Im Alltag wie in ethischen Fachdiskussionen verweisen wir häufig auf moralische Intuitionen. Doch welche Art mentaler Zustand sind moralische Intuitionen eigentlich? Wie 'generieren' sie moralische Wertungen? Unter Rückgriff auf zeitgenössische Theorien aus der Philosophie des Geistes argumentiert die Autorin, dass moralische Intuitionen zu konkreten Fällen eine Form der Emotion sind. Sie spezifiziert, in Anlehnung an Millikans biosemantisches Intentionalitätskonzept und Prinz? Emotionstheorie, was diese moralisch wertenden Emotionen auszeichnet und welche mentalen Prozesse ihrem Auftreten zugrunde liegen. Burgbachers Modell gibt eine zeitgemässe, empirisch (...) orientierte Antwort auf die stark diskutierte Vorfrage der Ethik und Metaethik nach der Natur moralischer Intuitionen. Es bietet eine solide Basis für die Diskussion des epistemischen und handlungsbezogenen Status moralischer Intuitionen. (shrink)

Rationale, aims and objectives Given the increasing prevalence of cataract and demand for cataract extraction surgery, patients must often wait to undergo this procedure. We validated a previously developed priority scoring system in terms of clinical variables, pre-intervention health status, appropriateness of surgery and gain in visual acuity (VA) and health-related quality of life (HRQoL).Methods Explicit prioritization criteria for cataract extraction created by a variation of the Research and Development (RAND) and University of California Los Angeles appropriateness methodology were retrospectively (...) applied to a prospective cohort of 5257 patients on waiting lists to undergo cataract by phacoemulsification at 17 hospitals in Spain. Demographic data, clinical data and data related to surgical technique were collected by trained ophthalmologists. Patients were evaluated by their ophthalmologist before the intervention and 6 weeks afterward. They also completed, by mail, the Visual Function Index (VF-14) before the intervention and 3 months afterward.Results High-priority patients experienced greater improvement in VA and HRQoL than those classified as intermediate or low-priority (P < 0.0001), even after adjusting by VA and the VF-14 score at baseline. The time to intervention was the same for high-priority patients as it was for intermediate and low-priority patients.Conclusions The priority score we developed identified patients most likely to experience the greatest improvements from cataract extraction. Use of this tool could provide a fairer and more rational way to prioritize patients for cataract extraction. (shrink)

Durante la época colonial, en algunos países de Iberoamérica, se desarrolló un movimiento teológico que tuvo como centro el pensamiento escotista. Si bien la complejidad de las ideas de este franciscano abarcó muchos aspectos de las verdades de fe, su impronta se manifestó claramente en un poema escrito por un religioso chileno: Gregorio Farías. Este, siguiendo los parámetros de la épica heroica de corte sacro, dio a luz una obra conocida como la “Scotida”. Allí puso en valor el tema de (...) la Inmaculada Concepción antes de su promulgación dogmática, abordando los ejes que justifica su inclusión en el depósito de la fe. Este estudio analiza los aspectos mariológicos más relevantes de esta obra, anterior a la bula Innefabilis Deus.Durante la época colonial, en algunos países de Iberoamérica, se desarrolló un movimiento teológico que tuvo como centro el pensamiento escotista. Si bien la complejidad de las ideas de este franciscano abarcó muchos aspectos de las verdades de fe, su impronta se manifestó claramente en un poema escrito por un religioso chileno: Gregorio Farías. Este, siguiendo los parámetros de la épica heroica de corte sacro, dio a luz una obra conocida como la “Scotida”. Allí puso en valor el tema de la Inmaculada Concepción antes de su promulgación dogmática, abordando los ejes que justifica su inclusión en el depósito de la fe. Este estudio analiza los aspectos mariológicos más relevantes de esta obra, anterior a la bula Innefabilis Deus. (shrink)

BackgroundThe public’s attitudes to conscientious objection are likely to influence political decisions about CO and trust towards healthcare systems and providers. Few studies examine the pub...

