Das deutsche Gesundheitswesen steht durch die schnell steigende Anzahl an CO- VID-19-Erkrankten vor erheblichen Herausforderungen. In dieser Krisensituation sind alle Beteiligten mit ethischen Fragen konfrontiert, beispielsweise nach gerech- ten Verteilungskriterien bei begrenzten Ressourcen und dem gesundheitlichen Schutz des Personals angesichts einer bisher nicht therapierbaren Erkrankung. Daher werden schon jetzt klinische und ambulante Ethikberatungsangebote verstärkt mit Anfragen nach Unterstützung konfrontiert. Wie können Ethikberater*innen Entscheidungen in der Krankenversorgung im Rahmen der COVID-19-Pandemie unterstützen? Welche Grenzen von Ethikberatung sind zu beachten? Bislang liegen hierzu (...) noch wenige praktische Erfahrungen vor. Angesichts der dynamischen Entwicklung erscheint es der Akademie für Ethik in der Medizin (AEM) wichtig, einen Diskurs über die angemessene Rolle der Ethikberatung bei der Bewältigung der vielfachen Heraus- forderungen durch die COVID-19-Pandemie zu führen und professionelle Hinweise zu geben. Mit dem vorliegenden Diskussionspapier möchte die AEM einen Beitrag zur Beantwortung wesentlicher Fragen leisten, die sich für die Ethikberatung in den verschiedenen Bereichen des Gesundheitswesens stellen. Sie regt an, diesen Dis- kurs weiter zu führen und hat ein Online-Forum (s. unten) eingerichtet, in dem Ethikberater*innen ihre Erfahrungen teilen und die professionelle Selbstreflexion der Ethikberatung in Pandemiezeiten mit Anregungen fördern können. (shrink)

This study explores the attitude of German psychiatrists in leading positions towards joint crisis plans and psychiatric advance directives. This topic was examined by contacting 473 medical directors of German psychiatric hospitals and departments. They were asked to complete a questionnaire developed by us. That form contained questions about the incidence and acceptance of joint crisis plans and psychiatric advance directives and previous experiences with them. 108 medical directors of psychiatric hospitals and departments responded . Their answers demonstrate that in (...) their hospitals these documents are rarely used. Among the respondents, joint crisis plans are more accepted than psychiatric advance directives. There is a certain uncertainty when dealing with these instruments. Our main conclusion is that German psychiatry needs an intensified discussion on the use of instruments for patients to constitute procedures for future critical psychiatric events. For this purpose it will be helpful to collect more empirical data. Furthermore, the proposal of joint crisis plans in psychiatric hospitals and departments should be discussed as well as the possibility of consulting an expert during the preparation of a psychiatric advance directive. (shrink)

The Hannover qualifying programme ‘ethics consultation in hospitals’, conducted by a four-institution cooperation partnership, is an interdisciplinary, scientifically based programme for healthcare professionals interested in ethics consultation services and is widely acknowledged by hospital managements and healthcare professionals. It is unique concerning its content, scope and teaching format. With its basic and advanced modules it has provided training and education for 367 healthcare professionals with 570 participations since 2003 (until February 2010). One characteristic feature is its attractiveness for health professionals (...) from different backgrounds. Internationally, the Hannover programme is one of the few schedules with both academics and non-academics as target groups and a high participation rate of physicians. The concept of the Hannover programme is in great demand, and its schedule is continuously optimised through evaluation. The goals of enabling healthcare professionals from different professional backgrounds to define and reflect ethical problems, to facilitate and support the process of decision-making and to work out structures for their own institutions seem to have been achieved. However, in order to obtain effective and sustainable results, participation in the programme should be supplemented regularly by in-house training sessions or individual expert consultations. Future challenges include new thematic courses and providing a network for former participants, especially when they come from non-academic hospitals. The network is a reasonable platform to discuss participants' experiences, successes and pitfalls. A further task will be research on how the programme's concept can support the sustainability of ethics structures in the various institutions. (shrink)

