De nos jours existe un extraordinaire engouement pour les sciences du cerveau qui captivent de plus en plus de penseurs. Des philosophes americains encouragent leurs pairs a s'initier aux neurosciences. Des hommes de science, conscients des enjeux metaphysiques inherents a leur domaine, invitent les philosophes a decouvrir les faits nouveaux apportes par les decouvertes sur le systeme nerveux. Il parait donc legitime que le philosophe soit concerne par les developpements recents des sciences du cerveau. Par la diversite des points de (...) vus et des perspectives, le present recueil souhaite contribuer a eclairer, dans la mesure du possible, quelques-unes des questions inherentes aux interactions entre la philosophie et les neurosciences. (shrink)

Institutional review board delays may hinder the successful completion of federally funded research in the U.S. military. When this happens, time-sensitive, mission-relevant questions go unanswered. Research participants face unnecessary burdens and risks if delays squeeze recruitment timelines, resulting in inadequate sample sizes for definitive analyses. More broadly, military members are exposed to untested or undertested interventions, implemented by well-intentioned leaders who bypass the research process altogether. To illustrate, we offer two case examples. We posit that IRB delays often appear in (...) the service of managing institutional risk, rather than protecting research participants. Regulators may see more risk associated with moving quickly than risk related to delay, choosing to err on the side of bureaucracy. The authors of this article, all of whom are military-funded researchers, government stakeholders, and/or human subject protection experts, offer feasible recommendations to improv... (shrink)

La première fois que SECUNDUM PLACITUM se présente chez Boèce, c'est dans sa traduction de la définition aristotélienne du nom du Peri Herméneias (I6 a I9): "Ovoμα μν oüv στ φων σημαντιΧ Χατ συνΧην...Ι qu'il rend: NOMEN ERGO EST VOX SIGNIFICATIVA SECUNDUM PLACITUM. L'expression y est le substitut de Χατ συνν qu'on interprète en général comme signifiant «par convention». En interprétant SECUNDUM PLACITUM de la même manière, on a l'avantage de faire correspondre parfaitement l'expression latine au sens usuel du terme (...) grec. En a-t-on le droit? Ici surgissent deux problèmes connexes: Quel est le sens exact de Χατ συνΧην, quel est celui de SECUNDUM PLACITUM? Commençons par le premier. (shrink)

Dans la Notice bibliographique sur Pierre BersuireI, j'ai signalé2 que le frère mineur Jean Thenaud avait consacré à cet auteur un passage de sa Margarite de France, mais le temps m'avait manqué pour le retracer. Puis, Thenaud s'étant lui aussi occupé de mythologie, la question se posait tout naturellement de savoir dans quelle mesure il a été tributaire de l'Ovidius moralizatus de Bersuire. Je livre ici le résultat de recherches assez complexes, car la bibliographie de Thenaud s'est révélée des plus (...) embrouillées. (shrink)

Dans la Notice bibliographique sur Pierre Bersuire I , j'ai signalé 2 que le frère mineur Jean Thenaud avait consacré à cet auteur un passage de sa Margarite de France, mais le temps m'avait manqué pour le retracer. Puis, Thenaud s'étant lui aussi occupé de mythologie, la question se posait tout naturellement de savoir dans quelle mesure il a été tributaire de l'Ovidius moralizatus de Bersuire. Je livre ici le résultat de recherches assez complexes, car la bibliographie de Thenaud s'est (...) révélée des plus embrouillées. (shrink)

Dans la Notice bibliographique sur Pierre Bersuire I , j'ai signalé 2 que le frère mineur Jean Thenaud avait consacré à cet auteur un passage de sa Margarite de France, mais le temps m'avait manqué pour le retracer. Puis, Thenaud s'étant lui aussi occupé de mythologie, la question se posait tout naturellement de savoir dans quelle mesure il a été tributaire de l'Ovidius moralizatus de Bersuire. Je livre ici le résultat de recherches assez complexes, car la bibliographie de Thenaud s'est (...) révélée des plus embrouillées. (shrink)

