In this paper, we discuss the largely neglected topic of semantics in medicine and the associated ethical issues. We analyse several key medical terms from the informed perspective of the healthcare professional, the lay perspective of the patient and the patient’s family, and the descriptive perspective of what the term actually signifies objectively. The choice of a particular medical term may deliver different meanings when viewed from these differing perspectives. Consequently, several ethical issues may arise. Technical terms that are not (...) commonly understood by lay people may be used by physicians, consciously or not, and may obscure the understanding of the situation by lay people. The choice of particular medical terms may be accidental use of jargon, an attempt to ease the communication of psychologically difficult information, or an attempt to justify a preferred course of action and/or to manipulate the decision-making process. (shrink)

Continued confinement of those most vulnerable to COVID-19—e.g., the elderly, those with chronic diseases and other risk factors—is presented as an uncontroversial measure when planning exit strategies from lockdown measures. Policies for deconfinement assume that these persons will remain confined even when others will not. This, however, could last quite a long time, and for some this could mean that they will remain in confinement for the rest of their lives.In a policy brief on ethical, legal, and social issues of (...) transition strategies, the Swiss national COVID-19 science task force stated that:Specific interventions should target the risks associated with isolation... (shrink)

The dead donor rule (DDR) originally stated that organ donors must not be killed by and for organ donation. Scholars later added the requirement that vital organs should not be procured before death. Some now argue that the DDR is breached in donation after circulatory determination of death (DCDD) programs. DCDD programs do not breach the original version of the DDR because vital organs are procured only after circulation has ceased permanently as a consequence of withdrawal of life-sustaining therapy. We (...) hold that the original rendition of the DDR banning killing by and for organ donation is the fundamental norm that should be maintained in transplantation ethics. We propose separating the DDR from two other fundamental normative rules: the duties to prevent harm and to obtain informed consent. (shrink)

We thank Nielsen Busch and Mjaaland for their article on the dead donor rule (Nielsen Busch and Mjaaland 2023). We would like to take this opportunity to go beyond the dead donor rule in order to r...

Abstract:Disturbing cases continue to be published of patients declared brain dead who later were found to have a few intact brain functions. We address the reasons for the mismatch between the whole-brain criterion and brain death tests, and suggest solutions. Many of the cases result from diagnostic errors in brain death determination. Others probably result from a tiny amount of residual blood flow to the brain despite intracranial circulatory arrest. Strategies to lessen the mismatch include improving brain death determination training (...) for physicians, mandating a test showing complete intracranial circulatory arrest, or revising the whole-brain criterion. (shrink)

The fundamental determinant of death in donation after circulatory determination of death is the cessation of brain circulation and function. We therefore propose the term donation after brain circulation determination of death [DBCDD]. In DBCDD, death is determined when the cessation of circulatory function is permanent but before it is irreversible, consistent with medical standards of death determination outside the context of organ donation. Safeguards to prevent error include that: 1] the possibility of auto-resuscitation has elapsed; 2] no brain circulation (...) may resume after the determination of death; 3] complete circulatory cessation is verified; and 4] the cessation of brain function is permanent and complete. Death should be determined by the confirmation of the cessation of systemic circulation; the use of brain death tests is invalid and unnecessary. Because this concept differs from current standards, consensus should be sought among stakeholders. The patient or surrogate should provide informed consent for organ donation by understanding the basis of the declaration of death. In cases of circulatory cessation, such as occurs in DBCDD, death can be defined as the permanent cessation of brain functions, determined by the permanent cessation of brain circulation. (shrink)

In the context of deceased organ donation, donors are routinely tested for HIV, to check for suitability for organ donation. This article examines whether a donor’s HIV status should be disclosed to the donor’s next of kin.On the one hand, confidentiality requires that sensitive information not be disclosed, and a duty to respect confidentiality may persist after death. On the other hand, breaching confidentiality may benefit third parties at risk of having been infected by the organ donor, as it may (...) permit them to be tested for HIV and seek treatment in case of positive results.We conclude that the duty to warn third parties surpasses the duty to respect confidentiality. However, in order to minimize risks linked to the breach of confidentiality, information should be restrained to only concerned third parties, that is, those susceptible to having been infected by the donor. (shrink)

