The use of psychopharmaceuticals to enhance human mental functioning such as cognition and mood has raised a debate on questions regarding identity and authenticity. While some hold that psychopharmaceutical substances can help users to ‘become who they really are’ and thus strengthen their identity and authenticity, others believe that the substances will lead to inauthenticity, normalization, and socially-enforced adaptation of behaviour and personality. In light of this debate, we studied how persons who actually have experience with the use of psychopharmaceutical (...) medication would view their ‘self’ or their authentic personal identity in relation to the use of medication. We have interviewed a number of adults diagnosed with ADHD and discussed their experiences with medication use in relation to their conceptions of self and identity. In the first part of this paper we illustrate that the concepts of identity and authenticity play an important and sometimes problematic role in experiences of ADHD adults. This shows that the question about identity and psychopharmacology is not merely an ‘academic’ issue, but one that influences everyday lives of real people. In order to answer the question whether psychopharmaceuticals threaten personal identity and authenticity, more than empirical research is needed. We also need to analyse the concepts of personal identity, authenticity and self: what do we mean when we are using statements as ‘a way of living that is uniquely our own’, ‘our true self’, or ‘who we really are’? In the second part of this paper we discuss two important philosophical views on personal identity, authenticity and self: the self-control view as elaborated by Frankfurt, and the self-expression view as proposed by Schechtman. We compare these with the experiences of our respondents to see which view can help us to understand the diverse and often conflicting experiences that people have with medication for ADHD. This will contribute to a better understanding of whether and in which cases personal identity and authenticity are threatened by psychopharmacology. (shrink)

ISI Books' Crosscurrents series makes available in English-usually for the first time-new translations of both classic and contemporary works by authors working within, or with crucial importance for, the conservative, religious, and humanist intellectual traditions. Book jacket.

Martin Heidegger und Hans Jantzen gehören zu den wichtigsten Vertretern der Philosophie und Kunstgeschichte des 20. Jahrhunderts. Seit den 1920er bis Ende der 1960er Jahre kritisierten sie vorherrschende, naturwissenschaftlich geprägte Auffassungen des Raums und entwickelten einen neuartigen Begriff. Dieser sogenannte künstlerische Raum sei ein freies Zusammenspiel von materiellen und immateriellen Bestandteilen, das als solches erst in der Wahrnehmung real wird. Die Autorin arbeitet dieses Verständnis heraus und stellt es in einen geistes- und zeitgeschichtlichen Kontext. Neben der Bedeutung der Bestandteile und (...) der Grenze für die Gestalt und die Wirkung des Raums kommt der des Lichts sowie Jantzens Diaphanie-Begriff besondere Aufmerksamkeit zu. Für die erörterte Raumbeschaffenheit werden Anhaltspunkte in der gotischen Kathedrale und in Werken der Bronzezeit, Dorik, Ottonik und Moderne sowie von Kindern und Laien festgestellt. Im Anschluss an zeitgenössische Theorien ergeben sich Übereinstimmungen mit dem Konzept des geopolitischen Groß-raums und einer erdbezogenen Ästhetik. Vor dem Hintergrund des Kunst- und Sprachbegriffs der Epoche wird abschließend Heideggers und Jantzens Ansicht untersucht, alle Kunst sei sprachlich, sowie inwiefern sich diese Sprachlichkeit räumlich manifestiert. Die Zusammenführung von Jantzens Analyse ottonischer Wortbilder mit Heideggers Auslegung moderner Dichtung und Bildkunst zeigt, dass deren Raumbegriff unabhängig von politischen Bezügen bestehen kann. „Bei diesem Buch handelt es sich fraglos um eine kunsthistorisch und philosophisch bedeutsame Untersuchung.“. (shrink)

Hugh of Saint-Victor's De Sacramentis is usually regarded as an early summa of theology. As such it has been regarded as not totally satisfying, lacking a clearness of its conceptual system when compared with the work of e.g. Peter the Lombard. What may make up for this lack of system and even confer coherence, be it on a different level, is Hugh's pedagogical view of creation and salvation history, as it shows most clearly in his tropological digressions. In his exposition (...) of the history of salvation as it unfolds since the very beginning, Hugh incorporates the process by which the monk can not only follow the story of the macrocosm, but at the same time can read his self into being, allowing recognition of ambivalence from the start, and thus presenting a multi-demensional view of being human. In the same way as, on the cosmic level, any pre-lapsarian state of innocence exhibits a flaw from the very beginning, so the life of man is in a permanent state of ambiguity. This ambiguity is the framework for man as a moral being. Only within the possibility of choice can man be just or happy, without choice justus and beatus have no real significance. Matters are shown to be even more complicated when, in the story of Eve Hugh draws attention to her doubtful interpretation of God's command, as a factor which precedes her choice. In this way, De Sacramentis is not only a doctrina in our sense of the content of Christian dogma, but it offers the monk a point to which he can attach and conform his intentio: by bringing his intentio in form with the story about creation and fall and reparation, the reader can in fact effect the necessary reparatio, consisting of knowledge of truth and love of virtue. (shrink)

