This paper seeks to elucidate how morality, landscape and environmental pratice are related as played out in a dialogue between farmers and the planning apparatus. Differing views on landscape and nature reveal differing but ever present moral messages inscribed in the land. It is argued that constructions of past, present and future time produce moral messages about landscape and nature. The Jaeren district on the south-western coast of Norway serves as the empirical base for this paper.

Recent highly publicized privacy breaches in health care and genomics research have led many to question whether current standards of data protection are adequate. Improvements in de-identification techniques, combined with pervasive data sharing, have increased the likelihood that external parties can track individuals across multiple databases. This paper focuses on the communication of identifiability risks in the process of obtaining consent for donation and research. Most ethical discussions of identifiability risks have focused on the severity of the risk and how (...) it might be mitigated, and what precisely is at stake in pervasive data sharing. However, there has been little discussion of whether and how to communicate the risk to potential donors. We review the ethical arguments behind favoring different types of risk communication in the consent process, and outline how identifiability concerns can be incorporated into either a detailed or simplified method of communicating risks during the consent process. (shrink)

As biobank research has become increasingly widespread within biomedical research, study-specific consent to each study, a model derived from research involving traditional interventions on human subjects, has for the sake of feasibility gradually given way to alternative consent models which do not require consent for every new study. Besides broad consent these models include tiered, dynamic, and meta-consent. However, critics have pointed out that it is normally not known at the time of enrolment in what ways samples deposited in a (...) biobank may be used in future research and that, for a consent to be informed, exactly this kind of knowledge is required. Therefore, there is an ongoing debate about the ethical acceptability of going for less than study-specific consent. In light of this debate we address the question of how to best protect participants against relevant risks and violations of autonomy. We apply the central aims of the informed consent process to the unique circumstances of biobank research where samples and data in many cases are stored for long periods of time and reused in subsequent studies. Thereby we are able to formulate a set of criteria focusing both on the risk of informational harm and the potential violation of participants’ values. We compare existing models of consent based on their ability to satisfy the criteria, and we find that the broad consent model offers the best level of protection for participants, although, it suffers from a few important deficiencies with regards to protection against participant value violations and long-term protection of autonomy, if it is applied without qualifications. For this reason, we propose modifications to the current broad consent model, in order to ensure that it provides protection of autonomy and participant values through strong ethical review and continuous communication. We conclude that a modified form of broad consent is ethically superior in biobank research, not only because it is most feasible but primarily because it offers the best available protection against the hazards facing research subjects in this form of research. (shrink)

BackgroundDecision-making in out-of-hospital cardiac arrest should ideally include clinical and ethical factors. Little is known about the extent of ethical considerations and their influence on prehospital resuscitation. We aimed to determine the transparency in medical records regarding decision-making in prehospital resuscitation with a specific focus on ethically relevant information and consideration in resuscitation providers’ documentation.MethodsThis was a Danish nationwide retrospective observational study of out-of-hospital cardiac arrests from 2016 through 2018. After an initial screening using broadly defined inclusion criteria, two experienced (...) philosophers performed a qualitative content analysis of the included medical records according to a preliminary codebook. We identified ethically relevant content in free-text fields and categorised the information according to Beauchamp and Childress’ four basic bioethical principles: autonomy, non-maleficence, beneficence, and justice. ResultsOf 16,495 medical records, we identified 759 (4.6%) with potentially relevant information; 710 records (4.3%) contained ethically relevant information, whereas 49 did not. In general, the documentation was vague and unclear. We identified four kinds of ethically relevant information: patients’ wishes and perspectives on life; relatives’ wishes and perspectives on patients’ life; healthcare professionals’ opinions and perspectives on resuscitation; and do-not-resuscitate orders. We identified some “best practice” examples that included all perspectives of decision-making. ConclusionsThere is sparse and unclear evidence on ethically relevant information in the medical records documenting resuscitation after out-of-hospital cardiac arrests. However, the “best practice” examples show that providing sufficient documentation of decision-making is, in fact, feasible. To ensure transparency surrounding prehospital decisions in cardiac arrests, we believe that it is necessary to ensure more systematic documentation of decision-making in prehospital resuscitation. (shrink)