The Uniform Determination of Death Act (UDDA) provides that “an individual who has sustained either (1) irreversible cessation of circulatory and respiratory functions or (2) irreversible cessation of all functions of the entire brain, including the brain stem, is dead.” We show that the UDDA contains two conflicting interpretations of the phrase “cessation of functions.” By one interpretation, what matters for the determination of death is the cessation of spontaneous functions only, regardless of their generation by artificial means. By the (...) other, what matters is the cessation of both spontaneous and artificially supported functions. Because each UDDA criterion uses a different interpretation, the law is conceptually inconsistent. A single consistent interpretation would lead to the conclusion that conscious individuals whose respiratory and circulatory functions are artificially supported are actually dead, or that individuals whose brain is entirely and irreversibly destroyed may be alive. We explore solutions to mitigate the inconsistency. (shrink)

Laura Specker Sullivan (2022) makes a fairly compelling case for the value of the perspectives of Buddhist practitioners in neuroethics. In this study, Tibetan Buddhist monks have been asked, among other things, whether consciousness, in brain-injured patients in a minimally conscious state, entails a duty to preserve life. In our view, some of the participants’ responses could be used to inform the bioethical debate on death determination.

In this comment, we propose a short exploration of the differences among the declaration of death, the determination of death, and the concept of death, and how they relate to the ethics and practi...

Since the early 1980s, James Bernat’s scholarship has accompanied and shaped most scientific and policy developments on death determination. In 1981, he, Charles Culver, and Bernard Gert provided a...

Is there a link between how a firm manages its internal and external stakeholders? More specifically, are firms that give employees stock ownership and more say in running the enterprise more likely to engage with external stakeholders? This study seeks to answer these questions by elaborating on mechanisms that link employees to external stakeholders, such as the community, suppliers, and the environment. It tests these relationships using a sample of 347 private, mostly small-to-medium size firms, which completed a stakeholder impact (...) assessment organized by the non-profit B Lab. The results support the hypotheses that both employee ownership and employee involvement are positively associated with external stakeholder engagement. Further, we found that certification plays a role, as employee ownership contributes to external stakeholder engagement only in certified B Corporations, and not in firms that merely completed the B Lab Impact assessment. Our findings have import for stakeholder engagement frameworks, as we show that there is interplay between internal employee stakeholders and external stakeholders that may be important to overall firm–stakeholder management. (shrink)

Quel est le destin de toute traduction appliquée au texte biblique, compte tenu de l’organisation de la langue hébraïque selon le principe de « davar »? En effet, la Bible, en tant que poème, fait intervenir le langage créateur, lequel ne peut d’aucune manière être traduit. Quelle perte, ou quel gain, faut-il alors mettre en œuvre pour transmettre l’intraduisible, de telle sorte que la traduction se fasse transmission de l’intraduisible?

In robotics research with language-based interaction, simplifications are made, such that a given event can be described in a unique manner, where there is a direct mapping between event representations and sentences that can describe these events. However, common experience tells us that the same physical event can be described in multiple ways, depending on the perspective of the speaker. The current research develops methods for representing events from multiple perspectives, and for choosing the perspective that will be used for (...) generating a linguistic construal, based on attentional processes in the system. The multiple perspectives are based on the principle that events can be considered in terms of the force driving the event, and the result obtained from the event, based on the theory of Gärdenfors. In addition, within these perspectives a further refinement can be made with respect to the agent, object, and recipient perspectives. We develop a system for generating appropriate construals of meaning, and demonstrate how this can be used in a realistic dialogic interaction between a behaving robot and a human interlocutor. (shrink)