Putting laypeople in an active role as direct expert contributors in the design of service robots becomes more and more prominent in the research fields of human–robot interaction and social robotics. Currently, though, HRI is caught in a dilemma of how to create meaningful service robots for human social environments, combining expectations shaped by popular media with technology readiness. We recapitulate traditional stakeholder involvement, including two cases in which new intelligent robots were conceptualized and realized for close interaction with humans. (...) Thereby, we show how the robot narrative together with aspects of power balancing stakeholders, such as hardware constraints and missing perspectives beyond primary users, and the adaptivity of robots through machine learning that creates unpredictability, pose specific challenges for participatory design processes in HRI. We conclude with thoughts on a way forward for the HRI community in developing a culture of participation that considers humans when conceptualizing, building, and using robots. (shrink)

La teoría social de Karl Marx fue a menudo evaluada como objetivista y determinista, incompatible con la individualidad y la autorreflexión características de lo autobiográfico. Las escasas páginas autobiográficas de Marx avalan una ajenidad con la narración de sí mismo. El argumento desarrollado sugiere que la teoría madura de Marx proporciona una explicación contradictoria de la formación de la individualidad, cuya premisa es la separación de lo comunitario. Esa separación es ambigua: crea figuras como las del ciudadano y el individuo (...) formalmente libre, cuyos pliegues subjetivos exceden la reproducción mecánica de la forma social capitalista. La conclusión propone una reflexión sobre el posible aporte y limitaciones de la teoría crítica marxista para un análisis equilibrado de las prácticas autobiográficas contemporáneas. (shrink)

Ernesto Laclau’s Marxist and post-Marxist works are best understood when they are embedded in the history of Argentina’s National Left. This socialist-populist current underpinned his strategic horizons onward of at least 1963. While purely theoretical interpretations of Laclau can sometimes be enlightening, they tend to lose sight of the historical density of the Argentine’s thought. Over the course of his working life, Laclau’s theories presented the Argentinean Left with a challenge concerning how to engage with Peronism: specifically, how to develop (...) a leftist hegemonic project in an era when the working class remained stubbornly linked to a Peronist political identity. Laclau’s political trajectory and his understanding of Marxism are analysed here in order to explain the nature of his post-Marxism. (shrink)

El recorrido intelectual de Francisco Valsecchi en la historia de las ideas económicas católicas muestra las inflexiones teóricas de una axiología derivada de la Doctrina Social de la Iglesia. Sin embargo, las condiciones históricas del desarrollo de una economía católica en la Argentina y las transformaciones sociales, económicas y políticas del periodo 1930-1970 incidieron sobre las tendencias conceptuales de aquella axiología en apariencia perenne. Para explicar los cambios operados en el pensamiento económico se sigue la trayectoria de Valsecchi. Se muestran (...) las fases principales de sus posiciones, destacando tres momentos fundamentales coincidentes con los tres momentos de la economía católica en la Argentina. Al mismo tiempo se muestra la curva teórica de los economistas católicos que los aleja de una propuesta propiamente católica de una economía política para concentrar su punto de vista en la dimensión ética de las prácticas empresariales. La reconstrucción del recorrido intelectual de Valsecchi sostiene que el pensamiento económico católico revela el pasaje de una visión crítica de la economía predominante en 1930 a una funcionalidad con la propuesta en clave antipopulista por las clases propietarias en 1970.The intellectual trajectory of Francisco Valsecchi in the history of Catholic economic ideas shows the theoretical turns of an axiology derived from the Social Doctrine of the Church. Both the historical circumstances of a Catholic economic thought in Argentina and the social, economic, and political changes of the 1930-1970 period had an impact on the conceptual trends of this apparently perennial axiology. To explain the changes in the economic perspectives the main stages of his theoretical positions are studied, emphasizing the three key moments of Catholic economy. At the same time the article shows the theoretical path followed by Catholic economists from their original proposal of a political economy towards a view orientated to the construction of an axiology of business practices. Valsecchi's intellectual trajectory reveals the passage from a critical perspective of economy prevailing in the 1930's to an antipopulist point of view strongly related to the proprietor class in the 1970's. (shrink)

