The cardinal role that notions of respect and self-respect play in Rawls’s A Theory of Justice has already been abundantly examined in the literature. However, it has hardly been noticed that these notions are also central for Michael Walzer’s Spheres of Justice. Respect and self-respect are not only central topics of his chapter on “recognition”, but constitute a central aim of his whole theory of justice. This paper substantiates this thesis and elucidates Walzer’s criticism of Rawls’s that we need (...) to distinguish between “self-respect” and “self-esteem”. (shrink)

Der Selbstbestimmungdes Patienten kommt in der modernen Debatte über das Gesundheitswesen eine zentrale Bedeutung zu. Selbstbestimmung ist aber ein voraussetzungsvoller Begriff, der für Patientengruppen wie Demenzbetroffene, deren Entscheidungs- und Einwilligungsfähigkeit nachlässt oder nicht mehr gegeben ist, eine Reihe von Fragen aufwirft. Auf der Grundlage der jeweiligen Symptomentwicklung der Demenzerkrankung und eigener Erfahrungen im Umgang mit Demenzbetroffenen wirdde rEntwicklungdes Willens in den verschiedenen Stadien der Demenz nachgegangen. Dabei wird den Dimensionen der Differenziertheit der Denkinhalte, der Beurteilungsbasis und der Entscheidungskonstanz eine besondere (...) Bedeutung zugemessen und für eine Graduierung der Selbstbestimmungsmöglichkeiten im Umgang mit Demenzbetroffenen plädiert. Wegen der Schwererkennbarkeit der oft verschlüsselten Willensbekundungen Demenzbetroffener wird der Willenswahrnehmung und dem Training der genauen Beobachtung, Einfühlung und Sensibilität im Umgang mit den Betroffenen großes Gewicht beigemessen. Als Ziel wird die jeweils weitestgehende Selbstbestimmung, im Verlaufe der Erkrankung auch Teilselbstbestimmung und schließlich Mitwirkung bei der individuellen Wohlbestimmung im Sinne eines Grundrechtsschutzes vertreten. (shrink)

The concept of community is increasingly the focus of political argument in Britain, the United States and elsewhere around the world. The sense people have of belonging to coummunities provides a powerful motivation which continues to affecct the political and social face of the world. Recently, debate about the relationship between individuals and their communities has become central to the making of both, American and European social policy. In the United Kingdom this is especially apparent in the area of health (...) care, where ideas of community have informed recent legislation concerning community care, community health trusts and the Children Act among others. This volume explores the focus of interest in community and the emerging theoretical oppostion between communitarianism and liberalism, as well as the practical, theoretical and ethical issues relating to community in the health care professions, including a discussion of the health service as Civil Association, an analysis of liberal and communitarian views on the allocaiton of health care resources, an exploration of the use of genetic information and an examination of health care decision making for incapacitated elderly patients. (shrink)

In 1979 Harvard biologists Stephen Jay Gould and Richard C. Lewontin published an essay entitled “The Spandrels of San Marco and the Panglossian Paradigm: A Critique of the Adaptationist Programme.” The target of their critique is a style of thinking rooted in “the near omnipotence of natural selection in forging organic design and fashioning the best among possible worlds.” According to Gould and Lewontin, adaptationists assume that all traits of an organism are products of natural selection, and that the traits (...) were favored by natural selection because they were optimal solutions to problems posed by the environment. Gould and Lewontin called the adaptationist program the Panglossian paradigm because they saw strong parallels between the arguments of Dr. Pangloss in Voltaire’s Candide and the arguments of adaptationists and optimality theorists in biology. (shrink)

Problematic perceptions about race damage our society. These attitudes can seem impossible to overcome, but philosophers Dr Jennifer Mensch, at Western Sydney University in Australia, and Dr Michael Olson, at Marquette University in the US, beg to differ. They are compiling a collection of 18th-century philosophical and scientific texts that helped shape the way people saw race across the Western world, and were used to justify colonisation. They believe that by exposing these historical roots of racism, opportunities to improve (...) societal attitudes to race will become easier to identify. -/- This article was produced by Futurum Careers, a free online resource and magazine aimed at encouraging 14-19-year-olds worldwide to pursue careers in science, technology, engineering, maths and medicine (STEM), and social sciences, humanities and the arts for people and the economy (SHAPE). (shrink)