Le sceptique nous demande " Comment sais-tu que tu as deux mains? Peut-être rêves-tu, ou es-tu trompé par quelque Malin Génie? Peut-on même définir ce que c'est que la connaissance? Va savoir! " Lui rétorquer, comme le faisaient G.E. Moore et la tradition de la philosophie du sens commun : " Mais je sais bien que j'ai deux mains! " semble à la fois une pétition de principe et une bien mauvaise réponse. Le mieux, depuis que nous avons perdu le (...) souci de fonder nos croyance sur des raisons ultimes, serait, tout simplement, de ne pas se soucier des questions du sceptique. Ce que l'on sait dépend, nous dit-on, des circonstances, et toutes nos connaissances sont faillibles. N'y a-t-il pas plutôt des savoirs, dont l'histoire nous montre combien leurs modes de validations sont variés? Ce livre entend refuser ce type de réponse contextualiste et relativiste. Il propose de revenir à la réponse de sens commun de Moore, à partir des reformulations contemporaines des raisonnements sceptiques issues de la philosophie analytique de la connaissance. Personne ne peut nous envoyer savoir quelque chose que nous ne pourrions pas savoir. De fait, nous savons, mais notre savoir n'est pas transparent : nous n'avons pas besoin de savoir que nous savons. Pour parvenir à cette réponse, il faut replacer la notion de connaissance, plutôt que celle de croyance justifiée ou rationnelle, au centre de l'épistémologie, et reformuler des questions traditionnelles comme celles de la nature de la perception, du témoignage, et de la connaissance a priori. On peut aussi reprendre le vieux projet d'une enquête sur la nature de la connaissance en général. (shrink)

The subject of this study is the relation between dialectic and dialogue. First an attempt is made to delineate a universe of discourse 'communication'. Mutual acknowledgement as a subject ('intersubjectivity') is proposed as a distinctive characteristic of the concept of dialogue, and a distinction is made between several classes of dialogue (see the diagram). Then the concept of dialectic is examined. Special attention is paid to the question what is to be understood by the term 'modern dialectical thinking' (from Fichte (...) onwards). Because it seems impossible to describe dialectic as a method in a methodical way, or to find some one characteristic common to such divergent dialectical philosophies as those of Fichte, Hegel, Marx, Engels, Marxism-Leninism and various forms of Neo-Marxism (L. Goldmann, Th. Adorno, E. Bloch), the proposal is made to stipulate that the terms dialectic, dialectical method and dialectical thinking in the modern sense should only be used when negation and/or contrast (in a specific sense, peculiar to the thinkers mentioned) characterize a mode of thinking in a more or less systematic way. After these preliminaries the relation between dialogue and dialectic is examined as it presents itself from an historical point of view. As regards Plato, it is contended that his dialektikê technê neither constitutes a dialogal philosophy, nor a dialogic (theory of the dialogue). His 'dialogues' rather are an instance of the 'literary dialogue' (with agogic intentions). Hegel's way of thinking is characterized as monological and speculative. Though his conception of thought as a process, as well historical as collective, does not logically exclude a dialogue, his attitude towards it seems to be rather cool (or at least ambiguous). With Marx the concept of the class struggle enters the dialectic and this concept is essentially inimical to the concept of the dialogue as a peaceful means of solving conflicts. In Marxism-Leninism the distinction between antagonistic and non-antagonistic contradictions (necessitated by the universalization of the dialectic by Engels and the Russian pretension of having founded the socialist state) implies the view that only in socialist and communist societies fundamental contradictions are absent and that consequently only within these societies there is no need for non-peaceful means of solving conflicts. In the thought of Th. Adorno, M. Horkheimer and H. Marcuse there seems to be no room for a dialogue, as a consequence of the Utopian implications of their concept of negation. Only in J. Habermas we meet with a positive attitude towards the (social-practical) dialogue. For him the dialogue even is 'the normative foundation' of his 'critical theory' of society. Dialectic is seen by him as a consequence of a repression of the dialogue (and so the dialogue as an antidote against the dialectic of ‘Verdinglichung’). The main conclusion drawn from this historical survey is that, as far as modern dialectical thinking is concerned, dialectic exhibits an antithetic relation towards the concept of dialogue generally, and more specifically towards the 'social-practical dialogue'. With all these thinkers a positive attitude towards dialectical thinking de facto implies a negative evaluation of the dialogue (or at least coolness towards it), or conversely (Habermas). Finally the author presents some considerations of a more general nature: that dialectic and dialogue are not to be considered correlative concepts, because contrasting opinion (not dialectic) is a sufficient condition for the dialogue; that the startingpoint for a social-practical dialogue may be found in the concept of 'problematic situations related to generally accepted ends' (such as e.g. well-being); that the socialpractical dialogue is directed at a consensus indeed, at least directly, but that this does not prevent it from being directed indirectly at the truth; that the concept of synthesis constitutes the normative foundation of the dialogue, because the ideal consensus consists in a synthesis of contrasting points of view. (shrink)