The interdisciplinary Hannover Qualification Programme on ethics consultation has trained hospital staff to operate clinical ethics services in their respective hospitals since 2003. To evaluate Hannover Qualification Programme, all former participants were contacted using an online questionnaire including four domains: status quo before attending Hannover Qualification Programme, present status, impact of Hannover Qualification Programme, future challenges. Research objectives were the long-term satisfaction with Hannover Qualification Programme and its impact on clinical ethics services. The response rate was 45% (167/369). Hannover Qualification (...) Programme was evaluated as helpful and the responders were capable of applying their acquired skills. Most participants could contribute to the implementation of clinical ethics services. They were satisfied with Hannover Qualification Programme and with the degree of changes in their hospitals. In conclusion, clinical ethics education had long-term effects on trainees and on their respective hospitals. Problems were mentioned rather in the field of utilisation than with implementation or quality of clinical ethics services. (shrink)

We show that the variety of n -dimensional weakly higher order cylindric algebras, introduced in Németi [9], [8], is finitely axiomatizable when n > 2. Our result implies that in certain non-well-founded set theories the finitization problem of algebraic logic admits a positive solution; and it shows that this variety is a good candidate for being the cylindric algebra theoretic counterpart of Tarski’s quasi-projective relation algebras.

This paper is a survey of recent results concerning connections between relation algebras , cylindric algebras and polyadic equality algebras . We describe exactly which subsets of the standard axioms for RA are needed for axiomatizing RA over the RA-reducts of CA3's, and we do the same for the class SA of semi-associative relation algebras. We also characterize the class of RA-reducts of PEA3's. We investigate the interconnections between the RA-axioms within CA3 in more detail, and show that only four (...) implications hold between them . In the other direction, we introduce a natural CA-theoretic equation MGR+, generalization of the well-known Merrry-Go-Round equation MGR of CA-theory. We show that MGR+ is equivalent to the RA-reduct being an SA, and that MGR+ implies that the RA-reduct determines the algebra itself, while MGR is not sufficient for either of these to hold. Then we investigate how different CA's a single RRA can 'generate' in the general case. We solve the first part of Problem 11 from the 'Problem Session Paper' of [2].While proving some of the statements, for others we give only outline of proof. The paper contains several open problems. A full version of this paper is under preparation.Keywords: relation algebras, cylindric algebras, polyadic algebras, algebraic logic, arrow logic, proof theory, finite variable fragments, provability with 3 variables, non-finitizability, twisting, non-standard models, neat reducts, representability. (shrink)

Henkin and Tarski proved that an atomic cylindric algebra in which every atom is a rectangle must be representable . This theorem and its analogues for quasi-polyadic algebras with and without equality are formulated in Henkin, Monk and Tarski [13]. We introduce a natural and more general notion of rectangular density that can be applied to arbitrary cylindric and quasi-polyadic algebras, not just atomic ones. We then show that every rectangularly dense cylindric algebra is representable, and we extend this result (...) to other classes of algebras of logic, for example quasi-polyadic algebras and substitution-cylindrification algebras with and without equality, relation algebras, and special Boolean monoids. The results of op. cit. mentioned above are special cases of our general theorems. We point out an error in the proof of the Henkin-Monk-Tarski representation theorem for atomic, equality-free, quasi-polyadic algebras with rectangular atoms. The error consists in the implicit assumption of a property that does not, in general, hold. We then give a correct proof of their theorem. Henkin and Tarski also introduced the notion of a rich cylindric algebra and proved in op. cit. that every rich cylindric algebra of finite dimension satisfying certain special identities is representable. We introduce a modification of the notion of a rich algebra that, in our opinion, renders it more natural. In particular, under this modification richness becomes a density notion. Moreover, our notion of richness applies not only to algebras with equality, such as cylindric algebras, but also to algebras without equality. We show that a finite dimensional algebra is rich iff it is rectangularly dense and quasi-atomic; moreover, each of these conditions is also equivalent to a very natural condition of point density . As a consequence, every finite dimensional rich algebra of logic is representable. We do not have to assume the validity of any special identities to establish this representability. Not only does this give an improvement of the Henkin-Tarski representation theorem for rich cylindric algebras, it solves positively an open problem in op. cit. concerning the representability of finite dimensional rich quasi-polyadic algebras without equality. (shrink)

