Childhood cancers are life-threatening diseases that affect not only the child but the whole family. Although rates of survival are high with modern therapy, childhood cancers are still serious and...

BackgroundIn childhood cancer care, healthcare professionals must deal with several difficult moral situations in clinical practice. Previous studies show that morally difficult challenges are related to decisions on treatment limitations, infringing on the child's integrity and growing autonomy, and interprofessional conflicts. Research also shows that healthcare professionals have expressed a need for clinical ethics support to help them deal with morally difficult situations. Moral case deliberations (MCDs) are one example of ethics support. The aim of this study was to describe (...) the MCD-related outcomes that healthcare professionals in childhood cancer care considered important, before MCDs were implemented, in order to facilitate the implementation of MCDs in childhood cancer care in Sweden.MethodsThis study is based on qualitative data. Healthcare professionals, mostly representing registered nurses, nursing assistants and physicians, working at childhood cancer care centres in Sweden, were invited to respond to the translated and content validated European MCD Outcomes Instrument, before participating in regular MCDs. Answers to the main open-ended question, included in the questionnaire, was analysed according to systematic text condensation.ResultsData was collected from 161 responses from the healthcare professionals. The responses included healthcare professionals’ perceptions of which MCD-related outcomes they found important for handling moral challenges. Three different themes of important outcomes from the analysis of the data are presented as follows:Interprofessional well-being in team interactionson a team level;Professional comfort when dealing with moral challengeson a personal level; andImproved quality of care for the child and the familyon a care level.ConclusionsHealthcare professionals in childhood cancer care considered it important that ethics support could enhance the well-being of interprofessional teams, support healthcare professionals on an individual level and improve quality of care. The results of this study can be used in current and future training for MCD-facilitators. When knowing the context specific important MCD-outcomes, the sessions could be adapted. Managers in childhood cancer care would benefit from knowing about the specific important outcomes for their target group because they could then create relevant working conditions for clinical ethics support. (shrink)

Este artículo reseña: Harold BERTOT TRIANA, Estudios sobre jurisprudencia de la Corte Interamericana de derechos humanos. Cavilaciones al hilo de temas actuales del sistema interamericano de derechos humanos.

A partir des chants de rites rada et pétro du vaudou haïtien ainsi que des chanté pwen, véhicules incontestables de l'ambiguïté, l'auteur dévoile l'institution d'une éthique individuelle et collective axée sur la volonté d'exercer un plein contrôle sur la marche des choses et de la vie.

Questioning in an organizational context is a challenging event in multiple senses. Questioning may be used to criticize the leaders of an organization. For the criticisms to be heard as legitimate, however, the questioner must operate within contextual constraints. The main purpose of this article is to examine how questioning functions to construct a university's crisis. Discourse within two faculty senate meetings is analyzed. Three faculty questioning strategies are described: appealing to another organizational entity, requesting either/or information; and metacommunicative commentary. (...) Administration and senate leadership responded to questions using the strategies of appealing to a process and metacommunicative commentary. Faculty questioning functioned to challenge a current course of action while operating from within the organizational guidelines of discourse. Alternatively, leadership responses deferred any substantive change in the course of action. The strategies are related to issues of power, social action, and models of educational governance. (shrink)

En este este estudio presentamos una investigación sobre la genealogía de la razón de Estado y del golpe de Estado, según Michel Foucault. La genealogía de la razón gubernamental se desarrolló paralelamente a la comprensión científica del mundo, en los siglos XVI e XVII, como una realidad gobernada por leyes propias de la naturaleza. La genealogía de la razón de Estado incorporó los elementos “científicos” de la razón gubernamental como técnicas utilitarias para gobernar convenientemente un Estado, más allá del voluntarismo (...) del arbitrio del poder soberano. Foucault muestra en sus análisis genealógicos que el golpe de Estado fue concebido, ya en el siglo XVII, como una técnica gubernamental conveniente con la razón de Estado, cuyas tres principales características son: la necesidad, la violencia y la teatralidad. Palabras clave: Razón gubernamental. Razón de Estado. Golpe de Estado. Michel Foucault. (shrink)

El ser en tanto que ser y el problema de la precedencia metódica -- Origen de la dialéctica en Platón y Hegel -- Razón y vida en el pensamiento de Bergson -- El pensar en Heidegger y la ética -- Humanismo y ontología -- El problema de la inversión metafísica de la ciencia.

