on ne peut pas (...) toujours s’identifier, qui ne se possède pas entièrement et qui, sans être vraiment étrangère, n’est pas non plus complètement familière. Autrement dit, l’usage de la vie concerne l’espèce qui, en plus de vivre, doit rendre sa vie possible. Le jeu de scène théâtral récapitule et amplifie les procédés par lesquels l’être humain se sert de son existence. L’activité de l’acteur est un modèle incomparable de l’usage de la vie et du souci de soi. Pour reconstituer avec précision les « technologies du soi », il convient de regarder de près les écrits de Stanislavski, Mejerchol’d, Brecht et Grotowski. (shrink)

À l’heure où l’essence de la médecine cherche à être ressaisie pour repenser une pratique en crise d’identité, la notion de personne peut apparaître comme un point d’ancrage possible. L’auteur examine l’usage qui en est fait dans la littérature professionnelle et dans les avis du Comité consultatif national d’éthique (CCNE) entre 2005 et 2010. La notion de personne apparaît complexe et sert des idéologies qui s’affrontent. Les traditions juridique, théologique et philosophique qui la sous-tendent ont cédé en partie à une (...) nouvelle conception affirmée par la Déclaration universelle des droits de l’Homme de 1948. Celle-ci n’évite pas deux écueils : l’exaltation de l’individu autonome et responsable de la modernité laisse un nombre croissant d’êtres parlants sur le bord du chemin ; l’attention portée au vivant minore le souci des conditions politiques et sociales de l’existence. Faisant retour sur l’éthique de la pratique, l’auteur suggère qu’elle n’a pas besoin, pour consister, de recourir à la notion polémique, complexe et problématique de la personne. (shrink)

« La médecine reste en quête d’une épistémologie propre, car l’opposition entre science des maladies et art de soigner ne parvient pas à rendre compte de l’unité d’une pratique. Cette épistémologie peut être dégagée en ressaisissant ce qui se produit dans la clinique, véritable laboratoire de la médecine : lieu de son effectuation et lieu de son élaboration, où l’expérience vécue et l’expérience acquise fournissent les coordonnées d’une expérimentation. La clinique a un point de départ : la demande d’un malade (...) en proie à une intrication symptomatique maladive qui convoque le corps mais aussi le langage, et dont le médecin fait cas. La complexion symptomatique fait l’objet d’une analyse critique (diagnostic) qui débouche sur la détermination d’une thérapie. La clinique est alors une technique productive de remédiations diverses qui mobilise un ensemble hétéroclite de savoirs et de facultés pour trouver des solutions aux problèmes concrets des individus qui s’adressent à elle. Quand bien même la clinique importe pour son usage des biotechnologies et des algorithmes, elle reste incertaine et conjecturale car individuée. Si bien qu’en son cœur, la pratique médicale garde des allures infra-techniques, mobilisant des esthésies, une praxis, une sagacité pratique. Cette hétérogénéité épistémologique est la seule qui soit adéquate à son objet. ». (shrink)

Nul ne disconvient de l’existence d’un malaise dans la médecine contemporaine, mais les points de vue divergent concernant ses causes. Notre analyse prend comme point de départ le discord entre l’expérience vécue du malade et le statut de patient inauguré par la rencontre médicale, pour suggérer l’existence d’un motif de basse continue à une dysharmonie qui n’est pas la seule conséquence du contexte actuel, mais qui tient à un hiatus irréductible. Les mouvements tendanciels destinés à « corriger le tir » (...) risquent de manquer leur but, faute d’avoir pris en considération le caractère inévitablement bancal de la pratique médicale. Faisant retour sur ce qui « a lieu » dans la consultation, la question initiale en vient à être déplacée : conviendrait-il, tout bien considéré, de ne pas trop (chercher à) comprendre le malade? (shrink)

