Si l'on reconnaît que la métaphore n'est pas un simple ornement du langage et que l'histoire de la pensée philosophique et scientifique s'est nouée autour de certaines "métaphores directrices" et de leurs changements de sens, il faut réviser notre image habituelle des rapports entre rhétorique et pensée conceptuelle, parcourir à nouveaux frais k cours de notre tradition et envisager autrement la succession des grandes métaphysiques. À cet égard, la pensée de Hans Blumenberg offre des instruments essentiels. Anselm Haverkamp et (...) Jean-Claude Monod se sont attachés tout à la fois à éditer, situer et commenter les travaux de Blumenberg, tout en leur donnant des prolongements personnels. Ces prolongements et développements ne concernent pas seulement la réflexion sur la "métaphore absolue", telle que la "métaphorologie" de Blumenberg l'a illustrée, mais aussi l'histoire de la rhétorique et de la poétique, les moyens d'expression de la philosophie, les limites de la phénoménologie et les impasses de "l'histoire de l'être" heideggérienne, la portée anthropologique du mythe, les transformations de la mimèsis. Sont ici rassemblées des contributions de deux philosophes qui, l'un et l'autre, ont "pensé avec" Blumenberg."--Page 4 of cover. (shrink)

In Animal Rationality: Later Medieval Theories 1250-1350, Anselm Oelze offers the first comprehensive and systematic exploration of theories of animal rationality in the later Middle Ages.

Auf den ersten Blick könnten die Welten, die in diesem Buch aufeinandertreffen, kaum gegensätzlicher sein. Anselm Kiefer, einer der bedeutendsten und international erfolgreichsten Künstler der Gegenwart, beschäftigt sich in seinem Werk mit den wesentlichen Fragen der Gesellschaft. Seine Bilder sind geheimnisvolle Chiffren zur Entschlüsselung der Welt und ihrer immer neuen Rätsel, sie offenbaren Überlagerungen, Durchdringungen, Verschmelzungen. Peter Handke nannte ihn »einen stillen Wilden..., auf dem Sprung, eine Art neuen Alphabets der Malerei zu entwerfen«. Ihm gegenüber Mathias Döpfner, Vorstandsvorsitzender der (...) Axel Springer AG, ursprünglich jedoch Germanist, Musikwissenschaftler, Journalist. Aus dem Kontrast entsteht ein fesselnder, erhellender Dialog über Kunst und Politik, Natur und Mythos, Kultur und Geschichte, Theologie und Ökonomie, Philosophie und Literatur. (shrink)

The combination of genuine ethical concerns and fear of learning to use germ-line therapy for human disease must now be confronted. Until now, no established techniques were available to perform this treatment on a human. Through an integration of several fields of science and medicine, we have developed a nine step protocol at the germ-line level for the curative treatment of a genetic disease. Our purpose in this paper is to provide the first method to apply germ-line therapy to treat (...) those not yet born, who are destined to have a life threatening, or a severely debilitating genetic disease. We hope this proposal will initiate the process of a thorough analysis from both the scientific and ethical communities. As such, this proposal can be useful for official groups studying the advantages and disadvantages of germ-line therapy. (shrink)

Mit diesem Buch geht die analytische Handlungstheorie neue Wege. Statt den von Davidson vorgezeichneten Mustern zu folgen, knüpft der Autor an die aristotelische Unterscheidung von poiesis und praxis an, um die komplexen teleologischen Strukturen menschlichen Handelns zu untersuchen. Als überraschend ergiebiger Leitfaden erweist sich dabei der Begriff der Erziehung. Eine Fülle detaillierter Analysen zeitigt nicht nur anthropologisch und moralphilosophisch bedeutsame Resultate, sondern auch zeitkritische Folgerungen. 'Wie im Bereich der Erziehung, so gewöhnen wir uns auch sonst daran, die Wirklichkeit unseres Handelns (...) mit Kategorien des Hervorbringens zu überziehen und auch da nach Produkten zu suchen, wo es eigentlich um die Qualität des Lebens geht. Angesichts solcher Verirrungen fundamentale Strukturen und Ansprüche praktischer Vernunft erneut zu bedenken, ist heute vielleicht die vornehmste Aufgabe der Handlungsphilosophie.'. (shrink)

