Name der Zeitschrift: Kant-Studien Jahrgang: 109 Heft: 1 Seiten: 174-178.

Here, Erich H. Loewy expands on his earlier book Textbook of Medical Ethics (1989) offering healthcare workers and students a new perspective on ethical practice. Textbook of Healthcare Ethics focuses on the social conditions in which medical practice occurs and how ethical healthcare decisions involves nurses, social workers, psychologists, technicians, and patients as well as physicians. This thoroughly revised and expanded edition addresses historical and theoretical underpinnings and practical concerns. A series of case studies serve as a guideline for (...) further discussion. The text examines provocative issues such as organ donation, care of the terminally ill, abortion, HIV-positive healthcare professionals, physician-assisted suicide, and experimentation with fetal tissue. This is an ideal book for all members of the healthcare team as well as students and residents in any discipline of medicine. (shrink)

Various contributors to recent philosophy of mathematics havetaken Richard Dedekind to be the founder of structuralismin mathematics. In this paper I examine whether Dedekind did, in fact, hold structuralist views and, insofar as that is the case, how they relate to the main contemporary variants. In addition, I argue that his writings contain philosophical insights that are worth reexamining and reviving. The discussion focusses on Dedekind''s classic essay Was sind und was sollen die Zahlen?, supplemented by evidence from Stetigkeit und (...) irrationale Zahlen, his scientific correspondence, and his Nachlaß. (shrink)

Book reviewed in this article: For the Patient's Good: The Restoration of Beneficence in Health Care. By Edmund D. Pellegrino and David C. Thomasma.

This paper has a two-fold objective: to provide a balanced, multi-faceted account of the origins of logicism; to rehabilitate Richard Dedekind as a main logicist. Logicism should be seen as more deeply rooted in the development of modern mathematics than typically assumed, and this becomes evident by reconsidering Dedekind's writings in relation to Frege's. Especially in its Dedekindian and Fregean versions, logicism constitutes the culmination of the rise of ?pure mathematics? in the nineteenth century; and this rise brought with it (...) an inter-weaving of methodological and epistemological considerations. The latter aspect illustrates how philosophical concerns can grow out of mathematical practice, as opposed to being imposed on it from outside. It also sheds new light on the legacy and the lasting significance of logicism today. (shrink)

The philosophy of mathematics has long been an important part of philosophy in the analytic tradition, ever since the pioneering works of Frege and Russell. Richard Dedekind was roughly Frege's contemporary, and his contributions to the foundations of mathematics are widely acknowledged as well. The philosophical aspects of those contributions have been received more critically, however. In the present essay, Dedekind's philosophical reception is reconsidered. At the essay’s core lies a comparison of Frege's and Dedekind's legacies, within and outside of (...) analytic philosophy. While the comparison proceeds historically, it is shaped by current philosophical concerns, especially by debates about neo-logicist and neo-structuralist views. In fact, philosophical and historical considerations are intertwined thoroughly, to the benefit of both. The underlying motivation is to rehabilitate Dedekind as a major philosopher of mathematics, in relation, but not necessarily in opposition, to Frege. (shrink)

This edited volume explores the previously underacknowledged 'pre-history' of mathematical structuralism, showing that structuralism has deep roots in the history of modern mathematics. The contributors explore this history along two distinct but interconnected dimensions. First, they reconsider the methodological contributions of major figures in the history of mathematics. Second, they re-examine a range of philosophical reflections from mathematically-inclinded philosophers like Russell, Carnap, and Quine, whose work led to profound conclusions about logical, epistemological, and metaphysic.

In recent philosophy of mathematics avariety of writers have presented ``structuralist''views and arguments. There are, however, a number ofsubstantive differences in what their proponents take``structuralism'' to be. In this paper we make explicitthese differences, as well as some underlyingsimilarities and common roots. We thus identifysystematically and in detail, several main variants ofstructuralism, including some not often recognized assuch. As a result the relations between thesevariants, and between the respective problems theyface, become manifest. Throughout our focus is onsemantic and metaphysical issues, (...) including what is orcould be meant by ``structure'' in this connection. (shrink)