Preliminary Material /Hans Adler and Rainer Godel -- Formen des Nichtwissens im Zeitalter des Fragens /Hans Adler and Rainer Godel -- Das gewisse Etwas der Aufklärung /Hans Adler -- Zur Prekarität der Aufklärung. Vernunftkritik und das Paradigma der Anthropologie (Taine, Horkheimer / Adorno, Foucault, Lyotard) /Heinz Thoma -- Von den berechenbaren Grenzen des Nichtwissens zur Zeit der Aufklärung /Eberhard Knobloch -- L'effi cace de la raison /Bertrand Binoche -- Aufgeklärtes Nicht-Wissen /Rainer Enskat -- 'Fabelhaft' und 'wunderbar' in Aufklärungsdiskursen. Zur Genese (...) des modernen Mythosbegriffs /Stefan Matuschek -- Un-Möglichkeit der Ausnahme: Die Wunderkritik der Aufklärung /Daniel Weidner -- La sagacité de l'esprit. La conjecture au XVIIIe siècle /Denis Thouard -- Séjourner dans la contradiction. L'idée de «nouvelles Lumières» et les contradictions de l'universalism /Etienne Balibar -- Doing Without Knowing in Kant and Diderot: Experiments in Enlightenment /Claudia Brodsky -- Ways of Being Ignorant: A Field Guide /Arnd Bohm -- Wissenwollen trotz Nichtwissenkönnens. Von den Erkenntnisgrenzen der psychologischen und pädagogischen Wissenschaften des späten 18. Jahrhunderts /Gunhild Berg -- "Ein Abgrund innerer dunkeln Kräfte". Nichtwissen in den Bildungsdiskursen der Aufklärung /Stefan Metzger -- "There is nothing so intrinsically rational as religion is." Zum Versuch einer vernünftigen Entschlüsselung des Nicht-mehr-Wissbaren in der Frühaufklärung /Insa Kringler -- Ein falsches Bild. Oder: Was passiert, wenn Katharsis Form wird? Zu Lessings Emilia Galotti /Ralf Simon -- Die Schattenseiten der Seele: Zu Johann Georg Sulzers Theorie der dunklen Vorstellungen /Élisabeth Décultot -- Arten der Unwissenheit im anthropologischen Diskurs der Aufklärung /Angela Holzer -- Die Zone der Unbestimmtheit - Melancholiediskurs zwischen Wissen und Nichtwissen /Cornelia Bogen -- Die Produktion des Nicht-Wissens vom Selbst: Autobiographie bei Goethe und Hegel /Fritz Breithaupt -- "Charakter" - Die Konkurrenz einer metaphorischen und einer begriffl ichen Erkenntnisform des Nicht-/Wissens vom Menschen /Monika Sproll -- Unzuverlässige Leser - unzuverlässige Erzähler; oder: Literarische Wege aus dem Nicht-Wissen /Rainer Godel -- Labyrinthe der Aufklärung. Goethes Roman Wilhelm Meisters Lehrjahre /Harald Tausch -- Nichtwissen in Johann Gottfried Herders Geschichtsphilosophie /Luca Crescenzi -- Ins Narrenschiff mit Sokrates! Formen des Abderitismus bei Christoph Martin Wieland /Geneviève Espagne -- Zur Interdependenz von Wissen und Nichtwissen. Anthropologie als Aufklärungskritik bei Christoph Martin Wieland /Antonio Roselli -- Nichtwissen und Glaube. Zur Erkenntnistheorie und Ethik Friedrich Heinrich Jacobis /Mark-Georg Dehrmann -- Darstellung und Gegendarstellung von Aufklärung. Handlung, Erzählung und Schein in Schillers Geisterseher /Dirk Oschmann -- Wissen und Nicht-Wissen von anderen Menschen. Das Problem der Gemütererkenntnis von Gracián bis Schiller /Daniel Fulda -- Historische Vaterschaftsprozesse: Nichtwissen, verborgenes und verkehrtes Wissen bei Goethe, Hogarth und Kleist /Alexander Košenina -- Translating Knowledge and Prescribing Taste: English Enlightenment Critics /Sabine Volk-Birke -- Autorenverzeichnis /Hans Adler and Rainer Godel -- Namenregister /Hans Adler and Rainer Godel. (shrink)

Was ist das Wesen des schopferischen Geistes? Diese Frage steht im Zentrum des Eranos-Bandes. Die sieben Beitrage legen Zeugnis von ausgewahlten Aussenseitern, Sinnsuchern und Visionaren ab. Sie berichten von eigenen Erfahrungen und laden die Leser ein, ihnen in ihrem Diskurs zu folgen. Dieser Band eroffnet ein Spannungsfeld uber die Kulturgrenzen hinaus, das eng mit den Wurzeln der Eranos-Tagungen verbunden ist: Seit dem Beginn 1933 stehen die Tagungen im Zeichen der Begegnung der Kulturen, aber auch des Dialoges zwischen den Geistes- und (...) Naturwissenschaften. Dabei kommt der Psychologie und der Religionswissenschaft eine wichtige Mittlerrolle zu. Der Band enthalt die folgenden Beitrage: Ronald Steckel: Jacob Bohme - ein Wissender Gottes Gunhild Porksen: Wer ist der Mensch? Paracelsus' Entwurf einer umfassenden Anthropologie Marianne Katterfeldt: Die Urschonheit des Menschen - Der Mensch als Mikrokosmos bei Emanuel Swedenborg Akira Ishii: NAIKAN - Innenschau. Eine aus dem Buddhismus erwachsene Meditationsmethode Gerhard M. Walch: Erich Neumann - Leben und Werk eines Aussenseiters und Visionars Christian Jung: Meister Eckharts Philosophie des Nichts Nikolaus Koliusis: Blaupause. (shrink)