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)

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)

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)

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)

A noção de pessoa, para Simone Weil, passa por uma certa desconstrução e releitura que a filósofa realiza a partir da categoria do impessoal. Abordaremos inicialmente os conceitos de direito e obrigação, refletindo sobre as necessidades da alma pensadas por Weil, em que a obrigação abre o ser humano para o impessoal da pessoa, que por sua vez é conexo com o sentido do eterno e do sagrado. Neste escrito pretende-se resgatar alguns traços desta reflexão e destacar a relação entre (...) o impessoal com o eterno e o sagrado, enquanto constitutivos do ser humano, estudando como a partir do impessoal emerge uma nova percepção da relação ética. (shrink)

A tendência de algumas visões naturalistas de deduzir o sentido da ação humana da sua natureza biológica conduz a naturalizar a violência como fenômeno político inexorável. A violência naturalizada leva a sociedade para a dinâmica da inexorável violência, cuja única solução é a legitimação de uma violência total. Propomos, neste ensaio, a desconstrução crítica dos determinismos naturalistas por meio da análise da ação humana e da especificidade de sua potência que se manifesta como potência criadora (Cornelius Castoriadis) e potência do (...) não (Giorgio Agamben). A potência da ação humana transcende os determinismos da sua natureza biológica, embora por eles esteja condicionada. The tendency some naturalist visions have to deduce the meaning of human action from their biological nature, leads to a naturalization of violence as an inexorable political phenomenon. Naturalized violence leads the society towards the dynamics of inexorable violence, whose only solution is legitimazing total violence. In this article we propose the critical deconstruction of naturalistic determinism by means of the analysis of human action and the specificity of its power, which is manifested as creative power (Cornelius Castoriadis) and power of no (Giorgio Agamben). The power of human action transcends the biological determinisms of its biologic nature, although the power of human action is conditioned by them. (shrink)

Este ensaio desenvolve um estudo, a partir da obra de G. Agamben, sobre a arqueologia do ofício e as implicações ético-políticas do modo de subjetivação do funcionário. O funcionário age a partir do dever de oficio, separando, nessa ação, a responsabilidade pessoal da eficiência da ação. Ao agir como funcionário não atua em nome próprio, mas age em nome de outro, para o qual se transfere toda responsabilidade ética da ação funcional. Eichmann apresenta-se como o modelo de funcionário que cumpriu (...) o dever de sua função, independentemente de suas convicções pessoais a respeito da catástrofe humana que provocou. (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’.

Comparing the relative sensitivity of direct and indirect measures of learning is proposed as the best way to provide evidence for unconscious learning when both conceptual and operative definitions of awareness are lacking. This approach was first proposed by Reingold & Merikle (1988) in the context of subliminal perception. In this paper, we apply it to a choice reaction time task in which the material is generated based on a probabilistic finite-state grammar (Cleeremans, 1993). We show (1) that participants progressively (...) learn about the statistical structure of the stimulus material over training with the choice reaction time task, and (2) that they can use some of this knowledge to predict the location of the next stimulus in a subsequent “generation” task. However, detailed partial correlational analyses of the correspondence between performance during the reaction time task and the statistical structure of the training material showed that large effects remained even when controlling for explicit knowledge as assessed by the generation task. Hence we conclude (1) that at least some of the knowledge expressed through reaction time performance can not be characterized as conscious, and (2) that even when associations are found at a global level of analysis, dissociations can still be obtained when more detailed analyses are conducted. Finally, we also show that participants are limited in the depth of the contingencies they can learn about, and that these limitations are shared by the Simple Recurrent Network model of Cleeremans & McClelland (1991). (shrink)