Gottlob Frege is often called a "platonist". In connection with his philosophy we can talk about platonism concerning three kinds of entities: numbers, or logical objects more generally; concepts, or functions more generally; thoughts, or senses more generally. I will only be concerned about the first of these three kinds here, in particular about the natural numbers. I will also focus mostly on Frege's corresponding remarks in The Foundations of Arithmetic (1884), supplemented by a few asides on Basic Laws of (...) Arithmetic (1893/1903) and "Thoughts" (1918). My goal is to clarify in which sense the Frege of Foundations and Basic Laws is a platonist concerning the natural numbers.1.. (shrink)

This paper argues that we have wrongly and not for the patient’s benefit made a form of stark autonomy our highest value which allows physicians to slip out from under their basic duty which has always been to pursue a particular patient’s good. In general – I shall argue – it is the patient’s right to select his or her own goals and the physician’s duty to inform the patient of the feasibility of that goal and of the means needed (...) to attain it. If the goal is not one that is possible, the patient, with the physician and family, must select a feasible goal and then discuss the costs/benefits of various approaches. The physician should take a leading role in helping the patient select the goal. I argue that to simply present a laundry list of means and insist that patients choose for themselves is not only abandoning patients to their autonomy but is, in fact, a crass form of violating the patient’s autonomy. Freely choosing not to choose is a choice a patient with decisional capacity is entitled to make and one that needs to be respected. (shrink)

We reconstruct recent work on macrosocial stress as if it were an instance of a research strategy that tests point-alternative hypotheses within a full-fledged research program. Because this strategy is free of various deficits that beset dominant strategies, our article demonstrates one way in which the confidence crisis may be overcome.

Analytic philosophy--arguably one of the most important philosophical movements in the twentieth century--has gained a new historical self-consciousness, particularly about its own origins. Between 1880 and 1930, the most important work of its founding figures (Frege, Russell, Moore, Wittgenstein) not only gained attention but flourished. In this collection, fifteen previously unpublished essays explore different facets of this period, with an emphasis on the vital intellectual relationship between Frege and the early Wittgenstein.

In this paper I: (1) Describe something of the present situation in the United States and briefly contrast this with the state of affairs in other nations of the industrialised world. I emphasise health care but also allude to other social conditions: health care is merely one institution of a society and, just as do its other institutions, the system of health care reflects the basic world-view of that society. (2) Sketch the world-view and the philosophy which underwrites the use (...) of a market system in distributing what are acknowledged to be critically important social goods like health care and higher education. I show that a well-functioning market can indeed be useful when it comes to distributing some, but not when distributing other goods. (3) Suggest that when competition and the market are used to ‘regulate’ health care, technology—instead of being used to benefit patients—is apt to be used primarily to maximise individual profit: it becomes a weapon between what is often painted as ‘warfare’ among health care providers and institutions. I argue that this state of affairs is based on an undue emphasis upon the demands of individual freedom to the detriment of the community. Finally (4) I suggest an alternative approach to balancing individual with communal interests, an approach which is neither based on a predominance of one with neglect of the other, nor on a dialectic balance between them, but rather upon an approach which sees both individual and communal interests as modifying forces in a complex homeostatic balance. Individual success, in any civilised sense of the term, is possible only in a viable and well-functioning community, and a well-functioning community is not possible without individual success: the two are inevitably interdependent and linked. (shrink)

Erhics committees and ethics consultants are becoming more involved in helping individuals make decisions and in advising institutions and legislatures about drafting policy. The role of these committees and consultants has been acknowledged in law, and their function is generally considered salutory and helpful. Ethics consultants and committees, furthermore, play a critical role in educating students and members of the hospital community and the public at large. More over, many ethicists engage in scholarky activities to expand the boundaries of our (...) understanding and, in turn, facilitate our capacity for helping. The role of the ethicist and of the ethics committee is thus manifold. Ethics committees and ethics consultants somehow “in competition” is a mistaken notion: when ethics committees, ethics consultants, and the community work smoothly together, much good can be accomplished. (shrink)

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

During the last 25 years, a large number of publications on the history of analytic philosophy have appeared, significantly more than in the preceding period. As most of these works are by analytically trained authors, it is tempting to speak of a 'historical turn' in analytic philosophy. The present volume constitutes both a contribution to this body of work and a reflection on what is, or might be, achieved in it. The twelve new essays, by an international group of contributors, (...) range from case studies on individual philosophers through discussions of broader themes in the history of analytic philosophy to related methodological reflections. (shrink)