Le présent article vise à éclairer la nature des activités perceptives et cognitives attribuées au νοῦς d’Anaxagore, en particulier à lever les difficultés liées à l'évaluation de la part des dimensions mécaniques, cognitives et téléologiques dans l'activité du νοῦς cosmique, par une comparaison avec l'usage des verbes γιγνώσκω, νοέω et du substantif νοῦς dans le contexte du champ de bataille homérique. Les rangeurs d'hommes homériques partagent avec le νοῦς d'Anaxagore une description de leurs activités en termes de tri, d'extraction et (...) de mise en ordre, par l'usage commun des verbes διακρίνω, ἀποκρίνω, διακοσμέω. Or l'analyse des opérations perceptives et cognitives de ceux-là révèle un modèle d'action immanente, liant la perception des singularités au sein de touts complexes et mouvants à l'appréhension globale des positions passées, présentes et possibles des troupes en action. Pensé sur ce modèle, le νοῦς d'Anaxagore sera conçu selon un modèle de perception par immersion dont sa nature physique très particulière le rend capable : c'est en faisant intégralement corps avec le mélange matériel que le νοῦς se rend capable d'en faire le tri et d'en anticiper les états possibles. L'illimitation de sa connaissance et de son pouvoir a néanmoins une conséquence qui le différencie du chef homérique : n'avoir aucun choix du fait de la puissance de réaliser toutes les différenciations possibles. (shrink)

Name der Zeitschrift: Semiotica Jahrgang: 2015 Heft: 207 Seiten: 139-174.

Les titres donnés à la parabole de Luc 15,11-32 évoquent le plus souvent l’un de ses personnages, le fils cadet. Les deux frères ont cependant chacun leur importance. L’élément inattendu du récit n’est ni le retour du cadet ni l’accueil qui lui est fait. Les v. 12-24, centrés sur lui, ont suscité l’empathie du lecteur et certains acquis de lecture l’ont préparé à cet accueil. La surprise du récit se trouve dans l’intervention du fils aîné: son arrivée et le sommaire (...) du v. 27 révèlent le décalage entre cette fête et celles évoquées au début du chapitre 15: la thématique ‘perdu / trouvé’ et la dimension collective de la fête ont ici disparu. Alors que l’aîné est pris dans une logique de rétribution, le père évoque la fraternité en plus de la filiation, le basculement de valeurs en plus de la rétribution. L’irruption du fils aîné, en provoquant un décalage entre l’attente du lecteur et la situation racontée, est l’occasion de réaffirmer l’importance du retournement provoqué par «trouvé / perdu». Ce changement-là permet d’entrer dans la vraie joie, celle du royaume. Le retour du cadet n’est donc pas ce qui exclut l’aîné de la fête, mais au contraire ce qui permet la fête, et permet à l’aîné d’y être invité. (shrink)

Studies regularly show that an age-based stereotype threat impairs older adults’ performance on memory tasks. Results regarding stereotype threat effects on false memories are less clear. Some studies suggest that education may moderate the relationship between an age-related stereotype threat and episodic memory performance in older adults. The present study aimed at examining the moderating role of education on the relationship between perceived stereotype threat and false memories in older adults. With this aim, 82 adults between 60 and 70 years (...) of age performed a Deese-Roediger-McDermott task followed by a free recall test and completed questionnaires assessing both their perception of an age-based stereotype threat and their education level. Regression analyses showed no effect of PST on the production of critical lures. However, as was expected, our results showed that in higher educated older adults, as the perception of stereotype increases, the production of critical lures increases. These results confirm the moderating role of education and highlight its key role in the relationship between the age-based stereotype threat and older adults’ susceptibility to false memories. (shrink)

This essay aims at defining to what extent our friends are involved in our personal identity. Our thesis is that friends share a common identity which occupies a larger or smaller part of their personal identity, depending on the depth of their relationship. Yet, friendship does not merely consists in the shaping of ourselves: as it appears more obvious, we remain separate entities and my friend can help me in the understanding of my own self thanks to what he has (...) learnt in our intimate and long-lasting relationship. The other consequence of this individuation is that friendship is based on a metaphysical desire which cannot be fulfilled: I will never be able to feel exactly what my friend feels, even if I rationally come close to it by sharing his life. (shrink)

Pour Empédocle, le devenir se résout en termes de mélange et de dissociation de quatre éléments matériels, dus à des forces contraires, Amour et Haine : ces processus doivent-ils être conçus comme symétriques, opérant à rebours l’un de l’autre selon un même schème? Si l’on sait que la séparation par la Haine, d’un point de vue cosmique, advient au moyen d’un tourbillon discriminant, qu’en est-il du mode opératoire de l’Amour, par lequel les dissemblables se mêlent? Le présent article développe l’hypothèse (...) que la cohésion et la compacité des mélanges réalisés par l’Amour peut se comprendre par analogie avec les phénomènes d’attraction « magnétique », dont la théorie empédocléenne des effluves offre une explication. (shrink)