New technologies are the source of uncertainties about the applicability of moral and morally connotated concepts. These uncertainties sometimes call for conceptual engineering, but it is not often recognized when this is the case. We take this to be a missed opportunity, as a recognition that different researchers are working on the same kind of project can help solve methodological questions that one is likely to encounter. In this paper, we present three case studies where philosophers of technology implicitly engage (...) in conceptual engineering (without naming it as such). We subsequently reflect on the case studies to find out how these illustrate conceptual engineering as an appropriate method to deal with pressing concerns in the philosophy of technology. We have two main goals. We first want to contribute to the literature on conceptual engineering by presenting concrete examples of conceptual engineering in the philosophy of technology. This is especially relevant, because the technologies that are designed based on the conceptual work done by philosophers of technology potentially have crucial moral and social implications. Secondly, we want to make explicit what choices are made when doing this conceptual work. Making explicit that some of the implicit assumptions are, in fact, debated in the literature allows for reflection on these questions. Ultimately, our hope is that conscious reflection leads to an improvement of the conceptual work done. (shrink)

Epigenetic markers could potentially be used for risk assessment in risk-stratified population-based cancer screening programmes. Whereas current screening programmes generally aim to detect existing cancer, epigenetic markers could be used to provide risk estimates for not-yet-existing cancers. Epigenetic risk-predictive tests may thus allow for new opportunities for risk assessment for developing cancer in the future. Since epigenetic changes are presumed to be modifiable, preventive measures, such as lifestyle modification, could be used to reduce the risk of cancer. Moreover, epigenetic markers (...) might be used to monitor the response to risk-reducing interventions. In this article, we address ethical concerns related to personal responsibility raised by epigenetic risk-predictive tests in cancer population screening. Will individuals increasingly be held responsible for their health, that is, will they be held accountable for bad health outcomes? Will they be blamed or subject to moral sanctions? We will illustrate these ethical concerns by means of a Europe-wide research programme that develops an epigenetic risk-predictive test for female cancers. Subsequently, we investigate when we can hold someone responsible for her actions. We argue that the standard conception of personal responsibility does not provide an appropriate framework to address these concerns. A different, prospective account of responsibility meets part of our concerns, that is, concerns about inequality of opportunities, but does not meet all our concerns about personal responsibility. We argue that even if someone is responsible on grounds of a negative and/or prospective account of responsibility, there may be moral and practical reasons to abstain from moral sanctions. (shrink)

This book offers an updated and comprehensive phenomenology of norms and normativity. It is the first volume that systematically tackles both the normativity of experiencing and various experiences of norms. Part I begins with a discussion of the methodological resources that phenomenology offers for the critique of epistemological, social and cultural norms. It argues that these resources are powerful and have largely been neglected in contemporary philosophy as well as social and human sciences. The second part deepens the discussion by (...) studying the existential and moral-philosophical foundations of practical normativity. It takes on the task of illuminating the origins of normativity and offers phenomenological alternatives to the neo-Kantian and neo-Hegelian approaches that dominate contemporary debates on the sources of normativity. The final part proceeds from practical normativity to the analysis of the guiding powers of values, perceptual norms, instincts and drives. These are different forms of intentionality that in various manners contribute to the constitution of human practices. By clarifying their divergences and their interrelations, the volume demonstrates that normativity is not one phenomenon but a complex set of various phenomena, with multiple origins and sources. Contemporary Phenomenologies of Normativity will be of interest to researchers and advanced students working on issues of normativity in phenomenology, epistemology, ethics, and social philosophy. (shrink)

This article contributes to the debate on governance of emerging technologies, focusing in particular on the international level and taking into account the fact that these technologies are developed through a common effort of different stakeholders including governments, research communities, industry and civil society actors. These issues are explored from the perspective of communitarian ethical criticism of liberal social contract thinking, in order to enhance visibility of the influence collective non-state actors exercise on the development of these technologies. In particular, (...) the effect of different values in the discussion on emerging technologies on the perceived governance options is explored. A paradigm shift from defensive values such as security, risk and human rights to more optimistic values like peace, justice and integrity of creation is proposed and discussed. (shrink)

Thirty years ago, H. Flashar discussed the introduction to an anonymous commentary on the Aphorisms of Hippocrates. The text contains an interesting picture of Hippocrates as a culture hero, who saved suffering humanity by the introduction of systematic medicine. The first section of this introduction offers some complicated problems. It ends with an extremely long and difficult sentence, which, has not yet been explained quite satisfactorily, and it contains a curious use of the verb σαρκόω, combined with τν ύσιν, which (...) has led Flashar to suspect Christian influence. These two points are the subject of the first part of this paper. (shrink)

This collection of essays addresses recent and historical changes in the ways in which listening has been conceived as a cultural agency and act. It argues that listening, by emancipating from an essentially implied, passive-receiving, and subjected position, has become an explicit factor in culture and the object of proactive collective and individual politics.