The particular situation of the French administrative detention center medical units appears to be an exemplary case to study the difficulties facing medical practice. Indeed, the starting point of our inquiry was an amazing observation that needed to be addressed and understood: why are professional interpreters so seldom requested in ADC medical units, where one would expect that they would be “naturally” present? Aiming to fully explore the meanings of the “absent interpreter”, this article takes into account the possible meanings (...) of this situation: the recourse to professional interpreters in France is far from expected given cumulative evidence of its benefits; perceptions of illegal immigrants and medical habitus itself may both hamper the use of a third party; the ADCs are a very stressful place for healthcare professionals, with conflicting missions, political issues enmeshed with medical goals, and heavy affective burden that may lead to self-protection. Silencing voices of suffering others might be seen as the hidden indecent truth of the “absent interpreter”. These reflections open a window to a larger issue with regard to the full range of medicine: what are the place, the role and the function of patient’s words and narratives in contemporary medicine? The highly invested somatic perspective and its political corollary giving primacy to bare life harbor potential risks of obscuring speeches and undervaluing narratives. (shrink)

The improvement of ultrasound scan techniques is enabling ever earlier prenatal diagnosis of developmental anomalies. In France, apart from cases where the mother’s life is endangered, the detection of “particularly serious” conditions, and conditions that are “incurable at the time of diagnosis” are the only instances in which a therapeutic abortion can be performed, this applying up to the 9th month of pregnancy. Thus numerous conditions, despite the fact that they cause distress or pain or are socially disabling, do not (...) qualify for therapeutic abortion, despite sometimes pressing demands from parents aware of the difficulties in store for their child and themselves, in a society that is not very favourable towards the integration and self-fulfilment of people with a disability. Cleft lip and palate (CLP), although it can be completely treated, is one of the conditions that considerably complicates the lives of child and parents. Nevertheless, the recent scope for making very early diagnosis of CLP, before the deadline for legal voluntary abortion, has not led to any wave of abortions. CLP in France has the benefit of a exceptional care plan, targeting both the health and the integration of the individuals affected. This article sets out, via the emblematic instance of CLP, to show how present fears of an emerging “domestic” or liberal eugenic trend could become redundant if disability is addressed politically and medically, so that individuals with a disability have the same social rights as any other citizen. (shrink)

Most accounts of Weber’s notion of charisma follow his own explicit comments and seek its origins in the writings of Rudolf Sohm. While I acknowledge the validity of this, I follow Weber’s suggestions and locate the charismatic forces in the political and ethical conduct and beliefs of certain Old Testament prophets, specifically Amos, Jeremiah and Isaiah. Their emphasis on political justice and ethical fairness, coupled with their unwavering belief in the power of prophecy, infuse Weber’s conception of (...) charisma and in crucial ways contribute to the formation of his notion of the modern political leader. (shrink)

The complexity and heterogeneity of causes influencing ecology’s domain challenge its capacity to generate a general theory without exceptions, raising the question of whether ecology is capable, even in principle, of achieving the sort of theoretical success enjoyed by physics. Weber has argued that competition theory built around the Competitive Exclusion Principle (especially Tilman’s resource-competition model) offers an example of ecology identifying a law-like causal regularity. However, I suggest that as Weber presents it, the CEP is not yet (...) a causal regularity. Instead, I argue that the scientific understanding in Tilman’s theory takes a different form. The theory explains through a structure I call “channeling explanation” which does not depend on deduction from general laws, but rather builds on constraints and trade-offs represented in state-space. Recognizing this structure supports the more general point that ecology and other so-called special sciences can reveal novel theoretical approaches to philosophy of science when approached with openness to their uniqueness. (shrink)

In this article I address a number of central problems in modern and/or postmodern political and ethical life. I do so largely through an explication and comparison of John Dewey’s and Max Weber’s theoretical approaches and prescriptions for ethics and political participation. According to both Dewey and Weber, the modern world fragments both the ‘individual’ and ‘community’. This fragmentation impairs meaningful political action. Thus, the question becomes, how is the fragmentation on the individual and community level to be (...) reconciled, coherence regained and meaningful action restored? Dewey and Weber have conflicting answers to this set of questions. I argue that however wanting one might find Dewey and Weber’s insights, the questions and their insights are still relevant to this day. I argue that the problems brought on by modernity still flourish under ‘postmodern’ conditions. Further, I propose that given contemporary conditions (at least for some) a supplemented combination of Weber and Dewey’s views is the most suitable and politically efficient response to the demands of the day and would best serve our need for coherence and allow for meaningful political action. The article ends by proposing a blend of their views that is supplemented by the work of Judith Butler. (shrink)

Max Weber and Ernst Toller are regarded as political opposites with the former viewed as the responsible realist and the latter as an ethical idealist. I argue that this contrast between the two is not as great as is customarily thought.

