Concerns have been voiced about the ethical implications of patenting practices in the field of biotechnology. Some of these have also been incorporated into regulation, such as the European Commission Directive 98/44 on the legal protection of biotechnological inventions. However, the incorporation of ethically based restrictions into patent legislation has not had the effect of satisfying all concerns. In this article, we will systematically compare the richness of ethical concerns surrounding biotech patenting, with the limited scope of ethical concerns actually (...) addressed in the patent system. As sources of our analyses we will use literature and document studies and a survey with important stakeholders and experts related to Norwegian patenting in the aquacultural biotechnology sector. We will structure the analyses with an ethical matrix, developed for this purpose. Showing the misalignment of the discussions within and outside the patent system, we suggest that an important reason for the ethical controversy still surrounding patenting is that ethical questions keep being framed in a narrow way within the system. Until a richer set of ethical considerations is addressed head-on within the patent system, the patent system will continue to evoke academic and interest group criticism, potentially contributing to a legitimacy crisis of the whole system. (shrink)

De vagebond was van oudsher een randfiguur die de samenleving de rug toekeerde en in verband werd gebracht met bedelarij, maar dat veranderde in de negentiende eeuw: kunstenaars en andere kritische geesten kozen de vagebond juist als voorbeeld. Zij vestigden zich op eenzame locaties en verafschuwden hebzucht en commercie.0Deze dwarsdenkers zijn de voorboden van een trend in de wereld van vandaag. Deels omdat zij de huizenprijzen niet meer kunnen betalen, deels omdat zij het postkapitalistische systeem verwerpen, ontwikkelen jongeren alternatieve levenswijzen. (...) Ze verlaten de gebaande paden en bouwen tiny houses aan de rafelranden van de maatschappij; verbeelding, liefde voor de natuur en vrijheidszin staan voor hen centraal.0In zijn 'Handboek voor de vagebond' presenteert Léon Hanssen belangrijke vertegenwoordigers van deze manier van zwerven, wonen en denken. Van de Amerikaan Henry David Thoreau met zijn pleidooi om de bossen in te trekken, via de Oostenrijkse filosoof Ludwig Wittgenstein, die zich in een hut aan een Noorse fjord installeerde, tot de Engelse schuurbewoner en schrijfster Catrina Davies anno nu: zij staan voor een levenshouding die voor ons allemaal inspirerend kan zijn. (shrink)

The Proceedings present the contributions to the 13th International Kant Congress which was held at the University of Oslo, August 6-9, 2019. The congress, which hosted speakers from more than thirty countries and five continents, was dedicated to the topic of the court of reason. The idea that reason stands before itself as a tribunal characterizes the whole of Kant's critical project. Without such a court, reason falls into conflict with itself. With such a court in place, however, it may (...) succeed in establishing the possibility and limits of metaphysics, ethics, aesthetics, law and science. The idea of reason being its own judge is not only pivotal to a proper understanding of Kant's philosophy, but can also shed light on the burgeoning fields of meta-philosophy and philosophical methodology. The 2019 Kant Congress put special emphasis on Kant's methodology, his account of conceptual critique, and the relevance of his ideas to current issues in especially political philosophy and the philosophy of law. Additional sections discussed a wide range of topics in Kant's philosophy. The Proceedings will provide anyone who is interested in exploring the variety of present-day work on Kant and Kantian themes with a wealth of fruitful inspiration. (shrink)

We answer a question of Ambos-Spies and Kuˇcera in the affirmative. They asked whether, when a real is low for Schnorr randomness, it is already low for Schnorr tests.

We show that in the setting of fair-coin measure on the power set of the natural numbers, each sufficiently random set has an infinite subset that computes no random set. That is, there is an almost sure event [Formula: see text] such that if [Formula: see text] then X has an infinite subset Y such that no element of [Formula: see text] is Turing computable from Y.

A real x is -Kurtz random if it is in no closed null set . We show that there is a cone of -Kurtz random hyperdegrees. We characterize lowness for -Kurtz randomness as being -dominated and -semi-traceable.