This article analyses current trends in and future expectations of nanotechnology and other key enabling technologies for security as well as dual use nanotechnology from the perspective of the ethical Just War Theory (JWT), interpreted as an instrument to increase the threshold for using armed force for solving conflicts. The aim is to investigate the relevance of the JWT to the ethical governance of research. The analysis gives rise to the following results. From the perspective of the JWT, military research (...) should be evaluated with different criteria than research for civil or civil security applications. From a technological perspective, the boundaries between technologies for civil and military applications are fuzzy. Therefore the JWT offers theoretical grounds for making clear distinctions between research for military, civil security and other applications that are not obvious from a purely technological perspective. Different actors bear responsibility for development of the technology than for resorting to armed force for solving conflicts or for use of weapons and military technologies in combat. Different criteria should be used for moral judgment of decisions made by each type of actor in each context. In addition to evaluation of potential consequences of future use of the weapons or military technologies under development, the JWT also prescribes ethical evaluation of the inherent intent and other foreseeable consequences of the development itself of new military technologies. (shrink)

All stakeholders agree publicly that innovation and governance of emerging technologies should be done responsibly. However, the international debate on who should do what to contribute to this lofty goal is nowhere near a solution. The starting point of this paper is the issue of how and for which reason to engage stakeholders in addition to governments in the international governance of nanotechnology. This article examines the mainly North-American communitarian criticism of political liberalism and the related concept of subsidiarity in (...) order to shed new light on this discussion. The central research question is: Can a communitarian-subsidiarity perspective on the roles of governments, companies and civil society actors that hold a stake in emerging technologies clarify the grounds on which each actor should be expected to contribute to responsible research and innovation at the international level? After selecting some relevant aspects of a communitarian-subsidiarity model for a dialogue society, an analytical framework is proposed. This framework is then applied to the recent international dialogue on responsible governance of nanotechnology. The outcomes of the analysis are compared to the OECD planning guide on public engagement and outreach in nanotechnology, and indicators for monitoring progress in responsible global innovation are suggested. The main contribution of the selected communitarian-subsidiarity perspective is that it offers philosophical grounds for a return of citizens to the driving seat in cooperative international responsible innovation. (shrink)

Informed decision-making (IDM) is considered an important ethical and legal requirement for population-based screening. Governments offering such screening have a duty to enable invitees to make informed decisions regarding participation. Various views exist on how to define and measure IDM in different screening programmes. In this paper we first address the question which components should be part of IDM in the context of cancer screening. Departing from two diverging interpretations of the value of autonomy—as a right and as an ideal—we (...) describe how this value is operationalized in the practice of informed consent in medicine and translate this to IDM in population-based cancer screening. Next, we specify components of IDM, which is voluntariness and the requirements of disclosure and understanding. We argue that whereas disclosure should contain all information considered relevant in order to enable authentic IDM, understanding of basic information is sufficient for a valid IDM. In the second part of the paper we apply the capability approach in order to argue for the responsibility of the government to warrant equal and real opportunities for invitees for IDM. We argue that additional conditions beyond mere provision of information are needed in order to do so. (shrink)

This article re-introduces the notion of liturgical mysticism from both the perspectives of systematic theology and Church history. The authors adopt an interdisciplinary approach grounded in theology aiming to revisit the concept of liturgical mysticism in order to contribute to developing an adequate interpretive model for mystical texts. The article introduces the notion of liturgical mysticism firstly by a systematic-theological fundamental analysis of Christian mystical experience, showing the uniqueness of that experience and the possible interconnections with liturgy; secondly, by studying (...) liturgical mysticism historically, in the context of the Middle Dutch tradition in the sixteenth century, especially the Arnhem Mystical Sermons, in order to provide a solid historical basis for our argumentation; lastly, the article explores first the impact of our findings on the theological understanding and method in the study of mysticism, and second it notes some ramifications for contemporary Christian spirituality. The authors attempt to show that liturgical mysticism, understood and practised as a tradition bound and context sensitive religious experience, is historically plausible and theologically promising. (shrink)