In Wrong Medicine, Lawrence J. Schneiderman, M.D., and Nancy S. Jecker, Ph.D., address issues that have occupied the media and the courts since the time of Karen Ann Quinlan. The authors examine the ethics of cases in which medical treatment is offered--or mandated--even if a patient lacks the capacity to appreciate its benefit or if the treatment will still leave a patient totally dependent on intensive medical care. In exploring these timely issues Schneiderman and Jecker reexamine the doctor-patient relationship and (...) call for a restoration of common sense and reality to what we expect from medicine. They discuss economic, historical, and demographic factors that affect medical care and offer clear definitions of what constitutes futile medical treatment. And they address such topics as the limits on unwanted treatment, the shift from the "Age of Physician Paternalism" to the "Age of Patient Autonomy," health care rationing, and the adoption of new ethical standards. (shrink)

Health care services increasingly face patient populations with high levels of ethnic and cultural diversity. Cultures are associated with distinctive ways of life; concepts of personhood; value systems; and visions of the good that affect illness experience, help seeking, and clinical decision-making. Cultural differences may impede access to health care, accurate diagnosis, and effective treatment. The clinical encounter, therefore, must recognize relevant cultural differences, negotiate common ground in terms of problem definition and potential solutions, accommodate differences that are associated with (...) good clinical outcomes, and manage irresolvable differences. Clinical attention to and respect for cultural difference (a) can provide experiences of recognition that increase trust in and commitment to the institutions of the larger society, (b) can help sustain a cultural community through recognition of its distinct language, knowledge, values, and healing practices, and (c) to the extent that it is institutionalized, can contribute to building a pluralistic civil society. (shrink)

Background Informed consent is an integral component of good medical practice. Many researchers have investigated measures to improve the quality of informed consent, but it is not clear which techniques work best and why. To address this problem, we propose developing a core outcome set to evaluate interventions designed to improve the consent process for surgery in adult patients with capacity. Part of this process involves reviewing existing research that has reported what is important to patients and doctors in the (...) informed consent process. Methods This qualitative synthesis comprises four phases: identification of published papers and determining their relevance; appraisal of the quality of the papers; identification and summary of the key findings from each paper while determining the definitiveness of each finding against the primary data; comparison of key themes between papers such that findings are linked across studies. Results Searches of bibliographic databases returned 11,073 titles. Of these, 16 studies met the inclusion criteria. Studies were published between 1996 and 2016 and included a total of 367 patients and 74 health care providers. Thirteen studies collected data using in-depth interviews and constant comparison was the most common means of qualitative analysis. A total of 94 findings were extracted from the primary papers and divided into 17 categories and ultimately 6 synthesised findings related to: patient characteristics, knowledge, communication, the model patient, trust and decision making. Conclusions This qualitative meta-aggregation is the first to examine the issue of informed consent for surgery. It has revealed several outcomes deemed important to capture by patients and clinicians when evaluating the quality of a consent process. Some of these outcomes have not been examined previously in research comparing methods for informed consent. This review is an important step in the development of a COS to evaluate interventions designed to improve the consent process for surgery. Registration The study protocol was registered on the international prospective register for systematic reviews. (shrink)

