Graham Priest takes the relation of identity to be non-transitive. In this paper, we are going to discuss several consequences of identity as a non-transitive relation. We will consider the Henkin-style completeness proof for classical first-order logic with a non-transitive “identity” predicate, Leibniz-identity in Priest’s second-order minimal logic of paradox, and the question whether or not identity of individuals should be defined as Leibniz-identity.

Various connexive FDE-based modal logics are studied. Some of these logics contain a conditional that is both connexive and strict, thereby highlighting that strictness and connexivity of a conditional do not exclude each other. In particular, the connexive modal logics cBK-\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$^{-}$$\end{document}, cKN4, scBK-\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$^{-}$$\end{document}, scKN4, cMBL, and scMBL are introduced semantically by means of classes of Kripke models. The logics cBK-\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} (...) \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$^{-}$$\end{document} and cKN4 are connexive variants of the FDE-based modal logics BK-\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$^{-}$$\end{document} and KN4 with a weak and a strong implication, respectively. The system cMBL is a connexive variant of the modal bilattice logic MBL. The latter is a modal extension of Arieli and Avron’s logic of logical bilattices and is characterized by a class of Kripke models with a four-valued accessibility relation. In the systems scBK-\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$^{-}$$\end{document}, scKN4, and scMBL, the conditional is both connexive and strict. Sound and complete tableau calculi for all these logics are presented and used to show that the entailment relations of the systems under consideration are decidable for finite premise set. Moreover, the logics cBK-\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\mathbf {cBK}^-$$\end{document} and cMBL\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\mathbf {cMBL}$$\end{document} are shown to be algebraizable. The algebraizability of cMBL\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\mathbf {cMBL}$$\end{document} is derived from proving cMBL\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\mathbf {cMBL}$$\end{document} to be definitionally equivalent to MBL\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\mathbf {MBL}$$\end{document}. All connexive modal logics studied in this paper are decidable, paraconsistent, and inconsistent but non-trivial logics. (shrink)

Analyse des origines, de l'évolution et des problématiques du néokantisme permettant de comprendre l'histoire de la philosophie du XXe siècle, à propos des renouvellements de la logique depuis G. Frege, B. Russell et le cercle de Vienne, ainsi que pour la naissance et le devenir de la phénoménologie husserlienne et l'herméneutique heideggérienne. Avec deux textes du chef de file de ce courant. ©Electre 2017.

Die vor allem unter der Bezeichnung Gestalt-Psychologie bekanntgewordeneGestalttheorie der Berliner Schule war lange Zeit vielen zu Unrecht nur für ihreBeiträge zur Wahrnehmungspsychologie ein Begriff. In letzter Zeit werden jedochdiesseits und jenseits des Atlantiks zunehmend die frühen gestalttheoretischenAnsätze für eine psychotherapierelevante Lehre des gesunden und gestörtenmenschlichen Erlebens und Verhaltens wiederentdeckt und neu aufgegriffen. Dervorliegende Sammelband stellt drei exemplarische frühe Beiträge zurPsychopathologie vor, die noch vom Begründer der Gestalttheorie MaxWertheimer geprägt wurden. Anhand der Analyse der paranoischenEigenbeziehung und Wahnbildung, der Manie und der (...) schizophrenen Denkstörungdemonstrieren sie eindrucksvoll die spezifische Herangehensweise undFruchtbarkeit des ganzheitlichen systemtheoretischen Ansatzes der Gestalttheorieauf dem Gebiet psychischer Störungen. Im Anschluß diskutierenPsychotherapeuten und Psychiater aus Deutschland, Österreich und den USA dieAktualität und Relevanz dieser Ansätze für die psychotherapeutischeKrankheitslehre und Praxis. (shrink)

Begegnung mit einem Klassiker der Pädagogik: In zehn überschaubaren Kapiteln werden Stationen des Lebens und Schaffens von Johann Heinrich Pestalozzi (1746-1827), dem Klassiker der Pädagogik schlechthin, so dargestellt, dass einerseits ...