Background: In the neonatal intensive care unit, immigrant parents may experience even greater anxiety than other parents, particularly if they and the nurses do not share a common language. Aim: To explore the complex issues of trust and the nurse–mother relationship in neonatal intensive care units when they do not share a common language. Design and methods: This study has a qualitative design. Individual semi-structured in-depth interviews and two focus group interviews were conducted with eight immigrant mothers and eight neonatal (...) intensive care unit nurses, respectively. Data analysis was based on Braun and Clarke’s thematic analytic method. Ethical considerations: Approval was obtained from the hospital’s Scientific Committee and the Data Protection Officer. Interviewees were informed in their native language about confidentiality and they signed an informed consent form. Results: Trust was a focus for mothers and nurses alike. The mothers held that they were satisfied that their infants received the very best care. They seemed to find the nurses’ care and compassion unexpected and said they felt empowered by learning how to care for their infant. The nurses discussed the mother’s vulnerability, dependency on their actions, attitudes and behaviour. Discussion: Lack of a common language created a challenge. Both parties depended on non-verbal communication and eye contact. The nurses found that being compassionate, competent and knowledgeable were important trust-building factors. The mothers were relieved to find that they were welcome, could feel safe and their infants were well cared for. Conclusion: The parents of an infant admitted to the neonatal intensive care unit have no choice but to trust the treatment and care their infant receives. Maternal vulnerability challenges the nurse’s awareness of the asymmetric distribution of power and ability to establish a trusting relationship with the mother. This is particularly important when mother and nurse do not share a verbal language. The nurses worked purposefully to gain trust. (shrink)

Recent results on initial segments of the Turing degrees are presented, and some conjectures about initial segments that have implications for the existence of nontrivial automorphisms of the Turing degrees are indicated.

We show that Carmo and Jones’ condition 5 conflicts with the other conditions on their models for contrary-to-duty obligations. We then propose a resolution to the conflict.

We prove that superhigh sets can be jump traceable, answering a question of Cole and Simpson. On the other hand, we show that such sets cannot be weakly 2-random. We also study the class $superhigh^\diamond$ and show that it contains some, but not all, of the noncomputable K-trivial sets.

The article defends Heidegger’s view that the main question of Kant’s Critique of Pure Reason is the question of being. It is also argued that Heidegger special understanding of the level and method of KrV deserves serious attention. Finally it is argued that Heidegger’s phenomenological reading of the KrV is best seen as representative of an hermeneutical conception of phenomenology.

The chapter examines Kant’s conceptions of consciousness and their relation to his views on psychology as a science. Kant does not develop a philosophy of mind as such, but through his reinterpretation of metaphysics he develops different notions of consciousness. The most central and specifically Kantian concept of consciousness is that of apperception. It is argued that ‘apperception’ is not to be understood as self-consciousness or self-awareness. Rather, apperception is a capacity to be aware of one’s spontaneous activities, and it (...) can be further analyzed as the ability to respond to rules and norms. Thus understood, ‘apperception’ plays a central role not only in Kant’s theoretical philosophy but also in his moral and aesthetic theory. ‘Inner sense’ is another central concept for Kant. In the first Critique and later works, Kant distinguishes between apperception and inner sense: inner sense is the consciousness of what takes place within the mind as opposed to apperception, which is the consciousness of one’s activities. These two concepts of consciousness, ‘inner sense’ and ‘apperception’, generate two very different questions about the relation between consciousness and nature. On the one hand, there is the question of how inner or mental nature is related to physical nature; on the other hand, there is the question of how spontaneity is related to the whole of nature, inner nature as well as outer. As we shall see, Kant’s answer to the first question is closely related to his pessimism regarding the status of psychology as a science. (shrink)