Objectives: To analyse and compare the surveys on German doctors and judges on end of life decision making regarding their attitudes on the advance directive and on the dying process.Design: The respondents were to indicate their agreement or disagreement to eight statements on the advance directive and to specify their personal view on the beginning of the dying process.Participants: 727 doctors in three federal states and 469 judges dealing with guardianship matters all over Germany.Main measurements: Comparisons of means, analyses of (...) variance, pivot tables and factor analyses .Results: Three attitude groups on advance directive were disclosed by the analysis: the decision model, which emphasises the binding character of a situational advance directive; the deliberation model, which puts more emphasis on the communicative aspect; and the delegation model, which regards the advance directive as a legal instrument. The answers regarding the beginning of the dying process were broadly distributed, but no marked difference was observed between the responding professions. The dying process was assumed by most participants to begin with a life expectancy of only a few days.Conclusions: A high degree of valuation for advance directive was seen in both German doctors and judges; most agreed to the binding character of the situational directive. Regarding the different individual concepts of the dying process, a cross-professional discourse on the contents of this term seems to be overdue. (shrink)

The class \ of t rue p airing a lgebras is defined to be the class of relation algebras expanded with concrete set theoretical projection functions. The main results of the present paper is that neither the equational theory of \ nor the first order theory of \ are decidable. Moreover, we show that the set of all equations valid in \ is exactly on the \ level. We consider the class \ of the relation algebra reducts of \ ’s, (...) as well. We prove that the equational theory of \ is much simpler, namely, it is recursively enumerable. We also give motivation for our results and some connections to related work. (shrink)

La présente contribution propose une étude de la périphérie gauche au sein d’un corpus oral multigenres, représentant douze activités de communication orale, annoté syntaxiquement et prosodiquement. La segmentation discursive du corpus en unités de base du discours (BDU) résulte d’une coïncidence entre unités syntaxiques et prosodiques, correspondant à des encodages linguistiques distincts mais complémentaires. Partant du postulat selon lequel ces unités discursives remplissent une fonction cognitive dans la planification et l’interprétation du discours, nous nous intéressons à l’étude de leur périphérie (...) gauche. Ce lieu, qui constitue le point d’ancrage du message, joue en effet un rôle important dans la négociation de la structure discursive. Dans l’objectif d’étudier les stratégies discursives à l’œuvre dans les différents genres du corpus, nous faisons l’inventaire des types formels observés et étudions finalement les fonctions discursives que ces éléments périphériques peuvent revêtir. (shrink)

Si l'on s'en tient à la distinction qu'établit l'Introduction de L'histoire naturelle de la religion entre la question du fondement de la religion dans la raison et celle de son origine dans la nature humaine, on sera tenté d'attribuer à chacun des deux principaux textes de Hume sur la religion - L'histoire naturelle de la religion et les Dialogues sur la religion naturelle -un objet propre, déterminant un type de discours philosophique particulier. L'histoire naturelle développerait un discours causal, principalement généalogique, (...) sur les religions positives, toutes populaires en leur fond, tandis que les Dialogues auraient à charge de mener l'examen critique des prétentions philosophiques de la religion naturelle. Il y aurait d'un côté la religion du peuple, ou de l'humanité encore inculte, et de l'autre la religion des savants, ou de l'humanité civilisée. Mais les choses ne sont pas si simples. Car d'une part, en montrant que le polythéisme, religion primitive de l'humanité inculte, conduit naturellement au théisme, L'histoire naturelle montre par là même que le théisme, dans lequel il faut comprendre la religion naturelle elle-même, a ses origines dans la superstition populaire. D'autre part, les trois dernières parties des Dialogues, consacrées aux attributs moraux de la divinité (parties X et XI) et à l'utilité ou la nécessité de la religion pour la morale et la société (partie XII), mettent en évidence les prétentions pratiques, et non simplement spéculatives, de la religion naturelle. Autrement dit, la superstition populaire a un devenir philosophique ou spéculatif, dans le théisme, et inversement la religion naturelle rejoint les religions positives dans leur prétention à régir la conduite humaine. C'est pourquoi, loin d'être totalement distincts et indépendants, le discours de L'histoire naturelle et celui des Dialogues se croisent et sont dans un rapport d'étroite intertextualité. Si une lecture interne de L'histoire naturelle suffit pour comprendre que la religion naturelle est bien, au même titre que les autres sortes de religion, l'objet de cette dissertation, ainsi comprise, L'histoire naturelle porte néanmoins un éclairage sur les Dialogues, en ce qu'elle permet de montrer que le ressort des arguments de Cléanthe et de Déméa n'est autre que la superstition. (shrink)