Our global knowledge of different cultures and the diversity of values increases almost daily. New challenges arise for ethics. This is especially true in the field of bioethics because the technological progress of medicine throughout the world is causing dramatic interactions with traditionally held values. Science and technology are rapidly advancing beyond discussions and corresponding political struggles over human rights, leaving those debates behind. This rapid development of science is at odds with the principle of sustained development that calls for (...) measured and thoughtful planning, such that no new idea should rupture the delicate fabric of communities, environment, and cultural evolution. (shrink)

This is the first serious intellectual biography of Guy Debord, prime mover of the Situationist International (1957-1972) and author of _The Society of the Spectacle_, perhaps the seminal book of May 1968 in France. Anselm Jappe rejects recent attempts to set Debord up as a "postmodern" icon, arguing that he was a social theorist in the Hegelian-Marxist tradition—not a precursor of Jean Baudrillard but an heir of the young Georg Lukács of _History and Class Consciousness _(1923). Neither hagiographical nor (...) sectarian, _Guy Debord_ places its subject squarely in his historical context: the politicizing Letterist and Situationist "anti-artists" who, in the European aftermath of World War II, sought to criticize and transcend the Surrealist legacy. The book offers a lively, critical, and unusually reliable account of Debord's "last avant-garde" on its way from radical bohemianism to revolutionary theory. Jappe also discusses Debord's films, which are largely inaccessible at present. This English language edition of the book has been revised by the author and features an updated critical bibliography of Debord and the Situationists. (shrink)

Calling on the methodology of psychology, the authors explore the way illness alters the self-image of the sick person, and the way the experience changes the person who is ill. The reader is taken through the psychological impacts of the first clinical moment when the patient realizes he or she is in the altered state of illness, as well as the subsequent effects of pain, hospitalization, being bed-ridden, fatigued or disabled. The central thesis is that an integral picture of medicine (...) must include social-cultural aspects, the institutionalization of health care, and an attempt to provide patient-centered care. The approach taken is the empirically based psychosocial reflection of the disturbances to a person's self-image caused by various kinds of illness. Focusing on the world of the patient, the authors relate to problems concerning self-image, pain, exhaustion, isolation, handicaps, aging, dying and death. The relationships between patients and medical personnel are also examined. Concluding the work is an excellent bibliography keyed to the chapters of the text. (shrink)

The existing literature in medical ethics does not serve the practical needs of medical students and trainees very well. Medical students or junior doctors often have their own set of ethical concerns and the dilemmas that arise are generally beyond their direct control. The editors have addressed the gap in the literature by compiling a series of case studies from around the world and inviting an international team of leading ethicists and clinicians to comment on them. This volume includes over (...) 80 actual cases that cover the range of possible problems a medical trainee may encounter on the ward. (shrink)

According to Frankena, “the moral point of view is what Alison Wilde and Heather Badcock did not have.” Most of us, however, are not such extreme examples. We are capable of the moral point of view, but we fail to take the necessary time or make the required efforts. We resist pulling ourselves from other distractions to focus on the plight of others and what we might do to ameliorate their suffering. Perhaps compassion is rooted in understanding what it is (...) that connects us with others rather than what separates us, and rests on developing sufficient awareness, to internalize what our actions, or lack of them, mean in the lives of others. (shrink)