This paper studies the effects of social comparison on risk taking behavior. In our theoretical framework, decision makers evaluate the consequences of their choices relative to both their own and their peers’ conditions. We test experimentally whether the position in the social ranking affects risk attitudes. Subjects interact in a simulated workplace environment where they perform a work task, receive possibly different wages, and then undertake a risky decision that may produce an extra gain. We find that social comparison matters (...) for risk attitudes. Subjects are more risk averse in the presence of small social gain than social loss. In addition, risk aversion is decreasing in the size of the social gain. (shrink)

Este texto trabaja a partir de la poesía de José Manuel Arango. Dada la formación filosófica del poeta, se buscó en su obra una reflexión con respecto a las preguntas fundamentales al ser humano y que la filosofía ha intentado responder desde la antigüedad: qué idea del hombre, del mundo y de la existencia hay en su poesía, de tal forma que pudiera establecerse un puente entre la filosofía y la literatura; y derivada de esta última, pero igualmente importante, se (...) indagó por la reflexión estética que allí subyace, su concepción del arte, del artista y particularmente de la poesía. Y ambas preguntas tendieron, a su vez, a un fin común: encontrar la posibilidad de verdad que hay en su obra. (shrink)

La ética del cuidado es la propuesta teórica feminista más conocida en bioética. Mediante una revisión y análisis bibliográfico abordaré la ética del cuidado e interseccionalidad, como marco para discurso bioético aplicado a las estructuras en la atención de salud y para la toma de decisiones. La ética del cuidado y la interseccionalidad otorgan elementos pocas veces considerados en el análisis bioético, como es el contexto, la subjetividad, la experiencia vivida, las relaciones de cuidado y la responsabilidad con sí misma (...) y los otros. Estos elementos deben permear a la bioética en salud y en el actuar del ser humano con su entorno. (shrink)

Im Zuge einer Änderung des Arzneimittelgesetzes im November 2016 hat der Deutsche Bundestag beschlossen, dass gruppennützige Arzneimittelforschung mit nicht-einwilligungsfähigen Erwachsenen unter bestimmten Bedingungen erlaubt sein soll. Das entsprechende Gesetz wird voraussichtlich im Jahr 2020 in Kraft treten. Das ethische Problem dieser Forschung besteht darin, dass Personen, die nicht in der Lage sind, ihre Einwilligung in die Forschung zu erteilen, nicht vom medizinischen Fortschritt ausgeschlossen werden sollen. Der Gesetzgeber hat versucht, diesen Konflikt zu lösen, indem er die Zulässigkeit der gruppennützigen Forschung (...) mit nicht-einwilligungsfähigen Erwachsenen an die Voraussetzung geknüpft hat, dass Studienteilnehmer ihre Einwilligung zuvor in einer Probandenverfügung erteilen. Der Beitrag hat das Ziel, die neue Regelung zur gruppennützigen Forschung mit nicht-einwilligungsfähigen Erwachsenen aus ethischer Sicht zu bewerten. Die Frage, ob die Gesetzesänderung weitere Forschung ermöglichen wird, hängt wesentlich davon ab, ob man mit Blick auf Studien, die sowohl eigennützige als auch gruppennützige Maßnahmen umfassen, eine Gesamtbetrachtung oder eine Einzelbetrachtung dieser Studien vorzieht. In unserem Beitrag argumentieren wir für eine Einzelbetrachtung. Es wird weiterhin die Auffassung vertreten, dass die im Gesetzgebungsverfahren vorgeschlagene Probandenverfügung die Selbstbestimmung der Patienten fördern kann, wenn sie mit Blick auf die mit der Teilnahme verbundenen Eingriffe ein Mindestmaß an Bestimmtheit erreicht.Zusammenfassend wird die Auffassung vertreten, dass gruppennützige Forschung mit nicht-einwilligungsfähigen Erwachsenen trotz der genannten Bedenken unter bestimmten Bedingungen ethisch zulässig sein kann. In der Gesamtabwägung erscheint dabei die eindeutige Definition und strenge Beachtung der Bedingungen der EU-Verordnung 536/2014 mit Blick auf einen ethisch gerechtfertigten Einbezug von nicht-einwilligungsfähigen Erwachsenen in gruppennützige Forschung als besonders bedeutsam. (shrink)