The Proceedings present the contributions to the 13th International Kant Congress which was held at the University of Oslo, August 6-9, 2019. The congress, which hosted speakers from more than thirty countries and five continents, was dedicated to the topic of the court of reason. The idea that reason stands before itself as a tribunal characterizes the whole of Kant's critical project. Without such a court, reason falls into conflict with itself. With such a court in place, however, it may (...) succeed in establishing the possibility and limits of metaphysics, ethics, aesthetics, law and science. The idea of reason being its own judge is not only pivotal to a proper understanding of Kant's philosophy, but can also shed light on the burgeoning fields of meta-philosophy and philosophical methodology. The 2019 Kant Congress put special emphasis on Kant's methodology, his account of conceptual critique, and the relevance of his ideas to current issues in especially political philosophy and the philosophy of law. Additional sections discussed a wide range of topics in Kant's philosophy. The Proceedings will provide anyone who is interested in exploring the variety of present-day work on Kant and Kantian themes with a wealth of fruitful inspiration. (shrink)

BackgroundEthical problems in everyday healthcare work emerge for many reasons and constitute threats to ethical values. If these threats are not managed appropriately, there is a risk that the patient may be inflicted with moral harm or injury, while healthcare professionals are at risk of feeling moral distress. Therefore, it is essential to support the learning and development of ethical competencies among healthcare professionals and students. The aim of this study was to explore the available literature regarding ethics education that (...) promotes ethical competence learning for healthcare professionals and students undergoing training in healthcare professions.MethodsIn this integrative systematic review, literature was searched within the PubMed, CINAHL, and PsycInfo databases using the search terms ‘health personnel’, ‘students’, ‘ethics’, ‘moral’, ‘simulation’, and ‘teaching’. In total, 40 articles were selected for review. These articles included professionals from various healthcare professions and students who trained in these professions as subjects. The articles described participation in various forms of ethics education. Data were extracted and synthesised using thematic analysis.ResultsThe review identified the need for support to make ethical competence learning possible, which in the long run was considered to promote the ability to manage ethical problems. Ethical competence learning was found to be helpful to healthcare professionals and students in drawing attention to ethical problems that they were not previously aware of. Dealing with ethical problems is primarily about reasoning about what is right and in the patient’s best interests, along with making decisions about what needs to be done in a specific situation.ConclusionsThe review identified different designs and course content for ethics education to support ethical competence learning. The findings could be used to develop healthcare professionals’ and students’ readiness and capabilities to recognise as well as to respond appropriately to ethically problematic work situations. (shrink)

In algorithmic randomness, when one wants to define a randomness notion with respect to some non-computable measure λ, a choice needs to be made. One approach is to allow randomness tests to access the measure λ as an oracle . The other approach is the opposite one, where the randomness tests are completely effective and do not have access to the information contained in λ . While the Hippocratic approach is in general much more restrictive, there are cases where the (...) two coincide. The first author showed in 2010 that in the particular case where the notion of randomness considered is Martin-Löf randomness and the measure λ is a Bernoulli measure, classical randomness and Hippocratic randomness coincide. In this paper, we prove that this result no longer holds for other notions of randomness, namely computable randomness and stochasticity. (shrink)

In algorithmic randomness, when one wants to define a randomness notion with respect to some non-computable measure λ, a choice needs to be made. One approach is to allow randomness tests to access the measure λ as an oracle. The other approach is the opposite one, where the randomness tests are completely effective and do not have access to the information contained in λ. While the Hippocratic approach is in general much more restrictive, there are cases where the two coincide. (...) The first author showed in 2010 that in the particular case where the notion of randomness considered is Martin-Löf randomness and the measure λ is a Bernoulli measure, classical randomness and Hippocratic randomness coincide. In this paper, we prove that this result no longer holds for other notions of randomness, namely computable randomness and stochasticity. (shrink)