Este ensayo presenta un análisis arqueo-genealógico de la mímēsis humana en dos momentos: en su arkhē pre-socrático y en la interpretación platónica de la misma. El mismo desarrolla la tesis de que la mímēsis es una facultad humana atravesada por la condición paradójica a partir de la cual es factible su instrumentalización alienante de las conciencias, pero también su uso creativo para producir diferencias de lo semejante y semejanzas de lo diferente. la condición paradójica impide el reduccionismo de la mímēsis (...) a una única perspectiva. Se concluye el ensayo con algunos desdoblamientos críticos del carácter paradójico de la mímēsis en nuestro presente. (shrink)

Este trabalho pretende realizar uma reflexão crítica sobre sentido moderno da justiça procedimental, desenvolvendo uma nova hermenêutica da justiça a partir da alteridade das vítimas. PALAVRAS-CHAVE – Justiça procedimental. Ética. Hermenêutica. Alteridade.

RESUMO O presente ensaio apresenta uma análise crítica das atuais democracias que se esvaziaram do poder deliberativo do demos para se tornarem, cada vez mais, democracias espetaculares. Inicialmente, seguindo os estudos de Foucault, analisam-se as implicações da governamentalidade sobre a democracia, principalmente a partir da emergência da opinião pública como técnica da razão de Estado. Posteriormente, relacionam-se os estudos de Foucault com as teses de Agamben a respeito da burocracia e a hierarquia, a fim de compreendermos como estas pesquisas desembocam (...) no conceito de democracias espetaculares defendido por Agamben. ABSTRACT This essay presents a critical analysis of the current democracies that have emptied themselves of the deliberative power of the demos to become, more and more, spectacular democracies. Initially, following Foucault's studies, we analyze the implications of governmentality on democracy, especially from the emergence of public opinion as a technique of reason of state. Later, Foucault's studies are related to Agamben's theses on bureaucracy and hierarchy, in order to understand how these researches lead to the concept of spectacular democracies defended by Agamben. (shrink)

En la presente investigación proponemos profundizar en el concepto de ecocidio y sus implicaciones ético-políticas, relacionándolo con los conceptos de soberanía y estado de excepción de Giorgio Agamben. El concepto de excepción, en la tradición jurídica y filosófica, está referido al ámbito de la vida de las personas y no al daño producido a la vida en la naturaleza. Sin embargo, partiendo del presupuesto de que hay una interdependencia de la vida humana con la vida de la naturaleza, se analizan (...) los desdoblamientos ético-políticos a los que esa interdependencia nos conduce, teniendo como eje el concepto de ecocidio. Para este análisis proponemos recorrer los vínculos entre ecocidio y estado de excepción como dos prácticas asimiladas que, para destruir la vida, la reducen a una insignificancia ética a través de un vacío jurídico. (shrink)

Na modernidade, ciência e ética raramente conviveram em harmonia. Sua relação conflitante sempre demarca sobre os tipos de verdade de ambos discursos. A construção de qualquer consenso entre os discursos científico e ético se mantém sobre uma base instável de mútua desconfiança. Essa instabilidade implica, comumente, um confronto permanente entre as verdades e os critérios de ambos discursos. O conflito entre ciência e ética se dá, essencialmente, no campo da teoria da linguagem, ou seja, na análise do discurso. As pretensões (...) de verdade e os efeitos de poder das verdades científicas e éticas, são correlativos ao reconhecimento da verdade de suas proposições e da validade do seu discurso. Para contribuir com alguns esclarecimentos neste debate entre ciência e ética, deveremos, pois, nos introduzir em alguns pontos da teoria da linguagem, ou seja, na historicidade e na hermenêutica. (shrink)

This paper aims to present a critique of naturalistic theories of violence. The context of this critique concerns the naturalization of violence, which induces the assimilation power as a form of violence. Therefore, we resumed the theses of Hannah Arendt and Michel Foucault on power and violence. The goal is not to list the differences between these authors on the subject, which are explicit in the development of the test, but show their concordance regarding the critique of power as something (...) synonymous with violence. (shrink)