Quand l’Amour d’Empédocle façonne, dans les profondeurs de la terre, les tissus organiques puis les membres des vivants, il prend le nom de Cypris, et sous ses paumes expertes le feu, ailleurs nommé Zeus, devient Héphaïstos. En s’interrogeant sur les raisons de ces glissements, on s’aperçoit qu’un modèle métallurgique est à l’œuvre, qui se réapproprie en la détournant la figure du dieu-forgeron d’Hésiode et d’Homère. L’Héphaïstos d’Empédocle est le feu dont le pouvoir potentiellement destructeur est subjugué par Aphrodite-Cypris qui enserre (...) ses paumes dans les siennes. Alors que dans la tradition, il est un marteleur évoquant la Haine, il devient l’objet d’un nouveau paradigme, la fonderie, quand il se laisse manipuler par Cypris qui, comme le cuivre dans le bronze, se mêle aux alliages, membres et soudures qu’elle coule et moule. (shrink)

Pour les premiers penseurs grecs, si l’apparition et l’évolution des espèces sont dues à une causalité physique nécessaire, celle-ci va se manifester, selon les conditions locales, par la réalisation d’une immense variété de possibles. La zoogonie de Démocrite témoigne ainsi du fait qu’avant de faire espèce, chaque vivant a d’abord été un individu, dont le type caractéristique se révèle être l’empreinte ( tupos ) singulière de son biotope propre. Par ce terme, on entend rendre compte de l’inscription de chaque vivant (...) dans une imbrication d’enveloppes ou membranes plastiques en interaction mutuelle, qui constitue son monde et caractérise son bios, le mode d’existence par lequel il devient tel. (shrink)

Cet ouvrage trilingue, issu du séminaire présocratique mené depuis 2017 au centre Léon-Robin par R. Saetta Cottone et G. Journée, rassemble d’éclairantes contributions de spécialistes internationaux interrogeant à nouveaux frais le rapport des premiers penseurs grecs au divin. D’une grande précision, avec une attention particulière à la langue, toutes ouvrent d’intéressantes pistes de recherche, dont la variété permet de croiser les perspectives et les champs. Il s’agit de sortir de l’alterna...

Comprendre le traitement médiatique, les discours de rêve ou de cauchemar qui accompagnent l’intelligence artificielle, suppose une analyse au prisme de la « triade animalité, humanité, machinité », à même de mettre à jour les projections ontologiques humaines à l’endroit des IA et de ce qui fait souvent figure de contraire dans notre imaginaire : les animaux. Le robot comme figure imaginaire y est un vecteur de dévoilement de l’implicite. Les fantasmes et craintes suscitées par les IA, si élevés et (...) subtils puissent-ils paraître d’un point de vue de bipèdes supérieurs, ne sont peut-être « que » de malines réactions animales face à ce qu’on imagine être un prédateur. Il s’agit simplement d’identifier la menace, or bien souvent elle est humaine. Les humains ne sont-ils pas les meilleurs prédateurs pour eux-mêmes? Et pour sortir de la métaphore de l’annihilation des humains par les robots, ne se comportent-ils pas envers les animaux de la même façon que ce qu’ils craignent et condamnent dans leur fantasme d’une machine aveugle, sans capacité de réflexion, d’éthique ou de sentiments? (shrink)

L'idée de réforme en islam – ce qu'il est convenu d'appeler en français, depuis les années 1930, le « réformisme musulman » – reste couramment associée aux discours, systèmes de pensée et idéologies qui se développèrent dans les pays musulmans, en gros du milieu du xixe siècle au milieu du xxe siècle, à la fois en réaction à la domination économique, culturelle, militaire et coloniale européenne et grâce au développement des échanges et à la circulation plus rapide des personnes et (...) de l'information. Ce réformisme était constitutif de ce qui était alors perçu comme une renaissance de la pensée et de la production écrite, en arabe nahḍa. Combiné au nationalisme, l'idéal de renaissance plongeait les siècles antérieurs à la rencontre avec l'Europe dans l'obscurité et faisait de l’époque ottomane un temps de déclin. Ceci se traduisit longtemps, sur le plan scientifique, par une grande méconnaissance des xve, xvie, xviie et xviiie siècles. Au prétendu retard pris par le monde musulman à l’époque moderne répondit ainsi un retard historiographique, fort heureusement en voie de comblement depuis près de cinquante ans. (shrink)