Readers of The Protestant Ethic and the Spirit of Capitalism recognize that Weber attempts to provide an ideal account of development of modern rational capitalism. What readers apparently do not realize is that Weber believes that there is a political development that is parallel to this economic development. Weber believed that Luther’s passive theology and doctrine of two kingdoms lead to quiet resignation in earthly matters. Luther advises shunning politics and avoiding political confrontation. In contrast, Weber (...) held that Calvin’s theology of awe and his doctrine of predestination lead to active political stances and even imply a duty to resist tyranny. However, Weber rejects both Luther’s and Calvin’s political stances because both believed in a divinely ordered world and held that the consequences of their actions were ultimately left to God. Weber contends that only those people who have the proper understanding of the nature of power and have a real appreciation for the ‘diabolic’ nature of politics are suitable to be political actors. Thus, Weber insists that only those people who will take responsibility for their own political actions have the right to ‘stick their hands in the wheels of history’. (shrink)

Reviewed work: Max Weber, Wirtschaft und Gesellschaft, Teilband 3, Recht, ed. Werner Gephart and Siegfried Hermes. Tu¨bingen: J. C. B. Mohr (Paul Siebeck), 2010. ISBN 978-3-16-150358-0, xxix þ 811 pp. € 299.00. Max Weber Gesamtausgabe, I/22–3.

In the final pages of Politik als Beruf Max Weber introduces his now famous distinction between two types of ethics: the “ethics of conviction” ( “Gesinnungsethik”) and the “ethics of responsibility” ( “Verantwortungsethik”). Neither of these is simple to translate and neither of these is easy to understand. What makes it even more difficult to comprehend Weber’s two types of ethics is the absence of a sufficient context. In the following piece I will try to address this problem. (...) In the first part I set out the nineteenth century notion of “conscience”, in the second I address the Protestant Ethic with the particular emphasis on Calvin’s theology, and in the third I lay out the political and ethical demands of some of the Old Testament Prophets. The people’s appeals to conscience, Calvin’s convictions, and the beliefs of Old Testament prophets were all predicated on a sense of devotion to God. Weber’s “modern politician” shared many of their ethical convictions but was no longer able to appeal to the authority of God. Instead, the modern political actor has to have a sense of responsibility and a belief in the accountability for the future. By providing this theological context one will have a fuller background for understanding of Weber’s two types of ethics. (shrink)

In texts such as An Autobiography, Collingwood asserts that historical thinking as he understood it effects a "rapprochement" between theory and practice or even a "negation" of this traditional distinction, a thesis that would seem to place him on the opposite side of the debate about the place of values in historical research to figures such as Max Weber, who famously argued for history and the social sciences being "value free" disciplines. This article then investigates this apparent contrast, taking (...) a critical approach to the arguments Collingwood propounds on the topic across a range of his later writings. After noting the curiously limited nature of these arguments however, Collingwood's self-styled "historical" conception of duty is discussed to show that in fact, his position on the place of values in historical research was indistinguishable to Weber's, since at the centre of both is the doctrine that judgements about what to do can never be simply deduced from scholarly study, but instead must be willed in practice itself. (shrink)

‘I have just finished Rickert. He is very good.’1 These two sentences are from a letter Max Weber wrote to his wife Marianne while he was still recuperating in Florence from his psycho-somatic illn...

Individualism is a popular cultural trope in the United States, often touted for its promotion of industriousness and rejection of laziness. This essay argues that, ironically, America’s brand of individualism actually promotes a more fundamental form of the very vice it purports to oppose. To make this case, the essay defines the unique form of individualism in the United States and then retrieves the classical definition of sloth as a vice against charity, contrasting Aquinas and Barth with Weber to (...) demonstrate that this peculiarly American individualist impulse undermines civic charity by reaping the benefits of civic relationships while denying any concomitant responsibilities. Identifying this narrative of individualism as a structural vice, the essay proposes structural remedies for reinvigorating civic charity, solidarity, and the common good in the United States. (shrink)