Artificial intelligence (AI) is a powerful tool for several healthcare tasks. AI tools are suited to optimize predictive models in medicine. Ethical debates about AI’s extension of the predictive power of medical models suggest a need to adapt core principles of medical ethics. This article demonstrates that a popular interpretation of the principle of justice in healthcare needs amendment given the effect of AI on decision-making. The procedural approach to justice, exemplified with Norman Daniels and James Sabin’saccountability for reasonablenessconception, needs (...) amendment because, as research into algorithmic fairness shows, it is insufficiently sensitive to differential effects of seemingly just principles on different groups of people. The same line of research generates methods to quantify differential effects and make them amenable for correction. Thus, what is needed to improve the principle of justice is a combination of procedures for selecting just criteria and principles and the use of algorithmic tools to measure the real impact these criteria and principles have. In this article, the author shows that algorithmic tools do not merely raise issues of justice but can also be used in their mitigation by informing us about the real effects certain distributional principles and criteria would create. (shrink)

Contemporary discussions of information overload have important precedents during the years 1550-1750. An examination of the early modern period in Europe, including work of humanism, science, theology, and popular encyclopedias demonstrates that perceptions of information overload have as much to do with the ways in which knowledge is represented as with any quantitative measurers in the production of new texts, ideas, or facts. Key figures in this account include Francis Bacon, Conrard Gesner, Francesco Sacchini, Johann Heinrich Alsted, Casoar Bauhin, Rempert (...) Dodeones, Samuel Bochrt, Johann Jakob Scheuchzer, John Wilkins, Jonathan Swift, Ephraim Chambers, Smauel Johnson, Denis Diderot, and Louis-Sébastian Mercier. (shrink)

Johann Heinrich Pestalozzi transformed education theory and practice worldwide. Daniel Trohler connects Pestalozzi's work to its context in Europe's late 18th- and early 19th-century republican movement, offering readers a way to understand the sociopolitical significance of education and its central role in the development of modern societies.

As the author explains, the title of this work is intended to distinguish it from ordinary, Whiggish accounts of the development of German philosophy “from Kant to Hegel.” Instead, Heinrich treats the positions of Kant, Fichte, and Hegel as potentially viable alternatives, none of which must be viewed as aufgehoben by those that followed, and all of which deserve reconsideration by contemporary philosophers.Dieter Henrich is known for two things: first, for championing a minutely-detailed, revisionist approach to the history of post-Kantian (...) philosophy; and second, for his insistence that the central problem of German idealism is that of self-consciousness. Both elements are well represented in this book, which is a revised version of a series of lectures delivered at Harvard in 1973. The text thus antedates many of the more recent discoveries and claims of Henrich and his student collaborators in the “Jena project,” though some of the results are alluded to in the useful footnotes and apparatus provided by David S. Pacini, who attended the original lectures and has expert knowledge of Henrich’s more recent work. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Between Kant and Hegel. Lectures on German IdealismDaniel BreazealeDieter Henrich. Between Kant and Hegel. Lectures on German Idealism. David S. Pacini, editor. Cambridge, MA: Harvard University Press, 2003. Pp. xliii + 341. Cloth, $62.00.As the author explains, the title of this work is intended to distinguish it from ordinary, Whiggish accounts of the development of German philosophy “from Kant to Hegel.” Instead, Heinrich treats the positions of Kant, (...) Fichte, and Hegel as potentially viable alternatives, none of which must be viewed as aufgehoben by those that followed, and all of which deserve reconsideration by contemporary philosophers.Dieter Henrich is known for two things: first, for championing a minutely-detailed, revisionist approach to the history of post-Kantian philosophy; and second, for his insistence that the central problem of German idealism is that of self-consciousness. Both elements are well represented in this book, which is a revised version of a series of lectures delivered (in English) at Harvard in 1973. The text thus antedates many of the more recent discoveries and claims of Henrich and his student collaborators in the “Jena project,” though some of the results are alluded to in the useful footnotes and apparatus provided by David S. Pacini, who attended the original lectures and has expert knowledge of Henrich’s more recent work.Part 1 commences with a masterful overview of some of the distinctive features of German philosophy in the decades following the publication of Kant’s Critiques, with one lecture devoted primarily to Fichte, another to Kant’s concept of self-consciousness, and a third to the systematic role of freedom in Kant’s system.Part 2 focuses on the earliest reception of Kant’s philosophy and its social, religious, and philosophical context. A lecture on how Kant was criticized by and responded to defenders of direct intuition is followed by two lectures on Jacobi’s criticisms of Kantianism, which contain a wealth of information concerning the influence upon the idealists of Platonism, Stoicism, Neo-Platonism, Spinozism, Lessing, and the contemporary “theology of the spirit.” These lectures clearly show why the next generation of idealists saw themselves challenged to construct a “Spinozism of freedom.” Part 2 concludes with two perfunctory lectures on Reinhold’s “Elementary Philosophy,” followed by another on the skepticism of G. E. Schulze (“Anesidemus”), whose critique of Kant and Reinhold was instrumental in making questions of method of central philosophical concern.Part 3 is devoted to Fichte, whose importance for the development of philosophy after Kant can hardly, in Henrich’s view, be overemphasized and whose influence “derived from his uncanny ability to penetrate the intellectual life of an entire epoch, an accomplishment [End Page 330] that even Hegel did not rival” (184). The first of the eight lectures on Fichte provides a detailed analysis of Fichte’s Anesidemus review (1794), in which Henrich discerns evidence of the fateful transformation of transcendental philosophy into an explicit theory of mental activity based upon a method of internal self-awareness and description (“intellectual intuition”). The next two lectures are devoted to a close reading of Fichte’s unpublished manuscript from the same period, “Personal Mediations on Elementary Philosophy,” which, according to Henrich, is where the “dialectical method” first appears in post-Kantian philosophy. Henrich has little to say about the actual content and systematic structure of Fichte’s only full-scale published presentation of his system, in the Foundation of the Entire Wissenschaftslehre, offering instead a rather free “reconstruction” of some of its more important doctrines, on time consciousness and the hovering of the imagination. But he does provide an insightful analysis of Fichte’s theory of consciousness as a self-referring and self-explaining activity and a spirited defense of Fichte’s employment of the term ‘setzen’ (“positing”) to describe this activity. The final lecture on Fichte discusses some of the difficulties implicit in Fichte’s “dynamic monism” and how he tried—unsuccessfully, in Henrich’s view—to resolve them in subsequent, unpublished versions of his system, where he moved from his early, more “descriptive” theory of the mind toward a more “explanatory” account, according to which the ground of self-consciousness lies outside the mind itself (in... (shrink)