Dans un contexte de renouveau des publications féministes, paraît en 2020 Ne nous libérez pas, on s’en charge : une histoire des féminismes de 1789 à nos jours, un opus à six mains produit par les historiennes Bibia Pavard, Florence Rochefort et Michelle Zancarini-Fournel. Le titre du livre reprend un slogan féministe des années 1970, qui au-delà de la pointe d’humour, exprime la nécessité d’autonomie des femmes dans leur effort collectif pour être actrices de leur destin, des sujets et non (...) d... (shrink)

Cet ouvrage dense, issu d’une thèse de doctorat en langue et littérature grecques soutenue à Lille en 2014, vise à combler une lacune des études sur Empédocle en examinant la relation essentielle de sa philosophie à la forme versifiée : loin d’être un vêtement ou un ornement archaïsant, le « véhicule poétique » de l’hexamètre dactylique épique était conçu par Empédocle comme la condition nécessaire de l’expression de sa pensée. La forme poétique est ici constitutive du contenu philosophique m...

This article evaluates the effect of different human resource management (HRM) practices on organizations’ environmental performance. We develop a model to evaluate the influence of a broad range of HRM practices, including environmental performance criteria in managers’ performance evaluations and two types of internal corporate social responsibility (CSR) practices: socially responsible employee benefits and corporate volunteering practices. To this end, we analyze a sample of 142 manufacturing companies that have completed B Lab’s Impact Assessment process to certify their environmental performance. (...) The results show that including environmental criteria in a higher proportion of managers’ performance evaluations directly impacts organizations’ environmental performance and strengthens the positive effect of other environmental management practices. The findings also demonstrate the direct effects of both types of CSR practices on an organization’s environmental performance. Our study advances recent work on Green HRM and CSR by identifying the specific HRM practices that allow organizations to move from being part of the world’s environmental problem to being part of the solution. (shrink)

In response to Anne L. Dalle Ave and David M. Shaw, we agree with their general argument but emphasize a moral risk of HIV disclosure in deceased donation cases: the risk of relational rupture. Because of the importance that close relationships have to our sense of self and our life plans, this kind of rupture can have long-ranging implications for surviving loved ones. Moreover, the now-deceased individual cannot participate in any relational mending. Our analysis reveals the hefty moral (...) costs that disclosure can bring, which should influence what information is given to wouldbe donors and how organ procurement coordinators approach these conversations. (shrink)

A travers la Vie de Lutgarde d’Aywières (1182/1183-1246) rédigée par Thomas de Cantimpré (1200- v. 1270), il s’agit d’analyser le réseau de relations tissées par cette cistercienne du diocèse de Liège – vraisemblablement une ancienne mulier religiosa – en insistant d’une part sur les tensions qui ont pu émerger dans le saeculum et au cloître et, d’autre part sur les cercles d’amitié tracés par la moniale. L’étude de ces deux types de relations permet de mettre en évidence les rapports de (...) genre à l’œuvre et leurs enjeux (corps et esprit) et conduit à la conclusion que dans ce contexte – cadre monastique et vraisemblablement béguinal du diocèse de Liège au XIIIe siècle – la hiérarchie sociale se construit non pas tant à partir du genre qu’en fonction de la dichotomie science divine révélée/savoir sacré acquis. (shrink)

Le centième anniversaire de la disparition de Bertha von Suttner, première femme décorée du Prix Nobel de la Paix, a donné lieu cette année à maintes manifestations culturelles et scientifiques, qui toutes soulignent la clairvoyance et la surprenante modernité de l’analyse suttnerienne du discours sur le caractère prétendument inexorable de la guerre. Il a également suscité plusieurs publications, dont la réédition de l’ouvrage qui l’a rendue mondialement célèbre, Die Waffen nieder! (Bas les...