Die Arzneimittelzulassung und der Aufnahmeprozess zur Kostenerstattung sollen die Entwicklung und Vermarktung von pharmazeutischen Innovationen mit Patientennutzen nicht behindern, zugleich aber die Wirtschaftlichkeit der Arzneimittelversorgung für die Kostenträger nicht gefährden. Eine Anpassung der Verfahren an die Merkmale personalisierter Arzneimittel erscheint notwendig. Dabei ist allerdings zu fragen, ob eine ungerechtfertigte Privilegierung erfolgt. In den USA und in der EU werden die jeweiligen Zulassungsverfahren für Arzneimittel und Tests schrittweise angepasst und integriert. Zulassung und Erstattungsentscheidungen sollen koordiniert werden. Eine Privilegierung, wie bei Arzneimitteln (...) für seltene Indikationen (Orphan Drugs), findet jedoch für personalisierte Medizin nicht statt. Es bestehen keine unzumutbaren Hürden für die Hersteller. Zurückhaltung bei der Entwicklung innovativer Produkte wäre deshalb nicht gerechtfertigt. (shrink)

This paper examines the concept of ‘openness with patients’ from the stand-point of the limitations of biomedical ethics. Initially we review contemporary critiques of bioethics and, in particular, of principlism; we relate how other; somewhat neglected, forms of medical ethics can yield useful information and provide moral guidance.The main section of the paper then shows how a bioethical approach to openness misses the social context in our example, the viewpoints of patients; we present some of the increasing wealth of research (...) evidence which points towards patients wanting more information and a greater degree of openness.Finally we put forward that a principlist’s objection to active encouragement of openness might be based on the risk of infringing upon the ‘right not to know’. We reject this by arguing how rights can be trumped. (shrink)

This entirely new translation of Kant's Critique of the Power of Judgment follows the principles and high standards of all other volumes in The Cambridge Edition of the Works of Immanuel Kant. This volume includes for the first time the first draft of Kant's introduction to the work; the only English edition notes to the many differences between the first (1790) and second (1793) editions of the work; and relevant passages in Kant's anthropology lectures where he elaborated on his aesthetic (...) views. (shrink)

This book brings together scholars from a variety of epistemological perspectives to explore the multiple ways in which sexuality does indeed matter in the arena of public education.

Real kinds or categories, according to conventional wisdom, enter into lawlike generalizations, while nominal kinds do not. Thus, gold but not jewelry is a real kind. However, by such a criterion, few if any kinds or systems of classification employed in the social science are real, for the social sciences offer, at best, only restricted generalizations. Thus, according to conventional wisdom, race and class are on a par with telephone area codes and postal zones; all are nominal rather than real. (...) I propose an account of real kinds that recognizes the current reality of race but not zip codes and shows how a kind can be both constructed and real. One virtue of such an understanding of realism is the light shed on our current practice of racial classification. Race is not a real biological kind but neither is race a myth or illusion. However, the question of whether a social kind is real is separate from whether the category is legitimate. W. E. B. Du Bois maintained that while there are no biological races, race is real and should be conserved. My aim, in this paper, is not to argue for the legitimacy or conservation of race but to defend Du Bois's idea that kinds of people can be both made up and real and provide an understanding of realism that does justice to the social sciences. (shrink)

This book is a critical introduction to the philosophy of social science. While most social scientists maintain that the social sciences should stand free of politics, this book argues that they should be politically partisan. Root offers a clear description and provocative criticism of many of the methods and ideals that guide research and teaching in the social sciences.

Race is a prominent category in medicine. Epidemiologists describe how rates of morbidity and mortality vary with race, and doctors consider the race of their patients when deciding whether to test them for sickle‐cell anemia or what drug to use to treat their hypertension. At the same time, critics of racial classification say that race is not real but only an illusion or that race is scientifically meaningless. In this paper, I explain how race is used in medicine as a (...) proxy for genes that encode drug metabolizing enzymes and how a proper understanding of race calls into doubt the practice of treating race as a marker of any medically relevant genetic trait. (shrink)

The similarity of documents in a large database of published Fractals articles was examined for redundancy. Three different text matching techniques were used on publisheds to identify redundancy candidates, and predictions were verified by reading full text versions of the redundancy candidate articles. A small fraction of the total articles in the database was judged to be redundant. This was viewed as a lower limit, because it excluded cases where the concepts remained the same, but the text was altered substantially.Far (...) more pervasive than redundant publications were publications that did not violate the letter of redundancy but rather violated the spirit of redundancy. There appeared to be widespread publication maximization strategies. Studies that resulted in one comprehensive paper decades ago now result in multiple papers that focus on one major problem, but are differentiated by parameter ranges, or other stratifying variables. This ‘paper inflation’ is due in large part to the increasing use of metrics (publications, patents, citations, etc) to evaluate research performance, and the researchers’ motivation to maximize the metrics. (shrink)

A team of renowned philosophers and a new generation of thinkers come together to offer the first book-length examination of the relationship between philosophical anthropology and animal studies.