A series of dialogues with the most exciting and controversial German philosopher writing today. Peter Sloterdijk first became known in this country for his late 1980s Critique of Cynical Reason, which confronted headlong the “enlightened false consciousness” of Habermasian critical theory. Two decades later, after spending seven years in India studying Eastern philosophy, he is now attracting renewed interest for his writings on politics and globalization and for his magnum opus Spheres, a three-volume archaeology of the human attempt to dwell (...) within spaces, from womb to globe: Bubbles, 1998; Globes, 1999; Foam, 2004, all forthcoming from Semiotext. In Neither Sun nor Death, Sloterdijk answers questions posed by German writer Hans-Jürgen Heinrichs, commenting on such issues as technological mutation, development media, communication technologies, and his own intellectual itinerary. Iconoclastic and provocative, alternatively sparkling and bombastic, a child of '68 and a libertarian, Sloterdijk is the most exciting and controversial German philosopher to appear on the world scene since Nietzsche and Heidegger. Like Nietzsche, Sloterdijk remains convinced that contemporary philosophers have to think dangerously and let themselves be “kidnapped” by contemporary “hypercomplexities”; they must forsake our present humanist and nationalist world for a wider horizon at once ecological and global. Neither Sun nor Death is the best introduction available to Sloterdijk's philosophical theory of globalization. It reveals a philosophe extraordinaire, encyclopedic and provocative, as much at ease with current French Theory as with Heidegger and Indian mystic Osho Rajneesh. (shrink)

Although dominated by consequentialist and deontological thinking, the debate about human enhancement has been enriched by several arguments from virtue theory and from virtue ethics. This article provides an overview of the virtue ethical arguments in the debate and identifies several topics in the ethics of human enhancement where the argumentative resources of virtue ethics have not yet been sufficiently considered.

In this paper, I examine whether the use of artificial intelligence (AI) and automated decision-making (ADM) aggravates issues of discrimination as has been argued by several authors. For this purpose, I first take up the lively philosophical debate on discrimination and present my own definition of the concept. Equipped with this account, I subsequently review some of the recent literature on the use AI/ADM and discrimination. I explain how my account of discrimination helps to understand that the general claim in (...) view of the aggravation of discrimination is unwarranted. Finally, I argue that the use of AI/ADM can, in fact, increase issues of discrimination, but in a different way than most critics assume: it is due to its epistemic opacity that AI/ADM threatens to undermine our moral deliberation which is essential for reaching a common understanding of what should count as discrimination. As a consequence, it turns out that algorithms may actually help to detect hidden forms of discrimination. (shrink)