We prove that the equational theory of a semigroups becomes undecidable if we add a semilattice structure with a ‘touch of symmetric difference’. As a corollary we obtain that the variety of all Boolean algebras with an associative binary operator has a ‘hereditarily’ undecidable equational theory. Our results have implications in logic, e.g. they imply undecidability of modal logics extending the Lambek Calculus and undecidability of Arrow Logics with an associative arrow modality.

We give an overview of decidability results for modal logics having a binary modality. We put an emphasis on the demonstration of proof-techniques, and hope that this will also help in finding the borderlines between decidable and undecidable fragments of usual first-order logic.

:In this paper, I examine the concept of.

Prompted by a recommendation of the two Christian hospital associations in Germany, the Neu-Mariahilf Hospital in Goettingen set up a health ethics committee in autumn 1998. It is the committee's task to give support to staff members, patients and their relatives in individual cases where ethical dilemmas arise. The following article descibes the committee's work by means of three cases.

En este artículo hemos intentado poner de relieve la íntima solidaridad que existe entre la ontología y la estética de Gilles Deleuze. La conexión entre ambas disciplinas es tan estrecha que resulta materialmente imposible aproximarse a la teoría del arte de Deleuze sin tener una clara comprensión de las nociones nucleares que integran su pensamiento. Los conceptos de Deleuze no son estáticos, sino móviles, lo que les permite variar de fisonomía a medida que se desplaza el horizonte de la investigación. (...) Este es el motivo de que, en el proyecto del filósofo francés, la obra de arte reciba un tratamiento conceptual que es tributario de tesis elaboradas en el ámbito de la más rigurosa especulación ontológica. Deleuze concibe el arte como un antídoto contra las pasiones tristes de las que hablaba Spinoza, un revulsivo contra una Sociedad que asfixia la creatividad con sus clichés, un «paisaje» nuevo que solo podemos habitar a condición de despojarnos de nuestra pretendida identidad. (shrink)

Cet article documente la pratique du plan dans les relations entre hommes, à savoir ces rencontres rapides, à but sexuel principalement et en général non répétées. Le matériel mobilisé résulte de trente entretiens semi-directifs. Le plan correspond souvent à une dissociation marquée entre le courant sensuel et le courant tendre, au sens freudien, et présente donc un intérêt pour approfondir la compréhension de cette dualité. L’article observe les prises de contact virtuelles, les lieux des plans et la possibilité de penser, (...) ou de ne pas penser, le plan, d’en refouler le souvenir. Les affects éprouvés dans la rencontre de l’autre comme l’absence d’affect ( désaffectation ) sont alors analysés aux côtés de la question de la sociabilité et des impressions d’inquiétante étrangeté. (shrink)

The volume explores the hitherto uncharted late medieval religious landscape of Northern Germany. Through discussion of a rich, varied selection of mystical and devotional texts, also translated into English, a fascinating regional "mystical culture" with a far-reaching impact is revealed.