In Arequipa, Peru’s second largest city, engineers work hard to control water flows and provide different sectors with clean and sufficient water. In 2011, only 10 percent of the totality of water used daily by Arequipa’s then close to 1 million people—in households, tourism, industry, and mining—was treated before it was returned to the river where it continues its flow downstream towards cultivated fields and, finally, into the Pacific Ocean. It takes specialized knowledge and manifold technologies to manage water and (...) sustain life in Arequipa, and engineers are central actors for making water flow. Examining the ecology of water management, this article asks to what extent we can talk of a way of knowing and enacting water that is particular to engineers. Through engineering practices, a technical domain emerges as separate from and superior to political and social domains. This production of categories can be understood as practices of purification. However, a purely technical grip on water is never possible. Unruly elements, like weather, contamination, urban dwellers, and competing interests, interfere and make processes of intervention unstable. Water is never completely cleaned, and, equally, the continuous processes of purification of categories and domains take place while other processes work to blur their boundaries. (shrink)

Although the main responsibility for informed consent of medical procedures rests with doctors, nurses’ roles are also important, especially as patient advocates. Nurses’ preparation for this role in settings with a hierarchical and communal culture has received little attention. We explored the views of hospital managers and nurses regarding the roles of nurses in informed consent and factors influencing these roles. We conducted a qualitative study in a private, multispecialty hospital in Indonesia. Semi-structured interviews were conducted with seven managers. Two (...) rounds of focus group discussions with nurses (n = 27) were conducted. Constant comparative approach was used in the analysis. Nurses can act as manager, witness, information giver, and advocate in the informed consent process. These roles are influenced by nurses’ preparedness, hospital culture and policy, patients’ understanding, family involvement, and cost-related issues. In preparation for these tasks, nurses should acquire communication skills, clinical knowledge, and legal and ethical knowledge. (shrink)

How can a confederation of business and industry influence companies and make them more aware of ethical issues? This article examines the work of Norwegian Business and Industry, and the results it has achieved. The author is Assistant Director of NHO, P.b. 5250, Majorstua, 0303 Oslo, and she has been responsible for its business ethics programme for the past three years. This article comes to us through the agency of our Associate Editor for Norway, Dr Heidi von Weltzien Høivik, of (...) the Norwegian School of Management, who has recently been instrumental in founding a Norwegian Centre for Business Ethics. (shrink)

In the asymptotic safety paradigm, a quantum field theory reaches a regime with quantum scale invariance in the ultraviolet, which is described by an interacting fixed point of the Renormalization Group. Compelling hints for the viability of asymptotic safety in quantum gravity exist, mainly obtained from applications of the functional Renormalization Group. The impact of asymptotically safe quantum fluctuations of gravity at and beyond the Planck scale could at the same time induce an ultraviolet completion for the Standard Model of (...) particle physics with high predictive power. (shrink)

Demoting Vishnu: Ritual, Politics, and the Unraveling of Nepal’s Hindu Monarchy. By Anne T. Mocko. New York: Oxford University Press, 2016. Pp. ix + 246.

This paper is a response to Haze’s brief argument for the falsity of the theory that instantial terms refer arbitrarily, proposed by Breckenridge and Magidor in 2012. In this paper, I characterise instantial terms and outline the theory of arbitrary reference; then I reconstruct Haze’s argument and contend that it fails in its purpose. Haze’s argument is supposed to be a _reductio ad absurdum:_ according to Haze, it proves that a contradiction follows from the most basic tenets of the theory (...) of arbitrary reference. I will argue, however, that the contradiction in question follows not from these tenets, but from the surreptitious use that Haze makes of a self-referential expression. I conclude, consequently, that Haze’s argument is nothing more than an illustration of the well-known fact that self-referential expressions produce paradoxical results. (shrink)

This paper reads Carlos Soto Román’s “Chile Project: [Re-classified],” a documentary poem that remediates declassified state documents as an ambivalent form of witnessing bureaucracy and state viol...