This article argues that the polemics accompanying the valuation of Islamist social movements occur because studies of political Islam are often oriented towards the debate over the relative worth of Western and Islamist routes to modernity and the civilizing process. The method pursued by Weber to delineate the Christian activism of The Protestant Ethic - minus its debilitating Eurocentrism - is suggested as a helpful model for analyzing the complexity of Islamist interventions. These theoretical remarks are grounded in a (...) study of the transformation of public space effected by the Turkish Islamist party Refah upon its winning the Greater Istanbul Municipality in the 1994 local elections. The construction of Islamist tea gardens/restaurants reveals the conflicting civilizing practices of Islamists themselves as well as the plurality of interests and ethical commitments seeking shelter under the universal ethic of the Islamic ümmet. (shrink)

We argue that two well-known examples (strawberry distribution and Konigsberg bridges) generally considered genuine cases of distinctively _mathematical_ explanation can also be understood as cases of distinctively _generic_ explanation. The latter answer resemblance questions (e.g., why did neither person A nor B manage to cross all bridges) by appealing to ‘generic task laws’ instead of mathematical necessity (as is done in distinctively mathematical explanations). We submit that distinctively generic explanations derive their explanatory force from their role in ontological unification. Additionally, (...) we argue that distinctively generic explanations are better seen as standardly mathematical instead of distinctively mathematical. Finally, we compare and contrast our proposal with the work of Christopher Pincock on abstract explanations in science and the views of Michael Strevens on abstract causal event explanations. (shrink)

Peter Lassman, ed., Max Weber. Aldershot, Hants: Ashgate, 2006. 674 pp. £165.

This paper draws on Weber’s theodicy problem to define organizational corruption as the emerging discrepancy between experience and normative expectation. Theodicy describes the attempts to explain this discrepancy. The paper presents four normative principles enlisted by observers to respond to perceived corruption: moral dilemma, detachment, systematic regulation, and normative controls. Consistent with social construction, these justifications work to either reaffirm or challenge prevailing social norms in the face of confusing events. An exemplar case involves perceived corruption in the business (...) of mountain climbing as represented through the 1996 Mt. Everest climbing disaster. The events illustrate how theodicy informs descriptive accounts of corruption and expose two limitations of normative models of ethics. (shrink)

This is the first English translation of the majority of Fichte’s 1807 essay on Machiavelli, which has been hailed as a masterpiece and was important for the development of German idealist political thought, as well as for its reception by figures such as Carl von Clausewitz, Max Weber, Leo Strauss, and Carl Schmitt. Fichte’s essay attempts to resuscitate Machiavelli as a legitimate political thinker and an “honest, reasonable, and meritorious man.” It tacitly critiques Napoleon, who was occupying Prussia when (...) Fichte composed the piece, and calls on the Germans to resist the French. And some have argued that it marks a shift in Fichte’s political thought toward a more realist position. (shrink)

This is the first English translation of the majority of Fichte’s 1807 essay on Machiavelli, which has been hailed as a masterpiece and was important for the development of German idealist political thought, as well as for its reception by figures such as Carl von Clausewitz, Max Weber, Leo Strauss, and Carl Schmitt. Fichte’s essay attempts to resuscitate Machiavelli as a legitimate political thinker and an “honest, reasonable, and meritorious man.” It tacitly critiques Napoleon, who was occupying Prussia when (...) Fichte composed the piece, and calls on the Germans to resist the French. And some have argued that it marks a shift in Fichte’s political thought toward a more realist position. (shrink)

Port-wine birthmarks (PWBs) are caused by somatic, mosaic mutations in the G protein guanine nucleotide binding protein alpha subunit q (GNAQ) and are characterized by the formation of dilated, dysfunctional blood vessels in the dermis, eyes, and/or brain. Cutaneous PWBs can be treated by current dermatologic therapy, like laser intervention, to lighten the lesions and diminish nodules that occur in the lesion. Involvement of the eyes and/or brain can result in serious complications and this variation is termed Sturge-Weber syndrome (...) (SWS). Some of the biggest hurdles preventing development of new therapeutics are unanswered questions regarding disease biology and lack of models for drug screening. In this review, we discuss the current understanding of GNAQ signaling, the standard of care for patients, overlap with other GNAQ-associated or phenotypically similar diseases, as well as deficiencies in current in vivo and in vitro vascular malformation models. (shrink)