Is there a nontrivial automorphism of the Turing degrees? It is a major open problem of computability theory. Past results have limited how nontrivial automorphisms could possibly be. Here we consider instead how an automorphism might be induced by a function on reals, or even by a function on integers. We show that a permutation of ω cannot induce any nontrivial automorphism of the Turing degrees of members of 2ω, and in fact any permutation that induces the trivial automorphism must (...) be computable.A main idea of the proof is to consider the members of 2ω to be probabilities, and use statistics: from random outcomes from a distribution we can compute that distribution, but not much more. (shrink)

_Critique of Violence_ is a highly original and lucid investigation of the heated controversy between poststructuralism and critical theory. Leading theorist Beatrice Hanssen uses Walter Benjamin's essay 'Critique of Violence' as a guide to analyse the contentious debate, shifting the emphasis from struggle to dialogue between the two parties. Regarding the questions of critique and violence as the major meeting points between both traditions, Hanssen positions herself _between_ the two in an effort to investigate what critical theory and (...) poststructuralism have to offer each other. In the course of doing so, she assembles imaginative new readings of Benjamin, Arendt, Fanon and Foucault, and incisively explores the politics of recognition, the violence of language, and the future of feminist theory. This groundbreaking book will be essential reading for all students of continental philosophy, political theory, social studies and comparative literature. Also available in this series: _Essays on Otherness_ Hb: 0-415-13107-3: £50.00 Pb: 0-415-13108-1: £15.99 _Hegel After Derrida_ Hb: 0-415-17104-4: £50.00 Pb: 0-415-17105-9: £15.99 _The Hypocritical Imagination_ Hb: 0-415-21361-4: £47.50 Pb: 0-415-21362-2: £15.99 _Philosophy and Tragedy_ Hb: 0-415-19141-6: £45.00 Pb: 0-415-19142-4: £14.99 _Textures of Light_ Hb: 0-415-14273-3: £42.50 Pb: 0-415-14274-1: £13.99 _Very Little... Almost Nothing_ Pb: 0-415-12821-8: £47.50 Pb: 0-415-12822-6: £15.99. (shrink)

This article offers a discussion of the connection between technology and values and, specifically, I take a closer look at ethically sound design. In order to bring the discussion into a concrete context, the theory of Value Sensitive Design (VSD) will be the focus point. To illustrate my argument concerning design ethics, the discussion involves a case study of an augmented window, designed by the VSD Research Lab, which has turned out to be a potentially surveillance-enabling technology. I call attention (...) to a “positivist problem” that has to do with the connection between the design context and the use context, which VSD seems to presuppose, and I argue that it is necessary to clearly distinguish between the two, since the designers’ intentions do not always correspond with the users’ practice; in fact, the relation between design and use is very complex and principally unpredictable. Thus, a design theory must accept that foresight is limited to anticipation rather than prediction. To overcome the positivist problem, I suggest a phenomenological approach to technology inspired by Don Ihde’s concept of multistability. This argument, which is general in nature and thus applies to any theory of design ethics, is intended as a constructive criticism, which can hopefully contribute to the further development of design ethics. (shrink)

The principle of need—the idea that resources should be allocated according to need—is often invoked in priority setting in the health care sector. In this article, I argue that a reasonable principle of need must be indeterminate, and examine three different ways that this can be dealt with: appendicizing the principle with further principles, imposing determinacy, or empowering decision makers. I argue that need must be conceptualized as a composite property composed of at least two factors: health shortfall and capacity (...) to benefit. When one examines how the different factors relate to each other, one discovers that this is sometimes indeterminate. I illustrate this indeterminacy in this article by applying the small improvement argument. If the relation between the factors are always determinate, the comparative relation changes by a small adjustment. Yet, if two needs are dissimilar but of seemingly equal magnitude, the comparative relation does not change by a small adjustment of one of the factors. I then outline arguments in favor of each of the three strategies for dealing with indeterminacy, but also point out that all strategies have significant shortcomings. More research is needed concerning how to deal with this indeterminacy, and the most promising path seems to be to scrutinize the position of the principle of need among a plurality of relevant principles for priority setting in the health care sector. (shrink)