Après avoir fait l’état des lieux de la base de données VALIBEL en la situant dans son contexte institutionnel, nous mettons en exergue dans cet article quelques possibilités d’investigation qu’offre la base en regard de ses évolutions récentes. Une attention particulière est portée à l’outillage des corpus en termes de disfluences (avec le programme DisMo) et à l’étude du vieillissement langagier (liée au corpus Corpage). Nous concluons en montrant en quoi l’enrichissement constant de la base (en outillage et en corpus) (...) permet d’ouvrir de nouvelles pistes de recherches dans des domaines encore peu explorés en linguistique, eu égard à des problématiques sociétales majeures. (shrink)

Inspired by the recovery of natural law and virtue ethics in recent ethical discourse, certain members of the American Maritain Association have written essays to stimulate this recovery further. Their efforts are assembled in this volume, Freedom, Virtue, and the Common Good. Writing under the influence of Jacques Maritain and Yves R. Simon, they herein examine the requirements of a satisfactory natural law and virtue ethics, broadly understood as a moral philosophy giving primacy to character-formation and to the development of (...) individual and social habits necessary to perfect human life. The ethics herein envisioned is one that must first be grounded in a sound philosophy of the human person. (shrink)

We study the notion of H-dimension and the formally stronger k-variable property, as considered by Gabbay, Immerman and Kozen. We exhibit a class of flows of time that has H-dimension 3, and admits a finite expressively complete set of onedimensional temporal connectives, but does not have the k-variable property for any finite k.

La collecte des fonds Raymonde Debray-Genette et Gérard Genette témoigne de l’importance de mobiliser des compétences à la fois scientifiques et archivistiques dans ce type d’entreprise mémorielle. Les archives Genette, ensemble de documents produits sur support papier et sur support numérique, ont en effet été sauvées au lendemain de la disparition de Gérard Genette par le service des archives de l’EHESS avec le support du Centre de recherches sur les arts et le langage. L’article présente les phases du travail, de (...) la découverte des archives à leur mise en carton pour classement en vue de leur mise à disposition au Grand équipement documentaire du Campus Condorcet. Il propose en outre des pistes de réflexion sur les procédures de l’archivage des documents produits par les chercheurs en sciences humaines et sociales. (shrink)

We show the undecidability of the equational theories of some classes of BAOs with a non-associative, residuated binary extra-Boolean operator. These results solve problems in Jipsen [9], Pratt [21] and Roorda [22], [23]. This paper complements Andréka-Kurucz-Németi-Sain-Simon [3] where the emphasis is on BAOs with an associative binary operator.

Rights to life for unborn humans and to abortion with impunity are incompatible. This observation by the German legal philosopher Norbert Hoerster contains a fundamental criticism of the state regulation on abortion in Germany. The regulation regards abortion as unlawful, but declines to prosecute if the abortion is conducted within the first three months of pregnancy and the pregnant woman received counseling at least three days prior to terminating the pregnancy. In contrast to the German legislature, Hoerster is in favor (...) of setting the beginning of a right to life at birth. With this suggestion and the consequent demand for a general legalization of abortion, Hoerster himself has become the target of harsh criticism. The following article analyzes Hoerster's position and that of his opponents against the background of the current abortion debate in Germany. The consequences for dealing with the handicaps of Hoerster's suggested regulations will also be addressed. (shrink)