Bioethics and its offspring Health-care Ethics have a variety ofuses and obligations among which and perhaps most importantly istheir social obligation. This paper raises questions as toBioethics fulfilling the necessary criteria for a profession,suggests that it can serve as a link between individual andcommunal problems, discusses the task of health-care ethics as well as ways of teaching it, lists some of the obligationsof health-care ethics professionals and discusses the dangers to and failings of these health-care professionals today. Itconcludes that we (...) are at a crossroads in which we must choosebetween our own personal security and comfort and fulfilling our social role. (shrink)

The question of whether physicians or other healthcare workers are ethically entitled to strike is troubling in that it entails a conflict in obligations. This question of a conflict of obligations (and the answer to it) has wider implications for many other workers.

This paper sets out to examine the integrity and professional standing of “Bioethics.” It argues that professions have certain responsibilities that start with setting criteria for and credentialing those that have met the criteria and goes on to ultimately have social responsibilities to the community. As it now stands we claim that Bioethics—while it certainly has achieved some progress in the way medicine has developed—has failed to become a profession and has to a large extent failed in its social responsibility. (...) We feel that Bioethics has to define itself, set criteria for membership in the profession, police itself and—above all—meet its social responsibility to become a profession meriting that name. (shrink)

An ‘ideal’ health care system would be unencumbered by economic considerations and provide an ample supply of well-paid health care professionals who would supply culturally appropriate optimal health care to the level desired by patients. An ‘ideal’ health care system presupposes an ‘ideal’ society in which resources for all social goods are unlimited. Changes within health care systems occur both because of changes within the system and because of changes or demands in and by the ‘exterior environment’. Social systems must (...) be in a homeostatic balance. If one component fails to accommodate itself to other forces, needs and interests within the system, the system is imperiled. It is difficult to create a just health care system in an unjust society, just as it is difficult to practise truly ethical medicine in an ethically corrupt system. (shrink)

In this paper I argue that, since institutions must reflect the societies in which they are placed, a socialist health-care system cannot be understood unless democratic socialism—which would assure all of basic necessities of existence, full education and health-care to all members of the community—is not incompatible with a flourishing market for other products. In contrasting single with multiple tiered health care systems, I suggest that a single tiered system in which all have equal access to health care and none (...) can buy more, is most consistent with the ideals of democratic socialism. (shrink)

In Frege's writings, the notions of truth, judgment, and objectivity are all prominent and important. This paper explores the close connections between them, together with their ties to further cognate notions, such as those of thought, assertion, inference, logical law, and reason. It is argued that, according to Frege, these notions can only be understood properly together, in their inter-relations. Along the way, interpretations of some especially cryptic Fregean remarks, about objectivity, laws of truth, and reason, are offered, and seemingly (...) opposed "realist" and "idealist" strands in his position reconciled. (shrink)

Before replication becomes mainstream, the potential for generating theoretical knowledge better be clear. Replicating statistically significant nonrandom data shows that an original study made a discovery; replicating a specified theoretical effect shows that an original study corroborated a theory. Yet only in the latter case is replication a necessary, sound, and worthwhile strategy.

This paper makes the assumption that organ transplantation is, under some conditions at least, a proper use of communal medical resources. Proceeding from this assumption, the author: (1) sketches the history of the problem; (2) briefly examines the prevalent models of communal structure and offers an alternate version; (3) discusses notions of justice and obligation derived from these different models; (4) applies these to the practice of harvesting organs for transplantation; and then (5) offers a different process for harvesting organs (...) from the newly dead.If community is viewed as united by a set of shred goals and common values among which the value of community itself is important, then certain reciprocal obligations among members obtain. I suggest that routine salvage of organs from the newly dead be instituted but that it be routine salvage with a twist: rather early in life all members of the community are given the opportunity to refuse but their refusal carries the reciprocal condition that they cannot later become the recipients of that which they refuse to others. (shrink)