Among critics of corporate social responsibility (CSR), there is growing concern that CSR is largely ineffective as a corrective to the shortcomings of capitalism, namely, the negative effects of business on society and the undersupply of public goods. At the same time, researchers suggest that despite the shortcomings of CSR, it is possible to make it more effective in a stepwise manner. To explain the frequent failures of current CSR practices and to explore the possibilities of remedying them, I examine (...) the close relationship between CSR, the persistent expansion of capitalism, and the pressure that capitalism puts on companies to legitimize their business operations. My analysis shows that the failure of CSR to serve as a corrective to the problematic effects of capitalism is, in fact, an inevitable consequence of the problematic dynamics of the capitalist system. On this basis, I suggest that capitalism limits the possibilities of making CSR more effective, argue for change on the systemic level of capitalism, and explore the ways in which CSR research can contribute to this political endeavor. (shrink)

Past ages of medical care are condemned in modern philosophical and medical literature as being too paternalistic. The normal account of good medicine in the past was, indeed, paternalistic in an offensive way to modern persons. Imagine a Jean Paul Sartre going to the doctor and being treated without his consent or even his knowledge of what will transpire during treatment! From Hippocratic times until shortly after World War II, medicine operated in a closed, clubby manner. The knowledge learned in (...) medicine was not shared with the patients, who were in general poorly educated and for the most part completely ignorant of the craft of medicine and the physicians. Physicians were cautioned against telling patients too much about their Illness and/or their recovery, perhaps because physicians themselves did not have an enormous armamentarium to confront disease. (shrink)

Aide-Mémoire (Theorie I) : Saussure, der Text, die Bilder -- Raum- und Latenzgeschichten (Illustration) -- Pars pro toto (Theorie II) : Das Sein im Ganzen, Eine Latenzfigur -- Negativität -- Anagramm und Prosa : Der Maulwurf als Theorie.

After Aquinas, Anselm is the most significant medieval thinker. Utterly convinced of the truth of the Christian religion, he was none the less determined to try to make sense of his Christian faith, and the result is a rigorous engagement with problems of logic which remain relevant for philosophers and theologians even today. This translation provides the first opportunity to read all of Anselm's most important works in one volume.

A detailed multi-disciplinary analysis of Sudan in the post-colonial era with a consideration of possibilities for the future.

In advanced technological societies there is growing concern about the prospect of protracted deaths marked by incapacitation, intolerable pain and indignity, and invasion by machines and tubing. Life prolongation for critically ill cancer patients in the United States, for example, literally costs a fortune for very little benefit, typically from $82,845 to $189,339 for an additional year of life. Those who return home after major interventions live on average only 3 more months; the others live out their days in a (...) hospital intensive care unit. (shrink)

Medical ethics is a footnote to the larger problem of directing our technology to good human ends. Written large, then, medical ethics must ask five basic questions.

Populations around the world are aging at a very fast rate, so much so that care for the elderly will soon rupture even the most carefully planned, enlightened care provisions societies can offer. The demographics in advanced countries demonstrate this dilemma, even without projections based on antiaging medications that may be possible in the near future, and a healthier lifestyle that has preoccupied the yuppies for about 10 years.

Was genau sind eigentlich Emotionen und wie unterscheiden sie sich voneinander und von nichtemotionalen Zuständen? Wie entstehen Emotionen? Setzen sie Kognitionen, insbesondere Überzeugungen oder Gedanken, voraus und wenn ja, welche? Gibt es auch nichtkognitive Wege der Emotionsentstehung und wenn ja, welche Bedeutung haben sie? Gibt es unbewusste Emotionen? Welche Funktionen haben die Emotionen – wozu sind sie gut, welche Rolle spielen sie im psychischen System? Wie kann die Erlebensqualität von unterschiedlichen Emotionen, zum Beispiel Freude und Furcht, erklärt werden? Sind die (...) Emotionsmechanismen in der Evolution entstanden oder sind zumindest einige davon oder bestimmte Komponenten davon erlernt? Wie sieht der angeborene Teil des emotionalen Systems genau aus? Was ist der Unterschied zwischen emotionalen Reaktionen auf reale und fiktive Ereignisse, zwischen »Realemotionen« und »Fantasieemotionen«? Wie verhalten sich Emotionen zur Sprache? Wie ist die Beziehung zwischen dem Alltagsverständnis von Emotionen und wissenschaftlichen Emotionstheorien, zwischen Alltagspsychologie und der wissenschaftlichen Psychologie bzw. Philosophie? Dies sind einige der Fragen, die in diesem Band aus philosophischer und psychologisch-kognitionswissenschaftlicher Sicht erörtert werden. Dabei findet sich eine überraschend hohe Übereinstimmung zwischen den Autoren. Einig sind sie sich auch darin, dass die Fragen der Emotionsforschung am besten in interdisziplinärer Zusammenarbeit gelöst werden können. (shrink)