A partir da segunda metade do século XX, as políticas econômicas disseminaram um conjunto de dispositivos sutis, no sentido de seu exercício, ao mesmo tempo em que mais plurais, em relação à sua extensão. Um dos principais deslocamentos epistemológicos produzidos pelo discurso neoliberal diz respeito à inserção da subjetividade humana como elemento central da racionalidade econômica. A inclusão da subjetividade na lógica dos cálculos econômicos possibilitou construir a figura do homo oeconomicus como referente antropológico do novo discurso neoliberal. Um dos (...) principais autores nessa jornada é Ludwig von Mises. A teoria misiana é profundamente filosófica: dela é possível coletar toda a estrutura da teoria neoliberal e de seu contraste bifocal entre a ação econômica do mercado e a teoria política do Estado, e nela o homo oeconomicus ocupa um lugar central. A genealogia de Michel Foucault sobre o escopo da governamentalidade neoliberal trouxe um olhar crítico diferente sobre os princípios constitutivos deste discurso. A par da teoria de Mises, a leitura de Foucault nos é precisa, na medida em que nos permite contrastar a razão de governo, constituída ao longo dos modelos de pensamento, com aquela ótica empresarial do homo oeconomicus como um suposto sujeito soberano. O intuito deste ensaio é provocar um cruzamento crítico entre o pensamento de Mises e de Foucault, concentrado principalmente no estudo das contradições que surgem no seio do discurso neoliberal da figura do homo oeconomicus como sujeito soberano, com as práticas de governamentalização desse mesmo homo oeconomicus. O ensaio é constituído de três momentos: primeiramente, nosso objetivo é compreender a teoria do mercado de von Mises, com o intuito de alinhavar alguns conceitos importantes, em especial o conceito de soberania do homo oeconomicus; em seguida, temos como pretensão analisar a teoria de Foucault sobre a governamentalidade neoliberal, acenando em direção ao modo pelo qual a teoria de Mises projeta-se como uma razão econômica de governo; em um terceiro ponto, desenvolvemos algumas implicações derivadas dos cruzamentos das teses sobre a soberania do homo oeconomicus, de Mises, com as análises sobre a governamentalidade desse homo oeconomicus desenvolvidas pelos estudos de Foucault. (shrink)

A ética é uma prática que coimplica subjetividade e da alteridade. Nas atuais sociedades de controle se procura fabricar subjetividades destemperadas numa ética do descuido de si. As éticas do cuidado de si visavam ajudar a constituir sujeitos livres pela prática ética da virtude. Os novos dispositivos de controle atualizaram o poder da ética como prática em que o sujeito pode dirimir seu estilo de vida entre a sujeição ou a liberdade. As éticas do cuidado de si desconsideraram a importância (...) da alteridade para pensar a prática ética. Embora existam divergências importantes entre ambas perspectivas éticas, elas coincidem em afirmar a ética como uma prática que incide na constituição dos sujeitos, uma prática de liberdade de si (Foucault) e uma prática de libertação do outro como justiça (Levinas). PALAVRAS-CHAVE – Alteridade. Cuidado de si. Modos de subjetivação. Liberdade. Desejo. (shrink)

In _Plato on Democracy and Political technē_ Anders Dahl Sørensen offers an in-depth investigation of Plato’s discussions of democracy’s ‘epistemic potential’, arguing that this question is far more central to his political thought than is usually assumed.

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)

This book provides an overview of different ethical views on animal experimentation. Special attention is given to the production and experimental use of genetically modified animals. It proposes a middle course between those positions that are very critical and those very positive. This middle course implies that animal experiments originating in vital human research interests are commonly justified, provided that animal welfare is taken seriously. Some animal experiments are not acceptable, since the expected human benefit is too low and the (...) animal suffering too severe. This position is supported by an argument from species care according to which we have special obligations to our children and other humans due to special relations. The book tries to bridge the gap between animal ethics and animal welfare science by discussing various conceptions of animal welfare: function-centered, feeling-based, and those focusing on natural living. The theoretical starting-point is “imaginative casuistry.” This approach stresses the role of moral imagination and metaphor in ethical deliberation, accepts a plurality of values, and recognizes the importance of case-by-case balancing. In the discussion of genetically modified animals, both intrinsic ethical concerns and animal welfare concerns are addressed. (shrink)