When physicians in training enter their clinical years and first begin to become involved in clinical decision making, they soon find that more than the technical data they had so carefully learned is involved. Prior to that time, of course, they were aware that more than technology was involved in practicing medicine, but here, for the first time, the reality is forcefully brought home. It may be on the medical ward, when a patient or a patient's relatives ask that no (...) further treatment be given and that the patient be allowed to die; it may be in ob/gyn, when a 4- or 5-month pregnant lady with two other children and just deserted by her husband pleads for an abortion; it may be in the outpatient setting, where patients unable to afford enough to eat cannot afford to buy antibiotics for their sick child or provide him or her with the recom mended diet. Whatever the setting, students soon find themselv. es con fronted with problems in which an answer is not given by the technical possibilities alone; indeed, students may have to face situations in which, all things considered, the use of these technical possibilities seems ill-advised. But choices need to be made. Some of us may choose to hide behind a mastery of technology. (shrink)

A phenomenon called perspectival disagreement is laid out and modelled on the basis of modifications to known consensus measures for qualitative representations of preferences and transitive values by binary relations. Cases of perspectival disagreement are of general philosophical interest, because they allow for the possibility that two or more agents judge the value positions of other agents differently even when their assessments are based on the same evidence. Various examples of perspectival disagreement are given, generalizations are discussed, and it is (...) argued that any representation by cardinal utilities also gives rise to some form of perspectivity. Although the examples strongly suggest that this phenomenon occurs in real life, it is concluded in the end that it does not pose any fundamental threat to representations of preferences and values as binary relations. Instead, position‐sensitive measures of disagreement ought to be taken as a modelling option for cases in which the relative importance of preference changes matters to an agent. (shrink)

It is often said that because physicians and other healthcare professionals frequently play a critical role in determining the fate of their patients, they ought if at all possible to be their patient's friend. The relationship of necessity is intimate: physicians have knowledge of their patients' histories and of their bodies which under other circumstances would be reserved to the most intimate of friends, and physicians and patients meet under more or less critical situations. In this paper, I briefly examine (...) the role of the physician as “friend,” an Issue to be much more extensively explored In a book In preparation. (shrink)

This paper examines the role of the physician in a pluralistic community. A personal and communal sense of identity must resolve a vast array of often conflicting backgrounds and contexts in order to function smoothly. Physicians are neither entitled to impose their own moral views on their patients nor expected to surrender their own moral agency. Several illustrative cases are given. The solution of inevitable conflicts is embodied within the context of the situation, but since irreconcilable differences remain, a resolution (...) is not always possible. Tolerance for such differences and ways of dealing with them allows the integrity of both parties to remain intact. (shrink)

In this paper, I want to try to put what has been termed the “care ethics” into a different perspective. While I will discuss primarily the use of that ethic or that term as it applies to the healthcare setting in general and to the deliberation of consultants or the function of committees more specifically, what I have to say is meant to be applicable to the problem of using a notion like “caring” as a fundamental precept in ethical decision (...) making. I will set out to examine the relationship between theoretical ethics, justice-based reasoning, and care-based reasoning and conclude by suggesting not only that all are part of a defensible solution when adjudicating individual cases, but that these three are linked and can, in fact, be mutually corrective. I will claim that using what has been called “the care ethic” alone is grossly insufficient for solving individual problems and that the term can be extremely dangerous. I will readily admit that while blindly using an approach based solely on theoretically derived principles is perhaps somewhat less dangerous, it is bound to be sterile, unsatisfying, and perhaps even cruel in individual situations. Care ethics, as I understand the concept, is basically a non- or truly an anti-intellectual kind of ethic in that it tries not only to value feeling over thought in deliberating problems of ethics, but indeed, would almost entirely substitute feeling for thought. Feeling when used to underwrite undisciplined and intuitive action without theory has no head and, therefore, no plan and no direction; theory eventuating in sterile rules and eventually resulting in action heedlessly based on such rules lacks humanity and heart. Neither one nor the other is complete in itself. There is no reason why we necessarily should be limited to choosing between these two extremes. (shrink)