The article starts from an examination of the authorship of the ‘Geleitwort’, the programmatic statement which appeared in the Archiv für Sozialwissenschaft when it came under new editors in 1904. Recently scholars have begun to view it as an important text by Max Weber recovered from obscurity, but this is a mistake. Examination of major contemporary works by Weber and Werner Sombart – the obvious co-author – as well as the first public disclosure of an entirely new MS. (...) by Weber, show that in all probability the text was drafted by Sombart and then revised fairly lightly by Weber. This story of a combined, if unequal, authorship leads into two broader seams of intellectual history: the relationship between Weber and Sombart, and the history of the Archiv as a journal. An unusual starting point thus casts fresh and unexpected light on some of the most central figures and episodes in German social science at the beginning of the 20th century, not least Weber's seminal essay on “Objectivity” in social science. ☆ This paper relies on intellectual interchange and the generosity of colleagues to a quite unusual degree. I note three particular debts: to Prof. Friedrich Lenger, for a copy of Sombart's important 1897 essay on ‘Social Scientific Journals’; to Prof. Guenther Roth for letter transcripts bearing on the Archiv from and to Edgar Jaffé, and for showing me in draft his ground-breaking work ‘Edgar Jaffé and Else von Richthofen: a biographical essay based on the family archive of Christopher Jeffrey’ [hereafter ‘Biographical Essay]; and to Dr. Edith Hanke and Prof. Rainer Lepsius (on behalf of the Max Weber Gesamtausgabe). Dr. Hanke brought to my notice the existence of the MS. which I have called Weber's draft Editorial Notice (see §.IV below), and Prof. Lepsius then gave permission for me to see and to cite from this document. — Some abbreviations: AfSS for Archiv für Sozialwissenschaft und Sozialpolitik; AfGS for Archiv für Soziale Gesetzgebung und Statistik; Lebensbild for Marianne Weber, Max Weber. Ein Lebensbild [1926] (Tübingen, 1989); MWG for Max Weber Gesamtausgabe ed. Horst Baier et al. (Tübingen, 1984-). Letters by Weber within the MWG are cited as Briefe; ‘Nachlaß Max Weber’ for unpublished letters in the Geheimes Staatsarchiv Preußischer Kulturbesitz, VI. HA Nachlaß Max Weber. (shrink)

Christopher Dawson identified with sociology, wrote extensively for the original Sociological Review, was a stalwart of the Sociological Society in the interwar years, achieved international recognition as a sociologist, engaged with Karl Mannheim and the Moot, and in the postwar period defended meta-history and the sociologically oriented historical work of people like Marc Bloch. He ultimately became regarded as the greatest Catholic historian of the twentieth century, and became a Harvard Professor and a cult figure for American and European Catholics. (...) This paper describes this remarkable trajectory, his absence from the later self-understanding of British sociology, and his key ideas, including his Bellah-like account of the axial age and his extensive response to Weber’s Protestant Ethic and to the extension of these ideas in Ernst Troetlsch. (shrink)

The recent literature on causality has seen the introduction of several distinctions within causality, which are thought to be important for understanding the widespread scientific practice of focusing causal explanations on a subset of the factors that are causally relevant for a phenomenon. Concepts used to draw such distinctions include, among others, stability, specificity, proportionality, or actual-difference making. In this contribution, I propose a new distinction that picks out an explanatorily salient class of causes in biological systems. Some select causes (...) in complex biological systems, I argue, have the property of enabling coherent causal control of these systems. Examples of such control variables include hormones and other signaling molecules, e.g., TOR (target of rapamycin), morphogens or the products of homeotic selector genes in embryonic pattern formation. I propose an analysis of this notion based on concepts borrowed from causal graph theory. (shrink)

In an age where issues like climate change and the unintended consequences of technological innovation are high on the ethical and political agenda, questions about the nature and extent of our responsibilities to future generations have never been more important, yet simultaneously so difficult to answer. This book takes a unique approach to the problem by drawing on diverse traditions of thinking about care (including developmental psychology, phenomenology and feminist ethics) to explore the nature and meaning of our relationship with (...) the future. Demonstrating that many influential perspectives on intergenerational ethics, including positions advanced by John Rawls, Brian Barry, and Ulrich Beck are undermined by problems relating to uncertainty, it shows that an approach based on care ethics can confront the uncertain future successfully and give a viable account of the nature and scope of future-oriented responsibilities. (shrink)