‘Language and End Time’ is a translation of Sections I, IV and V of ‘Sprache und Endzeit’, a substantial essay by Günther Anders that was published in eight instalments in the Austrian journal FORVM from 1989 to 1991. The original essay was planned for inclusion in the third volume of The Obsolescence of Human Beings. ‘Language and End Time’ builds on the diagnosis of ‘our blindness toward the apocalypse’ that was advanced in the first volume of The Obsolescence in (...) 1956. The essay asks if there is a language that is capable of making us fully comprehend the looming ‘man-made apocalypse’. In response to this, it offers a critique of philosophical jargon and of the putatively ‘objective’ language of science, which are both dismissed as unsuitable. Sections I, IV and V introduce this core problematic. The selection of this text for inclusion in this special journal issue responds to present-day realities that inscribe Anders’s reflections on nuclear science and the nuclear situation into new contexts. The critique that ‘Language and End Time’ advances resonates with the way in which the decisions of a few companies and individuals are shaping the future of life on earth. At the same time, the wider stakes of Anders’s turn against the language employed by scientists are newly laid bare by the realities and politics of climate change and fake news. In this new context, the language of science is all too readily dismissed as if it were a mere idiom that can be ignored without consequence. It is against the backdrop of a future that is, if anything, more uncertain than at the time of Anders’s writing, that the essay’s reflections on popularisation, the limits of language and the nature of truth gain added significance. (shrink)

Critique of Violence is a highly original and lucid investigation of the heated controversy between poststructuralism and critical theory. Leading theorist Beatrice Hanssen uses Walter Benjamin's essay 'Critique of Violence' as a guide to analyse the contentious debate, shifting the emphasis from struggle to dialogue between the two parties. Regarding the questions of critique and violence as the major meeting points between both traditions, Hanssen positions herself between the two in an effort to investigate what critical theory and (...) poststructuralism have to offer each other. In the course of doing so, she assembles imaginative new readings of Benjamin, Arendt, Fanon and Foucault, and incisively explores the politics of recognition, the violence of language, and the future of feminist theory. This groundbreaking book will be essential reading for all students of continental philosophy, political theory, social studies and comparative literature. Also available in this series: Essays on Otherness Hb: 0-415-13107-3: £50.00 Pb: 0-415-13108-1: £15.99 Hegel After Derrida Hb: 0-415-17104-4: £50.00 Pb: 0-415-17105-9: £15.99 The Hypocritical Imagination Hb: 0-415-21361-4: £47.50 Pb: 0-415-21362-2: £15.99 Philosophy and Tragedy Hb: 0-415-19141-6: £45.00 Pb: 0-415-19142-4: £14.99 Textures of Light Hb: 0-415-14273-3: £42.50 Pb: 0-415-14274-1: £13.99 Very Little ... Almost Nothing Pb: 0-415-12821-8: £47.50 Pb: 0-415-12822-6: £15.99. (shrink)

Inference has long been a concern in epistemology, as an essential means by which we extend our knowledge and test our beliefs. Inference is also a key notion in influential psychological or philosophical accounts of mental capacities, from perception via utterance comprehension to problem-solving. Consciousness, on the other hand, has arguably been the defining interest of philosophy of mind over recent decades. Comparatively little attention, however, has been devoted to the significance of consciousness for the proper understanding of the nature (...) and role of inference. It is commonly suggested that inference may be either conscious or unconscious. Yet how unified are these various supposed instances of inference? Does either enjoy explanatory priority in relation to the other? In what ways or senses, can an inference be conscious, or fail to be conscious, and how does this matter? This book brings together original essays from established scholars and emerging theorists that illustrate how several current debates in epistemology, philosophy of psychology, and philosophy of mind can benefit from reflections on these and related questions about the significance of consciousness for inference. Contributors include: Kirk Ludwig and Wade Munroe; Michael Rescorla; Federico Bongiorno and Lisa Bortolotti; Berit Brogaard; Nicholas Allott; Jake Quilty-Dunn and Eric Mandelbaum; Corine Besson; Anders Nes; David Henderson, Terry Horgan, and Matjaž Potrč; Elijah Chudnoff; and Ram Neta. (shrink)