It is important to be able to offer an account of which activities count as scientific research, given our current interest in promoting research as a means to benefit humankind and in ethically regulating it. We attempt to offer such an account, arguing that we need to consider both the procedural and functional dimensions of an activity before we can establish whether it is a genuine instance of scientific research. By placing research in a broader schema of activities, the similarities (...) and differences between research activities and other activities become visible. It is also easier to show why some activities that do not count as research can sometimes be confused with research and why some other activities can be regarded only partially as research. Although the concept of research is important to delimit a class of activities which we might be morally obliged to promote, we observe that the class of activities which are regarded as subject to ethical regulation is not exhausted by research activities. We argue that, whether they be research or not, all the activities that are likely to affect the rights and interests of the individuals involved and impact on the rights and interests of other individuals raise ethical issues and might be in need of ethical regulation. (shrink)

In this paper I propose to examine the concept of discrimination from an ethical viewpoint. In a preliminary part, I will point out which aspects of the subject matter I will focus on and which I will leave aside (II). On the basis of the Aristotelian principle “treat like cases alike”, I will continue with a very formal definition, according to which discrimination can be understood as acting in a way that implies that like cases are not treated alike. This (...) leads to the difficult question of which cases are to be considered as “alike”, or which traits can serve as morally valid reasons for identifying cases as “unlike” (III). I will argue that this question cannot be answered independently from the specific circumstances and the normative premises referred to for describing these circumstances. My conclusion is that the concept of discrimination derives its “moral strength” solely from these normative premises. As a consequence, the use of the con- cept of discrimination can often be misleading since it falsely presupposes that there is agreement about the underlying normative premises (IV). Finally, I will illustrate the argumentation using “genetic discrimination” in connection with insurance contracts as an example (V). (shrink)

In the debate about actions in virtual environments two interdependent types of question have been pondered: What is a person doing who acts in a virtual environment? Second, can virtual actions be evaluated morally? These questions have been discussed using examples from morally dubious computer games, which seem to revel in atrocities. The examples were introduced using the terminology of “virtual murder” “virtual rape” and “virtual pedophilia”. The terminological choice had a lasting impact on the debate, on the way action (...) types are assigned and on how moral evaluation is supposed to be conducted. However, this terminology and its theoretical consequences, while sometimes resulting in correct results, lead to absurd results when applied across the board. It will be suggested that these absurd consequences can be avoided by a different answer to the question what people in virtual worlds are doing. Alleged virtual actions are first and foremost the creation and modification of data-structures and the resulting output in computer hardware. Such modifications of data structure and imagery can be performed with different intentions, purposes and styles, which will influence the type and moral evaluation of a user’s actions. This reinterpretation allows for a more complex analysis of the moral reasons for praiseworthiness or blameworthiness of actions in virtual environments. This analysis takes not just harm and effects on character into account but the peculiar ways in which speech acts can be morally wrong: e.g. agitatory, deceptive, bullshitting. (shrink)

In this paper, we address the question of whether AI should be used for suicide prevention on social media data. We focus on algorithms that can identify persons with suicidal ideation based on their postings on social media platforms and investigate whether private companies like Facebook are justified in using these. To find out if that is the case, we start with providing two examples for AI-based means of suicide prevention in social media. Subsequently, we frame suicide prevention as an (...) issue of beneficence, develop two fictional cases to explore the scope of the principle of beneficence and apply the lessons learned to Facebook’s employment of AI for suicide prevention. We show that Facebook is neither acting under an obligation of beneficence nor acting meritoriously. This insight leads us to the general question of who is entitled to help. We conclude that private companies like Facebook can play an important role in suicide prevention, if they comply with specific rules which we derive from beneficence and autonomy as core principles of biomedical ethics. At the same time, public bodies have an obligation to create appropriate framework conditions for AI-based tools of suicide prevention. As an outlook we depict how cooperation between public and private institutions can make an important contribution to combating suicide and, in this way, put the principle of beneficence into practice. (shrink)