In a career that spans 60 years so far, W.W. Tait has made many highly influential contributions to logic, the philosophy of mathematics, and their history. The present collection of new essays - contributed by former students, colleagues, and friends - is a Festschrift, i.e., a celebration of his life and work. The essays address a variety of themes prominent in his work or related to it. The collection starts with an introduction in which Tait's contributions are sketched and put (...) into context. The eleven essays that follow are arranged in three parts: Part I. Proof Theory and its History; Part II. Logic and Philosophy of Mathematics; and Part III. History of Logic and Philosophy of Mathematics. Each of the essays contributes substantially to one or several of these areas. The authors included are: Steve Awodey, Solomon Feferman, Michael Friedman, Warren Goldfarb, Geoffrey Hellman, William Howard, Stephen Menn, Rebecca Morris, Charles Parsons, Erich Reck, Thomas Ricketts, and Wilfried Sieg. The editor, Erich H. Reck is Professor of Philosophy at the University of California at Riverside. (shrink)

An ‘ideal’ health care system would be unencumbered by economic considerations and provide an ample supply of well-paid health care professionals who would supply culturally appropriate optimal health care to the level desired by patients. An ‘ideal’ health care system presupposes an ‘ideal’ society in which resources for all social goods are unlimited. Changes within health care systems occur both because of changes within the system and because of changes or demands in and by the ‘exterior environment’. Social systems must (...) be in a homeostatic balance. If one component fails to accommodate itself to other forces, needs and interests within the system, the system is imperiled. It is difficult to create a just health care system in an unjust society, just as it is difficult to practise truly ethical medicine in an ethically corrupt system. (shrink)

Reference and indexicality are two central topics in the Philosophy of Language that are closely tied together. In the first part of this book, a description theory of reference is developed and contrasted with the prevailing direct reference view with the goal of laying out their advantages and disadvantages. The author defends his version of indirect reference against well-known objections raised by Kripke in Naming and Necessity and his successors, and also addresses linguistic aspects like compositionality. In the second part, (...) a detailed survey on indexical expressions is given based on a variety of typological data. Topics addressed are, among others: Kaplan's logic of demonstratives, conversational versus utterance context, context-shifting indexicals, the deictic center, token-reflexivity, vagueness of spatial and temporal indexicals, reference rules, and the epistemic and cognitive role of indexicals. From a descriptivist perspective on reference, various examples of simple and complex indexicals are analyzed in first-order predicate logic with reified contexts. A critical discussion of essential indexicality, de se readings of attitudes and accompanying puzzles rounds up the investigation. (shrink)

Ordinal, interval, and ratio scales are discussed and arguments for the thesis that “better than” comparisons reside on interval or ratio scales are laid out. It is argued that linguistic arguments are not conclusive since alternative rank-based definitions can be given, and that in general “better than” comparisons do not have a common scale type. Some comparison dimensions reside on ratio scales, whereas others do not show any evidence of lying on a scale stronger than an ordinal scale.

Empirical tests of Schwartz’s theory of culture-level value priorities have predominantly been performed using an averaging approach–as values of the average individual in a culture. However, from a theory of measurement standpoint such an approach seems inadequate. We argue that the averaging approach is an insufficiently accurate methodology in capturing the compatibilities-incompatibilities between values of individuals within cultures. We propose an approach based on the distribution of values of individuals in a given culture–the distribution approach. Using data from two rounds (...) of the European Social Survey, we show how frequencies of specific individual value priorities in a culture can be used towards the description of culture-level value preferences. We recommend a re-conceptualization of Schwartz’s culture-level value theory to an orthogonal two-dimensional structure, namely as Preservation vs. Alteration and Dominance vs. Amenability, which we explain based on heterogeneity in socioecological indicators across countries. We conclude that societal challenges may influence the cultural value climate across countries. (shrink)

Analytic philosophy and modern logic are intimately connected, both historically and systematically. Thinkers such as Frege, Russell, and Wittgenstein were major contributors to the early development of both; and the fruitful use of modern logic in addressing philosophical problems was, and still is, definitive for large parts of the analytic tradition. More specifically, Frege's analysis of the concept of number, Russell's theory of descriptions, and Wittgenstein's notion of tautology have long been seen as paradigmatic pieces of philosophy in this tradition. (...) This close connection remained beyond what is now often called "early analytic philosophy", i.e., the tradition's first phase. In the present chapter I will consider three thinkers who played equally important and formative roles in analytic philosophy's second phase, the period from the 1920s to the 1950s: Rudolf Carnap, Kurt Gödel, and Alfred Tarski. (shrink)