What kind of turn is the turn to ethics? A Right turn? A Left turn? A wrong turn? A U-turn? Ethics is back in literary studies, philosophy, and political theory. Where critiques of universal man and the autonomous human subject had, in recent years, produced a resistance to ethics in many fields of scholarship, today these critiques have generated a crossover among disciplines and led to theories and practices that see and do ethics otherwise. The decentering of the subject, the (...) contributors to this volume suggest, has brought about a recentering of the ethical. The philosophers, political theorists, literary critics and physician whose essays are collected here bring the particularities of their disciplines and training to a vital complex of questions. Many of these authors express concerns that the turn to ethics is a turn away from politics towards moralism. All ultimately conclude, however, that such concerns, rather than leading away from ethics, have helped to reinvigorate the intellectual field in the present moment. Contributors: Judith Butler, Homi K. Bhabha, Lawrence Buell, Nancy Fraser, John Guillory, Beatrice Hanssen, Barbara Johnson, Perri Klass, Chantal Mouffe, Doris Sommer, Rebecca Walkowitz. (shrink)

Long considered to be an impenetrable, hermetic treatise, Walter Benjamin's The Origin of German Tragic Drama has rarely received the attention it deserves as a key text, central to a full understanding of his work. In this critically acclaimed study, distinguished Benjamin scholar Beatrice Hanssen unlocks the philosophical and ethical dimensions of his thought with great clarity and sophisitication.

The main purpose of this dissertation is to show how Kant's critical understanding of "apperception" emerged from systematic reasoning on the problem of cognition. I argue that my inquiry yields new insights into the meaning of "transcendental apperception" which resolve problems other interpreters have had with reconciling Kant's apparently vacillating and conflicting views on the self and the awareness thereof, show that Kant has a novel and radical conception of the self, and are pivotal for a proper understanding of Kant's (...) idealism. ;Chapter 1 focuses on Kant's pre-critical writings. I suggest how Kant's explicit dissatisfaction with the Dissertation , and his move toward transcendental idealism, follow from certain arguments which are well in accord with Kant's views on thought and judgment in Spitzfindigkeit . In Chapter 2, I discuss Kant's Reflexionen in the so-called silent decade. The focus is his understanding of "I", "inner sense" and "apperception" and their relation, in his different attempts to answer that and how pure representations relate to objects. Chapter 3 offers an interpretation of the A-deduction as well as a discussion of two premises on which the deduction rests, the distinction in principle between sensibility and understanding, the existence of a priori concepts. Chapter 4 is mainly devoted to an interpretation of the B-deduction. I show how my understanding of "transcendental apperception" resolves a number of problems. It also gives rise to an interesting and original philosophical conception of thought as an act irreducible to natural processes. In Ch. 5, I show how the Dialectic in general and the Paralogisms in particular, support my reading of "transcendental apperception" as well as provide arguments which are pivotal for the proper understanding of Kant's idealism. (shrink)

It is commonly assumed that Kant is indebted to Aristotle not to Plato. In this paper we argue, however, that the following four central topics in Kant's philosophy must be recognized as having Platonic roots. 1. The idea that metaphysics is a system of synthetic apriori judgements and the idea that such judgments require pure intuition. 2. The idea that geometrical objects have a certain purposiveness. 3. The notion of dialectic. 4. The notion of ideas and their role in the (...) sphere of cognition and morality. (shrink)