This book is the result of a long-standing clinical and educational cooperation between a medical psychologist (Bergsma) and a medical ethicist/philosopher (Thomasma). It is thoroughly interdisciplinary in its examination of the difficulties of honoring the patient's and the physician's autonomy, especially in light of the changes in health care worldwide today. Although autonomy has become the primary standard of bioethics, little has been done to link it to the ways people actually behave, nor to its roots in the healing (...) relationship. Combining as it does the disciplines of psychology and philosophy, this book is a step in that direction. (shrink)

In this essay I will examine why the truth is so important to human communication in general, the types of truth, and why truth is only a relative value. After those introductory points, I will sketch the ways in which the truth is overridden or trumped by other concerns in the clinical setting. I will then discuss cases that fall into five distinct categories. The conclusion emphasizes the importance of truth telling and its primacy among secondary goods in the healthcare (...) professional-patient relationship. (shrink)

Persons of diminished capacity, especially those who are still legally competent but are de facto incompetent should still be able to participate in moderately risky research projects that benefit the class of persons with similar diseases. It is argued that this view can be supported with a modified communitarianism, a philosophy ofmedicine that holds that health care is a joint responsibility that meets foundational human needs. The mechanism for obtaining a substituted consent I call ``community consent,'' and distinguish this from (...) the usual family or surrogate consent for treatment. Care givers are included in the community that might consent for an individual who has no identifiable family members. (shrink)

In Márquez's OfLoveandOtherDemons Abrenuncio the physician and the Marquis discuss the outbreak of rabies that is the centerpiece of the book, since the Marquis' daughter has been bitten by a rabid dog. Abrenuncio notes that the poor.

Let us look at autonomy in a new way. Autonomy has a richly deserved place of honor in bioethlcs. It has led the set of principles that formed the basis of the discipline since the beginning. It is the leading principle In what is now regularly called “the Georgetown Mantra,” a phrase suggested by one of the first philosophers ever to be hired In a medical school, K. Danner Clouser. The phrase applies to the principled approach of autonomy, beneficence, nonmaleficence, (...) and justice. This kind of bioethics was developed by scholars like Beauchamp and Childress, Veatch, and Engelhardt, during their association with Georgetown University. (shrink)

The motivation of the study is to gauge the effects of access to finance, technical know-how, and financial literacy on women’s empowerment through establishing women’s entrepreneurial development. A sample of 950 women-owned SMEs was considered, and structured questionnaires were sent from getting target responses. After careful assessment through the data cleansing procedure, it was found that only 795 responses are suitable for further investigation, implying the sample response rate for the study is 74.71%. The study implemented structural equation modeling and (...) multivariate regression analysis for gauging the causal association that is direct and indirect effects of target variables. According to findings, a positive statistically significant linkage was revealed with women’s entrepreneurship sustainability and women empowerment. Furthermore, the mediating effects were also established for women’s empowerment. According to the study findings, it is suggested that for women entrepreneurship sustainability, effective policies surrounding financing accessibility, technical knowledge expansion, and financial understating have to be promulgated in the economy, which allows bringing women empowerment at large. (shrink)