Acquaintance with the Absolute is the first collected volume of essays devoted to the thought of Yves r. Simon, a thinker widely regarded as one of the great teachers and philosophers of our time. Each piece in this collection of essays thoughtfully complements the others to offer a qualifiedly panoramic look at the work and thought of philosopher Yves R. Simon. The six essays presented not only treat some major areas of Simon’s thought, pointing out their lucidity and originality, but (...) also his underpinning metaphysics, so central to his thought. Rather than attempt to present all aspects of this patient, careful, and penetrating thinker, these essays select enough to situate Simon’s philosophical excavations – especially his moral, political and action theory – among contemporary Thomistic philosophy. In defending philosophy as a valid way of knowing, Simon gives us an approach we can use to avoid contemporary dilemmas in the philosophy of science. Simon holds that philosophical truths both justify scientific method as a way of knowing the real and provide a basis for distinguishing what is ontologically significant in a scientific theory from what is not. This view allows us to avoid the apparently irrational conclusions of quantum mechanics without reducing scientific theories to being mere projections of our conceptual systems. Though aspects of some of the essays are suited for students of Simon’s thought, the essays as a whole introduce the less familiar reader to this great thinking and, further, invite him or her to pursue Simon’s own texts. The volume is enhanced by the inclusion of a definitive Yves R. Simon bibliography 1923-1996. The annotated bibliography is cross-reference in detail, revealing the astonishing variety of topics Simon treated. (shrink)

Acquaintance with the Absolute is the first collected volume of essays devoted to the thought of Yves r. Simon, a thinker widely regarded as one of the great teachers and philosophers of our time. Each piece in this collection of essays thoughtfully complements the others to offer a qualifiedly panoramic look at the work and thought of philosopher Yves R. Simon. The six essays presented not only treat some major areas of Simon's thought, pointing out their lucidity and originality, but (...) also his underpinning metaphysics, so central to his thought. Rather than attempt to present all aspects of this patient, careful, and penetrating thinker, these essays select enough to situate Simon's philosophical excavations - especially his moral, political and action theory - among contemporary Thomistic philosophy. In defending philosophy as a valid way of knowing, Simon gives us an approach we can use to avoid contemporary dilemmas in the philosophy of science. Simon holds that philosophical truths both justify scientific method as a way of knowing the real and provide a basis for distinguishing what is ontologically significant in a scientific theory from what is not. This view allows us to avoid the apparently irrational conclusions of quantum mechanics without reducing scientific theories to being mere projections of our conceptual systems. Though aspects of some of the essays are suited for students of Simon's thought, the essays as a whole introduce the less familiar reader to this great thinking and, further, invite him or her to pursue Simon's own texts. The volume is enhanced by the inclusion of a definitive Yves R. Simon bibliography 1923-1996. The annotated bibliography is cross-reference in detail, revealing the astonishing variety of topics Simon treated. (shrink)

ZusammenfassungDer Beitrag untersucht mögliche Kriterien für die normative Bewertung der künstlichen Ernährung bei nichteinwilligungsfähigen Patienten. Der in der aktuellen Diskussion immer wieder unternommene Versuch, den verpflichtenden Charakter bestimmter Formen der Ernährung aufgrund ihrer Zuordnung zu den Kategorien „Basisbetreuung“ oder „Remedia ordinaria“ zu begründen, erweist sich als naturalistischer Fehlschluss. Die Rechtfertigung der künstlichen Nahrungs- und Flüssigkeitszufuhr setzt vielmehr—wie die jeder anderen medizinischen Maßnahme—voraus, dass ihre Durchführung medizinisch begründet und vom Patienten gewollt ist. Dies trifft grundsätzlich auch auf den nicht mehr einwilligungsfähigen (...) Patienten zu; bei diesem kommt es auf den früher erklärten oder mutmaßlichen Willen an. (shrink)

The paper investigates the notion of friendship in Aristotle’s moral philosophy. The key issue here is what role Aristotle attributes to the ‘other’ as friend in the self-appreciation of the moral individual. The discussion proceeds in three main steps: first I chart the anthropological connections of the Aristotelian notion of friendship; then I delineate in detail the discussions of self-knowledge and self-cognition in the framework of Aristotle’s ontology and philosophy of perception; finally, I set out what consequences Aristotle’s repeated assertion (...) that ‘the friend is another self’ has for the self-understanding of the person. Through these steps I argue for the conclusion that the friend, as the ‘other’, plays an indispensable role, on the one hand in the formation of virtues which are required for right action, on the other in allowing the person to reach self-consciousness and freedom, both of them prerequisites for happiness in the full sense of the term. (shrink)