The Proceedings present the contributions to the 13th International Kant Congress which was held at the University of Oslo, August 6-9, 2019. The congress, which hosted speakers from more than thirty countries and five continents, was dedicated to the topic of the court of reason. The idea that reason stands before itself as a tribunal characterizes the whole of Kant's critical project. Without such a court, reason falls into conflict with itself. With such a court in place, however, it may (...) succeed in establishing the possibility and limits of metaphysics, ethics, aesthetics, law and science. The idea of reason being its own judge is not only pivotal to a proper understanding of Kant's philosophy, but can also shed light on the burgeoning fields of meta-philosophy and philosophical methodology. The 2019 Kant Congress put special emphasis on Kant's methodology, his account of conceptual critique, and the relevance of his ideas to current issues in especially political philosophy and the philosophy of law. Additional sections discussed a wide range of topics in Kant's philosophy. The Proceedings will provide anyone who is interested in exploring the variety of present-day work on Kant and Kantian themes with a wealth of fruitful inspiration. (shrink)

We consider two axioms of second-order arithmetic. These axioms assert, in two different ways, that infinite but narrow binary trees always have infinite paths. We show that both axioms are strictly weaker than Weak König's Lemma, and incomparable in strength to the dual statement (WWKL) that wide binary trees have paths.

We divide the class of infinite computable trees into three types. For the first and second types, 0' computes a nontrivial self-embedding while for the third type 0'' computes a nontrivial self-embedding. These results are optimal and we obtain partial results concerning the complexity of nontrivial self-embeddings of infinite computable trees considered up to isomorphism. We show that every infinite computable tree must have either an infinite computable chain or an infinite Π01 antichain. This result is optimal and has connections (...) to the program of reverse mathematics. (shrink)

Background: Working as an ambulance nurse involves facing ethically problematic situations with multi-dimensional suffering, requiring the ability to create a trustful relationship. This entails a need to be clinically trained in order to identify ethical conflicts. Aim: To describe ethical conflicts in patient relationships as experienced by ambulance nursing students during clinical studies. Research design: An exploratory and interpretative design was used to inductively analyse textual data from examinations in clinical placement courses. Participants: The 69 participants attended a 1-year educational (...) programme for ambulance nurses at a Swedish university. Ethical consideration: The research was conducted in accordance with the Declaration of Helsinki. Participants gave voluntary informed consent for this study. Findings: The students encountered ethical conflicts in patient relationships when they had inadequate access to the patient’s narrative. Doubts regarding patient autonomy were due to uncertainty regarding the patient’s decision-making ability, which forced students to handle patient autonomy. Conflicting assessments of the patient’s best interest added to the conflicts and also meant a disruption in patient focus. The absence of trustful relationships reinforced the ethical conflicts, together with an inadequacy in meeting different needs, which limited the possibility of providing proper care. Discussion: Contextual circumstances add complexity to ethical conflicts regarding patient autonomy, dependency and the patient’s best interest. Students felt they were fluctuating between paternalism and letting the patient choose, and were challenged by considerations regarding the patient’s communication and decision-making ability, the views of third parties, and the need for prioritisation. Conclusion: The essence of the patient relationship is a struggle to preserve autonomy while focusing on the patient’s best interest. Hence, there is a need for education and training that promotes ethical knowledge and ethical reflection focusing on the core nursing and caring values of trust and autonomy, particularly in situations that affect the patient’s decision-making ability. (shrink)

This article is based on an empirical study regarding ethical challenges in intercultural nursing. The focus is on autonomy and disclosure. Autonomy is a human capacity that has become an important ethical principle in nursing. Although the relationship between autonomy and patients’ possibly harmful choices is discussed, the focus is on ‘forced’ autonomy. Nurses seem to equate respect with autonomy; it seems to be hard to cope with the fact that there are patients who voluntarily undergo treatment but who actively (...) participate neither in the treatment offered nor in making choices regarding that treatment. Nurses’ demand for patients to be autonomous may in some cases jeopardize the respect, integrity and human worth that the ethical principle of autonomy is meant to ensure. Even though respect for a person’s autonomy is also respect for the person, one’s respect for the person in question should not depend on his or her capacity or aptitude to act autonomously. Is autonomy necessarily a universal ethical principle? This article negates this question and, through the issues of culture, individualism versus collectivism, first- and second- order autonomy, communication and the use of family interpreters, and respect, an attempt is made to explain why. (shrink)