The hopes and fears expressed in the debate on human enhancement are not always based on a realistic assessment of the expected possibilities. Discussions about extreme scenarios may at times obscure the ethical and policy issues that are relevant today. This paper aims to contribute to an adequate and ethically sound societal response to actual current developments. After a brief outline of the ethical debate concerning neuro-enhancement, it describes the current state of the art in psychopharmacological science and current uses (...) of psychopharmacological enhancement, as well as the prospects for the near future. It then identifies ethical issues regarding psychopharmacological enhancements that require attention from policymakers, both on the professional and on the governmental level. These concern enhancement research, the gradual expansion of medical categories, off-label prescription and responsibility of doctors, and accessibility of enhancers on the Internet. It is concluded that further discussion on the advantages and drawbacks of enhancers on a collective social level is still needed. (shrink)

Two decades of research on euthanasia in the Netherlands have resulted into clear insights in the frequency and characteristics of euthanasia and other medical end-of-life decisions in the Netherlands. These empirical studies have contributed to the quality of the public debate, and to the regulating and public control of euthanasia and physician-assisted suicide. No slippery slope seems to have occurred. Physicians seem to adhere to the criteria for due care in the large majority of cases. Further, it has been shown (...) that the majority of physicians think that the euthanasia Act has improved their legal certainty and contributes to the carefulness of life-terminating acts. In 2005, eighty percent of the euthanasia cases were reported to the review committees. Thus, the transparency envisaged by the Act still does not extend to all cases. Unreported cases almost all involve the use of opioids, and are not considered to be euthanasia by physicians. More education and debate is needed to disentangle in these situations which acts should be regarded as euthanasia and which should not. Medical end-of-life decision-making is a crucial part of end-of-life care. It should therefore be given continuous attention in health care policy and medical training. Systematic periodic research is crucial for enhancing our understanding of end-of-life care in modern medicine, in which the pursuit of a good quality of dying is nowadays widely recognized as an important goal, in addition to the traditional goals such as curing diseases and prolonging life. (shrink)

Nanomaterials are handled in global value chains for many different products, albeit not always recognisable as nanoproducts. The global market for nanomaterials faces an uncertain future, as the international dialogue on regulating nanomaterials is still ongoing and risk assessment data are being collected. At the same time, regulators and civil society organisations complain about a lack of transparency about the presence of nanomaterials on the market. In the project on Sustainable Nanotechnologies, a Decision Support System has been developed, primarily for (...) confidential use by risk and sustainability managers inside a company or consortium. In this article, we formulate a scenario concerning a potential role for an open access decision support system in negotiations on international agreements regulating trade in nanomaterials. The scenario includes design rules for decision support systems as well as procedures for use of such a system in stakeholder dialogue and policy-making on governance of these and other emerging technologies. This article incorporates analysis of results of stakeholder engagement on nanomaterials as well as literature and internet sources suggested by these stakeholders. (shrink)

"The fourth in a series that explores cultural and ethical values in Classical Antiquity, this volume examines the negative foils, the anti-values, against ...

Recent developments in music as well as in the debate on present-day transformations of religion, call for a renewal of the question of ‘sacred music.’ This article poses the question, and suggests a direction in which theory could move in order to understand the ways in which the ancient idea of sacred music remains important for present-day music and for religious reflection. Starting from the observation that theological thinkers tend to have a preference for the music of Mozart, the question (...) is raised how they theoretically substantiate the theological privilege of a music like Mozart’s. As it turns out, the key figure relating music to the sacred is the figure of form, often exemplified by musical melody. The music theology of Hans Urs von Balthasar, who has had a significant influence on Jean-Luc Marion, is a case in point. However, as is shown with reference to the musical aesthetics of the early 19th century, this figure is also central to the diametrical opposites of sacred music, being the musically sublime and the ‘religion of music.’ This observation leads to the question how, on a theoretical level, one could distinguish between sacred music and its obverse. As is shown, Marion suggests a new way of understanding the possibility of sacred music, starting from the ideas of the gift and the ‘saturated phenomenon.’ Analysing a key passage from Etant donné, it is argued that the implied shift the from form to the gift does not entirely annul the undecidability of sacred music. But also, it is argues that is does indeed show the importance and challenge that the notion of sacred music implies for both theological-philosophical and musical reflection. (shrink)

Includes bibliographical references and index.

This paper is an attempt to reframe the debate of whether medicine is an art or a science in the Aristotelian sense. The recent book of Pellegrino and Thomasma, A Philosophical Basis of Medical Practice, serves as the starting point. Taking clinical interaction as the distinctive feature of medicine, the resemblances of medicine with the characteristics of practical reasoning in the Aristotelian sense are further explored. This comparison proves especially useful in discussing the special status of medical knowledge. Clinical reasoning, (...) resulting in clinical judgments, shows strong similarities with practical reasoning. The application of general principles, instead of deduction from them as in science is essential to both. The ancient concept of practical rationality may therefore be more appropriate while trying to ascribe rationality to medicine than the modern concept of rationality, associated solely with scientific reasoning. (shrink)