This paper critically interrogates the usefulness of the concept of violence regimes for social politics, social analysis, and social theory. In the first case, violence regimes address and inform politics and policy, that is, social politics, both around various forms of violence, such as gender-based violence, violence against women, anti-lesbian, gay and transgender violence, intimate partner violence, and more widely in terms of social and related policies and practices on violence and anti-violence. In the second case, violence regimes assist social (...) analysis of the interconnections of different forms and aspects of violence, and relative autonomy from welfare regimes and gender regimes. Third, the violence regime concept engages a wider range of issues in social theory, including the exclusion of the knowledges of the violated, most obviously, but not only, when the voices and experiences of those killed are unheard. The concept directs attention to assumptions made in social theory as incorporating or neglecting violence. More specifically, it highlights the significance of: social effects beyond agency; autotelic ontology, that is, violence as a means and end in itself, and an inequality in itself; the relations of violence, sociality and social relations; violence and power, and the contested boundary between them; and materiality-discursivity in violence and what is to count as violence. These are key issues for both violence studies and social theory more generally. (shrink)

How do people learn to talk about the causal and temporal relations between events, and the motivation behind why people do what they do? The narrative practice hypothesis of Hutto and Gallagher holds that children are exposed to narratives that provide training for understanding and expressing reasons for why people behave as they do. In this context, we have recently developed a model of narrative processing where a structured model of the developing situation is built up from experienced events, and (...) enriched by sentences in a narrative that describe event meanings. The main interest is to develop a proof of concept for how narrative can be used to structure, organize and describe experience. Narrative sentences describe events, and they also define temporal and causal relations between events. These relations are specified by a class of narrative function words, including “because, before, after, first, finally.” The current research develops a proof of concept that by observing how people describe social events, a developmental robotic system can begin to acquire early knowledge of how to explain the reasons for events. We collect data from naïve subjects who use narrative function words to describe simple scenes of human-robot interaction, and then employ algorithms for extracting the statistical structure of how narrative function words link events in the situation model. By using these statistical regularities, the robot can thus learn from human experience about how to properly employ in question-answering dialogues with the human, and in generating canonical narratives for new experiences. The behavior of the system is demonstrated over several behavioral interactions, and associated narrative interaction sessions, while a more formal extended evaluation and user study will be the subject of future research. Clearly this is far removed from the power of the full blown narrative practice capability, but it provides a first step in the development of an experimental infrastructure for the study of socially situated narrative practice in human-robot interaction. (shrink)

In vertebrates, single cell analyses of replication timing patterns brought to light a very well controlled program suggesting a tight regulation on initiation sites. Mapping of replication origins with different methods has revealed discrete preferential sites, enriched in promoters and potential G‐quadruplex motifs, which can aggregate into initiation zones spanning several tens of kilobases (kb). Another characteristic of replication origins is a nucleosome‐free region (NFR). A modified yeast strain containing a humanized origin recognition complex (ORC) fires new origins at NFRs (...) revealing their regulatory role. In cooperation with NFRs, the histone variant H2A.Z facilitates ORC loading through di‐methylation of lysine 20 of histone H4. Recent studies using genome editing methods show that efficient initiation sites associated with transcriptional activity can synergize over several tens of kb by establishing physical contacts and lead to the formation of early domains of DNA replication demonstrating a co‐regulation between replication initiation and transcription. (shrink)

This article examines whether progress in women’s access to decision-making positions is best achieved through increased levels of development or targeted actions. Drawing on European data for the period 2006–2018, the article examines the association between how gender equal a country is and legislated measures such as board quotas with women’s representation on boards. The analysis then explores how this can be nuanced by differentiating between hard sanctions, soft sanctions and codes of governance. It shows that board quotas cannot be (...) relied upon as instruments of progress independently of a contextual environment that is more gender equal. Furthermore, board quotas with hard sanctions work best, followed by codes of governance, particularly when associated with higher gender equality. However, board quotas with soft sanctions are associated with results that are only marginally better than not having any measure in place. The article concludes that for further and faster progress to be made, introducing legislated board quotas shows great potential, though only in combination with striving for a gender equal society and using hard sanctions. The results call for organizations not to lose focus on ‘rights’ at the expense of the more palatable ‘business case’ for board quotas when striving for equality on corporate boards. (shrink)