Die „künstliche Ernährung“ steht in enger Beziehung zu den grundsätzlichen Fragen nach medizinisch sinnvollen und angemessenen Maßnahmen, nach Therapiebegrenzung, Lebensqualität und Sterbehilfe. Im Diskurs müssen die dabei verwendeten Begriffe hinsichtlich der ihnen innewohnenden, oft unbewussten Wertungen zur Diskussion gestellt werden. Einer ethischen Entscheidungsberatung muss eine sorgfältige Abklärung der naturwissenschaftlichen Aspekte, einschließlich einer umfassenden Erhebung der Vorsituation und der gegenwärtigen Befindlichkeit des einzelnen Kranken sowie eine aufrichtige Einschätzung der Zielorientierung vorausgehen. Unter Zugrundelegung der—unter Umständen auch nur ersatzweise wahrgenommenen—Selbstbestimmung des Patienten werden (...) in der ethischen Diskussion mögliche stereotype Vorgehensweisen, latente Entscheidungskonflikte oder eine vermeintliche Vorrangigkeit naturwissenschaftlicher Lösungsansätze zur Sprache kommen. Ziel ist eine gemeinsam erarbeitete individuell angemessene Lösung, die sich—unabhängig vom Ergebnis—heilsam in den Lebenshorizont des Patienten einbetten lässt. (shrink)

The biomedical sciences employ race as a descriptive and analytic category. They use race to describe differences in rates of morbidity and mortality and to explain variations in drug sensitivity and metabolism. But there are problems with the use of race in medicine. This article identifies a number of the problems and assesses some solutions. The first three sections consider how race is defined and whether the racial data used in biomedical research are reliable and valid. The next three sections (...) explain why racial variation in disease, including genetic disease, is not evidence that race is biological. The final section explains how a proper understanding of the role of race in medicine bears on public policy. (shrink)

ABSTRACTEthical scandals involving journalists in English-speaking West African countries have been documented to include conflict of interest, freebies, intellectual theft, deception, carelessness, kowtowing to advertisers and politicians, use of dubious evidence, and outright bias. This study explores how pronounced and clear the rules relating to these breaches are in the codes of these countries and whether the similarities and dissimilarities in wording indicate the influence of individual actors involved in writing them. Relying on thematic and qualitative document analysis methods, the (...) study found that rules in the codes addressing the ethical breaches are pronounced and clear. Although largely similar in content, the codes also feature important differences that are strongly related to the composition of the groups that wrote them. This study discusses why ethical challenges in these countries persist in the midst well-written code of ethics. (shrink)

IN SECTION X OF "AN INQUIRY CONCERNING HUMAN UNDERSTANDING", DAVID HUME RAISES TWO QUESTIONS ABOUT MIRACLES AND THEIR RELATION TO TESTIMONY. FIRST, HE ASKS WHETHER IT COULD EVER BE REASONABLE TO BELIEVE ON THE BASIS OF TESTIMONY THAT NATURE DOES NOT FIT THE IMAGE OF OUR SCIENCE, AND, SECOND, HE ASKS WHETHER IT COULD EVER BE REASONABLE TO BELIEVE ON THE BASIS OF TESTIMONY THAT NATURE IS NOT UNIFORM. HUME’S ANSWER TO THE FIRST QUESTION IS ’YES’ AND HIS ANSWER TO (...) THE SECOND IS ’NO’. HUME THINKS THAT A ’NO’ TO THE SECOND QUESTION SHOWS THAT BELIEF IN THE CHRISTIAN RELIGION IS LESS REASONABLE THAN A BELIEF IN MODERN SCIENCE. HOWEVER, HUME’S ’NO’ SEEMS TO OPPOSE HIS EMPIRICISM AND HIS BELIEF THAT THERE ARE NO NECESSARY TRUTHS ABOUT ANY MATTER OF FACT OR EXPERIENCE. THE POINT OF THIS PAPER IS TO SHOW THAT HUME CAN PROVE THAT THERE CAN BE NO TESTIMONY OF SUCH A QUANTITY OR QUALITY TO MAKE IT REASONABLE TO BELIEVE THAT NATURE IS NOT UNIFORM AND, AS RESULT, NO TESTIMONY TO MAKE IT REASONABLE TO. (shrink)

I compare the tasks that Noam Chomsky and W. V. Quine assign the grammarian and point out that in many cases where Chomsky sees a question of fact Quine sees only a question of convenience. I argue that these differences are attributable, at least in part, to a difference in view concerning the data. Chomsky relies mostly on a speaker's reports of his linguistic intuitions. Quine finds this source methodologically moot. I develop a series of arguments that draw on Quine's (...) theory of radical translation to defend Quine's doubts. (shrink)