Will brain imaging technology soon enable neuroscientists to read minds? We cannot answer this question without some understanding of the state of the art in neuroimaging. But neither can we answer this question without some understanding of the concept invoked by the term “mind reading.” This article is an attempt to develop such understanding. Our analysis proceeds in two stages. In the first stage, we provide a categorical explication of mind reading. The categorical explication articulates empirical conditions that must be (...) satisfied if mind reading is to be achieved. In the second stage, we develop a metric for judging the proficiency of mind reading experiments. The conception of mind reading that emerges helps to reconcile folk psychological judgments about what mind reading must involve with the constraints imposed by empirical strategies for achieving it. (shrink)

Non-invasive brain stimulation promises innovative experimental possibilities for psychology and neurosci- ence as well as new therapeutic and palliative measures in medicine. Because of its good risk–benefit ratio, non-invasiveness and reversibility as well as its low effort and cost it has good chances of becoming a wide- spread tool in science, medicine and even in lay use. While most issues in medical and research ethics such as informed consent, safety, and potential for misuse can be handled with manageable effort, the (...) real promise of brain stimulation does raise one prominent moral worry: it may lay the foundation of reliable, precise and stable manipulations of the mind. This article addresses this worry and concludes that it is not the possibility of manipulation, but the shift in our understanding of our mind which stands in need of careful consideration. (shrink)

In this paper, we use some elements of the philosophical theories of Wilfrid Sellars and Robert Brandom for examining the interactions between humans and machines. In particular, we adopt the concept of the space of reasons for analyzing the status of artificial intelligent agents. One could argue that AIAs, like the widely used recommendation systems, have already entered the space of reasons, since they seem to make knowledge claims that we use as premises for further claims. This, in turn, can (...) lead to a sense of alienation because AIAs do not quite play by the rules of the space of the reason. We, therefore, ask somewhat pointedly whether aliens have entered the space of reasons. A closer look reveals that it is a misconception to consider AIAs as being in the space of reasons. In fact, they should be seen as very sophisticated tools. Since these tools affect our own acting in the space of reasons, special regulations are required for their proper use. (shrink)

Unter welchen Bedingungen kann es als ethisch vertretbar gelten, Menschen in biomedizinischen Experimenten als Probanden einzusetzen? Bert Heinrichs unternimmt es, die Ethik der Forschung am Menschen grundlegend und systematisch zu erschließen. Seine ethische Rahmentheorie wird im Hinblick auf drei kontrovers diskutierte Problemkomplexe ausgewertet, nämlich die Forschung mit Minderjährigen, randomisierte klinische Studien und Forschung in Entwicklungsländern. Sie soll helfen, wesentliche Orientierung bei der konkreten Problemlösung zu geben.

Unterschiedlichste Anwendungsformen künstlicher Intelligenz bestimmen schon heute den Alltag vieler Menschen – von Einsatz von KI-Systeme in Finanzgeschäften über die Vergabe von Studienplätzen bis hin zur Steuerung von Pflegerobotern, Autos und Waffensystemen. Diese vielfältigen neuen Möglichkeiten und Visionen wecken einerseits Hoffnungen auf persönlichen und gesellschaftlichen Nutzen und Fortschritt; andererseits rufen sie aber auch Bedenken, Ängste und gelegentlich auch grundsätzliche Ablehnung hervor. Angesichts dieser Ambivalenz sind ethische Analysen gefordert, die ausloten, wie ein verantwortungsvoller Umgang mit KI gestaltet werden sollte. Der Band (...) greift viele dieser Probleme auf und unterzieht sie einer eingehenden philosophischen Analyse. Die Auseinandersetzung ist nach klassischen Teilbereichen der Philosophie gegliedert, aus deren Perspektive heraus jeweils spezielle Teilaspekte oder einzelne Anwendungsformen von KI beleuchtet werden. Das Themenspektrum reicht entsprechend von Fragen der Handlungstheorie und Philosophie des Geistes über wissenschaftstheoretische Problemstellungen bis hin zu ethischen Fragen die beispielsweise den Einsatz von KI in der Medizin und im Wirtschafts- und Arbeitsleben betreffen. In Auseinandersetzung mit aktuellen Debatten werden eigenständige Positionen entwickelt. (shrink)