The Tao of Strategy presents an alternative way to stimulate strategic thinking, looking to ancient times and Eastern philosophies to unlock new ways of solving complex problems. It examines Sun Tzu's Art of War, the Baghavad Gita, and the strategic board game Go; studies leaders' obligations and responsibilities via the Gita and the Tao Te Ching; and explores paths to releasing the ego and achieving a state of serenity with Buddha, Ki-Aikido, and mindfulness. The book also offers guidance on cultivating (...) presence of mind, interpreting a wide variety of situational dynamics, and deciding on appropriate action or inaction to most effectively identify and reach strategic goals. (shrink)

Recent policy developments in the area of livestock husbandry have suggested that, from the perspective of optimizing animal welfare, new animal husbandry systems should be developed that provide opportunities for livestock animals to be raised in environments where they are permitted to engage in “natural behavior.” It is not known whether consumers regard animal husbandry issues as important, and whether they differentiate between animal husbandry and other animal welfare issues. The responsibility for the development of such systems is allocated jointly (...) between farmers, regulators, different actors in the food chain, and consumers. This research focuses on understanding consumer attitudes and preferences regarding the development and introduction of such systems, to ensure that they are acceptable to consumers as well as producers, regulators, and scientists. Consumer perceptions of animal welfare and animal husbandry practices were evaluated using quantitative consumer survey, which focused on two animal husbandry issues – farmed pigs and farmed fish. Following pilot work, 1000 representative Dutch consumers were sampled about their attitudes to either pig or fish husbandry. The results indicated that consumers think about animal welfare in terms of two broad categories related to their health and living environment, but do not think about welfare issues at a more detailed level. Greater concern was expressed about the welfare of pigs compared to fish. Consumer trust in labeling also emerged as an important issue, since consumers need to trust different food chain actors with responsibility for promoting animal welfare, and are reluctant to consider the details of animal husbandry systems. As a consequence, a transparent, enforceable, and traceable monitoring system for animal welfare friendly products is likely to be important for consumers. (shrink)

Recent policy developments in the area of livestock husbandry have suggested that, from the perspective of optimizing animal welfare, new animal husbandry systems should be developed that provide opportunities for livestock animals to be raised in environments where they are permitted to engage in “natural behavior.” It is not known whether consumers regard animal husbandry issues as important, and whether they differentiate between animal husbandry and other animal welfare issues. The responsibility for the development of such systems is allocated jointly (...) between farmers, regulators, different actors in the food chain, and consumers. This research focuses on understanding consumer attitudes and preferences regarding the development and introduction of such systems, to ensure that they are acceptable to consumers as well as producers, regulators, and scientists. Consumer perceptions of animal welfare and animal husbandry practices were evaluated using quantitative consumer survey, which focused on two animal husbandry issues – farmed pigs and farmed fish. Following pilot work, 1000 representative Dutch consumers were sampled about their attitudes to either pig or fish husbandry. The results indicated that consumers think about animal welfare in terms of two broad categories related to their health and living environment, but do not think about welfare issues at a more detailed level. Greater concern was expressed about the welfare of pigs compared to fish. Consumer trust in labeling also emerged as an important issue, since consumers need to trust different food chain actors with responsibility for promoting animal welfare, and are reluctant to consider the details of animal husbandry systems. As a consequence, a transparent, enforceable, and traceable monitoring system for animal welfare friendly products is likely to be important for consumers. (shrink)