In the United States, the racial and ethnic statistics published by the National Center for Health Statistics (NCHS) assume that each member of the U.S. population has a race and ethnicity and that if a member is black or white with respect to his risk of one disease, he is the same race with respect to his risk of another. Such an assumption is mistaken. Race and ethnicity are taken by the NCHS to be an intrinsic property of members of (...) a population, when they should be taken to depend on interest. The actual or underlying race or ethnicity of members of a population depends on the risk whose variation within the population we wish to describe or explain. (shrink)

Studies in the social and biomedical sciences of racial differences in socioeconomic status or health within a population view the race of members as fixed and look for a difference in the frequency of a trait like average income or disease risk between racial subgroups. But, as I explain in this paper, there are good reasons to allow the race of members to vary with the trait whose variation within the population is to be described or explained. According to such (...) a view of race, racial categories are more scientifically significant if membership in the categories is allowed to vary with differences in scientific interest rather than held constant across a variety of interests. (shrink)

Nelson Goodman claims to have given us a criterion for likeness of meaning that is more stringent than simple coextensiveness and yet that avoids the familiar extentionalist objections. The notion of a nominal compound plays a key role in his account. I show that Goodman's comments concerning this notion are inadequate, that his comments concerning expressions like unicorn-picture are subject to two serious objections: they don't support his claims about likeness of meaning and they make English an unlearnable language.

This paper argues that realism issue in the social sciences is not one that can be decided by general philosophical arguments that evaluate entire domains at once. The realism issue is instead many different empirical issues. To defend these claims, I sort issues that are often run together, explicate and criticize several standard realist and antirealist arguments about the social sciences, and use the example of the productive/nonproductive distinction to illustrate the approach to realism questions that I favor.

In lieu of an abstract, here is a brief excerpt of the content:Tolle, LegeCommencement Address at the Dominican House of Studies, May 13, 2022Michael RootTolle, lege. Tolle, lege. "Take up, read." Few such simple words have had such a crucial impact on the history of Christian theology. In the summer of 386, Augustine of Hippo was a torn man. He had come to believe the Gospel, but he could not bring himself to break with sinful habits, habits so ingrained he (...) called them "necessities." His soul was torn between two wills within him, he said, each pointing in a different direction. Nothing seemed able to be able to break the interior logjam. He says that he willed that he would will the good, but not with a complete will, and so he remained paralyzed. After hearing a friend and mentor describe the conversion of Victorinus, a famous Roman teacher of rhetoric, and another friend speak of the monastic retreat of St. Anthony, the spiritual conflict within Augustine reached a fever pitch and he retreated to a corner of the garden in the house he was staying at. Suddenly, from over the wall, he heard a child chanting the words tolle, lege: "take up, read." He could not think of any childhood rhyme or chant that involved those words—they must be a sign from God. So, he rushed over to where a copy of St. Paul's letters was lying, opened it, and read at random. His eye fell on Romans 13:13: "Let us conduct ourselves becomingly as in the day, not in reveling and drunkenness, not in debauchery and licentiousness, not in quarreling and jealousy." As he himself puts in his Confessions: "No further wished I to read, nor was there need to do so. Instantly, in truth, at the end of this sentence, as if before a peaceful light streaming into my heart, all the dark shadows of doubt fled away" (8.12.29). [End Page 9]You who are graduating are now coming to the end of a process that has involved a great deal of taking up and reading. I trust that the taking up and reading has not been to cure you of reveling and drunkenness, not to mention the rest of St. Paul's list, but rather to form you, most immediately within the discipline of theology and for many of you, within the vocation of the priesthood and the Dominican Order. Some of what you have taken up and read has, I hope, been inspiring. I hope that at least on occasion you felt as if a peaceful light was streaming into your hearts. Some of what you read, I would guess, you found mind-numbingly boring. But it is all part of the process.Of course you did more than just take up and read. You thought about what you were reading. You compared it with other things you had read. You related it to your own experience. You discussed it with other students. You wrote about it in papers and on exams. The medieval university master had three tasks: legere, disputare, praedicare—read, dispute, and (in this context) present. You have done much the same thing—reading, arguing, presenting.Reading with this kind of attention does not leave us unaffected. We do not just learn new information; we come to inhabit a different world, with a different landscape and a different population. It makes a difference whether one's effective world includes only places like Washington, New York, and Elizabeth, New Jersey, or also Jerusalem, the old Jerusalem and the new Jerusalem, the North Africa of Augustine, and the Paris of Thomas Aquinas. The person whose imaginative world is mostly populated by characters from Friends and Game of Thrones will be a different sort of person from the one whose imaginative world includes Abraham, David, St. Paul, Dominic, and Alyosha Karamazov. It is as much an exaggeration to say you are what you read as to say you are what you eat. But at least for some of us (and if you are graduating from Pontifical Faculty of the Immaculate Conception, you are probably in this group), at least some of what we read changes not only what we... (shrink)