Position papers on artificial intelligence (AI) ethics are often framed as attempts to work out technical and regulatory strategies for attaining what is commonly called trustworthy AI. In such papers, the technical and regulatory strategies are frequently analyzed in detail, but the concept of trustworthy AI is not. As a result, it remains unclear. This paper lays out a variety of possible interpretations of the concept and concludes that none of them is appropriate. The central problem is that, by framing (...) the ethics of AI in terms of trustworthiness, we reinforce unjustified anthropocentric assumptions that stand in the way of clear analysis. Furthermore, even if we insist on a purely epistemic interpretation of the concept, according to which trustworthiness just means measurable reliability, it turns out that the analysis will, nevertheless, suffer from a subtle form of anthropocentrism. The paper goes on to develop the concept of strange error, which serves both to sharpen the initial diagnosis of the inadequacy of trustworthy AI and to articulate the novel epistemological situation created by the use of AI. The paper concludes with a discussion of how strange error puts pressure on standard practices of assessing moral culpability, particularly in the context of medicine. (shrink)

BackgroundAdvance research directives (ARD) have been suggested as a means by which to facilitate research with incapacitated subjects, in particular in the context of dementia research. However, established disclosure requirements for study participation raise an ethical problem for the application of ARDs: While regular consent procedures call for detailed information on a specific study (“token disclosure”), ARDs can typically only include generic information (“type disclosure”). The introduction of ARDs could thus establish a double standard in the sense that within the (...) context of ARDs, type disclosure would be considered sufficient, while beyond this context, token disclosure would remain necessary.Main bodyThis paper provides an ethical analysis of ARDs, taking into account the results of numerous empirical studies that have been performed so far. It will be argued that a revised understanding of informed consent can allow for context-sensitive disclosure standards. As a consequence, ARDs that include type disclosure can be acceptable under suitable circumstances. Such an approach raises a number of objections. A thorough examination shows, however, that they are not sufficient to justify a rejection of the approach.ConclusionThe approach presented in this paper avoids introducing a double standard. It is, therefore, more suitable for the implementation of ARDs than established approaches. (shrink)

Research with psychiatric patients raises frequently discussed, ethical questions, one of which is: Can psychiatric patients give consent to participation in research at all? To answer this and similar questions adequately, it is - according to our thesis - necessary to analyze first, which theoretical assumptions are made in established practice. -/- To solve the question after the possibility of consent, compatible understandings of ‘disease’, ‘illness’ and ‘autonomy’ are crucial, but there is no consensual use of these terms in philosophy. (...) Therefore we first are going to explain different concepts of ‘autonomy’ and ‘disease’. Subsequent to this we will test how the different conceptualizations of ‘autonomy’ and ‘disease’ can be related to each other and how the reasonable combinations shape possible answers to the opening question. It will become apparent that an adequate analysis of ‘autonomy’ and ‘disease’ raises ethical dilemma in psychiatry, for which we shall suggest possible solutions. (shrink)

An extended argument that cognitive phenomena—perceiving, imagining, remembering—can be best explained in terms of an interface between contentless and content-involving forms of cognition. -/- Evolving Enactivism argues that cognitive phenomena—perceiving, imagining, remembering—can be best explained in terms of an interface between contentless and content-involving forms of cognition. Building on their earlier book Radicalizing Enactivism, which proposes that there can be forms of cognition without content, Daniel Hutto and Erik Myin demonstrate the unique explanatory advantages of recognizing that only some (...) forms of cognition have content while others—the most elementary ones—do not. They offer an account of the mind in duplex terms, proposing a complex vision of mentality in which these basic contentless forms of cognition interact with content-involving ones. -/- Hutto and Myin argue that the most basic forms of cognition do not, contrary to a currently popular account of cognition, involve picking up and processing information that is then used, reused, stored, and represented in the brain. Rather, basic cognition is contentless—fundamentally interactive, dynamic, and relational. In advancing the case for a radically enactive account of cognition, Hutto and Myin propose crucial adjustments to our concept of cognition and offer theoretical support for their revolutionary rethinking, emphasizing its capacity to explain basic minds in naturalistic terms. They demonstrate the explanatory power of the duplex vision of cognition, showing how it offers powerful means for understanding quintessential cognitive phenomena without introducing scientifically intractable mysteries into the mix. (shrink)