Following decades of neglect, the work of the German Jewish philosopher, literary author, cultural critic, and poet Günther Anders (1902–1992) is gaining increasing recognition in the English-speaking world. This translation of “Résistance heute” (Resistance Today) makes one of Anders’s most programmatic and polemical short texts available. Published at the height of his anti-nuclear activism, “Resistance Today” is the written version of a speech Anders delivered in November 1962 upon acceptance of the northwest Italian city of Omegna’s Resistance (...) Prize (other notable recipients included Jean-Paul Sartre and Frantz Fanon). It first appeared in print in the West German left-wing journal Das Argument in November 1963. Clearly written for the occasion, the text condenses (and often further radicalizes) key premises about the end of history, the amoral character of work, and the continuity between Nazi totalitarianism, the nuclear age and the world of consumerism that are developed in great nuance across a range of books that Anders had recently published. Key co-ordinates include: Die Antiquiertheit des Menschen 1 (The Obsolescence of Human Beings 1, 1956), his groundbreaking critique of technology; Der Mann auf der Brücke (The Man on the Bridge, 1959), a philosophical travel diary occasioned by Anders’s 1958 visit to Japan and his participation at the World Conference Against Atomic and Hydrogen Bombs in Tokyo; Burning Conscience (1961), a correspondence with the American reconnaissance pilot Claude Eatherly, who scouted the target area before the Enola Gay went on to drop the atom bomb on Hiroshima. It seems likely that Burning Conscience, which turned into an international bestseller, occasioned the award of the prize. (shrink)

In the twenty-second series of The Logic of Sense, Gilles Deleuze references a remarkable essay by Günther (Stern) Anders. Anders’ essay, translated here as ‘The Pathology of Freedom’, addresses the sickness and health of our negotiation with the negative anthropological condition of ‘not being cut out for the world’.

It has been reported as an ethical problem within prehospital emergency care that ambulance professionals administer physiologically futile cardiopulmonary resuscitation (CPR) to patients having suffered cardiac arrest to benefit significant others. At the same time it is argued that, under certain circumstances, this is an acceptable moral practice by signalling that everything possible has been done, and enabling the grief of significant others to be properly addressed. Even more general moral reasons have been used to morally legitimize the use of (...) futile CPR: That significant others are a type of patient with medical or care needs that should be addressed, that the interest of significant others should be weighed into what to do and given an equal standing together with patient interests, and that significant others could be benefited by care professionals unless it goes against the explicit wants of the patient. In this article we explore these arguments and argue that the support for providing physiologically futile CPR in the prehospital context fails. Instead, the strategy of ambulance professionals in the case of a sudden death should be to focus on the relevant care needs of the significant others and provide support, arrange for a peaceful environment and administer acute grief counselling at the scene, which might call for a developed competency within this field. (shrink)

Based on an empirical study regarding ethical challenges within intercultural health care, the focus of this article is upon autonomy and disclosure, discussed in light of philosophy and anthropology. What are the consequences for patients if the patients’ right to be autonomous and to participate in treatment and care decisions by health care workers is interpreted as an obligation to participate? To force a person to make independent choices who is socio-culturally unprepared to do so, may violate his/her integrity. This (...) may in turn jeopardise the respect, integrity and human worth the principle of autonomy was meant to ensure, and if so, may damage any relationship of trust that may exist between patient and health care worker. There is necessarily a link between autonomy and disclosure. Western disclosure practices may make the relationship between patients and health care workers difficult -- even distrustful. To confront a patient with a very serious diagnosis may be seen not only as a tactless action, but also an unforgivable one. Hence, among many ethnic groups it is a family member’s duty to shield patients from bad or disquieting news, e.g., a cancer diagnosis. If a family member is used to interpret in such situations, will the information given equal the information communicated by that interpreter? Even though respect for a person’s autonomy is part of the respect for a person, one’s respect for the person in question should not depend on his/her ability or aptitude to act autonomously. (shrink)