Many religiously minded materialist philosophers have attempted to understand the doctrine of the survival of death from within a physicalist approach. Their goal is not to show the doctrine false, but to explain how it can be true. One such approach has been developed by Peter van Inwagen. After explaining what I call the duplication objection, I present van Inwagen’s proposal and show how a proponent might attempt to solve the problem of duplication. I argue that the very features of (...) the view that aid the proponent in responding to the duplication objection entails the possibility of an impossible state of affairs—that two distinct persons can at the same time be identical with the same bundle of material simples. The religiously minded materialist is caught between the horns of a dilemma. One’s view regarding human persons must be robust enough to account for personal identity over time, and so not fall to the duplication objection. At the same time, the view must not entail the possibility of two persons temporarily having complete coincident existence. (shrink)

Many religiously minded materialist philosophers have attempted to understand the doctrine of the survival of death from within a physicalist approach. Their goal is not to show the doctrine false, but to explain how it can be true. One such approach has been developed by Peter van Inwagen. After explaining what I call the duplication objection, I present van Inwagen’s proposal and show how a proponent might attempt to solve the problem of duplication. I argue that the very features of (...) the view that aid the proponent in responding to the duplication objection entails the possibility of an impossible state of affairs—that two distinct persons can at the same time be identical with the same bundle of material simples. The religiously minded materialist is caught between the horns of a dilemma. One’s view regarding human persons must be robust enough to account for personal identity over time, and so not fall to the duplication objection. At the same time, the view must not entail the possibility of two persons temporarily having complete coincident existence. (shrink)

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

Humanistic theory for more than the past 100 years is marked by extensive attention to practice and practices. Two prominent streams of thought sharing this focus are pragmatism and theories of practice. This volume brings together internationally prominent theorists to explore key dimensions of practice and practices on the background of parallels and points of contact between these two traditions. The contributors all are steeped in one or both of these streams and well-known for their work on practice. The collected (...) essays explore three important themes: what practice and practices are, normativity, and transformation. The volume deepens understanding of these three practice themes while strengthening appreciation of the parallels between and complementariness of pragmatism and practice theory. (shrink)

It has often been said that discourse ethics as developed by Jürgen Habermas can be understood as a dialogical continuation of the monological ethics developed by Immanuel Kant, as formulated in the categorical imperative in Grounding for the Metaphysics of Morals. Like Kant’s categorical imperative, Habermas’ principle of universalization specifies a rule for impartial testing of norms for their moral worthiness. This article will substantiate that discourse ethics develops a dialogical version of the categorical imperative, and will make this explicit. (...) This is done by presenting a new interpretation of the Kantian ethics. Renewing the traditional understanding, four instead of two or three formulations of the categorical imperative are identified. Finally it is shown how this interpretation relates to Jürgen Habermas’ discourse ethics. This analysis shows that one must specify which formulation of the categorical imperative one is talking about when discussing it. (shrink)

In Theory of the Partisan, Carl Schmitt outlines a theory of the history of the partisan beginning in 1808, when the Spanish guerilla defeated Napoleon. After that modern nation states began to integrate guerilla war tactics in their strategies. According to Schmitt, this development was intensified during the 20th century, but in a dangerous manner. Arguably, Russia’s actions in Ukraine 2014 and 2022 suggest that Schmitt’s conception is still relevant for understanding extreme political situations. But why do sovereign states need (...) the partisan? The big loser in this development, however, is the partisan himself, who gets exploited and instrumentalized by regular political actors. Even if Schmitt advocates a less extreme way of using the partisan, he arguably helps placing it under the rule of state actors, a tactic Putin’s Russia deploys in action. Therefore, a political rehabilitation of the partisan from its exploitation is very needed. (shrink)