Background: Informed consent is a legal as well as ethical prerequisite in clinical research. For dementia research, informed consent can be a problem if subjects with dementia, whose capacity for understanding and thus also decision making might be limited, are to be exam- ined. This might result in exclusion of dementia patients from research, as capacity for understanding and decision making are often equated with the ability for rational decision making. However, this valuation has been criticized at times for attaching (...) too much impor- tance to the cognitive aspect of decision making. -/- Methods: This qualitative study investigates the actual consent procedure of a clini- cal research study in Germany with regard to dementia patients’ subjective and objective understanding of informed consent information. Research participants were ten dementia patients, who volunteered in two clinical research studies, as well as their caregivers. Data were collected by use of semi-structured interviews. -/- Results: It was determined that the patients’ comprehension of informed consent infor- mation was rather limited. However, a number of patients were quite aware of this. In con- trast, all caregivers claimed to have fully understood the provided information, while their objective comprehension was also incomplete. Several participants indicated that they did not attach much importance to the information given in the consent procedure and that their consent did not primarily depend on this information. Rather, participation in the research study for them seemed to be more of a problem-focused coping strategy for dealing with their diagnosis of dementia. -/- Conclusion: For research ethics these results raise the question whether the currently prevailing emphasis on the cognitive aspect of autonomous decision making, i.e., compre- hension, may be too one-sided, and to what extent the “volitional” aspect in giving consent should be given greater consideration. (shrink)

Who is responsible for the events and consequences caused by using artificially intelligent tools, and is there a gap between what human agents can be responsible for and what is being done using artificial intelligence? Both questions presuppose that the term ‘responsibility’ is a good tool for analysing the moral issues surrounding artificial intelligence. This article will draw this presupposition into doubt and show how reference to responsibility obscures the complexity of moral situations and moral agency, which can be analysed (...) with a more differentiated toolset of moral terminology. It suggests that the impression of responsibility gaps only occurs if we gloss over the complexity of the moral situation in which artificial intelligent tools are employed and if—counterfactually—we ascribe them some kind of pseudo-agential status. (shrink)

Die Verwendung von Fallbeispielen, sowohl in didaktisch-illustrativer als auch in systematisch-argumentativer Absicht, ist in der Angewandten Ethik eine weitverbreitete Praxis. Die Inanspruchnahme erfolgt jedoch vielfach ohne eine angemessene Reflexion über die Voraussetzungen und Grenzen des Einsatzes von Fallbeispielen als methodischem Werkzeug innerhalb der Ethik. Im vorliegenden Beitrag soll daher der Rekurs auf konkrete – reale oder fiktive – Handlungsszenarien kritisch untersucht werden. Wichtige Hinweise werden dabei der Philosophie Kants entnommen, der selbst in seinen moralphilosophischen Schriften gelegentlich Beispiele verwendet, der aber (...) zugleich auch die grundlegende Bedeutung sowie die methodologischen Grenzen des Einsatzes von Beispielen an verschiedenen Stellen thematisiert hat. Vor dem Hintergrund dieser Analyse muss insbesondere die Meinung, Ethik lasse sich rein in concreto vermitteln, entwickeln oder könne gar in die Zusammenstellung von Fallsammlungen aufgelöst werden, zurückgewiesen werden. (shrink)

Die Frage nach der Gerechtigkeit im Gesundheitswesen wird aus der Perspektive einer allgemeinen Theorie der Gerechtigkeit betrachtet. Diese Theorie ist ein Befähigungsansatz, der zwischen 1) der Grundversorgung aller Bürger mit Grundbefähigungen, 2) einem gerechten Anteil an den Früchten gesellschaftlicher Kooperation und 3) individuell erstrebten Gütern und Leistungen differenziert. Die Anwendung dieser Theorie reagiert auf charakteristische Probleme der Allokation im Gesundheitssektor: den prinzipiell ungedeckten Bedarf, die mangelnde Zurechenbarkeit des Bedarfes und die asymmetrische Informationsstruktur zwischen Patienten und Leistungserbringern.

Recent advances in genomic research have led to the development of new diagnostic tools, including tests which make it possible to predict the future occurrence of monogenetic diseases (e.g. Chorea Huntington) or to determine increased susceptibilities to the future development of more complex diseases (e.g. breast cancer). The use of such tests raises a number of ethical, legal and social issues which are usually discussed in terms of rights. However, in the context of predictive genetic tests a key question arises (...) which lies beyond the concept of rights, namely, What should we want to know about our future? In the following I shall discuss this question against the background of Kant’s Doctrine of Virtue. It will be demonstrated that the system of duties of virtue that Kant elaborates in the second part of his Metaphysics of Morals offers a theoretical framework for addressing the question of a proper scope of future knowledge as provided by genetic tests. This approach can serve as a source of moral guidance complementary to a justice perspective. It does, however, not rest on the – rather problematic – claim to be able to define what the “good life” is. (shrink)