Under conditions of growing interconnectedness of the global economy, more and more stakeholders are exposed to risks and costs resulting from business activities that are neither regulated nor compensated for by means of national governance. The changing distribution of risks poses a threat to the legitimacy of business firms that normally derive their legitimacy from operating in compliance with the legal rules of democratic nation states. However, during the process of globalization, the regulatory power of nation states has been weakened (...) and many production processes have been shifted to states with weak regulatory frameworks where businesses operate outside the reach of the democratic nation state. As a result, business firms have to address the various legitimacy challenges of their operations directly and cannot rely upon the legitimacy of their regulatory environment. These developments challenge the dominant approach to corporate governance that regards shareholders as the only stakeholder group in need of special protection due to risks not covered by contracts and legal regulations. On the basis of these considerations, we argue for a democratization of corporate governance structures in order to compensate for the governance deficits in their regulatory environment and to cope with the changing allocation of risks and costs. By way of democratic involvement of various stakeholders, business firms may be able to mitigate the redistribution of individual risk and address the resulting legitimacy deficits even when operating under conditions of regulatory gaps and governance failure. (shrink)

Critical care as a discipline has become so expensive that some have proposed extensive limitations on the amount of money devoted to it by society. In this paper that issue is examined with respect to pediatric and neonatal intensive care. Initially, a case is presented which includes many of the ethical and economic issues. The neonatal population at present has a tolerable median cost, with a distinctly higher average cost created by many special cases such as the one described with (...) very high costs. The pediatric population is served by an intensive care system costing approximately one billion dollars. This contrasts with the adult costs which are markedly higher and yet do not meet the total preceived need. Different theories of justice would concede differing allocations to individuals and to the problem of critical care as a whole based on their view of the obligations of societal membership. The authors argue that in fact critical care might be analyzed from the view-point of economics more effectively by breaking down the cost allocations for different components for that care, and argue that labor is the major cost in its provision. They then argue that that labor component may be a necessary and affordable cost for a post industrial society. It may be that libertarians, Rawlsians, and utilitarians could accept such an allocation of resources. Further, it is argued that triage is not an appropriate approach to limiting expenses, and that other methodologies such as cost effectiveness are the only appropriate ones to invoke in pediatric critical care. Recognition of the economic realities present in a given case may be the key to clinicians' demonstrated reluctance to participate in the gatekeeper role through the use of triage. (shrink)

During 1992, academic bioethicists celebrated the 30th anniversary of bioethics. Some like to date the origin of modern secular bioethics to the advent of transplant technology that began with kidney transplantation in the early 1960s in the Seattle, Washington, area. This is certainly a good candidate for a starting point. Another might be the work of Joseph Fletcher in the New York area with the Euthanasia Society of America and with clergy training. Still another candidate for the origins of secular (...) bioethics would be the trial of physicians at the University of Virginia for transplanting a kidney at which the same Joseph Fletcher testified. At that trial, the alteration occurred in American law from a definition of death that focused on the cessation of heartbeat to one that focused on the cessation of brain function. (shrink)

You wrote an editorial in JAMA giving a 30-year retrospective on bioethics. If you look ahead to the next 30 years, what are the issues you see facing bioethics in the future?

The first book on my shelf at the newly created Program on Human Values and Health Sciences at the University of Tennessee Center for the Health Sciences in Memphis was by Van Rensselaer Potter on Global Bioethics. He was a cancer specialist at the University of Wisconsin and had the vision that bioethics should be a global concern—global in terms of scope, disciplines involved, and relationship to the environment and cultural context. This view has shaped my own career as well (...) as influencing many others. (shrink)

From time to time medical ethicists bemoan the loss of a religious perspective in medical ethics. The discipline had its origins in the thinking of explicitly religious thinkers such as Paul Ramsey and Joseph Fletcher. Furthermore, many of those who contributed to the early development of the discipline had training in theology. One thinks of Daniel Callahan, Richard McCormick, Albert Jonsen, Sam. Banks. As the discipline becomes more and more self-reflective, with attention being paid to methodological and conditional concerns, it (...) is only natural that the roots are due for a reexamination. The time has therefore come for some reassessment. The first steps here are taken in the form of a dialogue between the coauthors to clarify authentic contributions and weed out unauthentic ones. (shrink)